Ua manaʻo paha ʻoe i kahi mea e like me kahi nananana liʻiliʻi a i ʻole kahi ʻōpala lepo e lana ana i mua o kou maka i kou hiamoe ʻana? Ua hoʻāʻo ʻoe e hopu iā ia, akā ʻaʻole hiki iā ʻoe, ʻeā? I kekahi manawa ʻike ʻoe i kahi kukui uila mai ke kihi o kou maka, ʻeā? Ua loaʻa i ka poʻe he nui kēia ʻike. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia ʻike maʻamau, akā he mea weliweli iki, e kū mai ana i ko mākou wā ʻelemakule, ʻo ia hoʻi ka Posterior Vitreous Detachment (PVD).
He aha ka mea e hana maoli nei? (Posterior Vitreous Detachment - PVD)
I ka ʻōlelo maʻalahi, he loli kūlohelohe ka PVD e kū mai ana i loko o ko kākou mau maka i ko kākou wā ʻelemakule. E noʻonoʻo i ko kākou mau maka e like me kahi pōpō liʻiliʻi. Ua piha kēia pōpō me kahi mea maopopo, e like me ka jelly i kapa ʻia ʻo ka vitreous gel . ʻO kēia jelly ka mea e hāʻawi ai i ka maka i kona ʻano poepoe.
I loko o ka maka, ma ka paia hope, aia kahi membrane nerve koʻikoʻi loa e hana ana e like me ke kiʻiʻoniʻoni i loko o kahi kāmela. ʻO kēia ka mea a mākou e kapa nei ʻo retina . ʻO ka retina ka mea e hōʻiliʻili i ka mālamalama e hele mai ana mai nā mea a mākou e ʻike ai, hoʻololi iā ia i mau hōʻailona uila, a hoʻouna iā lākou i ka lolo.
I ko kākou wā ʻōpiopio, ua paʻa pono ka jelly (vitreous gel) aʻu i ʻōlelo ai i ka retina. Akā i ko kākou ʻelemakule ʻana, e like me ka hoʻokaʻawale ʻana o ka jelly mai ka wai ma hope o kekahi manawa, hoʻomaka kēia jelly e hoʻoheheʻe mālie. A laila lilo ia i mea mānoanoa ʻole i loko, emi iki, a hoʻomaka mālie e hoʻokaʻawale mai ka retina ma ka paia hope. ʻO kēlā kaʻawale ʻana ka mea a mākou e kapa nei he Posterior Vitreous Detachment (PVD) .
ʻAʻole kēia he maʻi, akā he hana kūlohelohe e hana ʻia me ka ʻelemakule, e like me ka lauoho e lilo ana i hina.
He aha nā hōʻailona o kēia? Pehea e ʻike ai au?
Ke loaʻa ka PVD, ʻelua mau hōʻailona nui e ʻike ʻia. Hiki i kēia ke hoʻomaka koke.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Nā mea lana | ʻO kēia nā hōʻailona maʻamau. Hiki iā ʻoe ke ʻike i nā kiko ʻeleʻele liʻiliʻi, nā laina, nā ʻupena nananana, a i ʻole nā ilo e lana ana i mua o kou mau maka. Ke neʻe ʻoe i kou mau maka, lana pū kēia mau mea me lākou. ʻO kēia nā aka o nā ʻāpana liʻiliʻi o ka jelly i loko o ka maka e hāʻule ana ma ka retina a ʻike mākou iā lākou. I kekahi manawa hiki iā ʻoe ke ʻike i kahi mea e like me ka pōʻai nui. Ua kapa ʻia hoʻi he apo Weiss . |
| Nā kukuna o ke kukui | Hiki paha iā ʻoe ke ʻike i kahi kukui uila mai ka ʻaoʻao o kou maka, e like me ka uila, a i ʻole ka uila mai ke kāmela, no kekahi mau kekona. Hana ʻia kēia no ka mea ke kaʻawale ka jelly mai ka retina, huki iki ia i ka retina. A laila hoʻoulu ʻia nā aʻalolo i loko o ka retina, a wehewehe ka lolo iā ia he mālamalama. ʻIke pinepine ʻia kēia ma nā wahi pouli. |
Inā ʻike ʻoe i kēia mau hōʻailona no ka manawa mua, he mea nui e ʻike koke i kahi loea mālama maka (ophthalmologist). Hiki ke loaʻa kēia mau hōʻailona like i nā kūlana ʻē aʻe i ʻoi aku ka koʻikoʻi. No laila, he mea nui e hoʻoholo pono i ke ʻano o ia mea.
No ke aha e ulu ai ka PVD? ʻO wai ka mea e ʻoi aku ka paʻakikī o ka ulu ʻana?
ʻO ke kumu nui ka ʻelemakule . Piʻi nui ka nui o ka PVD ma hope o 50 mau makahiki. Ua manaʻo ʻia ma kahi o 66% o ka poʻe ma waena o 65 a me 85 mau makahiki e loaʻa i ke kūlana. ʻO ia hoʻi ma kahi o ʻelua o ʻekolu mau kānaka. Eia kekahi, aia kekahi mau kumu pilikia ʻē aʻe:
- ʻIke kokoke / Myopia: Inā ʻike pōkole ʻoe (e kau ana i nā aniani me ka helu haʻahaʻa), ʻoi aku ka lōʻihi o kou maka ma mua o ko ke kanaka maʻamau. No laila, ua kīkoʻo ʻia ka retina. Hoʻonui kēia i ka pilikia o ka PVD.
- Maʻi diabetes: ʻOi aku ka nui o ka pilikia o ka poʻe me ka maʻi diabetes i ka PVD no ka mea hiki ke hoʻoulu i nā pilikia maka.
- Nā ʻeha maka: Inā ua loaʻa iā ʻoe kahi hahau nui i ka maka ma mua a i ʻole i loko o kahi ulia.
- ʻO ke ʻoki maka: Inā ua loaʻa iā ʻoe nā mea e like me ke ʻoki cataract, hiki ke hoʻolalelale ʻia ke kaʻina hana o ka PVD.
Inā loaʻa iā ʻoe ka PVD ma kekahi maka, nui ka manawa kūpono e loaʻa i kekahi maka i loko o kekahi a ʻelua paha makahiki e hiki mai ana.
He mea weliweli anei kēia? Hiki iaʻu ke nalowale koʻu mau maka?
Eia ka mea nui. ʻAʻole ʻo PVD ponoʻī he ʻano ʻeha a weliweli paha e hiki ai ke lilo ka ʻike. He hana kūlohelohe ia.
Eia nō naʻe, ʻo ka pilikia, i ka wā e loaʻa ai ka PVD, ʻo ia hoʻi, i ka wā e hoʻokaʻawale ai kēlā jelly mai ka retina, he kakaikahi loa ka poʻe (ʻaʻole i hiki i ka 15%)Hiki iā ia ke alakaʻi i nā pilikia. He mea weliweli loa kēlā mau pilikia a hiki ke alakaʻi i ka nalowale mau o ka ʻike inā ʻaʻole e mālama koke ʻia.
ʻOiai ʻaʻole weliweli ka PVD, he koʻikoʻi loa nā pilikia e hiki ai ke hana. No laila, inā ʻike ʻoe i nā mea lana hou a i ʻole nā ʻālohilohi, he mea nui e ʻike i kahi kauka ophthalmologist me ka nānā ʻole ʻana iā lākou.
Nā pilikia weliweli e hiki ke kū mai ma muli o ka PVD
| Ka pilikia | Manaʻo |
|---|---|
| Ka haehae ʻana o ka retina | Ke kaʻawale kēlā jelly mai ka retina, i kekahi manawa hiki i ka retina ke haehae iki mai kahi i hoʻopaʻa paʻa ʻia ai. |
| Ka wehe ʻana o ka retina | Mai kēlā waimaka, hiki i ke kahe ʻana o ke wai mai loko mai o ka maka a hoʻopiha i ka hakahaka ma lalo o ka retina, e hemo loa ana mai ka paia o ka maka. He pilikia olakino kēia. Inā manaʻo ʻoe e hāʻule ana kahi pale ʻeleʻele i mua o kou mau maka, he hōʻailona paha kēia o kēia. |
| Lua macular | Hiki ke hōʻino ʻia ke kiko waena o ka retina, ʻo ia hoʻi ka macula, ka mea e hāʻawi mai ana iā mākou i kā mākou ʻike maopopo loa a ʻoi loa. |
ʻO ia ke kumu a mākou e ʻōlelo nei, i ka wā e loaʻa ai iā ʻoe nā hōʻailona o PVD, he mea nui e hoʻāʻo ʻia e ʻike inā loaʻa iā ʻoe kēia mau kūlana weliweli.
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka maka, e nīnau ʻo ia e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo maka. Ua kapa ʻia kēia he hoʻokolokolo maka dilated .
ʻO ka mea e hana ʻia ma kēia, ʻo ia ke kau ʻana o ke kauka i kekahi mau kulu maka i loko o kou maka a hoʻonui i ka pupil. A laila, hoʻomālamalama ʻia kahi kukui i loko o ka maka a hoʻohana ʻia nā lako kūikawā e ʻike maopopo i ka retina a me ka vitreous gel ma ke kua o ka maka. Hiki i kēia hoʻāʻo ke hoʻoholo inā he PVD kou a i ʻole kekahi o nā pilikia weliweli aʻu i ʻōlelo ai.
He mea kākaʻikahi loa, inā he mea e like me ke koko i loko o ka maka a ʻaʻole ʻike maopopo ʻia ke kua, hiki ke hana ʻia kahi hoʻokolohua e like me ka ultrasound ocular .
Aia kekahi lāʻau lapaʻau no PVD?
Ma hope o ka nānā ʻana i kou mau maka, inā hōʻoia ke kauka he PVD wale nō kou a ʻaʻohe pilikia, a laila ʻaʻohe pono o kahi lāʻau kūikawā.
Eia nō naʻe, e noi aku ke kauka iā ʻoe e hoʻi mai i loko o 4 a 6 mau pule no kahi nānā ʻana . He mea pono ia e hana. No ka mea, i kekahi manawa hiki ke hana ʻia kekahi mea e like me ka haehae retinal i ʻike ʻole ʻia i ka wā o ka nānā mua ʻana ma hope. No laila, he mea nui e mālama i kēlā.
Aia nā ʻokiʻoki no kēlā mau mea lana, akā ʻaʻole pinepine lākou e hana ʻia. No ka mea, hiki i kēlā mau ʻokiʻoki ke hoʻoulu i nā pilikia. I ka hala ʻana o ka manawa, maʻa ko mākou lolo i kēia mau mea lana a hoʻomaka e hoʻowahāwahā iā lākou. Ma hope o kekahi manawa, ʻike iki ʻoe iā lākou.
Pehea lā wau e noho ai me kēia mau 'mea lana' hoʻonāukiuki?
Hiki i kēia mau mea lana a me nā ʻālohilohi ke lilo i mea hoʻonāukiuki no kekahi manawa, akā aia kekahi mau mea hiki iā ʻoe ke hana e kōkua iā ʻoe e maʻa iā lākou.
- E neʻe mālie i kou mau maka i mua a i mua: Inā ʻike ʻoe i kahi mea lana i waenakonu o kou ʻike, e neʻe mālie i kou mau maka i luna, i lalo, hema, a me ka ʻākau. E kōkua kēia i ka mea lana e lana me ke kahe o loko o kou maka.
- E hōʻemi i ka ʻālohilohi: E hōʻemi i ka ʻālohilohi o nā pale kamepiula, kelepona, a me nā kīwī.
- E ʻaʻahu i nā aniani maka: E ʻaʻahu i nā aniani maka i ka wā e hele ai i waho i ka lā ʻālohilohi. E hōʻemi kēia i ka ʻike ʻia ʻana o nā mea lana.
- E ʻaʻahu i nā aniani kūpono: Inā ua kuhikuhi ʻia ʻoe i nā aniani no ka pilikia o ka ʻike, e ʻaʻahu pono iā lākou.
ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻana he mea maʻamau kēia a mai hopohopo nui no ia mea. I ka hala ʻana o ka manawa, e emi iki ana kou manaʻo i kēia mau manaʻo.
Leka Lawe-Home
- He hana kūlohelohe ka Posterior Vitreous Detachment (PVD) e hana ʻia me ka ʻelemakule, kahi e hoʻokaʻawale ai ka jelly i loko o ka maka mai ka retina. ʻAʻole ia he maʻi.
- ʻO nā hōʻailona nui he mau kiko ʻeleʻele, nā mea e like me ka nananana (nā mea lana) a me nā ʻālohilohi o ke kukui.
- ʻAʻole ia he mea weliweli ka PVD, akā hiki i kahi poʻe liʻiliʻi loa ke loaʻa i nā pilikia koʻikoʻi e like me ka haehae ʻana o ka retina a i ʻole ka hemo ʻana.
- Inā loaʻa iā ʻoe kēia mau hōʻailona no ka manawa mua , inā piʻi koke ka nui o nā mea lana, a inā ʻike ʻoe i kahi pale ʻeleʻele i mua o kou mau maka, e ʻike koke i ke kauka maka. He pilikia paha kēia.
- ʻAʻole pono ka lāʻau lapaʻau no ke kūlana PVD maʻamau. I ka hala ʻana o ka manawa, e emi ana kou mau hōʻailona. Eia nō naʻe, he mea nui e hele i nā hoʻokolohua hahai e like me ka ʻōlelo a kāu kauka.
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