ʻIke ʻoe i nā mea nani o kēia ao, ʻike i nā helehelena o kāu poʻe aloha, a heluhelu i kahi puke me kou mau maka, ʻeā? He mea kupaianaha maoli ko kākou mau maka. E like me ke kāmela ʻenehana kiʻekiʻe. No laila, i loko o kēia kāmela, aia kahi kiʻiʻoniʻoni e hoʻololi i ka mālamalama i kiʻi, a i ʻole kahi sensor i nā kāmela hou. I ka lāʻau lapaʻau, kapa mākou i kēia ʻo retina . I kēia lā, e aʻo hou kākou e pili ana i kēia hana mana liʻiliʻi he mea nui i kou ʻike.
I ka ʻōlelo maʻalahi, he aha ka retina?
He papa lahilahi loa ka retina o nā hunaola nerve ma ke kua o kou maka. Ke nānā ʻoe i kekahi mea, komo ka mālamalama mai kēlā mea i kou maka a hāʻule pololei ma luna o kēia retina.
E noʻonoʻo ʻoe e nānā ana i kahi pua nani. Hele nā kukuna mālamalama i hōʻike ʻia mai ka pua ma o ke aniani o kou maka a kau ʻia ma ka retina. A laila hana ʻia kekahi mea kupaianaha. Hoʻololi nā pūnaewele kūikawā i loko o ka retina (kapa mākou i kēia mau photoreceptors ) i kēia mālamalama i nā hōʻailona aʻalolo uila. E like me ka hoʻololi ʻana o kahi sensor kāmela i ka mālamalama i ʻikepili kikohoʻe.
A laila hele pololei kēia mau hōʻailona aʻalolo i ka lolo ma o kahi aʻalolo kūikawā i kapa ʻia ʻo ke aʻalolo optic. Hoʻopili ka lolo i kēia mau hōʻailona a haʻi iā ʻoe, "ʻAuē... he rose ʻulaʻula kēia." Hana ʻia kēia kaʻina holoʻokoʻa i ka ʻimo o ka maka. ʻAʻole anei he mea kupaianaha?
ʻO ia hoʻi, ua like ka retina me ke alahaka koʻikoʻi ma waena o ka maka a me ka lolo. Inā ua hōʻino iki ʻia kēia alahaka, hiki ke loli ke ʻano o kā mākou ʻike ʻana i ke ao nei, e hana ana i nā kiko ʻeleʻele i ko mākou ʻike, a i ʻole ka nalowale loa o ka ʻike.
He aha nā ʻāpana nui ʻelua o ka retina?
Hiki ke hoʻokaʻawale ʻia ko kākou retina i ʻelua ʻāpana nui. He ʻokoʻa nā hana a lāua ʻelua.
1. Macula: ʻO kēia ka ʻāpana liʻiliʻi o ka retina ma waenakonu e hāʻawi ana i ka ʻike ʻoi loa. Kōkua ka macula iā ʻoe e hana i nā mea maikaʻi e like me ka heluhelu ʻana i kahi puke me ka maopopo, ka ʻike ʻana i nā ʻano helehelena, ka hoʻokele ʻana i kahi kaʻa, a me ke kaula ʻana i kahi nila. He mea nui loa kēia ʻāpana no ka ʻike maopopo ʻana i nā kala.
2. Retina Peripheral: ʻO kēia ka mea a mākou e kapa nei ʻo ka ʻāpana nui a puni ka macula. Hāʻawi kēia ʻāpana iā mākou i ka ʻike peripheral. E noʻonoʻo ʻoe e hele ana ma ke alanui e nānā pololei ana i mua. Hiki iā ʻoe ke ʻike maopopo i ke kanaka i mua ou ma muli o ka macula. I ka manawa like, ʻaneʻane ʻaʻole hiki iā ʻoe ke ʻike i kahi kaʻa a i ʻole ke kaʻa paikikala e hele mai ana mai ka ʻaoʻao. Hāʻawi ʻia kēlā ʻike peripheral e ka retina peripheral. ʻO kēia ʻāpana hoʻi e kōkua iā ʻoe e ʻike i nā mea i ka pōʻeleʻele.
Nā maʻi maʻamau a me nā kūlana e pili ana i ka retina
ʻO ka mea pōʻino, aia kekahi mau maʻi e hiki ke hōʻino i ko kākou retina makamae. Hiki i kekahi o kēia mau mea ke alakaʻi i ka nalowale mau loa o ka ʻike inā ʻaʻole mālama koke ʻia. No laila he mea nui e makaʻala i kēia.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| ʻO ka Degeneration Macular e pili ana i ka makahiki | Lilo ka ʻike waena (ʻike i ka nānā pololei ʻana i mua) i mea pōwehiwehi i ka nāwaliwali ʻana o ka macula me ka ʻelemakule. |
| ʻO ka Retinopathy e pili ana i ka maʻi diabetes | ʻO ka maʻi diabetes ke kumu o ka hōʻino ʻana i nā kīʻaha koko i loko o ka retina. ʻO kēia kekahi kumu nui o ka nalowale ʻana o ka ʻike. |
| ʻO ka Hypertensive Retinopathy (maʻi maka i hoʻokumu ʻia e ke koko kiʻekiʻe) | Ka hōʻino ʻia ʻana o nā kīʻaha koko i loko o ka retina ma muli o ke koko kiʻekiʻe i kāohi ʻole ʻia. |
| Nā Wehe ʻana o ka Retinal a me nā Waimaka | Hoʻokaʻawale ʻia ka retina mai ka ʻiʻo ma lalo. He pilikia olakino kēia. |
| Puka Maka / Puʻupuʻu Maka | Ua hewa ka ʻike (e like me ka ʻike ʻana i nā laina pololei) ma muli o kahi lua liʻiliʻi a i ʻole ka wrinkle ma ka macula. |
| Ke kahe koko ʻana o ka Retinal - Hemorrhage | Hoʻopōʻino a kahe ke koko i nā kīʻaha koko retinal no nā kumu like ʻole. |
| Ka Paʻa ʻana o ke Aa Retinal/Artery | Ka paʻa ʻana o kahi kīʻaha koko e hoʻolako ana i ke koko i ka maka. Ua kapa ʻia hoʻi kēia he "eye stroke." |
| ʻO ka Retinitis Pigmentosa | He ʻano hoʻoilina e hoʻonāwaliwali mālie ai ka ʻike i ka hala ʻana o ka manawa. |
| ʻO ka Retinopathy Lā | ʻO ka nānā pololei ʻana i ka lā me ka ʻole o ka pale ʻana hiki ke hōʻino i ka retina. |
| Nā maʻi ʻaʻai maka | Eia kekahi laʻana, retinoblastoma, ka mea e hana ʻia i nā keiki ʻōpio. |
He aha nā hōʻailona e hōʻike ana i kahi pilikia me ka retina?
Inā ʻike ʻoe i kekahi mau loli i kou mau maka a i ʻole ka ʻike, mai hoʻowahāwahā iā ia. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, e ʻike i ke kauka, ʻoiai he kauka maka, i ka hikiwawe loa.
| Hōʻailona | Wehewehena |
|---|---|
| ʻIke pōwehiwehi a ʻike hewa paha | ʻIke pono ʻole i nā mea, ʻike i nā laina pololei. |
| ʻIke Tunnel | Ua like ia me ka nānā ʻana ma loko o kahi ʻōmole, me nā ʻaoʻao ʻelua o ka hihiʻo e nalowale ana. |
| Nā Mea Lana Maka | Manaʻo e like me nā mea e like me nā ʻupena nananana, nā kiko, a i ʻole nā laina e lana ana i mua o kou mau maka. E hopohopo, ʻoiai inā e piʻi koke kēia mau mea . |
| Nā ʻĀlohilohi o nā Maka | Ke ʻike nei i ke kukui ma ke kihi o kou maka, e like me ka uila a i ʻole ka flash o ke kāmela. |
| Nā Wahi Makapō / Pale | Ua nalowale kekahi mau ʻāpana o ka mea āu e nānā nei a i ʻole ka manaʻo e like me kahi pale ʻeleʻele e hāʻule ana i mua o kou mau maka. |
| ʻIke Pālua | Hoʻokahi mea e like me ʻelua. |
| Paʻakikī ke nānā aku i ka mālamalama (Light Sensitivity) | ʻOiai ke kukui maʻamau, ua ʻālohilohi loa no nā maka. |
Pehea e nānā ai ke kauka i ka retina?
Ke ʻike ʻoe i kahi ophthalmologist, e hoʻohana ʻo ia i nā ʻano hana like ʻole e nānā ai i kāu retina.
- Dilation: E kau kāu kauka i kekahi mau kulu o ka lāʻau lapaʻau i loko o kou maka e hoʻonui i kāu pupil i hiki iā ʻoe ke ʻike maopopo i kou retina . Hiki ke blurry iki kou ʻike no kekahi mau hola ma hope.
- Hoʻokolohua Kukui ʻoki: Hoʻohana ʻia kahi microscope kūikawā a me ke kukui e nānā i ke alo holoʻokoʻa o ka maka, mai ke kua a i ka retina.
- Fundoscopy / Ophthalmoscopy: He mea hana lima e hoʻomālamalama i ka maka e nānā i ka retina, ke aʻalolo optic, a me nā kīʻaha koko.
- Kiʻi Fundus: Lawe kahi kāmela kūikawā i nā kiʻi hoʻonā kiʻekiʻe o ka retina. He mea nui loa kēia no ka nānā ʻana i nā kūlana maʻi.
Pehea e hiki ai iā mākou ke mālama i ko mākou retina?
ʻAʻole mākou e ʻōlelo wale aku "e pale i kou mau maka e like me nā maka ʻelua". No laila, e hana pono i kēia mau mea e mālama i kou mau retina, ka mea e pale ai i kou ʻike.
- E nānā pinepine i kou mau maka: Inā ʻoe e kau ana i nā aniani a i ʻole, e nānā ʻia kou mau maka e ke kauka maka ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki a ʻelua paha .
- Inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole ke koko kiʻekiʻe: ʻOiai ʻo kēia mau maʻi e hoʻopilikia pololei i nā maka, he mea nui e nānā ʻia kou mau maka i hoʻokahi manawa i ka makahiki . E kāohi i kou maʻi e like me ka ʻōlelo a kāu kauka.
- E kiʻi i ka meaʻai maikaʻi: He mea maikaʻi loa nā meaʻai waiwai i nā wikamina A, C, E, a me ka zinc no nā maka. E hoʻokomo i nā mea kanu ʻōmaʻomaʻo (spinach, kale), kāloti, ʻuala, ʻalani, a me ka iʻa i kāu papaʻai.
- E mālama i ke kaumaha olakino: ʻO ke kāohi ʻana i ke kaumaha o ke kino e kōkua i ka pale ʻana i nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe.
- E pale i kou mau maka mai ka lā: E ʻaʻahu i nā aniani maka maikaʻi e pale aku ai i nā kukuna UV ke hele ʻoe i waho. Mai nānā pololei i ka lā.
- E ʻaʻahu i nā aniani palekana: E hōʻoia e ʻaʻahu i nā aniani palekana i nā kūlana i loaʻa ai ka pilikia i kou mau maka, e like me ka pāʻani ʻana i nā haʻuki, ka wili ʻana, a i ʻole ka hana ʻana me nā mīkini.
- Mai hoʻowahāwahā i nā loli i kou ʻike: ʻOiai inā manaʻo ʻoe e hōʻino mālie ana kou ʻike, mai manaʻo wale he hōʻailona ia o ka ʻelemakule. E ʻike i ke kauka e ʻike i ke kumu.
Nā kūlana ke pono ʻoe e ʻike koke i ke kauka!
He mea nui loa kēia. Inā loaʻa iā ʻoe kekahi o kēia mau mea, mai hoʻonele i ka manawa a hele i ka haukapila kokoke loa ʻo Emergency Treatment Unit (ETU) . He mau hōʻailona paha kēia o kahi pilikia, e like me ka retina i hemo. Hiki i ka mālama koke ke hoʻōla i kou ʻike.
Inā nalowale koke kou ʻike, inā hoʻomaka koke ʻoe e ʻike i nā kiko ʻeleʻele he nui e lana ana i mua o kou mau maka, inā ʻoe e ʻike mau ana i nā kukui e like me ka uila, a inā paha ʻoe e manaʻo nei e hāʻule ana kahi pale ʻeleʻele i mua o kou mau maka, e hele koke i ka haukapila.
ʻO ka hoʻowahāwahā ʻana i kēia mau hōʻailona hiki ke alakaʻi i ka makapō mau loa. No laila, mai hopohopo a hopohopo paha, a e ʻimi koke i ke kōkua lapaʻau.
Leka Lawe-Home
- ʻO ka retina ka ʻāpana koʻikoʻi loa o ka maka, aia ma ke kua o ka maka, nāna e hoʻololi i ka mālamalama i nā hōʻailona aʻalolo a hoʻouna iā lākou i ka lolo. Ua like ia me ke sensor i loko o ke kāmela.
- Hiki iā ʻoe ke loaʻa ka ʻike maopopo a ʻoi wale nō inā olakino kou retina.
- ʻO ka maʻi diabetes a me ke koko kiʻekiʻe he mau maʻi ia e hōʻino nui ai i ka retina. Inā loaʻa iā ʻoe kēia mau maʻi, he mea nui e nānā ʻia kou mau maka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki.
- Inā ʻike koke ʻoe i nā hōʻailona e like me nā kiko ʻeleʻele e lana ana i mua o kou mau maka, nā kukui uila, a i ʻole kahi pale ʻeleʻele e uhi ana i kahi ʻāpana o kou ʻike, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
- Mai hoʻowahāwahā i nā loli i kou ʻike, ʻoiai inā he mālie lākou. E ʻike i ke kauka maka no ka ʻōlelo aʻo. Aia i kou mau lima ka mālama ʻana i kou ʻike makamae.











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