Ua ʻike anei ʻoe i nā kiko ʻeleʻele liʻiliʻi, nā pōpō kaula, a i ʻole nā ʻupena nananana e lana ana i mua o kou mau maka i kou hiamoe ʻana? A i ʻole ʻike ʻoe i nā uila e like me ka mea i puhi ʻia e kekahi me kahi kukui kāmela? ʻOiai he nui ka poʻe e manaʻo nei he mau mea maʻamau kēia, i kekahi manawa hiki iā lākou ke lilo i mau hōʻailona mua o kahi maʻi maka koʻikoʻi loa. I kēia lā ke kamaʻilio nei mākou e pili ana i kēlā ʻano koʻikoʻi, akā ʻaʻohe ʻeha. ʻO ia ka retinal detachment, a i ʻole ma ka ʻōlelo lapaʻau, retinal detachment .
I ka ʻōlelo maʻalahi, he aha ka retinal detachment?
E noʻonoʻo i ko kākou maka e like me ke kāmela. No laila, he membrane koʻikoʻi loa ka retina e like me ke kiʻiʻoniʻoni ma ke kua o ke kāmela. Ke hāʻule ka mālamalama mai nā mea a kākou e ʻike ai ma luna o ka retina, hoʻololi ia i kēlā mau hōʻailona mālamalama i mau hōʻailona uila a hoʻouna iā lākou i ka lolo. A laila wale nō kākou e ʻike ai i kahi kiʻi. No laila, loaʻa i ka retina kāna meaʻai a me ka oxygen mai nā ʻiʻo ma lalo ona.
ʻO ka hemo ʻana o ka retina ka wā e hoʻokaʻawale ai ka retina mai ka ʻiʻo ma lalo e hāʻawi ana iā ia i ka meaʻai . Ua like ia me ka pepa paia e ʻili ana mai ka paia. Ke hana ʻia kēia, nalowale kona lako koko. He ʻeha ʻole kēia, akā he kūlana koʻikoʻi loa . Inā ʻaʻole e mālama koke ʻia, hiki i nā hunaola retina ke make a hiki ke lilo mau loa ka ʻike .
No laila, inā loaʻa koke iā ʻoe nā mea lana hou aʻe, ʻike i nā kukui uila, a i ʻole e manaʻo i kahi pale ʻeleʻele e hāʻule ana mai ka ʻaoʻao o kou maka, mai hoʻowahāwahā iā ia, ʻoiai inā ʻaʻohe ʻeha . E ʻike koke i kāu kauka. A i ʻole e hele i ka ʻOihana Hoʻopilikia (ETU) o ka haukapila kokoke loa.
He aha nā ʻano nui o ka wehe ʻana o ka retina?
ʻEkolu mau ʻano nui o kēia maʻi, ma muli o ke ʻano o kona hanana ʻana. E nānā kākou i ke ʻano o lākou.
| ʻAno pakele | Pehea e hana ai a no ke aha |
|---|---|
| ʻAno Rhegmatogenous | ʻO kēia ke ʻano maʻamau. I ko kākou ʻelemakule ʻana, e emi mālie ana ka mea like me ka gel i loko o ka maka (vitreous humor). Ke hana ʻia kēia, huki ia mai ka retina mai, e hana ana i kahi waimaka liʻiliʻi a i ʻole ka lua e hana ai. Ma o kēia waimaka, hōʻiliʻili ka gel ma lalo o ka retina, e paʻi ana iā ia a hoʻokaʻawale iā ia. |
| ʻAno Tractional | ʻO ke kumu o kēia, ʻo ia ka ʻiʻo palapū e hana ana ma ka ʻili o ka retina, e huki ana. ʻOi aku ka nui o ka pilikia o ka poʻe me ka maʻi diabetes . Ke noho kiʻekiʻe a hoʻomalu ʻole ʻia ke kiʻekiʻe o ke kō koko no ka manawa lōʻihi, e hōʻino ʻia nā kīʻaha koko palupalu i loko o ka maka a hana ʻia nā ʻiʻo palapū. Hiki i kēia ʻiʻo palapū ke huki a hemo ka retina. |
| ʻAno exudative | I kēia ʻano, ʻaʻohe waimaka a puka paha i loko o ka retina. Eia nō naʻe, hōʻiliʻili ka wai ma lalo o ka retina. Hiki ke hana ʻia kēia e kekahi mau maʻi lele i loko o ka maka (e like me ka uveitis), nā ʻeha maka, a i ʻole kekahi mau maʻi kanesa, e hoʻoulu ai i ka wai e kahe mai nā kīʻaha koko. |
He aha nā hōʻailona o kēia?
Hiki ke ʻokoʻa nā hōʻailona ma muli o ka nui o ka hemo ʻana o ka retina. Inā he liʻiliʻi ka nui o ka hemo ʻana, ʻaʻohe paha he mau hōʻailona. Eia nō naʻe, i nā manawa he nui, hiki ke ʻike koke ʻia kēia mau hōʻailona.
- Photopsia: He ʻālohilohi koke a makapō hoʻi o ke kukui i loko o ka maka.
- ʻIke ʻana i nā mea lana he nui: ʻIke koke ʻana i nā mea he nui e like me nā kiko ʻeleʻele, nā ʻupena nananana, a i ʻole nā pōpō kaula e lana ana i mua o kou mau maka. (He mea maʻamau ke ʻike i hoʻokahi a ʻelua paha i kekahi manawa, akā inā ʻike ʻoe i ka nui o lākou a pau i ka manawa hoʻokahi, he hōʻailona ia e hoʻomaopopo ai.)
- Ka nalowale ʻana o ka ʻike ma kekahi maka: He manaʻo o ka nalowale ʻana o ka ʻike ma kekahi maka.
- He pale ʻeleʻele e hāʻule ana i mua o nā maka: He manaʻo e like me ka hāʻule ʻana o kahi pale ʻeleʻele i mua o nā maka.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. He pilikia paha ia e hiki ke hoʻopilikia i kou ʻike.
ʻO wai ka mea i ʻoi aku ka pilikia no kēia maʻi?
ʻOiai hiki i kekahi ke loaʻa i kēia maʻi, ʻoi aku ka nui o ka pilikia o kekahi poʻe.
- Ka ʻelemakule: ʻOi aku ka nui o ka pilikia o ka poʻe ma luna o 50 mau makahiki.
- Nā ʻeha maka: Nā ulia e like me ka hahau ikaika ʻana i ka maka.
- Moʻolelo ʻohana:Inā ua loaʻa i kekahi o ka ʻohana kēia maʻi ma mua.
- Ma hope o ka hana ʻana i ke ʻoki maka ma mua: no ka laʻana, ma hope o ke ʻoki cataract.
- ʻO ka Myopia Kiʻekiʻe: No ka poʻe i loaʻa i ke kūlana koʻikoʻi o ka "ʻike kokoke, akā ʻaʻole mamao".
- Nā maʻi maka ʻē aʻe: ʻO ka poʻe me ka retinopathy diabetic a i ʻole ka lattice degeneration.
- Inā ua hemo mua ka retina i kekahi maka: Inā hana kēia, ua pilikia pū kekahi maka.
Inā loaʻa iā ʻoe kekahi o kēia mau mea pilikia, he mea nui loa e nānā pinepine ʻia kou mau maka e ke kauka maka.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe i ke kauka, e nānā pono ʻo ia i kou mau maka. Hana nui ʻia kēia ma ka hoʻonui ʻana i ka pupil o ka maka (dilated eye exam) .
ʻO ka mea e hana ʻia ma kēia, ʻo ia ke kau ʻia ʻana o nā kulu maka i loko o kou maka. I loko o kekahi mau minuke, e hoʻonui ʻia kou maka ʻeleʻele. A laila, hiki i ke kauka ke hoʻohana i kahi mea hana kūikawā e ʻike maopopo i ka retina i loko o kou maka. Hiki i kēia ke kōkua iā ʻoe e ʻike inā he mau waimaka, lua, a hemo paha i loko o ka retina.
Eia kekahi, hiki ke hana ʻia kekahi mau hoʻokolohua ʻē aʻe inā pono.
- ʻO ke kiʻi ʻana o ka Optical Coherence Tomography (OCT): Hiki i kēia ke kiʻi i kahi kiʻi 3D o kahi ʻāpana kea o ka retina.
- ʻO ke Kiʻi Ultrasound Maka (Ocular): Inā ʻaʻole ʻike maopopo ʻia ka retina ma muli o kekahi mea e like me ke kahe ʻana o ke koko i loko o ka maka, hiki ke hoʻohana ʻia kahi ultrasound e nānā i loko o ka maka.
- CT scan: Hoʻohana ʻia kēia e aʻo hou e pili ana i kahi ʻeha maka.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka hemo ʻana o ka retina kahi maʻi hiki ke mālama ʻia me ke ʻoki kino wale nō . Aia ke ʻano o ka mālama ʻana i ke ʻano o ka hemo ʻana, kona nui, a me nā mea ʻē aʻe.
Inā he haehae retinal wale nō ia:
Inā ʻike ʻoe he māwae wale nō ma mua o kona ho'ōla ʻana, hiki iā ʻoe ke hoʻopili iā ia me he mea lā e "welding" ana ʻoe ma mua o kona nui ʻana.
- Lapaʻau Laser: Hoʻohana ʻia nā kukuna laser e hana i nā kuni liʻiliʻi a puni ka māwae, a ʻo ka hopena o ka ʻeha e hoʻopaʻa i ka māwae.
- Cryopexy: Hoʻohana ʻia ke anu nui e hana i kahi ʻeha a puni ka haehae a sila iā ia.
Inā ua hemo ka retina:
Inā he hoʻopakele ʻana, pono paha i hoʻokahi a ʻoi aku paha o nā ʻokiʻoki ma lalo nei.
| ʻAno hana ʻoki kino | He wehewehe maʻalahi |
|---|---|
| ʻO ka Retinopexy Pneumatic | I loko o kēia, hoʻokomo ke kauka i kahi pehu kinoea i loko o ka maka. Hoʻokuke ka pehu i ka retina i hoʻokaʻawale ʻia i loko o ka paia o ka maka. Ma hope o ke ʻoki ʻana, pono ʻoe e mālama i kou poʻo i kahi kūlana kūikawā no kekahi mau lā i hiki ai i ka pehu kinoea ke hele i kahi kūpono a noho ma kahi. |
| ʻO ke kāʻei ʻāʻī | Ma kēia, ua kau ʻia kahi mea e like me ke kaula silicone (buckle) a puni ka ʻaoʻao o waho o ka maka a hoʻopaʻa mālie ʻia. Hoʻokuke kēia i ka paia o ka maka i loko, e ʻae ana i ka retina i hoʻokaʻawale ʻia e hoʻopā hou i ka paia a pipili iā ia. ʻO ka maʻamau, noho kēia kaula a puni ka maka no ke ola, akā ʻaʻole ʻike ʻia mai waho. |
| ʻO ka hoʻokaʻawale ʻana o ka vitrectomy | He ʻano hana paʻakikī kēia. Ma kēia, ua wehe loa ʻia ka gel i loko o ka maka (vitreous). A laila, hoʻoponopono ʻia nā waimaka i loko o ka retina me ka laser, a ua hoʻopiha ʻia kahi i noho ai ka gel me kahi pehu o ke kinoea, ka ea, a i ʻole ka ʻaila silicone . Hoʻohana ʻia kēia pehu e hoʻopaʻa i ka retina ma kahi a hiki i ka hoʻopili hou ʻana. |
He mea nui: Inā he pehu kinoea kou i loko o kou maka, ʻaʻole pono ʻoe e holo ma ka mokulele a i ʻole i nā wahi kiʻekiʻe a hiki i ka wā e heheʻe loa ai. ʻO kēia no ka mea hiki i ka loli ʻana o ke kaomi ea ma nā wahi kiʻekiʻe ke hoʻonui i ka pehu a hōʻino i ka maka. E haʻi aku kāu kauka iā ʻoe i ka wā hiki iā ʻoe ke hana hou i kēia mau mea.
He aha kāu e manaʻo ai ma hope o ke ʻoki kino?
Aia paha kekahi ʻeha a me ka ʻeha ma ka maka no kekahi mau pule ma hope o ke ʻoki ʻana. E hāʻawi ke kauka iā ʻoe i nā lāʻau ʻeha no kēlā. Pono nō hoʻi ʻoe e pale i ka hana kaumaha, ka hoʻoikaika kino, a me ka hoʻokele kaʻa no kekahi mau pule.
- Pāpale maka: Pono ʻoe e kau i kahi pāpale maka no ka lōʻihi e haʻi aku ai kāu kauka iā ʻoe.
- Kūlana poʻo:ʻOiai inā ua hoʻokomo ʻia kahi pehu kinoea, i mea e hana pono ai, he mea nui e mālama i kou poʻo i kahi kūlana no ka lōʻihi i kauoha ʻia e ke kauka.
- Nā kulu maka: Pono e hoʻopili ʻia nā kulu maka i ka manawa kūpono e kōkua i ka maka e ho'ōla wikiwiki a pale i nā maʻi.
- ʻIke: Hoʻomaka ka ʻike e hoʻomaikaʻi mālie ma kahi o 4-6 mau pule ma hope o ke ʻoki ʻana. Eia nō naʻe, hiki ke hala kekahi mau mahina no ka hoʻi ʻana mai o ka ʻike piha. I kekahi mau hihia, ʻaʻole paha e hoʻihoʻi piha ʻia ka ʻike.
E makaʻala i kēia mau kūlana ma hope o ke ʻoki ʻana
ʻOiai inā ua holomua ke ʻoki ʻana, i kekahi mau hihia, hiki ke loaʻa nā pilikia. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.
- Inā nui, loaʻa ka ʻeha i manaʻo ʻole ʻia .
- Inā ʻoe e hōʻike i nā hōʻailona o ka maʻi, e like me ka pehu ʻana o nā maka a me ke kuni.
- Inā he kahe ʻano ʻē mai ka maka mai.
- Inā e lilo koke kou ʻike i mea ʻino loa .
Leka Lawe-Home
- ʻO ka piʻi koke ʻana o ka nui o nā mea lana, ka ʻike ʻana i nā kukui uila, a i ʻole ka manaʻo e hāʻule ana kahi pale ʻeleʻele i mua o nā maka, he mau hōʻailona ia .
- He maʻi koʻikoʻi loa ka retinal detachment e hiki ai ke lilo mau loa ka ʻike, ʻoiai ʻaʻohe ʻeha .
- Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, mai "kali wale a ʻike." E ʻike koke i kahi kauka maka a i ʻole e hele i ka ʻOihana Hoʻopilikia (ETU) o ka haukapila kokoke loa.
- Inā e mālama koke ʻia, kiʻekiʻe loa ka manawa e loaʻa hou ai ka ʻike ma o ke ʻoki ʻana.
- Inā he mau mea pilikia kou e like me ka maʻi diabetes a i ʻole ka ʻike kokoke ʻana, he mea nui loa ia e nānā ʻia kou mau maka e ke kauka maka ma ka liʻiliʻi hoʻokahi i ka makahiki .
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