He aha ke ʻano o ka wā e uē ai kahi membrane i loko o kou maka? (Retinal Tear) E kamaʻilio maʻalahi kākou e pili ana i ia mea!

He mea waiwai nui ko kākou mau maka, ʻeā? Ua like lākou me nā puka makani ʻelua e ʻike ai kākou i ke ao nei. No laila, he mea maʻamau iā kākou ke makaʻu nui a hopohopo inā loaʻa kekahi mea i ko kākou mau maka. I kekahi manawa, e ʻike koke paha ʻoe i nā kukui uila i mua o kou mau maka, a i ʻole e ʻike paha ʻoe i nā kiko ʻeleʻele liʻiliʻi a i ʻole nā ​​ʻupena nananana e lana ana a puni. He mau hōʻailona paha kēia o ka 'waimaka retinal', he waimaka i loko o ka membrane palupalu loa i loko o kou maka. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī hou aku a maʻalahi i kēia lā.

He aha maoli ka 'retinal tear'?

I ka ʻōlelo maʻalahi, ʻo ka haehae retinal he haehae a māwae paha i loko o ka papa lahilahi a koʻikoʻi loa ma ke kua o kou maka, i kapa ʻia ʻo retina . E noʻonoʻo iā ia e like me kahi ʻāpana silika palupalu loa. Pēlā ke ʻano o ka retina.

I kēia manawa, ke noʻonoʻo nei paha ʻoe no ke aha e hana ai kēia. I loko o ko kākou mau maka, aia kahi mea like me ka jelly i kapa ʻia ʻo vitreous . Kōkua kēia vitreous i ka mālama ʻana i ke ʻano o loko o ka maka. I kekahi manawa, ʻoiai i ko kākou ʻelemakule ʻana, hoʻomaka kēia vitreous e emi a huki aku mai ka retina. Ke huki ʻia, hiki iā ia ke huki aku mai kahi i hoʻopili ʻia ai i ka retina, e haehae ana i ka membrane palupalu. Ua kapa ʻia kēia he retinal tear.

Akā, ʻaʻole kēia he 'retinal detachment', ʻo ia hoʻi, ʻaʻole i hemo loa ka retina. Eia nō naʻe, inā ʻaʻole mālama pono ʻia kahi 'retinal tear', nui ka manawa e komo ai ke wai i loko o ka waimaka a hemo ka retina, ʻo ia hoʻi he 'retinal detachment'. He kūlana pilikia kēlā.

I kekahi manawa hiki i ka retina ke lahilahi a hana i lua. ʻAʻole paha e ulu kēia mau mea i loko o ka retinal detachment.

Eia nō naʻe, he mea hiki ke hoʻopilikia i kou ʻike ka haehae retinal, no laila pono e mālama ʻia he pilikia olakino . He mea nui e ʻike koke i ke kauka maka inā loaʻa iā ʻoe nā hōʻailona.

He aha nā hōʻailona o ka 'Retinal Tear'?

I kēia manawa, e nānā kākou i ke ʻano o nā mea āu e manaʻo ai.

• ʻIke koke ʻana i nā kukuna o ke kukui i mua o nā maka: ʻO kēia ka mea a mākou e kapa nei i ka lāʻau lapaʻau he "Photopsia". Hiki ke like me ka ʻike ʻana i kahi kukuna mai kahi kāmela, ʻoiai mai ka ʻaoʻao.
• ʻO nā kiko ʻeleʻele liʻiliʻi, a i ʻole nā ​​ʻupena nananana, e ʻike pinepine ʻia ma mua o ka ʻole: ua kapa ʻia kēia mau mea ʻo 'floaters'. ʻO ka ʻike ʻana i hoʻokahi a ʻelua paha he mea maʻamau, akā inā ʻike ʻoe i ka nui o lākou a pau i ka manawa hoʻokahi, he mea ia e hopohopo ai.
• Me he mea lā e pōʻeleʻele mālie ana ka ʻike: Me he mea lā e hāʻule ana kahi pale ʻeleʻele i mua o kou mau maka.
• Ua pōwehiwehi ka ʻike.

E noʻonoʻo, ʻoiai ʻoe e aʻo ana a e nānā ana paha i ke TV, ʻike koke ʻoe i nā ʻupena nananana liʻiliʻi e lana ana i mua o kou mau maka, a ʻike paha ʻoe i nā kukui uila me he mea lā ua loaʻa kahi haʻalulu uila. Hoʻowahāwahā kekahi poʻe i kēia, me ka manaʻo, 'Ua hana ʻia paha kekahi mea i koʻu maka.' Akā, ʻo kēia paha nā hōʻailona mua o ka 'waimaka retinal'.

Akā e hoʻomanaʻo, i kekahi manawa hiki ke loaʻa kahi haehae retinal me ka ʻole o nā hōʻailona. ʻO ia ke kumu he mea nui e nānā pinepine ʻia kou mau maka.

No ke aha e hana ʻia ai kahi 'haehae retinal'? He aha nā kumu?

Aia kekahi mau kumu nui no kēia:

• ʻO ka Posterior Vitreous Detachment (PVD): ʻO kēia ke kumu maʻamau. E like me kaʻu i ʻōlelo ai ma mua, i ko kākou ʻelemakule ʻana, e emi ana ka jelly vitreous i loko o ka maka a huki aku mai ka retina. Ua kapa ʻia kēia kaʻina hana ʻo PVD. ʻAʻole nā ​​hihia āpau o PVD e hopena i ka haehae retinal, akā i kekahi manawa hiki ke loaʻa kahi haehae ke huki ka jelly mai kahi i hoʻopaʻa paʻa ʻia ai i ka retina.
• Nā ʻeha maka: Hiki ke loaʻa kēia ʻano waimaka inā paʻi ikaika ʻia ka maka a inā paʻa kekahi mea i loko.
• ʻO ke ʻoki maka: Aia kekahi pilikia iki o kēia ma hope o kekahi mau ʻoki maka.

ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?

ʻOi aku ka nui o ka loaʻa ʻana o kēia 'waimaka retinal' i kekahi poʻe. E nānā kākou iā lākou:

• Ka ʻelemakule: Hoʻonui iki kēia pilikia ma hope o 50 mau makahiki.
• ʻO ka maka pōkole, ʻo ia hoʻi, no ka poʻe me ka 'Myopia' (`Myopia`): I kēia manawa ke noʻonoʻo nei paha ʻoe pehea e pili ai ka maka pōkole (`Myopia`) i kēia. Hiki i nā maka o ka poʻe me ka 'Myopia` ke lōʻihi iki ma mua o nā maka o ke kanaka maʻamau. Ke hana ʻia kēlā, ʻoi aku ka maʻalahi o ka retina i loko o ka maka e kīkoʻo a lahilahi. ʻO ia ke kumu e ʻoi aku ai ko lākou maʻalahi i ka ulu ʻana o ia mau waimaka.
• No ka poʻe me ka retina lahilahi: Loaʻa paha i kekahi poʻe nā wahi lahilahi o ko lākou retina, mai ka hānau ʻana mai a i ʻole ma muli o nā kumu ʻē aʻe. Hiki i kēlā mau wahi ke haehae maʻalahi.
• Inā ua loaʻa i kekahi o kou ʻohana kahi retinal detachment a retinal ripple paha: Aia paha kekahi mana hoʻoilina iki.
• Inā ua loaʻa iā ʻoe kahi haehae retinal ma kekahi maka ma mua: Aia kahi manawa liʻiliʻi e hiki mai ana hoʻi ia ma kekahi maka.

He aha nā pilikia o ka 'retinal tear'? He mea weliweli anei ia?

I ke kamaʻilio ʻana e pili ana i ka haehae ʻana o ka retina, ʻo ka pilikia a mākou e makaʻu nui ai, ʻo ia ka hemo ʻana o ka retina.ʻO ke ʻano kēia, ua kaʻawale loa ka retina mai ke kino ma lalo. Inā hana ʻia kēia, e nele ka retina i ka oxygen a me nā meaʻai, a hiki paha iā ʻoe ke nalowale loa kou ʻike. No laila he mea nui e loaʻa ka lāʻau no ka haehae retinal i ka wā e ʻike ai ʻoe.

Pehea e ʻike ai ke kauka i kēia? (Diagnosis)

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, pono ʻoe e ʻike koke i ke kauka maka. E nānā ke kauka iā ʻoe penei:

1. Nā kulu hoʻonui: No ka ʻike maikaʻi ʻana i ka retina, ke kua o kou maka, pono ʻoe e hoʻonui i ka pupil. ʻO kēia ke kumu o ka hoʻohana ʻia ʻana o kēia lāʻau lapaʻau. Ke hoʻohana ʻoe i kēia lāʻau lapaʻau, hiki ke lilo kou ʻike i mea pōuliuli no kekahi manawa, a hiki ke lilo kou mau maka i polū ke hele ʻoe i waho.

2. Ke nānā ʻana i loko o kou maka me nā mea hana kūikawā: Ma hope o ka hoʻonui ʻia ʻana o kou mau maka, e hoʻohana ke kauka i kahi kukui kūikawā a me ka ʻōnaehana lens (i kapa pinepine ʻia he 'Slit Lamp' a me 'Indirect Ophthalmoscope') e nānā i loko o kou maka. E kōkua kēia i ka ʻike ʻana i nā waimaka, nā māwae, a i ʻole nā ​​lua i loko o ka retina.

He aha nā lāʻau lapaʻau no ka haehae ʻana o ka retina?

ʻO ka nūhou maikaʻi, inā ʻike mua ʻia kahi haehae retinal, aia nā lāʻau lapaʻau e hiki ai ke pale iā ia mai ka lilo ʻana i retinal detachment. E kuhikuhi pinepine kāu kauka maka iā ʻoe i kahi loea retina. ʻElua ʻano lapaʻau nui:

1. ʻO ke ʻoki kino laser (a i ʻole `Photocoagulation`)

Ma kēia, hoʻohana ke kauka loea i kahi kukuna laser e puhi mālie i ka wahi a puni ka waimaka. Ua kapa ʻia hoʻi kēia ʻo 'photocoagulation' . Hoʻokumu ʻia kahi ʻiʻo ʻeha liʻiliʻi ma laila a pili i ka ʻiʻo ma lalo o ka retina. Hoʻōki kēia i ka waimaka mai ka nui ʻana a pale i ke kahe ʻana o ke wai i loko o ka maka ma o ka waimaka a me ke kumu o ka 'retinal detachment'.

ʻO ka maʻamau, he 10-15 mau minuke wale nō ka lōʻihi o kēia lāʻau lapaʻau. Hana ʻia ia ma lalo o ka anesthesia, no laila ʻaʻole ia he mea ʻeha loa.

2. Cryopexy (lāʻau hoʻopaʻahau)

ʻO kēia ke kau ʻana i ke anu nui loa (`Freeze Treatment`) e sila i ka wahi a puni ka waimaka. Hoʻohana ke kauka i kahi mea hana kūikawā e kau i ke anu nui loa i waho o ka maka, e like me ka waimaka. ʻO kēia anu, e like me ka laser, ke kumu o ka hoʻokumu ʻana o nā ʻiʻo ʻeha a pili i ka ʻiʻo ma lalo o ka retina. Ua like ka pahuhopu me ka mālama ʻana me ka laser - e kāohi i ka wai mai ka kahe ʻana a me ka retina mai ka hemo ʻana.

Hiki i kēia ke hala ma kahi o 30 mau minuke. Hana ʻia kēia ma lalo o ka anesthesia, no laila ua liʻiliʻi ka ʻeha.

Ke hoʻāʻo nei kēia mau lāʻau ʻelua e "hoʻopili" i ka ʻāpana i haehae ʻia, hoʻopaʻa iā ia, a hoʻōki iā ia mai ka holomua ʻana i kahi retinal detachment.

Aia kekahi mau hopena ʻaoʻao mai kēia mau lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia e pili ana, akā ʻaʻole pinepine lākou he mea koʻikoʻi.

• Aia paha he kahe koko i loko o ka maka ma hope o ka lāʻau lapaʻau.
• Hiki i kekahi poʻe ke loaʻa kahi pilikia liʻiliʻi o ka hoʻomohala ʻana i nā cataracts ma hope aku o ke ola.
• He mea kākaʻikahi loa, aia paha nā hihia kahi e pono ai ke hana hou ʻia ke ʻoki ʻana.
• Hiki paha iā ʻoe ke loaʻa i kahi ʻeha poʻo iki a i ʻole ka ʻeha ʻoluʻolu ʻole a puni nā maka no kekahi mau lā ma hope o ka mālama ʻana.
• Hiki ke loaʻa nā loli liʻiliʻi i ka ʻike (e like me ka blurring no ka manawa pōkole).

E haʻi aku kāu kauka iā ʻoe i nā mea hou aʻe e pili ana i kēia.

ʻEhia ka lōʻihi e ho'ōla ai? He aha ka mea e hana ʻia ma hope o ka mālama ʻana?

Ma hope o ka lāʻau lapaʻau, pono ʻoe e komo i kahi ʻūpā maka no ka lōʻihi e like me ka ʻōlelo a kāu kauka iā ʻoe. Hiki ke hāʻawi ʻia iā ʻoe nā kulu maka.

Ma ke ʻano maʻamau, hiki iā ʻoe ke hoʻokele a hoʻomau i kāu mau hana maʻamau i loko o kekahi mau lā. Eia nō naʻe, inā pili kāu hana i ka hāpai kaumaha, ka hoʻoikaika kino, a i ʻole nā ​​​​haʻuki ikaika, pono paha ʻoe e kali i kekahi mau pule a hiki i ka ho'ōla piha ʻana o kou maka ma mua o kou hoʻomaka ʻana i kēlā mau hana. E noi i kāu kauka no ka ʻōlelo aʻo.

He mea nui loa hoʻi e hoʻi no ka hoʻokolokolo maka i nā manawa i hoʻonohonoho ʻia ma hope o ka lāʻau lapaʻau.

ʻAe, pehea lā koʻu wā e hiki mai ana me kēia kūlana?

Inā ʻoe e mālama i kahi haehae retinal i ka manawa kūpono, ʻoi aku ka maikaʻi o kou manawa e mālama ai i kou ʻike. Ma hope o ka mālama ʻana, e ho'ōla ʻia ka haehae a pale i ka ulu ʻana o ka retinal detachment.

Eia nō naʻe, inā nui ka haehae a inā ʻaʻole mālama ʻia, hiki iā ia ke holomua i ka retinal detachment. Inā hana kēlā, nui ka manawa e nalowale ai ka ʻike. No laila, inā loaʻa iā ʻoe nā hōʻailona , ​​ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau me ka hoʻonele ʻole i ka manawa.

ʻAʻohe ala e pale ai i ka haehae ʻana o ka retina?

He mea paʻakikī ke pale loa i ka haehae ʻana o ka retina, ʻoiai kekahi mau mea pilikia (e like me ka ʻelemakule) ma waho o ko mākou mana. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e pale i kou mau maka a me kou ʻike:

• E kipa aku i kahi kauka maka i nā manawa maʻamau no ka hoʻokolokolo maka piha: He mea nui loa ka loaʻa ʻana o kahi hoʻokolokolo maka dilated inā ʻoe he ʻike kokoke (Myopia), he moʻolelo ʻohana no ka ʻike kokoke, a i ʻole ma luna o 40-50 mau makahiki. ʻO kēia wale nō ke ala e ʻike ai i nā waimaka liʻiliʻi e kū nei, ʻoiai inā he asymptomatic lākou.
• E pale i kou mau maka: E ʻaʻahu i nā aniani palekana i ka wā e pāʻani ana i nā haʻuki (ʻoi aku hoʻi nā pāʻani kinipōpō), e hana ana me nā kemika, a i ʻole e hana ana i kekahi mea e weliweli ai kou mau maka.
• Inā loaʻa iā ʻoe kekahi ʻeha maka a i ʻole nā ​​​​loli koke i kou ʻike (e like me nā hōʻailona i ʻōlelo ʻia ma luna), e ʻimi koke i ke kōkua lapaʻau:E ʻike koke i ke kauka maka, a i ʻole e hele i kahi lumi pilikia (ER).
• E mālama i kou olakino holoʻokoʻa: Inā loaʻa iā ʻoe nā maʻi mau e like me ka maʻi diabetes, e kaohi iā lākou. E ʻai i ka meaʻai kaulike a hoʻoikaika kino mau . He mea maikaʻi nō hoʻi kēia mau mea no kou olakino maka holoʻokoʻa.

Inā hoʻomau nā mea e like me kēia ma hope o ka lāʻau lapaʻau, pono ʻoe e ʻike i ke kauka!

Inā loaʻa iā ʻoe kekahi o kēia mau mea ma hope o ka mālama ʻia ʻana no ka waimaka retinal, pono ʻoe e ʻike i kāu kauka a hele koke paha i ka lumi pilikia:

• Inā ʻoe e ʻike i ka ʻeha hiki ʻole ke hoʻomanawanui ma kou mau maka .
• Inā ʻike ʻia e emi koke ana kou ʻike, a inā ʻoi aku ka ʻino o kou mau hōʻailona ma mua o ka wā ma mua.
• Inā ʻike ʻoe i nā hōʻailona o kahi maʻi, ʻo ia hoʻi ke puka mai nei ka pehu mai loko mai o ka maka, ua ʻulaʻula a pehu ka maka, a aia ke kuni.

ʻAʻole maikaʻi ke lohi i ke kūlana e like me kēia.

No laila he aha nā mea nui loa e pono ai mākou e hoʻomanaʻo?

He mea maʻamau ka makaʻu a me ka hopohopo ke lohe ʻoe he waimaka kou ma ka membrane i loko o kou maka, i kapa ʻia he retinal tear. Hiki ke lilo i mea hoʻohoka iki, ʻoiai hiki iā ʻoe ke loaʻa me ka ʻole o nā hōʻailona.

Akā ʻo ka mea nui loa, ʻaʻole e hopohopo a ʻaʻole hoʻi e hopohopo. Hiki i kāu kauka maka a me nā kauka maka ke mālama pono i kēia maʻi a kōkua iā ʻoe e mālama i kou ʻike maka makamae.

No laila, inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma kēia ʻatikala, a inā ʻike ʻoe i kekahi mau loli ʻē i kou ʻike, mai hoʻowahāwahā iā ia. E ʻike koke i kahi kauka maka no ka ʻōlelo aʻo. E hoʻomanaʻo, he waiwai nui kou mau maka iā ʻoe e like me ko lākou waiwai nui i nā kauka. Ke hoʻāʻo mau nei lākou e kōkua iā ʻoe e mālama i kou ʻike i ke olakino.

ʻO ka waimaka Retinal, Waimaka Retinal, Waimaka Maka, Retina, ʻIke Maka, Nā Maʻi Maka, Lapaʻau Laser, Cryopexy, Floaters, Photopsia