He pilikia like kou me kou mau maka? E aʻo kākou e pili ana i ke kūlana o Retinoschisis!

Ua lohe paha ʻoe ua māhele koke ka retina i loko o kou maka, ka ʻāpana e like me ka pale o kou maka e hana ana i nā kiʻi a mākou e ʻike ai, i ʻelua a ʻoi aku paha papa? He kūlana ʻē akā he mea nui ia e ʻike ai. ʻO kēia ka mea a nā kauka e kapa nei he `(Retinoschisis)`. Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana.

He aha ka Retinoschisis? E hoʻomaopopo maʻalahi kākou.

I ka ʻōlelo maʻalahi, ʻo `(Retinoschisis)` ka wā e māhele ai ka retina i loko o kou maka i nā papa. I ka pololei, māhele ia i ʻelua a ʻoi aku paha nā papa. Ua ʻike anei ʻoe, he membrane paʻakikī loa ko kākou retina. Loaʻa iā ia kahi papa e pili ana i ka mālamalama, a me kahi papa o nā cell e lawe ana i nā hōʻailona i ka lolo ma o ka `optic nerve`. No laila, ke māhele kēia mau papa e like me kēia, hiki iā ia ke hoʻopilikia i kou ʻike. E noʻonoʻo e like me nā ʻaoʻao o kahi puke i hoʻopili ʻole ʻia a ua hoʻokaʻawale ʻia. Hiki i kēia mau māhele ke hana ma waenakonu o ka retina, akā ʻo ka hapa pinepine e hana ʻia ma nā kihi, ʻo ia hoʻi, ma ka `periphery`.

He aha nā ʻano nui o ka retinoschisis?

He mea laha ʻole kēia ʻano maʻi, ʻo ia hoʻi ʻo "Retinoschisis". Akā, ʻelua ʻano nui o kēia. Hoʻokahi i loaʻa , a ʻo kekahi he hānau ʻia .

ʻO ka Retinoschisis hoʻomaka ma hope (Retinoschisis i loaʻa)

Ua kapa ʻia kēia ʻo 'degenerative retinoschisis' . ʻO ia hoʻi, he mea ia e kū mai ana me ka ʻelemakule, kahi mea e pili ana i kahi ʻāpana o ke komo ʻana a me ka haehae. ʻO ka hapa nui o ka manawa, ʻike ʻia kēia ma kahi o 50, 60, a i ʻole 70 makahiki. ʻO ia ke kumu i kapa ʻia ai e kekahi poʻe he 'senile retinoschisis' . Eia nō naʻe, i kekahi manawa hiki i ka poʻe ʻōpio ke loaʻa i kēia maʻi.

ʻElua ʻano o ka retinoschisis degenerative. ʻO kekahi ke ʻano maʻamau , a ʻo kekahi ke ʻano bullous a reticular paha. I ke ʻano bullous, hana ʻia nā pehu wai liʻiliʻi ma ka retina. He mea paʻakikī iki ke hoʻokaʻawale ma waena o nā ʻano ʻelua. Eia nō naʻe, ʻoi aku ka nui o ka hiki i ke ʻano bullous ke loaʻa nā lua retinal a me ka retinal detachment.

Aia kekahi ʻano ʻē aʻe o ka myopic macular schisis . Ua kapa ʻia hoʻi ʻo ia he myopic traction maculopathy a i ʻole myopic foveoschisis . Loaʻa ia ma ka ʻaoʻao waena o ka retina, i kapa ʻia ʻo ka macula , a ma ke kikowaena o ka macula, i kapa ʻia ʻo ka fovea . ʻIke pinepine ʻia ia i nā poʻe me ka myopia koʻikoʻi a i ʻole ka nearsightedness.

ʻO ka Retinoschisis hānau

ʻIke ʻoe, ke ʻōlelo mākou i kahi mea hānau ʻia, ʻo ia hoʻi kahi mea i loko o ko mākou kino i ka wā i hānau ʻia ai mākou. ʻO kēia ʻano `(Retinoschisis)` ua kapa ʻia ʻo `juvenile X-linked retinoschisis`.He kūlana ia e hoʻomaka ana i ka wā ʻōpiopio, a i ka wā kamaliʻi paha, a ua pili ia i ka chromosome X. Hoʻopilikia pinepine ia i nā maka ʻelua.

ʻO kēia maʻi, ʻo ia hoʻi ka `juvenile X-linked retinoschisis`, pili nui i nā keikikāne. Loaʻa i ko lākou mau makuahine ka gene no ia mea, akā i ka hapanui o nā hihia, ʻaʻole i loaʻa i nā makuahine ke ʻano.

He aha ka ʻokoʻa ma waena o ka Retinal Detachment a me ka Retinoschisis?

ʻOiai ke kani like nei kēia mau mea ʻelua, aia kahi ʻokoʻa iki. E noʻonoʻo e pili ana i ia mea, ʻo ka retinal detachment ka wā e kaʻawale loa ai ka retina mai ke kino kākoʻo a hemo. Ua like ia me kahi pepa hoʻolaha e puka mai ana mai kahi paia.

ʻAʻole ʻo Retinoschisis kahi hemo ʻana o ka retina, akā he kaʻawale ʻana o ka retina i nā papa. Hiki i kekahi manawa ke paʻakikī ke ʻike i kēia kūlana, ʻoiai no kahi kauka maka. Eia nō naʻe, hiki i nā hoʻokolohua kūikawā ke kōkua i kāu kauka e hoʻoholo pololei i ke ʻano o ia mea.

I kekahi manawa, hiki ke loaʻa kēia mau kūlana ʻelua, ʻo ia hoʻi ʻo `(Retinal detachment)` a me `(Retinoschisis)`, i ka manawa like. He kiʻekiʻe loa kēia pilikia inā loaʻa iā ʻoe ke ʻano `(congenital)` o `(Retinoschisis)` i loaʻa i ka wā hānau.

Pehea ka maʻamau o kēia ʻano i kapa ʻia ʻo Retinoschisis?

Wahi a nā kānaka noiʻi, ʻo ke kūlana hānau ʻo `juvenile X-linked retinoschisis` e kū mai ana ma kahi o hoʻokahi i loko o 5,000 a i ʻole hoʻokahi i loko o 25,000 poʻe. He pakeneka haʻahaʻa loa ia.

ʻO ka degenerative retinoschisis, kahi kūlana e kū mai ana me ka ʻelemakule, ua manaʻo ʻia e hoʻopilikia i kahi 4% o ka poʻe ma luna o 40 mau makahiki. Manaʻo ʻia kekahi noiʻi ʻē aʻe e hoʻopilikia paha ia ma waena o 1% a me 4% o ka poʻe ma luna o 50 mau makahiki.

He aha nā hōʻailona o Retinoschisis? Loaʻa iā ʻoe kēia mau mea pū kekahi?

ʻO ka mea kupaianaha, i kekahi manawa hiki iā ʻoe ke loaʻa i kēia maʻi me ka ʻole o nā hōʻailona . Akā inā loaʻa iā ʻoe nā hōʻailona, ​​e nānā kākou i ke ʻano o ia mau mea.

Inā loaʻa iā ʻoe ka 'juvenile X-linked retinoschisis' hānau mua, e ʻike paha ʻoe i nā hōʻailona e like me kēia:

• Me he mea lā ua huli nā maka i ka ihu (e like me nā 'maka keʻa').
• ʻAʻole noho nā maka ma kahi hoʻokahi a neʻe i mua a i mua (nystagmus).
• Ma muli o ka wahi o ka haehae retinal, hiki ke nalowale ka ʻike waena a i ʻole ka ʻike foveal a i ʻole ka ʻike peripheral.
• Nā pilikia me ka ʻike mamao (pinepine i ka ʻike mamao).

Inā ua loaʻa iā ʻoe ka retinoschisis, hiki iā ʻoe ke ʻike i kēia mau mea:

• ʻAʻole hiki ke ʻike maopopo i nā ʻaoʻao ʻelua (nalowale ka ʻike peripheral).
• I kekahi manawa, ʻaʻole hiki ke ʻike ʻia nā hōʻailona.

Eia nō naʻe, inā lilo kou retinoschisis i mea koʻikoʻi, a inā hele pū ʻia me ka retinal detachment, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Ke ʻike ʻana i nā mea ʻeleʻele liʻiliʻi e lana ana i mua o nā maka (`floaters`) a me ka ʻike ʻana i nā kukui uila koke (`flashers`).
• Ke ʻike ʻana i nā mea i kīkoʻo ʻia a hoʻopāpā ʻia ('nā kiʻi i hoʻopāpā ʻia').
• Ma muli o ka wahi o ka haehae retinal, hiki ke nalowale ka ʻike waena a i ʻole ka ʻike peripheral.

Mea nui: Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka maka. No ka mea, he mea nui loa ka mālama mua ʻana no nā pilikia ʻike.

No ke aha e kū mai ai ʻo Retinoschisis? He aha nā kumu?

Hoʻokumu pinepine ʻia ka retinoschisis congenital e kahi mutation genetic . Ua ʻōlelo mua mākou he X-linked ia, ʻo ia hoʻi, ua pili ia i nā genes i hoʻoilina ʻia mai ka makuahine.

Eia nō naʻe, ʻaʻole i loaʻa i nā kānaka ʻepekema ke kumu pololei o ke ʻano "acquired retinoschisis." Eia naʻe, ua ʻike ʻia ua piʻi ka pilikia o ka loaʻa ʻana me ka makahiki, ʻoiai ma hope o 40 mau makahiki.

Pehea ʻoe e ʻike pono ai inā he Retinoschisis kou? (Diagnosis)

Hoʻomaʻamaʻa pinepine ʻia kēia ʻano e kahi loea maka (ophthalmologist) . Ma hope o ka hoʻokolokolo maka piha (kahi hoʻokolokolo maka piha), hiki ke hana ʻia nā hoʻokolohua aʻe e hōʻoia i ka hōʻailona:

• ʻOphthalmoscopy a i ʻole fundoscopy: Ma kēia kaʻina hana, hoʻohana ke kauka i kahi mea hana kūikawā (ophthalmoscope) e nānā i loko o kou mau maka, ʻoi aku ka retina.
• ʻO ka Optical Coherence Tomography (OCT): He hoʻāʻo ʻole kēia e hoʻohana ana i ka mālamalama e hana i nā kiʻi maopopo o loko a me ke kua o kou maka. Hiki iā ia ke ʻike maopopo i nā papa o ka retina.
• ʻO ka ultrasonography B-scan: He hoʻāʻo ultrasound non-invasive kēia e hoʻohana ana i nā nalu kani e kiʻi i nā kiʻi o loko o ka maka.
• Electroretinography (ERG): Ke ana kēia hoʻāʻo i ke ʻano o ka pane ʻana o kou mau maka i nā kukui uila koke. Kōkua kēia i ke ana ʻana i ka hana o ka retina.
• Angiography: Lawe kēia hoʻāʻo i nā kiʻi o nā kīʻaha koko i loko o kou retina. Hoʻohana ia i nā kala kūikawā e like me ka fluorescein a i ʻole ka indocyanine green.
• Ka hoʻāʻo ʻana i ka genetic: Inā kānalua kāu kauka he maʻi congenital kou i kapa ʻia ʻo juvenile X-linked retinoschisis, hiki iā lākou ke kuhikuhi i kēia hoʻāʻo.

He aha nā lāʻau lapaʻau no ka Retinoschisis? Hiki ke ho'ōla ʻia?

ʻO kaʻoiaʻiʻo, ʻo ke kūlana `(Retinoschisis)`ʻAʻole hiki ke ho'ōla loa ʻia. Eia nō naʻe, hiki ke mālama ʻia. Hiki i nā kauka ke ʻōlelo aku i nā aniani a i ʻole nā ​​mea kōkua ʻike haʻahaʻa ʻē aʻe e kōkua i kou ʻike.

• Inā ua loaʻa iā ʻoe ka retinoschisis , ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau. Manaʻo paha kāu kauka he ʻano maikaʻi kēia ʻaʻole pono ka lāʻau lapaʻau. Eia nō naʻe, inā he mau hewa refractive kāu, e like me ka ʻike kokoke a i ʻole ka ʻike mamao, pono paha ʻoe i nā aniani.
• Inā loaʻa iā ʻoe ka 'juvenile X-linked retinoschisis' hānau mua , pono ʻoe e hoʻohana i nā aniani no nā pilikia ʻike.

I kekahi manawa, hiki i nā kīʻaha koko i loko o ka retina ke haki a hoʻoulu i ke kahe koko i loko o ka maka. Inā hana ʻia kēia, hiki i kāu kauka ke ʻōlelo aku i ka cryoablation a i ʻole ka laser therapy e hoʻōki i ke kahe koko.

ʻO ka mea nui loa, inā he retinal detachment kou, pono ʻoe i ke ʻoki kino e hoʻopili hou i ka retina.

Ke hoʻāʻo nei nā kānaka noiʻi e ʻimi i nā lāʻau lapaʻau hou no ka ʻōpio X-linked retinoschisis, me ka gene therapy , ka stem-cell therapy , a me kahi lāʻau i kapa ʻia ʻo dorzolamide .

Aia kekahi ala e pale aku ai i ka retinoschisis?

ʻO ka mea pōʻino, ʻaʻole hiki ke pale aku i ka ulu ʻana o "Retinoschisis" .

ʻAʻohe kumu i ʻike ʻia no ka retinoschisis i loaʻa, no laila ʻaʻohe ala e pale aku ai. Eia nō naʻe, inā he moʻolelo ko kekahi o kou ʻohana no ka retinoschisis X-linked juvenile, he manaʻo maikaʻi e nīnau i kāu kauka e pili ana i ke kamaʻilio ʻana me kahi kākāʻōlelo genetic.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka retinoschisis?

E like me kā mākou i ʻōlelo ai ma mua, ʻaʻohe lāʻau lapaʻau no kēia maʻi. I kekahi manawa hiki iā ia ke hōʻeha nui i ka ʻike, i kekahi manawa a hiki i ke kūlana makapō. Eia nō naʻe, ʻaʻole pono kekahi poʻe i kekahi lāʻau lapaʻau. Aia ia i ke koʻikoʻi a me ke ʻano o kou maʻi.

Pehea e mālama ai iaʻu iho inā loaʻa iaʻu ka retinoschisis?

Inā loaʻa iā ʻoe ka `(Retinoschisis)`, aia kekahi mau mea nui hiki iā ʻoe ke hana:

• E hoʻokolokolo mau i kou mau maka. ʻO kēia ka mea nui loa. E nānā mau i kou mau maka, e like me ka ʻōlelo a kāu kauka.
• E hoʻohana i nā mea kōkua ʻike haʻahaʻa.Eia kekahi, e aʻo e pili ana i ka ʻenehana adaptive e hiki ke kōkua iā ʻoe e hana i nā hana o kēlā me kēia lā me ka maʻalahi. He mea nui kēia nou a me kāu keiki inā loaʻa iā lākou kēia maʻi.
• Inā ʻike ʻoe i kekahi mau loli i kou ʻike, e haʻi koke aku i kāu kauka. Mai hoʻowahāwahā i kahi loli liʻiliʻi.

Hiki ke hopohopo ka nalowale ʻana o ka ʻike iki. Akā e hoʻomanaʻo, ʻaʻole pono ʻoe e hoʻokele wale iā ia. E hoʻomau i ka launa pū me kāu kauka maka. E nīnau i kāu hui lapaʻau e pili ana i nā hui kākoʻo a me nā kumuwaiwai ʻē aʻe. E hoʻohana i nā lawelawe a lākou e hāʻawi nei. Hiki iā lākou ke hāʻawi iā ʻoe i ka hoʻonaʻauao, kaʻana like ʻana i nā ʻike me nā poʻe ʻē aʻe, a me ke kōkua loea.

ʻO ka mea nui loa āu e pono ai e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai (Leka Lawe-Home)

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, eia nā mea nui e hoʻomanaʻo:

• ʻO Retinoschisis kahi kūlana e māhele ai ka retina i nā papa, hiki ke hoʻopilikia i ka ʻike.
• ʻElua mau ʻano nui o kēia: pili i ka makahiki a me ka hānau ʻana.
• ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona , ​​​​akā hiki i kekahi poʻe ke ʻike i nā hōʻailona e like me ka emi ʻana o ka ʻike a me ka ʻūlū ʻana o nā maka.
• ʻOiai ʻaʻohe lāʻau lapaʻau piha no kēia, hiki ke mālama ʻia. No kēia, he mea nui ka ʻōlelo aʻoaʻo lapaʻau kūpono a me ka hoʻāʻo ʻana.
• Inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kēia maʻi, he mea nui loa e ʻike pinepine i ke kauka maka a hahai i kā lākou ʻōlelo aʻo .
• Inā ʻike ʻoe i kekahi mau loli i kou ʻike, e ʻimi koke i ke kōkua lapaʻau. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke pale aku i ka ʻino ʻana o ke kūlana.
• ʻAʻole ʻoe hoʻokahi, aia nā wahi a me nā ala e loaʻa ai ke kōkua.

No laila, ke lana nei koʻu manaʻo he mea pono kēia ʻike iā ʻoe. E mālama pono i kou mau maka!

ʻO Retinoschisis, ka hemo ʻana o ka retina, nā maʻi maka, ka nalowale o ka ʻike, ke olakino maka, nā maʻi hoʻoilina, nā hoʻāʻo maka