E noʻonoʻo e nānā wale ana ʻoe i ke TV, a i ʻole e hele ana ma ke alanui. I ka manawa koke, me ke kumu ʻole, ua nalowale kou ʻike ma kekahi maka, me he mea lā ua pio ke kukui i kekahi. A i ʻole e hoʻomaka ʻoe e ʻike i kahi kiko ʻeleʻele nui ma waenakonu o ka mea āu e nānā nei. Pehea ka weliweli inā hana ʻia kekahi mea e like me kēia? He ʻike weliweli maoli nō ia. I kēia lā e kamaʻilio mākou e pili ana i kēia kumuhana koʻikoʻi i ka lāʻau lapaʻau i kapa ʻia ʻo ka nalowale koke o ka ʻike.
He aha ka nalowale koke o ka ʻike?
I ka ʻōlelo maʻalahi, ʻo ka nalowale koke ʻana o ka ʻike he pilikia olakino ia e pono ai ka mālama koke ʻana. ʻO ke ʻano kēia e nalowale koke ʻoe i ka hiki ke ʻike maopopo, malia paha i loko o kekona, mau minuke, a i ʻole nā lā.
Hiki ke hana ʻia kēia ma ka maka hoʻokahi, a i ʻole ma nā maka ʻelua. Hiki iā ʻoe ke nalowale loa i kou ʻike. A i ʻole, hiki iā ʻoe ke nalowale i kahi hapa wale nō o kou laulā ʻike, no ka laʻana, ka ʻāpana waena.
I kēia manawa, ke noʻonoʻo nei paha ʻoe i ka ʻokoʻa ma waena o ka nalowale mālie o ka ʻike a me ka nalowale koke o ka ʻike. ʻO ka maʻamau, ʻo ka nalowale o ka ʻike ma muli o ka ʻelemakule, e like me ke cataracts, e hana mālie loa i nā mahina a i ʻole nā makahiki. Akā ʻo ka pilikia a mākou e kamaʻilio nei ma ʻaneʻi he ʻokoʻa loa ia.
No ke aha i hewa koke ai koʻu ʻike?
He hana paʻakikī loa ko kākou ʻike. Komo ka mālamalama i loko o ko kākou mau maka, a hele ka ʻike ma o nā aʻalolo i ka lolo, e hana ana i kiʻi. Inā he pilikia ma kekahi wahi o kēia kaʻina hana—me kou mau maka, nā aʻalolo, a i ʻole ka lolo— hiki iā ʻoe ke nalowale koke i kou ʻike.
I ka pololei, ua like kēia me kahi kaapuni uila. Inā hewa kekahi mea me ke kukui, ke uea, a i ʻole ke kuapo, ʻaʻole e ʻā ke kukui.
He aha nā kumu nui o ka nalowale o ka ʻike?
Aia kekahi mau kumu e hiki ai ke nalowale koke ka ʻike. He mea koʻikoʻi loa kekahi o kēia mau mea. ʻO ia ke kumu i manaʻo ʻia ai he pilikia. E nānā kākou i kekahi o nā kumu nui ma ka papa ma lalo.
| Kūlana/Kumu | He wehewehe maʻalahi |
|---|---|
| Ke kaomi kiʻekiʻe i loko o ka maka (Acute Glaucoma) | Piʻi koke ke kaomi i loko o ka maka. Hiki i kēia ke hana i ka ʻeha nui o ka maka a me ke poʻo. |
| Ka Wehe ʻana o ka Retinal | ʻO ka membrane (retina) i loko o ka maka, ka mea nui no ka ʻike, e hemo ana. Ua like ia me ka pepa paia e hemo ana mai ka paia. |
| Hahau a i ʻole hahau liʻiliʻi (Transient Ischemic Attack - TIA) | Ka ʻoki ʻia ʻana o ke kahe koko i ka ʻāpana o ka lolo e kaohi ana i ka ʻike. |
| Ka Paʻa ʻana o ke Aʻa Retinal/Vein | Ka paʻa ʻana o kahi aa koko e hoʻolako ana i ke koko i ka maka a i ʻole e lawe aku i ke koko mai ka maka aku. |
| ʻO ka neuritis maka | Ka pehu ʻana a i ʻole ka maʻi o ke aʻalolo nui e hoʻopili ana i ka pepeiao a me ka lolo. |
| ʻEha Maka | Nā mea e like me ke komo ʻana o kahi mea i loko o ka maka, ke hou ʻia ʻana e kahi mea ʻoi. |
| ʻO ka degeneration macular e pili ana i ka makahiki | ʻOiai e lohi mau ana ia, i kekahi manawa hiki i kēia ke hoʻololi koke i ka ʻike. |
Pehea e ʻike ai ke kauka i ke kumu?
Ke hele ʻoe i ka haukapila, e nīnau mua ke kauka iā ʻoe i kekahi mau nīnau. Ua like ia me kahi moʻolelo mākaʻi. He mea nui loa kēia ʻike e ʻike ai i ke kumu.
- He aha nā maʻi ʻē aʻe āu e loaʻa nei? (e.g. diabetes, blood pressure kiʻekiʻe)
- He aha kāu e hana nei i kou nalowale ʻana o kou ʻike?
- He ʻeha kou maka?
- Ua hana ʻia kekahi mea i kou maka?
- He mea paʻakikī ke nānā aku i ke kukui?
- Ke ʻike nei ʻoe i nā mea ʻeleʻele liʻiliʻi e lana ana i mua o kou mau maka (nā mea holoholo)?
- Ua nalowale anei kou ʻike a laila loaʻa koke iā ʻoe?
Ma waho aʻe o kēia mau nīnau, e nānā ke kauka iā ʻoe a hiki paha ke kauoha i kekahi mau hoʻokolohua ʻē aʻe.
- Hoʻokolokolo Maka: Hoʻokolokolo ʻia ka ʻaoʻao o loko o ka maka me ka hoʻohana ʻana i nā lako kūikawā.
- Nā Hoʻāʻo Koko: Hiki ke hana ʻia nā hoʻāʻo e ana i ka mumū i loko o ke kino (e like me ka erythrocyte sedimentation rate - ESR, C-reactive protein - CRP) .
- Nā Hoʻāʻo Kiʻi: E noi ʻia paha ʻoe e hana i kahi scan ultrasound a i ʻole kahi scan Magnetic Resonance Imaging (MRI) e nānā i nā maka a i ʻole ka lolo.
- Hoʻāʻo Neurological: Nā hoʻokolohua kūikawā e nānā i ka hana o ka ʻōnaehana nerve.
Pehea e mālama ʻia ai kēia?
ʻO kēia ka mea nui loa e pono ai kākou a pau e hoʻomanaʻo ma ʻaneʻi.
ʻAʻole hiki iā ʻoe ke noho wale ma ka home a nānā i ka nalowale koke o ka ʻike. He pilikia olakino kēia. Inā hana kēia iā ʻoe a i ʻole kekahi āu i ʻike ai, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke hele i ka ʻOihana Pilikia o ka haukapila (ETU) i ka wā hikiwawe loa.
Aia ka lāʻau lapaʻau i ke kumu o kou nalowale ʻana o ka ʻike.
- Nā lāʻau lapaʻau: Hiki ke hāʻawi ʻia ma ke ʻano he kulu maka, nā pila waha, a i ʻole nā inikini.
- Nā Steroid: Hoʻohana ʻia kēia mau mea e hōʻemi i ka pehu (muhū) i loko o ka maka a i loko paha o nā aʻalolo.
- Nā lāʻau lapaʻau kūʻē i ka maʻi: Inā hana ʻia kēia maʻi e kahi maʻi, e mālama ʻia.
- ʻoki kino: Pono paha ke ʻoki kino i kekahi mau kūlana, e like me ka retinal detachment.
E hoʻomanaʻo, ʻo ka wikiwiki o kou ʻike ʻia ʻana a hoʻomaka i ka lāʻau lapaʻau, ʻoi aku ka nui o kou manawa e loaʻa hou ai kou ʻike.
Hiki ke pale ʻia kēia kūlana?
ʻOiai ʻaʻole hiki iā mākou ke kāohi i kekahi mau kumu, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia.
- Pale maka: E ʻaʻahu i nā maka aniani palekana/goggles ma ka hana, i ka wā e wili ai, e hana ana me nā mīkini, a i ka wā e pāʻani ana i nā haʻuki e like me ka cricket.
- Hoʻomaʻemaʻe lima: E holoi pono i kou mau lima me ke kopa a me ka wai i nā manawa a pau. Hiki i kēia ke kōkua i ka pale ʻana i nā maʻi maka.
- Mai hoʻopā i kou mau maka: Mai hoʻopā pinepine a hamo paha i kou mau maka me nā lima lepo.
- Ka Hoʻohana ʻana i nā Aniani Hoʻopili: Inā ʻoe e hoʻokomo i nā aniani hoʻopili, e hahai pono i nā ʻōlelo a kāu kauka no ka hoʻomaʻemaʻe ʻana a me ke komo ʻana iā lākou.
- Ka mālama ʻana i nā maʻi mau loa: Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, e kaohi pono iā lākou. E lawe i nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka i ka manawa kūpono.
Leka Lawe-Home
- He pilikia olakino ka nalowale koke ʻana o ka ʻike. Mai hoʻomāmā i ka hana.
- Hiki ke nalowale ka ʻike i ka piha a hapa paha, me ka ʻeha a i ʻole me ka ʻole o ka ʻeha. I kēlā me kēia hihia, e hele koke i ka haukapila.
- Mai hoʻonele i ka manawa a e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. Mai kali ma ka home.
- ʻO ka wikiwiki o ka hoʻomaka ʻana o ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka manawa e hoʻihoʻi ai i ka ʻike.
- ʻO ka mālama pono ʻana i kāu mau maʻi mau, e like me ka maʻi diabetes a me ke koko kiʻekiʻe, he mea nui ia no ke olakino o nā maka.











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo