Ke pipili pū nei anei nā ʻiʻo i loko o kou maka? E aʻo pono kākou e pili ana i ka synechiae!

I kekahi manawa, hoʻonāukiuki iki ko kākou mau maka, ʻeā? I kekahi manawa, ʻulaʻula ko kākou mau maka, ʻānai, a manaʻo paha kākou e nalowale ana ko kākou ʻike. I kēia lā, e kamaʻilio kākou e pili ana i kahi maʻi maka a kākou i lohe nui ai, akā he mea nui e ʻike. Ua kapa ʻia kēia he synechiae. Hiki ke hopohopo iki ka lohe ʻana i kēia inoa, akā, mai hopohopo, ke ʻike ʻoe i ke ʻano o ia mea, e ʻike ʻoe ʻaʻole ia he mea nui loa, ʻoiai inā ʻike mua ʻoe.

He aha ke ʻano o ka hoʻopili ʻana o nā ʻiʻo i loko o ka maka? (Synechiae) E hoʻomaopopo maʻalahi kākou

I ka ʻōlelo maʻalahi, ʻo synechiae nā pipili o nā ʻiʻo i loko o kou maka. I ka pololei, ʻo kēia kahi e pipili ai ka ʻāpana kala o kou maka, a mākou e kapa nei ʻo ka iris, ka ʻāpana ʻeleʻele o ka maka, ma nā wahi i pono ʻole ai . Ua ʻike paha ʻoe he polū ko kekahi poʻe, he ʻeleʻele ko kekahi poʻe, a ʻo kēlā ʻāpana kala i kapa ʻia ʻo ka iris. ʻO ka iris ke kiko ʻeleʻele ma waenakonu o ka maka, ʻo ia ka pupil . No laila, hiki i ka iris ke pipili i ka membrane maopopo i mua a i ʻole ka membrane ma hope.

Ke hana ʻia kēia, hiki ke piʻi aʻe ke kaomi i loko o ka maka, a hiki nō hoʻi iā ʻoe ke loaʻa nā pilikia me kou ʻike. E noʻonoʻo e like me nā aniani puka makani ʻelua i loko o ko mākou hale e paʻa pū ana i ka makani, akā ʻoi aku ka paʻakikī o kēia no ka mea hana ia i loko o ka maka. I kekahi manawa ua kapa ʻia kēia he `(Ocular Synechiae)`. ʻO `(Ocular)` ke ʻano e pili ana i ka maka.

Hiki ke hopohopo iki ka lohe ʻana i ka hōʻailona o ka synechiae. Manaʻo paha ʻoe, "Auē kuʻu akua, he aha ka pilikia o koʻu maka?" Akā ʻo ka nūhou maikaʻi, aia nā lāʻau lapaʻau kūpono no kēia ʻano. ʻO ka mea nui loa, ʻo ia ka ʻike ʻana i kēia ʻano i ka wā hikiwawe loa. No laila, inā ʻike ʻoe i kekahi mau loli i kou ʻike, a inā paha ʻoe e manaʻo i kahi mea ʻokoʻa a ʻano ʻē paha ke nānā ʻoe i kou maka, pono ʻoe e ʻike koke i ke kauka.

Aia kekahi ʻano hoʻopili (Synechiae)?

ʻAe, aia ʻelua ʻano nui o nā pipili (Synechiae) e kū mai ana i loko o ka maka. E like me nā alanui ʻelua, ua hoʻokaʻawale ʻia kēia mau ʻano ʻelua ma muli o kahi e kū ai ka pipili.

• ʻO ka Synechiae Hope : ʻO kēia ka wā e pili ai kou iris, a i ʻole ka maka ʻeleʻele, i ka lens ma hope ona. ʻO kēia lens ka mea e kōkua iā mākou e ʻike maopopo i nā mea ma o ka hoʻoikaika ʻana i ka mālamalama, e like me ka lens i loko o ke kāmela. I ka pololei, ke heluhelu ʻoe i kahi nūpepa a nānā paha i kekahi ma kahi mamao, kōkua kēia lens i kou maka e hoʻoikaika maopopo i ke kiʻi. ʻO ka ʻoiaʻiʻo, ʻo kēia ʻano synechiae hope ka ʻano maʻamau o ka synechiae ocular. E noʻonoʻo e pili ana kou iris i kahi ʻāpana liʻiliʻi e like me ke aniani o kou maka ma ke kua o kou maka.

• ʻO Synechiae mua: ʻO kēia kahi o kou iris, ke apo ʻeleʻele o ka maka, aia ma ke alo o ka maka.ʻO ka cornea ka ʻāpana moakāka, kūlou, moakāka o ka maka, e like me ke aniani uaki. Mālama kēia i ko kākou mau maka a kōkua i ka hoʻopili ʻana i ka mālamalama i loko o ka maka. No laila, ke pili ka maka ʻeleʻele i kēia cornea moakāka, hoʻokumu ʻia nā synechiae mua.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi? (Nā kumu pilikia)

ʻOiai hiki i kekahi ke loaʻa i kēia kūlana i kapa ʻia ʻo synechiae, aia kekahi poʻe i kahi pilikia kiʻekiʻe iki o ka loaʻa ʻana. E nānā kākou ʻo wai lākou?

• No ka poʻe me nā maʻi maka e hoʻoulu ai i ka mumū: No ka laʻana, ʻo ka uveitis kahi mumū o nā papa o loko o ka maka. ʻO ka iritis kahi mumū o ka iris, ka ʻāpana ʻeleʻele o ka maka. Ke hana ʻia kēia mau ʻano mumū, ʻoi aku ka nui o ka pili ʻana o nā ʻiʻo i loko o ka maka. E like me ka wā e ʻeha ai ka ʻili, pili pū ia i kekahi manawa.
• No ka poʻe i loaʻa i kahi ʻeha maka: Inā paʻi koke kekahi mea i ka maka, a inā paha he ulia, hiki ke hana ʻia kēia ʻano pipili ma hope. ʻO kēia no ka mea e hana ʻia nā ʻiʻo palapū ke ho'ōla ʻia kahi ʻeha, a i kekahi manawa hiki ke hana ʻia kēia mau pipili ma muli o kēlā ʻiʻo palapū.
• No ka poʻe me ke cataracts: ʻO ke cataract ka pouli o ka lens i loko o ka maka. Hiki i kēia ʻano ke hana i ka synechiae i kekahi manawa, ʻoiai inā ua holomua loa ke cataract.
• No ka poʻe i hana ʻia i ke ʻoki maka: No ka laʻana, ma hope o ke ʻoki cataract, aia kahi manawa liʻiliʻi e hiki ai ke hana ʻia kēia mau ʻano hoʻopili i ka wā o ke kaʻina hana ho'ōla.

No ke aha e hana ai nā adhesions (Synechiae) i loko o ka maka?

Aia kekahi mau kumu nui e pili pū ai nā ʻiʻo i loko o ka maka, a i ʻole synechiae.

Hoʻokumu pinepine ʻia kēia e ka mumū i loko o ka maka a i ʻole kahi ʻeha i ka maka. Ke loaʻa ka mumū, hana ko mākou kino i kekahi mau kemika ma ke ʻano he ʻāpana o kāna kaʻina hana ho'ōla. Hiki i kēia mau mea ke hoʻopili i nā ʻiʻo. Eia kekahi, ke loaʻa kahi ʻeha , hana ʻia nā ʻiʻo pala . Hiki i kēia ʻiʻo pala ke hoʻopili i ka iris, a i ʻole ka maka ʻeleʻele, i nā membrane i mua a i hope paha.

E noʻonoʻo e pili ana i ia mea, inā loaʻa iā ʻoe kahi kuni ma kou lima, i kona ho'ōla ʻana, i kekahi manawa e kīkoʻo iki ka ʻili, a i ʻole e like me ka pipili pū ʻana. ʻO ia ka mea e hana ʻia ana i loko o ka maka.

Eia kekahi, i kekahi manawa hiki i kēia mau synechiae ke hānau ʻia. ʻO ia hoʻi, hiki ke loaʻa kēia ʻano ma ka wā hānau. Akā he mea kakaikahi kēlā.

Loaʻa iā ʻoe kēia mau hōʻailona? E nānā...

Hiki i ke kanaka me ka synechiae ke ʻike i nā ʻano hōʻailona like ʻole. E nānā e ʻike inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea:

• Maka maka kinoNā loli i ka nui a i ʻole ke ʻano o ka haumāna a i ʻole ka iris: No ka laʻana, hiki i ka haumāna ke lilo i mea liʻiliʻi ma mua o ka maʻamau (Miosis) a i ʻole nui aʻe (Mydriasis). I kekahi manawa ʻaʻole paha e poepoe ka haumāna akā he ʻano ʻē paha, no ka mea, e pili pū ana paha ka iris.
• ʻEha maka, ʻeha, a wela paha: Hiki iā ʻoe ke manaʻo i kahi ʻeha ʻē, kaumaha, a wela paha e puka mai ana mai loko mai o ka maka, me he mea lā ua paʻa kekahi mea i loko o ka maka.
• ʻUlaʻula Maka: Hiki i nā maka ke lilo i ʻulaʻula a ʻike ʻia he koko.
• ʻIke i ka Mālamalama: E paʻakikī paha iā ʻoe ke nānā aku i ka mālamalama. ʻOiai ke kukui maʻamau, hiki ke ʻano ʻino loa i kou mau maka.
• Nalowale ka ʻike: Hiki ke manaʻo iki ʻia kou ʻike he pōwehiwehi, a i ʻole ʻaʻole paha ʻoe e ʻike pono e like me ma mua.
• Maka Waimaka: Manaʻo paha ia e like me nā waimaka e puka mai ana mai nā maka mai, a i ʻole e kahe ana ka wai.

E noʻonoʻo, i kou ala ʻana i ke kakahiaka, ʻoi aku ka ʻulaʻula o kekahi maka ma mua o kekahi, he ʻeha iki, a he paʻakikī ke nānā aku i ke kukui e puka mai ana mai ka puka makani. Ke nānā ʻoe i kou cornea i loko o ke aniani, me he mea lā ua loli iki kona ʻano. Inā hana ʻia kekahi mea e like me ia, ma muli paha o ka synechiae.

He aha ka mea ʻino loa e hiki ke hana mai kēia? (Nā pilikia)

Inā ʻaʻole mālama pono ʻia nā synechiae, ʻo ka hopena ʻino loa ka ulu ʻana o kahi maʻi i kapa ʻia ʻo glaucoma. ʻO Glaucoma kahi kūlana i hōʻino ʻia ai ke aʻalolo optic ma muli o ka hoʻonui ʻia o ke kaomi i loko o ka maka, a inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i ka nalowale mau loa o ka ʻike (makapō) .

Ua ʻike anei ʻoe pehea e hana ai kēia? I loko o ko kākou mau maka, aia kahi wai moakaka i kapa ʻia ʻo "Aqueous Humor." Hoʻoulu kēia wai i ka maka a kōkua i ka mālama ʻana i ke kaomi i loko o ka maka, "Intraocular Pressure." Ke kahe nei kēia wai mai kekahi wahi a i kekahi wahi i loko o ka maka.

No laila, ke pili pū ka iris ma muli o ka synechiae, hiki ke ālai ʻia ke ala e kahe ai ka wai wai. Ua like ia me kahi paipu wai e paʻa ana i waenakonu. A laila hōʻiliʻili kēia wai i loko o ka maka, e hoʻonui ana i ke kaomi i loko o ka maka (kaomi intraocular). ʻO kēia kaomi i hoʻonui ʻia e hōʻino i ke aʻalolo optic ma ke kua o ka maka, kahi e lawe ai i nā leka i ka lolo. ʻO ia ka manawa e ulu ai ka glaucoma.

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

I mea e ʻike pono ai inā he synechiae kou, pono ʻoe e ʻike i kahi ophthalmologist a i ʻole optometrist. E nānā pinepine lākou i kou mau maka e hoʻoholo ai inā loaʻa iā ʻoe. Hiki i kēia hoʻokolokolo ke komo pū me:

• Hoʻāʻo ʻIke Maka: Pili kēia i ka heluhelu ʻana i kahi pakuhi me nā leka e ʻike ai pehea e maopopo ai kāu ʻike.
• Hoʻāʻo Kahua ʻIke: He hoʻāʻo kēia e ʻike ai i ka mamao e hiki ai i kou mau maka ke ʻike i nā ʻaoʻao, ʻo ia hoʻi, pehea ka maikaʻi o kāu ʻike peripheral.
• Tonometry: ʻO kēia ka hoʻāʻo nui e nānā ai no ka glaucoma. Ana kahi mea hana kūikawā i ke kaomi i loko o ka maka.
• Hoʻokolohua Lamp Slit: He mea hana kūikawā kēia e like me ka microscope. Hiki i ke kauka ke ʻike maopopo a hoʻonui ʻia i nā ʻāpana o kou maka, e like me ka iris, ka lens, a me ka cornea. Hiki i kēia ke kōkua iā ʻoe e ʻike maʻalahi inā loaʻa kēia mau mea hoʻopili.
• ʻO ka Optical Coherence Tomography (OCT): He scan kūikawā nō hoʻi kēia. Hiki iā ia ke lawe i nā kiʻi ʻokiʻoki maopopo loa o ke kua o ka maka.

He aha nā lāʻau lapaʻau no kēia? Mai hopohopo, aia nā hopena!

Mai hopohopo inā ʻike ʻoe he synechiae kou. Aia nā lāʻau lapaʻau no kēia ʻano. Aia ka lāʻau lapaʻau i ke koʻikoʻi o kāu mau hōʻailona a me ke koʻikoʻi o nā hoʻopili ʻana.

• Nā Kulu Maka Mydriatic: Ke hoʻopili ʻia kēia mau kulu i ka maka, hoʻonui lākou i ka pupil , ʻo ia hoʻi ke lilo nei ka pupil i mea nui aʻe. Hoʻomaha pū lākou i nā ʻiʻo o ka iris. Kōkua kēia i ka iris e hoʻokaʻawale mai ka lens a me ka cornea, e kōkua ana i ka pale ʻana i ka hoʻopili ʻana mai ka hoʻokumu ʻana.
• ʻO Corticosteroids: He ʻano lāʻau lapaʻau kēia e hōʻemi ana i ka mumū. Hiki iā lākou ke kōkua i ka wāwahi ʻana i nā ʻiʻo ʻeha i loko o ka maka a kōkua i ka wehe ʻana i nā mea hoʻopili. Hiki i kāu kauka ke hāʻawi iā ʻoe i kēia mau mea ma ke ʻano o nā kulu maka steroid, nā ʻaila, nā pila, nā inikini, a i kekahi manawa nā infusions IV.
• Lāʻau Lapaʻau no ka Glaucoma: ʻO kekahi mau kulu maka a me nā lāʻau lapaʻau, e like me nā beta-blockers a me nā prostaglandins, kōkua i ka hōʻemi ʻana i ka hōʻiliʻili ʻana o ka wai a me ke kaomi i loko o ka maka. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka pale ʻana i ka hōʻino mau loa ʻana i ke aʻalolo optic a me ka nalowale o ka ʻike.
• ʻOki kino: Inā koʻikoʻi nā synechiae e hoʻoulu ai i ka glaucoma, pono paha ke ʻoki kino. Hiki i ke kauka maka ke hoʻohana i ka laser a hana paha i kahi ʻoki liʻiliʻi i loko o ka maka e wehe i ke kahe a hoʻemi i ke kaomi i loko o ka maka. I kekahi manawa, hiki ke mālama ʻia ka synechiae i ka manawa like me ke ʻoki kino cataract.

Hiki ke pale ʻia kēia kūlana?

Inā loaʻa iā ʻoe kahi maʻi maka e hoʻoulu ai i ka mumū, e like me ka uveitis, e kamaʻilio me kāu kauka e pili ana i kou pilikia o ka loaʻa ʻana o ka synechiae. Hiki iā ia ke kuhikuhi i nā kulu maka a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe e hōʻemi i ka mumū a pale i ka hoʻokumu ʻana o nā ʻiʻo ʻeha. Hiki i kēia ke kōkua i ka pale ʻana i ka synechiae mai ka hoʻokumu ʻana.

Eia kekahi, he mea nui loa ke komo ʻana i nā maka aniani palekana i ka wā e hana ai i kekahi mea e pili ana i nā maka, e like me ke ʻoki ʻana i ka metala a i ʻole ke ʻoki ʻana i ka lāʻau, no ka mea hiki i kēia ke alakaʻi i nā ʻeha o nā maka.

E hoʻomaikaʻi anei au inā loaʻa iaʻu ka lāʻau lapaʻau? Pehea ka nānā ʻana?

Ma keʻano laulā, inā ʻike mua ʻia nā synechiae, ʻike pololei ʻia, a mālama koke ʻia, ʻaʻole lākou e hōʻino nui i ka ʻike. I ka hapanui o nā hihia, hiki ke mālama pono ʻia.

Eia nō naʻe, inā hoʻowahāwahā ʻia kēia a waiho ʻole ʻia me ka mālama ʻole ʻia, hiki i ka synechiae koʻikoʻi ke hōʻeha mau loa i ka maka a hiki i ka nalowale loa o ka ʻike. ʻO ia ke kumu e ʻōlelo ai mākou inā manaʻo ʻoe i kekahi mea ʻē i kou maka, e ʻike koke i ke kauka.

Mai poina e nīnau i kāu kauka e pili ana i kēia mau mea.

Ke hele ʻoe e ʻike i ke kauka, mai poina e nīnau i kēia mau nīnau:

• Hiki i kaʻu `(Iris)` ke ho'ōla iā ia iho me ka ʻole o ka lāʻau lapaʻau?
• Inā pono iaʻu e hana i ke ʻoki maka, he aha kaʻu e hana ai e pale aku i ke kūkulu ʻia ʻana o synechiae?
• He aha ka manawa kūpono e loaʻa ai ka glaucoma ma muli o kēia mau synechiae?
• He aha nā hōʻailona e hōʻike ana e ʻoi aku ka ʻino o ka Synechiae?
• E ʻoi aku ka ʻino o kēia kūlana synechiae i ka hala ʻana o ka manawa?

Ke ʻike ʻoe i nā pane i kēia mau nīnau, e loaʻa iā ʻoe kahi ʻike maikaʻi aʻe i kou kūlana a e emi iho kou mau makaʻu.

E hoʻomanaʻo kākou i ka mea a kākou i kamaʻilio ai ma ke ʻano he hōʻuluʻulu manaʻo (Leka Lawe-Home)

ʻAe, e nānā hou kākou i nā mea nui a mākou i kūkākūkā ai i kēia lā e pili ana i ka synechiae.

ʻO Synechiae nā pipili o ka ʻāpana kala o kou maka, ʻo ia hoʻi ka iris, i ka cornea ma mua a i ʻole ka lens ma hope. ʻO ka maʻamau, hana ʻia kēia e ka mumū i loko o ka maka, kahi ʻeha i ka maka, a i ʻole ka ʻiʻo ʻeha mai ke ʻoki ʻana. I nā hihia koʻikoʻi, hiki i kēia ke alakaʻi i nā kūlana weliweli e like me ka glaucoma, hiki ke alakaʻi i ka nalowale mau o ka ʻike.

Akā, ʻaʻohe mea e makaʻu ai. No ka mea, aia nā lāʻau lapaʻau kūpono no kēia, e like me nā kulu maka, nā lāʻau lapaʻau, a, inā pono, ke ʻoki kino. ʻO ka mea nui loa, inā ʻike ʻoe i kekahi mau loli a i ʻole nā ​​​​​​mea ʻē aʻe i kou mau maka a i ʻole ka ʻike, e ʻike koke i kahi ophthalmologist. A laila, hiki iā ʻoe ke ʻike koke i ke kūlana, hoʻomaka i ka lāʻau lapaʻau kūpono, a pale i kāu ʻike maka makamae.

He mea makamae loa kou mau maka, no laila, ʻo kou kuleana ke mālama iā lākou.

`Synechiae, pipili maka, maka ʻeleʻele, glaucoma, kaomi maka, olakino maka, hemahema o ka ʻike