Ke lilo mālie nei kou ʻike i mea pōhihihi? Malia paha ma muli kēia o ka Terrien Marginal Degeneration!

Manaʻo paha ʻoe i kekahi manawa ua ʻokoʻa iki kou ʻike a he pōwehiwehi hoʻi ma nā maka ʻelua? Malia paha ma kekahi maka wale nō. ʻO ka hapa nui o ka manawa, ʻaʻole mākou e nānā nui i nā mea e like me kēia, ʻeā? Manaʻo mākou, "ʻO kēia ka mea e hana ʻia ke ʻelemakule ʻoe." Eia nō naʻe, aia kekahi mau maʻi maka kakaikahi e hoʻomaka pū me nā hōʻailona e like me kēia. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi i lohe pinepine ʻole ʻia, akā he mea kūpono ke ʻike. ʻO ia kahi maʻi i kapa ʻia ʻo Terrien Marginal Degeneration .

He aha ka Terrien Marginal Degeneration? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, he maʻi laha ʻole kēia e hoʻopilikia i ko kākou mau maka. ʻO ka mea e hana ʻia ma kēia , ʻo ia ka ʻāpana o ka 'cornea', ʻo ia ka membrane moakaka ma ke alo o ko kākou maka, e lahilahi mālie ana. E noʻonoʻo e like me ke kāmela. ʻO ka cornea ka ʻāpana nui e kōkua ana i ka lawe ʻana mai i ka mālamalama a hana i kahi kiʻi maopopo. Ua like ia me ke aniani ma luna o kahi uaki. No laila, ke hoʻomaka kēia cornea e lahilahi, i ka hala ʻana o ka manawa, hiki iā ia ke hoʻopilikia i ko kākou hiki ke ʻike maopopo i nā mea.

ʻAʻole kēia e hana koke ʻia. Hoʻomohala lohi pinepine ia. ʻO ia ke kumu i ʻike ʻole ai kekahi poʻe i ka wā mua. Eia nō naʻe, inā ʻike mua ʻoe i ke kūlana, hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau e kōkua i ka pale ʻana a i ʻole ka hoʻihoʻi ʻana i kou ʻike. ʻO ka maʻamau, ʻo ia ka mālama ʻana i nā aniani , kekahi mau lāʻau lapaʻau, a i kekahi manawa ke ʻoki ʻana e hoʻoponopono a hoʻololi paha i kou cornea.

Pehea ka hopena o kēia Terian Marginal Degeneration (TMD) iā ʻoe?

E like me kā mākou i ʻōlelo ai ma mua, i loko o kēia maʻi, e lahilahi ana kekahi hapa o ka cornea. I ka holomua ʻana o ka degeneration corneal, hoʻomaka ka lihi o waho o ka cornea e pālahalaha. Ua kapa ʻia kēia he peripheral corneal flattening. Hiki ke hana ʻia ka Astigmatism ma muli o kēia.

He aha ka Astigmatism ?

E noʻonoʻo, he poepoe nani ka cornea olakino, e like me ka pōpō. A laila ua kau pololei ʻia ke kukui ma kahi hoʻokahi a hāʻawi i kahi kiʻi maopopo. Akā i ka astigmatism, loli iki ke ʻano o ka cornea, e like me ka hua manu, a i ʻole e like me ka pōpō rugby. A laila ʻaʻole i kau ʻia ke kukui ma kahi hoʻokahi, akā ma nā wahi he nui, no laila hiki i nā mea āu e ʻike ai ke ʻike ʻia he blurry, stretched, a i kekahi manawa ua māhele ʻia i ʻelua.

No laila, hiki i kēia kūlana o ka astigmatism ke hoʻolilo i kou ʻike i mea pōwehiwehi a ʻaʻole paha ʻoe e ʻike maopopo i nā mea. Hiki i ka Terian Marginal Degeneration (TMD) ke hoʻopilikia i hoʻokahi maka a i ʻole nā ​​​​maka ʻelua.

ʻO ka nūhou maikaʻi, ʻaʻole like me kekahi mau maʻi maka ʻē aʻe, ʻaʻole pinepine ka TMD i ka ʻeha o ka maka. Eia nō naʻe, i kekahi manawa hiki i nā maka ke lilo i ʻulaʻula a pehu iki, ʻo ia hoʻi ka mumū .

He mea kākaʻikahi loa, inā lilo ka cornea i mea lahilahi loa, hiki ke haehae a puka paha . Hiki ke hana koke ʻia kēia, a i ʻole hiki ke hana inā ua ʻeha a hōʻino ʻia paha kou maka. He pilikia kēia a pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

ʻO kēia kūlana, i kapa ʻia ʻo Terian Marginal Degeneration (TMD) , ʻike pinepine ʻia i nā kāne ma luna o 40 mau makahiki. Eia naʻe, ʻaʻole ia manaʻo ʻaʻole hiki i nā poʻe ʻē aʻe ke loaʻa. Hiki ke hana i kekahi i kēlā me kēia makahiki. Ua ʻike ʻia hoʻi he ʻoi aku ka nui o ka poʻe me kekahi mau maʻi mumū , e like me ka rheumatoid arthritis a me ka juvenile idiopathic arthritis, e hoʻomohala i ka TMD.

Pehea ka maʻamau o ka Terian Marginal Degeneration (TMD)?

He ʻano maʻi laha ʻole kēia. ʻAʻole i hiki i nā kānaka noiʻi ke hoʻoholo pololei i ka nui o ka poʻe i loaʻa i kēia maʻi. Ua wehewehe mua ʻia ʻo TMD i ka makahiki 1900 e Felix Terrien, he kauka maka Farani.

Aia kekahi mau ʻano nui o ka Terian Marginal Degeneration (TMD)?

Manaʻo nā kānaka ʻepekema aia ʻelua ʻano nui o kēia ʻano, ʻo ia hoʻi ka terian marginal degeneration ( TMD ).

1. ʻAno 1: ʻIke pinepine ʻia kēia i nā poʻe ma luna o 55 mau makahiki. I kēia ʻano, holomua mālie ka maʻi, me ka ʻole o nā hōʻailona o ka mumū (e like me ka ʻulaʻula a me ka pehu ʻana o nā maka).

2. ʻAno 2: Hōʻike ʻia kēia ʻano e ka mumū . ʻO ka mea maʻamau i nā kāne ʻōpio i ko lākou mau makahiki 20 a me 30. Ua ʻike pū nā kauka i kēia ʻano i nā poʻe me nā kūlana penei:

• ʻO ka Dystrophy Membrane Basement Anterior: He maʻi coronary hoʻoilina (genetic) kēia.
• Erythema Elevatum Diutinum: He maʻi ʻili lōʻihi kēia.
• ʻO ka Postterior Polymorphous Dystrophy: He maʻi maka laha ʻole kēia. Hoʻoulu ia i ka hōʻiliʻili ʻana o ka wai a i ʻole nā ​​​​mea ʻē aʻe i loko o ka cornea.

Aia kekahi mau maʻi ʻē aʻe e like me Terian Marginal Degeneration (TMD)?

ʻAe, aia kekahi mau maʻi maka ʻē aʻe e hōʻike ana i nā hōʻailona like me kēia mau hōʻailona TMD. ʻO ia ke kumu he mea nui loa ka loaʻa ʻana o kahi hōʻailona pololei. A laila hiki iā ʻoe ke loaʻa i ka hoʻolālā lapaʻau kūpono loa. ʻO kekahi o kēia mau maʻi:

• ʻO ke keratitis ʻAcanthamoeba
• ʻO Corneal Ectasia (kahi hui o nā maʻi e loli ai ke ʻano o ka cornea a hoʻonui i ka astigmatism i ka hala ʻana o ka manawa)
• ʻEha i ka cornea ( ʻeha i ka cornea)
• Keratoconus (kahi e puka mai ai ka cornea i loko o ke ʻano cone)
• ʻO ka Marginal Furrow Degeneration (ʻo ia hoʻi ke kumu e lahilahi ai ka cornea)
• ʻO ka Mooren's Ulcer (He maʻi maka ʻeha kēia e hōʻino ana i ka cornea)
• ʻO ka rosacea maka ( Rosacea maka)
• ʻO ka Pellucid Marginal Degeneration (PMD) (He maʻi corneal laha ʻole kēia e hoʻoulu ai i ka nalowale o ka ʻike i ka hala ʻana o ka manawa)
• ʻO ka sclerokeratitis (ka mumū o ka sclera a me ka cornea)
• ʻO Vernal Keratoconjunctivitis (VKC) (kahi hopena maʻi lōʻihi a koʻikoʻi e pili ana i ka ʻili o ka maka)

ʻOiai he mea maʻamau kēia mau hōʻailona i nā maʻi he nui, inā ʻike ʻoe i kekahi mea ʻē aʻe, ʻoi aku ka maikaʻi e ʻike i kahi kauka maka no ka hoʻokolokolo ʻana.

He aha ke kumu o ka Terian Marginal Degeneration (TMD)?

ʻO kaʻoiaʻiʻo, ʻaʻole i hiki i nā kānaka noiʻi ke loaʻa kahi kumu kikoʻī no ka TMD. Eia nō naʻe, ke manaʻo nei lākou he maʻi autoimmune (kahi e hoʻouka ai ka ʻōnaehana pale o ke kino i nā cell olakino) a i ʻole kahi maʻi degenerative (kahi e nāwaliwali mālie ai nā ʻiʻo a i ʻole nā ​​​​​​ʻōpū). Eia naʻe, ʻaʻole i hōʻoia ʻia kēia mau mea.

He aha nā hōʻailona o ka Terian Marginal Degeneration (TMD)?

ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona o ka poʻe me ka temporomandibular joint degeneration (TMD). ʻO ia ka pilikia. Eia nō naʻe, i kekahi mau hihia, hiki iā ʻoe ke ʻike i nā mea e like me:

• Hoʻololi mālie ka ʻike i ka Astigmatism: ʻO ke ʻano kēia e lilo mālie ka ʻike i mea pōuliuli a manaʻo paha me he mea lā ʻaʻole maopopo.
• ʻO kahi ʻūlū iki a ʻoluʻolu ʻole paha i nā maka ma muli o ka ʻili like ʻole o ka cornea: Manaʻo paha ia e like me kahi mea i paʻa i ka maka, a i ʻole me he mea lā he hua one i loko o ka maka.

I nā hihia koʻikoʻi, hiki i kahi ulia a ʻeha paha ke hana i kahi perforation corneal (Puncture a Tear paha) . He pilikia olakino kēia. Hiki i kēia ke hōʻeha nui i ka ʻike. No laila, inā loaʻa iā ʻoe kekahi pōʻino i kou maka, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

Pehea e ʻike ʻia ai ka Terian Marginal Degeneration (TMD)?

Hoʻoponopono nā kauka i ka TMD ma o kahi hoʻokolokolo maka piha . Ma ka nānā pono ʻana i ke kūlana, hiki iā lākou ke hoʻokaʻawale iā ia mai nā kūlana ʻē aʻe e hoʻomāmā ai i ka cornea, a hāʻawi iā ʻoe i ka lāʻau kūpono.

Hiki i kāu kauka maka ke hana i nā hoʻokolohua hou aʻe e lawe i nā kiʻi kikoʻī o kou mau maka a nānā i nā loli i kou cornea. ʻO kēia mau hoʻokolohua:

• ʻO ka Tomography Coherence Optical ʻĀpana Mua
• ʻO ka Microscopy Confocal
• ʻO ke ʻano o ka maka o ka cornea (Hana kēia i kahi palapala ʻāina o ka ʻili o ka cornea)
• Ke nānā ʻana i ka ʻāpana ʻoki
• Biomicroscopy Ultrasound (UBM)

E ʻae kēia mau hoʻokolohua i kāu kauka e loaʻa kahi ʻike maopopo i ke kūlana o kāu cornea.

Aia kekahi lāʻau lapaʻau no ka Terian Marginal Degeneration (TMD)?

ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau no TMD. Akā, mai hopohopo. Hiki i ka lāʻau lapaʻau ke kōkua i ka mālama ʻana i kou ʻike a pale i nā pilikia. ʻO ia ke kumu he mea nui ka ʻike mua ʻana . A laila hiki i kāu kauka ke hāʻawi iā ʻoe i ka mālama āu e pono ai.

He aha nā lāʻau lapaʻau no ka Terian Marginal Degeneration (TMD)?

I ka hapanui o nā hihia, ʻaʻohe lāʻau lapaʻau kūikawā no ka degeneration temporomandibular joint (TMD). Hiki i kāu kauka ke paipai i ka " kali makaʻala " (ʻo ia hoʻi, ka nānā ʻana i nā hōʻailona a me ke kali ʻana e ʻike inā e ʻoi aku ka ʻino o ke kūlana) a me nā hoʻokolohua maʻamau e nānā i kou kūlana.

Eia nō naʻe, inā pili kēia kūlana TMD i kou ʻike, hiki ke hoʻohana ʻia nā maka hoʻoponopono e like me ka lāʻau lapaʻau. Eia kekahi laʻana:

• Nā aniani i hana ʻia me ka polycarbonate: ʻOi aku ka ikaika o kēia ma mua o ka plastik maʻamau.
• Nā Aniani Hoʻopili Paʻa, Hiki ke Komo i ke Kinoea: He ʻano aniani hoʻopili paʻakikī iki kēia e hiki ai i ka oxygen ke hele i loko o ka maka.
• Nā aniani scleral:He mau aniani hoʻopili nui a paʻa kēia. Uhi lākou i ka cornea holoʻokoʻa. Hoʻoponopono lākou i ka astigmatism, pale i ka maka, a hoʻomaikaʻi i ka ʻike.

Inā loaʻa iā ʻoe ka mumū iki, hiki i kāu kauka ke kuhikuhi i nā kulu maka, nā ʻaila poni, a i ʻole nā ​​gels . I kekahi manawa hiki ke hoʻohana ʻia nā steroids topical . Eia nō naʻe, ua kaupalena ʻia kā lākou hoʻohana ʻana no ka mea hiki iā lākou ke hoʻomāmā hou i ka cornea.

E pono anei iaʻu ke ʻoki kino no ka Terian Marginal Degeneration (TMD)?

I nā hihia ʻoi aku ka holomua o TMD, pono paha ke ʻoki ʻana e mālama, mālama, a hoʻihoʻi paha i ka hana o kou maka. Hiki i kāu kauka maka ke ʻōlelo aku i ke ʻoki ʻana inā ʻaʻole kōkua nā aniani hoʻoponopono.

Inā ua hōʻino nui ʻia kou cornea, hiki i kāu kauka ke ʻōlelo aku i kahi hoʻoili cornea . Pili kēia i ka hoʻohana ʻana i nā ʻiʻo mai kahi mea hāʻawi olakino a i ʻole kahi cornea hana. Hiki iā ʻoe ke loaʻa kahi hoʻoili penei:

• Hoʻoili Mānoanoa ʻĀpana (Lamellar Keratoplasty): Ma kēia, hoʻololi wale ʻia kahi hapa o kou cornea.
• Hoʻololi Mānoanoa Piha - Penetrating Keratoplasty: Ma kēia, ua hoʻololi ʻia kou cornea holoʻokoʻa.

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

Aia kekahi mea hiki iaʻu ke hana e pale aku ai i ka ulu ʻana o Terian Marginal Degeneration (TMD)?

ʻAʻohe mea hiki iā ʻoe ke hana e pale aku i ka TMD no ka mea ʻaʻole ʻike ʻia ke kumu pololei. Eia nō naʻe, hiki iā ʻoe ke hana i kekahi mau hana e pale aku i kou mau maka a pale i ka lilo ʻana o ke kūlana i mea ʻino .

I mea e pale ai i ka hōʻino ʻana i ka cornea, e hoʻāʻo e komo i nā maka pale i kēia mau manawa:

• I ka hoʻomaʻemaʻe ʻana me ka bleach a i ʻole nā ​​​​kemika ʻē aʻe.
• I ka wā e hana ana ma waho, e like me ke ʻoki ʻana i ka lau nahele.
• I ka wā e pāʻani ana i nā haʻuki e like me ka baseball a me ka hockey.
• Inā paha i ka wā e hoʻohana ai i nā mea hana a i ʻole i ka wā e kau ai i ka pena.

Inā ʻoe e komo i nā aniani hoʻopili, e hahai pono i nā ʻōlelo kuhikuhi no ka hoʻomaʻemaʻe ʻana a me ka hoʻomaʻemaʻe ʻana i kāu mau aniani e pale aku i nā maʻi maka a i ʻole nā ​​​​maʻi corneal. Ma ka mālama ʻana i nā manawa a kāu kauka maka a me ka hahai ʻana i nā alakaʻi lapaʻau, hiki iā ʻoe ke pale i nā pilikia a pale i kou ʻike maka makamae.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka Terion Marginal Degeneration (TMD)?

Ua loaʻa i nā kānaka he nui ke ʻano o Terian Marginal Degeneration (TMD).Hiki ke mālama maikaʻi ʻia me nā aniani maka a i ʻole nā ​​​​​​aniani hoʻopili a me nā nānā lapaʻau maʻamau. Inā he corneas lahilahi loa kou, e kamaʻilio me kāu kauka e pili ana i nā koho maikaʻi loa e pale i kou mau maka a mālama i kāu mau hōʻailona. Mai hopohopo, hiki iā ʻoe ke ola i kahi ola maʻamau me kēia maʻi.

I ka manawa hea ʻoe e ʻimi ai i ke aʻo lapaʻau no ka temporomandibular joint degeneration (TMD)?

He mea nui e ʻike mua i ke kūlana o Terian Marginal Degeneration (TMD) i hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau kūpono. Inā loaʻa iā ʻoe ka ʻeha o ka maka, ka ʻeha, a i ʻole nā ​​​​loli i ka ʻike , e hoʻomaopopo koke i kāu kauka. Hiki i kāu kauka ke hāʻawi iā ʻoe i nā koho lapaʻau e hiki ke hāʻawi iā ʻoe i ka hōʻoluʻolu a mālama i kou ʻike.

E hoʻomanaʻo, ʻo nā maka kekahi o nā ʻōkana koʻikoʻi a waiwai nui loa i loko o ko kākou kino. No laila, inā ʻike ʻoe i kekahi mau loli a ʻoluʻolu ʻole paha i kou mau maka, he mea naʻauao ke ʻimi i ke kōkua lapaʻau me ka nānā ʻole ʻana.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)

ʻO Terrien Marginal Degeneration kahi maʻi laha ʻole e hoʻomāmā ai i nā kihi o ko kākou cornea. ʻO kēia cornea ka mea e kōkua iā kākou e ʻike maopopo. ʻAʻole ʻike ka nui o ka poʻe i kekahi mau hōʻailona. No kekahi poʻe, hiki i nā maka aniani hoʻoponopono ke kōkua i ka pale ʻana i ko lākou ʻike a pale i nā pilikia. E kiʻi i nā nānā maka maʻamau. A laila hiki iā ʻoe ke loaʻa ka mālama āu e pono ai. E mālama i kou mau maka! No ka mea, ʻelua wale nō maka o kākou e ʻike ai i ke ao nei.

ʻO Terrien Marginal Degeneration, Nā Maʻi Maka, Cornea, ʻIke Pōwehiwehi, Astigmatism, Ola Kino Maka