Ua noʻonoʻo paha ʻoe pehea e loaʻa ai ke kala o kou mau maka? A i ʻole pehea e nānā ai kou mau maka i kahi mea kokoke a i ʻole kahi mea mamao? ʻO ka uvea kahi ʻāpana o ka maka e pili ana i kēia mau mea a pau, e like me kahi ʻenekinia liʻiliʻi i loko o ka maka. E kamaʻilio pōkole kākou e pili ana i kēia lā.
He aha ka Uvea?
I ka ʻōlelo maʻalahi, ʻo ka uvea ka papa waena o nā papa nui ʻekolu e hana ana i ko kākou maka. Loaʻa kona inoa mai ka huaʻōlelo Latina no "hua waina." ʻO ke kumu o kēia, i ka nānā ʻana mai waho mai, ua like kēia ʻāpana me ka hua waina.
ʻO kekahi inoa no kēia ʻo ia ka 'vascular tunic'. ʻO ia hoʻi, 'he pālule me nā aʻa koko.' Loaʻa kona inoa no ka mea e ʻōwili ana ia a puni ka maka e like me ka pālule a ua piha i nā aʻa koko e hāʻawi ana i ka maka me nā meaʻai e pono ai.
ʻAʻole hoʻokahi ʻāpana ka uvea. He hui pū ʻana ia o ʻekolu mau ʻāpana nui.
- ʻIris
- Kino ciliary
- ʻO ke kōroida
Nā ʻāpana nui o ka uvea a me kā lākou hana
Hana kēia mau ʻāpana ʻekolu o ka maka i nā hana like ʻole, akā he mea nui loa. E nānā kākou i ko lākou ʻano.
| ʻĀpana | E aha hana ʻoe? |
|---|---|
| ʻIris | ʻO kēia ka ʻāpana e hāʻawi i kou mau maka i ko lākou kala. Hoʻoholo ia i nā kala e like me ka uliuli, ka ʻeleʻele, a me ka ʻeleʻele. He apo ʻiʻo nō hoʻi ia. E lilo ana ia i mea nui a liʻiliʻi e kāohi i ka nui o ke kukui e komo i loko o ka maka. Ua like ia me ka "aperture" ma ke kāmela. |
| Kino ciliary | Aia kēia ma hope o ka iris. Hoʻololi nā ʻiʻo ma kēia ʻāpana i ke ʻano o ka lens o ka maka, kahi e kōkua ai iā mākou e nānā pono i ka wā e nānā ai mākou i kahi mea kokoke iā mākou a i kahi mea mamao paha. Hoʻopuka pū ia i ka wai i loko o ka maka i kapa ʻia ʻo "aqueous humor". ʻO kēia wai ka mea e hāʻawi ai i ka maka i kona ʻano poepoe. |
| ʻO ke kōroida | ʻO kēia ka ʻāpana nui loa o ka uvea. He membrane lahilahi ia i piha i nā kīʻaha koko. E noʻonoʻo i kou maka he hale. Ua like ka choroid me ka paipu wai o ka hale. E like me ke komo ʻana o ka wai i loko o ka hale a hoʻolaha ʻia i nā wahi e like me ka lumi kuke a me ka lua, ʻo ka choroid ke kumu o ke koko i nā ʻāpana koʻikoʻi o ka maka, ʻoiai ka retina. He ʻeleʻele hoʻi kona kala no ka mea aia i loko kahi pigment i kapa ʻia ʻo "melanin." Hoʻemi kēia i ka hoʻomālamalama pono ʻole i loko o ka maka. |
He aha nā kūlana olakino e hiki ke hoʻopilikia i ka uvea?
No ka mea, he hōʻiliʻili ʻekolu ʻāpana like ʻole ka uvea, nui nā ʻano kūlana e hiki ke hoʻopilikia iā ia. ʻOiai he liʻiliʻi kekahi mau kūlana, hiki i kekahi ke hoʻopilikia nui i kāu ʻike.
Aia ma lalo iho kekahi o nā kūlana e hiki ke hoʻopilikia i ka uvea:
- Uveitis: ʻO kēia ke kūlana maʻamau a koʻikoʻi hoʻi e pili ana i ka uvea. Hoʻopili ʻia nā ʻāpana o ka uvea.
- Nā maʻi ʻaʻai maka: ʻOi aku ka poʻe i loaʻa i loko o ka maka (intraocular melanoma).
- ʻO ka retinopathy pili i ka maʻi diabetes: Hiki i ka poʻe me ka maʻi diabetes ke hōʻino i nā kīʻaha koko i loko o ko lākou mau maka.
- Hahau maka: ʻO ka pōʻino i hana ʻia e ka emi ʻana o ke kahe koko i ka maka.
- ʻAlbinism: ʻAʻohe pigment e hāʻawi i ke kala i ka ʻili a me nā maka.
- Presbyopia: E emi ana ka hiki o ka lens o ka maka ke kālele me ka ʻelemakule.
- Coloboma: Ka nele o kahi ʻāpana o ka uvea i ka wā hānau.
- Nā ʻeha maka: Hiki i kēlā me kēia ʻano ulia ke hōʻino i ka uvea.
- ʻO kekahi mau maʻi a me nā maʻi ʻē aʻe: ʻO nā maʻi e hoʻopilikia i nā ʻāpana ʻē aʻe o ke kino, e like me ka sarcoidosis, hiki ke hoʻopilikia i nā maka.
He aha nā hōʻailona maʻamau o kēia mau maʻi?
Ke loaʻa kahi pilikia me ka uvea, hiki ke ʻokoʻa nā hōʻailona ma muli o ka ʻāpana o ka uvea i hoʻopilikia ʻia. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e ʻike ʻia.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻIke pōwehiwehi | Ke ʻano o ka ʻike maopopo ʻole ʻana i nā mea. |
| ʻEha maka | ʻO ka ʻeha e hele mai ana mai loko mai a i ʻole a puni nā maka. |
| ʻIke i ka mālamalama (Photophobia) | Paʻakikī ke nānā aku i ka mālamalama, me he mea lā e polū ana nā maka. |
| Maka ʻulaʻula | ʻUlaʻula a mumū paha o ka ʻāpana keʻokeʻo o ka maka. |
| Pohō ka ʻike | Ka nalowale koke a mālie paha o ka ʻike. |
| Nā loli i ka maka ʻeleʻele | Hoʻololi ka haumāna i ke ʻano mai ka poepoe a i kahi ʻano a i ʻole ka nui ʻē aʻe. |
| Nā maka waimaka (Epiphora) | Ke hele mau mai nei nā waimaka. |
Pehea lā e hiki ai iā kākou ke mālama i ka uvea o ko kākou mau maka?
He mea makamae loa ko kākou mau maka, no laila aia kekahi mau mea maʻalahi hiki iā kākou ke hana e mālama i ke olakino o ka maka holoʻokoʻa, me ka uvea hoʻi.
- E nānā pinepine i kou mau maka: He mea nui i nā kānaka a pau, ʻaʻole wale ka poʻe e ʻaʻahu ana i nā aniani maka, e nānā i ko lākou mau maka ma ka liʻiliʻi i hoʻokahi a ʻelua paha makahiki . Hiki i kēia ke kōkua i ka ʻike ʻana i nā pilikia ma mua o ka ulu ʻana o nā hōʻailona.
- E ʻaʻahu i nā aniani palekana: Hiki iā ʻoe ke pale i nā ulia ma ke kau ʻana i nā aniani palekana i ka wā e ʻoki ai i ka metala, e hana ana me ka lāʻau, e hana ana me nā kemika, a i ʻole e pāʻani ana i nā haʻuki.
- E pale i ka puhipaka a me ka hoʻohana ʻana i ka paka: Hiki i ka puhipaka ke hōʻino i nā kīʻaha koko palupalu i loko o nā maka, kahi e hoʻopilikia pololei ai i ke olakino o ka uvea.
- Mai hoʻohaʻahaʻa i nā maʻi maka: MakaInā he maʻi, ʻulaʻula, a ʻeha paha e mau ana ma mua o kekahi mau lā, e ʻike pono i ke kauka. Mai hoʻokuʻu iā ia e laha a lilo i pilikia nui aʻe.
He aha nā manawa kūpono loa e ʻike ai i ke kauka?
Ma waho aʻe o nā hoʻokolohua maka maʻamau, pono ʻoe e ʻike koke i kahi ophthalmologist inā loaʻa iā ʻoe kekahi o kēia mau mea:
- Inā mau nā hōʻailona o ka maka (ʻeha, ʻulaʻula, blurriness) no nā lā he nui .
- Inā pale kēia mau hōʻailona iā ʻoe mai ka hana ʻana i kāu mau hana maʻamau .
- Inā ʻike ʻoe i kekahi ʻano pohō a loli paha o ka ʻike .
He mea nui loa: ʻO ka nalowale koke ʻana o ka ʻike, ka pohihihi koke ʻana o ka ʻike, a i ʻole kahi pale ʻeleʻele ma mua o nā maka ua manaʻo ʻia he pilikia olakino. Inā hana ʻia kēia, e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU) .
ʻO ka uvea kahi ʻāpana o ka maka a mākou e kamaʻilio nui ʻole ai, akā he mea nui ia no kāna hana. ʻAʻole mākou e ʻike i kona waiwai a hiki i ka wā e hana pono ʻole ai. Akā i ka wā e loaʻa ai kahi pilikia, hiki ke hopohopo loa. ʻO ia ke kumu he mea nui e nānā pinepine ʻia kou mau maka a e makaʻala i nā hōʻailona.
Leka Lawe-Home
- He ʻāpana koʻikoʻi loa ka uvea o kou maka nāna e hāʻawi i ke kala, e kālele ana i kāu ʻike, a hoʻolako i ke koko i ka maka.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka ʻulaʻula o ka maka, ka ʻeha, a me ka ʻike pohihihi. He hōʻailona paha ia o ka pilikia uveitis.
- Hiki ke ʻike mua ʻia nā maʻi he nui ma ka nānā ʻana i kou mau maka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki.
- Inā nalowale koke kou ʻike a i ʻole he loli koʻikoʻi kou ʻike, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
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