Ua emi koke kou ʻike, akā ʻaʻohe ʻeha? He kahe koko paha ia i loko o ka maka (vitreous hemorrhage). E kamaʻilio kākou e pili ana i kēia!

Ua nalowale koke anei kou ʻike maka, akā ʻaʻohe ʻeha? Malia paha ua pōwehiwehi kou ʻike maka, ua noe, a ua ʻike paha ʻoe i nā mea ʻeleʻele e lana ana i mua o kou mau maka. He mea weliweli paha ia. ʻO kekahi o nā kumu nui o kēia, ʻo ke kahe ʻana o ke koko i loko o ka maka. I ka lāʻau lapaʻau, kapa mākou i kēia he hemorrhage vitreous . I ka ʻōlelo maʻalahi, he hōʻiliʻili koko ia ma ka ʻāpana e like me ka jelly o ka maka.

He aha ke ʻano o ke kahe koko i loko o ka maka? (Vitreous Hemorrhage)

I ka ʻōlelo maʻalahi, ʻo ke kahe koko vitreous he kahe koko i loko o ka vitreous , he wai i loko o kou maka. Hiki i kēia ke kumu i ka nalowale koke ʻana o ka ʻike ma kēlā maka me ka ʻeha ʻole. E noʻonoʻo e pili ana iā ia, ʻo ka vitreous ka hakahaka nui loa i loko o ko kākou maka. Loaʻa iā ia kahi mea e like me ka jelly. Kōkua kēia jelly i ka maka e mālama i kona ʻano poepoe.

Hiki ke hoʻokumu ʻia kēia ʻano ma muli o nā kumu like ʻole. No laila, he mea nui e ʻimi i ke kumu pololei ma mua o ka mālama ʻana. I kekahi manawa hiki iā ia ke alakaʻi i ka nalowale mau o ka ʻike maka, ma muli o ke kumu. He mea maʻamau kēia ʻano i nā poʻe me ka retinopathy e pili ana i ka maʻi diabetes.

He aha nā hōʻailona o kēia?

ʻO ka hōʻailona nui ka nalowale koke o ka ʻike a i ʻole ka makapō. E noʻonoʻo, pono e like ka vitreous me ke aniani maʻemaʻe, a laila hiki i ka mālamalama ke hele ma waena a ʻike mākou. I kēia manawa he aha ka mea e hana ai ke loaʻa ke koko? Ua like ia me kahi pena ʻulaʻula liʻiliʻi i hāʻule ma luna o ke aniani. Ua ālai ʻia mai ka puka ʻana i waho, a ʻo ia ke kumu o nā hōʻailona.

Ke loaʻa ke kahe koko vitreous, ʻaʻohe loli i ʻike ʻia i ke ʻano o ka maka. ʻO ke ʻano kēia, ʻaʻole ʻulaʻula ka maka mai waho mai. I kekahi manawa, inā liʻiliʻi ke kahe koko, a inā paha aia ma kekahi ʻaoʻao o ka maka, hiki ke paʻakikī ke ʻike, ʻoiai no nā kauka maka, ʻoiai me nā lako kūikawā.

Hiki i nā loli i ka ʻike ke komo pū me:

• ʻIke ʻana i nā mea ʻeleʻele liʻiliʻi e lana ana i mua o nā maka (Floaters)
• Ke ʻike nei i nā mea e like me nā ʻupena nananana
• ʻIke pōwehiwehi a noe paha
• I kekahi manawa, hiki iā ʻoe ke nalowale nā ​​​​ʻike āpau.

No ke aha he koko i loko o ka maka e like me kēia? He aha nā kumu?

ʻElua ala nui e hiki ai i ke koko ke komo i loko o ka maka. ʻO kekahi ma muli o kekahi ikaika mīkini , a ʻo kekahi ma muli o kahi maʻi kumu .

1. Hiki paha ke hana ʻia e kekahi ulia a i ʻole ka hopena ikaika? (Nā kumu o ka ikaika mīkini)

ʻAe, hiki i nā ʻano mana kino like ʻole ke hoʻoulu i ke kahe koko i loko o ka maka. ʻO kēia mau mea:

• Ka hōʻeha pololei i ka maka:E noʻonoʻo ua pā ʻia kou maka e kahi pōpō i ka wā e pāʻani ana i ka cricket, a i ʻole ua paʻa kekahi mea ʻoi i kou maka. A laila hiki ke hōʻino ʻia nā kīʻaha koko palupalu i loko o ka maka a kahe ke koko. ʻO kēia ke kumu nui no ka poʻe ma lalo o 40 mau makahiki.
• Nā neʻe ʻoi: No ka laʻana, ʻo ka hoʻoluliluli koke ʻana i kahi pēpē liʻiliʻi, kahi kūlana i kapa ʻia ʻo Shaken Baby Syndrome , hiki ke kumu o ka haki ʻana o nā kīʻaha koko i loko o ka maka a kahe ke koko.
• Nā hoʻokaʻawale kūloko: Hoʻokaʻawale ʻia ka jelly i loko o ko kākou mau maka (ka vitreous) mai ka retina ma ke kua o ka maka. Ua kapa ʻia kēia he posterior vitreous detachment (PVD) . Ke hoʻokaʻawale ʻia, hiki i nā kīʻaha koko liʻiliʻi ma waena o nā mea ʻelua ke kīkoʻo a haki, e hoʻokahe ana i ke koko. I kekahi manawa hiki i ka retina ke haehae (he retinal risk) a hemo loa paha (he retinal detachment) . Hiki nō hoʻi ke kahe koko.
• Kaomi nui: I kekahi manawa ke paʻa mākou i ko mākou hanu a hoʻāʻo e mimi a ʻōpala paha (i kapa ʻia hoʻi ʻo Valsalva maneuver) , hiki ke hoʻonui ʻia ke kaomi i loko o ke poʻo a me nā maka a pohā nā kīʻaha koko. Hiki nō hoʻi kēia ke hana ke kihe a ʻū paha mākou me ka hewa.

2. Hiki ke hoʻoulu ʻia kēia maʻi e nā maʻi ʻē aʻe? (Nā kumu o ka maʻi)

ʻAe, hiki ke hana ʻia ke kahe koko vitreous e nā maʻi e hoʻonāwaliwali ai i nā kīʻaha koko i loko o ka maka a i ʻole e hoʻopilikia i kā lākou hana maʻamau. ʻO kekahi mau laʻana:

• ʻO ka maʻi diabetes ʻano 2 a me ka Retinopathy e pili ana i ka maʻi diabetes
• Ke koko kiʻekiʻe (Hypertension)
• Ka Paʻa ʻana o nā Aa Retinal
• Maʻi ʻeha o ke kelepona ʻokiʻoki
• Nā maʻi ʻaʻai maka
• Nā maʻi koko, e like me ka anemia a i ʻole ka hemophilia
• Nā kūlana e hōʻino ai i nā kīʻaha koko, no ka laʻana , vasculitis
• ʻO ka Wet Age-Related Macular Degeneration, kahi ʻano loli pulu e kū mai ana ma ka retina o ka maka i ko kākou wā ʻelemakule

He aha nā pilikia e hiki mai ana ma muli o ke kahe ʻana o ke koko i loko o ka maka?

Hiki i ke kahe koko e like me kēia ke loaʻa nā hopena lōʻihi i kou ʻike . Hiki ke mau loa kekahi o kēia mau hopena, aʻo kekahi e lōʻihi ka manawa e ho'ōla ai. Hiki i kāu loea maka ke wehewehe i ka mea e hiki ke hana i kou kūlana a me ka mea hiki iā ʻoe ke hana.

Pehea e ʻike ai nā kauka i kēia maʻi?

Ke ʻike ʻoe i kahi loea maka, e hoʻohana lākou i nā ʻano hana like ʻole e ʻike ai i kēia. ʻO ka hapa nui, hiki iā lākou ke hoʻohana i kahi mea liʻiliʻi i kapa ʻia he ophthalmoscope a i ʻole kahi mīkini nui i kapa ʻia he slit lamp exam e ʻike inā he kahe koko. Eia nō naʻe, hiki iā lākou ke hana i nā hoʻokolohua ʻē aʻe e ʻike pono ai i ke kumu o kēia.

He aha nā ʻano hoʻokolohua i hana ʻia no kēia?

Hiki i nā hoʻokolohua e like me kēia ke kōkua i ka ʻike ʻana i kahi hemorrhage vitreous a i ʻole nā ​​​​kūlana e hoʻokumu ai:

• Nā hoʻāʻo koko: Nānā kēia i kāu pae kō koko, a me nā pilikia koko ʻē aʻe, e like me ka anemia, nā pilikia coagulation koko, a me nā maʻi koko ʻē aʻe.
• ʻO ke kiʻi ʻana o ka ultrasound: Hoʻohana kēia i nā nalu kani e nānā i loko o ka maka. He hoʻāʻo koʻikoʻi loa kēia inā ʻaʻole hiki i ke kauka ke ʻike maopopo i loko o ka maka.
• ʻO ka Optical Coherence Tomography (OCT): Hoʻohana kēia i kahi kukuna laser mana haʻahaʻa e kiʻi i nā kiʻi o loko o kou maka. He mea pono loa kēia no ka nānā ʻana i nā kīʻaha koko a me nā papa o ka retina i loko o ka maka.
• Nā scan lolo: I kekahi manawa hana ʻia nā scan CT (Computed Tomography - CT) a me nā scan MRI (Magnetic Resonance Imaging - MRI) e ʻike inā he nui ke kaomi ma nā kīʻaha koko i loko o ka maka mai ka ʻaoʻao o kou lolo.

He aha nā lāʻau lapaʻau no kēia? (Lāʻau lapaʻau)

Aia kekahi mau koho lapaʻau, a i kekahi manawa hiki ke hoʻohana ʻia ma mua o hoʻokahi o kēia mau koho. ʻO lākou kēia:

• Lapaʻau mālama: Pili kēia i ke kali ʻana i kekahi mau lā, malia paha he mau pule, e ʻike i nā loli e hana ʻia. I ka hapanui o nā hihia, hiki i ko mākou kino ke hoʻoponopono i ka pōʻino ma o lākou iho inā hāʻawi mākou iā lākou i kekahi manawa. I loko o kēia manawa, e haʻi ʻia iā ʻoe e hoʻomaha a pale i nā hana e hoʻoluhi ai i kou mau maka . Hiki ke haʻi ʻia iā ʻoe e hiamoe me kou poʻo i hoʻokiʻekiʻe ʻia, kahi e kōkua ai i ke kahe ʻana o ke koko i loko o ke kua o kou maka.
• Nā lāʻau lapaʻau kiko: Pili kēia mau ʻano i ka hoʻoponopono ʻana i nā kīʻaha koko i hōʻino ʻia i loko o ka maka a i ʻole ka mālama ʻana i nā pilikia ʻē aʻe me ka hoʻohana ʻana i nā lasers, a i ʻole ka hoʻohana ʻana i ka wela nui (Photocoagulation) a i ʻole ke anu nui (Cryotherapy).
• ʻO ke ʻoki kino: ʻO ke ʻoki kino maʻamau ka vitrectomy , ʻo ia hoʻi ka wehe ʻana i ka mea e like me ke jelly i loko o ka maka a hoʻololi iā ia me kahi mea ʻē aʻe (malia paha he saline, ʻaila silicone, a i ʻole kahi pehu kinoea kūikawā).
• Nā lāʻau lapaʻau: I kekahi manawa ke kūkulu ʻia ʻana o nā kīʻaha koko hou, makemake ʻole ʻia (neovascularization)Hiki ke hoʻokomo ʻia nā lāʻau anti-VEGF (e.g., nā lāʻau anti-VEGF) i loko o ka maka. No ka mea, ua nāwaliwali loa kēia mau kīʻaha koko hou, hiki iā lākou ke haki maʻalahi a kahe hou ke koko, a hiki ke hoʻopilikia hou aku i ka ʻike.
• Ke mālama ʻana i ke kumu kumu: ʻO ka mālama pono ʻana i ke kūlana kumu e hoʻoulu ai ke kahe ʻana o ke koko (e like me ka maʻi diabetes, ke koko kiʻekiʻe) he mea nui loa ia ʻaʻole wale no ka mālama ʻana i ke kūlana o kēia manawa akā no ka pale ʻana hoʻi i ka hana hou ʻana.

Ma muli o ka nui o nā koho lapaʻau, ʻo kāu loea maka ke kanaka maikaʻi loa e haʻi iā ʻoe i nā ʻano hana e kōkua nui iā ʻoe.

He aha kaʻu e manaʻo ai inā hālāwai wau me kahi kūlana e like me kēia?

Inā he kahe koko kou i loko o kou maka, hiki ke emi koke a loli paha kou ʻike. Akā, ʻaʻole ʻoe e ʻeha . Hiki ke ʻike koke ʻia ka emi ʻana o ka ʻike ma ke ʻano he mau mea ʻeleʻele e lana ana i mua o kou mau maka (nā mea lana) , a i ʻole he ʻupena nananana. A i ʻole e lilo paha kou ʻike i mea pōuliuli a noe paha.

Pehea ka lōʻihi o kēia kūlana?

ʻO ka lōʻihi o kēia e pili ana i nā kumu he nui. ʻO ke kumu, ke koʻikoʻi o ke kūlana, a me ka lāʻau i loaʻa iā ʻoe. Hiki ke hala nā lā, nā pule, a i ʻole nā ​​mahina no ka hoʻi ʻana o kou ʻike i ka maʻamau. Hoʻokahe mālie ke koko i loko o ka maka i ke kua o ka maka, akā he manawa ka lōʻihi. Hiki i ko mākou kino ke wehe i kēia koko, akā he hana lohi loa ia.

He aha ka manaʻo no kēia kūlana? (Manaʻo)

Aia nā hopena o kēia ma ke kumu a me ka wikiwiki o kou loaʻa ʻana o ka lāʻau lapaʻau. ʻO ka poʻe me nā maʻi lōʻihi e like me ka maʻi diabetes a i ʻole ka macular degeneration e loaʻa paha nā hopena lohi. Hoʻopilikia pū ka nui o ke kahe ʻana o ke koko i nā hopena. Hiki i kāu loea maka ke haʻi iā ʻoe i ka mea hiki iā ʻoe ke hana e loaʻa ai nā hopena maikaʻi loa no kou kūlana.

Hiki ke pale ʻia kēia kūlana? (Ka pale ʻana)

ʻO ka hapa nui o ka manawa, hana ʻia kēia ma nā ʻano hiki ʻole iā mākou ke wānana a kāohi paha. No laila, ʻaʻole hiki ke pale loa iā ia. Eia nō naʻe, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i kēia pilikia:

• E ʻaʻahu i ka pale maka: Inā ʻoe e hana i kahi hana weliweli a pāʻani paha i nā haʻuki (e like me ka squash, cricket), hiki i ke kau ʻana i nā aniani palekana ke kōkua i ka pale ʻana i ka hōʻino ʻana o nā maka mai nā ulia.
• E hana i nā hoʻokolohua lapaʻau maʻamau: Ma ka loaʻa ʻana o kahi hoʻokolohua lapaʻau piha mai kāu kauka ʻohana ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki, hiki iā ʻoe ke ʻike i nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe ma mua o kou ʻike ʻana i nā hōʻailona.
• Kaohi ʻana i nā maʻi lōʻihi: Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, ʻo ka kaohi ʻana iā lākou e like me ka ʻōlelo a kāu kauka hiki ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i kēia maʻi.
• E nānā pinepine i kou mau maka inā pono:ʻOi loa aku inā he maʻi pilikia kou e like me ka maʻi diabetes, e nānā pinepine ʻia kou mau maka e ke kauka maka, e like me ke kauoha a kāu kauka. Ma kēia ʻano, hiki ke ʻike mua ʻia nā loli i ka maka a mālama ʻia.

Āhea wau e ʻike ai i ke kauka?

Inā ʻike koke ʻoe i ka nalowale ʻana o ka ʻike me ka ʻeha ʻole, ka pohihihi o ka ʻike, a i ʻole nā ​​​​​​mea lana hou, pono ʻoe e ʻike i ke kauka, ʻoi aku ka maikaʻi o ka ophthalmologist, i ka hikiwawe loa.

ʻAʻole hiki iā ʻoe ke ʻike i kēia ma kāu iho a i ʻole e mālama iā ʻoe iho. Pono ʻoe i kahi kauka maka i aʻo ʻia e ʻike pololei a aʻo iā ʻoe i nā koho lapaʻau.

ʻO ka hope, e hoʻomanaʻo ...

He mea hopohopo maoli ka nalowale koke ʻana o ka ʻike maka me ka ʻeha ʻole a i ʻole ka ʻike maka pohihihi. ʻAʻole pono e lawe māmā ʻia. Hiki i ka ʻike mua a me ka mālama ʻana ke hana i kahi ʻokoʻa nui. Nui nā koho lapaʻau.

Inā he mau nīnau kāu e pili ana i kēia kahe koko i loko o ka maka, i kapa ʻia ʻo vitreous hemorrhage , a inā he maʻi kou e hoʻonui ai i kou pilikia, e kamaʻilio me kāu kauka maka. Hiki iā ia ke wehewehe iā ʻoe i ka mea e manaʻo ai a pehea e hana ai me ia. E hoʻomanaʻo, he mea waiwai kou mau maka!

ʻIke Maka , Kokoke o ka Maka, Nā Maka Maʻi Diabetes, Nā Maʻi Maka, Poho koke o ka ʻIke Maka, Kokoke Vitreous, Ola Kino o ka Maka