Ua like ko kākou mau maka me kahi kāmela waiwai nui. Aia kekahi ʻāpana koʻikoʻi a koʻikoʻi o kēia kāmela e hana ana e like me ke kiʻiʻoniʻoni, kapa mākou ia he retina . ʻO kēia ʻāpana ka mea e hoʻouna i nā mea a kākou e ʻike ai i ko kākou lolo ma ke ʻano he mau hōʻailona mālamalama. No laila, inā he pōʻino i kēia, hiki ke hoʻopilikia nui ʻia ko kākou ʻike. Aia nā kauka i loaʻa ka ʻike loea i nā maʻi o ka retina. I kēia lā ke kamaʻilio nei mākou e pili ana iā lākou, ʻo ia hoʻi, he Kauka Lapaʻau Retina.
ʻO wai ke Kauka Lapaʻau Retina?
I ka ʻōlelo maʻalahi, he kauka maka ka Retina Specialist, akā ua loaʻa iā ia ke aʻo loea hohonu aʻe ma ka retina a me kona mau ʻāpana pili. ʻO ka retina kahi papa lahilahi o nā cell e waiho ana ma ka paia hope o ka maka. ʻO kēia ka mea e loaʻa ai ka mālamalama, hoʻonohonoho i kēlā ʻike, a hoʻouna iā ia i ka lolo.
Eia kekahi, mālama pū kēia mau loea i nā maʻi o ke kino vitreous , kahi mea like me ka jelly i loko o ka maka ma waena o ka lens a me ka retina. ʻO kēia kino vitreous ka mea e mālama ai i ke kikowaena o ka maka a kōkua i ka mālamalama e hele me ke keakea ʻole ʻia i ka retina.
He aha ke kuleana o kahi loea Retina?
Hoʻohana kēia mau loea i nā lako kūikawā e nānā i ka retina a me nā kīʻaha koko e hoʻolako iā ia. ʻO kekahi o kā lākou mau hana nui:
- Ke hana ʻana i nā ʻoki maka paʻakikī e pili ana i ka retina.
- Ka mālama ʻana i ke kanesa maka a me nā maʻi maka koʻikoʻi ʻē aʻe.
- Ka mālama ʻana i nā ʻeha maka koʻikoʻi.
- Ke hāʻawi nei i ka lāʻau lapaʻau kūikawā no ka hōʻino ʻana o nā maka i hoʻokumu ʻia e nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe.
Pehea ka lōʻihi e lilo ai i loea e like me kēia?
E noʻonoʻo i ka nui o ka hoʻolaʻa e pono ai e lilo i loea. He huakaʻi hoʻonaʻauao lōʻihi kēia no nā makahiki he ʻumi a ʻoi.
- ʻO ka mea mua, he kekelē ʻepekema ʻehā makahiki.
- Ma hope o kēlā, ʻehā a ʻelima paha makahiki o ke aʻo ʻana ma ke kula lapaʻau.
- ʻO ka mea aʻe, he internship hoʻokahi makahiki.
- Ma hope o kēlā, e hoʻolilo ʻoe i ʻekolu mau makahiki e aʻo ai e pili ana i ka ophthalmology ma lalo o nā kauka ophthalmologists akamai. Kāhea mākou i kēia he papahana noho.
- ʻO ka mea hope loa, ʻelua a ʻekolu paha makahiki o ke aʻo kūikawā ʻana i nā lako hana hōʻoia a me ke ʻoki ʻana i nā maʻi o ka retina a me ke kino vitreous. ʻO kēia ka mea a mākou e kapa nei he retina-vitreous fellowship.
Ma muli o kēia hoʻomaʻamaʻa nui i hiki ai iā lākou ke mālama i nā pilikia paʻakikī a koʻikoʻi loa i ko mākou mau maka.
I ka manawa hea ʻoe e ʻike ai i kahi loea Retina?
Inā kānalua kāu kauka maka maʻamau he pilikia me kou mau maka, hiki iā ia ke kuhikuhi iā ʻoe i kahi Kauka Lapaʻau Retina. Eia kekahi o nā kūlana e hiki ai ke hana ʻia kēia.
| Kūlana olakino | He wehewehe maʻalahi a me nā hōʻailona |
|---|---|
| Ka haehae a kaʻawale paha o ka retina | Hiki i ka haehae retinal ke hoʻokahe i ka wai vitreous i loko o ka maka a hemo ka retina. ʻO nā hōʻailona e komo pū me ka ʻike maka pohihihi, nā kukui uila, kahi pale ʻeleʻele i mua o ka maka, a me ka ʻike koke ʻia ʻana o nā kiko ʻeleʻele he nui (floaters) i mua o ka maka. He pilikia olakino ka hemo ʻana o ka retinal a hiki ke alakaʻi i ka nalowale mau o ka ʻike inā ʻaʻole mālama koke ʻia. Inā loaʻa iā ʻoe kēia mau hōʻailona, e hele koke i ka Emergency Department (ETU) . |
| Kino ʻē i loko o ka maka | Inā paʻa kekahi mea ʻoi i ka maka, e nānā kēia loea e ʻike inā he mau ʻāpana o ia mea i loko o ka maka, a inā pēlā, e wehe pono lākou. |
| ʻO kahi maʻi i loko o ka maka (Endophthalmitis) | He maʻi koʻikoʻi kēia e kū mai ana i loko o ka maka. Hiki ke hana ʻia i kekahi manawa ma hope o ke ʻoki maka a i ʻole ma muli o kahi ulia i ka maka. Hiki i kahi loea ke hoʻokomo i nā lāʻau antibiotic i loko o ka maka e hōʻemi i ka pehu. |
| ʻO ka Retinopathy Diabetic Proliferative (PDR) | Ke ʻole e kāohi ʻia nā pae kō koko no ka manawa lōʻihi, e hōʻino ʻia nā kīʻaha koko e hoʻolako ana i ke koko i ka retina.I ka pane ʻana, hana ke kino i nā kīʻaha koko hou a nāwaliwali. Hiki i kēia mau mea ke hoʻokahe i ke koko, hana i nā ʻiʻo ʻeha, a huki i ka retina. Hiki i kahi loea ke wehe i kēia mau kīʻaha koko ʻē ma ke ʻoki ʻana ma mua o ko lākou hōʻino hou ʻana. |
| ʻO ka Macular Degeneration e pili ana i ka ʻelemakule pulu (AMD) | Ma kēia kūlana, hana ʻia nā kīʻaha koko kūpono ʻole ma lalo o ka retina a hoʻokahe i ke koko. Hiki i kēia ke kumu o ka hemo ʻana o ka retina, e hoʻopilikia ai i ka ʻike a nalowale mau loa paha. Hiki i kahi loea ke hoʻokomo i nā lāʻau lapaʻau i loko o ka maka e hoʻolohi i ka ulu ʻana o kēia mau kīʻaha koko ʻino. |
| Ka Pale ʻana o nā ʻaʻa Retinal (RVO) | He paʻa kēia o kahi aa koko e lawe ana i ke koko mai ka retina aku. ʻO ka hopena o ke kahe koko a me ka pehu ʻana hiki ke alakaʻi koke i ka nalowale mau o ka ʻike. Hiki i kahi loea ke hōʻemi i ka pehu a me ka hōʻino me ka mālama ʻana i ka laser a me nā inikini lāʻau. |
No laila hiki iā ʻoe ke ʻike he loea ka Retina Specialist nona ke kuleana koʻikoʻi i ka pale ʻana i ko kākou ʻike maka. Inā kuhikuhi kekahi ophthalmologist iā ʻoe i kēlā ʻano loea, ʻo ia hoʻi, pono ka mālama hohonu a kūikawā i kou pilikia maka. No laila e hōʻoia e hahai i kēlā mau kuhikuhi.
Leka Lawe-Home
- He kauka maka ka Retina Specialist i loaʻa i ke aʻo kūikawā i nā maʻi o ka retina a me nā ʻāpana pili.
- He mea nui ko lākou ʻike no nā maʻi koʻikoʻi e like me ka retinal detachment, ka hōʻino ʻana o ka maka ma muli o ka maʻi diabetes, a me nā maʻi i loko o ka maka.
- Inā kuhikuhi kāu kauka maka maʻamau iā ʻoe i kahi Kauka Lapaʻau Retina, mai hoʻokaʻulua. He mea nui loa ia e pale i kou ʻike.
- ʻO nā hōʻailona hōʻike e komo pū me nā kukui uila koke, kahi pale ʻeleʻele, a i ʻole ka ʻike koke ʻia ʻana o nā kiko ʻeleʻele he nui e lana ana. I ia mau hihia , e ʻimi koke i ke kōkua lapaʻau.
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