Inā loaʻa iā ʻoe ka maʻi diabetes , i kekahi manawa e hopohopo iki paha ʻoe a hopohopo paha e pili ana i kou ʻike maka , ʻeā? Ke manaʻo nei hoʻi ʻoe "ʻAʻole hiki iaʻu ke ʻike maopopo e like me kaʻu i ʻike mua ai", "He blurry nā mea", a i ʻole "He mau kiko ʻeleʻele koʻu e lana ana i mua o koʻu mau maka"? ʻO ka ʻoiaʻiʻo, he maʻi ka glaucoma e hiki ke hoʻopilikia i ko kākou mau maka ʻelua. Akā, mai hopohopo, aia nā lāʻau lapaʻau holomua loa no kēia. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana i ka pōʻino e hiki ai i ka maʻi diabetes ke hana i nā maka a me ka lāʻau lapaʻau kūikawā i kapa ʻia ʻo Eylea i hoʻohana ʻia no ia mea.
No ke aha e hoʻopilikia ai ka maʻi diabetes i nā maka? He aha ka mea e hana ʻia me ka lāʻau pale Eylea?
I ka ʻōlelo maʻalahi, ke loaʻa i kahi kanaka me ka maʻi diabetes nā pae kō koko kiʻekiʻe a kāohi ʻole ʻia no ka manawa lōʻihi, hōʻino ia i nā kīʻaha koko palupalu loa i loko o ka maka. ʻO kēia hōʻino ke kumu o ka kahe ʻana o ka wai a me ke koko mai loko mai o kēlā mau kīʻaha koko. Ua kapa ʻia kēia ʻano he diabetic retinopathy .
Maanei, ʻo ka retina ka ʻāpana koʻikoʻi loa i loko o ka maka e hoʻopaʻa i nā kiʻi o nā mea a mākou e ʻike ai, e like me ke kiʻiʻoniʻoni i loko o ke kāmela.
I ka ʻino ʻana o ke kūlana, hoʻomaka ka hana ʻana o nā kīʻaha koko hou, akā nāwaliwali loa, paʻa ʻole ma kahi o nā mea i hōʻino ʻia. ʻO kēia ke kumu o ka nui o ke koko a me ka wai e kahe i waho.
No laila he aha ka macular edema?
I loko o ko kākou retina, ma waenakonu pono, aia kahi wahi kūikawā e hāʻawi mai ana iā kākou i ka ʻike maopopo loa a ʻoi loa ke nānā pololei kākou i mua. Ua kapa ʻia ʻo ia he macula . E like me ka mea i ʻōlelo ʻia ma mua, i ka wā e kahe ai ke wai mai nā kīʻaha koko, hōʻiliʻili kēlā wai ma kēia wahi i kapa ʻia ʻo ka macula a pehu ia. ʻO ia ka mea a kākou e kapa nei he Diabetic Macular Edema .
Hiki i kēia pehu ke hōʻike iā ʻoe i nā hōʻailona e like me:
- ʻIke pōwehiwehi
- ʻIke pālua
- Manaʻo e like me nā kiko ʻeleʻele e lana ana i mua o nā maka (Floaters)
- ʻAʻole ʻike maopopo ʻia nā kala, ua palupalu ka ʻike.
Inā ʻaʻole i kāohi ʻia kēia kūlana, hiki ke nalowale mālie ka ʻike waena. No laila, he mea nui loa ka makaʻala i kēia.
Pehea ka hana ʻana o ka lāʻau pale ʻo Eylea?
ʻO kēia kahi e komo mai ai nā inikini e like me Eylea. Hoʻokomo pololei ʻia lākou i loko o ka maka. ʻO ka lāʻau lapaʻau ikaika i loko o kēiaʻAflibercept.
ʻElua mau kemika e hoʻopilikia nui i ka hoʻokumu ʻia ʻana o nā kīʻaha koko nāwaliwali a hou i loko o ko kākou mau maka a me ke kahe ʻana o ka wai mai o lākou. ʻO VEGF (Vascular Endothelial Growth Factor) a me PlGF (Placental Growth Factor) .
Hoʻopaʻa ka inikini Eylea i kēia mau kemika ʻelua. Hoʻemi kēia i ke kūkulu ʻia ʻana o nā kīʻaha koko hou a me ke kahe ʻana o ka wai. Hoʻemi kēia i ka pehu ʻana i loko o ka macula, e ʻae i kou ʻike e hoʻi i ka maʻamau, a pale iā ia mai ka lilo ʻana i mea ʻino.
Pehea ka maikaʻi o kēia lāʻau lapaʻau?
ʻElua mau hoʻokolohua lapaʻau e hoʻāʻo ai i ka pono o kēia lāʻau lapaʻau e pili ana i nā poʻe maʻi me ka edema macular diabetic. Ua loaʻa i kekahi hui ka inikini Eylea, aʻo ka hui ʻē aʻe i hana ʻia i kahi kaʻina hana laser i hoʻohana pinepine ʻia i kēlā manawa (macular laser photocoagulation) .
I ka pau ʻana o ka hoʻāʻo ʻana, ua ʻoi aku ka maikaʻi o ka ʻike o ka poʻe i loaʻa i ka lāʻau lapaʻau Eylea ma mua o ka poʻe i loaʻa i ka lāʻau lapaʻau laser. Ua mālama ʻia kēia hoʻomaikaʻi ʻana ma hope o hoʻokahi makahiki a kokoke i ʻekolu mau makahiki. ʻO ke ʻano kēia, ʻaʻole wale kēia lāʻau lapaʻau e hoʻomaikaʻi i ka ʻike, akā kōkua pū kekahi i ka mālama ʻana i kēlā hoʻomaikaʻi ʻana i ka hala ʻana o ka manawa.
Pehea e loaʻa ai iaʻu kēia lāʻau lapaʻau?
He lāʻau lapaʻau ʻo Eylea i loaʻa i ke ʻano wai. He inikini ia i hoʻokomo pololei ʻia i loko o kou maka e kahi loea maka . Kāhea mākou i kēia ʻano inikini he Intravitreal Injection .
ʻAʻohe kumu e makaʻu ai i kēia. He mea kēia i hana ʻia me ka kaohi nui a me ke akahele.
1. ʻO ka mea mua, hoʻohana ʻia kahi mea liʻiliʻi e wehe ai i kou maka.
2. A laila, hoʻokomo ʻia kekahi mau kulu maka i loko o ka maka e hōʻoluʻolu i ka maneʻo a pale i nā maʻi bacteria.
3. Ma mua o ke komo ʻana i ka lāʻau pale, hiki iā ʻoe ke holoi pono i ka maka me kahi wai antiseptic.
4. A laila hāʻawi ʻia ka inikini me kahi nila lahilahi loa.
ʻO ka maʻamau, ke hoʻomaka ʻoe i ka lāʻau lapaʻau, e loaʻa iā ʻoe ka lāʻau pale i kēlā me kēia 4 pule . Ma hope o kekahi mau mahina, hiki i kāu kauka ke hoʻololi i ke alapine (frequency) i kēlā me kēia 8 pule, ma muli o kou kūlana.
Hiki ke piʻi iki ke kaomi i loko o ka maka ma hope koke iho o ka hoʻokomo ʻana, akā emi pinepine kēia i loko o hoʻokahi hola. E nānā kāu kauka i kou mau maka ma hope o kēlā me kēia hoʻokomo ʻana.
Pehea ka wikiwiki e hiki ai iaʻu ke ʻike i nā hopena?
Inā hana ka lāʻau pale ʻo Eylea iā ʻoe, e hoʻomaka ʻoe e ʻike i kahi hoʻomaikaʻi iki i kou ʻike i loko o kekahi mau pule o ka inikini mua . Hiki ke hoʻomaikaʻi hou aku kou ʻike inā loaʻa iā ʻoe ka lāʻau pale i kēlā me kēia 4 pule no nā mahina 5 mua.
ʻO ka mea nui loa, ʻo ia ka mālama ʻana i nā manawa a pau a loaʻa nā lāʻau pale āpau āu e pono ai. Inā pono ʻoe e haʻalele i kahi manawa, e kāhea koke aku i kāu kauka a hoʻololi i ka manawa.
E makaʻala kākou i nā hopena ʻaoʻao.
E like me nā lāʻau lapaʻau āpau, loaʻa i ka lāʻau pale ʻo Eylea nā hopena liʻiliʻi a koʻikoʻi hoʻi. He mea nui e ʻike i ka ʻokoʻa ma waena o nā mea ʻelua.
| ʻAno o ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā hopena ʻaoʻao maʻamau a me ka manawa pōkole | He mea maʻamau ka ʻike pōwehiwehi no kekahi manawa pōkole ma hope o ka hāʻawi ʻana i ka lāʻau pale. E nalo ana kēia ma hope o kekahi manawa. E pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini i kēia manawa. |
| Nā hōʻailona koʻikoʻi e pono ai ka nānā koke ʻana | Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hele koke i ka Emergency Department (ETU) o ka haukapila a i ʻole e haʻi i kāu kauka:
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ʻAʻole kēia nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona e hopohopo nei iā ʻoe, e kamaʻilio me kāu kauka e pili ana iā lākou. Inā manaʻo ʻoe ua loaʻa iā ʻoe kahi hopena ʻaoʻao mai kēia lāʻau lapaʻau, hiki iā ʻoe ke hōʻike iā ia i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ma Colombo .
Aia kekahi pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAʻohe pilina koʻikoʻi i ʻike ʻia ma waena o Eylea a me nā lāʻau lapaʻau ʻē aʻe. Eia nō naʻe, he mea nui e haʻi i kāu kauka maka e pili ana i nā lāʻau lapaʻau āu e lawe nei—me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kūʻai aku (OTC), nā huaora, nā mea hoʻohui meaʻai, a me nā lāʻau lapaʻau lāʻau .
Leka Lawe-Home
- ʻO ka edema macular diabetic kahi maʻi maka i hiki ke hoʻoulu ʻia e ka maʻi diabetes, akā hiki ke mālama pono ʻia i kēia manawa.
- He inikini ʻo Eylea i hoʻokomo pololei ʻia i loko o ka maka. Hiki iā ia ke hoʻōki i ka nalowale o ka ʻike a hoʻihoʻi i ka ʻike.
- I mea e holomua ai kēia lāʻau lapaʻau, he mea nui e loaʻa nā lāʻau pale i ka manawa kūpono e like me nā lā i hāʻawi ʻia e ke kauka.
- E makaʻala i nā hopena ʻaoʻao maʻamau e hiki mai ana ma hope o ka lāʻau pale a me nā hōʻailona koʻikoʻi e pono ai ka nānā koke ʻana.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kou ʻike maka, ka lāʻau lapaʻau, a i ʻole nā hopena ʻaoʻao, e kamaʻilio ākea me kāu kauka e pili ana i ia mea.
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