Ka taea e koe te ngaro i tō tirohanga! Me ako atu tātou mō te Wehenga o te Retina.

Kua whakaarohia e koe te mīharo o ō tātou kanohi? He rite te mahi a ō tātou kanohi ki te kāmera. He wāhanga tino tairongo, he wāhanga nui hoki o te kanohi ko te retina. I ētahi wā ka taea e tēnei retina te wehe. Koia mātou ka karanga ai ko te retina detachment, ko te `(Retinal Detachment)` rānei. He mate tino kino tēnei, ahakoa kāore he mamae. Me kōrero taipitopito tātou mō tēnei i tēnei rā, nā te mea he mea tino nui te mōhio ki tēnei mōu me ō whanaunga.

He aha te retina? He aha te tikanga o te wetewete?

He whakarāpopototanga noa iho, ko te retina he kiriuhi e aro ana ki te mārama kei muri o tō kanohi. He rite ki te kiriata i roto i te kāmera kiriata. Ina tau te mārama mai i ngā mea e kitea ana e koe ki te retina, ka hangaia he tohu hiko e haere ana ki tō roro. Koinā te wā e kite ai koe.

Whakaarohia, he aha te mea ka puta mēnā ka wehea tēnei retina mai i ngā kiko e whāngai ana i a ia, e pupuri ana i a ia ki tōna tūranga? Koinei te mea e kiia nei ko te wehenga retina. Ina wehea pēnei, ka ngaro te toto, te hāora, me ngā matūkai i te retina. Ka taea e tēnei te kino i tō tirohanga, ā, ki te kore e rongoatia, ka arahi pea ki te matapo. Nō reira, ehara tēnei i te mea hei whakaaro māmā noa iho.

Ko te mea nui, kāore he mamae o tēnei mate, nō reira he mea nui kia rapu tohutohu hauora i te wā tonu ka puta mai ngā tohu.

He aha ngā tohu o te wetewete o te retina? Me aha koe mēnā ka pāngia koe e ēnei tohu?

Kāore pea ētahi tāngata e pāngia e tetahi tohu. Heoi, ko te nuinga o te tangata ka puta ohorere mai ētahi tohu. Ka rerekē te kaha o ēnei tohu i runga i te nui o te retina kua wehea.

Kia tino tupato ki ēnei tohu:

• Te kite i ngā mea maha e rere ana i mua i ō kanohi i te wā kotahi: Tērā pea ka rere ngā ira iti, ngā aho, ngā mea rite ki te kupenga, me ngā ira pango ina nekehia ō kanohi. He mea noa te kite i tētahi, i ētahi rānei i ētahi wā, engari me āwangawanga koe mēnā ka tīmata koe ki te kite i te maha o rātou i te wā kotahi.
• Te whakaahua o te kanohi: Te kite i ngā rama me te mea kei te whiti whakarere mai i roto i te kanohi.
• Te āhua nei kua pōuri haere tō tirohanga: Tērā pea ka pōuri tō tirohanga taha, me te mea kua whakatakotoria he ārai pango ki te taha.
• Te āhua nei kei te taupokina tētahi wāhanga o tō tirohanga e te ārai pango: Pērā i te ārai e taka ana ki te matapihi, ka pōuri haere tetahi taha o tō tirohanga.

Ki te puta mai tētahi o ēnei tohu, me toro atu koe ki tētahi tākuta kanohi, me haere rānei ki tētahi ruma whawhati tata tonu, me te kore e tatari kia memeha te mamae. E hiahia ana ngā tākuta ki te tīmata wawe i te maimoatanga.

He aha ngā momo matua o te wehenga o te retina?

E toru ngā huarahi matua e taea ai e te retina te wehe:

1. Momo Rhegmatogenous: Koinei teKo te momo tino noa. Ka puta tēnei i a tātou e pakeke haere ana. I a tātou e pakeke haere ana, ka mimiti, ka angiangi, ka kumea atu te matū rite-huka i roto i te kanohi (e kiia nei ko te 'vitreous humor') mai i te retina. Ka puta he kōhao iti i roto i te retina (he 'roimata retina'). Mā tēnei kōhao ka kohia te wai rite-huka ki muri i te retina, ka panaia te retina kia matara atu i te kanohi.

2. Momo kukume: I tēnei momo, ka kumea te retina, ka wetekina nā te kiko whara e puta ana i runga i te retina. Ko te hunga mate huka (`Diabetes Mellitus`) he nui ake te tūponotanga ka pāngia e tēnei momo wehenga. Nā te mea ka teitei te taumata huka toto mō te wā roa, ka puta te kiko whara nā te kino o ngā uaua toto i roto i te kanohi. I te nui haere o ēnei whara, ka kumea, ka wetekina te retina.

3. Momo waikura: I tēnei momo, ka puta he wai i muri i te retina, kāore he kōhao i roto i te retina. Ko ngā tino take o te puta o te wai ko te turuturu o te wai mai i ngā oko toto i roto i te kanohi, te pupuhi rānei i muri i te kanohi. Ka puta pea tēnei nā ētahi āhuatanga mumura o te kanohi (uveitis).

He pēhea te auau o te wetewete o te retina?

Ehara tēnei i te mate e pāngia ana e te katoa. E ai ki ngā raraunga o Amerika, e kiia ana kotahi i roto i te tekau mano tāngata ka pāngia e tēnei mate i ia tau. E kī ana tētahi atu rangahau ko te momo tino noa, ko te rhegmatogenous lupus, ka pāngia e te tere i waenga i te 6 me te 18 i roto i te rau mano. Ko te tikanga o tēnei ahakoa ehara i te mea tino noa, he mea nui kia mahara ka taea e te tangata katoa te pāngia e tēnei mate.

He aha ngā take me ngā āhuatanga mōrearea mō te wetewete o te retina?

He maha ngā take me ngā āhuatanga mōrearea e whai wāhi ana ki tēnei:

• Te koroheketanga: Ko te hunga neke atu i te 50 tau te pakeke kei roto i te mōrearea nui.
• Te whara o te kanohi: Mēnā ka pāngia te kanohi e te whiu koi, pērā i te aituā.
• Mena kua motu te retina o tō kanohi i mua, ki te mea rānei kei roto i tō whānau tēnei mate.
• Mena kua pokangahia ō kanohi i mua: hei tauira, i muri i te pokanga katarata.
• Te hunga he iti te tirohanga tawhiti (he tino tirohanga tata): Mō te hunga he tino teitei te tirohanga o ā rātou mōhiti.
• Te Wetewete o te Vitreous o Muri: Ka wehea te matū rite ki te tiēre i roto i te kanohi mai i te retina.
• Ētahi atu āhuatanga e pā ana ki te retina: Hei tauira, te angiangi o te retina (te pirau o te whatu) te retinopathy rānei e pā ana ki te mate huka.
• Ko ētahi mate kanohi tuku iho.
• Mena he kōhao, he motumotu rānei te retina o tētahi kanohi, ka noho mōrearea hoki te kanohi kē atu.

Mena kei a koe ēnei āhuatanga mōrearea, he mea tino nui kia kōrero koe ki tō tākuta, kia tirohia hoki ō kanohi i ngā wā katoa.

He aha ngā raruraru o tēnei āhuatanga?

He mate tino kino te wetewete o te retina.Ka taea e tēnei te arahi ki te ngaronga o te tirohanga. Ina hoki, ki te kore e rongoatia, ka taea e ia te arahi ki te matapo tuturu i roto i ngā rā torutoru. Koia te mea nui kia rapu maimoatanga i te wa tonu ka puta mai ngā tohu.

Me pēhea te kitenga a ngā tākuta i tēnei?

Hei kimi i tēnei, me whakamātau koe i te kanohi whānui . Ka whakamātauhia e tō tākuta kanohi tō kanohi me ngā pata kanohi hei tirotiro i tō retina. I muri i ētahi meneti, ka taea e te tākuta te kite mārama i tō retina.

Whai muri i tēnei whakamātautau, ka tūtohu pea tō tākuta i ētahi atu whakamātautau kore mamae. Ka taea e ēnei te whakarato i tētahi tirohanga mārama ake, taipitopito ake hoki o tō retina:

• Tomography Whārite Ātaahua (OCT): He matawai whakanuia anō hoki tēnei o te kanohi. Ka noho koe ki mua i te mīhini, ka pupuri i tō mahunga kia kaua e neke, ā, ka matawai te mīhini i tō kanohi. Kāore he mea e pā ki te kanohi.
• Whakaahua o te fundus: Ka tangohia hoki ngā whakaahua o te retina. I te nuinga o te wā ka whakawhanuitia te kanohi mō tēnei.
• Te tirotiro oro-kanohi (ultrasound): Kāore e hiahiatia te whakanui i te kanohi. Heoi, ka taea te whakamahi i ngā pata kanohi hei whakangāwari i te kanohi. I a koe e noho ana i runga i te tūru, me te kore e nekeneke o tō mahunga, ka whakatakotoria he taputapu iti ki runga i tō kanohi, ā, ka matawaihia. Muri iho, i a koe e katia ana ō kanohi, ka whakatakotoria he tiēre ki runga i ō kamo, ā, ka whakamahia te taputapu hei neke haere i ō kanohi.
• Matawai CT (`Tomography Rorohiko - matawai CT`): He whakamātautau tēnei e whakakotahi ana i ngā `hihi-X` me te rorohiko. He tikanga tēnei ina whara te kanohi, ā, e whakapaetia ana kua uru tetahi mea ki roto.

Me pēhea te rongoā mō te wehenga o te retina?

Ka kōrero tō tākuta kanohi ki a koe mō ngā kōwhiringa maimoatanga e tika ana māu. I ētahi wā, ka whakamahia pea he maha atu i te kotahi kōwhiringa maimoatanga hei whakatutuki i ngā hua pai rawa atu.

Ko ngā tikanga maimoatanga matua ko:

• Te rongoā taiaho, te rongoā tio rānei (te rongoā whakatio).
• Te retinopexy hau (te whakaora mirumiru hau).
• He whitiki scleral (he whitiki silicone).
• Vitrectomy (pokanga hei tango i te vitreous).

Te maimoatanga taiaho, te cryopexy rānei

I ētahi wā, i mua i te wehenga o te retina, ka kitea e te tākuta he kōhao noa iho i roto i te retina (he 'roimata retina'). Kātahi ka whakamahia e te tākuta he rēseri hauora, he taputapu tio rānei hei kati i te kōhao. Ka hangaia he koha, ā, ka āwhina i te retina kia mau tonu ki tōna tūranga.

Retinopexy hau (whakaora mirumiru hau)

Ko te mea ka tupu i tēnei kēhi, ka werohia e te tākuta he mirumiru hau iti ki roto i te kanohi. Ka piri te mirumiru ki te retina, ka kati i te kōhao. Kātahi ka taea te kati tonu i te kōhao mā te whakamahi i te laser, i te cryopexy rānei. Kātahi ka mimitihia te wai kua kohia i raro i te retina ki roto i te tinana. Kātahi ka taea te piri anō te retina ki te pakitara o te kanohi. I muri i ētahi rā, ka mimitihia hoki te mirumiru hau ki roto i te tinana.

I muri i tēnei pokanga, he mea tino nui kia noho marino tō mahunga, kia moe hoki e ai ki tā te tākuta. Ahakoa he ahua kore whakamarie, he patunga tapu poto noa iho mō te painga roa.

He whitiki scleral (he whitiki silicone)

I tēnei tikanga, ka tāpirihia e te tākuta he here silicone, he hautai rānei (he 'buckle') ki te kanohi. Ka āwhina tēnei here ki te pupuri i te retina kia mau tonu. Kei reira tonu te here, engari kāore e kitea. Kātahi ka katihia te kōhao mā te whakamahi i te laser, i te cryopexy rānei. I ētahi wā, ka werohia he mirumiru hau, ka tangohia rānei he wai i raro i te retina hei āwhina i te hononga anō o te retina.

Vitrectomy (pokanga hei tango i te vitreous)

Anei ngā mahi ka mahia i te wā o te vitrectomy:

• Ka tangohia te matū rite ki te tiēre i roto i te kanohi (te 'vitreous') mā te pokanga.
• Ka katihia ngā kōhao i roto i te retina mā te whakamahi i te taiaho, i te tikanga tio rānei.
• Ka whakanohoia he mirumiru hau, hau, hinu rānei ki roto i te kanohi hei pana i te retina kia hoki ki tōna tūranga tika.

Ki te whakaurua e te tākuta he mirumiru hinu, ka tangohia mā te pokanga i roto i ētahi marama. Ka mimitia ngā mirumiru hau me te hau e te tinana. Ki te whakaurua he mirumiru hau ki roto i tō kanohi, me mutu te haere ki ngā wāhi teitei me te rere mō tētahi wā. Nā te mea ka piki ake te rahi o te mirumiru hau me te pēhanga i roto i te kanohi (te pēhanga o roto o te kanohi) i te rerekētanga o te teitei. Mā tō tākuta koe e kī atu āhea koe ka taea ai te mahi anō i ēnei mea.

He raruraru, he pānga taha rānei kei te rongoā?

He tino angitu te pokanga wetewete o te retina i te nuinga o te wā. Heoi, pērā i ngā pokanga katoa, kei reira ētahi mōrearea me ngā raruraru:

• Te toto.
• Te mate urutā.
• Te pikinga o te pēhanga i roto i te kanohi.
• Te tūponotanga o te hiahia kia mahia anō he pokanga.
• I muri i te pokanga, ka puta pea ngā kiriuhi, ka mimiti, ka kukume i te kiko. Ka kiia tēnei ko te "Proliferative Retinopathy" ko te "Epiretinal membrane" rānei.
• I tere tonu te pāngia o tōna kanohi e te katarata, ā, i hiahiatia ai he pokanga.

He aha ngā mea ka taea e koe te tumanako i muri i te pokanga wehenga retina?

I muri i te maimoatanga, tera pea ka pāngia koe e te mamae mō ētahi wiki. Ka kōrero tō tākuta ki a koe mō ngā rongoā whakamamae mamae me ētahi atu huarahi hei āwhina i a koe. Me karo hoki koe i ngā mahi uaua mō ētahi wiki. Kōrero ki tō tākuta mō te wā ka taea e koe te tīmata anō ki te whakakorikori tinana, te taraiwa, me ētahi atu mahi noa.

Ētahi atu mea hei tumanako i muri i te pokanga:

• Pāreti kanohi: Puritia te pāreti kanohi kia whakahaua rā anō koe e tō tākuta.
• Me pēhea te pupuri i tō mahunga: Ki te mea he pūwero kei roto i tō kanohi, me whai i ngā tohutohu mō te pupuri i tō mahunga. Mā tō tākuta koe e tohutohu me pēhea te pupuri i tō mahunga me te roa o te pupuri hei āwhina i tō kanohi kia ora.
• Ngā pata kanohi: Ka hoatu e te tākuta he tohutohu mō te whakamahi i ngā pata kanohi hei āwhina i te whakaora o ō kanohi.
• Te whakapai ake i te tirohanga: Me kite koe i te whakapai haere o tō tirohanga i roto i ngā wiki e whā ki te ono i muri i te pokanga. Tērā pea ka roa pea ētahi marama ka kitea ngā hua katoa.

Ka taea te ārai i te wehenga o te retina?

Ko te momo tino noa, e kiia nei ko te rhegmatogenous, kāore e taea te ārai katoa. Engari he mea anō hei whakaiti i tō mōrearea:

• Whakamātautauhia ō kanohi i ia wā: Mā te tirotiro i ō kanohi i ia wā ka āwhina i te tiaki i te hauora o ō kanohi. He mea nui rawa kia tirohia ō kanohi mēnā he tirohanga tata tōu (myopia), nā te mea ka nui ake te tūponotanga o te wetewete o te retina e te myopia. Ka taea e tō tākuta kanohi te whakahaere i tētahi whakamātautau whānui hei tirotiro i ngā kōhao iti i roto i tō retina.
• Kia haumaru: Whakamahia he tiaki kanohi pēnei i ngā mōhiti tiaki i te wā e takaro ana i ngā hākinakina, e mahi ana rānei i ngā mahi morearea.
• Rapua he rongoā tonu: Ki te pāngia koe e ngā tohu o te wehenga o te retina, tirohia he tākuta kanohi, haere rānei ki te rūma whawhati tata tonu.
• Kia mau ki tō hauora whānui: whakahaere i ngā mate pūmau, kai i tētahi kai taurite, me te whakakori tinana i ngā wā katoa.

Hei ārai i te glaucoma tractional i puta mai i te mate huka, ka āwhina i te whakahaere pai i ō taumata huka toto me te toto toto tiketike.

Kia pēhea te auau o te tirotiro i ō kanohi?

He mea pai te tirotiro i ō kanohi i te tau mō te hunga he iti te mōrearea ki te pāngia e te mate kanohi. Mena he nui te mōrearea ki te pāngia e te mate kanohi, me tirotiro pinepine pea ō kanohi. Kōrero ki tō tākuta mō te wā tirotiro pai rawa atu māu.

He aha te mea ka tupu mēnā ka wehea te retina e au?

Ka whakawhirinaki tō āhuatanga ki ngā āhuatanga pēnei i te āhua o tō tirohanga i mua i te wehenga o te retina, te tawhiti kua horapa, me te mea he raruraru kē atu. Ka kōrero tō tākuta ki a koe mō te momo tirohanga ka taea e koe te tumanako kia hoki mai anō.

He tino angitu te pokanga mō te wehenga o te retina rhegmatogenous - e iwa i roto i te tekau ngā tāngata ka ora. I ētahi wā, neke atu i te kotahi te pokanga e hiahiatia ana hei hono anō i te retina.

Ka taea e te retina te hoki mai?

Āe, tera pea ka puta te wehenga o te retina neke atu i te kotahi. Mena ka puta tēnei, me mahi anō he pokanga tuarua. Kōrero ki tō tākuta mō ngā mahi ārai ka taea e koe te mahi hei tiaki i tō tirohanga.

Me pēhea taku tiaki i ahau anō?

Ko te mea nui ko te whai i ngā tohutohu a tō tākuta kanohi, inā koa e pā ana ki te tūnga o tō māhunga me āu mahi.

Pātai atu ki tō tākuta mō ngā huarahi hei whakangāwari ake i ngā mahi, pērā i te whakamahi i tētahi urunga kaki pakari hei āwhina i te pupuri i tō mahunga i te kotahi tūranga. Mēnā me takoto koe ki raro, ka taea e te tari o tō tākuta te āwhina i a koe ki te tiki taputapu ki raro hei whakamahi i te kāinga.

Āhea ahau me haere ki te rūma whawhati tata?

Ka whakarārangihia e ngā tohutohu a tō taote pokanga he aha ngā āhuatanga ohorere, engari me waea atu koe ki tō tākuta, me rapu rānei i te maimoatanga ohorere tonu mēnā ka puta tētahi o ēnei e whai ake nei:

• Ki te kaha rawa, ka puta te mamae kāore i te tumanakohia.
• Mena ka puta he tohu o te mate pāwera (hei tauira, te pupuhi, te kirika).
• Mena ka puta mai he rerenga ohorere mai i te taringa.
• Ki te ngaro whakarere tō tirohanga.

He aha ngā pātai me pātai atu e au ki taku tākuta kanohi?

Mena he retina kua motuhia tō kanohi (he nui rānei te mōrearea mōna), pātai atu ki tō tākuta mō ēnei mea e whai ake nei:

• He aha te rongoā pai rawa atu mō te katarata mōku?
• Me pokanga ahau?
• Me pēhea te tiaki i te hauora o ōku kanohi i muri i te pokanga?
• Kia hia ngā wā me tirotiro ōku kanohi?
• He aha atu anō ngā mea ka taea e au te mahi hei whakaiti i te mōrearea o te wetewete o te retina?

Karere Whakamutunga mō te Tango ki te Kāinga

He mate kino te wetewete o te retina, engari kāore he mamae. Mēnā ka tīmata koe ki te kite i ngā mea e rere ana i te wai, i ngā hihi o te mārama, i te tirohanga pōuri rānei, rapua tonutia he awhina hauora. Tirohia he tākuta kanohi, haere rānei ki te rūma whawhati tata. Me whai pokanga hei whakatika i te wetewete o te retina. Ahakoa ka whakaroahia te maimoatanga mō ētahi rā, ka taea tonu te ngaro o te tirohanga tuturu. I muri i te pokanga, he mea nui kia whai i ngā tohutohu a tō taote pokanga hei tiaki i tō tirohanga.

` Te Wehenga o te Retina, Ngā Mate Kanohi, Te Ngaronga o te Tirohanga, Te Pokanga Kanohi, Ngā Tohumate Kanohi, Te Hauora o te Kanohi