He oko toto kua āraia i roto i tō kanohi? Me ako tātou mō te Retinal Vein Occlusion (RVO)!

Kua whakaaro koe he aha te mea ka tupu mēnā ka aukatia he oko toto iti i roto i ō tātou kanohi? He mea hou pea tēnei ki a koe. Engari, ka taea tonu te tupu. I tēnei rā ka kōrero tātou mō tētahi āhuatanga e kiia nei ko te Retinal Vein Occlusion , ko te RVO rānei. Kaua e manukanuka, ki te mārama koe ki tēnei, he tino āwhina tēnei ki a koe ki te whakatutuki i ngā mahi e tika ana.

He aha te Ārai o te Uaua Retina?

Ki te kī ngāwari, koinei te wā e aukati katoatia ai, e āraia ai rānei te uaua, te oko toto rānei, e tango ana i te toto mai i te retina i roto i tō kanohi. Whakaarohia ko tēnei retina kei muri o tō tātou kanohi he rite ki te kiriata i roto i te kāmera. Ina pā te mārama ki te kanohi, ka āwhina i te hanga whakaahua, ā, ka taea ai e tātou te kite. Nō reira, ina aukatia te rere o te toto mai i te retina, ka tīmata te kohi toto ki reira. Ka taea e tēnei te whakanui ake i te pēhanga i roto i te kanohi, te pupuhi hoki . Ki te kore e rongoatia wawetia tēnei momo raruraru, ka ngaro, ka heke rānei tō tātou tirohanga . I tēnei wā, kāore he huarahi haumaru hei whakatuwhera katoa i tēnei oko toto kua aukatia. Engari, kaua e mutu te tumanako! He maimoatanga kei reira hei whakahaere i ngā pānga taha me te tiaki i tō tirohanga . Ka whakaritea e ngā tākuta kanohi tō mahere maimoatanga ki tō āhua. Tērā pea me nui atu i te kotahi ngā whiringa maimoatanga e hiahiatia ana e koe, mai i ngā werohanga ki te pokanga .

He momo anō tēnei `(RVO)`?

Āe, e rua ngā momo matua o te RVO: 1. Te aukati o te uaua retina matua (CRVO) : Koinei te wāhi ka aukatia ai te uaua toto matua o te retina. 2. Te aukati o te uaua retina manga (BRVO) : Koinei te wāhi ka aukatia ai tētahi, ētahi rānei o ngā uaua peka iti e hono ana ki te uaua toto matua. Koinei te momo tino noa.

He pēhea te noa o tēnei āhuatanga `(RVO)`?

Ina hoki, ko te RVO te tuarua o ngā mate e pā ana ki te retina, whai muri i te retinopathy e pā ana ki te mate huka. Kua kitea e ngā kairangahau puta noa i te ao:

• Neke atu i te 16 miriona tāngata kua pāngia e tēnei āhuatanga (Te Ārai o te Uaua Retinal).
• E pāngia ana te 1 ki te 4 i roto i te 1,000 tāngata e te aukati o te uaua retinal matua (CRVO).
• E 6 ki te 12 i roto i te 1,000 tāngata ka pāngia e te aukati o te uaua retinal peka (BRVO).

E whakaatu ana ēnei tatauranga, ahakoa ehara tēnei i te mea tino noa, he nui ngā tāngata e pāngia ana.

He aha ngā tohu o te `(RVO)`?

Ko ngā tohu o te `(RVO)` ka puta noa i te kanohi kotahi. Koinei ngā tohu matua:

• Te tirohanga pōuri , te ngaronga rānei o te tirohanga : Ka puta ohorere tēnei, ka piki haere rānei i roto i ētahi haora, i ētahi rā rānei.
• Ngā ira pango e mānu ana : He ira pango iti ēnei, he rārangi rānei e āhua nekeneke ana ina tirohia.
• Te mamae, te pēhanga rānei i roto i te kanohi : He mea tino noa tēnei i ngā wā tino kino.

Engari, anei tētahi mea hei maumahara māu. I ētahi wā, kāore pea he tohu e pā mai ana kia puta rā anō ngā pānga taha. Mō ētahi tāngata, kāore te tākuta e mōhio kei a rātou te raruraru kia haere rā anō rātou ki te tirotiro kanohi.

He aha i puta ai tēnei `(RVO)`? He aha ngā take?

Ko te tino take o tēnei āhuatanga he aukati i te rere noa o te toto i roto i te uaua retinal. He maha ngā take ka puta ai tēnei aukati:

• He toto totoka .
• Te puhoi o te rere o te toto .
• Ka whiti te uaua retinal me te uaua retinal tetahi ki tetahi, ka pēhia te uaua. Whakaarohia, mā tēnei uaua ka tukuna te toto ma, he nui te hāora ki te retina . I a koe e pakeke haere ana, nā te mea rānei kua hangaia he paraka i roto i ngā pakitara o te uaua, ka taea e tēnei uaua te whaiti, ka pēhia te uaua i raro iho. Ka taea e tēnei te kino i te pakitara o roto o te uaua, ka piki ake te tūponotanga o te toto totoka.

Ko wai kei te mōrearea nui ake ki te pāngia e tēnei `(RVO)`?

He take nui te mōrearea o te hunga neke atu i te 40 tau te pakeke. Ko te RVO te tikanga ka pā ki te hunga kei roto i ō rātou tau 50 me te 60 tau. Heoi, i ētahi wā ka pā ki te hunga kei raro iho i te 40 tau te pakeke. Waihoki, ki te whai koe i tētahi o ngā āhuatanga e whai ake nei, ka nui ake tō mōrearea ki te pāngia e te RVO:

• Te atherosclerosis
• Mate huka
• Te mate glaucoma
• toto toto tiketike

Ko tētahi atu mea, mēnā kua pāngia koe e te RVO i tētahi kanohi i mua, he nui ake te tūponotanga ka pāngia anō hoki tētahi atu kanohi.

He aha ngā pānga taha ka pā mai i te `(RVO)`?

Ka taea e te aukati o te uaua retina (RVO) te whakararu i ngā raruraru pēnei i:

• Te pupuhi macular cystoid : Koinei te wā e pupuhi ai te pokapū o tō retina, te macula . Ka taea e tēnei te whakapōuri, te ngaro rānei o te tirohanga.
• Te whakapūngao hou o te kanohi : Ka taea e ngā oko toto ngoikore te hanga i ngā wāhi rerekē o roto i te kanohi, inā koa i te taha o te iris (rubeosis iridis). Tata ki te kotahi i roto i te whā o ngā tāngata e pāngia ana e te RVO te pānga o tēnei āhuatanga. He iti ake te kitea o te whakapūngao hou o te kanohi i roto i te retina.
• Te totohu o te kiriuhi: Koinei te wā e turuturu ai te toto ki roto i te matū rite ki te tiēre i roto i te kanohi (vitreous humor). He ngoikore rawa ngā oko toto hou, rerekē e puta mai ana, ā, ka turuturu te toto.
• Te karuārai toto hou : Ka taea e tēnei hanganga uaua toto hou i roto i te kanohi te whakararu i te pēhanga nui i roto i te kanohi, ka taea hoki te mamae.
• Te wetewete o te retina : Nā te hanganga o ngā uaua toto hou i roto i te retina, ka taea e te retina te neke atu i ōna kiko tautoko.

He nui ake te mōrearea o te hunga whai RVO ki te pāngia e ngā mate pūnaha toto , pērā i te whiu , i te hunga kāore he RVO. Tērā pea nā ngā āhuatanga mōrearea noa, pērā i te toto toto tiketike me te atherosclerosis.

Me pēhea e mōhio ai koe ki tēnei āhuatanga `(RVO)`?

Mā te whakamātautau kanohi me ngā whakamātautau whakaahua retina ka tātarihia e ngā tākuta kanohi te RVO. Ka mahi tahi hoki rātou me tō tākuta tiaki tuatahi (PCP) ki te kimi i te pūtake o tēnei raruraru rere toto.

Whakamātautau kanohi

Ka whakawhanuihia e tō tākuta kanohi ō karu, ka titiro ki roto i tō kanohi. Mā tēnei ka taea e koe te kite mārama i ngā mea kei muri i tō kanohi. Ka whakamahia e rātou he karu tirotiro motuhake me te ophthalmoscope, e mau ana i runga i ō rātou mahunga, hei titiro ki roto i tō kanohi. Kātahi ka taea e rātou te titiro ki roto i tō kanohi mō ngā raruraru, ngā kino rānei ki tō tirohanga. Ka taea e tēnei whakamātautau te whakaatu ki a koe:

• Tāutuhia mēnā ko te "RVO Matua" tēnei, ko te "RVO Peka" rānei.
• Kimihia mēnā kei te pupuhi te pokapū tirohanga (macular edema) ā, mēnā kua puta mai he uaua toto hou kāore i te rite.
• Aromatawaihia te nui o te whakahekenga o te toto ki te retina.

Tērā pea me tika te tātaritanga tika i te āhua `(RVO)`, te whakatau i te whānuitanga o te kino i puta, me te whakahaere i ētahi atu whakamātautau.

Ngā whakamātautau hei tautuhi i te `(RVO)`

Ka whakamahia pea e tō tākuta kanohi tētahi, ētahi rānei o ēnei whakamātautau hei whakatau i tō āhua tuturu:

• Whakaahua o te fundus: Ka taea te whakamahi i tēnei hei tirotiro mēnā he uaua toto hou kei roto i te kanohi, me te nui o te toto kua ngaro.
• Tomography arotau whatu (OCT) : He tikanga whakaahua taumira teitei tēnei. Ka taea te whakamahi hei tirotiro i te edema macular. Ka ine i te matotoru o te retina, ā, ka homai he uara tika. He mea tino nui ēnei uara mō te maimoatanga roa o tō mate.
• Angiography fluorescein : I tēnei whakamātautau, ka werohia he tae motuhake ki roto i tētahi uaua i roto i tō ringa. Ina haere te tae ki ngā uaua toto i roto i te kanohi, ka kitea mārama i runga i ngā whakaahua. Ka whakamahia tēnei whakamātautau hei tirotiro i te nui o te uaua retinal kua āraia. Ka taea hoki te whakaatu i te nui o te retinal kāore e whiwhi toto nui.

Maimoatanga kua whakaritea

Ka mahi tahi tō tākuta kanohi me tō tākuta tiaki tuatahi (PCP) ki te kimi i te pūtake o tō RVO me te whakaiti i tō tupono ki ngā raruraru a meake nei. Ka whakahaerehia hoki e rātou he whakamātautau toto hei tirotiro i ngā mea nui pēnei i ō taumata cholesterol me ō taumata huka toto .

He aha ngā maimoatanga mō te `(RVO)`?

I tēnei wā, kāore anō kia kitea he huarahi hei whakaora katoa, hei whakakore rānei i te aukati o te uaua retinal. Heoi, ka taea e ngā tākuta kanohi te ārai me te rongoā i ngā pānga taha o te aukati o te uaua retinal. Ko tā rātou mahi ko ēnei:

• Ngā werohanga anti-VEGF
• Ngā werohanga steroid
• Te maimoatanga laser e kiia nei ko te Panretinal photocoagulation (PRP)
• Pokanga vitrectomy
• Ngā rongoā hei whakahaere i ngā āhuatanga mōrearea

Ko ngā whāinga matua o ēnei maimoatanga ko:

• Kāore he aha te whakapai ake i tō tirohanga, te ārai rānei i tōna kino haere.
• Tāutuhia, ā, rongoāhia hoki ngā pānga taha ka pā kino ki tō tirohanga me tō hauora kanohi.
• Te whakahaere i ngā āhuatanga mōrearea hei ārai i ngā raruraru ā muri ake nei.

Ka whakakotahi tō tākuta i ngā maimoatanga e hiahiatia ana, ā, ka whakamārama atu hoki ki a koe te wā o ia maimoatanga.

Ngā werohanga anti-VEGF

Koinei te maimoatanga tuatahi mō te hunga e pāngia ana e te edema macular. Ko te VEGF he tohu mō te vascular endothelial growth factor. He pūmua tēnei e āwhina ana i te tipu o ngā oko toto hou (angiogenesis). Engari ki te nui rawa te VEGF, ka puta he toto rerekē, he turuturu, ka pupuhi. Ka mahi ngā werohanga anti-VEGF mā te aukati i te hanga o te VEGF i roto i te kanohi, me te whakaiti i te pupuhi. Ka whakangāwari tō tākuta i ō kanohi, ka werohia te rongoā ki roto i te vitreous humor, te matū rite ki te tiēre i roto i tō kanohi. I runga i tō āhua, me werohia pea ēnei werohanga i ngā wā katoa mō te tau, e rua rānei. Ko ētahi rongoā motuhake ka uru pea ki ēnei werohanga ko:

• `Aflibercept`
• `Bevacizumab`
• `Ranibizumab`

Ngā werohanga steroid

Ka taea hoki e ngā werohanga steroid ki roto i te kanohi te āwhina ki te whakaiti i te pupuhi. Heoi, ka taea e ngā werohanga steroid te whakanui ake i te pēhanga o te kanohi, ā, ka puta he katarata i roto i ētahi tāngata. Nō reira, ka whakamahia hei rongoā tuarua ina kore e whai hua ngā werohanga anti-VEGF.

Panretinal photocoagulation (PRP)

He pokanga taiaho tēnei. Kei roto ko te hanga i ngā wera iti ki ngā wāhi o tō retina e iti ana te rere o te toto. Ka whakaitihia e tēnei te nui o te pūmua e kiia nei ko te VEGF e āwhina ana i te tipu o ngā oko toto hou. Mā te whakaiti i te VEGF ka āwhina i te aukati i te hanganga o ngā oko toto hou (neovascularization) ā, nō reira ka toto i roto i te kanohi. Ka āwhina hoki ki te pupuri i te pēhanga i roto i te kanohi (te pēhanga o roto o te kanohi) kia pumau.

Pokanga vitrectomy

Ko te posterior pars plana vitrectomy (PPV) he pokanga e āwhina ana i te hunga he retinal vein occlusion (RVO) kei a rātou ēnei raruraru e whai ake nei:

• Mena he toto nui kei roto i te kanohi (he toto nui kei roto i te vitreous).
• Mena ka roa ake te toto i te whā wiki.
• Mena ka hoki tonu te toto.
• Ki te mea kua motu te retina, ka kiia tēnei ko te `(Retinal detachment)`.

Ko tēnei pokanga he tango i te matū rite ki te tiēre i roto i te kanohi (vitreous humor) me te whakatika i ngā kino o te retina.

Rongoā hei whakahaere i ngā āhuatanga mōrearea

He maha ngā tāngata e pāngia ana e te aukati uaua retinal (RVO) he mate hauora kei a rātou, pērā i te toto toto tiketike, te mate huka, te cholesterol tiketike rānei. Mā ēnei mate ka nui ake te tūponotanga o te whakawhanake i ngā raruraru o ngā oko toto. Ka mahi tahi tō tākuta kanohi me tō tākuta tiaki tuatahi (PCP) ki te whakarite i tētahi mahere maimoatanga e hāngai ana ki ō hiahia. Tērā pea ka tohua e tō PCP ngā rongoā mō ngā mea pēnei i:

• Whakaitihia tō toto toto.
• Whakahaerehia ō taumata cholesterol.
• Mena he raruraru anō kei te haere mai, me aro atu.

Ka taea e au te ārai i tēnei āhuatanga `(RVO)`?

Ko te mōhio kei te tūpono koe ki te aukati i te uaua retinal (RVO) te taahiraa tuatahi ki te ārai i tēnei. Kōrero ki tō tākuta kanohi, ki tō tākuta kanohi rānei mō tō tūponotanga me ngā mea ka taea e koe te mahi hei whakaiti i tēnei. He mea nui anō hoki kia kōrero koe ki tō tākuta tiaki tuatahi (PCP) mō ngā mate huna e pā ana ki tō rere toto. Ka taea e rātou te tūtohu i ngā maimoatanga hei āwhina i te whakahaere i aua mate me te āwhina i te pupuri i te hauora o ō kanohi me tō tinana katoa. Anei ētahi mea motuhake ka taea e koe te mahi hei whakaiti i tō tūponotanga:

• Whaia he kai pai mō te hauora o tō ngākau me ō uaua toto .
• Me waiho te whakakori tinana hei wāhanga o tō mahinga o ia rā.
• Kia mau tonu tō taumaha hauora .
• Āta karohia te momi hikareti me ngā hua tupeka katoa.

Mena kei a au tēnei āhuatanga, he aha taku e tumanako ai?

He maha ngā āhuatanga e whakawhirinaki ana ki tō matapae. Hei tauira, ko te wāhi i aukatia ai te tirohanga me ngā pānga taha e pā mai ana. Tērā pea ka pāngia ētahi e te kino o te tirohanga tuturu. Ko ētahi atu ka pai haere te tirohanga i roto i te wā. Ko tō tākuta kanohi te tangata pai rawa atu hei kōrero atu ki a koe he aha ngā mea hei tumanakohia i runga i tō āhuatanga takitahi. Tērā pea ka tukuna koe e tō tākuta ki te whakaora tirohanga , e ako ana i a koe ki ngā tikanga hei noho me te tirohanga iti. Hei tauira, me pēhea te whakamahi i ngā karu whakanui me te hangarau rorohiko āwhina. Tērā pea ka tukuna koe ki tētahi kaimahi hapori hei āwhina i a koe ki te aro atu ki ngā huringa o te noho.

Me pēhea taku tiaki i ahau anō?

He āhua taumaha te noho me te retinal vein occlusion (RVO). Tērā pea ka hiahiatia ēnei mea e koe:

• Hoatu he werohanga ki te kanohi kia maha ngā wā.
• E hia ngā wā ka whiwhi koe i ngā maimoatanga laser?
• Haere ki ngā hui whai muri i ngā wā katoa.
• Mena kāore e taea e koe te taraiwa haumaru nā tō āhua, nā tō maimoatanga rānei, he mea āwhina te haere ki ngā wā tirotiro hauora.

Ka taea e ēnei mea katoa te ahua taumaha rawa, te taumaha rawa hoki. Kia mahara, kei konei tō tīma hauora hei āwhina i a koe. Kōrero ki ō tākuta mō ō kare ā-roto. Tērā pea ka taea e rātou te whakaaro mai i ngā rauemi hei āwhina i a koe ki te ako atu mō tō āhua me te hiranga o ēnei mahi katoa. Ka taea hoki e rātou te hono atu i a koe ki ngā rōpū tautoko, ki ngā rauemi hapori rānei, hei kōrero ki te hunga e pāngia ana e te āhuatanga kotahi. Mā te ako mai i ngā wheako o ētahi atu tāngata me te whakapuaki i ō ake wheako ka taea e koe te whakahaere i tēnei mea me te ngāwari ake.

Āhea ahau me rapu tohutohu hauora?

Mā tō tākuta kanohi koe e kōrero ki te tākuta mō te auau o tō haerenga mai ki te tirotiro, ki te rongoā rānei. Kōrero ki a rātou mēnā ka puta he tohu hou ki a koe, mēnā ka rerekē ō tohu, mēnā rānei he pātai āu mō tō mahere rongoā.

Āhea ahau me haere ki te rūma whawhati tata?

Mena kei a koe ngā tohu o te wehenga o te retina, waea atu ki te 911, ki tō nama urupare ā-rohe rānei. He urupare hauora tēnei e hiahia ana kia rongoatia tonutia.

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

Ka taea e koe te pātai atu ki tō tākuta kanohi i ēnei pātai:

• He aha te take e āraia ai te uaua retinal o tōku uaua?
• Ko tēhea maimoatanga te mea pai mōku?
• He aha ngā painga me ngā ngoikoretanga o ia maimoatanga?
• He aha ngā momo arotake e hiahiatia ana e au?
• He aha te pānga o tēnei āhuatanga ki taku tirohanga?
• He aha taku tirohanga?

He ngāwari te wareware i te hiranga o ngā uaua toto ki tō tātou tirohanga. Nā te mea he maha ngā wā ka kōrero noa tātou mō ngā uaua me ngā uaua toto e hono ana ki tō tātou ngākau, roro, me ētahi atu okana nui. Engari he iti noa ngā uaua retina i roto i tō retina, engari he rite tonu te hiranga. Ki te āraihia, ka raru pea tō tirohanga me tō hauora kanohi. Hei tāpiri, he tohu whakatūpato pea kei reira ngā raruraru o te rere o te toto puta noa i tō tinana me aro atu.

Mā te tiaki i tō hauora kanohi, ehara i te mea ka taea te tiaki i tō tirohanga anake, engari ko tō hauora whānui hoki. Tirohia he tākuta kanohi i ia wā mō ngā whakamātautau kanohi. Kōrerohia ki a rātou ngā raruraru tirohanga, ngā tohu rānei kei a koe. Mā te mahi pera ka āwhina i a rātou ki te kite wawe i ngā raruraru pēnei i te retinal vein occlusion (RVO), te ārai i ngā raruraru, me te rongoā wawe i aua raruraru.

Karere Tangohia ki te Kāinga

Āe, mai i ngā mea kua kōrerohia e tātou, me mārama koe ki te tikanga o te retinal vein occlusion (RVO), he aha ngā mea ka puta, me ngā maimoatanga e wātea ana mōna. Kaua e mataku, kaua e mataku. Ko te mea nui, ki te pāngia koe e ēnei tohu, ko te tikangaKi te pāngia koe e te tirohanga pōuri, te tirohanga pōuri, te tirohanga rere rānei, me toro atu ki tētahi tākuta kanohi tonu. Ki te kitea wawetia, ka taea e te maimoatanga te whakaora i tō tirohanga. Waihoki, ki te mea he mate huka, he toto toto tiketike rānei tōu, he mea nui kia whakahaere pai i aua mate. Ka taea e tēnei te whakaiti i tō tupono ki te whakawhanake i te RVO. He pai hoki te noho ora me te karo i te momi hikareti mō ō kanohi me tō hauora whānui. Nō reira, tiakina ō kanohi, nā te mea ko ēnei te taonga tino nui, e āhei ai koe ki te kite i te ao!