I ētahi wā ka mataku tātou ina kite tātou i ngā panonitanga iti o ō tātou kanohi, kāore? Ina koa ka tīmata te āhua rerekē o ngā mea. Ko tētahi o aua āhuatanga ko te
macular pucker . Engari kaua e manukanuka, me kōrero noa iho tātou.
He aha rawa tēnei (Macular Pucker)?
Whakaarohia tō kanohi hei kāmera. He pakitara kei muri i tēnei kāmera, e kiia nei e tātou
ko te retina . Ko ia whakaahua e kite ana koe ka tuhia ki runga i tēnei retina, pērā i te kiriata. I waenganui o tēnei retina, he wāhi iti tino tairongo e kiia nei ko
te macula . Ka kite mārama tātou i ngā mea, ka kite koi, ka pānui pukapuka, ka mōhio ki ngā reta, nā tēnei macula. Ināianei, i roto i tēnei āhuatanga e kiia nei ko te "Macular Pucker", ko te mea ka tupu ko te mea kei runga ake i te macula, he paparanga cellophane, he kiriuhi angiangi rawa rānei,
he kiko whara rānei. Ka kiia hoki tēnei e ngā tākuta he
"Epiretinal Membrane (ERM)" , ā, ka kiia hoki e ētahi
ko te "Cellophane Maculopathy" . I te mimiti haere o tēnei kiriuhi, ka totoro hoki te macula i raro, ka miro, pērā i te kakahu. Koinei te mea e kiia nei ko te "Macular Pucker" me te "macular puckering". Kāore tēnei e raru nui ai te tirohanga mō te katoa, engari i ētahi wā ka taea e ia te whakarerekē i te tirohanga a te katoa, ka puta he āhua hē.
He pēhea te noa o tēnei āhuatanga?
Ko tēnei āhuatanga e kiia nei ko te `(Macular Pucker)` he mea noa ake i tō whakaaro. Kua kitea e ngā rangahau tata nei he nui te wāhanga o te taupori i ētahi whenua ka pāngia e tēnei āhuatanga.
Ka piki ake te mōrearea o tēnei āhuatanga i te pakeketanga. Engari ko te rongo pai, ehara i te mea ko te hunga katoa e pāngia ana e te `(Macular Pucker)` ka ngaro te tirohanga.
He aha ngā tohu o tēnei? Me pēhea koe e mōhio ai mēnā kei a koe tēnei mate?
Ko te tohu matua o tēnei ko
te hē o tō tirohanga pokapū. Ina koa, ko ngā rārangi tika, pērā i ngā anga matapihi, ngā anga tatau, me ngā rārangi i roto i te pukapuka,
ka puta he totoro, he miro rānei. Ka karangahia hoki tēnei e ngā tākuta
ko te "metamorphopsia." Whakaarohia kei te titiro koe ki tētahi papa taera, ā, ko ngā rārangi tika i waenganui i ngā taera te āhua miro. Ahakoa ka pā tēnei ki ngā kanohi e rua, ko te nuinga o te wā ka pā ki te kanohi kotahi anake. Ahakoa kei roto i ngā kanohi e rua, tera pea he kino ake te kanohi kotahi i tētahi atu. Haunga te āhua miro, tera pea ka pāngia koe e:
- Kāore i te mārama pērā i mua, ahakoa te tata o tō tirohanga ki tāu e titiro atu nei.
- I ētahi wā ka puta te ahua kotahi hei ahua e rua (ahua takirua).
- Tērā pea ka nui ake te ahua o te ahua e kitea ana i te kanohi kotahi i te kanohi kē.
Ko te mea nui, kia
kaua e whakatikahia te ngaronga o te tirohanga i puta mai i tēnei "Macular Pucker" mā te mau mōhiti. He aha tēnei e tupu nei? He aha ngā take?
He māmā noa iho, he maha ngā āhuatanga ka whai wāhi ki te hanganga o tētahi kiriata ki te macula. Anei ētahi o ngā āhuatanga matua:
- He kōhao, he roimata rānei i te retina.
- He hītori o te wehenga o te retina i mua.
- Ngā pokanga kanohi o mua (hei tauira, te pokanga katarata).
- Whara Kanohi.
- Ngā mate pāwera e puta ana i roto i te kanohi.
- Ngā mate kanohi i puta mai i te mate huka (Te mate retina e pā ana ki te mate huka / Te mate retina Diabetic)
- Ngā āhuatanga mumura e puta ana i roto i te kanohi ( Mumura kanohi / Uveitis )
Ko tētahi atu mea, i ētahi wā ka puta tēnei `(Macular Pucker)` me te kore he take mārama. Ka kiia ko `(Idiopathic Macular Pucker)`, arā, kāore e kitea he take.
He mate hopuhopu tēnei?
Kāore, kāore rawa. Ehara te '(Macular Pucker)' i te mate hopuhopu. Kāore e taea te pangia e tētahi atu, kāore hoki e taea te pangia e tētahi atu.
Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei?
Kua kōrero kē mātou ko te koroheketanga tētahi o ngā tino take mōrearea. Hei tāpiri, ka piki ake pea tō mōrearea ki te whakawhanake i te karu mārō mēnā:
- Mena he "Posterior Vitreous Detachment (PVD)" tōu, arā, te wāhi e wehea ai te vitreous humor ( te matū rite ki te tiēre i roto i tō kanohi) mai i te retina. He mea noa tēnei i a koe e pakeke haere ana.
- Mena kua whiwhi koe i te rongoā kanohi laser i mua, i ētahi atu pokanga kanohi rānei, pēnei i te pokanga katarata.
- Mena kua pakaru, kua wehea rānei te retina o tō kanohi i mua.
- Mena he mate mumura kanohi tōu pērā i te uveitis .
- Mena he mate retinopathy mate huka tōu .
- Mena kua whara kino te kanohi .
He aha ngā raruraru ka pā mai i tēnei?
Ka taea e te `(Macular Pucker)`
te whakararu i te tirohanga . Ko te tikanga ka pōuri, ka memeha rānei tō tirohanga. Engari
He tino iti te tūponotanga ka matapo rawa koe i tēnei. Nō reira, kāore he mea hei manukanuka. Engari ki te kite koe i tētahi panonitanga o tō tirohanga, he pai ake te toro atu ki tētahi tākuta. Me pēhea te kite a te tākuta i tēnei?
Ina toro atu koe ki tētahi tākuta kanohi, ka pātai tuatahi ia ki a koe mō ō tohu me tō hītori hauora. Kātahi ka tāpirihia e ia he pata kanohi e whānui ana ki roto i ō kanohi, ā, ka tirohia te roto o tō kanohi. Ka whakamahia ēnei pata hei āwhina i te tākuta kia kite mārama i tō retina me tō macula. He aha ngā whakamātautau e mahia ana?
I a koe e tirotiro ana i ō kanohi, ka whakamahia e tō tākuta he rama motuhake me te karāhe whakanui hei tirotiro i ō kanohi. Hei tāpiri, ka whakahaerehia pea e rātou ēnei whakamātautau hei āwhina i te whakatau mēnā he pūwero kanohi tōu:- Whakamātautau Kanohi Mātiti Amsler: I tēnei whakamātautau, ka hoatu ki a koe tētahi pepa iti me ngā tapawhā kei runga. He rārangi whakapae, he rārangi poutū hoki. Ina tirohia ēnei rārangi, mēnā he āhua totoro, he miro, he ngaro rānei ētahi tapawhā, ka āwhina tēnei ki te whakatau mēnā he raruraru tirohanga āu.
- Matawai Optical Coherence Tomography (OCT): He matawai tēnei e mahia ana me tētahi kāmera motuhake. Ka tangohia he pikitia tino mārama o tō retina me tō macula, pērā i te wāhanga whakawhiti o tētahi keke. He rite ki te titiro mā roto i tētahi wahi keke. Ka taea e tēnei matawai OCT te whakaatu ki a koe mēnā he miro kei te macula, he pūkohu rānei o te macular, me te nui o tōna pānga ki a ia.
Me pēhea te rongoā? He aha tā tātou e taea ai?
Kāore e hiahiatia ana he rongoā mō ngā pūweru kanohi katoa. Mēnā kāore ō tohumate i te tino kino, ā, kāore hoki tō tirohanga e pāngia nuitia ana, ka kī atu pea tō tākuta kia tirohia koe mō tētahi wā. Ko te tikanga me haere koe ki te tirotiro i ō kanohi i ia wā. Heoi, ki te hiahiatia he rongoā, kei reira ngā kōwhiringa kore-pokanga me ngā kōwhiringa pokanga. Maimoatanga kāore he pokanga (maimoatanga kore-whakaekenga)
Mō te pūkohu o te kanohi kāore e hiahiatia he pokanga, ka taea e koe te mahi i ēnei e whai ake nei hei whakahaere i tō oranga o ia rā:- Mōhiti hou: Ahakoa kāore e taea e ngā mōhiti te whakatika katoa i ngā hapa tirohanga i puta mai i te kōroke o te kanohi, ka taea e te rongoā hou te āwhina ki te whakapai ake i tō tirohanga whānui.
- He mārama pai: I te wā e pānui pukapuka ana, e mahi ana rānei i ngā mahi tairongo, mā te whakamahi i ngā rama pānui me te whakamahi i ngā rama pānui ka āwhina i te whakaiti i te taumahatanga o ngā kanohi.
- Ngā taputapu whakanui:Mena he uaua ki a koe te pānui i ngā tuhinga iti, ka taea e koe te whakamahi i ngā karu whakanui, i ētahi atu taputapu rānei.
Te maimoatanga pokanga
Mena he nui te pānga o te pūkoki o te kanohi ki tō tirohanga, ka tūtohu pea tō tākuta kia pokangahia. Ka kiia tēnei pokanga he vitrectomy me te tango i te kiriuhi .- He tikanga tēnei mō te noho ki waho o te hōhipera , arā, kāore koe e hiahia ki te noho ki te hōhipera, ā, ka taea e koe te hoki ki te kāinga i taua rā anō i muri i te pokanga.
- Ko tēnei pokanga he tapahi iti noa iho i te kanohi, he tango i tētahi wāhanga iti o te matū rite ki te tiēre i roto i te kanohi (vitreous humor), ā, he āta tango i te kiko whara, i te kiriuhi rānei kua hanga ki runga i te macula. He pokanga tino ātaahua tēnei.
He aha ngā raruraru ka pā mai i te pokanga? Me wehi ahau?
Pērā i ngā pokanga katoa, kei reira ētahi mōrearea e pā ana ki te vitrectomy. Engari ka whakapau kaha tō rōpū hauora ki te whakaiti i aua mōrearea. Anei ētahi o ngā raruraru ka pā mai:- Te toto .
- Te mate urutā .
- Te haehae, te wehenga rānei o te retina .
- Ki te pāngia koe e te katarata, ka kino haere.
- Ka puta he kōhao i roto i te macula (he kōhao macular) (he tino onge tēnei).
- Ka piki ake te pēhanga i roto i te kanohi, ko te tikanga tēnei ko te whanaketanga o te glaucoma .
Engari kia maumahara, he iti rawa te tūponotanga o ēnei mea, ā, ma ngā tākuta koe e whakamōhio atu ki ngā āhuatanga o tēnei. Kia pēhea te tere o taku ora ake i muri i te maimoatanga?
Mena ka pokangahia tō vitrectomy, tera pea ka pōuriuri tō tirohanga mō ētahi rā i muri i te pokanga. Tērā pea ka mamae, ka kore e pai ō kanohi. He mea noa tēnei. Kāore e taea e koe te haere ki te mahi, ki te kura rānei mō te rua ki te whā wiki i muri i te pokanga. He mea nui kia okioki ō kanohi i tēnei wā. Kaua hoki e taraiwa tonu i muri i te pokanga. E toru marama pea te roa kia tino pai ake tō tirohanga, kia tino kitea ai hoki ngā hua katoa o te pokanga. Nō reira, kia manawanui. He ara kei reira hei ārai i tēnei mea kei tupu?
I ētahi wā, inā koa i roto i ngā take o te idiopathic macular pucker, kāore he huarahi mārama hei ārai i tēnei. Heoi, ko ngā mea pēnei i te ārai i ngā mate kanohi e pā ana ki te mate huka ( arā, te pupuri i tō mate huka kia kore e pāngia) me te karo i ngā whara kanohi ka āwhina i te whakaiti i tō tupono ki te whakawhanake i te mate. He aha taku e tumanako atu ai mēnā kei roto ahau i tēnei āhuatanga?
Kua kōrero kē mātou, ko te nuinga o ngā take o te `(Macular Pucker)` kāore e hiahiatia he maimoatanga motuhake. Ko tāu noa he tirotiro kanohi i ia wā, i ia wā, i runga i te wātaka kua whakaritea e tō tākuta. Kātahi ka taea e tō tākuta te tirotiro mēnā he huringa kei roto i tō tirohanga me tō hauora kanohi. Tērā pea he raruraru tirohanga kei a koe nā te `(Macular Pucker)`, engari kaua e manukanuka kei arahi atu ki te matapo katoa. He iti rawa te tūponotanga. Mena kei a au tēnei āhuatanga, me pēhea taku tiaki i a au anō?
Kia mōhio koe he pucker macular tōu, he maha ngā mea ka taea e koe te mahi hei tiaki i ō kanohi:- Kaua e mahue ngā rā whakamātautau kanohi i homai e te tākuta.
- Kia mau tonu te hauora whānui. Arā, me kai i ngā kai totika me te whakakori tinana i ngā wā katoa.
- Whāia ngā tikanga pai mō te hauora o ngā kanohi. Hei tauira, mauria he mōhiti kanohi i te wā e pā ana ki te rā, horoia ō ringaringa kia tino pai i mua i te pā atu ki ō kanohi, ā, ki te mau koe i ngā karaihe whakapā, whakamahia marietia kia rite ki ngā tohutohu a tō tākuta.
- Ki te kaipaipa koe, ngana ki te whakamutu. Kāore te kaipaipa i te pai mō ō kanohi. Ki te hiahia āwhina koe ki te whakamutu, pātai atu ki te tākuta.
Āhea ahau me toro atu ki te tākuta?
Ki te kite koe i ētahi panoni ohorere o tō tirohanga , hei tauira, te pōuri ohorere o te tirohanga, te kitea haere o ngā kita, te putanga mai rānei o ngā mea e rere ana pērā i ngā ira pango, me toro atu tonu ki tō tākuta kanohi. Ki te mea ka pōuri haere tō tirohanga, ki te mamae nui rānei tō kanohi, haere tonu ki te rūma whawhati tata, ki Sri Lanka rānei, waea atu ki te 1990 Rescue Ambulance Service.
E rua ēnei mea e kiia ana ko te (Macular Pucker) me te (Age-Related Macular Degeneration - AMD)?
Ae, he rerekē ēnei āhuatanga e rua. Engari he rite tonu ngā tohu i ētahi wā. Ko te pūkoki kanohi me te pirau kanohi e pā ana ki te koroheketanga (AMD) he āhuatanga e pā ana ki te macula. I ngā āhuatanga e rua, kāore tō tirohanga taha e pāngia, engari ko tō tirohanga pokapū ka pāngia. I te AMD, ka ngoikore ngā pūtau o te macula, ā, ka whakangaromia i te koroheketanga. I te pūkoki kanohi, ka puta he paparanga ki runga i te macula, ka miro. He rerekē ngā maimoatanga. Nō reira, he rite tonu te pūkoki o te maru me te kōhao o te maru?
Kāo, he rerekē ngā mea e rua. Ko te "pūpū kanohi" he miro o te kiko i roto i te retina. Engari ko te kōhao i roto i te macula he "kōhao kanohi".Ko tōna tikanga, e ai ki te ingoa, he kōhao iti kei roto i te macula. I ētahi wā, mā te `(Macular Pucker)` ka nui ake te tūponotanga o te whakawhanake i te `(Macular Hole)` i muri mai, engari ehara i te mea he taurangi. Ko ngā tohu tirohanga o te `(Macular Hole)` he kino ake i ērā o te `(Macular Pucker)`. Waihoki, he maha ngā wā e hiahiatia ana he pokanga mō te `(Macular Hole)`. Hei whakamutunga, ētahi mea nui hei maumahara:
He mea noa te mataku me te manukanuka ina rongo tuatahi koe kei a koe tētahi mate e kiia nei ko te `(Macular Pucker)`, ā, ka pā pea ki tō tirohanga. Engari kia mahara, ko te nuinga o ngā mate `(Macular Pucker)` kāore e hiahiatia he maimoatanga motuhake. Ka kōrero tō tākuta ki a koe mō ō whiringa, ā, ka āwhina i a koe ki te whakatau i te mahi pai e whai ake nei māu. Ko te mea nui ko te tirotiro kanohi i ia wā. Ka kī atu tō tākuta kanohi ki a koe te auau o te tirotiro i ō kanohi. Kaua e wareware ki te whakamōhio atu ki tō tākuta mō ngā huringa katoa o tō tirohanga, ahakoa ngā mea iti rawa. Pērā ai, ki te mea he mea e tika ana kia mahia, ka taea e koe te whakaora wawe. Nō reira, ko taku tumanako ka whai hua ēnei mōhiohio ki a koe. Tiakina ō kanohi!
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