He kaimau karāhe whakapā koe? He whero, he kirikiri rānei ō kanohi ina kaukau, ina kauhoe rānei koe? Tērā pea he mea noa iho. Engari i muri i ēnei tohu, tera pea he mate kino ake, he mate kino hoki ki te tirohanga. I tēnei rā ka kōrero tātou mō tētahi mate kanohi onge engari he tino morearea e kiia nei ko te `Acanthamoeba Keratitis (AK)`.
He aha te Acanthamoeba Keratitis (AK)?
He mate tēnei i puta mai i tētahi pirinoa e tupu ana i te wāhanga mārama o tō tātou kanohi, arā, te kornea. Ko te ingoa o tēnei pirinoa ko Acanthamoeba. Ki te kore e rongoatia tika, ka pā kino ki ō kanohi, ā, ka ngaro rawa te tirohanga .
I te nuinga o te wā ka pā ki te kanohi kotahi i te tuatahi, engari ka pā pea ki ngā kanohi e rua. Ka tīmata te mate i te paparanga o runga o te cornea (epithelium). I te haere whakamua o te mate, ka horapa te mate ki roto.
Ko wai tēnei Acanthamoeba?
He rauropi iti te Acanthamoeba, he pūtau kotahi tōna e kiia nei ko te amoeba. He uaua ake i te huakita. Nā te mea ka taea e ia te whakaoti i tōna huringa ora me te kore he tangata, he kararehe rānei, kāore ngā kaipūtaiao e whakaaro he pirinoa tūturu. Engari ina uru ki te tinana tangata, ka rite tana whanonga ki te pirinoa.
Neke atu i te 20 ngā momo Acanthamoeba e kitea ana puta noa i te ao. E noho ana rātou i ngā wāhi katoa e karapoti ana i a tātou - i roto i te wai māori, i te wai tote, i te oneone, i ngā wāhi katoa. O ēnei, e 8 ngā momo kua kitea hei take mō te mate ``(AK)``.
Ko te mea tino motuhake mō tēnei mea hanga, ka taea e ia te noho i ngā āhua e rua.
1. Āhua hohe: I tēnei āhua, he hohe ia, he nekeneke haere.
2. Te āhua o te whēkau: I roto i tēnei, ka hangaia he anga tiaki tino kaha e karapoti ana i a ia anō, he rite ki te kararehe e moe ana i te hotoke.
Ko tēnei wāhanga "(pūpū)" te mea tino morearea. Nā te mea i roto i tēnei anga, ka taea e ia te tu atu i ngā āhuatanga kino katoa.
- Te pāmahana teitei me te makariri: Ka ātete ki ngā pāmahana mai i te -20 ki te +56 Celsius.
- Te kore kai me te kore wai: Ka taea te ora mō te 20 tau i te pāmahana rūma!
- Ngā matū me ngā paitini: Ka taea e ngā pirinoa te whakawhanake i te ātete ki ngā rongoā.
- Te Rā: Ahakoa ka patua e ngā hihi ultraviolet o te rā te maha o ngā moroiti, ka ora tonu tēnei whēwhē i a rātou.
He mea tino nui kia mōhio tātou ki tēnei mea, nā te mea ka taea e tēnei rauropi te tomo kaha mai ki roto i tō tātou tinana, me te mea he "pūpū" anō hoki. Koia te take me tiaki tika tātou i a tātou anō.
He aha ngā tohu o tēnei mate?
Ka puta ēnei tohu ina uru te rauropi Acanthamoeba ki roto i te kornea o tō kanohi. I ētahi wā ka puta mai, ka ngaro atu ēnei tohu. Ka pai ake pea mō ētahi rā, kātahi ka kino haere anō.
Ko ngā tohu matua ko ēnei:
- Mamae kanohi: I ētahi wā ka tino kino te mamae, ā, kāore e taea te whakamanawanui.
- Te kare ā-tinana ke: He kare ā-roto kei te mau tetahi mea i roto i te kanohi , engari kāore e kitea tetahi mea ina whakatuwherahia, ina titiro rānei.
- Ngā kanohi waiwai (epiphora).
- Te aro nui o ngā kanohi ki te māramatanga: Te aro nui o ngā kanohi ki te māramatanga.
- Te whero me te mumura o ngā kanohi.
- He āhua kapua, he paru hoki te āhua o te kornea o te kanohi: Tērā pea ka kitea he āhua porowhita i runga i te kornea.
- Te tirohanga pōuri: He tohu tēnei e puta ana ina kaha ake te mate.
Me pēhea tātou e pāngia ai e tēnei mate?
He mate hopuhopu tēnei. Arā, ka taea e tātou te whiwhi mai i te taiao. Engari kāore e horapa tika mai i tētahi tangata ki tētahi atu. E toru ngā huarahi matua e taea ai e tēnei rauropi Acanthamoeba te uru ki roto i ō tātou kanohi.
1. Ngā Karāhe Whakapā
2. Wai paru
3. Ngā whara kanohi
Ko te hononga i waenga i ngā karaihe whakapā me tēnei mate
Koinei te mea tino nui. 90% o te hunga e pāngia ana e te 'Acanthamoeba Keratitis' he hunga whakamahi karaihe whakapā! He maha ngā take mō tēnā.
- Te mau i ngā karaihe whakapā mō te wā roa atu i te wā i tūtohutia .
- Te whakamahi i te wai puna i te wā e rongoa ana, e horoi ana hoki i ngā karaihe whakapā.
- Kāore i te horoi tika i ngā karaihe whakapā, i tōna pouaka rānei.
- Te kaukau me te whakamahi i ngā karaihe whakapā.
- Te whakamahi i ngā pouaka karaihe whakapā paru me ngā otinga.
He mea tino nui: Kaua rawa e whakamahia te wai puna mō ngā mea e pā ana ki ngā karaihe whakapā. Ahakoa he chlorine kei roto i te wai puna, kāore e ranea hei patu i ngā whēwhe Acanthamoeba.
| Te take o te mate | Whakaahuatanga |
|---|---|
| Wai paru | Ka taea e te Acanthamoeba te ora i roto i te wai. Ka kitea i roto i te wai inu parakore, i te wai pounamu, tae noa ki te wai puna kaukau. I te nuinga o te wā, kāore e puta he raruraru mena ka uru ki roto i ō kanohi. Heoi, ki te whara ō kanohi , ki tētahi atu mate, ki te ngoikore rānei tō pūnaha ārai mate, he nui ake tō tūponotanga. |
| Ngā whara kanohi | He rite te kornea o te kanohi ki te matapihi o te motuka. Mēnā ka rakurakuhia, ka ngāwari te uru o ngā iroriki ki roto. Ahakoa he maikuku, he whao, he rau, he paru rānei, ka whara te kanohi. |
Me pēhea te tautuhi i te mate?
He uaua te tautuhi i tēnei mate i ngā wāhanga tōmua. Tata ki te 75% - 90% o te wā, ka whakaaro tuatahi ngā tākuta he mate kitakita, he mate huaketo rānei. He maha ngā take mō tēnei:
- He tino rite ngā tohu o tēnei mate ki ngā tohu o ngā mate kanohi noa.
- Nā te mea he mate onge tēnei, kāore ngā tākuta e whakapae wawe.
- He ahua uaua ngā whakamātautau hei whakaū i te mate (te waru i te kornea, te koiora rānei), ā, kāore i ngā hōhipera katoa ngā taputapu e hiahiatia ana.
Ina kite koe i tētahi tohunga tiaki kanohi, ka tirotirohia ō kanohi. Ka tirotirohia tō kanohi mā te whakamahi i tētahi rama kutikuti. Kātahi ka pātai atu mō ō tohu me ō mahi o nāianei kia mōhio ai koe ki te āhua o te mate.
Ko te tikanga o te rongoā ko te rongoā tuatahi i te mate kitakita/huaketo. Ki te kore taua rongoā e āwhina, ka whakapaetia he `(AK)`, ā, ka tīmata te rongoā mō tēnā.
He aha ngā maimoatanga?
E rua ngā whāinga matua o te maimoatanga. Ko tētahi he whakakore i te mate, ko tētahi he whakaiti i te mamae me ētahi atu tohu. I te tīmatanga, ka rongoatia mā te rongoā, ā, ki te kaha rawa te mate, me pokanga pea.
Ko te rongoā matua he pata paturopi ā-papa. Me whakamahi ēnei kia rite ki ngā tohutohu a te tākuta.
I ētahi wā tino kino, ka hiahiatia pea te pokanga:
- Te tango i ngā matūriki Acanthamoeba mai i te kornea, ā, ka māmā ake te uru o te rongoā.
- Te whakawhitinga o te kornea: I ētahi wā me tango katoa te kornea kua pakaru, ka whakatōkia he mea hou.
Ko te mea nui ko te whai i ngā tohutohu a tō tākuta kia tika. Ki te kore, ka hoki mai anō te mate. Ka taea e ngā rauropi kei roto i te wāhanga "pūpū" te hoki anō ki te mahi, ā, ka puta ngā tohu ahakoa kua hipa ngā marama.
Me pēhea e taea ai e koe te tiaki i a koe mai i tēnei mate?
He mate tēnei e taea te ārai. Me tino tupato koe ki ēnei mea mēnā kei te mau koe i ngā karaihe whakapā.
| Ngā Mea e Me Mahi | Ngā mea kāore e tika ana |
|---|---|
| Whakamahia ngā otinga motuhake anake hei penapena me te horoi i ngā karaihe whakapā. | Kaua rawa e whakamahia te wai puna, te wai pounamu, te huware rānei . |
| Horoia tō pouaka karaihe whakapā i ia wā, ā, whakamahia he mea hou i ia toru marama. | Kaua e kaukau, kaua e kaukau, kaua hoki e horoi i te tinana i a koe e mau ana i ngā karaihe whakapā. |
| Me mau noa ngā karaihe whakapā mō te wā kua whakaritea e tō tākuta. | Kaua e moe i te pō me ngā karaihe whakapā e mau ana (ki te kore e whakaaetia e tō tākuta). |
| Ki te pāngia koe e te mate kanohi, kia tangohia ngā karaihe whakapā me te pouaka i whakamahia e koe. | Kaua e warewarehia te mamae o ngā kanohi, te whero, te tirohanga pōuri rānei. |
Mena kei te pāngia koe e ngā tohu o te mate kanohi mō ngā rā maha, me toro atu ki te tākuta. Ko te wawe o te tīmatanga o te maimoatanga, ko te nui ake o te tūponotanga ka tiakina ō kanohi.
Karere Tangohia ki te Kāinga
- He mate onge engari he mate kino te Acanthamoeba Keratitis (AK) ka arahi pea ki te matapo.
- Ko te nuinga o te wā ka pā tēnei mate ki te hunga e whakamahi hē ana i ngā karāhe whakapā.
- Kaua rawa e whakamahia te wai puna hei horoi, hei penapena rānei i ngā karaihe whakapā.
- Kati rawa te kaukau, te kaukau rānei i a koe e mau ana i ngā karaihe whakapā.
- Ki te mamae ō kanohi, whero, pāngia koe e te mārama, pōuri rānei, kaua e warewarehia, me toro atu ki tō tākuta tonu. Mā te maimoatanga tere ka ora ai tō tirohanga utu nui.
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