Kua whakaaro kē koe me pēhea te mahi a ō tātou kanohi pērā i te kāmera tino pai? Ko ngā mea katoa e kitea ana e tātou, arā, ngā tae, te māramatanga, ngā āhua, ka tukuna katoatia ēnei ki te roro i roto i ngā hēkona ruarua, ka taea ai e tātou te kite i tēnei ao. I roto i tēnei kanohi iti, kei reira tētahi toa iti nei te mōhiotia e tino hiahiatia ana mō tō tātou tirohanga, engari kāore tātou e kōrero nui mōna. Koinei te mea e kiia nei e tātou ko te 'Choroid'. Ahakoa he ahua rerekē te ingoa, he tino nui tana mahi. Nō reira, me kōrero tātou mō tēnei mea i tēnei rā, i runga i te ngāwari me te atawhai.
He whakarāpopototanga, he aha tēnei koroī?
Whakaarohia ko tō tātou kanohi he pōro e toru ngā paparanga. Ko te paparanga o waenganui ko te uvea. He wāhanga tino nui te choroid o taua paparanga o waenganui. Ko tana mahi matua he whakarato toto, koinei te kai e hiahiatia ana e ētahi atu wāhanga nui o te kanohi e tika ana mō tō tātou tirohanga. Hei tāpiri, ka āwhina hoki ki te whakahaere i te nui o te mārama e tomo ana ki te kanohi, ā, ka mārama te tirohanga.
He aha ngā mahi matua e rua o te choroid?
E rua ngā wāhanga matua o te mahi a te choroid ki ō tātou kanohi.
1. Te Putanga Toto
Koinei te mahi tino nui, tino nui hoki o te choroid. He rite ki te tipu hiko matua e tuku ana i te wai me te hiko ki te tāone. Ko te retina me te io whatu i roto i ō tātou kanohi he rite ki ngā wheketere e rua e mahi tonu ana. Nā te mea kei te tuku tonu rātou i ngā tohu ki te roro, he nui ake te toto me te kai e hiahiatia ana e rātou i ērā atu kiko.
Nō reira, kei roto i tēnei koroiroi he whatunga o ngā uaua toto angiangi, e whakatakotoria ana tetahi ki runga i tetahi. Mā roto i tēnei pūnaha uaua toto ka whiwhi tonu te retina me te io whatu i te hāora me ngā matūkai. Mēnā ka iti haere noa iho tēnei hāora, ka tino kino te tirohanga.
2. Te mimiti māramatanga
He mahi tēnei kāore i te tino mōhiotia, engari he tino hira. Kua kite koe i te pahuka pango, pūwero e piri ana ki ngā pakitara o ngā whare hopu oro hei aukati i te tangi o te oro? Koinei tonu te mahi a te choroid i roto i te kanohi.
Kua rongo pea koe i te melanin , te tae e homai ana ki tō tātou kiri te tae parauri. He nui hoki te kitea o tēnei melanin i roto i te choroid. Ka whakamahia te melanin i roto i te kiri hei tiaki i ngā hihi ultraviolet kino mai i te rā.Ka tiaki i te kiri mā te mimiti i ngā hihi UV. I roto i te kanohi, ka ārai tēnei melanin i te mārama e tomo mai ana kia kore e marara noa ki roto i te kanohi.
Hei whakamārama tika, pērā i te pango o roto o te kāmera, ka āwhina tēnei melanin i roto i te choroid i te arotahi o te mārama, ka āwhina i ngā pūtau photoreceptor i roto i te retina ki te whakaputa i tētahi ahua mārama. Ki te kore, ka marara te mārama i roto i te kanohi ki ngā wāhi katoa, ka pōuriuri te mea e kitea ana e tātou.
Kei hea tēnei kōroide?
Kei roto i ngā hautoru e rua o muri o tō tātou karu te choroid. He māmā noa iho, kei waenganui i te pakitara ma o waho o tō tātou kanohi (sclera) me te paparanga o roto o te kanohi, te retina . He rite ki te paparanga o waenganui o te hanawiti.
He kiriuhi angiangi rawa tēnei. Arā, he rite te matotoru ki tētahi pepa A4 e tāia ana e tātou. Engari i roto i taua matotoru iti ko te whatunga nui o ngā uaua toto i kōrerotia e au. I ētahi wā, pērā i ngā tohu whānau i runga i tō tātou kiri, ka taea hoki e tēnei choroid te whai tohu whānau (nevi). Kāore e taea e tātou te kite i ēnei mai i waho. Ka kitea noa ēnei ina tirohia ngā kanohi e te tākuta kanohi.
He aha ngā āhuatanga ka pā ki te choroid?
He maha ngā mea e pā ana ki te rere o te toto i roto i tō tātou tinana, pērā i ngā mate mumura, ka pā anō hoki ki te choroid. Nā te mea he mea hanga katoa ki ngā uaua toto. Ko ētahi o ngā āhuatanga matua ka kitea ko:
- Te mate kiriuhi: He mate ira e whakaiti ana i te tae melanin i roto i te kiri me ngā kanohi. Nā te korenga o te melanin ka kore e taea e ngā kanohi te aro atu ki te mārama (photophobia) ā, ka ngoikore te tirohanga.
- Ngā āhuatanga whānau: Hei tauira, ko ngā āhuatanga pēnei i te choroideremia ka pā kino ki te retina.
- Te retinopathy e pā ana ki te mate huka: Ka taea e te mate huka te kino i ngā oko toto i roto i te kanohi, ka pā hoki ki te choroid.
- Te pirau o te kanohi: Ina koa i te momo 'māku', ka tupu ngā uaua toto hou, ngoikore i roto i te choroid, ka kino pea te tirohanga.
- Matepukupuku kanohi: Ka puta pea ngā matepukupuku, inā koa ko te melanoma intraocular, i roto i te choroid.
- Te ischemia kanohi: Te ngoikore o te rere o te toto ki te kanohi, pērā i te whiu kanohi.
- Glaucoma: Ina pakaru te io whatu me te retina i te pikinga o te pēhanga i roto i te kanohi, ka pāngia hoki te choroid e te pānga ā-kore.
- Ngā whara kanohi.
- Ngā āhuatanga mumura: Te mumura me te mate pāwera o roto o te kanohi, pērā i te uveitis, te chorioretinitis rānei.
Me pēhea te tautuhi i tētahi raruraru o te choroid?
Ina he raruraru kei te choroid, ka pā tika ki tō tātou tirohanga. Nō reira, he mea tino nui kia aro atu ki ngā huringa katoa o te tirohanga.
| Ngā tohu o ngā mate e pā ana ki te choroid | |
|---|---|
| Ngā tohu e kitea whānuitia ana | |
| Ngā ira pango, ngā wāhanga rānei o te tirohanga e ngaro ana | Te putanga mai o ngā ira matapo (scotomas). |
| Te tirohanga pōuri | Te tirohanga pōuri. |
| Tirohanga taha-rua | Te tirohanga takirua (diplopia). |
| Mamae kanohi me te ānini | Mamae kanohi me te mamae upoko. |
| He uaua ki te titiro ki te māramatanga | Te aro ki te mārama (photophobia). |
| Ngā tohu ohorere e hiahia ana kia aro wawe ki te hauora | |
| Whakapairuaki me te ruaki me te mamae/pēhanga o ngā kanohi | Whakapairuaki me te ruaki me te mamae o ngā kanohi. |
| Te kite i ngā mowhiti āniwaniwa e karapoti ana i te māramatanga | Te kite i ngā āwhiowhio tae āniwaniwa e karapoti ana i ngā rama. |
| Te ngaronga ohorere, te hekenga rānei o te tirohanga | He āhuatanga ohorere tēnei e hiahia ana kia rongoatia tonutia. |
| Ngā hihi mārama ohorere i mua i ngā kanohi | Ka kite ohorere i ngā rama e kanapa ana (photopsias). |
Ki te pāngia koe e tētahi o ēnei tohu ohorere, haere tonu ki te Tari Ohorere o te hōhipera (ETU) ka toro atu ki te tākuta. He mea nui te wā i roto i ngā ohorere kanohi.
He aha ngā whakamātautau e mahia ana hei tautuhi i ēnei āhuatanga?
Ina kite koe i tētahi tohunga kanohi, ka pātai rātou mō ō tohu, ka tirotirohia hoki ō kanohi. Mēnā ka whakapae rātou he raruraru kei te choroid, ka mahia pea e rātou ēnei whakamātautau e whai ake nei:
- Whakamātautau koi o te tirohanga: He whakamātautau whānui e ine ana i te koi o tō tirohanga.
- Whakamātautau tirohanga: He whakamātautau hei tirotiro mēnā he ngoikoretanga kei roto i tō tirohanga (te tawhiti ka taea e koe te tiro me te kore e nekehia tō mahunga).
- Whakamātautau rama kuiti: I tēnei, ka tirotirohia e te tākuta te roto o tō kanohi me tētahi taputapu motuhake rite ki te karu hiko.
- Ngā whakamātautau whakaahua o te retina: Nā te hononga i waenga i te choroid me te retina, mā te tirotiro i te retina ka taea hoki te whakarato i ngā mōhiohio e pā ana ki te choroid.
- Angiography fluorescein: Ka werohia he tae motuhake ki roto i te uaua i te ringa, ā, ka tangohia he whakaahua o ngā oko toto i roto i te kanohi.
- Te Tomography Whārite Ātaahua (OCT): He rite tēnei ki te tango i tētahi matawai whakawhiti-wāhanga o roto o te kanohi. Ka taea te tirotiro i te matotoru o ngā paparanga o te kanohi, me te tirotiro mēnā he pupuhi kei roto.
He aha ngā maimoatanga mō ngā mate e pā ana ki te choroid?
He maha ngā wā, kaua e rongoā tika te korokoro, engari ko te mate pūtake e pā ana ki a ia ka rongoāhia. Ko te tikanga o tēnei, ina rongoāhia te take, ka pai ake te āhua o te korokoro. Ka rerekē pea ngā tikanga rongoā i runga i te mate.
| Tikanga maimoatanga | Hei whakarāpopototanga... |
|---|---|
| Ngā rongoā mō te glaucoma | Ngā rongoā hei whakaiti i te pēhanga kanohi, hei ārai, hei whakaiti rānei i te kino o te io whatu. |
| Ngā rongoā ārai-mumura | Ngā rongoā hei whakahaere i te pupuhi me ngā mate pāwera i roto i te kanohi. |
| Ngā rongoā ārai-VEGF | He momo rongoā (e werohia ana ki roto i te kanohi) e aukati ana i te tipu o ngā oko toto hou, ngoikore i roto i te kanohi. |
| Te rongoā mate pukupuku | Ko ngā maimoatanga mō te mate pukupuku kanohi ko te pokanga me te irahiko. |
| Ngā rongoā e āwhina ana i te rere o te toto | Ngā rongoā hei ārai i te toto totoka (ngā rongoā anticoagulant), pērā i ngā rongoā hei whakahaere i te toto totoka. |
| Pokanga kanohi | Ngā pokanga e mahia ana hei whakatika i ētahi āhuatanga kino o te kanohi. |
I runga i tō āhua, me hiahia pea koe ki ētahi atu maimoatanga, ā, ka whakamāramahia e tō tākuta ki a koe ngā taipitopito katoa.
Me pēhea te pupuri i te hauora o te choroid me ngā kanohi?
He taonga tino utu nui ō tātou kanohi. Nō reira, me ngana tātou katoa ki te tiaki i a rātou. He maha ngā mea ka taea e koe te mahi hei pupuri i te hauora o te kanohi katoa, tae atu ki te choroid.
- Whakamātautauhia ō kanohi i ia wā: Ahakoa he mōhiti āu, he mea nui kia tirohia ō kanohi e te tākuta kanohi i te iti rawa kotahi i te tau. Mā tēnei, ka taea te tautuhi i ngā raruraru i mua i te putanga mai o ngā tohu.
- Tiakina ō kanohi: Mena kei te mahi whakarewa koe, kei te mahi rānei me ngā matū, kei te mahi rānei i ngā wāhi puehu, kia mau koe i ngā mōhiti/mōhiti ārai.
- Āraia te momi hikareti me te whakamahi tupeka: Ka pā kino te momi hikareti me te ngaungau tupeka ki tō tātou pūnaha tohanga toto. Nā te mea he paparanga uaua toto te choroid, ka taea e te momi hikareti te kino tika.
- Whakahaerehia ngā mate pūmau: Mena kei a koe ngā mate pēnei i te Mate Huka me te Toto Toto , whakahaerehia kia rite ki ngā tohutohu a tō tākuta. Ki te kore ēnei mate e whakahaeretia, ka tino kino te kino o ngā kanohi.
- Kia tiakina tō hauora whānui: Ko te kai i tētahi kai taurite, te pupuri i tētahi taumaha hauora, me te whakakori tinana i ngā wā katoa, ehara i te mea he pai mō ō kanohi anake, engari mō tō tinana katoa hoki.
He wāhanga puku te choroid o te kanohi, engari he mea tino nui. Māna e whakaora te tirohanga, e āwhina hoki kia mārama te tirohanga ki te ao. Nō reira, ko tā tātou kawenga he mōhio ki tēnei āhuatanga, me te tiaki hoki i ō tātou kanohi.
Karere Tangohia ki te Kāinga
- He wāhanga nui te choroid o te paparanga waenga o roto i tō tātou kanohi e tuku toto ana ki te kanohi, e whakahaere ana hoki i te māramatanga.
- Ko te ngaronga ohorere o te tirohanga, te kitenga i ngā hihi mārama i mua i ngā kanohi, me te ruaki me te mamae o ngā kanohi, he tohu kino ēnei e hiahia ana kia rapua he awhina hauora ohorere.
- Ko te huarahi pai hei pupuri i te hauora o te choroid ko te whakahaere i ngā mate pēnei i te mate huka me te toto toto tiketike, me te tirotiro i ngā kanohi e te tākuta kanohi i ia wā.
- Ki te kite koe i tētahi huringa, i tētahi mamae rānei o tō tirohanga, kaua e ngana ki te whakatau i a koe anō, engari me kōrero ki te tākuta i te wā e taea ai.

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