Kei te heke haere tō tirohanga? Tērā pea he Corneal Ectasia tēnei!

Kei te ahua ngoikore haere tō tirohanga i ētahi wā? Kāore pea koe e kite mārama pērā i mua, ā, ka kikorangi ō kanohi ina titiro koe ki te mārama? Ko tētahi take pea mō tēnei he mate kanohi motuhake. I tēnei rā ka kōrero tātou mō tētahi mate pēnei, e hiahia ana kia arohia, ko te Corneal Ectasia . Kaua e mataku, ko te mea nui ko te mōhio ki tēnei.

He aha te Ectasia Corneal?

He whakarāpopototanga noa iho, ko te corneal ectasia he rōpū mate e pā ana ki te cornea (te wāhanga mārama, porowhita o mua o te kanohi, pērā i te karāhe o te kāmera). Ko te mea ka tupu i roto i tēnei ko te huri haere o te āhua o tō cornea. Ka angiangi te cornea, ka pupuhi whakamua. Whakaarohia he rite ki te poihau iti e pupuhi ana. Ka huri tēnei i te huarahi e uru ai te mārama ki te kanohi, ka puta te astigmatism (he hapa whakaata) ka piki haere i roto i te wā. Nō reira, ka iti haere te koi o tō tirohanga i roto i te wā. I te nuinga o te wā, ka pā tēnei mate ki ngā kanohi e rua, engari i ētahi wā ka pā ki te kanohi kotahi anake. Mō ētahi tāngata, he ngawari noa iho tēnei corneal ectasia , kāore e kitea e ngā whakamātautau haumanu. Engari i a tēnei e haere haere ana, ka ngoikore rawa tō tirohanga, kāore e taea e koe te kite pai ahakoa he mōhiti, he karāhe whakapā rānei. Heoi, he tino onge ngā raruraru nui pērā i te matapo, nō reira kāore he mea hei manukanuka. Heoi, ka taea e te tirohanga ngoikore te whakararuraru i ō mahi o ia rā, pērā i te haere ki te mahi me te tiaki i tō whānau. Nō reira, he mea tino nui kia tātaritatia wawetia tēnei mate me te rapu i te maimoatanga e tika ana.

He aha ngā momo o te ectasia corneal?

He maha ngā momo matua o te ectasia o te kornea . Me titiro tātou ki ēnei momo i roto i ngā kupu māmā noa iho:

Keratoconus

Koinei te momo katarata tino kitea . I roto i tēnei āhuatanga, ka angiangi te kornea, ā, ka pupuhi haere whakamua hei āhua kōne. Ko te kornea, he porowhita te tikanga, ka huri hei āhua kōne. Whakaarohia he rite ki te tihi o te kōne aihikirīmi.

Keratoglobus

I roto i tēnei, ka tino angiangi te kornea katoa, ka pupuhi whakamua hei whakauru atu. Tērā pea ka puta te kornea katoa he pupuhi, he rite ki te pōro nui.

Te pirau taha kiriuhi

I roto i tēnei, ka kitea he angiangi i te haurua o raro o te kornea, he rite ki te marama kōwhai. Nā taua angiangi ka puta te kornea ki mua mai i runga.

Te ectasia i muri i te pokanga keratorefractive

He mea motuhake tēnei. Ka puta i muri i te pokanga hei whakatika i ngā raruraru tirohanga pēnei i te myopia ( te tirohanga tata).Te mate kiriuhi o te kanohi . Hei tauira, ko te mate kiriuhi o muri i te LASIK . E kiia ana ka pāngia te tangata kotahi i roto i te 166 e te pokanga kanohi LASIK e tēnei mate. Ka pāngia hoki e tēnei mate i muri i ētahi atu pokanga kiriuhi o te kanohi, pērā i te PRK .

Te ectasia keratoplasty i muri i te urunga

I tēnei take, ka puta te ectasia hei raruraru o te whakawhitinga cornea . Ko te nuinga o te wā ka pā ki te hunga kua whakawhitinga cornea hei rongoā mō te mate keratoconus . Ka pā pea tēnei ki te 1 i roto i te 10 tāngata i roto i ngā tau 10 o te pokanga.

Ko wai te mea tino pāngia e tēnei āhuatanga?

Ka pāngia te tangata o ngā tau me ngā iwi katoa e te mate kiriuhi . Kāore e wehewehe i te tāne me te wahine. Ka tīmata pea i ētahi wā i te tamarikitanga, ā, ka haere tonu ki waenganui o te pakeketanga, ki muri rānei. Ka rerekē te tau ka tīmata ai te puta o ngā tohu (te tīmatanga) i runga i te momo:

• Keratoglobus : Ka puta te mate i te nuinga o te wā i te tamarikitanga, i te taiohitanga rānei (10 tau te pakeke).
• Keratoconus : Te tamarikitanga (te mutunga o ngā tau 10 ki te tīmatanga o ngā tau 20).
• Te pirau o te taha kiri māwhero : I ngā tau 20, 30, 40 rānei.
• Te ectasia i muri i te pokanga : I ngā wā katoa mai i ētahi marama ki ētahi tau i muri i te pokanga .

He aha ngā tohu o te Corneal Ectasia?

Kāore pea he tohu o te mate kiriuhi i ngā wāhanga tōmua. Heoi, i te whanaketanga haere o te mate, ka puta ngā tohu pēnei i:

• Ka kino haere te tirohanga i roto i te wā.
• Kanapa ina titiro ki te mārama . E ai ki ētahi he rite ki te mura o ō rātou kanohi.
• Halos : Te kitenga i ngā mowhiti huri noa i ngā rama i a koe e taraiwa ana i te pō.
• Ko te tirohanga takirua (diplopia) ko te kitenga i ngā whakaahua e rua, kaua i te kotahi.

Ko te mea tino kitea o ēnei tohu ko te hekenga haere o te tirohanga i roto i ngā tau. I te tīmatanga, he tino ngawari pea tēnei, ā, tera pea ka taea e koe te whakatika ngāwari i tō tirohanga mā te whakamahi i ngā mōhiti. Engari i roto i te wā, ka kino rawa tō tirohanga, ā, kāore e taea e ngā mōhiti, e ngā karāhe whakapā rānei te āwhina. Nā te meaKo te Corneal ectasia he āhuatanga e rerekē ai te āhua o tō cornea, ka kino ake ai te astigmatism . I ētahi momo, pērā i te keratoconus , ka puta he whara o te cornea, ka taea hoki te whakaiti i tō tirohanga.

He raruraru kino kei te pā mai i te ectasia o te cornea?

He tino onge, ka taea e te corneal ectasia te arahi ki ngā raruraru nui. Ko tētahi o ēnei ko te corneal hydrops . He āhuatanga tēnei e pupuhi ohorere ai te cornea, ā, ka wai. He āhuatanga ohorere hauora tēnei . E pāngia ana e te 3% o te hunga whai keratoconus . Ko ngā tohu o te corneal hydrops ko:

• Te tirohanga pōuri ohorere
• Te aro nui ki te mārama (ngā kanohi kikorangi)
• Kāore e taea te pupuri i te mamae o ōku kanohi.

Ki te pā mai ēnei tohu ki a koe, me haere tonu koe ki te wāhanga whawhati tata ki a koe. Kaua tēnei e whakaroa.

He aha ngā take o tēnei? He aha ngā āhuatanga mōrearea?

He uaua ki te tautuhi i te tino take o te corneal ectasia . Ko ngā mate pēnei i te keratoconus me te keratoglobus te āhua nei he whānau tonu (ko te tikanga kua pāngia pea tētahi o te whānau). Ko te ectasia i muri i te pokanga, tera pea nā te ngoikore o te cornea kāore i kitea i te wā o ngā whakamātautau i mua i te pokanga. Tērā pea ka nui ake tō tūponotanga ki te whakawhanake i te corneal ectasia mō ēnei take e whai ake nei:

• Mena kei a koe tētahi mate hononga-kopa , pērā i te mate Ehlers-Danlos .
• Mena he mate hauora tōu e mirimiri pinepine ai koe i ō kanohi. Hei tauira , te kirika tarutaru , te mate pāwera puehu, te ekisema rānei. Mā te mirimiri pinepine rawa i ō kanohi ka whai wāhi atu ki tēnei, nō reira me tūpato anō hoki koe ki tēnā.
• Ki te mau koe i ngā karaihe whakapā, inā koa ngā karaihe mārō, mō te wā roa.
• Mena kua oti koe te pokanga whakatikatika tirohanga.

Me pēhea te kimi i tēnei? (Tauātanga)

Mā ngā tohunga tiaki kanohi e tātaritanga te corneal ectasia e whai ake nei:

• OtiKa whakahaerehia he whakamātautau kanohi whānui.
• Ka kōrero rātou ki a koe, ka pātai atu mō tō hītori hauora, me te mea kua pāngia tētahi o tō whānau e ngā āhuatanga rite.
• Ka mahia ngā whakamātautau motuhake, pērā i te whakamātautau rama kutikuti ( he whakamātautau i te kanohi me te rama kutikuti motuhake) me te topography corneal ( he whakamātautau e tango ana i tētahi mahere o te mata o te cornea me te rapu i ngā huringa o tōna āhua).

" Mā te kitenga wawe i tēnei āhuatanga ka taea e tō tākuta te whakawhanake i te mahere maimoatanga tino tika māu. Koia te mea nui kia tirohia ō kanohi i ia tau, inā koa mēnā he keratoconus , he mate kanohi rānei tō tētahi o tō whānau." "He mea nui anō hoki tēnei tātaritanga i mua i te pokanga whakatikatika tirohanga pērā i te LASIK . Ka taea e te corneal ectasia, kua kitea kētia, te kino haere ahakoa he tino ngawari, ā, kāore he tohu. Nō reira, ka whakahaerehia e tō tākuta ngā whakamātautau i mua i te pokanga kia mōhio ai kei te iti tō mōrearea."

He rongoā kei te wātea mō te ectasia o te kornea?

Āe, tino tika! He maha ngā momo maimoatanga mō te Corneal Ectasia . Kei roto i ēnei maimoatanga ngā mōhiti tae atu ki te pokanga. Mā ngā tākuta kanohi e whiriwhiri te maimoatanga e pai ana mō ō hiahia takitahi. Ko te momo maimoatanga e hiahiatia ana e koe ka whakawhirinaki ki te kaha o tō āhua me te pai o tō tirohanga. Kei roto i ngā kōwhiringa maimoatanga:

Ka ahatia ngā whakaata?

Ka āwhina ngā mōhiti i a koe kia pai ake te kite , engari kāore e ārai i te whanaketanga o te mate. He maha ngā wā ka āwhina ngā mōhiti i ngā wāhanga tōmua o te corneal ectasia .

Kōrero mai mō ngā karaihe whakapā.

Pērā i ngā mōhiti, ka taea e ngā karaihe whakapā te āwhina i a koe kia pai ake te kite , engari kāore e aukati, e whakaroa rānei i te whanaketanga o te mate. Ka taea e rātou te āwhina i ngā wāhanga tōmua me ngā wāhanga taurite. He momo karaihe whakapā rerekē, tae atu ki ngā karaihe ngohengohe me ngā karaihe mārō, tae atu ki ngā karaihe scleral kua hangaia mō tēnei mate. Mā tō tākuta e whiriwhiri te mea e pai ana māu.

Āhea te wā e hiahiatia ai te pokanga?

Ko te pokanga te mea pai rawa atu mō ngā take ectasia corneal ngawari ki te kino. Ka ngana tuatahi tō tākuta kanohi ki te pupuri i tō tirohanga kia pai mō ngā mahi o ia rā mā te whakamahi i ngā taputapu māmā pēnei i ngā mōhiti me ngā karaihe whakapā. Heoi, ki te kore ngā mōhiti me ngā karaihe whakapā e whakatika tika i tō tirohanga, ki te whakaatu rānei ngā whakamātautau kei te kino haere te āhua, me pokanga pea koe.He rerekē te pokanga i ngā mōhiti me ngā karaihe whakapā. Nā te mea ka taea e te pokanga te whakaroa, te aukati rānei i te haere whakamua o te mate. Mena ka tūtohu tō tākuta kia pokanga, tera pea ka whakaaro koe he aha te momo pokanga e hiahiatia ana e koe me te aha ka whai ake. He mea nui kia whai wā koe ki te ako mō ō whiringa pokanga. He painga me ngā mōrearea o ia pokanga. Kōrero ki tō tākuta mō tēnei pokanga me te mea e tika ana māu. Ko ngā whiringa pokanga ko:

• Te whakatō mowhiti kōnea : Ko tēnei pokanga he whakatō mowhiti kirihou iti (ngā wāhanga) ki roto i tō kōnea hei whakatika i te āhua o tō kōnea. Ka āwhina tēnei ki te whakaiti i te piko o te kōnea me te arotahi i te mārama e tomo ana ki roto i tō kanohi, ka āwhina i te whakakoi i tō tirohanga. Ka kiia hoki ēnei mowhiti kōnea ko ngā Wāhanga Mowhiti Kōnea Intrastromal (ICRS) .
• Te Hononga-Whakawhiti-Kōnea (CXL) : He pokanga tino nui tēnei. Ka whakamahia te riboflavin (huaora B2) me te mārama UV hei whakapakari i ngā hononga i waenga i ngā muka collagen (ngā pūmua e homai ana i te kaha me te āhua ki te kōnea) i roto i tō kōnea. He rite ki te whakapakari i ngā pou o tētahi whare. Ka taea e te CXL te whakaroa, te aukati rānei i te haere whakamua o te ectasia kōnea . He tino āwhina mēnā ka mahia i mua i te haere whakamua o te mate.
• Te whakatō kōnea : Mā tēnei pokanga ka hoatu he kōnea hou ki a koe (mai i tētahi kaituku tangata). Ka whakamahia e ngā taote pokanga ngā kōwhiringa rerekē i runga i te kino o te kiko o tō kōnea. Hei tauira, i roto i te Deep Lamellar Keratoplasty (DALK) , ka tangohia e te taote pokanga ngā paparanga o runga me waenganui o te kōnea anake, ka waiho te paparanga hauora i raro ( te endothelium ) kia kore e pakaru. He tikanga tēnei he iti ake te mōrearea o te whakakorenga atu i te keratoplasty werohanga (e whakakapi ana i ngā paparanga katoa o te kōnea).

Nā, he aha te mea ka tupu i muri i tēnei āhuatanga? (Outlook)

Ko tō tākuta te tangata pai rawa atu hei pātai atu mō tō hauora me ngā āhuatanga o te heke mai. E mōhio ana ia ki te āhua o ō kanohi me tō hītori hauora. Ka taea e ia te kī atu ki a koe he aha ngā mea hei tumanakohia i runga i tō hītori me ngā hua o te whakamātautau. Mena he pātai, he āwangawanga rānei āu, kaua e mangere ki te tono whakautu.

He aha ngā huarahi hei whakaiti i tēnei mōrearea?

Engari, kāore e taea te ārai i te nuinga o ngā momo mate kiriuhi o te kornea . Heoi anō, mā te kitenga wawe ka āwhina i a koe ki te whiwhi maimoatanga i te wā tika, me te karo i ngā āhuatanga ka kino ake te āhua.Ka taea e koe te mahi i ēnei e whai ake nei hei whakanui ake i tō tupono ki te kitea wawe:

• Me whakamātau koe i tō kanohi i ia tau.
• I mua i te pokanga whakatikatika tirohanga, pātai atu ki tō tākuta mō te mōrearea o te corneal ectasia .
• Kimihia mēnā kua pāngia tētahi o tō whānau tūturu e te corneal ectasia (tuhia atu hoki ēnei mōhiohio ki tō tākuta).

Me pēhea taku tiaki i ahau anō?

Ko te nuinga o ngā huringa āhua noho kāore he pānga nui ki te corneal ectasia . Heoi, mā te mirimiri i ō kanohi ka kino ake ētahi momo corneal ectasia. He mea tino nui tēnei. Ngāna kia kaua e mirimiri i ō kanohi i ngā wā katoa e taea ana. Mena he uaua ki a koe te mahi i tēnei, he mate pāwera rānei te take, kōrero ki tētahi tākuta kanohi, ki tētahi tākuta tiaki tuatahi rānei. Ka taea e rātou te tuku tohutohu ki a koe, ā, ki te tika, te tohu rongoā. Hei tauira, ka taea e ētahi rongoā mate pāwera (antihistamine) te āwhina ki te whakaiti i te hiahia ki te mirimiri i ō kanohi.

Āhea ahau me kite i te tākuta?

Mā tō tākuta koe e kī atu ki te auau o tō haerenga mai mō ngā tirotiro ā-muri. Ka whakawhirinaki tēnei ki te momo corneal ectasia kei a koe, tōna kaha, me te maimoatanga e whiwhi ana koe. Me haere pea koe mō ngā tirotiro ā-muri i ia toru ki te ono marama kia kite ai mēnā kei te kino haere te āhua. Mā ēnei tirotiro ā-muri ka āwhina i tō tākuta ki te whakatau i te wā pai hei tīmata maimoatanga. He mea nui kia mau tonu ō whakaritenga katoa. Ka aro turukihia tō āhua e tō tākuta, ā, ka mahia ngā whakamātautau e tika ana hei whakarite i tō maimoatanga. Hei tiaki i tō tirohanga mō te corneal ectasia i ngā wā katoa e taea ana, me tino tupato koe ki tō maimoatanga me tō tirotiro ā-muri. Mēnā ka pāngia koe e ngā tohu o te corneal ectasia , arā, kei te kino haere tō tirohanga, waea atu ki tō tākuta tonu, ka whakarite i tētahi wā, ahakoa kei te wā tonu mō tō whakamātautau kanohi ā-tau.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Mena kei a koe tētahi o ēnei tohu , haere tonu ki te rūma whawhati tata o te hōhipera :

• Mena ka pāngia koe e te mamae kanohi ohorere, kino rānei.
• Kāore he aha mēnā ka pōuri whakarere tō tirohanga, ka puta rānei ngā mea kia rua ngā wāhanga.
• Ki te pupuhi te kanohi (edema) , arā, ki te rahi haere me te mea kua kī i te wai.

He tohu pea ēnei mō tētahi āhuatanga ohorere hauora, pērā i te hydrops o te cornea, e hiahia ana kia rongoatia tonutia.

He aha te rerekētanga i waenga i te corneal ectasia me te keratoconus?

He ngāwari noa iho te whakapoauau i ēnei kupu e rua, kāore? Ko te Corneal Ectasia tePērā i te maru matua. Ko te tikanga he kāwai nui, he rōpū mate. Ko te Keratoconus tētahi momo o te corneal ectasia , ā, koia hoki te momo tino noa . E whakaatu ana ngā rangahau tata ki te kotahi i roto i te 400 tāngata, kotahi rānei i roto i te 2,000, he keratoconus . Heoi, e kī ana ētahi rangahau ko te maha tuturu o ngā tāngata me tēnei mate he nui ake i ēnei tatauranga. Ka taea e te corneal ectasia te whakararuraru, te manukanuka, me te pouri i a koe e mahi ana, e tiaki ana i tētahi whānau, e haere noa ana rānei i tō oranga o ia rā. Engari ko te rongo pai ko ngā kōwhiringa maimoatanga kei te whakapai ake i ia rā, i ia rā. Ka hoatu e ētahi pokanga he whai wāhi ki a koe ki te whakaroa, ki te aukati rānei i te haere whakamua o te mate. Kōrero ki tētahi tākuta kanohi mō te huarahi pai mōu.

Nā, he aha ngā mea hei maumahara mā tātou i ēnei mea katoa?

• Ko te Corneal ectasia he āhuatanga e angiangi ai te cornea o te kanohi, e pūwero ana ki mua, ka whakararu i te tirohanga. Ko te Keratoconus te momo tino kitea o tēnei.
• Mena kei a koe ngā tohu pēnei i te ngaro haere o te tirohanga, te aro nui ki te mārama, te kite rānei i ngā mowhiti i te taha o ngā mārama , me toro atu koe ki tētahi tākuta kanohi.
• He mea tino nui te kitenga wawe me te maimoatanga tika. Ka āwhina tēnei ki te ārai i te hekenga o te tirohanga.
• Ko ngā kōwhiringa maimoatanga ko ngā mōhiti, ngā karaihe whakapā, me ngā momo pokanga (pēnei i te `Corneal Cross-Linking`, `Corneal Rings`, `Cornea Transplant`) . Mā tō tākuta e whakatau te mea pai mōu.
• Kaua e mirimiri i ō kanohi. Ka kino ake pea te āhua.
• Kaua e wareware ki ngā whakamātautau kanohi ā-tau, ina koa mēnā kei roto i tō whānau ēnei āhuatanga.
• Ki te pāngia koe e te mamae nui o ngā kanohi, te pōuri o te tirohanga, te pupuhi rānei o tō kanohi , he āhuatanga ohorere tēnā. Haere tonu ki te hōhipera.

He tino taonga ō kanohi. Nō reira, ki te kite koe i tētahi panoni iti noa iho o tō tirohanga, me tiaki. Kaua e wehi ki te kōrero ki te tākuta. Mā te maimoatanga wawe ka nui te hua ka puta.

Ectasia Corneal, Keratoconus, Ngaronga o te Tirohanga, Cornea, Ngā Mate Kanohi, Ngā Hapa Tirohanga, Te Whakatō Cornea