Whakaarohia te oho ake i tētahi ata ka kite koe i tētahi o ō kanohi he whero, he pupuhi, ā, kāore e taea te kite mārama. Tērā pea ka kite koe i tētahi ira mā, kapua e puta mai ana i roto i tō kanohi. He mea whakamataku, he mea āwangawanga hoki ēnei wheako. I tēnei rā, ka kōrero tātou mō tētahi āhuatanga ka puta ai ēnei tohu: Corneal Hydrops . Kaua e mataku; ka whakamāramahia e mātou tēnei i roto i ngā kupu māmā, mārama hoki, hei āwhina i a koe ki te mārama ki te mea kei te tupu pea.
He aha te Corneal Hydrops, ā, he aha i puta ai?
Ki te whakarapopototanga, ka puta te Corneal Hydrops ina pupuhi tō cornea — te hanganga mārama, rite ki te karāhe mataara e kapi ana i te taha mua o tō kanohi — i te wai, he rite ki te poihau e kī ana i te wai.
Hei mārama ki te take o tēnei, me titiro tātou ki te hanganga o te kornea. He maha ngā paparanga, ā, ko te paparanga o roto rawa he kiriuhi angiangi, tino ngawari e kiia nei ko te kiriuhi Descemet . Mēnā ka puta he roimata, he kapiti rānei i roto i tēnei kiriuhi, ka turuturu te wai mai i roto i tō kanohi (te wai o te kanohi) ki roto i te paparanga waenga o te kornea, e mōhiotia nei ko te stroma . Whakaarohia he rite ki te hautai e mimiti ana i te wai; ka mākū te stroma, ka pupuhi te kornea, ka kapi hoki i te kapua. Koinei te mea e kiia nei e tātou ko ngā Hydrops o te Kornea.
Haunga tēnei pupuhi, tera pea ka pāngia koe e te mumura, te whero, me te mamae. Nā te nui o te wai e puta mai ana, tera pea ka kite koe i tētahi ira mā-waikura i roto i tō kanohi, ā, ka pōuriuri, ka pōuri rānei tō tirohanga .
I te nuinga o te wā ka puta ohorere te mate kiriuhi. Tērā pea ka moe koe me te pai o te āhua, ā, ka ara ake me te pupuhi nui me ngā panoni tirohanga. Koia te take e whakamahia ai e ngā tākuta te kupu "acute" hei whakaahua i tēnei mate, e kīia ana ko te "Acute Corneal Hydrops" .
He maha ngā wā ka puta ake tēnei āhuatanga hei raruraru i roto i te hunga kua pāngia e ngā āhuatanga whakarerekē āhua o te kornea, e mōhiotia whānuitia ana ko te corneal ectasias , pērā i te Keratoconus .
Ahakoa ka taea e ngā Corneal Hydrops te whakakore i ētahi wā, kaua rawa koe e whakatau i ō ake whakatau hauora . Mena ka pāngia koe e ēnei tohu, tēnā whakapā atu ki tētahi tākuta kanohi tonu. Ko rātou anake ka taea te tautuhi tika mēnā he Corneal Hydrops, he mate kē atu rānei, ā, ka whakatau i te mahere maimoatanga pai rawa atu māu.
He pēhea te noa o te mate Hydrops o te Cornea?
E ai ki ngā rangahau, 0.2% ki te 2.8% o te hunga whai Keratoconus ka pāngia e te Corneal Hydrops. Ahakoa ehara i te mea tino noa, he mea nui tēnei hei tūponotanga mā te hunga kua tāpaetia he Keratoconus.
Te āhua nei he paku noa ake te kitea i roto i ngā tāne i ngā wāhine , ā, ko te nuinga o te wā ka pāngia ngā taiohi kei waenganui i ngā tau 20 me te 30.
He aha ngā tohu o te Corneal Hydrops?
Ahakoa kāore pea ētahi tāngata e whakaatu i ngā tohu e kitea whānuitia ana, ka kitea e te nuinga ētahi tohu. Kia tūpato ki ēnei:
- Te ngaronga ohorere o te tirohanga : Tērā pea ka pōuri, ka pōuri rānei tō tirohanga mārama i mua.
- He ira mā, he rite ki te miraka i roto i te kanohi: Ko te wāhi o te kornea i kohia ai te wai ka ahua pōuriuri, he mā rānei.
- Mamae kanohi : Ka pāngia pea ētahi tāngata e te mamae nui, te koretake rānei.
- Te aro nui ki te mārama (photophobia): Tērā pea ka tino kanapa ngā mārama, ka mamae rānei te titiro atu.
- Whero o ngā kanohi : Tērā pea ka kitea te whero o te kanohi e pāngia ana.
- Ngā kanohi waiwai: Tērā pea ka rite koe ki te mea kei te tangi tonu koe.
- Te uaua ki te mau i ngā karaihe whakapā: Ki te mau koe i ngā karaihe whakapā, tera pea ka mamae, ka kore rānei e taea te whakauru.
Ki te pāngia koe e tētahi o ēnei tohu, ko te tohutohu pai rawa atu ka taea e au te hoatu ki a koe ko te whakapā atu ki tētahi tohunga kanohi i taua wā tonu .
He aha i puta ai ngā Hydrops o te Cornea?
Kāore te Corneal Hydrops e horapa, pērā i te makariri noa. E whakapono ana ngā tohunga hauora he maha ngā āhuatanga e whai wāhi ana ki tōna whanaketanga:
- Te angiangi o te kornea: Ina tino angiangi, ina ngoikore rawa te kornea, ka piki ake te tūponotanga ka pakaru te kiriuhi o Descemet.
- Ngā panonitanga o te āhua o te kornea (Corneal ectasia): Ka ngaro te āhua porowhita tūturu o te kornea i ngā āhuatanga pēnei i a Keratoconus , ā, ka pupuhi hei kōne. Ka taumaha te kiko i runga i ēnei āhua rerekē, ka ngāwari ai te pakaru.
- Te mirimiri pinepine i ngā kanohi: He maha ngā tāngata e whai tikanga ana ki te mirimiri kaha i ō rātou kanohi. He tino kino tēnei; ka taea e te pēhanga te whakararu i te kornea, ka pakaru te kiriuhi angiangi.
Ko wai kei te mōrearea nui ake ki te mate Corneal Hydrops?
He nui ake te mōrearea o ētahi tāngata i ētahi atu, tae atu ki:
- Ngā tāngata whai mate kiriuhi: Ko te hunga kua tāpaetia ki te Keratoconus te hunga tino mōrearea.
- Ngā tāngata whai atopy: Ko te atopy he mate pāwera, he pūnaha ārai mate urupare tere rānei. Nā te mea he maha ngā wā ka pāngia ēnei tāngata e te mākūkū o ngā kanohi, ka ngāwari ake rātou ki te mirimiri i ngā kanohi.
- Ngā tāngata whai Down syndrome : He nui ake te hononga o te hunga whai Down syndrome ki te Keratoconus, ā, nō reira, he nui ake te tūponotanga ki te whakawhanake i te Corneal Hydrops.
He aha ngā raruraru pea ka pā mai i te Corneal Hydrops?
I te wā e pāngia ana koe e te Corneal Hydrops, ka raru pea tō tirohanga. Hei tāpiri, ki te roa te pupuhi (edema corneal) me te kore e tika te whakahaere, ka arahi pea ki te neovascularization (te tipu o ngā oko toto hou, rerekē) . Kāore ēnei oko toto e tika ana mō te cornea mārama, ā, ka ārai pea i te tirohanga. Tērā pea ka arahi hoki ki te whara tuturu o te cornea.
Me pēhea te tautuhi i te Corneal Hydrops?
Ina kite koe i tō tākuta kanohi, ka matapakihia tuatahitia e rātou ō tohu me tō hītori hauora. Kātahi ka whakahaerehia he whakamātautau kanohi whānui. I te nuinga o te wā, he rawaka tēnei whakamātautau hei tātaritanga i te Corneal Hydrops.
He aha ngā whakamātautau e whai wāhi ana?
Mena ka hiahia tō tākuta ki ētahi atu kōrero, ka tūtohu pea rātou i ētahi atu whakaahua tātaritanga, i ētahi atu whakamātautau rānei hei aromatawai i te whānuitanga o te kino.
- Te Tomography Whakakotahitanga Ātaahua o te Wāhanga Anterior (AS-OCT): Whakaarohia tēnei hei matawai taipitopito o mua o tō kanohi. Mā tēnei ka taea e tō tākuta te whakaū i te mate o te Corneal Hydrops, te ine i te whānuitanga o te pupuhi, me te aroturuki i te ahunga whakamua o tō whakaora.
- Ultrasound biomicroscopy (UBM): Ka whakamahia te hangarau ultrasound hei whakarato i te tirohanga tino taumira, hei āwhina i te tautuhi i ngā pakaru i roto i te kiriuhi Descemet.
- Tomography: Mā tēnei matawai ka kitea he mahere 3D mārama o te āhua me te matotoru o tō cornea.
- Whakamātautau Seidel: Ka tirohia e tēnei whakamātautau māmā te turuturu o te wai mai i tō kanohi.
Kāore he werohanga i roto i ēnei whakamātautau, ā, kāore he mamae, nō reira kāore he take e manukanuka ai. Mā tō tākuta koe e whakamārama mārama i ia taahiraa.
He aha ngā maimoatanga e wātea ana mō te Corneal Hydrops?
Ko te maimoatanga mō te Corneal Hydrops he rongoā, he pokanga rānei i ētahi wā. Hei tāpiri, ka rongoā pea tō tākuta i te mate taketake i whai wāhi ki tēnei, pērā i te Keratoconus.
Maimoatanga Hauora
Mena he iti noa te haehae o te kiriuhi o Descemet, ā, ka taea te whakahaere i te pupuhi, ka tohua e ngā tākuta he rongoā ā-papa.
- Ngā pata tote hypertonic: He nui ake te kukū tote o ēnei pata, ka āwhina i te tango i te wai nui mai i te stroma o tō cornea hei whakaiti i te pupuhi.
- Ngā pata steroid: Ka whakamahia ēnei hei whakamarie i te mumura i roto i te kanohi.
- Ngā pata whakaheke pēhanga: Ki te piki ake tō pēhanga kanohi, ka āwhina ēnei pata ki te pupuri i tōna pēhanga ki te awhe haumaru.
- Ngā pata paturopi: Ka tohua ēnei hei ārai i ngā mate pāwera pea.
- Ngā pata whakawhanui: I ētahi wā, ka whakamahia ngā pata e whakawhanui ana i te kamo hei whakaora i te mamae.
He mea nui kia tika te whai i ngā tohutohu a tō tākuta, ā, kia rite ki te wā i whakaritea ai te whakamahinga o ēnei pata.
Āhea te wā e hiahiatia ai te pokanga?
Mena he nui te haehae o te kiriuhi Descemet, he nui te pupuhi, he tūponotanga rānei ka pakaru te kornea, ka tūtohu pea tō tākuta kia pokanga. Ko te whāinga o ēnei tikanga he hiri i te haehae me te aukati i te turuturu wai. I ētahi wā, ka whakaurua he mirumiru hau ki roto i te kanohi hei āwhina i te pupuhi kia tere ake te memeha. I ngā wā onge, kino hoki, ina whakaroahia te maimoatanga, ka puta pea ngā uaua toto rerekē, ā, me nui ake te tiaki motuhake.
Ka taea e koe te ārai i te Corneal Hydrops?
Mena kei a koe tētahi mate pēnei i a Keratoconus, kōrerohia te 'Crosslinking' ki tō tohunga kanohi. Ka taea e tēnei tikanga te āwhina i te whakau i tō cornea, me te whakaiti pea i te mōrearea o ngā raruraru pēnei i a Corneal Hydrops. Ahakoa kāore e taea te ārai katoa i ngā take whakapeka, ka taea e koe te whakaiti i tō mōrearea mā te karo i te mirimiri i te kanohi . Mena kei te pāngia koe e ngā mate pāwera ā-wā, e ngā riri kanohi mau tonu rānei, rapua he maimoatanga—ko te pupuri i ō ringaringa kia matara atu i ō kanohi te huarahi pai rawa atu hei tiaki i tō hauora kanohi.
Kia pēhea te roa o te wā e ora ai, ā, he aha te tirohanga?
Ahakoa ka taea e tō tākuta te rongoā i te Acute Corneal Hydrops, tera pea ka toe tonu ētahi tohu o te kornea, ka pā pea ki tō tirohanga. Mēnā ka puta tēnei, ka kōrero pea tō tākuta mō ngā kōwhiringa pēnei i te whakawhitinga kornea. I a koe e ora ana, ā, i muri i tō whakaoranga, he mea nui te haere ki ngā wā tirotiro katoa . Ka roa pea te ora mai i ētahi wiki ki ētahi marama, i runga i te kaha o te pupuhi me te urupare whakaora ahurei a tō tinana.
Me pēhea e taea ai e koe te tiaki i ō kanohi?
- Kaua e mirimiri i ō kanohi: Koinei te ture tino nui. Ki te mākūkū koe, whakamahia ngā pata kua tohua.
- Puritia ngā wā tirotiro katoa: He mea nui te aroturuki tonu kia ora ai koe.
- Whakahaerehia ngā mate huna: Mena kei a koe te Keratoconus, tētahi atu mate kanohi rānei, me piri tonu ki tō mahere maimoatanga.
Āhea koe me rapu awhina āwhina ohorere?
Mena ka pāngia koe e tētahi o ngā mea e whai ake nei, rapua tonutia he awhina hauora i te tari urupare:
- Te ngaronga ohorere, nui o te tirohanga.
- Te mamae nui o ngā kanohi, e kore e taea te manawanui.
- Ngā tohu o te mate kino (hei tauira, te kirika ohorere, te makariri rānei).
- He rerenga rerekē, he pūhā rānei mai i te kanohi.
Kaua e whakaroa; he mea nui te wawaotanga wawe i roto i ēnei āhuatanga.
Ka taea e au te mau karaihe whakapā me te Corneal Hydrops?
He mea whakararuraru te mau i ngā karaihe whakapā i te wā e pāngia ana koe e te Corneal Hydrops, ā, ka mamae pea . Me mutu tonu te mau i aua karaihe. Kia ora tō kanohi, ka whakamōhio atu tō tākuta ki a koe mēnā he haumaru te hoki ki te whakamahi i ngā karaihe whakapā, ā, āhea hoki.
He mea maori te manukanuka ina pōuri te tirohanga, ina mamae rānei te kanohi. He tohu pea ēnei tohu mō te Corneal Hydrops. Ki te kite koe i ēnei huringa, me toro atu ki tō tākuta kanohi tonu kia taea ai e rātou te tautuhi i te take me te tīmata i te maimoatanga e tika ana hei tiaki i tō tirohanga.
Karere Tangohia ki te Kāinga
Hei whakarāpopototanga, anei ngā mea me maumahara koe mō te Corneal Hydrops:
- He pupuhi ohorere tēnei o te korēne i puta mai i te pakaru o te kiriuhi o roto (te kiriuhi o Descemet).
- Ngā tohu matua: Te pōuri ohorere o te tirohanga, ngā ira mā o te kanohi, te mamae, me te aro ki te mārama.
- Ko ngā rōpū mōrearea nui ko te hunga whai Keratoconus, ko te hunga rānei e mirimiri pinepine ana i ō rātou kanohi.
- Ki te kite koe i ngā tohu, me toro atu ki te tākuta kanohi tonu.
- Kei roto i ngā maimoatanga he pata rongoā tae atu ki te pokanga.
- Kaua e mirimiri i ngā kanohi, ā, me whai i ngā tohutohu hauora kia tere ai te whakaoranga me te haumaru hoki.
He mea utu nui tō tirohanga. Kaua e mangere ki te pātai atu ki tō tākuta mō ngā pātai katoa e pā ana ki a koe i a koe e haere ana.
