Me ako tātou mō te Geographic Atrophy, e pā puku ana ki tō tirohanga.

Kei te ahua ngoikore haere tō tirohanga i ētahi wā, ina koa ka titiro tika koe ki mua, ā, kāore te pokapū o tō tirohanga e mārama ana, pērā i te ira pōuri? He uaua ki a koe te pānui pukapuka, te pānui nūpepa rānei, te kite rānei i ngā mea i te pōuri? Nō reira, i tēnei rā ka kōrero tātou mō te Geographic Atrophy, he mate kanohi ka pā ki ētahi tāngata kua kaumātuatia. Kaua e manukanuka, he mea nui kia mōhio koe ki tēnei.

He aha te Atrophy Whenua?

Ki te whakarapopoto, ko te Geographic Atrophy te ingoa hauora mō te wāhanga tino kino, whakamutunga o te mate kiri maroke e pā ana ki te koroheketanga (AMD), he mate e pā ana ki ngā kanohi i a tātou e pakeke haere ana. Kua rongo pea koe i te mate kiri. Koinei te wā e pakaru ai te macula , he wāhanga tino nui o te retina i roto i ō tātou kanohi.

Whakaarohia, ko ngā mea e kitea mārama ana e koe ina titiro tika koe ki mua, pērā i ngā reta ina pānui pukapuka koe, te kanohi rānei ina titiro koe ki tētahi, koia katoa ngā mea e āwhina ana te macula kia mārama ai tā tātou titiro. Nō reira, ina puta te Geographic Atrophy, ko te tirohanga pokapū te mea tino pāngia. Heoi, ko te tirohanga taha, ko ngā mea rānei e kitea ana mai i ngā taha, ka taea tonu te kite.

He maha ngā wā ka pāngia ngā kanohi e rua e tēnei āhuatanga (e rua ngā taha). Tērā pea ka pāngia te tangata e te geographic atrophy e te ira pango (scotoma) i waenganui o te kanohi ina titiro tika whakamua, ā, ka heke pea te mārama o te tirohanga.

He pēhea te noa o te Geographic Atrophy?

Neke atu i te 8 miriona tāngata puta noa i te ao e pāngia ana e tēnei mate. Ko te Geographic Atrophy he mate e pā ana ki te 20% o te hunga e pāngia ana e te koroheketanga o te kanohi (AMD). Nō reira, ehara i te mea onge.

He aha ngā tohu o te Geographic Atrophy?

I roto i tēnei āhuatanga, ka pāngia pea koe e ngā tohu pēnei i:

• Te ngaronga o te koi o te tirohanga: Hei tika ake, ka kore e tino mārama, ka kore e koi ngā mea.
• Te uaua ki te pānui, te taraiwa, me te mahi ā-ringa : He uaua pea te mahi i tētahi mahi e hiahia ana kia tika te tirohanga. He uaua pea ngā mea pēnei i te pānui i ngā tuhinga iti i roto i te nūpepa, te mātakitaki pouaka whakaata, te wero rānei i te ngira.
• He ira pōuri, he ira matapo rānei, i roto i tō tirohanga matua: Ko te wāhi anake e titiro atu ana koe ka pōuri, me te mea he wāhi takoto kau.
• Te uaua ki te kite i te wāhi pōuri : I te ahiahi, ka iti ake te kitea o ngā mea i ngā wāhi pōuri.
• Ngā tae e memeha haere ana, e kore rānei e kanapa : Ko ngā mea i ātaahua te tae i mua, tera pea ka ahua memeha haere, kua koretake te tae ināianei.

Ko te mea nui, ko te Geographic Atrophy he āhuatanga e puta ana i te mutunga o te pirau kanohi e pā ana ki te koroheketanga. Nō reira, kāore pea koe e kite i tētahi tohu i ngā wāhanga tōmua , kāore rānei koe e kite i te nui o te rerekētanga mēnā kotahi noa te kanohi e pāngia ana.

He aha ngā take o te Geographic Atrophy?

E ai ki tā mātou i kōrero ai i mua ake nei, koinei te wāhanga whakamutunga o te AMD maroke. Kāore anō kia mōhiotia e ngā kairangahau te take o ēnei huringa i roto i te kanohi kia whanake hei atrophy whenua. Heoi, e whakaaro ana rātou kei roto i tētahi tukanga e kiia nei ko te complement cascade , he wāhanga o te pūnaha ārai mate o tō tātou tinana. Ko te tikanga o tēnei, tera pea kei te hē te mahi a tētahi tukanga i roto i te pūnaha ārai mate o tō tātou tinana, ā, kei te whai wāhi atu ki tēnei kino. Hei tāpiri, ko ngā āhuatanga ira (arā, ko ngā mea e tukuna iho ana i ia whakatipuranga ki ia whakatipuranga) me ngā āhuatanga taiao, tera pea ka whai wāhi anō hoki.

Ko te mea nui kia maumahara, ehara te geographic atrophy i te mate hopuhopu . Kāore e taea te hora atu ki tētahi atu.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te geographic atrophy?

Ahakoa ka taea e te tangata te pāngia e tēnei mate, he nui ake te mōrearea o ētahi tāngata. Ko ētahi o ēnei ko:

• Ngā tāngata 60 tau te pakeke, neke atu rānei.
• Ngā Pākehā (ahakoa kāore i te tino pā tēnei ki Sri Lanka, he mea pai kia mōhio).
• Ngā tāngata he mārama ngā kanohi.
• Mena kei te pāngia tetahi o tō whānau e te mate kanohi e pā ana ki te koroheketanga, e ētahi atu āhuatanga ira rānei e pā ana ki ngā kanohi.
• Te hunga e momi hikareti ana, e momi hikareti ana rānei i mua.
• He mea tino nui mō te hauora o ngā kanohi te hunga e iti ana te kai i ngā hua me ngā huawhenua, inā koa ko ngā huawhenua rau kakariki pouri.
• Ngā tāngata e nui rawa ana te pānga o te rā.
• Ko te hunga he tirohanga 20/200, neke atu rānei (ko te tirohanga noa e kiia ana ko te 20/20).

Hei tāpiri, ko te hunga whai mate hauora kē atu pēnei i:

• Te kore kai
• Momonatanga
• toto toto tiketike
• Te cholesterol teitei
• Mate huka `(Diabetes Mellitus)`
• Te mate ngakau koronari

He aha ngā raruraru o te Geographic Atrophy?

Engari, he mea pumau te ngaronga o te tirohanga nā te ngoikore o te tirohanga whenua . Kia ngaro tō tirohanga tika, ka uaua pea te mahi i ngā mahi o ia rā pēnei i:

• Te pānui pukapuka.
• Te taraiwa.
• Te mōhio ki ngā kanohi o te tangata.
• Te mahi i ōu hiahia, i ō mahi kāinga, i ō mahi toi rānei.

Ka uaua pea te oranga i tēnei, engari he huarahi hei āwhina i a koe ki te whakatau i tēnei.

Me pēhea te tautuhi i te Atrophy Matawhenua?

Mā tō tohunga kanohi tēnei mate e tātari mā te whakamātautau kanohi me ētahi atu whakamātautau. Ka pātai atu hoki te tākuta ki a koe mō ō tohumate, mō ētahi atu mate hauora kei a koe, me te mea kua pāngia tētahi o tō whānau e ngā mate ōrite.

He aha ngā whakamātautau e mahia ana mō tēnei?

Hei tātaritanga i te atrophy matawhenua, ka tono pea tō tākuta kanohi i ngā whakamātautau pēnei i:

• Te tango whakaahua o te retina i roto i te kanohi, te autofluorescence o te fundus: He tikanga tēnei mō te tango pikitia o te retina i roto i te kanohi. I roto i tēnei, ka tiaho ētahi matū i roto i te retina, pērā i te lipofuscin , i raro i tētahi māramatanga motuhake, kāore e hiahiatia he pata kanohi. Ka āwhina tēnei ki te tautuhi i ngā wāhi kua pakaru.
• Tomography arotau whatu (OCT): He tikanga tango pikitia kore-whakaeke tēnei o te retina. Ka whakamahia te mārama whakaata. Ka tangohia he wāhanga whakawhiti o te retina, ā, ka taea te kite i te whānuitanga o te kino.
• Microperimetry : He huarahi tēnei hei whakamātautau i tō tirohanga. Ko te tikanga ka taea e koe te kite i te tawhiti e taea ai e koe te kite, me te kite rānei mēnā he ira pōuri kei roto i tō tirohanga.
• Te electroretinography maha-aroaro : I tēnei whakamātautau, ka whiti te mārama ki tō retina, ā, ka inehia te ngohe hiko hei urupare.

Ki te ahua uaua te ahua o ēnei whakamātautau, kaua e manukanuka. Mā tō tākuta koe e whakamārama i ngā mea katoa.

He aha ngā maimoatanga mō te Geographic Atrophy?

Ko te rongo pai, kua whakaaetia e te U.S. Food and Drug Administration (FDA) ngā rongoā e rua mō te wā tuatahi hei rongoā i te geographic atrophy. Ko te pegcetacoplan (SYOFOVRE™) me te avacincaptad pegol (IZERVAY™). He werohanga ā-roto ēnei. Ka taea e ēnei werohanga te whakaroa i te haere whakamua o te geographic atrophy. Ka werohangahia ēnei rongoā e tō tākuta kanohi ki roto i tō kanohi kotahi i te marama, i ia rua marama rānei.

Hei tāpiri, ka tūtohu pea tō tākuta kanohi i ētahi atu huarahi hei whakahaere i te atrophy matawhenua, pēnei i:

• Te whakaora tirohanga : Tērā pea ka hiahia koe ki ngā āwhina tirohanga, pērā i ngā mōhiti motuhake, i ngā mōhiti whakanui rānei, hei āwhina i a koe ki te mahi i ō mahi o ia rā.
• Tāpiringa AREDS2Ngā tāpiringa AREDS2: I whakamātauria ēnei tāpiringa ārai mate i roto i te Rangahau Mate Kanohi e pā ana ki te Tau. Ka whakamahia e ētahi tākuta hei rongoā i te AMD maroke. I whakaurua te beta-carotene ki roto i te tauira taketake o AREDS1 me ēnei kai. Heoi, nā te mea e hono ana te beta-carotene ki te pikinga ake o te mōrearea o te mate pukupuku pūkahukahu i roto i ngā kaipaipa, kei roto hoki i te AREDS2 te lutein , te zeaxanthin, te huaora E, te konutea waikura , me te waikura kapuriki .
• He karu tirohanga iti ka taea te whakatō (IMT): Ko te tikanga o tēnei he tango pokanga i te karu tūturu o tō kanohi, ka whakakapia ki tēnei karu tirohanga iti. Ka whakanuia e tēnei taputapu ngā mea e kitea tika ana, ā, ka arotahi ki ētahi atu wāhi o te retina e mahi pai tonu ana.

He pānga taha kei te rongoā?

Nā te mea he hou tonu ngā kano kano hou, arā, a Pegcetacoplan me Avacincaptad pegol, kei te rangahau tonu ngā tohunga i tōna whai huatanga me ōna mōrearea. I tēnei wā, e mōhiotia ana ka puta ngā pānga taha e whai ake nei:

• Mamae kanohi.
• He toto i te mā o te kanohi (Subconjunctival hemorrhage).
• Te putanga mai o ngā mea e mānu ana i roto i te wai o roto i te kanohi (vitreous humor).
• Te neovascularization o te kanohi.

He mea nui kia kōrero koe ki tō tākuta mō tēnei mea, kia whiriwhiria ai te maimoatanga e tika ana māu.

Ka taea te ārai i te Geographic Atrophy?

Ki te pono, kāore he huarahi hei ārai katoa i te memeha haere o te kanohi, nā te mea kāore e taea te ārai i te pirau kanohi e pā ana ki te koroheketanga e hua ai tēnei mate.

Heoi, ka taea e koe te whakaiti i tō tuponotanga ki tēnei. Ko te tikanga o tēnā ko te aro ki ngā āhuatanga mōrearea ka taea te whakarerekē ka taea e tātou te whakarerekē. Kāore e taea e tātou te whakarerekē i ngā mea pēnei i te tau me te iwi. Heoi, ka taea e koe te āwhina ki te whakaiti i tō tuponotanga mā te mahi i ēnei mea:

• Kāore e kai paipa. Ki te kai paipa koe, ngana ki te whakamutu.
• He pai te whakahaere i ngā mate pūmau pērā i te mate huka, te toto toto tiketike, te momona, me te cholesterol tiketike.
• Mauria ngā mōhiti kanohi he kōwhai ngā karaihe hei tiaki i ō kanohi ina haere koe i te rā.
• Mauria ngā mōhiti haumaru e tika ana i te mahi, i te wā e takaro ana i ngā hākinakina, e whai wāhi atu ana rānei ki ngā mahi whakangahau.
• Me whai koe i tētahi kai hauora me tētahi mahere whakakori tinana. Tāpirihia ngā huawhenua matomato, ngā otaota, me ngā hua ki roto i tō kai.

Ka aha mēnā kei a au te Geographic Atrophy?

I te nuinga o te wā, kāore i te tino pai te tirohanga a te hunga whai mate kiriuhi whenua. Heoi, he rerekē te pānga o te mate ki ia tangata. Kua kawea mai e ngā maimoatanga hou ētahi tumanako.

Ko te mea nui, ehara te Geographic Atrophy i te mate whakamate , ā, e kore e pā ki tō roanga o te ora.

Āhea ahau me toro atu ki te tākuta?

Mā tō tākuta kanohi koe e kī atu ki te auau o te tirotiro i ō kanohi. Mēnā ka kite koe i ētahi panonitanga ki ō kanohi, ki tō tirohanga rānei, me kōrero tonu atu ki tō tākuta .

Mena ka pāngia koe e te ngaronga ohorere o te tirohanga, e te mamae nui rānei o te kanohi, he mea nui kia rapu tohutohu hauora tonu atu.

He aha ngā pātai me pātai atu e au ki te tākuta?

Ina haere koe ki te tākuta, ka taea e koe te pātai i ngā pātai pēnei i:

• He mate kanohi tōku, he mate kanohi kē atu rānei?
• He aha ngā whakamātautau me mahi e au?
• Ka taea e au te whiwhi rongoā hou hei rongoā i te Geographic Atrophy?
• Kia hia ngā wā me tirotiro ōku kanohi?
• Ka taea e au te whai wāhi atu ki tētahi whakamātautau haumanu?
• He aha ngā huringa o ōku kanohi me tūpato ahau?
• Ka taea e koe te āwhina i ahau ki te kimi ratonga tautoko hei āwhina i ahau?

Hei whakamutunga, ngā mea hei maumahara

He mea whakamīharo kei te wātea mai ngā maimoatanga hou mō te geographic atrophy, ā, kei te haere tonu ngā rangahau. Heoi anō, he mea noa te mataku ina rongo koe kei a koe tētahi mate ka pā kino ki tō tirohanga ā-muri.

Kaua e manukanuka. Mā tō tākuta kanohi koe e kōrero atu mō tēnei mate, ngā mea ka taea e koe te tumanako, me ngā maimoatanga pai hei āwhina i a koe ki te whakahaere. He mea nui kia whai i ngā tohutohu a tō tākuta me te tirotiro i ō kanohi i ia wā . Waihoki, he tino āwhina te tautoko a tō whānau i tēnei wā.

Te Atrophy Whenua , Te Hekenga o te Macular e Pā Ana ki te Pakeketanga, AMD, Macula, Hauora o te Kanohi, Te Ngaronga o te Tirohanga, Ngā Mate Kanohi