Kua whakaaro koe ka pāngia tō tirohanga e tētahi harore iti i roto i te oneone? I tēnei rā ka kōrero tātou mō tētahi mea kāore i te tino rangona, engari he mea tino nui kia mōhiotia. Ko te ingoa o tēnei ko te Presumed Ocular Histoplasmosis Syndrome , arā, ko te POHS . Ahakoa he ingoa roa, kia māmā noa iho.
Tuatahi, he aha te Histoplasmosis?
He whakarāpopototanga noa iho, ko te histoplasmosis he mate pukupuku o ngā pukahukahu i puta mai i te harore e kiia nei ko te Histoplasma capsulatum . Ka kitea tēnei harore i roto i te oneone. He mea tino kitea i roto i te oneone he nui ngā paru manu, ngā paru pekapeka rānei (arā, ngā paru). He mea tino kitea i ētahi wāhi o te Hononga o Amerika, pērā i ngā awaawa o Ohio me Mississippi. Heoi anō, ka kitea anō hoki tēnei harore i ētahi atu wāhi o te ao, inā koa i ngā wāhi he nui ngā paru manu, ngā paru pekapeka rānei.
Nā, he aha te mate histoplasmosis ocular (POHS)?
Ko tēnei āhuatanga e kiia nei ko te POHS ka pā ki ngā kanohi hei toronga, hei raruraru rānei, o te histoplasmosis kotahi e pangia ai ngā pukahukahu. Ko te mea ka tupu, ka haere te harore i roto i te toto, ā, ka mutu ki muri o ngā kanohi. Koinā te wā ka tīmata ai te raruraru.
He pēhea te pānga o te ocular histoplasmosis ki ngā kanohi?
I te nuinga o te wā, kāore te harore `(Histoplasma capsulatum)` e pāngia ai te katoa ina manawahia. Mō ētahi tāngata, ka uru ki roto i te tinana ka ngaro atu, kāore he tohu. Heoi, heoi anō, ki te uru tēnei harore ki ngā kanohi, e rua ngā raruraru ka puta:
- Ko te Choroidal Neovascularization he tipu rerekē o ngā oko toto ka pā ki te mahi a te kanohi. Ahakoa he ahua uaua tēnei, i te kīanga māmā, ko te hanganga o ngā oko toto hou i roto i te kanohi te mea kāore e hiahiatia.
- Ka taea e ngā koha te puta i roto i te kanohi.
Ka pā kino ēnei e rua ki tō tirohanga.
Ko wai kei te mōrearea nui ake ki te whakawhanake i te POHS?
Kia kite tātou ko wai ka nui ake te tūponotanga ki te pāngia e tēnei mate:
- E ai ki te kōrero i mua ake nei, ko te hunga e noho ana i ngā awaawa o Ohio, o Mississippi rānei i te Hononga o Amerika he nui ake te mōrearea. Heoi, ahakoa i Sri Lanka, he mea pai kia mōhio ki tēnei mō te hunga e noho ana i ngā rohe he nui ngā paru manu me ngā paru pekapeka.
- Mō te hunga e hopu manu ana pērā i te heihei, mō te hunga e mahi ana i ngā whare heihei. He maha ngā kāinga e whāngaihia ana ngā heihei i Sri Lanka.
- Ko te hunga e mahi ana ki te oneone, pērā i ngā wāhi puehu o ngā pāmu me ngā papa hangahanga , tera pea ka pāngia rātou e te harore pērā.
- Ko te hunga e whakamahi tupeka ana, e whakamahi ana rānei i te tupeka i mua, he nui ake te mōrearea ki tēnei.
Ko tētahi atu āhuatanga mōrearea ko te ngoikore o te pūnaha ārai mate. Tērā pea nā:
- Nā ētahi mate, hei tauira, te mate rumatiki ,Mō te hunga e pāngia ana e ngā mate pēnei i te sclerosis maha.
- Mō ngā wāhine hapu.
- Mō ngā kaumātua me ngā tamariki nohinohi.
- I te wā e whakamahi ana i ētahi rongoā, inā koa ko ērā e tango ana i ngā rongoā ārai mate.
He aha i puta ai te histoplasmosis i roto i ēnei kanohi?
Kua kōrero kē mātou i mua, ka tīmata i te oneone kei reira te harore `(Histoplasma capsulatum)`. Whakaarohia, ina keri koe i tētahi mara, ina keri koe i tētahi poka, ina horoi rānei i tētahi whare heihei, ka whakaohokia te harore i roto i taua oneone ka tāpirihia ki te hau. Kātahi ka taea e tātou te manawa. Koinei te āhua o te pangia o ngā pukahukahu. Engari, kāore anō kia kitea e ngā kairangahau me pēhea te haere mai i ngā pukahukahu ki muri o ngā kanohi.
He aha ngā tohu o te POHS?
I ngā wāhanga tōmua o tēnei mate, kāore he tohu. Koinei te mea tino morearea. Heoi, ina pāngia ngā kanohi e te harore `(Histoplasma capsulatum)` ka tīmata te hanga i ngā oko toto hou e kiia nei ko `(Choroidal Neovascularization),` ka tīmata te pānga o tō tirohanga.
Tērā pea ka pāngia koe e ēnei āhuatanga:
- Ko te rerekētanga o te rahi o te mea kotahi e kitea ana e ngā kanohi e rua. Me te mea nei ka kite tetahi kanohi he iti ake, ka kite tetahi he nui ake.
- Ngā ira matapo o te tirohanga.
- Te tirohanga pōuri, te ngaro rānei o te tirohanga, kāore he mamae.
- Tērā pea kāore ngā tae e puta pērā me te mea e tika ana (tērā pea kua memeha ngā tae).
- E kanapa ana, e kimo ana rānei i mua i ngā kanohi.
- Ko ngā rārangi tika, pērā i ngā tohu rori, ngā pae matapihi, me ngā rārangi i roto i te pukapuka, he āhua totoro, he piupiu hoki te āhua.
Mena ka pāngia koe e tētahi āhuatanga pēnei, me toro atu koe ki tētahi tākuta kanohi i te wā e taea ai .
Me pēhea koe e mōhio ai mēnā kei a koe te POHS?
Ina kite koe i tētahi tākuta kanohi, ko tā rātou mahi tuatahi he tirotiro i ō kanohi, inā koa te tuara o te kanohi, kia kite ai mēnā kei a koe tētahi o ēnei e whai ake nei:
- kiko whara
- Pupuhi
He aha te mea ka tupu mēnā ka kitea ngā tohu o te mate histoplasmosis i roto i ngā kanohi?
Mena kei a koe ēnei tohu, me whakamātau pea koe i tētahi whakamātautau kanohi whānui, arā, me whakawhanui i ō kanohi ki te rongoā . Mā tēnei ka taea e koe te kite mārama ake i ngā mea kei roto i tō kanohi. Kātahi ka taea e te tākuta te rapu i:
- Ngā oko toto rerekē
- Kua kohia te wai?
- mumura
- Ngā ira mā iti
Hei tāpiritanga, ka whai koe i te fluorescein angiography.Me whai whakamātautau anō hoki koe e kīia nei ko te Fluorescein Angiography. Ko te werohanga tēnei i tētahi tae motuhake ki roto i tētahi uaua i roto i tō ringa. Ka haere tahi tēnei tae me ō toto ki ngā oko toto i roto i tō kanohi. Kātahi ka tangohia he whakaahua e tētahi kāmera motuhake. Ka āwhina tēnei ki te whakatau mēnā he oko toto hou kei a koe (Choroidal Neovascularization).
Me whiwhi maimoatanga te katoa mō te POHS?
Kāo, ehara i te mea me rongoā te katoa. Ki te kore te harore Histoplasma capsulatum e pā ki tō tirohanga, me aroturuki noa pea koe i ia wā.
Me pēhea te rongoā i te histoplasmosis o ngā kanohi?
He āhua motuhake tēnei. Kāore i te nuinga o te wā ka hoatu he rongoā ārai harore mō tēnei. Nā te mea, ahakoa he harore te take, ehara i te mate harore i roto i te kanohi, engari he tauhohenga ki taua mate.
Engari, ko te maimoatanga he aukati i te hanganga o ngā oko toto hou kāore i te rite (Choroidal Neovascularization). E rua ngā huarahi matua hei mahi i tēnei:
1. Maimoatanga anti-vascular endothelial growth factor (anti-VEGF): Ko te werohanga i tētahi matū e kīia nei ko te anti-VEGF tika ki roto i te kanohi e pāngia ana. Mā tēnei rongoā ka aukati i te tipu o ngā oko toto rerekē. Ka āwhina tēnei ki te whakaiti i ngā tohu. Heoi, tera pea ka hiahiatia he werohanga maha kia kitea ai ngā hua.
2. Whakaora photodynamic: I roto i tēnei, ka werohia he rongoā aro-mārama e kiia nei ko te verteporfin ki roto i tētahi uaua i roto i tō ringaringa. Ka herea te rongoā ki ngā oko toto rerekē o te kanohi. Kātahi ka whakamahia ngā hihi laser iti-mana hei whakahohe i te rongoā. Ka whakangaromia ngā oko toto rerekē.
Ko te mea nui, me mahi ēnei maimoatanga e rua i raro i te tirotiro a tētahi tākuta kanohi.
He aha te heke mai mō te hunga whai POHS? (Ngā Hua)
Mā te rongoā mō te histoplasmosis o ngā kanohi ka ārai i te ngaronga atu o te tirohanga. He mea pai tēnā. Heoi anō, kāore pea ētahi tāngata e taea te whakahoki katoa mai i ō rātou tirohanga o mua.
Ka pāngia rānei te hauora o ngā tamariki ā muri ake nei e ngā POHS?
Ae, ahakoa i muri i te maimoatanga angitu, ka taea tonu e ngā tohumate POHS te hoki mai anō. Heoi, ki te hoki mai anō, tērā pea kāore e tino kino pērā i mua. Ko te hunga he ngoikore te pūnaha ārai mate, ko rātou te hunga tino mōrearea ki te hoki anō ki tēnei momo mate.
Me pēhea te tiaki i a koe mai i te POHS?
Kāore e taea e tātou te kite i te harore (Histoplasma capsulatum) ina rere ana i te rangi. Nō reira, he tino uaua ki te karo i te hongi i roto. Heoi, ki te mea he nui te tūponotanga ki te pāngia koe e te histoplasmosis, he pai ake te karo i ētahi mea.
Āta karohia ēnei mea:
- Te hikoi i ngā wāhi pērā i ngā ana.Nā te mea tera pea he pekapeka kei roto, ā, he iti noa te hauhautanga.
- Te haere ki roto i te whare heihei, te iri haere i te taha.
- Te mahi me te oneone kei roto pea he paru manu, he paru pekapeka rānei.
He aha atu anō tāku e taea ai kia noho haumaru ai ahau?
Ki te uru te harore `(Histoplasma capsulatum)` ki roto i ō pukahukahu, he uaua ki te ārai i tōna horapa ki ō kanohi. Ko te mea pai ko te tirotiro i ō kanohi i ia wā. Pērā ai, ki te mea he raruraru kei ō kanohi, ka taea e koe te tautuhi i te wā tōmua.
He aha te āhua o te noho tahi me ngā POHS?
Mena kei a koe ngā raruraru tirohanga tonu, tera pea ka taea e koe te tiki āwhina mai i tētahi ratonga e kiia nei ko te whakaora tirohanga iti . Ma te kaiwhakaora hinengaro koe e ako ki ngā huarahi hei mahi haumaru i ngā mahi o ia rā. Hei tauira, tera pea ka hoatu e rātou he tohutohu ki a koe mō te whakaiti i te tūponotanga o te hinga, te paheke rānei i te kāinga.
Kia maumahara hei whakarāpopototanga (Karere hei tango ki te kāinga)
Āe, ko tāku tumanako ka maumahara koe ki ētahi o ngā kōrero nui i kōrerohia e tāua.
- He mate te POHS i puta mai i te harore e kiia nei ko te `(Histoplasma capsulatum)` e pāngia ai ngā kanohi.
- He nui rawa te kitea o tēnei harore i roto i te oneone, he nui hoki ngā paru manu me ngā paru pekapeka .
- He nui ake tō mōrearea mēnā kei te mahi koe i te taha o ngā whare heihei, kei te mahi ki te oneone, kei te whakamahi tupeka, kei te ngoikore rānei tō pūnaha ārai mate .
- Ki te pāngia koe e ngā tohu pēnei i te tirohanga pōuri, te kitenga i ngā ira pango, te kitenga rānei i ngā rārangi tika , me toro atu tonu ki tētahi tākuta kanohi.
- Ki te rongoatia i te wā tika, ka taea te ārai i te kino haere o te tirohanga.
- Ahakoa he uaua ki te tiaki katoa i a koe mai i ngā POHS, he mea tino nui kia karohia ngā āhuatanga morearea, ā, kia tirohia ō kanohi i ia wā.
Nō reira, tiakina ō kanohi. Nā te mea, ko ō kanohi te taonga tino utu nui!
` histoplasmosis, POHS, mate kanohi, mate harore, ngoikore o te tirohanga, choroidal neovascularization, hauora kanohi
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