Kua rongo koe i tētahi wā, ina pānui koe i tētahi nūpepa, ina titiro rānei koe ki tētahi matapihi, ka āhua totoro, ka miro hoki ngā rārangi tika i runga? I ētahi wā ka pāngia koe e tētahi wheako ōrite ina titiro koe ki te papa taera i roto i te wharepaku. He tokomaha te hunga e whakaaro ana he raruraru tēnei ki ā rātou mōhiti. Engari ka puta pea tēnei i tētahi panoni iti i roto i te kanohi kāore e taea te whakatika mā te whakawhiti i ā rātou mōhiti. I tēnei rā ka kōrero tātou mō tēnei āhuatanga e kiia nei ko te Macular Pucker, he mea kāore anō kia rongohia e te tokomaha, engari ko ētahi kua rongo. Kaua e manukanuka, ka kōrerohia e tātou ngā mea katoa i roto i ngā kupu māmā noa iho.
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He aha te Macular Pucker?
Hei mārama ki tēnei, me titiro tuatahi tātou ki te mahi a ō tātou kanohi. Whakaarohia ō tātou kanohi he kāmera hangarau matatau. Kei muri i tēnei kāmera, he paparanga angiangi o ngā pūtau io e aro ana ki te māramatanga e mahi ana pērā i te kiriata. Ka kiia tēnei e tātou ko te retina . Ko ngā whakaahua e kitea ana e tātou ka hangaia ki runga i tēnei retina.
Ināianei, i waenganui tonu o tēnei retina, he wāhi iti kei reira ngā pūtau e aro ana ki te mārama e huihui ana, e āwhina ana i a tātou ki te kite mārama i ngā mea, ki te pānui, me te mōhio ki ngā kanohi i roto i te huarahi tino ngawari. Ka kiia e tātou ko te macula . Koinei te wāhanga matua e whai kawenga ana mō tā tātou tirohanga koi, mārama.
Ko te pūkoki o te kanohi ko te wā e puta ai he paparanga angiangi o te kiko whara, pērā i te rau cellophane, ki runga i te macula. Ka mimiti haere tēnei paparanga i te roanga o te wā. Kātahi ka totoro, ka miro hoki me te macula i raro. He rite ki te whakatakoto i tētahi atu rau ki runga i te rau moenga, ā, ka miro te rau i raro i a ia e totoro ana. Nā tēnei miro ka pōturi, ka hē te tirohanga mārama, tika. Ka karangatia hoki tēnei e ngā tākuta ko te membrane epiretinal (ERM) ko te cellophane maculopathy rānei.
I te nuinga o te wā, kāore tēnei e tino kino ki te tirohanga, engari mō ētahi tāngata, ka uaua pea te mahi i ngā mahi o ia rā.
He aha ngā tohu o te tangata he pūkoki kanohi?
Ko te tohu matua, ko te tohu tino kitea o tēnei mate ko te tirohanga hē. Arā, ko ngā mea e tika ana te āhua, he mea totoro. I roto i te rongoā, ka kiia tēnei ko te metamorphopsia . Ka pā ki te kanohi kotahi anake, engari i ētahi wā ka pā ki ngā kanohi e rua. Ahakoa ka pā ki ngā kanohi e rua, ko te nuinga o te wā ka pāngia te kanohi kotahi i te kanohi o tētahi atu.
Kei raro nei ngā tohu tino kitea o tēnei mate.
| Tohu | He whakamārama māmā |
|---|---|
| Tirohanga Pōhēhē | Ko ngā rārangi tika (ngā pae matapihi, ngā anga tatau, ngā rārangi i roto i te pukapuka) te āhua nei he totoro, he piko, he piupiu rānei. |
| Tirohanga Pōuriuri | Te whakaaro kāore e kitea mārama ngā kōrero iti, ahakoa te tata o tō titiro. Te uaua ki te pānui me te tuhituhi. |
| Tirohanga Takirua | Ina tirohia ki te kanohi kotahi, ka puta te ahua hei kanohi e rua. |
| He rerekē te rahi o ngā whakaahua. | Tērā pea ka nui ake te āhua o te ahua e kitea ana e te kanohi kotahi i te kanohi kē. |
Ko te mea nui, ko te ngaronga o te tirohanga i puta mai i te pūwero o te kanohi, kāore e taea te whakatika mā te whakamahi i ngā mōhiti kanohi noa. Mēnā kei a koe ēnei tohu, he mea nui kia toro atu koe ki tētahi tākuta kanohi.
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Check Availability →He aha te take e puta ai tēnei pūkohu kanohi? He aha ngā āhuatanga mōrearea?
Ka puta pinepine tēnei āhuatanga i te kaumātuatanga. Ko te matū rite ki te tiēre i roto i ō tātou kanohi e pupuri ana i te āhua o te kanohi e kiia ana ko te vitreous humor . I a tātou e kaumātuatanga ana, ka mimiti tēnei tiēre, ka wai, ka tīmata te wehe atu i te retina. He mea noa tēnei. Engari i ētahi wā, ina puta tēnei wehenga, ka paku pakaru te retina. I a te tinana e ngana ana ki te whakatika i tēnei kino, ka puta he kiko koha ki runga i te macula. Koinei te tino take o te pūkohu o te macular.
Haunga tēnei, he maha atu anō ngā take me ngā āhuatanga mōrearea.
- Te haehae, te wehenga rānei o te retina .
- Ngā whara kino o te kanohi (Whara kanohi).
- Pokanga kanohi: Ina koa i muri i ngā mahi pēnei i te pokanga katarata.
- Ngā mate pāwera, te mumura rānei o ngā kanohi, hei tauira, te uveitis .
- Ngā raruraru kanohi i puta mai i te mate huka (Diabetes-related retinopathy).
- Kua oti te rongoā kanohi ki te laser .
Kāore tēnei mate e horapa. Arā, kāore e taea te horapa mai i tētahi tangata ki tētahi atu.
Me pēhea te kitenga a te tākuta i tēnei?
I muri i tō kōrero mai i ō tohumate, ka tirotirohia ō kanohi e te tākuta kanohi. Hei mahi i tēnei, ka tāpirihia e rātou he pata ki roto i ō kanohi hei whakawhanui i ō karu. Mā tēnei ka taea e te tākuta te kite mārama i te retina me te macula i roto i tō kanohi.
Hei tāpiritanga, he maha ngā whakamātautau motuhake e whakamahia ana hei whakaū tika i tēnei mate.
- Whakamātautau kanohi mata Amsler: Ko te tirotiro i tētahi mata o ngā tapawhā. Mena he pūkohu tō karu, ka pīrori pea ngā tapawhā, ka miro, ā, ka kore e kitea.
- Tomography arotau whatu (OCT): Koinei te huarahi pai rawa atu, te huarahi tika hoki hei tātaritanga i tēnei mate. He rite ki te matawai CT, ka tangohia he pikitia taumira teitei o te retina i roto i te kanohi, he rite ki te wāhanga whakawhiti. Ka taea e tēnei matawai te kite mārama mēnā he paparanga kiriata kei runga i te macula, tōna matotoru, me te mea he miro te macula.
He aha ngā maimoatanga mō tēnei?
Tuatahi, ko te rongo pai , ehara i te mea ko te katoa he kiri mākū e hiahia ana ki te rongoā. Mena kāore tō tirohanga e tino pāngia, tera pea ka kī atu tō tākuta kia haere mai koe ki te tirotiro i ō kanohi i ia wā. Ko te tikanga ka aroturuki noa rātou i te āhua.
Heoi, ki te mea ka whakararuraru tō tirohanga i ō mahi o ia rā (pēnei i te pānui pukapuka, te taraiwa rānei), me rapu maimoatanga koe.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Ngā Kōwhiringa Kore-Pokanga | |
| Ngā mōhiti hou | E kore tēnei e whakaora i te pūkohu o te kanohi, engari ka taea te āwhina i te whakatika i ētahi atu raruraru tirohanga me te whakanui ake i tō tirohanga whānui. |
| He pai ngā taputapu rama me te whakanui | Ka taea te whakahaere i te pānui mā te whakamahi i ngā rama pai (ngā rama pānui) me ngā taputapu whakanui mēnā e tika ana. |
| Pokanga (Kōwhiringa Pokanga) | |
| Te tango i te Vitrectomy me te Membranectomy | Koinei te maimoatanga matua, ā, ko te mea tino whai hua mō tēnei mate. Ko te tikanga he tapahi iti rawa i te kanohi, he tango i te matū rite ki te tiēre i roto i te kanohi (vitreous), ā, he āta tango i te kiriuhi angiangi e puta ai ngā kita. He tikanga tēnei i te nuinga o te wā ka mahia i waho o te hōhipera. |
He tūponotanga kei roto i te pokanga?
Pērā i ngā pokanga katoa, he iti noa iho ngā mōrearea kei roto, engari ka whakapau kaha ngā tākuta ki te whakaiti i ēnei mōrearea.
- Te toto
- Ngā mate urutā
- Te haehae, te wehenga rānei o te retina
- Te pikinga ake o te maha o ngā katarata
- Kōhao macular
- Te pikinga o te pēhanga kanohi (Glaucoma)
Tērā pea ka pōuri te tirohanga mō ētahi rā i muri i te pokanga. Tērā pea ka pāngia koe e te mamae me te kore whakamarie o ngā kanohi. Tērā pea ka roa te toru marama ki te ora katoa, kia tino kitea ai ngā hua katoa o te pokanga.
Kaua e whakapoauau tēnei ki ētahi atu mate kanohi!
He rite tonu ngā tohu o te macular pucker ki ērā o ētahi atu mate kanohi, nō reira he mea nui kia mōhio ki ēnei rerekētanga.
He rite tonu te Macular Pucker me te Macular Degeneration?
Āe. Ahakoa e pā ana ēnei ki te macula, he rerekē ngā āhuatanga e rua. Ko te mate macular e pā ana ki te koroheketanga he āhuatanga e whakangaromia ai ngā pūtau o te macula i a tātou e pakeke haere ana. Ko te kokiri o te macular he āhuatanga e puta ai he paparanga kiko ki runga i te macula. He rite tonu pea ngā tohu, engari he rerekē ngā take me ngā maimoatanga.
He rite tonu te Macular Pucker me te Macular Hole?
Kāo. E rua ēnei āhuatanga. Ko te pūkohu he haehae. Ko te kōhao karu he kōhao tūturu i roto i te karu. I ētahi wā ka taea e te pūkohu karu te mea kia totoro te kiriuhi ka hanga he kōhao i roto i te karu. He nui ake te pānga o te kōhao karu ki te tirohanga i te pūkohu.
Āhea ahau me toro atu ki te tākuta?
Ki te kite koe i ētahi panonitanga o tō tirohanga, kaua e warewaretia. Kia mahara ki te toro atu ki tō tākuta.
Ina koa, ki te pāngia koe e te panoni ohorere o tō tirohanga, he ira pango ohorere i mua i ō kanohi, he kanohi e mānu ana, he mamae rānei o te kanohi, haere tonu ki te Tari Whawhati Tata o te hōhipera (ETU).
Ina rongo tuatahi koe mō tēnei mate e whakararu ana i te tirohanga, tera pea ka paku mataku koe. Engari kia maumahara, ko te nuinga o ngā take o te macular pucker kāore e hiahiatia he maimoatanga. Ahakoa he pera, kei reira tonu ngā maimoatanga whai hua e wātea ana. Ma tō tākuta e matapaki ngā kōwhiringa e pai ana mōu, ā, ka āwhina i a koe ki te whakatau i te mea hei mahi i muri mai. Ko te mea nui ko te tirotiro i ngā kanohi i ia wā .
Karere Tangohia ki te Kāinga
- Ko te pucker o te macular he āhuatanga e puta ai he paparanga angiangi o te kiko whara ki runga i te macula, te wāhanga o tō kanohi e kawenga ana mō te tirohanga mārama, ka meinga kia miro.
- Ko te tohu matua o tēnei he āhua kōpikopiko, he kitakita.
- Kāore e hiahiatia he maimoatanga mō te katoa e pāngia ana e tēnei mate. Ki te kore e tino pāngia te tirohanga, ka aroturukihia noa e ngā tākuta.
- Mena ka whakararuraru te tirohanga pōuri, pōhēhē hoki i ngā mahi o ia rā, ka taea e te pokanga te tango i tēnei kiriuhi me te whakaora anō i te tirohanga.
- Ki te kite koe i ētahi huringa o tō tirohanga, inā koa ko ngā mea ohorere, me toro atu ki te tākuta tonu.
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