Kei te heke te rere o te toto i roto i tō kanohi? Me ako tātou mō tēnei (Ocular Ischemic Syndrome) !

Kua ngaro whakarere tō tirohanga, kua pāngia rānei koe e te mamae rerekē, te taumaha rānei i tētahi, i ngā kanohi e rua rānei? Kua kikorangi rānei ō kanohi ina haere koe ki waho? I ētahi wā ka whakaaro tātou he taumaha noa iho ēnei o ngā kanohi, engari tera pea he mea nui ake kei muri. Koinei te Ocular Ischemic Syndrome. Ahakoa he ahua whakamataku te ingoa, me kōrero noa iho.

He aha tēnei (Ocular Ischemic Syndrome)?

Ki te whakarapopoto, he mate kanohi onge te Ocular Ischemic Syndrome e puta ana ina kore e nui te toto e tae mai ki ō tātou kanohi. Ko te nuinga o tēnei ka puta mai i ngā putunga ngako (e kiia ana ko te paraka) i roto i ngā oko toto nui i roto i tō tātou kaki e kiia nei ko te Carotid Artery. Ka tukuna hoki e ēnei oko toto te toto ki ō tātou kanohi. Nō reira, ina aukatia ēnei oko toto, ka heke te nui o te toto e haere ana ki ngā kanohi. Ka taea e tēnei te whakararu i te tirohanga me te mamae o te kanohi.

Ara, ko te tikanga o tēnei ingoa, kupu mō te kupu, penei:

• Ko te tikanga hauora o te "kanohi" he "e pā ana ki ngā kanohi".
• Ko te "Ischemic" te "Ischemia" rānei he āhuatanga e heke ai te rere o te toto nā te "atherosclerosis" (te angiangi, te whakapakeke rānei o ngā uaua). Koinei te take o te "Carotid Artery Disease" (Te Mate Carotid Artery).
• Ko te kupu "Syndrome" e pā ana ki tētahi āhuatanga e puta tahi ai ētahi tohu maha.

Nā, ko ēnei katoa i huihuia, he kohinga tohu tēnei e puta mai ana i te hekenga o te rere o te toto ki ngā kanohi. Tērā pea ka waiho tēnei āhuatanga hei tohu mō te (Carotid Artery Disease). Ka whakanui ake tēnei āhuatanga e kiia nei ko te (Carotid Artery Disease) i te mōrearea o te whiu me te mate manawa . Nō reira, he mea nui kia mōhio ki tēnei.

He aha tēnei ka puta ai? He aha ngā take o te (Ocular Ischemic Syndrome)?

E ai ki taku kōrero i mua, ko te tino take o tēnei ko te (Carotid Artery Disease) (Carotid Artery Disease) . Ka kiia hoki tēnei ko te (Carotid Artery Stenosis). Ko te tikanga o te (Stenosis) ko te whaiti, te aukati rānei i te uaua. Ko ēnei oko toto e rua e kiia nei ko te (Carotid Artery) i ia taha o tō kaki e kawe ana i te toto whai hāora ki tō mahunga, ki tō kaki, ki tō roro, me ō kanohi. Nō reira, ina tīmata te (Plaque), he matū hinuhinu, ki te hanga i roto i ēnei oko toto (e kiia ana hoki tēnei ko te (Atheroma)), ka aukatia te rere o te toto.

Ko ngā oko toto e kiia nei ko ngā (Ophthalmic Arteries) e tuku toto ana ki ō tātou kanohi ka tīmata mai i ēnei (Carotid Arteries). Nō reira, ko te tangata e pāngia ana e te (Carotid Artery Disease) kāore e whiwhi toto nui ki ōna kanohi. Ko te kore toto te pūtake o te (Ocular Ischemic Syndrome).

Haunga tēnei take matua, kei reira anō ētahi atu take kāore e kitea pinepinetia ana:

• (Te Tātaritanga o te Arteri Carotid) (he āhua rite ki te pakaru o te uaua carotid)
• Te Vasculitis (te mumura o ngā oko toto). Ko ētahi tauira ko te Takayasu's Arteritis, te Giant Cell Arteritis (GCA), me te Behcet's Disease.
• (Te Mate Pūkahukahu Muka)
• (Te kiriuhi toto)
• (Te Mate Moyamoya)

Ko wai te mea tino mōrearea?

He tino onge te mate Ocular Ischemic Syndrome, e pāngia ana e te 8 tāngata i roto i te miriona.

Ko te tikanga ka pāngia te hunga i waenga i te 50 me te 80 tau te pakeke e tēnei mate. E rua pea te nui ake o te tūponotanga ka pāngia ngā tāne i ngā wāhine .

He maha ngā āhuatanga mōrearea e pā ana ki tēnei:

• (Mate Ngākau) (Ngā mate o te pūnaha ngakau, arā, ngā mate e pā ana ki te ngākau me ngā oko toto)
• Te Mate Puku o te Arota o te Koronari (CAD)
• Mate huka
• Te toto toto tiketike (hypertension)
• Te momona, te momi hikareti, ngā mea e rua rānei.
• (Te Mate Moyamoya) (He mate anō hoki tēnei e pā ana ki ngā uaua toto e tuku toto ana ki te roro)
• Mena kua pāngia koe e te whiu i mua, e te whakaekenga ischemic poto rānei (TIA) (pēnei i te whiu poto).

He aha ngā tohu o te Ocular Ischemic Syndrome?

Kāore ngā tohu o tēnei mate e puta tonu mai. Engari ina puta mai ngā tohu, kotahi noa te kanohi e pāngia ana . Ko te nuinga o te wā ka pā tēnei mate ki tō tirohanga. Rapua ēnei tohu mēnā kei a koe ētahi:

• He mamae puhoi, mamae rawa e puta mai ana i roto i te kanohi, ka haere mai, ka haere atu i ētahi wā.
• Ka pā te mamae o te kanohi ina piki te pēhanga o te kanohi.
• Ngā kamo kua whānui (he porowhita pango i waenganui o te kanohi).
• He rite ki ngā ira pango, ki ngā miro rānei e mānu ana i mua i ngā kanohi (Eye Floaters).
• Te ngaromanga āta haere, te ngaromanga ohorere rānei o te tirohanga (Tirohanga Iti) te ngaromanga tirohanga rangitahi rānei, kātahi ka hoki mai anō (Ngaromanga Tirohanga Wā Poto).
• Te uaua ki te titiro ki te mārama, te tirohanga pōuri (photophobia).
• Te āhua nei kei te kite koe i ngā mea e rua (Diplopia).

Me pēhea te mārama o ngā tākuta ki tēnei?

He rite tonu ngā tohu o te Ocular Ischemic Syndrome ki ētahi atu mate pērā i te diabetic retinopathy me te Central Retinal Vein Occlusion (CRVO). Nō reira, he mea nui kia tika te tautuhi i te mate .

Hei tautuhi i tēnei mate, ka whakahaerehia e ngā tākuta kanohi ngā whakamātautau e whai ake nei:

• Whakamātautau kanohiHe maha ngā whakamātautau kanohi e mahia ana hei kimi i te pūtake o ngā raruraru tirohanga. Hei tauira, he whakamātautau kanohi whānui, he matawai optical coherence tomography (OCT), he electroretinography (he whakamātautau e ine ana i te mahi a te retina), me ngā pūmanawa tirohanga-whakaoho (he whakamātautau e ine ana i te mahi a te pūnaha io e pā ana ki te tirohanga).
• Angiogram Fluorescein : He whakamātautau tēnei e werohia ai he tae motuhake ki roto i te uaua i te ringa hei tirotiro i te roa o te rere o te toto i roto i ngā oko toto i roto i te kanohi, me te tirotiro mēnā kei te turuturu te toto mai i ngā oko toto.

Hei tāpiritanga, ka taea e te tākuta ngakau (he tākuta e tohunga ana ki ngā mate o te ngakau me ngā oko toto) te tono i ngā whakamātautau pēnei i ēnei hei tirotiro i te mate o te uaua carotid:

• (Te Matawai i ngā uaua toto o te Carotid Artery Duplex) (He matawai i ngā uaua toto i te kaki)
• (CT Angiogram - CTA), (Carotid Angiogram) (Auneke Resonance Angiogram - MRA) rānei (he momo matawai motuhake ēnei e tirotiro ana i te āhua o ngā uaua toto i te kaki).

He aha ngā maimoatanga mō tēnei?

He maha ngā mahi e hono tahi ana ki te rongoā i te Ocular Ischemic Syndrome. Me mahi tahi ngā tohunga ki tēnei.

Te maimoatanga mō ngā mate kanohi:

• Ngā momo werohanga kanohi: Ngā rongoā anti-VEGF, ngā steroids rānei. Ka āwhina ēnei ki te whakaiti i te pupuhi i roto i te retina.
• Ngā pata kanohi rongoā: Whakaiti i te pēhanga kanohi me te mumura.
• Tērā pea me whai maimoatanga kanohi taiaho hei ārai i te pēhanga kanohi teitei.

Te rongoā mō te (Te mate Carotid Artery):

• Ngā rongoā whakaheke toto, me ngā rongoā hei whakahaere i ngā mate pēnei i te mate huka me te toto toto tiketike.
• Te Angioplasty Carotid me te Stenting: He tikanga e pupuhihia ai tētahi oko toto kua āraia ki tētahi taputapu rite ki te poihau, ā, ka whakaurua he stent (he ngongo iti rite ki te mata) hei ārai i te aukati anō.
• Carotid Endarterectomy: He tikanga pokanga hei tango i te paraka kua hanga ki roto i te oko toto.

He aha ngā raruraru ka pā mai i tēnei?

Ehara i te mea ko te katoa e pāngia ana e te Ocular Ischemic Syndrome ka pāngia e ngā raruraru tirohanga kino tonu. Heoi, tata ki te haurua o te hunga e pāngia ana e te mate ka pāngia e te ngaronga tirohanga i roto i te tau kotahi . Waihoki, tata ki te whitu i roto i te tekau o te hunga ka pāngia e te mate e kiia nei ko te Neovascular Glaucoma. I roto i te Neovascular Glaucoma, ka puta he oko toto hou, he rerekē i roto i te kanohi, ka aukati i te rere o te wai i roto i te kanohi. Ka taea e tēnei te whakararu i te pēhanga kanohi kia tino teitei.

He aha te āhua hauora o te tangata e pāngia ana e te Ocular Ischemic Syndrome?

Ina hoki, ko te mate e kiia nei ko te (Carotid Artery Disease) e puta ai te (Ocular Ischemic Syndrome) ka mate pea . Whai muri i te tātaritanga o te (Ocular Ischemic Syndrome), i roto i ngā tau e rimaTata ki te whā i roto i te tekau ngā tāngata ka mate i te mate manawa, i te whiu rānei. Nō reira, mā te rapu wawe i te awhina hauora me te whakarerekē i te āhua noho ka nui te painga ki te tiaki i tō hauora.

He mea nui: Ehara i te mea kei te whakamataku ahau i a koe. Engari he mea tino nui kia mārama koe ki te kino o tēnei āhuatanga, ā, kia mahi i ngā mahi e tika ana.

Ka taea te ārai i te Ocular Ischemic Syndrome?

Ae, kei reira ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te whakawhanake i te (Carotid Artery Disease), ā, mā roto i tēnei, ka puta te (Ocular Ischemic Syndrome). Ko ēnei:

• Kai i ngā kai hauora mō te ngākau, pērā i te Kai Mediterranean.
• Kimihia ngā huarahi hauora hei whakahaere i te ahotea.
• Kia pai te whakahaere i te mate huka me te toto toto tiketike.
• Kia mau ki te taumaha hauora e tika ana mōu.
• Ki te kai paipa koe, tonoa he āwhina kia mutu.
• Kia kaha tonu te mahi, kia whakakori tinana hoki.

Āhea ahau me toro atu ki te tākuta?

Mena ka pāngia koe e tētahi o ēnei tohu, me toro atu koe ki te tākuta:

• Te mamae o ngā kanohi.
• He raruraru tetahi panoni o te tirohanga.

Waihoki, ki te pāngia koe e ngā tohu o te pararutiki (hei tauira, te uaua ki te kōrero, te ngoikore o te taha kotahi o te tinana, te piko o te taha kotahi o te mata), haere tonu ki te hōhipera, waea atu rānei ki te 1990.

He aha taku e pātai atu ai ki taku tākuta?

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

• He aha ahau i pāngia ai e ēnei tohu?
• He aha ngā whakamātautau me mahi e au?
• Ko tēhea maimoatanga te mea pai mōku?
• Me aha ahau hei whakapai ake i te hauora o tōku ngākau?
• He aha taku e taea ai hei tiaki i taku tirohanga?
• Me āwangawanga ahau mō ngā raruraru?

He āwangawanga nui tetahi āhuatanga e pā ana ki ngā kanohi. Mena kei a koe te Ocular Ischemic Syndrome, ko ngā panoni tirohanga pea te tohu tuatahi kua aukatihia ō oko toto, ā, kua heke te rere o te toto ki tō mahunga. He tohu anō hoki tēnei mō ētahi atu āhuatanga, pērā i te Carotid Artery Disease. Ka taea hoki e ētahi atu āhuatanga kanohi te whakaputa i ēnei tohu.

Nō reira, he mea tino nui kia kite koe i tētahi tākuta kanohi he wheako ki te tātaritanga me te rongoā i ēnei mate kanohi onge . Me kite pea koe i tētahi tākuta ngakau hei rongoā i te "Mate Carotid Artery". Mā tēnei maimoatanga ka huaki he oko toto kua āraia, ka whakapai ake i te rere o te toto ki ngā kanohi. Ka taea hoki e koe te whakarerekē i tō momo noho hei tiaki i tō ngākau me tō tirohanga.

Ko te mea nui hei maumahara (Karere hei tango ki te kāinga)

• Ko te Ocular Ischemic Syndrome he mate e puta mai ana i te hekenga o te rere o te toto ki ngā kanohi, ko te tino take ko te aukati i ngā oko toto i te kaki (Carotid Arteries).
• Mena kei a koe ngā tohu pēnei i te ngoikore o te tirohanga, te mamae rānei o ngā kanohi, me rapu tohutohu hauora koe.
• He tohu pea tēnei mō te "mate o te uaua carotid", e whakapiki ake ai i te mōrearea o te mate manawa me te whiu .
• Mā te kitenga wawe, te maimoatanga tika, me ngā huringa momo noho, ka taea te pupuri i te hauora.
• He mea tino nui kia kaua e momi hikareti, kia kai i ngā kai hauora, kia whakakorikori tinana, kia whakahaere hoki i te mate huka me te toto toto tiketike.

Mena he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki tō tākuta. Kia tere tō ora!