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!
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He mate te Ocular Ischemic Syndrome (OIS) e heke ai te rere o te toto ki te kanohi?
Āe! He tino morearea tēnei āhuatanga. Ko te 'Carotid artery' i roto i te kaki te uaua matua e kawe ana i te toto ki tō tātou roro me ngā kanohi. Ina kohikohi te cholesterol me te ngako i roto i tēnei uaua, ka tino heke te nui o te toto e haere ana ki te kanohi, ka arahi ki te matapo, ā, muri iho ka pāngia e te whiu kino.
💬 Ka puta te ngaronga ohorere o te tirohanga i tēnei?
Ko te nuinga o te tangata ka kite tuatahi kua pōuri haere te tirohanga. Engari ko te tohu tino mōrearea o tēnei ko te hekenga o te toto i roto i te kanohi ina haere rātou ki tētahi wāhi mārama (ina koa i te rā), ka puta he 'ngaronga tirohanga me te pōuri mō te wā poto' (Amaurosis fugax). I taua wā anō, tera pea ka mamae nui te kanohi katoa.
💬 Ki te kore e āwhina te mau mōhiti, me pēhea taku rongoā?
Ehara tēnei i te raruraru kanohi, engari he raruraru oko toto. Nō reira, me toro atu koe ki tētahi taote pokanga toto i tēnei wā tonu. Ko te maimoatanga tino angitu ko te matawai i te kaki me te whakanoho i tētahi stent ki roto i te uaua carotid kua āraia hei whakatuwhera anō i te rere o te toto.
` Te Mate Pukupuku Mata, Te heke o te rere o te toto ki ngā kanohi, Te Mate o te Arota Carotid, Te heke o te tirohanga, Te mamae o te kanohi, Te Mate o te Arota Carotid, Te Atherosclerosis
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