Kia ako tātou i te tikanga mō te glaucoma koki tuwhera!

Kua whakaaro kē koe ka pāngia ō tātou kanohi e ngā mate puku, me te kore whakatūpato? Tērā ētahi mate kanohi kāore tātou e mōhio kei te haere mai, ā, i te wā e mōhio ana tātou, kua puta kē te kino. Ko tētahi mate kanohi e puta puku mai ana, e kino ana ki tō tātou tirohanga, ā, he mea noa i waenga i te tini o te tangata, ko te glaucoma koki tuwhera . Me kōrero taipitopito tātou mō tēnei i tēnei rā, he mea nui rawa te mōhio ki tēnei.

He aha te Glaucoma Koki Tuwhera?

Ki te whakarapopoto, ko te Glaucoma Koki-Tuwhera te momo glaucoma tino noa. Ka puta mai i te kino o te io whatu i roto i tō kanohi. Whakaarohia he pūnaha rerenga wai iti i roto i tō kanohi. Koinei te wāhi e ringihia ai te wai i hangaia i roto i te kanohi (e kiia ana ko te waiora wai). I roto i te Glaucoma Koki-Tuwhera, ka tīmata te aukati i tēnei pūnaha rerenga wai. Kāore koe e rongo i te āhua.

Ina kore e taea e tēnei wai te mimiti tika, ka tīmata te kohikohi ki roto i te kanohi. Ka piki ake te pēhanga i roto i te kanohi (te pēhanga o roto o te kanohi - IOP). Ka kiia tēnei ko te toto toto tiketike o te kanohi. Ko tēnei pēhanga kua piki ake te kino o te io whatu i whakahuatia ake nei.

Ko te Glaucoma Koki-Tuwhera he mate e tino puhoi ana te whanaketanga, kāore he tohu i te tīmatanga. Ka piki haere, ā, ka memeha haere tō tirohanga. Kia mōhio koe, kua tino pakaru pea tō tirohanga. Kāore e taea te whakakore i tēnei kino. Koia te take he tino morearea. Ko te kaupapa matua o te maimoatanga he whakaiti i te pēhanga i roto i te kanohi, me te aukati i te kino haere o te mate. Ki te kore e rongoatia, ka arahi pea tēnei mate ki te matapo.

He aha te pānga o tēnei ki tō tirohanga?

Ka tīmata te Glaucoma Koki Tuwhera mā te ngaronga o te tirohanga i te rohe e karapoti ana i tō tirohanga , e kiia nei ko tō tirohanga taha . Me te mea nei kei te pōuri haere te tirohanga i ngā taha e rua, ā, kei te whaiti haere i waenganui. He tirohanga kei ngā kanohi e rua o te nuinga o te tangata, engari he kino ake te āhua o tētahi kanohi i tētahi atu. Koia te take he uaua ki te kite i te mate i ētahi wā. Nā te mea ko te kanohi e kite pai ake ana ka whakaea te ngaronga o te tirohanga i tētahi atu kanohi.

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He aha ngā tohu o te Glaucoma Koki Tuwhera?

He tokomaha te hunga kāore e kite i ngā tohu tae noa ki te pakaru nui o ō rātou tirohanga. Engari i ētahi wā, ka kitea ngā tohu mai i ngā mea iti pēnei i:

• Ina heke koe i te arawhata, ka ngaro pea i a koe tetahi kaupae.
• Ina pānui pukapuka, nūpepa rānei, ka ngaro ētahi reta i roto i ngā kupu.
• I te wā e taraiwa ana i tētahi waka, ka uaua te pānui i ngā papa tohu me ngā ingoa o te rori.
• I te pōuri o te mārama, hei tauira i te ahiahi, kāore e kitea mārama ngā mea, ā, ka uaua ki te wehewehe i waenga i ngā tae.

Ina tirohia ō kanohi e tō tākuta kanohi, ka kitea pea e rātou ngā hapa o te tirohanga penei:

• He hapa o te takahanga ihu : He pōuri te tirohanga ki te ihu.
• Ira matapo āwhata ((Arcuate scotoma)): He ira pōuri piko kei te tihi, kei raro rānei o te tirohanga.
• Ira matapo paracentral ((Paracentral scotoma)): He ira pōuriuri porowhita, iti nei e tata ana ki te pokapū o te tirohanga.
• Te hapa o te taringa : He wāhi pōuri, tapatoru, e āhua ana kei te taha o te taringa.

I te haere whakamua o te mate, ka āta whanake haere tētahi āhuatanga e kiia nei ko te tirohanga kauhanga , e mea ana kia kite koe me te mea kei te titiro koe mā roto i tētahi ngongo.

He pēhea te kino o te Glaucoma Koki Tuwhera?

He mate āta haere te Glaucoma Koki Tuwhera, engari he tino mate kino. He mate kino tēnei nā te mea ka kino pea tō tirohanga i mua i tō mōhio. Kaua e manukanuka, ka taea e te maimoatanga te aukati, te whakaroa rānei i te haere whakamua o tēnei mate. Heoi, ki te kore e rongoatia, ka arahi pea ki te ngaronga o te tirohanga, tae atu ki te matapo.

Kāore he mamae o tēnei mate i te nuinga o te wā. Heoi, ka pāngia ētahi tāngata e te raruraru e kiia nei ko te retinal venous occlusion . Mēnā ka pērā, ka mamae pea ngā kanohi, ka ngaro pea te tirohanga. He uaua hoki te rongoā.

He aha tēnei ka puta ai (te Glaucoma Koki Tuwhera)?

E kīia ana he pūnaha rerenga wai ā-taiao tō ō tātou kanohi hei tango i ngā wai e whakaputaina ana e te kanohi. Ka puta te karuākōma ina he raruraru kei roto i tēnei pūnaha rerenga wai, ka puta ai he wai ki roto i te kanohi. Ka piki ake te pēhanga i roto i te kanohi, ka kino hoki te io whatu.

I ētahi wā ka kitea te raruraru o te pūnaha rerenga wai, i ētahi wā kāore. I roto i te glaucoma koki tuwhera, te āhua nei kei te tuwhera te koki rerenga wai i roto i te kanohi, ā, kei te pai te mahi. Heoi, he ātete kei roto. E whakapono ana ngā tohunga kei roto i te whatunga trabecular te raruraru. He kiko rite ki te hautai tēnei e rere ai ngā wai. Ko te nuinga o ngā maimoatanga e aro ana ki tēnei kiko.

OAG tuatahi me te OAG tuarua

He rite tonu tēnei raruraru ki te mea e pā ana ki te whatunga trabecular i a tātou e pakeke haere ana. I a tātou e pakeke haere ana, ka iti haere ōna pūtau, ka rerekē tōna āhua, ā, ka mutu tana mahi tika. Me te mea nei kua tere ake te koroheketanga o ēnei kiko e tetahi. I te nuinga o te wā, kāore e kitea he take mārama. I ēnei wā, ka kiia e ngā tākuta ko te glaucoma koki tuwhera tuatahi (OAG tuatahi).

Engari i ētahi wā, ka āraia pea tēnei pūnaha rerenga wai nā tētahi atu mate hauora. Hei tauira, ka āraia pea e te pupuhi, e ngā putunga pūmua, e ngā para pūtau rānei. Ka kiia tēnei ko te glaucoma koki tuwhera tuarua ((OAG Tuarua)).

He uaua te whakatau i te tino pūtake o te OAG tuatahi. Ahakoa he maha ngā wā ka kitea te toto toto tiketike o te kanohi, kāore i te kitea i ngā wā katoa. I ētahi wā, ahakoa he noa te pēhanga i roto i te kanohi, tera pea he tohu o te kino ki te io whatu. Ko ēnei āhuatanga ka piki ake te mōrearea o te whakawhanake i te OAG tuatahi:

• Te pakeke haere: He nui ake te mōrearea o te hunga neke atu i te 40 tau te pakeke.
• Hītori whānau: Mena kua pāngia tētahi o tō whānau e te glaucoma, he nui ake te tūponotanga ka pāngia koe e te mate glaucoma.
• Takenga mai i te ira o Āwherika: He nui ake te kitea o tēnei mate i roto i te hunga uri Āwherika.

Me pēhea te tātaritanga o te Glaucoma Koki Tuwhera?

He uaua te tautuhi i te glaucoma mēnā kāore he tohu, kāore hoki he panonitanga o tō tirohanga. Koia te mea nui kia toro atu koe ki te tākuta kanohi i ia wā, i ia wā, mō ngā whakamātautau kanohi . Mēnā kei tō tākuta ō tuhinga o mua me tō hītori hauora kanohi, ka taea e rātou te rapu i ngā panonitanga iti me ngā āhuatanga mōrearea ka arahi pea ki te glaucoma. Kātahi ka taea e rātou te mahi i ētahi atu whakamātautau me te tautuhi wawe i te mate.

Ka tātaritatia e ngā tohunga te Glaucoma Koki Tuwhera mā te rapu i ngā āhuatanga e whai ake nei:

• Ngā huringa i te tirohanga
• Te pakaru o te io whatu me/ranei te pēhanga teitei i roto i te kanohi ((IOP))
• He koki waikeri tuwhera ((koki waikeri tuwhera))

Hei tirotiro i te glaucoma, ka mahia ngā whakamātautau e whai ake nei:

• Whakamātautau mara tirohanga : He whakamātautau e ine ana i te whānuitanga o tō tirohanga, arā, te tawhiti e taea ai e koe te kite.
• Tomography arotau whatu (OCT): Ka taea e tēnei te tango whakaahua tino mārama, whakawhiti-wāhanga o te io whatu me ētahi atu paparanga i roto i te kanohi. Ka āwhina tēnei ki te kite i ngā mea pēnei i te matotoru o te io me te kino.
• Gonioscopy : He tikanga e tirotiro tika ana i te koki rerenga wai o te kanohi. Ka whakamahia tēnei hei whakatau mēnā he tuwhera, he whaiti, he ārai rānei te koki.
• Tonometry ((Tonometry)): Te ine i te pēhanga o roto o te kanohi ((IOP)). He maha ngā taputapu hei whakamahi mō tēnei.

He aha ngā maimoatanga pai rawa atu mō te Glaucoma koki-tuwhera?

He rongoā me ngā tikanga rerekē e wātea ana hei rongoā i te glaucoma koki tuwhera. Ko te maimoatanga pai rawa atu māu ka whakawhirinaki ki tō āhua me te urupare a tō kanohi ki te maimoatanga. Ko te nuinga o ngā maimoatanga e aro ana ki te whakaheke i te pēhanga i roto i te kanohi (IOP). Ahakoa te āhua kāore tō IOP i te teitei, kua whakaatuhia e ngā rangahau ko te whakaheke i tōna pēhanga ka taea te whakaroa i te haere whakamua o te glaucoma. Ka taea e tēnei te āwhina ki te tiaki i te nuinga o tō tirohanga.

Ngā rongoā mō te OAG

He maha ngā wā ka rongoāhia te Glaucoma Koki Tuwhera mā te rongoā. He pata kanohi ēnei. Ka whakanui ake ēnei i te nui o te wai e rere ana mai i te kanohi, ka whakaiti rānei i te nui o te wai e puta ana. Koinei te huarahi e whakaitihia ai te pēhanga. Kaua e manukanuka, he rerekē te wai i roto i tō kanohi (te wai whakapūkara) i ngā roimata e whakahinuhinu ana i ō kanohi. Nō reira, mā te whakarerekē i te taumata o tēnei wai e kore e maroke ō kanohi.

Anei ētahi o ngā rongoā e whakamahia whānuitia ana mō te OAG:

• Ngā Prostaglandin : Hei tauira: travoprost, bimatoprost, latanoprost. He homoni hangai ēnei e āwhina ana i te wai o te kanohi kia rere mā tētahi ara rerekē (te rerenga uveoscleral).
• Ngā ārai-beta : Hei tauira, ko te betaxolol me te timolol. He rongoā ēnei e whakamahia ana hei rongoā i ngā āhuatanga pēnei i te mate manawa. Ka whakaitihia e rātou te nui o te wai i roto i te kanohi.
• Ngā aukati Rho-kinase : Hei tauira, ko te netarsudil. Ka mahi ēnei mā te aukati i te mahi a ētahi whākōkī, e whakangāwari ana i te whatunga trabecular i roto i te kanohi, e tuku ana i te wai kia pai ake te rere.
• Ngā aukati i te anhydrase waro (hei tauira, brinzolamide, dorzolamide). Ka mahi ēnei mā te aukati i te mahi a te whākōkī e hanga wai ana i roto i te kanohi, ka whakaiti i te hanga wai.
• Ngā kaiwhakaoho Alpha-adrenergic : Hei tauira, brimonidine, apraclonidine. Ka whakaohohia e ēnei rongoā ētahi kaiwhakawhiwhi io i roto i te kanohi, ka whakaiti i te hanga wai me te whakanui ake i te rere o te wai.

Ngā pokanga me ngā tikanga mō te OAG

Mena kāore e ranea te whakaora i ngā rongoā, ki te kore rānei koe e hiahia ki te tango tonu i ngā rongoā, ka tūtohu pea tō tākuta kanohi i te pokanga mō te OAG. I ētahi wā, ka tūtohutia pea te pokanga iti rawa te whakaekenga ((pokanga iti rawa te whakaekenga)) hei maimoatanga tuatahi hei karo i te whakamahi i ngā rongoā. He maha ngā momo pokanga glaucoma. Ko te nuinga o ngā tikanga mō te glaucoma koki tuwhera e ngana ana ki te whakapai ake i te rerenga wai i roto i te (trabecular meshwork).

Ko ētahi o ngā tikanga tino noa mō te OAG ko:

• Trabeculoplasty taiaho : Ka whakamahia he hihi taiaho hei rongoā i ētahi wāhanga o tō whatunga trabecular. Ka puta he huringa matū i roto i te kiko, ka pai ake te rere o te wai mai i te kanohi.
• Goniotomy : He pokanga glaucoma iti rawa te whakaekenga e mahia ana i roto i te rūma pokanga. Ko te tikanga he tango i te whatunga trabecular pakaru/piri, me te whakatuwhera i te pūnaha rerenga wai o te kanohi.
• Pokanga pokanga ngongo((Pokanga pokanga ngongo)): I roto i tēnei, ka whakanohoia he taputapu iti rite ki te ngongo ((shunt)) ki roto i te kanohi. Ka karohia e tēnei te (trabecular meshwork) ka taea ai te rere o te wai i roto i te kanohi mā roto i tēnei ngongo. Ka whakamahia e ngā taote pokanga ngā tikanga iti rawa te whakaekenga i ngā wā katoa e taea ai.

He aha te tirohanga mō te (Glaucoma Koki Tuwhera)?

Mā te maimoatanga, ka taea e te tini o te tangata te aukati i te haere whakamua o te glaucoma koki-tuwhera, te whakaroa rānei i tōna tere. Engari ko te mea nui kia maumahara ko te kino o te tirohanga i puta i mua i te tīmatanga o te maimoatanga kāore e taea te whakakore. Koia te mea nui o te kitenga wawe. Nā te mea kāore i te kitea ngā tohu, kāore ētahi o te tangata e mōhio kei te ngaro haere te tirohanga tae noa ki te wā roa rawa. Ahakoa he tokomaha te tangata kāore e matapo, ko te glaucoma te tuarua o ngā tino take o te matapo i te ao. Ā, ko te nuinga o te glaucoma he glaucoma koki-tuwhera.

Ahakoa kāore i te mārama te take, he nui ake te pānga o te karuāra ki te hunga nō Āwherika te takenga mai o ngā ira ira i ētahi atu. E whā ngā wā ka nui ake te tūponotanga o te hunga Āwherika-Amerika, ngā Āwherika-Karipiana, me ngā Āwherika ki te Hauāuru ki te pāngia e te mate. Tērā pea ka pāngia rātou e te mate i ngā tekau tau ki mua, ā, e ono ngā wā ka nui ake te tūponotanga kia kitea he ngaronga tirohanga nui. Whai muri i te karuāra (he maha ngā wā ko te OAG) te tino take o te matapo i waenga i te hunga mangu.

Ka taea te ārai i te Glaucoma Koki Tuwhera?

I te mea kāore he tino pūtake mō te glaucoma koki tuwhera, kāore he huarahi hei ārai i tēnei. Heoi , ki te kite wawe koe i tēnei mate, ā, ka tīmata te maimoatanga, ka taea e koe te ārai i ētahi o ngā kino i puta mai i te mate. Ko te huarahi pai ki te mahi i tēnei ko te toro atu ki tētahi tākuta kanohi i ia wā, i ia wā, mō ngā whakamātautau kanohi. Mena he nui te tūponotanga ki te whakawhanake i te OAG, ka tūtohu pea tō tākuta kia maha ake ngā whakamātautau, ā, i ētahi wā ka taea te rongoā ārai.

Me pēhea taku tiaki i a au anō i a au e noho tahi ana me te (Glaucoma Koki Tuwhera)?

Mena kei te tango koe i ngā rongoā mō te glaucoma koki tuwhera, he mea nui kia tangohia kia rite ki te whakahaunga, ā, kaua rawa e mahue tetahi rā. Kāore i rite ki te pokanga, ehara ngā rongoā i te otinga roa, kotahi te wā mō te OAG. Me tango e koe ēnei rongoā i ia rā, mō te toenga o tō oranga pea. Mena kei te pāngia koe e ngā pānga taha o ngā rongoā, ki te whakaaro rānei koe kāore koe e pai ake i muri i te whakamutu i te rongoā, tera pea he uaua ki te whakamahi tonu i aua rongoā. Mena kāore tō mahere maimoatanga o nāianei e mahi ana, kia mahara ki te kōrero anō ki tō tākuta ki te matapaki i ō whiringa.

Ko te Glaucoma Koki-Tuwhera te momo glaucoma tino noa. Ka puhoi te whanaketanga, kāore he whakatūpato, ā, he maha ngā wā kāore he tohu. Ka taea e ia te ngaro te tirohanga i mua i tō mōhio. Ka taea e te rongonga i tēnei te ohorere me te pōhēhē. Engari ina whiwhi koe i te tātaritanga, ka taea e koe te tīmata i te maimoatanga. He maha ngā tāngata e whakahaere angitu ana i te OAG mā te rongoā me/ranei te pokanga iti rawa te whakaekenga.

Ngā mea tino nui hei maumahara māu i roto i tēnei tuhinga

• He mate puku te Glaucoma koki-tuwhera, arā, kāore pea e puta he tohu i te tīmatanga.
• Ka taea e tēnei te whakakino haere i tō tirohanga i mua i tō mōhio.
• Kāore e taea te whakakore i tēnei kino, nō reira he pai ake te kite wawe i te mate.
• Mā ngā whakamātautau kanohi auau ka taea te kite wawe i tēnei mate, ā, ka tiakina hoki tō tirohanga.
• He maimoatanga kei reira! Ka taea e te rongoā, e te pokanga rānei te whakahaere i te mate me te aukati i ngā kino atu anō.
• Mena he mate karuā tōu, me whai i ngā tohutohu a tō tākuta. Whakamahia tō rongoā kia rite ki ngā tohutohu.

Kei a koe te tikanga mō te tiaki i ō kanohi. Nō reira, kia tiakina tēnei.