He kōhatu pēnei kei roto i ō kanohi? Me ako tātou mō te Optic Disc Drusen!

Kua whakaaro koe, "Āe, kei te pai ōku kanohi?" I ētahi wā, ka puta mai ngā mea ririki i roto i ō tātou kanohi, kāore tātou e mōhio ana. Ko tētahi o aua mea ko te mate e kiia nei ko te Optic Disc Drusen, ka kōrerohia e tātou i tēnei rā. Kaua e manukanuka, ka kōrerohia noatia e tātou tēnei.

He aha ngā Optic Disc Drusen?

Ki te whakarapopoto, ko ngā Optic Disc Drusen he putunga iti o te konupūmā me ngā pūmua ngako e puta mai ana i roto i te kōpae whatu, i te pane io whatu rānei o tō kanohi. Whakaarohia ēnei he kirikiri ririki. Ko te kupu "drusen" i ahu mai i te kupu Tiamana mō te "kōhatu." Ka taea e ēnei te matotoru ake, te mārō ake rānei i roto i te wā.

Ko te pūtake o te io whatu, e kiia nei hoki ko te "Kōpae Whatu", ko te wāhanga o mua o tō io whatu. Ko tēnei io te mea e kawe ana i ngā mea e kitea ana e koe ki te roro.

Ka kitea pea ēnei mate pōuri i te kanohi kotahi anake ('Taetahi'). Heoi, i te nuinga o te wā (tata ki te 75%) ka kitea i ngā kanohi e rua ('Taerua') . I ētahi wā, ka ngaro pea te tirohanga i ēnei.

He pēhea te noa o tēnei mate? Ko wai te hunga tino mōrearea?

E ai ki ngā tatauranga, kei waenganui i te 1% me te 2% o te taupori te mate o te whatu kōpae kanohi. E ai ki ētahi pūrongo, ko te horapa o tēnei mate he 1.8% ki te 2.4%. Ka pāngia te tangata katoa, ahakoa te ira tangata. Heoi, kua kitea he paku noa ake te kitea i roto i te hunga mā ki te whakataurite ki ētahi atu iwi.

Me pēhea koe e mōhio ai mēnā kei a koe ēnei? He aha ngā tohu?

I te nuinga o te wā, kāore he tohu o te hunga whai mate kōpae whatu. I ētahi wā, ka kitea noa rātou e tō tākuta kanohi ina haere koe ki te tirotiro kanohi o ia rā.

Heoi anō, tera pea ka pāngia ētahi tāngata e ngā tohu. Ko ētahi o ēnei ko:

• Ngā hapa o te tirohanga: Ko te tikanga tēnei kāore e kitea ētahi wāhanga o tō tirohanga katoa (te tirohanga pokapū me te tirohanga taha). Tērā pea ka puta he wāhi matapo nui ki ētahi tāngata. Whakaarohia kei te titiro tika koe ki mua, ā, ka ngaro whakarere tō tirohanga i tētahi e haere mai ana i te taha.
• Tērā pea ka hina, ka pōuri rānei te tirohanga mō te wā poto.
• Te ngaromanga āta o te tirohanga taha.
• He ira mā, he ira kōwhai rānei kei te pūtake o tō io whatu ('Kōpae Whatu')Ina tirohia ō kanohi e te tākuta, tera pea ka kitea he puku . Ka kitea ētahi drusen (‘kitea te kōpae whatu drusen’), engari ko ētahi ka “huna” (‘huna te kōpae whatu drusen’). He uaua ki te kite ngāwari.

Whakaarohia, he maha ngā wā ka rongo a Samantha kāore e taea e ia te kite mārama ina neke tetahi mea i mua i ōna kanohi. I te tīmatanga, kāore ia i aro atu, engari i muri i tana haerenga ki te tākuta kanohi ka kitea e ia he whatu kōpae optic kei ōna kanohi e rua.

He aha i hangaia ai te kōpae whatu drusen?

Ka hangaia ngā Drusen e te kohikohinga o ngā pūmua ngako me ētahi atu matū. Engari kāore anō kia mōhiotia e ngā kaipūtaiao he aha i kohikohi ai, i matotoru ai hoki ēnei mea . I ētahi wā, ka taea te tuku iho . Ko te tikanga tēnei, ki te pāngia tētahi o tō whānau e tēnei mate, ka nui ake te tūponotanga ka pāngia koe e tēnei mate.

Me pēhea te tautuhi a ngā tākuta i tēnei mate? He aha ngā whakamātautau ka mahia e rātou?

I te nuinga o te wā, ka taea e tō tākuta kanohi te kite i ēnei mate i te wā e tirotirohia ana ō rātou kanohi. Kātahi ka whakahaerehia e rātou ngā whakamātautau pēnei hei whakaū anō:

• Whakamātautau tirohanga: Ka tirohia e tēnei te whānuitanga o tō tirohanga me te tirotiro mēnā he wāhi kāore e taea e koe te kite.
• Tomography Whārite Ātaahua (OCT): He matawai hangarau matatau tēnei. He rite ki te tango whakaahua o roto o te kanohi, ka titiro papatahi ki ia papatahi. Ka taea te whakaatu i te wāhi me te rahi o te drusen.
• Ultrasound : He matawai anō hoki tēnei hei tirotiro i roto i te kanohi. He tino āwhina tēnei mō te kimi i ngā drusen kua tanumia.
• Matawai CT (`CT - matawai tomography rorohiko`): I ētahi wā ka mahia pea tēnei matawai, inā koa hei rapu i ngā putunga konupūmā.
• Angiography fluorescein: Ka whakamahia he kāmera motuhake me te tae fluorescent hei tango pikitia o roto o te tuarongo o te kanohi. Mā tēnei ka kitea te āhua o ngā uaua toto .
• Te whakamātau i te kiri o roto o te kanohi: He tikanga anō tēnei mō te tango pikitia o roto o te kanohi. Heoi, kāore e hiahiatia he werohanga tae. Ka mahia tēnei whakamātautau mā te whakamahi i tētahi tae e kiia nei ko te "Lipofuscin" kei roto i tō tātou tinana (ka kohia ake i a tātou e pakeke haere ana, i roto rānei i ētahi āhuatanga hauora).

He rongoā kei reira mō tēnei? Me pēhea te whakahaere?

Mena he mate kōpae whatu tōu, kāore pea koe e hiahia ki tētahi maimoatanga, ki tētahi whakahaere motuhake rānei . Kāore he pokanga, he rongoā rānei mō tēnei mate i tēnei wā. Kaua e manukanuka, kāore te nuinga o te tangata e manukanuka ki tēnei.

Mena kei a au te Optic Disc Drusen, he aha ngā mea ka taea e au te tumanako atu?

He tino pai te matapae mō te tangata e pāngia ana e te whatu kōpae drusen. Heoi, tera pea ētahi tūroro e ngaro te tirohanga taha . Koinei te mea nui ka pā.

He tino onge, ka pā mai ngā raruraru i roto i ēnei drusen. Ko ēnei raruraru onge ko:

• Ngā kiriuhi toto hou o te korokoro (CNVM): He uaua toto hou ēnei e puta mai ana i roto i te kanohi. Ka taea e rātou te toto, ka ngaro pea te tirohanga matua. Mena ka puta tēnei, me whakamahi pea i te rongoā taiaho hei whakamutu i te toto.
• Ko te neuropathy whatu ischemic o mua (AION): Koinei te wā ka heke te rere o te toto ki te io whatu, ka pakaru te io.
• Ngā ārai toto i roto i te retina: He ārai i ngā oko toto i roto i te retina.

He tino onge ēnei huihuinga, nō reira kaua e mataku noa.

He tūponotanga kino tēnei āhuatanga?

Ahakoa ka kite koe i ētahi panonitanga o tō tirohanga, ehara te Optic Disc Drusen i te mate morearea . Heoi, ka taea te hono atu ki ētahi atu mate hauora. Koia te mea nui o te tohutohu hauora me te tirotiro auau.

He ara kei reira hei ārai i ēnei mea kei puta?

Engari, kāore he huarahi i tēnei wā hei aukati i te hanganga o te kōpae whatu drusen.

Āhea ahau me toro atu ki te tākuta?

He mea tino nui kia tirohia ō kanohi i ngā wā katoa (whakamātautau tirohanga auau). Waihoki, ki te kite koe i ētahi panonitanga o tō tirohanga , me toro atu ki te tākuta tonu. Kaua e warewarehia tetahi mea, ahakoa he iti noa iho.

He aha te rerekētanga i waenga i te Optic Disc Drusen me ētahi atu mate kanohi?

He rite tonu te āhua o te Drusen ki ētahi atu mate kanohi, nō reira he mea nui kia mōhio ki te rerekētanga i waenga i a rāua.

Kaua e whakapoauau ki te Papilledema!

Ka karangatia hoki e ētahi te whatu kōpae drusen he "pseudopapilledema." Ko te tikanga o te "Pseudo" he teka, arā, ehara i te mea tūturu.

PapilledemaKoinei te wā e pupuhi ai te kōpae whatu nā te pēhanga i roto i tō angaanga (te pēhanga o roto o te angaanga). He āhuatanga ohorere hauora tēnei.

Ka taea hoki e te whatu kōpae whatu te pupuhi i te pūtake io whatu, engari ehara i te pupuhi tūturu. Koia i huaina ai ko 'Pseudopapilledema'.

Te Matapōkere me te Kōpae Whatu

Ka raru pea tō tirohanga i te karuāra me te kōpae whatu. I ētahi wā, ka puta ngātahi ngā āhuatanga e rua. Nō reira, me taea e tō tākuta te wehewehe i waenga i ngā āhuatanga e rua . He mate kanohi kino te karuāra e hiahia ana kia rongoatia.

He hononga kei waenganui i a rātou me te Retinitis Pigmentosa?

Ko te hunga whai mate e kiia nei ko te retinitis pigmentosa (RP) he nui ake te tūponotanga ki te whakawhanake i te optic disc drusen i te taupori whānui. He tino teitei tēnei mōrearea i roto i te hunga whai mate pēnei i ētahi momo RP me te hunga whai mate e kiia nei ko te Usher syndrome .

Ka pāngia anō hoki te mate Noonan?

He mate ira te mate Noonan . Tērā pea ka raru te hunga whai mate nei ki te whanaketanga o te kōpae whatu. Nō reira, tērā pea ka pāngia te tangata whai mate Noonan e te mate kōpae whatu.

Hei whakarāpopototanga, ko ngā mea me maumahara tātou

Āe, kua maha ā tātou kōrero mō te Optic Disc Drusen. Hei whakamutunga, anei ētahi o ngā mea tino nui hei maumahara māu:

• Ko ngā kōpae whatu drusen he putunga o te konupūmā me ngā pūmua ngako e hanga ana i te pūtake o te io whatu i roto i te kanohi.
• He tokomaha te hunga kāore e pāngia e tetahi tohu.
• Kāore tēnei āhuatanga i te mea morearea i te nuinga o te wā , engari i ētahi wā onge, ka puta pea ētahi huringa tirohanga, ētahi raruraru rānei.
• Kāore anō kia kitea he rongoā, he maimoatanga motuhake rānei mō tēnei i tēnei wā.
• Ko te mea nui ko te tirotiro i ō kanohi i ia wā, me te rapu tohutohu hauora tonu mēnā ka kite koe i tētahi panonitanga o tō tirohanga.

Kia maumahara, ko ō kanohi te taonga tino nui rawa atu kei a koe. Nō reira, ko tō kawenga te tiaki pai i a rātou. Kaua e whakahawea ki tētahi raruraru e pā ana ki te kanohi ahakoa he aha te take.

Ki te hiahia koe ki te mōhio atu mō tēnei, kōrero ki tō tākuta kanohi. Māna e kōrero atu ki a koe ētahi atu kōrero.