Kua whakaaro kē koe ka taea e ngā mea ririki te marara ki roto i ō kanohi, ka puta ai he raruraru? Inaa, ka taea e ngā matūriki tae i roto i ō tātou kanohi te marara, ka aukati i ngā ara mō te wai i roto i te kanohi. Ina tupu tēnei, ka piki ake te pēhanga i roto i te kanohi, ka arahi pea ki tētahi mate kino e kiia nei ko te glaucoma . I tēnei rā ka kōrero tātou mō tētahi o aua mate, ko te Pigment Dispersion Syndrome (PDS) me te Pigmentary Glaucoma (PG) ka puta mai i tēnei.
He aha ngā āhuatanga o te pigment dispersion syndrome (PDS) me te pigmentary glaucoma (PG)?
He whakarāpopototanga noa iho, e rua ēnei mate o te mate kotahi. Ko te mate marara o te tae (PDS) ko te pakaru o te tae i roto i tō iris , e homai ana i te tae ki ō kanohi, kia ririki, ka tīmata te rere ki roto i te wai i roto i tō kanohi. Whakaarohia he rite ki te peita e tihore ana i tētahi wahi rakau tawhito.
Mena ka roa te noho o tēnei āhua o te PDS , mō ngā tau, mō ngā tekau tau rānei, ka taea te whanake hei āhua e kiia nei ko te glaucoma pigmentary (PG) . Ehara i te katoa he PDS ka pāngia e te PG . Heoi, ki te roa tō PDS , ka nui ake tō tūponotanga ki te pāngia e te PG .
He pēhea te arahitanga o te mate whakamararatanga o te tae (PDS) ki te karuāra?
Hei mārama ki tēnei, me mōhio tātou ki ngā mea e tupu ana i roto i te kanohi. Ko te ārisa o tō kanohi he uaua papatahi, he porowhita te āhua, kei roto he tae e kiia nei ko te melanin , e homai ana te tae ki tō kanohi. E rua ngā āputa o tēnei ārisa ki mua, ki muri hoki. Kī tonu ēnei āputa i te wai e kiia nei ko te waiora wai . Ko te pēhanga o tēnei wai te mea e pupuri ana i te kanohi kia porowhita.
Ina pāngia koe e te PDS , kāore e taea e tō āiri te pupuri i tōna āhua tika, ā, ka piko rawa ki muri. Kātahi ka mirimiri te tuara o te āiri ki ngā muka uaua e whakahaere ana i te āhua o te karāhe o te kanohi. I te whānui me te whakawhāiti o tō āiri (arā, ka whakawhāiti, ka whakawhāiti te āiri kia uru atu ai te mārama), ka wetekina ngā pūmua tae i roto i te āiri.
Hei whakamārama tika, kei te tihore haere ēnei tae, pērā i te tihorenga o te tae i tētahi wahi rakau.
Ka mānu ngā matūriki tae wetewete i roto i te wai whakapūkara , ā, ka haria ki ētahi atu wāhanga o te kanohi. He pūnaha rerenga wai kei reira hei tuku i tēnei wai whakapūkara kia puta i te kanohi. Ka kiia ko te whatunga trabecular . Ka taea e ngā matūriki tae wetewete te kohikohi i roto i tēnei whatunga trabecular , ā, ka kino. Ina tupu tēnei, ka puta te wai whakapūkara.Kāore e taea e te wai te rere tika mai i te kanohi. Ka piki ake te pēhanga i roto i te kanohi. Ka kiia tēnei ko te toto toto tiketike o te kanohi . Ki te haere tonu tēnei, ka arahi pea ki te karākuma . Ki te kore te karākuma e rongoātia, ka arahi pea ki te ngaronga tirohanga kino, kore e taea te whakatika, tae atu ki te matapo.
He aha ngā tohu o te PDS me te PG?
I te nuinga o te wā, kāore he tohu e puta mai i te PDS . Nō reira, he tokomaha te hunga kāore e mōhio kei a rātou te mate. Heoi, ki te puta ngā tohu, he rite tonu ki ngā tohu noa o te glaucoma . Kei roto i ēnei:
- Mamae kanohi
- Te whero o ngā kanohi
- Te aro nui ki te mārama ( photophobia )
- Te kite i ngā āmiomio, i te kanapa rānei i te taha o ngā rama
Tērā pea ka piki ake te pēhanga kanohi mō te wā poto, ka pōuri te tirohanga, ka pōuri rānei te tirohanga i te taha o ngā rama, pērā i te wā e whakakorikori tinana ana. Engari ka memeha haere ēnei i muri i tētahi wā.
He aha ngā take o te PDS?
Kāore anō kia tino mōhiotia e ngā tohunga he aha te pūtake o te PDS , engari kua tautuhia e rātou ētahi āhuatanga ka whai wāhi pea ki tēnei.
- Ira: Kua kitea e te rangahau he hononga i waenga i ētahi whakarerekētanga DNA me te PDS/PG . Koinei te take ka taea e te PDS me te PG te tuku iho i roto i ngā whānau. Heoi, he uaua ki te matapae me pēhea tōna whanaketanga.
- Tau: Ko te PDS ka kitea i te nuinga o te wā i waenga i te 20 me te 50 tau te pakeke.
- Ira tangata: He nui ake te pānga o ngā mate PDS me PG ki ngā tāne .
- Iwi: He iti ake te mōrearea o te hunga mangu, o te hunga Āhia rānei ki te whakawhanake i te PDS me te PG . He nui ake te mōrearea o te hunga Pākehā.
- Te Tirohanga Tata (Myopia): Ko te hunga he myopia , arā, kāore e taea e rātou te kite tawhiti, he nui ake te tūponotanga ki te whakawhanake i te PDS me te PG . Ki te nui ake tō tirohanga tata, ka nui ake te tūponotanga ka whanake koe i te PDS , ka huri rānei hei PG .
- Hanganga o te kanohi: Mena he hohonu tō ruma o mua , ka nui ake te tūponotanga ka pāngia koe e te PDS me te PG . Nā te mea ina hohonu te ruma, ka nui ake te wai ka kohia ki roto. Ka taea e tēnei te "piko" whakamuri o te iris , ki te arotahi. Waihoki, ko te cornea papatahi he take whai wāhi.
- Te nui rawa o te mahi: Te nui rawa o te whakakori tinana, te nui rawa rānei o te mahi tinanaE whakaatu ana ngā rangahau he hononga kei waenganui i te PDS/PG . Mena he PDS , he PG rānei tōu, ka pātai pea tō tākuta kanohi mō ō mahi ā-tinana. Mena kei te pāngia tēnei āhuatanga e tō taumata mahi, ka tohutohu pea rātou kia whakaitihia e koe.
He aha te Mararatanga o te Tae Tuarua?
Tērā atu anō ngā take e ngaro ai te tae o tō karu . Ka kiia tēnei ko te "PDS tuarua." He rerekē tēnei i te "PDS tuatahi." Ko te PDS tuatahi ko te wā ka puta te PDS me te kore he mate hauora kē atu. Heoi, ka taea hoki te puta te PG me te PDS tuarua.
Ko ētahi o ngā mea ka puta ai te PDS tuarua ko:
- Ngā tūponotanga ki ngā kanohi
- Ngā pukupuku (ngā tupu) e puta ana i roto i te kanohi
- Te nekehanga o te arotahi kanohi (IOL )
Me pēhea te tautuhi i te PDS me te PG?
Ko te huarahi pai ki te kite i te PDS i mua i te putanga mai o ngā tohu ko te tirotiro kanohi i ia wā . Ko ētahi o ngā huringa o roto i te kanohi ka kitea i te wā e tirotirohia ana te kanohi nā te PDS , te PG rānei:
- Te taura Krukenberg: He rārangi angiangi, poutū tēnei e puta ana i mua i tō kamo , he rite te tae ki tō āiri. Ka puta ina panaia te wai ki mua ina piki te pēhanga i roto i te kanohi, ka piri ngā kirikiri tae ki roto i te kornea.
- Ngā hapa o te iris radial: He rārangi kikokore ēnei o te tae e puta ana i runga i te iris. He rite ki ngā riu o te wira pahikara. Ka taea e te tohunga kanohi te kite i ēnei mā te whakamahi i ngā tikanga rama motuhake.
- Te tae e tata ana ki te taha o waho o te iris: Ka taea e tō tohunga kanohi te whakamahi i tētahi whakamātautau e kiia nei ko te gonioscopy hei tiro i ngā kirikiri tae kua whakatakotoria ki reira.
Ngā whakamātautau ka taea e tō tohunga kanohi te whakamahi
He maha ngā whakamātautau karuārai hei āwhina i te tautuhi i te PDS me te PG . Ko ētahi o ēnei ka mahia i te wā o te whakamātautau kanohi noa. Ko ētahi he paku motuhake ake. Ma tō tohunga kanohi koe e kī atu ko ēhea ngā whakamātautau pai hei āwhina i te tautuhi, te whakakore rānei i te PDS me te PG .
Ko te tikanga, ko ēnei whakamātautau ka uru atu ki tētahi, neke atu rānei o ēnei e whai ake nei:
- Whakamātautau rama kutikuti
- Tonometry ( te ine i te pēhanga kanohi)
- Tomography honohono whatu (OCT)
- Pachymetry (ine i te matotoru o te kornea)
- Gonioscopy (tirotiro i te koki rerenga wai o te kanohi)
- Whakamātautau tirohanga ā-taha ( whakamātautau tirohanga ā-taha)
Me pēhea te rongoā mō te PDS me te PG?
He tino rite te maimoatanga mō te PDS me te PG ki te maimoatanga mō ētahi atu momo glaucoma . Tērā pea kei roto i ēnei maimoatanga tētahi, neke atu rānei o ēnei e whai ake nei:
- Ngā Rongoā: He maha ngā huarahi e mahi ai ngā rongoā mō te glaucoma mā te whakaiti i te pēhanga i roto i te kanohi. Ko ētahi rongoā ka mahi mā te whakanui ake i te rerenga o te wai māori . Ko ētahi ka mahi mā te whakaiti i te hanga o te wai māori . Ko te nuinga o ēnei e wātea ana hei pata kanohi.
- Pokanga glaucoma: Ko te tikanga o tēnei tikanga he whakapai ake i te rere me te rerenga wai. Hei tauira, ko te trabeculectomy , te goniotomy, me ētahi pokanga laser.
He maha ngā wā, me whakamahi te hunga whai PDS me te PG i tētahi huarahi whakakotahi hei whiwhi i ngā hua pai rawa atu. Hei tauira, ko te pokanga taiaho me te rongoā. He tino whai hua tēnei tikanga mēnā kāore te rongoā anake e whakaiti i te pēhanga i roto i te kanohi.
Ko tō tohunga kanohi te tangata pai rawa atu hei tuku kōrero ki a koe mō ngā kōwhiringa maimoatanga. Māna koe e tohutohu mō te pānga o ngā maimoatanga ki a koe, he aha ngā kōwhiringa ka taea e koe te whiriwhiri, me ngā pānga taha ka pā ki a koe.
Mena kei a au tēnei āhuatanga, he aha taku e tumanako ai?
Ehara i te mea ka pāngia te katoa e te PDS e te PG . Heoi, ka piki ake te mōrearea i roto i te wā. Tata ki te 10% o te hunga whai PDS ka pāngia e te PG i roto i ngā tau 10. I muri i te 15 tau, ka piki taua tau ki te 15%. I roto i te oranga katoa, kei waenga i te 35% me te 50% tēnei mōrearea.
Nā te mea ka tīmata wawe te PDS me te PG i ngā tau kua pahure ake nei i ērā atu momo glaucoma , he mea nui kia whakahaerea pai tēnei mate. Ko tētahi wāhanga o tēnā ko te haere tonu ki te kite i tō tākuta kanohi me te whai i ngā tirotiro whai muri.
Tērā pea ka tū ēnei wā tirotiro i ia toru ki te ono marama, i ia tau rānei, i runga i tō āhua. Ka taea e ēnei whakamātautau te āwhina i tō tākuta ki te kite i te pikinga o te pēhanga kanohi, me te tūtohu i ngā maimoatanga hei ārai i te kino, hei aukati rānei i te kino haere.
NāuKo te aroturuki tonu me te whakahaere i te PDS , te PG rānei, te mea nui hei tiaki i tō tirohanga. He tino onge te matapo tuturu i waenga i te hunga e whai ana i ngā tohutohu a tā rātou tohunga, e haere ana ki ngā tirotiro hauora auau , e whakahaere ana hoki i tō rātou āhua.
Ka taea te ārai i te PDS, i te PG rānei?
Engari, kāore he mea ka taea e koe te mahi hei ārai i te PDS me te PG . Ka puta ohorere mai ēnei, ā, he tokomaha te hunga kāore e mōhio kei a rātou ēnei āhuatanga tae noa ki te kitenga o te tohunga i ēnei huringa i te wā o te whakamātautau kanohi, tae noa ki te puta mai o ngā tohu.
Mena kei a au te PDS, te PG rānei, me pēhea taku tiaki i a au anō?
Mena kei a koe te PDS , te PG rānei, he maha ngā mea ka taea e koe te mahi hei tiaki i tō tirohanga me te ārai i ngā raruraru nui, pēnei i te ngaronga o te tirohanga:
- Tirohia tō tākuta kia rite ki te taunakitanga. Kaua e mahue ngā tirotiro kua whakaritea .
- Tangohia tō rongoā kia rite ki te whakahaunga. Whakamahia te rongoā kia rite ki te whakahaunga, i te wā kua whakaritea, me te nui kua whakaritea.
- Ki te tūtohutia e tō tohunga kanohi, me whakarerekē tō āhua noho. Hei tauira, whakaitihia te nui rawa o te whakakori tinana.
- Ki te kite koe i tētahi panonitanga o tō tirohanga, ki te puta he tohu hou, ki te whai pātai rānei koe mō tō rongoā, waea atu ki tō tākuta tonu atu.
Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?
Ki te puta mai ētahi tohumate kanohi, me tere tonu te awhina hauora. Ki te kore e rongoatia, ka pā mai pea he kino kino ki te kanohi. Whai muri i tō tātaritanga, kōrero ki tō tohunga kanohi mō ngā tohumate hei tirotiro māu, i runga i tō āhua, me te aha hoki hei mahi mēnā ka puta mai tētahi o ēnei tohumate ki a koe.
Ko ngā tohu e hiahia ana ki te awhina hauora ohorere ko:
- Ngā panonitanga o te tirohanga, pērā i te tirohanga pōuri ohorere, te tirohanga ngoikore rānei
- Ngā āwhata hou, ngā āwhata kino rānei, ngā kanapa huri noa i ngā rama
- Te mamae ohorere o ngā kanohi, te mamae upoko rānei
- Te ngaronga ohorere o te tirohanga (wāhanga, katoa rānei)
He aha ngā pātai me pātai atu e au ki taku tākuta?
Ko ētahi pātai ka taea e koe te pātai atu ki tō tohunga kanohi:
- Kia pēhea te kino/te whānui o taku mate PDS ? Kua huri hei PG ?
- He aha ngā kōwhiringa maimoatanga e taunaki ana koe?
- He aha ngā pānga taha e tika ana kia tumanakohia e au mai i te maimoatanga? Me aha ahau hei whakahaere, hei whakawhāiti rānei i aua pānga taha?
- Me huri rānei aku mahi o ia rā, o ia rā rānei?
Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)
Kei a koe te Pigment Dispersion Syndrome (PDS) te Pigmentary Glaucoma rānei (PG).He mea ohorere pea te kitenga kua pāngia koe e te karuāra, inā koa mēnā ka pāngia koe i te wā taitamariki. Ahakoa ka puta te nuinga o ngā momo karuāra i muri mai i te oranga, ko te PDS me te PG ka puta wawe ake. Ahakoa he rite tonu te mahi a ēnei āhuatanga ki ētahi atu momo karuāra , he rerekētanga nui kei reira. Engari ko te mea nui, mā te tiaki hauora auau me te maimoatanga tika, ka taea te whakahaere i te PDS me te PG, ā, ka taea te whakawhāiti, te ārai rānei i ngā raruraru nui pēnei i te ngaronga o te tirohanga, te matapo rānei. Nō reira, kaua e mataku, engari me whai i ngā tohutohu a tō tākuta.
` Karākōma, Mate Marara o te Pikitia, Karākōma Pikitia, Hauora o te Kanohi, Pēhanga Kanohi, Tirohanga, Ngā Mate Kanohi
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