Kei te mamae tonu ō kanohi? Me ako tātou mō te Horoi Hokihoki o te Kiri!

Kei te pāngia hoki koe e te mamae e kore e taea te whakamanawanui ina whakatuwhera koe i ō kanohi i te ata? Kei te ahua kei roto i tō kanohi tetahi mea, me te mea kei te werohia koe e tetahi mea? He uaua ki te titiro ki te mārama, ā, ka rere noa ngā roimata? Tērā pea he kino tēnei ki te paparanga o runga o tō kanohi, arā, te cornea, he āhuatanga e tihorea ana te wāhanga o runga o te cornea . Ka kiia tēnei ko te Recurrent Corneal Erosion (RCE) . Ahakoa he ahua uaua te ingoa, he āhuatanga noa tēnei. Kaua e manukanuka, me kōrero taipitopito tātou mō tēnei, he tino māmā noa iho.

He aha rawa te Horohanga Hokihoki o te Kiri (RCE)?

I te whakarapopototanga, ko te kiriuhi mārama kei mua o tō kanohi, pērā i te matapihi o mua o te motuka, koia te mea e kiia nei e tātou ko te korēnia . Koinei te mea e tiaki ana i ngā wāhanga tairongo o roto i te kanohi mai i te ao o waho. He rite ki te karāhe haumaru e whakatakotoria ana ki runga i ō tātou kanohi. E rima ngā paparanga o tēnei korēnia, arā, ngā paparanga. Mō te Erosion Corneal Recurrent (RCE), ka pāngia ngā paparanga e rua o runga.

Ko aua papa e rua ko:

• Epithelium: Koinei te paparanga o waho rawa o te cornea. He maha ngā pito io o roto, ā, he rau mano ngā wā ka tairongo ake i tō tātou kiri. Ahakoa he iti noa te puehu ka taea e tātou te rongo.
• Te kiriuhi o Bowman: Ko te nuinga o tēnei paparanga he pūmua e kiia nei ko te collagen . Whakaarohia he rite ki te tiēre e piri tahi ana, ā, koinei te āhua o tana mahi. Ka pupuri te kiriuhi o Bowman i te paparanga epithelial o runga me te paparanga o raro kia piri tahi, hei āwhina i a rāua kia noho tahi.

Nā, ina pāngia koe e te RCE, kāore te epithelium me te kiriuhi Bowman i te piri tika, i te hono rānei. Ka ngoikore taua hononga. Kātahi ka ngāwari te tihore i te paparanga o runga, te epithelium tonu, pērā i te tihore. Ina tupu tēnā, ka puta mai ngā paparanga ngoikore o raro. He wheako tino mamae tēnei nā te mea he kī tonu te epithelium i ngā pito io.

He pēhea te noa o tēnei āhuatanga RCE?

He mate tino noa te RCE, engari he uaua ki te kī tika e hia ngā tāngata e pāngia ana e tēnei mate. I kitea i roto i tētahi rangahau i Rānana, Ingarangi, e pāngia ana te 1% o te taupori o taua tāone i ia tau e tēnei mate. Heoi, tera pea he iti iho taua tau i te tau tuturu. Nā te mea ahakoa he rakuraku iti, kāore pea e hiahiatia he awhina hauora. Kua hangaia ō tātou korēnia kia tere te whakaora i a rātou anō. Nō reira, ka taea e ngā rakuraku iti te whakaora i roto i ngā meneti, i ngā haora rānei.

He aha ngā tohu o te RCE?

Mena kei a koe te RCE, ka puta pinepine ō tohu ina whakatuwherahia ō kanohi i te ata . Hei tauira, i te pō, ka ngoikore te hononga i waenga i tō kamo me te paparanga o runga o tō cornea. Ina whakatuwherahia ō kanohi i te ata, ka taea e te wāhi ngoikore te mea ka kukume te paparanga o runga o tō cornea mai i te kamo. Mena ka tupu tēnei, ka pāngia pea koe e ngā tohu pēnei i:

• Mamae nui:Tērā pea te mamae e rite ana ki te mea e mau ana i roto i te kanohi, me te mea e werohia ana ki te maripi.
• Te whero o ngā kanohi.
• Te mataku i te mārama: Ahakoa he iti noa te mārama, kāore e taea te manawanui.
• Te nui rawa o te roimata mai i ngā kanohi (Epiphora).
• He rite ki te mea he puehu, he mea rānei e mau ana i roto i te kanohi, engari kāore pea koe e kite i tetahi mea i roto.

He aha i puta ai tēnei āhuatanga RCE?

He rite tēnei ki te paninga o te peita hou ki tētahi pakitara kua pakarukaru, kāore i horoia tika. Nā te mea kāore te paparanga peita o raro i te ma, ā, nā ngā hapa o roto, kāore te peita hou e piri tika. Ahakoa ka pā noa koe ki a ia, ka taea e te paparanga hou te tango, tika? Koia te āhua. Mena he ngoikore, he kino rānei kei roto i ngā paparanga o raro o te kornea, kāore te paparanga o runga e piri tika.

I te nuinga o te wā , ko te tino take o te RCE ko tētahi whara o mua ki te kanohi . Tērā pea he werohanga, he whara rānei nā tētahi mea pērā i tō maikuku, he kokonga o tētahi pepa, he rau rānei nō tētahi rākau, he peka iti rānei. Whakaarohia kei te mahi koe i te māra, ā, ka pā mai tētahi peka iti ki tō kanohi. Ahakoa kāore i te āhua nui i taua wā, i muri i ētahi rā, i ngā tau rānei, ka ara ake pea koe me te mamae nui ina whakatuwhera koe i ō kanohi i te ata. Kāore e tika kia tata tonu tēnei whara. Ka pāngia ētahi tāngata e te RCE mai i tētahi whara kanohi i puta i ngā tau kua pahure. Ko te RCE i puta mai i ēnei whara ka pā ki te kanohi kotahi anake.

Ka taea hoki te RCE te puta mai i ētahi mate kornea me ngā mate mau tonu e pā ana ki ngā kanohi. Ahakoa he maha ngā wā ka pāngia te kanohi kotahi anake, ka pāngia pea ētahi tāngata e ngā tohu i ngā kanohi e rua.

Hei tauira mō tēnei:

• Te Mate Pukupuku o te Epithelial Basement Membrane Dystrophy (EBMD): E kiia ana hoki ko te mate pukupuku o te mahere-ira-matimati, he ngoikore tēnei i ngā paparanga o raro o te cornea.
• Te mate kanohi maroke: Ka puta tēnei āhuatanga ina heke te hanga roimata i roto i ngā kanohi.
• Mate huka momo 2.
• Te pupuhi me te mumura o ngā kamo (Blepharitis).
• Rosacea kanohi: He raruraru kanohi tēnei e puta mai ana i te mate kiri.

He aha ngā raruraru ka pā mai i te RCE?

Ko ngā raruraru e puta mai ana i te RCE kāore e tino mōrearea ki te ora, engari ka tino mamae, ka kino hoki.

Ko rātou ēnei:

• Te nui ake o te mōrearea o te RCE ā muri ake nei: Kia puta te RCE, ka nui ake te tūponotanga ka pakaru anō te kornea.
• Kohu o te kanohi: Ina pakaru tonu te kanohi i te RCE, ka heke te māramatanga. Ka whakaitihia te nui o te mārama e uru ana ki te kanohi, ka uaua ai te kite.
• Te pikinga ake o te mōrearea o te mate:He ārai tiaki tō kornea. Ina pakaru, ka pāngia ngā paparanga o raro e ngā iroriki. Ka taea e tēnei te arahi ngāwari ki ngā mate kanohi . I ētahi wā ka kino rawa atu ēnei.

Me pēhea te tautuhi i te tūnga RCE?

He māmā noa te tautuhi i te RCE. Ka taea e te tākuta kanohi, te tākuta kanohi rānei te whakapae mā te pātai atu ki a koe mō ō tohumate, tō hītori hauora, me ō whara kanohi o mua.

Kātahi ka mahia ētahi whakamātautau hei whakaū i tēnei. I mua i te mahi i aua whakamātautau, ka hoatu pea he rongoā whakangote hei whakaiti i te mamae.

Ko ngā whakamātautau ka taea te mahi ko:

• Whakamātautau rama kuiti: I tēnei whakamātautau, ka tirohia tō kanohi e tō tākuta mā te whakamahi i tētahi karuārai motuhake (rama kuiti). I tēnei whakamātautau, ka pania he tae kikorangi e kīia nei ko te fluorescein ki tō kanohi (hei pata kanohi, hei rīpene motuhake rānei). Mā tēnei ka taea e koe te kite i ngā karawarawa katoa i runga i te kornea.
• Whakamātautau piri: Ko te pā mārire ki te mata o te kornea me te hautai pokanga. Mena he RCE tōu, ka neke te paparanga o runga o te kornea me te hautai, kāore e piri tika tetahi ki tetahi. He mea whai hua tēnei ina kore e kitea he karawarawa i roto i ētahi atu whakamātautau.

Me pēhea te rongoā mō te RCE?

Ka rongoatia e ngā tākuta te RCE i roto i te taahiraa i te taahiraa. I te nuinga o te wā ka tīmata rātou me ngā maimoatanga hauora māmā, ā, ka neke noa ki ngā maimoatanga pokanga uaua ake mēnā kāore e āwhina. Heoi, ki te kino rawa te RCE, ka haere tonu pea rātou ki ngā maimoatanga uaua ake.

Whakahaere hauora

Ko te whāinga matua he waihanga i tētahi taiao e pai ai te whakaora a tō kanohi i a ia anō. He maha ngā maimoatanga ka tukuna e koe anō. Ka hoatu e tō tākuta he tohutohu motuhake ki a koe mō ngā mea hei mahi.

Ka roa pea ētahi maimoatanga mō ngā rā, mō ngā wiki rānei. I runga anō i te kaha o te RCE, ka roa pea ētahi mō ngā marama.

Ka uru pea ki te whakahaere hauora tētahi, neke atu rānei o ēnei e whai ake nei:

• Te whakahaere mamae: He mate mamae te RCE. Ka taea e ngā rongoā mamae pēnei i ngā rongoā anti-inflammatory kore-steroidal (NSAID) te āwhina i te whakaiti i te mamae. Waihoki, ka taea e ngā hinu motuhake me ngā karāhe whakapiri takai te āwhina i te whakaiti i te mamae.
• Whakahinuhinu kanohi: Tērā pea ka hoatu he roimata horihori, he pata tote, he kirikiri, he hinu rānei ki ngā kanohi. Ka tūtohu ngā tākuta kia pania ēnei i te pō i mua i te moe. Ka mahia tēnei hei ārai i te tīmatanga, i te kino rānei o te RCE ina whakatuwhera koe i ō kanohi i te ata.
• Tote hypertonic:Ka whakanui ake tēnei wai i te mimiti o te wai mai i te mata o te kanohi. Mā tēnei ka pai ake te piri o te epithelium ki ngā paparanga o raro. Ka tūtohu ngā tākuta kia whakamahia tēnei i te awatea, me te hinu pania i te pō.
• Ngā pata paturopi, hinu rānei: Ka hoatu ēnei hei āwhina i te rongoā i ngā mate kanohi e puta ai te RCE, hei ārai rānei i ngā mate kia ora rā anō te kanohi.
• Te whakapiripiri, te takai rānei i ngā karāhe whakapā: Ka whakaratohia e ēnei e rua he paparanga tiaki anō kia ora rā anō te kanohi. Ko te karāhe takai he takai e whakatakotoria ana ki te kanohi, he rite tonu ki te karāhe whakapā. Ka āwhina i te kanohi ki te whakaora i a ia anō.
• Cycloplegia: Ka paku whakarerekē ngā uaua e whakahaere ana i ō kanohi i te āhua o ō kanohi. Koinei te mea e āhei ai koe ki te kite mārama i ngā mea i ngā tawhiti rerekē. Ka whakakorea e te Cycloplegia ngā uaua o te kanohi e pāngia ana mō te wā poto. Mā tēnei ka noho tonu te āhua o te kanohi, ā, ka māmā ake te whakaora.
• Ngā pata toto: Kei roto i ēnei pata motuhake ngā pūmua ārai mate me ētahi atu kai hei āwhina i te whakaora o te kanohi. Ka taea te hanga aunoa , arā, he mea hanga mai i ō ake toto, ka taea rānei te hanga mai i te toto i kohaina.
• Ngā rongoā motuhake: He rongoā ēnei hei aukati i ngā pūmua e whakararuraru ana i te whakaora o te kornea, pērā i te corticosteroids , te doxycycline rānei, he rongoā rānei kei roto ngā matū whakatipu hei whakaoho i te whakaora.

Ngā maimoatanga pokanga

Ko ngā maimoatanga pokanga ko te tango i ngā wāhanga kua pakaru o te epithelium, me te tuku kia tupu anō i roto i te āhua ōrite, kāore he koha. Ko te tikanga ka mahia ēnei pokanga i raro i te rongoā whakamoe, nō reira kāore he mamae.

Ahakoa i muri i ēnei maimoatanga, ka tohua pea e tō tākuta ngā rongoā e ai ki te kōrero i runga ake nei. I te nuinga o te wā ka tipu anō te epithelium i roto i ētahi rā. Heoi, tera pea ka roa pea he wiki, he marama rānei o te maimoatanga hauora tonu kia piri pai ai te epithelium ki ngā paparanga o raro.

Ka uru pea ki ngā maimoatanga pokanga tētahi, neke atu rānei o ēnei e whai ake nei:

• Te tango i ngā matū kino: Ko te tango i te kiko epithelial kua pakaru me ngā taputapu motuhake.
• Te whakakanapa i te kōhao taimana: Ka whakamahia e te tākuta tētahi taputapu motuhake hei waru i te kiko epithelial mai i te wāhi e pāngia ana o te cornea, kia taea ai e te wāhi katoa te tupu anō kia ōrite.
• Ngā pokanga stroma: Ka whakamahia e te tākuta he ngira iti rawa, he taiaho rānei hei hanga kōhao iti i roto i te stroma , te paparanga o te kanohi kei raro i te kiriuhi Bowman. Ina whakanohoia ēnei kōhao ki ngā wāhi tika, ka ora te kanohi i aua kōhao. Mā tēnei ka whakapakari i te hononga i waenga i ngā paparanga o runga.
• Te whakatakotoranga o te kiriuhi amniotic: He rite te mahi a tēnei ki te takai karaihe, engari ka whakamahia he kiko i tangohia mai i te whenua whānau. Ka tangohia te whenua whānau mā te pokanga tākihi, kātahi ka tukuna he tukanga whakamate pakari. Ka whakatakotoria e te tākuta ki runga tonu i te wāhi e pāngia ana o te kanohi. Ka tiakina te kanohi e te kiko whenua whānau, ā, ka āwhina i ngā paparanga o waho o te cornea kia tupu anō.

Ngā raruraru/ngā pānga taha o te maimoatanga

He rerekē rawa ngā raruraru me ngā pānga taha o te maimoatanga i runga i te maimoatanga ka whiwhi koe. Mā tō tākuta koe e tohutohu pai ki ngā pānga taha ka pā ki a koe me ngā mea ka taea e koe te mahi hei whakaiti, hei ārai rānei i aua pānga.

Kia pēhea te tere o taku pai ake i muri i te maimoatanga?

Ko te roa o te wā whakaora i muri i te maimoatanga e whakawhirinaki ana ki ētahi āhuatanga. Ka taea e te paparanga epithelial o tō cornea te tipu anō me te whakaora tere. Heoi, ka roa pea ngā wiki, ngā marama rānei kia tino ora ai ngā paparanga i raro iho, kia pai ai te hono tahi. Ka taea e tō tākuta te kī atu ki a koe te roa o te wā e ora ai koe, me te wā ka kite koe i te huringa o ō tohu, tirohanga, me te āhua o ō kanohi.

He aha taku e tumanako atu ai mēnā he RCE tōku?

Mena he RCE tōu, ko te tohu matua ko te mamae . He mea noa ētahi atu tohu, he kore whakamarie, ā, he whakararuraru i ngā mahi o ia rā. Engari ko ngā karawarawa iti ka tere te ora. Ko te nuinga o te tangata e rapu awhina hauora ina he ngawari ki te kino ō rātou karawarawa.

Ko te raru nui ka pā mai ki a koe, ka taea e ēnei te hoki mai anō . Mēnā ka tupu tēnei, he nui te tūponotanga ka pā mai ngā raruraru ki tō tirohanga.

Nō reira, he mea pai kia toro atu ki tētahi tohunga kanohi mēnā ka kite koe i ngā tohu o te RCE, inā koa ka whakatuwherahia ō kanohi i te ata . Mā te maimoatanga tere ka taea te whakawhāiti i ngā kino i puta mai i te RCE me te whakaiti i te tūponotanga o tōna hokinga mai ā muri ake nei.

Kia pēhea te roa ka taea e te RCE te mau?

He tino kaha tō kornea ki te whakaora i a ia anō. Ka taea e ngā whara iti te whakaora i roto i ētahi haora, ā, ka roa pea ngā whara kino rawa atu i ētahi rā.

Engari kia maumahara, ka puta noa te RCE ina kore ō kanohi e ora tika. Ki te tupu tēnā, me whakamahi tonu koe i ō rongoā kanohi, i ētahi atu maimoatanga rānei e tohua ana e tō tākuta mō ngā wiki, mō ngā marama rānei. Tērā pea he mahi hoha, he mahi uaua hoki, engari koinei te huarahi pai hei whakarite kia ora tika ō kanohi, kia kore ai hoki e puta te RCE ā muri ake nei.

He aha te tirohanga mō te tūnga RCE?

He mamae, he kore whakamarie te RCE, ā, he kino i ētahi wā, engari kāore e mōrearea ki te ora. I ētahi wā ka hoki mai anō, engari ka taea te rongoā i ngā hokinga mai. He waimarie, he onge ngā raruraru e pā ana ki tō tirohanga mō te wā roa, mō te wā roa rānei.

Ka taea te ārai i te RCE, te whakaiti rānei i te mōrearea?

Ka puta ohorere pea ngā RCE. Kāore e taea te ārai katoa, engari he mea ka taea e koe te mahi hei whakaiti i te tūponotanga o aua mea.

He aha ngā mea ka taea te mahi hei ārai i te RCE?Ko te mea nui ko te ārai i ngā whara o ngā kanohi. Mauria he mōhiti kanohi, he pare kanohi, he mōhiti haumaru rānei ina tūpono te whara o ō kanohi. He mea nui rawa tēnei ina mahi ana koe me ngā taputapu, i roto rānei i tētahi taiao e tūpono ana te urunga o ngā mea ki roto i ō kanohi.

He tino āwhina te paninga o ngā roimata hangai, ngā hinu rānei ki ō kanohi i mua i te moe, inā koa mēnā ka ara ake koe me ngā kanohi mamae i te ata. Mā te pupuri i te mata o te cornea me te kamo kia makuku ka āwhina i te ārai i ngā piri e whai wāhi ana ki te pakaru.

Me pēhea taku tiaki i ahau anō?

Ki te whakaaro koe kei a koe te RCE, he pai ake te rapu maimoatanga i te wā wawe . Ma tenei ka awhina i a koe ki te whakahaere i ou tohu me te whakaiti i te tupono o nga raruraru a muri ake nei.

Mena kei a koe te RCE, mā tō tākuta koe e ārahi ki te whakahaere i tēnei mate. He mea nui kia tino whai i ā rātou tohutohu. Ki te tino whai koe i ngā tohutohu, ā, ki te tango i te rongoā, i te maimoatanga rānei e ai ki te whakahaunga, he nui ake te tūponotanga ka ora koe me te kore he raruraru.

Āhea ahau me toro atu ki taku tākuta, me rapu tohutohu hauora rānei?

Mena he RCE tōu, me haere koe ki ngā haerenga tirotiro whai muri i runga i ngā taunakitanga a tō tākuta. Mā tēnei ka taea e rātou te aroturuki i te whakaora o tō kornea me te whakarerekē i tō maimoatanga mēnā e tika ana. Mena ka kite koe i ētahi huringa o ō tohu, o tō tirohanga, o te whai huatanga rānei o tō maimoatanga, me kōrero koe ki a rātou, me toro atu rānei ki a rātou.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Ehara te RCE i te mea ohorere i te nuinga o te wā, engari ka mamae pea, ā, ka tino whakararuraru i ngā mahi o ia rā. Mena kei a koe ngā tohu o te RCE, he mea pai kia waea atu ki te tari o tō tākuta whānau mō ētahi tohutohu. Ka taea hoki e koe te haere ki tētahi whare tiaki ohorere.

Ahakoa ehara te RCE i te āhuatanga ohorere, he rite tonu ki ngā whara kanohi kino ake pērā i te motu o te kornea , arā, he motu me te haehae i roto i te kornea.

Ki te ruarua koe, rapua he awhina hauora ohorere i runga i te wā tonu. Mā te mahi pera ka nui te painga o te maimoatanga, te whakaoranga, me te tiaki i tō tirohanga.

Mena kei a koe tētahi o ngā tohu e whai ake nei me te mamae o ngā kanohi, me rapu tohutohu hauora koe:

• He whara ki tō kanohi, pērā i te motu, te marō, te motu, te patunga poka rānei.
• Te ngaronga ohorere o te tirohanga (ahakoa he wā poto noa iho, he wāhanga noa iho rānei o te tirohanga ka pā).
• Kei te mura, kei te whero rānei ō kanohi, he āhua e kore e taea te whakamārama.
• Whakapairuaki me te ruaki.
• Te mamae o te upoko .
• Te kirika.
• He kare ā-roto me te mea kei roto i tō kanohi tetahi mea e mau ana (ahakoa kei te kite koe i tetahi mea e puta ai te kare ā-roto, kāore rānei).

Hei whakamutunga he iti...

Ina mahi tika ana ō tātou kanohi, kāore tātou e whakaaro ki te nui o tā tātou whakamahi i aua mea, koia rā? Engari ina mamae ō tātou kanohi, ā, kāore tātou e mōhio he aha, ka tino whakamataku. He mate kino, he mamae hoki te RCE, engari he pai ngā maimoatanga mōna.

Mena kei a koe ngā tohu o te RCE, inā koa he tohu hou, kōrero ki te tākuta, ki te tākuta kanohi rānei. Ko te wawe o te tautuhi mate me te tīmatanga o te maimoatanga, ka nui ake te tūponotanga ka tere te ora me te ārai i te hokinga mai o te mate a muri ake nei.

Ngā whara kanohi , Ngā whara o te Cornea, Mamae kanohi, Whero kanohi, Te horonga o te Cornea auau, Cornea, Mamae kanohi