Kei te pōuri haere tō tirohanga? Tērā pea nā te Terrien Marginal Degeneration tēnei!

I ētahi wā, ka āhua rerekē, ka pōuri hoki tō tirohanga i ngā kanohi e rua? Tērā pea kei te kanohi kotahi anake. I te nuinga o te wā, kāore tātou e aro nui ki ēnei mea, tika? Ka whakaaro tātou, "Koinei te mea ka tupu ina kaumātuatia koe." Heoi, kei reira ētahi mate kanohi onge ka tīmata anō me ēnei tohu. I tēnei rā, ka kōrero tātou mō tētahi āhuatanga kāore i te tino rangona, engari he mea nui kia mōhiotia. He āhuatanga e kiia nei ko te Terrien Marginal Degeneration .

He aha te Terrien Marginal Degeneration? Kia mārama tātou!

He kupu ngāwari noa iho, he mate onge tēnei e pā ana ki ō tātou kanohi. Ko te mea ka tupu i roto i tēnei ko te wāhanga o te 'cornea', arā, te kiriuhi mārama kei mua o tō tātou kanohi, ka angiangi haere. Whakaarohia he rite ki te kāmera. Ko te cornea te wāhanga matua e āwhina ana ki te kawe mai i te māramatanga me te hanga i tētahi ahua mārama. He rite ki te karāhe kei runga i te tihi o tētahi mātaaratanga. Nō reira, ina tīmata te angiangi o tēnei cornea, i roto i te wā, ka taea e ia te whakararuraru i tō tātou kaha ki te kite mārama i ngā mea.

Kāore tēnei e puta i te pō kotahi. He maha ngā wā ka puhoi te whanaketanga. Koia te take kāore ētahi tāngata e kite wawe ana i tēnei āhuatanga. Heoi, ki te kite wawe koe i te mate, ka taea e koe te whiwhi maimoatanga hei āwhina i te tiaki, i te whakaora rānei i tō tirohanga. Ko te tikanga, ko te maimoatanga he mōhiti , ētahi rongoā, ā, i ētahi wā he pokanga hei whakatika, hei whakakapi rānei i tō kornea.

He aha te pānga o tēnei Terian Marginal Degeneration (TMD) ki a koe?

E ai ki tā mātou i kōrero ai i mua ake nei, i roto i tēnei mate, ka angiangi tetahi wāhanga o te kornea. I te haere tonu o te pirau o te kornea, ka tīmata te papatahi o te taha o waho o te kornea. Ka kiia tēnei ko te papatahi o te kornea taha . Ka puta pea te astigmatism hei hua o tēnei.

He aha te Astigmatism ?

Whakaarohia, he porotaka ataahua te kornea hauora, pērā i te pōro. Kātahi ka arotahi te mārama ki te wāhi kotahi, ā, ka mārama te āhua. Engari i roto i te astigmatism, ka rerekē te āhua o te kornea, pērā i te hua manu, i te pōro whutupōro rānei. Kātahi ka kore te mārama e arotahi ki te wāhi kotahi, engari ki ētahi wāhi, nō reira ka pōuriuri, ka totoro, ā, ka pakaru rua pea ngā mea e kitea ana e koe.

Nō reira, mā tēnei āhua o te astigmatism ka pōuriuri tō tirohanga , ā, kāore pea koe e kite mārama i ngā mea. Ka pā pea te Terian Marginal Degeneration (TMD) ki te kanohi kotahi, ki ngā kanohi e rua rānei.

Ko te rongo pai, he rerekē ki ētahi atu mate kanohi, kāore te TMD e mamae ai ngā kanohi. Heoi, i ētahi wā ka whero, ka pupuhi paku ngā kanohi, arā, he mumura .

He tino onge, ki te tino angiangi te kornea, ka pakaru, ka pūhaehae rānei. Ka puta ohorere tēnei, ka puta rānei mēnā kua whara, kua pakaru rānei tō kanohi. He āhuatanga ohorere tēnei, ā, me rapu tonu koe i te awhina hauora.

Ko wai te mea tino pāngia e tēnei āhuatanga?

Ko tēnei mate, e kiia nei ko te Terian Marginal Degeneration (TMD) , ka kitea nuitia i roto i ngā tāne neke atu i te 40 tau te pakeke. Heoi, ehara i te mea kāore e taea e ētahi atu te pāngia. Ka taea te pā ki te tangata ahakoa te pakeke. Kua kitea hoki ko te hunga whai mate mumura , pērā i te rheumatoid arthritis me te juvenile idiopathic arthritis, ka nui ake te tūponotanga ki te whakawhanake i te TMD.

He pēhea te auau o te Terian Marginal Degeneration (TMD)?

He tino onge tēnei mate. Kāore anō kia taea e ngā kairangahau te whakatau tika e hia ngā tāngata e pāngia ana e tēnei mate. I te tau 1900 i whakaahuahia tuatahitia te TMD e Felix Terrien, he tākuta kanohi Wīwī.

He momo matua o te Terian Marginal Degeneration (TMD)?

E whakapono ana ngā kaipūtaiao e rua ngā momo matua o tēnei mate, arā, te terian marginal degeneration ( TMD ).

1. Momo 1: Ka kitea tēnei i te nuinga o te wā i roto i te hunga neke atu i te 55 tau te pakeke. I tēnei momo, ka āta haere te mate, kāore he tohu o te mumura (pēnei i te whero me te pupuhi o ngā kanohi).

2. Momo 2: Ko te mumura te āhuatanga o tēnei momo. He mea tino kitea i roto i ngā tāne taitamariki kei roto i ō rātou tau 20 me 30. Kua kitea hoki tēnei momo e ngā tākuta i roto i ngā tāngata whai i ēnei āhuatanga e whai ake nei:

• Te Mate Pukupuku o te Kiriuhi o Mua o te Rōpū: He mate pūkahukahu tuku iho (ira) tēnei.
• Erythema Elevatum Diutinum: He mate kiri roa tenei.
• Te Mate Urutā Porowhita o Muri: He mate kanohi onge anō hoki tēnei. Ka puta he wai, he matū rānei e hangai ana ki roto i te kornea.

He mate anō kei reira e rite ana ki te Terian Marginal Degeneration (TMD)?

Ae, he maha atu anō ngā mate kanohi e whakaatu ana i ngā tohu rite ki ēnei tohu TMD. Koia te mea nui kia tika te tautuhi i te mate. Ko reira anake ka taea ai e koe te tiki i te mahere maimoatanga tino tika. Ko ētahi o ēnei mate ko:

• Te Keratitis o te Acanthamoeba
• Te Ectasia Corneal (he rōpū mate e rerekē ai te āhua o te cornea, ā, ka piki haere te astigmatism i te roanga o te wā)
• Te mate pukupuku o te kornea ( te whara o te kornea)
• Keratoconus (e puta ai te kornea ki te āhua kōne)
• Te Hekenga o te Awaawa o te Taha (nā tēnei anō hoki ka angiangi te kornea)
• Te Mate Puku o Mooren (He mate kanohi mamae tēnei e kino ai te kornea)
• Te rosacea kanohi ( Te rosacea kanohi)
• Te Pellucid Marginal Degeneration (PMD) (He mate onge anō hoki tēnei o te cornea e ngaro ai te tirohanga i roto i te wā)
• Sclerokeratitis (mumura o te sclera me te cornea)
• Te Vernal Keratoconjunctivitis (VKC) (he mate pāwera kino, roa e pā ana ki te mata o te kanohi)

I te mea he noa ēnei tohu mō ngā mate maha, ki te kite koe i tētahi mea rerekē, he mea pai kia toro atu ki tētahi tākuta kanohi mō tētahi tirotiro.

He aha te take o te Terian marginal Degeneration (TMD)?

Ina hoki, kāore anō kia kitea e ngā kairangahau tētahi tino take mō te TMD. Heoi, e whakapae ana rātou he mate pūnaha ārai mate (te wā e whakaeke ai te pūnaha ārai mate o te tinana i ngā pūtau hauora) he mate pirau rānei (te wā e ngoikore haere ana ngā kiko, ngā whekau rānei). Heoi, kāore anō kia whakaūtia ēnei.

He aha ngā tohu o te Terian Marginal Degeneration (TMD)?

I te nuinga o te wā, kāore he tohu o te hunga e pāngia ana e te pirau o te hononga temporomandibular (TMD). Koinei te raruraru. Heoi, i ētahi wā, ka pāngia pea koe e ngā āhuatanga penei:

• Ka puta ngā panonitanga ātaahua o te tirohanga nā te mate kanohi: Ko te tikanga ka pōuri haere te tirohanga, ā, ka ahua kore e mārama.
• He mākūkū, he mamae rānei i ngā kanohi nā te koretake o te mata o te kornea: Tērā pea ka rite ki te mea kei te mau tetahi mea i roto i te kanohi, ki te mea rānei he kirikiri kei roto i te kanohi.

I ngā wā tino kino, ka taea e te aituā, te whara rānei te puta he poka i te kornea (Puncture, Tear rānei) . He āhuatanga ohorere hauora tēnei. Ka taea e tēnei te whakararu nui i te tirohanga. Nō reira, ki te pāngia tō kanohi e te whara, me rapu tonu koe i te awhina hauora.

Me pēhea te tātaritanga o te Terian Marginal Degeneration (TMD)?

Mā te whakamātautau kanohi katoa ka tātaritatia e ngā tākuta te TMD. Mā te tātaritanga tika i te āhua, ka taea e rātou te wehewehe i tēnei āhua mai i ētahi atu āhua e angiangi ai te kornea, ā, ka taea hoki te hoatu ki a koe te maimoatanga tika.

Tērā pea ka whakahaerehia e tō tākuta kanohi ētahi atu whakamātautau hei tango whakaahua taipitopito o ō kanohi, hei tirotiro hoki mō ngā huringa o tō kornea. Kei roto i ēnei whakamātautau:

• Tomography Āhuatanga Whārite o te Wāhanga o Mua
• Karuārai Matapōkere
• Te Taumata o te Kornea (Ka hangaia he mahere o te mata o te koronea)
• Te Matawai i te Papa Whenua o te Kohao
• Iratuki Whakawhitiwhiti (UBM)

Mā ēnei whakamātautau ka taea e tō tākuta te mārama ake ki te āhua o tō kornea.

He rongoā kei te wātea mō te Terian Marginal Degeneration (TMD)?

Engari, kāore he rongoā mō te TMD. Kaua e manukanuka. Ka taea e te maimoatanga te tiaki i tō tirohanga me te ārai i ngā raruraru. Koia te mea nui o te tautuhi wawe i te mate . Kātahi ka taea e tō tākuta te hoatu ki a koe te tiaki e hiahiatia ana e koe.

He aha ngā maimoatanga mō te Terian Marginal Degeneration (TMD)?

I te nuinga o te wā, kāore he maimoatanga motuhake mō te pirau o te hononga temporomandibular (TMD). Tērā pea ka tūtohu tō tākuta kia " tāria te tūpato " (arā, kia mātakitaki i ngā tohu me te tatari kia kite mēnā ka kino haere te āhua) me ngā whakamātautau auau hei aroturuki i tō āhua.

Heoi, ki te pāngia tō tirohanga e tēnei āhuatanga TMD, ka taea te whakamahi i ngā karu whakatikatika hei rongoā. Hei tauira:

• Ngā mōhiti i hangaia ki te polycarbonate: He kaha ake ēnei i te kirihou noa.
• Ngā Karaehe Whakapā Pakari, Ka Taea te Puku i te Hau: He momo karaehe whakapā mārō ake ēnei e tuku ana i te hāora kia haere mā roto i te kanohi.
• Ngā Arotahi Mata:He karaihe whakapā nui, pakari ēnei. Ka kapi katoa te kornea. Ka whakatika i te astigmatism, ka tiaki i te kanohi, ā, ka whakapai ake i te tirohanga.

Mena he mumura ngawari tōu, ka tohua pea e tō tākuta he pata kanohi, he hinu, he hinu kiri rānei . I ētahi wā ka taea hoki te whakamahi i ngā steroids ā-waha . Heoi, he iti noa iho te whakamahinga nā te mea ka taea e rātou te whakangawari ake i te kornea.

Me mahi pokanga ahau mō te Terian Marginal Degeneration (TMD)?

I ngā kēhi kua tino whanake haere o te TMD, me mahi pea he pokanga hei tiaki, hei pupuri, hei whakaora rānei i te mahi a tō kanohi. Tērā pea ka tūtohu tō tākuta kanohi kia whakamahia he pokanga mēnā kāore ngā karāhe whakatikatika e āwhina.

Mena kua tino pakaru tō kornea, ka tūtohu pea tō tākuta kia whakatōkia te kornea . Ko te tikanga o tēnei ko te whakamahi i te kiko mai i tētahi kaituku hauora, i tētahi kornea horihori rānei. Ka taea e koe te whakatō pēnei:

• Te Whakatō Matotoru Wāhanga (Lamellar Keratoplasty): I roto i tēnei mahi, ko tētahi wāhanga anake o tō kornea ka whakakapia.
• Te Whakatō Matotoru Katoa - Te Keratoplasty Whakauru: I roto i tēnei, ka whakakapia tō kornea katoa.

Mā tō tākuta koe e kōrero atu mō ēnei pokanga.

He aha tāku e taea ai te mahi hei ārai i te whanaketanga o te Terian Marginal Degeneration (TMD)?

Kāore rawa he mea e taea e koe te mahi hei ārai i te TMD nā te mea kāore anō kia mōhiotia te tino take. Heoi, ka taea e koe te mahi i ētahi mahi hei tiaki i ō kanohi, hei ārai hoki i te kino haere o te mate .

Hei ārai i te kino o te kornea, ngana ki te mau i ngā karu tiaki i ēnei wā:

• Ina horoia ana ki te wai mākū, ki ētahi atu matū rānei.
• Ina mahi ana i waho, pērā i te tapahi i te tarutaru.
• I te wā e takaro ana i ngā hākinakina pēnei i te pēihipora me te hōkī.
• Ahakoa i te wā e whakamahi ana i ngā taputapu, i te wā rānei e pania ana te peita.

Ki te mau koe i ngā karaihe whakapā, me āta whai i ngā tohutohu mō te horoi me te patu huakita i ō karaihe hei ārai i ngā mate kanohi, i ngā mate kornea rānei. Mā te whai i ngā wā i whakaritea e tō tākuta kanohi me te whai i ngā aratohu maimoatanga, ka taea e koe te ārai i ngā raruraru me te tiaki i tō tirohanga utu nui.

He aha ngā mea ka tumanakohia e au mēnā kei a au te Terion Marginal Degeneration (TMD)?

He tokomaha ngā tāngata e pāngia ana e te mate Terian Marginal Degeneration (TMD).Ka taea te whakahaere pai mā te whakamahi i ngā mōhiti, i ngā karaihe whakapā rānei, me ngā tirotiro hauora auau. Mena he tino kikokore ō kornea, kōrero ki tō tākuta mō ngā kōwhiringa pai hei tiaki i ō kanohi me te rongoā i ō tohumate. Kaua e manukanuka, ka taea e koe te noho noa i te oranga me tēnei mate.

Āhea koe me rapu tohutohu hauora mō te pirau o te hononga temporomandibular (TMD)?

He mea nui kia mōhio wawe koe ki te āhua o te Terian Marginal Degeneration (TMD) kia taea ai e koe te whiwhi maimoatanga whai hua. Mena ka pāngia koe e te mamae o ngā kanohi, te mamae, te panoni rānei o te tirohanga , whakamōhio atu ki tō tākuta tonu. Ka taea e tō tākuta te whakarato i ngā kōwhiringa maimoatanga hei whakaora i a koe, hei pupuri hoki i tō tirohanga.

Kia maumahara, ko ngā kanohi tētahi o ngā okana tino tairongo, tino whai hua hoki o te tinana. Nō reira, ki te kite koe i tētahi panoni, i tētahi mamae rānei i roto i ō kanohi, he mea whakaaro nui kia rapu tohutohu hauora koe, kaua e warewaretia.

Hei whakamutunga, kia maumahara ki tēnei (Karere hei tango ki te kāinga)

He āhuatanga onge te Terrien Marginal Degeneration e angiangi ai ngā taha o tō tātou cornea. Mā tēnei cornea tātou e āwhina ki te kite mārama. He tokomaha te hunga kāore e kite i ngā tohu. Mō ētahi atu, ka taea e ngā karu tirotiro te āwhina ki te tiaki i ō rātou tirohanga me te ārai i ngā raruraru. Me tirotiro kanohi i ia wā. Kātahi ka taea e koe te whiwhi i te tiaki e hiahiatia ana e koe. Tiakina ō kanohi! Nā te mea e rua noa iho ō tātou kanohi hei kite i te ao.

Te Hekenga o te Mata o Terrien , Ngā Mate Kanohi, Te Kornea, Te Tirohanga Pōuri, Te Astigmatism, Te Hauora o te Kanohi