Wehe retina

ʻO ka retinalment retina kahi hoʻokaʻawale o ka membrane-light (retina) i ka hope o ka maka mai kāna papa kākoʻo.

ʻO ka retina ka kiko o ka moʻo e laina i loko o ka hope o ka maka. Hoʻokumu ʻia nā kukuna mālamalama e komo i ka maka e ke kole a me nā aniani i nā kiʻi i hoʻokumu ʻia ma ka retina.

• ʻO ka ʻano maʻamau o ka retina retina pinepine ma muli o kahi waimaka a puka paha i ka retina. E kulu paha ka wai maka ma o kēia wehe. Hoʻokaʻawale kēia i ka retina mai nā aʻa i lalo, e like me ka huʻa ma lalo o ka pepa kiʻi pepa. Hoʻokumu pinepine ʻia kēia e kahi kūlana i kapa ʻia ʻo hope vitreous detachment. Hiki ke kumu ʻia e ka ʻeha a me nā nearsightedness ʻino loa. Hoʻonui ka mōʻaukala ʻohana o ka wehe retina i kou makaʻi.
• ʻO kekahi ʻano o ka detinalment retina i kapa ʻia he tractional detachment. Kūpono kēia ʻano i ka poʻe i loaʻa ʻole ka ka maʻi diabetes i kāohi ʻole ʻia, ua ʻoki ʻia ka retinal ma mua, a i ʻole he mumū wā lōʻihi (mau).

Ke kaʻawale ke retina, hiki i ke kahe ʻana o ke koko mai nā kīʻaha koko kokoke ke hōʻalulu i loko o ka maka i ʻole ʻoe e ʻike akāka paha. E loli loa ka hihi waena inā hemo ka macula. ʻO ka macula kahi ʻāpana o ka retina i kuleana no ka ʻike maka kikoʻī.

Hiki i nā ʻōuli o ka retina hoʻokaʻawale ke komo pū:

• ʻO nā uila uila, keu hoʻi i ka ʻike ākea.
• ʻIke makapō.
• ʻO nā float hou i ka maka i ʻike maka ʻole ʻia.
• Ke aka a hoʻemi paha i ka hihiʻo ākea e like me ka pale a i ʻole ke aka i kou hihiʻo.

ʻAʻohe maʻamau i loko a puni ka maka.

E nānā ka ophthalmologist (kauka maka) i kou mau maka. E hana ʻia nā hoʻokolohua e nānā i ka retina a me ka haumāna:

• Ke hoʻohana nei i ka pena kala a me ka pahupaʻikiʻi e nānā ai i ke kahe o ke koko i ka retina (fluorescein angiography)
• Ke nānā ʻana i ke kaomi i loko o ka maka (tonometry)
• Ke nānā nei i ka ʻaoʻao hope o ka maka, me ka retina (ophthalmoscopy)
• Ke nānā nei i nā ʻōmaka aniani (hōʻike hoʻāla)
• Ke nānā nei i ka ʻike kala
• Ke nānā nei i nā leka liʻiliʻi hiki ke heluhelu ʻia (ʻike ʻike)
• Ke nānā nei i nā hanana i mua o ka maka (nānā slit-lamp)
• Ultrasound o ka maka

ʻO ka hapa nui o ka poʻe me kahi retina e pono ai ke kahakaha. Hiki ke hana ʻoki koke ʻia a i ʻole i loko o kahi manawa pōkole ma hope o ka ʻike ʻana. Hiki ke hana ʻia i kekahi ʻano o ke kaha ʻana i ke keʻena o kāu kauka.

• Hiki ke hoʻohana ʻia nā Lasers e sila i nā waimaka a i ʻole nā ​​lua i ka retina ma mua o ka puka ʻana o kahi retina.
• Inā loaʻa kahi kaʻawale liʻiliʻi, hiki i ke kauka ke hoʻokau i kahi huewai i loko o ka maka. Kapa ʻia kēia he pneumatic retinopexy. Kōkua ia i ka retina e lana hou i kahi. Hoʻopili ʻia ka lua me kahi kukuna.

Pono nā mea hoʻokaʻawale ʻoki loa i ka hana ma ka haukapila. ʻO kēia mau kaʻina hana:

• Pākuʻi ʻo Scleral i ka pale o ka maka i ka retina
• ʻO Vitrectomy e hemo i nā gel a i ʻole nā ​​ʻili scar e huki ana i ka retina, i hoʻohana ʻia no nā waimaka nui loa a me nā mea hoʻokaʻawale

Hiki ke nānā ʻia nā detinal retina tractional no kekahi manawa ma mua o ke kaha ʻana. Inā pono ke ʻoki, hana mau ʻia kahi vitrectomy.

Maikaʻi kāu hana ʻana ma hope o ka wehe ʻana o retina i ka wahi a me ka nui o ka wehe a me ka mālama mua ʻana. Inā ʻaʻole i hoʻopōʻino ʻia ka macula, hiki ke maikaʻi loa ka nānā me ka mālama.

ʻAʻole hoʻoponopono hou ka retina i ka hihi.

ʻAʻole hiki ke hoʻoponopono hou i kekahi mau mea hoʻokaʻawale.

Kuhi kahi retina i kumu o ka nalowale o ka hihiʻo. Hiki i ke ʻoki kino ke hoʻoponopono hou ke kōkua i ka hoʻihoʻi ʻana i kekahi o kāu ʻike.

ʻO kahi wehe retina kahi pilikia koʻikoʻi e koi ana i ka lāʻau lapaʻau i loko o 24 mau hola o nā ʻōuli mua o nā uila hou o ka mālam a me nā floaters.

E hoʻohana i nā pale maka pale no ka pale ʻana i ka ʻeha o ka maka. E kāohi pono i kou kō kō inā loaʻa kou maʻi diabetes. E ʻike i kāu loea mālama maka i hoʻokahi manawa i ka makahiki. Hiki paha iā ʻoe ke kipa pinepine hou inā loaʻa iā ʻoe nā pilikia no ka wehe ʻana i ka retina. E makaʻala i nā hōʻailona o nā uila hou o ka mālam a me nā floaters.

ʻO retina hoʻokaʻawale

• Maka
• Hōʻike kukui kukui

Pūnaewele ʻAmelika Hui Pū ʻIa Ophthalmology. Nā Kuhikuhina Haʻina Manaʻo makemake ʻia. ʻO ka hope hope vitreous posterior, retinal break, a me ka lattice degeneration PPP 2019. www.aao.org/preferred-practice-pattern/posterior-vitreous-detachment-retinal-breaks-latti. Hoʻohou ʻia ʻOkakopa 2019. Loaʻa iā Ianuali 13, 2020.

Salemona JF. Wehe retina. I: Salmon JF, ed. ʻO Ophthalmology Clinical Clinical. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 16.

ʻO Wickham L, ʻAylward GW. Nā kaʻina hana maikaʻi loa no ka hoʻoponopono hou ʻana i retina. I: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. ʻO Ryan's Retina. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 109.