Fluorescein angiography

ʻO ka Fluorescein angiography kahi hoʻāʻo o ka maka e hoʻohana ana i kahi kala a me ka pahupaʻikiʻi kūikawā e nānā ai i ke kahe o ke koko i ka retina a me ka choroid. ʻO kēia nā papa ʻelua ma ka hope o ka maka.

Hāʻawi ʻia iā ʻoe nā kulu maka e hoʻonui ai kāu haumāna. E noi ʻia ʻoe e kau i kou auwae ma kahi kau a ʻo kou lae e kūʻē i kahi pā kākoʻo e hoʻomau i kou poʻo i ka wā o ka hoʻāʻo.

Lawe ke kahu mālama ola i nā kiʻi o loko o kou maka. Ma hope o ke kiʻi mua ʻia ʻana o ka hui, kiʻi ʻia kahi kala i kapa ʻia ʻo fluorescein i loko o kahi aa koko. ʻO ka pinepine pinepine ʻia e injected i ka loko o kou kuʻe lima. ʻO ke kiʻi like me ka pahupaʻikiʻi e paʻi kiʻi i ka neʻe ʻana o ke kala ma o nā kīʻaha koko ma ka hope o kou maka.

ʻO kahi hana hou i kapa ʻia ʻo ultra-broadfield fluorescein angiography hiki ke hāʻawi i ka ʻike hou aku e pili ana i kekahi mau maʻi ma mua o ka angiography maʻamau.

Pono ʻoe i kekahi e hoʻokele iā ʻoe i kou home. Pōpō paha kāu hihi a hiki i 12 mau hola ma hope o ka hoʻāʻo.

ʻ belelo ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau i hiki ke hoʻololi i nā hopena hōʻike. E haʻi i kāu mea hoʻolako e pili ana i nā maʻi āpau, e like me nā hopena i iodine.

Pono ʻoe e kau inoa i kahi palapala ʻae ʻikepili. Pono ʻoe e hemo i nā aniani kelepona ma mua o ka hoʻāʻo.

E haʻi i ka mea hāʻawi inā hāpai ʻoe.

Ke hoʻokomo ʻia ka nila, ʻike kekahi poʻe i ka ʻeha iki. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, aia paha kekahi ʻōkā.

Ke kuhi ʻia ka kala, loaʻa paha ʻoe i ka nausea mālie a me kahi ʻano mahana i kou kino. Hele koke kēia mau ʻōuli i ka hapa nui o ka manawa.

E hoʻomāʻele ka wai i kou mimi. He ʻalani paha ke kala no hoʻokahi lā a ʻelua paha ma hope o ka hoʻāʻo.

Hana ʻia kēia hōʻike e ʻike inā loaʻa ke kahe o ke koko kūpono i loko o nā kīʻaha koko i nā papa ʻelua i ka hope o kou maka (ka retina a me choroid).

Hiki nō ke hoʻohana e kālailai i nā pilikia i ka maka a i ʻole e hoʻoholo i ke ʻano o ka hana ʻana o kekahi mau mālama maka.

ʻO kahi hopena maʻamau ke ʻano o nā moku i kahi nui maʻamau, ʻaʻohe moku kīnā ʻole hou, a ʻaʻohe ālai a kulu paha.

Inā loaʻa ka ālai a me ka liu paha, e palapala ʻāina nā kiʻi i kahi no ka hana kūpono.

ʻO kahi waiwai kūpono ʻole ma kahi angiography fluorescein ma muli o:

• Nā pilikia o ke kahe o ke kahe (kahe), e like me ka blockage o nā aʻa a i ʻole nā ​​uaua
• Kanesa
• Diabetic a i ʻole retinopathy ʻē aʻe
• Piʻi koko kiʻekiʻe
• Ka hoʻohauna a me ka edema
• Ka hoʻohaʻahaʻa mākeke
• Microaneurysms - hoʻonui i nā capillaries i ka retina
• Nā Tumors
• ʻO ka pehu o ka disk optic

E hana ʻia ka hōʻike inā loaʻa iā ʻoe:

• Wehe retina
• Retinitis pigmentosa

Aia kekahi manawa kūpono o ka maʻi i kēlā me kēia manawa i haki ka ʻili. Kākaʻikahi ka makaʻala o ke kanaka i ka kala a ʻike paha:

• Pōpō a maule paha
• ʻO ka waha maloʻo a hoʻonui ʻia paha i ka salivation
• ʻO Hives
• Hoʻonui i ka helu o ka puʻuwai
• ʻIno metallic i ka waha
• ʻO Nusea a me ka luaʻi
• Kaheʻe

ʻAʻohe laha nā hopena maʻi ʻino.

ʻOi aku ka paʻakikī o nā hopena hōʻike i ka wehewehe ʻana i ka poʻe me ka cataract. Hōʻike nā pilikia kahe o ke kahe ma ka fluorescein angiography e hōʻike i nā pilikia kahe o ke koko i nā ʻāpana ʻē aʻe o ke kino.

Kiʻi kiʻi retina; Angiography maka; Angiography - fluorescein

• Inikoki kala retina

Feinstein E, Olson JL, Mandava N. Ke hoʻāʻo ʻana i ka retinal ancillary camera: autofluorescence, fluorescein, a me ka indocyanine angiography ʻōmaʻomaʻo. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 6.6.

Haug S, Fu AD, Johnson RN, McDonald HR, et al. Fluorescein angiography: nā kumu nui a me ka wehewehe ʻana. I: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. ʻO Ryan's Retina. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 1.

Karampelas M, Sim DA, Chu C, et al. Nānā nui o ka vasculitis peripheral, ischemia, a me ka leakage vascular i uveitis e hoʻohana ana i ka angiography ultra-broadfield fluorescein. Am J Ophthalmol. 2015; 159 (6): 1161-1168. PMID: 25709064 www.ncbi.nlm.nih.gov/pubmed/25709064/.

Taha NM, Asklany HT, Mahmoud AH, et al. Retinal fluorescein angiography: kahi mea hana maʻalahi a kikoʻī e wānana i ke kahe o ka coronary. ʻO Egypt Heart J. 2018; 70 (3): 167-171. PMID: 30190642 pubmed.ncbi.nlm.nih.gov/30190642/.