ʻ .pala Intravitreal

ʻO kahi injection intravitreal kahi kī o ka lāʻau i ka maka. Hoʻopiha ka loko o ka maka me kahi wai e like me ka jelly (vitreous). I loko o kēia kaʻina hana, hoʻopiʻi kāu mea mālama ola i ka lāʻau i loko o ka vitreous, kokoke i ka retina ma ka hope o ka maka. Hiki i ka lāʻau lapaʻau ke mālama i kekahi mau pilikia maka a kōkua i ka pale ʻana i kāu ʻike. Hoʻohana pinepine ʻia kēia ala e kiʻi i kahi pae kiʻekiʻe o ka lāʻau i ka retina.

Hana ʻia ke kaʻina hana i ke keʻena o kāu mea hāʻawi. Ma kahi o 15 a 30 mau minuke ka lōʻihi.

• E kau i nā kulu i kou mau maka e hoʻonui (hoʻonui) i nā haumāna.
• E moe ʻoe i ke alo i kahi kūlana hōʻoluʻolu.
• E hoʻomaʻemaʻe ʻia kou mau maka a me kou mau lihilihi.
• E kau ʻia nā kulu ihu i kou maka.
• E wehe kahi mea liʻiliʻi i kou mau lihilihi i ka wā o ke kaʻina hana.
• E noi ʻia ʻoe e nānā i ka maka ʻē aʻe.
• E hoʻokomo ʻia ka lāʻau i loko o kou maka me kahi nila liʻiliʻi. ʻIke paha ʻoe i ke kaomi, akā ʻaʻole ʻeha.
• Hiki ke kau ʻia i nā kulu Antibiotic i kou maka.

Loaʻa iā ʻoe kēia hana inā loaʻa iā ʻoe:

• Ka hoʻohaʻahaʻa mākeke: kahi maʻi o ka maka e lohi mālie i ka ʻike maka, waena
• ʻO ka edular macular: Ka pehu ʻana a i ʻole ka mānoanoa o ka macula, ka ʻāpana o kou maka e hāʻawi ana i ka ʻike maka, waena
• Retinopathy diabetic: kahi pilikia o ka maʻi kō i hiki ke hoʻoulu i nā kīʻaha koko hou ʻole e ulu i ka retina, ka ʻaoʻao hope o kou maka.
• Uveitis: Ka pehu ʻana a me ka mumū ma loko o ka ʻōpeʻe
• Hopena o ke aʻa retinal: kahi paʻa o nā aa e lawe i ke koko mai ka retina a mai ka maka
• Endophthalmitis: Ka maʻi i loko o ka maka

I kekahi manawa, hāʻawi ʻia kahi injection intravitreal o antibiotics a me nā steroid i ʻāpana o ke ʻoki cataract maʻamau. Hōʻalo kēia i ka hoʻohana ʻana i nā kulu ma hope o ke kahakaha ʻana.

He kakaikahi nā hopena ʻaoʻao, a hiki i nā mea he nui ke hoʻokele. Pākuʻi ʻia lākou:

• Hoʻonui kaomi i ka maka
• Nā Luaʻau
• Hoʻonā
• Kahena
• ʻ cornnihi palaoa
• Ka poino i ka retina a i ʻole nā ​​ʻalolo a puni paha
• Maʻi kīnā
• Lilo hihio
• Poho o ka maka (kākaʻikahi loa)
• Nā hopena ʻaoʻao mai nā lāʻau i hoʻohana ʻia

Kūkākūkā i nā pilikia no nā lāʻau lapaʻau i hoʻohana ʻia i kou maka me kāu mea hāʻawi.

E haʻi i kāu mea hoʻolako e pili ana i:

• Nā pilikia olakino
• Nā lāʻau lapaʻau āu e lawe ai, me nā lāʻau lapaʻau āpau
• ʻO nā mea āpau āpau
• ʻO nā kūmole kahe

Ma hope o ke kaʻina hana:

• Hiki paha iā ʻoe ke noʻonoʻo i kekahi mau ʻano i ka maka e like me ke kaomi a me ka hina ʻana, akā ʻaʻohe ʻeha.
• Aia paha he kahe koko ma ka keʻokeʻo o ka maka. He maʻamau kēia a e hele aku.
• ʻIke paha ʻoe i nā floater maka i kāu hihiʻo. E hoʻomaikaʻi lākou i ka manawa.
• MAI hamo i kou mau maka no kekahi mau lā.
• Hōʻalo i ka ʻauʻau ʻana no 3 mau lā.
• E hoʻohana i ka lāʻau kulu maka e like me ke kuhikuhi.

Hōʻike i ka ʻeha o ka maka a i ʻole ʻoluʻolu ʻole, ʻulaʻula, ʻike i ka mālamalama, a i ʻole nā ​​loli i kāu ʻike i kāu mea hoʻolako i kēia manawa.

E hoʻolālā i kahi manawa e ukali ai me kāu mea hoʻolako e like me ke kuhikuhi.

Aia i ka hapanui kou nānā ʻana i ke kūlana e mālama ʻia. Hiki ke kūpaʻa a hoʻomaikaʻi paha kāu ʻike ma hope o ke kaʻina hana. Pono ʻoe i ʻoi aku ma mua o hoʻokahi injection.

Antibiotic - ka pahu kui intravitreal; Triamcinolone - hoʻokomo i intravitreal; Dexamethasone - hoʻokomo i intravitreal; Lucentis - hoʻokomo i intravitreal; Avastin - hoʻokomo i intravitreal; Bevacizumab - ka pahu kui intravitreal; Ranibizumab - ka pahu kui intravitreal; Nā lāʻau lapaʻau Anti-VEGF - ka pahu kui intravitreal; Edema Macular - hoʻokomo i intravitreal; Retinopathy - ka pahu kui intravitreal; Hopena o ke aʻa retinal - ka pahu kui intravitreal

Pūnaewele ʻAmelika Hui Pū ʻIa Ophthalmology. Ka hoʻohaʻahaʻa macular pili i ka makahiki PPP 2019. www.aao.org/preferred-practice-pattern/age-related-macular-degeneration-ppp. Hoʻohou ʻia ʻOkakopa 2019. Loaʻa iā Ianuali 13, 2020.

Kim JW, Mansfield NC, Murphree AL. Retinoblastoma. I: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. ʻO Ryan's Retina. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 132.

Mitchell P, Wong TY; ʻO ka Diabetic Macular Edema Hana Kūkulu Kālā Hana. Nā paradigms hoʻokele no ka maʻi diabetic macular edema. Am J Ophthalmol. 2014; 157 (3): 505-513. PMID: 24269850 www.ncbi.nlm.nih.gov/pubmed/24269850.

Rodger DC, Shildkrot YE, Elliott D. Inophious endophthalmitis. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 7.9.

ʻO Shultz RW, Maloney MH, Bakri SJ. Nā inikua Intravitreal a me nā implant lāʻau. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 6.13.