Arcus Senilis
Anter
- Nā Kumu
- Nā ʻōuli
- Nā koho lapaʻau
- ʻO Arcus senilis a me ka kolesterol kiʻekiʻe
- Nā pilikia a me nā pilikia
- Outlook
Hōʻike Overview
ʻO Arcus senilis kahi hapalua o ka hina, keʻokeʻo, a i ʻole nā waiho melemele i ka lihi o waho o kāu kole, ʻo ka ma waho o ka maka i mua o kou maka. Hana ʻia ia i nā waihona momona a me nā kōpaʻa.
I nā mākua makua, maʻamau ka arcus senilis a hana pinepine ʻia e ka ʻelemakule. I ka poʻe ʻōpio, pili paha ia i nā pae kolesterol kiʻekiʻe.
Kāhea ʻia ʻo Arcus senilis i kekahi manawa i ke ʻano ʻo corneal arcus.
Nā Kumu
Hoʻokumu ʻia ʻo Arcus senilis e nā waihona o ka momona (lipids) i ka ʻaoʻao i waho o kāu kōlea. ʻO Cholesterol a me nā triglycerides ʻelua mau ʻano momona i kou koko. ʻO kekahi o nā lipids i kou koko mai nā meaʻai āu e ʻai ai, e like me kaʻiʻo a me nā mea hana waiū. Hoʻopuka kou akepaʻa i ke koena.
Ma muli wale nō o ke apo o kāu kōlea, ʻaʻole ia he manaʻo he kolesterol kiʻekiʻe kou. ʻO ka Arcus senilis ka mea maʻamau ʻo ka ulu ʻana o ka poʻe. ʻO kēia paha no ka mea ʻoi aku ka hāmama o nā kīʻaha koko i kou mau maka me ka makahiki a ʻae i nā kolesterol a me nā momona ʻē aʻe e hemo i loko o ke kō.
Ma kahi o 60 pākēneka o ka poʻe mai 50 a 60 mau makahiki i loaʻa i kēia ʻano. Ma hope o ka makahiki 80, ʻaneʻane 100 pākēneka o ka poʻe e hoʻomohala i kēia arc a puni kā lākou kola.
ʻO Arcus senilis ka mea maʻamau i nā kāne ma mua o ka wahine. E loaʻa paha kēia ʻano ʻAmelika-ʻAmelika ma mua o ka poʻe o nā lāhui ʻē aʻe.
I ka poʻe ma lalo o 40 mau makahiki, arcus senilis ma muli o kahi kūlana hoʻoilina e hoʻāla i ka nui o ka cholesterol a me nā triglyceride.
I nā hihia maʻamau, hānau ʻia nā keiki me arcus senilis. I ka poʻe ʻōpio, ua kapa ʻia ke ʻano i kekahi manawa ʻo arcus juvenilis.
Hiki ke ʻike ʻia ʻo Arcus senilis i ka poʻe me Schnyder central crystalline dystrophy. ʻO kēia ʻano kūlohelohe, hoʻoilina e hoʻoiho i nā crystals kolesterol i ke kolamu.
Nā ʻōuli
Inā loaʻa iā ʻoe ka arcus senilis, e ʻike ʻoe i kahi keʻokeʻo a hina hina poepoe ʻelua ma nā wahi o luna a me lalo o kāu kōlea. E loaʻa i ka pōʻai hapa ka palena o waho o waho a me ka palena o ka fuzzy o loko. E hoʻopiha paha nā laina i mea e hoʻopuni ai i kāu iris, ʻo ia ka ʻāpana kala o kou maka.
ʻAʻole paha ʻoe e loaʻa i kekahi ʻōuli ʻē aʻe. ʻAʻole e hoʻopili ka pōʻai i kāu ʻike.
Nā koho lapaʻau
ʻAʻole pono ʻoe e mālama i kēia ʻano. Eia nō naʻe, koi paha kāu kauka iā ʻoe e nānā i kāu mau pae.
Inā ʻoe ma lalo o 40 mau makahiki a loaʻa iā arcus senilis, pono ʻoe e hōʻoia i ke koko e nānā i kāu kiʻekiʻe kolesterol a me nā lipid. Hiki paha iā ʻoe ke makaʻu kiʻekiʻe loa no ka kiʻekiʻe o ke kōkōlō a me nā maʻi o ke aʻa coronary.
Hiki i kāu kauka ke mālama i ka kolesterol kiʻekiʻe ma kekahi mau ʻano. E hoʻomaka paha ʻoe ma ka hoʻāʻo ʻana i nā loli nohona, e like me ka hoʻoikaika ʻana i nā mea hou aʻe a me ka ʻai ʻana i nā meaʻai me ka momona o ka momona momona, trans fat, a me kolesterol.
Inā ʻaʻole lawa kaʻai a me ka hoʻoikaika kino, hiki i kekahi mau lāʻau ke kōkua i ka hoʻohaʻahaʻa i kāu pae lipid:
- Pale nā lāʻau Statin i kahi mea a kou ake e hoʻohana ai e hana i ka cholesterol. Hoʻopili kēia mau lāʻau i ka atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Altoprev), pravastatin (Pravachol), a me rosuvastatin (Crestor).
- Hoʻopaʻa ka lāʻau paʻa bile acid i kou ake e hoʻohana i ka nui o ke kōkō e hana i nā mea digestive i kapa ʻia he bile acid. Haʻalele kēia i ka kolamu liʻiliʻi i loko o kou koko. ʻO kēia mau lāʻau e pili pū ana me cholestyramine (Prevalite), colesevelam (Welchol), a me colestipol (Colestid).
- Hoʻoemi nā mea hoʻopili kūpikipiki Cholesterol e like me ezetimibe (Zetia) e hoʻoliʻiliʻi i ka lawe ʻana o kou kolamu i ka momona.
Hiki ke hoʻohana i nā lāʻau e hoʻohaʻahaʻa i nā pae triglyceride:
- Hoʻemi ka Fibrates i ka hana ʻana o lipids i kou ake a hoʻonui i ka lawe ʻia ʻana o nā triglycerides mai kou koko. Hoʻopili lākou i fenofibrate (Fenoglide, TriCor) a me gemfibrozil (Lopid).
- Hoʻoemi ʻo Niacin i ka hana ʻana o nā lipids e kou ake.
ʻO Arcus senilis a me ka kolesterol kiʻekiʻe
ʻO ka pilina ma waena o arcus senilis a me nā pae kolesterol kūpono ʻole i nā ʻelemākule. 'ōlelo e pili kēiaʻano i nā pilikia cholesterol a me nā maʻi maʻi maʻi maʻi i nā poʻe mākua. Wahi a arcus senilis he hōʻailona maʻamau ia o ka ʻelemakule, a ʻaʻole ia he māka no nā pōpilikia puʻuwai.
Ke hoʻomaka ʻo arcus senilis ma mua o 45 mau makahiki, ma muli o kahi kūlana i kapa ʻia ʻo hyperlipidemia ʻohana. Ua hoʻoili ʻia kēia ʻano moʻokūʻauhau ma o nā ʻohana. Loaʻa nā kānaka me kēia ʻano i nā kiʻekiʻe kiʻekiʻe o ka cholesterol a i ʻole triglycerides i loko o ko lākou koko. ʻOi aku ka makaʻu no ka maʻi puʻuwai.
Nā pilikia a me nā pilikia
ʻAʻole hiki i ka Arcus senilis ke kumu i nā pilikia, akā ʻo ke kiʻekiʻe loa o ke kōkōlani e kumu ia i kekahi poʻe e hiki ke hoʻonui i nā pilikia puʻuwai.Inā hoʻomohala ʻoe i kēia ʻano ma mua o kāu 40, hiki paha iā ʻoe ke makaʻu nui no ka maʻi o ke aʻa a me nā maʻi maʻi maʻi.
Outlook
ʻAʻole pono ʻo Arcus senilis e hoʻopili i kāu hihi. Eia nō naʻe, inā loaʻa iā ʻoe - keu hoʻi inā ʻike ʻia ʻoe ma mua o ka makahiki 40 - hiki paha ʻoe i ka nui o ka makaʻu no ka maʻi o ke aʻa coronary. ʻO ka hoʻohaʻahaʻa ʻana i kāu pae kolesterol me ka papaʻai, hoʻoikaika kino, a me ka lāʻau hiki ke hōʻemi i kāu maʻi maʻi maʻi puʻuwai.