He aha ka cataract congenital, nā ʻōuli, nā kumu nui a me ka mālama ʻana

Anter
Hoʻololi nā cataract congenital i nā aniani o ka maka e ulu ana i ka wā hāpai a, no laila, aia i loko o ka pēpē mai ka wā hānau. ʻO ka hōʻailona nui o ka cataract congenital ʻo ke kū ʻana o kahi kiʻi ʻoniʻoni keʻokeʻo ma loko o ka maka o ka pēpē, i hiki ke ʻike ʻia i nā lā mua o ke ola o ka pēpē a i ʻole ma hope o kekahi mau mahina.
Hiki i kēia loli ke hoʻopili i hoʻokahi maka a i ʻole ʻelua a hiki ke mālama ʻia ma o ka ʻoki maʻalahi e pani i nā aniani o ka pēpē. Ke kuhi ʻia kahi cataract hānau, he mea nui ka pēpē e nānā i ka maka, i hana ʻia i ka pule mua o ke ola a laila hana hou ʻia ma 4, 6, 12 a me 24 mau mahina, no ka mea hiki ke hōʻoia i ka ʻike a hoʻomaka. lapaʻau kūpono. E ʻike pehea e hana ai i ka hoʻāʻo maka.

Nā ʻōuli o ka cataract congenital
Aia nā cataract congenital mai ka manawa o ka hānau ʻana, akā i kekahi mau manawa, hiki ke hala i mau mahina ma mua o ka ʻike ʻia ʻana, ke nānā nā mākua a i ʻole nā mea mālama ʻē aʻe o ka pēpē i kahi kiʻi keʻokeʻo i loko o ka maka, e hana ana i ka manaʻo o ka "opaque pupil" .
I kekahi mau hihia, hiki i kēia kiʻiʻoniʻoni ke hoʻomohala a hoʻomāhuahua hoʻi i ka hala ʻana o ka manawa, akā ke ʻike ʻia ia, pono e hoʻomaopopo ʻia i ka pediatrician e hoʻomaka i ka lapaʻau kūpono a pale i ke ʻano o ka paʻakikī e ʻike.
ʻO ke ala ʻoi loa e hōʻoia ai i ke kuhi o ka cataract congenital ka loaʻa ʻana o kahi hōʻike reflex ʻulaʻula, i ʻike ʻia hoʻi me kahi hoʻokolohua maka liʻiliʻi, kahi e hoʻolālā ai ke kauka i kahi kukui kūikawā ma luna o ka maka o ka pēpē e ʻike inā he loli paha nā hanana.
Nā kumu nui
ʻO ka hapa nui o nā cataract congenital ʻaʻohe kumu kikoʻī, ke ʻano ʻia ma ke ʻano he idiopathic, akā i kekahi mau hihia hiki i ka cataract congenital ke hopena o:
- Nā maʻi Metabolic i ka hāpai keiki;
- Nā maʻi o ka wahine hāpai me ka toxoplasmosis, rubella, herpes a i ʻole cytomegalovirus;
- Nā hemahema i ka hoʻomohala ʻana i ka iwi poʻo o pēpē.
Hiki ke kumu ʻia nā cataract congenital e nā mea kūlohelohe, a ʻo ka pēpē me nā hihia like i loko o ka ʻohana e hānau ʻia me kahi cataract congenital.
Pehea e hana ai i ka lāʻau
ʻO ka mālama ʻana i nā cataract congenital kaukaʻi ʻia i ke koʻikoʻi o ka maʻi, ke kēkelē o ka hihiʻo a me ka makahiki o ka pēpē, akā hana mau ʻia ia me ke kaha ʻana o ka cataract cataract e pani ai i nā aniani, pono e hana ʻia ma waena o 6 mau pule o ka makahiki a me 3 mau mahina. Eia nō naʻe, ʻokoʻa kēia manawa ma muli o ke kauka a me ka mōʻaukala o ke keiki.
ʻO ka maʻamau, hana ʻia ke kaha ma ka maka hoʻokahi ma lalo o ka anesthesia kūloko a ma hope o ka 1 mahina ua hana ʻia ia ma kekahi ʻē aʻe, a i ka wā o ka hoʻōla pono pono ʻia e kau i kahi mau kulu maka i hōʻike ʻia e ka ophthalmologist, e hoʻomaha ai i ka maʻi o ke pēpē a e pale hoʻi i ka hoʻomaka ʻana o he maʻi maʻi. I nā hihia o ka cataract congenital cataract, hiki ke hōʻike ʻia ka hoʻohana ʻana i ka lāʻau a i ʻole nā kulu maka ma kahi o ke ʻoki.