ʻO ka maʻi Coats

Anter

• He aha nā hōʻailona a me nā hōʻailona?
• Nā pae o ka maʻi Coats
• Kahua 1
• Kahua 2
• Kahua 3
• Kahua 4
• Kahua 5
• ʻO wai ka mea loaʻa i ka maʻi Coats?
• Pehea ia ʻike?
• Pehea e mālama ʻia ai?
• ʻOki kino kukuna (photocoagulation)
• ʻO Cryosurgery
• Nā inikua Intravitreal
• ʻO Vitrectomy
• Scleral buckling
• ʻO Outlook a me nā pilikia kūpono

He aha ka maʻi Coats?

ʻO ka maʻi Coats kahi maʻi maka liʻiliʻi e pili ana i ka hoʻomohala ʻole ʻana o nā kīʻaha koko i ka retina. Aia ma ka hope o ka maka, hoʻouna ka retina i nā kiʻi māmā i ka lolo a he mea nui ia i ka maka.

I ka poʻe me ka maʻi Coats, haki nā capillaries o retinal a hulu i ka wai i hope o ka maka. Ke kūkulu nei ka wai, hoʻomaka ka retina e pehu. Hiki i kēia ke kumu i ka hoʻokaʻawale hapa a piha paha o ka retina, e alakaʻi ana i ka hōʻemi ʻana i ka ʻike a i ʻole ka makapō i ka maka i hoʻopilikia ʻia.

ʻO ka hapa nui o ka manawa, pili ka maʻi i hoʻokahi maka wale nō. Hoʻomaopopo pinepine ʻia i ka wā kamaliʻi. ʻAʻole maopopo ke kumu pololei, akā kōkua ke kōkua i ka wā mua e mālama i kāu ʻike.

He aha nā hōʻailona a me nā hōʻailona?

Hoʻomaka ka hoʻomaka o nā hōʻailona a me nā ʻōuli i ka wā kamaliʻi. Māmā paha lākou i ka manawa mua, akā loaʻa koke kekahi mau ʻōuli ʻino i kekahi mau manawa. ʻO nā hōʻailona a me nā hōʻailona me:

• hopena melemele (ʻano like me ka maka ʻulaʻula) hiki ke ʻike ʻia i ke paʻi paʻi kiʻi
• strabismus, a i ʻole nā ​​maka i kuʻi ʻia
• leukocoria, kahi keʻokeʻo ma hope o nā aniani o ka maka
• nalo o ka ʻike hohonu
• pōʻino o ka hihiʻo

Hiki i nā ʻōuli ke komo pū:

• ka hoʻoliʻiliʻi ʻulaʻula o ka iris
• uveitis, a i ʻole ka mumū o ka maka
• hoʻokaʻawale retina
• glaucoma
• cataract
• atrophy pōpō maka

Hana ʻia nā ʻōuli ma ka maka hoʻokahi wale nō, ʻoiai hiki ke hoʻopili i nā mea ʻelua.

Nā pae o ka maʻi Coats

ʻO ka maʻi Coats kahi kūlana holomua i mahele ʻia i ʻelima mau hanana.

Kahua 1

I nā maʻi Coats pae mua, hiki i ke kauka ke ʻike he mau kīʻaha koko ʻokoʻa kāu, akā ʻaʻole lākou i hoʻomaka e lele.

Kahua 2

Ua hoʻomaka nā kīʻaha koko e hoʻokahe i nā wai i ka retina. Inā liʻiliʻi ka liu, loaʻa paha iā ʻoe ka ʻike maʻamau. Me kahi kulu nui aʻe, e ʻike paha ʻoe i ka nalo ʻana o ka hihi. Ulu ka makaʻu o ka retinal detachment ke hōʻiliʻili ʻia nā wai.

Kahua 3

Hoʻokaʻawale hapa ʻia paha kāu retina.

Kahua 4

Ua hoʻomohala ʻoe i ka hoʻonui kaomi i ka maka, i kapa ʻia ʻo glaucoma.

Kahua 5

I ka maʻi Coats holomua, ua nalowale loa ʻoe i ka ʻike i ka maka i hoʻopili ʻia. Ua hoʻomohala paha ʻoe i nā cataract (ke ao o nā aniani) a i ʻole phthisis bulbi (atrophy o ka eyeball).

ʻO wai ka mea loaʻa i ka maʻi Coats?

Hiki i kekahi ke loaʻa i ka maʻi Coats, akā he kakaikahi loa ia. Ma mua o 200,000 poʻe ma ʻAmelika Hui Pū ʻIa i loaʻa. Hoʻopili ia i nā kāne ma mua o nā wahine i ka lakio o 3-i-1.

ʻO ka makahiki maʻamau ma ka hōʻailona he 8 a 16 mau makahiki. Ma waena o nā keiki me ka maʻi Coats, ma kahi o ʻelua hapakolu i loaʻa nā ʻōuli ma ka makahiki 10. Ma kahi o ka hapakolu o ka poʻe me ka maʻi Coats he 30 a ʻoi paha i ka wā e hoʻomaka ai nā ʻōuli.

ʻAʻole ia he hoʻoilina a i ʻole he loulou i ka lāhui a i ʻole ka lāhui. ʻAʻole i hoʻoholo ʻia ke kumu pololei o ka maʻi Coats.

Pehea ia ʻike?

Inā loaʻa iā ʻoe (a i ʻole kāu keiki) nā ʻōuli o ka maʻi Coats, e ʻike koke i kāu kauka. Hoʻopakele paha ka hoʻopili mua i kāu hihiʻo. Eia kekahi, hiki i nā ʻōuli ke hoʻohālikelike i nā ʻano o nā kūlana ʻē aʻe, e like me retinoblastoma, a hiki ke hoʻoweliweli i ke ola.

Hana ʻia ka diagnostical ma hope o ka nānā pono ʻana i ka ophthalmic, a me ka loiloi ʻia o nā ʻōuli a me ka mōʻaukala olakino. Hiki i nā hoʻokolohua diagnostics ke hoʻopili i nā hoʻokolohua kiʻi e like me:

• retina fluorescein angiography
• kālaiʻike
• CT scan

Pehea e mālama ʻia ai?

Holomua nā maʻi o ka pale. Me ka mālama mua ʻana, hiki nō ke hoʻihoʻi i kekahi mau hihiʻo. ʻO kekahi mau koho lapaʻau:

ʻOki kino kukuna (photocoagulation)

Hoʻohana kēia kaʻina hana i kahi laser e hōʻemi a hoʻopau i nā kīʻaha koko. Hiki paha i kāu kauka ke hana i kēia ʻoki ma kahi wahi o waho.

ʻO Cryosurgery

Kōkua nā hoʻokolohua kiʻi i ke alakaʻi ʻana i kahi mea noi e like me ka nila (cryoprobe) e hoʻopuka ai i ke anuanu loa. Hoʻohana ʻia ia e hana i kahi mālamalama e pili ana i nā kīʻaha koko kūpono ʻole, kahi mea e kōkua ai e hōʻoki hou i ka liu ʻana. Eia pehea e hoʻomākaukau ai a me nā mea e kali ai i ka wā o ke ola ʻana.

Nā inikua Intravitreal

Ma lalo o kahi anesthetic kūloko, hiki i kāu kauka ke hoʻopili i nā corticosteroids i kou maka e kōkua ai e kaohi i ka pehu. Hiki i nā anti-vascular endothelial ulu mea ulu (anti-VEGF) ke hōʻemi i ka ulu ʻana o nā kīʻaha koko hou a maʻalahi hoʻi i ka pehu. Hiki i nā inikua ke hāʻawi ʻia i ke keʻena o kāu kauka.

ʻO Vitrectomy

He hana ʻoki kēia e kāpae i ka gel vitreous a hāʻawi i ka hoʻomaikaʻi hou ʻana i ka retina. E aʻo hou aʻe e pili ana i ke kaʻina hana ka mea e hana ai ke ola nei.

Scleral buckling

Hoʻopili hou kēia hana i ka retina a hana pinepine ʻia i loko o kahi keʻena hana haukapila.

ʻO kēlā me kēia ʻano lāʻau āu e pono ai, pono ʻoe e nānā pono.

I ka hopena hope loa o ka maʻi Coats, atrophy o ka eyeball i hopena i ka ʻoki ʻana o ka maka i hoʻopilikia ʻia. Kapa ʻia kēia kaʻina hana ʻo ka enucleation.

ʻO Outlook a me nā pilikia kūpono

ʻAʻohe mea lapaʻau no ka maʻi Coats, akā hiki i ka hoʻomaʻamaʻa mua ʻana ke hoʻomaikaʻi i kou mau manawa o ka mālama ʻana i kāu mau maka.

Pane maikaʻi ka hapa nui o ka poʻe i ka lāʻau. Akā ma kahi o 25 pākēneka o ka poʻe ʻike i ka holomua e alakaʻi i ka hemo ʻana o ka maka.

He ʻokoʻa ka nānā aku no nā kānaka āpau, kaukaʻi ʻia i ke kahua ma ka hōʻoia, ka nui o ka holomua, a me ka pane ʻana i ka lāʻau.

Hiki i kāu kauka ke loiloi i kou ʻano a hāʻawi iā ʻoe i kahi manaʻo o ka mea āu e manaʻo ai.