He aha ka maʻi o ka lole a pehea e mālama ai

Anter

• Nā hōʻailona nui
• ʻO wai ka mea e makaʻu i ka loaʻa ʻana o ka maʻi
• Pehea e hana ʻia ai ke kuhi
• He aha nā pae o ka evolution
• Nā koho lapaʻau
• 1. ʻoki kino kukuna
• 2. ʻO Cryotherapy
• 3. Pākuʻi Corticosteroid

ʻO ka maʻi Coats kahi maʻi laha ʻole e hoʻopili i ka ulu maʻamau o nā kīʻaha koko i ka maka, ʻoi aku ke kikoʻī i ka retina, kahi i hana ʻia ai nā kiʻi a mākou e ʻike ai.

I ka poʻe me kēia maʻi, he mea maʻa mau ia no nā kīʻaha koko i ka retina e haki a, no laila, hōʻiliʻili ke koko a hana i ka mumū o ka retina, ka hopena o ka hihi o ka hihi, hoʻoliʻiliʻi ka ʻike a, i kekahi mau hihia, a me ka makapō hoʻi.

ʻOi aku ka maʻamau o ka maʻi Coats i nā kāne a ma hope o 8 mau makahiki, akā hiki ke hana ʻia i kēlā me kēia, ʻoiai inā ʻaʻohe moʻolelo ʻohana o ka maʻi. Pono e hoʻomaka koke i ka mālama ʻana ma hope o ka hiki ke ʻike ʻia e pale i ka makapō.

Nā hōʻailona nui

ʻO nā hōʻailona mua a me nā hōʻailona o ka maʻi Coats e ʻike pinepine ʻia i ka wā kamaliʻi a hoʻopili pū ʻia:

• Strabismus;
• Ke kū nei o kahi kiʻi keʻokeʻo ma hope o nā aniani o ka maka;
• Hoemi i ka ʻike hohonu;
• Ka hoʻohaʻahaʻa ʻike.

Ke holo nei ka maʻi, hoʻomaka paha nā ʻōuli ʻē aʻe e ʻike, e like me:

• ʻO kaʻulaʻula i ka iris;
• ʻUlaʻula mau o ka maka;
• Wailele;
• Glaucoma.

I ka hapanui o nā hihia, pili kēia mau ʻōuli i hoʻokahi maka wale nō, akā hiki pū kekahi i nā ʻelua. No laila, ke hoʻololi ʻia ka maka a ʻike paha, ʻoi aku ka lōʻihi ma mua o hoʻokahi pule, he mea nui e nīnau aku i ka ophthalmologist, ʻoiai inā pili ka maka hoʻokahi wale nō.

ʻO wai ka mea e makaʻu i ka loaʻa ʻana o ka maʻi

Hiki ke loaʻa ka maʻi o ka pale i loko o kekahi, no ka mea, ʻaʻole ia e pili i kekahi ʻano genetics i hiki ke hoʻoilina. Eia nō naʻe, ʻoi aku ka maʻamau i nā kāne a ma waena o 8 a 16 mau makahiki, keu hoʻi ke loaʻa nā ʻōuli o ka maʻi a hiki i ka 10 mau makahiki.

Pehea e hana ʻia ai ke kuhi

Pono e hana mau ʻia ka diagnostical e kahi ophthalmologist ma o ka hoʻokolohua maka, loiloi i nā hanana o ka maka a me ka nānā ʻana i nā ʻōuli. Eia nō naʻe, no ka like paha o nā hōʻailona me nā maʻi ʻē aʻe o ka maka, pono paha e hana i nā hoʻokolohua diagnostics e like me retinal angiography, ultrasound a i ʻole tomography i helu ʻia, e laʻa me.

He aha nā pae o ka evolution

Hiki ke hoʻokaʻawale ʻia ka holomua o ka maʻi Coats i 5 mau hanana nui:

• Kahua 1: aia nā kīʻaha koko ʻole ma ka retina, akā ʻaʻole naʻe lākou i wāwahi ʻia a no laila ʻaʻohe hōʻailona;
• Kahua 2: aia ka haki o nā kīʻaha koko i ka retina, kahi e alakaʻi ai i ka hōʻiliʻili ʻana o ke koko a me ka nalo mālie ʻana o ka hihiʻo;
• Kahua 3: loaʻa kahi retinalment ma muli o ka hōʻiliʻili ʻana o nā wai, e hopena ana i nā hōʻailona e like me ka uila, nā wahi ʻeleʻele i ka hihiʻo a me ka hōʻoluʻolu ʻole o ka maka. E aʻo hou aʻe e pili ana i ka wehe retina;
• Kahua 4: me ka hoʻonui iki o ka wai i loko o ka maka, aia ka hoʻonui ʻia o ke kaomi e hiki ai ke hopena i ka glaucoma, kahi e loli ai ke aʻalolo optic, hoʻopilikia loa i ka ʻike;
• Kahua 5: ʻo ia ka pae kiʻekiʻe loa o ka maʻi ke ʻike ʻia ka makapō a me ka ʻehaʻeha o ka maka, ma muli o ka hoʻonui ʻia o ke kaomi.

I kekahi poʻe, ʻaʻole holomua ka maʻi i nā pae āpau a loli ka manawa o ka evolution. Eia naʻe, ʻoi aku ka maikaʻi o ka hoʻomaka mau ʻana i ka mālama ʻana ke ʻike ʻia nā ʻōuli mua, e hōʻalo ai i ke ʻano o ka makapō.

Nā koho lapaʻau

Hoʻomaka pinepine ʻia ka mālama ʻana e pale i ka maʻi ʻana mai ka ʻino, no laila e hoʻomaka koke ʻia e hōʻalo i ka hoʻomaka ʻana o nā ʻeha koʻikoʻi e alakaʻi i ka makapō. ʻO kekahi o nā koho i hiki ke hōʻike ʻia e ka ophthalmologist me:

1. ʻoki kino kukuna

He ʻano lapaʻau ia e hoʻohana ana i kahi kukuna o ka mālamalama e hoʻoliʻiliʻi a luku paha i nā kīʻaha koko ʻole ma ka retina, e pale ana iā lākou mai ka haki ʻana a alakaʻi i ka hōʻiliʻili o ke koko. Hana pinepine ʻia kēia ʻoki ʻana i nā pae mua o ka maʻi ma ke keʻena o ke kauka a me ka anesthesia kūloko.

2. ʻO Cryotherapy

I kēia mālama ʻana, ma kahi o ka hoʻohana ʻana i kahi kukuna, hana ka ophthalmologist i nā mea liʻiliʻi o ke anuanu loa kokoke i nā kīʻaha koko o ka maka i hiki iā lākou ke hōʻola a pani, e pale ana iā lākou mai ka haki.

3. Pākuʻi Corticosteroid

Hoʻohana pololei ʻia nā Corticosteroids i ka maka e hoʻoliʻiliʻi i ka mumū ma nā hanana holomua loa o ka maʻi, e kōkua ana e hōʻoluʻolu i ka hōʻoluʻolu a hoʻomaikaʻi iki paha i kāu ʻike. Pono e hana i kēia mau injection i ke keʻena o ke kauka me ka anesthesia kūloko.

Ma waho o kēia mau koho, inā loaʻa kahi retinal detachment a i ʻole glaucoma, pono e hoʻomaka i ka mālama ʻana i kēlā me kēia hopena, i mea e hōʻino ʻole ai i nā ʻeha.