No ke aha ʻoe e ʻike nei i nā kukuna o ke kukui i ke kihi o kou maka?
Anter
- Anatomy maka a me nā uila
- He aha nā kumu kūpono?
- Nā pilikia pili i ka maka
- Nā kumu pili i ka maka
- Nā pilikia olakino ʻē aʻe
- Nā kumu pili i ke olakino ʻē aʻe
- Ka wā e ʻike ai i ke kauka
- Pehea e mālama ai nā uila i ka maka?
- Ke laina lalo
Ua ʻike anei ʻoe i nā kukuna a i ʻole nā pae o ke kukui i nā kihi o kou maka a haʻohaʻo i ka mea e hana nei? ʻO nā uila i kou maka he ʻano photopsia, a i ʻole he haunaele hihiʻo.
Hiki i nā kukui uila ke hana i hoʻokahi o ʻelua paha o kou mau maka a ʻokoʻa ke ʻano, nā kala, nā alapine, a me ka lōʻihi. Nui nā kumu no kēia.
E nānā pono i nā kumu o ke kukui uila i loko o kou maka a me nā mea hiki iā ʻoe ke hana e pili ana iā lākou.
Anatomy maka a me nā uila
E noʻonoʻo kākou i ka hana o ka retina a me ka hoʻomākeʻaka vitreous e hoʻomaopopo pono ai i kēia mau uila.
- ʻO ka retina kahi mānoanoa lahilahi lahilahi i laina i ka hope o ka maka o kou maka. Hoʻouna ia i nā hōʻailona uila i kou lolo ma o ke aʻalolo optic. ʻO ka hana o ka retina ka hana ʻana i ka mālamalama e kia i loko o kāu haumāna a e hoʻolilo i kou lolo i kēia ʻike i kiʻi.
- ʻO ka hoʻomākeʻaka vitreous kahi wai e like me ka jelly e lawe i kahi hapa nui o ka hope o kou maka. Pale ia i ka retina a kōkua i kou maka e mālama i kona kinona.
ʻOiai he nui nā kumu āu e ʻike ai i nā kukuna o ke kukui i kou maka, kaomi a ka ikaika paha i ka retina ka pinepine o nā kumu. Kū kēia mau kukui uila i ka ʻaoʻao hope o kou maka i kahi o ka retina.
Lele nā olonā liʻiliʻi i ka wai vitreous a pili i ka retina. Ke huki ʻia a hānai ʻia paha kēia mau olonā, hiki iā ia ke hana i nā uila a i ʻole nā uila uila mai ka hakakā.
ʻO ke kukui uila i ka maka ʻaʻole ia he kūlana no lākou iho. Ma kahi o ka hopena, lilo lākou i hōʻailona o kekahi kūlana ʻē aʻe.
He aha nā kumu kūpono?
Wahi a ka American Academy of Ophthalmology, ke ʻike nei i nā kukuna o ke kukui i ke kihi o kou maka hiki ke kumu ʻia e nā ʻano like ʻole a i ʻole nā kūlana. Pili paha kekahi mau kumu i ke olakino o kou maka, ʻo kekahi e pili ana i nā ʻano olakino ʻē aʻe.
Nā pilikia pili i ka maka
Hiki i kekahi mau ʻano pilikia pili i ka maka ke hoʻopuka i nā kukui e ʻike ʻia ma ke kihi o kou maka a i ʻole kahua o ka hihiʻo.
Nā kumu pili i ka maka
- Wehe hope vitreous. ʻO kēia kekahi o nā kumu maʻamau o ka uila i kou maka. Hana ʻia ia ke hele a ʻelemakule ʻoe. Me kahi kaʻawale vitreous hope, hoʻokaʻawale ka humor humor vitreous mai ka retina. Inā hiki wawe, hiki iā ia ke kumu i nā kukui liʻiliʻi o ka mālamalama, ma ke kihi o kāu hihi. Hiki iā ia ke kumu i nā floats. ʻAʻole koi kēia ʻano i ka mālama ʻana.
- Optical neuritis. Hana ʻia ka neuritis optic ke hele a wela ka nerve optic. Hiki i kēia ke kumu ʻia e kahi maʻi a i ʻole kahi maʻi e pili ana i ke aʻalolo e like me nā sclerosis he nui. Hiki i nā kukui uila ke hōʻailona o kēia ʻano.
- Wehe retina. ʻO ka wehe ʻana i retina kahi kūlana koʻikoʻi i hiki ke kumu i ka lilo ʻana o ka hihi. Ke kū kēia, hemo ka retina, neʻe, a neʻe paha mai ka paia hope o ka maka.
- Kaomi ma ka retina. Inā ʻānai ʻoe i kou mau maka, uha ka paʻakikī, a kuʻi paha i ke poʻo, ʻike paha ʻoe i nā kukuna o ke kukui ma muli o ke kaomi hou o ka retina.
Nā pilikia olakino ʻē aʻe
ʻAʻole paha e hoʻokumu ʻia nā kukui uila i kou maka e kahi pilikia pili i ka maka. He hōʻailona paha ia o kahi ʻano olakino ʻokoʻa.
Nā kumu pili i ke olakino ʻē aʻe
- Epilepsy kūpili. Hiki i kēia ʻano hopu ʻana i ka ʻula o ka lolo i ka lolo ke hana i nā uila i ka maka. Hiki iā ia ke hōʻailona o ka hana hopu. Kuhi hewa ʻia kēia i kekahi manawa ma ke ʻano he aura migraine. ʻO ka maʻamau, ʻoi aku ka pōkole o ka epilepsy occipital (2 mau minuke) ke hoʻohālikelike ʻia me ka aura migraine (15 a 60 mau minuke).
- ʻO Migraine. Kūleʻa nā haunaele ʻike me ka aura migraine. ʻIke paha ʻoe i nā kukuna uila, nā laina zigzag, nā hōkū, a i ʻole nā kiko o ke kukui i kou mau maka. Hele pinepine kēia mau ʻōuli ma loko o 60 mau minuke.
- Nā hoʻouka ischemic kuewa (TIA). ʻO nā mea i kapa pinepine ʻia ʻo nā ministroke, hiki i nā TIA ke hoʻopaʻa ka manawa o ke kōkō i ke kahe o ke koko i kou lolo. Hiki i nā TIA ke hana i nā haunaele o ka ʻike, me ke kukui uila i kou mau maka.
- Diabetes. ʻO ke kukui o ka mālamalama a i ʻole nā floaters hiki ke lilo i hōʻailona o ka diabetic retinopathy.
- Nā Tumors. Hiki i nā tumors i nā wahi like ʻole o ka maka a i ʻole ka lolo ke hana i nā kukuna ke neʻe ʻoe i kou poʻo a i ʻole ʻāʻī.
- ʻEhaʻeha. ʻO kahi ʻeha pololei i kou maka e ʻike iā ʻoe i nā uila a i ʻole nā "hōkū" ma muli o ke kaomi o ka retina.
- Nā Lapaʻau. Hoʻokumu paha kekahi mau lāʻau i nā uila a i ʻole nā floaters i kou mau maka. Pākuʻi ʻia kēia:
- bevacizumab (Avastin)
- sildenafil (Viagra, Revatio)
- clomiphene (Clomid)
- digoxin (Lanoxin)
- paclitaxel (Abraxane)
- quetiapine (Seroquel)
- quinine
- voriconazole (Vfend)
Ka wā e ʻike ai i ke kauka
ʻO ka retinalment retina kahi pilikia olakino a koi koke ʻia i ka lāʻau lapaʻau e pale ai i ka nalo ʻana o ka ʻike. Inā loaʻa iā ʻoe kēia mau ʻōuli, e kiʻi koke i ke kōkua lapaʻau.
- ke kukui uila koke, keu aku ke nānā ʻoe i ka ʻaoʻao
- pohihihi hapa ʻike maka a i ʻole ʻike ʻeleʻele
- ʻike hihi ʻole
- ʻūpā
- nā pilikia pili pilikia ʻē aʻe
Hiki i kahi TIA ke lilo i hōʻailona hōʻailona no ka hahau ʻana. ʻO ia ke kumu he mea nui e nānā ʻole i nā hōʻailona. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e ʻimi koke i ka lāʻau.
- nāwaliwali a mū paha ma kekahi ʻaoʻao o kou kino
- haʻi waha a paʻakikī paha i ke kamaʻilio ʻana a i ʻole ka hoʻomaopopo ʻana i nā poʻe ʻē aʻe
- nā haunaele ʻike a i ʻole nā loli ʻike
- ʻūpā
- ʻeha poʻo poʻo
E hana i kahi manawa e ʻike ai i ka ophthalmologist, optometrist, a i ʻole kāu kauka mua inā ʻoe:
- hoʻonui i ka uila i kou maka a mau maka paha
- e nānā i ka hoʻonui ʻana o ka nui a me nā helu o nā floats
- e hoʻololi koke i kāu hihiʻo
- hoʻonui i ka aura ʻike me ka migraine
Hiki i kāu kauka ke hoʻoholo i ke kumu o ka uila e kau ʻia ma ke ʻano, ka lōʻihi, a me kahi o kēia mau haunaele ʻike.
ʻO kēlā me kēia ʻeha koʻikoʻi i kou maka e pono ai i ka lāʻau lapaʻau koke.
Pehea e mālama ai nā uila i ka maka?
ʻO ke kukui o kou mālamalama kahi hōʻailona o kahi pilikia e pili ana i kou mau maka a i ʻole kekahi ʻano olakino ʻē aʻe. E mālama ka mālama ʻana i ke kumu kumu.
Ke ʻike ʻoe i kāu kauka, e ʻike pono e hele i nā lāʻau āpau āu e lawe nei. Hiki i kekahi mau lāʻau ke kumu i nā hopena pili e pili ana i ka ʻike.
I kekahi mau hihia, e like me ka neuritis optic, ke mālama ʻana i ke kumu o ka mumū a i ʻole ke ahulau hiki ke hoʻōki i nā kukui uila.
Lohe paha ka waimaka i ka retina a i ʻole ka retina retina i kahi ʻoki.
ʻAʻohe lāʻau lapaʻau no ka emi ʻana o ka vitreous e hana maʻamau me ka makahiki.
Ke laina lalo
Hiki ke hoʻoulu ʻia nā kukui uila e nā ʻano hihia like ʻole. Pili paha kekahi i kou maka a he hōʻailona paha kekahi o kekahi ʻano o ke ʻano, e like me migraine, epilepsy, diabetes, a i ʻole TIAs.
E noho ai ma luna o kou olakino maka, e ʻike pono i kāu kauka maka no ka nānā ʻana ma hoʻokahi manawa i ka makahiki. Hiki i nā hoʻokolohua maka maka maʻamau ke kōkua i kāu kauka e hoʻoholo inā ua loli kekahi o kāu ʻike a i ʻole ke olakino o kou mau maka.