ʻO ka glaucoma Congenital: he aha ia, no ke aha e hana ai a me ka mālama ʻana

Anter

• Pehea e mālama ai i ka glaucoma congenital
• Nā ʻōuli o ka glaucoma hiki
• ʻIke o ka glaucoma congenital

ʻO ka glaucoma congenital kahi maʻi laha ʻole o nā maka e hoʻopā i nā keiki mai ka hānau ʻana a i ka 3 mau makahiki, i hoʻokumu ʻia e ka piʻi nui o ka maka ma muli o ka hōʻiliʻili ʻana o ka wai, a hiki ke hoʻopili i ke aʻalolo optic a alakaʻi i ka makapō ke haʻalele ʻia ʻole.

ʻO ka pēpē i hānau ʻia me ka glaucoma hikiwawe he mau ʻōuli e like me ke ao a me ka huehue o ke kornea a hoʻonui ʻia nā maka. Ma nā wahi ʻaʻohe hōʻike maka, ʻike pinepine ʻia ia ma kahi o 6 mau mahina a i ʻole ma hope aku, kahi mea paʻakikī i ke keiki e loaʻa i ka lapaʻau maikaʻi loa a me ka wānana ʻike.

No kēia kumu, he mea nui ia no ka hānau hou e hana i ka hoʻokolohua maka e ka ophthalmologist a hiki i ka hopena o ka trimester mua. I ka hōʻoia o ka Congenital Glaucoma, hiki i ka ophthalmologist ke kuhikuhi i nā kulu maka e hoʻemi i ke kaomi intraocular, akā hana ʻia kēia e hōʻemi i ke kaomi ma mua o ke kaha ʻana. ʻO ka mālama ʻia o ke kaha ʻana ma o goniotomy, trabeculotomy a i ʻole nā ​​implants o nā prostheses e kahe ana i ka wai intraocular.

Pehea e mālama ai i ka glaucoma congenital

E mālama i ka Congenital Glaucoma, hiki i kahi ophthalmologist ke kuhikuhi i nā kulu maka e hoʻohaʻahaʻa i ke kaomi intraocular e hoʻohaʻahaʻa i ke kaomi ma mua o ke kahakaha ʻana. Hana ʻia ke ʻoki ma o goniotomy, trabeculotomy a i ʻole nā ​​implants o nā prostheses e kahe ana i ka wai intraocular.

He mea nui e hana i kahi ʻōkuhi mua a hoʻomaka i ka lāʻau, no ka mea hiki ke pale i nā pilikia, e like me ka makapō. ʻIke i nā kulu maka nui e mālama i ka glaucoma.

Nā ʻōuli o ka glaucoma hiki

Hiki ke ʻike ʻia ka glaucoma congenital ma o kekahi mau hōʻailona e like me:

• Hiki i 1 makahiki: Pehu ke kornea o ka maka, lilo i ao, hōʻike ke keiki i ka hōʻoluʻolu ʻole i ka mālamalama a hoʻāʻo e uhi i nā maka i ka mālamalama;
• Ma waena o 1 a me 3 mau makahiki: Hoʻonui ka cornea i ka nui a he mea maʻamau no nā keiki e hoʻomaikaʻi ʻia no ko lākou mau maka nui;
• Hiki i nā makahiki 3: Nā hōʻailona like a me nā ʻōuli. E ulu wale nā ​​maka i ka hoʻonui ʻana i ke kaomi a hiki i kēia makahiki.

ʻO nā ʻōuli ʻē aʻe e like me ka huna nui ʻana o ka waimaka a me nā maka ʻulaʻula i kahi glaucoma congenital paha.

ʻIke o ka glaucoma congenital

He paʻakikī ka ʻike mua o ka glaucoma, no ka mea, manaʻo ʻia nā ʻōuli he nonspecific a hiki ke loli e like me ka makahiki o ka hoʻomaka ʻana o nā ʻōuli a me ke kaʻina o nā malformations. Eia nō naʻe, hiki ke ʻike ʻia ka glaucoma hikiwawe ma o ka nānā ʻana i ka maka āpau me ke ana ʻana i ke kaomi i loko o ka maka a me ka nānā ʻana i nā ʻāpana āpau o ka maka e like me ke kornea a me ke aʻalolo optic, no ka laʻana. E aʻo hou aʻe e pili ana i ka hōʻike glaucoma.

ʻO ka maʻamau, kumu ʻia ka glaucoma e ka hoʻonui ʻana o kaomi i nā maka, i ʻike ʻia me ke kaomi intraocular. Kū ka piʻi o ke kaomi ma muli o ka hana ʻia o kahi wai i kapa ʻia he wai hoʻomākeʻaka i ka maka a, no ka mea ua paʻa ka maka, pono e ninini kūlohelohe kēia wai. Ke holo ʻole ka ʻōnaehana hoʻokahe, ʻaʻole hiki ke hoʻokahe ʻia ka wai mai ka maka a pēlā e piʻi ai ke kaomi o loko o ka maka.

Eia nō naʻe, ʻoiai ka piʻi ʻana o ke kaomi ke kumu maʻamau, aia kekahi mau hihia kahi i loaʻa ʻole ke kiʻekiʻe intraocular pressure, a, i kēia mau kumu, ua hana ʻia ka maʻi e ka hana hewa ʻole o nā kīʻaha koko optic, no ka laʻana.

E aʻo hou aʻe e pili ana i ka diagnose glaucoma i kēia wikiō: