He aha ka palapala ʻāina retina a he aha ia
Anter
ʻO ka palapala kiʻi retina, i ʻike ʻia he loiloi fundus a i ʻole loiloi fundus, kahi hoʻokolokolo kahi e hiki ai i ka ophthalmologist ke nānā i nā aʻalolo, nā kīʻaha koko a me nā maka o ka maka i ke kiʻi ʻana i nā kiʻi, hiki ke ʻike i nā loli a ʻae i ka hōʻailona o ka lapaʻau. No laila, hōʻike ʻia ka palapala ʻāina e ʻike i nā loli i hoʻokumu ʻia e:
- Nā maʻi maka, e like me glaucoma, retina detachment, hikoko, pehu, nele i ke kahe o ke koko a i ʻole ka inu ʻana i ka lāʻau, no ka laʻana;
- Nā maʻi ʻōnaehana e hōʻino ai i ka maka, no ka hoʻololi ʻana i nā aʻalolo a me nā kīʻaha o nā maka, e like me ka maʻi diabetes, ke koko kiʻekiʻe, nā maʻi rumatika, nā maʻi neurological a i ʻole nā maʻi koko;
Hoʻohui ʻia, hiki ke hōʻike ʻia ka palapala kiʻi retina i nā pēpē ma mua, 32 mau makahiki a ʻoi iki paha, a i ʻole 1,500 g a ʻoi paha ka liʻiliʻi, e like me kēia mau hihia he retinopathy o prematurity, kahi maʻi e hoʻololi i nā koko o nā pēpē. ʻO ka nele o ka lapaʻau kūpono hiki ke alakaʻi i ka hōʻino ʻole i ka ulu ʻana o ka maka o ke keiki a, i kekahi mau hihia, makapō. Hoʻomaopopo i ka mea hiki ke hana i kēia mau hihia i ka mālama ʻana i ka retinopathy o ka prematurity.
Pehea e hana ai
Hoʻomaʻamaʻa maʻalahi ka paʻi palapala retina, hana ʻia i ka wā o ke kūkākūkā ʻana me ka ophthalmologist, ʻaʻole ia he kumu ʻeha a kumu ʻeha hoʻi. No kāna ʻike ʻana, hoʻohana ʻia kahi mea i kapa ʻia ʻo ophthalmoscope, kahi i hoʻonohonoho ʻia ma kahi mamao o 15 cm a hoʻolālā i kahi kukuna kukui ma ka hope o ka maka, e ʻae ana i ke kauka e nānā i ke kiʻi o ka ʻāina.
Me kēia nānā, e hiki i ka ophthalmologist ke hoʻomaopopo i nā loli hiki a, inā pono, e kauoha hou i nā hoʻokolohua, e like me ka tomography, a i ʻole hōʻike i nā lāʻau lapaʻau, e like me nā lāʻau e mālama ai i ka mumū a i ʻole ke ʻoki kino e hoʻonohonoho hou ai i ka retina detachment, no ka laʻana.
Eia hou, e hana i ka hoʻokolohua, hiki i ke kauka ke kuhikuhi i ka dilation o ka haumāna, i hana ʻia me nā kuʻemaka i hoʻopili ʻia i ke kūkākūkā ʻana, ma mua o ka hoʻokolohua ʻana, no laila ke koi ʻia nei e loaʻa kahi hoa e kōkua i ka hoʻi ʻana i ka home. Paipai ʻia hoʻi ʻaʻole e hoʻohana i nā aniani hoʻopili paʻa i ka lā o ka hoʻokolokolo, no ka mea hiki ke hoʻololi i ka hopena.
E ʻike pū i nā hoʻokolohua maka ʻē aʻe e hiki ai ke hōʻalo i nā pilikia o ka ʻike.
Kumukānāwai hoʻāʻo
Hana ʻole ʻia ka palapala kiʻi retina e SUS, ke kuhikuhi ʻia, akā hiki nō ke hana ʻia i nā keʻena pilikino, no kahi kumukūʻai e hiki ke loli ma waena o 100 a 250 mau reais, he loli loa ia e like me ka wahi a me ke keʻena kahi o ka hoʻokolohua. hana.
Ke kuhikuhi ʻia
Pono e hana i ka ninaninau waihona ma nā hihia aʻe:
- Ke lilo ka ʻike i mea ʻole, a ʻo ke kumu ʻaʻole ka nele o nā aniani kūpono;
- ʻO ka poʻe ma luna o 50 mau makahiki, ʻoiai ʻo nā maʻi retinal ka mea maʻamau o kēia makahiki;
- ʻO ka poʻe me nā maʻi i hiki ke hōʻeha i ka retina, e like me ke kiʻekiʻe, diabetes a i ʻole nā maʻi rheumatological;
- ʻO ka poʻe me ka myopia, ʻoiai he kūlana ia e lilo ai ka retina i mea palupalu a makemake i ke ʻano o nā liona, ke haʻalele ʻia ʻole ʻia, hiki ke alakaʻi i ka hemo ʻana o ka retina;
- Ke hoʻohana ʻia nā lāʻau i mea ʻona i ka retina, e like me Chloroquine, Chlorpromazine, Tamoxifen a i ʻole Isotretinoin, no ka laʻana;
- I ka wā preoperative o nā ʻoki ʻana o ka maka, e like me nā hana refreactive a cataract;
- ʻO ka moʻolelo ʻohana a pilikino paha o ka hoʻokaʻawale retina;
- Ma hope o ka hōʻeha a i ʻole ka poino o ka maka;
- I nā manawa āpau, i ka wā o ke kūkākūkā maʻamau, e hoʻopiʻi ʻia nā hoʻopiʻi e pili ana i nā loli o ka maka i loko.
- I nā pēpē i hānau ʻia ma 32 mau pule a ʻoi iki paha, kaupaona ʻia 1500 g a ʻoi aku paha, ʻoiai he retinopathy paha o ka prematurity.
No laila, me ka palapala retina, hiki hiki ke ʻike wawe i nā hoʻololi nui i ka retina a i ʻole nā maʻi maka ma ka laulā, i hana wikiwiki ʻia ai ka mālama ʻana, e hōʻalo ana i nā pilikia, e like me ka nalo ʻana o ka ʻike.