High intraocular pressure a me nā ʻano o ka pale ʻana a me ka mālama ʻana

Ma muli o ke koʻikoʻi o ka maka ma ke ʻano he kino nui i loko o ke kino o ke kanaka, a no ka hoʻonui ʻana i ka ʻike o kēlā me kēia kanaka e pili ana i kekahi mau maʻi pōʻino a maʻamau ʻole, mamao loa mai ka pōkole a i ʻole ka ʻike maka, hōʻike mākou i ka hihia o ke kaomi kūloko kiʻekiʻe i ka maka, ʻo ia kekahi ʻo nā maʻi i ʻike ʻole ʻia e nā poʻe he nui nā hōʻailona a me nā kumu.

E hoʻomaka ana me ka manaʻo o ke kaomi intraocular, ua ʻōlelo ʻo Dr. Bayman Mohamed Saleh, he ophthalmologist ma Medcare Medical Center: "Ke hōʻike nei kēia hihia i ka piʻi ʻana o ke kaomi kūloko o ka maka ma luna o ka laulā maʻamau, ʻo ia kekahi o nā mea e hoʻonui ai i ka nui o ka maka. ka maʻi ʻana o ka glaucoma, a i ʻole ka maʻi wai i kapa ʻia he wai uliuli a ʻeleʻele paha. ʻO ia hoʻi, pili i ka hana o ke aʻalolo optic, a hopena i ka atrophy a me ka pōʻino i loko o ka maka, e pili ana i ka laulā o ka ʻike i ka maka, me ka hiki ke nalowale ka ʻike mau i ka pae lōʻihi.

Ua ʻōlelo ʻo ia, "Ke wehe ʻia ke kihi o ka maka a ʻaʻole ʻike ka mea maʻi i nā hōʻailona ʻē aʻe, ʻaʻole ʻo ia i ʻike i ka hiki ke loaʻa ka maʻi. ʻO kēia ka hopena i ka hōʻailona o ke kūlana ma ka hopena hope loa ma hope o ka nalowaleʻana o ka hapa nui o nā aʻalolo aʻalolo,ʻo ia nā māhele nui o ke aʻalolo optic. Kapa ʻia kēia maʻi ʻo ke ʻano leo leo, kahi e hoʻopōʻino ai i ke aʻalolo optic me ka mālie a me ka mālie. Akā i ka wā i pani ʻia ai ke kihi o ka maka, hiki mai ka piʻi ʻana o ke kaomi intraocular, a ʻike ka mea maʻi i kekahi mau hōʻailona like ʻole, e like me:

ʻeha maka nui
ʻulaʻula nui ma ka maka
ʻeha poʻo
Ka luaʻi a me ka nausea
ʻO ka pilikia o ka hihiʻo
ʻO ke ʻano o nā halo o ka mālamalama ma ke kahua o ka ʻike
Pehea e ana i ke kaomi intraocular

Ua wehewehe ʻo ia i nā ʻano hana e ana ʻia ai ke kaomi o loko o ka maka e ka ophthalmologist, me ka hoʻohana ʻana i nā mea hana kūikawā i kapa ʻia ʻo ka tonometer, a ua ana ʻia ʻo ia ma ke ʻano ʻole ma ka hoʻoholo ʻana i ka nui o ke kūʻē ʻana o ka ʻili i ke kaomi o waho e kū nei. liʻiliʻi i ka pō i hoʻohālikelike ʻia i ka lā a ʻo ka ʻokoʻa ma waena o 3-6 mm Hg.

Ana maʻamau o ke kaomi intraocular

ʻO ke ana maʻamau o ka puʻe o ka maka ma waena o 10 a me 21 mm Hg a ʻo ka piʻi ʻana o ke kaomi intraocular wale nō ʻaʻole ia he glaucoma, no ka mea, he nui nā hōʻailona e hilinaʻi ʻia e ka loea maka e hoʻoholo ai i ka pilikia o ka ulu ʻana o ka glaucoma, ke kiʻekiʻe o ka maʻi. a me ka holomua o ke kūlana.

Manaʻo ʻia ke kiʻekiʻe o ke kaomi intraocular inā ʻoi aku ia ma mua o ke ana maʻamau (10-21 mmHg), me ka ʻole o ka pōʻino i ke aʻalolo optic a i ʻole kahi poho kikoʻī ma ke kahua o ka ʻike i kapa ʻia ʻo ocular hypertension.

Nā kumu o ke kiʻekiʻe intraocular pressure

Piʻi ka piʻi ʻana o ka intraocular ma muli o kahi hemahema o ka hoʻokahe ʻana o ka wai ma ka ʻaoʻao o mua o ka maka a i ʻole ma muli o ka haunaele i nā ala e hiki ai i ka wai ke komo i ka papa waho o ka maka, a i ʻole ka mea i kapa ʻia ʻo ka ʻōnaehana. kuleana no ka hana ʻana a me ka hoʻolei ʻana i kēia wai ma ke ʻano hoʻonohonoho a kūlohelohe.

ʻO ke kaʻina hana o ka hana ʻana i ka wai i loko o ka maka a me ka hoʻokuʻu ʻana iā ia i nā manawa a pau a i kekahi mau nui he mea nui ia i ka hoʻopaʻa ʻana i ke kaomi o ka maka ma ke kūlana kūpono a maʻamau, i ʻole e hōʻiliʻili ka wai i ka nui e pili ana i ka piʻi ʻana o ka maka. kaomi a i ʻole ka glaucoma i kapa ʻia.

ʻO nā kumu genetic kekahi o nā kumu e hoʻonui ai i ka loaʻa ʻana o ka glaucoma, me ka mōʻaukala genetic o ka maʻi i nā lālā o ka ʻohana degere mua, ʻoi aku ka nui o nā mākua a i ʻole nā ​​kaikaina. Hoʻohui kēia i ka ulu ʻana o ka makahiki, a me ka lawe ʻana i nā lāʻau lapaʻau i ka nui o ka nui no ka manawa lōʻihi me ka ʻole o ka nīnau ʻana i kahi loea, e like me cortisone. Ma waho aʻe o ka hōʻike ʻana o ka maka i nā haʻalulu ikaika o waho, a i ʻole nā ​​​​maʻi congenital a i loaʻa paha e like me ka iritis recurrent, maturation of the cataract state, advanced stages of diabetic retinopathy, internal eye tumors, and blockage of blood vessels in the retina.

Kāohi a me nā ʻano hana lapaʻau

Manaʻo mau ʻia e kipa i kahi ophthalmologist i kēlā me kēia manawa e ana i ke kaomi intraocular a nānā i ka waihona o ka maka, ʻoi aku ma hope o ke kanahā makahiki, a i ʻole no ka poʻe i loaʻa nā ʻohana me ka maʻi like o ka degere mua. ʻO ka ʻike mua ʻana o ka maʻi ʻo ia kekahi o nā mea e pono e hahai ʻia i mea e pale ai i ka lohi o ka maʻi ʻana, paʻakikī i ka mālama ʻana, a me ka piʻi ʻana o ke kumukūʻai.

I ka hōʻoia ʻana i ka piʻi kiʻekiʻe o ka maka a me ka ʻike ʻana i ka glaucoma, pono ke kipa ʻana i ke kauka ophthalmologist i kēlā me kēia manawa i ke ola e hahai i ke ʻano o ka puʻe o ka maka a me ke aʻalolo e pili pū ana. ʻO ka hoʻohaʻahaʻa ʻana i ka piʻi kiʻekiʻe o loko o ka maka kekahi o nā pahuhopu nui a mākou e ʻimi nei ma o ka mālama ʻana i ka glaucoma. ʻO ke ala maʻamau o ka lapaʻau ʻana, ʻo ia nā hāʻule haʻahaʻa no ke kaomi intraocular, a no ke ola. Hiki ke hoʻohana ʻia nā lāʻau lapaʻau like ʻole i lawe ʻia ma ka waha, intramuscularly, a i ʻole intravenously, ʻoi aku ka nui o nā hihia o ka piʻi ʻana a me ka piʻi koke o ke kaomi intraocular.

I nā hihia koʻikoʻi a i ʻole nā ​​hihia i pane ʻole i nā lāʻau lapaʻau, hiki ke hoʻohana ʻia ka lāʻau lapaʻau ma o ka laser a i ʻole ka hana ʻokiʻoki, e kōkua i ka wehe ʻana i kahi ala e hoʻokahe ʻia ai ka wai o ka maka, a hoʻihoʻi i ke koena o loko o ke kaomi intraocular.