Karawarawa

Ko te glaucoma he āhuatanga o te kanohi e whakaraha te ihu tirohanga. Ka taea e tēnei whakaraha te arahi ki te ngaro o te tirohanga, ki te matapo rānei. Ka tukuna e te ihu tirohanga ngā korero whakairoiro mai i tō kanohi ki te roro, ā, he mea nui ki te pai o te tirohanga. Ko te whakaraha i te ihu tirohanga e hono ana ki teitei o te pehanga i roto i te kanohi. Engari ka taea te glaucoma ahakoa he noa te pehanga o te kanohi. Ka taea te glaucoma i tetahi tau, engari he maha ake i ngā tāngata pakeke. Ko tētahi o ngā take nui o te matapo mō ngā tāngata neke atu i te 60 tau te pakeke. He maha ngā momo glaucoma kahore he tohu whakatūpato. He tino māmā te pānga, no reira pea ka kore koe e kite i te huringa o te tirohanga kia tae ra ano te āhuatanga ki ōna wāhanga whakamutunga. He mea nui kia whai whakamātau kanohi ā-wā e whakauru ana i ngā ine o te pehanga o tō kanohi. Ki te kitea te glaucoma i te wā, ka taea te whakaheke i te ngaro o te tirohanga, te aukati rānei. Ki te whai glaucoma koe, ka hiahia koe ki te rongoā, ki te tirotiro rānei mō te toenga o tō oranga.

Ko ngā tohu o te glaucoma ka whakawhirinaki ki te momo me te wāhanga o te mate. Kāhore he tohu i ngā wāhanga tuatahi. Mā te wā, ngā pōka pōkai mōrearea i roto i tō tirohanga taha. Ko te tirohanga taha te ingoa atu ko te tirohanga taha. I ngā wāhanga o muri, uaua ki te kite i ngā mea i roto i tō tirohanga pokapū. Pōtae kino. Mamae kanohi nui. Ngā haruru, ngā ruaki rānei. Tirohanga mōrearea. Ngā porowhita mārama, ngā porowhita tae rānei, i te taha o ngā rāmarama. Whero kanohi. Kāhore he tohu i ngā wāhanga tuatahi. Mā te wā, tirohanga mōrearea. I ngā wāhanga o muri, ngaro o te tirohanga taha. He kanohi pōuri, he pōhuehue rānei (ngā pēpi). Nui ake te ihu (ngā pēpi). Roimata kahore he tangi (ngā pēpi). Tirohanga mōrearea. Te kite tata e kino ake ana. Pōtae. Ngā porowhita i te taha o ngā rāmarama. Tirohanga mōrearea me te whakakori tinana. Ngaro mā te wā o te tirohanga taha. Ki te whai koe i ngā tohu e puta mai ana i te wa poto, tera pea he glaucoma kōpū kōpū koi koe. Kei roto i ngā tohu te pōtae kino me te mamae kanohi nui. Me whai rongoā koe i te wa e taea ai. Haere ki te ruma urupare, ki te waea atu rānei ki te taote kanohi, te ophthalmologist te ingoa, i te wa tonu.

Mēnā he tohu kei a koe e puta mai ana i te wa poto, tera pea he glaucoma kōpū-taumanu koi koe. Kei roto i ngā tohu te mamae o te mahunga kino me te mamae o te kanohi nui. Me whakaora koe i te wa e taea ai. Haere atu ki te ruma ohorere, ki te waea atu rānei ki te taote kanohi, e kiia nei ko te ophthalmologist, i te wa poto.

Ka whanake te glaucoma ina pakaru te tūārangi. I te kino haere māmā o tēnei tūārangi, ka puta ngā pōka whenua pōuri ki roto i tō tirohanga. Mō ngā take kaore ngā tākuta kanohi i tino mōhio, ko te kino o tēnei tūārangi te nuinga o te wā e hono ana ki te piki o te pehanga i roto i te kanohi. Ka piki te pehanga o te kanohi hei hua o te kohinga o te wai e rere ana puta noa i te taha o roto o te kanohi. Ko tenei wai, e kiia ana ko te wai māori, te nuinga o te wā ka rere atu mā te kiko kei te kokonga kei reira te iris me te cornea e tūtaki ana. Ko tēnei kiko te ingoa ko te whatu trabecular. He mea nui te cornea ki te tirohanga, no te mea ka tukua e ia te mārama ki roto i te kanohi. Ki te nui rawa te wai e hangaia ana e te kanohi, kāore rānei te pūnaha whakaheke e mahi tika ana, ka piki pea te pehanga o te kanohi. Koinei te momo glaucoma tino noa. Ka noho te kokonga whakaheke e hangaia ana e te iris me te cornea. Engari kāore ētahi atu wāhanga o te pūnaha whakaheke e whakaheke tika ana. Ka āhei pea tenei ki te piki haere māmā, haere tonu o te pehanga o te kanohi. Ka puta mai tēnei momo glaucoma ina pupū te iris. Ka aukati te iris pupū i te kokonga whakaheke, katoa rānei. Hei hua, kāore te wai e taea te rere puta noa i te kanohi, ka piki te pehanga. Ka puta pea te glaucoma kōpū-kati i te wa poto, i te wa roa rānei. Kāhore tetahi e mōhio ki te take tika he aha i pakaru ai te tūārangi ina hauora te pehanga o te kanohi. Ka mārama pea te tūārangi, kāore rānei e nui te rere o te toto. Ka āhei pea te iti o te rere o te toto e te kohinga o ngā toenga ngako i roto i ngā ātiretā, i ētahi atu āhuatanga rānei e kino ai te rere. Ko te kohinga o ngā toenga ngako i roto i ngā ātiretā e mohiotia ana hoki ko te atherosclerosis. Ka whānau pea te tamaiti me te glaucoma, ka whanake rānei i roto i ngā tau tuatahi o tōna oranga. Ka āhei te aukati i te whakaheke, te whara, te āhuatanga hauora rānei e arai ana ki te kino o te tūārangi. I roto i te glaucoma pigment, ka marere ngā pūhui pigment iti mai i te iris ka aukati, ka whakaheke rānei i te whakaheke wai mai i te kanohi. Ko ngā mahi penei i te jogging i etahi wā ka whakaohooho i ngā pūhui pigment. Ka ārai tena ki te kohinga o ngā pūhui pigment ki te kiko kei te kokonga kei reira te iris me te cornea e tūtaki ana. Ko te kohinga o ngā pūhui granule ka piki te pehanga. Ka ahuareka te glaucoma ki ngā whānau. I etahi tangata, kua kitea e ngā kairangi ngā ira e pā ana ki te piki o te pehanga o te kanohi me te kino o te tūārangi.

Ka taea e te glaucoma te whakarawe i te tirohanga i mua i to kite i tetahi tohu. Na kia mahara ki enei take morearea: Teitei te pehanga o roto o te kanohi, e mohiotia ana hoki ko te pehanga o roto o te kanohi. Te pakeke neke atu i te 55. Te iwi Pango, Ahia, Amerika. Te hitori whānau o te glaucoma. Etahi ahuatanga hauora, penei i te mate huka, te mate urupare, te toto teitei me te mate toto whero. Nga cornea he angiangi i waenganui. Te kite tata rawa atu, te kite tawhiti rawa atu ranei. Te whara o te kanohi, tetahi momo pokanga kanohi ranei. Te tango i nga rongoa corticosteroid, ina koa nga matū kanohi, mo te wa roa. Kei etahi tangata he kokonga whakaheke angiangi, ka whakapiki ake i te morearea o te glaucoma kati-kokonga.

Kaore he uauatanga

Ka āwhina pea ēnei kaupae ki te kimi me te whakahaere i te glaucoma i ona wā tīmatanga. Ka āwhina pea tera ki te aukati i te ngaro o te tirohanga, ki te whakaheke rānei i tōna ahu whakamua.

• Haere ki ngā whakamātautau kanohi ā-rūtinu. Ka āwhina ngā whakamātautau kanohi ā-rūtinu ki te kimi i te glaucoma i ona wā tīmatanga, i mua i te nui o te kino. Hei ture whānui, ka tūtohutia e te American Academy of Ophthalmology te whakamātautau kanohi whānui i ngā tau 5 ki te 10, ki te iti iho i te 40 ōu tau; i ngā tau 2 ki te 4, ki te 40 ki te 54 ōu tau; i ngā tau 1 ki te 3, ki te 55 ki te 64 ōu tau; ā, i ngā tau 1 ki te 2, ki te pā atu i te 65 ōu tau. Ki te whai raru koe ki te glaucoma, ka hiahia koe ki te whakamātautau i te maha atu. Pātai atu ki tetahi kaimahi hauora kia tūtohu i te kaupapa whakamātautau tika mōu.
• Mōhiotia te hītori hauora kanohi o tō whānau. Ka ahu pea te glaucoma i roto i ngā whānau. Ki te nui ake tō raru, ka hiahia pea koe ki te whakamātautau i te maha atu.
• Kakahu i te tiaki kanohi. Ka ārahi pea ngā whara kanohi kino ki te glaucoma. Kakahu i te tiaki kanohi ina whakamahi i ngā taputapu kaha, i te takaro rānei i ngā hākinakina. Haere ki ngā whakamātautau kanohi ā-rūtinu. Ka āwhina ngā whakamātautau kanohi ā-rūtinu ki te kimi i te glaucoma i ona wā tīmatanga, i mua i te nui o te kino. Hei ture whānui, ka tūtohutia e te American Academy of Ophthalmology te whakamātautau kanohi whānui i ngā tau 5 ki te 10, ki te iti iho i te 40 ōu tau; i ngā tau 2 ki te 4, ki te 40 ki te 54 ōu tau; i ngā tau 1 ki te 3, ki te 55 ki te 64 ōu tau; ā, i ngā tau 1 ki te 2, ki te pā atu i te 65 ōu tau. Ki te whai raru koe ki te glaucoma, ka hiahia koe ki te whakamātautau i te maha atu. Pātai atu ki tetahi kaimahi hauora kia tūtohu i te kaupapa whakamātautau tika mōu. I te nuinga o tōna oranga pakeke, kua noho a Billy Dowell Jr. me te tukanga mate ā-mate ā-mate kino i ngā tau maha, kāre i ngāwari noa i tana moemoeā ki te takaro kori parakore, engari i tōna oranga katoa. I puta mai tōna mate i te mumura o te hononga pelvic mamae, i puta mai ai te kopu pakaru, ā, i ārahi ai ki te glaucoma. He haere tonu, he kore mutunga, he tino kino. “Kua pā atu ahau ki te mea tino kino,” e ai ki a Billy, he tangata noho a Jacksonville, Florida, i neke atu ki reira i Mei…

Ka arotakehia e te tohunga tiaki kanohi tō hītori hauora ka mahia he whakamātau kanohi whānui. Ka taea te mahi i ētahi whakamātau, tae atu ki:

• Te whakamātautau mō te pakaru o te ihu karawarawa mā te whakamātau kanohi whānui kua whānui me ngā whakamātau whakaahua.
• Te tirotiro i ngā wāhi kua ngaro te tirohanga, e kiia ana hoki ko te whakamātau wāhanga tirohanga.
• Te ine i te mātotoru o te cornea mā te whakamātau e kiia nei ko te pachymetry.
• Te tirotiro i te kōnui whakaheke, e kiia ana hoki ko te gonioscopy.

Kāore e taea te whakahoki mai i te āwangawanga i puta mai i te glaucoma. Engari, ka taea e te rongoā me ngā tirotiro auau te āwhina i te whakaheke, i te aukati rānei i te ngaro o te tirohanga, ina koa ki te kitea te mate i ona wā tīmatanga. Ko ngā rongoā tūtohu mo te kanohi e whai ake nei:

• Ngā kaiwhakakore i te carbonic anhydrase. Ka whakaitihia e ēnei rongoā te hanga o te wai i roto i te kanohi. Ko ētahi tauira ko te dorzolamide me te brinzolamide (Azopt). Ko ngā pānga kino pea ko te reka o te rino, te maha o te mimi, me te wiri i ngā matihao me ngā maihao. Ko te momo rongoā nei e tūtohutia ana kia rua te whakamahinga i te rā, engari i etahi wā ka taea te tūtohu kia toru te whakamahinga i te rā.
• Ngā kaiwhakawhānui miotic, cholinergic rānei. Ka whakapikihia e ēnei te rere o te wai i waho o te kanohi. Ko tetahi tauira ko te pilocarpine (Isopto Carpine). Ko ngā pānga kino ko te mamae o te upoko, te mamae o te kanohi, ngā karu iti, te tirohanga māre rānei, te pōrori. Ko te momo rongoā nei e tūtohutia ana kia whā te whakamahinga i te rā. Nō te mea he nui ngā pānga kino pea, me te hiahia ki te whakamahinga auau i te rā, kāore nei e tūtohutia auautia ēnei rongoā. Ko ngā pānga kino pea ko te whero iti me te wero o ngā kanohi, te pouri o te iris, te pouri o te tae o ngā huruhuru o te karu, o te kiri o te taupoki karu rānei, me te tirohanga māre. Ko te momo rongoā nei e tūtohutia ana kia kotahi te whakamahinga i te rā. Ngā kaiwhakaohooho alpha-adrenergic. Ka whakaitihia e ēnei te hanga o te wai e rere ana i roto i te kanohi. Ka whakapikihia hoki e rātou te rere o te wai i waho o te kanohi. Ko ētahi tauira ko te apraclonidine (Iopidine) me te brimonidine (Alphagan P, Qoliana). Ka taea pea te tūtohu atu i a koe kia maha ngā kanohi tūtohu, kia whakamahia rānei ngā roimata mahi. Kia tino mōhio koe kia tatū te rima meneti i waenganui i te whakamahinga o ngā tūtohu rerekē.
• Rongoā laser. Ko te laser trabeculoplasty (truh-BEK-u-low-plas-tee) tētahi kōwhiringa mēnā kāore e taea te whakamanawanui ki ngā tūtohu kanohi. Ka taea hoki te whakamahi mēnā kāore te rongoā i whakaheke i te whāinga o te mate. Ka taea hoki e te taote kanohi te tūtohu i te pokanga laser i mua i te whakamahinga o ngā tūtohu kanohi. Kei roto i te tari o te taote kanohi te mahi. Ka whakamahi te taote kanohi i te laser iti hei whakapai ake i te rere o te kiko kei te kokonga o te hononga o te iris me te cornea. Ka torutoru wiki pea i mua i te kitea o te hua katoa o tēnei mahi.
• Pokanga whākāro. Koinei tētahi mahi pokanga e kiia nei ko te trabeculectomy (truh-bek-u-LEK-tuh-me). Ka hanga e te taote kanohi he tuwhera i te ma o te kanohi, e mohiotia ana hoki ko te sclera. Ka hanga e te pokanga tētahi wāhi atu mō te wai kia waiho atu i te kanohi.

Kaore he uauatanga