He aha te Trypan Blue (Ara-a-Roto): Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu mea

He waikano kikorangi motuhake te Trypan blue e whakamahia ana e ngā tākuta kanohi i ngā wā o ētahi mahi pokanga kanohi hei āwhina i a rātou ki te kite mārama i ngā hanganga ngawari. Ko tēnei waikano rongoā e mahi ana pērā i te tohu mārama ngawari, e kitea ai ngā kiko angiangi i tō kanohi mō tētahi wā, kia mahi ai tō tākuta ki te tino tika me te haumaru.

Mēnā kua kōrero tō tākuta mō te whakamahi i te trypan blue i te wā o tō pokanga kanohi e haere ake nei, kei te pōhēhē pea koe he aha te tikanga o tēnei mō koe. Me haere tātou i ngā mea katoa e hiahia ana koe ki te mōhio mō tēnei taputapu pokanga whai hua i roto i ngā kupu māmā, whakamārie.

He aha te Trypan Blue?

He waikano kikorangi haumaru te Trypan blue, kua whakaaetia e te FDA, i hangaia motuhake mō te whakamahi i roto i te kanohi i te wā o te pokanga. Whakaarohia he tohu mō tētahi wā e āwhina ana i tō tākuta ki te kite i te kiko e kore e kitea e te kanohi tahanga.

Kua whakamahia tēnei waikano i roto i te pokanga kanohi mō ngā tau maha, ā, nō te kāwai o ngā mea e kīia ana ko ngā waikano nui. Ko te kupu "nui" i konei te tikanga ka taea e ia te whakapā atu ki ngā kiko ora me te kore e whara. Ka werohia e tō tākuta tētahi wāhanga iti o tēnei otinga kikorangi ki roto i tō kanohi i te wā o te mahi.

E mahi ana te waikano mā te whakapōtae i ētahi wāhanga o te hanganga o tō kanohi, inā rā te pūpū e karapoti ana i tō arotahi tūturu. He wā poto noa iho tēnei pānga whakapōtae, ā, ka ngaro katoa i te wā e tukatuka ana tō kanohi, e tango ana i te waikano.

He aha te Trypan Blue e whakamahia ana?

Ko te nuinga o ngā tākuta kanohi e whakamahi ana i te trypan blue i te wā o te pokanga kātarata kia kitea ai te pūpū arotahi. Ko te pūpū arotahi he kiri angiangi, mārama e karapoti ana i tō arotahi tūturu, ā, he tino uaua pea te kite i te wā o te pokanga.

I te wā o te pokanga katarakata, me hanga e tō tākuta he āputa porohita tika i roto i tēnei pūpuna hei tango i te arotahi pōkaikaha. Ki te kore he puru trypan, ka tata kore e kitea tēnei kiko ngawari, ina koa kei a koe he katarakata tino mātotoru, pakeke rānei, e uaua ai te kite.

He tino whai hua te waikano i roto i ētahi āhuatanga motuhake. Ki te mea he katarakata mā, he tino mātotoru rānei tō, tērā pea ka ngaro te whakaata whero noa e āwhina ana i ngā tākuta ki te kite i te pūpuna. Waihoki, ki te mea kei a koe ētahi āhuatanga kanohi e pā ana ki te mārama o tō kōnea, ki te mea rānei i pokaia ō kanohi i mua, ka taea e te puru trypan te whakarato i te kite pai ake e hiahiatia ana e tō tākuta.

E whakamahi ana ētahi tākuta i te puru trypan i roto i ētahi atu tikanga kanohi ngawari, pēnei i te pokanga vitreoretinal, i te wā e tino nui ana te kite tika i ngā kiriuhi angiangi mō ngā hua angitu.

Me pēhea te mahi a te puru Trypan?

E mahi ana te puru Trypan mā te here motuhake me te whakapōtae i ngā kiko motuhake i roto i ō kanohi, ina koa ngā hanganga whai collagen pēnei i te pūpuna arotahi. I te wā e pā ana te waikano ki ēnei kiko, ka hangaia e ia he tae kikorangi motuhake e kitea marama ana i te taha o ngā hanganga e karapoti ana.

E kiia ana he huarahi ngawari tēnei ki te whakapai ake i te kite pokanga. Kāore te waikano e huri i te hanganga, i te mahi rānei o ō kiko kanohi – he mea whakarato noa i te tae rangitahi hei āwhina i tō tākuta ki te mahi tika me te haumaru.

Ko te pānga whakapōtae te tikanga ka roa noa iho mō te whakaoti i te tikanga pokanga. Ka whakawātea haere ngā tukanga tūturu o ō kanohi i te waikano i ngā rā me ngā wiki e whai ake nei. Kāore te nuinga o ngā tūroro e kite i te tae kikorangi e mau tonu ana i roto i ō rātou tirohanga i muri i te pokanga.

Ko te kukū e whakamahia ana i roto i te pokanga kanohi he mea hanga āta whakatika hei whakarato i te whakapōtae pai i te wā e mau tonu ana te haumaru katoa mō ō kiko kanohi. Mā tēnei ka waiho te puru trypan hei taputapu pono, e mōhiotia ana e taea ana e ngā tākuta te whakawhirinaki i te wā o ngā tikanga ngawari.

Me pēhea taku tango i te Trypan Blue?

Kāore koe e hiahia ki te tango i te trypan blue i a koe anō – ka whakahaerehia tēnei rongoā e tō tākuta kanohi anake i te wā o tō tikanga. Ka werohia te waikano ki roto i tō kanohi mā te whakamahi i ngā tikanga me ngā taputapu hāparapara motuhake.

I mua i tō hāparapara, ka whakamāoritia tō kanohi ki ngā maturuturu rongoā kia pai ai koe. Ka whakamahi tō tākuta i te ngira tino pai, i te cannula rānei, ki te werohia te iti o te otinga trypan blue ki te wāhi tika i roto i tō kanohi.

Ko te tukanga werohanga he tere, he kore mamae i te nuinga o te wā, nā te rongoā. Ka mōhio pea koe ki te pōrohi poto, ki te ki tonu rānei i tō kanohi, engari ka tere te pahemo. Ko te nui o te waikano e whakamahia ana he tika te ine, he iti noa te rōrahi.

I muri i te werohanga, ka tatari tō tākuta mō te meneti, e rua rānei kia pai ai te waikano ki te tae i ngā kiko e whāia ana i mua i te haere tonu ki ngā mahi hāparapara matua. Ko tēnei wā tatari poto e whakarite ana i te tirohanga pai puta noa i te tikanga.

Kia Pēhea te Roa o taku tango i te Trypan Blue?

Ka whakamahia te trypan blue kotahi anake i te wā o tō tikanga hāparapara – kāore he rongoā haere tonu, he horopeta rānei e hiahiatia ana. Ka whai hua te waikano i te wā o te hāparapara tonu, ā, ka marama haere mai i tō kanohi.

Ka roa te pānga tae i te wā e tika ana mō tō tākuta ki te whakaoti i ngā mahi hāparapara e tika ana, e kitea ana i te 30-60 meneti i te wā o te tikanga. He tino pai tēnei wā mō te nuinga o ngā hāparapara katarata, e 15-30 meneti te roa ki te whakaoti.

I muri i tō hāparapara, kāore koe e hiahia ki te whakaaro mō te trypan blue anō. Ka tukatukahia, ka whakakorea e tō kanohi te waikano i ngā rā me ngā wiki e whai ake nei, kāore he mahi e hiahiatia ana e koe.

E mōhio ana ētahi tāngata pāpā ki te kite rātou i te tae kikorangi i roto i tō rātou tirohanga i muri i te hāparapara, engari he tino onge tēnei, ā, ka whakatauhia i roto i te rā, e rua rānei mēnā ka puta.

He aha ngā pānga taha o te Trypan Blue?

He tino haumaru te Trypan blue, ā, kāore te nuinga o ngā tūroro e pā ana ki ngā pānga taha i te wā e whakamahia ana i te pokanga kanohi. Kua nui te rangahau me te whakamahi i te waikano i ngā mano o ngā tikanga kanohi me te pai o te haumaru.

I te wā e whakaaro ana koe ki ngā pānga taha pea, he mea nui kia mārama he mea tino kore noa iho. Anei ngā mea ka mōhiotia e koe, ka tīmata mai i ngā mea e tino kitea ana, ka haere ki ngā mea e kore e kitea:

Ngā pānga noa me te ngawari:

• He tae kikorangi rangitahi i roto i tō tirohanga i muri tonu i te pokanga, ka ngaro i roto i ngā hāora
• He riri kanohi ngawari, he rite ki te mea e tūmanakohia ana e koe mai i te pokanga tonu
• He paku pikinga i te pēhanga kanohi, ka aroturukihia e tō tākuta pokanga, ka whakahaerehia mehemea e tika ana

Ngā pānga e kore e kitea:

• He tae rangitahi o te wāhanga mā o tō kanohi (sclera), ka ngaro haere
• He pōturi o te kirikiri, te mea rānei o te tinana kē i roto i te kanohi
• He ngawari te tairongo ki te mārama i tua atu i te mea e tū ana i muri i te pokanga kanohi

Ngā pānga onge engari he nui:

• He tauhohenga mate pāwera ki te waikano, ka piki te whero, te pōhēhē, te raruraru rānei
• He kino ki te endothelium corneal (te paparanga o roto o tō cornea) mehemea ka whakamahia i roto i ngā kukume tino nui
• He tae kikorangi tonu o ngā kiko kanohi, ahakoa he mea tino kore noa iho tēnei me te tikanga tika
• He pikinga o te mumura i roto i te kanohi i tua atu i ngā taumata noa i muri i te pokanga

Ko ēnei pānga taha he mea whakahaere me te rangitahi. Ka aroturukihia koe e tō tākuta pokanga i te wā me muri i te tikanga kia mōhio ai ka whakatikahia ngā take i te wā tika me te whai hua.

Ko wai e kore e tango i te Trypan Blue?

Ka taea e te nuinga o nga tūroro te tango trypan blue i te wā o te pokanga kanohi, engari he wāhi ka whiriwhiri pea tō tākuta i ētahi atu huarahi. Mā ēnei whakaaro ka mōhio ai koe ki te putanga haumaru mō tō āhuatanga motuhake.

Ka āta arotakehia e tō tākuta ō āhuatanga takitahi i mua i te whakatau mēnā he pai te trypan blue mōu. Ko ēnei ngā mea nui ka whakaarohia e rātou:

Ngā aukati tino:

• He mate pāwera mō te trypan blue, ētahi atu tae rānei
• He ngoikoretanga nui o te endothelial corneal, kei te tino raru kē te paparanga o roto o tō kōrnea
• He mumura nui i roto i te kanohi ka kino ake pea i te tae

Ngā āhuatanga e hiahia ana kia tūpato atu:

• Ngā tauhohenga kino i mua ki ngā rongoā kanohi, tae rānei
• Ētahi āhuatanga ira e pā ana ki te kōrnea, te arotahi rānei
• Ngā kanohi he iti rawa te tatau pūtau endothelial
• He glaucoma nui kei reira te pikinga o te pēhanga kanohi ka raru pea
• Ngā wharanga kanohi, ngā mate rānei i tērā wā

Ngā whakaaro motuhake:

• Te hapū, te whāngai ū rānei (ahakoa he iti noa te urunga o te pūnaha)
• He maha ngā pokanga kanohi i mua i pā ai ki te āhua noa
• Ētahi āhuatanga autoimmune e pā ana ki ngā kanohi

Mēnā e pā ana tētahi o ēnei āhuatanga ki a koe, kaua e māharahara – he tāngata, he taputapu anō tō tākuta hei mahi i tō pokanga i runga i te haumaru. E kore te whakatau ki te whakamahi, ki te karo rānei i te trypan blue e ārai i a koe ki te pokanga kanohi angitu.

Ngā Ingoa Waitohu Trypan Blue

Kei te wātea te trypan blue mō te pokanga kanohi i raro i ētahi ingoa waitohu, ko VisionBlue te whakarite e whakamahia nuitia ana i te United States. Ko tēnei hanganga kua whakaaetia e te FDA i hangaia mō te whakamahi i roto i te kanohi i te wā o te pokanga kanohi.

Ko ētahi atu ingoa waitohu ka kitea pea ko MembraneBlue, e whakamahia ana i ētahi maakete o te ao, me ngā momo rongoā whānui e tutuki ana i ngā paerewa haumaru me te mā. Kei roto i ēnei hua katoa te whakauru kaha kotahi i roto i ngā kukume e tika ana mō te pokanga kanohi.

Ka whiriwhiria e tō tākuta pokanga te waitohu motuhake i runga i ōna wheako, te wātea, me ngā whakaritenga motuhake o tō pokanga. Ko te whiriwhiri i te waitohu kāore i te pā ki te haumaru, ki te whai hua rānei o tō tukanga.

Ka whakarite ētahi whare i ā rātou ake otinga trypan blue i runga i ngā tikanga paerewa, e whakarite ana i te taumata kotahi o te haumaru me te whai hua pērā i ngā whakaritenga arumoni.

Ngā Kōwhiringa Trypan Blue

Ahakoa ko te trypan blue te tae e whakamahia nuitia ana mō te whakarei ake i te kitea i te wā o te pokanga kanohi, he maha ngā kōwhiringa e wātea ana ki tō tākuta pokanga mēnā kāore te trypan blue e tika ana mō tō āhuatanga.

Ko te indocyanine green (ICG) tētahi atu tae nui e whakamahia ana i ētahi wā i roto i te pokanga kanohi, ina koa mō te tae i ngā kiriuhi here i roto i ngā tukanga retinal. Heoi, kāore i te whakamahia nuitia mō te tae i te pūtau kataraki i te mea he rerekē ōna āhuatanga tae me te roa.

E whakamahi ana ētahi tākuta pokanga i ngā tikanga miihini hei whakapai ake i te kitea o te pūtau kāore he tae. Kei roto pea i ēnei ko te whakatika i ngā tautuhinga mō te karuropi pokanga, te whakamahi i ngā tikanga whakamārama motuhake, te whakamahi rānei i ngā pūnaha whakaahua-nui e pai ake ai te kite i ngā kiko mārama.

I ētahi wā, ka whakamahi pea ngā tākuta pokanga i te huinga o ngā tikanga, pērā i te whakahaere āta i te wai o ngā kiko kanohi, i ngā taputapu pokanga motuhake rānei e āwhina ana ki te tautuhi i ngā rohe kiko kāore he tae.

Ka whiriwhiria e tō tākuta pokanga te huarahi pai rawa atu i runga i te hanganga o ō kanohi, te uaua o tō pokanga, me ō rātou wheako ki ngā momo tikanga rerekē. Ko te whāinga tonu ko te whakarite i te tikanga haumaru me te whai hua mō tō āhuatanga takitahi.

He Pai Anei te Trypan Blue i te Indocyanine Green?

He whai hua te trypan blue me te indocyanine green (ICG) hei tae pokanga, engari he pai ake te mahi mō ngā momo kaupapa rerekē i roto i te pokanga kanohi. Mō te pokanga katarata me te tae pūtau, ko te trypan blue te mea e pai ana, e whakaarohia ana he whai hua ake.

Ka whai wāhi te trypan blue ki te tae pai, te tae roa o te pūtau arotahi e kitea ana puta noa i te wā o te pokanga katarata. Ka hangaia e te tae kikorangi te rerekētanga kaha ki ngā kiko kanohi tūturu, e māmā ai te kite a ngā tākuta pokanga i te wāhi e mahi ana rātou.

Ko te indocyanine green, ahakoa he whai hua mō ētahi tikanga retinal, he iti ake te tae pūtau me te tere ake te memeha i te wā o te pokanga. Kei te rāhuihia mō ngā tikanga motuhake e pā ana ki ngā kiriuhi retinal, kaua ki te pokanga katarata.

He pai ngā kōtaha haumaru o ngā tae e rua, engari kua nui ake te ako i te trypan blue mō te tae pūtau. Ko tēnei rangahau nui e whai wāhi ana ki ngā tākuta pokanga i roto i ōna pānga e kitea ana me ngā taha haumaru.

Ko te whiriwhiri a tō tākuta i waenga i ēnei kōwhiringa e whakawhirinaki ana ki te tikanga motuhake e mahia ana me ō rātou wheako haumanu. Mō te pokanga katarata paerewa, ko te trypan blue tonu te paerewa koura mō te tirohanga pūtau.

Ngā Pātai Auau mō te Trypan Blue

He Haumaru te Trypan Blue mō ngā Tūroro Mate Huka?

Āe, he haumaru te trypan blue mō ngā tūroro mate huka e pokanga ana i te kanohi. Kāore te mate huka e hanga i ngā aukati motuhake mō te whakamahi i tēnei tae, ā, he maha ngā tūroro mate huka e whiwhi haumaru ana i te trypan blue i te wā o ā rātou tikanga katarata.

Heoi anō, tērā pea ka nui ake ngā raruraru o te kanohi o te hunga mate huka, ā, me nui ake te āwhina o te tākuta. Mā te tākuta e arotake te hauora o ō kanohi, tae atu ki ngā mate o te kanohi e pā ana ki te mate huka, i te wā e whakamahere ana i tō pokanga. Kāore te mate huka e aukati i te whakamahi haumaru o te puru trypan, engari tērā pea ka pā ki ētahi atu āhuatanga o te whakamahere pokanga.

Mēnā he mate kanohi huka tōu kua piki ake, me ngā huringa nui i te retina, tērā pea ka whai ngā tākuta i ētahi atu whakatūpato i te wā o te pokanga, engari e pā ana ēnei ki te āhua o te kanohi, kaua ki te whakamahi i te puru trypan.

Me aha au mēnā ka tūpono au ki te puru trypan i roto i taku kanohi i waho o te pokanga?

Ko te puru trypan anake te mea hei whakamahi i te wā o te pokanga e ngā tākuta whakangungu, nō reira he iti noa iho te tūponotanga o te tūpono ki waho o tēnei wāhi. Mēnā i tūpono koe ki te otinga puru trypan, horoia tō kanohi tonu ki te wai mā, ki te otinga tote rānei.

Whakapā atu ki tō tākuta kanohi, rapu rānei i te āwhina hauora tonu mēnā ka pā mai te mamae nui, ngā huringa o te tirohanga, te riri tonu rānei i muri i te tūponotanga o te kanohi ki ngā matū kāore i te mōhiotia. Ahakoa he haumaru te puru trypan i te wā e whakamahia ana i te pokanga, ko te tūponotanga o te kanohi ki ngā matū e tika ana kia arotakehia e te tākuta.

Ko te nuinga o te riri o te kanohi i te tūponotanga ki ngā matū ngawari ka ngaro i te horoi pai, engari he pai ake tonu te arotake i tō kanohi e te tākuta kia mōhio ai kāore he kino i pā.

Ka kite au i te tae puru i roto i taku tirohanga i muri i te pokanga?

Kāore te nuinga o ngā tūroro e kite i te tae puru i roto i ō rātou tirohanga i muri i te pokanga me te puru trypan. Ko te iti o te tae e whakamahia ana ka horoia i te kanohi i te wa poto, ā, ko te toenga o te tae he iti rawa te pā ki tō tirohanga.

I ngā wā onge, ka kite pea ētahi tūroro i tētahi tae kikorangi marama rawa mō ētahi hāora i muri i te pokanga, engari he wā poto noa tēnei, ka ngaro i te wā e whakakorehia ai te tae i te kanohi. Kāore tēnei e whara, ā, kāore hoki e tohu i ētahi raruraru mō tō pokanga.

Mēnā ka kite koe i ētahi huringa tae tonu i tō tirohanga i tua atu i te rā tuatahi, te rā tuarua rānei i muri i te pokanga, whakapā atu ki te tari o tō tākuta pokanga. Ahakoa he tino onge tēnei ki te trypan blue, me arotake ētahi huringa tirohanga i muri i te pokanga kia mōhio ai kei te ora tika.

Āhea ka taea e au te hoki ki ngā mahi noa i muri i te pokanga mā te whakamahi i te Trypan Blue?

Kāore te whakamahi i te trypan blue i te wā o tō pokanga e huri i tō wā whakaora, i ngā here rānei i ngā mahi. Ka taea e koe te hoki ki ngā mahi noa e ai ki ngā tohutohu paerewa i muri i te pokanga a tō tākuta pokanga, e whakawhirinaki ana ki te momo pokanga i mahia e koe, kaua ki te whakamahi i ngā tae pokanga.

Mō te nuinga o ngā pokanga kātarata, ka taea e koe te hoki ki ngā mahi māmā i roto i te rā, i ngā rā e rua rānei, me te hoki ki ngā mahi katoa i ngā wiki e whai ake nei. Kāore te trypan blue e pā ki ēnei wā, e hanga rānei i ētahi here anō mō tō whakaora.

Whaia ngā tohutohu motuhake a tō tākuta pokanga mō ngā mahi pēnei i te hiki, te piko, te kauhoe, me te taraiwa. Kua hangaia ēnei aratohu hei tiaki i tō kanohi e ora ana, me te whakarite i te putanga pokanga pai rawa atu, ahakoa i whakamahia te trypan blue i te wā o tō tukanga.

Ka taea e Trypan Blue te pā ki ngā raruraru kanohi mō te wā roa?

Kāore, kāore te trypan blue e pā ki ngā raruraru kanohi mō te wā roa i te wā e whakamahia tika ana i te wā o te pokanga. Kua nui te rangahau i tēnei tae, ā, kua whakamahia marie i ngā mano o ngā tukanga kanohi i ngā tau maha, kāore he tohu o ngā raruraru mō te wā roa.

Ka ngaro katoa te waikano mai i tō kanohi i roto i ngā rā ki ngā wiki i muri i te pokanga, kāore he toenga pumau, he pānga rānei ki ngā kiko o tō kanohi. Ko tō tirohanga me te hauora o tō kanohi i muri i te pokanga ka whakawhirinaki ki te angitu o te tikanga pokanga tonu, ehara i te whakamahi i te trypan blue.

Ko ngā rangahau wā-roa o ngā tūroro i whiwhi trypan blue i te wā o te pokanga kanohi kāore i kitea he pikinga o te tūponotanga o ngā raruraru, o ngā raru rānei i te whakataurite ki te hunga kāore i whiwhi i te waikano. E whai wāhi ana tēnei ki ngā tūroro me ngā tākuta pokanga i te māia ki tōna haumaru mō te hauora kanohi tonu me te wā-roa.