Hihio Hakahaka
Puna kiʻi: faculty.washington.edu/chudler/armd.html
He aha? ʻO ka hihiʻo haʻahaʻa, i kekahi manawa i kapa ʻia ʻo ke kino ʻike, kahi mea aʻu i hāʻawi manawaleʻa ai e kākau i kahi moʻomanaʻo moʻomanaʻo e pili ana. Ma ke ʻano he kauka mālama mua, haʻi wau i koʻu mau makemake e like me ka pae o ke ola aʻu i noho ai.
I kēia manawa i koʻu komo ʻana i kahi ʻoi aku o ke ʻano o ke ola, ua manaʻo ʻoe; ʻO nā kūlana a i ʻole nā maʻi e pili ana i koʻu pūʻulu makahiki i koʻu nānā.
ʻO ka mahina ʻike haʻahaʻa haʻahaʻa / makahiki pili i ka Macular Degeneration Awareness mālama ʻia i kēlā me kēia makahiki a puni Pepeluali. He mahina ʻike ia e hoʻolaha ʻia ai ka ʻike hou aku e pili ana i ka Age-related macular degeneration (AMD) a me nā maʻi e pili ana i nā maka e hiki ke alakaʻi i ka hōʻino ʻike.
He aha nā helu?
ʻO ka manaʻo maikaʻi loa aia he 196 miliona mau kānaka ma ka honua holoʻokoʻa me AMD. Me he mea lā ʻo ka poʻe ma luna o 50 mau makahiki ka mea maʻalahi loa. ʻO kaʻoiaʻiʻo,ʻo AMD ka No. He ʻumikūmākolu pākēneka o ka poʻe ma luna o 1 mau makahiki i loaʻa ia maʻi. ʻOi aku ka maʻamau i nā poʻe o nā kūpuna ʻEulopa keʻokeʻo a ʻoi aku ka hopena o nā wahine ma mua o nā kāne. ʻO ia ke kumu nui o ka pōʻino ʻike a me ka nalowale o ka ʻike ma nā ʻāina kūkulu.
He aha nā hōʻailona?
ʻO nā mea maʻamau ʻo:
- Nānā pohihihi nā mea ma ke kikowaena o kekahi mea.
- He mea paʻakikī loa ka heluhelu a hana ʻana i nā hana maikaʻi ʻē aʻe ma ka mālamalama haʻahaʻa.
- ʻIke ʻoe i nā laina pololei e like me ka ʻale.
- Loaʻa paha nā wahi hakahaka ma kāu kahua ʻike kikowaena.
- He ʻokoʻa nā hōʻailona ma muli o ke ʻano o ka AMD iā ʻoe:
- Kanaka me ka AMD maloʻo (85-90%)lilo mālie ko lākou ʻike. Hiki iā lākou ke ʻike i ka pilikia me hoʻokahi a ʻelua mau maka i ka heluhelu ʻana a i ʻole ke kaʻa ʻana. A i ʻole e ʻike paha lākou i kēia manawa pono lākou i nā kukui ʻālohilohi a i ʻole ke aniani hoʻonui e ʻike e like me kā lākou ma mua. ʻO ka poʻe me ka AMD maloʻo i kekahi manawa, ʻike pū kekahi i nā wahi i ʻike ʻole ʻia.
- Kanaka me ka wai AMD (10-15%)hiki ke loli koke i ka hihio. Ke ʻike mua lākou i nā hōʻailona, pilikia paha lākou ma ka maka hoʻokahi. (Ma hope, ulu mau nā maka ʻelua i nā pilikia.) Ke nānā ka poʻe me ka AMD pulu i nā laina pololei, ʻike ʻia nā laina e piʻo a nalu paha.
- Ua pili kēia maʻi i ka hāʻule pinepine ʻana a i ʻole nā ʻeha.
Inā hopohopo ʻoe a manaʻo paha ʻoe he AMD
- E komo ana kāu loiloi mua i nā nīnau e pili ana i nā mea i ʻike ʻia he ʻano ʻino, emi ka ʻike, kukui ʻālohilohi a i ʻole nā mea lana i ka hihiʻo, kahi makapō, a me ka paʻakikī ke hoʻololi i ka pōʻeleʻele. E nīnau ʻia ʻoe e pili ana i nā pilikia maka i hala; moʻolelo ʻohana o nā maʻi maka; ka moʻolelo o ka lāʻau lapaʻau, me ka aspirin a me ka hoʻohana antioxidant; a me ka moolelo pilikanaka, me ka moolelo puhi paka.
- Pono ʻoe e hoʻokolokolo maka piha e ke kauka ophthalmologist.
- Inā loaʻa iā ʻoe ka AMD ma mua, e aʻo ʻia paha ʻoe e nānā ponoʻī i kāu ʻike me kahi pahu Amsler (e ʻike i lalo no nā hiʻohiʻona maʻamau a ʻano like ʻole).
- Inā puhi ʻoe…HOʻA! ʻO ka puhi paka ka mea ikaika loa e hiki ke hoʻololi ʻia. Ua pili pū ke koko kiʻekiʻe a me nā lipid kiʻekiʻe me AMD. Akā naʻe, ʻaʻohe mea hōʻike e pili ana ka hoʻohana ʻana i nā "statins" (lāʻau hoʻohaʻahaʻa i ka cholesterol).
- ʻO nā mea ʻē aʻe e noʻonoʻo ai e pili ana i ka hoʻonui ʻana i nā meaʻai momona i ka omega-3. ʻO kēia nā huaʻai, nā iʻa e like me ka tuna, salmon, mackerel, a me nā mea ʻē aʻe.
- Hoʻohana mau i ka pale maka i nā kūlana māmā. (E mālama pono i kou mau makaaniani!)
- Ke hōʻike nei ka nui o nā hōʻike e pili ana ka poʻe me AMD i nā maʻi ʻōnaehana e like me ka hahau. Makemake kāu kauka mālama mua e nānā i kou kūlana olakino holoʻokoʻa.
lapaʻau
ʻAʻohe lāʻau lapaʻau i loaʻa no ka maloʻo, a i ʻole neovascular, AMD. Pono e hāʻawi ʻia ke kākoʻo i nā poʻe maʻi me ka AMD maloʻo; aʻo ʻia e pili ana i ka hoʻololi ʻana i ka nohona, ka hoʻopau ʻana i ka ulaula, a me ka hoʻohui antioxidant; a nānā mau ʻia.
Ua ʻike ʻo AREDS e pili ana i ka makahiki e pili ana i ka maʻi maʻi maka (AREDS) he nui ka nui o ka huaora antioxidant waha (ʻo ia hoʻi, nā huaora C a me E, beta carotene) a me ka zinc supplementation i hoʻemi i ka piʻi ʻana o ka AMD waena a kiʻekiʻe paha ma kahi o 25%. No laila, kākoʻo nā hōʻike i ka hoʻohana ʻana i nā huaora antioxidant a me nā mea hoʻohui mineral e kākoʻo ana i ka hana ocular, e like me nā mea i aʻo ʻia ma AREDS, e hoʻopaneʻe i ka nalowale ʻana o ka ʻike i nā maʻi me AMD.
ʻAʻole i hōʻike ʻia ka Vitamin E, beta carotene, vitamin C, a me nā mea hoʻohui multivitamin e pale a hoʻopaneʻe paha i ka hoʻomohala ʻana o AMD.
ʻO nā poʻe maʻi me ka wai, a i ʻole neovascular, AMD pono e hāʻawi ʻia i kahi ophthalmologist no ka mālama ʻana. ʻO ka lāʻau lapaʻau mua he lāʻau anti-VEGF. He lāʻau lapaʻau kēia he kumu kūʻē i ka ulu ʻana no nā aʻa koko. Hāʻawi ʻia kēia lāʻau lapaʻau ma ka hoʻopili pololei ʻana i ka maka i kēlā me kēia mahina a i ʻole ʻekolu mahina. Hoʻopau wale kēia mau lāʻau i nā kīʻaha koko e ulu ʻino ʻole ana ma hope o ka maka. Hiki i kēia ke alakaʻi i ka ʻike maikaʻi no nā poʻe maʻi me neovascular AMD. Aia kekahi poʻe e hoʻomaka me ka degeneration macular maloʻo a laila hoʻomohala i ke ʻano pulu.
Eia ke oki
Hoʻoponopono ʻike (kāhea pinepine ʻia hoʻoponopono ʻike) he huaʻōlelo i hoʻohana ʻia ʻo ia hoʻi ka hoʻoponopono hou ʻana e hoʻomaikaʻi i ka ʻike inā he haʻahaʻa ka ʻike. ʻO ia hoʻi, ʻo ia ke kaʻina hana o ka hoʻihoʻi ʻana i ka mana hana a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola a me ke kūʻokoʻa i loko o kahi kanaka i nalowale i ka hana ʻike ma muli o ka maʻi a i ʻole ka hōʻeha. ʻO ka nānā ʻana i kēlā mau hemahema ʻaʻole hiki ke pōmaikaʻi mai nā maka aniani, lens contact, lāʻau lapaʻau, a i ʻole ke ʻoki ʻana. ʻO ka manaʻo nui i ke kōkua ʻana i nā kānaka e hana i nā hana o kēlā me kēia lā. Ua ʻike ʻia ʻo Vision rehab he kōkua nui i ke kōkua ʻana i ka poʻe e mālama i ko lākou kūʻokoʻa.
Resources
en.wikipedia.org/wiki/Vision_rehabilitation
Cheung CMG, Wong TY. ʻO ka macular degeneration pili makahiki he hōʻike ia o ka maʻi ʻōnaehana? ʻO nā manaʻo hou no ka hana mua a me ka mālama ʻana. J Intern Med. 2014;276(2):140-153
