ʻO ka hopena o ka scotoma ma ke alo o hoʻokahi a ʻoi aku paha nā kiko i ke kahua ʻike. Hiki iā mākou ke hoʻokaʻawale i nā ʻano like ʻole o ka scotoma waena me ka loaʻa ʻana o kahi wahi ʻeleʻele a me ka scotoma scintillating me nā wahi kukui i ke kahua ʻike.

Ka wehewehe ʻana o ka scotoma

ʻO ka scotoma kahi āpau i ke kahua ʻike. Hōʻike ʻia kēia e:

• ka hele ʻana o hoʻokahi a ʻoi aku paha nā kiko;
• maʻa mau a i ʻole maʻamau;
• ʻeleʻele a ʻālohilohi paha;
• i waenakonu o ke kahua ʻike maka, a i kekahi manawa ma ka ʻaoʻao;
• ma ke kiʻekiʻe o ka maka hoʻokahi, akā i kekahi manawa ma ke kiʻekiʻe o nā maka ʻelua.

Nā ʻano scotome

Nui nā ʻano scotoma i wehewehe ʻia. ʻO nā mea kākau nui loa:

• ka scotoma waena e loaʻa ai ka ʻike ʻana i kahi kikoʻeleʻele i waenakonu o ke kahua ʻike;
• ʻO ka scotome scintillating e hopena i ke ʻano o nā kiko ʻālohilohi e hoʻomanaʻo paha i nā mea i hana ʻia e ka uila.

Ke kumu o du scotome

Hiki ke loaʻa nā kumu like ʻole o kēia ʻāwaha ʻike maka:

• ʻO ka macular degeneration, kahi deterioration o ka macula (wahi kikoʻī o ka retina) i pili pinepine i ka makahiki (macular degeneration e pili ana i ka makahiki, maʻalahi hoʻi e like me AMD);
• ka pōʻino i ke aʻalolo optic ma muli paha o nā ʻano like ʻole e like me ka maʻi viral, ka maʻi ʻeha a i ʻole ka sclerosis lehulehu;
• ke kaomi ʻana i ka chiasm optic (ka wahi e hui ai nā aʻalolo optic) hiki ke loaʻa me ka hahau ʻana, ke koko a i ʻole ke koko i loko o ka lolo;
• he vitreous detachment (gelatinous mass filling the eye) e hōʻike ana iā ia iho e nā floaters (condensations) a ma muli paha o ka ʻelemakule, trauma a i ʻole ka ʻoki ʻana;
• he migraine ophthalmic, a i ʻole he migraine me ka ʻike aura, kahi i hōʻike ʻia e kahi scotoma scintillating ma mua o ka hoʻouka ʻana o ka migraine.

ʻO ka diagnostics o ka scotome

Hana ʻia ka hōʻoia ʻana o kahi scotoma e kahi ophthalmologist. Nānā ka ʻoihana mālama maka i ka ʻike maka a nānā i ke ʻano o loko a me waho o ka maka. Hoʻopau ʻo ia i nā wehewehe ʻē aʻe e hōʻoia i ka ʻike o ka scotoma.

Ma ke ʻano o kāna loiloi, hiki i ka ophthalmologist ke hoʻohana i nā kulu e hoʻonui ai i nā haumāna. ʻO kēia ka mea hiki ke nānā i ka retina a me ke aʻalolo optic, akā loaʻa ka pōʻino o ka pōʻeleʻele i ka ʻike no kekahi mau hola. Manaʻo nui ʻia e hele pū me kēia ʻano kūkākūkā.

Hiki ke hoʻokumu ʻia ka hōʻailona ma nā hopena o kahi angiogram, kahi ala e hiki ai iā ʻoe ke nānā i nā kīʻaha koko.

Hoʻopaʻa (s) i ke kahua ʻike

ʻO ka hopena o ka scotoma ma ke alo o hoʻokahi a ʻoi aku paha nā kiko i ke kahua ʻike. Hiki iā ia ke hoʻokahi ʻili a i ʻole kekahi mau ʻili liʻiliʻi. Hoʻokaʻawale kekahi i ka scotoma waena me ka loaʻa ʻana o kahi wahi ʻeleʻele i waenakonu o ke kahua ʻike a me ka scotoma scintillating me nā kiko kukui he nui i ke kahua ʻike.

Hiki ke emi i ka ʻike maka

I kekahi mau hihia, hiki i ka scotoma ke hoʻopili i ka ʻike acuity. ʻO ka mea nui, paʻakikī paha ke kanaka me ka scotoma waena i ka hana pololei e like me ka heluhelu a me ka humuhumu ʻana.

ʻeha paha

ʻO ka scotoma scintillating kahi hōʻailona maʻamau o ka migraine ophthalmic. Hoʻomaka pinepine ia ma mua o ka hoʻouka ʻana o ka migraine.

Inā ʻaʻohe pilikia a pilikia paha, ʻaʻole hiki ke mālama ʻia ka scotoma.

Inā hiki ke mālama ʻia a / a pono paha, hiki ke hoʻokumu ʻia ka hoʻokele ma luna o:

• lapaʻau analgesic;
• ka hoʻohana ʻana i nā lāʻau antiplatelet;
• ʻoki laser.

Hiki ke pale ʻia kekahi mau maʻi o ka scotoma ma o ka hoʻohana ʻana i ke ola olakino a me kekahi mau hana pale. ʻO ka mea nui, hiki ke aʻo ʻia e:

• e mālama i kahi meaʻai olakino, kaulike i kumu o nā antioxidants (ʻoi aku ka nui o nā huaʻai a me nā mea kanu) i mea e hoʻoikaika ai i ka pale maka;
• e hoʻohana i nā aniani me kahi pale pale kūpono a maikaʻi;
• pale i ka puhipaka;
• e hoʻokō i ka nānā maʻamau.