Blue Sclera: Nā kumu, nā hōʻailona, ​​​​ka ʻike ʻana, a me ka mālama ʻana

Introduction:

ʻO ka sclera polū kahi ʻano polū ke ʻano o nā keʻokeʻo o nā maka. Hana ʻia ia i ka wā e lahilahi ai ka ʻiʻo o lalo o ka sclera (ka ʻāpana keʻokeʻo o ka maka), e ʻae ana i ka waihoʻoluʻu polū o ke collagen a me nā kīʻaha koko e ʻike ʻia. ʻOiai ʻo ka sclera polū e pili pinepine ʻia me kekahi mau maʻi genetic, hiki nō hoʻi ke hana ʻia ma muli o ka ʻelemakule a i ʻole nā ​​​​​​kūlana olakino ʻē aʻe. Ma kēia ʻatikala, e kūkākūkā mākou i nā kumu, nā hōʻailona, ​​​​ka hōʻailona, ​​​​nā koho lapaʻau, a me nā pilikia pili o ka sclera polū.

He aha ke kumu o ka Blue Sclera?

Hoʻokumu ʻia ka sclera polū e ka lahilahi o ka sclera, ka mea e ʻike nui ai i nā ʻiʻo ma lalo. Hiki i nā kumu like ʻole ke kōkua i ka lahilahi o ka sclera, a ua helu ʻia kekahi o nā kumu maʻamau ma lalo nei.

1. ʻOsteogenesis Imperfecta

ʻO ka Osteogenesis imperfecta (OI), i ʻike ʻia hoʻi he maʻi iwi palupalu, ʻo ia ka maʻi genetic maʻamau e pili ana me ka sclera polū. ʻO kēia kūlana ke kumu o ka haki maʻalahi o nā iwi ma muli o kahi kīnā i ka hana ʻana o ka collagen. ʻO ka Collagen kahi protein kūkulu e kōkua i ka mālama ʻana i ka pono o nā ʻiʻo pili, me ka sclera. I ka OI, ʻo ka nele o ka collagen ikaika e alakaʻi ai i ka sclera lahilahi, ka mea e hāʻawi ai i nā maka i kahi ʻano polū.

2. ʻO ka maʻi Marfan

ʻO ka maʻi Marfan kahi maʻi pili i nā ʻiʻo e hoʻopilikia ai i nā ʻōnaehana iwi, cardiovascular, a me nā maka o ke kino. I kekahi poʻe me ka maʻi Marfan, hiki i ka sclera ke lahilahi, e hopena ai i kahi kala polū i nā keʻokeʻo o nā maka. Hōʻike ʻia kēia ʻano e nā lālā lōʻihi, ke kino kiʻekiʻe a wiwi, a me nā pilikia o ka puʻuwai a me ke koko.

3. ʻO ka maʻi ʻo Ehlers-Danlos

ʻO ka maʻi Ehlers-Danlos (EDS) kekahi maʻi pili i hiki ke hoʻoulu i ka sclera polū. Loaʻa i ka poʻe me EDS nā hono palupalu loa, ka ʻili palupalu, a me nā ʻiʻo i maʻalahi i ka ʻeha. I kekahi mau hihia, hiki i ka sclera ke lahilahi e hoʻolilo i nā maka i polū.

4. Kaʻelemakule

I ko kākou ʻelemakule ʻana, lilo maoli ka sclera i mea lahilahi ma muli o ka emi ʻana o ka collagen a me nā protein ʻē aʻe. Hiki i kēia ke hana i ka maka e ʻike ʻia he polū iki, ʻoiai hoʻi i nā poʻe me nā ʻili māmā. ʻO ka sclera polū ma muli o ka ʻelemakule ʻaʻole ia e pili me nā kūlana olakino ʻē aʻe.

5. Nā Kumu ʻē aʻe

I nā hihia kakaikahi, hiki ke hana ʻia ka sclera polū e kekahi mau lāʻau lapaʻau a i ʻole nā ​​​​kūlana e hoʻonāwaliwali ai i nā ʻiʻo pili. ʻO kēia mau mea:

• Ka hoʻohana ʻana i nā corticosteroids: ʻO ka hoʻohana lōʻihi ʻana i nā corticosteroids e hoʻonāwaliwali i ka sclera a alakaʻi i kahi kala polū.
• ʻO ka maʻi o Wilson: He maʻi hoʻoilina e hoʻoulu ai i ka hōʻiliʻili ʻana o ke keleawe i loko o ke kino, hiki ke hoʻopilikia i nā ʻiʻo pili.
• Anemia hemahema hao: Hiki i ka anemia koʻikoʻi ke hana i nā loli i ka sclera, me kahi ʻulaʻula uliuli.

Nā Hōʻailona Pili o ka Blue Sclera

Hoʻopili pinepine ʻia ka sclera polū me nā hōʻailona ʻē aʻe, ʻoiai inā i hoʻokumu ʻia e kahi maʻi genetic. Hiki i nā hōʻailona pili ke komo pū me:

• Nā iwi palupalu: I loko o ka osteogenesis imperfecta, hiki i nā kānaka ke loaʻa pinepine nā haki iwi me ka trauma liʻiliʻi.
• Ka hypermobility hui: ʻO nā kānaka me ka maʻi Marfan a i ʻole ka maʻi Ehlers-Danlos paha he mau hono palupalu loa ia e hiki ke dislocation.
• Nā pilikia ʻike: ʻO kekahi mau kūlana e like me ka Marfan syndrome a me ka Ehlers-Danlos syndrome hiki ke hana i nā pilikia o ka maka, e like me ka dislocation o ka lens a i ʻole ka retinal detachment.
• Nā pilikia e pili ana i ka puʻuwai: ʻO kekahi mau maʻi pili pili, e like me ka Marfan syndrome, hiki ke hoʻopilikia i ka ʻōnaehana cardiovascular, e alakaʻi ana i nā murmurs puʻuwai a i ʻole nā ​​​​pilikia valve.

I ka wa e imi ai i na lapaau

ʻOiai ʻaʻole paha e hōʻike mau ka sclera polū i kahi pilikia olakino koʻikoʻi, he mea nui e ʻimi i ke kōkua lapaʻau inā pili ia me nā hōʻailona ʻē aʻe, e like me ka haki ʻana o ka iwi, ka ʻeha o nā hono, a i ʻole nā ​​pilikia cardiovascular. Inā ʻike ʻoe i ka loli mau o ka uliuli a ʻeleʻele paha i nā keʻokeʻo o kou mau maka, a inā ʻike ʻoe i ka ʻeha, ka paʻakikī i ka hoʻoneʻe ʻana i nā hono, a i ʻole nā ​​haki i wehewehe ʻole ʻia, he mea nui e kūkākūkā me kahi mea mālama ola no ka loiloi piha.

ʻIke ʻia o ka Blue Sclera

ʻO ka ʻike ʻana i ke kumu nui o ka sclera polū e pili pinepine i ka hui pū ʻana o ka hoʻokolokolo kino, ka loiloi mōʻaukala lapaʻau, a me nā hoʻokolohua diagnostic. Hiki i kahi mea mālama ola ke hana i kēia mau mea:

1. Ninaninau kino

E kōkua ka hoʻokolohua kino i ka loiloi ʻana i ke kūlana o kāu sclera a nānā i nā hōʻailona pili, e like me ka hypermobility hui a i ʻole nā ​​​​haʻi pinepine.

2. Ho'āʻo Genetic

Inā kānalua ʻia kahi maʻi hoʻoilina e like me ka osteogenesis imperfecta, Marfan syndrome, a i ʻole Ehlers-Danlos syndrome, hiki ke hana ʻia nā hoʻāʻo hoʻoilina e hōʻoia i ka hōʻailona. Hiki i kēia mau hoʻāʻo ke kōkua i ka ʻike ʻana i nā mutations i loko o nā genes e hoʻopilikia i ka hana collagen a i ʻole nā ​​​​protein hoʻonohonoho ʻē aʻe.

3. Nā ho'āʻo kiʻi

I kekahi mau hihia, hiki ke hoʻohana ʻia nā hoʻokolohua kiʻi e like me nā X-ray a i ʻole MRI scans e loiloi i ke kūlana o nā iwi, nā hono, a i ʻole nā ​​​​ʻōpū o loko e hoʻopilikia ʻia e kahi maʻi pili.

Lapaʻau no ka Blue Sclera

ʻO ka lāʻau no ka sclera polū e pili ana i ke kumu o ke kūlana. I kekahi mau hihia, ʻaʻohe pono o ka lāʻau, ʻoiai inā ua hana ʻia ka sclera polū e ka ʻelemakule. Eia nō naʻe, inā pili ka hōʻailona i kahi maʻi genetic a i ʻole kekahi kūlana olakino ʻē aʻe, e kālele ana ka lāʻau i ka hoʻokele ʻana i nā hōʻailona pili a me ka pale ʻana i nā pilikia.

1. Ke hoʻokele nei i nā maʻi genetic

No nā poʻe me nā kūlana genetic e like me ka osteogenesis imperfecta a i ʻole Marfan syndrome, hiki i ka mālama ʻana ke komo:

• Nā lāʻauʻaʻai: Hiki ke hoʻohana ʻia nā lāʻau hōʻoluʻolu ʻeha, nā mea hoʻomaha ʻiʻo, a me nā lāʻau lapaʻau ʻē aʻe e mālama i nā hōʻailona e like me ka ʻeha o nā hono a i ʻole ka nāwaliwali o nā ʻiʻo.
• Hoʻomaʻamaʻa lāʻau: Hiki i ka hoʻoikaika kino ke kōkua i ka hoʻomaikaʻi ʻana i ka neʻe ʻana o ka hui a hoʻoikaika i nā ʻiʻo e pale ai i nā haki a me nā ʻeha ʻē aʻe.
• Ka nānā ʻana i ke olakino cardiovascular: Pono paha nā kānaka me nā maʻi pili i nā nānā maʻamau e nānā i ke olakino o ka puʻuwai, no ka mea, hiki i kēia mau kūlana ke hoʻopilikia i nā kīʻaha puʻuwai a me nā kīʻaha koko.

2. Ola Ola

No nā poʻe me nā iwi palupalu a i ʻole kahi predisposition i nā haki (e like me ka osteogenesis imperfecta), hiki i ka mālama ʻana ke komo pū me:

• Nā lāʻau lapaʻau hoʻoikaika iwi: Hiki i nā Bisphosphonates a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe ke kōkua i ka hoʻoikaika ʻana i nā iwi a hoʻemi i ka pilikia o nā haki.
• Mālama ʻana i ka haki: Pono paha nā kānaka me nā haki pinepine i ka mālama kūikawā e mālama i ka ho'ōla ʻana o ka iwi a pale i nā pilikia.

3. Nā Hoʻololi Ola

• Hoʻoikaika haʻahaʻa haʻahaʻa: ʻO ke komo ʻana i nā hana haʻahaʻa e like me ka ʻauʻau ʻana a i ʻole ke kaʻa paikikala hiki ke kōkua i ka hoʻoikaika ʻana i nā ʻiʻo a me nā hono me ka ʻole o ke kaumaha nui ʻana ma nā iwi.
• Ka palekana o ka iwi: Pono paha ka poʻe me nā iwi palupalu e hana i nā hana palekana hou aʻe e pale aku ai i ka hāʻule ʻana a me nā ʻeha, e like me ka hoʻohana ʻana i nā mea kōkua neʻe a i ʻole ka hoʻololi ʻana i ke kaiapuni home.

Nā Moʻolelo a me nā ʻoiaʻiʻo e pili ana i ka Blue Sclera

Ka Moʻolelo Hoʻomanaʻo 1: "Hiki wale ka sclera polū i nā keiki."

ʻOiaʻiʻo: ʻOiai ʻo ka sclera polū e pili pinepine ana me nā kūlana e like me ka osteogenesis imperfecta, i loaʻa mai ka hānau ʻana, hiki iā ia ke ulu aʻe ma hope o ke ola, ʻoiai ma muli o ka ʻelemakule a i ʻole nā ​​​​​​kūlana olakino ʻē aʻe.

Ka Moʻolelo 2: "ʻO ka sclera polū e hōʻike mau ana i kahi pilikia olakino koʻikoʻi."

ʻOiaʻiʻo: ʻOiai hiki i ka sclera polū ke lilo i hōʻailona o kahi maʻi hoʻoilina, hiki nō hoʻi ke kū maoli me ka ʻelemakule a i ʻole ma muli o nā kūlana maikaʻi ʻole. Eia nō naʻe, he mea nui e nānā i nā hōʻailona pili ʻē aʻe.

Nā pilikia o ka Blue Sclera

ʻOiai ʻaʻole ia he mea ʻino maʻamau ka sclera polū, hiki iā ia ke hōʻailona i kahi maʻi kumu e pono ai ke kōkua lapaʻau. Inā ʻaʻole mālama ʻia, hiki i kekahi mau maʻi e pili ana i ka sclera polū, e like me ka osteogenesis imperfecta a i ʻole Marfan syndrome, ke alakaʻi i nā pilikia, e like me:

• Nā haki pinepine: Hiki i nā poʻe me nā iwi palupalu ke loaʻa i nā haki pinepine, kahi mea e hoʻopilikia ai i ka maikaʻi o ke ola.
• Nā pilikia cardiovascular: Hiki i nā maʻi pili i ka puʻuwai ke hoʻopilikia i ka puʻuwai, e alakaʻi ana i nā pilikia valve, aneurysms, a i ʻole nā ​​​​pilikia cardiovascular ʻē aʻe.
• Nā pilikia hui: Hiki i nā hono palupalu ke alakaʻi i nā dislocations hui, ka ʻeha, a me nā pilikia neʻe.

Nā nīnau i nīnau pinepineʻia (FAQ)

1. Hiki ke pale ʻia ka polū o ka sclera?

ʻAʻole hiki ke pale ʻia ka sclera polū i nā manawa a pau, ʻoiai inā he maʻi hoʻoilina ia. Eia nō naʻe, ʻo ka mālama ʻana i ka maʻi kumu a me ka lawe ʻana i nā hana e pale ai i ke olakino o ka iwi a me ka hana cardiovascular hiki ke kōkua i ka pale ʻana i nā pilikia.

2. Hoʻopilikia anei ka sclera polū i ka ʻike?

I ka hapanui o nā hihia, ʻaʻole hoʻopilikia ka sclera polū i ka ʻike. Eia nō naʻe, ʻo kekahi mau kūlana e pili ana me ka sclera polū, e like me ka Marfan syndrome a i ʻole Ehlers-Danlos syndrome, hiki ke hoʻopilikia i nā ʻano ʻē aʻe o ke olakino maka, e like me ka dislocation lens a i ʻole ka retinal detachment.

3. Aia kekahi lāʻau lapaʻau no ka osteogenesis imperfecta?

ʻOiai ʻaʻohe lāʻau lapaʻau no ka osteogenesis imperfecta, ke kālele nei nā koho lapaʻau i ka hoʻokele ʻana i nā hōʻailona, ​​​​ka hoʻoikaika ʻana i nā iwi, a me ka pale ʻana i nā haki. Hiki i nā lāʻau lapaʻau, ka hoʻōla kino, a me nā hoʻolālā hoʻoikaika iwi ke kōkua i ka hoʻomaikaʻi ʻana i ke ʻano o ke ola.

Panina

ʻO ka sclera polū kahi hōʻailona ʻike ʻia o nā ʻano maʻi like ʻole, mai ka ʻelemakule a i nā maʻi genetic e like me ka osteogenesis imperfecta a me ka Marfan syndrome. Inā ʻike ʻoe i kahi ʻulaʻula uliuli i nā keʻokeʻo o kou mau maka, he mea nui e kūkākūkā me kahi mea mālama ola e hoʻoholo i ke kumu kumu a loaʻa ka lāʻau kūpono. Me ka mālama pono a me ka hoʻokele ʻana, hiki i nā poʻe me ka sclera polū ke ola olakino a hōʻemi i ka hopena o nā kūlana olakino pili.