Ectropion
Nānaina
I loko o ka ectropion, ke kulu nei ka ihu lalo mai ka maka. Ma muli o ka ihu kulu, ʻaʻole hiki i kou maka ke pani pono i ka wā e ʻānai ai ʻoe, kahi e hiki ai ke maloʻo a huhū ka maka.
ʻO ka Ectropion (ek-TROH-pee-on) kahi kūlana kahi e huli ai kou maka i waho. Hoʻokomo kēia i ka ʻili o loko o ka maka a hoʻonāukiuki ʻia.
ʻOi aku ka nui o ka ectropion i nā ʻelemakule, a hoʻopili wale ia i ka maka lalo. I ka ectropion koʻikoʻi, ua huli ʻia ka lōʻihi holoʻokoʻa o ka maka. I ka ectropion emi iki, hoʻokahi ʻāpana wale nō o ka maka e kulu mai ka maka.
Hiki i nā waimaka hana a me nā ʻaila hoʻoheheʻe ke kōkua i ka hoʻomaha ʻana i nā hōʻailona o ka ectropion. Akā maʻamau, pono ka ʻoki kino e hoʻoponopono pono i ke kūlana.
Nā hōʻailona
Maʻamau, i ka wā e pīpī ai ʻoe, e hoʻolaha like ana kou mau maka i nā waimaka ma luna o kou mau maka, e mālama ana i ka pulu o ka ʻili o nā maka. E kahe ana kēia mau waimaka i loko o nā puka liʻiliʻi ma ka ʻaoʻao o loko o kou mau maka (puncta). Inā loaʻa iā ʻoe ka ectropion, e huki ʻia ana kou poʻi lalo mai kou maka aku a ʻaʻole e kahe pono nā waimaka i loko o nā puncta. ʻO nā hōʻailona a me nā hōʻailona e hiki mai ana: Nā maka wai (kahe nui o nā waimaka). Me ka ʻole o ka hoʻokahe pono, hiki i kāu mau waimaka ke hōʻiliʻili a kahe mau ma luna o kou mau maka. Ka maloʻo nui. Hiki i ka ectropion ke hana i ka maloʻo, ka ʻiliʻili a me ke one o kou mau maka. Hoʻonāukiuki. Hiki i nā waimaka paʻa a i ʻole ka maloʻo ke hoʻonāukiuki i kou mau maka, e hoʻoulu ana i ka puhi ʻana a me ka ʻulaʻula i kou mau maka a me nā keʻokeʻo o kou mau maka. Mālie i ka mālamalama. Hiki i nā waimaka paʻa a i ʻole nā maka maloʻo ke hoʻonāukiuki i ka ʻili o ka cornea, e hoʻolilo ana iā ʻoe i mea mālie i ka mālamalama. E ʻike i kāu kauka inā e wai ana a hoʻonāukiuki mau ana kou mau maka, a i ʻole ke ʻano o kou poʻi e hāʻule ana a i ʻole e hāʻule ana. E ʻimi i ka mālama koke inā ua ʻike ʻia ʻoe me ka ectropion a loaʻa iā ʻoe: Ka ʻulaʻula wikiwiki o kou mau maka Ka mālie i ka mālamalama Ka emi ʻana o ka ʻike ʻana He mau hōʻailona kēia a me nā hōʻailona o ka hōʻike ʻana o ka cornea a i ʻole nā ʻōpala, kahi e hiki ai ke hōʻino i kou ʻike ʻana.
ʻO ka manawa hea e ʻike ai i ke kauka
E hele i ke kauka inā ke wai mau ana a i ʻole ke huhū nei kou mau maka, a i ʻole ke ʻano nei kou maka i ka luhi a i ʻole ka hāʻule. E ʻimi koke i ka mālama inā ua ʻike ʻia ʻoe me ka ectropion a loaʻa iā ʻoe:
- Ke hoʻonui koke nei ka ʻulaʻula o kou mau maka
- Ke maʻalahi i ka mālamalama
- Ke emi nei ka ʻike
ʻO kēia nā hōʻailona a me nā hōʻailona o ka hōʻike ʻana o ka cornea a i ʻole nā ʻōpala, ka mea e hiki ai ke hōʻino i kou ʻike.
Nā kumu
Hiki ke kumu ʻia ka ectropion e:
- Ka nāwaliwali o nā ʻiʻo. I ka wā e ulu ai ʻoe, e nāwaliwali nā ʻiʻo ma lalo o kou mau maka, a e kīloi nā tendons. ʻO kēia mau ʻiʻo a me nā tendons e hoʻopaʻa i kou poʻi maka i kou maka. I ka wā e nāwaliwali ai lākou, hiki i kou poʻi maka ke hoʻomaka e hāʻule.
- Ka maʻi palasi o ka maka. Hiki i kekahi mau kūlana, e like me ka maʻi Bell's palsy, a me kekahi mau ʻano o nā tumors ke palasi i nā aʻalolo a me nā ʻiʻo o ka maka. Hiki i ka maʻi palasi o ka maka e pili ana i nā ʻiʻo o ka poʻi maka ke alakaʻi i ka ectropion.
- Nā hōʻino a i ʻole nā hana ʻoki mua. Hiki i ka ʻili i hōʻino ʻia e nā puhi a i ʻole nā ʻeha, e like me ka ʻoki ʻana o ka ʻīlio, ke hoʻopilikia i ke ʻano o ka moe ʻana o kou poʻi maka i kou maka. Hiki i ka hana ʻoki poʻi maka mua (blepharoplasty) ke kumu i ka ectropion, ʻoi aku hoʻi inā ua lawe ʻia ka nui o ka ʻili mai ka poʻi maka i ka wā o ka hana ʻoki.
- Nā ulu ʻana o ka poʻi maka. Hiki i nā ulu maikaʻi ʻole a i ʻole nā ulu kanesa ma kou poʻi maka ke hoʻohuli i waho i ka poʻi.
- Nā maʻi genetic. ʻAʻole pinepine ka ectropion i ka wā hānau (congenital). I ka wā e loaʻa ai, pili pinepine ia i nā maʻi genetic, e like me ka maʻi Down syndrome.
Nā mea pilikia
Nā kumu e hoʻonui ai i kou pilikia o ka loaʻa ʻana o ka ectropion:
- Makahiki. ʻO ke kumu maʻamau loa o ka ectropion ka nāwaliwali o ka ʻiʻo o nā mākala e pili ana i ka ʻelemakule.
- Nā hana ʻoki maka ma mua. ʻOi aku ka nui o ka pilikia o ka loaʻa ʻana o ka ectropion i nā kānaka i hana ʻia i ka ʻoki maka.
- Ka maʻi kanesa, nā puhi ahi a i ʻole nā ʻeha ma mua. Inā loaʻa iā ʻoe nā wahi o ka maʻi kanesa ma kou maka, nā puhi ahi ma ka maka a i ʻole nā ʻeha, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o ka ectropion.
Nā pilikia
Ke hoʻonele nei ka ectropion i kou cornea i ka huhū a me ka hōʻike ʻia, e hoʻonui ai i ka maloʻo. ʻO ka hopena, hiki ke loaʻa nā abrasions a me nā ʻōpala ma ka cornea, kahi e hoʻoweliweli ai i kou ʻike.
ʻImi ʻike
Hiki ke ʻike pinepine ʻia ka ectropion me kahi nānā maka maʻamau a me ke kino. Hiki i kāu kauka ke huki i kou mau maka i ka wā o ka nānā ʻana a i ʻole e noi iā ʻoe e pani i kou mau maka me ka ikaika. Kūleʻa kēia iā ia e loiloi i ka ikaika a me ka paʻa o nā ʻiʻo o kēlā me kēia maka.
Inā pili ka ectropion iā ʻoe i kahi ʻeha, ʻōpū, hana ʻoki mua a i ʻole ka radiation, e nānā pū kāu kauka i nā pūnaewele a puni.
He mea nui ka hoʻomaopopo ʻana i ke ʻano o nā kūlana ʻē aʻe i ka ectropion i ke koho ʻana i ka mālama kūpono a i ʻole ka ʻenehana hana ʻoki.
Ka mālama ʻana
Inā māmā kāu ectropion, hiki i kāu kauka ke'ōlelo aku i nā waimaka hana a me nā hamo e ho'olu'olu i nā hō'ailona. Ho'ohana pinepine'ia ka'oki'oki e ho'oponopono pono i ka ectropion. Ka'oki'oki Aia ke'ano o ka'oki'oki āu e loa'a ai ma ke kūlana o ka'i'o a puni kou maka a ma ke kumu o kāu ectropion: Ectropion i ho'okumu'ia e ka ho'oluhi'ana o nā'i'o a me nā ligament ma muli o ka'elemakule. E wehe paha kāu kauka i kahi'āpana li'ili'i o kou maka lalo ma ka'ao'ao waho. Ke ho'opili'ia hou ke po'i, e ho'oikaika'ia nā tendons a me nā'i'o o ke po'i, e ho'okumu ana i ka ho'omoe pono'ana o ke po'i ma ka maka. He mea ma'alahi loa kēia ka'ina hana. Ectropion i ho'okumu'ia e ka'i'o'ōpala mai ka hō'eha a i'ole ka'oki'oki ma mua. Pono paha kāu kauka e ho'ohana i kahi ho'oili'ili'o, i lawe'ia mai kou maka luna a i'ole ma hope o kou pepeiao, e kōkua i ke kāko'o'ana i ke po'i lalo. Inā loa'a iā'oe ka ma'i palasi'ia o ka maka a i'ole ka'ōpala nui, pono paha iā'oe kahi ka'ina hana'ē a'e e ho'oponopono pono ai i kāu ectropion. Ma mua o ka'oki'oki, e loa'a iā'oe kahi anesthetic kūloko e ho'onāwaliwali i kou maka a me ka'āpana a puni ia. Hiki paha iā'oe ke ho'oluhi iki'ia me ka lā'au lapa'au waha a i'ole intravenous e ho'olu'olu iā'oe, ma muli o ke'ano o ka ka'ina hana āu e loa'a nei a inā hana'ia ia ma kahi ke'ena'oki'oki ma waho. Ma hope o ka'oki'oki, pono paha iā'oe ke: Ho'okomo i kahi pale maka no 24 hola Ho'ohana i kahi hamo antibiotic a me steroid ma kou maka i kekahi mau manawa i ka lā no ho'okahi pule Ho'ohana i nā compresses anu i kekahi manawa e ho'emi ai i ka'ūhū a me ka pehu Ma hope o ka'oki'oki, e'ike paha'oe i: Pehu manawa pōkole'ūhū ma luna a puni kou maka Hiki ke pa'a kou maka ma hope o ka'oki'oki. Akā, ke ho'ōla'oe, e lilo ia i mea'olu'olu hou aku. Ho'one'e pinepine'ia nā'ōlelo ma hope o ho'okahi pule ma hope o ka'oki'oki. Hiki iā'oe ke mana'o e'ā'ā ka pehu a me ka'ūhū ma kahi o'elua pule. Noi i kahi'aha'aina
Ka hoʻomākaukau ʻana no kāu koho
Inā loaʻa iā ʻoe nā hōʻailona a me nā ʻōuli o ka ectropion, e hele mua paha ʻoe i ke kauka mālama ola mua. Hiki iā ia ke kuhikuhi aku iā ʻoe i ke kauka akamai i ka mālama ʻana i nā maʻi maka (ophthalmologist). Eia kekahi mau ʻike e kōkua iā ʻoe e mākaukau no kāu kūkā. He aha kāu e hiki ke hana Ma mua o kāu kūkā, e hana i kēia mau hana: E papa inoa i nā ʻōuli āu i loaʻa ai a me ka lōʻihi o ka loaʻa ʻana. E ʻimi i kahi kiʻi o ʻoe iho ma mua o ka loli ʻana o kou maka e hiki ke lawe aku i ka kūkā. E papa inoa i nā lāʻau lapaʻau, nā wikamina a me nā mea hoʻohui āu e lawe ai, me nā nui. E papa inoa i nā ʻike pilikino a me nā ʻike lapaʻau nui, me nā kūlana ʻē aʻe, nā loli ola hou a me nā mea hoʻoikaika. E papa inoa i nā nīnau e nīnau aku i kāu kauka. E noi i kekahi hoaaloha a i ʻole hoaaloha e hele pū me ʻoe, e kōkua iā ʻoe e hoʻomanaʻo i ka mea a ke kauka e ʻōlelo ai. No ka ectropion, ʻo kekahi mau nīnau kumu e nīnau aku i kāu kauka, ʻo ia: He aha ka kumu nui loa o kaʻu mau ʻōuli? He aha nā ʻano hoʻokolohua e pono ai iaʻu? Pono lākou i kahi hoʻomākaukau kūikawā? He manawa pōkole anei kēia kūlana a lōʻihi paha? Hiki i ka ectropion ke hōʻino i koʻu ʻike? He aha nā lāʻau lapaʻau i loaʻa, a ʻo wai ka mea āu e ʻōlelo ai? He aha nā pilikia o ka ʻoki kino? He aha nā mea ʻē aʻe ma mua o ka ʻoki kino? Loaʻa iaʻu kēia mau kūlana olakino ʻē aʻe. Pehea wau e hoʻokele maikaʻi ai iā lākou i ka hui? Loaʻa iā ʻoe nā puke a i ʻole nā mea paʻi ʻē aʻe e hiki iaʻu ke lawe pū? He aha nā pūnaewele āu e ʻōlelo ai? He aha ka mea e manaʻo ai mai kāu kauka E nīnau paha kāu kauka iā ʻoe i nā nīnau he nui, e like me: I ka wā hea ʻoe i hoʻomaka ai e ʻike i nā ʻōuli? Ua mau a i ʻole manawa ʻole paha kāu mau ʻōuli? Ua loaʻa iā ʻoe kekahi ʻoki kino a i ʻole nā kaʻina hana ma kou maka a i ʻole kou maka? Ua loaʻa iā ʻoe kekahi mau lāʻau radiation o kou poʻo a me kou ʻāʻī? Ua loaʻa iā ʻoe nā pilikia maka ʻē aʻe, e like me ka maʻi maka a i ʻole ka hōʻeha? Ke lawe nei ʻoe i kekahi mau mea hoʻohilahila koko? Ke lawe nei ʻoe i ka aspirin? Ke hoʻohana nei ʻoe i kekahi mau eyedrops? Na nā limahana o ka Mayo Clinic
Hōʻole: He kahua ʻike olakino ʻo ʻAukake a ʻaʻole hōʻike kāna mau pane i ka ʻōlelo aʻoaʻo lapaʻau. E kūkākūkā mau me kahi ʻoihana lapaʻau laikini kokoke iā ʻoe ma mua o ka hana ʻana i nā hoʻololi.
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