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Hana ʻia ka ectropion i ka wā e huli ai kou maka lalo i waho, e huki ana mai kou maka aku. Hana kēia i kahi hakahaka kahi e ʻike ʻia ai ka loko o kou maka a hōʻike ʻia i ka lewa.
E noʻonoʻo iā ia e like me ka pale i huki ʻia aku mai ka puka makani. Hoʻopili maikaʻi ʻia kou maka i kou maka e pale aku ai, akā me ka ectropion, ua haki ʻia kēlā pale pale. Hoʻopili pinepine ʻia kēia kūlana i nā ʻelemakule, ʻoiai hiki ke hana i kēlā me kēia makahiki.
ʻO ka hōʻailona maopopo loa ka ʻike ʻana i ka ʻulaʻula a ʻulaʻula paha o loko o kou maka lalo i kou nānā ʻana i ke aniani. Hiki nō hoʻi i kou maka ke huhū mau a ʻāʻā paha, me he one lā ma loko.
Eia nā hōʻailona āu e ʻike ai, e hoʻomaka ana me nā mea maʻamau loa:
I nā hihia kakaikahi, hiki iā ʻoe ke loaʻa nā hōʻailona koʻikoʻi e like me ka ʻike ʻole a me ka ʻeha nui o ka maka. Hana ʻia kēia mau hōʻailona no ka mea ʻaʻohe pale a me ka wai e pono ai kou maka mai kahi maka i kau pono ʻia.
Aia kekahi mau ʻano o ka ectropion, kēlā me kēia me nā kumu ʻokoʻa. ʻO ka hoʻomaopopo ʻana i ke ʻano āu e loaʻa ai e kōkua i kāu kauka e koho i ke ala lapaʻau maikaʻi loa.
ʻO ka ectropion involutional ka ʻano maʻamau loa, i hana ʻia e ka nāwaliwali o nā ʻiʻo a me nā pūnaewele a puni kou maka. I kou wā e ulu ai, nā ʻiʻo a me nā ʻiʻo e hoʻopaʻa ana i kou maka e lilo i nā mea palupalu.
Hoʻomohala ʻia ka ectropion cicatricial i ka wā e huki ai ka ʻili ʻili i kou maka mai kou maka aku. Hiki ke hana kēia ma hope o nā hōʻeha, nā puhi, ka wehe ʻana o ka maʻi ʻili, a i ʻole nā lapaʻau maka mua.
Hana ʻia ka ectropion paralytic i ka wā e hōʻino ʻia ai ka ʻiʻo maka e kaohi ana i kou mau ʻiʻo maka. Hiki i nā kūlana e like me ka Bell's palsy a i ʻole ka hahau ke hana i kēia ʻano hōʻino o ka ʻiʻo.
Hana ʻia ka ectropion mechanical i ka wā e huki ai nā mea ulu, nā ʻōpū, a i ʻole ka pehu nui i kou maka i lalo. ʻOi aku ka liʻiliʻi o kēia ʻano akā pono e nānā koke ʻia e hoʻoponopono i ke kumu.
Aia ka ectropion congenital mai ka hānau ʻana ma muli o nā ʻokoʻa hoʻomohala i ke ʻano o ka maka. Hoʻopili pinepine ʻia kēia ʻano kakaikahi i nā maka ʻelua a pili paha i nā kūlana ʻē aʻe.
ʻO ka makahiki ke kumu nui o ka ectropion, e hoʻopili ana i nā ʻiʻo a me nā pūnaewele e mālama ana i kou maka i kahi kūlana kūpono. I kou wā e ulu ai, nā ʻiʻo e paʻa ana i kou maka lalo e huki a nāwaliwali, e like me ka lilo ʻana o kahi kāʻei kāʻei i kona elasticity ma hope o kekahi manawa.
Hiki i kekahi mau mea ke kōkua a hoʻokūkū paha i kēia kaʻina hana:
ʻOi aku ka liʻiliʻi, nā kūlana e like me nā maʻi ʻino nui, nā maʻi autoimmune, a i ʻole nā kūlana ʻili mau loa hiki ke hana i ka mumū nui e hoʻopili i ke kūlana o ka maka. I kekahi manawa, hiki i ka haʻalulu mau o ka maka a i ʻole ka huki ʻana ke kōkua pū i ka pilikia ma hope o kekahi manawa.
Pono ʻoe e ʻike i ke kauka maka inā ʻike ʻoe i kou maka lalo e huki ana mai kou maka aku a i ʻike paha ʻoe i ka huhū mau o ka maka. Hiki i ka mālama mua ke pale aku i nā pilikia a hoʻomaikaʻi nui i kou ʻoluʻolu.
E hoʻonohonoho i kahi kūkā koke inā ʻike ʻoe i kekahi o kēia mau hōʻailona:
E ʻimi i ka mālama lapaʻau koke inā loaʻa iā ʻoe nā loli ʻike koke, ka ʻeha nui o ka maka, a i ʻole nā hōʻailona o ka maʻi e like me ka mahana a i ʻole ka waimaka mānoanoa, kala.
Mai kali inā ʻike ʻoe i ka pilikia e ʻoi aku ka maikaʻi a i ʻole inā e hoʻopilikia ana i nā maka ʻelua. Hiki i kāu kauka maka ke loiloi i ka nui a me ka ʻōlelo i ka mālama kūpono ma mua o ka holomua ʻana o ka pilikia.
Ke waiho ʻole ʻia, hiki i ka ectropion ke alakaʻi i kekahi mau pilikia e hoʻopilikia ana i kou olakino maka a me kou ʻike. Hoʻomohala ʻia nā pilikia maʻamau no ka mea nalowale kou maka i kona pale a me ka lubrication maoli.
Eia nā pilikia e hiki ke hoʻomohala, mai ka maʻamau a i nā mea koʻikoʻi:
Liʻiliʻi ka cornea i hōʻike ʻia i ka hōʻino mai ka lepo, ka makani, a me nā mea ʻē aʻe o ke kaiapuni. Ma hope o kekahi manawa, hiki i kēia huhū mau ke hana i ka pala e hoʻopili mau ana i kou ʻike.
I nā hihia kakaikahi, hiki i ka ectropion koʻikoʻi i mālama ʻole ʻia ke alakaʻi i ka perforation cornea, kahi e loaʻa ai kahi puka i ka ʻili mua o kou maka. He pilikia lapaʻau koke kēia e pono ai ka lapaʻau ʻoki koke e pale aku i ka nalowale mau o ka ʻike.
Hiki i kāu kauka maka ke hōʻoia maʻamau i ka ectropion ma ka nānā wale ʻana i kou maka i ka wā o ka nānā maʻamau. ʻIke pinepine ʻia ka maka i huli ʻia i waho me ka ʻole o nā hoʻokolohua kūikawā.
I kou manawa, e nānā kāu kauka i ke kūlana o kou mau maka a loiloi i ka pani ʻana o lākou. E nānā pū lākou i kāu hana waimaka a e ʻimi i nā hōʻailona o ka hōʻino ʻana i ka ʻili o ka maka a i ʻole ka maʻi.
Hiki i kāu kauka ke hana i kekahi mau hoʻokolohua maʻalahi e hoʻomaopopo i ka nui a me ke kumu o kāu ectropion. Hiki i kēia ke komo pū me ke ana ʻana i kāu hana waimaka, ke nānā ʻana i ka ikaika o kou mau ʻiʻo maka, a me ka nānā ʻana i kāu cornea no kekahi hōʻino.
Inā manaʻo kāu kauka i kahi kūlana ʻē aʻe e like me nā pilikia o ka ʻiʻo maka a i ʻole ka maʻi ʻili, hiki iā lākou ke kauoha i nā hoʻokolohua hou aku. Hiki i kēia ke komo pū me nā haʻawina kiʻi a i ʻole nā kuhikuhi i nā loea ʻē aʻe no ka loiloi hou aku.
ʻO ka lapaʻau no ka ectropion e hilinaʻi ana i ka nui o kou kūlana a me kona kumu. Hiki ke mālama ʻia nā hihia māmā me nā waimaka maka a me nā hana pale, ʻoiai nā hihia koʻikoʻi e pono ai ka hoʻoponopono ʻoki.
Hiki i nā lapaʻau ʻole ke kōkua i ka mālama ʻana i nā hōʻailona a pale aku i kou maka:
ʻO ka lapaʻau ʻoki pinepine ka hopena maikaʻi loa no ka ectropion. ʻO ke kaʻina hana kūikawā e hilinaʻi ana i ka mea e hana nei i kou kūlana a me kona nui.
ʻO nā ala ʻoki maʻamau e komo pū ana:
ʻO ka hapa nui o nā lapaʻau ʻoki ectropion he mau kaʻina hana ma waho e hana ʻia ma lalo o ka anesthesia kūloko. Hoʻomaʻamaʻa pinepine ka hoʻōla i kekahi mau wiki, i ka wā e pono ai ʻoe e mālama i ka wahi maʻemaʻe a hahai i nā ʻōlelo aʻo mālama kūikawā.
ʻOiai ʻaʻole hiki i ka mālama home ke hoʻōla i ka ectropion, aia kekahi mau mea āu e hiki ke hana e pale aku i kou maka a mālama i nā hōʻailona a hiki i kou loaʻa ʻana i ka mālama ʻoihana. Ke kaulike nei kēia mau ana i ka mālama ʻana i kou maka a pale aku i nā mea hoʻonāukiuki.
Eia nā hana mālama home maikaʻi āu e hiki ke hoʻohana:
E mālama i kou mau lima maʻemaʻe i ka wā e kau ai i nā waimaka a i ʻole nā mea mālama e pale aku ai i ka hoʻokomo ʻana i nā bacteria. Inā komo ʻoe i nā aniani hoʻopili, pono paha ʻoe e haʻalele i ka hoʻohana ʻana iā lākou i ka manawa pōkole a hiki i ka hoʻomaikaʻi ʻana o kou kūlana.
E hoʻomanaʻo he mau hopena manawa wale nō kēia mau ana home e kōkua iā ʻoe e ʻoluʻolu hou aku. ʻAʻole lākou e hoʻoponopono i ka pilikia, no laila he mea nui e hahai me kāu kauka maka no ka mālama hope loa.
Hiki i ka hoʻomākaukau ʻana no kāu kipa kauka maka ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka hōʻoia pololei loa a me ka hoʻolālā mālama kūpono. E lawe mai i kahi papa inoa o kāu mau hōʻailona a me ka wā i hoʻomaka ai lākou, me nā lāʻau āu e lawe nei i kēia manawa.
Ma mua o kāu kūkā, e hōʻiliʻili i kēia ʻike nui:
E kākau i nā nīnau kūikawā āu e makemake ai e nīnau i kāu kauka e pili ana i kou kūlana, nā koho mālama, a me ka mea e manaʻo ai. Mai kānalua e nīnau e pili ana i ka manawa hoʻōla, nā pilikia hiki, a me ka nānā lōʻihi.
Inā hiki, e lawe mai i kahi hoaaloha a i ʻole ʻohana hilinaʻi e kōkua iā ʻoe e hoʻomanaʻo i nā ʻike nui i kūkākūkā ʻia i ka wā o ke kūkā. Hiki iā lākou ke hāʻawi i ke kākoʻo inā manaʻo ʻoe e hopohopo e pili ana i ka hōʻoia a i ʻole nā koho mālama.
ʻO ka ectropion kahi kūlana hiki ke mālama ʻia kahi e huli ai kou maka lalo i waho, e hana ana i ka huhū o ka maka a me nā pilikia hiki ke waiho ʻole ʻia. ʻOiai ʻoi aku ka maʻamau i nā ʻelemakule ma muli o ka ulu ʻana maoli, hiki ke hoʻopili i kekahi a loaʻa kekahi mau kumu ʻokoʻa.
ʻO ka ʻoiaʻiʻo maikaʻi, ʻo nā lapaʻau ʻole a me nā lapaʻau ʻoki he mea maikaʻi loa ia i ka mālama ʻana i nā hōʻailona a me ka hoʻoponopono ʻana i ka pilikia. Hiki i ka hoʻoponopono mua ke pale aku i nā pilikia koʻikoʻi e like me ka hōʻino ʻana o ka cornea a me ka nalowale o ka ʻike.
Mai nānā ʻole i ka huhū mau o ka maka a i ʻole nā loli maka i ʻike ʻia. Me ka mālama lapaʻau kūpono, hiki i ka hapa nui o nā kānaka me ka ectropion ke loaʻa ka hoʻomaikaʻi nui i kā lākou mau hōʻailona a pale aku i ko lākou olakino maka lōʻihi.
E hoʻomanaʻo e pale aku i kou mau maka mai ka hōʻino a me ka ʻimi ʻana i ka mālama koke no nā pilikia maka e kōkua i ka pale ʻana i ka ectropion a me nā kūlana maka koʻikoʻi ʻē aʻe. He mea waiwai kāu ʻike, a pono e lilo ka mālama ʻana iā ia i mea nui mau.
ʻAʻole pinepine ka hoʻomaikaʻi ʻana o ka ectropion me ka mālama ʻole, ʻoi aku hoʻi i ka wā i hana ʻia ai e ka ulu ʻana a i ʻole nā hōʻeha mua. ʻOiai hiki ke mālama ʻia nā hihia māmā me nā waimaka maka a me ka pale, pono ka hoʻoponopono ʻoki i ka pilikia kumu. ʻO ka mālama mua e alakaʻi pinepine ana i nā hopena maikaʻi a pale aku i nā pilikia.
Hana pinepine ʻia ka ʻoki ʻana o ka ectropion ma lalo o ka anesthesia kūloko, no laila ʻaʻole ʻoe e ʻeha i ka wā o ke kaʻina hana. Ma hope o ke ʻoki ʻana, hiki iā ʻoe ke ʻike i ka ʻoluʻolu iki, ka pehu, a me ka ʻūlū no kekahi mau lā. E kuhikuhi kāu kauka i ka lāʻau ʻeha inā pono, a ʻike ka hapa nui o nā kānaka i ka ʻoluʻolu hiki ke mālama ʻia me nā mea hoʻoemi ʻeha ma luna o ka counter.
Hoʻōla pinepine ka hoʻōla mua ma kahi o 1-2 mau wiki, i ka wā e loaʻa ai iā ʻoe kekahi pehu a me ka ʻūlū a puni kou maka. Hoʻōla piha a me nā hopena hope loa e lawe pinepine ana i 4-6 mau wiki. Hiki i ka hapa nui o nā kānaka ke hoʻi i nā hana maʻamau i loko o hoʻokahi pule, ʻoiai pono ʻoe e pale aku i ka hāpai kaumaha a me nā hana hoʻoikaika no kekahi mau wiki.
ʻAe, hiki i ka ectropion ke hoʻopilikia i nā maka ʻelua, ʻoiai ʻoi aku ka maʻamau o ka loaʻa ʻana ma hoʻokahi maka wale nō. Ke hoʻopilikia ʻia nā maka ʻelua, pinepine ia ma muli o ka ulu ʻana, kekahi mau kūlana lapaʻau, a i ʻole nā mea genetic. Pono kēlā me kēia maka i ka loiloi a me ka mālama kūikawā, ʻoiai hiki ke ʻokoʻa ka nui ma waena o nā maka.
ʻO ka hapa nui o nā hoʻolālā ʻinikua e uhi ana i ka mālama ʻana o ka ectropion no ka mea ua manaʻo ʻia he mea pono lapaʻau ma mua o ka ʻoki ʻana o ka hoʻonaninani. Hiki i ke kūlana ke hana i nā pilikia maka nui a me nā pilikia ʻike inā waiho ʻole ʻia. Eia naʻe, ʻokoʻa nā kikoʻī uhi ma muli o ka hoʻolālā, no laila ʻoi aku ka maikaʻi ke nānā me kāu mea hoʻolako ʻinikua e pili ana i nā pono kūikawā a me kekahi ʻae mua e pono ai.