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Entropion

Nānaina

ʻO ka entropion kahi kūlana kahi i huli ʻia ai kou maka, maʻamau ka lalo, i loko e hamo ai kou mau koʻi i kou maka, e hoʻoulu ai i ka ʻoluʻolu ʻole.

ʻO ka Entropion (en-TROH-pee-on) kahi kūlana kahi i huli ʻia ai kou maka i loko e hamo ai kou mau koʻi a me ka ʻili i ka ʻili o ka maka. Hōʻeha kēia i ka huhū a me ka ʻoluʻolu ʻole.

Ke loaʻa iā ʻoe ka entropion, hiki ke huli ʻia kou maka i loko i nā manawa a pau a i ʻole wale nō ke pani nui ʻoe a i ʻole ke kāomi i kou mau maka. ʻOi aku ka maʻamau o ka entropion i nā poʻe ʻelemakule, a hoʻopili wale ia i ka maka lalo.

Hiki i nā waimaka hana a me nā mea poni lubricating ke kōkua i ka hoʻomaha ʻana i nā hōʻailona o ka entropion. Akā maʻamau, pono ka ʻoki kino e hoʻoponopono piha i ke kūlana. Inā waiho ʻole ʻia, hiki i ka entropion ke hōʻino i ka uhi mālamalama ma ka ʻaoʻao mua o kou maka (cornea), nā maʻi maka a me ka nalowale ʻana o ka ʻike.

Nā hōʻailona

ʻO nā hōʻailona a me nā hōʻailona o ka entropion ka hopena o ka haʻalulu ʻana o kou mau huluhulu a me ka ʻili o waho o kou maka i ka ʻili o kou maka. Hiki iā ʻoe ke ʻike: Ke manaʻo nei ua komo kekahi mea i loko o kou maka ʻUlaʻula o ka maka Hoʻonāukiuki a i ʻole ʻeha o ka maka Loaʻa i ka mālamalama a me ka makani Waimaka o ka maka (waimaka nui) Hoʻokuʻu wai a me ka ʻili o ka maka E ʻimi koke i ka mālama inā loaʻa iā ʻoe kahi ʻike o ka entropion a ʻike ʻoe: Hoʻonui koke ʻia ka ʻulaʻula o kou mau maka ʻEha Loaʻa i ka mālamalama Hoʻemi ʻia ka ʻike ʻana He mau hōʻailona kēia a me nā hōʻailona o ka hōʻeha ʻana o ka cornea, kahi e hiki ai ke hōʻino i kou ʻike ʻana. E hana i kahi kūkā e ʻike i kāu kauka inā manaʻo ʻoe e like me ka loaʻa mau ʻana o kekahi mea i loko o kou maka a i ʻike paha ʻoe ua huli kekahi o kou mau huluhulu i loko o kou maka. Inā haʻalele ʻoe i ka entropion no ka lōʻihi loa, hiki iā ia ke hōʻino mau i kou maka. E hoʻomaka e hoʻohana i nā waimaka hana a me nā mea poni lubricating maka e pale aku i kou maka ma mua o kou kūkā.

ʻO ka manawa hea e ʻike ai i ke kauka

E ʻimi koke i ka mālama inā ua loaʻa iā ʻoe kahi ʻike o ka entropion a loaʻa iā ʻoe kēia mau mea:

  • Ke piʻi koke nei ka ʻulaʻula o kou mau maka
  • ʻEha
  • Mānoanoa i ka mālamalama
  • Ke emi nei ka ʻike

He mau hōʻailona kēia a me nā hōʻailona o ka hōʻeha ʻana o ka cornea, kahi e hiki ai ke hōʻino i kou ʻike.

E hana i kahi kūkā e ʻike i kāu kauka inā manaʻo ʻoe e like me ka loaʻa mau ʻana o kekahi mea i loko o kou maka a i ʻike paha ʻoe ua huli kekahi o kou mau huluhulu i loko o kou maka. Inā haʻalele ʻoe i ka entropion me ka mālama ʻole ʻia no ka lōʻihi loa, hiki iā ia ke hoʻopōʻino mau i kou maka. E hoʻomaka e hoʻohana i nā waimaka hana a me nā mea poni e hoʻoinu i ka maka e pale aku i kou maka ma mua o kou kūkā.

Nā kumu

Hiki ke kumu ʻia ka entropion 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 pālahalaha nā tendons. ʻO kēia ka kumu maʻamau loa o ka entropion.
  • Nā ʻōpala a i ʻole nā ​​​​kapa ma mua. Hiki i ka ʻili i ʻōpala ʻia e nā puhi kemika, nā hōʻeha a i ʻole nā ​​​​kapa ke hoʻololi i ke kūpono maʻamau o ka maka.
  • Ka maʻi o ka maka. He maʻi maʻamau ka maʻi o ka maka i kapa ʻia ʻo trachoma ma nā ʻāina hoʻomohala he nui o ʻApelika, ʻAsia, ʻAmelika Latina, ka Hikina Waena a me nā mokupuni o ka Pākīpika. Hiki iā ia ke hoʻokumu i ka ʻōpala o ka ʻaoʻao o loko o ka maka, e alakaʻi ana i ka entropion a hiki i ka makapō.
  • Ka mumū. Hiki i ka huhū o ka maka i hoʻokumu ʻia e ka maloʻo a i ʻole ka mumū ke alakaʻi iā ʻoe e ho'āʻo e hoʻomaha i nā hōʻailona ma ka hamo ʻana i nā maka a i ʻole ke kāomi ʻana iā lākou. Hiki i kēia ke alakaʻi i ka spasm o nā ʻiʻo o ka maka a me ka ʻōwili ʻana o ka lihi o ka maka i loko i ka cornea (spastic entropion).
  • Ka pilikia hoʻomohala. Ke loaʻa ka entropion i ka hānau ʻana (congenital), hiki paha ke kumu ʻia e kahi ʻili hou aku ma ka maka e hoʻokumu ai i nā eyelashes i huli ʻia.
Nā mea pilikia

Nā kumu e hoʻonui ai i kou pilikia o ka loaʻa ʻana o ka entropion:

  • Makahiki. ʻO ka ʻelemakule o ʻoe, ʻo ka nui aku kou manawa e loaʻa ai ke kūlana.
  • Nā puhi a i ʻole nā ​​ʻeha ma mua. Inā loaʻa iā ʻoe kahi puhi a i ʻole kahi ʻeha ʻē aʻe ma kou maka, hiki i ka ʻili ʻili i loaʻa mai ke hoʻonui i kou pilikia o ka loaʻa ʻana o ka entropion.
  • Ka maʻi trachoma. Ma muli o ka hiki i ka trachoma ke hoʻopōʻino i nā maka o loko, ʻoi aku ka nui o ka poʻe i loaʻa i kēia maʻi e loaʻa i ka entropion.
Nā pilikia

ʻO ka huhū a me ka hōʻino ʻana i ka cornea nā pilikia koʻikoʻi loa e pili ana i ka entropion, no ka mea, hiki iā lākou ke alakaʻi i ka nalowale mau ʻana o ka ʻike.

Ka pale ʻana

ʻO ka maʻamau, ʻaʻole hiki ke pale ʻia ka entropion. Hiki paha iā ʻoe ke pale aku i ke ʻano i hoʻokumu ʻia e ka maʻi trachoma. Inā lilo kou mau maka i ʻulaʻula a huhū paha ma hope o kou hele ʻana i kahi wahi kahi i maʻamau ai ka maʻi trachoma, e ʻimi koke i ka loiloi a me ka mālama.

ʻImi ʻike

Hiki ke ʻike pinepine ʻia ka entropion 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 ʻāpiki a pani i kou mau maka me ka ikaika. Kūleʻa kēia iā ia e loiloi i ke kūlana o kou maka ma ka maka, kona ʻiʻo a me kona paʻa.

Inā pili ka entropion iā ʻoe i ka ʻili ʻili, ka ʻoki kino mua a i ʻole nā ​​kūlana ʻē aʻe, e nānā pono kāu kauka i nā pūnaewele a puni.

Ka mālama ʻana

ʻO ke ala lapaʻau e pili ana i ke kumu o kou entropion. Loaʻa nā lapaʻau ʻole i ka ʻokiʻoki e hōʻoluʻolu i nā hōʻailona a pale i kou maka mai ka hōʻino.

Ke hoʻoulu ʻia ka mumū a i ʻole ka maʻi e hoʻoulu ai i ka entropion (entropion spastic), hiki i kou maka ke hoʻi i kona kūlana maʻamau ke mālama ʻoe i kou maka mumū a i ʻole maʻi. Akā inā ua hana ʻia ka ʻili o ka ʻiʻo, hiki ke mau ka entropion ma hope o ka mālama ʻia ʻana o ke kūlana ʻē aʻe.

ʻO ka ʻokiʻoki maʻamau ka mea e pono ai e hoʻoponopono piha i ka entropion, akā hiki ke pono nā hoʻoponopono pōkole inā ʻaʻole hiki iā ʻoe ke ʻae i ka ʻokiʻoki a i ʻole pono ʻoe e hoʻokaʻulua.

  • Lens hoʻopili palupalu. Hiki i kāu kauka maka ke manaʻo e hoʻohana ʻoe i kahi ʻano o ka lens hoʻopili palupalu ma ke ʻano he kāʻei pale maka e kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona. Loaʻa kēia me a i ʻole me kahi kuhikuhi refractive.
  • Botox. Hiki i nā mea liʻiliʻi o ka onabotulinumtoxinA (Botox) i hoʻokomo ʻia i loko o ka maka lalo ke hoʻohuli i ka maka i waho. Hiki iā ʻoe ke loaʻa kahi moʻo o nā inikini, me nā hopena e mau ana a hiki i ʻeono mahina.
  • Nā ʻili e hoʻohuli i ka maka i waho. Hiki ke hana ʻia kēia kaʻina hana ma ke keʻena o kāu kauka me ka anesthesia kūloko. Ma hope o ka hoʻohemo ʻana i ka maka, e kau kāu kauka i kekahi mau ʻili ma nā wahi kūikawā ma ka maka i pilikia.

Hoʻohuli nā ʻili i ka maka i waho, a mālama ka ʻili ʻili i loaʻa i kona kūlana ma hope o ka wehe ʻia ʻana o nā ʻili. Ma hope o kekahi mau mahina, hiki i kou maka ke hoʻohuli hou i loko. No laila, ʻaʻole kēia ʻano hana he hopena lōʻihi.

  • Kāpili ʻili. Hiki ke hoʻopili ʻia kahi kāpili ʻili mālamalama kūikawā i kou maka e pale aku i ka hoʻohuli ʻana i loko.

Nā ʻili e hoʻohuli i ka maka i waho. Hiki ke hana ʻia kēia kaʻina hana ma ke keʻena o kāu kauka me ka anesthesia kūloko. Ma hope o ka hoʻohemo ʻana i ka maka, e kau kāu kauka i kekahi mau ʻili ma nā wahi kūikawā ma ka maka i pilikia.

Hoʻohuli nā ʻili i ka maka i waho, a mālama ka ʻili ʻili i loaʻa i kona kūlana ma hope o ka wehe ʻia ʻana o nā ʻili. Ma hope o kekahi mau mahina, hiki i kou maka ke hoʻohuli hou i loko. No laila, ʻaʻole kēia ʻano hana he hopena lōʻihi.

ʻO ke ʻano o ka ʻokiʻoki āu e loaʻa ai e pili ana i ke kūlana o ka ʻiʻo a puni kou maka a ma ke kumu o kou entropion.

Inā pili kou entropion i ka makahiki, e lawe paha kāu kauka i kahi ʻāpana liʻiliʻi o kou maka lalo. Kēia e kōkua i ka hoʻopaʻa ʻana i nā tendons a me nā ʻiʻo i pilikia. E loaʻa iā ʻoe kekahi mau ʻili ma ka kihi o waho o kou maka a i ʻole ma lalo o kou maka lalo.

Inā loaʻa iā ʻoe ka ʻili ʻili ma loko o kou poʻi a i ʻole ua loaʻa iā ʻoe ka hōʻino a i ʻole nā ​​ʻokiʻoki ma mua, hiki i kāu kauka ke hana i kahi hoʻoili membrane mucous me ka hoʻohana ʻana i ka ʻiʻo mai ka uhi o kou waha a i ʻole nā ​​ala ihu.

Ma mua o ka ʻokiʻoki e loaʻa iā ʻoe kahi anesthetic kūloko e hoʻohemo i kou maka a me ka wahi a puni. Hiki paha ke hoʻoluhi iki ʻia ʻoe e hoʻoluʻolu hou iā ʻoe, e pili ana i ke ʻano o ka kaʻina hana āu e loaʻa nei a inā hana ʻia ia ma kahi keʻena ʻokiʻoki ma waho.

Ma hope o ka ʻokiʻoki, pono paha ʻoe e:

  • Hoʻohana i kahi poni antibiotic ma kou maka no hoʻokahi pule

Ma hope o ka ʻokiʻoki, e ʻike paha ʻoe:

  • ʻO ka pehu manawa
  • Ka ʻūlū ma luna a puni kou maka

Hiki ke paʻa kou maka ma hope o ka ʻokiʻoki. Akā i kou ho'ōla ʻana, e lilo ia i mea ʻoluʻolu hou aku. Hoʻohemo pinepine ʻia nā ʻili ma kahi o hoʻokahi pule ma hope o ka ʻokiʻoki. Hiki iā ʻoe ke manaʻo e nalowale ka pehu a me ka ʻūlū ma kahi o ʻelua pule.

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