Nā kaʻina hana Oculoplastic
ʻO kahi kaʻina oculoplastic kahi ʻano o ke kaha ʻana i hana ʻia a puni nā maka. Loaʻa paha iā ʻoe kēia hana e hoʻoponopono ai i kahi pilikia olakino a i ʻole no nā kumu cosmetic.
Hana ʻia nā kaʻina hana o ka Oculoplastic e nā kauka maka (ophthalmologists) i loaʻa ka hoʻomaʻamaʻa kūikawā i ka ea a i ʻole ke ʻoki hana hou.
Hana ʻia nā kaʻina hana ʻo Oculoplastic ma ka:
- Makamaka
- Kumu maka
- Nā kuʻemaka
- Papalina
- Nā ʻūlū waimaka
- Maka a lae paha
Mālama kēia mau kaʻina hana i nā kūlana he nui. Pākuʻi ʻia kēia mau mea:
- Hoʻopili i nā maka maka luna (ptosis)
- Nā kuʻemaka e huli i loko (entropion) a i waho (ectropion)
- Nā pilikia maka i hoʻokumu ʻia e ka maʻi thyroid, e like me ka maʻi Graves
- Nā maʻi ʻili a i ʻole nā ulu ʻē aʻe a i ʻole a puni paha nā maka
- Nāwaliwali a puni nā maka a i ʻole nā lihilihi i hoʻokumu ʻia e Bell palsy
- Nā pilikia kuʻi waimaka
- Nā ʻeha i ka maka a i ʻole ka maka
- Nā kīnā hānau o nā maka a i ʻole orbit (ka iwi a puni ka eyeball)
- Nā pilikia Cosmetic, e like me ka nui o ka ʻili poʻi o luna, ka uhi ʻana o nā poʻi o lalo, a me nā kuʻemaka "hāʻule"
Hāʻawi paha kāu kauka lapaʻau iā ʻoe i kekahi mau ʻōlelo aʻo e ukali ai ma mua o kou ʻoki ʻana. Pono ʻoe e:
- Kāohi i nā lāʻau e lahilahi i kou koko. E hāʻawi aku kāu kauka iā ʻoe i kahi papa inoa o kēia mau lāʻau.
- E ʻike i kāu mea mālama mālama ola maʻamau e loaʻa i kahi mau hoʻokolohua maʻamau a e hōʻoia he palekana ia iā ʻoe ke ʻoki ʻia ʻoe.
- No ke kōkua ʻana me ka hoʻōla, hoʻōki i ka puhi ʻana 2 a 3 mau pule ma mua a ma hope o ke kaha ʻana.
- E hoʻonohonoho i kahi e hoʻokele iā ʻoe i ka home ma hope o ke kahakaha ʻana.
No ka hapanui o nā kaʻina hana, hiki iā ʻoe ke hoʻi i ka home i ka lā like āu e ʻoki ai. Hana ʻia kāu kaʻina hana i kahi haukapila, kahi wahi o waho, a i ʻole ke keʻena o ka mea hāʻawi.
Aia i kāu ʻoki ʻana, loaʻa iā ʻoe kahi anesthesia kūloko a i ʻole anesthesia ākea. Hoʻomaʻamaʻa ka anesthesia kūloko i ka wahi ʻoki lāʻau no laila ʻaʻole ʻoe e ʻeha. Hoʻokomo ka anesthesia ākea iā ʻoe e hiamoe ai ke ʻoki ʻana.
I ka wā o ke kaʻina hana, kau paha kāu kauka lāʻau i nā aniani kuʻina kūikawā i kou mau maka. Kōkua kēia mau aniani i ka pale ʻana i kou mau maka a pale iā lākou mai nā kukui mālamalama o ka lumi ʻoki kino.
E hilinaʻi kou ola hou ʻana i kou ʻano a me ke ʻano o kāu ʻoki ʻana. E hāʻawi kāu mea hāʻawi iā ʻoe i nā ʻōlelo kikoʻī e hāhai ai. Eia kekahi ʻōlelo aʻoaʻo e hoʻomanaʻo ai:
- Loaʻa paha iā ʻoe kahi ʻeha, ʻeha, a pehu paha ma hope o ke kahakaha ʻana. E kau i nā ʻeke anuanu ma luna o ka wahi e hōʻemi i ka pehu ʻana a me ka palapū. I pale i kou maka a me ka ʻili, wahī i ka ʻeke anuanu i loko o ke kāwele ma mua o ka hoʻopili ʻana.
- Pono paha ʻoe e hōʻalo i nā hana e hāpai i kou kaomi koko ma kahi o 3 mau pule. Hoʻopili kēia i nā mea e like me ka hoʻoikaika kino a hāpai i nā mea kaumaha. E haʻi aku kāu mea hāʻawi iā ʻoe ke palekana ke hoʻomaka hou ʻana i kēia mau hana.
- Mai inu i ka ʻalekoke ma ka liʻiliʻi ma hoʻokahi pule ma hope o ke kaha ʻana. Pono paha ʻoe e hōʻoki i kekahi mau lāʻau.
- Pono ʻoe e akahele i ka ʻauʻau ʻana ma kahi o hoʻokahi pule ma hope o ke kahakaha ʻana. Hiki i kāu mea hāʻawi ke hāʻawi iā ʻoe i nā ʻōkuhi no ka ʻauʻau a hoʻomaʻemaʻe i kahi e puni ana i ka ʻokiʻoki.
- Prop i kou poʻo me kekahi mau uluna e hiamoe ai ma kahi o 1 mau pule ma hope o ke kahakaha ʻana. E kōkua kēia i ka pale ʻana i ka pehu.
- Pono ʻoe e ʻike i kāu mea hoʻolako no kahi kipa ukali ma loko o 7 mau lā ma hope o kāu ʻoki ʻana. Inā he humuhumu kāu, lawe aku paha ʻoe iā lākou i kēia kipa.
- Hiki i ka hapa nui o ka poʻe ke hoʻi i ka hana a me nā hana kaiaulu e pili ana i 2 mau pule ma hope o ke kaha ʻana. Hiki ke loli ka nui o ka manawa, kaukaʻi ʻia i ke ʻano o ke ʻoki āu i loaʻa. E hāʻawi kāu mea hāʻawi iā ʻoe i nā ʻōkuhi kikoʻī.
- ʻIke paha ʻoe i ka hoʻonui ʻana o ka waimaka, me ka manaʻo nui i ka mālamalama a me ka makani, a me ka hihi a papalua paha o ka hihi no nā pule mua.
Kāhea koke i kāu mea hāʻawi inā loaʻa iā ʻoe:
- ʻEha ʻaʻole hele aku ma hope o ka lawe ʻana i nā mea hōʻemi ʻeha
- Nā hōʻailona o ka maʻi (kahi hoʻonui i ka pehu a me ka ʻulaʻula, kahe kahe mai kou maka a i ʻole ʻokiʻoki)
- ʻO kahi ʻokiʻoki e hoʻōla ʻole a e hoʻokaʻawale nei
- ʻIke e hele a ʻoi aku ka hewa
ʻOki kino maka - oculoplastic
Burkat CN, Kersten RC. Malposition o nā kuʻemaka. I: Mannis MJ, Hōlani EJ, eds. Kornea. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 27.
ʻO Fratila A, ʻo Kim YK. ʻO Blepharoplasty a hāpai i ka lae. I: Robinson JK, Hanke CW, Siegel DM, Fratila A, Bhatia AC, Rohrer TE, eds. ʻOki kino o ka ʻili. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier Saunders; 2015: chap 40.
Nassif P, Griffin G. Ka lae nani a me ka lae. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 28.
ʻO Nikpoor N, Perez VL. ʻO ke kūkulu hou ʻana o ka ʻohana ocular. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 4.30.
- Nā maʻi kuʻemaka
- ʻO ke kaha uila a me nā mea hoʻonani