Ectropion

ʻO Ectropion ka huli ʻana mai ka maka maka i hōʻike ʻia ka ʻaoʻao o loko. Hoʻopili pinepine ia i ka eyelid lalo.

Hoʻokumu pinepine ʻia ʻo Ectropion e ka hana ʻelemakule. E nāwaliwali ka mea hoʻopili (kākoʻo) o ka eyelid. ʻO kēia ke kumu e huli aʻe ke poʻi i ʻole i loko o ka poʻi lalo e kūʻē hou aku ana i ka ʻōpeʻe maka. Hiki ke kumu ʻia e:

• A kīnā e kū ma mua o ka hānau ʻana (e laʻa me nā keiki me Down Syndrome)
• ʻO ka maʻi ʻōlohelohe
• ʻO nāʻiʻo scar mai ka wela

ʻO nā hōʻailona me:

• ʻO nā maka maloʻo, ʻeha hoʻi
• ʻO ka haehae nui ʻana o ka maka (epiphora)
• Huli i ka maka i lalo (i lalo)
• Hoʻohui manawa lōʻihi (mau)
• Keratitis
• ʻUlaʻula o ke poʻi a me ka ʻāpana keʻokeʻo o ka maka

Inā loaʻa iā ʻoe ka ectropion, nui loa ka haehae. Hana kēia no ka mea ua maloʻo ka maka, a laila hoʻonui i nā waimaka. ʻAʻole hiki i nā waimaka keu ke komo i loko o ke kahe kahe waimaka. No laila, kūkulu lākou i loko o ka poʻi lalo a laila ninini ma ka lihi o ka uhi ma ka papalina.

E hana ka mea mālama ola i kahi kuhi ma ka hana ʻana i kahi hoʻokolohua o nā maka a me nā lihilihi. ʻAʻole pono nā hoʻāʻo kūikawā i ka hapa nui o ka manawa.

Hiki i nā waimaka kuʻi (kahi lubricant) ke hoʻomāmā i ka maloʻo a mālama i ka mānoanoa o ke kole. Kōkua paha ka hamo ke hiki ʻole i ka maka ke hoʻopau i nā ala āpau, e like me ka wā e hiamoe ana ʻoe. He mea pinepine ka hana ʻoki kino. Ke pili ka ectropion i ka ʻelemakule a i ʻole ka lōlō, hiki i ke kaukipō ke hoʻopaʻa i nā mākala e paʻa nā lihilihi maka. Inā pili ke ʻano i ka ʻili ʻana o ka ʻili, hiki ke hoʻohana ʻia i kahi ʻili graft a i ʻole ka hana laser. Hana pinepine ʻia ke kahakaha ma ke keʻena a i ʻole kahi kikowaena ʻoki waho. Hoʻohana ʻia kahi lāʻau e numb ka wahi (anesthesia kūloko) ma mua o ke ʻoki.

Maikaʻi loa ka hopena me ka lāʻau.

Hiki i ka maloʻo a me ka huhū ke alakaʻi i:

• ʻO nā abrasion Corneal
• Ulcer Corneal
• Nā maʻi maʻi maka

Hiki i nā ulcer Corneal ke kumu e nalowale ka hihi.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ectropion.

Inā loaʻa iā ʻoe ka ectropion, e kiʻi i kōkua kōkua pilikia inā loaʻa iā ʻoe:

• ʻIke e ulu nei a ʻino
• ʻEha
• ʻIke i ka mālam
• ʻ red ʻulaʻula o ka maka ke hele a ʻino koke

ʻAʻole hiki ke pale ʻia ka hapa nui o nā hihia. Hiki paha iā ʻoe ke hoʻohana i nā waimaka a i ʻole nā ​​hamo e pale aku ai i ka hōʻeha ʻana i ke kole, ʻoiaʻiʻo inā ke kali nei ʻoe no kahi mālama mau loa.

• Maka

Cioffi GA, Liebmann JM. Nā maʻi o ka ʻōnaehana ʻike. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 395.

Maamari RN, Couch SM. Ectropion. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 12.6.

ʻO Nicoli F, Orfaniotis G, Ciudad P, et al. Hoʻoponopono o ka ectropion cicatricial e hoʻohana ana i ka laser resurfacing non-ablative. ʻO Lasers Med Sci. 2019; 34 (1): 79-84. PMID: 30056585 pubmed.ncbi.nlm.nih.gov/30056585/.

Olitsky SE, Marsh JM. Nā kūpono ʻole o nā poʻi. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 642.