Komo komo

ʻO ka Entropion ka huli ʻana o ke kihi o ka eyelid. ʻO kēia ke kumu e hamo ai nā lī i ka maka. ʻIke pinepine ʻia ma ka eyelid lalo.

Hiki ke komo i ke komo ʻana i ka wā hānau (congenital).

I nā pēpē, ʻaʻole iki nā pilikia no ka palupalu o nā lī a ʻaʻole maʻalahi ia e hōʻino i ka maka. I ka poʻe kahiko, hana pinepine ʻia ke ʻano e ka spasm a i ʻole nāwaliwali o nā mākala e hoʻopuni ana i ka ʻaoʻao haʻahaʻa o ka maka.

ʻO kekahi kumu e hiki ai i ka maʻi trachoma, hiki ke alakaʻi i ka scarring o ka ʻaoʻao i loko o ke poʻi. He kākaʻikahi kēia ma ʻAmelika ʻĀkau a me ʻEulopa. Eia nō naʻe, ʻo ka scaching trachoma kekahi o nā kumu nui ʻekolu o ka makapō i ka honua.

ʻO nā kumu pilikia no ka entropion:

• ʻElemakule
• Hū kemikala
• ʻO ka maʻi me trachoma

ʻO nā hōʻailona me:

• Hoʻoemi ka hihiʻo inā hōʻino ke kornea
• Haehae nui loa
• Hōʻoluʻolu a ʻeha paha ka maka
• Hoʻonāukiuki maka
• ʻUlaʻula

I ka hapanui o nā hihia, hiki i kāu mea mālama ola ke hōʻoia i kēia ʻano ma ka nānā ʻana i kou mau lihilihi. ʻAʻole pono pinepine nā hoʻāʻo kūikawā.

Hiki i nā waimaka kuʻi ke kāohi i ka maka mai ka maloʻo a kōkua paha iā ʻoe e ʻoi aku ka maikaʻi. Hana maikaʻi ke ʻoki kino i ke kūlana o ka eyelids i ka nui o nā hihia.

ʻOi aku ka maikaʻi o ka nānā inā mālama ʻia ke ʻano ma mua o ka hōʻeha ʻana o ka maka.

Hiki i ka maka maloʻo a me ka huhū ke hoʻonui i ka makaʻu no:

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

Kāhea i kāu mea hāʻawi inā:

• Huli i loko kou maka.
• ʻIke mau ʻoe me he mea lā i kou maka.

Inā loaʻa iā ʻoe kahi entropion, pono e noʻonoʻo ʻia ka mea aʻe:

• ʻImi hōʻemi
• ʻIke māmā
• ʻEha
• ʻUlaʻula maka e hoʻonui wikiwiki ana

ʻAʻole hiki ke pale ʻia ka hapa nui o nā hihia. Hoʻoemi ka mālama ʻana i ka makaʻi o nā pilikia.

E ʻike i kāu mea hāʻawi inā he maka ʻulaʻula kou ma hope o ke kipa ʻana i kahi e loaʻa ai ka trachoma (e like me ʻApelika ʻAkau a me ʻAsia Hema).

Maka maka - entropion; ʻEha ʻeha maka - entropion; Haehae - entropion

• 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.

ʻO Gigantelli JW. Komo komo. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 12.5.