Poino Corneal

ʻO ka ʻeha Corneal kahi ʻeha i ka ʻāpana o ka maka i ʻike ʻia ʻo ke kōkole. ʻO ke kola ka aniani moakāka (aniani) e uhi ana i ka maka o ka maka. Hana ia me nā aniani o ka maka e nānā i nā kiʻi ma ka retina.

ʻO nā ʻeha i ke kōkō ka mea maʻamau.

ʻO nā ʻeha i ka ʻaoʻao i waho ma muli o:

• ʻO Abrasions -- Hoʻopili i nā scratches a i ʻole nā ​​kaha i luna o ka ʻili o ke kole
• Nā hōʻino kemika -- Kumu ʻia e ka wai o ka maka i loko o ka wai
• Nā pilikia maka aniani -- Hoʻohana nui ʻole, pono ʻole, a ʻike ʻole paha e hoʻopili i nā hopena o ka nānā aniani
• Nā kino haole -- Hōʻike i kekahi mea i ka maka e like me ke one a lepo paha
• Nā hōʻeha ʻoi loa -- Kumu ʻia e ka lā, nā kukuna lā, ka hau a i ʻole nā ​​aniani wai, a i ʻole ka hao kuʻi

Hiki i nā maʻi ke hoʻopōʻino i ke koleea.

E hoʻomohala paha ʻoe i kahi ʻeha o ke kornea inā ʻoe:

• Hōʻike ʻia i ka lā a i ʻole ke kukui ultraviolet hana no nā wā lōʻihi
• Loaʻa i nā aniani hoʻopili kūpono ʻole a hoʻohana ʻole paha i kāu aniani ʻike
• He mau maka maloʻo loa
• Hana i kahi ʻano lepo
• E hoʻohana i ka hāmare a i ʻole nā ​​pono hana me ka ʻaʻa ʻole ʻana i nā aniani palekana

ʻO nā hunaahi wikiwiki, e like me nā ʻāpana mai ke kuʻi ʻana i ka hao ma ka hao, e paʻa paha i ka ʻili o ke kole. Kākaʻikahi, komo hohonu lākou i loko o ka maka.

ʻO nā hōʻailona me:

• ʻIke makapō
• ʻEha o ka maka a ʻū paha a wela i ka maka
• ʻO ka manaʻo e like me kekahi mea i kou maka (hiki i kahi ʻōpala a i ʻole kekahi mea i kou maka)
• ʻIke māmā
• ʻUlaʻula o ka maka
• ʻO nā kuʻemaka pehu
• ʻO nā maka wai a hoʻonui paha i ka haehae

Pono ʻoe e loaʻa kahi hōʻike maka piha. Hiki paha i ka mea mālama ola ke hoʻohana i nā kulu maka i kapa ʻia ka pale fluorescein e kōkua ai e nānā i nā ʻeha.

E komo pū paha nā hoʻāʻo:

• ʻO ka hoʻokolohua ophthalmic maʻamau
• Nānā kukui ʻalā

Kōkua mua no nā pilikia pilikia o ka maka:

• Mai hoʻāʻo e hemo i kahi mea i paʻa i kou maka me ka ʻole o ke kōkua olakino ʻoihana.
• Inā pīpī ʻia nā kemika i ka maka, holoi koke ʻia ka maka me ka wai no 15 mau minuke. Lawe koke ʻia ke kanaka i kahi lumi pilikia kokoke.

ʻO kēlā me kēia mea me ka ʻehaʻeha maka maka pono e ʻike ʻia i loko o kahi kikowaena mālama pilikia a i nīnau ʻia paha e ka ophthalmologist koke.

Hoʻopili ka mālama ʻana i nā ʻeha o ke kole:

• Ke lawe nei i nā mea haole mai ka maka
• Ke kau nei i kahi lepe o ka maka a i ʻole nā ​​aniani hoʻokaʻaʻike pihi kuikawa
• Ke hoʻohana nei i nā kulu maka a i ʻole nā ​​hamo i kuhikuhi ʻia e ke kauka
• ʻAʻole komo i nā aniani kelepona a hiki i ka wā i ola ai ka maka
• Lawe i nā lāʻau ʻeha

ʻO ka hapanui o nā manawa, nā hōʻeha e hoʻopili wale i ka ʻili o ke kornea e hoʻōla wikiwiki me ka lāʻau. E hoʻi ka maka i ka maʻamau ma waena o 2 mau lā.

ʻOi aku ka koʻikoʻi nā ʻeha i komo i ke kola. Pili ka hopena i ka hōʻeha kikoʻī.

Kāhea i kāu mea mālama ola inā ʻaʻole ʻoi aku ka maikaʻi ma hope o 2 mau lā o ka mālama ʻana.

Nā mea hiki iā ʻoe ke hana e pale aku i nā hōʻeha o ka ʻino i loko:

• Lawe i nā maka aniani palekana i nā manawa āpau ke hoʻohana i nā mea hana lima a i ʻole ka mana a i ʻole nā ​​kemika, i ka wā o nā haʻuki hopena kiʻekiʻe, a i ʻole i nā hana ʻē aʻe kahi e ʻeha ai ka maka.
• E komo i nā aniani ʻino e pale i ke kukui ultraviolet ke hōʻike ʻia ʻoe i ka lā a i ʻole ma kahi kokoke i ka hoʻoheheʻe arc. E ʻaʻano i kēia ʻano aniani a hiki i ka hoʻoilo.
• E akahele i ka hoʻohana ʻana i nā mea hoʻomaʻemaʻe hale. Nui nā huahana o ka home i loko o nā kemika ikaika. Weliweli loa ka hoʻomaʻemaʻe a me ka hoʻomaʻemaʻe umu. Hiki iā lākou ke alakaʻi i ka makapō inā ʻaʻole hoʻohana kūpono.

Abrasion - ʻalihi; ʻAtchkala - corneal; ʻEhaʻeha maka - corneal

• Kornea

ʻO Fowler GC. ʻO nā abrasion Corneal a me ka lawe ʻana i nā kino haole a i ʻole conjunctival haole. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 200.

ʻO Guluma K, ʻo Lee JE. Ophthalmology. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 61.

Knoop KJ, Dennis WR. Nā ʻōnaehana ʻōphthalmologic. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 62.

ʻO Rao NK, Goldstein MH. ʻO ke ahi ʻākika a me alkali. I: Yanoff M, Duker JS, eds. Ophthalmology. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 4.26.