E hāʻule ana ka ʻōmaka

ʻOi aku ka hiamoe ʻana o ka eyelid o ka eyelid o luna. ʻO ka lihi o ka maka o luna e haʻahaʻa ma mua o ka pono (ptosis) a i ʻole he ʻili ʻeke ʻino nui ma ka eyelid luna (dermatochalasis). ʻO ka eyelid drooping he hui pinepine o nā kūlana ʻelua.

Kāhea ʻia ka pilikia he ptosis.

ʻO ka eyelid haʻalulu pinepine ma muli o:

• Nāwaliwali o nā mākala e hāpai i ka eyelid
• Hoʻopōʻino i nā ʻalolo e kaohi i kēlā mākala
• Looseness o ka ʻili o nā lihilihi luna

Hiki i ka eyelid eyelid ke:

• Hana ʻia e ka hana ʻelemakule maʻamau
• I kēia manawa ma mua o ka hānau ʻana
• ʻO ka hopena o kahi ʻeha a maʻi paha

ʻO nā maʻi a i ʻole nā ​​maʻi e alakaʻi aku ai i ka hiolo ʻana o ka eyelid me:

• Tumor a puni a ma hope paha o ka maka
• Diabetes
• Horner maʻi maʻi
• Myasthenia gravis
• Hahau
• ʻO ka pehu ʻana i ka lihilihi, e like me ka stye

Aia paha ka wehe ʻana i hoʻokahi o nā eyelids ʻelua a ʻelua paha e like me ke kumu. E uhi wale ka uhi i ka maka o luna, a i ʻole uhi ʻia ka haumāna āpau.

E loaʻa pinepine nā pilikia me ka ʻike:

• I ka manawa mua, he ʻano wale nō ke keakea ʻia ka kahua kiʻekiʻe o ka hihi.
• Ke uhi ka maka o ka maka i ka maka o ka maka, e paʻa paha ka ʻike.
• Hiki i nā kamaliʻi ke kuli i ko lākou poʻo e kōkua iā lākou e ʻike ma lalo o ka lihilihi maka.
• Aia paha ka luhi a me ka achiness a puni nā maka.

Hoʻomaopopo ʻia ka nui o ka haehae ʻana me ka manaʻo o nā maka maloʻo.

Ke holo wale nei ma kahi ʻaoʻao wale nō, maʻalahi ka ʻike ʻana i ka hoʻohālikelike ʻana i nā kuʻemaka ʻelua. ʻOi aku ka paʻakikī o ka wehe ʻana ke ʻike ʻia ke kū ma nā ʻaoʻao ʻelua, a i ʻole inā he wahi pilikia iki. Ke hoʻohālikelike nei i ka nui o ka hāʻule ʻana me ka nui i hōʻike ʻia i nā kiʻi kahiko e kōkua iā ʻoe e ʻike i ka holomua o ka pilikia.

E hana ʻia kahi hoʻokolohua kino e hoʻoholo ai i ke kumu.

Nā hoʻokolohua e hana ʻia ai paha:

• Ninaninau kukui-uila
• Hōʻikeʻo Tensilon no ka myasthenia gravis
• Hōʻoia kahua kahua

Inā loaʻa kahi maʻi, e mālama ʻia. ʻO ka hapa nui o nā eyelids i hāʻule ma muli o ka ʻelemakule a ʻaʻohe maʻi e pili ana.

Hana ʻia ka ʻokiʻoki hāpai maka (blepharoplasty) i mea e hoʻomaikaʻi ai i nā lihilihi o nā lihilihi luna.

• I nā hihia momona, hiki ke hana i mea e hoʻomaikaʻi ai i ka helehelena o nā eyelids.
• I nā hihia ʻoi loa, pono paha ke ʻoki e hoʻoponopono i ka hoʻopilikia ʻana me ka hihiʻo.
• I nā keiki me ka ptosis, pono paha ke ʻoki e pale aku i ka amblyopia, i kapa ʻia hoʻi he "maka palaualelo."

Hiki i ka lihilihi maka hāʻule ke noho mau, hoʻonui i ka manawa (e holomua), a i ʻole hele mai a hele (intermittent).

ʻO ka hopena i manaʻo ʻia e pili ana i ke kumu o ka ptosis. I ka hapanui o nā hihia, kūleʻa nui ke kīpoki i ka hoʻihoʻi ʻana i ka hiʻohiʻona a me ka hana.

I nā keiki, ʻoi aku ka nui o nā eyelids i kulu ʻia i ka maka palaualelo a i ʻole amblyopia. ʻO kēia ka hopena i ka nalowale o ka hihiʻo wā lōʻihi.

Kāhea aku i kāu kahu mālama ola inā:

• Hoʻopilikia ka lihilihi maka i kou helehelena a i ʻole ʻike.
• Kūlele a paʻa paʻa paha kekahi eyelid.
• Pili ʻia me nā ʻōuli ʻē aʻe, e like me ka ʻike lua a ʻeha paha.

E ʻike i ka loea no ka maka (ophthalmologist) no:

• Hoʻopiʻi i nā ʻōnohi maka i nā keiki
• ʻO ka eyelid hou hou a wikiwiki paha e hāʻule i ka poʻe mākua

Ptosis, Dermatochalasis; Blepharoptosis; ʻO ka palsy nerve ʻekolu - ptosis; ʻGyhiwi maka Baggy

• Ptosis - hāʻule ka lihilihi maka

Alghoul M. Blepharoplasty: anatomy, hoʻolālā, ʻano hana, a me ka palekana. ʻO Aesthet Surg J . 2019; 39 (1): 10-28. PMID: 29474509 pubmed.ncbi.nlm.nih.gov/29474509/.

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 Friedman O, Zaldivar RA, Wang TD. ʻO Blepharoplasty. I: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 26.

Olitsky SE, Marsh JD. 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.

ʻO Vargason CW, Nerad JA. ʻO Blepharoptosis. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 12.4.