Hyphema

ʻO Hyphema ke koko i ka mua o ke alo (keena mua) o ka maka. Hōʻiliʻili ke koko ma hope o ke kole a ma mua o ka iris.

Hoʻokumu pinepine ʻia ʻo Hyphema e ka trauma i ka maka. ʻO nā kumu ʻē aʻe o ke kahe ʻana i ke keena o mua o ka maka me:

• ʻO ke kūpono ʻole o ke kīʻaha koko
• Kanesa o ka maka
• ʻO ka wela nui o ka iris
• Mimikō holomua
• Nā maʻi o ke koko e like me ka anemia maʻi maʻi

ʻO nā hōʻailona me:

• Kahe i ka lumi o mua o ka maka
• ʻEhaʻeha maka
• ʻIke māmā
• Nā ʻike kūpono ʻole o ka hihiʻo

ʻAʻole hiki iā ʻoe ke ʻike i kahi hyphema liʻiliʻi ke nānā nei i kou maka i ke aniani. Me kahi hyphema āpau, ka papa o ke koko e ālai i ka ʻike o ka iris a me ka haumāna.

Pono paha ʻoe i nā hoʻokolohua a me nā hoʻokolohua aʻe:

• Hōʻike maka
• Ana kaupaona Intraocular (tonometry)
• ʻO ka hoʻāʻo ʻana o Ultrasound

ʻAʻole pono ka mālama ʻana i nā hihia māmā. Hoʻokomo ʻia ke koko i kekahi mau lā.

Inā hoʻi mai ke kahe (ʻo ka pinepine i 3 a 5 mau lā), ʻoi aku ka maikaʻi o ka hopena o ke ʻano. E ʻōlelo paha ka mea mālama ola i kēia mau mea e hōʻoki i ka manawa e nui ai ke kahe ʻana o ke kahe.

• Hoʻomaha moe
• Pākuʻi maka
• Nā lāʻau hoʻomālie

Pono paha ʻoe e hoʻohana i nā kulu maka e hoʻoliʻiliʻi i ka mumū a i ʻole hoʻohaʻahaʻa i ke kaomi i kou maka.

Pono paha i ke kauka maka e wehe i ke koko ma ke kaʻe, keu hoʻi inā kiʻekiʻe loa ke kaomi o ka maka a lohi paha ke komo o ke koko. Pono ʻoe e noho i kahi haukapila.

Aia ka hopena i ka nui o ka ʻeha i ka maka. ʻO ka poʻe me ka maʻi maʻi maʻi maʻi he nui paha ka pilikia o ka maka a pono ke nānā pono ʻia. Pono paha ka poʻe me ka maʻi diabetes i ka hoʻomaʻamaʻa laser no ka pilikia.

Hiki ke loaʻa ka nalo ʻike nui.

Komo pū nā pilikia:

• Glaucoma huehue
• ʻIʻike hewa
• Kahe hou ʻana o ke kahe

Kāhea i kāu mea hāʻawi inā ʻike ʻoe i ke koko i mua o ka maka a i ʻole inā ʻeha kou maka. Pono ʻoe e nānā a mālama ʻia e ke kauka maka koke, keu hoʻi inā ua hōʻemi ʻoe i ka ʻike.

Hiki ke pale ʻia nā ʻeha maka he nui e ke kau ʻana i nā maka aniani palekana a i ʻole nā ​​maka pale pale ʻē aʻe. E pale mau i ka pale o ka maka i ka wā e pāʻani ana i nā haʻuki, e like me ka heihei, a i ʻole nā ​​haʻuki pili, e like me ka kinipōpō hīnaʻi.

• Maka

Lin TKY, Tingey DP, Shingleton BJ. Hoʻopili ʻia ʻo Glaucoma me ka trauma ʻino. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 10.17.

Olitsky SE, Hug D, Plummer LS, Stahl ED, Ariss MM, Lindquist TP. Nā hōʻeha i ka maka. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 635.

Recchia FM, Sternberg P.ʻoki kino no ka maʻi maʻamau: nā kumu a me nā ʻenehana no ka mālama ʻana. I: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. ʻO Ryan's Retina. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 114.