Nā maʻi maʻi a me nā maʻi ʻino

ʻO ke koliea ka kiko o ka maka i mua o ka maka. ʻO kahi ulcer corneal kahi ʻeha hāmama i ka papa waho o ke kō. Hoʻokumu pinepine ʻia e ka maʻi maʻi. I ka manawa mua, e like paha kahi ulcer kornea me ka conjunctivitis, a i ʻole ka maka ʻākala.

Hoʻokumu pinepine ʻia nā ulcer Corneal e kahi maʻi me nā bacteria, nā mea hoʻomaʻi, nā fungi, a i kahi parasite.

• Kū ka keratitis Acanthamoeba i nā mea hoʻohana maka aniani. ʻOi aku paha ka hopena i ka poʻe e hana i kā lākou iho hoʻomaʻemaʻe hoʻomaʻemaʻe home.
• Hiki i ka keratitis fungal ke hana ma hope o kahi hōʻeha ʻino e pili ana i nā mea kanu. Hiki paha ia i nā poʻe me kahi ʻōnaehana pale i kāohi ʻia.
• ʻO ka herpes simplex keratitis kahi maʻi maʻi viral koʻikoʻi. Hoʻokumu paha ia i nā hoʻouka hou ʻana i hoʻomaka ʻia e ke koʻikoʻi, ʻike ʻia i ka lā o ka lā, a i ʻole kekahi ʻano e hoʻohaʻahaʻa ai i ka pane pale.

ʻO nā maʻi ʻalalā a me nā maʻi paha ke kumu ʻia e:

• ʻAʻole paʻa nā maka maka ʻole i nā ala āpau, e like me Bell palsy
• Nā kino haole i ka maka
• Nā kaha (abrasions) ma ka maka o ka maka
• Nā maka maloʻo loa
• Maʻi maʻi maʻi ʻaʻā
• Nā maʻi hōʻeha ʻokoʻa

ʻO ke kau ʻana i nā aniani kelepona, ʻoi aku ka launa pū me nā mea palupalu i waiho ʻia i ka pō hoʻokahi, e kumu paha i ka maʻi kōhe.

ʻO nā ʻōuli o ka maʻi a i ʻole nā ​​ulcer o ke kōkō e komo pū me:

• ʻIke maka a huehue paha
• ʻO ka maka i ʻikea ʻulaʻula a i ʻole koko koko
• Mākaʻu a hoʻokuʻu
• ʻIke i ka mālamalama (photophobia)
• ʻO nā maka ʻeha a wai hoʻi
• Pākuʻi keʻokeʻo ma ke kihi

E hana paha kāu mea mālama ola i kēia mau hoʻokolohua:

• ʻO ka hoʻāʻo ʻana o ka ʻānai ʻana mai ka ulcer
• ʻO ka Fluorescein stain o ke koleea
• Keratometry (ke ana ʻana i ka piʻo o ke kōkea)
• Pane reflex pupillary
• Hōʻike hoʻāʻo
• Ninaninau kukui-uila
• Nā hoʻāʻo no ka maka maloʻo
• ʻIke ʻike

ʻO nā hoʻokolohua koko e nānā ai no nā maʻi hōʻeha e pono ai paha.

ʻO ka mālama ʻana i nā maʻi hānai a me nā maʻi e pili ana i ke kumu. Pono e hoʻomaka i ka mālama ʻana i ka wā e hiki ai ke pale aku i ka scarring o ke kōkō.

Inā ʻike ʻole ʻia ke kumu kūpono, hāʻawi ʻia ʻoe i nā kulu antibiotic e hana kūʻē i nā ʻano bacteria.

Ke ʻike ʻia ke kumu kūpono, hāʻawi ʻia paha ʻoe i nā kulu e mālama i nā bacteria, herpes, nā virus ʻē aʻe, a i ʻole ka fungus. ʻO nā ulcer koʻikoʻi i kekahi manawa koi i kahi transplant kope.

Hiki ke hoʻohana ʻia nā kulu maka Corticosteroid e hōʻemi ai i ka pehu a me ka mumū i kekahi mau ʻano.

E ʻōlelo paha kāu mea hāʻawi iā ʻoe:

• Hōʻalo i nā maka maka.
• Mai ʻaʻapo i nā aniani kalina, keu hoʻi i ka hiamoe.
• Lawe i nā lāʻau ʻeha.
• E komo i nā aniani pale.

He nui ka poʻe e hoʻōla holoʻokoʻa a hoʻololi iki i ka hihiʻo. Eia nō naʻe, hiki i kahi ulcer corneal a i ʻole maʻi ke kumu i nā pōʻino wā lōʻihi a pili i ka hihiʻo.

ʻO nā ulcer corneal a me nā maʻi e hiki ʻole ke alakaʻi iā:

• Ka nalowale ʻana o ka maka (rare)
• Ka nalowale ʻana o ka hihiʻo
• Pākuʻi ma ke kōkō

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o nā ulcer corneal a i ʻole kahi maʻi.
• Ua ʻike ʻia ʻoe me kēia maʻi a ua ʻoi aku ka maikaʻi o kāu mau hōʻailona ma hope o ka mālama ʻana.
• Hoʻopili ʻia kāu ʻike.
• Hoʻolālā ʻoe i ka ʻeha o ka maka he koʻikoʻi a ʻinoʻino paha.
• Pehu a ʻulaʻula paha kou eyelids a i ʻole ka ʻili a puni kou mau maka.
• He ʻeha kou poʻo ma kahi o kāu mau hōʻailona ʻē aʻe.

Nā mea hiki iā ʻoe ke pale aku i ke ʻano me nā:

• E holoi maikaʻi i kou mau lima i ka lawelawe ʻana i kāu aniani pili.
• Hōʻalo i ke kau ʻana i nā aniani kelepona i ka pō.
• E kiʻi koke i kahi lāʻau no ka maʻi maʻi o ka maka e pale ai i ka maʻi ulcer mai ka hana ʻana.

Keratitis koʻohune; Keratitis fungal; Kerantitis Acanthamoeba; ʻO Herpes simplex keratitis

• Maka

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Aronson JK. Hoʻokaʻaʻike i nā aniani a me nā haʻina. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier B.V.; 2016: 580-581.

Azar DT, Hallak J, Barnes SD, Giri P, Pavan-Langston D. Microbial keratitis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 113.

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.

Pākuʻi ʻia ʻo Efron N. Corneal. I: Efron N, ed. Hoʻokaʻaʻike Lens komplications. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 18.

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.