Konohiki maʻi Vernal

ʻO ka conjunctivitis Vernal kahi wā lōʻihi (mau) ʻōhū (mumū) o ka uhi waho o nā maka. He kumu ia no ka hopena maʻi ʻaʻai.

Kū pinepine ʻo Vernal conjunctivitis i ka poʻe me ka moʻolelo ʻohana ikaika o nā maʻi āpau. Hiki i kēia mau mea ke hoʻopili i ka rhinitis aleritis, hānō, a me ka eczema. ʻO ka mea maʻamau i nā kāne ʻōpio, a pinepine i ka wā o ka puna a me ke kauwela.

ʻO nā hōʻailona me:

• ʻO nā maka e ʻā ana.
• ʻO ka hōʻoluʻolu ʻole i ke kukui ʻōlinolino (photophobia).
• Maka maka.
• ʻO ka wahi a puni ke kola kahi e hui ai ke keʻokeʻo o ka maka a me ke kōkō (limbus) a pehu.
• ʻO ka loko o ka eyelids (ʻo ka mea pinepine pinepine o luna) e lilo i mea ākea a uhi ʻia me nā puʻupuʻu a me kahi mucus keʻokeʻo.
• Nānā hoʻoinu wai.

E hana ka mea mālama ola i kahi hoʻokolohua maka.

Hōʻalo i ka ʻānai ʻana i nā maka no ka mea hiki ke hoʻonāukiuki hou iā lākou.

ʻO nā compresses anu (kahi lole maʻemaʻe i pulu i ka wai anuanu a laila kau ʻia ma luna o nā maka paʻa) e ʻoluʻolu paha.

Hiki ke kōkua i nā kulu Lubricating e hōʻoluʻolu i ka maka.

Inā ʻaʻole kōkua nā hana mālama home, pono ʻoe e mālama ʻia e kāu mea hāʻawi. Hiki ke hoʻopili ʻia i ka mālama ʻana:

• Antihistamine a i ʻole anti-inflammatory drop i waiho ʻia i loko o ka maka
• Nā kulu maka e pale ai i ke ʻano o ke keʻokeʻo keʻokeʻo i kapa ʻia nā mast mast mai ka hoʻokuʻu ʻana i ka histamine (hiki ke kōkua i ka pale ʻana i nā hoʻouka e hiki mai ana
• Nā steroid liʻiliʻi e hoʻopili pono ʻia i ka ʻili o ka maka (no nā hopena koʻikoʻi)

Hōʻike ka noiʻi hou i kahi ʻano ʻoluʻolu o cyclosporine, kahi lāʻau anti-cancer, kōkua paha no nā ʻāpana koʻikoʻi. Hiki iā ia ke kōkua i ka pale ʻana i ka hoʻi hou ʻana.

Ke hoʻomau nei ke ʻano i ka manawa (ʻo ka maʻi mau). E māhuahua ana ia i kekahi mau kau o ka makahiki, pinepine i ka puna a me ke kauwela. Hoʻolako paha ka hoʻomaʻamaʻa i ke kōkua.

Komo pū nā pilikia:

• Ke hoʻomau nei i ka hōʻoluʻolu
• ʻImi hōʻemi
• Scarring o ke kōā

Kāhea i kāu mea hāʻawi inā hoʻomau a hele a maikaʻi ʻole paha kāu mau ʻōuli.

ʻO ka hoʻohana ʻana i ke ea a neʻe paha i kahi anuanu ʻoluʻolu hiki ke kōkua i ka pale ʻana i ka pilikia mai ka wā e hiki mai ana.

• Maka

ʻO Barney NP ʻO nā maʻi āpau a me nā maʻi immunologic o ka maka. I: Burks AW, Holgate ST, O'Hehir RE, et al, eds. Middleton's Allergy: Nā Manaʻo a me ka Hoʻomaʻamaʻa. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 38.

ʻO Cho CB, ʻo Boguniewicz M, ʻo Sicherer SH. Nā maʻi āpau maʻamau. 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 172.

ʻO Rubenstein JB, Spektor T. Hoʻohālikelike maʻi āpau. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 4.7.

ʻO Yücel OE, Ulus ND. Ka maikaʻi a me ka palekana o cyclosporine kumuhana A 0,05% i ka keratoconjunctivitis vernal. ʻO Singapore Med J. 2016; 57 (9): 507-510. PMID: 26768065 pubmed.ncbi.nlm.nih.gov/26768065/.