Pseudotumor orbital
ʻO Orbital pseudotumor ka pehu o nā mea ma hope o ka maka i kahi i kapa ʻia ʻo orbit. ʻO ka orbit ka hollow space ma ka iwi poʻo kahi e noho ai ka maka. Pale ka orbit i ka ʻōnohi a me nā mākala a me nā mea i puni iā ia. ʻAʻole pālahalaha ka Orbital pseudotumor i nā mea ʻē aʻe a i ʻole nā wahi i ke kino.
ʻAʻole ʻike ʻia ke kumu. Hoʻololi ka hapa nui i nā wahine ʻōpio, ʻoiai hiki ke hana i kēlā me kēia makahiki.
Pākuʻi ʻia paha nā ʻōuli:
- ʻEha ma ka maka, a ʻeha paha ia
- Kaʻa hele ʻana o ka maka
- Hoʻoemi i ka hihiʻo
- Hōʻike pālua
- Pahu ka maka (proptosis)
- Maka ʻulaʻula (laha ʻole)
E nānā ka mea mālama ola i kou maka. Inā he mau hōʻailona kou no ka pseudotumor, e hana ʻia nā hoʻokolohua hou aʻe e hōʻoia ʻaʻole āu mau kūlana ʻē aʻe e like paha me ka pseudotumor. ʻO nā kūlana ʻelua ʻē aʻe i ʻike nui ʻia.
- ʻO kahi tumo maʻi ʻaʻai
- ʻO ka maʻi maka thyroid
E komo pū paha nā hoʻāʻo:
- CT scan o ke poʻo
- MRI o ke poʻo
- Ultrasound o ke poʻo
- Kahi poʻo poʻo x
- ʻO Biopsy
E hele aku paha nā hihia akahai me ka mālama ʻole ʻia. ʻO nā hihia ʻoi aku ka paʻakikī i ka manawa pinepine e pane maikaʻi i ka mālama ʻana i ka lāʻau. Inā maikaʻi ʻole ke ʻano, hiki i ka ʻōhū ke hoʻokau i ka maka o ka maka a ʻino iā ia. Pono paha ke ʻoki e wehe i kahi ʻāpana o nā iwi o ka orbit e hoʻomaha i ke kaomi.
He akahai ka hapa nui o nā hihia a maikaʻi nā hopena. ʻAʻole hiki i nā hihia koʻikoʻi ke pane maikaʻi i ka mālama ʻana a malia paha e nalowale kahi hihi. Hoʻokomo pinepine ʻo Orbital pseudotumor i hoʻokahi wale nō maka.
Hiki i nā hihia koʻikoʻi o ka orbital pseudotumor ke kipaku i ka maka i mua i hiki ʻole i nā poʻi ke uhi a pale i ke kola. ʻO kēia ke kumu e maloʻo ai ka maka. Hiki i ke kornea ke lilo i ao a hoʻomōhala i kahi maʻi puʻupuʻu. Eia nō naʻe, ʻaʻole hiki i nā mākala o ka maka ke kau pono i ka maka i hiki ke kumu i ka hihiʻo lua.
Pono ka poʻe me kēia ʻano i ka mālama maʻamau me kahi kauka maka ʻike i ka mālama ʻana i ka maʻi orbital.
Kāhea koke i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o kēia mau pilikia:
- Hoʻonāukiuki i ka ʻili
- ʻUlaʻula
- ʻEha
- Hoʻoemi i ka hihiʻo
Idiopathic orbital inflammatory syndrome (IOIS); Pāhū orbital kikoʻī ʻole
- Anatomy poʻo poʻo
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.
McNab AA. ʻO ka maʻi Orbital a me ka mumū. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 12.14.
Wang MY, Rubin RM, Sadun AA. Myopathies Ocular. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 9.18.