Hāpai hāpai maka
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Hana ʻia ka ʻokiʻoki hāpai maka e hoʻomaikaʻi i ke kuʻi a i ʻole ka hāʻule ʻana o nā kuʻemaka o luna (ptosis) a hemo i ka nui o ka ʻili mai nā kuʻemaka. Kapa ʻia ke kīʻaha ʻo blepharoplasty.
Hoʻopilikia a kūlulu paha nā maka maka me ka hoʻonui ʻana o ka makahiki. Hānau ʻia kekahi poʻe me nā eyelids droopy a i ʻole hoʻomohala i kahi maʻi e hōʻeha ai i ka eyelid drooping.
Hana ʻia ka ʻoki ʻana o ka maka i ka keʻena o kahi kauka. A i ʻole, hana ʻia ia ma ke ʻano he ʻoki kino maʻi i loko o kahi kikowaena olakino.
Hana ʻia ke ʻano hana penei:
- Hāʻawi ʻia ʻoe i ka lāʻau e kōkua i ka hoʻomaha.
- Hoʻokomo ka kaukoki i ka lāʻau numbing (anesthesia) a puni ka maka no laila ʻaʻole ʻoe e ʻeha i ka wā o ke ʻoki. E ala ana ʻoe i ka wā e pau ai ke ʻoki.
- Lawe ke kauka i nā ʻoki liʻiliʻi (ʻokiʻoki) i loko o ka lipine kūlohelohe a i ʻole nā pelu o nā kuʻemaka.
- Lawe ʻia ka ʻili loose a me nāʻiʻo momona keu. Hoʻopili ʻia nā mākala maka.
- I ka hopena o ke kaha ʻana, pani ʻia nā ʻokiʻoki me nā humuhumu.
Pono kahi hāpai maka i ka wā e lele ai ka eyelid e hoʻoliʻiliʻi ai i kāu ʻike. E noi ʻia paha ʻoe e hoʻokolohua kāu kauka maka i kou ʻike ma mua o kāu ʻoki ʻana.
ʻO kekahi poʻe i hāpai i ka lihilihi e hoʻomaikaʻi i ko lākou helehelena. ʻO kēia keʻoki cosmetic. Hiki ke hana wale ʻia ka hāpai maka o ka eyelid a i ʻole me nā ʻokiʻoki ʻē aʻe e like me ka browlift a i ʻole facelift.
ʻAʻole e hoʻoneʻe ka ʻoki ʻana o ka maka i nā wrinkle a puni nā maka, hāpai i nā kuʻemaka sagging, a i ʻole e hemo i nā pōʻaiʻeleʻele ma lalo o nā maka.
Nā pōpilikia no ka anesthesia a me ke kahakaha ma nā ʻano āpau:
- Nā hopena i nā lāʻau
- Kahe ʻana o ke kahe, ke koko, maʻi
Pākuʻi ʻia paha nā piʻina no ka hāpai maka i:
- Poino i ka maka a i ʻole nalo o ka hihiʻo (laha ʻole)
- Pilikia pani i nā maka ʻoiai e hiamoe ana (ʻaʻole paʻa mau)
- ʻIke pālua a pohihihi paha
- Nā maka maloʻo
- Hū kūlohelohe o nā ʻōmaka
- ʻO nā keʻokeʻo liʻiliʻi ma hope o ka hemo ʻana o nā humuhumu
- Hoola lohi
- Hoʻōla a hōʻeha paha
- ʻAʻole kūlike nā eyelids
ʻO nā kūlana olakino e ʻoi aku ka makaʻu o ka blepharoplasty:
- Diabetes
- ʻO ka maka maloʻo a ʻaʻole lawa paha ka hana waimaka
- Nā maʻi puʻuwai a i ʻole nā maʻi o nā kīʻaha koko
- Ke koko kiʻekiʻe a i ʻole nā maʻi kahe ʻē aʻe
- Nā pilikia thyroid, e like me hypothyroidism a me nā maʻi Graves
Hiki iā ʻoe ke hoʻi maʻa i ka home i ka lā o ke ʻoki ʻana. E hoʻonohonoho i mua o ka manawa no kahi makua e hoʻokele iā ʻoe i kou home.
Ma mua o kou haʻalele ʻana, e uhi ka mea mālama ola i kou mau maka a me nā lihilihi me ka hamo a me ka wahī. Hiki paha i kou lihilihi maka pilipaa a ʻeha hoʻi ke pau ka lāʻau numbing. Mālama maʻalahi ʻia ka hōʻoluʻolu ʻole me ka lāʻau ʻeha.
E hoʻokiʻekiʻe i kou poʻo i hiki i nā lā he nui. E kau i nā ʻeke anuanu ma luna o ka wahi e hōʻemi i ka pehu ʻana a me ka palapū. Hoʻopili i ka ʻeke anuanu i loko o ke kāwele ma mua o ka hoʻopili ʻana. Kōkua kēia i ka pale ʻana i ka hōʻeha anuanu i nā maka a me ka ʻili.
Hiki i kāu kauka ke koi aku i kahi antibiotic a i ʻole nā lubricating maka kulu e hoʻoliʻiliʻi i ka puhi ʻana a i ʻole ka aniani.
Hiki iā ʻoe ke ʻike maikaʻi ma hope o 2 a 3 mau lā. Mai hoʻokomo i nā aniani kuhi no ka ʻelua mau pule. E mālama i nā hana i ka liʻiliʻi no 3 a 5 mau lā, a pale i nā hana koʻikoʻi e hāpai i ke kahe o ke koko ma kahi o 3 mau pule. Pākuʻi ʻia kēia i ka hāpai ʻana, ke kūlou ʻana, a me nā haʻuki koʻikoʻi.
Lawe kāu kauka i nā humuhumu 5 a 7 mau lā ma hope o ke kahakaha ʻana. E loaʻa iā ʻoe kahi ʻōpala, i mau paha 2 a 4 mau pule. ʻIke paha ʻoe i ka hoʻonui ʻana o ka waimaka, ka ʻike ʻana i ka mālam a me ka makani, a me ka hiamoe a pāpālua paha o ka hihiʻo no nā pule mua.
Mālamalama mau nā scars no 6 mau mahina a ʻoi paha ma hope o ke kahakaha ʻana. E mae lākou i kahi laina keʻokeʻo lahilahi, ʻaneʻane ʻike ʻole ʻia a hūnā ʻia i loko o ka pā eyelid kūlohelohe. ʻO ka nānā makaʻala a ʻōpio ke ʻano maʻamau no nā makahiki. Kūleʻa kēia mau hopena no kekahi poʻe.
Blepharoplasty; Ptosis - hāpai hāpai maka
Blepharoplasty - moʻo
Bowling B. Makamaka. I: ʻO Bowling B, ed. ʻO Ophthalmology Clinical Clinical. 8th ed. Piladelapia, PA: Elsevier; 2016: chap 1.
Kakaikahi J, Ellis M. Blepharoplasty. I: Rubin JP, Neligan PC, eds. ʻOki lula, Volume 2: ʻoki kino Aesthetic. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 9.