ʻUlaʻula maka

ʻO ka ʻulaʻula o ka maka ka mea pinepine ma muli o ka pehu a i ʻole nā ​​kīʻaha koko. ʻIke kēia i ka ʻili o ka maka e ʻulaʻula a i ʻole ke koko.

Nui nā kumu o ka maka ʻulaʻula a me nā maka. He pilikia olakino kekahi. ʻO kekahi poʻe ke kumu o ka hopohopo, akā ʻaʻole kahi pilikia. Nui ʻole nā ​​mea e hopohopo ai.

ʻO ka ʻulaʻula o ka maka ka liʻiliʻi o ka hopohopo ma mua o ka ʻeha o ka maka a i ʻole nā ​​pilikia ʻike.

ʻIke ʻulaʻula nā maka koko no ka mea ua pehu nā moku ma ka ʻāpana o ka ʻāpana keʻokeʻo o ka maka (sclera). Pehu paha nā moku ma muli o:

• Maloʻo maka
• Hōʻike lā nui loa
• Lepo a mea ʻē aʻe paha i ka maka
• Nā Pāhoihoi
• Maʻi kīnā
• ʻEhaʻeha

Hiki i nā maʻi o ka maka a i ʻole ke palahū ke kumu i ka ʻulaʻula a me ka makaʻu, hoʻokuʻu, ʻeha, a me nā pilikia ʻike. Pili paha kēia mau mea i:

• Blepharitis: Ka pehu ʻana ma ka lihi o ka eyelid.
• Conjunctivitis: Ka pehu ʻana a i ʻole ka maʻi ʻana o ka ʻaʻa maʻemaʻe e kau ana i nā lihilihi a uhi i ka ʻili o ka maka (ka conjunctiva). Kāhea pinepine ʻia kēia ʻo "eye pink."
• Hoʻopili ʻia ke kīpē: nā ʻeha ma ke kornea i hana pinepine ʻia e kahi maʻi bacterial a viral paha.
• Uveitis: Ka hoʻohaunaele o ka uvea, kahi e hoʻopili ai i ka iris, ke kino ciliary, a me ka choroid. ʻAʻole ʻike pinepine ʻia ke kumu. Pili paha ia i kahi maʻi autoimmune, maʻi, a i ʻole hōʻike i nā toxins. ʻO ke ʻano o ka uveitis nāna e hoʻopuka ka maka ʻulaʻula maikaʻi loa i kapa ʻia ʻo iritis, kahi e hoʻonā ʻia ai ka iris wale nō.

ʻO nā kumu ʻē aʻe o ka ʻulaʻula o ka maka e komo pū ana:

• ʻO ke anuanu a i ʻole nā ​​maʻi āpau.
• Glaucoma huehue: Ka piʻi nui ʻana o ka maka maka i ʻeha loa a hoʻopilikia i nā pilikia ʻike maka. He pilikia olakino kēia. ʻO ka laulā maʻamau o ka glaucoma ka lōʻihi (lōʻihi) a me ka lohi.
• Nā ʻili Corneal: Nā ʻeha i hana ʻia e ke one, ka lepo, a i ʻole me ka hoʻohana nui ʻana i nā aniani pili.

I kekahi manawa, e ʻike ʻia kahi ʻulaʻula ʻulaʻula, i kapa ʻia he hemorrhage subconjunctival, ma ke keʻokeʻo o ka maka. Hana pinepine kēia ma hope o ke kanikau ʻana a i ʻole ka puʻe ʻana, kahi e kumu ai kahi kīʻaha koko i haki ʻia ma ka ʻili o ka maka. ʻO ka pinepine, ʻaʻohe ʻeha a maʻamau kāu ʻike. ʻAneʻane ʻaʻole ia he pilikia koʻikoʻi. ʻOi aku paha ka maʻamau o ka poʻe e lawe nei i ka aspirin a i ʻole ka lahilahi o ke koko. Ma muli o ke kahe ʻana o ke koko i loko o ka conjunctiva, ka mea maopopo, ʻaʻole hiki iā ʻoe ke holoi a holoi i ke koko. E like me ka palapū, e nalo ka ʻulaʻula i loko o hoʻokahi pule a ʻelua paha.

E hoʻāʻo e hoʻomaha i kou mau maka inā ka ʻulaʻula ma muli o ka luhi a i ʻole ka ʻeha o ka maka. ʻAʻole pono kahi lapaʻau ʻē aʻe.

Inā loaʻa iā ʻoe ka ʻeha o ka maka a i ʻole kahi pilikia ʻike, e kelepona koke aku i kāu kauka maka.

E hele i ka haukapila a kāhea i kāu helu kūloko kūloko (e like me 911) inā:

• ʻUlaʻula kou maka ma hope o kahi ʻeha komo.
• He ʻeha kou poʻo me ka hihi a pohihihi paha.
• Ke ʻike nei ʻoe i ka puni o nā kukui.
• He lōlō kou a me ka luaʻi.

Kāhea i kāu kahu mālama ola inā:

• ʻUlaʻula kou mau maka ma mua o 1 a 2 mau lā.
• Loaʻa iā ʻoe ka ʻeha o ka maka a i ʻole nā ​​loli ʻike.
• Lawe ʻoe i ka lāʻau hoʻoliʻiliʻi koko, e like me warfarin.
• Loaʻa paha iā ʻoe kahi mea i kou maka.
• ʻIke nui ʻoe i ka mālam.
• He puka melemele a ʻōmaʻomaʻo paha ʻoe mai hoʻokahi a i ʻole nā ​​maka ʻelua.

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino, me kahi hoʻokolohua maka, a nīnau i nā nīnau e pili ana i kāu mōʻaukala. Hiki i nā nīnau ke komo pū me:

• Hoʻopili ʻia kou mau maka ʻelua a i ʻole hoʻokahi wale nō?
• He aha ka ʻāpana o ka maka i hoʻopili ʻia?
• Ke komo nei ʻoe i nā aniani hulina?
• Ua hiki koke mai paha ka ʻula?
• Ua ʻulaʻula paha kou maka ma mua?
• He ʻeha maka kou? Hele a mānoanoa paha me ka neʻe ʻana o nā maka?
• Ua hoʻemi ʻia kāu hihiʻo?
• Loaʻa paha iā ʻoe ka hoʻokuʻu ʻana o ka maka, ke ahi, a me ka aniani?
• Loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe e like me ka nausea, ka luaʻi, a i ʻole ke poʻo ʻeha?

Pono paha kāu mea e holoi e holoi i kou mau maka me kahi wai paʻakai a hemo i nā kino haole i nā maka. Hāʻawi ʻia ʻoe i nā kulu maka e hoʻohana ai ma ka home.

Maka maka koko; Nā maka ʻulaʻula; ʻ injectionkuhi Scleral; Pākuʻi Conjunctival

• Maka maka koko

ʻO Dupre AA, Wightman JM. Maka ʻeha a ʻeha hoʻi. 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 19.

ʻO Gilani CJ, Yang A, Yonkers M, Boysen-Osborn M. Nā ʻokoʻa a me nā kumu kūmū o ka maka ʻulaʻula koʻikoʻi no ke kauka ulia pōpilikia. West J Emerg Med. 2017; 18 (3): 509-517. PMID: 28435504 pubmed.ncbi.nlm.nih.gov/28435504/.

Rubenstein JB, Spektor T. Conjunctivitis: maʻi lele a me ka maʻi ʻole. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 4.6.