Nā maka - bulging

ʻO nā maka ʻōpuʻupuʻu ka protrusion abnormal (bulging out) o hoʻokahi a i ʻole ʻelua mau ʻōlani.

ʻO nā maka makamae paha he ʻano ʻohana. Akā ʻaʻole like nā maka koʻikoʻi me nā maka ʻōpuʻu. Pono e nānā i nā maka ʻōpuʻu e ka mea mālama ola.

ʻO ka maka o ka maka hoʻokahi, keu hoʻi i ke keiki, hiki ke lilo i hōʻailona koʻikoʻi loa. Pono e nānā koke ʻia.

ʻO Hyperthyroidism (ʻo ia hoʻi ʻo maʻi Graves) ʻo ia ke kumu olakino maʻamau o nā maka ʻōhū. Me kēia ʻano, ʻaʻole emo ʻole nā ​​maka a ʻano like me ke ʻano ke nānā aku.

ʻO ka maʻamau, ʻaʻohe keʻokeʻo e ʻike ʻia ma waena o ka piko o ka iris (ka ʻāpana kala o ka maka) a me ka eyelid luna. ʻO ka ʻike pinepine ʻana i ke keʻokeʻo ma kēia wahi he hōʻailona ia o ka maka o ka maka.

Ma muli o ka loli pinepine ʻana o ka maka, ʻaʻole i ʻike ʻia e nā lālā o ka ʻohana a hiki i ka holomua ʻana o ke kūlana. Kuhi pinepine nā kiʻi i ka nānā ʻana i ka ʻōpuʻu ke nānā ʻole ʻia ma mua.

Nā kumu e komo pū paha:

• Glaucoma
• Maʻi maʻi kupapaʻu
• Hemangioma
• Histiocytosis
• Hyperthyroidism
• Leukemia
• ʻO Neuroblastoma
• Cellulitis orbital a i ʻole cellioritis periorbital
• Rhabdomyosarcoma

Pono e mālama ʻia ke kumu e kahi mea hāʻawi. Ma muli o ka maka ʻana o ka maka maka maka i makaʻu i ke kanaka e noʻonoʻo iā ia iho, nui ke kākoʻo naʻau.

Kāhea i kāu mea hāʻawi inā:

• He maka maka kau kou a ʻaʻole i ʻike ʻia ke kumu.
• Hele pū nā maka ʻōpuʻu me nā ʻōuli ʻē aʻe e like me ka ʻeha a me ke kuni.

E nīnau ka mea hāʻawi e pili ana i kāu mōʻaukala olakino a hana i kahi hoʻokolohua kino.

E nīnau ʻia paha kekahi mau nīnau iā ʻoe:

• Kūpoʻo nā maka ʻelua?
• I ka manawa hea ʻoe i ʻike mua ai i nā maka ʻōpuʻu?
• Ke hele nei a ʻinoʻino?
• He aha nā hōʻailona ʻē aʻe āu?

E nānā ʻia kahi kukui-slit. E hana ʻia ka hoʻāʻo ʻana i ke koko no ka maʻi thyroid.

Pili nā mālama i ke kumu. Hāʻawi ʻia nā waimaka artipisyal e lubricate i ka maka e pale ai i kona ʻili (cornea).

Kūpaka nā maka; Exophthalmos; Proptosis; ʻŌpuʻu maka

• Maʻi maʻi kupapaʻu
• ʻO Goiter
• Cellulitis Periorbital

McNab AA. Proptosis i nā makahiki like ʻole. I: Lambert SR, Lyons CJ, hoʻoponopono. ʻO Taylor a me Hoyt's Pediatric Ophthalmology a me Strabismus. 5th lā. Piladelapia, PA: Elsevier; 2017: chap 96.

Olson J. Kauka ophthalmology. I: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Nā Kumuhana a Davidson a me ka hana o ka lāʻau. 23rd Ed. Piladelapia, PA: Elsevier; 2018: chap 27.

ʻO Yanoff M, Cameron JD. Nā maʻi o ka ʻōnaehana ʻike. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 423.