Ptosis - nā pēpē a me nā keiki

ʻO Ptosis (eyelid drooping) i nā pēpē a me nā keiki ke haʻahaʻa ka maka o luna ma mua o ka mea. Hiki paha kēia i hoʻokahi a ʻelua paha mau maka. Hulu ka lihilihi i kū i ka hānau ʻana a i ʻole i loko o ka makahiki mua i kapa ʻia he ptosis congenital.

ʻO ka Ptosis i loko o nā pēpē a me nā keiki ma muli o ka pilikia me ka mākala e hoʻāla i ka maka maka. Hiki i kahi pilikia nerve i ka eyelid ke kumu iā ia e hiolo.

Hiki paha i Ptosis ma muli o nā kūlana ʻē aʻe. ʻO kekahi o kēia mau mea:

• Trauma i ka wā hānau (e like me ka hoʻohana ʻana o ka forceps)
• Nā pilikia neʻe o ka maka
• Nā pilikia lolo a me nā ʻōnaehana
• ʻO nā kūpaka eyelid a i ʻole nā ​​ulu ʻana

E hāʻule ana ka eyelid drooping e kū ma hope i ka wā kamaliʻi a i ʻole ke kanaka makua.

NA HIMENI

Hiki i nā keiki me ptosis ke kuli i ko lākou poʻo i hope e ʻike. Hiki iā lākou ke hāpai i ko lākou mau kuʻemaka e hoʻāʻo e hoʻoneʻe i ka lihilihi i luna. E ʻike paha ʻoe:

• Ke kuʻi ʻana i kekahi o nā eyelids ʻelua a ʻelua paha
• Hoʻonui i ka haehae ʻana
• ʻO ka hihiʻo paʻa (mai ka ʻōniu maka weliweli)

NA HOAILONA ME NA KANAWAI

E hana ka mea mālama ola i kahi hoʻokolohua kino e hoʻoholo ai i ke kumu.

Hana pū paha ka mea hāʻawi i kekahi mau hoʻokolohua:

• Ninaninau kukui-uila
• ʻO ka hoʻoneʻe Ocular (hoʻoneʻe maka) hoʻāʻo
• Hōʻoia kahua kahua

Hana ʻia paha nā hoʻokolohua ʻē aʻe e nānā i nā maʻi a i ʻole nā ​​maʻi e loaʻa ana i ptosis.

LAWAIA

Hiki i ka ʻokiʻoki hāpai maka ke hoʻomaikaʻi i nā lihilihi o luna o ka maka.

• Inā pili ʻole ka ʻike, hiki i ke ʻoki ke kali a hiki i ka makahiki 3 a 4 i ka wā i ulu nui ai ke keiki.
• I nā hihia koʻikoʻi, pono ka ʻoki koke i mea e pale aku ai i ka "maka palaualelo" (amblyopia).

E mālama pū ka mea hāʻawi i nā pilikia o ka maka mai ptosis. Pono paha kāu keiki e:

• E kau i kahi pale maka e hoʻoikaika i ka hihiʻo i ka maka nāwaliwali.
• E komo i nā aniani kūikawā e hoʻoponopono i ka piko kaulike o ke kornea e hiki ai ke ʻike i ka hihi (astigmatism).

Pono nā keiki me ka ptosis mālie e nānā i nā maka e ʻike pono ʻole e ulu ka amblyopia.

Hana maikaʻi ke kahakaha no ka hoʻomaikaʻi ʻana i ka nānā a me ka hana o ka maka. Pono kekahi mau keiki ma mua o hoʻokahi oʻoki.

Kāhea i kāu mea hāʻawi inā:

• Hoʻomaopopo ʻoe i ka loaʻa ʻana o ka maka o kāu keiki
• Kūlele a paʻa paʻa paha kekahi eyelid

Blepharoptosis - keiki; Ptosis hānau; Holo ka maka - keiki; Pākuʻi ka maka - amblyopia; Holo ka maka - astigmatism

• Ptosis - hāʻule ka lihilihi maka

ʻO Dowling JJ, ʻAkau KN, Goebel HH, Beggs AH. ʻO myopathies kūnewa a me nā ʻano ʻē aʻe. I: Darras BT, Jones HR, Ryan MM, DeVivo DC, eds. Nā maʻi Neuromuscular o ke pēpē, ke kamaliʻi, a me ka ʻōpio. ʻElua ed. Waltham, MA: Elsevier Academic Press; 2015: chap 28.

Olitsky SE, Marsh JD. Nā kūpono ʻole o nā poʻi. 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 642.