Hōʻike Schirmer

Hoʻoholo ka hōʻike Schirmer inā paha e hana ka maka i nā waimaka lawa e mālama i ka māū.

E kau ke kauka maka i ka hopena o kahi peʻe pepa kūikawā i loko o ka eyelid lalo o kēlā me kēia maka. Hōʻaʻo ʻia nā maka ʻelua i ka manawa like. Ma mua o ka hoʻāʻo, hāʻawi ʻia ʻoe i nā kulu numbing maka e pale ai i ka maka o kou maka no ka huhū mai nā pepa pepa.

Hiki ke hoʻololi i ke kaʻina hana kikoʻī. ʻO ka pinepine, pani ʻia nā maka no 5 mau minuke. Pani mālie i kou mau maka. ʻO ka pani paʻa ʻana i nā maka a i ʻole ʻānai ʻana i nā maka i ka wā o ka hoʻāʻo hiki ke hopena i nā hopena hōʻike maikaʻi ʻole.

Ma hope o 5 mau minuke, wehe ke kauka i ka pepa a ana i ka nui o kona lilo i pulu.

I kekahi manawa hana ʻia ka hōʻike me ka ʻole o nā kulu numbing e hoʻāʻo ai no nā ʻano pilikia o ka waimaka ʻē aʻe.

ʻO ka ho'āʻo ʻana o ka ʻulaʻula phenol e like me ka hōʻike Schirmer, koe wale nō nā ʻulaʻula o nā pae kūikawā e hoʻohana ai ma kahi o nā ʻāpana pepa. ʻAʻole pono nā kulu numbing. He 15 kekona ka hōʻoia.

E noi ʻia ʻoe e hemo i kāu aniani a i ʻole nā ​​aniani kuhina ma mua o ka hoʻāʻo.

Hoʻomaopopo kekahi poʻe i ka paʻa ʻana o ka pepa i ka maka e hoʻonāukiuki ai a ʻoluʻolu ʻole paha. Pākuʻi pinepine ka numbing i ka mua.

Hoʻohana ʻia kēia hoʻokolohua ke manaʻo kauka kauka he maka maloʻo kou. ʻO nā ʻōuli me ka maloʻo o nā maka a i ʻole ka hoʻoinu nui ʻana i nā maka.

Ma mua o 10 mm o ka ona mau ma ka pepa kānana ma hope o 5 mau minuke kahi hōʻailona o ka hana haehae maʻamau. Hoʻokuʻu maʻamau nā maka ʻelua i ka nui o nā waimaka.

Ma muli paha nā maka maloʻo mai:

• ʻElemakule
• ʻO ka pehu ʻana a i ʻole ka pehu ʻana o nā lihilihi (blepharitis)
• Hoʻololi ke aniau
• Nā maʻi maʻi a me nā maʻi ʻino
• Nā maʻi o ka maka (ʻo kahi laʻana, conjunctivitis)
• Hoʻoponopono ʻike hihi
• Leukemia
• Lymphoma (maʻi ʻaʻai o ka ʻōnaehana lymph)
• Rheumatoid arthritis
• ʻO ka lihilihi maka a i ʻole ʻoki kino
• ʻO Sjögren maʻi
• Ka hemahema o ka wikamina A

ʻAʻohe pilikia me kēia hōʻike.

Mai hamo i nā maka no ka liʻiliʻi he 30 mau minuke ma hope o ka hoʻāʻo. E haʻalele i nā aniani moʻo no 2 mau hola ma hope o ka hoʻāʻo.

ʻOiai ua loaʻa ka hōʻike Schirmer ma kahi o 100 mau makahiki, ua hōʻike ʻia kekahi mau noiʻi ʻaʻole ia e ʻike pono i kahi hui nui o ka poʻe me ka maka maloʻo. Ke hoʻomohala ʻia nei nā hoʻokolohua hou a ʻoi aku ka maikaʻi. Hoʻokahi kahi hoʻokolohua e ana i kahi mole i kapa ʻia ʻo lactoferrin. ʻO nā kānaka me ka haehae waimaka haʻahaʻa a me nā maka maloʻo he haʻahaʻa ko lākou o kēia mole.

ʻO kahi ana ʻē aʻe e ana ai i ka osmolarity waimaka, ai ʻole pehea e kau ai ka waimaka. ʻO ke kiʻekiʻe o ka osmolarity, ʻo ka maka o ka maka maloʻo ʻoe.

Hōʻike waimaka; Hoʻāʻo haehae; Hōʻike maka maloʻo; Hoʻāʻo hoʻowalewale Basal; Sjögren - Schirmer; Hōʻike a Schirmer

• Maka
• Hōʻike a Schirmer

Akpek EK, Amescua G, Farid M, et al; American Academy of Ophthalmology Preferred Practice kumu Cornea a me ka waho maʻi maʻi Panel. ʻO ke kumu o ka hoʻomaʻamaʻa hoʻomaʻemaʻe makemake ʻia ka maʻi maka. Ophthalmology. 2019; 126 (1): 286-334. PMID: 30366798 www.ncbi.nlm.nih.gov/pubmed/30366798.

ʻO Bohm KJ, Djalilian AR, Pflugfelder SC, Starr CE. Maka maloʻo. I: Mannis MJ, Hōlani EJ, eds. Cornea: Kumumea, Diagnosis and Management. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 33.

Feder RS, Olsen TW, Prum BE Jr, et al. ʻO nā loiloi loiloi maka olakino mākua piha i nā ʻōkuhi kumu hoʻohālikelike makemake ʻia. Ophthalmology. 2016; 123 (1): 209-236. PMID: 26581558 www.ncbi.nlm.nih.gov/pubmed/26581558.