Ululaau Corneal

Anter

• He aha ia ka maʻi kōheo?
• No ke aha e ulu ai nā maʻi kōleo?
• ʻO kerantitis Acanthamoeba
• ʻO Herpes simplex keratitis
• Keratitis fungal
• Nā kumu ʻē aʻe
• He aha nā hōʻailona o ka maʻi kōheo?
• Pehea e ʻike ʻia ai kahi maʻi maʻi kolo?
• He aha ka lāʻau no ka ulcer corneal?
• Mea hoʻoili kolo
• Pehea wau e pale aku ai i ka maʻi kōhe?
• He aha ka manaʻo lōʻihi?

He aha ia ka maʻi kōheo?

Aia ma ka maka o ka maka kahi moʻo o ke kiko i kapa ʻia ʻo ke kō. Ua like ke kīʻaha me ka puka aniani e hiki ai i ke kukui ke komo i ka maka. Pale aku ka waimaka i ka pale ma luna o nā koʻohune, nā mea hoʻomaʻi, a me nā fungi.

ʻO kahi ulcer corneal kahi ʻeha hāmama e hana ʻia ma ke kōkō. Hoʻokumu pinepine ʻia ia e ka maʻi. ʻOiai nā ʻeha liʻiliʻi i ka maka a i ʻole ke erosion e pili ana i ke kau ʻana i nā aniani hoʻopili lōʻihi loa ke alakaʻi i nā maʻi.

No ke aha e ulu ai nā maʻi kōleo?

ʻO ke kumu nui o nā ulcer corneal ka maʻi.

ʻO kerantitis Acanthamoeba

Kū pinepine kēia maʻi i nā mea lawe maka aniani. He maʻi amoebic ia a ʻoiai kākaʻikahi, hiki ke alakaʻi i ka makapō.

ʻO Herpes simplex keratitis

ʻO ka herpes simplex keratitis kahi maʻi viral i kumu i ke ahi o nā liona a me nā ʻeha i ka maka. Hiki i nā mea he nui ke hoʻoulu i nā ahi, me ke koʻikoʻi, hoʻolōʻihi ʻia i ka lā o ka lā, a i ʻole kekahi mea e hoʻonāwaliwali i ka ʻōnaehana pale.

Keratitis fungal

Kūkulu kēia maʻi fungal ma hope o ka hōʻeha ʻana i ka ʻāpiki e pili ana i kahi mea kanu a mea kanu paha. Hiki i ka keratitis fungal ke ulu i ka poʻe me nā ʻōnaehana pale nawaliwali.

Nā kumu ʻē aʻe

ʻO nā kumu ʻē aʻe o nā ulcer corneal:

• maka maloʻo
• ʻeha maka
• nā maʻi hōʻeha
• ke kau nei i nā aniani hoʻopili hoʻopili ʻole
• wikamina A hemahema

ʻO nā kānaka e ʻaahu ana i nā aniani ʻāpana palupalu a i ʻole ʻaihue i nā aniani kilokilo hoʻohana no ka wā lōʻihi (me ka pō) aia i ka hoʻonui ʻia o ka makaʻu no ka hoʻomohala ʻana i nā maʻi kōhe.

He aha nā hōʻailona o ka maʻi kōheo?

Hiki paha iā ʻoe ke ʻike i nā hōʻailona o kahi maʻi ma mua o kou ʻike ʻana i ka maʻi kōheʻe. ʻO nā ʻōuli o ka maʻi he:

• maka ʻili
• maka wai
• hoʻokuʻu pēpē mai ka maka
• lapalapa ʻana a i ʻole nahu i ka maka
• maka ʻulaʻula a ʻulaʻula paha
• ʻike i ka mālamalama

ʻO nā ʻōuli a me nā hōʻailona o ka maʻi kōkō ponoʻī e hoʻopili pū me:

• pehu ka maka
• ʻeha ka maka
• haehae nui loa
• ʻike hihi ʻole
• keʻokeʻo keʻokeʻo ma kāu kōlea
• ʻōpuʻu maka
• hoʻokuʻu a i ʻole ka hoʻokuʻu ʻana o ka maka
• ʻike i ka mālamalama
• ke manaʻo nei e like me kekahi mea i kou maka (ʻano haole kino)

ʻO nā ʻōuli āpau o nā maʻi ʻalalā a koʻikoʻi e mālama koke ʻia e pale i ka makapō. ʻO kahi ulcer corneal ponoʻī e like me kahi hina a keʻokeʻo paha a i ʻole kiko ma ka ʻāpana koloke maʻamau. Liʻiliʻi loa kekahi mau ulcer corneal ke ʻike ʻole me ka hoʻonui ʻole, akā ʻike ʻoe i nā ʻōuli.

Pehea e ʻike ʻia ai kahi maʻi maʻi kolo?

Hiki i ke kauka maka ke ʻike pono i nā ulcer corneal i ka wā o ka hoʻokolohua maka.

Hoʻokahi hōʻike i hoʻohana ʻia e nānā no ka ulcer corneal kahi maʻi maka fluorescein. No kēia hoʻāʻo, kau kahi kauka maka i kahi kulu ʻalani ʻalani ma luna o kahi ʻāpana pepa pepa blotting lahilahi. A laila, hoʻoili ke kauka i ke kala i kou maka ma ka hoʻopili liʻiliʻi ʻana i ka pepa pepa i ka maka o kou maka. A laila hoʻohana ke kauka i kahi microscope i kapa ʻia he kukui slit e hoʻomālamalama i kahi kukui viole kūikawā i kou maka e nānā no nā wahi i hōʻino ʻia ma kāu kolamu. E hōʻike ana ka hōʻino ʻana o ka Corneal i ka ʻōmaʻomaʻo ke ʻā ke kukui uila iā ia.

Inā loaʻa iā ʻoe kahi maʻi ulcer ma kāu koleka, e ʻimi ana kāu kauka maka e ʻike i ke kumu. E hana i kēlā, hiki i ke kauka ke numb i kou maka me nā kulu maka, a laila ʻānai mālie i ka ulcer e kiʻi i kahi laʻana no ka hoʻāʻo ʻana. E hōʻike ka hōʻike inā loaʻa ka ulcer i ka maʻi bacteria, fungi, a i ʻole ka maʻi maʻi.

He aha ka lāʻau no ka ulcer corneal?

I ka manawa e ʻike ai kāu kauka maka i ke kumu o ka ulcer corneal, hiki iā lākou ke kuhikuhi i kahi lāʻau antibacterial, antifungal, a i ʻole antiviral maka lāʻau e mālama ai i ka pilikia ma lalo. Inā maikaʻi ʻole ka maʻi, hiki i kāu kauka ke kau iā ʻoe i nā kulu maka antibacterial ʻoiai lākou e hoʻāʻo nei i ka wili ʻana o ka ulcer e ʻike i ke kumu o ka maʻi. Hoʻohui ʻia, inā puhū a pehu kou maka, pono paha ʻoe e hoʻohana i nā kulu maka corticosteroid.

I ka wā o ka mālama ʻana, e noi paha kāu kauka iā ʻoe e hōʻalo i kēia mau mea:

• kau i nā aniani kaulona
• kāhiko ʻana
• ka lawe ʻana i nā lāʻau ʻē aʻe
• hoʻopā i kou maka pono ʻole

Mea hoʻoili kolo

I nā hihia koʻikoʻi, hiki i ka ulcer corneal ke ʻae i kahi transplant. Hoʻopili kahi transplant corneal i ka wehe ʻana o ke kino o ke koloea a me kona wahi pani me ka mea hāʻawi. Wahi a ka Mayo Clinic, kahi hana kope kope kahi hana palekana. Akā e like me kēlā me kēia kaʻina hana ʻoki kino, aia nā makaʻu. Hiki i kēia ʻoki ke hana i nā pilikia olakino e hiki mai ana e like me:

• hōʻole o ka mea hāʻawi manawaleʻa
• hoʻomohala o ka glaucoma (kaomi i loko o ka maka)
• maʻi maʻi maka
• cataract (ke ao o nā maka aniani)
• pehu o ke kōkea

Pehea wau e pale aku ai i ka maʻi kōhe?

ʻO ke ala ʻoi loa e pale aku ai i nā maʻi kōheʻe e ʻimi i ka lāʻau i ka wā e hoʻomohala ai ʻoe i kahi ʻōuli o ka maʻi maʻi a i ʻole ke ʻeha kou maka.

ʻO nā hana kōkua kōkua ʻē aʻe e pili pū me:

• e hōʻalo nei i ka hiamoe ʻoiai ke kau nei i kāu aniani ʻike
• holoi a hoʻomaʻemaʻe i kāu mau pilikino ma mua a ma hope o ke kau ʻana iā lākou
• holoi i kou mau maka e hemo i nā mea haole
• holoi i kou mau lima ma mua o ka hoʻopā ʻana i kou mau maka

He aha ka manaʻo lōʻihi?

Hiki i kekahi poʻe ke hoʻomohala i ka nalo ʻana o ka hihi me ke kahakaha ʻana o ke kiʻi ma muli o ka scarring ma luna o ka retina. Hiki i nā ulcer Corneal ke hoʻonāukiuki i ka maka o ka maka. I nā hihia maʻamau, ʻeha paha ka maka āpau i ka hōʻino.

ʻOiai he mea hiki ke mālama ʻia nā maʻi ʻalalā, a ʻo ka hapa nui o ka poʻe e ola maikaʻi loa ma hope o ka mālama ʻana, hiki i kahi hōʻemi o ka maka ke ʻike.