Ke hiamoe nei me kou mau maka hāmama: ka mea āu e ʻike ai
Anter
- Ke hiamoe nei au me ka hāmama o koʻu mau maka?
- He aha nā hōʻailona?
- Nā kumu o ka hiamoe me kou mau maka hāmama
- Ke kipa nei i kāu kauka
- He aha nā pilikia o ka hiamoe me kou mau maka?
- Pehea e mālama ai i nā ʻōuli i hoʻokumu ʻia e ka hiamoe ʻana me kou mau maka i hāmama
- Nā Lapaʻau
- ʻOki kino
- He aha ka kuanaʻike?
Ke hiamoe nei au me ka hāmama o koʻu mau maka?
Ke ala nei ʻoe i kēlā me kēia kakahiaka me he mea lā he one one i kou mau maka? Inā pēlā, hiki iā ʻoe ke hiamoe me kou mau maka hāmama.
Me he mea lā he ʻano ʻano ʻē wale ia, akā hiki ke weliweli no kou mau maka inā haʻalele ʻole ʻia no kahi wā lōʻihi. ʻO ka hiamoe ʻana me kou mau maka hāmama e kuhikuhi ʻia i nā lagophthalmos nocturnal. Hoʻokumu pinepine ʻia ʻo Lagopthalmos e nā pilikia me nā aʻa a i ʻole nā mākala i ka maka e paʻakikī e hoʻopaʻa paʻa i kou mau maka.
ʻAʻole paha ʻoe e ʻike inā hiamoe ʻoe me kou mau maka ke ʻole haʻi haʻi iā ʻoe e hana ana ʻoe, akā inā ʻoe e ala aʻe me nā ʻōuli o ka maka maloʻo, e like me ka ʻeha, ʻulaʻula, a me ka ʻike maka blurry, he mea maikaʻi paha e nānā i loko. me kāu kauka.
He aha nā hōʻailona?
Blink mākou i ke ao a pani mākou i nā lihilihi i ka pō no ke kumu maikaʻi loa. Uhi ka uhi maka i ka ʻōmaka me kahi lahilahi o ka wai waimaka. Kōkua ka waimaka i ka mālama ʻana i kahi wahi pulu no nā keena o ka maka e holo pono. Kōkua ka wai waimaka i ka pīpī i ka lepo a me nā ʻōpala.
Me ka ʻole o ka lubrication kūpono, hiki i ka maka ke hoʻopōʻino, wili ʻia, a i ʻole ke maʻi ʻino. Pili nā ʻōuli o ka nocturnal lagophthalmos i ka hoʻomaloʻo ʻana i ka ʻaoʻao o waho o ka maka.
Pākuʻi ʻia lākou:
- ʻulaʻula
- ʻike hihi ʻole
- lapalapa ʻana
- hoʻonāukiuki
- ʻākala
- ʻālohilohi kukui
- ke manaʻo nei e like me ka ʻānai ʻana o kekahi mea i kou maka
- hiamoe maikaʻi ʻole
Nā kumu o ka hiamoe me kou mau maka hāmama
Pili pinepine ka Nocturnal lagophthalmos i kahi pilikia me nā mākala a me nā aʻa o ka maka. ʻO nā mea āpau e hoʻonāwaliwali ai palalysis paha i ka mākala orbicularis oculi (ʻo ka mākala e pani ana i nā lihilihi), hiki ke alakaʻi i ka hiamoe me nā maka hāmama. Aia kekahi mau laʻana:
- Pāleo ʻo Bell
- hōʻeha a hōʻeha paha
- hahau
- kahi tumo, a i ʻole kahi ʻoki e wehe i kahi tumo kokoke i ke aʻalolo helehelena, e like me kahi neuroma acoustic
- nā maʻi neuromuscular
- nā kūlana autoimmune, e like me Guillain-Barré Syndrome
- Moebius Syndrome, kahi ʻano maʻamau i hōʻike ʻia e nā palsies nerve cranial
Hiki iā ia ke kumu ʻia e kahi maʻi, me:
- Maʻi Lyme
- maʻi puʻupuʻu
- puʻupuʻu
- polio
- lepera
- diphtheria
- botulism
Hiki ke kumu ʻia ka nocturnal lagophthalmos e ka hōʻino kino ʻana i nā lihilihi. ʻO ke kuʻemaka ʻana o ka eyelid a i ʻole ka scarring mai ke kuni ʻana a i ʻole nā ʻeha ʻē aʻe hiki ke hōʻino i ka maka maka a hoʻoliʻiliʻi hiki ʻole ke pani piha. ʻO nā maka makaʻu a palu paha (exophthalmos) i hoʻokumu ʻia e Graves 'ophthalmopathy, kahi kūlana i ʻike pinepine ʻia i ka poʻe me ka nui o ka thyroid (hyperthyroidism), hiki iā ia ke lilo i mea paʻakikī e pani i nā maka maka.
No kekahi poʻe, hiamoe me ka maka hāmama ʻole o ke kumu. E holo paha i loko o nā ʻohana. ʻOi aku ka maka o ka maka, ʻo nā maka maka mānoanoa loa o luna a me lalo hoʻi ke pale aku i kekahi mai ka hiki ke pani piha i ko lākou mau maka i ka pō.
Ke kipa nei i kāu kauka
E nīnau ana kāu kauka iā ʻoe e pili ana i kāu mōʻaukala. E ʻike pono iā ʻoe e haʻi i kāu kauka e pili ana i nā hōʻeha, nā maʻi, nā maʻi āpau, a i ʻole nā ʻoki ʻana e pili ana i ke poʻo, ka maka, a me nā maka.
I kāu koho ʻana, e nīnau paha kāu kauka iā ʻoe i kekahi mau nīnau, e like me:
- Pehea ka lōʻihi o kou loaʻa ʻana i nā ʻōuli?
- ʻOi aku ka maikaʻi o kāu mau hōʻailona ke ala ʻoe? Hoʻomaikaʻi paha lākou i ka lā holoʻokoʻa?
- Hoʻohana paha ʻoe i kahi peʻa o ke kaupaku a i ʻole kekahi mehana e a me nā ʻenekini hōʻoluʻolu me nā ea i ka pō?
- Ua haʻi mai paha kekahi iā ʻoe ua hāmama hapa ʻia kou mau maka ke hiamoe ʻoe?
Inā kānalua kāu kauka ke hiamoe nei ʻoe me ka maka o kou mau maka, e noi paha lākou iā ʻoe e hana i kekahi mau hana i mea e nānā ai i kou mau maka ke pili lākou. ʻO kahi laʻana, noi paha ʻoe e moe i lalo a palupalu e hoʻopaʻa i nā maka ʻelua, me he mea lā e hiamoe ana ʻoe. E nānā kāu kauka i ka mea e hana ai i kou lihilihi ma hope o ka hala ʻana o hoʻokahi minuke a ʻelua paha. Nānā paha lākou e ʻike inā wili ka eyelid a i ʻole wehe iki iā ia iho.
ʻO nā hōʻike ʻē aʻe kekahi:
- ana i ka hakahaka ma waena o kou eyelids me ka luna
- ana i ka nui o ka ikaika e hoʻopau ai i kou mau maka ke ʻapo ʻoe
- kahi hoʻāʻo ipukukui slit, kahi e hoʻohana ʻia ai kahi microscope a me ka mālamalama e nānā i kou mau maka
- kahi hoʻāʻo o ka maka fluorescein e ʻike ai inā he mau hōʻailona o ka hōʻino o kou maka
He aha nā pilikia o ka hiamoe me kou mau maka?
Hiki i ka make nui o ka maka ke alakaʻi i nā pilikia koʻikoʻi, e like me:
- nalo o ka hihiʻo
- nā maʻi i ka maka
- hoʻonui i ka makaʻu o ka ʻeha a ʻeha paha i ka maka
- hōʻike keratopathy (hōʻino i ke kornea, ka papa waho loa o ka maka)
- ʻoki koleka (kahi ʻeha ākea ma ke kole)
Pehea e mālama ai i nā ʻōuli i hoʻokumu ʻia e ka hiamoe ʻana me kou mau maka i hāmama
Koi paha kāu kauka i ka hoʻohana ʻana i nā google ona i ka pō e kōkua i ka hoʻohaʻahaʻa i kou mau maka ke hiamoe ʻoe. Hiki iā ʻoe ke hoʻāʻo i kahi humuhū. ʻO kahi kaumaha o ka eyelid o waho, i hoʻokomo ʻia ma waho o kou mau lihilihi luna i ka pō, a i ʻole ka lipina ʻoki, hiki ke kōkua i ka paʻa o kou mau maka.
Nā Lapaʻau
E mālama i ka maka i ka lubricated, e kuhikuhi paha kāu kauka iā ʻoe i nā lāʻau, e like me:
- kulu ka maka
- waimaka ʻimi, i lawelawe ʻia ma ka liʻiliʻi ʻehā mau manawa i kēlā me kēia lā
- mea hamo ophthalmic e pale aku ai i nā ʻōpala
ʻOki kino
I nā hihia koʻikoʻi o ka lōlō, pono ʻoe i kahi implant ʻoki lāʻau. Hana like kēia ʻōmaka ʻōmaka e like me ka paona o ka maka e kōkua ai i ka pani o ka maka o luna, akā he hopena paʻa mau ia.
I ka wā o ke kaʻina hana pōkole, e hana kāu kauka i kahi ʻoki liʻiliʻi ma waho o kou lihilihi pono ma luna pono o nā lī. Hoʻokomo ʻia ka mea hoʻokomo gula i loko o kahi ʻeke liʻiliʻi i ka maka maka a paʻa i ke kūlana me nā humuhumu. Hoʻopaʻa ʻia ka ʻoki me nā humuhumu a hoʻopili ʻia kahi hamo antibiotic i ka eyelid.
Ma hope o ke kahakaha ʻana, ʻike paha ʻoe i kekahi o kēia mau mea, akā pono lākou e hele i ka manawa.
- pehu
- hoʻoluhi
- ʻulaʻula
- ʻāpala
Maliʻa iki paha ka mānoanoa o ka eyelid, akā ʻike pinepine ʻole ʻia ka implant.
He aha ka kuanaʻike?
ʻO ka hiamoe ʻana me kou mau maka hāmama ʻole ka mea maʻamau, a hiki ke hoʻokele ʻia me nā hāʻina maʻalahi, e like me nā kulu maka, nā poʻi poʻi, a me nā mea hoʻāhu. Eia nō naʻe, hiki ke lilo i hōʻailona o kahi kūlana ʻē aʻe.
He mea nui e kipa aku i kāu kauka inā loaʻa iā ʻoe ka pilikia e pani i kou mau maka e hiamoe a ʻike paha ʻoe i ka huhū nui o kou mau maka i ka lā holoʻokoʻa. ʻO ka papa ʻoi loa o ka hana e mālama i ka lagopthalmos nocturnal ma mua o ka lilo ʻana i pilikia nui.
ʻOiai i nā hihia koʻikoʻi, ʻo ke kīʻaha implant kahi palekana a maikaʻi no ka hiamoe ʻana me ka maka o nā maka. ʻAʻole ia e lawe wale i kahi 90 pākēneka helu kōlea, akā hiki ke hemo maʻalahi i nā implants inā pono.