Pehea e hiki mai ai nā waimaka i kou mau maka? E kamaʻilio kākou e pili ana i ka Lacrimal Apparatus!

Loaʻa iā kākou a pau nā manawa e kaumaha ai, e hauʻoli ai, a i kekahi manawa he mau maka waimaka wale nō, ʻeā? Akā, ua noʻonoʻo paha ʻoe pehea i hana ʻia ai kēia mau waimaka, no ke aha i loaʻa ai iā kākou nā waimaka, a he aha ke ʻano kupaianaha ma hope o kēia? ʻO ia ka ʻōnaehana waimaka kupaianaha e pale a hoʻomaʻū i ko kākou mau maka, a i ʻole e like me ka mea i kapa ʻia ma ka ʻepekema lapaʻau, ʻo ka "Lacrimal Apparatus", ʻo ia ka mea a kākou e kamaʻilio ai i kēia lā.

He aha ka ʻōnaehana waimaka? No ke aha he mea nui ia iā mākou?

I ka ʻōlelo maʻalahi, ʻo kāu ʻōnaehana waimaka he pūnaewele paʻakikī o nā glands, nā ʻeke, a me nā ducts e hana i nā waimaka no kou mau maka a wehe i nā waimaka i hoʻohana ʻia. Loaʻa iā ʻoe ʻelua o kēia mau ʻōnaehana, hoʻokahi no kēlā me kēia maka.

E noʻonoʻo iā ia e like me kahi ʻōnaehana hoʻoinu wai e mālama ana i kou lau nahele i ʻōmaʻomaʻo a momona. E like me nā mea pīpī e hoʻoinu ana i kāu māla, nā paipu ma lalo o ka honua, a me kahi ʻōnaehana hoʻokahe wai e hoʻokahe ana i ka wai kahiko, hana pū kēia ʻōnaehana waimaka e mālama i ko mākou mau maka i ke olakino a me ka pulu.

ʻO nā waimaka i hana ʻia e kēia ʻōnaehana, i ʻike ʻia hoʻi ʻo 'lacrimal fluid' ma nā ʻōlelo lapaʻau, e hoʻomaʻū a hoʻowali i ka ʻili o ko mākou mau maka. Mālama lākou i nā wahi koʻikoʻi, ʻoiai ka membrane waho o ke keʻokeʻo o ka maka 'conjunctiva' a me ka membrane moakaka e uhi ana i ka ʻeleʻele o ka maka 'cornea'. ʻAʻole wale ia, holoi pū kēia mau waimaka i ka lepo, ka lepo, a me nā mea hoʻonāukiuki e komo i ka maka. ʻO kahi aʻalolo i loko o ko mākou maka, ʻo ia ka 'Facial Nerve a i ʻole Seventh Cranial Nerve', e hoʻomalu i nā ʻiʻo e pamu i kēia mau waimaka i loko o ka maka a wehe iā lākou.

Pehea e hana ʻia ai a kahe ai nā waimaka?

ʻO kahi nui e hana ʻia ai nā waimaka ma nā kelepa lacrimal, aia ma waho o kou mau lihilihi maka. ʻO kēia kahi e hana ʻia ai ka hui ʻana o ka paʻakai a me ka wai. Ke ʻālohilohi ʻoe, e pālahalaha ana kēia wai ma loko o kou maka. A laila hui pū ʻia me nā mea huna ʻaila mai kekahi ʻano kelepa ʻē aʻe, nā kelepa meibomian, aia ma nā kihi o kou mau lihilihi maka. ʻO ia ka manawa e hana ʻia ai ka kulu waimaka piha.

He mea nui loa kēia papa ʻaila no ka mea ke kāohi nei ia i ka wai mai ka mahu koke ʻana. Eia kekahi, noho kahi liʻiliʻi o kēia ʻaila ma ka lihi o ka lihilihi maka a pale i nā waimaka mai ke kahe ʻana i lalo o ka lihilihi maka.

No laila, ma hope o kou hoʻomaʻemaʻe ʻana a hoʻomaʻū i kou mau maka, pono e hoʻokahe ʻia kēia mau waimaka kahiko mai kou mau maka. ʻO ia ke kumu o ka ʻōnaehana ʻauwai waimaka. Hele kēia mau waimaka ma nā lua liʻiliʻi ma ka ʻaoʻao o kou ihu a hōʻiliʻili ma ke kua o kou ihu. ʻO ia ke kumu ke uē nui ʻoe, manaʻo ʻoe ua paʻa kou ihu a loaʻa iā ʻoe ka ihu wai. Hele nā ​​waimaka keu i loko o kou ihu a i loko o kou puʻu.

He aha nā ʻāpana nui o ka ʻōnaehana haehae?

E nānā kākou i nā ʻāpana nui e hana ana i kēia ʻōnaehana haehae holoʻokoʻa.

• Nā ʻōpū waimaka:Ua like kēia me nā hale hana waimaka nui. Aia kēia mau kelepa ma lalo pono o kou lihilihi luna, ma ke kihi o waho o kou lihilihi. Ua like ko lākou nui me kahi ʻalemona liʻiliʻi. Hoʻopuka lākou i ka wai paʻakai i loko o ko kākou mau waimaka.

• Nā ʻĀkena Meibomian: Aia kēia mau mea ma nā kihi o kou mau lihilihi o luna a me lalo. Hoʻopuka kēia mau ʻākena i nā mea ʻaila e hana ai i kou mau waimaka. ʻO kēia ʻaila, i hui pū ʻia me ka wai mai nā ʻākena waimaka, kōkua i ka hana ʻana i kahi ʻili waimaka ma luna o ka ʻili o kou maka. Kōkua kēia papa ʻaila e mālama i kou mau maka i ka pulu no ka manawa lōʻihi, e pale ana i kou mau waimaka mai ka mahu koke ʻana.

• ʻO ke Puncta Lacrimal: ʻO kēia nā lua liʻiliʻi e hoʻokahe i nā waimaka i hoʻohana ʻia mai kou mau maka. Aia kēia mau lua (punctum - singular, puncta - plural) ma nā kihi o loko o kou mau lihilihi luna a me lalo, e kū pono ana i kou ihu. I kēlā me kēia manawa āu e ʻālohilohi ai, hana kēia mau lua e like me nā kiwikā liʻiliʻi, e huki ana i nā waimaka kahiko mai kou mau maka.

• ʻEke Lacrimal: ʻO nā waimaka e puka mai ana mai nā ʻauwai waimaka e hōʻiliʻili i loko o kēia mau ʻeke lacrimal. Aia kēia mau mea ma ke kihi o loko o ka maka, ma nā ʻaoʻao ʻelua o ka ihu. Hana kēia mau ʻeke e like me kahi pahu liʻiliʻi no ka manawa pōkole e pale ana i nā waimaka kahiko mai ke kahe hou ʻana i loko o nā ʻauwai waimaka.

• ʻAuwai Nasolacrimal (Nā ʻAuwai Waimaka): ʻO kēia ka mea a mākou e kapa pinepine ai he mau ʻauwai waimaka. ʻO nā waimaka kahiko e puka mai ana ma o nā ʻauwai waimaka a me nā ʻeke waimaka e kahe hope loa i lalo o kēia mau ʻauwai ma nā ʻaoʻao ʻelua o ka ihu. Pau kēia mau ʻauwai ma ke kua o ka ihu. E like me kā mākou i ʻōlelo ai ma mua, ʻo ia ke kumu e puka mai ai ka wai mai kou ihu ke uē ʻoe.

E noʻonoʻo wale, ua pili kēia mau ʻāpana a pau a hana pū ma ke ʻano he hui, ʻo ia ke kumu e olakino mau ai ko kākou mau maka a maʻemaʻe. Inā he pilikia liʻiliʻi ma kekahi ʻāpana, hiki iā ia ke hoʻopilikia i ka ʻōnaehana holoʻokoʻa.

He aha nā kūlana maʻamau e hoʻopilikia ai i kā mākou ʻōnaehana waimaka?

I kekahi manawa, hiki ke kū mai nā pilikia like ʻole i loko o kēia ʻōnaehana haehae. Eia kekahi o nā kūlana maʻamau a mākou e ʻike ai i ka wā e hana ʻia ai kēia:

• Maka Maloʻo: He pilikia maʻamau kēia no nā kānaka he nui. Ke ʻole ka nui o nā waimaka e hana ai nā maka, a i ʻole ke emi iho ka maikaʻi o nā waimaka a lākou e hana ai (no ka laʻana, ke emi iho ka nui o ka ʻaila i hana ʻia e nā kelepa meibomian), hiki i nā maka ke maloʻo, ʻulaʻula, a me ka maneʻo. I kekahi manawa, hiki ke manaʻo ʻia he mea i loko o nā maka.

• Ka haehae nui ʻana (Epiphora): ʻO ke kū'ē kēia. Manaʻo ia he nui loa nā waimaka e puka mai ana, a i kekahi manawa e kahe paha nā waimaka ma kou mau papālina. Hiki paha kēia ma muli o ka hoʻonui ʻia ʻana o ka hana ʻana o ka waimaka, a i ʻole ma muli paha o kahi ālai ʻana i nā ala waimaka e pale ai i nā waimaka mai ka kahe pono ʻana.

• Ka Pale ʻana o ka ʻAuwai Nasolacrimal:He mea maʻamau kēia ʻano i nā pēpē ʻōpio. No ka mea ʻaʻole i wehe piha ʻia nā ʻauwai waimaka, hiki i nā waimaka ke hōʻiliʻili i loko o ka maka, i kekahi manawa e alakaʻi ai i nā maʻi.

• Dacryoadenitis: ʻO kēia ka pehu ʻana a me ka mumū o nā ʻōpū waimaka . Hiki ke hana ʻia kēia e kahi maʻi a i ʻole nā ​​kumu ʻē aʻe.

• ʻO Dacryocystitis: He mumū a maʻi paha kēia o ka ʻeke lacrimal. Hoʻokumu pinepine ʻia kēia e ka paʻa ʻana o ke ala waimaka.

Pehea ʻoe e ʻike ai inā he pilikia me ka ʻōnaehana waimaka?

Aia kekahi mau hōʻailona koʻikoʻi e hōʻike ana paha ʻoe i kahi pilikia me kāu ʻōnaehana waimaka. ʻO ka mea nui loa, inā ʻoe e maloʻo mau ana nā maka, a inā he waimaka wai kou (`Epiphora`) , he hōʻailona paha ia he hewa kekahi mea me kāu ʻōnaehana waimaka.

E noʻonoʻo, inā ʻaʻole hana pono kāu mau ʻōpū Meibomian, ʻaʻole lākou e hana i ka ʻaila lawa no kou mau waimaka. A laila, ʻaʻole e noho pono nā waimaka i loko o kou mau maka, a e mae koke lākou, a i ʻole e holo lākou mai kou mau maka. Manaʻo paha ʻoe e hoʻokahe ana ʻoe i nā waimaka hou aku, akā ʻo ka mea e hana nei, ʻaʻole hiki i kou mau maka ke mālama pono i nā waimaka a lākou e hana ai.

No laila, inā ʻike ʻoe i kekahi mea ʻokoʻa i kou mau maka - ʻoiai inā he mea liʻiliʻi e like me nā maka maloʻo - ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kahi loea mālama maka (Ophthalmologist) e nānā ʻia. A laila hiki iā lākou ke hoʻomaopopo pono i ka mea i hewa a hāʻawi i ka lāʻau lapaʻau e pono ai.

Pehea lā e mālama ai i ko kākou ʻōnaehana waimaka i ke olakino?

E like me ko kākou mau maka, pono kākou e mālama pono i kēia ʻōnaehana waimaka.

• E hana i nā hoʻokolohua maka i nā manawa maʻamau: ʻAʻole wale ke kauka e nānā i kou ʻike, akā, i ke olakino holoʻokoʻa o kou mau maka, me ka hana ʻana o kāu ʻōnaehana waimaka.
• Inā ʻike ʻoe i kekahi mau loli i kou ʻike, e haʻi koke i kāu kauka. Inā ʻoe e komo i nā aniani a i ʻole nā ​​​​aniani hoʻopili, e nānā mau iā lākou a hoʻololi iā lākou inā pono.
• Inā loaʻa iā ʻoe kahi maʻi e like me ka maʻi diabetes mellitus, pono ʻoe e ʻike i kahi ophthalmologist ma ka liʻiliʻi hoʻokahi manawa i ka makahiki, no ka mea hiki i ka maʻi diabetes ke hoʻopilikia i nā maka.
• E komo i ka pale maka kūpono i ka wā e pāʻani ai i nā haʻuki a i ʻole e hana ana i kahi hana e hiki ke hoʻoweliweli i nā maka.

Hōʻuluʻulu Manaʻo (Leka Lawe-Home)

Ua maopopo paha iā ʻoe i kēia manawa ʻaʻole wale ko kākou ʻōnaehana lacrimal kahi e hana ʻia ai nā waimaka, he ʻōnaehana koʻikoʻi ia e hoʻowali ai, pale, a mālama i ko kākou mau maka i ke olakino. Kōkua nā waimaka i hana ʻia e kēia ʻōnaehana i ko kākou mau maka e hana pono a noho olakino.

No laila, inā loaʻa iā ʻoe nā maka maloʻo a i ʻole ka manaʻo o nā maka waimaka, mai hoʻowahāwahā wale iā ia e like me ka mea maʻamau a ʻike i ke kauka maka. ʻOiai hiki ke hana ʻia kēia mau hōʻailona e nā mea liʻiliʻi, hiki iā lākou ke lilo i hōʻailona o kahi kūlana e hiki ke hōʻino i kou mau maka a i ʻole ka ʻike inā ʻaʻole mālama ʻia. ʻOiai ke kumu, hiki i nā kauka ke kōkua i ka hoʻihoʻi ʻana i ke kaulike i kāu ʻōnaehana waimaka.

No laila, e mālama pono i kou mau maka, no ka mea, ʻo ia nā waiwai makamae loa e kōkua iā ʻoe e ʻike i ke ao nei!

ʻO nā waimaka, ʻōnaehana waimaka, mea hana waimaka, olakino maka, maka maloʻo, haehae, nā maʻi maka