Ua ala aʻe ʻoe i ke kakahiaka a manaʻo ua pipili kou mau maka, ua ʻulaʻula nā lihi o kou mau lihilihi maka, ua ʻā, a ua pehu iki? Ua ʻike paha ʻoe i nā ʻili liʻiliʻi a puni kou mau lihilihi maka. He ʻano kēia e hoʻopilikia ai i nā poʻe he nui a he mea hoʻonāukiuki iki. E kamaʻilio mākou e pili ana i kēia i kēia lā. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano ʻo Blepharitis. ʻOiai he ʻano ʻē ka inoa, ʻaʻohe mea e makaʻu ai. E nānā kākou i ke ʻano maoli, no ke aha e kū mai ai, a me kāu mea e hiki ai ke hana e pili ana i ia mea.
I ka ʻōlelo maʻalahi, he aha ka Blepharitis?
ʻO ka Blepharitis kahi mumū o nā lihi o kou mau lihilihi maka, kahi e ulu ai kou mau maka. Ua like ia me kahi ʻeha ʻili e hoʻolilo ai i ka ʻili i ʻulaʻula a pehu. Hiki i nā lihi o kou mau lihilihi maka ke lilo i ʻulaʻula, i kekahi manawa he ʻeleʻele iki, a hiki ke pehu a ʻāwili. Hoʻopilikia pinepine kēia ʻano i nā maka ʻelua.
Hiki ke loaʻa kekahi mau kumu no kēia. Hiki ke loaʻa ma muli o kekahi maʻi ʻē aʻe ma kou ʻili, kahi maʻi bacteria, a i ʻole kahi paʻa i loko o nā ʻōmole ʻaila i loko o kou mau lihilihi maka. I kekahi manawa, hiki i kēia mau kumu āpau ke hui pū e hana i kēia maʻi.
ʻO ka mea nui, ʻaʻole laha ka blepharitis a ʻaʻole ia e lilo i mea e nalowale ai kou ʻike. Eia nō naʻe, hiki ke hoʻonāukiuki iki, no laila he mea nui e makaʻala iā ia.
Inā ʻoe e nīnau i ka maʻamau o kēia ʻano, ʻōlelo nā kauka maka a me nā kauka maka ua kokoke i ka hapalua o nā maʻi a lākou e ʻike ai he mau hōʻailona o Blepharitis. No laila hiki iā ʻoe ke ʻike i ka maʻamau o kēia ʻano. Hiki iā ia ke hoʻopilikia i nā pākeke a me nā keiki, a hoʻopilikia ia i nā kāne a me nā wahine.
ʻElua mau ʻano nui o ka blepharitis:
Hiki ke hoʻokaʻawale ʻia ka Blepharitis i ʻelua ʻano nui, ma muli o kahi e loaʻa ai ka mumū. Ke hoʻomaopopo pono ʻia kēia, e maʻalahi ka mālama ʻana.
1. ʻO ka Blepharitis mua: Hana ʻia kēia ma waho o ka lihilihi maka, kahi e ulu ai nā maka. E noʻonoʻo i ka lihi o kou lihilihi maka e lilo ana i ʻulaʻula, pehu, a i ʻole he wahi ʻōpala a palupalu ma waena o kou mau maka. ʻO ia ke ʻano o kēia ʻano.
2. Posterior Blepharitis: Hoʻokumu ʻia kēia e nā kelepa meibomian, nā kelepa ʻaila liʻiliʻi ma loko o nā lihilihi maka. Hoʻokuʻu kēia mau kelepa i ka ʻaila e hana ai i ko mākou mau waimaka. Hiki ke hana ʻia kēia ʻano ke ālai ʻia kēia mau kelepa a i ʻole ke mānoanoa ka ʻaila a lākou e hana ai.
Loaʻa iā ʻoe kēia mau hōʻailona?
Nui nā hōʻailona o ka blepharitis. Ua ʻike paha ʻoe i hoʻokahi a ʻoi aku paha o kēia mau mea. E nānā kākou i nā hōʻailona nui.
| Hōʻailona | Wehewehena |
|---|---|
| Pehu/ʻaila o ka lihilihi maka | Pehu a kaumaha nā lihilihi maka. Hiki ke ʻano ʻaila. |
| ʻUlaʻula, maneʻo, a me ka mumū o nā maka | ʻUlaʻula koʻu mau maka a maneʻo mau. Me he mea lā he ʻā a me ka wela i loko. |
| Nā ʻili ma nā maka | Hiki ke pipili kou mau lihilihi maka, ʻoiai ke ala ʻoe i ke kakahiaka. Aia paha he mau ʻili melemele a puni kou mau lihilihi maka. |
| Ke ʻili ʻana i ka ʻili a puni nā maka | E like me ka dandruff, hemo ka ʻili ma waena o nā maka a puni nā maka. |
| Nā maka maloʻo a i ʻole ka haehae nui ʻana | Ua maloʻo koke kou mau maka, a ua kahe paha nā waimaka e like me ka wai me ke kumu ʻole. |
| Ka paʻakikī i ka nānā ʻana i ka mālamalama (Photophobia) | He paʻakikī ke nānā aku i ke kukui ʻālohilohi, lilo nā maka i polū. |
| ʻIke pōwehiwehi | He ʻano pōwehiwehi iki koʻu ʻike. Nalo koke ia no kekahi manawa ke ʻimo au. |
| Nā makamaka e hāʻule ana i waho | Inā hoʻomau kēia ʻano no ka manawa lōʻihi, e hāʻule paha nā maka maka. |
No ke aha mākou e loaʻa ai i ka Blepharitis? He aha nā kumu?
ʻAʻohe kumu hoʻokahi no ka blepharitis. Nui nā kumu hiki. ʻOkoʻa nā kumu ma muli o nā ʻano ʻelua a mākou i kūkākūkā ai ma mua.
Nā kumu o ka Blepharitis mua
- Seborrheic Dermatitis: Inā he dandruff kou ma kou poʻo, hiki i kēlā dandruff ke piʻi i kou mau maka maka a hoʻoulu i kēia mumū.
- Nā maʻi ʻili (Acne Rosacea ): ʻO Rosacea kahi maʻi e hoʻoulu ai i ka ʻili ma ka maka e lilo i ʻulaʻula a pehu. Hiki iā ia ke hoʻopilikia i nā lihilihi maka.
- Nā Allergies: Inā loaʻa iā ʻoe kahi allergy i ka hopena lens contact, nā kulu maka, a i ʻole ka makeup (mascara, eyeliner) āu e hoʻohana ai, e pehu paha kou mau lihilihi.
- Nā Maka Maloʻo: Ke emi ka hana ʻana o ka waimaka i loko o nā maka, emi iho ka hiki ke pale aku i ka bacteria a hiki ke loaʻa nā maʻi.
- Nā ʻuku Demodex: He ʻuku liʻiliʻi ʻike ʻole ʻia ʻo Demodex e noho mau ana ma ko kākou ʻili. Ke hoʻonui ʻia kēia mau ʻuku ma nā lihilihi o kekahi poʻe, hiki i kā lākou mau mea huna ke hoʻoulu i ka mumū.
Nā kumu o ka Blepharitis Posterior
- ʻO ka Meibomian Gland Dysfunction (MGD): ʻO kēia ke kumu nui o ka posterior blepharitis. Ke kahe pono ʻole ka ʻaila mai kēia mau kelepa ʻaila ma loko o nā lihilihi maka a paʻa, maloʻo nā maka, pehu, a maʻi. E noʻonoʻo iā ia e like me kahi paipu i paʻa i loko o ka poho holoi kīhini.
- Nā maʻi ʻili (Acne rosacea ) a me ka dandruff: Hiki i kēia mau kūlana ʻelua ke hoʻopilikia i ka hana o nā kelepa meibomian.
Nīnau kekahi poʻe, "He maʻi anei kēia i hoʻokumu ʻia e ka lepo?" ʻOiaʻiʻo, ʻaʻole ia he ʻoiaʻiʻo loa. ʻAʻohe o mākou e hoʻomaʻemaʻe i ko mākou mau maka i kēlā me kēia lā. Eia nō naʻe, inā ʻoe kekahi e pilikia ana i ka loaʻa ʻana o ka Blepharitis (e.g., he dandruff, ʻili ʻaila), he mea nui loa ia e makaʻala kūikawā i ka maʻemaʻe o kou mau maka.
Pehea e ʻike ai ke kauka i kēia?
Inā kānalua ʻoe he blepharitis kou, ʻoi aku ka maikaʻi o ka ʻike ʻana i kahi kauka maka. E hana ke kauka i kekahi mau hoʻokolohua e hōʻoia i kēia.
- E nīnau lākou iā ʻoe e pili ana i kou mōʻaukala olakino: he aha kāu mau hōʻailona, pehea ka lōʻihi o kou loaʻa ʻana iā lākou, a inā he mau maʻi ʻē aʻe kāu (e like me ka maʻi diabetes a i ʻole nā maʻi ʻili).
- E nānā i kou mau lihilihi: Me ka hoʻohana ʻana i kahi mea hana kūikawā (kukui slit), e nānā pono ʻia kou mau lihilihi, ko lākou mau lihi, ka ʻili, a me ke ʻano o kou mau maka maka. Hiki ke hoʻoholo ʻia ke ʻano a me ke koʻikoʻi o ke ʻano e nā mea e like me ka pehu ʻana, ka ʻulaʻula, a me ka ʻili ʻana.
- Ke ho'āʻo ʻana i kahi hāpana o ka pus: I kekahi manawa hiki ke lawe ʻia kahi swab mai ka lihilihi a hoʻouna ʻia i kahi lab e ʻike ai i ke ʻano o ka bacteria i loaʻa.
- Hoʻāʻo ʻili waimaka: Hiki ke hana i nā hoʻokolohua kūikawā e ʻike ai inā he maʻi maka maloʻo kou.
- Biopsy: Hana kākaʻikahi ʻia kēia. Inā wale nō he kānalua no kahi maʻi ʻoi aku ka koʻikoʻi, e like me ke kanesa ʻili, e wehe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka lihilihi maka ma ka hoʻomānoʻo ʻana a me ka nānā ʻana iā ia.
Nā lāʻau lapaʻau a me nā lāʻau lapaʻau home
Aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana ma ka home e kōkua i ka mālama ʻana i ka blepharitis. He mea nui e hoʻolilo i kēia i mea maʻamau i kēlā me kēia lā.
1. Nā ʻūmiʻi mahana:
- E lawe i kahi lole maʻemaʻe a hoʻomohu i loko o ka wai wela e like me kou hiki.
- E ʻomi maikaʻi i ka wai, e pani i kou mau maka, a kau ma luna o kou mau lihilihi no 5-10 mau minuke.
- E kōkua kēia wela i ka wehe ʻana i nā ʻili a me ka ʻaila i paʻa ma kou mau lihilihi, e maʻalahi ai ka hoʻomaʻemaʻe ʻana. E hana i kēia i ʻelua a ʻekolu paha manawa i ka lā.
2. Nā ʻūlū maka:
- ʻOi aku ka maikaʻi o ka hana ʻana i kēia ma hope o ka ʻauʻau wela.
- E kāwili i kekahi mau kulu o ka shampoo pēpē (ke ʻano ʻaʻole e hoʻokahe i ka waimaka) me kahi wai maʻemaʻe e hana i kahi wai lahilahi.
- E hoʻomohu i kahi pulupulu maʻemaʻe a i ʻole kahi lole maʻemaʻe i loko o kēia wai a holoi mālie ma ka lihi o kou mau maka maka.
- A laila holoi maikaʻi me ka wai maʻemaʻe a wehe.
- Mai hoʻohana i ka ʻōpuʻu pulupulu like i hoʻohana ʻia no kekahi maka ma ka maka ʻē aʻe.
3. E noho mamao mai ka hoʻonani ʻana:
- ʻOi aku ka maikaʻi o ka pale ʻana i ka hoʻohana ʻana i ka makeup (mascara, eyeliner) a puni nā maka i kēia wā. Hiki i kēia ke hoʻonui hou aku i ka mumū.
4. Nā meaʻai waiwai i ka Omega-3:
- Ua ʻike ʻia kekahi mau noiʻi e hoʻomaikaʻi nā waikawa momona omega-3 i ka hana o nā kelepa meibomian. E hoʻokomo i nā iʻa e like me ka samona, ka tuna, a me nā hua flax i kāu meaʻai.
Inā ʻaʻole e hoʻomaikaʻi kāu mau hōʻailona ma hope o ka hana ʻana i kēia mau mea no kekahi mau lā, e ʻike pono i kāu kauka .
He aha nā lāʻau lapaʻau?
Inā ʻaʻole kōkua nā lāʻau lapaʻau home, hiki i kāu kauka ke kuhikuhi i nā ʻano lāʻau like ʻole.
- Nā lāʻau antibiotic: Inā he maʻi bacteria, hiki ke hāʻawi ʻia iā ʻoe kahi poni maka a i ʻole nā kulu maka. No ka laʻana, nā poni e like me `(erythromycin)` a i ʻole `(bacitracin).` I kekahi manawa pono paha ʻoe e hāʻawi i nā pila waha `(doxycycline, azithromycin).`
- Nā lāʻau anti-inflammatory: Inā koʻikoʻi ka pehu a me ka ʻulaʻula, hiki ke hāʻawi ʻia nā kulu maka steroid a i ʻole nā mea ʻaila no kahi manawa pōkole.
- Nā Immunomodulators: No ka posterior blepharitis, hoʻohana ʻia nā lāʻau lapaʻau e like me nā kulu maka e loaʻa ana i ka cyclosporine i kekahi manawa.
- Ke mālama ʻana i ke kumu kumu: Inā loaʻa iā ʻoe nā kūlana e like me psoriasis a i ʻole rosacea , he mea nui nō hoʻi ka mālama ʻana iā lākou no ka kaohi ʻana i ka blepharitis.
- Nā Kaʻina Hana Lapaʻau: Loaʻa nā lāʻau lapaʻau hou i kēia manawa. Hoʻomehana ʻo Lipiflow® i nā lihilihi maka e wehe i ka ʻaila i paʻa. Hiki ke hoʻohana ʻia ka lāʻau Intense Pulsed Light (IPL) a me BlephEx® e hoʻomaʻemaʻe hohonu i nā lihilihi maka.
Nā pilikia hiki ke loaʻa mai ka blepharitis
ʻAʻole hiki ke ho'ōla piha ʻia ka Blepharitis. Eia nō naʻe, hiki ke kāohi maikaʻi ʻia. Inā ʻaʻole mālama ʻia, hiki ke loaʻa kekahi mau pilikia.
- Stye/Stye: He ʻōpū maka i loaʻa i ka maʻi e hana ana i kahi puʻupuʻu ʻulaʻula a ʻeha.
- Chalazion: He puʻupuʻu liʻiliʻi ʻeha ʻole ma ka lihilihi i hana ʻia e kahi ʻaila i ālai ʻia.
- Nā maʻi maka (Pink Eye / Conjunctivitis): Hiki i ka Blepharitis ke kumu i nā maʻi maka pinepine.
- ʻUlu Corneal: Hiki i ka mumū lōʻihi ke hana i nā ʻulu ma ka cornea o ka maka. He kūlana koʻikoʻi kēia.
- Nā pilikia ʻili waimaka: Hiki ke maloʻo nā maka a i ʻole ka waimaka nui.
Leka Lawe-Home
- ʻO ka Blepharitis kahi mumū maʻamau o nā lihi o ka lihilihi maka. ʻAʻole ia he mea laha a ʻaʻole ia e hōʻeha i kou ʻike.
- ʻO nā hōʻailona nui ka ʻulaʻula, ka maneʻo, ka pehu ʻana o nā lihilihi maka, a me ka huhū o nā maka i ke kakahiaka.
- ʻO ka mālama ʻana i ka hoʻomaʻemaʻe maikaʻi o nā maka (nā ʻūpā mehana a me ka hoʻomaʻemaʻe ʻana) ke ala maikaʻi loa e kāohi ai i kēia.
- He mea nui loa nō hoʻi ka mālama ʻana i nā kumu kumu (poʻo, nā maʻi ʻili).
- Inā ʻaʻole kōkua nā lāʻau lapaʻau home i loko o kekahi mau lā, e ʻimi pono i ke kōkua lapaʻau . E hahai pono i ka lāʻau i kauoha ʻia e ke kauka.
- E hoʻololi i kāu mea hoʻonani, ʻoiai ka mascara a me ka eyeliner, i kēlā me kēia manawa. Hiki i nā mea kahiko ke loaʻa nā bacteria.
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