Ke haehae mau nei anei nā maka o kāu keiki liʻiliʻi? A i ʻole ke ala aʻe nei ʻoe i ke kakahiaka me nā maka ʻelua i uhi ʻia a me kou mau lihilihi e pili pū ana? I kekahi manawa, ʻoiai he kanaka makua, ua ʻike paha ʻoe i nā waimaka e kahe mau ana mai kekahi maka me ke kumu ʻole. He mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe i kahi mea e like me kēia. Akā ʻo ke kumu o kēia he ʻano i kapa ʻia ʻo "blocked tear ducts," a mākou e kamaʻilio nei i kēia lā. ʻAʻohe mea e makaʻu ai, e kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi.
He aha ka ʻAuwai Waimaka i Paʻa ʻia?
I ka ʻōlelo maʻalahi, ʻo ia hoʻi, ʻaʻole e kahe pono nā waimaka i hana ʻia i loko o ko kākou mau maka, akā ua paʻa i kekahi wahi o ia ʻōnaehana. Ma nā huaʻōlelo lapaʻau, kapa mākou i kēia "Nasolacrimal Duct Obstruction".
I kēia manawa, he mea nui nā waimaka no ka hana pono ʻana o ko kākou mau maka. Mālama nā waimaka i nā maka i ka pulu a me ka lubrication. Kōkua pū lākou i ka cornea e loaʻa ka oxygen e pono ai a pale i ka maka mai nā germs.
ʻO ka laʻana maikaʻi loa e hoʻomaopopo ai i kēia, ʻo ia ke auwai ma luna o ka hale. E noʻonoʻo, aia ke auwai e hōʻiliʻili i ka wai e hāʻule ana ma luna o ka hale a lawe i lalo i kahi paipu. Akā he aha ka mea e hana ai inā paʻa kēia paipu i nā lau a me ka lepo? ʻAʻole iho ka wai, akā kahe mai loko mai o ke auwai. Pēlā nō hoʻi ko kākou ʻōnaehana waimaka. Ke iho ʻole nā waimaka a paʻa, hoʻomaka lākou e kahe mai loko mai o ka maka.
Penei ka hana ʻana o kā mākou ʻōnaehana hoʻokahe waimaka:
E aʻo iki kākou e pili ana i kēia huakaʻi.
- Punctae: Inā ʻoe e nānā i loko o ke aniani, e ʻike ʻoe he ʻelua mau lua liʻiliʻi ma loko o ko kākou mau lihilihi o luna a me lalo, kokoke i ka ihu. Hoʻomaka nā waimaka e kahe mai ka maka ma o kēia mau lua ʻelua i kapa ʻia ʻo "puncta", e hana ana e like me nā lua i loko o kahi kīʻaha wai.
- Nā canaliculi liʻiliʻi: ʻO nā waimaka e komo ana ma kēlā mau lua ʻelua a laila hele i loko o ʻelua mau ʻōmole lahilahi loa i kapa ʻia ʻo "canaliculi." Hoʻohui kēia mau ʻōmole ʻelua e hana i hoʻokahi ʻōmole liʻiliʻi.
- ʻAla Nasolacrimal: A laila hele nā waimaka i loko o ke ala nasolacrimal, kahi e lawe ai i nā waimaka i loko o ka ihu.
- ʻO ka Valve o Hasner: Ma lalo o kēia ala waimaka, kahi e wehe ai i loko o ka ihu, aia kahi valve i kapa ʻia ʻo "Valve of Hasner". ʻO ka maʻamau, wehe kēia valve ma mua o ko kākou hānau ʻana. Eia naʻe, ʻaʻole i wehe ʻia kekahi mau pēpē i ka wā e hānau ʻia ai. ʻO ia ka manawa e maʻamau ai nā pani ʻana o ka ala waimaka hānau.
Pehea ka maʻamau o kēia ʻano?
He mea maʻamau loa nā ala waimaka i paʻa i nā pēpē hānau hou. Wahi a nā noiʻi, pili kēia maʻi ma waena o 6% a me 20% o nā pēpē hānau hou. Eia naʻe, ʻaʻole ia he mea maʻamau i waena o nā pākeke.
He aha nā hōʻailona o ke ālai ʻia ʻana o nā ala waimaka?
Aia kekahi mau hōʻailona e ʻike ʻia ma kēia ʻano. I kekahi manawa hiki i kēia ālai ʻana ke alakaʻi i nā maʻi. E nānā pono kākou i kēia mau hōʻailona.
| Hōʻailona | Wehewehena |
|---|---|
| Nā maka waimaka | ʻO ke ʻano o nā maka pulu mau a i ʻole nā waimaka e kahe ana ma nā papālina me ke kumu ʻole, me ka ʻole o ka uē ʻana. I loko o ka lāʻau lapaʻau, ua kapa ʻia hoʻi kēia he `(epiphora)`. |
| Pehu/pehu o ka maka | Ke ala ʻoe i ke kakahiaka, ua paʻa kou mau lihilihi a he ʻula melemele a ʻōmaʻomaʻo paha. Hiki i kēia ʻula ke hōʻiliʻili i ka lā a pau. |
| Ka hamo pinepine ʻana i nā maka a puni paha | Ma muli o ka ʻeha o nā maka, ʻoiai nā pēpē ʻōpio, hoʻāʻo pinepine lākou e hamo i ko lākou mau maka a i ʻole ka ihu. |
| ʻUlaʻula a me ka pehu ʻana o nā maka | ʻO ka hoʻopā pinepine ʻana a me ka hamo ʻana e hiki ai ke ʻulaʻula a pehu iki ka ʻili a puni nā maka. |
| ʻIke pōwehiwehi | He pōwehiwehi iki paha ka ʻike ma muli o ke alo mau ʻana o kahi ʻili waimaka i loko o ka maka. |
| Nā Hōʻailona o kahi Maʻi | |
| ʻUlaʻula/pehu o ke aʻa waimaka | Hiki i ka ʻāpana ma waena o ke kihi o loko o ka maka a me ka ihu ke lilo i ʻulaʻula, pehu, a ʻeha ke hoʻopā. |
| kuni | Inā pālahalaha kahi maʻi i loko o ke kino, hiki ke loaʻa ke kuni. |
| ʻO ka ʻoluʻolu ʻole a me ka huhū | ʻOi aku hoʻi nā pēpē ʻōpio e uē mau ana a hōʻole e ʻai a inu paha ma muli o ka ʻeha a me ka ʻoluʻolu ʻole. |
| ʻEha maka | Hiki paha iā ʻoe ke manaʻo i ka ʻeha e like me ke kaomi i loko o ka maka a i loko o nā sinuses paha. |
No ke aha e ālai ʻia ai nā ʻauwai waimaka e like me kēia?
Aia kekahi mau kumu no kēia. He hānau ʻia kekahi, a ʻo kekahi e ulu aʻe ma hope o ke ola.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ka Pale ʻana o ka Hānau | |
| ʻAʻole e wehe ana ka valve o Hasner | ʻO kēia ke kumu nui e loaʻa ai i nā pēpē he nui kēia maʻi. ʻO ka valve o Hasner, ka mea e wehe i ka wā hānau, ʻaʻole ia e wehe, no laila ʻaʻole kahe nā waimaka i loko o ka ihu a paʻa. |
| Nā Kumu i Loaʻa | |
| Nā maʻi | ʻO nā maʻi pinepine i loko a puni paha o ka maka e hiki ai ke hana i nā ʻiʻo ʻeha, e hoʻohaiki ana a ālai paha i ke kahawai waimaka. |
| Nā ʻeha | Hiki ke ālai ʻia ke kahawai ma muli o ka pehu ʻana a i ʻole nā loli o nā ʻiʻo i hana ʻia e nā ʻeha a i ʻole nā ʻoki ʻana i ka maka, nā maka, a i ʻole ka ihu. |
| ʻO ke kāriostenosis | Hiki ke hānau ʻia kekahi poʻe me nā ʻauwai waimaka lahilahi, a i ʻole e lahilahi mālie paha lākou i ko lākou ʻelemakule ʻana. |
| Ka ʻelemakule ʻana | I ko kākou ʻelemakule ʻana, hoʻomaka maoli nā pores a me nā ducts i loko o kā kākou ʻōnaehana waimaka e lahilahi, ʻo ia kekahi kumu o ka ālai ʻana. |
| Nā puʻupuʻu a i ʻole nā ulu ʻana | He mea kākaʻikahi loa kēia, akā hiki ke hana ʻia e nā puʻupuʻu maʻamau a i ʻole nā maʻi kanesa e ulu ana i loko o ka ʻōnaehana ʻauwai waimaka. |
| Nā pōhaku waimaka (Dacryoliths) | Hiki i nā ʻāpana i loko o nā waimaka ke hōʻiliʻili a hana i nā pōhaku liʻiliʻi (dacryoliths) i loko o ke kahawai waimaka, e like me nā pōhaku puʻupaʻa. Inā lilo kēia mau mea i mea nui, hiki iā lākou ke ālai i ke kahawai. |
ʻO ka mea nui loa, ʻo ia ke ʻike i ke kauka a ʻike i ke kumu pololei, ma mua o ka hoʻāʻo ʻana e mālama iā ʻoe iho i ka wā e ʻike ai ʻoe i kēia mau hōʻailona.
E ke kauka, pehea ʻoe e ʻike ai i kēia?
ʻO ka maʻamau, hiki i ke kauka ke loaʻa kahi manaʻo o kēia ʻano ma ka nīnau ʻana e pili ana i kāu mau hōʻailona a me ka nānā ʻana i kou maka a me ka ʻāina a puni.
Eia kekahi, i kekahi manawa hiki ke hana ʻia kahi hoʻāʻo maʻalahi i kapa ʻia ʻo "Dye Disappearance Test".
- Hoʻokomo kēia i ke kau ʻana i kahi kulu o kahi kala kūikawā i kapa ʻia ʻo "fluorescein" i loko o kou maka.
- ʻĀlohilohi kēia pigment ma lalo o ke kukui polū.
- Ma hope o 5 mau minuke, nānā ke kauka inā ua haʻalele ka pigment mai ka maka a i ʻole aia nō ia ma laila.
- Inā hana pono ke ala waimaka, pono e nalowale kēia pigment.Inā aia nō ka pigment i koe i loko o ka maka, ʻo ia hoʻi he pani piha a hapa paha o ke ala waimaka.
Inā kānalua ʻia kekahi kumu ʻē aʻe o ka paʻa ʻana, hiki ke hoʻouna ʻia ʻoe no nā hoʻokolohua kūikawā ʻē aʻe.
He aha nā lāʻau lapaʻau no nā ala waimaka i ālai ʻia?
He maʻi hiki ke mālama ʻia kēia, akā ʻokoʻa nā ʻano lapaʻau ma muli o ka makahiki a me nā kumu ʻē aʻe.
Ka lāʻau lapaʻau no nā pēpē liʻiliʻi
Inā loaʻa kēia ʻano maʻi i kahi pēpē hānau hou, e hoʻōla wale ia i ka wā e hiki ai i kona lā hānau mua ma kahi o 90% o nā hihia. Eia nō naʻe, ʻoi aku ka maikaʻi o ka mālama ʻana iā ia e pale aku i ka maʻi a wikiwiki i ka hoʻōla ʻana.
- ʻAno Lomilomi: ʻO kēia ka lāʻau lapaʻau koʻikoʻi a maikaʻi loa no nā pēpē. E aʻo aku kāu kauka iā ʻoe i ke ala kūpono e hana ai i kēia. Ma ka lomilomi mālie ʻana i ka wahi ma waena o ke kihi o loko o ka maka a me ka ihu ma ke ala kūpono, hiki iā ʻoe ke kaomi i ka valve i wehe ʻole ʻia a kōkua iā ia e wehe.
- Nā lāʻau antibiotic: Inā piha loa kou maka i ka nahu, ʻo ia hoʻi he maʻi, e kuhikuhi kāu kauka i nā kulu maka antibiotic.
Inā ʻaʻole hoʻomaikaʻi ka pēpē me kēia ʻano lomilomi ma hope o hoʻokahi makahiki, hiki i ke kauka ke kuhikuhi i ke keiki i nā ʻano lapaʻau ʻē aʻe.
Ka mālama ʻana no ka poʻe ʻelemakule a me nā poʻe ʻē aʻe
ʻAʻole kūpono ka lomilomi no nā pākeke, no laila pono nā ʻano hana ʻē aʻe.
- Dilation, Probing, a me Irrigation: He hana maʻalahi kēia.
1. Hoʻonui: ʻO ka mea mua, ua hoʻonui iki ʻia nā lua liʻiliʻi (puncta) i loko o ka maka me kahi mea hana kūikawā.
2. Nānā ʻana: A laila hoʻoili ʻia kahi mea hana maikaʻi loa i lalo o ka ʻōmole e ʻimi i ka mea ālai a hoʻāʻo e wehe.
3. Hoʻoinu wai: ʻO ka mea hope loa, hoʻokomo ʻia kahi wai paʻakai ma o ka ʻōmole e hōʻoia i ka maʻemaʻe loa a wehe maikaʻi ʻia.
- Hoʻonui ʻana i ka Balloon: I kekahi manawa, inā he haiki loa ke duct, hoʻokomo ʻia kahi mea liʻiliʻi me kahi balloon i loko o ke duct a hoʻopiha ʻia ka balloon e hoʻonui i ke duct mai loko.
- Ke hoʻokomo ʻana i ka stenting a i ʻole ka intubation: Inā e emi pinepine ana ka duct, hiki ke waiho ʻia kahi ʻōmole lahilahi loa i hana ʻia me ka silicone (stent) i loko o ka duct no kekahi manawa e wehe ai. Hoʻokuʻu ʻia kēia ʻōmole ma hope o kekahi mau mahina.
- Nā Kaʻina Hana ʻOki: Inā ʻaʻohe lāʻau ʻē aʻe i holomua, pono paha ke ʻoki ʻana.
- DCR (Dacryocystorhinostomy): Pili kēia i ka hana ʻana i ala hou no ke kahe ʻana o nā waimaka i loko o ka ihu, e pale ana i ka wahi i ālai ʻia.
- CDCR (Conjunctivodacryocystorhinostomy):He ʻoki kino paʻakikī kēia. Hana ʻia ia i nā hihia kahi e kūkulu hou ʻia ai ka ʻōnaehana haehae holoʻokoʻa.
Aia kekahi mau ala e pale aku ai i nā ala waimaka i ālai ʻia?
ʻO kaʻoiaʻiʻo, he nui nā mea e hoʻokumu ai i kēia he mea hiki ʻole ke wānana ʻia a ma waho o kā mākou mana. No laila, ʻaʻohe ala e pale aku ai i kēia 100%.
Eia nō naʻe, hiki iā mākou ke hana i kēia mau mea e hōʻemi ai i ka pilikia o nā maʻi e hiki ai ke alakaʻi i nā ālai ʻana:
- E holoi mau i kou mau lima me ke kopa.
- E hoʻōki i ka hoʻopā ʻana a me ka hamo ʻana i kou mau maka me ke kumu ʻole.
- Inā ʻoe e hoʻokomo i nā aniani hoʻopili, e hoʻomaʻemaʻe pono iā lākou a hoʻololi iā lākou i ka manawa kūpono.
- Mai kaʻana like i nā mea hoʻonani maka (e like me ka mascara, eyeliner) me nā poʻe ʻē aʻe. Eia kekahi, e hoʻololi iā lākou i kēlā me kēia 3-6 mahina.
Leka Lawe-Home
- He mea maʻamau loa nā ala waimaka i pani ʻia, ʻoiai i waena o nā pēpē hānau hou. Hoʻopau pinepine lākou iā lākou iho i loko o ka makahiki mua.
- ʻO ka haehae pinepine ʻana a me ka huhū o nā maka nā hōʻailona nui.
- Hiki i kēia kūlana ke alakaʻi i nā maʻi bacteria, no laila mai hoʻowahāwahā i nā hōʻailona.
- He lāʻau lapaʻau kūpono loa ke ʻano lomilomi kūikawā a ke kauka e aʻo ai no nā pēpē.
- No nā mākua, aia nā ʻano lapaʻau like ʻole e wehe ai i ka mea ālai.
- Inā loaʻa iā ʻoe a i ʻole kāu pēpē kēia mau hōʻailona, e ʻike pono i ke kauka no ka hōʻoia pololei a me ka hoʻolālā lapaʻau.
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