ʻUlaʻula a waimaka kou mau maka? He Canaliculitis paha kēia!

Ua ʻike paha ʻoe i kekahi manawa, ʻeā? Ua lilo koke kou maka i ʻulaʻula, me he mea lā ua paʻa kekahi mea i loko o kou maka, a kahe wale nā ​​waimaka. Hiki iā ʻoe ke ʻike i kahi mea e like me ka wai melemele e puka mai ana mai kou maka. He mea maʻamau ke hopohopo iki i ka wā e hana ʻia ai kekahi mea e like me kēia. Akā, mai hopohopo, ʻaʻole pono kēia mau hōʻailona a pau e koʻikoʻi. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi e hiki ai ke hana i nā hōʻailona like, akā ʻaʻole maʻamau i waena o mākou, akā he mea nui e makaʻala. He maʻi ia i kapa ʻia ʻo canaliculitis .

He aha ka Canaliculitis? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka canaliculitis kahi mumū, a i ʻole ka pehu ʻana, o nā kahawai liʻiliʻi (canaliculi) i loko o ko kākou mau maka e hoʻokahe ai i nā waimaka. E noʻonoʻo he ʻehā mau puka liʻiliʻi o kēlā me kēia o ko kākou mau maka, ʻelua ma luna a ʻelua ma lalo, ma loko ma waena o ka maka a me ka ihu. ʻO kēia mau puka kahi e hana ʻia ai nā waimaka i loko o nā ʻōpū waimaka, e hoʻomaʻū i ka maka, a laila e kahe i loko o ka ihu. ʻO kēia nā ʻōmole liʻiliʻi, a i ʻole nā ​​kahawai, a mākou e kapa nei he canaliculi. Inā loaʻa kekahi a ʻoi aku paha o kēia mau kahawai i ka maʻi a i ʻole e ālai ʻia ma kekahi ʻano, hiki iā lākou ke pehu, ʻulaʻula, a ʻeha. ʻO ia ka mea a mākou e kapa nei he canaliculitis.

Ke hana ʻia kēia ʻano, lilo ka maka, ʻoi aku hoʻi ma ka ʻaoʻao ihu, i ʻulaʻula a hoʻomaka e kahe me ka ʻeha.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi? Pehea ka maʻamau?

Hiki i ka Canaliculitis ke hoʻopilikia i kekahi, akā ua ʻike ʻia e ka noiʻi ʻana he ʻoi aku ka nui o ka loaʻa ʻana o nā wahine a me nā poʻe ma luna o 40 mau makahiki.

Eia nō naʻe, ʻaʻole kēia he kūlana maʻamau loa. ʻO Canaliculitis ka mea ma waena o 2% a me 4% o nā kūlana āpau o ka ʻōnaehana lacrimal. No laila, ʻaʻole ia he mea i ʻike pinepine ʻia.

He aha nā hōʻailona o ka canaliculitis?

Hiki mai ka canaliculitis ke loaʻa ka maʻi a i ʻole ka ʻeha o kekahi a i ʻole nā ​​​​​​ʻauwai waimaka liʻiliʻi (ka canaliculus) ma kekahi ʻano. Hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona:

• He wai melemele a i ʻole he kahe ʻana e like me ka pus mai ka maka mai: ʻO kēia ka hōʻailona nui. Hiki ke pani ʻia ka maka i ke kakahiaka, ʻoi aku hoʻi mai loko mai o ka maka, ʻoi aku hoʻi ma ka ʻaoʻao ihu.
• ʻEha maka: Hiki ke manaʻo ʻia he mea e hou ana i loko o ka maka, a i ʻole he mea kaumaha paha.
• Nā puʻupuʻu paʻakikī i loko o nā ʻauwai waimaka: I kekahi manawa, ke hoʻopā ʻoe iā lākou me kou lima, e ʻike paha ʻoe i kahi puʻupuʻu liʻiliʻi paʻakikī ma lalo o ka maka kokoke i ka ihu.
• ʻUlaʻula o nā maka: ʻO ka ʻaoʻao o loko o nā maka (nā puka ihu) he ʻulaʻula paha.
• Ka pehu ʻana o ke ala waimaka (punctum): ʻO kēlā ala waimaka liʻiliʻi aʻu i ʻōlelo ai ma mua, ua pehu paha, ʻulaʻula, a ke nānā aku nei he puʻupuʻu iki.
• Ka haehae pinepine ʻana (epiphora): Ke ālai ʻia nā kahawai waimaka, ʻaʻole hiki i nā waimaka ke kahe pono, no laila hoʻomaka lākou e kahe i waho o nā maka.
• Nā loli i ke kala o ka ʻili a puni nā lihilihi: I kekahi manawa, inā hoʻomau kēia ʻano, e loli iki paha ke kala o ka ʻili a puni nā lihilihi.

Mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ka ʻimi koke ʻana i ke kōkua lapaʻau.

No ke aha e kū mai ai ka canaliculitis? He aha nā kumu?

I ka hapanui o nā hihia, ʻo ke kumu nui o kēia ʻano he maʻi i hoʻokumu ʻia e kahi ʻano bacteria i kapa ʻia ʻo 'Actinomyces israelii' . ʻO kēia ke kumu maʻamau. Eia nō naʻe, hiki ke loaʻa nā hōʻailona canaliculitis ma muli o nā kumu ʻē aʻe ma waho aʻe o kēia bacteria. Eia kekahi laʻana:

• Nā maʻi fungal: Hiki i kekahi ʻano fungi ke komo i kēia mau kahawai a hoʻoulu i nā maʻi.
• ʻO nā bacteria ʻē aʻe: Ma waho aʻe o Actinomyces israelii, hiki i nā bacteria ʻē aʻe ke hana i kēia.
• Nā maʻi viral: Hiki i nā virus ke hana pinepine i kēia ʻano.

I kekahi manawa, aia nā plug silicone liʻiliʻi i kau ʻia i loko o ke kahawai waimaka (punctum) e mālama i nā maka maloʻo, akā ʻaʻole lākou e noho pono ma kahi a hiki ke paʻa i loko o nā kahawai waimaka (canaliculi), e hoʻoulu ai i ka pehu. Inā paʻa kahi plug e like me ia, a i ʻole kekahi mea liʻiliʻi ʻē aʻe, i loko o kahi kahawai waimaka, ʻoi aku ka nui o ka maʻi.

E hoʻopilikia anei kēia i koʻu ʻike?

ʻAʻole maʻamau ka canaliculitis e hōʻino mau loa i kou ʻike. He mea hōʻoluʻolu kēlā, ʻeā? Eia nō naʻe, ʻo ka pehu ʻana a me ka haehae pinepine ʻana o kēia ʻano maʻi hiki ke hoʻopilikia i kou ʻike no kekahi manawa. Hiki ke manaʻo ʻia e like me ka blurry o kou mau maka. No laila he mea nui e ʻike i ke kauka i ka wā e ʻike ai ʻoe i nā hōʻailona.

Hiki paha ke hana ʻia kēia kūlana e kahi ulia maka?

ʻAe, i kekahi manawa ke hana ʻia kekahi mea i ka maka, ʻo ia hoʻi, inā he ʻano ʻeha (trauma) i nā ʻauwai waimaka (canaliculi), hiki ke loaʻa ka mumū, ʻo ia hoʻi ka pehu ʻana, ma laila. Inā he ʻeha koʻikoʻi o ka maka, hiki ke haehae ʻia kahi ʻauwai waimaka. I ia mau hihia, hana nā kauka ʻoki maka i ke ʻoki ʻana e hoʻoponopono i kēlā ʻauwai haehae (canalicular laceration).

He maʻi laha anei ka Canaliculitis?

ʻAʻole, he nūhou maikaʻi kēia. ʻAʻole laha ka Canaliculitis. ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke hoʻolaha iā ia i kekahi.

Pehea e ʻike pololei ai nā kauka i ka canaliculitis?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i kahi kauka maka. E nānā pono ʻo ia i kou mau maka. E nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona. E nānā lākou i ka ʻulaʻula i kou maka a me ka pehu ʻana ma kou punctum luna (i kapa ʻia he pouting punctum). Hiki paha i ke kauka ke kaomi i kou punctum a i ʻole kokoke i kou mau ala waimaka e ʻike inā he wai e puka mai ana mai kou maka.

He aha nā hoʻokolohua diagnostics?

E hana mua ke kauka i kahi nānā pono ʻana i kāu mau hōʻailona ('loiloi lapaʻau'). E nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona a e noʻonoʻo i nā kūlana ʻē aʻe e hiki ke hoʻoulu i kēia mau hōʻailona. Ua kapa ʻia kēia ʻo 'diagnosis differential'. ʻO kēia no ka mea aia kekahi mau kūlana ʻē aʻe e hiki ai ke hoʻoulu i nā maka ʻulaʻula, ʻeha a me nā maka wai. Eia kekahi laʻana:

• ʻO Blepharitis (ka mumū o ka lihi o ka maka)
• ʻO ka maʻi maka, ʻo ia hoʻi, ka maʻi maka ʻulaʻula (Conjunctivitis a i ʻole ka maka Pink)
• Nā puʻupuʻu liʻiliʻi ma ka lihilihi maka (Stye)

Pono e hoʻokaʻawale ʻia ka canaliculitis mai kēia mau kūlana.

I kekahi manawa, hiki ke lawe ʻia kahi hāpana o ka wai mai kou maka a nānā ʻia ma lalo o kahi microscope e hoʻoholo ai inā he maʻi bacteria.

Pehea e mālama ʻia ai ka Canaliculitis?

ʻO ka hapa pinepine, hoʻokumu ʻia kēia e kahi maʻi bacteria, hiki ke mālama ʻia me nā antibiotics . Hiki i kāu kauka ke hāʻawi iā ʻoe i nā antibiotics waha, nā kirīmi antibiotic, a i ʻole nā ​​​​kulu maka antibiotic. I kekahi manawa, hiki ke hoʻomaʻū ʻia kou mau maka me kahi hopena antibiotic.

Aia kekahi mau lāʻau lapaʻau e hiki ke hana ma ka home?

ʻAe, aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana ma ka home no ka canaliculitis. He manaʻo maikaʻi ka ʻūlū mahana. Hiki i kāu kauka ke haʻi aku iā ʻoe e hoʻomohu i kahi lole maʻemaʻe i loko o ka wai mahana a hoʻopili pinepine i kou maka. E kōkua kēia i ka hōʻemi ʻana i ka pehu. Hiki iā lākou ke ʻōlelo aku e lomilomi pinepine i ka wahi. Eia nō naʻe, pono ʻoe e nīnau mau i kāu kauka ma mua o ka hana ʻana i kekahi o kēia mau mea.

Pono anei au e hana i ke ʻoki kino?

ʻO Canaliculitis, i ʻike ʻia hoʻi ʻo acute canaliculitis, hiki ke mālama pinepine ʻia me nā antibiotics, nā compresses mehana, a me ka lomilomi. Eia nō naʻe, inā ʻaʻole kōkua kēia mau lāʻau lapaʻau, hiki i kāu kauka ke hana i kahi ʻoki liʻiliʻi i kapa ʻia he canaliculotomy e wehe i ka mea i paʻa i loko o kou mau ducts waimaka. Hana pinepine ʻia kēia ma ke ʻano outpatient, ʻo ia hoʻi, ʻaʻole pono ʻoe e noho i ka haukapila.

I ka wā o ke ʻoki ʻana, hiki i ke kauka ke hoʻokomo i kahi ʻōmole liʻiliʻi (kahi stent) e kōkua i ka hoʻokahe pono ʻana o nā waimaka. I kekahi manawa e waiho ʻia ka ʻoki a hiki i ka wā e ho'ōla ai ka ʻeha, a i ʻole e humuhumu ʻia.

Pehea ka manawa ho'ōla ma hope o ke ʻoki kino?

Ma hope o kahi canaliculotomy, pono ʻoe e hoʻolōʻihi i kekahi manawa e hoʻōla ai i ka ʻoki. Inā he stent kou, e wehe pinepine ʻia ia ma ke keʻena o ke kauka ma hope o kekahi mau mahina.

Hiki i ka canaliculitis ke hoʻoulu i nā pilikia ʻē aʻe?

He maʻi paʻakikī ke ʻike a mālama ʻia ka Canaliculitis i kekahi manawa. Inā ʻaʻole mālama koke ʻia, hiki i ke ʻano ke mau no ka manawa lōʻihi (ʻo ia hoʻi, ʻo ka canaliculitis maʻi mau loa). Eia kekahi, i kekahi manawa hiki i ka maʻi ke "hoʻi hou mai". Loaʻa i kekahi poʻe i hana ʻia ke ʻoki kino kahi manawa liʻiliʻi o ka ʻeha.

Inā loaʻa iaʻu ka Canaliculitis, pehea wau e mālama ai iaʻu iho?

Inā ʻulaʻula kou mau maka, pehu, a wai paha, e ʻike koke i ke kauka. E hahai pono i nā ʻōlelo a kāu kauka. E hana pololei i nā mea a lākou e ʻōlelo ai iā ʻoe e hana ma ka home. E lawe i kāu lāʻau lapaʻau i ka manawa kūpono.

Pehea e hiki ai iaʻu ke hōʻemi i koʻu pilikia o ka loaʻa ʻana o kēia maʻi?

ʻO ke kumu nui o ka canaliculitis he maʻi bacteria. No laila, eia kekahi mau mea hiki iā ʻoe ke hana e pale aku iā ʻoe iho mai nā maʻi:

• Mai hoʻopā pinepine i kou mau maka. Hiki iā kākou ke loaʻa nā huakini ma ko kākou mau lima me ka ʻike ʻole.
• Inā ʻoe e hoʻokomo i nā aniani hoʻopili, e hoʻomaʻemaʻe pono iā lākou a hoʻololi iā lākou i ka manawa kūpono.
• Wehe i ka mea hoʻonani maka i kēlā me kēia mau mahina. Inā loaʻa iā ʻoe kahi maʻi maka, e wehe pono i ka mea hoʻonani i hoʻohana ʻia.
• E holoi pinepine a holoi pono i kou mau lima. Kōkua kēia i ka pale ʻana i nā maʻi he nui.

Pehea e ʻike ai iaʻu inā pilikia wau i ka canaliculitis?

Hiki i ka Canaliculitis ke loaʻa i kekahi. Eia nō naʻe, inā ua hoʻokomo mua ʻia nā plug punctal i loko o kou mau ala waimaka e mālama i nā maka maloʻo, aia paha ʻoe i kahi pilikia kiʻekiʻe iki o ka loaʻa ʻana o ke ʻano. No laila, inā ʻike ʻoe i kekahi mau hōʻailona, ​​​​e like me ka ʻulaʻula, ka ʻeha, a i ʻole ka haehae ʻana, e ʻike koke i ke kauka.

Inā loaʻa iaʻu ka Canaliculitis, he aha kaʻu e manaʻo ai?

Hiki i ka Canaliculitis ke lōʻihi ka manawa e ho'ōla ai, no laila e hoʻomanawanui. E hoʻohana i nā lāʻau lapaʻau, nā kirīmi, a me nā kulu maka a kāu kauka e kuhikuhi ai e like me ke kuhikuhi. Mai hoʻōki i ka mālama ʻana i ka hapalua o ka manawa.

Hiki ke ho'ōla loa ʻia ka Canaliculitis?

ʻAe, he maʻi hiki ke mālama ʻia ka canaliculitis.Eia nō naʻe, no nā hopena maikaʻi loa, he mea nui e hoʻomaka koke i ka lāʻau lapaʻau. No laila, inā loaʻa iā ʻoe nā hōʻailona, ​​e ʻimi koke i ke kōkua lapaʻau.

Āhea wau e ʻike hou ai i ke kauka inā loaʻa iaʻu ka canaliculitis?

Inā loaʻa iā ʻoe kekahi mau hōʻailona hou, a inā paha e ʻoi aku ka ʻino o kāu mau hōʻailona i kēia manawa, e kāhea koke aku i kāu kauka.

Ke ʻulaʻula a ʻeha kou mau maka, hiki ke lilo i mea weliweli a ʻoluʻolu ʻole hoʻi. E noʻonoʻo paha ʻoe inā he hōʻailona kēia o kahi mea koʻikoʻi. No laila, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka. Loaʻa paha iā ʻoe ka canaliculitis. He mumū kēia i hoʻokumu ʻia e kahi maʻi a i ʻole ka paʻa ʻana i nā ʻōmole liʻiliʻi e lawe ana i nā waimaka mai ko mākou mau maka a i ko mākou ihu. Hiki i kāu kauka ke kuhikuhi i nā antibiotics e mālama i ka maʻi, a me ka ʻōlelo ʻana i nā lāʻau lapaʻau home e hōʻemi i ka ʻeha a me ka pehu.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)

• ʻO ka Canaliculitis kahi mumū o nā kahawai waimaka i loko o ka maka.
• ʻO nā hōʻailona nui ka ʻulaʻula, ka ʻeha, ka kahe ʻana mai ka maka, a me ka haehae pinepine.
• ʻAʻole kēia he maʻi lele, akā pono ia i ka nānā koke ʻana o ke kauka.
• I ka hapa nui o ka manawa, hiki ke ho'ōla ʻia me nā lāʻau antibiotic. I kekahi manawa, pono paha kahi ʻoki liʻiliʻi.
• Inā ʻike ʻoe i kekahi mau hōʻailona o ka maka, ʻoiai ka ʻulaʻula a me ka ʻeha, e ʻike koke i kahi kauka maka. Mai hoʻōla ponoʻī.

He waiwai nui kou mau maka, no laila e mālama pono iā lākou!

ʻO Canaliculitis, nā maʻi maka, ka mumū o ke aʻa lacrimal, nā maʻi maka, ka ʻulaʻula o ka maka, ka pehu ʻana o ka maka, ke olakino o ka maka