Ua nānā anei ʻoe i loko o ke aniani a ʻike ʻoe ua pehu ka ʻāpana keʻokeʻo o kou maka, e like me ka pehu wai, e like me ka jelly? Malia paha ua pehu, me ka lihilihi, a me he mea lā he paʻakikī ke pani pono i kou maka? He mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe i kēia. Akā, mai makaʻu. ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo 'Chemosis.' I kēia lā, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Chemosis?
ʻO Chemosis ka pehu ʻana o ka membrane i loko o kou maka i kapa ʻia ʻo conjunctiva. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia conjunctiva. He mea maʻalahi loa ia.
- Aia kekahi membrane lahilahi a moakaka ma luna o ka ʻāpana keʻokeʻo o ka maka (ka mea a mākou e kapa nei he sclera).
- Uhi pū kēia membrane like i loko o kou mau lihilihi.
Ua kapa ʻia kēia membrane ʻo ka conjunctiva. ʻO kēia ka laina pale mua e pale ai i ka maka mai nā mea e like me ka lepo a me ka ʻōpala e komo ana i loko o ka maka. No laila, inā hoʻonāukiuki ʻia kēia membrane no kekahi kumu, hoʻouna ko mākou kino i nā wai, nā hunaola koko, a me nā hunaola pale i ka wahi e ho'ōla ai. Ke hui pū kēia mau mea, e puka mai ana kēlā pehu e like me ka jelly.
I kekahi manawa hiki i kēia pehu ke like me kahi puʻupuʻu liʻiliʻi e like me ka pehu. Hiki ke melemele iki. Akā inā koʻikoʻi ka pehu, ʻaʻole paha ʻoe e hiki ke pani piha i kou maka.
No ke aha e pehu ai nā maka penei? He aha nā kumu nui?
Nui nā kumu e pehu ai ka conjunctiva o ka maka . E nānā kākou i kekahi o nā kumu maʻamau a me kekahi o nā mea ʻē aʻe.
Nā kumu i ʻike pinepine ʻia
ʻO kēia nā kumu a mākou e ʻike pinepine ai me ka chemosis.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Nā maʻi | Nā maʻi i hoʻokumu ʻia e ka bacteria a i ʻole nā virus. ʻO ka Conjunctivitis , a mākou e ʻike nei, he laʻana maikaʻi ia o kēia. Hiki ke ʻike ʻia kēia ʻano ma nā maʻi koʻikoʻi a puni nā maka ( orbital cellulitis ). |
| Nā maʻi ʻaleka | Hiki i kou mau maka ke pehu ma muli o ka hopena i nā mea e like me ka lepo, ka pollen, ka dander holoholona, a me kekahi mau meaʻai. He kumu maʻamau loa kēia. |
| Nā ʻeha maka | E noʻonoʻo i ka loaʻa ʻana o kahi ʻoki i kou maka me kou kui, a i ʻole kahi ʻāpana lāʻau liʻiliʻi e lele ana i loko o kou maka i ka wā e ʻoki ana. Hiki i kēia ʻano ulia ke hōʻino i ka conjunctiva a hoʻoulu iā ia e pehu. No laila ua ʻōlelo ʻia e komo i ka pale maka i ka wā e hana ana i nā mea e like me ke kālai lāʻau a me ka wili ʻana. |
ʻO kekahi mau kumu kūikawā (akā hiki ke hana ʻia)
ʻAʻole maʻamau kēia mau kumu e like me nā mea i ʻōlelo ʻia ma luna, akā hiki iā lākou ke hana i ka chemosis.
- Nā kemika a i ʻole nā ʻāpana liʻiliʻi: Hiki i nā mea e like me ka uahi, ka lepo, a me ka ʻōpala o ke kaʻa ke hoʻonāukiuki a pehu i kou mau maka. ʻO ka loaʻa ʻana o kahi kemika hoʻomaʻemaʻe hale i loko o kou mau maka hiki ke lilo i pilikia nui.
- Ma hope o ke ʻoki ʻana: I kekahi manawa, hiki ke loaʻa kēia pehu ma ke ʻano he hopena ʻaoʻao ma hope o ke ʻoki maka, no ka laʻana, ke ʻoki maka (blepharoplasty).
- Nā kūlana Autoimmune: ʻO kēia nā kūlana kahi e hoʻouka ai kā mākou ʻōnaehana pale ponoʻī i ko mākou mau ʻāpana kino ponoʻī. ʻO kahi laʻana ʻo ka maʻi Graves. Hoʻopilikia nui kēia i ka ʻōpū thyroid, akā hiki ke hoʻopilikia ʻia nā maka, e hana ana i ka chemosis.
- Nā pilikia aʻalolo: Inā ua hōʻino ʻia nā aʻalolo e hoʻoneʻe ai i ko mākou mau maka, hiki ke hana ʻia kēia pehu ʻana ma muli o ia mea.
- ʻO kekahi mau lāʻau lapaʻau: Inā he maʻi ʻoe i kekahi mau lāʻau lapaʻau āu e lawe nei, ʻoiai kekahi mau kulu maka, hiki ke hana ʻia ka chemosis ma ke ʻano he hopena ʻaoʻao.
- Ka hāʻule ʻana o ka puʻuwai: Ke pilikia ka hana a ka puʻuwai, hōʻiliʻili ka wai i loko o ke kino. Hiki i kēia ke hana i ka hōʻiliʻili ʻana o ka wai i loko o ka conjunctiva o ka maka a hoʻoulu iā ia e pehu.
ʻO ka mea nui loa, ʻoiai ke kumu, inā ʻike ʻoe i kahi loli i kou mau maka, mai hoʻowahāwahā iā ia. ʻOiai inā ʻaʻole ia e hoʻomaikaʻi i loko o ʻelua a ʻekolu paha lā, e ʻike pono i ke kauka.
Pehea e mālama ʻia ai kēia?
ʻO ke ʻano o ka lāʻau no ka chemosis e hilinaʻi wale ʻia ma ke kumu. E nānā kāu kauka iā ʻoe a hoʻoholo i ke kumu ma mua o ke kuhikuhi ʻana i ka lāʻau.
- Nā lāʻau antibiotic:Inā pehu kou maka ma muli o kahi maʻi bacteria, e kuhikuhi kāu kauka i nā kulu maka kūpono a i ʻole ka poni.
- Nā lāʻau lapaʻau anti-inflammatory: Kōkua kēia ʻano lāʻau lapaʻau i ka hōʻemi ʻana i ka pehu a me ka ʻulaʻula.
- Nā ʻeke anu: No ka pehu liʻiliʻi, hiki iā ʻoe ke hōʻemi i ka pehu ma ka hoʻopili ʻana i kahi lole maʻemaʻe i hoʻoluʻu ʻia i ka wai anuanu a i ʻole kekahi mau pahu hau i wahī ʻia i loko o kahi lole a puni ka maka.
Ma waho aʻe o kēia mau mea, pono paha nā lāʻau ʻē aʻe ma muli o ke kumu. No laila, ʻo kāu kauka wale nō ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa no ka lāʻau kūpono loa nāu.
He aha kā mākou e hana ai ma ka home?
Inā ʻaʻole koʻikoʻi loa ke kumu, he pehu iki wale nō, aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana ma ka home.
1. E hoʻopili i ka wai anuanu: E like me kā mākou i kūkākūkā ai ma luna, e hoʻomohu i kahi lole maʻemaʻe i loko o ka wai anuanu, e pani i kou mau maka, a paʻa no kahi o 15-20 mau minuke. E hana i kēia i nā manawa he nui i ka lā. Mai kau pololei i nā pahu hau ma kou ʻili. Hiki i kēia ke hōʻino i kou ʻili. Inā ʻoe e hoʻohana i ka hau, e hōʻoia e kāʻei iā ia i loko o kahi kāwele lahilahi.
2. E hoʻohana i nā kulu waimaka hana: Kōkua kēia i ka hāʻawi ʻana i ka makū i nā maka a hōʻemi i ka maloʻo a me ka ʻoluʻolu ʻole. E nīnau i kāu kauka e pili ana i kēia a koho i ke ʻano kūpono.
3. Lāʻau lapaʻau no ka maʻi ʻaleka: Inā manaʻo ʻoe ua pehu kou maka ma muli o kahi maʻi ʻaleka, hiki iā ʻoe ke lawe i nā antihistamines e like me ke kuhikuhi a kāu kauka. Eia nō naʻe, e kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau.
4. E pale i ka hoʻopā ʻana a i ʻole ka hamo ʻana i kou mau maka: Ke loaʻa kekahi mea i kou mau maka, ʻaʻole hiki iā mākou ke pale aku i ka hamo ʻana iā lākou. Akā, ʻo ka hana ʻana pēlā e hoʻonui wale aku i ka pilikia. No laila, e pale i ka hoʻopā ʻana i kou mau maka i ka hiki.
Aia kekahi mau ala e pale aku ai i kēia kūlana?
Hiki iā mākou ke pale aku i kekahi o nā kumu o ka chemosis, akā ʻaʻole hiki iā mākou ke kāohi i kekahi (e.g. nā kūlana olakino ʻē aʻe). No laila e hana kākou i ka mea hiki iā kākou.
- E holoi pinepine i kou mau lima: He kiʻekiʻe ka manawa e loaʻa ai nā maʻi ke hoʻopā ʻoe i kou mau maka me nā lima lepo. ʻOi aku ka laha koke o nā mea e like me nā 'maʻi maka'. No laila, e holoi pono i kou mau lima me ke kopa ma hope o ka hoʻi ʻana mai waho a ma hope o ka hoʻopā ʻana i nā holoholona.
- E pale i kou mau maka: Inā ʻoe e hana ana i kahi hana e hana ai i ka lepo a me ka ʻōpala (e like me ka māla ʻana, ke kālai lāʻau, ka wili ʻana), e hōʻoia e kau i nā maka aniani palekana.
- E mālama i nā maʻi allergies: Inā ʻike ʻoe he maʻi allergies kou i kekahi mea, e noho mamao aku mai ia mea i ka hiki. Inā pono, e ʻike i ke kauka a loaʻa ka lāʻau lapaʻau.
- Mai ʻūmiʻi i kou mau maka:Inā manaʻo ʻoe he mea i loko o kou maka, e hoʻāʻo e holoi me ka wai maʻemaʻe ma kahi o ka hamo ʻana. Inā ʻaʻole holo pono kēlā, e ʻimi i ke kōkua lapaʻau.
Āhea ʻoe e ʻike ai i ke kauka?
ʻAʻole koʻikoʻi mau ka chemosis. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, e ʻike koke i ke kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.
| Nā hōʻailona e makaʻala ai | No ke aha e hiki ai ke koʻikoʻi? |
|---|---|
| ʻAʻole hiki ke pani loa i ka maka | Ke pani pono ʻole ka maka, hiki i ka ʻili o ka maka ke maloʻo, ʻeha, a hōʻino ʻia, e lilo ai i mea e nalowale ai ka ʻike. |
| ʻIke pōwehiwehi a i ʻole ka ʻike i emi iho | He hōʻailona paha kēia o kahi pilikia koʻikoʻi i loko o ka maka. Mai hoʻowahāwahā iā ia. |
| ʻEha nui o ka maka | Inā ʻoi aku ka ʻeha ma mua o ka ʻoluʻolu ʻole maʻamau, he maʻi paha ia a he pilikia ʻē aʻe paha. |
| Ka nui o ka hoʻokahe ʻana mai nā maka (ʻoi aku ka melemele/ʻōmaʻomaʻo) | He hōʻailona nui kēia o ka maʻi bacteria a pono e mālama ʻia. |
| ʻIke i ka mālamalama (lilo nā maka i polū loa e ʻike ai) | He hōʻailona paha ia o ka mumū i loko o ka maka. |
| Ke kahe koko ʻana ma ka ʻāpana keʻokeʻo o ka maka | Inā he kahe koko me ka pehu ʻana, he mea nui e nānā ʻia no ka mea he hopena paha ia o kahi ulia. |
Leka Lawe-Home
- ʻO ke kemosis ka wā e piha ai ka membrane lahilahi e uhi ana i ka ʻāpana keʻokeʻo o ka maka (conjunctiva) i ka wai a lilo i mea like me ka jelly. Mai hopohopo ke ʻike ʻoe i kēia.
- ʻO ka maʻamau, hana ʻia kēia e nā maʻi allergies, nā maʻi, a me nā ʻeha maka liʻiliʻi.
- ʻO ka hapa nui o ka manawa, ʻaʻole koʻikoʻi kēia kūlana. Hiki iā ʻoe ke loaʻa ka hōʻoluʻolu ma ke kau ʻana i nā ʻūlū anu a me ka mālama ʻana i kou mau maka i ka maʻemaʻe.
- Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha nui, ka ʻike maka pohihihi, a i ʻole ka hiki ʻole ke pani i kou mau maka , mai hoʻonele i ka manawa a e ʻike koke i ke kauka.
- He ʻōkana makamae loa nā maka, no laila inā he pilikia kou maka, he mea naʻauao ke ʻimi i ke kōkua lapaʻau me ka hoʻowahāwahā ʻole ʻana iā lākou.
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