Ke manaʻo koke nei anei kou mau maka e like me ke ahi? E kamaʻilio kākou e pili ana i ka Corneal Flash Burns!

Ua hele paha ʻoe i kahi hale hana wili a i ʻole ke kahakai i kahi lā wela a ua ʻulaʻula kou mau maka, ua waimaka, a ua like me ke one i komo i loko o kou mau maka? Ua loaʻa paha iā ʻoe kahi ʻā ʻana o ka corneal flash. Mai hopohopo, e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī.

I ka ʻōlelo maʻalahi, ʻo nā ʻā ʻana o ka corneal flash he mau ʻeha i ka cornea o kou mau maka, e like me ka sunburn. ʻO ka cornea ka membrane pale liʻiliʻi, ʻano poepoe, ma ke alo o ka maka e uhi ana i ka pupil a me ka ʻāpana kala i loko (iris). No laila, inā ʻaʻole i pale pono ʻia kou mau maka, nui ka manawa e hōʻeha ai i ka cornea. I ka manawa pinepine, hoʻopilikia kēia mau ʻā i nā maka ʻelua i ka manawa hoʻokahi.

He aha nā ʻano o ke kuni ʻana o ka corneal flash?

ʻElua ʻano nui o ke kuni:

1. Nā kuni i hoʻokumu ʻia e nā kukuna ultraviolet (UV): ʻO nā kukuna UV kahi ʻano kukui i hiki ʻole iā mākou ke ʻike. Ua like kēia me ka kuni ʻana o ka ʻili e hana ʻia ke hele ʻoe i waho i ka lā me ka ʻole o nā aniani maka. Ua kapa pū nā kauka i kēia he UV photokeratitis . Aia kekahi mau kumu hana o nā kukuna UV a mākou e ʻike ai i ko mākou ola o kēlā me kēia lā.

2. Nā kuni wela: ʻO kēia nā kuni i hoʻokumu ʻia e ka wela. Hiki ke hana ʻia kēia mau kuni ke hōʻike ʻia ka maka i kahi nui o ka wela no kahi manawa pōkole. Hiki i ka kuni ke lilo i mea ʻoi aku ka koʻikoʻi i ka piʻi ʻana o ka wela, a i ʻole i kou hoʻokokoke ʻana aku i ka wela.

He mea maʻamau kēia ʻano. ʻO nā kuni i hana ʻia e ka wela ka mea maʻamau. Eia nō naʻe, hiki i kekahi o nā hana āu e hana ai a i ʻole nā ​​​​wahi āu e noho ai ke hoʻonui i kou pilikia o ka loaʻa ʻana o ke kuni mai nā kukuna UV.

He aha nā hōʻailona o kēia?

Me ka nānā ʻole i ke ʻano o ka wela o ka cornea, ua like like nā hōʻailona. ʻO lākou kēia:

• ʻEha maka: Hiki ke hoʻomanawanui ʻole i kēia i kekahi manawa.
• Photophobia: Ua like ia me ka hiki ʻole ke nānā aku i kahi mālamalama.
• Ke kahe nei nā waimaka mai nā maka mai (Epiphora): Puka wale mai nā waimaka.
• Ka ʻike ʻana i emi iho a pōwehiwehi paha.
• Ka pehu ʻana o ke keʻokeʻo o ka maka (Chemosis).
• ʻO ka ʻūlū pinepine ʻana o nā lihilihi, me he mea lā e ʻimo ana (Blepharospasm).
• He ʻano wela i loko o nā maka.

Akā e hoʻomanaʻo, i ka manawa e hana ʻia ai kahi kuni e nā kukuna UV, hiki ke hala i ka hapalua hola a i 12 mau hola ma mua o ka ʻike ʻia ʻana o nā hōʻailona.

Pehea e hiki mai ai kēia mau mea kuni?

Hiki ke ʻokoʻa nā kumu ma muli o ke kumu o kēia mau kuni ʻana e nā kukuna UV a i ʻole kahi kumu wela.

Ma muli o nā kukuna UV (nā ʻā ʻana o ka uila UV)

• Ka lā i hōʻike ʻia: He kumu nui kēia.
• Ma nā wahi me ka hau a me ka hau: ʻO ka hapa nui o ka mālamalama e hāʻule ana ma luna o ka hau a me ka hau e hoʻihoʻi ʻia mai ana. Ua kapa ʻia hoʻi kēia he "makapō hau". (ʻOiai ʻaʻole kēia he mea maʻamau no mākou ma Sri Lanka, he mea maikaʻi ke ʻike i ia mea).
• Kokoke i nā kino wai nui: Ma nā wahi e like me ke kai a me nā loko nui, nui ka mālamalama e hōʻike ʻia ana mai ka ʻili o ka wai. Inā ʻoe e hoʻolilo i ka manawa nui ma ia mau wahi, ʻoi aku hoʻi ma ke kahakai, me ka ʻole o ka pale maka, ua pilikia ʻoe. E noʻonoʻo, inā ʻoe e hele i ke kahakai me kou mau hoaaloha a pāʻani i ka lā a pau me ka ʻole o nā aniani maka, e ʻulaʻula a ʻeha paha kou mau maka ke hoʻi mai ʻoe i ka home i ke ahiahi.

• Nā kumu UV hana:
• Lamaku kuʻi: Hiki ke hana ʻia kēia i ka wā e kuʻi ʻia ai ke arc. Kapa kekahi poʻe i kēia kūlana ʻo 'maka o ka mea kuʻi' a i ʻole 'maka arc'. ʻO ia ke kumu i ʻōlelo ʻia ai ʻaʻole e nānā pololei i ke kukui i ka wā e kuʻi ai.
• Nā moena ʻili: ʻO kēia nā mea hana e hoʻopuka i nā kukuna UV i hoʻohana ʻia e hoʻololi i ke kala o ka ʻili (tan). Inā ʻaʻole ʻoe e uhi i kou mau maka, hiki i kēia ke puhi i kou cornea. (Akā e hoʻomanaʻo, ʻōlelo nā loea ʻaʻole maikaʻi loa ka hoʻohana ʻana i nā moena ʻili no kou olakino.)
• Nā mea hoʻomaʻemaʻe UV: ʻOiai hiki i kēia mau mea ke pepehi i nā germs, hiki iā lākou ke puhi i kou mau maka inā hoʻohana hewa ʻia.
• Nā kukui halogen kiʻekiʻe-voltage hewa: Inā pahū kēia mau kukui, i hoʻohana ʻia ma nā wahi e like me nā hale nui a me nā kahua pāʻani, hiki iā lākou ke hōʻino i nā maka ʻoiai inā ʻaʻole ʻoe kokoke.

Nā ʻā wela

Hiki ke hana ʻia kēia e nā ahi koke a i ʻole nā ​​pahū liʻiliʻi. E noʻonoʻo i nā mea e like me kēia:

• Nā Pā ahi: Hiki i nā pā ahi liʻiliʻi ke hana i kēia inā hoʻohana hewa ʻia. Pono ʻoe e makaʻala loa i ka wā e hoʻā ai i ia mau pā ahi i ka wā Makahiki Hou a me nā wā Vesak. I kekahi manawa, inā paha e kokoke loa kahi pā ahi i kou mau maka, hiki i ka wela ke puhi i kou cornea.
• Nā mea lapalapa a pahū: Hiki i ka ʻaila, ka mea ʻala lahilahi, a me ke kerosene ke ʻā a pahū paha inā waiho ʻia kokoke i nā huna ahi a i ʻole nā ​​lapalapa ahi hāmama. Inā kokoke loa ʻoe i ke ahi a inā pahū paha, hiki ke puhi ʻia kou mau maka.
• Ka hoʻohana pono ʻole ʻana a i ʻole nā ​​ulia o nā kinoea pahū: I ka wā e hoʻohana ai i kahi kapuahi kinoea, i kekahi manawa inā e liki a hōʻiliʻili ke kinoea, hiki ke puhi a pahū. Inā puka koke ke ahi kokoke i kahi kapuahi kinoea i ka wā e mahi ana i ka māla, hiki i ka wela ke hana i nā kuni e like me kēia. Loaʻa i ka oxygen lapaʻau (Medical Oxygen) kēia pilikia inā hoʻohana ʻia i nā ʻano kiʻekiʻe.

He aha nā pilikia e hiki ai i kēia ke hana?

Hiki i kēia mau kuni corneal ke alakaʻi maʻalahi i nā maʻi i kou mau maka. Hiki i kēia ʻano ke hoʻonui aʻe a alakaʻi i nā mea e like me ka hoʻopau hou ʻia ʻana o ka corneal. Akā, mai hopohopo, hiki ke mālama pinepine ʻia a ho'ōla ʻia kēia mau pilikia.

E like me ka loaʻa ʻana o ka lā i nā manawa a pau, ka maʻi ʻiliE like me ka hoʻonui ʻana i ka pilikia o ka hoʻomohala ʻana i ka melanoma, hiki i ka hoʻolōʻihi ʻana i nā kukuna UV ke hōʻino i nā maka. Hiki i kēia ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka conjunctival melanoma a i ʻole nā ​​​​maʻi ʻē aʻe.

Pehea e ʻike ai ke kauka i kēia?

ʻO ke kauka, ʻo ia hoʻi he kauka lumi pilikia a he kauka maka paha, e ʻike i kēia ma ka nānā ʻana i kou mau maka, e nīnau iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​nā hana i hala koke nei (e like me ka hoʻoheheʻe ʻana a i ʻole ka ʻike ʻana i ka lā ikaika), a me ka hana ʻana i kekahi mau hoʻokolohua maʻalahi.

I ka manawa pinepine, ʻo ka poʻe me nā kuni wela e loaʻa pū kekahi mau kuni ma ko lākou mau lihilihi a puni ko lākou maka. ʻOi aku ka maʻalahi o ka ʻike ʻana.

He aha nā hoʻokolohua e hana ʻia nei no kēia?

ʻElua mau hoʻāʻo nui i hoʻohana ʻia no kēia:

1. Ka hoʻoluʻu ʻana i ka fluorescein: Ma kēia, ua hoʻopili ʻia kahi waihoʻoluʻu kūikawā e ʻālohilohi ana ma lalo o ke kukui polū i ka maka. ʻAe kēia i nā wahi i hōʻino ʻia o ka cornea e ʻike maopopo ʻia.

2. Hoʻokolokolo kukui ʻoki: Pili kēia i ka nānā ʻana i ka ʻili o ka maka me ka hoʻohana ʻana i kahi aniani hoʻonui a me ke kukui.

He aha ka lāʻau lapaʻau no kēia?

He mana kupaianaha ko ka cornea e ho'ōla koke iā ia iho, no laila ʻo ka hapa nui o nā lāʻau lapaʻau e pili ana i ke kōkua ʻana i ka ho'ōla ʻana o ka cornea, e hōʻemi ana i nā hōʻailona ʻē aʻe, a me ka pale ʻana i nā pilikia.

Hiki ke hana i kēia mau mea ma ke ʻano he lāʻau lapaʻau:

• Hoʻokele ʻeha: No ka mea, hiki i kēia mau kuni ke ʻeha loa, hiki i kāu kauka ke kuhikuhi i kahi lāʻau anesthetic e hoʻomāʻū i ka wahi. Ke pau ka hoʻomāʻū ʻana, hiki ke kuhikuhi ʻia nā lāʻau ʻeha waha, e like me NSAID (Nonsteroidal anti-inflammatory drugs) , e kāohi i ka ʻeha. No nā kuni nui, hiki ke kuhikuhi mua ʻia nā lāʻau ʻeha ikaika, e like me opioids.
• Nā lāʻau lapaʻau antibiotic: He pale pale ka cornea e pale ai i nā germs mai ke komo ʻana. Ke loaʻa iā ʻoe kahi kuni, hiki i nā germs ke komo maʻalahi i loko o ka maka. No laila, he mea nui loa ka hoʻohana ʻana i nā kulu maka antibiotic a i ʻole nā ​​​​​​mea poni e pale aku ai i ka maʻi.
• Pale maka: I kekahi manawa e noi ʻia paha ʻoe e ʻaʻahu i kahi pale maka e pale i kou mau maka. Eia naʻe, ʻaʻole pono kēia i nā manawa a pau. E aʻo aku kāu kauka iā ʻoe ma kēia ma muli o ke koʻikoʻi o kou ʻeha.

Pehea kou manaʻo ma hope o nā lāʻau lapaʻau? Pehea ka lōʻihi e hoʻōla ai?

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka lāʻau lapaʻau?

Inā ʻoe e hoʻopili i kahi lāʻau hoʻomāʻū i kou maka, e emi ana ka ʻeha i loko o kekahi mau minuke. Eia nō naʻe, ke pau ka manaʻo ʻūlū, hiki iā ʻoe ke manaʻo hou i kahi ʻoluʻolu ʻole. Akā, mai hopohopo, e aʻo aku kāu kauka iā ʻoe pehea e hoʻohana ai i nā lāʻau hoʻomaha ʻeha (e like me NSAID) e kāohi i ka ʻeha. Eia kekahi, ʻoiai e ho'ōla koke ana ka cornea, e emi nui ana ka ʻeha ma hope o ka pau ʻana o ka lāʻau hoʻomāʻū.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi ʻā corneal?

ʻOiai he mea ʻeha kēia, hoʻōla koke ia. ʻO nā hōʻailona e like me ka ʻike maka pōwehiwehi, nā maka waimaka, a me ka ʻeha i ka nānā ʻana i ke kukui he manawa pōkole paha. E nalo mālie kēia mau mea i ka wā e ho'ōla ai ka cornea.

Pehea ka lōʻihi o kēia kūlana?

ʻO ka mea pōmaikaʻi, hiki i kou cornea ke ho'ōla koke. ʻO ka maʻamau, ho'ōla loa kēia mau ʻeha i loko o ʻekolu lā (72 mau hola) . ʻIke ka hapa nui o ka poʻe i ka hoʻomaikaʻi nui ʻana i loko o ka lā mua a ʻelua paha.

He aha ka manaʻo no kēia kūlana?

ʻOiai he ʻeha, inā mālama koke ʻia, hiki iā ia ke alakaʻi i ka hoʻōla piha ʻana. Hiki ke loaʻa nā pilikia e like me ka maʻi a me nā ʻāʻī corneal, akā he mea maʻamau ʻole ia a pane maikaʻi i ka lāʻau. Inā he mau nīnau hou kāu e pili ana i kou kūlana, ʻoi aku ka maikaʻi o ke kūkākūkā ʻana me kāu kauka maka.

Hiki ke pale ʻia kēia?

ʻAe, ʻoiaʻiʻo nō! He mea kēia e hiki ke pale maʻalahi ʻia. He haʻahaʻa loa ka hiki ke hana ʻia nā ulia pōpilikia hiki ʻole ke noʻonoʻo ʻia. Inā ʻoe e hahai i kēia mau ʻanuʻu maʻalahi, hiki iā ʻoe ke pale aku i kēia pilikia i kahi nui:

• E ʻaʻahu i nā aniani maka pale UV: He mea nui loa kēia inā ʻoe ma nā wahi i ʻike nui ʻia ai ka lā (nā kahakai, nā wai nui). He mea nui kēia mau mea inā ʻoe e hana me nā kumu kukui UV, e like me ka wili ʻana, a inā ʻoe e hoʻohana i nā moena tanning (ʻoiai ke ʻōlelo nei nā loea ʻaʻole palekana iki ka hoʻohana ʻana i nā moena tanning).
• E ʻaʻahu i nā goggles palekana a i ʻole nā ​​​​aniani pale wela: Hiki i kēia ke kōkua i ka pale ʻana i kou mau maka inā kokoke ʻoe i nā mea lapalapa a i ʻole nā ​​​​ahi ākea.
• E hoʻohana i nā mea lapalapa me ke akahele: E hoʻohana wale i nā mea i hoʻolālā ʻia e hoʻā, a laila, e akahele. Mai hoʻohana i ka gasoline e hoʻā. Eia kekahi, e hoʻomanaʻo i nā huaʻōlelo "inflammable" a me "flammable" ʻo ia hoʻi "flammable." Inā ʻaʻole lapalapa kekahi mea, pono e kapa ʻia ʻo "nonflammable."
• E akahele loa i ka hoʻohana ʻana i nā mea puhi ahi: ʻOiai ke ʻano he mea leʻaleʻa paha, e hoʻomanaʻo he mea weliweli nā mea puhi ahi. Mai ʻae i nā keiki liʻiliʻi e hoʻā i nā mea puhi ahi mehameha. ʻAʻole kūpono kekahi mau mea puhi ahi no nā keiki, ʻoiai ma lalo o ka nānā ʻana o ka pākeke.

Inā loaʻa iaʻu kahi ʻā o ka cornea, he aha kaʻu e hana ai?

Inā manaʻo ʻoe he kuni kone kou, a inā paha he kānalua iki kou e loaʻa paha iā ʻoe kekahi, mai hoʻokaʻulua i ka ʻimi ʻana i ke aʻo lapaʻau. Hiki i nā hōʻailona o nā kuni ʻē aʻe i hoʻokumu ʻia e nā kukuna UV ke lōʻihi i nā hola e ʻike ʻia. Hiki i ka mālama koke ke kōkua i ka kaohi ʻana i nā hōʻailona e kū nei a pale i ke ʻano mai ka ʻino ʻana.

Pono koke ke kōkua lapaʻau no kekahi ʻeha wela ma ka maka a i ʻole a puni nā maka. Mai hoʻāʻo e mālama iā ʻoe iho, a hoʻopaneʻe paha. Hiki i ka hana ʻana pēlā ke hoʻonui i ka ʻeha, alakaʻi i ka maʻi, a hoʻoulu i nā pilikia ʻē aʻe i ka wā e hiki mai ana.

Inā kuhikuhi kāu kauka i nā lāʻau antibiotic, e lawe pono iā lākou e like me ke kuhikuhi ʻana. Mai hoʻōki i ka lawe ʻana iā lākou ke ʻoluʻolu ʻoe. ʻO ka lawe ʻana i ka lāʻau lapaʻau no ka manawa piha i kuhikuhi ʻia ke ala maikaʻi loa e pale aku ai i ka hoʻi hou ʻana o kahi maʻi a me ka ulu ʻana o nā maʻi kūʻē i ka antibiotic.

Āhea wau e ʻike ai i ke kauka? Āhea wau e hele ai i ka lumi pilikia?

Ma hope o kou ʻike mua ʻia ʻana ma ka lumi pilikia, e kuhikuhi ʻia ʻoe i kahi kauka maka . E ʻike koke i kēlā kauka. Hiki ke noi ʻia ʻoe e hoʻi mai i kekahi mau manawa e ʻike pehea e ho'ōla nei kou mau maka a e nānā i nā pilikia ʻē aʻe. He mea nui loa e hele e ʻike i ke kauka e like me ke kuhikuhi ʻana.

Ma hope o ka lāʻau lapaʻau, ʻaʻole pono ka hapa nui o ka poʻe i ka mālama ulia pōpilikia hou. Akā inā ʻike ʻia kou ʻeha e ʻoi aku ka ʻino a i ʻole kou ʻike e ʻoi aku ka ʻino, e hele koke i kahi lumi ulia pōpilikia.

Ma muli o kou kūlana, aia paha kekahi mau kumu ʻē aʻe e pono ai ka mālama ʻana i ka pilikia. E wehewehe kāu kauka maka iā ʻoe i kēia mau mea a me nā hōʻailona e makaʻala ai.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

He ʻeha akā hiki ke mālama ʻia ka Corneal Flash Burns. Inā manaʻo ʻoe he maʻi kou, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke ʻimi koke i ke kōkua lapaʻau. Mai kali wale. ʻO ka hana ʻana pēlā e alakaʻi ai i ka maʻi a me nā pilikia ʻē aʻe. ʻO ka mea pōmaikaʻi, he ʻāpana wikiwiki loa ka cornea o ko mākou kino. Inā loaʻa koke iā ʻoe ka lāʻau lapaʻau a hahai i nā ʻōlelo a kāu kauka, pono ʻoe e ʻoi aku ka maikaʻi i loko o ʻelua a ʻekolu mau lā (a i ʻole ma mua).

ʻO nā kuni ʻana o ka cornea, ka wela o ka maka, ka photokeratitis, ka kukuna UV, ka wela wela, ka ʻeha o ka maka, ka maka wili ʻana