Ua pehu kou ʻauwai waimaka? Ua kapa ʻia kēia ʻo (Dacryoadenitis)!

Ua ʻike anei ʻoe i kahi pehu iki, ʻulaʻula, a me ka ʻeha a puni kou mau maka? A i ʻole ke manaʻo nei ʻoe e kahe ana ka wai o kou mau maka a kaumaha paha? Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he pilikia liʻiliʻi paha ia me kou ʻōpū hana waimaka (lacrimal gland). I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia ʻano maʻi, ʻo ia hoʻi (Dacryoadenitis) .

He aha ka Dacryoadenitis?

I ka ʻōlelo maʻalahi, ʻo ka dacryoadenitis kahi pehu a i ʻole ka mumū o kou mau kelepa waimaka. Loaʻa iā mākou āpau kēia mau kelepa waimaka ma nā maka ʻelua, ma lalo pono o ka lihilihi o luna, ma waho iki, ma ke kihi o ko mākou ihu. Ua like lākou me ka nui o kahi ʻalemona liʻiliʻi. ʻO kēia nā mea e haehae ai i ko mākou mau maka; ua like lākou me nā hale hana liʻiliʻi e hāʻawi ana i ka makū a me ka pale i ko mākou mau maka. No laila, inā no kekahi kumu e huhū ai kekahi a i ʻole nā ​​​​​​kelepa ʻelua, pehu lākou. ʻO kēlā pehu ka mea a nā kauka e kapa nei he dacryoadenitis .

Hoʻokumu pinepine ʻia kēia e kahi maʻi a i ʻole kahi maʻi autoimmune , ʻo ia hoʻi kahi loli i loko o kā mākou ʻōnaehana pale ponoʻī. Hiki iā ia ke hoʻopilikia i hoʻokahi maka wale nō (unilateral dacryoadenitis) a i ʻole nā ​​​​maka ʻelua i ka manawa hoʻokahi (bilateral dacryoadenitis).

Hiki i kēia kūlana ke hōʻeha i ka wā e hoʻoneʻe ai i ka maka i hoʻopilikia ʻia. Hiki iā ia ke hana i nā ʻōpū waimaka e hoʻopuka i nā waimaka hou aʻe, e hoʻomaʻū mau ana i ka maka. Eia naʻe, i ka hapa nui o ka manawa , ʻaʻole hoʻopilikia ka Dacryoadenitis i ka ʻike. Eia naʻe, inā koʻikoʻi ka pehu ʻana, hiki iā ia ke hoʻoulu i ke kaomi i loko o ka maka a hoʻopilikia i ka ʻike.

He mea maʻamau no ka nui o ka poʻe me ka dacryoadenitis ke hopohopo iki a hopohopo paha e pili ana i ko lākou mau maka. Akā e hoʻomanaʻo, he maʻi manawa pōkole kēia a hiki ke mālama ʻia me ka lāʻau lapaʻau. Ma muli o ke kumu, hiki ke hala ma kahi o hoʻokahi mahina no kou hoʻōla piha ʻana.

Inā ʻike ʻoe i kekahi mau loli i kou mau maka a i ʻole ka ʻike ʻana, ʻoiai ka ʻeha, ka pehu ʻana, a i ʻole ka ʻulaʻula, e ʻike koke i kahi loea maka.

ʻO wai ka mea hiki ke hoʻomohala i kēia?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i kēia maʻi (Dacryoadenitis) . Eia nō naʻe, he paʻakikī ke ʻōlelo pololei i ka nui o ka poʻe e loaʻa i kēlā me kēia makahiki, no ka mea, he nui nā maʻi ʻē aʻe e hiki ke hoʻoulu.

Ua ʻike ʻia kekahi mau noiʻi he ʻoi aku ka maʻamau o kēia ʻano maʻi i nā keiki a me nā ʻōpio ma mua o ka poʻe ma luna o 50 mau makahiki .

E like me kā mākou i ʻōlelo ai ma mua, ʻo Dacryoadenitis , kahi maʻi autoimmune i hoʻokumu ʻia e kahi pilikia me ka ʻōnaehana pale, ʻoi aku ka maʻamau i nā wahine . Manaʻo nā loea ʻo ke kumu o kēia, ʻoi aku ka maʻamau o nā maʻi autoimmune i nā wahine.

He aha nā hōʻailona o ka Dacryoadenitis?

ʻAe, e nānā kākou i kēia manawa.He aha nā hōʻailona o kekahi me ka dacryoadenitis ? E nānā inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea:

• Aia kahi pehu ma luna o kou maka, ma ke kihi o waho (ʻo ia hoʻi, ke kihi mamao loa mai kou ihu).
• He kūlana kahi e kūlou ai ka lihilihi maka (i kapa ʻia ʻo "Ptosis") .
• Ua ʻeha au, i kekahi manawa ʻeha ke hoʻopā au i kuʻu mau maka.
• Ka hoʻokahe wai pinepine (epiphora) a i ʻole nā ​​​​wai ʻē aʻe mai nā maka.
• Hiki ke pehu nā lymph nodes kokoke i ka pepeiao.
• Hiki ke ʻulaʻula ka ʻāpana a puni ka maka a mehana paha .

No ke aha e hana ai kēia (Dacryoadenitis)?

ʻElua ʻano kumu nui no ka dacryoadenitis . E kamaʻilio kākou e pili ana iā lākou ma ke kaʻawale.

Nā kumu o ka Dacryoadenitis ʻĀki

ʻO kēia (Acute Dacryoadenitis) he maʻi ia e hiki koke mai ana, me ka wikiwiki. ʻO ke kumu nui o kēia, he ʻano maʻi (ʻaʻai) . Hiki ke lilo i maʻi viral, a i ʻole he maʻi bacteria. He mea kākaʻikahi loa, ua hoʻokumu ʻia kēia maʻi e nā maʻi fungal a i ʻole nā ​​parasites (ʻaʻai parasites). ʻO ka hapa nui o ka manawa, hoʻopilikia wale kēia ʻano ʻaʻai i hoʻokahi maka.

ʻO nā maʻi maʻamau e hoʻoulu ai i ka "Acute Dacryoadenitis" :

• (Mononucleosis) (i kapa ʻia hoʻi ʻo 'mono', a i ʻole ka maʻi i hoʻokumu ʻia e ka 'Epstein-Barr virus')
• Nā ʻūpā
• (Adenovirus) (He maʻi kēia e hoʻoulu ai i nā maʻi e like me ke anu maʻamau)
• (Nā maʻi Staph) (ʻo ia hoʻi nā maʻi bacteria 'staphylococcal')
• ʻO Gonorrhea (ʻoiai he maʻi i lawe ʻia ma ke ʻano moekolohe kēia, hiki ʻole ke hoʻopili i nā maka)
• (Herpes simplex) (maʻi herpes)
• (Herpes zoster oticus) (He ʻano maʻi kēia i hoʻokumu ʻia e kahi maʻi i loko o ka ʻohana herpes e hoʻopilikia ai i ka pepeiao a i kekahi manawa nā aʻalolo maka)

Nā kumu o ka Dacryoadenitis Mau Loa

ʻO ka Dacryoadenitis mau loa kahi maʻi e mau ana no ka manawa lōʻihi, i kekahi manawa e hoʻi hou ana ma hope o ka mālama ʻana. ʻO ke kumu nui o kēia maʻi nā maʻi `(autoimmune)` . ʻO ka maʻi `(Autoimmune)`, i ka ʻōlelo maʻalahi, ʻo ia ka wā e hewa ai ka ʻōnaehana pale o ko mākou kino (ʻōnaehana pale) a ma kahi o ke kaua ʻana i nā germs haole, hoʻouka ia i kā mākou mau cell olakino ponoʻī. Ua like ia me kā mākou mau koa ponoʻī e hakakā nei iā mākou. ʻAʻole maopopo loa ke kumu o kēia.

Aia kekahi mau maʻi autoimmune e hiki ai ke hana i ka Dacryoadenitis Chronic :

• (Sjögren's syndrome) (ʻo nā maka maloʻo a me ka waha nā hōʻailona nui)
• (Maʻi maka thyroid) (kahi maʻi e pili ana i nā maka e pili ana i nā pilikia thyroid)
• (ʻO ka maʻi sarcoidosis)(He maʻi e hoʻoulu ai i nā pehu liʻiliʻi (`granulomas`) ma nā ʻāpana like ʻole o ke kino)
• (Granulomatosis me ka polyangiitis) (ʻO kēia ke kumu o ka mumū o nā kīʻaha koko)

Pehea ʻoe e ʻike ai i kēia?

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, ʻo kāu loea mālama maka ka mea nāna e haʻi pololei iā ʻoe inā he dacryoadenitis kou. E nānā pono ʻo ia i kou mau maka (e nānā i loko o kou mau maka) a nīnau iā ʻoe e pili ana i kāu mau hōʻailona.

Pono paha ʻoe e hana i kahi hoʻāʻo koko e nānā i nā hōʻailona o ka maʻi a i ʻole ka mumū. I kekahi manawa, pono paha e lawe ʻia kahi hāpana liʻiliʻi o ke kelepa waimaka no ka hoʻāʻo ʻana (he biopsy).

Eia kekahi, makemake paha kāu kauka maka e hana i kahi hoʻāʻo kiʻi . Hiki i kēia ke kōkua i ka ʻike ʻana i ka nui o ka pehu ʻana i loko o ke kahawai waimaka a ma lalo o ka ʻili. ʻO nā hoʻāʻo kiʻi maʻamau i hoʻohana ʻia e ʻike i ka dacryoadenitis :

• scan (MRI - kiʻi resonance magnetic) .
• (CT scan - scan tomography i hoʻohana ʻia) scan.

He aha nā lāʻau lapaʻau no ka Dacryoadenitis?

ʻO ke ʻano o ka mālama ʻana i ka dacryoadenitis e pili ana i ke kumu.

Hoʻōla ʻia ka dacryoadenitis ʻākiuki (i hoʻokumu ʻia e kahi maʻi) ma ka hāʻawi ʻana i ka maʻi e hoʻoulu ai i kāu mau hōʻailona. Inā he virus ia, e hāʻawi ʻia ʻoe i nā lāʻau antiviral , a inā he maʻi bacteria, e hāʻawi ʻia ʻoe i nā antibiotics . ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau no ka manawa piha a kāu kauka i kuhikuhi ai. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau no ka mea ua ʻoi aku kou maikaʻi a ua emi paha kāu mau hōʻailona. Pono ʻoe e hoʻopau i ka papa holoʻokoʻa e hoʻopau loa i ka maʻi. Inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau i ka wā mua, hiki i ka maʻi ke hoʻi hou mai, a ʻoi aku ka ʻino ma mua o ka wā ma mua.

ʻO ka maʻamau, mālama ʻia ka dacryoadenitis mau (i hoʻokumu ʻia e kahi maʻi autoimmune) ma ka mālama ʻana i ka maʻi autoimmune e hoʻoulu ai i kāu mau hōʻailona. E kamaʻilio me kāu kauka e pili ana i ke ʻano o ka mālama ʻana i kāu mau hōʻailona a me ke ʻano o ka lāʻau e pono ai. Hiki iā lākou ke kuhikuhi i kahi corticosteroid e hōʻemi i ka mumū a me ka pehu a puni ka maka.

Eia kekahi, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hoʻopili i kahi ʻūlū mahana i ka maka i hoʻopilikia ʻia. E haʻi aku ʻo ia iā ʻoe i ka lōʻihi o ke kau ʻana i ka ʻūlū a me ka nui o nā manawa i ka lā e kau ai.

Hiki ke pale ʻia kēia kūlana?

ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai ka `(Acute Dacryoadenitis)`, ʻo ia ke ʻano i hoʻokumu ʻia e kahi maʻi, ʻo ia ka holoi pinepine ʻana i kou mau lima., ʻoi aku hoʻi ma mua o kou hoʻopā ʻana i kou mau maka. Ke hoʻopā kākou i ko kākou mau maka, ihu, a me ka waha me nā lima lepo, hiki i nā germs ma ko kākou mau lima ke komo maʻalahi i loko o ko kākou kino. No laila, e hoʻomaʻū i kou mau lima me ka wai e kahe ana, e kau i ke kopa, a hamo maikaʻi iā lākou no ka liʻiliʻi he 20 kekona.

Inā loaʻa iā ʻoe kahi maʻi autoimmune, ʻaʻole paha e hiki ke pale loa i ka dacryoadenitis mau loa. I kēlā mau hihia, e aʻo aku kāu kauka iā ʻoe pehea e mālama ai i nā hōʻailona ke kū mai lākou.

He aha ka mea e hana ai inā loaʻa iā ʻoe ka dacryoadenitis?

Hiki iā ʻoe ke manaʻo i ka ho'ōla piha ʻana mai ka Dacryoadenitis . Pono e nalo nā hōʻailona o ka "Acute Dacryoadenitis" ma hope o ka mālama ʻia ʻana o ka maʻi. Hiki ke hoʻi hou mai nā hōʻailona o ka "Chronic Dacryoadenitis" i kēlā me kēia manawa, ma muli o ka maʻi "autoimmune" e hoʻokumu nei. E kamaʻilio me kāu kauka e pili ana i kēia.

Ma kahi o hoʻokahi mahina no ka hapa nui o ka poʻe e ho'ōla ai mai ka dacryoadenitis . Inā ʻoi aku ka ʻino o kāu mau hōʻailona a ʻaʻole hoʻi e hoʻomaikaʻi ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau, e ʻike koke i kāu kauka.

He aha nā manawa kūpono loa e ʻike ai i ke kauka?

E ʻike i kāu kauka maka i ka wā e ʻike ai ʻoe i kekahi loli i kou mau maka a i ʻole ka ʻike.

Pono ʻoe e hele i ke keʻena hoʻokele pilikia inā loaʻa iā ʻoe nā hōʻailona penei:

• Inā nalowale koke kou ʻike.
• Inā he pehu i loko a kokoke paha o ka maka e piʻi koke ana.
• Inā loaʻa iā ʻoe ka ʻeha nui o ka maka .
• Inā ʻike ʻoe i nā kukui uila a i ʻole nā ​​​​mea lana i mua o kou mau maka.

Nā nīnau e nīnau aku ai i ke kauka

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau ʻana i kēia mau nīnau:

• He aha ke ʻano o ka Dacryoadenitis iaʻu? (He ʻeha a he maʻi mau paha?)
• He aha ke kumu o kēia (Dacryoadenitis) ?
• He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu?
• ʻEhia ka lōʻihi e pono ai iaʻu e lawe i ka lāʻau lapaʻau?
• Hiki paha i kēia mau hōʻailona ke hoʻi hou i ka wā e hiki mai ana?

He aha ka ʻokoʻa ma waena o (Dacryoadenitis) a me (Dacryocystitis)?

ʻO Dacryoadenitis a me Dacryocystitis nā kūlana ʻelua e hoʻopilikia i kā mākou ʻōnaehana waimaka. Eia nō naʻe, ʻo ka ʻokoʻa ma waena o nā mea ʻelua aia ma kahi e loaʻa ai ka mumū.

ʻO ka Dacryoadenitis , e like me kā mākou i kūkākūkā ai, he mumū ia o kekahi a i ʻole nā ​​​​​​ʻelua o kāu mau kelepa waimaka (nā kelepa lacrimal). Aia kēia mau mea ma luna o kou maka, ma ke kihi o waho. Hoʻokumu pinepine ʻia e kahi maʻi.

ʻO ka Dacryocystitis kahi mumū o ka ʻeke e hōʻiliʻili i kou mau waimaka (ʻeke lacrimal). Ua kapa ʻia kēia ʻo Dacryoadenitis.ʻOi aku ka maʻamau ma mua o ke kahawai nasolacrimal. Aia nā ʻeke lacrimal ma ke kihi o loko o nā maka. Hōʻiliʻili nā waimaka e kahe ana mai nā maka i loko o kēia mau ʻeke ma mua o ko lākou komo ʻana i nā kahawai waimaka. ʻO ke ālai ʻana o ke kahawai nasolacrimal ke kumu nui o ka dacryocystitis .

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

No laila, ʻo Dacryoadenitis kahi mumū o kekahi a i ʻole nā ​​​​​​ʻelua o nā kelepa waimaka nui e like me ka ʻalemona i loaʻa ma ke kihi o waho o kou maka. He mea maʻamau ke hopohopo i ka wā e ʻike ai ʻoe i ka pehu a me ka ʻeha kokoke i kou maka, ʻoiai inā hiki koke mai. Akā e hoʻomanaʻo, ʻo Dacryoadenitis kahi maʻi i hiki ke ho'ōla ʻia i loko o hoʻokahi mahina.

Inā he maʻi kēia i hoʻokumu ʻia e kahi maʻi, he mea nui loa ia e lawe i ka papa holoʻokoʻa o ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka. A laila wale nō e ho'ōla loa ʻia ai ka maʻi.

Inā loaʻa iā ʻoe ka dacryoadenitis ma muli o kahi maʻi autoimmune, e aʻo aku kāu kauka ophthalmologist a kauka ʻohana paha iā ʻoe pehea e hoʻokele ai i kāu mau hōʻailona a hoʻemi i ko lākou hopena i kou ola o kēlā me kēia lā.

ʻO ka mea nui loa, ʻo ia ke ʻike koke i ke kauka maka ke ʻike ʻoe i kekahi pehu, ʻeha, a i ʻole ke kala ʻana o ke kala ma kahi kokoke i kou maka. He maʻi hiki ke mālama ʻia ʻo Dacryoadenitis , akā he mea nui e nānā a ʻike koke ʻia kou maka e hōʻoia i ka hoʻōla koke ʻana o kou mau ala waimaka me ka ʻole o ka hōʻino ʻana iā lākou. Ua maopopo iā ʻoe?

ʻO ka Dacryoadenitis, ka pehu ʻana o ka maka, ka maʻi maka, ka maʻi ʻōpū waimaka, ka maʻi maka autoimmune, ka ʻeha maka