Ke nānā aku nei anei kou lihilihi me he mea lā ua ʻōwili ʻia i waho? A i ʻole he mau hōʻailona kou e like me ka hewa o kekahi mea me kou maka, e like me nā maka maloʻo a ʻulaʻula? Loaʻa paha iā ʻoe kahi maʻi i kapa ʻia ʻo `(Ectropion)`. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, me ka maʻalahi loa.
He aha ke ʻano o kēia lihilihi maka e ʻōwili ana i waho? He aha ka `(Ectropion)`?
I ka ʻōlelo maʻalahi, ʻo `(Ectropion)` ka wā e huli ai kou lihilihi maka, ʻoiai ka lihilihi maka haʻahaʻa, i waho, mai ka maka o ka maka. Me he mea lā e kulou ana ka lihilihi maka i lalo. Ke hana ʻia kēia, ʻike ʻia ka ʻili o loko o ka maka . ʻO ka ʻaoʻao ʻē aʻe o kēia ʻo `(Entropion)`, ʻo ia ka wā e huli ai ka lihilihi maka i loko.
No laila, he aha ka mea e hana ai ke ʻōwili ka lihilihi e like me kēia?
- ʻAʻole kahe pono nā waimaka: Hohola nā waimaka e hana ʻia ana i loko o ko kākou mau maka ma loko o ka maka, e mālama ana iā ia i ka pulu, a laila kahe i waho ma kahi lua liʻiliʻi ma ka ʻaoʻao o ka ihu. Ke ʻōwili hou nā lihilihi maka, ua ālai ʻia kēia ala waimaka. A laila kahe wale nā waimaka ma ka papālina.
- Nā maka maloʻo a ʻulaʻula: ʻAʻole uhi pono nā lihilihi i ka maka, no laila e maloʻo ai nā maka, ʻulaʻula, a maneʻo.
- ʻO ka mumū o nā maka a me nā maʻi: Ma muli o ka hōʻike ʻia ʻana o nā maka, hiki i ka lepo a me nā germs ke komo maʻalahi a hoʻoulu i nā maʻi.
ʻOiai hiki i kēia kūlana ke hoʻopilikia i ka lihilihi o luna, ʻo ka hapa nui ka hopena i ka lihilihi o lalo. Hiki ke loaʻa i hoʻokahi a i ʻole nā maka ʻelua. Akā ʻo ka nūhou maikaʻi, aia nā lāʻau lapaʻau no ia mea. I kekahi manawa hiki ke hoʻomalu ʻia me nā mea e like me nā waimaka hana. A i ʻole pono paha ʻoe e hana i kahi ʻoki liʻiliʻi.
He aha nā ʻano nui o ka `(Ectropion)`?
Hiki ke puʻunaue ʻia kēia kūlana (Ectropion) i ʻelua ʻāpana nui ma muli o ke ʻano o kona hana ʻana.
1. Ma ke ʻano he kīnā hānau (`Congenital`): He mea kākaʻikahi loa kēia. ʻO ia hoʻi, ua hānau ʻia ke kanaka me kēia maʻi.
2. Loaʻa: ʻO kēia ke ʻano maʻamau . ʻEhā ʻano o kēia:
- ʻEctropion pili i ka makahiki (`Involutional Ectropion`): ʻO kēia ke ʻano maʻamau. E like me ka ʻāwili ʻana o ko kākou ʻili, i ko kākou ʻelemakule ʻana, e nāwaliwali mālie a hemo nā ʻiʻo a me nā ligaments i loko o ka lihilihi. A laila nalowale ka lihilihi i kona hiki ke hoʻopaʻa i ka maka o ka maka a hāʻule. Hiki i ka ʻū pinepine ʻana ke kumu o kēia.
- ʻEctropion Paralytic: Hiki ke hana ʻia kēia ʻano ke hōʻino ʻia ke aʻalolo maka a i ʻole ua hoʻopilikia ʻia nā aʻalolo e kaohi ana i nā lihilihi maka. No ka laʻana, hiki ke ʻike ʻia me ka palsy a Bell, kahi ʻano e hoʻoulu ai i ka maʻi lolo ma kekahi ʻaoʻao o ka maka.
- ʻEctropion Cicatricial: Ke hana ʻia ka ʻiʻo ʻili ma muli o ka hōʻeha ʻana i ka ʻili, e like me ke ʻoki ʻana, ka wela, a i ʻole ka lā wela, hiki i ka ʻiʻo ʻili ke hoʻēmi a huki i ka pehu maka i waho.
- ʻEctropion Mechanical: Ke hana ʻia kekahi mea kaumaha, e like me ka puʻupuʻu, ma ka lihilihi, hiki ke huki ʻia ka lihilihi i lalo a ʻōwili ʻia i waho e kēlā kaumaha.
He aha nā hōʻailona o ka `(Ectropion)`?
Mālama ko kākou mau lihilihi i ko kākou mau maka a mālama iā lākou i ka maʻemaʻe. No laila, ʻike ʻia kēia mau hōʻailona ke kūlou nā lihilihi i lalo a hōʻike ʻia nā maka. E nānā inā ʻike ʻoe i kekahi o kēia mau mea:
- Ka manaʻo o kekahi mea i loko o ka maka ('manaʻo kino ʻē'). Me he mea lā ua hāʻule kahi mea lepo i loko o ka maka .
- Nā maka maloʻo.
- ʻUlaʻula o nā maka.
- Ua kahe mau nā waimaka mai koʻu mau maka e like me ka wai. Me he mea lā e uē wale ana au.
- He kahe mānoanoa a like me ka pea mai ka maka mai.
- Ua hoʻopaʻa ʻia nā maka e like me ka ʻili palahalaha.
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, he manaʻo maikaʻi e ʻike i kahi ophthalmologist.
He aha nā kumu o ka `(Ectropion)`?
ʻOkoʻa nō hoʻi nā kumu ma muli o nā ʻano a mākou i kūkākūkā ai ma mua.
- ʻEctropion Involutional: ʻO ke kumu nui ka ʻelemakule. Ma waho aʻe o kēlā, hiki i ka hamo pinepine ʻana i nā maka ke kōkua pū kekahi.
- ʻEctropion Paralytic: Hana ʻia me ka maʻi palupalu o ke aʻalolo maka, e like me ka maʻi palupalu o Bell. Hiki pinepine mai kēia me ka koke. Hoʻolilo ia i kekahi ʻaoʻao o ka maka e kulou.
- ʻO ka ʻEctropion Cicatricial: Ma muli o ka ʻeha o ka ʻili. Hiki ke hana ʻia kēia ma hope o ke ʻoki ʻana o nā maka (blepharoplasty), kahi ulia e like me ka ʻoki ʻana, ka wela, a i ʻole ka ninini ʻana o ke kemika ma ka maka. E noʻonoʻo e pili ana i ia mea, i ka wā e wela ai ka ʻili, e kīkoʻo ka ʻili i ka wā e ho'ōla ai ka ʻeha, a hiki i ka maka ke huki i waho ma ke ʻano like.
- ʻEctropion Mekanika: Ke loaʻa ke kaumaha ma ka lihilihi, e like me ka puʻupuʻu, ka papa momona, a i ʻole ka pehu ʻana (`edema`), huki ʻia ka lihilihi i lalo e kēlā kaumaha.
- ʻEctropion Congenital: He kūlana kēia i loaʻa i ka wā hānau. ʻOi aku ka ʻike ʻia me kekahi mau kūlana congenital e like me Down syndrome a me Blepharophimosis syndrome.
He aha nā kumu pilikia no ka hoʻomohala ʻana i ka `(Ectropion)`?
Aia kekahi mau kumu pilikia e hiki ke kōkua i kēia ʻano:
- Ka ʻelemakule: E like me kā mākou i kamaʻilio ai, ke kumu nui.
- Ka nui o ka lā: Hiki i ka hōʻino ʻana o ka lā i ka ʻili ke hoʻonāwaliwali i nā lihilihi.
- Ke hoʻopā mau nei, ke ʻūmiʻi nei, a me ka huki ʻana i nā lihilihi maka.
- Ke kau ʻana i nā aniani hoʻopili: Inā ʻaʻole i hoʻomaʻemaʻe pono ʻia, ʻaʻole i hoʻololi ʻia i ka manawa kūpono, a inā ʻoe e huki ikaika i kou mau lihilihi i ke kau ʻana a me ka wehe ʻana i nā aniani.
- Loaʻa nā maʻi ʻili e hoʻopilikia ai i nā lihilihi.
- Nā ulia a i ʻole nā ʻoki kino i nā lihilihi.
- Ka lolo ʻana o ke aʻalolo maka a i ʻole ka mae ʻana o ka maka.
- Ka hoʻohana lōʻihi ʻana o kekahi ʻano kulu maka.
Pehea e ʻike ai i ke kūlana `(Ectropion)`?
Ke ʻike ʻoe i ke kauka, e nīnau mua ʻo ia e pili ana i kou mōʻaukala olakino a hana i kahi hoʻokolokolo maka. I ka manawa pinepine, hiki iā ʻoe ke ʻike koke inā e huli ana kou lihilihi i waho. I kekahi manawa hiki ke maalea kēia, akā i nā manawa ʻē aʻe hiki ke maopopo.
ʻIke ʻia paha kou lihilihi lalo he haʻahaʻa ma mua o ka maʻamau. Hiki ke ʻike ʻia ka ʻaoʻao o loko o kou lihilihi. Hiki ke ʻulaʻula ka maka ma mua o ka maʻamau, ʻoiai ma kahi i hōʻike ʻia ai ka lihilihi. ʻO ka maka ʻeleʻele i ʻike ʻia ma lalo o ka lihilihi lalo he hōʻailona paha ia ua hōʻike ʻia ka ʻaoʻao haʻahaʻa o ka cornea o ka maka (ka cornea), a hiki ke pehu, kahi maʻi i kapa ʻia ʻo keratitis.
Hiki i ke kauka ke huki iki i kou lihilihi maka i waho a ʻike i ka lōʻihi o ka manawa e hoʻihoʻi ai i kona wahi. Ua kapa ʻia kēia he "snap-back test." Inā koʻikoʻi ka ectropion, pono paha ʻoe e ʻimo i nā manawa he nui e hoʻihoʻi i kou lihilihi maka i kona wahi.
He aha nā lāʻau lapaʻau no ka `(Ectropion)`?
I ka manawa pinepine, e hoʻomaka kāu kauka i ka lāʻau lapaʻau ma ke kuhikuhi ʻana i nā waimaka hana a i ʻole nā kulu maka ʻē aʻe a i ʻole nā mea poni e hoʻohui i ka makū i kou mau maka. Inā ʻaʻole kōkua kēia makū wale nō, hiki ke ʻōlelo ʻia nā lāʻau lapaʻau ʻē aʻe. ʻO kēia mau mea:
- Ke hoʻōki ʻana i nā kulu maka āu e hoʻohana nei: Inā manaʻo kāu kauka ua hana ʻia kēia ʻano ma muli o kahi ʻano kulu maka āu i hoʻohana ai no ka manawa lōʻihi, e haʻi lākou iā ʻoe e hoʻōki i ka hoʻohana ʻana iā lākou.
- Ke mālama ʻana i nā kūlana ʻē aʻe: Inā he maʻi ʻili ke kumu o ka ectropion, ʻo ka hana mua e mālama i kēlā kūlana a hoʻāʻo e kāohi i ka ectropion. Hiki i kēia ke komo pū me ka hoʻohana ʻana i nā lāʻau anti-inflammatory e like me nā steroids.
- ʻO ke ʻoki kino: Pili kēia i ka wehe ʻana i kahi ʻāpana liʻiliʻi o kou lihilihi (maʻamau mai ke kihi o waho o ka maka ), e hoʻopaʻa ana i nā ligaments wehe, a e humuhumu hou iā lākou.
ʻO kekahi mau ʻoki Ectropion, ʻoiai nā mea i hoʻokumu ʻia e ka ʻeha, pono paha e koi ʻia kahi kāpili ʻili e hoʻoponopono i ke kūlana. I kekahi mau hihia, pono paha ma mua o hoʻokahi ʻoki e hoʻōla loa iā Ectropion.
Hiki iā ʻoe ke pale iā ʻoe iho mai ka Ectropion?
He mea paʻakikī pinepine ke pale aku i ka Ectropion. Akā hiki iā ʻoe ke hana i kekahi mau hana e pale aku ai i kou mau maka a me kou mau lihilihi. Eia kekahi laʻana:
- E makaʻala i ka pinepine o kou hamo ʻana i kou mau maka a me ka ikaika o kou hamo ʻana iā lākou. E makaʻala ʻaʻole e kīkoʻo ka ʻili.
- Mai hiamoe ma kou ʻōpū me kou maka e pili ana i ka uluna. Hiki i kēia ke hoʻonui i ka palupalu o kou mau lihilihi maka.
- Inā loaʻa iā ʻoe ka apnea hiamoe, e hoʻohana pono i kāu mīkini CPAP. Inā kānalua ʻoe he maʻi kou, e ʻike i ke kauka e kūkākūkā iā ia.
- No ka pale ʻana i kou ʻili a me kou mau maka mai ka lā ʻino, e hoʻohana i nā aniani maka.
- Inā pono ʻoe e komo i nā maka aniani palekana i ka wā e hana ana, e hana pono pēlā.
- Inā ʻoe e ʻaʻahu i nā aniani hoʻopili, e hoʻomaʻemaʻe pono iā lākou a wehe iā lākou i ka manawa kūpono. E hoʻomaʻemaʻe i kou mau lima i ka wā e hoʻokomo ai a wehe i kāu mau aniani. E akahele me kou mau lihilihi maka.
He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka `(Ectropion)`?
He maʻi hiki ke mālama ʻia ʻo Ectropion. Inā pono, hiki i ke ʻoki kino ke hoʻōla loa i ke ʻano a hoʻoikaika i nā ʻiʻo o ka lihilihi maka.
Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki i ka Ectropion koʻikoʻi ke alakaʻi i ka ʻeha a i ʻole nā ʻōpū ma ka cornea. Hiki i kēia ke alakaʻi i ka nalowale mau o ka ʻike, a i nā hihia ʻino loa, hiki i ka makapō. No laila, he mea nui e ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona.
I ka manawa hea e pono ai ʻoe e ʻike i ke kauka e pili ana i ka Ectropion?
- Mai poina i kāu mau hālāwai mālama maka maʻamau.
- Inā ʻike ʻoe i kekahi loli i kou ʻike, a i ʻole ke ʻano o kou mau maka e nānā aku ai, e haʻi koke aku i kāu kauka.
- ʻO nā hiʻohiʻona e makaʻala ai:
- ʻUlaʻula o nā maka.
- Manaʻo me he mea lā ua hewa kekahi mea me ka maka.
- Nā maka waimaka.
- Manaʻo e like me ke pani pono ʻole ʻana o ka maka.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
Hiki iā ʻoe ke nīnau i kāu kauka ophthalmologist e like me kēia:
- He aha ke ʻano o ka Ectropion iaʻu?
- He aha ke kumu o koʻu kūlana?
- He aha nā koho lapaʻau āu e paipai nei?
- He aha kaʻu e hana ai e pale aku i ka hoʻi hou ʻana o ka Ectropion?
He ʻāpana koʻikoʻi loa kou mau lihilihi o kou maka . Mālama lākou i kou mau maka a mālama iā lākou mai ka maloʻo ʻana. Inā ʻike ʻoe i kekahi mau loli i loko o lākou, e ʻike pono e ʻike i kahi loea maka. ʻOiai ʻaʻole paha he mea nui ka lihilihi i ʻōwili ʻia, hiki i ka ectropion ke hana i nā hōʻailona ʻoluʻolu ʻole i ka wā pōkole a me nā pilikia ʻike lōʻihi. Hiki ke maʻalahi ka lāʻau lapaʻau e like me nā waimaka hana, akā e ʻike i ke kauka e kūkākūkā i ke koho maikaʻi loa nāu.
Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)
- ʻO ka Ectropion kahi ʻano e huli ai ka lihilihi, ʻoiai ka lihilihi haʻahaʻa, i waho.
- ʻO ke kumu nui o kēia ka ʻelemakule, akā aia paha kekahi mau kumu ʻē aʻe.
- ʻO nā maka maloʻo, ka ʻulaʻula, ka haehae, a me ka manaʻo o kekahi mea i loko o ka maka nā hōʻailona maʻamau.
- He maʻi hiki ke mālama ʻia kēia. Aia nā ʻano lapaʻau e like me nā waimaka hana a hiki i ke ʻoki kino.
- Inā loaʻa iā ʻoe nā hōʻailona, e ʻike pono i kahi kauka maka. Inā ʻaʻole mālama ʻia, hiki ke hōʻino ʻia ka ʻike.
- E mālama i kou mau maka a me kou mau lihilihi. E pale iā ʻoe iho mai ka lā a pale i ka hamo pinepine ʻana i kou mau maka.
Manaʻolana wau he mea pono kēia ʻike nou. He waiwai nui nā maka olakino ʻelua!
ʻO ka ʻōwili ʻana o ka maka, ectropion, nā maʻi maka, nā maka maloʻo, ka haehae ʻana, ke ʻoki ʻana o ka maka, ka ʻelemakule











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo