He maʻi i loko o ka maka? E kamaʻilio kākou e pili ana i ka 'Endophthalmitis'!

Ua lohe paha ʻoe i kahi maʻi koʻikoʻi i loko o ka maka? ʻAʻole paha ʻoe i manaʻo e hiki mai ana kēlā maʻi koʻikoʻi i loko o ka maka. Eia naʻe, he mea hiki maoli nō ia, a ma ka lāʻau lapaʻau ke kapa nei mākou iā ia he 'Endophthalmitis'. He maʻi koʻikoʻi kēia, no laila he mea nui loa ka loaʻa ʻana o ka lāʻau i ka wā hikiwawe loa. I kēia lā, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.

He aha ka 'Endophthalmitis'? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka endophthalmitis kahi maʻi e hoʻopilikia ai i loko o kou maka . Hana ʻia kēia ke komo ka bacteria a i ʻole ka fungi i loko o ka maka a hoʻoulu i ka mumū . ʻO ka mumū kahi pane e kū mai ana i ka wā e hakakā ai ka ʻōnaehana pale o ko mākou kino i kahi maʻi.

E noʻonoʻo, aia ʻelua ʻano wai i loko o ko kākou mau maka. ʻO kekahi ka wai moakaka i kapa ʻia ʻo 'aqueous humor'. Aia kēia ma ke alo o ka maka, ma waena o ka lens a me ka cornea. ʻO kekahi ka mea like me ka jelly moakaka i kapa ʻia ʻo 'vitreous humor'. Aia kēia i loko o ka maka, ma waena o ka lens a me ka retina. ʻO kēia mau ʻano wai ʻelua ka mea nui i hoʻopilikia ʻia e kēia maʻi i kapa ʻia ʻo 'endophthalmitis'.

He mea nui e hoʻomanaʻo he maʻi koʻikoʻi loa kēia. Inā ʻaʻole mālama koke ʻia, hiki i ka maʻi ke laha a lilo ka ʻike . I kekahi manawa, hiki i ka maʻi ke laha i ka maka holoʻokoʻa a hiki i ka orbit. I kēia hihia, ua kapa ʻia ʻo Panophthalmitis.

Ke ʻike ʻoe i kahi kauka maka, hiki iā lākou ke haʻi iā ʻoe inā he bacterial endophthalmitis a fungal endophthalmitis paha kou. E hoʻokaʻawale pū lākou iā ia ma muli o ke ʻano o ka hoʻomaka ʻana o ka maʻi.

ʻElua ʻano o ka 'Endophthalmitis':

1. Exogenous Endophthalmitis: ʻO kēia ke ʻano maʻamau. Hana ʻia kēia ke komo kekahi mea mai waho o ka maka i loko o ka maka a hoʻoulu i ka maʻi. No ka laʻana, inā he ulia i ka maka, e like me ka paʻa ʻana o kahi mea ʻoi i loko o ka maka, a ma hope paha o ke ʻoki maka, hiki ke hana ʻia kēia ʻano.

2. Endogenous Endophthalmitis: ʻAʻole kēia i maʻamau ma mua o nā ʻano ʻē aʻe. ʻO kēia ka wā e laha ai kahi maʻi bacteria a fungal paha mai kahi ʻē aʻe o kou kino i kou maka ma o kou kahe koko . ʻOi aku ka pololei, ʻo kahi pilikia ma kahi ʻē aʻe o kou kino e hoʻopilikia i kou maka.

He aha nā hōʻailona o ka endophthalmitis?

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​pono ʻoe e hopohopo:

• ʻUlaʻula o nā maka: ʻAʻole wale ia, i kekahi manawa hiki i nā maka ke lilo i ʻulaʻula loa.
• ʻEha nui o ka maka: He ʻeha hiki ʻole ke hoʻomanawanui e puka mai ana mai loko mai o ka maka.
• Ua emi a nalowale paha ka ʻike: I ka manawa koke, hoʻomaka ka ʻike e pōwehiwehi a emi iho paha.
• ʻIke i ke kukui ʻālohilohi (photophobia): Lilo nā maka i polū loa a ʻaʻole hiki iā lākou ke nānā aku i ke kukui.
• Pehu ʻana o ka maka: Hiki ke pehu nā maka o luna a me lalo.
• Nā maka waimaka (epiphora): He manaʻo o nā waimaka e puka mau mai ana mai nā maka.

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​he mea nui e ʻimi koke i ke kōkua lapaʻau, no ka mea, ʻo ka lōʻihi o kou kali ʻana, ʻo ka nui o ka pōʻino e hiki ke hana.

No ke aha e kū mai ai kēia ʻEndophthalmitis? He aha nā kumu?

Nui nā kumu no kēia. ʻOkoʻa nā kumu ma muli o nā ʻano ʻelua a mākou i kūkākūkā ai ma mua, ʻo 'exogenous' a me 'endogenous'.

Nā kumu o ka 'Exogenous Endophthalmitis':

ʻO kēia ka manawa e komo ai nā germs mai waho i ka maka. Eia kekahi mau laʻana:

• ʻO ke ʻoki maka: ʻO kēia ke kumu nui. He mea maʻamau kēia maʻi ma hope o ke ʻoki cataract . Hiki nō hoʻi ke hana ma hope o ke ʻoki ʻana no nā maʻi maka ʻē aʻe, e like me ka glaucoma. Inā ʻike ʻia nā hōʻailona e like me ka emi ʻana o ka ʻike a me ka ʻeha o ka maka i loko o hoʻokahi pule o ke ʻoki ʻana, he endophthalmitis acute paha ia, he ʻano ia e ulu koke ana. I kekahi manawa lōʻihi ka manawa e ʻike ʻia ai nā hōʻailona, ​​a ua kapa ʻia kēia ʻo chronic endophthalmitis.
• Nā inikini Intraocular a Intravitreal paha: Pono nā inikini i loko o ka maka no kekahi mau maʻi maka, e like me ka macular degeneration e pili ana i ka makahiki. Hiki nō hoʻi ke loaʻa nā maʻi i ka wā o kēia mau kaʻina hana.
• Nā ulia kaʻa a ʻoihana paha: E noʻonoʻo i ka pā ʻia ʻana o ka maka e kahi mīkini ma ka hana, a i ʻole ke komo ʻana o kahi mea i loko o kou maka i ka wā o kahi ulia kaʻa. Hiki i kēia mau ʻano ʻeha maka ke komo i loko o kou maka.
• Nā ulia haʻuki: Hiki ke loaʻa nā ʻeha maka i kekahi mau haʻuki, ʻoi aku hoʻi nā mea e pili ana i nā haʻuki hopena kiʻekiʻe.

Nā kumu o ka 'Endophthalmitis Endogenous':

ʻO kēia ka wā e komo ai kahi maʻi mai kahi ʻāpana ʻē aʻe o ke kino i ka maka ma o ke kahe koko. Ma nā ʻāina Komohana, ʻo nā bacteria maʻamau e hoʻoulu ai i kēia ʻo Staphylococcus aureus a me Streptococcus pneumoniae. I waena o nā maʻi fungal, ʻo ka mea maʻamau ʻo Candida albicans.

Eia kekahi mau kūlana kahi e hiki ai i nā maʻi i loko o ke kino ke komo i ke koko a hiki i nā maka:

• Hana niho: Ke unuhi ʻia kahi niho, a i ʻole i ka wā o kekahi mau kaʻina hana niho.
• Nā lāʻau lapaʻau intravenous: No ka mea, pono nā lāʻau lapaʻau intravenous i kekahi mau maʻi.
• Nā kūlana e like me ka 'Pneumonia' a i ʻole 'Sepsis' (ka lāʻau make koko): He mau maʻi koʻikoʻi kēia.
• Nā ʻoki kino ma nā wahi a pau o ke kino: ʻAʻole wale nā ​​ʻoki maka, akā, nā ʻoki ʻē aʻe pū kekahi.
• ʻŌpū a ʻōpū paha i ka ʻili.
• Ka maʻi ʻōpū mimi.

Ua ʻike ʻia nā noiʻi hou nei ua loaʻa i kekahi poʻe me COVID-19 kēia maʻi i kapa ʻia ʻo 'endogenous endophthalmitis'. ʻO kēia paha ma muli o kahi maʻi ʻē aʻe e ulu ana i ko lākou noho ʻana ma ka haukapila. ʻO wai ka mea i pilikia nui?

• No ka poʻe i noho lōʻihi ma ka haukapila.
• No ka poʻe me nā maʻi koʻikoʻi ʻē aʻe.
• ʻO ka poʻe i loaʻa nā lāʻau antibiotic intravenous ('IV antibiotics') a me nā lāʻau lapaʻau ʻē aʻe.

He laha anei ka Endophthalmitis?

ʻAʻole. ʻOiai ua hoʻokumu ʻia e kahi mea hoʻolaha, ʻaʻole laha kēia maʻi mai kekahi kanaka a i kekahi kanaka .

Pehea e ʻike ai nā kauka i kēia? (Diagnosis)

Ke kipa aku ʻoe i kahi kauka maka, e nīnau mua ʻo ia e pili ana i kou mōʻaukala olakino , e nīnau e pili ana i kāu mau hōʻailona o kēia manawa, a laila e hana i kahi hoʻokolokolo maka piha.

ʻO ka mea aʻe, e lawe pinepine lākou i kahi hāpana wai mai kou maka , a i ʻole kekahi mea e like me ka pus mai kou maka, a hoʻouna aku i kahi keʻena hoʻokolohua e hoʻāʻo ai. E kōkua kēlā i ka hoʻoholo pono ʻana i ke ʻano o ka germ e hoʻokumu nei. Pono paha ʻoe e hoʻāʻo ʻia kou koko a me kou mimi .

I kekahi mau hihia, hiki i ke kauka ke kauoha aku i kahi ultrasound maka (ultrasound ocular) .

Pehea e mālama ʻia ai?

I ka mālama ʻana i ka endophthalmitis, hiki i kāu kauka maka ke kuhikuhi i nā lāʻau lapaʻau . Hiki i kēia ke komo pū me nā antibiotics a i ʻole nā ​​​​antifungals, a i ʻole nā ​​​​lāʻau anti-inflammatory e like me corticosteroids . Hiki ke hāʻawi ʻia kēia mau mea ma ke ʻano he kulu maka a i ʻole nā ​​​​​​inikini.

ʻO ka mea nui loa, ʻo ia ka hoʻomaka ʻana i ka lāʻau lapaʻau i ka wā hikiwawe loa.

Inā ua hoʻopilikia nui ʻia kou ʻike e ka maʻi, hiki i kāu kauka ke ʻōlelo aku i kahi ʻoki kino i kapa ʻia he vitrectomy . Wehe kēia ʻoki kino i ka mea i loaʻa i ka maʻi mai loko mai o ka maka, e ʻae ana i ke kauka ʻoki kino e hoʻokomo pololei i nā lāʻau antibiotic a i ʻole nā ​​​​lāʻau antifungal i loko o ka maka.

Ma hope o ke ʻoki ʻana, hiki i ke kauka ke haʻi aku iā ʻoe e komo i kahi ʻūpā maka no kekahi manawa.

Aia kekahi mau pilikia i ka mālama ʻana?

I ke komo ʻana i ka lāʻau lapaʻau i loko o ka maka (nā inikini intravitreal), i kekahi manawa hiki ke loaʻa kahi pōʻino liʻiliʻi i ka cornea a i ʻole ka retina. Eia naʻe, ʻaʻole kēia e hana pinepine ʻia.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?

ʻO kāu mau hōʻailona, ​​e like me ka ʻeha a me ka ʻulaʻula, e hoʻomaka paha e emi i loko o kekahi mau lā . Eia nō naʻe, hiki i nā pilikia ʻike ke hoʻomau no kekahi manawa. Hiki i ka Endophthalmitis ke hala i nā pule, a i ʻole nā ​​​​mahina, e hoʻoponopono piha . No laila, he mea nui e hoʻomanawanui a hahai i ka lāʻau lapaʻau.

He aha kā mākou e hana ai e hōʻemi i kēia pilikia?

Hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i ka pilikia o ka endophthalmitis:

• Inā pili kāu hana i ka hoʻopā ʻana me nā mea (e laʻa, ka hana ʻana me nā mīkini, ka wili ʻana), e ʻaʻahu mau i nā maka pale . He mea nui loa kēia inā ʻoe e pāʻani i nā haʻuki hopena kiʻekiʻe.
• Inā pono ʻoe e hoʻopā i kou mau maka, e holoi pono i kou mau lima a mālama iā lākou i ka maʻemaʻe . E pale i ka hoʻopā ʻana i kou mau maka me ke kumu ʻole.
• Inā ua hana ʻia kekahi ʻoki kino iā ʻoe, ʻoiai ke ʻoki kino maka, e hahai pono i nā ʻōlelo a kāu kauka . E hahai pono i nā ʻōlelo no ka mālama ponoʻī.

He aha ka mea e hiki mai ana i kekahi me ka 'Endophthalmitis'? (Hopena mua)

E like me nā maʻi he nui, ʻo ka wikiwiki o kou ʻike ʻana a me ka mālama ʻana i ka endophthalmitis, ʻoi aku ka maikaʻi o ka hopena . Eia nō naʻe, i nā poʻe me nā ʻōnaehana pale nāwaliwali a i ʻole ka poʻe me nā maʻi e like me ka maʻi diabetes, ʻoi aku ka ʻino o ka hopena.

Loaʻa paha i kekahi poʻe ka ʻike haʻahaʻa ma hope o ka mālama ʻana. Inā hana ʻia kēia, e kamaʻilio me kāu hui lapaʻau e pili ana i ia mea a loaʻa ke kākoʻo āu e pono ai.

Pehea wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe ka endophthalmitis, pono ʻoe e hana i nā manawa maka maʻamau . Inā ʻike ʻoe i kekahi mau loli i kou ʻike a i ʻole ka ʻeha o ka maka, e haʻi koke i kāu kauka .

Inā ua emi kou ʻike ma hope o ka mālama ʻana, e kōkua pū kāu kauka iā ʻoe e ʻimi i nā lawelawe kākoʻo inā pono.

He mea nui: Inā ua hana ʻia kekahi ʻoki kino, ʻoiai ke ʻoki kino maka a i ʻole nā ​​inikini maka, a loaʻa nā hōʻailona hopohopo e like me ka ʻeha o ka maka, ka hoʻokahe ʻana, a i ʻole ka ʻulaʻula ma hope, e ʻike koke i ke kauka. He pilikia olakino ka endophthalmitis koʻikoʻi. No ka hoʻonui ʻana i kou manawa e hoʻōla ai, he mea nui e ʻimi i ka lāʻau i ka wā hikiwawe loa.

Leka Lawe-Home

He maʻi koʻikoʻi ka endophthalmitis e kū ana i loko o ka maka. Hiki ke hana ʻia e kahi ʻeha maka, ke ʻoki kino, a i ʻole ka laha ʻana o kahi maʻi mai kahi ʻē aʻe o ke kino.

• Nā Hōʻailona: Nā maka ʻulaʻula, ʻeha nui, ʻike maka ʻole, ʻike i ka mālamalama, pehu nā lihilihi maka.
• Nā kumu: ʻO ke ʻoki maka, nā ulia maka, nā lāʻau lapaʻau maka, nā maʻi ʻē aʻe i loko o ke kino.
• Lapaʻau: Nā lāʻau antibiotic a i ʻole nā ​​​​lāʻau antifungal (nā kulu a i ʻole nā ​​​​inikini), ʻoki kino paha (vitrectomy).
• ʻO ka mea nui loa: E ʻike i ke kauka maka i ka wā e ʻike ʻia ai nā hōʻailona. Hiki i ka lāʻau lapaʻau mua ke hoʻōla i kou ʻike.
• Palekana: E pale i kou mau maka, e hoʻomaʻemaʻe i kou mau lima, a e hahai i nā ʻōlelo aʻoaʻo a ke kauka.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. He mea waiwai nui nā maka, no laila he kuleana ko kēlā me kēia kanaka e mālama iā lākou.

ʻEndophthalmitis , Nā Maʻi Maka, Nā Maʻi Maka, ʻEha Maka, Poho o ka ʻIke, ʻOki Maka, Vitrectomy