Ke nānā aku nei kou mau maka i ka piholo? E kamaʻilio kākou e pili ana iā Enophthalmos!

Ua ʻike anei ʻoe i ke ʻano o nā maka o kekahi poʻe e kūlou iki ana i loko, me he mea lā ua kūlou lākou i loko o ko lākou mau lua? Ua ʻike paha ʻoe i kēia iho, a ua ʻike paha ʻoe i kekahi āu i ʻike ai e hana ana. I ka lāʻau lapaʻau, ua kapa ʻia kēia he enophthalmos . He ʻano koʻikoʻi paha kēia inoa, akā mai hopohopo. E kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo. No ka mea, hiki ke loaʻa kēia ʻano ma muli o kekahi mau kumu, a aia kekahi mau mea hiki iā ʻoe ke hana e pili ana i ia mea.

He aha maoli ka Enophthalmos?

I ka ʻōlelo maʻalahi, ʻo ka enophthalmos ka wā e piholo ai kekahi a i ʻole nā ​​maka ʻelua i loko, a i ʻole e piholo i loko, i loko o ka lua maka. ʻO ke ʻano o ka "en" ma kēia hihia ʻo ia hoʻi "i loko" a ʻo ka "ophthalmos" ʻo ia hoʻi "maka." ʻO kekahi ʻaoʻao o kēia, i ka wā e puka ai nā maka, ua kapa ʻia ʻo exophthalmos a i ʻole proptosis . Kapa pū kekahi poʻe iā ia he "eyeballs popping out."

ʻO kēia ʻano o nā maka piholo, i kapa ʻia ʻo enophthalmos, hiki ke hānau ʻia a loaʻa paha . Hiki iā ia ke hoʻopilikia i hoʻokahi maka (unilateral) a i ʻole nā ​​​​maka ʻelua (bilateral).

Aia paha he nui nā kumu no kēia. Eia kekahi laʻana:

• ʻO ka dehydration ka nele o ka wai i loko o ke kino.
• ʻO kekahi mau kūlana olakino, e like me ka maʻi Horner .
• Nā ʻeha maka traumatic - Hiki ke hana ʻia kēia e nā mea e like me nā ulia kaʻa, nā hakakā, a i ʻole nā ​​haki orbital. Ua kapa ʻia kēia he traumatic enophthalmos .
• Nā maʻi hānau ʻole e like me ka Silent Sinus Syndrome .
• Me ka ʻelemakule (senile enophthalmos), hiki i nā maka ke lilo i kekahi manawa i piholo iki.

ʻO wai ka mea i hoʻopilikia nui ʻia e Enophthalmos?

ʻIke pinepine ʻia kēia ʻano maʻi i nā poʻe i komo i nā ulia kaʻa (nā kaʻa, nā kalaka, nā mokokaikala), a i ʻole i ka poʻe i loaʻa i nā haki orbital mai nā hahau ʻana i ka maka a i ʻole nā ​​​​hakakā. ʻO ka iwi orbital ka ʻōnaehana iwi pale a puni ka maka. Ma ke ʻano helu, ʻoi aku ka hopena o kēia ʻano ma mua o nā kāne ma mua o nā wahine.

He aha nā hōʻailona o ka enophthalmos?

Inā loaʻa iā ʻoe ka enophthalmos, ʻokoʻa paha nā hōʻailona ma muli o ke kumu. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau āu e ʻike ai:

• ʻIke pālua (Diplopia): ʻIke ʻana i ʻelua mau mea i ka manawa hoʻokahi. He mea hoʻonāukiuki maoli kēia.
• Ka paʻakikī e hoʻoikaika i ka ʻike:He manawa iki ka lōʻihi e ʻike pono ai, a i ʻole, ʻaʻole paha e ʻike iki ʻia.
• ʻAʻohe like o nā hiʻohiʻona o ka helehelena: ʻO ke ʻano kēia, ʻaʻole kūlike kekahi ʻaoʻao o kou helehelena me kekahi. Hiki ke hana kēia ke piholo kou mau maka.
• Ke kulou ʻana o ka lihilihi o luna (Ptosis): Hiki iā ʻoe ke nānā aku ua hiamoe.
• ʻO ka sulcus hohonu: He ʻauwai hohonu e kū mai ana ma waena o ka lihilihi o luna a me ke kuʻemaka.
• Nā maka maloʻo: Manaʻo e like me ka loaʻa ʻole o kou mau maka i nā waimaka lawa, ʻulaʻula, a me ka mumū.

I kekahi manawa hiki i ke kauka ke ʻike i kekahi o kēia mau hōʻailona (nā lihilihi o luna e kūlou ana, ke ʻano like ʻole o ke alo, nā maka i piholo) i ka wā e ʻike ai lākou iā ʻoe.

No ke aha e kū mai ai ka enophthalmos? He aha nā kumu?

Nui nā kumu hiki ke loaʻa i nā maka piholo, a i ʻole enophthalmos. Hiki ke hoʻokaʻawale ʻia kēia mau kumu i kekahi mau ʻano nui.

1. Nā loli i ka nui o kou lua maka (orbit)

Ke ʻōlelo mākou "orbit," ʻo ia hoʻi ka iwi iwi e hoʻopuni ana i kou maka. I kekahi manawa, ua kapa ʻia ka iwi a me nā mea a pau i loko (me ka maka o ka maka) ʻo ia ka "orbit." No laila, inā loli ka nui o kēia iwi maka a nui aʻe, hiki ke loli ke kūlana o nā mea i loko. Aia kekahi mau kumu e hiki ai ke loli ka nui o ka iwi maka:

• Nā haki a puni kou maka: ʻO kēia ke kumu maʻamau. ʻO ke kikoʻī, nā haki o nā iwi ma lalo o ka lua maka (haki papahele orbital). He ʻano haki koʻikoʻi loa ka haki blowout orbital . Hiki nō hoʻi ke hana ma muli o ka hōʻino ʻia o ka ʻauwae a me nā iwi ʻē aʻe ma ka maka.
• ʻO ka Silent Sinus Syndrome (SSS) a i ʻole ka maxillary sinus atelectasis mau loa : He ʻano kēia e nāwaliwali ai ka ʻaoʻao haʻahaʻa o ka lua maka a hiolo i loko ma muli o kahi maʻi o nā maxillary sinuses, nā lua ea i loaʻa ma nā papālina ma nā ʻaoʻao ʻelua o ka ihu.
• ʻO nā kumu ʻē aʻe, e like me ke neurofibromatosis, hiki ke hoʻoulu i ka pohō o ka iwi maka a i ʻole ke ʻano ʻino.
• Nā loli i nā iwi me ka ʻelemakule: Loli pū ko kākou mau iwi i ka hala ʻana o ka manawa.

2. Nā loli i loko o kou lua maka

I kekahi manawa, hiki ke loaʻa nā maka piholo ma muli o nā loli o nā ʻiʻo momona a me nā ʻiʻo i loko o ka lua maka, ma mua o nā pilikia me nā iwi. Nā Laʻana:

• ʻO ka nalowale ʻana o nā ʻiʻo momona a me ka nāwaliwali o nā ʻiʻo me ka ʻelemakule: ʻElua mau kūlana e loaʻa mai ana mai kēia mau loli e pili ana i ka makahiki he mau inoa ʻokoʻa ko lākou: ʻO Giant Fornix Syndrome (GFS) a me ka senile sunken eye syndrome . ʻO GFS kahi kūlana e hoʻoulu pinepine ai i ka conjunctivitis.(maʻi maka). Hiki i kēia mau kūlana ʻelua ke hana i nā pilikia me ka ʻili o ka maka.
• Nā pilikia vascular.
• Nā hopena lōʻihi o ka radiation therapy i ke poʻo.
• ʻO nā maʻi e hoʻololi i ke ʻano o ka hoʻolaha ʻana o ka momona ma ke kino holoʻokoʻa, ʻoi aku hoʻi ma ka maka: ʻO kahi laʻana o kēia ʻo Parry-Romberg syndrome , ka mea e hoʻopilikia wale i hoʻokahi ʻaoʻao o ka maka. ʻO kekahi laʻana ʻo ka human immunodeficiency virus (HIV) .
• Scleroderma: He ʻano autoimmune kēia kahi e mānoanoa ai nā ʻiʻo like ʻole o ke kino, e like me ka ʻili, nā puʻupaʻa, a me ka ʻōnaehana hoʻoheheʻe.
• ʻEha a ʻoki kino paha i ka lua maka (ʻoiai inā ʻaʻole i haki ka iwi): I kekahi manawa, ʻoiai inā ʻaʻole i haki ka iwi, hiki i kahi ʻeha a ʻoki kino paha i ka lua maka ke hoʻopoho i ka maka.
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ka glaucoma: Aia kekahi kūlana i kapa ʻia ʻo prostaglandin-associated periorbitopathy (PAP) . ʻAʻole paha e hoʻoholo piha ʻia kēia ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.

3. Nā loli i ka nui o kou mau maka

I kekahi manawa, hiki ke loli ke kūlana o nā maka ma muli o nā loli o ka maka ponoʻī, e like me ka liʻiliʻi ʻana o ka maka.

• ʻO ka metastasis o ke kanesa: ʻO ke kanesa i pālahalaha i ka maka mai kahi wahi e like me ka umauma, ka prostate, ka māmā, ka ʻōnaehana gastrointestinal, ka ʻili, a i ʻole ka parotid gland.
• ʻO ka pōʻino nui o ka maka mai kahi ulia (ʻoiai me ka ʻole o ka iwi haki).
• ʻO ka maʻi fibrosis hānau: He kūlana kēia i loaʻa i ka wā hānau. Hoʻoulu ia i ka ʻeha (fibrosis) ma nā maka ʻelua. No ka mea e pili ana i nā maka ʻelua (bilateral), ʻaʻole paha e ʻike ʻia kēia ʻokoʻa i ka nānā mua ʻana.

Pehea e ʻike ai i ka maʻi Enophthalmos? (Diagnosis)

I ka hapanui o nā hihia, ʻoiai inā hoʻokahi wale nō maka i hoʻopilikia ʻia e ka enophthalmos, hiki i ke kauka ke ʻike i ke kūlana i ka wā e ʻike ai lākou iā ʻoe. Eia kekahi, e nīnau lākou e pili ana i kou mōʻaukala olakino a hana i kahi hoʻokolokolo maka piha.

Eia kekahi, aia nā mea hana kūikawā a me nā hoʻokolohua a nā ophthalmologists e hoʻohana ai e ana pololei inā he enophthalmos kou a i ʻole:

• Exophthalmometry: Ke ana kēia i ka mamao o kou maka e puka mai ana (protrudes) a i ʻole e piholo ana (pīho) i waho o ka lua o ka maka.
• ʻO ke kiʻi ʻikepili Computed Tomography (CT): Hoʻohui kēia ʻano hana i nā kukuna X a me nā kamepiula e hana i nā kiʻi ʻekolu-dimensional (3D) o nā ʻāpana kino a me nā ʻiʻo. Hiki i kēia ke hāʻawi i kahi ʻike maikaʻi aʻe i ke kūlana o nā iwi a me nā ʻiʻo i loko o ka lua maka.
• Magnetic Resonance Imaging (MRI scan): Hoʻohana kēia ʻano hana i kahi magnet, nā nalu lekiō, a me ke kamepiula (ʻaʻohe radiation) e hana i nā kiʻi kikoʻī o nā ʻāpana kino a me nā ʻiʻo. Hiki iā ia ke hāʻawi i nā kikoʻī maikaʻi loa o nā ʻiʻo palupalu.

E hoʻomanaʻo, ʻaʻole paha ʻoe e pono e hana i kēia mau hoʻokolohua āpau. Na kāu kauka e hoʻoholo i nā hoʻokolohua kūpono e pili ana i kou kūlana.

Pehea e mālama ʻia ai ʻo Enophthalmos?

ʻO ka mālama ʻana i ka enophthalmos ʻo ia hoʻi ka mālama ʻana i ke kumu kumu. No laila, ʻokoʻa ka lāʻau lapaʻau ma muli o ke kumu.

• Hoʻomaka a hoʻōki paha i ka lāʻau lapaʻau: I kekahi manawa ma muli kēia o kahi kūlana olakino, kahi e pono ai ka hoʻomaka ʻana i ka lāʻau lapaʻau. A i ʻole, inā he mea like ia me ka lāʻau glaucoma, hiki i kāu kauka ke aʻo aku e hoʻōki a hoʻololi paha i kēlā lāʻau lapaʻau.
• ʻOki kino: Inā ma muli o kahi mea e like me ka haki orbital, pono paha ke ʻoki kino e hoʻoponopono iā ia. I kekahi manawa hana ʻia ke ʻoki kino e hoʻoponopono i ka nui o ka lua maka a i ʻole e hāʻawi i ke kākoʻo no ka maka.

Aia kekahi mau pilikia e pili ana i ka lāʻau lapaʻau?

ʻAe, i kekahi manawa hiki ke loaʻa nā pilikia ma hope o ka mālama ʻana no ka enophthalmos. ʻAʻole ia e hana i nā kānaka a pau, akā he mea maikaʻi ke ʻike:

• Ke ʻino aʻe nei nā hōʻailona.
• Ka nalowale ʻana o ke kaulike o ka helehelena.
• Ka nalowale ʻana o ka ʻike (kākaʻikahi loa).
• ʻIke pālua (Diplopia).
• Ka emi ʻana a i ʻole ka nalowale ʻana o ka hiki ke hoʻoneʻe i nā maka.

ʻO ia ke kumu he mea nui e ʻimi i ka lāʻau lapaʻau kūpono mai kahi loea.

Pehea e hōʻemi ai i ka pilikia o ka enophthalmos?

ʻO kahi mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o kēia ʻano, ʻo ia ka pale ʻana iā ʻoe iho mai nā haki i kou mau maka a me nā iwi maka.

• E hoʻohana i nā lako palekana: E ʻaʻahu i nā aniani palekana kūpono a me nā mahiole i ka wā e pāʻani ana i nā haʻuki a i ʻole ke komo ʻana i nā hana pilikia.
• E hoʻokele akahele: ʻO nā ulia kaʻa kekahi o nā kumu nui o nā ʻeha maka.
• E pale i nā hakakā: Hiki i nā hahau i ka maka ke hōʻino i ka lua o ka maka.

He aha ka manaʻolana no ka ho'ōla hou ʻana no kekahi me ka enophthalmos?

ʻO ka manaʻo no ka hoʻōla ʻana no kekahi me ka enophthalmos e hilinaʻi nui ʻia i ke kumu kumu. No ka laʻana, ʻo ka mālama ʻana no ka haki a i ʻole ka silent sinus syndrome i ka wā ʻōpiopio e loaʻa pinepine ai nā hopena maikaʻi loa. Eia nō naʻe, inā ʻoi aku ka paʻakikī o ke kumu, ʻoi aku ka paʻakikī o ka mālama ʻana a ʻokoʻa paha nā manawa hoʻōla.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kahi ulia e hōʻeha ai i kou mau maka a i ʻole kou helehelena, he mea nui e ʻike i ke kauka. He mea nui hoʻi e kamaʻilio me ke kauka inā ʻike ʻoe i kekahi mau loli i kou ʻike (e laʻa me ka ʻike pōwehiwehi, ka ʻike pālua) a i ʻole inā manaʻo ʻoe ua piholo kou mau maka. ʻO ka wikiwiki o kou ʻike ʻana i ke kumu, ʻo ka maʻalahi o ka mālama ʻana.

He aha ka ʻokoʻa ma waena o Enophthalmos a me Hypoglobus?

ʻO ka Enophthalmos ka wā e piholo ai kou mau maka i loko o ko lākou mau lua. ʻO ka Hypoglobus ka wā e neʻe ai kou mau maka i lalo. Hiki ke hana ʻia nā mea ʻelua e ka trauma a me ka Silent Sinus Syndrome.

He aha ka ʻokoʻa ma waena o Enophthalmos a me Anophthalmos?

ʻO Anophthalmos ka nele o kekahi a i ʻole nā ​​maka ʻelua i ka wā hānau. ʻO Enophthalmos ka neʻe ʻana o ka maka , e hoʻokuʻu ana i loko. He mau kūlana ʻokoʻa loa kēia.

He aha ka ʻokoʻa ma waena o Enophthalmos a me Pseudoenophthalmos?

I kekahi manawa, aia kekahi kūlana kahi e ʻike ʻia ai ka maka ua piholo me ka ʻole o ka piholo maoli. Ua kapa ʻia kēia he pseudo-enophthalmos ( ʻo ke ʻano o ka pseudo he "wahaheʻe"). No ka laʻana, inā ʻoi aku ka myopic (nearsighted) o kekahi maka ma mua o kekahi, hiki i kēlā maka ke ʻike ʻia ua piholo. Akā, ʻaʻole i piholo maoli ka maka.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

Inā he mau maka piholo kou (enophthalmos), hiki i kāu kauka ke kōkua iā ʻoe e ʻike i ke kumu. Hiki ke hana ʻia kēia kūlana e kahi mea maopopo, e like me ka haki ʻana o ka ihu, a i ʻole he mea paha āu i ʻike ʻole ai e hana nei, e like me ka pilikia sinus.

ʻO ka mea nui loa, ʻo ia ke ʻimi i ke kōkua lapaʻau inā loaʻa iā ʻoe kahi ulia me kou maka a i ʻole nā ​​maka. Eia kekahi, inā ʻike ʻoe i kekahi mau loli i kou ʻike, e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke pale i nā pilikia he nui. Mai hopohopo, aia nā hopena i nā mea āpau!

ʻEnophthalmos , maka piholo, maʻi maka, maʻi maka, lua maka, ʻike maka, ʻaʻole like ke ʻano o ka helehelena