Ke huli nei kou maka i loko? E aʻo kākou e pili ana i kēia entropion!

Ke manaʻo nei ʻoe i kekahi manawa he mea i loko o kou maka, a i ʻole he ʻulaʻula kou mau maka a hoʻokahe mau ka wai? ʻO kēia ka manawa e ʻōwili ai ka lihilihi i loko a pā i loko o ka maka. I kēia lā e kamaʻilio mākou e pili ana i kēia ʻano, i ʻike ʻia ma ka ʻepekema lapaʻau ʻo 'Entropion'. Mai hopohopo, ke ʻike ʻoe i kēia, e ʻike ʻoe ʻaʻole kēia he pilikia nui.

He aha ka Entropion? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka entropion ka wā e huli ai kou lihilihi i loko, i kou maka. Ke hana ʻia kēia, hamo ka ʻili o kou lihilihi a me nā maka i ka ʻili o kou maka. E noʻonoʻo, ua like ia me kahi hua one i loko o kou maka. Hiki i kēia friction ke hōʻino nui i ka ʻili o kou maka, ʻoiai ka ʻāpana moakaka ma ke alo o kou maka, ʻo ia hoʻi ka cornea , a hiki ke hōʻeha.

Aia kekahi ʻaoʻao ʻē aʻe o kēia, ʻo ia ka wā e huli ai ka maka i waho. Ua kapa ʻia kēlā ʻo 'Ectropion'. Akā i kēia lā ke kamaʻilio nei mākou e pili ana i ka huli ʻana i loko.

Hoʻopilikia pinepine ka Entropion i ka lihilihi lalo . Loaʻa paha i kekahi poʻe ma ka maka hoʻokahi wale nō, aʻo kekahi poʻe ma nā maka ʻelua. Kapa mākou iā ia he "Bilateral entropion". Inā ʻaʻole mālama pono ʻia kēia, e like me kaʻu i ʻōlelo ai, hiki ke hōʻino ʻia ka cornea a nalowale paha ka ʻike . No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea nui loa ia e ʻike i kahi ophthalmologist no ka mālama ʻana. Ma ke ʻano he hana mua, hoʻāʻo ʻia nā ʻano hana ʻaʻole invasive, akā i kekahi manawa pono paha ke ʻoki ʻana.

He aha nā ʻano nui o ka entropion?

Aia kekahi mau ʻano nui o ka entropion. E nānā kākou i ko lākou ʻano:

• ʻO ka entropion involutional: ʻO kēia ke ʻano maʻamau . I ko kākou ʻelemakule ʻana, nāwaliwali a hemo mālie nā ʻiʻo a me nā tendon a puni ko kākou mau maka. ʻO ia ke kumu nui o kēia. E like me ka ʻāwili ʻana o ka ʻili o ko kākou mau kūpuna, e emi ana hoʻi ka ikaika o nā mea i loko.

• ʻEntropion spastic: Hiki ke hana ʻia kēia ʻano inā hoʻopilikia ʻia ka maka ma kekahi ʻano, no ka laʻana, ma ka hamo ʻana i ka maka me ka ikaika loa, inā loaʻa ka maʻi i ka maka, a inā pehu ka maka. ʻOi aku ka maʻalahi o ka hana ʻana ma hope o ke ʻoki maka , a i ʻole i ka poʻe i loaʻa mua kahi lihilihi maka ma muli o ka ʻelemakule.

• ʻEntropion Cicatricial: He ʻano kēia e hana ʻia ai nā ʻiʻo ʻeha ma ka lihilihi. Hiki ke hana ʻia kēia e ka wela, kahi maʻi koʻikoʻi, kahi ʻeha maka, ke ʻoki maka, a i ʻole ka radiation therapy no ka maʻi ʻaʻai. ʻO kēia ʻeha ke kumu o ka huli ʻana o ka lihilihi i loko.

• ʻO ka entropion hānau:He mea kākaʻikahi loa kēia, akā ua hānau ʻia kekahi mau pēpē me kēia maʻi. ʻO ke ʻano kēia, ua hoʻohuli ʻia ka maka i loko mai ka hānau ʻana .

• ʻEntropion mechanical: Hana ʻia kēia ke kaumaha loa ka maka, e ʻōwili ai i loko. Hiki ke hana ʻia kēia inā ulu kahi puʻupuʻu a puʻupuʻu paha i loko o ka maka.

He aha nā hōʻailona o ka entropion?

Inā loaʻa iā ʻoe ka entropion, hiki iā ʻoe ke ʻike i kekahi mau hōʻailona maka ʻoluʻolu ʻole. E nānā inā kamaʻāina kēia mau mea iā ʻoe:

• He manaʻo mau e like me he mea lā aia i loko o ka maka. Me he ʻāpana lepo lā a he lihilihi paha i paʻa i loko.
• ʻUlaʻula o nā maka.
• Ka waimaka pinepine (nā maka waimaka).
• ʻIke pōwehiwehi.
• ʻEha maka.
• Nā maka ʻāʻī.
• ʻO ka ʻike i ka mālamalama (paʻakikī ke nānā aku i waho i ka mālamalama ʻālohilohi - kapa mākou i kēia he "Photophobia") a me ka ʻike i ka makani.
• He kahe wai mai nā maka mai a i ʻole he kahe wai mai nā kihi o nā maka.

Ke loaʻa mua iā ʻoe ka entropion, hiki iā ʻoe ke ʻike i kēia mau hōʻailona i kekahi manawa. Eia nō naʻe, i ka hala ʻana o ka manawa, e lilo pinepine kēia mau hōʻailona i mea mau loa.

No ke aha e hana ʻia ai ka entropion? He aha nā kumu?

ʻEkolu mau hiʻohiʻona nui o kahi lihilihi me ka entropion: ka laxity o ka lihilihi, ka ʻiʻo retractor o ka lihilihi e hāpai ana i ka lihilihi mai kona wahi e hoʻopili ai, a me ka ʻiʻo pani o ka lihilihi ikaika loa, e hoʻohuli ana i ka lihilihi i loko ma kahi o waho. He mea maʻamau ka laxity o ka lihilihi haʻahaʻa i nā poʻe ma luna o 60 mau makahiki , no ka mea, nāwaliwali ke kākoʻo no ka lihilihi me ka ʻelemakule.

Eia kekahi, aia kekahi mau kumu ʻē aʻe e hiki ai i ka maka ke huli i loko:

• Nā ʻeha maka.
• Nā maʻi maka.
• Nā ʻoki maka ma mua.
• ʻO ka pehu a me nā kūlana mumū o nā maka.
• ʻO ka ʻiʻo ʻōpala i hoʻokumu ʻia e kekahi o nā kumu i luna aʻe nei.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka entropion?

ʻO ka makahiki ke kumu pilikia nui loa no ka hoʻomohala ʻana i ka entropion. Loaʻa pinepine ia i nā poʻe ma luna o 60 mau makahiki. Wahi a ka American Academy of Ophthalmology, pili kēia maʻi i kahi 2.1% o ka poʻe ma luna o 60 mau makahiki.

Eia kekahi, ʻoi aku ka nui o ka pilikia o ka poʻe me ka apnea hiamoe i ka loaʻa ʻana o ka entropion. ʻO kēia no ka mea he palupalu loa ko lākou mau lihilihi o luna (i kapa ʻia ʻo "Floppy eyelid syndrome"), ka mea e ʻoi aku ai ka maʻalahi o ka ʻōwili ʻana i loko.

ʻO kekahi mea ʻē aʻe, ʻoi aku ka nui o ka ulu ʻana o nā wahine i ka entropion ma mua o nā kāne.Ua ʻike nō hoʻi au i kēlā.

Pehea e ʻike ai nā kauka i ka entropion?

E nīnau mua kāu loea maka iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. A laila e hana ʻo ia i kahi hoʻokolokolo maka piha . E nānā ʻo ia no kekahi mau pilikia ʻili, nā maʻi, a i ʻole nā ​​ʻōpala. E nānā pono ʻo ia i nā lihi o nā lihi o nā maka, no ka mea, aia kekahi mau kūlana ʻē aʻe e like me ka entropion. He mea nui e hana i kahi hōʻailona pololei , no ka mea, e hoʻoholo kēia i ka lāʻau maikaʻi loa.

Nā hoʻāʻo i hoʻohana ʻia no ka ʻike ʻana i ka entropion

Hiki i ke kauka ke hana i kekahi mau hoʻokolohua e hōʻoia inā he entropion kāu:

• Hoʻāʻo Snap-back: Ma kēia hoʻāʻo, huki ke kauka i lalo i kou lihilihi lalo me ka ʻole e ʻae iā ʻoe e ʻimo. A laila nānā lākou i ka lōʻihi o ka manawa e piʻi ai i luna. ʻO ka maʻamau, piʻi hou ia i loko o hoʻokahi a ʻelua paha kekona.
• Hoʻāʻo hoʻowalewale: Ma kēia hoʻāʻo, huki ke kauka i kou lihilihi haʻahaʻa mai kou maka. Ma ka huki ʻana iā ia, ana ʻia ka mamao ma waena o ka lihilihi a me ka maka. Inā ʻoi aku kēia mamao ma mua o 6 milimita, ua manaʻo ʻia he mea ʻē.
• Hoʻokolokolo kukui ʻoki: He microscope kūikawā ka kukui ʻoki. Me ka hoʻohana ʻana i kahi kukui ʻālohilohi, e nānā pono ke kauka i kou maka e ʻike inā he mau hōʻailona o kēia ʻano. Hiki i kēia ke ʻike i ka pōʻino liʻiliʻi loa i ka maka.

He aha nā lāʻau lapaʻau no ka entropion?

Hiki i kāu kauka ke hoʻohana i kekahi mau ʻano hana e mālama ai i ka entropion. ʻO nā lāʻau lapaʻau maʻamau:

• Nā kulu maka lubrication: ʻO ke kau ʻana i kahi poni ʻaila a i ʻole nā ​​​​waimaka hana i ka maka hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha. Eia naʻe, ʻaʻole kēia he hopena lōʻihi.

• Nā aniani hoʻopili palupalu: Hiki i kāu kauka ke ʻōlelo aku i ka hoʻohana ʻana i nā aniani hoʻopili palupalu e pale i kou mau maka mai nā pilikia maka. Hana kēia mau aniani e like me ke kāʻei a hōʻemi i nā hōʻailona.

• Lipine: Hiki ke hoʻohana ʻia kahi ʻano lipine kūikawā e hoʻopaʻa i ka lihilihi no kekahi manawa. He mea kēia e hiki ke hana maʻalahi ʻia ma ka home.

• Nā Humuhumu: Hiki i ke kauka ke hoʻololi i ke kūlana o ka lihilihi maka a kau i kekahi mau humuhumu e hoʻopaʻa iā ia ma kahi. ʻO ka ʻiʻo ʻeha i hana ʻia e kēia mau humuhumu e kōkua i ka pale ʻana i ka lihilihi maka mai ka huli ʻana i waho no kekahi mau mahina.

• Nā inikini Botox®:Hiki ke hoʻokomo ʻia kahi liʻiliʻi o ka toxin botulinum e hoʻonāwaliwali i nā ʻiʻo e hoʻohuli i ka lihilihi maka i loko. Hāʻawi kēia i ka hōʻoluʻolu no kekahi mau mahina.

• Ka wehe ʻana i nā maka maka / Epilation: I mea e pale ai i ka hamo ʻana o nā maka maka i ka ʻili o ka maka, ua kapa ʻia ke kaʻina hana o ka huki ʻana a me ka wehe ʻana iā lākou he "Epilation".

E hoʻomanaʻo, ʻo ka hapa nui o kēia mau lāʻau lapaʻau he manawa pōkole wale nō. Inā makemake ʻoe i kahi hopena mau loa, pono ʻoe i ke ʻoki kino.

I kekahi manawa, inā hoʻokumu ʻia ka haumāna i hoʻohuli ʻia e ka mumū mau, hiki i kāu kauka ke kauoha i nā hoʻāʻo koko (labs) a i ʻole kahi biopsy e nānā i nā kumu kakaikahi e like me ka ocular cicatricial pemphigoid a i ʻole trachoma.

ʻO ke ʻoki ʻana o ka entropion

ʻOiai hiki i nā lāʻau lapaʻau ʻoki ʻole i ʻōlelo ʻia ma luna ke kōkua i ka wā pōkole, pono pinepine ke ʻoki ʻana e hoʻoponopono piha i kahi maka i hoʻohuli ʻia a hoʻihoʻi iā ia i kona kūlana maʻamau. Hana pinepine ʻia kēia ʻoki ma lalo o ka hoʻomaha a me ka anesthesia kūloko. Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me kāu ʻoki ʻana.

Aia kekahi mau kaʻina hana e hoʻoponopono ai i ka entropion:

• Hoʻopaʻa ʻana i ka lihilihi maka: Pili kēia i ka hoʻopaʻa ʻana i kou lihilihi maka ma ka hoʻopōkole iki ʻana (i kapa ʻia he wedge resection a i ʻole lateral tarsal strip).
• Hoʻokomo hou ʻana o ka retractor: Pili kēia i ka hoʻopaʻa ʻana i ka ʻiʻo e wehe a pani ana i ka lihilihi maka (ka 'lid retractor').
• Ka hoʻopau ʻana i ka Orbicularis: Pili kēia i ka hoʻonāwaliwali ʻana i kahi ʻāpana o ka ʻiʻo e kōkua ana i ka pani ʻana i ka lihilihi (ka ʻiʻo orbicularis).
• Ke kūkulu hou ʻana o ka palena o ka maka: Hiki ke hoʻohana ʻia ka electrocautery a i ʻole cryotherapy e wehe mau i kahi maka i haʻalele ma muli o ka ʻeha a i ʻole ka mumū mau loa.

ʻOiai he kōkua nā lāʻau lapaʻau ʻoki ʻole i ka wā pōkole, pono ka ʻoki ʻana e hoʻoponopono piha a mau loa i ka entropion.

He nui ka poʻe e ʻike i nā hopena ʻaoʻao manawa pōkole ma hope o ke ʻoki ʻana i ka entropion. ʻO ka pehu a me ka ʻūlū ka mea maʻamau. He ʻāpana maʻamau kēia o ke kaʻina hana ho'ōla. Hiki ke mālama ʻia kēia mau mea me ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka a me nā ʻūlū anu. I ka hapanui o nā hihia, ua pau loa ke ʻoki ʻana i loko o ʻelua pule.

Āhea wau e ʻike ai i ke kauka?

Inā manaʻo ʻoe e huli ana kou lihilihi i loko, e ʻimi koke i ke kōkua lapaʻau.Inā ʻaʻole e huli ana kou maka i loko, akā manaʻo mau ʻoe he mea i loko o kou maka, e ʻike i ke kauka. He entropion paha ia.

He aha nā nīnau āu e nīnau ai i ke kauka?

Inā loaʻa iā ʻoe ka entropion, hiki iā ʻoe ke nīnau i kāu kauka i kēia mau nīnau:

• He aha nā pilikia e pono iaʻu e makaʻala ai?
• He aha kaʻu e pale aku ai i ka wā e hoʻōla ai?
• Pono anei au e hoʻi hou mai no nā hoʻokolohua? Inā pēlā, āhea?
• He aha kaʻu e hana ai e pale aku i ka hoʻi hou ʻana o ka entropion?

Hiki ke pale ʻia ka entropion?

ʻO ka Entropion kahi kūlana i lilo pinepine i ʻāpana kūlohelohe o ka ʻelemakule a i kekahi manawa i hoʻokumu ʻia e ka ʻiʻo ʻeha, no laila he paʻakikī ke pale loa iā ia. Eia nō naʻe, no ka hōʻemi ʻana i ka pilikia o ka hoʻomohala ʻana i ka entropion ma muli o ka ʻeha o ka maka, e ʻaʻahu i nā aniani palekana i ka wā e hana ana i ka hana e hiki ke hōʻeha i kou mau maka (no ka laʻana, i ka ʻoki ʻana i ka lāʻau a i ʻole ka wili ʻana).

He aha ka mea e hana inā loaʻa iā ʻoe ka entropion? He aha kāu e manaʻo ai?

He nui ka poʻe e ʻimi nei i ka lāʻau lapaʻau no ka entropion ma mua o ka hōʻino ʻana i ka maka e loaʻa nā hopena maikaʻi. Hoʻoponopono pinepine ke ʻoki ʻana i ka pilikia i ka Entropion, a ʻaʻole pinepine ka hoʻi hou ʻana o ke ʻano.

Eia nō naʻe, he mea nui e mālama i ka entropion e pale aku i nā pilikia mau loa. ʻO nā pilikia e pili ana i ka lihilihi i hoʻohuli ʻia:

• Nā maʻi maka
• Nā ʻeha o ka cornea
• Pohō ka ʻike

Leka Lawe-Home

Inā manaʻo mau ʻoe he mea i loko o kou maka, a inā paha e huli ana kou lihilihi i loko, aia paha iā ʻoe ka entropion. He mea nui e mālama ʻia kēia maʻi e pale aku i nā pilikia lōʻihi e like me ka hōʻino ʻana o ka corneal a me ka nalowale o ka ʻike. E kamaʻilio me kāu kauka e pili ana i nā koho lapaʻau e hiki ai ke hoʻomaikaʻi i kou ʻeha, ke olakino o ka maka, a me ke ʻano holoʻokoʻa o ke ola. Mai makaʻu a hilahila paha e kamaʻilio e pili ana i ia mea. ʻO ka wikiwiki o kou loaʻa ʻana o ka lāʻau lapaʻau, ʻo ka wikiwiki o kou hoʻomaikaʻi ʻana!

ʻEntropion , ka huli ʻana o ka maka i loko, nā maʻi maka, nā maka ʻāʻī, nā maka ʻulaʻula, ka ʻike maka, ka ʻelemakule a me nā maka