Uē mākou a pau ke kaumaha a hauʻoli paha. He mea maʻamau ia. Akā, loaʻa anei iā ʻoe nā manawa e kahe wale mai ai nā waimaka mai kou mau maka me ke kumu ʻole? Manaʻo anei kou mau maka i kekahi manawa ua piha i nā waimaka a ua hoʻā ʻia kahi faucet? Inā pēlā, a laila he mea paha e hopohopo ai. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he epiphora . I kēia lā, e kamaʻilio mākou e pili ana i ia mea ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ʻo Epiphora?
ʻO ka maʻamau, hoʻopuka ko mākou mau maka i nā waimaka. Mālama kēia mau waimaka i ko mākou mau maka i ka pulu a me ke olakino a holoi aku i nā mea e like me ka lepo e komo ana i loko o ko mākou mau maka. I nā huaʻōlelo ʻē aʻe, ua like nā waimaka me ka mea pale no ko mākou mau maka.
Eia nō naʻe, ʻo ke kūlana i kapa ʻia ʻo epiphora e kū mai ana no ʻelua mau kumu nui. E noʻonoʻo e like me kahi poho holoi i loko o kā mākou lumi kuke.
1. Ka hana ʻana o ka waimaka nui: E like me ke hoʻā ʻana i ka faucet i loko o ka poho holoi a hoʻopiha iā ia me ka wai, no kekahi kumu, hoʻopuka nā kelepa waimaka i loko o kou mau maka i nā waimaka he nui ma mua o ka mea e pono ai .
2. ʻAʻole e kahe pono nā waimaka: E like me ka hoʻopiha ʻana o ka wai i kahi ʻauwai paʻa i loko o ka poho holoi, i ka wā e paʻa ai ka ʻōnaehana palupalu o nā ʻōmole (nā ʻauwai waimaka) e hoʻokahe ana i nā waimaka i ko kākou mau maka, hoʻomaka nā waimaka e hoʻopiha i nā maka a kahe i waho.
Hiki iā ʻoe ke loaʻa i ka epiphora ma muli o kekahi a i ʻole o kēia mau kumu ʻelua.
ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?
ʻO kaʻoiaʻiʻo, hiki i kēia maʻi ke hoʻopilikia i kekahi o kēlā me kēia makahiki. I kekahi manawa o ko kākou ola, ua loaʻa iā kākou a pau nā manawa i kahe wale mai ai nā waimaka mai ko kākou mau maka.
Akā he maʻi mau kēia i ʻike pinepine ʻia ma waena o nā hui ʻelua.
- Nā pēpē ʻōpiopio: ʻAʻole i wehe piha ʻia nā ʻauwai waimaka o kekahi mau pēpē hānau hou, no laila e pinepine paha ko lākou waimaka. Akā, mai hopohopo, hoʻopau pinepine kēia ʻano ma kona iho i loko o ka makahiki mua.
- Nā kānaka ma luna o 50: I ko kākou ʻelemakule ʻana, hiki ke loli ka hana o kā kākou ʻōnaehana ʻauwai waimaka. ʻOi aku ka maʻalahi o ka emi ʻana a i ʻole ka paʻa ʻana o nā ʻauwai.
ʻO ka hōʻailona wale nō anei ia o ka waimaka e puka mai ana mai nā maka mai?
ʻAʻole. ʻO ka hōʻailona nui ka haehae. Eia nō naʻe, ma muli o ke kumu, hiki iā ʻoe ke ʻike i kekahi mau hōʻailona ʻē aʻe. Inā puka mai nā waimaka mai hoʻokahi maka wale nō, kapa mākou ia he epiphora unilateral. Inā puka mai ia mai nā maka ʻelua, kapa ʻia ia he epiphora bilateral.
E nānā kākou i nā hōʻailona ʻē aʻe e hiki ke hele pū me kēia maʻi.
| Hōʻailona | Wehewehena |
|---|---|
| Nā maka ʻulaʻula | ʻO ka maʻi ʻaleka maka , ka maʻi, a i ʻole ka ʻeha mai kekahi mea hiki ke hoʻonui i nā kīʻaha koko i loko o ka maka, e hoʻoulu ai i ka ʻulaʻula. |
| Nā maka ʻā a ʻā paha | ʻIke pinepine ʻia kēia hōʻailona i nā kūlana e like me nā allergies a i ʻole nā maka maloʻo. |
| ʻEha maka | Hiki ke loaʻa ka ʻeha ma muli o kekahi mea e komo ana i loko o ka maka, kahi cornea i ʻōpala ʻia, a i ʻole kahi maʻi. |
| ʻIke pōwehiwehi | ʻO ka hoʻonui ʻia ʻana o ka ʻili waimaka i loko o ka maka e hiki ai ke hoʻopilikia i ka ʻike maka no ka manawa pōkole. E hoʻi hou kēia i ka maʻamau ke holoi ʻia nā waimaka. |
| ʻEha poʻo sinus | Ma muli o ka pili ʻana o nā ala waimaka i ālai ʻia i nā sinuses, hiki i nā maka waimaka ke loaʻa i kekahi manawa me nā maʻi sinus (sinusitis). |
No ke aha lā kēia e hana nei? He aha nā kumu nui?
ʻAe, e nānā kākou i nā kumu nui e hiki ai i nā waimaka ke kahe mai nā maka ma kēia ʻano.
1. Nā kūlana kahi e hana nui ʻia ai nā waimaka
ʻO ke ʻano kēia, hoʻopuka kou mau maka i nā waimaka keu no ka pale ʻana ma muli o kekahi kumu.
- Nā maʻi ʻaleka : Inā ʻike kou mau maka i nā mea e like me ka lepo, ka pollen , a me ka dander holoholona, hiki iā lākou ke lilo i ʻulaʻula, maneʻo, a me ka waimaka.
- Nā Maka Maloʻo : He mea ʻē paha kēia, ʻeā? Inā maloʻo kou mau maka, pehea lā e loaʻa ai nā waimaka? Penei ka mea e hana ʻia. No ka mea, ʻaʻole i hoʻomaʻū pono ʻia kou mau maka, loaʻa i kou lolo kahi hōʻailona ua maloʻo kou mau maka. A laila, haʻi aku ka lolo i kou mau ʻōpū waimaka, "ʻAe, e hana i nā waimaka i kēia manawa." Akā, ʻoi aku ka liʻiliʻi o ka ʻaila o nā waimaka i hana ʻia, no laila e kahe wikiwiki ana lākou ma mua o ka mea e pono ai.
- Ke komo nei kekahi mea i loko o ka maka: Inā komo kekahi mea e like me ka lepo, kahi pepeke, a i ʻole kahi maka maka i loko o ka maka, e puka mai nā waimaka ma ke ʻano he ʻano pale e holoi ai i waho.
- Nā maʻi: ʻO nā maʻi bacteria a viral paha , e like me ka conjunctivitis, a mākou i ʻike ai he "maʻi maka," hiki ke hana i nā maka ʻulaʻula a me nā maka wai.
- Nā pilikia o ka maka: ʻO Blepharitis, kahi maʻi o ka lihi o ka maka, a me ka entropion, kahi maka e piʻo ana i loko e hoʻoulu ai i ka ʻoluʻolu ʻole ke hamo nā maka i ka maka, hiki ke hana i nā waimaka.
2. Ke kahe pono ʻole nā waimaka
ʻO ke ʻano kēia, ʻoiai he mea maʻamau ka nui o nā waimaka i hana ʻia, noho mau lākou i loko o ka maka a kahe i waho ma muli o kahi ālai ʻana i ka ʻōnaehana hoʻokahe wai.
- Nā ʻAuwai Waimaka i Paʻa ʻia: ʻO kēia ke kumu nui. Hiki ke paʻa kēia mau ʻauwai i ka wā hānau (e like me nā pēpē) a i ʻole ma hope o ke ola, ma muli o kahi maʻi a i ʻole ka ʻeha.
- Nā cysts eyelid: ʻO nā styes a i ʻole chalazions, he mau cysts liʻiliʻi e hana ana ma nā lihilihi, hiki ke kau i ke kaomi ma nā ala waimaka a hana i ka poloka.
ʻO ka mea nui loa, mai ho'āʻo e ʻike i ke kumu o kou waimaka ma kāu iho. ʻO kāu kauka wale nō ke hiki ke hoʻomaopopo pono.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke ʻike ʻoe i ke kauka, ʻoiai he loea maka, ʻo ka mea mua āna e hana ai, ʻo ia ke nīnau iā ʻoe i nā nīnau a nānā pono i kou mau maka.
Eia kekahi, hiki ke hana i nā hoʻokolohua e like me kēia e ʻike ai i ke kumu kūpono:
- Hoʻāʻo Nalowale ʻana o ka Waihoʻoluʻu: Ma kēia hoʻāʻo, e kau kāu kauka i kahi kulu kala ʻino ʻole i loko o kou maka. Pono e nalowale ka waihoʻoluʻu me kou mau waimaka i loko o kekahi mau minuke. Inā ʻaʻole nalowale, hiki ke hōʻike i kahi ala waimaka i ālai ʻia.
- Ka Nānā ʻana a me ka Hoʻoinu ʻana: I kekahi manawa, hoʻokomo ʻia kahi mea hana maikaʻi loa (probe) e hoʻāʻo e wehe i ke kahawai waimaka. Hiki ke hoʻohana ʻia kahi wai saline e holoi i waho i ka mea i paʻa.
- Nā scan:I kekahi manawa pinepine ʻole, hiki ke ʻōlelo ʻia kahi X-ray a i ʻole CT scan e ʻike i ke kumu o ka ālai ʻana.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka nūhou maikaʻi, hiki ke ho'ōla pinepine ʻia kēia maʻi. Eia nō naʻe, hilinaʻi wale ka lāʻau lapaʻau i ke kumu . ʻO ia ke kumu e ʻokoʻa ai ka lāʻau lapaʻau mai kēlā kanaka a kēia kanaka.
| Kumu | ʻO ka lāʻau maʻamau |
|---|---|
| Nā maʻi ʻaleka | Ua kuhikuhi ʻia nā kulu maka a i ʻole nā pila no nā maʻi allergies. |
| He maʻi bacteria | E hāʻawi ʻia iā ʻoe nā kulu maka antibiotic a i ʻole ka poni. |
| Nā Maka Maloʻo | Paipai lākou e hoʻohana i kahi ʻano kulu maka kūikawā i kapa ʻia ʻo nā waimaka artificial. |
| Ke kiʻi ʻana i kahi mea i loko o ka maka | E wehe pono ke kauka i ka mea. Mai ho'āʻo e wehe iā ia iho, no ka mea, hiki iā ʻoe ke hōʻino i kou maka. |
| Nā ʻauwai waimaka i ālai ʻia | No nā keiki ʻōpio, ua ʻōlelo pinepine ʻia ka lomilomi mālie ʻana i ke kihi o ka maka. No nā pākeke, ua holoi ʻia ke kahawai a wehe ʻia paha me kahi mea hana maikaʻi (probing). Inā ʻaʻole holomua kēia mau mea, hiki ke hana ʻia kahi hana ʻoki liʻiliʻi (DCR - Dacryocystorhinostomy) e hana i kahi ala hou e kāpae ai i ka mea i paʻa. |
| Ka loli ʻana i ke ʻano o ka lihilihi maka | Inā huli ʻia ka lihilihi i loko a i waho paha, pono paha ke ʻoki kino liʻiliʻi e hoʻoponopono ai. |
He aha kaʻu mea e hopohopo ai?
- Mai hamo i kou mau maka no kekahi kumu. ʻO ka hana ʻana pēlā e hiki ai ke hoʻonui i ke kūlana. Hiki iā ia ke hoʻoili i nā germs mai kou mau lima i kou mau maka, e hana ana i kahi maʻi.
- Inā pono ʻoe e holoi i nā waimaka, e hoʻohana i kahi lole maʻemaʻe a i ʻole kahi pepa a e hoʻopā mālie i ka pulu ma lalo o kou maka . Mai hoʻokomo i ka pepa i loko o kou maka.
- Inā kuhikuhi kāu kauka i nā lāʻau antibiotic, e lawe iā lākou no ka helu pololei o nā lā i kuhikuhi ʻia, ʻoiai inā e hoʻomaikaʻi kāu mau hōʻailona. A i ʻole, e hoʻi hou mai paha ka maʻi.
Āhea ʻoe e ʻike koke ai i ke kauka?
ʻO ka maʻamau, ʻaʻole he pilikia ka waimaka. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka maka .
- Inā he pehu a puni nā maka.
- Inā ʻike ʻoe i kekahi mau loli i kou ʻike (blurring, double vision).
- Inā ʻoe e manaʻo i kahi mea e like me ka puʻupuʻu a i ʻole ka puʻupuʻu ma kou maka a i ʻole ka lihilihi.
- Inā nui loa nā waimaka a paʻakikī iā ʻoe ke ʻike maopopo .
Inā loaʻa iā ʻoe kahi hahau nui i kou maka, komo kahi kemika i loko o kou maka, a nalowale koke paha kou ʻike, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- He maʻi maʻamau ʻo Epiphora, akā inā pinepine ia, he hōʻailona paha ia o kahi maʻi.
- ʻO ke kumu o kēia hiki ke lilo i mea maʻalahi e like me ka maʻi allergy a i ʻole he mea paʻakikī e like me ka paʻa ʻana o ke ala waimaka.
- Mai hamo i kou mau maka. Hiki i kēia ke hoʻonui i ka ʻino o ke kūlana.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka maka, nā loli o ka ʻike, a i ʻole ka pehu ʻana, e ʻike koke i kāu kauka.
- Inā loaʻa ke kumu kūpono a mālama pono ʻia, hiki ke ho'ōla loa ʻia kēia maʻi.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo