Evisceration: Mai makaʻu, e kamaʻilio kākou e pili ana

ʻO ka manaʻo o ka wehe loa ʻia ʻana o kou maka e hoʻohoka iā ʻoe, ʻeā? He mea paʻakikī ke noʻonoʻo. Akā i kekahi manawa, ma muli o ka ʻeha hiki ʻole ke hoʻomanawanui, ka maʻi nui, a i ʻole kahi ulia pōpilikia nui, hiki ke hoʻōla ʻia kou maka. ʻO kēia ka manawa e kamaʻilio ai nā kauka e pili ana i ke ʻoki kino i kapa ʻia ʻo 'Evisceration'. ʻOiai paha e kani weliweli ka inoa, ke ʻike pono ʻoe i ke ʻano o ia mea a me ke kumu e hana ʻia ai, e nalo aku kou makaʻu. No laila e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī.

I ka ʻōlelo maʻalahi, he aha ka Evisceration?

ʻAʻole ʻo ka evisceration he hana ʻoki kino e wehe loa ai i ka maka. Pono ia e wehe wale i nā mea o loko o kou maka ma ke ʻoki kino. Eia nō naʻe, ʻo ka ʻāpana keʻokeʻo o ka maka, ka sclera , a me nā ʻiʻo e hoʻoneʻe ai i ka maka e waiho ʻia me ka palekana.

E noʻonoʻo e pili ana i ka niu. Ke wili mākou i ka niu, wehe wale mākou i ka ʻiʻo a waiho i ka pūpū niu, ʻeā? Pēlā nō hoʻi ka mea e hana ʻia ma ʻaneʻi. Wehe mākou i nā ʻāpana o loko o ka ʻiʻo, e waiho ana i ka "ʻiʻo" o waho o ka ʻiʻo.

Ma hope o ka wehe ʻana i loko o ka maka ma kēia ʻano, hoʻokomo ke kauka i kahi mea hoʻokomo kūikawā e like me ka pōpō i loko o ka hakahaka. Kōkua kēia i ka mālama ʻana i ke ʻano maoli o ka maka. A laila, ke ho'ōla maikaʻi ʻia ʻoe, hiki iā ʻoe ke loaʻa kahi maka prosthetic e nānā maoli ana inā makemake ʻoe. He maka palupalu loa kēia, kala e like me kou maka ʻē aʻe.

No ke aha ʻoe e pono ai e hana i kēia ʻano ʻoki kino?

E ʻōlelo wale ke kauka i kēia ʻano hana ʻoki kino ke ʻole he koho ʻē aʻe a he mea pono loa ia. ʻO ka maʻamau, ma muli kēia o nā kumu:

• Nā maʻi maka koʻikoʻi (endophthalmitis): I kekahi manawa, hiki i kahi maʻi koʻikoʻi loa ke ulu i loko o ka maka. Inā ʻaʻole hiki ke kāohi ʻia kēia mau mea me nā antibiotics maʻamau, hiki i ka maʻi ke laha ma loko o ka maka a hiki i loko o ka lolo. I ia mau hihia, hana ʻia kēia ʻoki kino e wehe i nā ʻāpana i loaʻa i ka maʻi.
• Nā ʻeha koʻikoʻi o ka maka: Ke komo kekahi mea ʻoi i loko o ka maka a hōʻeha nui, ʻaʻole paha e hiki ke hoʻopakele ʻia ka maka.
• He maka makapō a ʻeha: Hiki i kekahi mau maʻi ke hoʻopau loa i ka ʻike. Eia nō naʻe, inā he ʻeha hiki ʻole ke hoʻomanawanui a mau, ʻo kēia ʻoki kino ka hopena maikaʻi loa e hoʻopau ai i kēlā ʻeha.
• Ka emi ʻana o ka maka ( Phthisis bulbi)): Ua kapa ʻia hoʻi kēia ʻo 'maka hope-paepae'. ʻO kēia kahi e emi mālie ai ka maka, lilo i mea hana ʻole, a loli ke ʻano. Hoʻohana ʻia kēia ʻoki kino e pale aku i ka ʻeha a me nā loli i ke ʻano e kū mai ana i kēia kūlana.

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

He mea nui loa e hoʻomākaukau pono iā ʻoe iho ma mua o kahi ʻoki kino e like me kēia.

1. Hālāwai me ke Kauka Maka: Ma mua o ke ʻoki kino, he manaʻo maikaʻi e hālāwai a kamaʻilio me ke kauka loea nāna e hana i kou maka hana (Ocularist). Ma kēia ʻano, hiki iā ia ke nānā pono i nā mea e like me ke kala a me ke ʻano o kou maka ʻē aʻe a lawe i nā ana e pono ai no ka maka hana e hana ʻia ma hope.

2. Ke kamaʻilio ʻana me kāu kauka: Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, ʻoiai nā huaora. ʻOi loa inā ʻoe e lawe ana i nā anticoagulants , e aʻo aku kāu kauka iā ʻoe i ka nui o nā lā ma mua o ke ʻoki kino e pono ai ʻoe e hoʻōki i ka lawe ʻana iā lākou. Mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke nīnau ʻana i kāu kauka.

3. Hoʻokē ʻai: I ka lā ma mua o ke ʻoki kino, pono ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana no ka lōʻihi e like me ka ʻōlelo a kāu kauka iā ʻoe. ʻO kēia ka maʻamau he 6-8 mau hola ma mua o ke ʻoki kino.

4. Kekahi e lawe iā ʻoe i ka home: ʻO kēia ʻoki kino he hana ma waho o ka haukapila, no laila hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia nō naʻe, ʻoiai ʻoe ma lalo o ka anesthesia , ʻaʻole hiki iā ʻoe ke hoʻokele a hoʻi wale paha i ka home. Pono ʻoe i kahi lālā o ka ʻohana a i ʻole hoaaloha e lawe iā ʻoe i ka home.

Pehea e hana ʻia ai ke ʻoki kino

ʻO ka maʻamau, hoʻokahi a ʻelua paha hola o kēia ʻoki kino. Ma hope o kou lawe ʻia ʻana i ka lumi hana, e hāʻawi ʻia ʻoe i ka anesthesia laulā, a i ʻole ka anesthesia kūloko, a me nā lāʻau lapaʻau e kōkua iā ʻoe e hoʻomaha.

Wehe pono ke kauka i ka ʻaoʻao o loko o ka maka, e waiho ana i ka papa waho keʻokeʻo (sclera) a me nā ʻiʻo. A laila, hoʻokomo ʻia ka implant e like me ka pōpō e mālama i ke ʻano o ka maka.

Ma hope o ke ʻoki ʻana, ua kau ʻia kahi ʻūpā palaki manawa pōkole i kapa ʻia he conformer e mālama i ka hakahaka ma waena o nā lihilihi maka a e hana i kahi kūpono no ka maka hana e hoʻokomo ʻia ma hope. I kekahi manawa, hiki i ke kauka ke pani i nā lihilihi maka me nā humuhumu manawa pōkole. ʻO ka hope, ua kau ʻia kahi kāʻei kaomi i ka maka e hoʻōki i ke kahe ʻana o ke koko a hōʻemi i ka pehu.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

Ma hope o ke ʻoki ʻana, e hāʻawi ʻia ʻoe i kekahi manawa e hoʻomaha ai a laila e ʻae ʻia e hoʻi i ka home ma hope o kou ala ʻana mai ka anesthesia. Eia kekahi mau mea e hoʻomanaʻo ai ma hope o kou hoʻi ʻana i ka home:

• Nā lāʻau hoʻopau ʻeha a me nā lāʻau antibiotic: E kuhikuhi kāu kauka i nā lāʻau ʻeha a me nā lāʻau antibiotic a i ʻole steroid e pale aku i ka maʻi. E lawe i kēia mau lāʻau e like me ke kauoha.
• Kāʻei: Mai wehe i ke kāʻei a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. E makaʻala ʻaʻole e pulu. Hoʻohemo pinepine ʻia i loko o hoʻokahi lā a i ʻole ma ka hālāwai ninaninau aʻe (hālāwai hālāwai ninaninau).
• Nā kapu hana:
• E hōʻalo i nā hana ikaika e like me ka ʻauʻau ʻana, ka holo ʻana, ka lele ʻana, a i ʻole ka pāʻani ʻana i nā haʻuki no ka liʻiliʻi he ʻelua pule, ʻehā paha pule .
• Mai kūlou mai ka pūhaka i lalo a me ka hāpai ʻana i nā mea kaumaha ma mua o 5-10 kg no ʻehā pule .
• Hoʻokolokolo hou ʻana: E noi pinepine ʻia ʻoe e hoʻi mai i loko o hoʻokahi pule. I kēlā manawa, e wehe ʻia ke kāʻei a e nānā ʻia kou maka.
• Ke hoʻokomo ʻia ʻana o ka maka hana: Ke ho'ōla maikaʻi ʻia nā ʻiʻo i loko o ka maka, ʻo ia hoʻi ma hope o 6-8 mau pule , hiki iā ʻoe ke hoʻokomo i ka maka hana. E hōʻike aku kāu kauka iā ʻoe e hoʻonohonoho i kahi manawa no kēia.

Nā pono a me nā pilikia kūpono o ke ʻoki kino

E like me nā ʻoki kino āpau, he mau pono a me kekahi mau pilikia kona, he mea nui e ʻike.

He aha ka ʻokoʻa ma waena o ka Evisceration a me ka Enucleation?

Ua lohe paha ʻoe i kekahi ʻoki kino ʻē aʻe i kapa ʻia ʻo enucleation. ʻOiai he mau ʻoki maka nā mea ʻelua, aia kahi ʻokoʻa nui ma waena o nā mea ʻelua.

I ka manawa hea e kāhea aku ai i kāu kauka

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka:

• Inā he nui ke kahe koko .
• Inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui ma kou mau maka a i ʻole ke poʻo, ʻoiai ma hope o ka lawe ʻana i nā painkiller.
• Inā he wai e like me ka pus e puka mai ana mai loko mai o ka maka, a inā he kuni kou (he mau hōʻailona paha kēia o kahi maʻi ).
• Inā ʻeha ka maka ʻē aʻe i hana ʻole ʻia ke ʻoki ʻana .

Maopopo iaʻu ke ʻano weliweli o ka lohe ʻana e pili ana i kēia ʻano hana ʻoki kino. Akā e hoʻomanaʻo, e kuhikuhi wale ke kauka i kahi mea e like me kēia inā manaʻo lākou ʻo ia ka hopena maikaʻi loa i kahi kūlana hoʻoweliweli ola a ʻeha loa paha. E kamaʻilio me kāu kauka e pili ana i kou hopohopo a me kou mau makaʻu. E hāʻawi lākou iā ʻoe i ka ʻike a me ke kākoʻo āpau āu e pono ai.