Ke manaʻo nei anei kou lihilihi e wehe wale? E kamaʻilio kākou e pili ana i (Floppy Eyelid Syndrome)?

Ke ʻeha nei hoʻi ʻoe i kou mau maka a me ka manaʻo o kou mau lihilihi e ʻōwili ana i mua a i hope ke ala ʻoe i ke kakahiaka? Malia paha e like me ka ʻōpala wale nō kou mau lihilihi ke hoʻopā ʻoe iā lākou. ʻOiai he mea hoʻopilikia iki kēia no kekahi poʻe, hiki nō hoʻi ke lilo i hōʻailona o kahi maʻi a mākou e kamaʻilio ai i kēia lā i kapa ʻia ʻo (Floppy Eyelid Syndrome) .

He aha ka Floppy Eyelid Syndrome?

I ka ʻōlelo maʻalahi, (Floppy Eyelid Syndrome) ʻo ia ka wā e wehe ai ka ʻili ma kou mau lihilihi maka, a i ʻole nā ​​lihilihi maka, a palupalu. Lilo ia i mea palupalu, e like me ke kaula lihilihi kahiko. ʻO kēia ka mea e maʻalahi ai i kou mau lihilihi maka ke komo i loko a i waho paha, ʻoiai ke hiamoe nei ʻoe. Hiki ke hoʻopilikia pinepine i nā lihilihi maka ʻelua o luna.

Pehea ka maʻamau o kēia ʻano?

Hōʻike nā noiʻi o kēia manawa aia ma waena o 2% a me 4% o ka heluna kanaka o ka honua i loaʻa i kēia maʻi (Floppy Eyelid Syndrome). Eia nō naʻe, manaʻoʻiʻo nā kauka he ʻoi aku ka kiʻekiʻe o kēia helu. ʻO ke kumu, hiki ke loaʻa nā hōʻailona o kēia maʻi me nā maʻi ʻē aʻe he nui. No laila, i kekahi manawa, mālama nā kauka, ʻoi aku hoʻi nā ophthalmologists, i kēia mau hōʻailona, ​​akā ʻaʻole paha e ʻike he ʻāpana ia o kēia (Floppy Eyelid Syndrome) ponoʻī.

He aha nā hōʻailona o ka Floppy Eyelid Syndrome?

Hiki i kēia ʻano ke hana i kekahi mau hōʻailona, ​​​​ʻoiai ke ala mua ʻoe i ke kakahiaka .

• Lilo nā lihilihi maka i mea palupalu a hāʻule. Hiki iā lākou ke ʻōwili i loko/i waho me ka hoʻopā iki ʻana.
• Ke ʻeha nei ʻoe a i ʻole ke kuni ʻana i kou mau maka.
• Maloʻo nā maka no ka mea, ʻaʻole i poni pono ʻia nā maka e ka wai waimaka e hoʻomaʻū ana iā lākou.
• Ke kahe nei kou mau maka no ka mea ke hana nei kou kino i nā waimaka hou aʻe e hoʻomaʻū iā lākou.
• Pehu a ʻeha nā lihilihi maka. Kāhea mākou i kēia he blepharitis ma nā ʻōlelo lapaʻau.
• Me he mea lā ua paʻa kekahi mea i loko o ka maka.
• ʻO ke ʻano o ka maʻalahi i ka mālamalama, ʻo ia hoʻi he paʻakikī ke nānā aku i ka mālamalama (Photophobia) .
• He wai e like me ke kulu e puka mai ana mai nā maka mai.

No ke aha he pilikia kēia lihilihi o ka maka?

Ua ʻike anei ʻoe ʻo ka ʻili lahilahi loa o ko kākou kino aia ma ko kākou mau lihilihi maka ? I mea e hana pono ai kēia mau lihilihi maka, pono lākou e palupalu . ʻO ia ka manawa e loaʻa ai iā lākou ka 'wahi' e pono ai lākou e noho paʻa ma luna o ka maka a neʻe i luna a i lalo i ka wā e wehe ai, pani ai, a ʻimo ai.

Akā, ʻaʻole wale ka lihilihi he uhi. Aia i loko he ʻano ʻōpū i kapa ʻia ʻo nā ʻōpū Meibomian . Hoʻopuka kēia mau ʻōpū (Meibum)Hoʻopuka lākou i kahi mea ʻaila i kapa ʻia ʻo meibum (meibum i kapa ʻia). He mea nui loa kēia mea no ke ʻano o ka hana ʻana o kā mākou ʻōnaehana waimaka. ʻO kēia ʻaila, i kapa ʻia ʻo meibum, e hui pū me ka wai waimaka, e hoʻowali ana i ka ʻili o nā maka a e hōʻemi ana i ka mahu ʻana o ka wai waimaka. ʻAʻole wale ia, akā kōkua pū ia i ka hoʻopaʻa ʻana i nā lihilihi i ka wā e pani ʻia ai nā maka, e hana ana i kahi sila e pale ai i ka ea. Kōkua kēia i ka mālama ʻana i nā maka i ka pulu.

No laila, ke nalowale kēia elasticity o kou mau lihilihi maka, lilo lākou i mea palupalu, ʻaʻole lākou e noho pono ma kahi. A laila ʻaʻole e hui pono ka (Meibum) e puka mai ana mai nā (Meibomian glands) me ka wai waimaka. A laila hoʻopilikia ʻia ka lubrication o nā maka. Eia kekahi, no ka mea e neʻe maʻalahi ana nā lihilihi maka, ʻaʻole i hana pono ʻia kēlā sila ea ke pani ʻia kou mau maka. He mea kēia e hiki ke hana mau, ʻoiai ke hiamoe nei ʻoe .

He aha nā kumu o ka Floppy Eyelid Syndrome?

ʻO ke kumu nui o ka palupalu ʻana o nā maka, ʻo ia ka nalowale ʻana o kahi protein i kapa ʻia ʻo elastin i loko o nā maka. ʻO kēia elastin ka mea e hāʻawi ai i ka ʻili i kona elasticity. Akā, ʻaʻole maopopo ke kumu pololei no kēia. Eia nō naʻe, ua hāpai ka noiʻi i nā kānalua e pili ana i kekahi mau kumu. He mea paʻakikī ke ʻōlelo inā ʻo kēia nā kumu paʻa a i ʻole nā ​​kumu kōkua wale nō. Akā, ua manaʻo ʻia he kuleana ko kēia mau mea:

• ʻO ka momona a me ka Obstructive Sleep Apnea (OSA): Pili loa kēia mau kūlana ʻelua. Inā momona ʻoe, ʻo ia hoʻi, momona loa, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o ka OSA. Me ka OSA, pau kou hanu ʻana i kou hiamoe ʻana. Hoʻemi kēia i ka nui o ka oxygen i loaʻa i kou kino. Hoʻololi kēia nele o ka oxygen i nā hopena kemika o ke kino, a nui aʻe nā enzymes i hana ʻia e hiki ke wāwahi i kahi protein i kapa ʻia ʻo elastin. Ma kahi o ka hapalua o ka poʻe me OSA e loaʻa pū kekahi i kēia kūlana (Floppy Eyelid Syndrome).
• Nā maʻi pili o nā ʻiʻo: ʻO kēia nā maʻi e hoʻopilikia i nā ʻiʻo pili e like me ke cartilage a me nā tendons. Hiki i kēia mau maʻi ke hoʻopilikia i ke ʻano o ka hana ʻana a me ka hoʻohana ʻana o ke kino i ka elastin. No ka laʻana, nā kūlana e like me ka Marfan syndrome a me ka Ehlers-Danlos syndrome .
• ʻIke Hoʻoilina: Hiki i nā loli i kāu DNA ke hoʻopilikia i ke ʻano o ka hana ʻana a me ka hoʻohana ʻana o kou kino i ka elastin. Hiki ke hoʻoilina ʻia kēia mai kou mau mākua mai, a i ʻole he mau loli ulia pōpilikia paha i hana ʻia i kou wā e ulu ana ma ke ʻano he pēpē.
• Nā maʻi ʻē aʻe e hoʻopilikia ana i nā maka a me nā ʻiʻo a puni: ʻO ka poʻe me nā maʻi e hoʻoulu ai i nā maka e pehu i mua e piʻi aʻe paha ka pilikia. No ka laʻana , nā maʻi thyroid , e like me ka maʻi Hashimoto .

Ma waho aʻe o kēia, aia kekahi mau kumu ʻē aʻe e kōkua ana:

• Kāne: ʻOi aku ka nui o ka loaʻa ʻana o ka Floppy Eyalid Syndrome i nā kāne ma mua o nā wahine. Ma kahi o ʻelua hapakolu he kāne.
• Makahiki:ʻOi aku ka maʻamau o kēia maʻi i nā pākeke. ʻOiai hiki ke ulu i nā keiki, he mea kākaʻikahi loa ia.
• Lāhui: ʻO ka poʻe me kahi ʻili kūikawā (epicanthic fold) ma ke kihi o loko o ka maka, e like me kekahi mau lāhui ʻAsia, ʻaʻole paha e loaʻa i kēia ʻano ma muli o ke ʻano o ko lākou mau lihilihi maka.

He aha nā pilikia e hiki mai ana o ka Floppy Eyelid Syndrome?

Ke kūlou kou mau lihilihi maka, pale ia i kou mau maka mai ka noho pulu a me ka lubricated. Hiki i kēia ke hoʻonāukiuki a hōʻino ʻia kou mau maka . Hiki i kēia ke alakaʻi i:

• Maʻi maka maloʻo .
• ʻO ke keratitis ka mumū o ka cornea, ka ʻaoʻao mua o ka maka, ʻo ia hoʻi ka ʻāpana moakaka.
• Ka hoʻopau pinepine ʻia ʻana o ka cornea (RCE) .
• Nā ʻeha corneal a me ka ʻeha.
• I nā hihia koʻikoʻi, inā ʻaʻole mālama ʻia, hiki ke nalowale ka ʻike .

Pehea e ʻike ʻia ai kēia maʻi (Floppy Eyelid Syndrome)?

Ma muli o nā hōʻailona o kēia (Floppy Eyelid Syndrome) e kū pū me nā maʻi ʻē aʻe he nui, ʻaʻohe hoʻokolohua kikoʻī e ʻike pololei ai.

Hiki i ke kauka maka ke ʻike i kēia kūlana ma ka nīnau ʻana iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​​​e nīnau iā ʻoe e pili ana i kou ʻike a me ke ʻano o kou mau maka, a me ka nānā ʻana i kou mau lihilihi. I ka wā o ka hoʻokolokolo ʻana, e kau ke kauka i ka piko o kona manamana lima ma ka ʻili o kou lihilihi. He hoʻāʻo ia e lawa ka mālie ʻaʻole e ʻeha, akā paʻa e ʻike i ka mamao e hiki ai iā ʻoe ke neʻe a huki i kou mau lihilihi.

Hoʻohana ka nui o nā loea maka i kēia ʻano hana e hoʻoholo ai inā loaʻa iā ʻoe ka Floppy Eyelid Syndrome a pehea kona koʻikoʻi . Aia ʻelua mau ʻōnaehana māka nui i hoʻohana ʻia no kēia:

• ʻAno ana: Ke ana kēia i ka nui o ka neʻe ʻana o ka lihilihi maka. Hele kēia unahi mai ka 0 a i ka 4.
• ʻŌnaehana ʻIke Conjunctival: Ma kēia, e hāpai ke kauka maka i kou lihilihi luna ʻoiai ʻoe e nānā i lalo. Hoʻoholo ʻia ke koʻikoʻi e ka nui o ka ʻike ʻia ʻana o ka ʻāpana keʻokeʻo o ka maka, i kapa ʻia ʻo conjunctiva . Loaʻa kēia unahi mai ka 0 a i ka 3.

He aha nā lāʻau lapaʻau no kēia (Floppy Eyelid Syndrome)?

ʻElua mau ʻano lapaʻau nui: ke ʻano conservative a me ke ʻano ʻokiʻoki .

Ke ʻano mālama

ʻO kahi ʻano mālama pono e pili ana i ka hoʻāʻo ʻana e pale i nā hōʻailona o kēia ʻano mai ka hanana ʻana. ʻO ka maʻamau, pili kēia i ka uhi ʻana i kou mau maka me kahi plaster i kou wā hiamoe, hiamoe me kahi pale maka, a i ʻole ke kau ʻana i nā waimaka hana a i ʻole ka poni maka ma mua o ka hiamoe ʻana.

Eia kekahi, e noi aku kāu kauka iā ʻoe e hana i kahi hoʻāʻo hiamoe e ʻike ai inā he OSA kou. E hoʻomanaʻo i kēlā, hiki iā ʻoe ke loaʻa ka OSA ʻoiai inā ʻaʻole ʻoe momona.

ʻO ka mea nui loa: Inā loaʻa iā ʻoe ka OSA, ʻo ka hoʻohana ʻana i ka mīkini Continuous Positive Airway Pressure (CPAP) a i ʻole ka mīkini Bilevel Positive Airway Pressure (BPAP) (i kekahi manawa i kapa ʻia ʻo BiPAP®) hiki ke kōkua i ka hoʻohuli ʻana i ka nalowale o ka elastin a hoʻomaikaʻi i ka elasticity o kou mau lihilihi. He mea nui loa ka hoʻohana ʻana i kēia mīkini i kēlā me kēia pō. A i ʻole, ʻaʻole ia e kōkua nui. Ma ka ʻaoʻao ʻē aʻe, hiki i ka OSA i mālama ʻole ʻia ke make, no laila ʻoi aku ka nui o ka hoʻohana ʻana i ka mīkini.

ʻAno hana ʻoki kino

ʻO ka maʻamau, manaʻo ʻia ke ʻoki kino inā ʻaʻole i holo pono nā hana mālama. Eia kekahi, inā koʻikoʻi kou kūlana (Floppy Eyelid Syndrome) a aia kahi pilikia o ka hōʻino ʻana i ka maka, a laila he koho paha ke ʻoki kino. Aia kekahi mau kaʻina hana ʻoki kino e hiki ai ke hoʻopaʻa i nā ʻiʻo o kou lihilihi maka. E haʻi aku kāu kauka maka a kauka ʻoki kino paha iā ʻoe e pili ana i ke kaʻina hana a lākou e ʻōlelo nei a me nā mea e manaʻo ai.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe (Floppy Eyelid Syndrome)?

Inā loaʻa iā ʻoe ka Floppy Eyelid Syndrome, pili pinepine kāu mau hōʻailona i nā pilikia me ka makū o kou mau maka. ʻOi aku ka ʻino o nā hōʻailona ke ala mua ʻoe i ke kakahiaka . Inā hiamoe ʻoe ma kou ʻaoʻao, ʻoi aku ka hopena o kāu ʻaoʻao makemake o ka maka i kāu mau hōʻailona. ʻOiai ʻaʻole pilikia pololei kēia ʻano, hiki iā ia ke hōʻeha mau loa i kou mau maka a hoʻopilikia i kou ʻike.

Inā kānalua ʻoe he (Floppy Eyelid Syndrome) kou, he manaʻo maikaʻi e ʻike i kahi kauka maka a hoʻāʻo e nānā iā ia. Inā pēlā, e nānā kāu kauka no (OSA) a, inā pono, e mālama iā ia.

I mea e hoʻomaikaʻi ai kēia ʻano (Floppy Eyelid Syndrome) iā ia iho, pono e hoʻoponopono piha ʻia ke kumu kumu, e like me OSA. Eia nō naʻe, pono e mālama ʻia ʻo OSA ponoʻī, no ka mea hiki iā ia ke alakaʻi i nā pilikia e hoʻoweliweli ai i ke ola.

He aha ke kūlana no kēia maʻi (Floppy Eyelid Syndrome)?

He maikaʻi loa ka nānā ʻana no ka Floppy Eyelid Syndrome me ka mālama ʻana. ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e like me (CPAP) a i ʻole (BPAP) a i ʻole (OSA) e kōkua i kāu mau hōʻailona e hoʻomaikaʻi ma kahi liʻiliʻi. ʻO nā hōʻailona i koe e emi iki ka koʻikoʻi a maʻalahi hoʻi e kaohi me nā lāʻau lapaʻau conservative ʻē aʻe.

He kiʻekiʻe loa ka holomua o ka mālama ʻana i ka Floppy Eyelid Syndrome. ʻO ka holomua o ke ʻoki ʻana ma waena o 91% a me 98% .

Hiki ke pale ʻia ka Floppy Eyelid Syndrome?

No ka mea, ʻaʻole mākou i ʻike pono pehea e ulu ai ka Floppy Eyelid Syndrome, ʻaʻole hiki ke pale loa iā ia. Eia nō naʻe, manaʻoʻiʻo nā loea hiki iā ʻoe ke hōʻemi i kou pilikia o ka hoʻomohala ʻana i ka Floppy Eyelid Syndrome ma ka mālama ʻana a i ʻole ka pale ʻana i nā kūlana e hiki ke kōkua iā ia. Hiki i kēia mau mea ke komo pū me:

• Ka mālama ʻana i ke kaumaha olakino nou.
• E hoʻohana i kāu mīkini kaomi ea maikaʻi e like me ka mea i ʻōlelo ʻia, i kēlā me kēia pō, me ka ʻole o ka haʻalele ʻana i hoʻokahi lā.
• E mālama i kekahi mau maʻi mau loa āu e loaʻa ai (e like me ka maʻi Hashimoto) e pale aku i nā loli o nā maka e hiki ai ke kōkua i ka Floppy Eyelid Syndrome.

Pehea e mālama ai iaʻu iho inā loaʻa iaʻu (Floppy Eyelid Syndrome)?

Inā loaʻa iā ʻoe ka Floppy Eyelid Syndrome, he mea nui e hahai pono i nā ʻōlelo a kāu kauka maka e like me ka hiki. ʻO ka pale ʻana i kou mau maka i kou wā hiamoe he mea nui ia . Eia kekahi, e hoʻohana i nā waimaka hana, nā kulu maka, a i ʻole nā ​​​​huahana ʻē aʻe e like me ka mea i ʻōlelo ʻia. He mea nui hoʻi e pale i ka hamo ʻana i kou mau maka . Hiki i kēia ke hoʻolilo i kou mau lihilihi i mea palupalu.

Inā kuhikuhi kāu kauka iā ʻoe i kahi loea hiamoe e nānā i ka OSA, pono ʻoe e hana pēlā e like me ka mea i ʻōlelo ʻia. Inā ʻike ʻia ka OSA, e hahai pololei i nā ʻōlelo a ke loea. He mea nui kēia, no ka mea, hiki i ka OSA i mālama ʻole ʻia ke make.

Āhea wau e ʻike ai i kaʻu kauka a ʻimi paha i ke aʻo lapaʻau?

Inā ʻaʻole i mālama ʻia, hiki i ka Floppy Eyelid Syndrome ke hōʻeha mau loa i ka maka. Inā loaʻa iā ʻoe nā hōʻailona, ​​​​pono ʻoe e ʻike i kahi loea maka i ka wā hikiwawe loa . ʻAʻole kēia he pilikia, akā ʻaʻole ia he mea āu e hoʻomanawanui ai, hoʻowahāwahā, a hoʻāʻo paha e mālama iā ʻoe iho.

Inā ʻike mua ʻoe he maʻi kou, e kamaʻilio me kāu kauka inā loli a ʻoi aku paha ka ʻino o kou mau hōʻailona. Inā ʻaʻole kōkua nā lāʻau lapaʻau, a inā paha e nalowale ana ko lākou pono, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kēlā.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• Pehea ke koʻikoʻi o koʻu maʻi (Floppy Eyelid Syndrome)?
• Pehea kēia e pili nei i koʻu mau maka i kēia manawa?
• He aha kaʻu e hana ai e mālama ai i koʻu maʻi i kēia manawa?
• He aha nā pilikia a i ʻole nā ​​hopena ʻaoʻao e pono iaʻu e makaʻala a makaʻala?

He aha ka ʻokoʻa ma waena o ka Floppy Eyelid Syndrome a me nā kūlana ʻē aʻe e hoʻoulu ai i nā maka e hāʻule ana (ptosis)?

ʻO nā maka maka e hāʻule ana, kahi ʻano i ʻike ʻia i ka ʻepekema lapaʻau ʻo ptosis , hiki ke hana ʻia ma nā ʻano ʻelua ʻē aʻe:

• Inā nāwaliwali kou mau lihilihi maka ma muli o ka pilikia me nā ʻiʻo ponoʻī.
• Inā ʻaʻole e hana pono nā aʻalolo i pili i nā ʻiʻo, ʻo ia hoʻi, ua hoʻopilikia ʻia nā hōʻailona e hoʻoneʻe ai i nā ʻiʻo.

He ʻokoʻa ka Floppy Eyelid Syndrome mai nā ʻano hana ʻelua ʻē aʻe no ka mea pili pono ia i ka elasticity o ka ʻili . ʻAʻole ia e hoʻopilikia i nā ʻiʻo a i ʻole ka ʻōnaehana nerve e pili ana i ka neʻe ʻana o ka maka.

Hōʻuluʻulu manaʻo a me nā mea e hoʻomanaʻo ai

ʻOiai paha he mea liʻiliʻi ka Floppy Eyelid Syndrome, hiki iā ia ke lilo i hōʻailona o kahi maʻi koʻikoʻi a make paha i kapa ʻia ʻo Obstructive Sleep Apnea (OSA). Inā ʻaʻole mālama ʻia, hiki i ka Floppy Eyelid Syndrome ke hōʻeha mau loa i ka maka.

Inā loaʻa iā ʻoe nā hōʻailona o (Floppy Eyelid Syndrome), mai hoʻowahāwahā iā lākou a hoʻomanawanui paha iā lākou. ʻO ka ʻike ʻana a me ka mālama ʻana i kēia kūlana e kōkua iā ʻoe e noho olakino, ʻike maikaʻi, a pale i nā pilikia weliweli. No laila, e ʻike pono i ke kauka a loaʻa ka ʻōlelo aʻoaʻo.

ʻO ka Floppy Eyelid Syndrome, OSA, Sleep Apnea, Maʻi Maka, CPAP, ʻŌwili ʻana o ka Eyelid