Ua nānā anei ʻoe i loko o ke aniani a ʻike i kahi mea e like me ka wai keʻokeʻo e lana ana i loko o kou maka, ma mua o ka ʻāpana kala o ka maka (ka sclera)? Ua like ia me kahi papa e like me kahi kulu waiū. He mea maʻamau i kekahi ke makaʻu iki i ka ʻike ʻana i kēia. ʻO ka ʻoiaʻiʻo, he ʻāpana koʻikoʻi loa ka maka, no laila he mea kūpono ke manaʻo i kēlā ʻano makaʻu. Akā ma mua o ko kākou makaʻu ʻana, e makaʻala kākou i kēia.
He aha maoli ka Hypopyon?
I ka ʻōlelo maʻalahi, ʻo ka hypopyon kahi hōʻiliʻili ʻana o nā hunaola koko keʻokeʻo i loko o ko kākou maka. Hōʻiliʻili kēia mau mea ma kahi liʻiliʻi ma ke alo o ka maka. ʻO ke kikoʻī, ma ke keʻena mua, ma mua o ka ʻāpana kala o ka maka (iris) a ma hope o ka membrane moakaka ma luna o ka maka maka (cornea).
ʻO ka mea nui, ʻaʻole kēia wai keʻokeʻo āu e ʻike nei he pus . He hōʻiliʻili o nā hunaola koko keʻokeʻo make a me nā germs ka pus. Akā, ʻaʻohe germs o nā hunaola koko keʻokeʻo i loko o ka hypopyon. ʻO ia ke kumu i kapa ʻia ai e nā kauka he 'sterile pus' i kekahi manawa.
E noʻonoʻo, i ka wā e loaʻa ai kahi maʻi a i ʻole kekahi pilikia ma kekahi wahi o ko kākou kino, pane mai ko kākou ʻōnaehana pale iā ia. ʻO ia hoʻi, hoʻouna ia i kahi nui o nā hunaola koko keʻokeʻo e hakakā iā ia. Hana like ka mea i ka wā e loaʻa ai kahi maʻi a mumū paha i loko o ka maka. No laila, i ka wā e piʻi ai ka nui o nā hunaola koko keʻokeʻo e hele mai ana ma kēia ʻano, ʻaʻole lawa ka hakahaka liʻiliʻi i loaʻa iā lākou, a hele mai lākou a hōʻiliʻili i loko o ke keʻena mua o ka maka. ʻO kēlā hōʻiliʻili ka mea a mākou e ʻike ai he papa keʻokeʻo o ka wai.
No ke aha e hana ai kēia? Nā kumu e hiki ai ke alakaʻi i ka hypopyon
ʻAʻole he maʻi ka hypopyon, akā he hōʻailona. ʻO ia hoʻi, he hōʻailona ia e loaʻa ana kekahi pilikia ʻē aʻe i loko o ka maka. ʻO ke kumu nui o kēia, ʻo ia ka mumū i loko o ka maka. Hiki ke loaʻa kekahi mau kumu no kēia mumū.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Nā maʻi maka | Nā maʻi i loko o ka maka i hoʻokumu ʻia e ka bacteria a i ʻole ka fungi. No ka laʻana, nā kūlana e like me Endophthalmitis (kahi maʻi koʻikoʻi i loko o ka maka) a me Keratitis (kahi maʻi o ka papa mua o ka maka). |
| Nā maʻi Autoimmune | Nā maʻi kahi e hoʻouka ai ka ʻōnaehana pale ponoʻī o ko mākou kino i nā ʻāpana olakino. Nā laʻana: ka maʻi ʻo Behçet, a me nā maʻi e pili ana i kahi kūlana genetic i kapa ʻia ʻo HLA-B27. |
| Nā ʻeha Corneal | Hiki ke hana ʻia ka mumū ma muli o nā hōʻeha i ka papa mua moakaka o ka maka (cornea). |
| Nā maʻi ʻē aʻe | Hiki i kekahi mau maʻi i laha ma ke moekolohe, no ka laʻana, syphilis, ke hoʻopilikia i nā maka. |
| Nā hopena ʻaoʻao o kekahi mau lāʻau lapaʻau | I ka manawa kākaʻikahi loa, hiki ke loaʻa kēia ʻano ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau (e like me rifabutin). |
Nā hōʻailona ʻē aʻe e hele pū me ka hypopyon
Inā loaʻa iā ʻoe kahi hypopyon, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe, ma muli o ke kumu:
- ʻIke pōwehiwehi
- ʻEha maka
- Ka paʻakikī i ka nānā ʻana i ka mālamalama ʻālohilohi (Photophobia)
- ʻUlaʻula o nā maka
- Pehu ʻana o ka maka
- Ke kahe nei nā waimaka mai nā maka mai
He aha nā lāʻau lapaʻau no kēia?
E hoʻomanaʻo, ʻaʻole mālama nā kauka i ka Hypopyon, akā , ʻo ke kūlana kumu i hoʻokumu ai. I ka ho'ōla ʻana o ke kūlana, e nalo mālie ana nā hunaola koko keʻokeʻo i hōʻiliʻili ʻia i loko o ka maka.
Ma muli o ke kumu, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e hiki mai ana:
- Nā lāʻau lapaʻau antibiotics: Inā he maʻi bacteria ke kumu, hāʻawi ʻia kēia mau lāʻau lapaʻau (pinepine e like me nā kulu maka) e pepehi iā ia.
- Nā lāʻau antifungal: Hoʻohana ʻia kēia mau mea inā he maʻi fungal ke kumu.
- Corticosteroids: He mau lāʻau lapaʻau ikaika kēia e kāohi ai i ka mumū. Pono paha lākou e hoʻohana ʻia no ka manawa lōʻihi i nā kūlana e like me nā maʻi autoimmune.
- ʻO ke ʻoki maka: He hana kakaikahi loa kēia. E noʻonoʻo wale ke kauka i ke ʻoki inā ʻo ka hypopyon a i ʻole kona kumu e hōʻino mau ana i ka maka a i ʻole ka ʻike.
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai, ʻoiai hoʻi nā antibiotics, no ka manawa piha i kuhikuhi ʻia. ʻOiai inā ʻoe e ʻoluʻolu, inā ʻaʻole ʻoe e lawe no ka helu o nā lā i kuhikuhi ʻia, ʻaʻole paha e ho'ōla loa ʻia ka maʻi a hiki ke hoʻi hou mai.
Hiki i ka hypopyon ke hoʻoulu i nā pilikia ʻē aʻe?
ʻAʻole kēia e hana pinepine ʻia. Akā inā ʻaʻole mālama ʻia, hiki i kēia mau keʻokeʻo keʻokeʻo ke hōʻiliʻili i loko o ka maka, e hoʻonui ai i ke kaomi intraocular. Inā hoʻomau kēia kaomi, hiki iā ia ke alakaʻi i kahi maʻi weliweli i kapa ʻia ʻo glaucoma , hiki ke lilo mau ka ʻike. No laila he mea nui e ʻike i ke kauka i ka wā e ʻike ai ʻoe i kekahi o kēia mau hōʻailona.
He aha ka ʻokoʻa ma waena o ka Hypopyon a me ka Hyphema?
Hiki i kekahi poʻe ke huikau i kēia mau kūlana ʻelua. ʻOiai ʻo nā mea ʻelua e pili ana i ka hōʻiliʻili ʻana o ka wai i loko o ke keʻena mua o ka maka, ua ʻokoʻa loa nā mea ʻelua.
| ʻAno | Hypopyon | Hyphema |
|---|---|---|
| He aha ka mea i hoʻohui ʻia? | Nā Kelepona Koko Keʻokeʻo | Koko |
| helehelena | He papa o ka wai keʻokeʻo a melemele paha | He papa o ke koko ʻulaʻula |
| Kumu nui | Ka maʻi/ka mumū o ka maka | Ka ʻeha/ka pōʻino i ka maka |
Āhea wau e ʻike ai i ke kauka?
He maʻalahi loa ka pane i kēia.Inā ʻike ʻoe i kekahi loli i kou mau maka, ʻoiai inā e hōʻiliʻili ana kekahi mea i loko o kou maka, e ʻike koke aku i kahi loea mālama maka me ka hoʻokaʻulua ʻole.
ʻOiai ʻaʻole paha kēia he mea koʻikoʻi e like me ka mea i ʻike ʻia, he mea nui e ʻimi i ke kumu pololei a e ʻimi i ka lāʻau lapaʻau. E hana kāu kauka i nā hoʻokolohua e pono ai, e ʻike pono i ke kumu, a hāʻawi iā ʻoe i ka lāʻau lapaʻau kūpono loa.
Leka Lawe-Home
- He hōʻiliʻili ʻana o nā hunaola koko keʻokeʻo i loko o ka maka ka hypopyon. ʻAʻole kēia he pus.
- ʻAʻole kēia he maʻi, akā he hōʻailona ia aia kekahi pilikia ʻē aʻe, e like me ka maʻi a i ʻole ka mumū i loko o ka maka.
- Inā ʻike ʻoe i kahi wai keʻokeʻo e like me kēia i loko o kou maka, mai hopohopo a noho i ka home, e ʻike koke i ke kauka maka.
- Ke mālama ʻia ke ʻano o ka maʻi, e hoʻōla ponoʻī ʻia ka hypopyon.
- E lawe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai no ka manawa i kuhikuhi ʻia. He mea nui ia no ka ho'ōla wikiwiki ʻana.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo