Ke paʻakikī nei hoʻi iā ʻoe ke pani pono i kou mau maka? E aʻo kākou e pili ana iā (Lagophthalmos)!

Ke paʻakikī nei iā ʻoe ke pani piha i kou mau maka i kekahi manawa? A i ʻole he pilikia kēia i loaʻa i kekahi āu i ʻike ai? ʻOiai he mea maʻalahi kēia i kekahi poʻe, hiki ke lilo i kūlana e pono e noʻonoʻo pono ʻia. I kēia lā e kamaʻilio mākou e pili ana i kēia hiki ʻole ke pani piha i kou mau maka, ʻo ia hoʻi ma ka ʻōlelo lapaʻau i kapa ʻia ʻo `(Lagophthalmos)`.

He aha maoli ka "Lagophthalmos"?

I ka ʻōlelo maʻalahi, ʻo "Lagophthalmos" kahi kūlana kahi i hiki ʻole ai i kou mau lihilihi ke pani piha. Hiki ke hana kēia i kekahi a i ʻole nā ​​maka ʻelua. E noʻonoʻo e pili ana iā ia, i ka wā e ʻā ai a hiamoe paha kākou, pono e pani piha ʻia ko kākou mau lihilihi. Loaʻa kēia pilikia i ka wā ʻaʻole lākou.

Hiki i kēia kūlana ke kū hoʻokahi i kekahi manawa. A i ʻole, hiki ke pili pū me kekahi kūlana olakino ʻē aʻe, e like me ka lihilihi o ka maka (ptosis). I kekahi manawa, hiki nō hoʻi ke kū ma ke ʻano he hopena ʻaoʻao ma hope o ke ʻoki ʻana o ka maka (blepharoplasty) a i ʻole ka hoʻoponopono ʻana o ka ptosis.

Inā ʻaʻole koʻikoʻi loa ke kūlana `(Lagophthalmos)`, ʻo ia hoʻi, inā hāmama iki wale ka lihilihi maka, ʻaʻole paha ia he pilikia nui. Eia naʻe, inā ʻaʻole pani pono ka lihilihi maka, hiki iā ia ke hana i nā pilikia koʻikoʻi. E noʻonoʻo, ʻo ka maka ʻeleʻele o ko kākou maka, ʻo ia hoʻi, `(cornea), ua hoʻopilikia mau ʻia e ka makani, ka lepo, a me nā mea haumia ʻē aʻe. Hiki i kēia ke hana i nā ʻeha o ka maka, nā ʻōpala, a i kekahi manawa ka nalowale ʻana o ka ʻike. No laila, he mea nui loa ka mālama ʻana i kēia.

Aia kekahi mau ʻano o ka `(Lagophthalmos)`?

ʻAe, aia kekahi mau ʻano nui o kēia maʻi "Lagophthalmos". E nānā kākou i ke ʻano o lākou.

Lagophthalmos pō

ʻO kēia ka manawa e pani mau ʻia ai kou mau maka i kou ala ʻana, akā i kou hiamoe ʻana, ʻaʻole lākou e pani piha. ʻO ke ʻano o ka huaʻōlelo "lagophthalmos" ʻo ia hoʻi "nā maka e like me ka lāpaki." I ka wā ma mua, ua manaʻoʻiʻo ʻia ua hiamoe nā lāpaki me ko lākou mau maka e hāmama ana. ʻO ia ke kumu i kapa ʻia ai pēlā. Akā i kēia manawa, ke ʻōlelo nei nā kānaka ʻepekema ua hiamoe nui nā lāpaki me ko lākou mau maka e pani ʻia ana. Eia naʻe, ua ʻike ʻia ma kahi o 20% o nā kānaka, a i ʻole hoʻokahi o loko o ʻelima mau kānaka, ua hāmama hapa a piha paha ko lākou mau maka i ka wā e hiamoe ana i ka pō. Ua kapa ʻia kēia ʻo `(Nocturnal Lagophthalmos)`.

ʻO ka Lagophthalmos paralytic i hoʻokumu ʻia e ka hōʻino ʻana o ke aʻalolo

Ke hana pono ʻole ke aʻalolo maka, ʻo ia hoʻi, inā hana ʻole ia (e like me ka maʻi lolo), ʻaʻole paha e hiki iā mākou ke pani piha i ko mākou mau maka. Aia kēia aʻalolo ma nā ʻaoʻao ʻelua o ko mākou maka. Ke hōʻino ʻia kēia aʻalolo, loaʻa ka "Paralytic Lagophthalmos".

ʻO ka Lagophthalmos mechanical i hoʻokumu ʻia e nā kumu mechanical

I kekahi manawa hiki ke loaʻa kēia ʻano ma muli o ka pilikia o ke aʻalolo, akā, no kekahi pilikia i ke ʻano o nā lihilihi maka, a i ʻole no ka pōʻino i hana ʻia e kahi ulia. Ua kapa ʻia kēia ʻo `(Mechanical Lagophthalmos)`. ʻO `(Cicatricial Lagophthalmos)` kekahi ʻano o `(Mechanical Lagophthalmos)`. ʻO ia hoʻi, ʻaʻole hiki ke pani pono ʻia nā lihilihi maka ma muli o ka ʻeha.

He aha nā hōʻailona o ka `(Lagophthalmos)`?

ʻO ka hōʻailona nui, ʻaʻole e pani pono nā lihilihi maka. Eia nō naʻe, aia kekahi mau hōʻailona ʻē aʻe ma waho aʻe o kēia. E nānā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Ka waimaka pinepine ʻana o nā maka a i ʻole ka maloʻo o nā maka. Manaʻo paha kekahi e like me ka maneʻo o ko lākou mau maka.
• He manaʻo mau e like me he mea lā ua paʻa i ka maka, me he manu lā i lele mai, a i ʻole he maka e ʻā ana a ʻeha paha.
• ʻIke pōwehiwehi. ʻAʻole hiki ke ʻike maopopo.
• ʻUlaʻula o nā maka.
• Hoʻonui ʻia ka ʻike i ka mālamalama (photophobia). ʻO ke ʻano kēia he paʻakikī ke nānā aku i ka mālamalama, a ua like nā maka me he mea lā e polū ana.
• He hōʻailona koʻikoʻi ka maʻi ʻeha o ka cornea .

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui e ʻike i ke kauka no ka ʻōlelo aʻo.

He aha nā kumu o ka `(Lagophthalmos)`?

Aia kekahi mau kumu kūpono no kēia maʻi. Akā, ʻaʻole ia he maʻi lele. ʻAʻole hiki iā ʻoe ke loaʻa mai kekahi mea ʻē aʻe, ʻaʻole hoʻi hiki iā ʻoe ke loaʻa mai kekahi mea ʻē aʻe.

ʻElua mau kumu nui o ka "Lagophthalmos":

1. Ka hōʻino ʻana i kou aʻalolo maka.

2. Ka hōʻino ʻana i kou mau lihilihi maka.

Ma muli o ka hōʻino ʻia ʻana o ke aʻalolo maka

Aia kekahi mau kumu e hōʻino ai ke aʻalolo maka:

• Ka pōʻino i nā maka mai nā ulia a i ʻole nā ​​ʻoki.
• He kūlana i kapa ʻia ʻo 'Bell's palsy'. I kēia, lilo koke nā ʻiʻo ma kekahi ʻaoʻao o ka maka i mea hana ʻole.
• Nā kūlana e like me ke ʻano o ka hahau ʻana .
• ʻO nā puʻupuʻu, e like me nā neuromas acoustic.
• ʻO kekahi mau maʻi autoimmune, e like me ka maʻi Guillain-Barré.
• Nā kūlana hoʻoilina e like me ka 'Moebius syndrome'.
• Nā maʻi like ʻole.
• Ka ʻai ʻana i nā mea ʻawahia.

Ma muli o ka hōʻino ʻana i nā maka

Hiki ke hōʻino ʻia a ʻeha paha nā lihilihi maka ma nā ʻano like ʻole. ʻO kēia mau mea:

• Nā kūlana e like me ka 'Lax eyelid syndrome (LES)'.I kēia hihia, lilo nā lihilihi maka i mea palupalu a kūlou maʻalahi. ʻO ka `(Floppy eyelid syndrome (FES))` kekahi o ia ʻano maʻi. I kēia hihia, ʻōwili maʻalahi nā lihilihi maka i waho, i kekahi manawa he mea ulia pōpilikia. ʻO ka `(Floppy eyelid syndrome)` ka mea i ʻike pinepine ʻia i nā kāne momona me ka helu helu kino (BMI) ma luna o 25.
• ʻO kekahi mau kūlana olakino, e like me ka Stevens-Johnson syndrome, hiki ke hoʻoulu i ka pehu ʻana o ka ʻili.
• Nā kuni kemika.
• Ka hōʻino ʻana o ka lā i ka ʻili.
• ʻO ke ʻoki ʻana i nā maka, no ka laʻana `(ptosis repair)` a i ʻole `(blepharoplasty)`.

Pehea e ʻike ai i ka `(Lagophthalmos)`?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻike i kahi mea mālama maka nāna e hana i nā hoʻokolohua like ʻole e hoʻoholo ai inā loaʻa iā ʻoe kēia maʻi. ʻO ka maʻamau, e hana ke kauka i kēia mau mea:

• E nīnau lākou e pili ana i kou mōʻaukala olakino, e like me nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau āu e lawe ai.
• E haʻi ʻia aku ʻoe e pani i kou mau maka.
• E ʻike lākou i ka paʻakikī o kou pani ʻana i kou mau maka.
• Ke ana nei lākou i ka nui o kou mau lihilihi maka.
• Nānā lākou i ka pinepine o kou ʻimo ʻana a inā paha e pani loa kou mau lihilihi i kou ʻimo ʻana.

Ma hope o kēia mau hoʻokolohua, hiki i ke kauka ke haʻi pololei iā ʻoe inā he "Lagophthalmos" kou, inā pēlā, he aha ke ʻano, a pehea kona koʻikoʻi.

Pehea e mālama ʻia ai ʻo Lagophthalmos?

ʻO ka lāʻau no ka `(Lagophthalmos)` e pili ana i ke kumu. E hoʻāʻo mua kāu kauka e mālama i ke kumu kumu. No ka laʻana, inā he maʻi ia, inā he puʻupuʻu, a inā he maʻi ʻili paha, e mālama lākou.

Aia nā ʻano hana ʻoki a me nā ʻano hana ʻole e mālama ai i ke kūlana "Lagophthalmos".

Nā lāʻau lapaʻau ʻole

• Kōkua nā kulu maka (e like me nā 'waimaka hana') i ka hōʻemi ʻana i ka maloʻo a mālama i ka makū i loko o nā maka.
• E hoʻopili i kahi ʻaila poni i kou mau maka i ka pō. Hāʻawi kēia i ka makū keu.
• E hoʻohana i ka lipine e pani ai i nā lihilihi i ka pō a i ʻole e hoʻopili i nā maka e mālama i ka makū.
• Nā aniani kūikawā ('moisture goggles'). Kōkua kēia i ka mālama ʻana i nā maka i pulu.
• Nā mea kaumaha liʻiliʻi e hiki ke hoʻopaʻa ʻia ma luna o nā lihilihi.

Nā lāʻau lapaʻau

I kekahi mau hihia, ʻoiai inā koʻikoʻi ke kūlana a inā ʻaʻole kōkua nā lāʻau ʻē aʻe, pono paha ke ʻoki ʻana.

• ʻO `Tarsorrhaphy`: Pili kēia i ka hoʻopaʻa ʻana i nā lihilihi maka no kekahi manawa a mau loa paha, hapa a piha paha, e hoʻopaʻa ana i nā lihilihi maka i kahi hoʻokahi.
• Ke kau ʻana i nā mea kaupaona gula a platinum paha i loko o ka lihilihi o luna: ʻO kēia ke kau ʻana i nā mea kaumaha liʻiliʻi i loko o ka lihilihi o luna. ʻO ke kaumaha ke kumu o ka hāʻule ʻana o ka lihilihi i lalo a pani. He mea pono loa kēia no ka poʻe me ka paralytic lagophthalmos (kahi maʻi i hoʻokumu ʻia e ka hana ʻino o ke aʻalolo).
• Nā ʻoki ʻana i nā maka o luna: ʻO kēia mau mea e pili ana i nā ʻoki ʻana ma nā ʻiʻo i loko o ka maka o luna ('nā ʻiʻo retractor') a me nā hoʻopili ʻili.
• ʻO nā ʻoki maka haʻahaʻa: ʻO kēia mau mea e pili ana i nā ʻoki e hoʻopaʻa i nā maka haʻahaʻa palupalu a "floppy" a me nā grafts ʻili e hāpai i nā maka.
• ʻO nā ʻoki maka: Inā hana ʻia ka lagophthalmos e ka maʻi lolo o ka maka, hana ʻia nā ʻoki like ʻole e hāpai i ka maka. ʻO kekahi o kēia mau mea e komo pū me nā hoʻopili nerve a me ka hoʻoneʻe ʻana i nā ʻiʻo palupalu.

E hoʻomanaʻo, na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono iā ʻoe, no laila e kamaʻilio pono me ia e pili ana i ia mea.

Aia kekahi mau pilikia a i ʻole nā ​​hopena ʻaoʻao o ka lāʻau '(Lagophthalmos)'?

E like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia e hiki ke kū mai me ka mālama ʻana no "Lagophthalmos." ʻAʻole hiki kēia i nā kānaka a pau, akā he mea maikaʻi ke ʻike iā lākou.

• Ka ʻōpala.
• Ka maʻi ʻana.
• Entropion - ʻO ke ʻano kēia e huli ana ka lihilihi i loko, e hoʻonāukiuki ai i ka maka.
• Nā lihilihi maka e kulou ana.
• Nā pilikia o ka wahi hoʻopili.

Inā loaʻa kekahi mea e like me kēia, pono ʻoe e haʻi koke aku i ke kauka.

Pehea e mālama ai i nā hōʻailona o ka `(Lagophthalmos)`?

Hiki iā ʻoe ke hana i kekahi mau mea e kōkua ai e hoʻomaʻū i kou mau maka.

• Ke hoʻohana nei i nā kulu maka e like me ke kauoha a ke kauka.
• Ke pani nei i kou mau maka i ka pō a me ke pāʻani ʻana i ka lipine.

Inā loaʻa iā ʻoe kahi maʻi e like me ka maʻi lolo o ka maka, pono paha ʻoe i ke kōkua me nā mea e like me ka ʻai ʻana a me ka ʻōlelo ʻana. E kamaʻilio pū me kāu kauka e pili ana i kēlā.

Pehea e hiki ai iaʻu ke hōʻemi i ka pilikia o `(Lagophthalmos)`?

ʻAʻohe ala e pale loa ai i ka "Lagophthalmos". Eia nō naʻe, hiki iā ʻoe ke hana i nā hana e pale ai i kou mau maka ma o:

• E komo i nā lako pale e uhi ana i kou mau maka ke hana ʻoe a pāʻani paha i nā haʻuki pili.
• E ʻaʻahu i nā aniani maka i ka wā ʻā.
• E pale i ka nānā maka pono ʻole.
• E holoi pono i kou mau lima ma mua o ka hoʻopā ʻana i kou mau maka.

Eia kekahi, inā ʻoe e noʻonoʻo ana i ke ʻoki ʻana e hoʻoponopono i kahi maka e hāʻule ana ('ptosis repair') a i ʻole e hoʻonani i kou mau maka ('blepharoplasty'), e ʻoluʻolu e kūkākūkā me ke kauka ʻoki oculoplastic.He mau kauka maka nā kauka ʻokiʻoki Oculoplastic i loea i ke ʻoki hana hou a puni nā maka.

He aha ka mea e hana inā loaʻa iaʻu ʻo `(Lagophthalmos)`?

ʻO ka wānana no ka ho'ōla ʻana mai ka lagophthalmos he maikaʻi ma ke ʻano laulā, ʻoiai inā ʻaʻole ia he koʻikoʻi. ʻO Lagophthalmos i hoʻokumu ʻia e nā kūlana e like me ka Bell's palsy e hoʻopau pinepine ia ma kāna iho.

Eia nō naʻe, inā ʻoi aku ka koʻikoʻi o ke kūlana, he mea nui e ʻimi i ka lāʻau kūpono. ʻO ka hana ʻole ʻana pēlā e hiki ke hopena i ka hōʻeha mau loa i nā maka.

Āhea wau e ʻike ai i ke kauka e pili ana i ka `(Lagophthalmos)`?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e like me nā maka maloʻo, nā maka waimaka, a i ʻole ka manaʻo mau o kahi mea i paʻa i kou maka, pono ʻoe e ʻike i ke kauka. ʻOi loa aku inā ʻike ʻoe i kekahi mau loli i kou ʻike, mai hoʻowahāwahā iā ia.

Inā ua ʻike mua ʻia ʻoe me `(Lagophthalmos)` a ke loaʻa nei iā ʻoe ka lāʻau lapaʻau no ia mea, akā ʻaʻole i hoʻomaikaʻi nā hōʻailona, ​​a ʻaʻole hoʻi i ʻoi aku ka ʻino, e hoʻomaopopo koke i kāu kauka.

I kekahi manawa, ʻaʻole paha ʻoe e ʻike ʻaʻole e pani pono ana kou mau lihilihi o luna a me lalo a hiki i ka wā e pilikia ai kou mau maka. I ka hapanui o nā hihia, ua hoʻokumu ʻia kēia ʻano lagophthalmos e kahi maʻi lolo maka e like me ka palsy a Bell. No laila, inā loaʻa iā ʻoe kekahi mau pilikia ʻike a i ʻole ka ʻeha mau o ka maka, e ʻimi pono i ke kōkua lapaʻau.

ʻO ka mea hope loa, ʻo ka mea nui loa (Leka Lawe-Home)

No laila, ʻo "Lagophthalmos" kahi kūlana i hiki ʻole ai i nā lihilihi ke pani pono. ʻAʻole kēia he mea e lawe māmā ʻia, no ka mea, he mau kino koʻikoʻi loa ko kākou mau maka.

• Inā ʻike ʻoe i kekahi mea ʻē, ʻoluʻolu ʻole, a i ʻole loli i kou ʻike, mai hoʻowahāwahā. E ʻike koke i ke kauka.
• Inā hoʻomau nā hōʻailona e like me nā maka maloʻo, nā maka waimaka, a me kahi manaʻo ʻili , he hōʻailona paha ia o "Lagophthalmos".
• Inā ʻike ʻia a mālama koke ʻia, hiki ke mālama maikaʻi ʻia kēia maʻi.
• He mea nui loa e hahai i ka ʻōlelo aʻo a ke kauka a pale i kou mau maka .

Na ʻoe ke kuleana e pale i kou mau maka, no laila ke noi aku nei mākou iā ʻoe e makaʻala no kēia.

Lagophthalmos , hiki ʻole ke pani i nā maka, nā maka maloʻo, nā lihilihi maka, nā aʻalolo maka, ke ʻoki maka, ka maʻi Bell, ka ʻōpū corneal, ka photophobia