He ʻeha maka koʻikoʻi anei? (Open Globe Injury) E kamaʻilio kākou e pili ana i kēia me nā kikoʻī!

Ua noʻonoʻo paha ʻoe i ke ʻano o ka naʻau a me ka waiwai o ko kākou mau maka? ʻOiai he ulia liʻiliʻi hiki ke hōʻeha nui i nā maka. I kekahi manawa ke loaʻa kekahi mea i nā maka, me he mea lā ʻaʻohe mea koʻikoʻi, akā he maʻi koʻikoʻi paha ia. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻeha weliweli loa e hiki ke loaʻa i nā maka. Ua kapa ʻia kēia e nā kauka he '(Open Globe Injury)'. I ka ʻōlelo maʻalahi, ua like ia me ka maka i māhele ʻia.

He aha kēia `(Open Globe Injury)`? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka "Open Globe Injury" ʻo ia ka wā e pā ʻia ai ko kākou maka - ʻo ia hoʻi, ka maka o ka maka, ka mea a nā kauka e kapa nei he "globe" - e kahi mea paʻakikī, a i ʻole e paʻa ana kekahi mea ʻoi i loko, e hana ana i kahi ʻoki a puka paha ma ka mānoanoa holoʻokoʻa o ka paia o ka maka. E noʻonoʻo e like me kahi pōpō liʻiliʻi e pohā ana. Ke hana ʻia kēlā, ʻaʻole i pani piha ʻia ka paia o ka maka. ʻAe kēia i nā ʻiʻo palupalu i loko o ka maka e kahe i waho.

ʻElua ʻāpana o ka paia o ko kākou maka. ʻO kekahi ka ʻāpana keʻokeʻo , a kapa ʻia e nā kauka he `(Sclera)`. ʻO kekahi ka ʻāpana moakaka ma ke alo o ka maka, i kapa ʻia ʻo cornea . Hana ʻia kahi `(Open Globe Injury)` i ka wā e hele ai kahi ʻoki ma waena o ka mānoanoa piha o ka cornea, ka sclera, a i ʻole nā ​​mea ʻelua.

Mea nui: He ʻokoʻa loa kēia a ʻoi aku ka koʻikoʻi ma mua o ka maka i kahakaha ʻia!

ʻO ka ʻūlū maka, i ʻike ʻia hoʻi he "Corneal Abrasion", he ʻōpala liʻiliʻi ia e kū wale ana ma ka ʻili o ka cornea. ʻO ka hapa nui o ka manawa, ʻaʻole ia he koʻikoʻi loa. Eia nō naʻe, ʻo ka "Open Globe Injury" he ʻeha hohonu a koʻikoʻi loa ia.

Aia kekahi mau ʻano like ʻole o kēia `(Open Globe Injury)`?

ʻAe, aia kekahi mau ʻano o kēia ʻeha ma muli o ke ʻano o kona hana ʻana:

• Ka Pohā ʻana o ka Honua: Hana ʻia kēia ke paʻi ikaika ʻia ka maka e kahi mea paʻakikī (ʻaʻole kuhikuhi), e like me ke paʻi ʻia ʻana e kahi pōpō paʻakikī.
• ʻO ka ʻoki ʻana o ka honua piha-mānoanoa: Hana ʻia kēia ke ʻoki ʻia ka maka e kahi mea ʻoi.
• Ke komo ʻana o ka honua: ʻO kēia ka wā e paʻa ai kahi mea ʻoi i ka maka a noho i loko o ka maka.
• Ka puka ʻana o ka poepoe honua: Maanei hoʻi, komo kahi mea ʻoi i loko o ka maka, akā hele ia ma waena o ka maka a puka i waho, a i ʻole hele ia mai kekahi wahi i loko o ka maka a i kekahi.

ʻO kēlā me kēia ʻaoʻao, mai poina ʻoe ʻoiai ua wehe ʻia kahi ʻāpana o ka paia o ka maka, hiki i nā mea i loko o ka maka ke puka i waho.

ʻO wai ka mea i ʻoi aku ka nui o ka loaʻa ʻana o nā ulia e like me kēia?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i kahi "Open Globe Injury". Eia nō naʻe, ua hōʻike nā haʻawina he kiʻekiʻe aʻe ka pilikia o nā kāne . ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā kāne ʻōpio ma lalo o 40 mau makahiki ma mua o nā kāne ma luna o 40 mau makahiki.

Eia kekahi, inā ua hana mua ʻia ʻoe i ke ʻoki maka - no ka laʻana, nā ʻoki cataract, nā ʻoki glaucoma, a i ʻole kekahi mau hoʻoili corneal - aia nō hoʻi ʻoe i kahi pilikia kiʻekiʻe iki. ʻO kēia no ka mea hiki i nā ʻiʻo pale o ka maka ke nāwaliwali iki i kekahi manawa ma nā wahi i hana ʻia ai ke ʻoki.

He aha nā hōʻailona o ka "Open Globe Injury"? Pehea ʻoe e ʻike ai?

Hiki ke ʻokoʻa nā hōʻailona o kēia maʻi mai kēlā me kēia kanaka, akā ʻo nā hōʻailona maʻamau:

• He ʻeha nui ma ka maka .
• E nalowale paha kou ʻike a i ʻole e lilo paha kou ʻike i mea pōwehiwehi.
• Hiki ke kahe kahi wai mai ka maka.
• Hiki iā ʻoe ke ʻike i kahi ʻeha i ʻike ʻia ma luna o ka lihi maka.
• Hiki iā ʻoe ke ʻike i ke kino i loko o ka maka e puka mai ana i waho . He hōʻailona koʻikoʻi loa kēia.

He aha ke kumu o ia ulia?

E nānā kākou i nā kumu nui o kēia `(Open Globe Injury)`:

• Hāʻule: ʻOi loa aku inā hāʻule ʻoe a kuʻi i kou poʻo. He mea maʻamau kēia i waena o ka poʻe ma luna o 75. E makaʻala inā he mau ʻili pahee a i ʻole nā ​​​​mea e hiki ai ke hoʻohuli iā ʻoe i lalo.
• Nā mea ʻoi e like me ka ʻokiʻoki: He mea nui loa kēia ma nā home me nā keiki ʻōpio. Mai waiho i nā mea e like me ka ʻokiʻoki a me nā pahi ma kahi e hiki ai iā lākou ke hopu maʻalahi.
• Hakakā: ʻO kēia ka mea hiki ke hana ke kuʻi ʻia ʻoe i ke poʻo, ʻo ia hoʻi, ke kīkē ʻia ʻoe me kou lima.
• Nā ulia kaʻa a me nā ulia mīkini ʻoihana: Hiki ke hana ʻia kēia ʻano ma muli o nā ʻāpana liʻiliʻi o nā mea i hoʻolei ʻia me ka wikiwiki nui ma nā wahi hana, a i ʻole ka paʻa ʻana i loko o ka mīkini ponoʻī.
• ʻĀpana pauka: Nā mea e like me nā ʻāpana pauka pū.
• Nā pana pū.
• Nā pahū: Pono ʻoe e makaʻala loa ʻoiai ke hoʻā ʻana i nā mea puhi ahi.
• Ke kuʻi ʻana.
• Billy Hook: Pono ka poʻe e hele ana i ka lawaiʻa e makaʻala hoʻi i kēia.

Pehea e ʻike ai nā kauka i kahi "Open Globe Injury"?

Inā manaʻo ʻoe he ʻeha maka koʻikoʻi kou e like me kēia, ʻo ka mea nui e hana ai, ʻaʻole e hoʻopā, ʻūmi, a hamo paha i kou maka no kekahi kumu. ʻO ka hana ʻana pēlā e hiki ai ke hoʻonui i ke kūlana. Pono ʻoe e ʻike i kahi kauka maka a i ʻole e hele i ka keʻena pilikia o ka haukapila kokoke loa i ka hikiwawe loa.

E nānā ke kauka i kou maka, e hoʻolohe i kāu mau hōʻailona, ​​a e kānalua paha i kahi "Open Globe Injury" ma muli o ke ʻano o kou maka. I kekahi manawa hiki ke hana ʻia kahi scan "Ultrasound" a i ʻole "Magnetic Resonance Imaging (MRI)", akā ma hope o ka hōʻoia ʻana ʻaʻohe ʻāpana metala i loko o ka maka. No ka mea, inā he mau ʻāpana metala, hiki i ka "MRI" ke lilo i mea weliweli.

Inā hiki, e nīnau ke kauka iā ʻoe i nā kikoʻī e like me ke ʻano o ka ulia, ka manawa hea, a me nā mea i hana ʻia ma hope o kēlā.I ka wā o ka hoʻokolokolo mua ʻana, ʻaʻohe kaomi i kau ʻia ma ka maka. E hana pinepine ke kauka i kēia mau hoʻokolohua:

• He `(Slit lamp eye exam)` piha. ʻAe kēia iā ʻoe e ʻike maopopo i nā ʻāpana āpau o ka maka.
• Hoʻāʻo `(Pakuhi maka Snellen)`. ʻO kēia ka hoʻāʻo me ka "E nui" e hoʻāʻo ai i ka maikaʻi o kāu ʻike ʻana.
• ʻO ke kiʻi ʻana o ka "Computed Tomography (CT)" o kou maka a me kou ʻauwae.

Pehea e mālama ʻia ai ka "Open Globe Injury"?

He pilikia olakino ka (Open Globe Injury) . ʻO ia hoʻi, pono ʻoe e lawe koke ʻia i ka haukapila. Inā he mau ʻeha ʻē aʻe e hoʻoweliweli ana i ke ola mai ka ulia, e mālama mua ke kime lapaʻau i kēlā mau mea. A laila wale nō e nānā ai ke kauka maka i ka maka.

ʻO ka hapa nui o nā "ʻeha Open Globe" e pono ai ke ʻoki kino. A hiki i ka pau ʻana o ke ʻoki kino, a inā ʻaʻole pono kou ʻeha i ke ʻoki kino (he mea kākaʻikahi loa ia), pono ʻoe e hana i kēia mau mea:

• E ho'āʻo e noho mālie e like me ka hiki.
• Mai hoʻopā a ʻūmi paha i kou maka. Mai kau i kekahi kaomi ma luna o kou maka.
• E pale i kou maka. E uhi nā kauka ia mea.
• Mai hana i kekahi mea e kau ai i ke kaomi ma kou mau maka. ʻO ia hoʻi ka hāpai ʻana i nā mea kaumaha, ke kūlou ʻana, a i ʻole ke kaumaha ʻana ma ka lua. E ho'āʻo e pale i ka ʻū ʻana a i ʻole ke kunu ʻana i ka hiki. Akā inā ʻaʻole hiki iā ʻoe ke hoʻōki, e hoʻokuʻu iā ia i waho. Mai kāohi i kou ʻū a i ʻole ke kunu ʻana.
• E lawe i ka lāʻau lapaʻau a kāu kauka e hāʻawi ai iā ʻoe e hoʻōki i ka luaʻi ʻana a hōʻemi i ka ʻeha e like me ke kauoha. (Inā ʻaʻole i hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau akā ke ʻeha nui nei a i ʻole ka nausea, e haʻi i kāu kauka.)
• I ka wā e moe ana , e hoʻokiʻekiʻe i kou poʻo ma kahi o 30 degere.
• Inā pono, e kiʻi i ka pana tetanus.

Hoʻomaʻamaʻa pinepine ʻia nā ʻeha Open Globe Injury (OGI) me ke ʻoki kino ulia pōpilikia, kahi e humuhumu ʻia ai ka cornea a me ka sclera. Inā pono ʻoe i ke ʻoki kino, e hoʻāʻo kāu kauka lapaʻau e hoʻopili hou i kekahi ʻiʻo maka palupalu i puka mai i waho o ka ʻeha, a i ʻole e wehe i kekahi ʻiʻo i hōʻino ʻia. E hoʻāʻo pū lākou e hoʻihoʻi i ke kaomi i loko o ka maka i ka maʻamau.

Ma hope o ke ʻoki ʻana, e kuhikuhi ke kauka i nā lāʻau antibiotic e hoʻokomo ʻia i loko o ka maka a i kekahi manawa e lawe waha ʻia. Hāʻawi ʻia kēia mau lāʻau antibiotic e pale aku i nā maʻi koʻikoʻi i loko o ka maka, e like me ka endophthalmitis, a me nā maʻi ʻē aʻe.

ʻO ka maʻamau , ʻelua pule ma ka liʻiliʻi e ho'ōla ai kou mau maka, akā pono ʻoe e pale i kou mau maka no kekahi mau pule hou aʻe.

He mea nui loa ia e kōkua nui kēia ʻoki kino mua i ka pani ʻana i ka maka a hoʻomaka i ke kaʻina hana ho'ōla. I nā hihia he nui, loaʻa paha iā ʻoe nā ʻeha hou aʻe (e like me ka retinal detachment, cataracts, a i ʻole ka iris tears). I kekahi manawa mālama ʻia kēia mau mea me nā ʻoki kino ma hope, ma hope o ka ho'ōla iki ʻana o ka maka.

Pono ʻoe e ʻike i kāu kauka i nā manawa he nui (nā hālāwai hoʻomau) e nānā i kou ho'ōla ʻana. He mea nui loa ka mālama ʻana i kēia mau hālāwai no ke olakino o kou mau maka.

He aha nā pilikia e hiki mai ana o kahi "Open Globe Injury"?

ʻO kekahi o nā ʻeha maka koʻikoʻi loa he "Open Globe Injury". ʻO ka hopena e hilinaʻi nui ʻia i ke ʻano o ka ʻeha a me ka nui o ka pōʻino. Eia kekahi mau pilikia e hiki mai ana:

• ʻEha mau o ka maka.
• ʻO ka nalowale mau loa o ka ʻike a i ʻole ka ʻike pōwehiwehi.
• Ka hemo ʻana o ka retina.
• Ka haki ʻana o Choroidal: Hiki i kēia ke hoʻoulu i ke kahe koko nui a me nā loli kaomi i loko o ka maka.
• He kūlana i kapa ʻia ʻo `(Phthisis bulbi)`. ʻO kēia ka wā e emi ai ka ʻike, haʻahaʻa ke kaomi i loko o ka maka, a "pau ka hana" o ka maka no kekahi manawa. I ka ʻōlelo maʻalahi, emi ka maka.
• He maʻi i loko o ka maka (endophthalmitis). He mea koʻikoʻi loa kēia a hiki ke alakaʻi i ka nalowale mau o ka ʻike a i ʻole ka nalowale ʻana o ka maka.
• Pono e wehe loa i ka maka. He mea kākaʻikahi kēia, akā i nā hihia koʻikoʻi, pono paha e wehe ʻia ka maka inā ua koʻikoʻi loa ka ʻeha a hiki ʻole ke hoʻoponopono hou ʻia.

Pehea e hiki ai ke hoʻēmi ʻia kēia ʻano ulia?

ʻOiai ʻaʻole hiki ke pale ʻia nā ulia āpau, hiki ke hana ʻia kekahi mau hana palekana e hōʻemi i ka pilikia. E nānā kākou i ke ʻano o ia mau mea:

• Mai waiho i nā mea ʻoi (e like me ka ʻokiʻoki a me nā pahi) i kahi hiki ʻole i nā keiki liʻiliʻi ke kiʻi. E aʻo iā lākou e hoʻohana pono i ia mau mea.
• E komo i nā maka aniani palekana i ka wā e hana ana, ʻoiai ke hana nei me nā mīkini, a i ka wā e pāʻani ana i nā haʻuki pili a i ʻole nā ​​​​haʻuki wikiwiki (e like me ka cricket, baseball).
• E akahele loa i ka wā e hoʻokele ana.
• E hahai i nā kaʻina hana palekana i ka wā e hoʻohana ai i nā mīkini ma kahi hana. Mai hana me nā mīkini i ka wā e ʻona ana.
• E pale i nā hakakā kino me nā poʻe ʻē aʻe.
• E akahele loa inā ua hana ʻia ke ʻoki maka ma mua, a inā paha ua maikaʻi ʻole kou ʻike ma kekahi maka.
• E wehe a mālama i nā mea e hāʻule paha mai ka puka (nā moena pahee, nā mea pono ʻole ma ke alanui). E hōʻoia i ka mālamalama maikaʻi i loko o ka hale.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu kahi "Open Globe Injury"?

Inā loaʻa iā ʻoe kahi "Open Globe Injury", maʻamauʻOi aku ka maikaʻi o ke ʻoki ʻana i loko o 24 a 48 mau hola o ka ʻeha. Aia ka manawa ho'ōla i ke koʻikoʻi o ka ʻeha mua.

Āhea wau e ʻike ai i ke kauka?

Pono e mālama ʻia kekahi ʻeha i ka maka ma ke ʻano he pilikia olakino . Pono ʻoe e ʻike i ke kauka a i ʻole e hele koke i ka lumi pilikia o ka haukapila.

Inā loaʻa iā ʻoe kahi "Open Globe Injury", he mea maikaʻi e nīnau i kāu kauka maka e pili ana i kēia mau mea:

• He aha nā hana e pono iaʻu e hōʻalo?
• Āhea wau e hoʻi ai i ka hana a i ke kula paha?
• Pehea lā e pono ai iaʻu ke hiamoe ma kahi moe?
• He aha ke ʻano o ka pale maka e pono iaʻu e hoʻohana?
• Inā loaʻa iaʻu kekahi mau hōʻailona, ​​​​pono anei iaʻu e ʻike hou i ke kauka a i ʻole e hele i ka lumi pilikia?
• He aha ke ʻano o nā loea maka e pono iaʻu e ʻike no ka mālama hou aku? (No ka laʻana, he "loea Retina" inā ua hōʻino ʻia ka retina, he "loea Glaucoma" inā kiʻekiʻe ke kaomi i loko o ka maka ma hope o ke ʻoki ʻana).

E hoʻomanaʻo, inā ʻoe e hōʻeha i kou maka i kahi hakakā, hāʻule, a i ʻole kahi ulia pōpilikia ʻē aʻe, e hele koke i ka lumi pilikia o ka haukapila. ʻAʻole paha ʻoe e ʻike i ka manawa he "Open Globe Injury" kou. Eia nō naʻe, inā loaʻa iā ʻoe kekahi, pono ʻoe i ka mālama koke ʻana i ke olakino e mālama i kou ʻike, a malia paha e hoʻōla i kou maka. Aia ke kōkua no kēia ʻano. Hiki iā ʻoe ke kōkua i ka pale ʻana i kēia ʻano ulia pōpilikia ma ke kau mau ʻana i nā pale maka i ʻōlelo ʻia a me ka hoʻokele palekana.

Leka Lawe-Home: E hoʻomanaʻo kākou!

ʻAe, e hōʻuluʻulu kākou i kekahi o nā mea nui e pili ana i ka `(Open Globe Injury)` a mākou i kamaʻilio ai i kēia lā:

• He ʻeha koʻikoʻi loa ka "Open Globe Injury" i ka maka. Pili ia i ka haehae piha ʻana a i ʻole ka puka ʻana o ka paia o ka maka.
• He ʻokoʻa loa kēia a ʻoi aku ka weliweli ma mua o kahi ʻōpala maka maʻamau.
• Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui o ka maka, ka nalowale o ka ʻike, a i ʻole ka kahe ʻana mai ka maka , e ʻimi koke i ke kōkua lapaʻau.
• Mai nānā pono aku i ka maka a mai hoʻopā aku no kekahi kumu.
• Pono pinepine ʻia ke ʻoki kino ulia pōpilikia.
• ʻO ka hahai ʻana i nā hana palekana (ke kau ʻana i nā aniani palekana, ka hoʻohana pono ʻana i nā mea ʻoi) hiki ke kōkua i ka pale ʻana i ia mau ulia.

He mea makamae loa kou mau maka. No laila, ʻo kou kuleana ke mālama iā lākou. Inā loaʻa kekahi mea iā ʻoe, mai hopohopo a hopohopo paha, akā e ʻimi koke i ke kōkua lapaʻau.

ʻEha Honua Hāmama, ʻEha Maka, Ulia Maka, Waimaka Maka, Lapaʻau Maka Pōpilikia, Poho ʻIke, ʻOki Maka