Ke haehae mau nei anei nā maka o kāu pēpē? E kamaʻilio kākou e pili ana i ke ala waimaka i poloka ʻia!

Ua ʻike paha ʻoe e kahe wale ana nā waimaka o kāu pēpē, i kekahi manawa mai nā maka ʻelua, a he mau puʻupuʻu ma nā kihi o ko lākou mau maka . Ke noʻonoʻo nei paha ʻoe no ke aha e hana nei kēia i kāu keiki liʻiliʻi me ka ʻole o ka uē ʻana. Nui nā mākua e hopohopo nei no kēia. Akā, mai hopohopo, he maʻi maʻamau kēia i ʻike ʻia i nā pēpē. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o ka Blocked Tear Duct, no ke aha e hana ai, a me nā mea hiki ke hana ʻia e mālama ai ma ka home.

No ke aha kēia mau waimaka? He aha nā ʻauwai waimaka?

ʻO ka mea mua, e kamaʻilio kākou e pili ana i ke ʻano o kēia mau waimaka a pehea lākou e hana ai. E noʻonoʻo e like me ko kākou mau maka e like me kahi kāmela waiwai nui. Pono e mālama ʻia kēia kāmela i ka maʻemaʻe a me ka pulu i nā manawa a pau. ʻO ia ka mea e kōkua ai nā waimaka.

Ma lalo o nā lihilihi maka, ma luna o nā maka , aia nā kelepa liʻiliʻi i kapa ʻia ʻo nā kelepa lacrimal . Ua like lākou me kahi hale hana mimi , a hana lākou i nā waimaka. Hohola kēia mau waimaka ma loko o ka maka, e hoʻomaʻū ana a hoʻomaʻemaʻe iā ia ma ka wehe ʻana i nā mea e like me ka lepo.

A laila? Pono e wehe ʻia kēia mau waimaka i hoʻohana ʻia. ʻO ia ke kumu o ka ʻōnaehana ʻauwai waimaka . I ka ʻōlelo maʻalahi, hana ia e like me ka ʻōnaehana hoʻokahe wai i loko o ko mākou hale.

1. Aia ʻelua mau lua liʻiliʻi (`puncta`) ma nā lihilihi o luna a me lalo ma ke kihi o loko o ka maka .

2. Hele nā ​​waimaka ma o kēia mau lua ma nā kahawai liʻiliʻi (`Canaliculi`),

3. Hōʻiliʻili nā waimaka i loko o kahi ʻeke liʻiliʻi i kapa ʻia ʻo ka ʻeke Lacrimal. Aia kēia ma waena o ka ihu a me ka maka.

4. ʻO ka hope loa, mai kēia ʻeke waimaka, kahe nā waimaka i loko o ka ihu ma o kekahi ʻauwai liʻiliʻi ʻē aʻe (ka `Nasolacrimal Duct`).

ʻO ia ke kumu e puhi ai kākou i ko kākou ihu ke uē kākou. Ke nui loa ko kākou mau waimaka, hele lākou i lalo o kēia ʻōmole a i loko o ko kākou ihu. Maopopo iā ʻoe?

No laila he aha ke ʻano o kahi ala waimaka i ālai ʻia?

I kēia manawa ua maopopo iā ʻoe ke koʻikoʻi o ka ʻōnaehana ʻauwai waimaka. ʻO kahi ʻauwai waimaka i ālai ʻia ke loaʻa kahi ālai a i ʻole ke ālai ʻia ma kahi ma ke ʻauwai waimaka aʻu i ʻōlelo ai ma mua. Ua like ia me kahi paipu wai i ālai ʻia. He aha ka mea e hana ai? ʻAʻole hiki i nā waimaka ke kahe pono i loko o ka ihu. No laila hoʻomaka lākou e kahe i waho o ka maka, a i ʻole e paʻa lākou i loko o ka maka .

He mea maʻamau loa kēia i nā pēpē. Ma kahi o hoʻokahi i loko o kēlā me kēia 10 pēpē i hānau ʻia me kēia maʻi. ʻO ka hapa nui, hana ʻia kēia ma muli o ka wehe pono ʻole ʻana o kahi membrane liʻiliʻi (`Membrane` a i ʻole `Valve of Hasner`) ma ka hopena o ke ala nasolacrimal e lawe ana i nā waimaka i ka ihu. ʻO ka maʻamau, wehe ʻia kēia membrane ma kona iho i ka wā hānau a i ʻole kekahi mau lā ma hope o ka hānau ʻana. Eia nō naʻe, i kekahi mau pēpē, lōʻihi iki ka manawa.

ʻO ka mea nui loa, i ka hapanui o nā hihia, ʻaʻole kēia e hōʻeha i ka pēpē, a ʻaʻole ia e hōʻeha i ka ʻike o ka pēpē.

Pehea e ʻike ai inā loaʻa i kaʻu pēpē kēia maʻi? (Nā hōʻailona)

Aia kekahi mau hōʻailona hiki iā ʻoe ke nānā ponoʻī e ʻike ai inā he ala waimaka paʻa ko kāu keiki liʻiliʻi:

• Nā maka waimaka/Epiphora: ʻOiai ʻaʻole e uē ana ke pēpē, ua piha mau kekahi a i ʻole nā ​​maka ʻelua i nā waimaka, a kahe nā waimaka ma nā papālina. Hiki ke ʻoi aku ka ʻino o kēia i nā lā anuanu a i ʻole ma nā wahi makani.
• Ka hoʻokahe ʻana o ka wai : Ke ala ʻoe i ke kakahiaka, a i ke ao paha, e ʻike paha ʻoe i kahi kahe melemele ma ke kihi o kou maka . I kekahi manawa, hiki i kēia kahe ke hoʻopili i kou lihilihi maka.
• Ka pehu ʻana a ʻulaʻula paha o ka lihilihi maka: I kekahi manawa, e ʻike paha ʻoe i kahi pehu iki a ʻulaʻula paha, ʻoiai ma kahi i loaʻa ai ka ʻeke waimaka (ma ke kumu o ka ihu, ma ke kihi o loko o ka maka ).
• Hamo pinepine i nā maka: Inā hoʻāʻo mau kāu pēpē e hamo i ko lākou mau maka me ko lākou mau lima, he hōʻailona paha kēia.

Akā e hoʻomanaʻo, inā ʻulaʻula loa ka maka, pehu loa, a loaʻa i ka pēpē ke kuni , he maʻi paha ia (`Dacryocystitis`). Inā hana ʻia kēlā, pono ʻoe e ʻike koke i ke kauka.

He aha ka Lomilomi ʻAla Waimaka? Pehea e hana ʻia ai?

ʻO ka hapa nui o ka manawa, e ho'ōla ponoʻī kahi ala waimaka i paʻa i loko o ka makahiki mua o ka pēpē. Eia nō naʻe, no ke kōkua ʻana i kēia kaʻina hana ho'ōla a no ka wehe ʻana i ke ala i paʻa ʻia, ʻōlelo nā kauka i kahi hana maʻalahi i kapa ʻia he lomilomi ala waimaka . I kekahi manawa ua kapa ʻia ʻo 'Crigler Massage'.

Ua like kēia me ke kaomi iki ʻana i kahi ʻauwai paʻa. Ke hana mākou i kēia lomilomi, kaomi mālie mākou i ka ʻeke lacrimal. ʻO nā waimaka i loko e paʻi i ka membrane paʻa, e kōkua ana iā ia e wehe.

Pehea e hana pono ai i ka massage?

He mea maʻalahi loa kēia, akā he mea nui e ʻike pono pehea e hana ai. E wehewehe pono kāu kauka a kahu maʻi paha iā ʻoe. E ʻae mai iaʻu e wehewehe iki.

1. ʻO ka maʻemaʻe ka mea mua!

• Ma mua o ka hoʻomaka ʻana i ka lomilomi, e holoi pono i kou mau lima me ke kopa.
• E mālama i nā kui o kāu pēpē i pōkole hoʻi, no ka mea, ke hana nei mākou i kēia ma kahi wahi palupalu loa.

2. Kahi kūpono:

• E ʻike ʻoe i kahi wahi liʻiliʻi, ʻōniʻoniʻo ma ke kihi o loko o ka maka o kāu pēpē, kokoke i ka hoʻomaka ʻana o ka ihu (e pili ana i ka ihu). ʻO ia kahi i loaʻa ai ka ʻeke lacrimal.

3. Pehea e lomilomi ai:

• E hoʻohana i kou manamana lima kuhikuhi a i ʻole kou manamana lima liʻiliʻi.
• E kaomi mālie i ka ʻāpana ma luna o ka ʻeke waimaka aʻu i ʻōlelo ai, e kau ana i kou manamana lima i lalo, ma ka ʻaoʻao o ka ihu . Me he mea lā e kahakiʻi ana i kahi laina liʻiliʻi i lalo. Mai kaomi ma luna o ka maka.
• E hana i kēia lomilomi 2-3 mau manawa i ka lālani. E noʻonoʻo i kēia me he 'kau hoʻokahi'.

4. ʻEhia pinepine e pono ai iaʻu e hana?

• ʻO ka maʻamau, ʻōlelo nā kauka e hana i kēia lomilomi ʻelua a ʻekolu paha manawa i ka lā (kakahiaka, awakea, a me ka pō). Hiki iā ʻoe ke hana ma kahi o 5-10 mau lomilomi i ka manawa hoʻokahi.
• Na kāu kauka e hoʻoponopono i kēia mau nui e kūpono i kāu pēpē.

5. Pehea ka lōʻihi o ka manawa e hana ai?

• Hoʻomaikaʻi kēia kūlana i nā pēpē he nui ma hope o kekahi mau mahina o ka hana ʻana i kēia. I kekahi manawa, hiki iā ʻoe ke noi i kāu pēpē e hana ia a hiki i ko lākou makahiki.

Mea nui:

• Mai kaomi ikaika loa. Pono e hana mālie ʻia kēia. Inā ʻoe e kaomi ikaika loa, ʻaʻole ia e pono i ka pēpē.
• ʻOiai e lomilomi ana, e puka mai ana paha kahi mucus a waimaka paha mai kou mau maka. He mea maʻamau kēia. E hoʻomohu i kahi pōpō pulupulu maʻemaʻe i loko o ka wai (ʻoi aku ka maikaʻi o ka wai i hoʻolapalapa ʻia) a holoi mālie i ka maka mai loko a i waho.
• E hoʻohana i nā pōpō pulupulu ʻokoʻa no kēlā me kēia maka.

E hoʻomanaʻo, ua like kēia lomilomi me ka lāʻau lapaʻau. Hiki iā ʻoe ke loaʻa nā hopena maikaʻi inā ʻoe e hana ia e like me ka ʻōlelo a ke kauka, no ka helu pololei o nā manawa, a e like me ke kauoha.

He aha inā ʻaʻole kōkua ka lomilomi wale nō?

I ka hapanui o nā hihia, ma kahi o 90% o nā pēpē e ho'ōla koke ʻia me ka lomilomi ʻana i nā ʻauwai waimaka i ka wā e hiki ai iā lākou ke makahiki hoʻokahi. Eia nō naʻe, i loko o kahi helu liʻiliʻi loa o nā pēpē, ʻaʻole paha e hoʻomaikaʻi kēia kūlana.

Inā pēlā ia, ʻo ia hoʻi, inā e haehae mau ana kāu pēpē, he kahe pinepine ka maka, a i ʻole he mau maʻi maka pinepine ma hope o hoʻokahi makahiki, e haʻi aku kāu kauka iā ʻoe e pili ana i nā koho lapaʻau ʻē aʻe.

Eia kekahi o lākou:

• Nānā ʻana: He hana ʻoki liʻiliʻi kēia. Ma hope o ka hoʻomaʻemaʻe ʻia ʻana o ke pēpē, hoʻokomo kekahi kauka maka i kahi mea hana maikaʻi loa (he nānā ʻana) i loko o ke ala waimaka, e wehe ana i kahi i paʻa. He lāʻau lapaʻau holomua kēia.
• ʻO ka Stenting a i ʻole Intubation: I kekahi manawa, ma hope o ka probing ʻana, ua kau ʻia kahi ʻōmole silicone liʻiliʻi i loko o ka ʻōmole i mea e pale ai iā ia mai ka pani hou ʻia. Wehe ʻia kēia ʻōmole ma hope o kekahi mau mahina.
• ʻO ka Dacryoplasty Balloon: I kekahi mau hihia, hoʻokomo ʻia kahi pōpō lahilahi i loko o ka ʻōmole a hoʻopiha ʻia e wehe i ka ʻāpana i paʻa.
• ʻO ke ʻoki kino (Dacryocystorhinostomy - DCR): ʻAʻole hana pinepine ʻia kēia i nā pēpē. Hana ʻia ia i nā hihia paʻakikī loa. Maanei, hana ʻia kahi ala hou mai ka ʻeke waimaka a i ka ihu.

Akā, ʻaʻole pono ʻoe e hopohopo koke e pili ana i kēia lāʻau lapaʻau. ʻO ka mea mua e pono ai, ʻo ia ke lomilomi pono i nā ʻauwai waimaka a hahai i nā ʻōlelo a ke kauka.

Āhea wau e ʻike ai i ke kauka?

ʻO ka maʻamau, i kekahi mau mahina ma hope o ka hānau ʻana o ka pēpē, ke ʻike ʻoe i kēia haehae a me ka ʻili ʻana, pono ʻoe e hele i ke keʻena lapaʻau o ka pēpē a haʻi i ke kauka . E nānā ke kauka i ka pēpē, e hōʻoia inā he ala waimaka paʻa kēia, a e aʻo iā ʻoe pehea e lomilomi ai.

Eia nō naʻe, inā ʻike ʻoe i kēia mau mea, e ʻike koke i ke kauka:

• Inā ʻulaʻula ʻeleʻele ka maka, pehu loa, a uē ke pēpē ʻoiai ke paʻa ʻoe iā ia (ʻeha).
• Inā e ʻulaʻula a pehu ke kihi o ka maka , kahi o ka ʻeke waimaka, a puka mai ka pehu melemele mai loko mai.
• Inā loaʻa i ka pēpē ke kuni.
• Inā manaʻo ʻoe he hewa kekahi mea me ka ʻike o kāu pēpē.
• ʻOiai ma hope o nā mahina o ka lomilomi ʻana, ʻaʻohe hoʻomaikaʻi ʻana.

He mau hōʻailona paha kēia o kahi maʻi, a pono paha nā lāʻau antibiotic.

Leka Lawe-Home

No laila, inā e kahe ana nā maka o kāu pēpē e like me kēia, a ke ʻā ana lākou, ʻaʻohe mea e hopohopo ai. He ala waimaka paʻa paha ia, he mea maʻamau ia i nā pēpē.

• He lāʻau maʻalahi a maikaʻi hoʻi ka Tear Duct Massage no kēia.
• He mea nui loa ka lomilomi maʻemaʻe, mālie, a pololei e like me ke kauoha a ke kauka .
• No ka hapa nui o nā pēpē, e hoʻoholo loa ʻia kēia ʻano i ka wā e hiki ai iā lākou i hoʻokahi makahiki .
• Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻulaʻula, nā maka pehu a me ke kuni, pono ʻoe e ʻike i ke kauka.
• Inā he kānalua a nīnau paha kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka ʻohana a kauka keiki paha.

Ke makemake nei au i ka wikiwiki o ka ho'ōla ʻana o kāu pēpē! Ke lana nei koʻu manaʻo e kōkua kēia ʻike iā ʻoe.

ke aʻa waimaka i ālai ʻia, ke aʻa waimaka i ālai ʻia, lomilomi ke aʻa waimaka, lomilomi ke aʻa waimaka, maka waimaka i nā pēpē, epiphora, dacryostenosis