He waimaka ko kāu pēpē? E aʻo kākou e pili ana i ka Blocked Tear Duct a me ka Tear Duct Probe ma ke ala maʻalahi!

Ke kahe mau nei nā waimaka o kāu keiki liʻiliʻi? A i ʻole ke ʻano nei ua piha i nā waimaka? I kekahi manawa hiki ke hopohopo iki kēia no nā mākua. Akā, mai hopohopo. ʻO ka hapa nui o ka manawa, ua hoʻokumu ʻia kēia e kahi kūlana i kapa ʻia ʻo nā ala waimaka i ālai ʻia, kahi mea maʻamau i nā keiki ʻōpio . I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o kahi ala waimaka i ālai ʻia a me kahi lāʻau maʻalahi i kapa ʻia ʻo ka probe ala waimaka.

He aha maoli kēia mau waimaka? He aha ka ʻauwai waimaka?

ʻO ka mea mua, e nānā kākou i ke ʻano o kēia mau waimaka, pehea lākou e hana ʻia ai, a no ke aha mākou e pono ai iā lākou. E noʻonoʻo e like me ko mākou mau maka e like me ʻelua mau kāmela liʻiliʻi. Pono kēia aniani kāmela, ʻo ia hoʻi ka maka, e mālama mau ʻia i ka pulu a me ka maʻemaʻe. ʻO ia ka mea e kōkua ai nā waimaka.

Aia nā kelepa liʻiliʻi ma lalo o ko kākou mau lihilihi luna, ma waho o ko kākou mau maka. Kāhea mākou i kēia mau kelepa lacrimal . Ua like lākou me kahi pahu wai. Hoʻopuka kēia mau kelepa i nā waimaka. Ke kahe nei kēia mau waimaka ma lalo o ka maka, hohola ma loko o ka maka, hoʻomaʻū i ka maka, wehe i ka lepo a me nā ʻōpala, a hoʻomaʻemaʻe iā ia. ʻAʻole wale ia, akā hiki i kēia mau waimaka ke hakakā i nā germs e komo i loko o ka maka.

I kēia manawa, e like me kā mākou pono e hoʻolei aku i ka wai i hoʻohana ʻia, pono e wehe ʻia kēia mau waimaka i hoʻohana ʻia mai ka maka. ʻO ia ke kumu o ka ʻōnaehana duct waimaka. E noʻonoʻo e like me ka ʻōnaehana hoʻokahe wai i loko o ko mākou hale. Ma ke kihi o loko o ka maka, ma nā lihilihi o luna a me lalo, aia ʻelua mau lua liʻiliʻi ((Puncta)). Komo nā waimaka ma o kēia mau lua, hele ma o nā ʻōmole liʻiliʻi ((Canaliculi)) a hōʻiliʻili i loko o kahi ʻeke liʻiliʻi i kapa ʻia ʻo ka ʻeke waimaka ((Lacrimal Sac)) . A laila mai laila mai, hele lākou ma o kekahi ʻōmole lōʻihi ʻē aʻe ((Nasolacrimal Duct)) a hōʻiliʻili i loko o ka ihu. ʻO ia ke kumu i ka wā e uē nui ai mākou , puka mai nā waimaka mai ko mākou ihu. Maopopo iā ʻoe?

No ke aha i ālai ʻia ai kēia mau ʻauwai waimaka?

ʻAe, i kēia manawa ua ʻike mākou pehea e hana ʻia ai nā waimaka a pehea lākou e kahe ai mai ka maka. No laila no ke aha i ālai ʻia ai kēia mau ala waimaka?

ʻIke pinepine mākou i kēia ʻano maʻi i nā pēpē hānau hou . ʻO ke kumu o kēia, e like me ka mea i ʻōlelo ʻia ma mua, pili ka ʻauwai waimaka i ka ihu, a ma ka hopena o kēlā ʻauwai he membrane liʻiliʻi ((Membrane)). Pani ʻia kēia membrane i ka wā e noho ana ka pēpē i loko o ka ʻōpū. ʻO ka maʻamau, wehe koke kēia membrane i ka wā e hānau ai ka pēpē a i ʻole kekahi mau lā ma hope o ka hānau ʻana. Eia naʻe, i kekahi mau pēpē, ʻaʻole paha e wehe kēia membrane. ʻO ia ka manawa ʻaʻohe ala o nā waimaka e hele ai i ka ihu, a paʻa lākou i loko o nā maka, a pono nā waimaka e pakele mai nā maka. Kāhea mākou i kēia he congenital nasolacrimal duct obstruction ((Congenital Nasolacrimal Duct Obstruction)) . ʻO kēia ke kumu nui o ka paʻa ʻana o ka ʻauwai waimaka i nā pēpē.

Aia paha kekahi mau kumu ʻē aʻe e ālai ʻia ai nā ala waimaka i nā keiki makua a i ʻole nā ​​mākua. Eia kekahi laʻana:

• Nā maʻi maka a i ʻole ka ihu (( Nā maʻi ))
• Nā ʻeha i nā maka a i ʻole ka ihu
• Nā loli e kū mai ana me ka makahiki
• Kekahi mau puʻupuʻu e hana ana i loko o ka ihu ((Nasal Polyps))
• He mea kākaʻikahi loa, hiki ke loaʻa nā kūlana e like me nā puʻupuʻu ((Tumors)) i loko o ka ʻōnaehana ʻauwai waimaka. Eia naʻe, he mea kākaʻikahi loa kēia.

ʻO ia ke kumu, inā loaʻa iā ʻoe a i ʻole kāu pēpē kēia mau hōʻailona, ​​​​pono ʻoe e ʻike i ke kauka, ʻoi aku hoʻi i kahi kauka maka . A laila hiki iā lākou ke ʻike i ke kumu pololei.

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Pehea ʻoe e ʻike ai inā ua ālai ʻia kahi ʻauwai waimaka?

I kēia manawa ke noʻonoʻo nei paha ʻoe, 'ʻAʻole maopopo iaʻu inā loaʻa i kaʻu pēpē kēia pilikia pū kekahi.' No laila, e nānā kākou i nā hōʻailona o kahi ala waimaka i ālai ʻia.

• Nā maka pulu mau a me ka waimaka (( Epiphora )) : ʻO kēia ka hōʻailona nui. ʻOiai ʻaʻole e uē ana ke pēpē, hiki ke ʻike ʻia nā waimaka ma nā maka a i kekahi manawa e kahe ana ma nā papālina.
• Ka hoʻokuʻu ʻana o ka mucopurulent : ʻO ka hoʻokuʻu ʻana o ka mucopurulent, ʻoiai ke ala ʻoe i ke kakahiaka, hiki ke hōʻiliʻili a puni nā lihilihi. I kekahi manawa hiki i kēia ke kumu e pipili ai nā lihilihi.
• ʻUlaʻula a pehu paha o ke kihi o loko o ka maka : ʻO kahi i loaʻa ai ka ʻeke waimaka ((Lacrimal Sac Area)) hiki ke lilo i ʻulaʻula, pehu, a ʻeha ke hoʻopā. Hiki ke hana kēia inā ua loaʻa ka maʻi i ka ʻeke waimaka ((Dacryocystitis)). Inā hana kēia, pono ʻoe e ʻike koke i ke kauka .
• Ke ho'āʻo nei e holoi pinepine i ko lākou mau maka : Hiki i nā pēpē ke manaʻo ʻoluʻolu ʻole no ka mea ua piha ko lākou mau maka i nā waimaka. No laila hoʻāʻo pinepine lākou e holoi i ko lākou mau maka me ko lākou mau lima.
• He palalulu nā maka : I kekahi manawa hiki ke lilo ka ʻike i mea palalulu iki ma muli o ka nui o ka waimaka.

E hoʻomanaʻo, inā loaʻa i kāu pēpē kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kahi kauka maka . Hiki iā lākou ke nānā pono iā ia a haʻi iā ʻoe inā he ala waimaka i paʻa, a inā pēlā, he aha ka mea e hana ai e pili ana i ia mea.

He aha ka mea hiki ke hana ʻia? Nā ʻanuʻu maʻamau.

ʻAe, i kēia manawa ua ʻike ʻoe i ke kauka a ua hōʻoia ʻia ua paʻa ka ʻauwai waimaka o kāu pēpē. He aha ka lāʻau lapaʻau a ke kauka e hāʻawi ai iā ʻoe?

I ka hapanui o nā hihia, ʻoiai no nā pēpē hānau hou, ʻaʻole hoʻi e hoʻohana koke nā kauka i ka lāʻau lapaʻau nui. No ka mea, e like me ka mea i ʻōlelo ʻia ma mua, ʻo ka hapa nui o nā ala waimaka o nā pēpē e wehe wale ʻia i loko o ka makahiki mua.No laila, ʻo ka mea mua e hana ai, ʻo ke kali iki me ke ahonui.

I ka manawa like, e aʻo aku ke kauka iā ʻoe pehea e lomilomi ai i ka ʻeke waimaka ("(Crigler Massage)) . He mea maʻalahi loa kēia.

• ʻO ka mea mua, pono ʻoe e holoi pono i kou mau lima me ke kopa.
• A laila, e kau i kou manamana lima kuhikuhi (hoʻohana kekahi poʻe i kou manamana lima liʻiliʻi) ma ke kihi o loko o ka maka o kāu pēpē, ma kahi puʻupuʻu liʻiliʻi ma waena o ka ihu a me ka maka (kahi o ke kahawai waimaka), a kaomi mālie i lalo a hamo i ka ihu . Me he mea lā e hoʻouna ana i kahi leka liʻiliʻi.
• ʻŌlelo ke kauka e hana i kēia i ʻelua a ʻekolu paha manawa i ka lā, ma kahi o ʻelima a ʻeono paha manawa i ka manawa.

Hoʻonui kēia lomilomi i ke kaomi i loko o ka ʻeke waimaka a kōkua i ka wehe ʻana i ka membrane i paʻa.

Eia kekahi, inā ʻāwili nā maka o kāu pēpē, ʻo ia hoʻi he maʻi iki ko lākou, hiki i ke kauka ke kuhikuhi i kahi holoi maka a me nā kulu maka antibiotic e kāohi i ka maʻi . I ka hoʻomaʻemaʻe ʻana i ka maka, e hoʻohana i kahi pulupulu i hoʻoluʻu ʻia i loko o ka wai maʻemaʻe a sterile e holoi i ka maka mai loko a i waho. Mai hoʻohana hou i ka swab like.

I ka hapa nui o ka manawa, hoʻoponopono kēia mau mea maʻalahi i ka pilikia i loko o kekahi mau mahina. Akā inā ʻaʻole ia e hana, ke noʻonoʻo nei mākou i ka hana aʻe.

He aha ka mea nānā i nā ʻauwai waimaka?

E noʻonoʻo, ʻoiai ma hope o kekahi mau mahina o ka lomilomi ʻana, ʻaʻole i pau ke kahe ʻana o nā waimaka o ka pēpē. A i ʻole, ke loaʻa mau nei iā lākou nā maʻi maka. ʻO ia ka manawa e noʻonoʻo ai nā kauka e pili ana i kahi lāʻau i kapa ʻia he tear duct probe .

I ka ʻōlelo maʻalahi, ʻo kēia ke kaʻina hana o ka wehe ʻana i kahi ala waimaka i paʻa me ka hoʻohana ʻana i kahi mea lahilahi . Hana ʻia kēia e ke kauka maka . Manaʻo pinepine ʻia kēia he ʻoki liʻiliʻi, akā ʻaʻole ia e pili i kahi ʻoki nui.

ʻO ka mea hana i hoʻohana ʻia no kēia ua kapa ʻia ʻo 'probe' . He mea hana palupalu loa ia, lahilahi, e like me ke koʻokoʻo metala. He ʻili laumania kona, no laila ʻaʻole ia e hōʻino i ke ala waimaka. Hoʻohana ʻia ia e hoʻokuke mālie aku i ka membrane i ālai ʻia a i ʻole kekahi mea pale liʻiliʻi ʻē aʻe, e hana ana i ala no ke kahe ʻana o nā waimaka.

Pehea e hana ʻia ai kēia hoʻāʻo/lāʻau lapaʻau?

I kēia manawa ke noʻonoʻo nei paha ʻoe pehea e hana ai i kēia, a e hōʻeha anei ia i ka pēpē? Mai hopohopo, e wehewehe pū wau i kēlā.

I ka hana ʻana i kēia (Probing), hāʻawi pinepine ʻia nā pēpē liʻiliʻi i ka anesthesia laulā ((General Anesthesia)) . ʻO ia hoʻi, ua hoʻomoe ʻia ka pēpē no kekahi manawa. Hana ʻia kēia i ʻole e manaʻo ka pēpē i kekahi mea, ʻaʻole makaʻu, a ʻaʻole e neʻe. A laila hiki i ke kauka ke hana i kēia me ka maʻalahi a me ka palekana. I kekahi manawa, no nā keiki ʻoi iki aʻe a i ʻole nā ​​pākeke, hiki ke hana ʻia kēia me ka hoʻohana ʻana i nā kulu maka anesthetic kūloko ((Local Anesthetic Eye Drops)). Na ke kauka ia e hoʻoholo.

Ma hope o ka hāʻawi ʻana i ka anesthesia, e hana ke kauka i kēia mau mea:

1. ʻO ka mea mua, ua hoʻonui iki ʻia ka lua liʻiliʻi ((Punctum)) ma ke kihi o loko o ka maka i ʻōlelo ʻia ma mua, me ka hoʻohana ʻana i kahi mea hana akahele.

2. A laila, hoʻokomo pono ʻia ka Probe, he koʻokoʻo metala lahilahi , ma o kēlā lua a hoʻohele ʻia i lalo i ke ala nasolacrimal.

3. Ke hoʻokomo ʻia kēia Probe, inā he membrane i ālai ʻia a i ʻole kekahi mea keakea liʻiliʻi ʻē aʻe, e haki mālie ia. E hana kēia i ala no ke kahe ʻana o nā waimaka.

4. ʻO ka mea hope loa, e hoʻokomo ke kauka i ka wai saline sterile ((Sterile Saline Solution)) i loko o ke kahawai waimaka me kahi syringe liʻiliʻi e ʻike ai inā ua wehe ʻia ke ala a ke kahe nei ke wai i loko o ka ihu. Ua like ia me ka hoʻomaʻemaʻe ʻana i kahi paipu i paʻa ʻia ma ka holo ʻana o ka wai ma o ia mea. I kekahi manawa, hoʻohui ʻia kahi dye ((Dye)) i kēia wai saline a ʻike ʻia ke kala e puka mai ana mai ka ihu, hiki ke hōʻoia i ka wehe ʻia o ke ala.

He mau minuke wale nō ka lōʻihi o ke kaʻina hana holoʻokoʻa, no laila ʻaʻole pono ka pēpē e noho ma lalo o ka anesthesia no ka manawa lōʻihi.

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?

ʻAe, ua pau ka (Probing). He aha ka mea e hiki mai ana?

• I ka hapanui o nā hihia, hiki i ka pēpē ke hoʻi i ka home i ka lā hoʻokahi. Ma hope o ke ala ʻana mai ka anesthesia, ua nānā ʻia lākou no kekahi manawa ma mua o ka hoʻouna ʻia ʻana i ka home.
• No nā lā mua, loaʻa paha iā ʻoe kekahi mau maka waimaka, malia paha he mau waimaka ʻulaʻula (me ke koko iki) . Loaʻa paha iā ʻoe kekahi kahe mai kou ihu. He mea maʻamau kēia, mai hopohopo . E nalo ana ia i loko o kekahi mau lā.
• ʻO ka mea paha, e kuhikuhi ke kauka i nā kulu maka antibiotic a i ʻole ka ʻaila no kekahi mau lā. Hāʻawi ʻia ia e pale aku i ka maʻi. Pono e hoʻohana pololei e like me ka ʻōlelo a ke kauka, no ka lōʻihi like.
• I kekahi manawa, e haʻi aku ke kauka iā ʻoe e hoʻomau i ka lomilomi ʻeke waimaka e like me kāu i hana ai ma mua no kekahi mau lā hou aʻe . E kōkua kēia i ka pale ʻana i ke ala waimaka i wehe hou ʻia mai ka pani hou ʻana.
• E noi aku ke kauka iā ʻoe e hoʻi mai no kahi manawa hoʻokolokolo hou e nānā i ke kūlana.

He kiʻekiʻe loa ka holomua o kēia lāʻau "(Probing)" , ʻoiai ke hana ʻia ma nā pēpē ma lalo o hoʻokahi makahiki. I ka hapanui o nā hihia, ua hoʻoponopono loa ʻia ka pilikia ma hope o hoʻokahi lāʻau wale nō.

Aia kekahi mau pilikia e pili ana?

E like me nā kaʻina hana lapaʻau a pau, ʻaʻole nele ka probing i kona mau pilikia. Eia nō naʻe, he kaʻina hana palekana loa ia . He kākaʻikahi nā pilikia ke hana ʻia e kahi ophthalmologist akamai.

ʻO nā mea e hiki ke hana ʻia:

• Maʻi : He haʻahaʻa loa ka manawa e hiki ai kēia, no ka mea, hāʻawi ʻia nā lāʻau antibiotic ma hope o ka mālama ʻana.
• Ke kahe ʻana o ke koko : ʻO ka maʻamau, he kakaikahi loa ke kahe ʻana o ke koko, kahi e pau ai ma kāna iho.
• Ke hana nei i kahi ala hewa ((False Passage))Ke hoʻokomo ʻia ka probe, hiki iā ia ke hele i kahi ʻaoʻao ʻē aʻe a hana i kahi ala hou ma kahi o ke ala waimaka maoli. Eia nō naʻe, he mea paʻakikī loa kēia e hana me ke kauka akamai.
• ʻŌpala : Hiki ke hana ʻia nā ʻōpala i loko o ke kahawai waimaka a hoʻopaʻa hou iā ia. He mea kākaʻikahi loa kēia.
• Ka Hoʻi Hou ʻana o ke Alahaka : I kekahi manawa, ʻoiai ma hope o ka nānā ʻana, hiki ke ālai hou ʻia ke alahaka waimaka ma hope o kekahi manawa. Inā hana ʻia kēia, pono paha ʻoe e hana i kahi nānā ʻē aʻe, a i ʻole pono paha ʻoe e hana i kahi lāʻau ʻē aʻe (no ka laʻana, ke kau ʻana i kahi ʻōmole liʻiliʻi i loko o ke alahaka waimaka - stenting - a i ʻole ke ʻoki kino paʻakikī). Akā e wehewehe kāu kauka i kēia iā ʻoe.
• Nā Pōʻino o ka Anesthesia : Inā hāʻawi ʻia kāu pēpē i ka anesthesia laulā, aia kekahi mau pōʻino e pili ana me ia. E wehewehe pono ke kauka anesthesia i kēia mau mea iā ʻoe ma mua o ka mālama ʻana.

ʻO ka mea nui loa, ʻo ia ke nīnau i ke kauka i nā nīnau a hopohopo paha āu e loaʻa ai. Na lākou e wehewehe i nā mea āpau iā ʻoe.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia.

ʻAe, no laila e hoʻomanaʻo aku mākou iā ʻoe i kekahi mau mea a mākou i kamaʻilio ai i kēia lā a mākou e manaʻo nei he mea nui iā ʻoe.

• He mea maʻamau loa nā ala waimaka i paʻa i nā pēpē ʻōpio , no laila mai hopohopo nui no ia mea.
• I ka hapanui o nā hihia, hoʻomaikaʻi wale kēia kūlana i kona iho i ka manawa e hiki ai i ka pēpē ma kahi o hoʻokahi makahiki , a i ʻole ua ho'ōla ʻia me nā ʻano lomilomi maʻalahi.
• Inā ʻaʻole holo pono kēlā, he lāʻau palekana a maikaʻi hoʻi ka hoʻohana ʻana i kahi mea nānā i ke ala waimaka .
• Inā e kahe mau ana ka wai a ʻili paha nā maka o kāu pēpē, pono ʻoe e ʻike i ke kauka maka . ʻO lākou ka poʻe e hiki ke nānā pono iā lākou a hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa nou a me kāu pēpē.
• E kamaʻilio pono me ke kauka a nīnau a hoʻopau i kāu mau nīnau a me nā kānalua . ʻO kou kuleana ia.

No laila, ke lana nei koʻu manaʻo ua kōkua kēia kūkākūkā iā ʻoe. Ke makemake nei au i kāu pēpē e ho'ōla koke!