Hiki i ke kanaka ke nalowale i kahi maka ma muli o kahi ulia, kahi maʻi koʻikoʻi e like me ke kanesa, a i ʻole kahi pilikia hānau. He ʻike ʻeha a hoʻoweliweli maoli kēia. ʻO ka makaʻu i ke alo ʻana i ka nohona a me ka hopohopo e pili ana i ka nānā ʻana o kekahi poʻe iā lākou hiki ke alakaʻi i ke kaumaha. Akā me ka holomua o ka lāʻau lapaʻau i kēia lā, aia kahi hopena maikaʻi loa no kēia. ʻO ia ka maka hana, a i ʻole e like me ka mea i kapa ʻia ma ka ʻepekema lapaʻau, he 'Ocular Prosthesis'.
I ka ʻōlelo maʻalahi, he aha ka maka prosthetic?
He mea lapaʻau ka maka hana i hana ʻia e hoʻopiha i ka hakahaka (ʻōpuʻu maka) kahi i wehe ʻia ai kou maka no kekahi kumu. Ua hoʻolālā ʻia e like loa me kou maka olakino ʻē aʻe. ʻOiai ua hana ʻia kēia mau mea me ke aniani, i kēia manawa ua hana ʻia lākou me kahi ʻano acrylic kūikawā. Akā, e lohe paha ʻoe i kekahi poʻe e kapa ana iā lākou he "maka aniani."
ʻElua mau kumu nui no ka hoʻohana ʻana i kēia:
1. ʻAno nani: Ua kaumaha ka poʻe he nui ma muli o ka loli o ke ʻano ke nalowale ko lākou maka. Eia nō naʻe, ke komo lākou i ka maka hana e like me ko lākou maka ponoʻī, nalowale kēlā hilahila a me ka makaʻu a kūkulu lākou i ka hilinaʻi nui iā lākou iho.
2. Nā kumu lapaʻau: ʻAʻole wale kēia e hoʻopiha i ka hakahaka i loko o ka maka, akā hāʻawi pū kekahi i ka palekana ma ka pale ʻana i nā mea ʻē e like me ka lepo a me ka ʻōpala mai ke komo ʻana i kēlā hakahaka.
ʻAʻole wale ka maka hana ʻia he mea e hoʻomaikaʻi ai kou ʻano. He mea lapaʻau koʻikoʻi ia e pale ai i kou maka.
He aha nā ʻano o nā maka hana?
Aia kekahi mau ʻano maka hana. Na kāu kauka e hoʻoholo i ke ʻano kūpono loa iā ʻoe ma muli o kou kūlana. ʻOiai aia nā maka i hana mua ʻia (waihona) i loaʻa i nā hale kūʻai, paipai mau nā loea i ka hoʻohana ʻana i kahi maka hana i hana kūikawā ʻia.
| ʻAno maka hana | Wehewehena |
|---|---|
| Nā aniani hoʻopili prosthetic | Hiki ke hoʻohana ʻia kēia inā ua hōʻino ʻia ka cornea o ka maka, akā ʻo ke ʻano wale nō ka mea maikaʻi ʻole. Kōkua pū lākou i nā kūlana e like me ka ʻike i ka mālamalama (photophobia). |
| Pūpū Scleral | Inā ʻaʻole i wehe loa ʻia kou maka, ʻo ia hoʻi, aia nō kekahi ʻāpana o ka maka, hiki iā ʻoe ke kau i kēia ma luna o kēlā maka. He mea pono kēia no nā kūlana e like me ka Phthisis bulbi, kahi i hōʻino ʻia ai ka maka a emi iho. |
| Mea Hoʻohālikelike | He mea hana manawa pōkole kēia. Hoʻonoho ʻia ma hope o ke ʻoki wehe maka e mālama i ke ʻano o ka lua maka a pale i ka hoʻokumu ʻana o nā ʻiʻo ʻeha a hiki i ka hoʻokomo ʻia ʻana o kahi maka hana mau loa. |
| ʻO ka Prosthesis Orbital | Hoʻohana ʻia kēia mea silicone nui inā ʻaʻole wale ka maka, akā ʻo nā ʻiʻo a puni e like me nā maka maka, nā kuʻemaka, a me nā lihilihi i wehe ʻia me ke ʻoki kino (exenteration). |
Pehea e hana ai ke kaʻina hana o ka loaʻa ʻana o kahi maka hana?
He hana kēia e hana ʻia ma kekahi mau ʻanuʻu a he manawa iki ka lōʻihi.
1. Ka wehe ʻana i nā ʻiʻo maka: ʻO ka mea mua, e wehe ke kauka maka (ophthalmologist) i nā ʻiʻo i hōʻino ʻia mai kou maka. Ua kapa ʻia kēia ʻoki ʻana he `(Evisceration)` a i ʻole `(Enucleation)`.
2. Hoʻokomo Socket: Hana ʻia kēia ma ke ʻano like me ke ʻoki ʻana i ka maka. Hana ʻia ka implant e mālama i ke ʻano o ka socket kahi i waiho ai ka maka.
3. Ke hoʻokomo nei i ka conformer: Ua hoʻokomo ʻia ka conformer manawa pōkole a mākou i kamaʻilio ai ma mua i kēia manawa. Hana ʻia kēia e pale i ka hakahaka a hiki i ka hana ʻia ʻana o ka maka mau loa.
4. E ʻae i ka manawa no ka ho'ōla ʻana: Hiki ke hala kekahi mau pule, a i ʻole he mau mahina, no ka ho'ōla ʻana o nā ʻeha ma hope o kēia mau ʻoki kino.
5. Ke ana ʻana: Ma hope o ka ho'ōla ʻana o nā ʻeha, e lawe ke kauka maka i kahi kiʻi wax o kahi i noho ai kou maka a e ana.
6. Hoʻolālā maka maʻamau: Ma muli o nā ana i lawe ʻia, e hana ka Ocularist i ka maka hana e kūlike me ke kala, ka nui, ke ʻano, a me ka neʻe ʻana o kou maka ʻē aʻe.
7. Waihoʻoluʻu: ʻO ka mea aʻe, ua pena ʻia me ke akahele loa nā kīʻaha koko maikaʻi ma ka ʻāpana keʻokeʻo o ka maka a me ke kala o ka iris ʻeleʻele ma luna o kēia maka hana.
8.Ke kau ʻana i ka maka hana: ʻO ka hope loa, wehe ʻia ka mea hoʻohālikelike manawa pōkole a kau ʻia ka maka hana hou i hana ʻia. E hōʻike ʻia nō hoʻi iā ʻoe pehea e wehe ai a kau hou ai.
Hiki i kēia kaʻina holoʻokoʻa ke hala i kekahi mau lā a i ʻole mau pule, a pono paha ʻoe e hele i loko o nā manawa he nui e loaʻa ai ke kūpono kūpono.
ʻEhia ka lōʻihi e hiki ai ke hoʻohana ʻia ka maka hana?
Ma keʻano laulā, inā hoʻomaʻemaʻe pono ʻia a wili ʻia ma ka liʻiliʻi hoʻokahi manawa i ka makahiki, hiki iā lākou ke mau no kahi o ʻelima mau makahiki. Eia nō naʻe, hiki i kekahi mau maka hana ke lōʻihi aku.
He aha nā hopena ʻaoʻao e hiki mai ana?
Inā ʻoe e hahai pono i nā kuhikuhi a mālama i ka maʻemaʻe, ua haʻahaʻa loa ka pilikia o nā pilikia. Eia nō naʻe, i kekahi manawa e ʻike paha ʻoe i nā mea e like me kēia:
- Ka hoʻokuʻu ʻana mai ka lua o ka maka
- ʻEha
- Ectropion (ka huli ʻana o ka lihilihi lalo i waho)
- Ke kulou ʻana o ka lihilihi o luna (Ptosis)
- Nā maʻi i loko o ka lua maka a i ʻole nā ʻiʻo a puni
- ʻAʻole hiki ke pani piha i ka lihilihi (Lagophthalmos)
Inā loaʻa iā ʻoe kekahi mea e like me kēia, e haʻi koke aku i kāu kauka .
He aha ka mea e hiki ke hana ʻia e maʻalahi ai ke kau ʻana i kahi maka hana?
He mau lā a he pule paha e maʻa ai i kēia, akā inā ʻoe e hahai i kēia mau kuhikuhi, e maʻalahi loa ia nou.
- E hoʻomaʻemaʻe e like me ke kuhikuhi ʻana: E hoʻohana wale i ke ʻano o ka hopena a me ke ʻano i ʻōlelo ʻia e kāu Ocularist . ʻO ka hoʻohana ʻana i kekahi mea ʻē aʻe e hōʻino paha i ka maka prosthetic.
- E holoi i kou mau lima ma mua o ka lawelawe ʻana: E holoi mau i kou mau lima me ke kopa a me ka wai ma mua o ka lawelawe ʻana i ka maka hana. E kōkua kēia i ka pale ʻana i ka maʻi mai nā germs ma kou mau lima.
- E hoʻohana i nā waimaka hana: Inā pono, e hoʻohana i nā kulu waimaka hana e like me ke kuhikuhi a kāu kauka. E ʻoi aku ka ʻoluʻolu o ke kau ʻana i ka maka hana.
- E hōʻemi i ke alapine o ka lawelawe ʻana a me ka wehe ʻana: ʻAʻole pono kēia e wehe pinepine ʻia e like me ka lens hoʻopili maʻamau. Manaʻo nui ʻia e wehe iā ia ma lalo o hoʻokahi manawa i ka mahina. E kamaʻilio me kāu loea e pili ana i kēia e ʻike pono ai.
He pilikia nui ka nalowale ʻana o ka maka i ke ola. Akā, ma kahi o ka hopohopo e pili ana i ia mea, he mea nui e noʻonoʻo i nā hopena i loaʻa. ʻO ka maka hana he mea ia e hāʻawi ai i ka ikaika nui i kou helehelena a me kou olakino noʻonoʻo. Inā pono ʻoe e kū i kahi kūlana like, mai hilahila a makaʻu paha. E kamaʻilio ākea me kāu kauka. A laila hiki iā ʻoe ke loaʻa ka hopena maikaʻi loa nāu.
Leka Lawe-Home
- ʻO ka prosthesis ocular kahi mea lapaʻau i hoʻohana ʻia e hoʻihoʻi i ka ʻike a pale i kahi o ka maka i ka wā i nalowale ai ka maka.
- ʻAʻole hana ʻia kēia mau mea i ke aniani, akā hana maʻamau ʻia mai kahi ʻano acrylic kūikawā.
- He kaʻina hana he nui nā ʻanuʻu o ka loaʻa ʻana o kahi maka hana, ʻo ia hoʻi ke ʻoki ʻana a me ka hana ʻana o ka maka e kahi loea (ocularist).
- Inā hoʻomaʻemaʻe pono ʻia a mālama ʻia, hiki i ka maka hana ke mau no nā makahiki he nui.
- Inā loaʻa iā ʻoe kekahi ʻeha a ʻoluʻolu ʻole paha i kou wā e kau ana i kou mau pale lima, e ʻike koke i kāu kauka. He mea nui e kūkākūkā i kou mau hopohopo me kāu kauka me ka hilahila ʻole a me ka makaʻu ʻole.
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