Ua ʻike anei ʻoe i ke kūlou iki ʻana o nā lihilihi o luna o kekahi poʻe, e hoʻolilo ana iā lākou i mea hiamoe? Ua ʻike paha ʻoe i kēia iho. Hiki ke hana kēia i hoʻokahi maka, a i ʻole hiki ke hana i nā maka ʻelua. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻano he Ptosis . Kapa pū kekahi poʻe iā ia ʻo 'Blepharoptosis'. Mai hopohopo, he ʻano maʻamau loa kēia. E kamaʻilio kākou e pili ana i nā mea āpau me ka maʻalahi a me ka maopopo i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka Ptosis?
ʻO ka Ptosis ka wā e kūlou ana kou lihilihi luna i lalo. Me he mea lā ua pani hapa ʻia ka pani puka makani. ʻO ke kumu nui o kēia, ʻo ka ʻiʻo levator , ka mea e kōkua ai i ka hoʻopaʻa ʻana i ko mākou mau lihilihi i luna, ʻaʻole e hana pono ana. E noʻonoʻo e like me kēia ʻiʻo me ke kaula liʻiliʻi e huki ana i ko mākou mau lihilihi i luna. Ke nāwaliwali kēia kaula a hemo paha mai ka lihilihi, e kūlou ana ka lihilihi.
Ma muli o ke ʻano o ka hāʻule ʻana o ka lihilihi maka, hiki ke hoʻopilikia ʻia kou ʻike. I kekahi manawa ua pani hapa ʻia ka maka, a i nā hihia koʻikoʻi, hiki ke ālai loa ʻia ka ʻike. Hiki ke hana kēia ma ka maka hoʻokahi wale nō, a i ʻole ma nā maka ʻelua. I kekahi manawa he nui aku nā lihilihi maka o kekahi maka e hāʻule ana ma mua o kekahi.
ʻElua mau ʻano nui o ka ptosis:
Hiki ke loaʻa kēia ʻano ma nā keiki ʻōpio a me nā pākeke. No laila, ua māhele mākou iā ia i ʻelua ʻano nui.
- ʻO ka Ptosis hānau ʻia: ʻO ke ʻano kēia ua hānau ʻia kāu pēpē me kēia maʻi. ʻO ka hapa pinepine, hana ʻia kēia ma muli o ka ulu pono ʻole o ka ʻiʻo levator i ʻōlelo ʻia ma mua (ʻiʻo levator) i loko o ka ʻōpū.
- Ptosis i loaʻa: ʻO kēia ke ʻano e kū mai ana i ka wā makua. Hiki ke kū mai kēia ʻano i ka wā e nāwaliwali ai ka ʻiʻo a i ʻole e kaʻawale ana mai ka lihilihi maka ma muli o ka ʻelemakule, kahi ulia, a i ʻole kekahi ʻano maʻi ʻē aʻe.
He aha nā hōʻailona o kēia?
ʻO ka ʻoiaʻiʻo, ʻo ka hōʻailona nui, ʻo ia ka ʻike ʻia ʻana o ka lihilihi maka e kūlou ana. Akā, aia paha kekahi mau hōʻailona ʻē aʻe ma waho aʻe o kēlā. E nānā kākou i ke ʻano o ia mau mea.
| Hōʻailona | Wehewehena |
|---|---|
| Ka lihilihi o ka maka | ʻO ka hōʻailona nui a maopopo loa, ʻo ia ka pani piha ʻana o ka haumāna o ka maka a i ʻole ka hapa. |
| Ka hamo pinepine ʻana i nā maka | Hiki paha iā ʻoe ke hoʻowalewale pinepine i kou mau maka i mea e ʻike maopopo ai. |
| Ke kahe nei nā waimaka mai nā maka mai | Inā ʻaʻole hana pono nā lihilihi, hiki i nā waimaka keu ke hōʻiliʻili i loko o nā maka a kahe i waho. |
| Ka hemahema o ka ʻike | Hiki ke hoʻēmi ʻia a hoʻopōwehiwehi ʻia paha ka ʻike ma muli o ka hāʻule ʻana o ka lihilihi ma luna o ka maka a me ke ālai ʻana i ka ʻike. |
| Luhi a me ka ʻeha a puni nā maka | ʻO ka hoʻāʻo ʻana e hāpai i kou mau kuʻemaka me ka hoʻohana ʻana i nā ʻiʻo o kou lae e ʻike maopopo ai hiki ke hana i ka luhi a puni kou mau maka a me kou lae. |
| Ka hoʻohuli ʻana o ka ʻāʻī (nā keiki) | Aʻo nā keiki ʻōpio e nānā me ko lākou mau ʻauwae i luna a me ko lākou ʻāʻī i hoʻokiʻekiʻe ʻia i hope i ko lākou hoʻāʻo ʻana e ʻike i ke ao nei ma lalo o ko lākou mau lihilihi. |
No ke aha lā kēia e hana nei? He aha nā kumu?
ʻOkoʻa nā kumu o ka ptosis ma muli o ke ʻano. E like me kā mākou i kūkākūkā ai ma mua, ua hānau ʻia kekahi mau pēpē me kēia maʻi (congenital ptosis).
ʻO ka Ptosis e kū mai ana ma hope (ptosis i loaʻa) hiki ke loaʻa i kekahi mau kumu. Hiki ke loaʻa kēia ʻano inā nāwaliwali nā ʻiʻo e hāpai ana i ka lihilihi maka a i ʻole nā ligaments e hoʻopili ana iā lākou ma muli o kahi ulia a maʻi paha. I kekahi manawa hiki ke hana ʻia e ka hōʻino ʻana i nā aʻalolo e kaohi ana i ka lihilihi maka.
ʻO kekahi o nā kūlana e hiki ai ke hana i ka ptosis:
- Nā puʻupuʻu maka (Stye)
- ʻO ka maʻi Horner
- ʻO Myasthenia gravis - He maʻi kēia e hoʻonāwaliwali ai i nā ʻiʻo.
- Hahau
- Nā puʻupuʻu o ka maka
- Nā maʻi e hoʻopilikia ai i nā ʻiʻo maka, e like me ka ophthalmoplegia o waho
Akā, ʻoi aku ma mua o kēia mau mea a pau,ʻO ke kumu maʻamau o ka ptosis i nā pākeke, ʻo ia ka ʻelemakule. I ka hala ʻana o ka manawa, e kīkoʻo a nāwaliwali ka ʻili a me nā ʻiʻo o ko kākou mau lihilihi maka. I kekahi manawa, i ka wā o ke ʻoki maka, hiki i nā mea hana i hoʻohana ʻia e paʻa ai i ka maka ke hana i ka lihilihi maka e huki, hiki ke hoʻolalelale i kēia loli.
He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?
Inā loaʻa i kāu keiki ka ptosis hānau ʻana, he mea nui loa ia e mālama koke iā ia. Inā ʻaʻole mālama ʻia, hiki iā ia ke hoʻopilikia pololei i ka ulu ʻana o ka ʻike o ke keiki. Hiki iā ia ke hana i nā hopena ʻaoʻao ʻē aʻe.
ʻAʻole paha e hoʻopilikia nui ka ptosis māmā i ka ʻike i nā pākeke, no laila ʻaʻole pono paha ka lāʻau lapaʻau. Eia nō naʻe, hiki i ka ptosis koʻikoʻi ke alakaʻi i nā pilikia koʻikoʻi inā ʻaʻole mālama ʻia.
Nā pilikia e hiki mai ana ma muli o ka ptosis:
- ʻAstigmatism: Hoʻokomo ka lihilihi e kūlou ana i ke kaomi ma ka ʻaoʻao mua o ka maka (cornea). Hiki i kēia ke hoʻololi i ke ʻano o ka maka a hoʻopilikia i ka ʻike (e hoʻolilo ana i mea e like me ka lōʻihi a me ka wrinkle).
- ʻAmblyopia (a i ʻole 'Lazy Eye'): Ma muli o nā kīnā ʻike e like me ka astigmatism, hoʻomaka mālie ka lolo e hoʻowahāwahā i nā hōʻailona e puka mai ana mai kēlā maka. Hiki i kēia ke alakaʻi i ka nalowale mau loa o ka ʻike ma kēlā maka. ʻO kēia ka mea a mākou e kapa nei he 'lazy eye'.
- Kūlana i luna o ka ʻauwae: ʻO ka mālama ʻana i ke ʻauwae i luna i ka nānā ʻana ma lalo o nā lihilihi maka hiki ke hana i nā pilikia ʻāʻī, nā ʻiʻo lae ʻoʻoleʻa, a i kekahi manawa hiki i ka lohi o ka ulu ʻana.
Pehea e ʻike ʻia ai kēia?
ʻO ka maʻamau, hiki i ke kauka ke haʻi inā he ptosis kou ma ka nānā wale ʻana i kou lihilihi e hāʻule ana. Inā e hāʻule ana nā maka ʻelua, hiki ke paʻakikī iki ke haʻi.
E hana kāu kauka i kahi hoʻokolokolo kino a e kuhikuhi paha iā ʻoe i kahi kauka maka. E hana ke kauka maka i kahi hoʻokolokolo maka a e ʻōlelo paha i nā hoʻokolohua hou aʻe inā pono.
He aha nā hoʻokolohua i hana ʻia no kēia?
- Ka nānā ʻana i ke kukui ʻoki: Ka nānā ʻana i nā ʻāpana palupalu o ka maka me kahi microscope kūikawā.
- Ka hoʻāʻo ʻana i ke kahua ʻike: He hoʻāʻo e ana i kou kahua ʻike, ʻo ia hoʻi, pehea ka mamao e hiki ai iā ʻoe ke ʻike i kou wahi a puni.
- Hoʻāʻo neʻe ʻana o ka maka (neʻe ʻana o ka maka): Nānā i ka hana o nā ʻiʻo maka ma ka hoʻoneʻe ʻana i nā maka a puni.
- Hoʻāʻo Tensilon: He hoʻāʻo kūikawā kēia e nānā ai i kahi kūlana i kapa ʻia ʻo myasthenia gravis.
He aha nā lāʻau lapaʻau no ka ptosis?
Aia ka lāʻau lapaʻau i ka maikaʻi o ka hana ʻana o kou mau ʻiʻo maka. I kekahi manawa, inā ʻaʻole pili ke kūlana i kou ʻike a ʻaʻohe ou hopohopo e pili ana i kou helehelena, ʻaʻole pono ka lāʻau lapaʻau.
Akā inā pili ka ptosis i ka ʻike, ke ʻano, a i ʻole nā mea ʻelua, e ʻōlelo kāu kauka maka i ka lāʻau lapaʻau. Aia ka lāʻau lapaʻau ma muli o ka maʻi a i ʻole he hopena wale nō ia o ka ʻelemakule. ʻO ke ʻoki kino ka lāʻau lapaʻau kūpono loa no ka ptosis i hoʻokumu ʻia e ka ʻelemakule.
ʻO ke ʻoki kino Ptosis
Hana pinepine ʻia kēia ma ka hoʻomāʻū ʻana i ka wahi (anesthesia kūloko) a hāʻawi iā ʻoe i ka hoʻomaha. ʻO ke ʻano kēia ua ʻike ʻoe, akā ʻaʻole ʻoe e ʻeha.
ʻElua mau ʻano hana ʻoki kino nui:
1. Ke ʻano ʻoki ʻili: Hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi loa ma ka ʻili o ka lihilihi o luna. Ma o ia mea, e loaʻa ai ka ʻiʻo liʻiliʻi e hāpai ana i ka lihilihi, e humuhumu ʻia a hoʻopaʻa ʻia, a laila e hāpai ʻia ka lihilihi i luna. A laila e humuhumu hou ʻia ka ʻoki ʻili a pani ʻia.
2. Ke ʻano hana ʻoki ʻole: Ma kēia ʻano hana, ʻōwili ke kauka lapaʻau i ka lihilihi i loko a hoʻopaʻa i ka ʻiʻo ma lalo. ʻAʻole pono kēia i kekahi ʻoki ʻana i ka ʻili.
Ma hope o ke ʻoki ʻana, e wehewehe kāu kauka pehea e mālama ai i kou mau maka. He mea nui e ʻike hou i kāu kauka i kekahi mau lā ma hope o ke ʻoki ʻana no ka nānā ʻana.
Aia kekahi mau pilikia i ka mālama ʻana?
E like me nā hana ʻoki kino a pau, hiki ke loaʻa nā pilikia liʻiliʻi ma hope o ke kaʻina hana ptosis.
- Ke kahe nei ke koko mai ka ʻeha.
- Ka maʻi ma kahi i hana ʻia ai ke ʻoki.
- Ka hōʻino ʻana i ka cornea o ka maka.
- ʻAʻole hiki ke pani piha i ka lihilihi.
- Hoʻi hou mai ka ptosis ma hope o kekahi manawa.
- Ma hope o ke ʻoki ʻana, ʻano like ʻole paha ke ʻano o nā maka a i ʻole ka nui o ka hāpai ʻana o ka lihilihi (e hoʻoponopono ka hapa nui o kēia mau mea iā lākou iho i ka hala ʻana o ka manawa).
Aia kekahi mau kulu maka?
ʻAe. Aia kahi kulu maka i ʻāpono ʻia no kekahi mau ʻano o Acquired Ptosis i nā pākeke. ʻO Oxymetazoline ka inoa o kēia lāʻau lapaʻau. Hana ia ma ke kuhikuhi pololei ʻana i ka ʻiʻo levator a me ka hoʻoulu ʻana iā ia. ʻIke kekahi poʻe ʻo ka hoʻohana ʻana i kēia lāʻau lapaʻau e kōkua i ko lākou mau lihilihi e wehe maikaʻi aʻe. Eia nō naʻe, no ka mālama ʻana i kēia hopena, pono ʻoe e hoʻohana i kēia lāʻau lapaʻau i kēlā me kēia lā.
ʻO ka mea nui loa, ʻaʻole hana kēia kulu maka no nā ʻano ptosis āpau, no laila pono ʻoe e kamaʻilio me kāu loea maka e ʻike inā kūpono kēia iā ʻoe.
Hiki ke pale ʻia ka ptosis?
ʻAʻole hiki ke pale ʻia ka Congenital Ptosis. No ka mea, ua hānau ʻia ke pēpē me kēlā ʻano. Eia kekahi, he mea paʻakikī iā mākou ke pale aku i nā kumu o ka Ptosis (Acquired Ptosis) e kū mai ana ma hope, e like me ka ʻelemakule. No laila, ma mua o ka pale ʻana i kēia, ʻoi aku ka nui o ka ʻike mua ʻana a me ka ʻimi ʻana i ka lāʻau kūpono inā kū mai.
Āhea wau e ʻike ai i ke kauka?
He nīnau koʻikoʻi loa kēia. Pono ʻoe e ʻike i ke kauka, ʻoiai ke kauka maka, ma nā kūlana aʻe:
| I ka manawa hea e ʻike ai i kāu kauka | |
|---|---|
| Inā ua ālai ʻia ka ʻike | Inā paʻakikī ke hana i kāu mau hana o kēlā me kēia lā me ka kulou ʻana o kou lihilihi, e heluhelu, a e hoʻokele paha. |
| Inā ʻoe e hopohopo nei e pili ana i kou helehelena | Inā hōʻoluʻolu ʻole kēia kūlana iā ʻoe e pili ana i kou helehelena. |
| Inā ʻālohilohi koke ʻoe | Inā hāʻule koke kekahi lihilihi maka a pani paha, e ʻimi koke i ke kōkua lapaʻau no ka mea he hōʻailona paha ia o kahi maʻi koʻikoʻi e like me ka hahau ʻana. |
| Inā he mau hōʻailona ʻē aʻe | Ma waho aʻe o nā lihilihi maka e kulou ana, inā he ʻike pālua kou a ʻeha paha ka maka. |
| Inā loaʻa i kāu keiki ka ptosis | Mai hoʻokaʻulua. He mea nui e ʻike koke i ke kauka maka e pale aku i nā pilikia ulu ʻana o ka ʻike i kāu keiki. |
Leka Lawe-Home
- ʻO Ptosis ka hāʻule ʻana o ka lihilihi o luna. Hiki ke hānau ʻia a ulu paha ma hope o ke ola.
- ʻO ke kumu nui o kēia i nā mākua, ʻo ia ka ʻelemakule.
- Inā loaʻa i ke keiki ka ptosis, he mea nui loa e ʻike koke i kahi ophthalmologist, no ka mea hiki ke hoʻopilikia i ka ulu ʻana o ka ʻike.
- Inā hoʻopilikia kēia kūlana i ka ʻike maka a i ʻole he hopohopo e pili ana i ka helehelena, aia nā lāʻau lapaʻau kūpono, e like me ke ʻoki ʻana.
- Inā hāʻule koke kahi lihilihi maka, e ʻimi koke i ke kōkua lapaʻau no ka mea he hōʻailona paha ia o kahi maʻi koʻikoʻi.
- E kamaʻilio mau me kāu kauka e ʻike ai i ka lāʻau lapaʻau kūpono loa no kou kūlana.
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