Maloʻo mau anei kou mau maka? E kamaʻilio kākou e pili ana i ke ʻano o kēia mau Punctal Plugs! (Punctal Plugs)

Ke manaʻo nei ʻoe i kekahi manawa ua maloʻo loa kou mau maka, me he mea lā he mau ʻāpana one i loko, a i ʻole he ʻano wela wale nō? He pilikia kēia i loaʻa i nā poʻe he nui. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau maʻalahi akā maikaʻi loa no nā maka maloʻo. ʻO ia ʻo Punctal Plugs. ʻOiai ke kani nui nei ka inoa, he mea liʻiliʻi a maʻalahi hoʻi ia.

I ka ʻōlelo maʻalahi, he aha kēia mau Punctal Plugs?

I mea e hoʻomaopopo ai i kēia, e hoʻomaopopo mua kākou i kahi liʻiliʻi e pili ana i ka hana ʻana o ko kākou mau maka. E noʻonoʻo, he mau waimaka liʻiliʻi ko kākou i loko o ko kākou mau maka. ʻO kēia mau waimaka ka mea e mālama ai i ko kākou mau maka i maʻemaʻe a pulu. E like me nā mea holoi ma ke kaʻa, ke ʻālohilohi kākou, e pālahalaha ana kēia ʻili waimaka ma luna o ka maka.

ʻĀnō, ʻaʻole kēia mau waimaka e hōʻiliʻili wale a kahe. Pono nō hoʻi lākou e kahe i waho o ka maka. No kēia, loaʻa iā mākou ʻelua mau lua liʻiliʻi loa ma nā kihi o ko mākou mau maka, ma ka ʻaoʻao o ko mākou ihu, ma nā lihilihi o luna a me lalo. Ua kapa ʻia kēia mau mea ʻo 'puncta'. ʻO kēia mau lua kahi e komo ai nā waimaka kahiko i loko o kahi ʻōmole e komo ana i loko o ka ihu (nasolacrimal duct) a hoʻokahe ʻia i waho. Ke hoʻomanaʻo nei ʻoe i ka wā e uē ai mākou, puka mai kahi wai liʻiliʻi mai loko mai o ko mākou ihu? No ka mea, komo kēia mau waimaka i loko o ka ihu.

No laila, ʻo nā Punctal Plugs he plug palupalu a liʻiliʻi i kau ʻia ma luna o nā lua waimaka liʻiliʻi (puncta) e hoʻokahe ai i nā waimaka. E like me kahi plug e ālai ana i ka lua hoʻokahe i loko o kahi poho holoi, hoʻōki kēia mau plug i nā waimaka mai ke kahe ʻana mai waho o ka maka, a i ʻole e hōʻemi iā lākou. ʻAe kēia i nā waimaka e noho lōʻihi i loko o ka maka, e mālama ana i ka maka i ka pulu.

Aia kekahi mau ʻano plug like ʻole?

ʻAe, ʻoiaʻiʻo nō. ʻAʻole hoʻohana nā kānaka a pau i ke ʻano like. E koho kāu kauka i ke ʻano kūpono loa ma muli o kou kūlana. Hiki ke hoʻokaʻawale ʻia lākou i kekahi mau ʻano, ma muli o ka mea i hana ʻia ai lākou a me ka manawa e noho ai lākou i loko o ka maka.

Eia kekahi, aia ʻelua mau ʻano kūikawā ʻē aʻe:

• Nā plug lāʻau lapaʻau: Loaʻa i kekahi mau plug ka lāʻau lapaʻau. Ke hoʻokomo ʻia ke plug i loko o ka maka, e hoʻokuʻu mālie ʻia ka lāʻau lapaʻau i loko o ka maka.
• Nā ʻūpā puka: He lua liʻiliʻi ko kēia mau ʻūpā ma waenakonu. ʻAe kēia i nā waimaka e kahe me ka manuahi, ma mua o ka hoʻōki loa ʻana iā lākou. Hoʻohana ʻia kēia mau mea no ka poʻe me nā maka waimaka.

He aha ke ʻano o kēia mau kūlana e hoʻohana ʻia ai?

Hoʻohana nui ʻia kēia mau mea no ka mālama ʻana i nā maka maloʻo . Nui nā kumu no nā maka maloʻo. I kekahi manawa, ʻaʻole maikaʻi ko mākou mau waimaka a nalowale koke. A i ʻole ʻaʻole paha e lawa ka waimaka o nā ʻōpū waimaka. ʻO kekahi o nā kumu no kēia:

• ʻO kekahi mau maʻi autoimmune, e like me ka maʻi Sjögren, ka maʻi Graft vs. host (GVHD), a i ʻole Systemic lupus erythematosus (Lupus).
• Nā maʻi e hōʻino ai i ka cornea.
• ʻO kekahi mau lāʻau lapaʻau, ʻoiai nā lāʻau lapaʻau no ka maʻi noʻonoʻo, nā antidepressants, a me kekahi mau lāʻau koko kiʻekiʻe (beta-blockers).
• Haʻahaʻa ka makū i ko mākou wahi noho (he aniau maloʻo loa).
• Ka ʻike ʻia ʻana i nā mea e like me ka uahi cigarette a me nā uahi kemika.

He ʻeha anei ke hoʻokomo ʻana i kahi plug punctal?

ʻAʻole loa. He maʻalahi loa, wikiwiki, a ʻaʻohe ʻeha. Hiki iā ʻoe ke hana i loko o kekahi mau minuke ma ke keʻena o kāu kauka.

ʻO kēia ka mea maʻamau e hana ʻia:

1. ʻO ka mea mua, hiki iā ʻoe ke kau i kahi kulu maka liʻiliʻi e hoʻomāno i kou lihilihi maka. A laila, ʻaʻole ʻoe e manaʻo i kekahi mea.

2. A laila, e paʻa ke kauka i kou lihilihi maka a, me ka hoʻohana ʻana i kahi mea hana palupalu loa, e hoʻokomo i kēia plug i loko o kēlā lua liʻiliʻi (punctum).

3. ʻAʻole kēia e pa i ke keʻokeʻo o kou maka, no laila ʻaʻohe kumu e makaʻu ai.

4. Hiki paha iā ʻoe ke manaʻo i kahi kaomi iki i ke komo ʻana i ka plug. ʻAʻole paha ʻoe e manaʻo no ka mea ua mae.

5. Ke hoʻokomo pono ʻia ke plug, ua pau ka hana. Hiki iā ʻoe ke hoʻi i ka home e like me ka maʻamau.

He aha nā pōmaikaʻi o kēia lāʻau lapaʻau?

Nui nā pono o ka hoʻohana ʻana i nā plugs punctal.

• Palekana loa: ʻAʻole pinepine kēia i nā pilikia a i ʻole nā ​​​​hopena ʻaoʻao, a ʻaʻole koʻikoʻi kēlā mau mea.
• Wikiwiki a ʻeha ʻole: Hiki ke hana ʻia ma ke keʻena o ke kauka, i loko o kekahi mau minuke wale nō.
• ʻAʻole pono ia e mau loa: Hoʻopau ʻia nā ʻano manawa pōkole i loko o kekahi mau lā. Hiki i ke kauka ke wehe maʻalahi i nā ʻano "mau loa" i kēlā me kēia manawa inā pono.
• ʻOi aku ka maikaʻi o nā lāʻau lapaʻau ʻē aʻe: ʻO nā ʻano kulu maka āu e hoʻohana ai, e like me nā waimaka hana, e noho lōʻihi i loko o ka maka, no laila ʻoi aku ka maikaʻi o kā lākou hopena.

Aia kekahi mau hopena ʻaoʻao a i ʻole nā ​​​​pilikia?

E like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia e pili ana, akā he mea liʻiliʻi kēia mau mea.

Nā mea e hiki ke hana pinepine

• ʻO ka hāʻule ʻana o ka plug: ʻO kēia ka mea maʻamau. ʻO nā plug i kau ʻia ma ka lihilihi o luna e maʻalahi loa ka hāʻule ʻana.
• Nā maka waimaka (Epiphora): I kekahi manawa e waimaka paha kou mau maka no ka mea ʻaʻole hiki i kou mau waimaka ke kahe. Inā hana ʻia kēia, pono paha ʻoe e hoʻololi i kahi plug "perforated" me kahi lua ma waena.
• Hiki ke puka iki mai ke pani: Inā hana ʻia kēia, hiki ke hoʻonāukiuki i ka ʻili o ka maka. Hiki paha i ke kauka ke hoʻololi hou a wehe paha.

Nā pilikia kakaikahi

• Granuloma Pyogenic: Hiki ke hana ʻia kahi puʻupuʻu ʻiʻo liʻiliʻi kokoke i ke kahawai waimaka ma muli o ka huhū i hoʻokumu ʻia e ka plug. Hoʻopau loa kēia ma hope o ka wehe ʻia ʻana o ka plug a me ka hoʻopili ʻia ʻana o ka lāʻau.
• Stenosis punctal: Hiki i ka plug ke hana i kahi hāiki o ka puka. He manawa pōkole nō hoʻi kēia.
• Ke hele nei i loko o ka plug: He mea kākaʻikahi loa kēia. Loaʻa i nā plug hou kahi hoʻolālā kūikawā e pale aku ai i kēia.

He aha kaʻu e makaʻala ai ma hope o ke kau ʻana i nā plugs?

E wehewehe pono ana kāu kauka i kēia iā ʻoe, akā ma ke ʻano laulā, e hoʻomanaʻo i kēia mau mea.

• Mai hamo i kou mau maka: ʻO ka hamo nui ʻana i kou mau maka hiki ke wehe i ke plug. Inā ʻānai a ʻoluʻolu ʻole paha kou mau maka, e nīnau i kāu kauka i ka mea e hana ai.
• E hoʻohana pono i nā lāʻau lapaʻau ʻē aʻe: E hoʻohana i nā kulu maka ʻē aʻe, e like me nā waimaka hana, e like me ke kauoha a kāu kauka. Hana maikaʻi lākou me nā plugs.
• E holoi pono i kou mau lima ma mua o ka hoʻopā ʻana i kou mau maka a i ʻole kou maka: He mea kēia e pono ai kākou a pau e hana ma ke ʻano laulā. He manaʻo maikaʻi e makaʻala loa inā he mau plug i loko o kou mau pepeiao.

I ka manawa hea e pono ai iaʻu ke kāhea aku i ke kauka?

Inā ua hoʻokomo ʻia nā plugs punctal a ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e kāhea koke aku i kāu kauka.

He mau mea liʻiliʻi nā plug punctal e hiki ke hāʻawi i ka hōʻoluʻolu nui mai ka ʻeha o ka maka. ʻOiai he mea hopohopo iki paha ke kau ʻana, he lāʻau palekana a maikaʻi loa ia. Inā he mau maka maloʻo kou, e kamaʻilio me kāu kauka e pili ana iā lākou. A laila hiki iā ʻoe ke hoʻomau i kāu mau hana o kēlā me kēia lā me ka hopohopo ʻole e pili ana i ka ʻeha o ka maka.