Ua manaʻo paha ʻoe ua maloʻo loa kou mau maka, me he mea lā he mau ʻāpana one i loko, a i ʻole ua ʻulaʻula mau a pehu? He ʻano hoʻonāukiuki loa kēia. ʻOiai inā hoʻohana mākou i nā kulu maka no kēia, i kekahi manawa he manawa pōkole wale nō ka hōʻoluʻolu e hāʻawi mai ai. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi mea liʻiliʻi i kapa ʻia ʻo 'Punctal Plugs' hiki ke lilo i hoʻokahi hopena no kēia.
I ka ʻōlelo maʻalahi, he aha nā Punctal Plugs?
E noʻonoʻo i ko kākou mau maka me he ʻōnaehana hoʻokahe wai lā no ko kākou mau waimaka e kahe ai i waho. Aia ʻelua mau lua liʻiliʻi ma loko o ko kākou mau maka, ma luna a ma lalo o ko kākou mau lihilihi maka. Ua kapa ʻia kēia mau mea he 'puncta'. ʻO kēia mau lua kahi e kahe ai nā waimaka mai ko kākou mau maka i loko o ko kākou ihu. Ke hoʻomanaʻo nei ʻoe i ka wā e uē ai kākou a puka mai kahi wai liʻiliʻi mai ko kākou ihu? No ka mea, ua pili kēia mau waimaka i ka ihu.
No laila, ʻo nā Punctal Plugs he mea pani liʻiliʻi loa i kau ʻia i loko o ka lua liʻiliʻi (punctum) kahi e kahe ai nā waimaka. Ke kau ʻia kēia, e pau ke kahe ʻana o nā waimaka mai ka maka, a i ʻole e hōʻemi iki iā ia, a noho nā waimaka i loko o ka maka no ka manawa lōʻihi. Mālama kēia i ka maka i ka pulu a hōʻemi i ka manawa o nā maka maloʻo. Ua like ia me ke pani ʻana i ka ʻauwai i loko o ka ʻauʻau. A laila noho ka wai i loko o ka loko wai, ʻeā? Pēlā nō hoʻi ka mea e hana nei ma ʻaneʻi.
Aia kekahi mau ʻano plug punctal like ʻole?
ʻAe, ʻoiaʻiʻo nō. Aia nā ʻano like ʻole e hiki i kāu kauka ke koho mai ma muli o kou mau pono a me kou kūlana. Hiki ke hoʻokaʻawale ʻia lākou i kekahi mau ʻano nui e pili ana i nā mea i hana ʻia ai a me ka manawa e noho ai lākou i loko o ka maka.
| ʻAno Pākuʻi | Wehewehena |
|---|---|
| Manawa pōkole | Hoʻokomo pinepine ʻia kēia mau mea no kahi manawa pōkole, ma kahi o 5-7 mau lā. Hana ʻia lākou me nā mea e like me ke collagen . Hoʻoheheʻe lākou i loko o ka maka ma hope o kekahi mau lā. Hiki ke hoʻohana ʻia ma ke ʻano he hoʻāʻo ma mua o kekahi lāʻau lapaʻau. |
| Paʻa mau loa | ʻO kēia ʻano e mau ana mai kekahi mau pule a i kekahi mau mahina. Hoʻoheheʻe pū kēia mau mea a komo ʻia e ke kino i ka hala ʻana o ka manawa. |
| Paʻa mau | Hana ʻia kēia mau mea me nā mea synthetic e like me ka silicone . ʻAʻole lākou e hoʻoheheʻe. Akā, mai makaʻu i ka huaʻōlelo 'mau loa', inā pono, hiki i ke kauka ke wehe iā lākou me ka maʻalahi a me ka wikiwiki. |
Eia kekahi, aia ʻelua mau ʻano kūikawā ʻē aʻe:
- Nā plug lāʻau lapaʻau: Hoʻopili ʻia kekahi mau ʻano plug i ka lāʻau lapaʻau i loko a i waho paha. Ke hoʻokomo ʻia kēia mau mea, 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 ma kahi liʻiliʻi o ka maka ma mua o ka hoʻōki loa ʻana iā lākou. Hoʻohana ʻia lākou i kekahi manawa e mālama i nā kūlana e like me ka epiphora, kahi e hoʻoulu ai i ka wai nui o nā maka.
He aha nā kūlana e hoʻohana ʻia ai nā plugs punctal?
Hoʻohana nui ʻia kēia mau mea ma ke ʻano he lāʻau lapaʻau no nā maka maloʻo . Hiki ke loaʻa kekahi mau kumu no nā maka maloʻo. ʻAʻole lawa ka waimaka o kāu mau kelepa waimaka, a i ʻole he maikaʻi ʻole ke ʻano o nā waimaka a lākou e hana ai a mahu koke lākou.
Ma waho aʻe o nā maka maloʻo, hoʻohana ʻia lākou e mālama i nā maka maloʻo i hoʻokumu ʻia e nā kūlana penei:
- ʻO kekahi mau maʻi autoimmune, no ka laʻana (Sjögren's syndrome) a me (Nā maʻi e like me ka lupus .
- Nā kūlana e hōʻino ai i ka cornea, no ka laʻana (nā ʻino hou o ka cornea) .
- Ma ke ʻano he hopena ʻaoʻao o ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau, ʻoi aku hoʻi nā lāʻau antipsychotic , antidepressants , a me nā beta-blockers .
- Ke noho nei i kahi ʻano maloʻo loa a i ʻole kahi haʻahaʻa o ka makū.
- Ka ʻike ʻia ʻana i ka haumia o ka ea, e like me ka paka a i ʻole ka uahi vape, nā uahi kemika.
ʻO ka mea nui loa, ʻo ia ke hoʻoholo a kāu kauka i ke kumu o kou mau maka maloʻo a me ka lāʻau kūpono loa no ia. No laila, he mea nui loa ka ʻimi ʻana i ka ʻōlelo aʻoaʻo lapaʻau ma mua o ka mālama ponoʻī ʻana.
He ʻeha anei ke kau ʻana i nā plug punctal i loko o nā maka?
ʻAʻole loa. He maʻalahi loa kēia, wikiwiki, a ʻaʻohe ʻeha. E hana kāu kauka i loko o kekahi mau minuke.
ʻO ka mea mua, e kau paha ke kauka i kahi anesthetic topical ma kou lihilihi maka e hoʻomāʻū iā ia. E kōkua kēia iā ʻoe e hōʻemi i ka ʻoluʻolu ʻole. A laila, me ka hoʻohana ʻana i kahi mea hana kūikawā, e hoʻokomo pono lākou i kēia plug liʻiliʻi i loko o ke kahawai waimaka. ʻOiai ke ʻano like me ke komo ʻana i loko o kou maka, ʻaʻole ia e hele i kahi o kou maka. Manaʻo paha ʻoe i kahi ʻūmiʻi iki, akā ʻo ia wale nō. Ma hope o ke komo ʻana o ka plug, hiki iā ʻoe ke hoʻi i ka home ma ke ʻano maʻamau.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻano hana?
E like me nā lāʻau lapaʻau a pau, aia nā pono a me nā pōʻino liʻiliʻi loa.
Nā pono nui
- Palekana: He mea kākaʻikahi loa nā hopena ʻaoʻao. Inā loaʻa lākou, ʻaʻole lākou he mea koʻikoʻi.
- Wikiwiki, maʻalahi a ʻeha ʻole:Hiki ke hana ʻia i loko o kekahi mau minuke ma loko o ka lumi o ke kauka.
- ʻAʻohe pono e mālama mau loa iā lākou: Hoʻopau nā ʻano manawa pōkole i loko o kekahi mau lā. Hiki i ke kauka ke wehe i nā ʻano mau loa i kēlā me kēia manawa inā pono.
- Hoʻonui i ka pono o nā lāʻau ʻē aʻe: Inā ʻoe e hoʻohana i nā kulu maka e like me nā waimaka hana, e kōkua kēia plug i ka lāʻau e noho lōʻihi i loko o ka maka, e hopena i nā hopena maikaʻi aʻe.
Nā pilikia hiki ke loaʻa (Nā pilikia)
He mau mea liʻiliʻi kēia a he haʻahaʻa ka hiki ke hana.
- Ka hemo ʻana o ka plug: ʻO kēia ka pilikia maʻamau. ʻO nā plug i kau ʻia ma ka lihilihi o luna, ma ke ʻano kūikawā, hiki ke hemo i kekahi manawa.
- Ka nui o ka waimaka o nā maka (Epiphora): Ke pau ke kahe ʻana o nā waimaka, hiki i kekahi poʻe ke ʻike i ka nui o ka waimaka a me nā maka waimaka. Inā hana ʻia kēia, pono paha ʻoe e hoʻololi i kahi plug me kahi lua.
- Hiki ke hemo iki ke plug: Inā hana ʻia kēia, hiki iā ʻoe ke manaʻo i kahi ʻoluʻolu iki a i ʻole kahi ʻano ʻūlū i kou maka. Hiki paha i ke kauka ke hoʻopaʻa hou a wehe paha.
- Kākaʻikahi loa: ʻO ka maʻi o ka plug, ka neʻe ʻana o ka plug i loko o ke kahawai waimaka, a i ʻole ke kūkulu ʻia ʻana o nā puʻupuʻu liʻiliʻi (pyogenic granuloma) he mea kākaʻikahi loa ia. Eia nō naʻe, ʻaʻohe pono e hopohopo no ka mea aia nā lāʻau lapaʻau no kēia.
He aha kaʻu e hana ai ma hope o ke kau ʻana i nā plug punctal?
Aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana e loaʻa ai ka mea nui loa mai kēia lāʻau a pale i nā pilikia.
- 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 i nā lāʻau lapaʻau ʻē aʻe e like me ke kuhikuhi ʻana: Inā ua kuhikuhi kāu kauka i nā kulu maka ʻē aʻe nāu, e hoʻohana iā lākou i nā manawa kūpono a ma ke ʻano kūpono.
- E mālama i kou mau lima: E holoi mau i kou mau lima me ke kopa a me ka wai ma mua o ka hoʻopā ʻana i kou mau maka a i ʻole kou maka. He maʻa maikaʻi kēia e loaʻa ai ʻoiai inā ʻaʻohe ou plug.
Āhea wau e kāhea aku ai i ke kauka?
Inā ua hoʻokomo ʻia nā plugs a ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e kāhea koke aku i kāu kauka.
- ʻEha i nā maka
- ʻUlaʻula maka, maneʻo, a wela paha
- Manaʻo e like me ke kau ʻana o kekahi mea i loko o ka maka
- Nā maka waimaka nui ʻole a maloʻo paha ma mua o ka maʻamau
- ʻO ka pehu ʻana, ka ʻulaʻula, a i ʻole ka ʻeha o ka lihilihi (blepharitis)
Leka Lawe-Home
- He lāʻau maʻalahi, palekana, a maikaʻi hoʻi nā Punctal Plugs no nā maka maloʻo.
- He wikiwiki loa ke kaʻina hana o ke komo ʻana i kēia mea hana i loko o ka maka a ʻeha ʻole hoʻi.
- Aia nā ʻano plug like ʻole i loaʻa, manawa pōkole, hapa-paʻa, a mau loa paha, e kūpono i kāu mau pono.
- He mea kākaʻikahi loa nā hopena ʻaoʻao, akā inā loaʻa iā ʻoe ka ʻeha o ka maka, ka wela, a i ʻole kekahi mau hōʻailona ʻē aʻe, e kelepona koke aku i kāu kauka.
- E hahai mau i nā ʻōlelo a kāu kauka no nā hopena maikaʻi loa.
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