Ke ala ʻoe i ke kakahiaka a nānā i ke aniani, ua pūʻiwa koke ʻoe? He kiko koko ʻulaʻula nui ma ka ʻaoʻao keʻokeʻo o kou maka ! Me he mea lā ua like ia me kahi mea mai loko mai o kahi kiʻiʻoniʻoni weliweli. He mea weliweli loa kēia no kekahi e ʻike. Akā, mai hopohopo. ʻO ka hapa nui o ka manawa, ʻaʻohe mea e makaʻu ai kēia. I ka lāʻau lapaʻau, kapa mākou i kēia ʻo `(Subconjunctival Hemorrhage)`. ʻOiai paha he lōʻihi a he mea ʻē paha ke kani ʻana, he maʻalahi loa kēia maʻamau. E kamaʻilio kākou e pili ana i kēia me ka maopopo a me ka maʻalahi i kēia lā.
He aha maoli kēia maka ʻulaʻula?
I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ke ʻano o ka maka . I nā huaʻōlelo maʻalahi, ua kapa ʻia ka ʻāpana keʻokeʻo o ko kākou maka ʻo 'sclera'. Ma luna o kēia ʻāpana keʻokeʻo, aia kahi membrane lahilahi a moakaka hoʻi, e like me ke aniani. Ua kapa ʻia kēia ʻo 'conjunctiva'. ʻO ia ka membrane like e uhi ana i loko o kou maka.
ʻO ka mea nui, i loko o kēia membrane lahilahi, he nui nā kīʻaha koko liʻiliʻi i palupalu loa, ʻaʻole i mānoanoa e like me ka lauoho. Kāhea mākou i kēia mau "(capillaries)". No ka mea, he palupalu loa kēia mau kīʻaha koko, i kekahi manawa hiki iā lākou ke pohā me kahi kaomi iki.
No laila, i loko o kahi `(Subconjunctival Hemorrhage)`, pohā kekahi a ʻoi aku paha o kēlā mau kīʻaha koko liʻiliʻi, a puka mai kekahi koko a hōʻiliʻili ma lalo o kēlā membrane i kapa ʻia ʻo `(conjunctiva).` Ua like ia me ka wā e ʻeha ai kou lima a wāwae paha, hōʻiliʻili ke koko ma lalo o ka ʻili a lilo i polū. Akā i ka wā e hōʻiliʻili ai kēia koko ma ka ʻaoʻao keʻokeʻo o ka maka , hiki iā mākou ke ʻike maopopo iā ia he ʻulaʻula ʻālohilohi. ʻO ia ke kumu e makaʻu ai mākou i ka wā e ʻike ai mākou.
ʻO ka mea nui, aia kēia koko ma luna o ka maka. ʻO ke ʻano kēia, ʻaʻole e komo kēia koko i loko o ka maka a i ʻole i loko o nā ʻāpana e pili ana i kou ʻike. No laila, ʻaʻole kēia e hōʻeha i kou ʻike ma kekahi ʻano.
He aha nā hōʻailona o kēia?
ʻO ka mea kupaianaha e pili ana i kēia, ʻo ia hoʻi, ma waho aʻe o ke kala ʻulaʻula weliweli o nā maka , ʻaʻohe pinepine nā hōʻailona ʻē aʻe.
ʻAʻole ʻike ka nui o ka poʻe ua hana ʻia kekahi mea e like me kēia i ko lākou mau maka . ʻAʻole lākou i ʻike a hiki i ka wā e haʻi aku ai kekahi iā lākou a ʻike paha lākou iā ia i loko o ke aniani. Akā, he mea kākaʻikahi loa, hiki i kekahi poʻe ke manaʻo i kekahi mea. E nānā kākou i ka mea hiki ke ʻike ʻia a me ka mea hiki ʻole ke ʻike ʻia ma kēia ʻano.
| ʻAno | Hiki iā ʻoe ke ʻike iā ia ma kēia kūlana? |
|---|---|
| He ʻulaʻula koko ma ke keʻokeʻo o ka maka | ʻAe, ʻo kēia ka hiʻohiʻona nui a hoʻokahi wale nō. |
| ʻEha maka | ʻAʻole. ʻAʻohe oʻu ʻeha. |
| Nā loli o ka ʻike (ʻike pōwehiwehi, ʻike pālua) | ʻAʻole. ʻAʻohe hopena ma ka ʻike. |
| Ka hoʻokuʻu ʻana a i ʻole ka kahe ʻana mai ka maka | ʻAʻole. ʻAʻohe mea e puka mai ana mai ka maka mai. |
| Pehu maka | ʻAʻole. ʻAʻole pehu ka maka. |
| ʻO kahi ʻoluʻolu iki i ka maka (he manaʻo e like me ka maneʻo) | He mea kākaʻikahi loa , ʻike paha kekahi poʻe, akā, ʻaʻole ia he mea maʻamau. |
No ke aha lā kēia e hana nei? He aha nā kumu?
Ke noʻonoʻo nei paha ʻoe, "ʻAʻole au i hana i kekahi mea, no ke aha i hana koke ʻia ai kēia?" ʻOiaʻiʻo, i kekahi manawa hiki ke hana ʻia kēia me ke kumu ʻole. Akā ʻo ka hapa nui o ka manawa, ua hoʻoulu ʻia ia e ka piʻi koke ʻana o ke koko i loko o ko kākou mau aa koko no kekahi manawa pōkole. Aia kekahi mau kūlana e hiki ai ke hana ʻia kēia.
Nā kumu maʻamau
- ʻUmiʻumi, ʻūmiʻumi, a me ka luaʻi ʻana me ka leo nui: Ke loaʻa iā ʻoe ke anu a me ka ʻūmiʻumi a me ka ʻūmiʻumi me ka leo nui, hoʻokau ia i ka nui o ke kaomi ma luna o kou kino. Hiki i kēlā kaomi ke pohā i nā kīʻaha koko palupalu i loko o kou mau maka .
- Ka hāpai kaumaha a i ʻole ke kaumaha: Hiki ke hana kēia i ka wā e hāpai ai i kahi mea kaumaha loa, kūlou i mua, a i ʻole ke kaumaha nui ma muli o ka paʻa ʻana i ka wā e hele ana i ka lua.
- Ke hamo ikaika ʻana i nā maka: Ke hamo ikaika nei kekahi poʻe i ko lākou mau maka ke loaʻa iā lākou kahi maʻi maka. ʻO ka hana ʻana pēlā hiki ke hōʻino i kēia mau kīʻaha koko palupalu.
- Nā ʻeha liʻiliʻi i ka maka a i ʻole ke poʻo: MakaHiki ke hana ʻia kēia ʻano inā paʻi kekahi mea iā ia a inā paha ua loaʻa ka maʻi i ka maka.
- Ke komo ʻana i nā aniani hoʻopili: ʻO ka poʻe e komo ana i nā aniani hoʻopili i kekahi manawa he kiʻekiʻe iki ka pilikia ma muli o nā mea e like me nā maka maloʻo a me ka friction.
- Kekahi mau lāʻau lapaʻau: ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe e lawe ana i nā lāʻau hoʻokahe koko, ʻoi aku ka poʻe e lawe ana i nā lāʻau hoʻokahe koko (Aspirin, Warfarin).
Nā kumu kakaikahi
I kekahi manawa he hōʻailona paha kēia o kahi maʻi ʻē aʻe, akā he mea kākaʻikahi loa ia.
- Ke koko kiʻekiʻe
- Maʻi diabetes
- Nā maʻi kāpili koko: Hiki ke hana kēia i nā poʻe me nā maʻi pili i ke koko e like me "Hemophilia" a i ʻole "maʻi von Willebrand".
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?
ʻOiai hiki i kekahi ke loaʻa i kēia, ʻoi aku ka nui o ka pilikia o kekahi poʻe.
- Makahiki: ʻOi aku ka nui o ka pilikia o ka poʻe ma luna o 65 mau makahiki no ka mea e nāwaliwali ana nā kīʻaha koko i ko lākou ʻelemakule ʻana. He mea maʻamau kēia i nā pākeke me nā maʻi e like me ke koko kiʻekiʻe a i ʻole ka maʻi diabetes.
- ʻO ka poʻe e hoʻohana ana i nā aniani hoʻopili: E like me ka mea i ʻōlelo ʻia ma mua, hoʻoulu nā aniani hoʻopili i ka maloʻo a me ka friction ma ka ʻili o ka maka , e hoʻonui ana i ka pilikia o ka pohā ʻana o nā kīʻaha koko.
- ʻO ka poʻe i hana ʻia i ke ʻoki maka : No ka laʻana, hiki i kekahi i hana ʻia i ke ʻoki cataract ke loaʻa i kahi ʻili koko e like me kēia ma hope o ke ʻoki ʻana. He mea maʻamau kēia.
Pehea e ʻike ai ke kauka i kēia? He aha ka lāʻau lapaʻau?
He mea maʻalahi loa kēia. Hiki i kāu kauka ke ʻike i kahi hemorrhage subconjunctival ma ka nānā ʻana i kou maka. ʻAʻohe hoʻokolohua kūikawā ʻē aʻe e pono ai. Eia nō naʻe, inā he ʻeha a he kahe koko paha kou ma kahi ʻē aʻe o kou kino, a inā kānalua kāu kauka, makemake paha ʻo ia e nānā i kou koko.
I kēia manawa, e hele kākou i ka ʻāpana maikaʻi loa. ʻAʻole pono kēia i kekahi mālama kūikawā.
ʻAe, ʻaʻohe mea hiki iā ʻoe ke hana. Ua like ia me kahi palapū ma ka ʻili. Hoʻōla ia iā ia iho, a e omo mālie kou kino a wehe i kēia ʻōpala koko ma kou maka .
ʻO ka maʻamau , hoʻokahi a ʻelua paha pule ka lōʻihi o kēia kaʻina hana. Inā nui iki aʻe ke koko, hiki ke hala a ʻekolu pule. I loko o kēia manawa, e hoʻomaka ana ke koko ʻulaʻula ʻeleʻele, e like me kahi palapū kahiko, e loli ke kala. E melemele, ʻōmaʻomaʻo, a mae mālie. He mea maʻamau loa kēia.
ʻEāInā manaʻo ʻoe he ʻano maneʻo iki, hiki iā ʻoe ke nīnau i kāu kauka e pili ana i ka hoʻohana ʻana i nā kulu maka e like me "nā waimaka hana". E kōkua kēia i kou mau maka e ʻoluʻolu iki.
No laila, i ka manawa hea e pono ai ʻoe e ʻike i ke kauka?
ʻOiai ʻo ka hapa nui o ka manawa ʻaʻohe mea e hopohopo ai, aia kekahi mau hihia kūikawā kahi e pono ai ʻoe e ʻike i ke kauka.
| Manawa kūpono | No ke aha he mea nui kēlā? |
|---|---|
| Inā he ʻeha nui me ka ʻulaʻula o ka maka | He hōʻailona paha kēia o kekahi maʻi koʻikoʻi ʻē aʻe, no laila inā ʻoe e ʻeha ana, e ʻike pono i ke kauka. |
| Inā he hopena ma ka ʻike (blurring, ʻike pālua) | ʻAʻole hoʻopilikia ka "Subconjunctival Hemorrhage" i ka ʻike. Inā pēlā, ʻo ia hoʻi he pilikia ʻē aʻe paha. |
| Inā hana ʻia kēia ma hope o kahi ʻeha nui o ke poʻo a i ʻole ka maka | Inā ua loaʻa iā ʻoe kahi pōʻino nui i loko o kou maka ma muli o kahi ulia, pono ʻoe e ʻike koke i ke kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila. |
| Inā hana hou ʻia kēia kūlana i nā manawa pinepine a me ke kumu ʻole, | He hōʻailona paha kēia o kekahi maʻi ʻē aʻe, e like me ke koko kiʻekiʻe i ʻōlelo ʻia ma mua, ka maʻi diabetes, a i ʻole ke koko ʻana o ke koko. He mea nui e nānā ʻia. |
Hiki ke pale ʻia kēia?
ʻOiai ʻaʻole hiki ke pale loa ʻia, hiki ke hoʻemi ʻia ka pilikia.
- Inā ʻoe e hoʻokomo i nā aniani hoʻopili, e mālama mau iā lākou i ka maʻemaʻe.
- E komo i ka pale maka i ka wā e pāʻani ai i nā haʻuki a i ʻole e hana ana i nā hana pilikia.
- Inā he maʻi koko koko kou, e kamaʻilio mau me kāu kauka e pili ana i ia mea a e hahai i kāna mau ʻōlelo kuhikuhi.
- Inā loaʻa iā ʻoe ke koko kiʻekiʻe a i ʻole ka maʻi diabetes, e kaohi pono iā lākou.
Leka Lawe-Home
- ʻO ke "Subconjunctival hemorrhage" he hōʻiliʻili koko e hana ʻia i ka wā e pohā ai kahi kīʻaha koko liʻiliʻi ma ka ʻili o ka ʻaoʻao keʻokeʻo o ka maka . ʻOiai he mea weliweli ke ʻike ʻia, ʻaʻole ia he kūlana weliweli.
- ʻO ka hōʻailona nui o kēia he maka ʻulaʻula. ʻAʻohe ʻeha, loli ka ʻike, a i ʻole ka kahe ʻana mai ka maka.
- ʻAʻole pono kēia i kekahi lāʻau kūikawā. E like me ka palapū, e ho'ōla ia iā ia iho i loko o hoʻokahi a ʻelua paha pule.
- Hiki ke hana pinepine ʻia kēia e nā mea maʻalahi e like me ke kuʻi ʻana, ka ʻū ʻana, a i ʻole ka ʻū ʻana.
- Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha o ka maka a i ʻole nā loli o ka ʻike, a inā paha e hana pinepine ʻia kēia ʻano, e ʻike pono i kāu kauka.
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