He ʻulaʻula kou maka? Mai hopohopo! E aʻo kākou e pili ana i kēia (Subconjunctival Hemorrhage)!

Inā ala ʻoe i ke kakahiaka a nānā i ke aniani a ʻike koke i kahi kiko koko ʻulaʻula nui ma ke keʻokeʻo o kou maka , he mea weliweli iki ia, ʻeā? A i ʻole ʻike paha ʻoe i kahi hoaaloha a ʻohana paha a nīnau, "Auē, ua ʻulaʻula koʻu maka, he aha ka mea i hana ʻia?" He mea maʻamau iā mākou ke makaʻu iki i ka wā e ʻike ai mākou i kahi mea e like me kēia. Eia naʻe, ʻo ka hapa nui o ka manawa, ʻaʻole ia he mea koʻikoʻi. Kāhea mākou i kēia maʻi ʻo `(Subconjunctival Hemorrhage)`. ʻOiai he paʻakikī iki ka inoa, he maʻalahi pinepine ka ʻoiaʻiʻo. E kamaʻilio kākou e pili ana i kēia i kēia lā, ʻeā?

He aha maoli ka hemorrhage subconjunctival ?

I ka ʻōlelo maʻalahi, ʻo ia ka wā e pohā ai kahi kīʻaha koko liʻiliʻi ma luna o ka maka , e kahe ana kekahi koko i waho. I kēia manawa, e nānā, aia ka ʻāpana keʻokeʻo o kou maka , a mākou e kapa nei ma ke ʻano lapaʻau ʻo `(Sclera)`. Ma luna o kēlā, aia kahi membrane lahilahi e pale ana i ka maka mai ka lepo a me ka lepo. Ua kapa ʻia kēia membrane ʻo `(Conjunctiva).` I loko o kēia `(Conjunctiva)` he nui nā kīʻaha koko liʻiliʻi a maikaʻi loa, a i ʻole, he pūnaewele o nā capillaries koko liʻiliʻi . He maikaʻi loa kēia mau mea, no laila hiki iā lākou ke pohā maʻalahi.

Ke pohā kahi kīʻaha koko, hōʻiliʻili ke koko ma lalo o ka membrane i kapa ʻia ʻo `(Conjunctiva)`. ʻO ia ka manawa e like ai ka ʻāpana keʻokeʻo o ka maka me he ʻulaʻula koko lā. No ka mea ua paʻa kēia koko i loko o ka `(Conjunctiva)`, ʻaʻole hiki ke neʻe a holoi ʻia paha. Akā, ʻo ka mea nui, ʻaʻole kēia kahe koko e hana ʻia ma ka ʻāpana ʻeleʻele o ka maka (ka ʻāpana a mākou e ʻike ai - `(Cornea)`) a i ʻole i loko o ka maka. No laila , i ka hapa nui o ka manawa, ʻaʻole e hōʻino ʻia kou ʻike.

ʻOiai hiki i kēia kiko ʻulaʻula ke nānā aku me ka weliweli, ʻaʻole pinepine ia e hoʻoulu i kekahi mau hōʻailona ʻē aʻe a koi paha i kekahi lāʻau kūikawā. Hoʻomaʻemaʻe pinepine ia iā ia iho i loko o hoʻokahi a ʻelua paha pule.

He aha nā hōʻailona o kēia? He aha kou manaʻo?

ʻO kaʻoiaʻiʻo, ma waho aʻe o ka ʻulaʻula ʻālohilohi i ʻike ʻia ma ka maka , ʻaneʻane ʻaʻohe hōʻailona nui ʻē aʻe o ka "Subconjunctival Hemorrhage".

• ʻAʻohe ʻeha: ʻAʻole ʻeha ka hapa nui o ka poʻe.
• ʻAʻohe pehu: ʻAʻole pehu ka maka.
• ʻAʻohe loli o ka ʻike: ʻAʻole e pōwehiwehi kou ʻike a i ʻole ʻaʻole ʻoe e ʻike i kekahi ʻano ʻeha ʻē aʻe.

ʻIke wale ka poʻe he nui i kēia kūlana ke nānā lākou i ke aniani i ke kakahiaka a i ʻole ke ʻike kekahi iā ia. I kekahi manawa, he mea kākaʻikahi loa, hiki i ka maka ke manaʻo iki i ka poniuniu a i ʻole ka huhū iki . Eia naʻe, ʻaʻohe kahe ʻana o ka wai a i ʻole nā ​​hōʻailona koʻikoʻi ʻē aʻe.

No ke aha e pohā ai ke kīʻaha koko i loko o ka maka penei? He aha nā kumu?

ʻEāAia kekahi mau kumu e hiki ai i kēia mau kīʻaha koko liʻiliʻi i loko o ka maka ke pohā. Hiki i kekahi mau hana a me nā kūlana olakino ke hoʻonui koke i ke koko i loko o ko kākou mau aa koko. Ke piʻi koke ke kaomi, hiki i nā kīʻaha koko liʻiliʻi i loko o ka maka ke pohā.

Eia kekahi o nā kumu maʻamau:

• Ke hoʻoikaika nei:
• Ke ʻūhū nui nei
• Ke ʻūhā nui ʻoe `(Sneezing)`
• I ka wā e luaʻi ana `(Vomiting)`
• I ka hoʻāʻo ʻana e kiola i loko o ka lua
• ʻEha i ka maka a i ʻole ke poʻo: Inā paʻi kekahi mea i ka maka, a inā paha e ulu ana kahi maʻi i loko o ka maka.
• Ke hāpai ʻana, ke kīkoʻo ʻana, a i ʻole ke kūlou ʻana i mua: Ke hāpai koke ʻana i kahi mea kaumaha, ke kīkoʻo ʻana i kahi mea, a i ʻole ke kūlou ʻana i mua i ka manawa hoʻokahi.
• Ke hamo nui ʻana i kou maka: Ke hamo nui nei kekahi poʻe i ko lākou mau maka i ko lākou hiamoe ʻana, a hiki ke hana ʻia kēlā.
• Nā aniani hoʻopili: Inā ʻaʻole hoʻohana pono ʻia a no kekahi poʻe paha, hiki i nā aniani hoʻopili ke hoʻomaka i ka makapō.
• ʻO kekahi mau lāʻau lapaʻau: ʻoiai nā lāʻau hoʻokahe koko (e.g., Aspirin, Warfarin) a me nā lāʻau lapaʻau maʻi kanesa e like me Interferon.

Nā kumu i emi iki ka maʻamau:

• ʻO ka maʻi diabetes (Diabetes Mellitus)
• Ke koko kiʻekiʻe
• Nā maʻi koko koko

I kekahi manawa, hiki ke loaʻa kēia ʻano kahe koko o ka maka me ke kumu ʻole (idiopathic). ʻO ke ʻano kēia, ʻaʻole hiki i ke kauka ke hoʻomaopopo i ke kumu o ia mea.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

ʻOiai hiki i kekahi ke loaʻa i kēia maʻi (Subconjunctival Hemorrhage), ʻoi aku ka nui o ka pilikia o kekahi poʻe no ia.

• Makahiki: ʻOi aku ka nui o ka poʻe ma luna o 65 mau makahiki e loaʻa i kēia maʻi, ʻoiai inā he mau maʻi vascular ko lākou e like me ke koko kiʻekiʻe a me ka maʻi diabetes.
• ʻO ka poʻe e ʻaʻahu ana i nā aniani hoʻopili: ʻOi aku ka nui o ka pilikia o ka poʻe e ʻaʻahu ana i nā aniani hoʻopili. No ka mea, hiki i nā aniani hoʻopili ke hana i ka maloʻo a me ka friction i loko o ka conjunctiva, hiki ke alakaʻi i ka mumū a me ka haki ʻana o nā kīʻaha koko.
• ʻO ka poʻe i hana ʻia i ke ʻoki maka: No ka laʻana, ʻo ka mea i hana ʻia i ke ʻoki e like me ke ʻoki cataract he liʻiliʻi ka manawa e hana ai kēia ma hope o ke ʻoki ʻana.

Hiki i kēia ke hoʻoulu i nā pilikia koʻikoʻi?

ʻO ka nūhou maikaʻi, i ka hapanui o nā hihia, he ʻano palekana ʻole ka Subconjunctival Hemorrhage a ʻaʻole ia e hoʻopilikia i kekahi pilikia.

Eia nō naʻe, he mea kākaʻikahi loa kēia, hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi. ʻO kekahi o kēia mau hihia:

• Maʻi ʻaʻa koko.
• Ka maʻi kahe koko a i ʻole ke kāpili ʻana o ke koko.
• Ka hānō koʻikoʻi.
• ʻO ka trauma ʻaʻole ulia (ʻoi aku hoʻi i nā keiki).
• Ka ʻeha koʻikoʻi o ka maka (orbital).

No laila, inā loaʻa iā ʻoe ke kahe pinepine ʻana o ke koko o ka maka e like me kēia, a inā paha e hele pū ʻia me nā hōʻailona ʻē aʻe, he mea naʻauao ke ʻimi i ke kōkua lapaʻau.

Pehea e ʻike ai ke kauka i kēia?

Hiki i ke kauka a kauka maka paha ke ʻike i ka "Subconjunctival Hemorrhage" ma ka nānā ʻana i kou maka . ʻAʻole pono ia i ka hoʻāʻo nui.

I ka manawa like, e nānā paha ke kauka i kou koko . He mea nui loa kēia inā he mau palapū a he kahe koko paha kou ma kahi ʻē aʻe o kou kino.

Aia kekahi ala e ho'ōla koke ai i kēia maka ʻulaʻula? He aha nā lāʻau lapaʻau?

I ka hapa nui o ka manawa, ʻaʻole pono ka "Subconjunctival Hemorrhage" i kekahi lāʻau kūikawā . Hoʻōla ia iā ia iho.

• Inā manaʻo ʻoe he ʻoluʻolu ʻole a maloʻo paha kou mau maka , hiki iā ʻoe ke hoʻohana i nā waimaka hana ( kahi ʻano kulu maka hiki iā ʻoe ke kūʻai ma ka hale kūʻai lāʻau lapaʻau). E kōkua kēia i kou mau maka e ʻoluʻolu.
• I ka hapanui o ka manawa, e nalowale loa kēia ʻili koko i loko o hoʻokahi a ʻelua paha pule. Eia nō naʻe, inā ʻoi aku ka nui o ke ʻili koko, hiki ke hala kekahi mau lā hou aʻe e ho'ōla ai.
• I ka wā e komo mālie ai ke koko i loko o ke kino, hoʻomaka pū ke kala o kēlā kiko ʻulaʻula e loli . E like me ka wā e loaʻa ai kahi palapū ma kekahi wahi o ko mākou kino, i kona ho'ōla ʻana, hoʻololi ia i ke kala i ka uliuli, ʻōmaʻomaʻo, melemele, a nalowale hope. I ka wā mua, he ʻulaʻula ʻeleʻele ia, a laila lilo ia i ʻeleʻele iki, melemele, a laila nalowale.

Mea nui:

Inā loaʻa iā ʻoe ka ʻeha o ka maka me kēia kiko ʻulaʻula, he mea ia e hopohopo ai. Inā pēlā, e ʻike pono i kahi kauka maka. No ka mea, he hōʻailona paha ia o kahi maʻi koʻikoʻi, e like me `(Hyphema)` (ke koko e hōʻiliʻili ana i mua o ka iris o ka maka ).

Inā he pinepine ke kahe ʻana o ke koko i kou mau maka , makemake paha kāu kauka e hana ʻia kekahi mau hoʻokolohua e nānā i kahi kūlana kumu, e like me ka hemophilia a i ʻole ka maʻi von Willebrand, hiki ke hoʻopilikia i ke kāpili ʻana o ke koko.

Hiki ke pale ʻia kēia ʻano kahe koko o nā maka ?

Inā he mau kumu pilikia kou no ka hoʻomohala ʻana i kēia maʻi (Subconjunctival Hemorrhage), aia kekahi mau hana hiki iā ʻoe ke hana e pale aku ai iā lākou:

• Inā ʻoe e hoʻokomo i nā aniani hoʻopili, e mālama iā lākou i ka maʻemaʻe a hoʻohana pono e like me ka ʻōlelo a kāu kauka.
• I ka wā e pāʻani ana i nā haʻuki a i ʻole e hana ana i nā hana weliweli, e ʻaʻahu i nā maka palekana kūpono e pale i kou mau maka.
• Inā he maʻi kahe koko kou , e kamaʻilio me kāu kauka e pili ana i ia mea a hahai i nā ʻōlelo kuhikuhi.
• Inā loaʻa iā ʻoe nā maʻi e like me ke koko kiʻekiʻe a i ʻole ka maʻi diabetes, e kaohi pono iā lākou.

He aha ka mea e hana ʻia inā kū mai kēia kūlana? He aha kā mākou e manaʻo ai?

Mai hopohopo. ʻO ka hapa nui o ka manawa, e hoʻopau wale ʻia kahi kahe koko subconjunctival i loko o ʻelua pule. Hiki i nā keʻokeʻo o kou mau maka ke loaʻa kahi ʻano melemele iki a hiki i ka wā e komo piha ai ke koko. Eia naʻe, ʻaʻole e hoʻopilikia ʻia kou ʻike.

I kekahi manawa hiki ke hoʻi hou kēia maʻi. Ma kahi o 10% o ka poʻe me nā kumu pilikia ʻole e loaʻa hou iā ia. Hiki ke kiʻekiʻe aʻe kēia pakeneka i ka poʻe me nā kumu pilikia, e like me ka poʻe e lawe ana i nā lāʻau hoʻokahe koko.

Āhea ʻoe e ʻike ai i ke kauka?

ʻO ka hapa nui o nā hihia o ka `(Subconjunctival Hemorrhage)` e ho'ōla iā lākou iho me ka ʻole o ka lāʻau lapaʻau, no laila ʻaʻole pono ʻoe e wikiwiki i ke kauka. Eia nō naʻe, he manaʻo maikaʻi ke ʻike i ke kauka a i ʻole ke kauka maka i nā hihia e like me kēia:

• Inā ʻeha kou maka .
• Inā he loli i ka ʻike (e like me ka blurring, ka ʻike pālua).
• Inā hana ʻia kēia ma hope o kahi ʻeha nui o ke poʻo a i ʻole ka maka .
• Inā kahe pinepine ke koko o kou mau maka (i nā manawa he nui i loko o kekahi mau mahina).
• Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko a loaʻa pinepine kēia ʻano.
• Inā ʻike ʻoe i ke kahe koko ʻokoʻa a i ʻole ka palapū ma nā wahi ʻē aʻe o kou kino me ka wahi ʻulaʻula ma kou maka .

Hōʻuluʻulu Manaʻo a me ka Leka Lawe-Home

ʻAe, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ka "Subconjunctival Hemorrhage" a i ʻole ke kahe ʻana o ke koko ma lalo o ka maka a mākou i kamaʻilio ai i kēia lā.

ʻO ka mea nui loa , ʻaʻole ʻoe e hopohopo ke ʻike ʻoe i kēia . ʻOiai paha e like me ʻoe i loko o kahi kiʻiʻoniʻoni ʻuhane a ʻulaʻula paha kou mau maka, ʻo ka hapa nui o ka manawa ʻaʻole ia he mea weliweli. Nalo wale ia i loko o hoʻokahi a ʻelua paha pule me ka ʻole o ka lāʻau lapaʻau.

Eia naʻe, e like me kaʻu i ʻōlelo ai ma mua, inā loaʻa iā ʻoe kēia wahi ʻulaʻula me ka ʻeha o ka maka , kahi loli o ka ʻike, a inā he pinepine ke kahe ʻana o ke koko o kou mau maka , pono ʻoe e ʻike i ke kauka no ka ʻōlelo aʻo. No ka mea, he hōʻailona paha ia o kekahi maʻi ʻē aʻe.

He waiwai nui kou mau maka, no laila he mea nui loa ka mālama ʻana iā lākou.

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