Tarsorrhaphy: He aha ia? He mea anei e makaʻu ai?

Ua ʻike anei ʻoe i kekahi kanaka me kekahi maka i humuhumu ʻia? A i ʻole ua haʻi aku kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai e pani i ko lākou maka no kekahi manawa? He mea weliweli iki paha kēia a he mea ʻē, akā he hana lapaʻau koʻikoʻi loa ia i hoʻohana ʻia e pale a ho'ōla i ka maka. I kēia lā e kamaʻilio kākou e pili ana i kahi mea i kapa ʻia ʻo `(Tarsorrhaphy)`. E kamaʻilio kākou e pili ana i ia mea me ka maʻalahi, me ka maopopo, a ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ka Tarsorrhaphy?

He mea maʻalahi loa kēia. E noʻonoʻo he lima a he wāwae paha kou i haki. He aha ka hana a ke kauka? Hoʻokomo ʻo ia i kahi plaster ma luna i ʻole e neʻe a hiki i ka wā e ho'ōla ai, ʻeā? Pēlā nō ia. ʻO ka Tarsorrhaphy kahi hana e pili ana i ka hoʻopaʻa ʻana i ka lihilihi o luna a me ka lihilihi o lalo e pani i ka maka, i mea e ho'ōla ai i ka pōʻino ma ka ʻili o ka maka, a i ʻole e pale aku iā ia mai ka pōʻino hou aʻe.

Hana pinepine ʻia kēia ma hoʻokahi maka wale nō. Eia nō naʻe, inā pono, hiki ke hana ʻia i kekahi manawa ma nā maka ʻelua. ʻO ke kumu nui o kēia, ʻo ia ka pale ʻana i ka ʻili o ka maka (ʻoi aku ka cornea) ma ka pani ʻana i ka maka a me ka hana ʻana i ke kaiapuni e pono ai e ho'ōla.

He aha nā ʻano hana like ʻole no ka hana ʻana i ka Tarsorrhaphy?

Ke kuhikuhi aku ke kauka i kēia ʻano hana iā ʻoe, e noʻonoʻo ʻo ia i kekahi mau mea. ʻO ia hoʻi, pehea ka lōʻihi o kou pani ʻana i kou mau maka, pehea ka lōʻihi o kou pani ʻana iā lākou, a me ke ʻano hana e hoʻohana ai. E nānā kākou i kēlā me kēia.

ʻĀ, no ke aha ʻoe e makemake ai e hana i kahi mea e like me kēia?

Nui nā kumu no kēia. I kekahi manawa he lāʻau lapaʻau ia. I kekahi manawa hana ʻia ia e pale aku i ka pōʻino i hiki ke hana ʻia e kahi maʻi.

Nā maʻi a me nā ʻeha o ka ʻili o ka maka

He mea pono loa kēia i nā hihia i hōʻino ʻia ai ka ʻili o ka maka, ʻo ia hoʻi ka cornea.

• ʻAʻole hiki ke pani pono i nā lihilihi maka: E noʻonoʻo i kahi kūlana e like me ka "Bell's palsy" kahi i maʻi ai nā aʻalolo ma kekahi ʻaoʻao o ka maka, a ʻaʻole hiki ke pani pono ʻia ka maka ma ia ʻaoʻao.
• I ka wā e loaʻa ai ka lāʻau lapaʻau ma ka Intensive Care Unit (ICU): ʻO ka mea ʻike ʻole e hanu ana me ke kōkua o kahi mīkini, ʻaʻole ia e pani i ko lākou mau maka. Hiki i kēia ke hana i nā maka maloʻo a me ka hōʻino. Hana ʻia kēia e pale aku i kēlā.
• ʻO keratitis hōʻike: ʻO ka pōʻino i hana ʻia e ka maloʻo ʻana o ka maka ke pani pono ʻole ʻia a hōʻike ʻia i ka ea a me ka lepo.
• Nā kuni o ka maka: E mālama i nā kuni i hana ʻia e ka wela (nā kuni wela) a i ʻole nā ​​​​​​kemika e like me nā waikawa (nā kuni kemika).
• Nā maʻi corneal: E kōkua i ka ho'ōla ʻana i nā ʻeha a me nā maʻi corneal.
• ʻO keratitis neurotrophic: He kūlana weliweli kēia. Ma muli o ka hōʻino ʻia ʻana o nā aʻalolo o ka maka, ʻaʻole hiki i ka maka ke ʻike i kahi ʻāpana lepo. No laila hiki ke hōʻeha maʻalahi. He mea nui e pale i ka maka i ia mau hihia.

Ka loli ʻana i ke ʻano a i ʻole ke kūlana o ka maka

ʻO kekahi mau kūlana olakino e hoʻololi ai i ke ʻano o ka maka, e hiki ʻole ai ke pani pono i nā lihilihi maka.

• Ka puka ʻana o nā maka (Proptosis):ʻO nā kūlana e like me ka maʻi ʻo Graves hiki ke hoʻonui a hoʻopuka i nā maka.
• Nā maʻi ʻaʻai a i ʻole nā ​​puʻupuʻu a puni ka maka: Hiki i kēia ke hoʻololi i ke kūlana o ka maka.
• Nā Ulia Koʻikoʻi: Ke hōʻino nui ʻia ka maka a pono ka enucleation, hana ʻia kēia e pale i ka lua o ka maka.

Nā kūlana e hoʻopilikia ai i nā maka

• Ka hana pono ʻole o ke aʻalolo maka: Nā kūlana e like me ka "Bell's palsy".
• Ectropion: Ua hoʻohuli ʻia ka lihilihi lalo i waho, e hoʻopau pono ʻole ai i ka maka.
• ʻIke ʻole: ʻO ke kanaka i loaʻa i kahi ʻeha poʻo nui a aia i loko o ka coma, ʻaʻole ʻoi pinepine ka ʻimo ʻana. Hana ʻia kēia e pale aku i nā maka maloʻo.

He aha nā pōmaikaʻi a me nā pōʻino o kēia ʻano hana?

E like me kekahi ʻano lapaʻau, loaʻa i kēia kekahi mau pono a me kekahi mau hemahema liʻiliʻi.

He aha kāu e pono ai e makaʻala ma hope o ka hana ʻana i kēia?

Ma hope o ka hana ʻana i kēia lāʻau lapaʻau, aia kekahi mau mea e pono ai ʻoe e hana ma kāu ʻaoʻao e loaʻa ai ka hopena maikaʻi loa mai ia mea.

ʻEha a me ka ho'ōla ʻana

Inā ʻoe e humuhumu ʻia ana a ʻoki ʻia paha, e hoʻomānoino ke kauka i ka wahi i ʻole ʻoe e ʻeha. Ma hope o kēlā, e kuhikuhi paha lākou i nā lāʻau hōʻeha. A i ʻole hiki iā ʻoe ke lawe i kahi lāʻau lapaʻau maʻalahi e like me ka paracetamol e kāohi i ka ʻeha. E haʻi pololei kāu kauka iā ʻoe i ka mea e hana ai.

Nā mea hiki iā ʻoe ke hana

• Mai hamo i kou mau maka no kekahi kumu. ʻO ka hana ʻana pēlā e hōʻino ai i nā humuhumu, hoʻopilikia i ka ho'ōla ʻana, a hoʻonui i ka ʻeha. E nīnau i kāu kauka i ka mea e hana ai inā ʻike ʻoe i ka maneʻo.
• E hahai pono i nā ʻōlelo a kāu kauka. Hiki iā ia ke kuhikuhi i nā kulu maka a hoʻohana paha i nā pale maka e pale i kou mau maka.
• E hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia. He mea koi kēia. Aia ka holomua o ka lāʻau lapaʻau ma ia hahai ʻana.

Āhea ʻoe e ʻike koke ai i ke kauka?

Ma waho aʻe o kāu mau lā i hoʻonohonoho ʻia no ke keʻena lapaʻau, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike koke i kāu kauka.

• Inā manaʻo ʻia ua wehe a haki paha nā humuhumu.
• Inā ʻike ʻoe i kahi loli i kou ʻike.
• Inā loaʻa iā ʻoe nā hōʻailona hou (e laʻa me ka ʻulaʻula, nā pehu) ma ka maka, ka lihilihi, a i ʻole ka ʻili a puni.
• Inā he pehu, ʻulaʻula, kahe ʻana o ka pus, a ʻeha nui paha a puni ka maka i pani ʻia (he mau hōʻailona paha kēia o kahi maʻi).

He mea maʻamau i kekahi ke makaʻu a hoʻonāukiuki i ka wā e ʻōlelo ʻia ai e pani i kekahi a i ʻole nā ​​maka ʻelua. Akā e hoʻomanaʻo, he lāʻau lapaʻau maikaʻi loa kēia e pale ai i kou ʻike a me ke olakino o ka maka. E koho kāu kauka i ke ʻano kūpono loa no kou kūlana a wehewehe i nā mea āpau iā ʻoe.