Kei te ahua wetekina noa iho tō kamo? Me kōrero tāua mō te (Floppy Eyelid Syndrome)?

Kei te mamae ō kanohi, kei te hurihuri hoki ō kamo ina ara ake koe i te ata? Tērā pea he rite ki te rapa noa iho ō kamo ina pā atu koe. Ahakoa he raruraru iti noa iho tēnei mō ētahi tāngata, he tohu pea tēnei o tētahi mate ka kōrerohia e tātou i tēnei rā e kiia nei ko te (Floppy Eyelid Syndrome) .

He aha te mate kamo kamo?

Ki te whakarapopoto, ko te (Floppy Eyelid Syndrome) ko te wā e wetekina ana, e rite ana ki te rapa o te kiri o ō kamo. Ka totoro, pērā i te rapa tawhito. Mā tēnei ka ngāwari te huri ki roto, ki waho rānei o ō kamo, inā koa kei te moe koe. He maha ngā wā ka pā ki ngā kamo o runga e rua.

He pēhea te noa o tēnei āhuatanga?

E ai ki ngā rangahau o nāianei, kei waenganui i te 2% me te 4% o te taupori o te ao tēnei mate (Floppy Eyelid Syndrome). Heoi, e whakapono ana ngā tākuta he nui ake pea tēnei tau. Ko te take, ka puta ngā tohu o tēnei mate me ētahi atu mate maha. Nō reira, i ētahi wā ka rongoatia ēnei tohu e ngā tākuta, inā koa ko ngā tākuta kanohi, engari kāore pea e mōhio he wāhanga tēnei o tēnei (Floppy Eyelid Syndrome).

He aha ngā tohu o te Floppy Eyelid Syndrome?

Ka taea e tēnei āhuatanga te whakaputa i ētahi tohu maha, inā koa ka ara ake koe i te ata .

• Ka tino wetekina, ka piko iho ngā kamo. Ka taea te hurihuri ki roto, ki waho rānei ahakoa he pā paku noa iho.
• Kei te mamae koe, kei te wera rānei i roto i ō kanohi.
• Ka maroke ngā kanohi nā te mea kāore te wai roimata e whakamakuku ana i ngā kanohi e whakahinuhinu tika ana i a rātou.
• Kei te maturuturu ō kanohi nā te mea kei te whakaputa tō tinana i ngā roimata hei pupuri i te makuku.
• He pupuhi, he mamae hoki ngā kamo. Ka kiia hoki tēnei he blepharitis i roto i ngā kupu hauora.
• Me te mea kei te mau tetahi mea i roto i te kanohi.
• Te aro nui ki te mārama, arā, he uaua ki te titiro atu ki te mārama (Photophobia) .
• He wai e turuturu ana mai i ngā kanohi, pērā i te pata.

He aha te take e raru ai te piko o tēnei kamo?

I mōhio koe ko te kiri angiangi rawa o ō tātou tinana kei runga i ō tātou kamo ? Kia tika ai te mahi a ēnei kamo, me ngāwari . Koinei te wā e whai 'wāhi' ai rātou kia piri tonu ki runga i te karu o te kanohi, kia neke ake, kia heke iho hoki ina whakatuwhera, ina kati, ina kimo hoki tātou.

Engari ehara te kamo i te mea he uhi noa iho. Kei roto he momo repe e kiia nei ko ngā repe Meibomian . Ka whakaputa ēnei repe (Meibum)Ka tukuna e rātou he matū hinuhinu e kiia nei ko te meibum (meibum te ingoa). He mea tino nui tēnei matū mō te mahi a tō tātou pūnaha roimata. Ka konatunatua tēnei hinu, e kiia nei ko te meibum, ki te wai roimata, ka whakahinuhinu i te mata o ngā kanohi, ka whakaiti i te mimiti o te wai roimata. Ehara i te mea koinā anake, engari ka āwhina hoki ki te pupuri i ngā kamo kia piri tahi ina katia ngā kanohi, ka hanga he hiri e pupuri ana i te hau ki waho. Ka āwhina tēnei ki te pupuri i te makuku o ngā kanohi.

Nō reira, ina ngaro te ngāwari o ō kamo, ka piko, kāore e mau tonu ki tōna tūranga tika. Kātahi ka kore te (Meibum) e puta mai ana i ngā (repe Meibomian) e uru pai ki te wai roimata. Kātahi ka raruraru te hinu whakahinuhinu o ngā kanohi. Waihoki, nā te ngāwari o te nekeneke o ngā kamo, kāore e tika te hanga o taua hiri ārai-hau ina katia ō kanohi. He mea tēnei ka tupu i ngā wā katoa, inā koa kei te moe koe .

He aha ngā take o te Floppy Eyelid Syndrome?

Ko te tino take o te piko o ngā kamo ko te ngaronga o te pūmua e kiia nei ko te elastin i roto i ngā kamo. Ko tēnei elastin te mea e whakapūmau ana i te kiri. Engari kāore anō kia mōhiotia te take tuturu mō tēnei. Heoi anō, kua ara ake ngā feaa mō ētahi āhuatanga kua puta i ngā rangahau. He uaua ki te kī mēnā koinei ngā tino take, koinei rānei ngā āhuatanga e whai wāhi ana. Engari e whakaarohia ana he pānga ēnei ki:

• Te Momona me te Ārai i te Moe Apnea (OSA): He hononga tata ēnei āhuatanga e rua. Mena he momona koe, arā, he tino momona rawa, he nui ake te tūponotanga ki te pāngia e te OSA. Mēnā he OSA, ka mutu tō manawa i a koe e moe ana. Ka whakaitihia e tēnei te nui o te hāora e whiwhi ana tō tinana. Ka whakarerekēhia e tēnei korenga o te hāora ngā tauhohenga matū o te tinana, ā, ka nui ake ngā whākōkī ka puta hei wawahi i te pūmua e kiia nei ko te elastin. Tata ki te haurua o te hunga whai OSA ka pāngia hoki e tēnei āhuatanga (Floppy Eyelid Syndrome).
• Ngā mate hononga kiko: Ko ēnei ngā mate e pā ana ki ngā kiko hononga pērā i te kiriuhi me ngā uaua. Ka pā anō hoki ēnei mate ki te āhua o te hanga me te whakamahi a te tinana i te elastin. Hei tauira, ko ngā āhuatanga pērā i te Marfan syndrome me te Ehlers-Danlos syndrome .
• Ngā Ira Ira: Ka pāngia te āhua o te hanga me te whakamahinga o te elastin e tō tinana ngā panonitanga o tō DNA. Tērā pea i ahu mai ēnei i ō mātua, he panoni tūpono rānei i puta i a koe e whanake ana hei tamaiti i roto i te kōpū.
• Ētahi atu mate e pā ana ki ngā kanohi me ngā kiko e karapoti ana: Ko te hunga whai mate e pupuhi ai ngā kanohi ki mua, ka nui ake pea te mōrearea ki a rātou. Hei tauira , ko ngā mate tairoi , pērā i te mate a Hashimoto .

Haunga tēnei, he maha atu anō ngā āhuatanga e whai wāhi ana:

• Ira Tangata: He nui ake te tūponotanga o te tāne ki te pāngia e te Floppy Eyalid Syndrome i ngā wāhine. Tata ki te rua hautoru he tāne.
• Tau:Ko tēnei mate te mea tino kitea i roto i ngā pakeke. Ahakoa ka taea te whanake i roto i ngā tamariki, he tino onge.
• Iwi: Ko te hunga he kopa kiri motuhake (kopa epicanthic) kei te kokonga o roto o te kanohi, pērā i ētahi iwi Āhia, kāore pea e pāngia e tēnei mate nā te hanganga o ō rātou kamo.

He aha ngā raruraru ka pā mai i te Floppy Eyelid Syndrome?

Ina piko ō kamo, ka ārai i te noho makuku me te noho hinuhinu o ō kanohi. Ka taea e tēnei te whakapataritari me te pakaru o ō kanohi . Ka arahi pea tēnei ki:

• Te mate o te kanohi maroke .
• Ko te keratitis he mumura o te cornea, te wāhanga mārama o mua o te kanohi.
• Te horonga auau o te kornea (RCE) .
• Ngā mate pukupuku me ngā whara o te kornea .
• I ngā āhuatanga kino rawa atu, ki te kore e rongoatia, ka ngaro pea te tirohanga .

Me pēhea te tātaritanga o tēnei mate (Floppy Eyelid Syndrome)?

Nā te mea ka puta ngā tohu o tēnei (Floppy Eyelid Syndrome) me te maha atu o ngā mate, kāore he whakamātautau motuhake hei tautuhi tika i tōna āhua.

Ka taea e te tākuta kanohi te tātaritanga i tēnei āhuatanga mā te pātai atu ki a koe mō ō tohu, te pātai atu ki a koe mō tō tirohanga me te āhua o ō kanohi, me te tirotiro i ō kamo. I te wā o te whakamātautau, ka whakatakotoria e te tākuta te pito o tōna maihao ki te kiri o tō kamo. He whakamātautau ngāwari tēnei, kāore e mamae, engari he pakari kia kite ai koe i te tawhiti ka taea e koe te neke me te kukume i ō kamo.

He maha ngā tohunga kanohi e whakamahi ana i tēnei tikanga hei whakatau mēnā kei a koe te Floppy Eyelid Syndrome me tōna kaha . E rua ngā pūnaha whakatauranga matua e whakamahia ana mō tēnei:

• Tikanga ine: Ka ine tēnei i te nui o te nekehanga o te kamo. Ka ahu tēnei tauine mai i te 0 ki te 4.
• Pūnaha Tirohanga o te Karu: I tēnei mahi, ka hiki ake te tākuta kanohi i tō kamo o runga i a koe e titiro ana ki raro. Ka whakatauhia te kaha o te kitea i runga i te nui o te wāhanga mā o te kanohi, e kiia nei ko te karu . Kei waenga i te 0 ki te 3 tēnei tauine.

He aha ngā rongoā mō tēnei (Floppy Eyelid Syndrome)?

E rua ngā tikanga matua mō te maimoatanga: te tikanga tiaki me te tikanga pokanga .

Huarahi tiaki taiao

Ko te huarahi tiaki i te mate ko te ngana ki te ārai i ngā tohu o tēnei mate. Ko te tikanga, me hipoki ō kanohi ki te pāreti i a koe e moe ana, me te moe me te kopare kanohi, te pani rānei i ngā roimata hangai, i te hinu kanohi rānei i mua i te moe.

Waihoki, ka tono tō tākuta kia whakamātauria koe i te moe hei tirotiro mēnā kei a koe te OSA. Kia maumahara ki tēnā, ka taea tonu e koe te pāngia e te OSA ahakoa kāore koe i te taumaha rawa.

Ko te mea tino nui: Mena he OSA tōu, mā te whakamahi i te mīhini Continuous Positive Airway Pressure (CPAP) me te mīhini Bilevel Positive Airway Pressure (BPAP) rānei (e kiia ana i ētahi wā ko BiPAP®) ka āwhina i te whakakore i te ngaronga o te elastin me te whakapai ake i te ngāwari o ō kamo. He mea tino nui te whakamahi i tēnei mīhini i ia pō. Ki te kore, kāore e nui te āwhina. I tētahi atu taha, ka mate pea te OSA mēnā kāore i rongoatia, nō reira he mea nui ake te whakamahi i te mīhini.

Huarahi pokanga

Ko te tikanga, ka whakaarohia te pokanga mēnā kāore i angitu ngā mahi tiaki. Waihoki, mēnā he kino tō mate (Floppy Eyelid Syndrome) ā, he tūponotanga ka pakaru te kanohi, he kōwhiringa pea te pokanga. He maha ngā tikanga pokanga ka taea te whakakī i ngā kiko o tō kamo. Mā tō tākuta kanohi, tō taote pokanga rānei koe e kōrero atu mō te tikanga e taunakihia ana e rātou me ngā mea hei tumanako atu.

He aha ngā mea hei tumanakohia mēnā kei a koe te (Floppy Eyelid Syndrome)?

Mena kei a koe te Floppy Eyelid Syndrome, he maha ngā wā ka pāngia ō tohu e te makuku o ō kanohi. Ka kino ake ngā tohu ina ara ake koe i te ata . Mena ka moe koe i tō taha, tera pea ka pāngia te taha pai o te kanohi e ō tohu. Ahakoa kāore tēnei mate i te tino mōrearea, ka taea e ia te whakararu i ō kanohi, ā, ka pā ki tō tirohanga.

Ki te whakapae koe kei a koe te mate kanohi (Floppy Eyelid Syndrome), he mea pai kia toro atu koe ki tētahi tākuta kanohi kia tirohia. Ki te pērā, ka tirohia e tō tākuta te mate kanohi (OSA) ā, ki te tika, ka rongoāhia.

Kia pai ake ai tēnei āhuatanga (Floppy Eyelid Syndrome), me aro katoa te take matua, pērā i te OSA. Heoi anō, me rongoā te OSA tonu, nā te mea ka arahi pea ki ngā raruraru e morearea ai te ora.

He aha te tirohanga mō tēnei āhuatanga (Floppy Eyelid Syndrome)?

He tino pai te tirohanga mō te Floppy Eyelid Syndrome i te wā e rongoatia ana. Mā te whakamahi i ngā maimoatanga pēnei i te (CPAP) me te (BPAP) me te (OSA) ka āwhina i ō tohumate kia pai ake i tētahi taumata. Ka iti ake te kino o ngā tohumate e toe ana, ā, ka ngāwari ake te whakahaere mā ētahi atu maimoatanga matawhānui.

He tino teitei te ōrau angitu mō te maimoatanga pokanga mō te Floppy Eyelid Syndrome. Ko te ōrau angitu o te pokanga kei waenga i te 91% me te 98% .

Ka taea te ārai i te Floppy Eyelid Syndrome?

Nā te mea kāore tātou i te tino mōhio me pēhea te whanaketanga o te Floppy Eyelid Syndrome, kāore e taea te ārai katoa. Heoi, e whakapono ana ngā tohunga ka taea e koe te whakaiti i tō tupono ki te whakawhanake i te Floppy Eyelid Syndrome mā te rongoā, te karo rānei i ngā āhuatanga ka whai wāhi atu ki tēnei. Kei roto i ēnei ko:

• Te pupuri i tō taumaha hauora.
• Whakamahia tō mīhini pehanga manawa pai e ai ki te taunakitanga, i ia pō, kaua e mahue tetahi rā.
• Whakahaeretia ngā mate pūmau kei a koe (pērā i te mate a Hashimoto) hei ārai i ngā panoni kanohi ka arahi pea ki te Floppy Eyelid Syndrome.

Me pēhea taku tiaki i ahau anō mēnā kei a au te mate Floppy Eyelid Syndrome?

Mena kei a koe te Floppy Eyelid Syndrome, he mea nui kia whai i ngā tohutohu a tō tākuta kanohi kia tata rawa atu. Me matua tiaki i ō kanohi i a koe e moe ana . Whakamahia hoki ngā roimata hangai, ngā pata kanohi, ētahi atu hua rānei e ai ki te taunakitanga. He mea nui anō hoki kia kaua e mirimiri i ō kanohi . Ka taea e tēnei te whakatōtō ake i ō kamo.

Ki te tukuna koe e tō tākuta ki tētahi tohunga moe hei tirotiro i te OSA, me mahi koe i runga i te taunakitanga. Ki te kitea te OSA, me whai i ngā tohutohu a te tohunga. He mea nui tēnei, nā te mea ka mate pea te OSA mēnā kāore i rongoātia.

Āhea ahau me toro atu ki taku tākuta, me rapu tohutohu hauora rānei?

Ki te kore e rongoatia, ka taea e te Floppy Eyelid Syndrome te whakararu i te kanohi tuturu. Mena kei a koe ngā tohu, me toro atu koe ki tētahi tohunga kanohi i te wā e taea ai . Ehara tēnei i te āhuatanga ohorere, engari ehara i te mea me aro noa koe, me wareware noa, me ngana rānei ki te rongoā i a koe anō.

Mena kua mōhio kē koe kei a koe tēnei mate, kōrero ki tō tākuta mēnā ka rerekē, ka kino haere rānei ō tohu. Mena kāore ngā maimoatanga e āwhina ana, e ahua ngoikore ana rānei, ka taea e koe te kōrero ki tō tākuta mō tēnā.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Anei ētahi pātai ka taea e koe te pātai atu ki tō tākuta:

• Kia pēhea te kaha o tōku mate (Floppy Eyelid Syndrome)?
• He aha te pānga o tēnei ki ōku kanohi ināianei?
• He aha taku e taea ai te rongoā i tōku mate i tēnei wā?
• He aha ngā raruraru, ngā pānga taha rānei me mōhio ahau, me tūpato hoki ki ēnei?

He aha te rerekētanga i waenga i te Floppy Eyelid Syndrome me ētahi atu āhuatanga e puta ai te kamo e takoto kau ana (ptosis)?

Ko te kamo e takoto kau ana, he āhuatanga e mōhiotia ana i roto i te pūtaiao hauora ko te ptosis , ka puta i roto i ngā huarahi e rua atu:

• Mena he ngoikore ō kamo nā te raruraru o ngā uaua tonu.
• Mena kāore ngā io e hono ana ki ngā uaua e mahi tika ana, ko te tikanga kua pakaru ngā tohu e neke ai ngā uaua.

He rerekē te Floppy Eyelid Syndrome i ngā tikanga e rua nā te mea e pā ana ki te ngāwari o te kiri . Kāore e pā ki ngā uaua, ki te pūnaha io rānei e uru ana ki te nekehanga o te kamo.

Whakarāpopototanga me ngā mea hei maumahara

Ahakoa te āhua iti noa o te Floppy Eyelid Syndrome, he tohu pea tēnei mō tētahi mate kino rawa atu, ka mate pea, e kiia nei ko te Obstructive Sleep Apnea (OSA). Ki te kore e rongoatia, ka pāngia pea ngā kanohi e te Floppy Eyelid Syndrome.

Ki te mea kei a koe ngā tohu o te (Floppy Eyelid Syndrome), kaua e warewaretia, kaua hoki e manawanui. Mā te mōhio me te rongoā i tēnei āhuatanga ka āwhina i a koe kia noho hauora, kia pai ake te tirohanga, ā, kia ārai i ngā raruraru kino. Nō reira, kia kite koe i te tākuta me te tiki tohutohu.

` Te Mate Pāwera o te Karu, OSA, Apnea Moe, Mate Kanohi, CPAP, Hurihuri Karu