Hoʻokuʻu Maka (Epiphora) i nā pōpoki

He aha ka epiphora?
ʻO ka Epiphora ke kahe ʻana o nā waimaka mai nā maka. He hōʻailona ia ma mua o kahi maʻi kūikawā a pili pū me nāʻano likeʻole. ʻO ka mea maʻamau, hana ʻia kahi kiʻiʻoniʻoni waimaka e lubricate i nā maka a kahe ka wai nui i loko o nā ducts nasolacrimal, a i ʻole nā ​​waimaka, aia ma ke kihi o ka maka e pili ana i ka ihu. Hoʻoheheʻe ka nasolacrimal ducts i nā waimaka ma hope o ka ihu a me ka puʻu. Hoʻopili pinepine ʻia ʻo Epiphora me ka lawa ʻole o ka hoʻokahe ʻana o ke kiʻi waimaka mai ka maka. ʻO ke kumu maʻamau o ka lawa ʻole ʻana o ka waimaka, ʻo ia ke pani ʻana i nā awāwa nasolacrimal a i ʻole ka hana ʻino ʻole o ka ʻili maka ma muli o kahi deformity. ʻO ka Epiphora paha ka hopena ma muli o ka hana nui ʻana o nā waimaka.

He aha nā hōʻailona o ka epiphora?
ʻO nā hōʻailona lapaʻau maʻamau e pili ana i ka epiphora, ʻo ia ka pulu a i ʻole ka pulu ma lalo o nā maka, ʻulaʻula ʻulaʻula o ka hulu ma lalo o nā maka, ʻala, ʻeha ʻili, a me ka maʻi ʻili. Hōʻike ka nui o nā mea nona nā maka o kā lākou pōpoki i pulu mau, a ʻike paha lākou i nā waimaka e ʻolokaʻa ana mai nā maka o kā lākou pipi.

Pehea e ʻike ʻia ai ka epiphora?
ʻO ka hana mua, ʻo ia ke hoʻoholo inā he kumu kumu no ka hana waimaka nui. ʻO kekahi o nā kumu o ka hoʻonui ʻia ʻana o ka waimaka i loko o nā pōpoki, ʻo ia ka conjunctivitis (viral a i ʻole bacterial), allergies, nā ʻeha maka, nā maka ʻokoʻa ʻole (distichia a i ʻole ectopic cilia), nā ʻeha o ka ʻāʻī, nā maʻi o ka maka, nā mea ʻino anatomical e like me ka ʻōwili ʻia i loko o ka lihilihi (entropion) a ʻōwili ʻia paha. nā lihilihi waho (ectropion), a me ka glaucoma.

"ʻO ka hana mua, ʻo ia ke hoʻoholo inā he kumu kumu no ka hana nui o ka waimaka."
Ke hoʻopau ʻia nā kumu koʻikoʻi o ka epiphora, pono ia e hoʻoholo inā hiki mai ka wai waimaka kūpono a kūpono. Hana ʻia kahi hoʻokolohua ocular ocular, e nānā pono ana i nā ducts nasolacrimal a me nā ʻiʻo kokoke, a me ka ʻimi ʻana i nā hōʻailona o ka mumū a i ʻole nā ​​​​mea ʻino ʻē aʻe. Hiki i ke anatomy helehelena o ka popoki ke hana i keia ano. ʻO kekahi mau ʻano (e laʻa, nā Peresia a me nā Himalayans) he mau maka palahalaha a i ʻole ʻia paha (brachycephalics) ʻaʻole hiki ke kahe pono ke kiʻi waimaka. I loko o kēia mau holoholona, ​​ʻaʻole i komo ka kiʻiʻoniʻoni waimaka i ka duct a ʻōwili wale i ka maka. I kekahi mau hihia ʻē aʻe, ʻo ka lauoho a puni nā maka ke keakea kino i ka puka o ka nasolacrimal ducts, a i ʻole nā ​​ʻōpala a i ʻole ke kino ʻē e hana i kahi plug i loko o ka auwai a pale i ka hoʻokahe ʻana o nā waimaka.

ʻO kekahi o nā hoʻāʻo maʻalahi loa e nānā i ka wai waimaka, ʻo ia ke kau i kahi kulu o ka pehu fluorescein ma ka maka, e hoʻopaʻa iki i ke poʻo o ka pōpoki i lalo, a nānā i ka hoʻoheheʻe ʻana i ka ihu. Inā holo maʻamau ka ʻōnaehana hoʻokahe, pono e ʻike ʻia ka ʻili o ka maka ma ka ihu i loko o kekahi mau minuke. ʻO ka nānā ʻole ʻana i ka ʻeleʻele ʻaʻole ia e ʻike maopopo i kahi duct nasolacrimal i ālai ʻia akā hōʻike ia i ka pono no ka hoʻokolokolo hou ʻana.

Pehea e mālama ʻia ai ka epiphora?
Inā manaʻo ʻia ua paʻa ʻia ka duct nasolacrimal, e hoʻomaʻamaʻa ʻia kāu pōpoki a hoʻokomo ʻia kahi mea hana kūikawā i loko o ka pahu e holoi i nā mea i loko. I kekahi mau hihia, ʻaʻole hiki ke wehe ʻia ka lacrimal puncta a i ʻole ka wehe ʻana i ka wā o ka ulu ʻana o kāu pōpoki, a inā ʻo ia ka hihia, hiki ke wehe ʻia ma ke kaʻina hana. Inā nā maʻi maʻi mau a i ʻole nā ​​allergies i hōʻemi ʻia nā awāwa, hiki ke hoʻomāhuahua ʻia ke kahe ʻana.

Inā pili ke kumu i kahi maʻi maka ʻē aʻe, e kuhikuhi ʻia ka lāʻau lapaʻau ma ke kumu mua e komo pū ai ke ʻoki.

He aha kaʻu e hana ai no ke kala ʻana?
Nui nā lāʻau lapaʻau i ʻōlelo ʻia no ka wehe ʻana a i ʻole ka hoʻopau ʻana i ka ʻili maka e pili ana i ka waimaka nui. ʻAʻohe o kēia mau mea i hōʻoia i ka 100% maikaʻi. Hiki ke hōʻeha a hōʻeha paha i nā maka o kekahi mau lāʻau lapaʻau.

ʻAʻole ʻōlelo hou ʻia nā haʻahaʻa haʻahaʻa o kekahi mau lāʻau antibiotic ma muli o ka pilikia o ka hoʻomohala ʻana i ke kūʻē ʻana i nā lāʻau antibiotic i mea waiwai ʻole no ka hoʻohana ʻana o ke kanaka a me nā holoholona. Ua manaʻo ʻia kekahi mau mea kūʻai aku akā ʻaʻole i hōʻoia ʻia i ka maikaʻi i nā hoʻokolohua noiʻi.

Mai hoʻohana i kekahi huahana me ka ʻole o ke kamaʻilio ʻana me kāu kauka holoholona. E hōʻole i ka hoʻohana ʻana i kekahi huahana i loaʻa ka hydrogen peroxide kokoke i nā maka, no ka mea, hiki i kēia mau huahana ke hōʻeha nui inā paʻi ʻole ʻia i loko o nā maka.

He aha ka wānana no ka epiphora?
Inā ʻaʻole hiki ke loaʻa a mālama ʻia kahi kumu kumu, ʻo ka hapa nui o nā maʻi me ka epiphora e ʻike i nā manawa pōkole i ko lākou ola. Inā ʻaʻole ka hoʻokahe ʻana o ke kiʻiʻoniʻoni waimaka o kāu pōpoki maka, e hoʻomau ʻia paha kekahi degere o ka epiphora ʻoiai nā hana lapaʻau āpau. I nā manawa he nui, ʻaʻohe pilikia koʻikoʻi e kū mai, a he mea hoʻonaninani paha ka waimaka. E kūkākūkā ana kāu kauka holoholona i nā kikoʻī o ke kūlana o kāu pōpoki a e hoʻoholo i nā koho lapaʻau kūikawā a me ka wānana no kāu pōpoki.