He maka ʻulaʻula a ʻeha? Loaʻa paha iā ʻoe ka maʻi maʻi maʻi maʻi, kahi ʻeha abrasive ma ka ʻili o ka maka ma muli o ka ʻeha a i ʻole ka maʻi. ʻOi aku ka maikaʻi e nīnau koke i ke kauka ophthalmologist no ka mea ʻo kēia maʻi, maʻamau maʻamau, hiki ke hoʻopiʻi i nā pilikia a hiki ke hoʻohuli ʻole ʻia ka ʻike acuity, a i ʻole ka makapō i nā hihia koʻikoʻi.

Definition

ʻO ka maʻi maʻi maʻi he maʻi maʻi kino, a iʻole ka maʻi maʻi kino. ʻO ia ka hopena ma muli o kahi ʻeha me ka nalowale o ka waiwai, a i ʻole ka ʻulaʻula, kahi e hoʻoheheʻe ʻia ai ka hohonu a i ʻole ka liʻiliʻi o kēia membrane alohilohi lahilahi e uhi ana i ka haumāna a me ka iris. Hiki ke ʻeha loa ka ʻeha o lalo.

Nā kumu

Hiki ke ʻike ʻia kahi maʻi ʻeha ma hope o ka ʻeha o ka maka (kahi ʻōpala maʻalahi, kahi pōpoki pōpoki, lālā i ka maka…) a i ʻole kahi maʻi.  

Hiki i nā ʻano microbial ʻokoʻa ke hoʻoulu i nā ʻeha o nā ʻano like ʻole. ʻO nā maʻi maʻi e like me ka maʻi herpes e pili pono i nā maʻi maʻi maʻi. ʻO ka ʻā ʻana o ke kino (keratitis) hiki ke hoʻokumu ʻia e ka bacteria (Pseudomonas, ʻO Staphylococcus aureus, Chlamydia trachomatis, a i ʻole he streptococcus, he pneumococcus ...), he haʻo a i ʻole he amoeba.

ʻO ka loaʻa ʻana o kahi kino ʻē i loko o ka maka, ʻo ka hamo ʻia ʻana o ka maka irown (trichiasis) a i ʻole ke kuhi ʻia ʻana o nā mea kemika e hoʻoulu ai i ka ulceration.

I nā ʻāina e ulu ana, ʻo nā maʻi ʻeha i hoʻokumu ʻia e ka nele o ka huaora A ke kumu nui o ka makapō.

Pili ka poʻe

ʻO nā maʻi maʻi maʻi maʻamau i kēlā me kēia makahiki. 

ʻO Trachoma, kahi maʻi maka me ka bacteria, Chlamydia trachomatis, he pilikia ola kino maoli ma nā ʻāina ulu. ʻO nā maʻi i hoʻopaʻa hou ʻia ke kumu i ka maʻi maʻi koʻo me nā hopena koʻikoʻi. Wahi a ka WHO, ʻo ka trachoma ke kuleana no ka makapō a me ka pōʻino ʻike, i hoʻopilikia ʻia ma kahi o 1,9 miliona mau kānaka ma 2016.

Nā mea pilikino

ʻO ka hoʻohana ʻana i nā lens hoʻopili e hoʻonui i ka pilikia o ka maʻi, ʻoiai inā ʻaʻole mālama ʻia nā lula o ka hoʻohana ʻana a me ka maʻemaʻe: ʻo ka lōʻihi o ka hoʻohana ʻana ma mua o ka manawa i kuhikuhi ʻia, lawa ʻole ka disinfection… kumu o ka ma'i ma'i.

ʻO nā ʻeha ma muli o nā maka maloʻo a i ʻole ka pani ʻole ʻana i ka lihilihi (ʻoi aku ka nui o ka huli ʻana o ka lihilihi i ka maka, a i ʻole entropion) hiki ke piʻi i kahi maʻi maʻi kino.

ʻO nā hana e hōʻike ana i nā mea hoʻoheheʻe ʻia o nā huahana corrosive a i ʻole nā ​​​​palapala, a i ʻole ka wili ʻana, he mau mea pilikia ʻē aʻe.

PalekanaEND_LINK

Hoʻokumu ʻia ka maʻi ma muli o nā hoʻokolohua i hana ʻia e ka ophthalmologist. Hana ʻia ka nānā ʻana me ka biomicroscope, a i ʻole ke kukui slit. I mea e nānā ai i ka pōʻino o ka cornea, lawe ʻia ia i ka ʻulaʻula uliuli, ma hope o ka hoʻokomo ʻana i kahi kulu o ka maka i loaʻa kahi dye, fluorescein, kahi e hoʻopaʻa ai i nā ulcerations a ʻike ʻia ka ʻōmaʻomaʻo.

Pono e lawe ʻia nā laʻana no ka ʻike ʻana i ka lāʻau microbial i komo i loko o nā maʻi maʻi ʻeha.

ʻOi aku ka hohonu o ka maʻi ʻaʻai i ʻoi aku ka paʻakikī o nā hōʻailona. He ʻulaʻula a ʻeha ka maka maʻi ʻaʻa, a ʻo ka ʻeha hoʻi e like me ke kino ʻē i loko o ka maka. 

Hoʻopili pinepine ʻia nā hōʻailona ʻē aʻe:

• ka naʻau nui i ka mālamalama, a i ʻole photophobia,
• waimaka
• impaired vision me ka emi ʻana o ka ʻike maka,
• ma nā ʻano koʻikoʻi ʻoi aku ka nui, he ʻili o ka pus ma hope o ke koʻo (hypopion).

Evolution

He mea maikaʻi ia i ka wā ma luna o ka ʻulaʻula, akā hiki ke noho ʻeleʻele ka maka ma hope o ka ʻili ʻana. He ʻeleʻele opaque, a i ʻole haluna, ʻaʻole ia e hōʻeha i ka ʻike inā he liʻiliʻi a me ke ʻano. Ke nui a ʻoi aku ke kikowaena, hoʻemi ia i ka ʻike maka. 

ʻO kahi hoʻopiʻi hiki ke hoʻolaha ʻia ka maʻi i ka hohonu. I nā hihia koʻikoʻi loa, ʻo ka ʻāʻī a me ka ʻiʻo o ka maka i luku ʻia. Hiki ke alakaʻi i ka makapō i ka maʻi ʻaʻa ʻole i mālama ʻole ʻia.

Pono e hoʻomaka koke ʻia ka mālama ʻana i kahi maʻi maʻi maʻi maʻi maʻi. Ma muli o kona koʻikoʻi, e hoʻoholo ka ophthalomogue inā pono ka haukapila.

Moho nā maka

Ma ke ʻano he lāʻau hoʻouka kaua, pono e hoʻokomo pinepine ʻia nā kulu maka antiseptic i ka maka, i kekahi manawa i kēlā me kēia hola no nā hola 24 mua.

Hiki ke lawelawe ʻia nā kulu maka antibiotic ākea ma ke ʻano he laina mua, ʻoiai ʻaʻole i ʻike ʻia ke kumu kumu. A laila, e kuhikuhi ka ophthalmologist i nā lāʻau antibiotic kikoʻī, antiviral a i ʻole antifungal kulu maka.

ʻO nā kulu maka e like me ka atropine a i ʻole ka scopolamine, ka mea e hoʻonui ai i ka haumāna, hiki ke kōkua i ka hoʻomaha ʻana i ka ʻeha.

Pono ʻoe e hoʻomau i ka hāʻawi ʻana i nā kulu i ka maka ma ke ʻano he mālama mālama ʻana a hiki i ka hoʻōla loa ʻana o ka ʻeha.

Nā mea hana lima

I nā hihia koʻikoʻi, pono paha ka hoʻololi ʻana i ke kino, ʻoi aku ka nui o ka wā i ʻā ʻia ke kino. Hōʻike ʻia ka hoʻololi ʻana o ka membrane amniotic (e uhi ana i ka placenta a me ka fetus i nā wahine hāpai) i kekahi manawa, he waiwai nui kēia membrane i nā mea ho'ōla.

Hiki i kekahi mau mea mālama maʻalahi ke pale i nā maʻi ʻeha! I kēlā me kēia lā, ʻoi aku ka nui o ka nīnau e pili ana i nā ʻōlelo aʻoaʻo no ka mālama ʻana i nā lens, ka pale ʻana i nā maka mai nā aggressions (ka lā, ka uahi, ka lepo, ka ea makani, ka makani, a me nā mea ʻē aʻe) hiki ke hoʻonāwaliwali iā lākou, hiki ke hoʻohana i nā waimaka artificial, etc. .

Pono e mahalo ʻia ke komo ʻana i nā aniani a i ʻole ka pale pale no nā hana e hōʻike ana i ka maka i nā projections a i ʻole radiation.