ʻO ka haehae nui ʻana, i kapa ʻia hoʻi ʻo epiphora, hiki i kekahi manawa i nā pōpoki. No laila, loaʻa i ka mea nona ka manaʻo e uē ana ka pōpoki. Nui a ʻemi paha nā kumu koʻikoʻi i hiki i ke kumu o kahi epiphora i loko o nā pōpoki a koi ʻia e nīnau aku i kāu kauka lāʻau lapaʻau i ka wā e ʻike nui ai ka haehae ʻana i ke kumu a mālama iā ia.

E hoʻomaopopo i ka nui o ka haehae ʻana, pono e hoʻomaopopo i ke kahe maʻamau o nā waimaka. Hana ʻia nā waimaka e nā waimaka waimaka ma nā lihilihi o luna a ma ka ʻaoʻao o waho o ka maka. Aia kekahi mau ʻōpū ʻē aʻe e hoʻopuka i nā waimaka (Meibomian, nictitating a me mucinic). E kahe mau ka waimaka i ka pae o nā maka e hoʻomaʻū iā lākou, e hānai iā lākou a hōʻoia i ko lākou pale ʻana, i mea e pale ai i ka kole. A laila, e hoʻoneʻe ʻia lākou e nā waimaka waimaka ma ke kiʻekiʻe o ka medial canthus (ke kihi o loko o ka maka) e ʻae ai i kā lākou hoʻopau ʻana i ka aʻa nasolacrimal e holo ana ma ka ihu e pau i ka ihu ihu.

ʻO ka epiphora

ʻO Epiphora ka inoa ʻepekema no ka haehae nui ʻana. Hoʻokuʻu kūlohelohe kēia mai nā maka, ʻoi aku ka pololei mai ka medial canthus. He mea maʻamau kēia i nā hihia o ka hōʻino maka no ka mea he ʻano pale ia o ke kino. Ma ka hana ʻana i nā waimaka hou, hoʻāʻo ka maka e pale iā ia iho, no ka laʻana mai ka huhū a i ʻole ka maʻi. Akā hiki ke hele i kahi kahe kūlohelohe ma muli o ka holo pono ʻole e haʻalele i nā waimaka ma muli o ka ālai ʻia ʻana o ke duct a i ʻole kahi anatomical abnormalities.

Eia hou, pono e hoʻomaopopo ʻia nā maka o nā pōpoki, e like me nā ʻīlio, hāʻawi ʻia me ka eyelid 3 i kapa ʻia he membrane nictitating. Noho ia ma ke kihi o loko o kēlā me kēia maka a hāʻawi i ka pale o ka maka hou. ʻO ka maʻamau, ʻaʻole ʻikea ʻia.

Ma ka laulā, hiki i kahi epiphora ke loaʻa kahi hana nui ʻole o ka waimaka, keu hoʻi i nā hihia o ka mumū, a i ʻole ka ukali ʻana i kahi hana ʻole o ke aʻa nasolacrimal, ʻoi aku kahi keʻakeʻa, pale i nā waimaka i hana ʻia e holoi ʻia. kahe i waho.

No laila, hiki iā mākou ke nānā i kahi haehae kūlohelohe o ka mea nui e nānā i ka hiʻohiʻona (translucent, kala, a pēlā aku.). I nā pōpoki me nā huluhulu keʻokeʻo a i ʻole nā ​​kukui, ʻike ʻia nā kuhi ma ka ihu kahi e kala ai nā lauoho ma muli o ka haehae pinepine ʻana. ʻIke ʻia kekahi mau ʻōuli ʻē aʻe, e like me ka ʻulaʻula o nā kuʻemaka, ka pehu ʻana, ka ʻimo ʻana a i ʻole ke kuʻi ʻana. No laila, hiki iā mākou ke kuhikuhi i nā kumu aʻe i hiki i ke kumu o kahi epiphora i nā pōpoki:

• ʻO kahi pathogen: he bacterium, kahi parasite a i ʻole kahi maʻi virus;
• He kino haole: lepo, mauʻu, one;
• Glaucoma: maʻi i hōʻike ʻia e ka hoʻonui ʻana o kaomi ma loko o ka maka;
• ʻO kahi maʻi palu;
• ʻO ka haki o ka iwi maka;
• ʻO kahi tumo: nā lihilihi (e like me ka eyelid 3), ka piko o ka ihu, nā sinus a i ʻole ka iwi ā.

He predisposition e like me nā lāhui

Eia hou, ʻo ka heihei kahi kiko hoʻi e noʻonoʻo ai. ʻOiaʻiʻo, hiki i kahi epiphora ke hopena mai ka hōʻino ʻana o ka ocular ma muli o kahi anatomical abnormalities i hiki ke hoʻoili genetically. ʻOiaʻiʻo, ua predisposed kekahi mau laha i ka hoʻomohala ʻana i kekahi mau maʻi maka e like me ka entropion (ʻōwili ʻia ka maka i loko o ka maka e pale ai i ke komo ʻana i nā puka waimaka) a i ʻole distichiasis (ke kū ʻana o nā maka maka i hoʻokomo ʻole ʻia). Hiki iā mākou ke haʻi kikoʻī i kekahi mau laha o nā pōpoki brachycephalic (me ka helehelena pālahalaha a me ka ihu pōkole), e like me ka Persian. Hoʻohui ʻia, pili paha nā mea ʻē aʻe nā hoʻoilina hoʻoilina e like me ka loaʻa ʻole o ka eyelid.

Ke nānā ʻoe i ka haehae nui ʻana a me ka maikaʻi ʻole o kāu pipi, pono e hoʻopaʻa i kahi manawa me kāu kauka holoholona i hiki iā ia ke hana i kahi nānā maka e hoʻoholo ai i ke kumu. E nānā inā loaʻa nā hōʻailona olakino ʻē aʻe i mea e hōʻike ai iā lākou i kāu kauka lāʻau. Hiki ke hoʻokō ʻia nā hoʻokolokolo hou aʻe. No laila e hilinaʻi ka hoʻokele i ke kumu i hōʻike ʻia a na kāu kauka lāʻau lapaʻau e kau i ka lāʻau lapaʻau e like me ia. I kekahi manawa, pono ke kahakaha i kekahi mau hihia, keu hoʻi i nā hihia o ka abnormalities anatomical.

Kāohi

I ka pale ʻana, pono ia e nānā mau i nā maka o kāu pōpoki, inā loaʻa ke komo i waho. E nānā pono ma hope o kēlā me kēia holo ʻana a ʻaʻohe mea haole e moe i kona mau maka a i ʻole ʻeha ʻo ia. Inā pono, hiki iā ʻoe ke hoʻomaʻemaʻe i kona mau maka e wehe i kahi lepo. Mai kānalua e nīnau i kāu kauka holoholona no ka ʻōlelo aʻoaʻo e hoʻohana ai e hoʻomaʻemaʻe i nā maka o kāu pōpoki.

I kēlā me kēia hihia, ke puka koke kahi epiphora akā loaʻa pū kekahi pilikia i nā maka o kāu pōpoki, mai hoʻokaʻulua e hoʻokaʻaʻike aku i kāu kauka lāʻau, ʻo ia ka mea i waiho i kāu referent, no ka mālama wikiwiki ʻana ma mua o ka hoʻomaka ʻana. ʻaʻole kau ʻia nā pilikia kūpono.