Kūlike ʻole i ka manaʻo o kekahi, ʻaʻole kūnewa ke kumu nui o ka eyelid droopy, ke kumu pinepine i ka ʻoiaʻiʻo, ʻo ia hoʻomohala kūpono ʻole o ka mākala levator eyelid. Inā loaʻa ka pilikia i ka wā hānau, ʻoi aku ka maikaʻi e komo koke e hōʻalo ai i nā haunaele hou.
ʻO nā maka aʻo ka nānā i ka nui, ʻo ia ka crux o ka helehelena holoʻokoʻa. Ua manaʻo mākou e hoihoi paha ʻoe i ka ʻike ʻana i nā akua nā lāʻau kūlohelohe no nā maka puffy.
Nā ʻōuli ptosis maka
ʻO ka ptosis maka ka inoa loea no ka pilikia droop eyelid, akā he aha nā hōʻailona e hoʻomaopopo ai iā ʻoe ua hewa kekahi mea? ʻO ka mea maopopo loa kahāʻule o hoʻokahi a ʻelua paha maka maka.
ʻO nā ʻōuli ʻē aʻe e like me:
- ʻO ka paʻakikī e pani a wehe paha i nā maka
- ʻO ke kau iki o ka ʻili ma luna a ma kahi o ka maka
- Ka luhi a me nā ʻeha a puni nā maka, keu hoʻi i ka lā
- Hoʻololi i ka helehelena o ka helehelena
Ke ano o ka ʻōniu maka hiki ke kūpaʻa i ka holo ʻana o ka manawa, hoʻomohala lohi i nā makahiki a i ʻole kūlia. Eia kekahi, ʻAʻole hiki ke hinted wale ʻia ka eyelid ʻōlulo, a i ʻole uhi piha i ka haumāna a me iris.
I nā hihia koʻikoʻi ka ptosis maka paʻa maka e hiki kiʻi e ālai loa i ka ʻike maka ʻoiaʻiʻo ke pili ia i nā eyelids ʻelua. I nā kūlana ʻē aʻe, akā hiki, hiki ke kaʻawale i ʻōlelo ʻia aʻe nei a no laila ʻaʻole e ʻike koke ʻia.
ʻO ka lihilihi maka hāʻule hiki wale nō e hoʻololi i ka helehelena o ke kanaka me ka hoʻohuli ʻole i ko lākou olakino, akā i kekahi manawa hiki ke lilo i hōʻailona hōʻailona no kahi maʻi koʻikoʻi, ka mea hoihoi nā mākala, nā aʻa, nā maka a i ʻole ka lolo.
La ptosis maka paʻa maka hiki iā ia ke hōʻike wale iā ia iho no kekahi mau lā a i ʻole no kekahi mau hola a he hōʻailona ia o nā pilikia olakino koʻikoʻi. I kēia mau hihia, e hoʻomaopopo koke i kāu kauka.
Hoʻopili i kēia maʻi i kekahi manawa pili pū ʻia me strabismus a ke pili i nā keiki, ʻo ka maʻamau ka kuli i kou poʻo i hope a hāpai i kou mau kuʻemaka e hoʻāʻo e ʻike i ka ʻoi aku. ʻO kēia hana, hana hou ʻia i ka manawa, hiki ke alakaʻi i ʻeha poʻo a me ka ʻāʻī ʻoʻoleʻa ocular, Ke kumu o ka pilikia o ka ʻāʻī a me ka lohi o ka hoʻomohala ʻana.
Hoʻopulu i ka maka maka: nā kumu
Kū pinepine ka eyegid sagging me ka ʻelemakule, ʻoiai nāwaliwali nā mākala o nā ʻōmaka. I nā mākua, ʻo ke kumu maʻamau o ka ptosis ke ʻano ʻo levator, ma muli o ka hōʻeha a i ʻole nā hopena o kekahi ʻoki kino o ka maka.
ʻO nā kumu ʻē aʻe i alakaʻi i ka eyelid eyelid ʻo:
- nā hōʻeha
- ʻōpū o ka maka
- nā maʻi neurological
- mimikō
- lawe lāʻau opioid
- ka hoʻohana ʻana i ka lāʻau
Ma muli o ke kumu, hiki iā mākou ke hoʻokaʻawale i nā ʻano ʻano o ka ptosis eyelid:
- Myosis ptosis: pili ia i ka nāwaliwali o ka mākala levator, maʻa mau i nā mea maʻi e ʻeha nei i nā maʻi maka ʻē aʻe.
- Ptosis Neurogenic: ke pili pū nā aʻalolo e kāohi ana i ka palpebra levator.
- ʻO ka ptosis Aponeurotic: kuhikuhi ʻia i ka holomua o ka makahiki a i ʻole nā hopena ma hope o ka hana.
- Ptosis mīkini: loaʻa mai kahi kaupaona o ka eyelid e pale ai i kāna neʻe pololei. Hiki ke hopena i ka ptosis mechanical mai ka loaʻa ʻana o kahi nuipa e like me fibroids a me angiomas.
- Ptosis hōʻeha: ke kū nei ma hope o ka laceration o ka eyelid me ka excision o ka muscle levator.
- Ptosis Neurotoxic: he hōʻailona maʻamau o ka lāʻau make, kahi e koi koke ai i ka lāʻau.
Ka ʻike a ke kauka
ʻO ka mea hiki ke ʻike pono i ka lihilihi o ka maka o ke kauka a ʻoi aku ka maikaʻi, nāna e nānā pono i nā lihilihi ʻelua, e nānā ana i ke kumu o ka maka holoʻokoʻa.
Ma mua o ka hoʻomau ʻana me ka loiloi pilikia, hana pololei ʻia nā ana aʻe:
- Māhele maka: mamao ma waena o ka lihilihi o luna a me lalo i ke kaulike kaulike me ke kikowaena o ka haumāna;
- Hōʻike ʻia ka mamao palena: ka mamao ma waena o ka waena o ka reflex light pupillary a me ka palena o ka maka o luna a me lalo.
- ʻO ka hana muscle Levator.
- Ka mamao o ka ʻili pelu mai ka palena palena luna.
Nā hiʻohiʻona ʻē aʻe hiki iā lākou kōkua i ka hoʻoholo ʻana i ke kumu o ka ptosis maka maka ka mea, e:
- ʻO ke kiʻekiʻe o nā kuʻemaka;
- Ka ikaika o ka mākala Levator;
- ʻO ka neʻe ʻana o ka maka
- Nā mea kūpono ʻole i ka hana ʻana o nā waimaka
- Ka panina piha ʻole o ka maka maka;
- Ke alo / kaawale o hihio pālua, nāwaliwali o nā mākala a nāwaliwali pahapaʻakikī i ka ʻōlelo ʻana a me ka ale ʻana paha ʻeha poʻo, ʻūlū.
E hōʻea i kahi lapaʻau kūpono loa, i kekahi manawa e lawe ʻia nā noiʻi hou e ka ophthalmologist. ʻO kahi laʻana, inā hōʻike ka mea maʻi nā hōʻailona o kahi pilikia neurological aiʻole inā hōʻike ka hoʻokolohua maka i kahi nui i loko o ka maka o ka maka. I kēia hihia, e kuhikuhi ʻia nā hoʻokolohua kikoʻī.
Pehea e hoola ai i ka lihilihi maka maka
I nā hihia ʻoi aku ka paʻakikī ma mua o lihilihi maka, lawa paha kekahi nā hana e pili ana i ka hoʻoikaika ʻana i ka mākala kūpono no ka hāpai ʻana i ka lihilihi. Aia nā aniani a me nā aniani kūkā kikoʻī e hiki ke kākoʻo i ka lihilihi a pale i ke kaha ʻana.
E hoʻoponopono a hihia koʻikoʻi o ka ptosis maka, ʻo ka hopena wale nō huli i ke ʻoki kino, ma o ka hoʻopili e kau ʻia e hoʻoikaika i nāʻiʻo levator, me nā hopena maikaʻi loa e pili ana i nā aesthetics.
Inā i ka wā o ka hana e ʻike ai ke kauka nāwaliwali loa nā mākala levator o ka eyelid, hoʻoholo paha e hoʻohui i ka lihilihi i ka maka maka, pū kekahi ʻo nā mākala o ka lae ka mea e hāpai i ia.
Ma hope o ke kaha ʻana he mea maʻamau ʻaʻole hiki iā ʻoe ke pani paʻa i kou mau maka, a ma luna o nā mea āpau he mea nui e ʻike he hiki ke hoʻopau i kēia hanana no 2 a 3 mau pule paha.
I nā kūlana kūikawā he pono paha ia he komo ʻelua ʻoi loa e hana ʻo nā maka maka ʻelua he symmetrical pono ia.
Nā pilikia i hiki ke hana ma hope o ka blepharoplasty me:
- kahe nui ke koko
- maʻi i loko o ka hana wahi
- scarring a me ka poino i nā ʻaoʻao o ke alo a i ʻole nā mākala
ʻO nā mea maʻi e loaʻa ana i ka ptosis eyelid, pono e nānā pinepine ʻia e ka ophthalmologist e nānā i ka holomua o ka pilikia, inā ʻaʻole lākou i ʻoki poepoe.
Nā maʻi e pili pū ana me ka eyelid e heleleʻi ana
Aia kahi moʻo holoʻokoʻa o nā maʻi e hoʻonui ai i ka makaʻu o ka hoʻomohala ʻana i ka ptosis eyelid. ʻO wai lākou? Eia ka papa inoa.
- Diabetes
- Ka maʻi maʻi o Horner
- Myasthenia gravis
- hahau ana
- Hoʻopilikia hānau
- Ka maʻi ʻaʻai lolo a i ʻole nā maʻi ʻino ʻē aʻe e hiki ke hoʻopili i nā hopena o ke aʻa a i ʻole nā mākala
- Paralysis a ʻeha paha o ka nerve cranial 3rd (oculomotor nerve)
- Hoʻopilikia i ke poʻo a i ʻole nā kuʻemaka
- Bell's palsy (ʻinoʻino i ke aʻalolo helehelena)
- Hoʻoiho muscular