Ua ʻike anei ʻoe, inā paha ʻoe e nānā ana i ke aniani a i ʻole e lawe ana i kahi selfie, he ʻokoʻa ka nui o nā apo ʻeleʻele i loko o kou mau maka (kapa mākou iā lākou he " mau haumāna ")? ʻOi aku ka nui o kekahi a ʻoi aku ka liʻiliʻi o kekahi? ʻAʻole paha ʻoe i ʻike. Akā i kekahi manawa hiki i kēia ke hōʻailona o kahi pilikia olakino koʻikoʻi, no laila e makaʻala iki kākou i kēia, ʻeā?
He aha maoli ka Anisocoria, ka ʻokoʻa o ka nui o nā haumāna o nā maka ʻelua?
I ka ʻōlelo maʻalahi, ʻo `(Anisocoria)` he apo ʻeleʻele i loko o kekahi o kou mau maka, ʻo ia ka mea a mākou e kapa nei he haumāna , ʻoi aku ka nui a i ʻole ka liʻiliʻi ma mua o kekahi maka. ʻIke ʻoe, ʻo kēia haumāna ka mea e hoʻomalu i ka nui o ke kukui e komo ana i loko o ko kākou maka. Ua like ia me ka lens kāmela. Ma kahi i hoʻomālamalama maikaʻi ʻia, ʻoi aku ka liʻiliʻi a me ka emi ʻana , e kaupalena ana i ka nui o ke kukui e komo ana i loko o ka maka. A, ma kahi pouli, hoʻonui ia (dilates) e hoʻāʻo e hoʻokuʻu i ka mālamalama hou aku . Penei mākou e ʻike maopopo ai i nā kūlana kukui like ʻole.
ʻO ka maʻamau, ʻo ka ʻokoʻa o ka nui ma waena o nā haumāna ʻelua e hana ʻia me ka ʻike ʻole ʻia e mākou, hana koke ia. Eia nō naʻe, i ke ʻano o "Anisocoria", hiki i kekahi haumāna ke ʻoi aku ka nui a i ʻole ka liʻiliʻi ma mua o kekahi, a i ʻole e ʻike ʻia he ʻūmiʻi. E hiki iā ʻoe ke ʻike maʻalahi i kēia ʻokoʻa inā ʻoe e nānā i ke aniani.
Hiki i kēia ke hoʻopilikia i kou ʻike. No ka laʻana, inā ʻaʻole hoʻololi pono kekahi haumāna i ka mālamalama, pilikia paha ʻoe i ka ʻike maopopo ʻana, a i ʻole he ʻike māmā paha kou i ka maka i hoʻopilikia ʻia. Inā ʻike koke ʻoe ua ʻoi aku ka nui o kekahi o kāu mau haumāna ma mua o kekahi, pono ʻoe e ʻike koke i kahi loea mālama maka a i ʻole e hele i ka lumi pilikia. No kekahi poʻe, hiki ke hana ʻia kēia ʻano (anisocoria) me ka ʻole o nā pilikia lōʻihi. Eia nō naʻe, hiki nō hoʻi ke lilo i hōʻailona o kahi ʻano koʻikoʻi e hiki ke hoʻoweliweli i ke ola. Inā loaʻa iā ʻoe nā hōʻailona ʻē aʻe, e like me ka ʻeha o ka maka a i ʻole ka ʻike pohihihi, e hōʻoia e hele i ka lumi pilikia kokoke loa.
Aia kekahi mau ʻano nui o Anisocoria?
ʻAe, hoʻokaʻawale nā kauka maka i kēia kūlana `(Anisocoria)` i ʻelua ʻano nui. ʻO kekahi ʻo `(physiological anisocoria)` . Hoʻokumu ʻia kēia e kahi loli liʻiliʻi i nā kaʻina hana o loko o kou kino, ʻaʻole ma muli o kahi maʻi nui. ʻO kekahi ʻo `(pathological anisocoria)` . Hoʻokumu ʻia kēia e kahi kūlana olakino. I waena o kēia mau mea, ʻo `(physiological anisocoria)` ke ʻano maʻamau.
Eia nō naʻe, me ka nānā ʻole i kēia hoʻokaʻawale ʻana, ʻo ka mea nui loa iā ʻoe, ʻo ia ke ʻimi i ke kōkua lapaʻau i ka wā e ʻike ai ʻoe i nā hōʻailona. He aha ke kumu o ka ʻūlū ʻana o kou lihilihi maka?ʻOiai inā ʻaʻole like ka nui o nā mea ʻelua, he mea nui loa ia e ʻike koke i ke kauka maka no ka hoʻokolokolo ʻana.
Pehea ka maʻamau o kēia ʻano (Anisocoria)?
Wahi a nā loea lapaʻau, ma kahi o 15 o kēlā me kēia 100 kānaka e ʻike i kēia kūlana i ko lākou ola. ʻO ia hoʻi, ʻaʻole ia he mea maʻamau. Hānau ʻia kekahi mau pēpē me kēia kūlana (kapa mākou he anisocoria hānau). Eia naʻe, ʻo ka hapa nui o ia mea i hana ʻia e kahi kūlana olakino a i ʻole kekahi pilikia ʻē aʻe e hoʻopilikia i kou mau maka.
He aha nā hōʻailona o Anisocoria?
ʻO ka hōʻailona maopopo loa, ʻo ia ka ʻike ʻia ʻana o ka haumāna o kekahi maka i ʻoi aku ka nui (dilated) ma mua o kekahi.
ʻAʻohe paha ou hōʻailona ʻē aʻe, akā pono ʻoe e ʻike i ke kauka maka e ʻike e pili ana i kēia loli i kou mau maka.
Eia nō naʻe, inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma hope nei me kahi haumāna i hoʻonui ʻia, pono ʻoe e hele koke i ka lumi pilikia:
- ʻEha maka
- ʻIke pōwehiwehi
- Manaʻo e like me ʻoe e ʻike nei i ʻelua mau mea (kapa mākou i kēia "diplopia")
- ʻO ka ʻike i ka mālamalama, ʻo ia hoʻi, ka paʻakikī ke ʻae i ka mālamalama (ua kapa ʻia kēia he "photophobia")
- Ka nalowale koke o ka ʻike
Ma waho aʻe o kēia, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe:
- kuni
- ʻEha poʻo
- Ka luaʻi a i ʻole ka luaʻi
- ʻEha a ʻoʻoleʻa paha ka ʻāʻī
He aha nā kumu nui o Anisocoria?
Hiki i ka Anisocoria ke loaʻa i nā kumu he nui. Hiki i nā ʻano maʻi like ʻole, nā ulia, a me kekahi mau lāʻau lapaʻau ke kumu. I kekahi manawa hiki ke hana ʻia me ke kumu ʻole (kapa mākou he idiopathic anisocoria).
ʻO kekahi o nā kumu maʻamau:
- Nā kūlana migraine.
- Ma ke ʻano he hopena ʻaoʻao o kekahi mau ʻoki kino.
- ʻO kekahi ʻano lāʻau lapaʻau maka, nā ʻāpana ʻili e like me ka scopolamine, a me kekahi mau lāʻau lapaʻau ʻē aʻe.
- Nā ʻeha a me nā ulia (trauma) i kou poʻo, nā maka, a i ʻole nā kīʻaha koko e hoʻolako koko i kou mau maka.
Eia nō naʻe, ma waho aʻe o kēia mau kumu maʻamau, hiki ke hana ʻia ʻo Anisocoria e nā kūlana olakino koʻikoʻi loa, a hiki ke hoʻoweliweli i ke ola. ʻO kekahi o kēia mau kūlana:
- Nā aneurysms o ka lolo (nā kīʻaha koko i loko o ka lolo e kokoke ana e pohā).
- Nā hahau.
- Nā puʻupuʻu lolo.
- Nā maʻi e like me ka `(Meningitis)`.
- Kekahi mau ʻano maʻi ʻaʻai.
ʻO ia ke kumu e ʻōlelo ai mākou, "Kaninika"Inā loli ka nui o nā mea ʻelua, mai hoʻowahāwahā iā ia, e ʻimi koke i ke kōkua lapaʻau.
Pehea e ʻike ai i ka anisocoria?
E ʻike kekahi kauka maka a i ʻole kekahi mea mālama ola kino ʻē aʻe i ka anisocoria ma ka hana ʻana i kahi hoʻokolokolo maka. E nānā pū lākou i nā hōʻailona ʻē aʻe. Hiki iā lākou ke kuhikuhi i nā kulu maka kūikawā e kōkua i ka maʻalahi o ka hoʻokolokolo ʻana.
No ka ʻike ʻana i ke kumu o ka anisocoria, hiki i kāu kauka ke hana i nā hoʻokolohua kiʻi, e like me kēia:
- ʻO kahi scan MRI (magnetic resonance imaging).
- He hoʻāʻo `(CT scan (computered tomography scan))`.
- He hoʻāʻo `(X-ray)`.
Inā kānalua kāu kauka he maʻi kou, hiki iā lākou ke hana i nā hoʻokolohua koko a i ʻole kahi puncture lumbar .
Pehea e mālama ʻia ai ʻo Anisocoria?
ʻO ka mea nui ma ʻaneʻi, ʻo ia ka ʻimi ʻana i ke kumu a me ka mālama ʻana , ma mua o ka kaohi wale ʻana i ka nui like ʻole o kāu mau haumāna .
E hoʻomanaʻo, inā ʻaʻohe ou hōʻailona ʻē aʻe, a ua hōʻoia kāu kauka maka ʻaʻohe maʻi koʻikoʻi ma lalo, ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau. E hoʻi hou ana kāu mau haumāna i ka nui maʻamau i ka hala ʻana o ka manawa.
Eia nō naʻe, inā ʻo Anisocoria ka hōʻailona mua o kahi maʻi koʻikoʻi, ʻo ka lāʻau āu e pono ai e pili ana i ke kūlana kumu. E kamaʻilio me kāu kauka e pili ana i kāu mea e hana ai a me ka mea e manaʻo ai.
Hiki ke pale ʻia ka Anisocoria?
ʻO kaʻoiaʻiʻo, ʻoiai he nui nā kumu o ka "(Anisocoria)", ʻaʻohe ala hoʻokahi e pale aku ai.
ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke nānā mau ʻia kou mau maka a loaʻa kahi nānā lapaʻau i kēlā me kēia makahiki. Ma ka loaʻa ʻana o nā hoʻokolohua maka maʻamau a me ka mālama ʻana i kou olakino holoʻokoʻa, hiki iā ʻoe ke ʻike i nā pilikia e hiki ke hoʻoulu i ka Anisocoria ma mua o ko lākou hōʻino ʻana i kou mau maka a me kou kino.
Pehea lā koʻu wā e hiki mai ana me ke kūlana (Anisocoria)?
ʻOkoʻa ka pane i kēia mai kēlā kanaka a kēia kanaka. Aia wale nō ia i ke kumu o ka anisocoria. Inā he ʻano ia e like me ka migraine a i ʻole ka pane ʻana i kahi lāʻau lapaʻau, e hoʻopau pinepine ia ma kāna iho. Eia nō naʻe, inā loaʻa iā ʻoe kahi mea koʻikoʻi e like me ka aneurysm o ka lolo a i ʻole ka hahau ʻana, hiki ke hoʻololi mau ʻia kou ola.
No nā kānaka he nui, he ʻāpana liʻiliʻi wale nō ʻo Anisocoria o kahi pilikia olakino nui. Ke mālama ʻoe i ke kūlana kumu, e hoʻi hou kāu mau haumāna ʻelua i ka nui maʻamau.
E nīnau i kāu kauka a kauka maka paha e pili ana i kou hiʻohiʻona i ka wā e hiki mai ana no kou kūlana.
Āhea wau e ʻike ai i ke kauka?
E ʻike i kahi kauka maka ke ʻike ʻoe i kekahi loli i kou mau maka a i ʻole ka ʻike.
Inā ua loli ka nui o kāu mau haumāna a loaʻa koke iā ʻoe ka ʻeha hou a i ʻole ka nalowale o ka ʻike, e hele koke i ka lumi pilikia.
He aha kaʻu e nīnau aku ai i kaʻu kauka?
He mea maikaʻi ke nīnau i kāu kauka i nā nīnau e like me kēia:
- He aha ke kumu o kēia kūlana "(Anisocoria)" i loko oʻu?
- He aha ke ʻano o nā hoʻokolohua e pono ai iaʻu e hana?
- He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
- ʻEhia ka lōʻihi e ola ai?
He aha ke ʻano kauka e mālama ai iā Anisocoria?
ʻO ke ʻano o ka mea lawelawe mālama ola āu e ʻike ai no ka anisocoria e pili ana i ke kumu o ia mea a pehea e hoʻopilikia ai i kou kino. E ʻike paha ʻoe i kahi loea mālama maka, nāna e nānā a mālama i nā pilikia me kou mau maka. Pono paha ʻoe e ʻike i kahi neurologist a cardiologist paha, nāna e mālama i kou mau maka .
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
ʻO Anisocoria kahi ʻano ʻokoʻa ka nui o nā iris, a i ʻole nā pupils , i loko o kou mau maka. ʻO ka hapa nui o ka manawa, he pilikia manawa pōkole kēia. Eia nō naʻe, i kekahi manawa hiki ke lilo i hōʻailona he hewa kekahi mea nui i loko o kou kino. Inā loaʻa iā ʻoe ka anisocoria me ka ʻeha o ka maka, ka nalowale o ka ʻike, a i ʻole nā hōʻailona ʻē aʻe e manaʻo ai ʻoe he hewa kekahi mea, e hele koke i ka lumi pilikia.
ʻOiai he hopena pōkole kēia, ʻaʻole pono ʻoe e lawe māmā i kekahi mau loli i kou mau maka. E ʻike koke i ke kauka no ka hoʻokolokolo ʻana. E kōkua lākou iā ʻoe e hoʻomaopopo i ke kumu o kēia kūlana (anisocoria) a me ke ʻano o ka lāʻau lapaʻau maikaʻi loa nāu.
ʻAnisocoria , maka, haumāna , ʻike, nā hōʻailona, kauka maka, maʻi lolo











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