Ua nānā anei ʻoe i kou mau maka i loko o ke aniani? ʻO ka pōʻai ʻeleʻele liʻiliʻi ma waenakonu o ko kākou iris, i kapa ʻia ʻo ka pupil, e hoʻonui mau a ʻaelike ma muli o ke kukui a puni. Hoʻemi ia i ka wā e loaʻa ai ke kukui ʻālohilohi a hoʻonui i ka pouli. Akā i kekahi manawa ʻaʻole hana pono kēia kaʻina hana. I kēia lā, ke kamaʻilio nei mākou e pili ana i kekahi ʻano maʻi olakino kakaʻikahi, akā he mea nui loa. Ua kapa ʻia ʻo ia ʻo Argyll Robertson Pupil.
I ka ʻōlelo maʻalahi, he aha kēia Argyll Robertson Pupil?
ʻO ka Argyll Robertson Pupil kahi ʻano kūikawā i ʻike ʻia i loko o ka haumāna o ko kākou maka. Hoʻemi ka haumāna o ke kanaka me kēia maʻi, ʻo ia hoʻi, hoʻemi, ke nānā mākou i kahi mea kokoke iā mākou (no ka laʻana, ke heluhelu mākou i kahi puke). Eia naʻe, ke hāʻule kahi kukui ʻālohilohi ma luna o ka maka, ʻaʻole ia e hoʻemi e like me ka mea e pono ai.
E noʻonoʻo i ka iris i loko o ko kākou mau maka e like me ka puka i loko o ka lens kamera. Hana maikaʻi ia e kālele i kahi mea kokoke, akā ʻaʻole ia e hana e kāohi i ka mālamalama. Ua kapa ʻia kēia ʻano ma ke ʻano lapaʻau ʻo "light-near dissociation." ʻO ia hoʻi, aia kahi "mismatch" ma waena o ka pane i ka mālamalama a me ka pane i ka nānā ʻana i ka kokoke.
ʻIke pinepine ʻia kēia ma nā maka ʻelua i ka manawa like. Eia kekahi, ʻo nā kiko ʻeleʻele i ka poʻe me kēia maʻi he liʻiliʻi a ʻano ʻē.
Ua kapa ʻia ka inoa no ka hoʻohanohano ʻana iā Douglas Argyll Robertson, he kauka maka Sekotia nāna i wehewehe mua i ke ʻano i ka hopena o ke kenekulia 19.
He aha nā kumu nui o kēia kūlana?
Ke ʻike nā kauka i ka Argyll Robertson Pupil, manaʻo mua lākou i kahi maʻi koʻikoʻi ʻē aʻe.
ʻO ke kumu nui a maʻamau o kēia, ʻo ia ka syphilis pae kiʻekiʻe i mālama ʻole ʻia, kahi maʻi i laha ma ke ʻano moekolohe. ʻO ka Syphilis kahi maʻi hiki ke ho'ōla loa ʻia inā ʻike ʻia a mālama ʻia i ka wā mua. Eia naʻe, inā waiho ʻole ʻia, hiki iā ia ke laha ma ke kino holoʻokoʻa, e hōʻino ana i ka lolo a me ka ʻōnaehana nerve, a i ka hopena e alakaʻi ana i ka make. Manaʻo nā kānaka ʻepekema e hōʻino ana ka syphilis i ka ʻāpana o ka lolo e pane ana i ka mālamalama, akā ʻaʻole ka ʻāpana e pane ana i ka ʻike kokoke. Ua manaʻo ʻia ʻo ia ke kumu o ka Argyll Robertson Pupil.
Akā ma waho aʻe o nā syphilis, aia kekahi mau kūlana ʻē aʻe e hōʻike ana i nā hōʻailona like.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| Ka maʻi hoʻohana ʻona | Nā pilikia olakino i hoʻokumu ʻia e ka inu pinepine ʻana i ka waiʻona a nui paha. |
| Maʻi diabetes (Diabetes Mellitus) | Piʻi ka nui o ke kō koko ma muli o ka hiki ʻole o ke kino ke hoʻohana pono i ke kō (glucose). |
| Ka maʻi lolo (Encephalitis) | He maʻi koʻikoʻi paha e hoʻopehu ai i ka lolo. |
| Sclerosis lehulehu (MS) | He maʻi autoimmune kahi e hoʻopau ai ka ʻōnaehana pale ponoʻī o ke kino i nā ʻūpā nerve (myelin) i loko o ka lolo a me ke kaula spinal. |
Pehea e mālama ʻia ai kēia maʻi?
ʻO ka mea nui e pono ai kākou e hoʻomaopopo ma ʻaneʻi, ʻaʻole he maʻi ʻo Argyll Robertson Pupil, akā he hōʻailona . No laila, ʻaʻole no kēia loli i ka iris o ka maka ka lāʻau, akā no ka maʻi kumu i hoʻokumu ai.
ʻOiai hiki i ka Argyll Robertson Pupil ke lilo i mea ʻino aʻe i ka hala ʻana o ka manawa, ʻaʻole hiki ke ho'ōla loa ʻia. ʻO ka nūhou maikaʻi, ʻaʻole kēia maʻi e lilo i mea e nalowale ai ka ʻike.
ʻO nā ʻano lapaʻau e pili ana i ke kumu kumu.
Lapaʻau no ka Syphilis
E kānalua mua kāu kauka i ka syphilis. E nānā pū ʻo ia no nā hōʻailona ʻē aʻe, e like me ka ʻulaʻula, ka paʻakikī i ka hele ʻana, a i ʻole ka ʻeha nui. E nīnau lākou e pili ana i kou mōʻaukala olakino a me ka moekolohe, a e hōʻoia i ka maʻi me kahi hoʻāʻo koko. Hiki iā lākou ke paipai i kahi puncture lumbar .
Inā ua hōʻoia ʻia ka maʻi, e kuhikuhi kāu kauka iā ʻoe i kahi lāʻau antibiotic, ʻo ka penicillin maʻamau. Hāʻawi pinepine ʻia kēia ma ke ʻano he injection i loko o kahi vein (IV) ma kahi haukapila.
Ke kāohi ʻana i ka maʻi diabetes
Inā he maʻi diabetes ke kumu, he mea nui e mālama i kou pae kō koko ma lalo o ke kaohi. Hiki i kāu kauka ke ʻōlelo i kēia mau mea:
- E hahai i kahi ʻano ʻai i nā manawa kikoʻī.
- E hoʻāʻo i ka ʻai kiʻekiʻe i ka fiber, ka protein lean, a me nā kalapona olakino, a haʻahaʻa hoʻi i ka momona, ka paʻakai, a me ke kō.
- E hoʻoikaika kino i nā manawa a pau.
- E mālama pono i kou mau wāwae a me kou ʻili.
- E nānā pinepine i kou pae kō koko.
- E lawe i kāu mau lāʻau lapaʻau i ka manawa kūpono.
Ka Hoʻokele ʻana i ka Multiple Sclerosis (MS)
He maʻi paʻakikī ʻo MS. ʻAʻohe lāʻau lapaʻau i kēia manawa. Kuhi ʻia ka lāʻau lapaʻau i ka kaohi ʻana i nā hōʻailona. Ma waho aʻe o nā lāʻau lapaʻau, he mea nui loa ka hoʻōla kino a me ke aʻoaʻo olakino noʻonoʻo.
- E ʻai i nā meaʻai olakino, e pale i nā meaʻai i hana ʻia, ke kō i hoʻohui ʻia, ka paʻakai, a me nā momona maikaʻi ʻole.
- E hoʻomaha maikaʻi.
- E hoʻokele i ke kaumaha.
- E pale loa i ka puhipaka.
- E kaupalena i ka inu ʻana i ka waiʻona.
Hiki ke pale ʻia kēia kūlana?
ʻAʻohe ala e pale pololei ai iā Argyll Robertson Pupil. Eia nō naʻe, hiki iā mākou ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i nā kūlana kumu e hoʻokumu ai.
Eia kekahi laʻana, no ka pale ʻana iā ʻoe iho mai nā maʻi i laha ma ke ʻano moekolohe e like me syphilis, he mea nui e hoʻomaʻamaʻa i ka moekolohe palekana , ʻo ia hoʻi ka hoʻohana mau ʻana i nā ʻano palekana e like me ka condom.
Āhea ʻoe e ʻike ai i ke kauka?
I ka manawa pinepine, ʻaʻole ʻike ʻia kēia hōʻailona e ʻoe, akā na ke kauka e nānā iā ʻoe. Hiki ke ʻike ʻia i ka wā o ka hoʻokolokolo kino maʻamau a i ʻole ka hoʻokolokolo maka.
Hiki i kāu kauka a kauka maka paha ke haʻi nui i kou olakino ma ka nānā wale ʻana iā ʻoe.
No laila, he mea nui loa ka loaʻa ʻana o nā hoʻokolohua lapaʻau maʻamau a me nā hoʻokolohua maka. Inā ʻike kāu kauka i kekahi o kēia mau hōʻailona, e kauoha ʻo ia i nā hoʻokolohua hou aʻe e ʻike i ke kumu. ʻO ka ʻike mua ʻana a me ka mālama ʻana nā ala maikaʻi loa e hoʻokō ai i nā hopena maikaʻi loa. No laila, mai hoʻokaʻulua e ʻike i kāu kauka.
Leka Lawe-Home
- ʻO Argyll Robertson Pupil kahi kūlana kahi e ʻuʻuku ai ka haumāna o ka maka ke nānā pono ʻia, akā, ʻaʻole pane i ka mālamalama.
- ʻAʻole kēia he maʻi, akā he hōʻailona ia o kahi maʻi e like me ka syphilis. Hiki i nā maʻi ʻē aʻe e like me ka maʻi diabetes a me MS ke hana i nā hōʻailona like.
- ʻAʻole no ka hōʻailona o ka maka ka lāʻau lapaʻau, akā, no ka maʻi kumu i hoʻokumu ai.
- ʻAʻole kēia hōʻailona e kumu i ka nalowale ʻana o ka ʻike, no laila ʻaʻohe pono e hopohopo no ia mea.
- He mea nui ka nānā kino a me nā nānā maka mau ʻana me kāu kauka ʻohana no ka ʻike mua ʻana i kēia mau hōʻailona.











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