Ke ʻike nei ʻoe i kekahi manawa i nā mea he mea pōwehiwehi iki, maopopo ʻole, a i ʻole he mea hoʻolōʻihi iki? ʻOiai i ka wā e hoʻokele ana i ka pō, ʻike anei ʻoe i kahi halo a puni nā kukui o ke kaʻa i mua ou? Loaʻa iā ʻoe ke poʻo ma hope o kekahi manawa i ka heluhelu ʻana i kahi puke a nūpepa paha, e nānā ana i ke TV, a i ʻole e hana ana ma ke kamepiula? Manaʻo anei kou mau maka i ka luhi? Inā ua ʻike ʻoe i hoʻokahi a ʻoi aku paha o kēia mau mea, he mea nui loa kēia ʻatikala iā ʻoe. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi maʻi i kapa ʻia ʻo 'Astigmatism', kahi i loaʻa i nā poʻe he nui, akā i ka lohe ʻana i ka inoa, makaʻu lākou he maʻi koʻikoʻi ia, akā he mea maʻalahi loa ia e hoʻoponopono.
He aha maoli ka astigmatism?
I ka ʻōlelo maʻalahi, ʻo ka astigmatism kahi kūlana i ʻole ai kou maka, ʻo ka ʻāpana moakaka ma ke alo o kou maka, ʻo ia hoʻi ka cornea, i poepoe pono ʻole e like me ka pōpō. Loaʻa iā kākou āpau kēia maʻi i kekahi ʻano.
E noʻonoʻo i kahi maka olakino e poepoe pono ana, e like me ka pōpeku. A laila, ua kulou like ke kukui e komo ana i ka maka, a ua kau ʻia ma kahi like ma ka retina. A laila hiki iā mākou ke ʻike maopopo i nā mea āpau.
Akā he aha ka mea e hana ai inā ua like kou maka me ka pōpō rugby? Kūlou ke kukui e komo ana i loko o kou maka i kekahi ʻaoʻao a i kekahi ʻaoʻao. ʻO ke ʻano kēia, hoʻokahi wale nō ʻāpana o kahi mea e kau ana ma ke kiko, a ʻo kekahi ʻāpana ʻē aʻe ʻaʻole i kau pono. ʻO ka hopena, ua like nā mea me he mea lā ua pōwehiwehi a kīkoʻo.
Hoʻopili pinepine ʻia ka Astigmatism me ka myopia a i ʻole ka nearsightedness a i ʻole hyperopia a i ʻole farsightedness. Kāhea mākou i kēia mau kūlana ʻekolu he mau hewa refractive. ʻO kēia no ka mea pili lākou i kahi loli i ke ʻano o ka piʻo ʻana o ka mālamalama e komo ana i ka maka (refracted).
Akā, mai hopohopo, he mea kēia e hiki i ke kauka maka ke hoʻoponopono maʻalahi me nā aniani maka, nā aniani hoʻopili, a i ʻole ke ʻoki kino.
He aha nā hōʻailona o ka astigmatism?
Loaʻa paha iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona:
- He blurry a he kekee paha nā mea (e.g., he poepoe ke ʻano oval)
- ʻEhaʻeha nā maka
- ʻEha poʻo pinepine
- Ka pilikia i ka ʻike ʻana i ka pō
Hoʻomaka mālie kēia mau hōʻailona. ʻAʻole ʻoe e ʻike koke i kahi ʻokoʻa nui. Loaʻa nā ʻeha poʻo mai ka hoʻoikaika ʻana o kou mau maka e kau i ka nānā ʻana i nā mea. Manaʻo pū nā loea he holo kēia maʻi i loko o nā ʻohana . ʻO ia hoʻi, inā loaʻa i kou makuahine, makuakāne, a i ʻole kekahi o kou ʻohana, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe.
He aha nā kumu o kēia kūlana?
No nā kānaka he nui, he mea kēia i hānau ʻia me lākou. Akā, ʻaʻole maopopo i nā loea ke kumu o ia mea. Ma waho aʻe o kēlā, hiki ke loaʻa ka astigmatism no nā kumu ʻē aʻe.
- Ma hope o ka ʻeha o ka maka
- Ma muli o kahi maʻi maka
- Ma hope o ke ʻoki maka
ʻAʻole pinepine loa, hiki ke hana ʻia ka astigmatism e kahi maʻi i kapa ʻia ʻo keratoconus. ʻO kēia ka manawa e lahilahi ai ka cornea o ka maka a ʻano cone. I kēia hihia, pono nā aniani hoʻopili e ʻike maopopo.
Akā, e hoʻomanaʻo i hoʻokahi mea. ʻO ka heluhelu ʻana i nā puke i ke kukui palupalu a i ʻole ka nānā ʻana i ke TV kokoke loa, ʻaʻole ia e hoʻoulu ai i ka astigmatism. He kuhihewa wale nō ia i loko o ke kaiāulu.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Inā ʻike ʻoe i kekahi mau loli i kou ʻike maka, e ʻike pono i ke kauka maka no ka hoʻokolokolo maka piha. E heluhelu ke kauka iā ʻoe i kahi pakuhi maka e ʻike ai i ke ʻano o kou ʻike maka. Eia kekahi, hoʻohana lākou i nā mea hana like ʻole e ana pololei i kēia kūlana.
- Phoropter: Ke hoʻomanaʻo nei ʻoe, ka mīkini e hoʻololi i nā aniani pākahi a nīnau, "Ua maopopo anei kēia, ua maopopo anei?" Pēlā ʻoe e loaʻa ai ka aniani e hāʻawi iā ʻoe i ka ʻike maopopo loa.
- Keratometer: Ke ana nei kēia mīkini i ke kūlou ʻana o kou cornea. Hāʻawi kēia i ke kauka i kahi manaʻo maikaʻi o ke ʻano o ka cornea a me kona hiki ke hoʻohuli i ka mālamalama.
- Autorefractor: Hoʻouna kēia mea hana i ka mālamalama i loko o kou maka a ana i ke ʻano o kona lele ʻana i hope. Hiki i kēia ke hāʻawi iā ʻoe i kahi manaʻo maʻamau o nā aniani āu e pono ai.
- Mea kālai kiʻi maka: ʻO kēia ke ala kikoʻī loa e loaʻa ai ka ʻike e pili ana i ke ʻano o ka cornea. Hoʻokumu kēia i kahi palapala kala 3D o kou cornea. He mea nui loa kēia hoʻāʻo inā ʻoe e hana ana i ke ʻoki laser (e like me `LASIK`).
Hiki iā mākou ke hoʻomaopopo i kāu lāʻau lapaʻau?
Ke ʻike ʻoe i nā leka a me nā helu ma ke kauoha a kāu kauka e hāʻawi ai iā ʻoe, e noʻonoʻo paha ʻoe i ke ʻano o kēia mau mea. E wehewehe maʻalahi kākou.
| Hōʻailona / ʻĀpana | Manaʻo |
|---|---|
| ʻOD a me OS | ʻO OD ke kū nei no ka maka ʻākau (Oculus Dexter), ʻo OS ke kū nei no ka maka hema (Oculus Sinister), a ʻo OU ke kū nei no nā maka ʻelua (Oculus Uterque). |
| Helu mua (Poʻai) | Hōʻike kēia iā ʻoe inā he pilikia kou me ka ʻike kokoke a mamao paha. Inā he hōʻailona minus (-) ma mua o ka helu, ua ʻike kokoke ʻoe. Inā he hōʻailona plus (+) ma mua o ka helu, ua ʻike mamao ʻoe. ʻO ke kiʻekiʻe o ka helu, ʻoi aku ka pōwehiwehi o kou ʻike. |
| Helu ʻelua (ʻano ʻōwili) | ʻO kēia ka nui o ka astigmatism āu. ʻO ke kiʻekiʻe o kēia helu, ʻo ka nui o ka astigmatism āu. |
| Helu ʻekolu (Axis) | Hōʻike kēia iā ʻoe i kahi o ka astigmatism ma kou cornea. |
Eia kekahi laʻana, inā ʻōlelo ka lāʻau lapaʻau "OD -1.00 x -2.00 x 155", ʻo ia hoʻi, he 1 diopter o ka ʻike kokoke a me 2 diopters o ka astigmatism kou maka ʻākau (OD), ma ke kūlana o 155 degere.
He aha nā lāʻau lapaʻau no kēia?
Hiki ke hoʻoponopono ʻia ka aneane o nā hihia āpau o ka astigmatism me nā aniani maka a i ʻole nā aniani hoʻopili. Eia nō naʻe, inā he liʻiliʻi loa kou astigmatism a ʻaʻohe pilikia ʻike ʻē aʻe, ʻaʻole paha ʻoe e pono i nā aniani maka.
Nā aniani maka
Ua hoʻolālā ʻia nā aniani hoʻopili e hōʻemi i ka blurring i hoʻokumu ʻia e ke ʻano kūlike ʻole o kou cornea. Hana maikaʻi lākou ke nānā pololei ʻoe i mua. Eia nō naʻe, inā he nui kou astigmatism, hiki i nā mea e like me ka papahele a me nā paia ke ʻike ʻia he kikoo iki ke kau mua ʻoe iā lākou. Mai hopohopo no kēlā. E hoʻomaʻamaʻa kou mau maka iā ia i loko o kekahi mau lā a i ʻole nā pule. E hoʻāʻo e ʻaʻahu iā lākou no kekahi mau hola i ke kakahiaka a maʻa mālie iā lākou. Eia naʻe, inā ʻaʻole i hoʻomaikaʻi kou ʻike, e ʻike hou i kāu kauka e hōʻoia i ka pololei o kāu kuhikuhi.
Nā aniani hoʻopili
Hiki i nā aniani hoʻopili ke hoʻoponopono i kēia kūlana. Akā pono ʻoe i kahi ʻano aniani kūikawā i hoʻolālā ʻia no kēlā kumu. ʻO nā aniani palupalu i hoʻohana ʻia no ka astigmatism ua kapa ʻia he mau aniani toric. Ua hoʻolālā ʻia kēia mau mea e hoʻohuli i ka maka i ke kūlana kūpono ʻoiai ke hoʻokiʻekiʻe ʻia.
Inā koʻikoʻi kou astigmatism, ʻoi aku ka maikaʻi o nā aniani hoʻopili paʻa gas-permeable. I kekahi manawa hoʻohana nā kauka i kēia mau aniani paʻa i kahi lāʻau i kapa ʻia ʻo orthokeratology. Ma kēia, ʻaʻahu ʻoe i kēia mau aniani i kou hiamoe ʻana i ka pō. Hoʻoponopono nā aniani i ke ʻano o kou cornea no kekahi manawa. Hiki iā ʻoe ke ʻike maopopo i ke ao holoʻokoʻa. Akā, pono ʻoe e ʻaʻahu mau i kēia mau aniani e mālama i kēlā ʻano.
ʻO ke ʻoki maka laser
ʻO ke ʻoki laser, e like me `LASIK` a i ʻole `PRK`, e hoʻololi mau i ke ʻano o kou cornea e hoʻopili pono i ka mālamalama. Hiki i kēia mau mea ke hoʻopuka i nā hopena maikaʻi loa. Hiki iā ʻoe ke nīnau i kāu kauka maka no ka ʻike hou aku e pili ana i kēia.
Hiki kēia i nā keiki ʻōpio pū kekahi?
ʻAe. He nui nā pēpē i hānau ʻia me ka astigmatism. Akā, ʻaʻohe mea e hopohopo ai. Nalo wale ia i ka wā e hiki ai iā lākou ke makahiki.
Akā ʻo ka mea nui loa, inā ʻaʻole mālama ʻia ka pilikia ʻike o ke keiki, hiki iā ia ke hoʻopilikia pololei i kāna hana kula. ʻAʻole paha e maopopo i kahi keiki ʻōpio he pilikia kona me kona ʻike. No laila, hiki i kēia ke hoʻopilikia i kāna hana kula. I kekahi manawa , hiki ke kapa hewa ʻia ʻo ia he 'keiki kīnā aʻo'. No laila, he mea nui loa ka nānā ʻana i nā maka o ke keiki. ʻOi aku ka maikaʻi o ka hoʻokolokolo maka i ka wā e 6 mahina ai ke keiki.
Leka Lawe-Home
- ʻAʻole maʻi ka Astigmatism, akā he kīnā ʻike e kū mai ana no ka mea ʻaʻole poepoe loa ke ʻano o ka cornea o ka maka.
- ʻO nā hōʻailona nui ka ʻike maka pohihihi, ka ʻike maka pohihihi, ka ʻeha poʻo, a me ka paʻakikī o ka ʻike ʻana i ka pō.
- He mea hānau pinepine kēia ʻano maʻi a ʻaʻole ia i hana ʻia e nā ʻano maʻamau e like me ka heluhelu ʻana i ka mālamalama palupalu.
- Aia nā lāʻau lapaʻau kūpono loa no kēia, e like me nā aniani, nā aniani hoʻopili, a me ke ʻoki laser.
- Inā kānalua ʻoe he pilikia kou a i ʻole kāu keiki i ka ʻike, e ʻike koke i ke kauka maka kūpono.
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