He ʻokoʻa anei nā maka o kāu pēpē? Mai hopohopo, e kamaʻilio kākou e pili ana i ka coloboma!

Ua ʻike anei ʻoe i kahi loli liʻiliʻi i ka iris ʻeleʻele (cornea) o ka maka o kāu keiki liʻiliʻi, malia paha he ʻano like me ke kī? A i ʻole ua nānā ke kauka i kāu pēpē a ʻōlelo mai he kīnā liʻiliʻi i loko o ka maka? He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe i kēia mau mea. Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi i kapa ʻia ʻo "Coloboma", kahi i lohe pinepine ʻia i nā manawa e like me kēia.

He aha maoli ka coloboma?

I ka ʻōlelo maʻalahi, he kīnā ka coloboma i ka maka o kāu pēpē, kahi i ulu ʻole ai kahi ʻāpana o ka ʻiʻo maka. Loaʻa ia i ka wā hānau. Hiki ke loaʻa i hoʻokahi maka wale nō, a i ʻole hiki ke loaʻa i nā maka ʻelua.

ʻO ka hapa nui o ka manawa, ʻike mākou i kahi coloboma ma ka ʻāpana kala o ka maka, ʻo ia hoʻi ka iris . A laila ʻo ka ʻāpana ʻeleʻele ma waenakonu o ka maka, ʻo ia hoʻi ka pupil, ua like ia me ke ʻano o kahi kī . Akā ʻo kēia ke ala maʻamau e ʻike ʻia ai mai waho. Eia kekahi, aia kekahi mau ʻano colobomas i loko o ka maka i ʻike ʻole ʻia e mākou mai waho.

ʻAʻole hōʻike kekahi mau coloboma i kekahi mau hōʻailona. Akā hiki i kekahi ke hoʻopilikia nui i ka ʻike o ka pēpē. Pili nā hōʻailona i kahi o ka maka i loaʻa ai ka coloboma a me ke ʻano o nā ʻiʻo i nalowale. Hiki i ke kauka ke ʻike i kēia i ka wā e hānau ai ka pēpē.

ʻO wai ka mea e loaʻa ana i ka coloboma?

ʻO ka ʻoiaʻiʻo, hiki i kekahi pēpē ke hānau ʻia me ka coloboma. Ua manaʻo ʻia he maʻi genetic . ʻO ia hoʻi, hiki ke hoʻoilina ʻia mai nā mākua a i nā keiki. Hiki paha iā ʻoe ke lohe iā ia i kapa ʻia he "congenital condition."

Eia naʻe, eia ka mea: ʻOiai inā he coloboma kou makuahine, kou makuakāne, a i ʻole ʻelua, ʻaʻole ia he manaʻo e loaʻa maoli nō ia i kāu keiki.

Pehea ka maʻamau o ka coloboma?

Wahi a nā helu helu, ma kahi o hoʻokahi i loko o kēlā me kēia 10,000 pēpē i hānau ʻia i kēlā me kēia makahiki e loaʻa paha iā lākou kahi coloboma. Eia naʻe, e like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole nā ​​​​colobomas āpau e hōʻike i nā hōʻailona ʻike ʻia, no laila e ʻoi aku paha kēia helu. Noho kekahi poʻe me ka ʻole o nā hōʻailona, ​​​​me ka ʻole o nā pilikia, a me ka ʻike ʻole he coloboma ko lākou.

Pehea ka hopena o ka coloboma i nā maka o ke keiki?

ʻO ka nui o ka hopena o ka coloboma i kāu keiki ma muli o kona wahi i loko o ka maka. Hiki iā ia ke hoʻopilikia i hoʻokahi maka wale nō (unilateral coloboma) a i ʻole nā ​​maka ʻelua (bilateral coloboma). Inā aia i loko o nā maka ʻelua, hiki ke hoʻopilikia i nā ʻāpana like ʻole o nā maka.

He aha ka hopena ma ka maka?

ʻAʻole hōʻino kekahi mau coloboma i ka ʻike o ke keiki. Eia nō naʻe, hiki i kekahi ke hoʻopilikia i ka maka i hoʻopilikia ʻia. No ka laʻana, ka retina o ke keiki, ka macula (ka ʻāpana o ka retina e kōkua ana i ka ʻike ʻoi), a i ʻole ke aʻalolo optic.Inā he coloboma ko lākou, loaʻa nō paha iā lākou kekahi ʻike, akā ua pilikia paha.

I ka wā ʻōpiopio loa o kāu keiki, ʻaʻole paha ʻoe e ʻike koke i kēia loli i ka ʻike.

ʻOi aku ka nui o ka poʻe me ka coloboma e hoʻomohala i nā pilikia maka ʻē aʻe ma hope o ke ola, no ka laʻana:

• Nā Cataracts
• Ke kūlana Glaucoma
• Ka wehe ʻana o ka retina

Nā ʻāpana o ka maka kahi e hiki ai i ka coloboma ke ulu

Hiki i ke Coloboma ke ulu ma kekahi ʻāpana o ka maka o ke keiki. Eia kekahi laʻana:

• ʻIris (ʻāpana kala o ka maka)
• ʻO ka Retina (ka membrane i loko o ka maka e ʻike i ka mālamalama)
• ʻO ke aʻalolo optic ( ke aʻalolo e lawe i ka ʻike maka i ka lolo)
• ʻO Macula (ka ʻāpana waena o ka retina e pono ai no ka ʻike maka ʻoi a maopopo)
• Kino ciliary (ʻāpana o ka maka e kōkua i ka hoʻololi ʻana i ke ʻano o ka lens a hāʻawi i ka meaʻai i ka maka)
• Lihilihi maka

E kamaʻilio pololei anei kākou e pili ana iā Iris Coloboma?

ʻO ke coloboma o ka iris ke ʻano maʻamau . E like me ka mea i ʻōlelo ʻia ma mua, ʻo ka iris ka ʻāpana kala o ka maka.

ʻO nā pēpē i hānau ʻia me ka iris coloboma ua kapa ʻia hoʻi ʻo "congenital iris coloboma". ʻO ka huaʻōlelo lapaʻau "congenital" ʻo ia hoʻi kahi mea i hānau ʻia ai kekahi. E like me nā ʻano coloboma ʻē aʻe, hiki i ka iris coloboma ke loaʻa i hoʻokahi maka wale nō (unilateral) a i ʻole ma nā maka ʻelua (bilateral). Hiki i ka poʻe me ka iris coloboma ke loaʻa nā coloboma ʻē aʻe i loko o ko lākou retina a i ʻole ke aʻalolo optic.

Ua ʻike ʻia a mālama ʻia ʻo Iris coloboma ma ke ʻano like me nā ʻano coloboma ʻē aʻe. Hoʻohana kekahi poʻe i nā aniani hoʻopili kūikawā e kōkua i ka uhi ʻana i ka nui o kā lākou haumāna. Hiki ke hana ʻoki kino e hoʻololi i ke ʻano o kahi iris coloboma, akā ʻaʻole kūpono ia no nā mea āpau. E kamaʻilio me kāu kauka a kauka maka paha e pili ana i nā lāʻau lapaʻau kūpono no kāu keiki a me ka wā e hāʻawi ʻia ai.

Pehea ke ʻano o ka iris coloboma?

Hiki i ke Coloboma o ka iris ke hana i ka haumāna o kāu keiki e like me ke ʻano o ka puka kī a i ʻole ke ʻano o ka maka pōpoki . Aia kēia ʻano i kona wahi ma ka iris a me ka nui o nā ʻiʻo i nalowale.

Manaʻo paha ʻoe e like me ke "kahe" nei ka iris i loko o ka ʻāpana kala o ka maka. Akā, mai hopohopo, ʻaʻohe mea e hāʻule ana mai loko mai o ka maka a i ʻole e neʻe ana a puni. He mau papa mānoanoa o ka ʻiʻo ka iris a me ka iris. ʻO ka ʻāpana nalowale o ka iris wale nō ka mea e ʻike nui ai i ka ʻāpana i uhi ʻia o ka iris.

Ke hoʻopilikia nei anei ka iris coloboma i ka ʻike?

ʻAe, hiki i kahi coloboma o ka iris ke hoʻopilikia i ka ʻike o ke keiki.

ʻO nā ʻiʻo i loko o kou iris ke kāohi i kāu haumāna - ka puka ʻeleʻele liʻiliʻi e hoʻokuʻu ai i ka mālamalama i loko o kou maka. ʻO nā pēpē i hānau ʻia me ka iris coloboma he nele i nā ʻiʻo i loko o ko lākou iris. Hiki i kēia ke paʻakikī i ko lākou iris ke kāohi i ka nui (dilated) a i ʻole ka liʻiliʻi (contracted) o ka haumāna e pono ai.

Ma muli o ka nui o ka coloboma, hiki iā ia ke hana i nā hōʻailona e hoʻopilikia i ka ʻike o ke keiki. Eia kekahi laʻana:

• ʻIke i ka mālamalama (Photophobia) (manaʻo e like me kou mau maka e lilo ana i polū ke hōʻike ʻia i ka mālamalama)
• ʻIke pōwehiwehi
• ʻIke pālua (Diplopia)
• "Nā kiʻi ʻuhane" (ʻike i nā kope blurry o kahi kiʻi āu e nānā nei, a i ʻole ka manaʻo e like me nā ʻāpana o ke kiʻi e ʻike ʻia ana ma hope o kou neʻe ʻana i kou mau maka)

He aha nā hōʻailona o ka coloboma?

Inā loaʻa i kāu keiki nā hōʻailona o ka coloboma, hiki iā lākou ke komo pū me:

• ʻIke i ka mālamalama (Photophobia)
• He lua ʻeleʻele i like ke ʻano me ka lua kī a i ʻole ka maka pōpoki (Pupil)
• ʻIke haʻahaʻa , makapō a i ʻole ka nalowale hapa o ka ʻike
• ʻO Nystagmus (ka neʻe ʻana o nā maka me ka makemake ʻole )

Hiki i ka coloboma ke hoʻopilikia i kahi hapa wale o ke kahua ʻike o ke keiki (ʻo ia hoʻi, ka laulā holoʻokoʻa o ka ʻike a lākou e ʻike ai). Hiki i ka Coloboma ke hana i nā mea e like me:

• Ua emi ka ʻike peripheral (ʻo ka mea hiki iā ʻoe ke ʻike i nā ʻaoʻao ke nānā pololei i mua)
• Ka paʻakikī me ka ʻike hohonu
• Loaʻa kahi wahi makapō nui aʻe ma mua o ka maʻamau

He aha ke kumu o ka coloboma?

Manaʻo nā loea ua hoʻokumu ʻia ka coloboma e kahi maʻi hoʻoilina e hoʻopilikia ai i ka ulu ʻana o ka maka o ka pēpē i ka wā hāpai.

Ma kahi o ʻelua mahina ma mua o ka hānau ʻana o kahi pēpē, hana ʻia nā maka ma ka pani ʻana i kahi ʻāpana o ka lolo i kapa ʻia ʻo ka optic fissure . Inā ʻaʻole pani pono kēia optic fissure, e loaʻa i ka pēpē kahi coloboma ma kekahi a i ʻole nā ​​​​maka ʻelua.

Hana ʻia nā genes i ka DNA (deoxyribonucleic acid) . ʻO kēia nā kuhikuhi no nā cell e hana a me nā ʻano e hoʻolilo iā ʻoe i mea kūikawā. ʻOiai ua hōʻike nā noiʻi aia kahi pilina ma waena o kekahi mau genes a me ka hiki ke hānau ʻia nā keiki me ka coloboma, ʻaʻole lawa nā hōʻike e ʻōlelo maopopo ai i nā genes ke kuleana.

ʻO kekahi mau kumu o waho - no ka laʻana, ka inu ʻana i ka waiʻona i ka wā hāpai - hiki ke hoʻonui i ka pilikia o kāu pēpē i ka loaʻa ʻana o ka coloboma.

Pehea e ʻike ʻia ai ka coloboma?

Na kāu kauka a i ʻole kekahi kauka maka e nānā i kāu keiki.Hoʻomaopopo ʻia kahi coloboma i ka wā o ka hoʻokolokolo maka. Nānā lākou i ka maka o ke keiki, nānā i loko o ka maka, a ʻike i nā ʻiʻo i nalowale. ʻO kēlā me kēia mea me kahi coloboma i ʻike ʻia (kahi āu e ʻike ai mai waho) pono e hana i kahi hoʻokolokolo maka dilated e nānā i nā colobomas ʻē aʻe i loko o ka maka.

He aha nā lāʻau lapaʻau no ka coloboma?

I ka ʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau i kēia manawa e "pani" i ka ʻiʻo nalowale i loko o ka maka o kāu keiki.

ʻO ka mea nui, ʻoiai ʻaʻole hiki ke hoʻihoʻi ʻia nā ʻiʻo i nalowale, aia nā lāʻau lapaʻau e hiki ke kōkua i ka hoʻomaikaʻi ʻana i ka ʻike o ke keiki.

Hiki i kēia mau lāʻau lapaʻau ke komo pū me:

• Ke komo ʻana i nā aniani hoʻoponopono (nā aniani a i ʻole nā ​​​​​​leka hoʻopili)
• Ke kau nei i kahi pale maka e pale aku ai i ka "maka palaualelo / amblyopia"
• Nā mea kōkua ʻike haʻahaʻa (inā ʻaʻole hiki ke hoʻomaikaʻi ʻia ka ʻike me nā aniani kūpono)

Hiki i kekahi poʻe me ka iris coloboma ke hana ʻoki kino e hoʻololi i ke ʻano o ka maka i hoʻopilikia ʻia.

Hiki ke pale ʻia ka coloboma?

ʻAʻole hiki iā ʻoe ke pale aku i nā kūlana hoʻoilina e like me ka coloboma mai ka ulu ʻana i ka wā hāpai.

Ua ʻike ʻia ua pili ʻo Coloboma - a me nā kūlana genetic ʻē aʻe - i kekahi mau mea pili i ke kaiapuni (nā mea e hana nei i kahi wahine hāpai a i ʻole kona wahi noho). ʻO kēia mau mea:

• Ka inu ʻana i ka waiʻona
• Puhi paka a hoʻohana paha i nā huahana paka
• Ka hoʻohana ʻana i nā lāʻau lapaʻau no ka leʻaleʻa

E kamaʻilio me kāu kauka e pili ana i nā mea āu e pono ai a me nā mea ʻaʻole pono e ʻai a inu paha i kou wā hāpai.

He aha ka mea e hana ai inā loaʻa ka coloboma i kaʻu keiki? Pono anei au e hopohopo?

ʻO ka nui o ka hopena o kahi coloboma i ke ola o kāu keiki ma muli o kona wahi i loko o ka maka. Noho ka nui o ka poʻe me kahi coloboma i ko lākou ola a pau me ka ʻole o nā hōʻailona a i ʻole nā ​​​​pilikia. No kekahi poʻe, hiki ke hoʻopilikia ʻia ko lākou ʻike mai ka hānau ʻana.

ʻOiai hiki i ka coloboma ke hōʻino i ka ʻike o kāu keiki, ʻaʻole ia he mea hoʻoweliweli i ke ola a ʻaʻole e laha . No laila, mai hopohopo nui.

Eia nō naʻe, he mea kakaikahi loa, hiki i kahi coloboma ke lilo i hōʻailona o kahi maʻi hoʻoilina hoʻoweliweli ola i kapa ʻia ʻo CHARGE syndrome . E kamaʻilio me kāu kauka a kauka maka paha e pili ana i nā pilikia i kāu pēpē a me nā mea āu a me kāu keiki e manaʻo ai i ko lākou ulu ʻana.

Āhea ʻoe e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi mau loli i nā maka a i ʻole ka ʻike o kāu keiki, e ʻike koke i ke kauka . Mai hoʻowahāwahā i kahi mea liʻiliʻi.

Inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona , ​​e hele koke i ka haukapila :

• Ka nalowale koke o ka ʻike
• ʻEha nui o ka maka
• Nā ʻālohilohi hou a i ʻole nā ​​​​mea lana i loko o nā maka

Nā nīnau e nīnau aku ai i ke kauka/kauka

Ke hele ʻoe e ʻike i ke kauka, mai poina e nīnau i kēia mau nīnau. E kōkua nui lākou iā ʻoe e hoʻomaopopo i ke kūlana:

• He aha ke ʻano o ka coloboma i loaʻa i kaʻu keiki?
• Pehea ka hopena o kēia i kāna ʻike?
• He aha nā lāʻau lapaʻau i loaʻa?
• Aia ʻo ia i ka nui o ka pilikia o ka hoʻomohala ʻana i nā pilikia maka ʻē aʻe?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻO Coloboma ka nalowale mau loa o kahi ʻāpana o ka maka o kāu keiki. ʻOiai ʻaʻole paha ia e hōʻike i nā hōʻailona a i ʻole nā ​​pilikia ʻike, e mau ana ia me lākou no ke koena o ko lākou ola. ʻO ka nui o ka hopena o ka coloboma i ka ʻike o ke keiki ma muli o kahi o ka maka e ulu ai. Mai kaumaha a hopohopo paha. E hāʻawi i kāu keiki i ke kākoʻo, ke aloha, a me nā ʻōlelo aʻoaʻo lapaʻau āna e pono ai. Inā ʻike ʻoe i kekahi mau loli a i ʻole nā ​​​​hōʻailona hou i nā maka o kāu keiki, e haʻi i kāu kauka i ka wā e ʻike ai ʻoe iā lākou. Me ke aʻo lapaʻau kūpono a me ka mālama ʻana, hiki i kāu keiki ke hauʻoli pū kekahi.

ʻO Coloboma, nā maʻi maka, ka ʻike o nā keiki, nā maʻi genetic, nā kūlana i loaʻa i ka wā hānau, iris coloboma, nā pilikia ʻike