Hiki i kahi mālamalama liʻiliʻi i nā maka ke haʻi i nā mea he nui! - E kamaʻilio kākou e pili ana i ka Corneal Light Reflex Test (Hirschberg Test)?

Ua lohe paha ʻoe i kēia hoʻāʻo i kapa ʻia ʻo ka Corneal Light Reflex Test? Ua hana paha kāu kauka i kēia nou a i ʻole kāu keiki liʻiliʻi. He hoʻāʻo maʻalahi loa ia, ʻaʻohe ʻeha e hiki ke hana ʻia i loko o hoʻokahi a ʻelua paha minuke. I mea e pololei ai, hana ʻia ia e ʻike inā ua pololei kou mau maka. No laila, e kamaʻilio hou kākou e pili ana i ia mea, ʻeā?

He aha ka hoʻāʻo Corneal Light Reflex?

I ka ʻōlelo maʻalahi, he hoʻāʻo kēia e hoʻomālamalama i kahi kukui liʻiliʻi ma ka cornea, ka ʻāpana moakaka o ka ʻāpana keʻokeʻo o kou mau maka, a nānā i ke ʻano o ka hoʻomālamalama ʻana o ke kukui e hoʻoholo ai inā ua kūlike kou mau maka a i ʻole ua huli ʻia i nā ʻaoʻao ʻokoʻa. ʻAʻole pono kēia i nā lako hana nani. ʻO ka mea wale nō āu e pono ai he kukui uila liʻiliʻi (kukui peni) a ua hoʻomālamalama ʻia ka lumi.

Ua ʻike mua ʻia kēia hoʻāʻo e kekahi kauka maka Kelemania, ʻo Julius Hirschberg. ʻO ia ke kumu i kapa ʻia ai ʻo ia ka Hirschberg Test . He maʻalahi loa, ʻeā?

ʻO wai ka mea maʻamau e hana i kēia hoʻāʻo? Ma nā kūlana hea?

He hoʻāʻo maʻamau kēia. Aia kekahi mau ala e hiki ai iā ʻoe ke ʻike i kēia:

• Ke hele ʻoe no kahi hoʻokolohua maka: ʻAneʻane e hana nā Ophthalmologists a i ʻole Optometrists i kēia hoʻokolohua. He ʻāpana ia o kā lākou hoʻokolohua maka maʻamau.
• I ka nānā ʻana i ka ulu ʻana o nā keiki liʻiliʻi: Hana pinepine nā kauka pediatric i kēia ke lawe mai lākou i nā pēpē liʻiliʻi a me nā keiki liʻiliʻi no kā lākou mau kipa olakino maʻamau. He mea nui loa kēia no ka ʻike ʻana i nā kūlana e like me ka strabismus a i ʻole ka amblyopia (maka palaualelo) i ka wā mua. E noʻonoʻo e pili ana i ia mea, hiki i kekahi mau keiki liʻiliʻi ke huli iki ko lākou mau maka mai ke ala like. Kōkua kēia hoʻāʻo e ʻike koke i kēlā mau mea.
• I ka wā o nā hoʻokolohua olakino makahiki no nā pākeke: Hiki i nā kauka ke hana i kēia i kāu hoʻokolohua kino makahiki a i ʻole ka hoʻokolohua neurological. He ʻāpana kēia o kahi hana hoʻokolohua olakino maʻamau.

No laila hiki iā ʻoe ke ʻike, he hoʻokolohua koʻikoʻi kēia hiki i kekahi ke hana, mai kahi keiki liʻiliʻi a i kahi kanaka makua.

Pehea e hana ai kēia hoʻāʻo?

He mea maʻalahi loa ia. Nānā ke kauka i ka ʻāpana moakaka o kou maka (ka cornea) a puni ke apo ʻeleʻele , ʻoiai e hoʻomālamalama ana i ke kukui mai kahi kukui uila liʻiliʻi i loko o kou mau maka. Inā kūlike pono kou mau maka, pono ke kukui mai ke kukui uila e kū ma kahi like ma nā maka ʻelua, ʻo ia hoʻi, ma ka ʻāpana like o ke apo ʻeleʻele.

E noʻonoʻo, inā ua like kou mau maka me nā kāmela ʻelua, ʻo ka mea e hana nei ma ʻaneʻi ua like ia me ka nānā ʻana inā e kau ana nā kāmela ʻelua ma ka pahuhopu hoʻokahi.

He aha ka mea e manaʻo ai i ka wā o ka hoʻāʻo?

He mea maʻalahi loa kēia. ʻAʻohe kumu e hopohopo ai.

1. ʻO ka mea mua, e hoʻopōʻeleʻele ke kauka a i ʻole ke kauka maka i nā kukui i loko o ka lumi i hiki iā lākou ke ʻike maopopo i ke aka o ke kukui i kou mau maka.

2. A laila, noho ke kauka i mua ou a paʻa i ke kukui liʻiliʻi ma kona lima ma ka ʻaoʻao o kou alo.

3. E haʻi ʻia aku ʻoe e nānā pololei i ke kukui o kēlā lama.

4. ʻOiai ʻoe e kali ana, e nānā pono ke kauka i kou mau maka a nānā inā like nā wahi ʻelua i hōʻike ʻia ai ke kukui.

ʻO ia wale nō. E pau ana kēia i loko o kekahi mau kekona.

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?

ʻO ka mea e hana ʻia ma hope o ka hoʻāʻo ʻana, pili ia i ka mea a ke kauka e ʻike ai. Aia ʻelua mau mea nui e hiki ke hana:

• Inā kūlike pono kou mau maka: ʻAʻohe pilikia. E kākau ke kauka i kēia ma kāu moʻolelo lapaʻau a neʻe aku i nā ʻāpana aʻe o ka hoʻokolokolo ʻana.
• Inā ʻaʻole like kou mau maka: Inā pēlā, hiki i kāu kauka ke hana i kekahi mau hoʻokolohua maʻalahi e hōʻoia i ka hewa a ana i ka mamao o kona hele ʻana. Mai hopohopo, he maʻalahi loa lākou a pau.

He aha ka ʻōlelo a nā hopena o kēia hoʻāʻo?

E haʻi aku ke kauka iā ʻoe inā he kuhi hewa i kou mau maka, i ka wā o ka hoʻokolokolo ʻana a i ʻole ma hope o ka pau ʻana.

• Inā aia nā maka i kahi kūlana maʻamau: ʻo ia hoʻi, inā aia ke kukui ma kahi like ma nā maka ʻelua, e hoʻomaopopo ke kauka i kēia ma kāu hōʻike me ka huaʻōlelo "symmetry" a i ʻole "ortho." ʻO "Ortho" ka Helene no "pololei."
• Inā he maka kea kou: I kekahi manawa, ʻoiai inā ʻaʻohe ou maka kea maoli, hiki ke like me kekahi. Ua kapa ʻia kēia he pseudostrabismus . Hiki ke hana ʻia kēia e kekahi mau hiʻohiʻona o kou helehelena. No ka laʻana, he mau pelu epicanthal ko kekahi poʻe ma ko lākou mau lihilihi maka, a i ʻole nā ​​loli i ke kūlana o ko lākou mau iwi maka, a inā ʻaʻole like ka mamao mai waenakonu o ka maka ʻeleʻele a i waenakonu o ka ihu (ka mamao pupillary) ma nā ʻaoʻao ʻelua. ʻO ia ke kumu e hana ai nā kauka i nā hoʻokolohua hou aʻe e hōʻoia i kēia.

Inā ua hōʻoia ʻia he ʻūmiʻi maoli nō i nā maka, e ʻike pū ke kauka i ke ʻano o ka ʻūmiʻi ʻana. Eia kekahi mau laʻana:

• ʻEsotropia: Hoʻokahi a ʻelua paha mau maka e huli ana i loko i ka ihu.
• Exotropia: Ke huli nei kekahi a i ʻole nā ​​maka ʻelua i waho.
• Hypertropia: Hoʻonoho ʻia kekahi maka ma luna o kekahi.
• Hypotropia: Ua hoʻonoho ʻia kekahi maka ma lalo o kekahi.

Mai hopohopo inā paʻakikī kēia mau inoa iā ʻoe. E wehewehe ke kauka iā lākou iā ʻoe ma nā ʻōlelo maʻalahi.

Inā ua hōʻoia ʻia ka ʻūlū ʻana o ka maka, he aha kāu e hana ai ma hope?

Inā ʻike kāu kauka pediatric a kauka ʻohana paha he waimaka kou (a i ʻole kekahi keiki āu e mālama nei), e kuhikuhi lākou iā ʻoe i kahi kauka ophthalmologist . Hiki i kahi kauka ophthalmologist ke ʻike i ke kumu pololei o ka waimaka a haʻi iā ʻoe i ke ʻano o ka lāʻau e pono ai.

ʻO ka mea nui loa, ʻo ia ka ʻike ʻana i kēia mau kūlana i nā keiki liʻiliʻi i ka wā hikiwawe loa a hoʻomaka i ka mālama ʻana. A laila wale nō e hiki ai ke hoʻokō ʻia nā hopena maikaʻi loa.

He aha inā ua hana ʻia kēia huki ʻana e kahi pilikia o ka lolo?

I kekahi manawa, hoʻohana nā kauka neurologist i kēia hoʻāʻo reflex kukui corneal e nānā i nā pilikia o ka lolo. No ka laʻana, hiki i kēia hoʻāʻo ke koʻikoʻi i nā hihia e like me ka hahau ʻana a i ʻole ka concussion . I ia mau hihia, e hilinaʻi nā ʻanuʻu aʻe a me ka mālama ʻana i ke kumu kumu a me kekahi mau kumu ʻē aʻe. E wehewehe kāu kauka i kēia iā ʻoe i kēlā manawa.

Āhea wau e ʻike ai i ke kauka?

I ka piʻi mālie ʻana o ka ʻūlū ʻana o nā maka, paʻakikī paha ke ʻike i ka wā mua.

• Inā ʻike ʻoe i kekahi mau hōʻailona o ka maka ʻūlū i nā maka o kahi keiki liʻiliʻi i loko o kāu mālama, e hoʻonohonoho i kahi manawa me kā lākou pediatrician i ka hikiwawe loa. Hiki ke ho'ōla loa ʻia nā kūlana e like me ka maka palaualelo (amblyopia) inā mālama ʻia i ka wā mua. Eia nō naʻe, inā waiho ʻole ʻia ma hope o kekahi mau makahiki, hiki iā ia ke alakaʻi i ka nalowale mau o ka ʻike. No laila, ʻoi aku ka maikaʻi o ka hoʻopaneʻe ʻole ʻana i ka ʻike a me ka mālama ʻana.
• Inā ʻike kekahi kanaka makua i ka hāʻule mālie ʻana o nā maka, pono ʻoe e ʻike i kahi kauka ophthalmologist.

Inā loaʻa iā ʻoe ka nalowale koke ʻana o ka ʻike i loko o nā minuke a i ʻole nā ​​hola, he pilikia olakino ia. Inā hana kēia ma hope o ka ʻeha poʻo a i ʻole me nā hōʻailona hōʻailona hahau, e kelepona koke iā 1990 (ka lawelawe ambulance pilikia o Sri Lanka).

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He mea nui ka ʻālohilohi o kou mau maka no nā mea ʻoi aku ma mua o nā mele aloha wale nō. Hāʻawi ka mālamalama i hōʻike ʻia mai ka ʻili o kou maka i nā kauka i ka ʻike nui e pili ana i ke kūlana o kou mau maka. He mea pono loa kēia hoʻāʻo reflex kukui corneal (ʻike ʻia hoʻi ʻo ka hoʻāʻo Hirschberg) no nā keiki ʻōpio a me nā pākeke. He hoʻāʻo wikiwiki a ʻeha ʻole hoʻi.

Inā he mau nīnau kāu e pili ana i kēia hoʻāʻo a i ʻole ke kūlana o kou mau maka, mai kānalua e kamaʻilio me kāu kauka a kauka maka paha. E hiki iā lākou ke haʻi hou aku iā ʻoe e pili ana i ia mea a kōkua iā ʻoe e hoʻomaʻemaʻe i nā kānalua āu e loaʻa ai. E hoʻomanaʻo, he ʻōkana waiwai nui kou mau maka. ʻO ia ke kumu he mea nui loa ka mālama ʻana iā lākou!

Nānā maka , pane kukui corneal, hoʻāʻo Hirschberg, neʻe ʻana o ka maka, maka palaualelo, olakino keiki, olakino maka