Ua nānā ʻia kou mau maka? Ke hele ʻoe, hoʻokomo ke kauka i kekahi mau kulu i loko o kou mau maka, a ma hope o kekahi manawa, ʻaʻole hiki iā ʻoe ke nānā i kahi puke, nūpepa, a i ʻole kāu kelepona, a lilo kou ʻike i mea pōuliuli iki? Ua hana kēia i nā poʻe he nui. I kēia lā, ke kamaʻilio nei mākou e pili ana i ka pōuliuli o nā maka no ka manawa pōkole, ʻo ia hoʻi, ke kaʻina hana o ka hoʻomaha ʻana i nā maka, a i ʻole ma ka ʻōlelo lapaʻau, cycloplegia.
I ka ʻōlelo maʻalahi, he aha ka cycloplegia?
ʻO ka Cycloplegia kahi maʻi lolo pōkole o nā ʻiʻo i loko o kou maka e kōkua iā ʻoe e kālele. Ua like ia me ka lima a i ʻole ka wāwae heʻe. Hoʻōla ʻia kēia me nā kulu maka lāʻau lapaʻau. ʻAʻole kēia he mea mau loa, a e hoʻi hou kou ʻike i ka maʻamau ke pau ka lāʻau.
E hoʻomaopopo iki kākou i kēia. He palupalu loa ke aniani o loko o ko kākou maka. Aia kekahi ʻāpana i loko o ka maka i kapa ʻia ʻo ke 'kino ciliary' . ʻO nā ʻiʻo liʻiliʻi i loko o kēia ka mea e hoʻololi ai i ke ʻano o ke aniani o ka maka. Ma ka hoʻololi ʻana i kēia ʻano, kōkua mākou e ʻike maopopo i nā mea e kokoke ana iā mākou, e like me ka puke, ke kelepona, ke kamepiula, a pēlā aku. Kāhea mākou i kēia kaʻina hana ʻo 'accommodation' .
ʻAʻole kēia he mea a mākou e kāohi ai, he reflex ia e hana koke ʻia. Akā i kekahi manawa, hiki i kēia reflex ke hoʻopilikia i kekahi mau hoʻokolohua maka. ʻO ia ka manawa e waiwai nui ai ka mea i kapa ʻia ʻo cycloplegia iā mākou.
No ke aha e hoʻohana ai i kēia ʻano hana? No ke aha ia?
Aia kekahi mau kumu nui no kēia.
- I ka nānā ʻana i nā maka: ʻOi loa aku i ke ana ʻana i ka nui pololei o ka hewa refractive o ke kanaka, pono e hoʻōki i kēia kaʻina hana hoʻoikaika no kekahi manawa. He mea nui loa kēia i ka nānā ʻana i nā maka o nā keiki ʻōpio. No ka mea, ma ka hoʻomaha ʻana i kēia mau ʻiʻo, hiki i ke kauka ke ana i ka mana maoli o ka maka me ka ʻole o ke keakea a kuhikuhi i ka helu kūpono o nā aniani.
- I ka wā o ke ʻoki maka: Kōkua kēia ʻano hana i ka mālama ʻana i ka maka ma ke kāohi ʻana i nā ʻiʻo i loko o ka maka mai ka neʻe ʻana i ka wā o ke ʻoki maka.
- Ma ke ʻano he lāʻau lapaʻau no kekahi mau maʻi maka: Hoʻohana ʻia kēia mau lāʻau lapaʻau ma ke ʻano he lāʻau lapaʻau no kekahi mau maʻi maka. No ka laʻana, i ka mālama ʻana i ka 'maka palaualelo' (amblyopia) a me kekahi mau maʻi mumū o ka maka (uveitis) .
ʻO ka mea nui, hiki i kēia ke hana i kekahi manawa ma ke ʻano he hopena ʻaoʻao. No ka laʻana, aia kahi ʻāpana āu e hoʻopili ai ma kou ʻili e hoʻōki i ka luaʻi ʻana i ka wā e hele ana. Inā ʻoe e hamo i ka lāʻau i kapa ʻia ʻo 'scopolamine' ma kou lima a hoʻopā i kou maka me ia, hiki iā ʻoe ke loaʻa ka ʻike maka pōwehiwehi no ʻelua a ʻekolu mau lā me ka ʻike ʻole. No laila he mea nui e holoi pono i kou mau lima ma hope o ka hoʻohana ʻana i ia mau mea.
He aha nā pono o kēia ʻano hana?
He nui nā pono o Cycloplegia.
- He manawa pōkole kēia: ʻO ka mea nui, ʻaʻole kēia he mea mau loa. Ke pau ka lāʻau lapaʻau, e hoʻi hou nā maka i ka maʻamau me ka ʻole o nā hopena lōʻihi.
- ʻAʻohe ʻeha: ʻAʻohe hana ʻoki kino a i ʻole kekahi mea ʻeha e pili ana. Hana ʻia me kahi kulu maka . He mea maʻalahi loa ia.
- ʻEmi iki ka ʻeha (akā ʻoluʻolu ʻole nō naʻe): ʻOiai ke hōʻoluʻolu nei ka lāʻau lapaʻau i ka ʻeha, hiki ke nui aʻe ka pupil o ka maka, e ʻike ʻia ai kou mau maka he uliuli ke hele ʻoe i waho. ʻO ia ke kumu e aʻo pinepine ai nā kauka iā ʻoe e komo i nā aniani maka.
- Aia nā koho: Aia kekahi mau ʻano lāʻau lapaʻau e hiki ke mālama i kēia maʻi. ʻO ke ʻano kēia inā ʻaʻole hana kekahi lāʻau lapaʻau iā ʻoe, loaʻa i kāu kauka ke koho e koho i kekahi.
ʻAʻohe hopena ʻaoʻao?
ʻO kaʻoiaʻiʻo, ʻo ka lāʻau lapaʻau i hoʻohana ʻia no kēia ke kumu o ka hoʻonui ʻana o ka pupil. No laila, he mea maikaʻi ke loaʻa pū ʻana o kēia mau mea ʻelua i ka wā o ka hoʻokolokolo maka. Eia nō naʻe, aia kekahi mau hopena ʻaoʻao liʻiliʻi ʻē aʻe e hiki ke loaʻa.
| ʻAno o ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā mea āu e ʻike pinepine ai |
|
| Nā mea ʻē aʻe e pili ana i ka ʻiʻo |
ʻAʻole pinepine kēia mau mea, a nalowale ka makaʻala i ka pau ʻana o ka lāʻau. E wehewehe kāu kauka iā ʻoe i nā hopena ʻaoʻao e pili ana i ke ʻano o ka lāʻau i hāʻawi ʻia iā ʻoe.
Pehea ka lōʻihi o kēia kūlana?
Aia kēia i ke ʻano o ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe. Pau kekahi mau lāʻau lapaʻau i loko o kekahi mau hola. Hiki i kekahi ke mau no nā lā. Aia ia i ke kūlana āu e mālama ʻia nei.
| Inoa Lāʻau Lapaʻau | Pehea ka lōʻihi o ka hopena? |
|---|---|
| ʻAtropine | 7 a 12 mau lā |
| ʻO Cyclopentolate | A hiki i 24 mau hola |
| Homatropine | 1 a 3 mau lā |
| ʻO Phenylephrine | A hiki i 6 mau hola |
| ʻO Scopolamine | 3 a 7 mau lā |
| ʻO Tropicamide | 6 a 24 mau hola |
He aha kaʻu e hana ai ma hope o ka hoʻopili ʻana i ka lāʻau lapaʻau?
ʻOi aku ka maikaʻi o ka lawe mālie a hiki i ka pau ʻana o ka lāʻau. ʻOiai ʻaʻole koʻikoʻi loa nā hopena ʻaoʻao, hiki iā lākou ke hoʻopilikia iki i kāu mau hana o kēlā me kēia lā.
- Inā he kanaka heluhelu puke ʻoe a hana paha ma ke kamepiula, hiki ke hoʻopilikia iki i kāu hana.
- ʻAʻole maikaʻi iki ka hoʻokele kaʻa. E polū kou mau maka a ʻaʻole hiki iā ʻoe ke ʻike kokoke, no laila he kiʻekiʻe ka manawa e loaʻa ai kahi ulia.
- E haʻi aku kāu kauka iā ʻoe i nā mea hou aʻe e pili ana i kēia. Inā kānalua, mai lawe i kekahi pilikia. E hana wale ma hope o ka ho'ōla loa ʻia ʻana o kou mau maka.
Āhea wau e pono ai e ʻike hou i ke kauka?
ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau lapaʻau ma lalo o ka nānā ʻana a ke kauka, nāna e hoʻomaopopo iā ʻoe e pili ana i nā hopena ʻaoʻao liʻiliʻi. Eia nō naʻe, aia kekahi mau hopena ʻaoʻao kakaikahi loa akā koʻikoʻi. Inā loaʻa iā ʻoe kekahi o kēia mau mea, pono ʻoe e ʻimi koke i ke aʻo lapaʻau.
| Nā hōʻailona koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka a i ʻole e hele i ka keʻena pilikia haukapila kokoke loa (ETU). |
ʻOiai ke ʻano o ka ʻeha i hoʻokumu ʻia e ka cycloplegia he mea hoʻonāukiuki, he mea hana waiwai nui ia i ka nānā ʻana a me ka mālama ʻana i nā maka. Hiki iā ia ke ana pololei i ka hemahema o ka ʻike a mālama i nā maʻi maka like ʻole. ʻO ka mea nui loa, he manawa pōkole ia. ʻO ia hoʻi, e hoʻi hou ana kou ʻike i ka maʻamau.
Leka Lawe-Home
- ʻO Cycloplegia ka maʻi lolo manawa pōkole o nā ʻiʻo e kaohi ana i ka nānā ʻana o ka maka, i hana ʻia e nā kulu maka.
- Hoʻohana ʻia ia e hoʻāʻo pololei i ka ʻike maka, hana i nā ʻoki maka, a mālama i kekahi mau maʻi maka.
- He hana maʻalahi kēia, ʻaʻohe ʻeha, a no ka manawa pōkole wale nō.
- ʻO ka ʻike pohihihi a me ka ʻike i ka mālamalama (nā maka polū) nā maʻi maʻamau. E pale i ka hoʻokele kaʻa ʻana i kēia manawa.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona koʻikoʻi e like me ka huikau a i ʻole ka paʻakikī o ka hanu ʻana, e ʻike koke i kāu kauka a i ʻole e hele i kahi Keʻena Pilikia (ETU).
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