Ua nānā ʻia kou mau maka? Hoʻokomo ke kauka i kekahi mau kulu i loko o kou mau maka a haʻi iā ʻoe e kali no kekahi manawa. A laila ke nānā aku ʻoe iā ia, ʻike ʻia nā mea kokoke, e like me nā leka ma kāu kelepona, he blurry, ʻeā? Me he mea lā ʻaʻole hiki iā ʻoe ke hele i waho i ka lā. ʻOiai he nui ka poʻe e makaʻu nei i kēia, he ʻano hana pono loa ia a nā kauka e hoʻohana ai e nānā pono i kou mau maka. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia maʻi, ʻo ia hoʻi ʻo Cycloplegia.
He aha ka Cycloplegia?
I ka ʻōlelo maʻalahi, ʻo Cycloplegia kahi maʻi lolo pōkole o nā ʻiʻo i loko o kou maka e kōkua iā ʻoe e kālele. Hoʻokumu ʻia kēia e kahi ʻano kulu maka kūikawā a ke kauka e kau ai i loko o kou maka. He manawa pōkole loa kēia.
E noʻonoʻo i loko o kou maka he aniani, e like me ke kāmela liʻiliʻi. Loaʻa i kēia aniani kahi ʻōnaehana ʻiʻo liʻiliʻi e kōkua iā ʻoe e ʻike i nā mea kokoke (e laʻa me kahi puke, kelepona) a me nā mea mamao loa ma ka hoʻololi ʻana i ko lākou kiko. Kāhea mākou i kēia ʻo `(kino ciliary)`. ʻO ke kaʻina hana e ʻaelike ai kēia mau ʻiʻo a hoʻonui e hoʻololi i ke ʻano o ka aniani ua kapa ʻia ʻo "accommodation".
Ua like kēia noho ʻana me kahi reflex, ʻo ia hoʻi, ʻaʻole hiki iā mākou ke kaohi iā ia e like me kā mākou makemake. No laila, i kekahi manawa, i ka wā e nānā ʻia ai ko mākou mau maka, hiki i kēia reflex ke loaʻa kahi hopena liʻiliʻi i nā hopena o ka hoʻokolokolo ʻana. ʻO ia ka manawa e waiwai nui ai kēia ʻano hana i kapa ʻia ʻo Cycloplegia iā mākou.
No ke aha e hoʻohana ai nā kauka i kēia ʻano hana?
Aia kekahi mau kumu nui no ka hoʻohana ʻana i ka cycloplegia.
- I ka nānā ʻana i nā maka: Hoʻohana ʻia kēia ʻano hana i ka nānā ʻana i nā maka o nā keiki a i ʻole ke pono e ana ʻia ka mana maoli o nā aniani (nā hewa refractive). No ka mea, i kekahi manawa, ʻoi aku hoʻi i nā keiki ʻōpio, hiki i kēia mau ʻiʻo kālele ke hana nui a hoʻololi i nā hopena o ka hoʻāʻo maka. No laila, ma ka hāʻawi ʻana i kēia lāʻau lapaʻau a me ka hoʻōki ʻana i kēlā mau ʻiʻo no kekahi manawa, hiki i ke kauka ke ana pololei i ka mana maoli o kou mau maka.
- I ka wā o ke ʻoki maka: Kōkua kēia ʻano hana i ka hoʻomake ʻana i nā ʻiʻo i loko o ka maka no kekahi manawa a mālama i ka maka ma ke kūlana hoʻokahi i ka wā o ke ʻoki maka.
- Ma ke ʻano he lāʻau lapaʻau no kekahi mau maʻi maka: Hoʻohana ʻia kēia mau lāʻau lapaʻau e mālama i nā maʻi e like me ka "maka palaualelo" (amblyopia) a me ka uveitis, ʻo ia hoʻi ka mumū o loko o ka maka.
- ʻIke i ka mālamalama: Piʻi aʻe ka ʻōlinolino o ka maka a ʻaʻole hiki ke kāohi i ka nui o ka mālamalama e komo mai ana. ʻO kēia ka mea e paʻakikī ai ke nānā aku i ka lā, a me he mea lā e polū ana nā maka.
- Paʻakikī ke ʻike kokoke: Ke nānā aku i nā puke, nā nūpepa, nā kikokikona ma kāu kelepona, a i ʻole ka pale kamepiula, ʻike ʻia ka kikokikona he blurry.
- ʻEha poʻo: Hiki i kekahi poʻe ke loaʻa i kahi ʻeha poʻo iki ma muli o kēia.
- He ʻano wela iki ma hope o ke kau ʻana i ka lāʻau maka (he mea liʻiliʻi loa kēia a nalo koke).
- ʻUlaʻula o nā maka.
- He ʻā iki ma nā maka.
- ʻO Cycloplegia kahi hana e hoʻopōʻino ai i nā ʻiʻo o ka maka no kekahi manawa, hoʻohana ʻia e nānā i nā maka a mālama i kekahi mau maʻi.
- Hana ʻia kēia me nā kulu maka. He manawa pōkole loa ia a ʻaʻohe ʻeha.
- ʻO nā hopena ʻaoʻao maʻamau e komo pū me ka ʻike maka pohihihi, ka paʻakikī i ka ʻike ʻana i nā mea kokoke, a me ka ʻike i ka mālamalama. Nalo kēia mau mea i ka pau ʻana o ka lāʻau lapaʻau.
- Mai hoʻokele kaʻa a hana paha i kahi hana kokoke i kou wā e loaʻa ana i ka cycloplegia. E ʻaʻahu i nā aniani maka inā ʻoe e hele i waho.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka puʻuwai wikiwiki, ka huikau, a i ʻole ka hopu ʻana, e ʻike koke i kāu kauka a i ʻole e hele i ka ETU.
- Inā he mau hopohopo a makaʻu paha kāu e pili ana i kēia, e kamaʻilio me kāu kauka maka. Na lākou e wehewehe i nā mea āpau iā ʻoe.
Eia kekahi laʻana, ke hāʻawi ʻia kēia lāʻau lapaʻau i kahi keiki me ka 'maka palaualelo' (amblyopia) i ko lākou maka maikaʻi, lilo ia i mea paʻakikī no kēlā maka ke ʻike kokoke. A laila pono ka maka nāwaliwali e hana ikaika, a lilo kēlā maka i ikaika.
Eia kekahi, e hoʻomanaʻo, i kekahi manawa hiki i kēia ke lilo i hopena ʻaoʻao. Eia kekahi laʻana, inā ʻoe e hoʻohana i kahi mea e like me ka scopolamine patch e mālama ai i ka maʻi neʻe,Pono ʻoe e holoi pono i kou mau lima ma hope o ka lawelawe ʻana. A i ʻole, inā komo ka lāʻau i loko o kou mau maka, e pōwehiwehi paha kou ʻike no kekahi mau lā.
He aha nā pōmaikaʻi o ka cycloplegia?
Aia kekahi mau pono o kēia ʻano hana. E nānā kākou iā lākou ma kēia ʻano e hoʻomaopopo pono ai iā lākou.
| Pōmaikaʻi | He wehewehe maʻalahi |
|---|---|
| Manawa pōkole | Ke pau ka lāʻau lapaʻau, hoʻi nā maka i ke ʻano maʻamau me ka ʻole o nā hopena lōʻihi. |
| ʻAʻole komo i loko | He maʻalahi loa ke kau ʻana ma ke ʻano he kulu maka. ʻAʻohe pono e hoʻokomo a ʻoki paha i kekahi mea. |
| ʻAʻohe ʻeha | ʻAʻohe ʻeha ke kau ʻia ka lāʻau lapaʻau. Eia nō naʻe, no ka mea e hoʻonui ʻia ka pupil, hiki iā ʻoe ke manaʻo iki i ka ʻoluʻolu a me ka ʻoluʻolu ʻole ke nānā aku i waho. ʻO ia ke kumu e hāʻawi ai nā kauka iā ʻoe i nā aniani maka. |
| Loaʻa nā koho he nui | Inā ʻaʻole hana kekahi lāʻau lapaʻau iā ʻoe, aia kekahi mau koho ʻē aʻe. A, ma muli o kāu mau pono, hiki iā ʻoe ke koho i nā lāʻau lapaʻau i loaʻa nā hopena pōkole a lōʻihi paha. |
ʻAʻohe hopena ʻaoʻao? E makaʻala hoʻi kākou i kēlā.
ʻO ka "hopena ʻaoʻao" nui o nā lāʻau cycloplegia ka hoʻonui ʻana o ka pupil. ʻOiaʻiʻo, he mea kēia a ke kauka e makemake ai e ʻike i ka nānā ʻana i kou mau maka. No laila, hiki iā ʻoe ke loaʻa i kahi ʻoluʻolu iki ma muli o kēia.
Ma waho aʻe o kēia, aia paha kekahi mau hopena ʻaoʻao liʻiliʻi ʻē aʻe:
ʻO ka mea nui loa, e wehewehe mua kāu kauka iā ʻoe i nā hopena ʻaoʻao kikoʻī o ka lāʻau lapaʻau a me ko lākou ʻano.
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, aʻo kekahi e mau no nā lā.
| Inoa Lāʻau Lapaʻau | 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 nā hōʻailona weliweli e pono ai ke ʻike ʻana i ke kauka?
He mea kākaʻikahi nā hopena ʻino koʻikoʻi mai nā lāʻau maka. Eia nō naʻe, aia kekahi mau hōʻailona weliweli e pono ʻoe e makaʻala, ʻoiai me nā lāʻau lapaʻau lōʻihi. Inā ʻike ʻoe i kekahi o kēia mau mea, pono ʻoe e kāhea koke i kāu kauka a i ʻole e hele i ka lumi pilikia (ETU) o ka haukapila kokoke loa iā ʻoe.
| Hōʻailona | Wehewehena |
|---|---|
| Nā hōʻailona e pono ai ke kōkua koke ʻana o ke kauka | |
| Nā loli ʻano | Ka huikau koke a me ka hoʻonāukiuki. |
| Nā loli i ka helu o ka puʻuwai | Manaʻo e like me ka wikiwiki o ka paʻi ʻana o kou puʻuwai (tachycardia). |
| Ka huikau | Nā mea e like me ka poina ʻana i kou wahi a me ka manawa. |
| Ke koko haʻahaʻa (hypotension) | Ka mae a me ka poniuniu i ke kū ʻana. |
| Nā hopu ʻana | He kūlana weliweli loa kēia. |
| Kaumaha hanu | Ka hanu lohi a pāpaʻu paha. |
Me he mea lā he mea hoʻonāukiuki iki ka Cycloplegia iā ʻoe, akā he mea hana waiwai nui ia no nā kauka maka. Hoʻomaʻalahi ia i nā hoʻokolohua maka, hoʻonui i ka pololei o nā aniani, a kōkua i ka mālama ʻana i kekahi mau maʻi maka. ʻO ka mea nui loa, he manawa pōkole ia. Ke pau ka lāʻau lapaʻau, e hoʻi hou kou ʻike i ka maʻamau.
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