Ua nānā anei ʻoe i hoʻokahi mea a ʻike ʻia he ʻelua? E like me ke kiʻiʻoniʻoni weliweli ma ke TV? Hiki i kēia ʻike ke hoʻopilikia maoli, ʻeā? He mea waiwai nui ka ʻike iā kākou. No laila, he mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe i kahi mea ʻokoʻa i loko. ʻO kēia ka mea i kapa ʻia ʻo "Diplopia" a i ʻole ka ʻike pālua i ka ʻepekema lapaʻau.
No laila he aha ka diplopia?
I ka ʻōlelo maʻalahi, ʻo ka diplopia ka wā e ʻike ai ʻoe i ʻelua kiʻi o ka mea like. He manawa pōkole kēia a he manawa pōkole wale nō. Eia nō naʻe, i kekahi manawa hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi . Ke ʻike ʻoe i ʻelua kiʻi, hiki iā ʻoe ke nalowale i kou ʻike hohonu. Hiki i kēia ke hoʻolilo i nā mea e like me ka hoʻokele kaʻa a i ʻole ka hele wāwae ʻana ma ke alanui i mea paʻakikī loa a weliweli hoʻi. No laila, inā hoʻomaka koke ʻoe e ʻike i ʻelua kiʻi, ʻoi aku ka maikaʻi o ka ʻike koke ʻana i ke kauka a i ʻole ke kauka maka .
Aia kekahi mau ʻano diplopia?
ʻAe, e hoʻokaʻawale kahi kauka maka i kāu ʻike pālua i ʻelua ʻano nui. Eia kēia:
1. Monocular Diplopia: E noʻonoʻo inā ʻoe e pani i kekahi maka me kou lima, ʻike mau ʻoe i ʻelua mau mea ke nānā ʻoe me kekahi maka. Hiki iā ʻoe ke ʻike i kahi kiʻi ʻē aʻe, e like me ke aka. ʻO kēia ka mea a mākou e kapa nei he "Monocular diplopia". ʻO kēia ke ʻano maʻamau o ka diplopia, a he ʻano akahai nō hoʻi. Hiki ke hana ʻia kēia e kahi pilikia liʻiliʻi i loko o ka maka ponoʻī.
2. Binocular Diplopia: ʻO ke ala ʻē aʻe, ke wehe ʻia kou mau maka ʻelua, ʻike ʻoe i ʻelua, akā ke pani ʻoe i hoʻokahi maka wale nō, nalowale kēlā ʻike pālua a hoʻokahi wale nō e ʻike maopopo ʻia. Kāhea mākou i kēia `(Binocular diplopia)`. ʻO ka mea e hana ʻia ma ʻaneʻi , ʻaʻole kūlike nā maka ʻelua, a i ʻole he pilikia paha me nā aʻalolo a i ʻole nā ʻiʻo e hoʻopilikia ai i ka ʻike o nā maka ʻelua, a i ʻole kekahi kūlana olakino ʻē aʻe. ʻAʻole like kēia me ka `(Monocular diplopia)` i ʻōlelo ʻia ma mua, akā hiki ke ʻoi aku ka koʻikoʻi. No ka mea, pili kēia i kahi kūlana kahi hiki ʻole i nā maka ʻelua ke hana pū.
Ua hoʻokaʻawale hou ʻia i loko o nā diplopia kū pololei a me ka diplopia pae.
Hiki i kāu loea maka ke hoʻokaʻawale i kēia ma muli o ke kuhikuhi e kū nei ke kiʻi keu āu e ʻike nei:
- ʻO Vertical Diplopia: ʻO kēia ka wā e ʻike ai ʻoe i kahi kiʻi keu ma luna a ma lalo paha o ka mea āu e nānā nei. No ka laʻana, inā ʻike ʻoe i kahi kaʻa e hele ana a me kekahi kaʻa ʻē aʻe e hele ana ma luna ona, ʻo ia ka vertical diplopia.
- ʻO ka Diplopia Paepae: ʻO kēia ka wā e ʻike ai ʻoe i nā kiʻi hou aʻe ma kēlā ʻaoʻao kēia ʻaoʻao o kou ʻike. ʻO ke ʻano kēia, ma kahi o ka ʻike ʻana i hoʻokahi pou kukui, ʻike ʻoe i ʻelua mau pou kukui ma kēlā ʻaoʻao kēia ʻaoʻao.
Pehea ka maʻamau o kēia ʻano i kapa ʻia ʻo diplopia?
He ʻano maʻamau loa ka diplopia.Wahi a nā helu helu, ʻoi aku ma mua o 800,000 mau kānaka ma ʻAmelika Hui Pū ʻIa wale nō e kipa aku i nā kauka maka i kēlā me kēia makahiki ma muli o ka ʻike pālua. Ua manaʻo ʻia hoʻi ʻo ia ke kumu nui no ka poʻe e hele ai i ka lumi pilikia. Ua ʻōlelo ʻia he 50,000 mau kānaka e hele ana i ka lumi pilikia i kēlā me kēia makahiki ma muli o ka ʻike pālua. No laila hiki iā ʻoe ke noʻonoʻo i ka maʻamau o kēia.
He aha nā hōʻailona ʻē aʻe ma waho aʻe o ka ʻike ʻana i ʻelua?
Ke loaʻa iā ʻoe ka diplopia, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe ma waho aʻe o ka ʻike pālua. Eia kekahi laʻana:
- ʻEha poʻo: I kekahi manawa e loaʻa paha kahi ʻeha poʻo nui.
- Nausea: Manaʻo paha ʻoe e like me ka huli ʻana o kou ʻōpū a manaʻo paha ʻoe e luaʻi ana.
- Pōʻino: Hiki iā ia ke manaʻo e like me nā mea e wili ana a puni ʻoe.
- ʻEha maka: Hiki iā ʻoe ke ʻeha, ʻoiai ke neʻe ʻana i kou mau maka.
ʻAʻole like kēia mau hōʻailona i nā kānaka a pau. Loaʻa paha i kekahi poʻe hoʻokahi a ʻelua paha, aʻo kekahi poʻe e loaʻa paha iā lākou a pau.
No ke aha e hana ʻia ai kēia ʻike pālua? He aha nā kumu?
Hiki i nā pilikia maka he nui ke kumu o ka ʻike pālua. ʻO nā mea āpau e hoʻopilikia ai i kou lolo, maka, a i ʻole nā aʻalolo a me nā ʻiʻo e kaohi ana iā lākou hiki ke hana ia.
Eia kekahi mau laʻana:
- Astigmatism: Ma kēia ʻano, ʻaʻole e kau ka mālamalama ma kahi hoʻokahi no ka mea ʻaʻole poepoe pono ka maka.
- Myopia: ʻIke kokoke: ʻIke maopopo i nā mea ma kahi kokoke, akā ʻike ʻia nā mea ma kahi mamao he pōwehiwehi.
- Hyperopia: ʻIke mamao: ʻIke maopopo i nā mea mamao, akā ʻike i nā mea kokoke me ka palalulu.
- Ke hoʻohana nei i nā aniani a i ʻole nā aniani hoʻopili i kūpono ʻole.
- Cataracts: Ke pouli ʻana o ka lens o ka maka.
- ʻO ka maʻi maka maloʻo: Ke ʻole ka nui o ka waimaka e hana ai nā maka.
- Migraines: He ʻano i hōʻike ʻia e nā ʻeha poʻo nui.
- Nā mea ʻē aʻe ma ka iris (ka ʻāpana kala o ka maka).
- Nā pilikia o ke aʻalolo cranial: Hoʻomalu kēia mau aʻalolo i ka neʻe ʻana o ka maka.
- Ka puka ʻana o nā maka (Proptosis).
- Keratoconus: ʻO ke ʻano hoʻololi o ke konea o ka maka.
- Nā ʻeha poʻo a i ʻole nā ulia.
E noʻonoʻo penei: ua like kou mau maka me nā kāmela ʻelua. Ke nānā pono nā kāmela ʻelua i kahi like i ka manawa like, ʻike mākou i hoʻokahi kiʻi maopopo. Inā neʻe iki kekahi kāmela, a inā paha e hele hewa ke kiko, ʻike mākou i ʻelua kiʻi. Pēlā nō kēia me kēia.
He aha nā kumu pilikia no ka diplopia?
ʻOiai hiki i kekahi ke ʻike i ka ʻike pālua, ʻoi aku ka maʻamau i waena o nā pākeke ma luna o 60 mau makahiki.
Eia kekahi, hiki ke hoʻonui ʻia kēia pilikia inā loaʻa iā ʻoe kekahi mau maʻi neurological a i ʻole nā kūlana olakino ʻē aʻe. Eia kekahi laʻana:
- ʻO Myasthenia gravis: He maʻi kēia e hoʻonāwaliwali ai i nā ʻiʻo.
- Vertigo: He kūlana e hoʻoulu ai i ka poniuniu.
- Nā aneurysms o ka lolo: Ka pehu ʻana o kahi kīʻaha koko i loko o ka lolo.
- Nā hahau.
- ʻO ka maʻi diabetes mellitus: Ka hōʻino ʻana i nā maka, ʻoiai ma muli o ka maʻi diabetes (diabetes-related retinopathy).
- Ka nele o ka wikamina B1.
- Ka maʻi thyroid.
- Sclerosis lehulehu (MS): He maʻi e hoʻopilikia ai i ka ʻōnaehana nerve.
Pehea e ʻike ai nā kauka i kēia maʻi diplopia?
ʻO ke kauka maka wale nō ka mea hiki ke ʻike i ka ʻike pālua a me kona kumu. E hana ʻo ia i kahi hoʻokolokolo maka a hoʻāʻo i kou ʻike me kahi hoʻāʻo ʻike maka.
Inā loaʻa iā ʻoe ka `(Monocular diplopia)`, ʻaʻole pono nā hoʻokolohua hou aʻe i ka hapa nui o ka manawa. Eia nō naʻe, inā loaʻa iā ʻoe ka `(Binocular diplopia)`, pono paha ʻoe e loaʻa nā hoʻokolohua e like me kēia:
- Magnetic resonance imaging (MRI): Hiki i kēia ke ʻike maopopo i kou mau maka, nā ʻiʻo a puni kou mau maka, nā aʻalolo, a me nā ʻāpana o kou lolo.
- ʻO ke kiʻi ʻikepili Computed tomography (CT): Hiki i kēia ke nānā aku i nā maka a me nā ʻano a puni, ʻoiai nā iwi.
- Nā hoʻāʻo koko: E nānā i nā kūlana olakino ma lalo, e like me ka maʻi diabetes a me nā pilikia thyroid.
Hiki i kēia mau hoʻokolohua ke kōkua i kāu kauka e ʻike inā he mau pilikia me kou mau maka, iwi, ʻiʻo, lolo, a i ʻole ke kaula kuamoʻo.
Pehea e mālama ʻia ai ka ʻike pālua?
ʻO ke ʻano o ka lāʻau āu e pono ai e pili ana i ke kumu o kou diplopia, ka mea a kāu loea maka a mea mālama ola paha e mālama ai.
No kekahi poʻe, hiki ke hoʻomaikaʻi ʻia kēia ma ke kūʻai ʻana i nā aniani maka hou a i ʻole nā aniani hoʻopili, a i ʻole ma ka hoʻoponopono ʻana i nā mea kahiko. I kekahi manawa, pono paha ʻoe e uhi i hoʻokahi maka no kekahi manawa (he "pale maka") a hoʻohana paha i kahi aniani hoʻopili kūikawā e kōkua i kou mau maka e hoʻihoʻi i ka ʻike maʻamau.
E wehewehe kāu kauka maka iā ʻoe pehea e mālama ai i kāu mau hōʻailona a hoʻopau i ka diplopia.
Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?
Aia nō hoʻi ia i ke kumu o ka diplopia. E hoʻopau wale kekahi mau hihia o ka ʻike pālua me ka ʻole o ka lāʻau lapaʻau. ʻAʻole e hoʻopau kekahi a hiki i ka wā e mālama ai ke kauka maka i ke kumu.
Inā hana ʻia ʻoe i ke ʻoki kino e hoʻoponopono ai i nā pilikia maka (no ka laʻana, ka wehe ʻana i ka cataract), hiki ke hala kekahi mau pule e hoʻōla ai.
Hiki ke pale ʻia ka diplopia?
ʻAʻohe mea hiki iā ʻoe ke hana e pale aku i ka ʻike pālua. Eia nō naʻe, ʻo ka mālama pono ʻana i kou mau maka a me ka ʻike pinepine ʻana i kahi loea maka no nā nānā ʻana ke ala maikaʻi loa e ʻike mua ai i nā pilikia.
E hahai i kēia mau hana no ka mālama ʻana i ke olakino maikaʻi o nā maka:
- Mai puhi paka.
- E hāʻawi i kou mau maka i kahi hoʻomaha mai ka nānā ʻana i nā pale uila i ka lā a pau. E nānā aku no kekahi mau minuke ma ka liʻiliʻi i kēlā me kēia hapalua hola.
- E ʻaʻahu i nā aniani palekana a i ʻole nā goggles kūpono no kāu hana, haʻuki, a i ʻole nā leʻaleʻa.
- E hoʻokolokolo maka i kēlā me kēia makahiki a ʻelua paha (a i ʻole e like me ka ʻōlelo a kāu kauka maka).
He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka diplopia?
He pilikia pōkole ka ʻike pālua. Mai hoʻokele kaʻa a hana paha i kekahi mea ʻē aʻe e hiki ai ke hoʻoweliweli iā ʻoe a i ʻole nā poʻe ʻē aʻe ke pilikia kou ʻike. Ma muli o ke kumu o kou diplopia, pono paha ʻoe e hana i kekahi mau hoʻololi i kāu hana maʻamau i kēlā me kēia lā.
I ka manawa hea ʻoe e hopohopo ai e pili ana i ka ʻike pālua?
He mea hopohopo mau ka ʻike pālua, akā mai manaʻo ʻoe ʻo ka mea ʻino loa. He manawa pōkole ka hapa nui o nā hihia. ʻO ka ʻoiaʻiʻo, hiki i ka diplopia ke hoʻomaikaʻi iā ia iho. Eia nō naʻe, inā ʻike ʻoe i ka ʻike pālua, he mea nui e nānā i kou mau maka.
Inā loaʻa iā ʻoe ka ʻike pālua ma mua o hoʻokahi manawa, a inā hele mai a hele aku ('transient diplopia a intermittent paha'), loaʻa paha iā ʻoe ka transient diplopia. ʻOiai inā e hoʻomaikaʻi kāu ʻike pālua iā ia iho, pono ʻoe e ʻike i kahi loea maka a i ʻole kekahi mea mālama ola kino ʻē aʻe.
Pehea wau e mālama ai iaʻu iho?
E haʻi i kāu kauka maka e pili ana i nā loli i kou mau maka a i ʻole ka ʻike. Inā ʻoe e kau ana i nā aniani a i ʻole nā aniani hoʻopili, e nānā mau i kou mau maka a e hoʻoponopono i kāu lāʻau lapaʻau e like me ka mea e pono ai e kāu kauka.
Āhea wau e ʻike ai i kaʻu kauka?
E ʻike i kāu kauka maka i ka wā e ʻike ai ʻoe i kekahi mau loli i kou ʻike. Inā paha he mea maʻalahi e like me ke kiʻi ʻana i nā aniani hou a i ʻole kekahi mea koʻikoʻi, mai kali a hiki i ka wā e ʻino ai nā hōʻailona.
Āhea wau e hele ai i ka lumi pilikia?
Inā loaʻa iā ʻoe ka ʻike pālua ʻaʻole e hoʻomaikaʻi i loko o kekahi mau hola, a inā loaʻa iā ʻoe ka ʻike pālua me kēia mau hōʻailona , e hele koke i ka lumi pilikia:
- ʻEha nui ma nā maka.
- Pōʻaiʻī.
- Ka nāwaliwali o nā ʻiʻo.
- Ka paʻakikī i ka ʻōlelo ʻana (e like me ke kūpikipikiʻō ʻana).
- Ka huikau.
E hoʻomanaʻo, hiki i ka diplopia ke hōʻailona mua o kahi pilikia lolo koʻikoʻi, e like me ka hahau ʻana, no laila mai hoʻowahāwahā iā ia.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
Hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau penei:
- "E ke kauka, no ke aha wau e ʻike nei i kēia mau mea ʻelua?"
- "Pehea ka lōʻihi o kēia?"
- "He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu e hana?"
- "ʻEhia pinepine e pono ai iaʻu e nānā i koʻu mau maka a me koʻu ʻike?"
No ke aha i ʻike koke ai au i ʻelua mau mea e like me kēia?
ʻOiai ke ulu mālie nei ke kumu o ka diplopia, hiki iā ʻoe ke ʻike koke. ʻOiai hiki i ka ʻike pālua ke lilo i hōʻailona hōʻailona o kahi maʻi olakino koʻikoʻi, he pilikia manawa pōkole pinepine ia.
E ʻike i kahi loea maka i ka wā e ʻike ai ʻoe i kahi loli i kou ʻike, ʻoiai inā e ʻoi aku ka ʻino. Inā e ʻoi aku ka ʻino o kou ʻike ma hope o kahi ulia, e like me kahi ulia kaʻa a i ʻole ka hāʻule ʻana, e hele i ka lumi pilikia.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe e pili ana i kahi pilikia maka, ʻoiai ke ʻike ʻoe i ʻelua mau mea e like me kēia. Akā e hoʻomanaʻo, ʻoiai hiki i ka diplopia ke lilo i hōʻailona o kahi mea koʻikoʻi, he pilikia pōkole ia e hiki ke mālama ʻia a ho'ōla ʻia.
ʻO ka mea nui loa, ʻaʻole e hoʻomāmā i kou ʻike maka. Inā ʻike ʻoe i kekahi mau loli i kou ʻike maka, a inā manaʻo ʻoe he hewa kekahi mea, e kamaʻilio koke me kāu kauka. ʻO ka wikiwiki o ka ʻike ʻia ʻana, ʻo ka nui o ka kūleʻa o ka lāʻau lapaʻau. He waiwai nui nā maka olakino i ke ola. No laila e mālama kākou iā lākou!
diplopia , ʻike pālua, ʻike pālua, nā maʻi maka, nā pilikia ʻike, ke olakino maka, nā hōʻailona











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