Ua ʻike anei ʻoe i kekahi poʻe, ʻoiai nā pēpē ʻōpio, he mau maka hoʻokahi a ʻelua paha i huli iki i loko, i ka ihu? Kāhea pū kekahi poʻe i kēia "maka keʻa." ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau he esotropia . He pilikia liʻiliʻi kēia me ke kūlana o nā maka. ʻAʻohe mea e hopohopo ai, a inā ʻike ʻoe i kēia a loaʻa ka lāʻau kūpono, hiki ke ho'ōla nui ʻia. E kamaʻilio hou kākou e pili ana i kēia?
No laila, he aha ʻo Esotropia?
I ka ʻōlelo maʻalahi, ʻo Esotropia ka wā e huli ai kekahi a i ʻole nā maka ʻelua i loko, i kou ihu. He ʻano maoli kēia i kapa ʻia ʻo Strabismus . ʻO Strabismus ka wā ʻaʻole i kūlike pono kou mau maka, akā e huli i nā ʻaoʻao like ʻole. Kapa pū kekahi poʻe iā ia he "mau maka kea." Hiki iā Esotropia ke monocular (ka ʻūlū ʻana o ka maka) a i ʻole binocular (ka ʻūlū ʻana o ka maka).
ʻO ka maʻamau, hana pū nā ʻiʻo a me nā aʻalolo e kaohi ana i ko kākou mau maka me ke akamai loa e kuhikuhi i ko kākou mau maka i ke kuhikuhi like. Akā i loko o kekahi me ka esotropia, ʻaʻole hana pono kēia hoʻonohonoho ʻana. E noʻonoʻo e like me nā huila o ke kaʻa ʻaʻole e huli ana i ke kuhikuhi like. ʻO Esotropia ke ʻano o ka huli ʻana o nā maka i loko, aʻo ke ʻano ʻē aʻe o kēia, ʻo ia ka wā e huli ai nā maka i waho, ua kapa ʻia ʻo exotropia .
ʻOiai hiki ke loaʻa kēia ʻano maʻi i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā pēpē ʻōpio a me nā keiki. Hiki i kēia ke hoʻopilikia ʻaʻole wale i ka ʻike o ke keiki, akā i ko lākou ulu ʻana i ka nohona a me ka naʻau. Loaʻa i kekahi mau keiki ka haʻahaʻa o ka manaʻo ponoʻī a me ka hilahila ma muli o kēia ʻano. No laila he mea nui loa ka ʻimi ʻana i ka ʻōlelo aʻoaʻo lapaʻau, loaʻa kahi hōʻailona, a hoʻomaka i ka lāʻau lapaʻau i ka wā e ʻike ai ʻoe i kēia mau hōʻailona.
Aia kekahi mau ʻano like ʻole o ka esotropia?
ʻAe, aia nā ʻano like ʻole o ka esotropia. E nānā kākou i ke ʻano o lākou:
- ʻEsotropia manawa ʻole: Ma kēia ʻano, ʻaʻole i hana mau ʻia ka huli ʻana o nā maka i loko. I kekahi manawa pololei nā maka, a i kekahi manawa huli lākou i loko. Ua like ia me ke kukui e ʻā a pio ana.
- ʻO ka esotropia mau: I kēia hihia, huli ka maka i loko i nā manawa a pau, i nā manawa a pau.
- ʻO ka esotropia pēpē a hānau ʻia paha: Hiki ke loaʻa kēia i ka wā hānau , a i ʻole hiki ke ulu i loko o nā mahina mua o ke ola.
- ʻO ka esotropia ʻē aʻe: Ma kēia, ua hoʻopilikia ʻia nā maka ʻelua, akā hoʻokahi wale nō maka e huli ana i loko i ka manawa hoʻokahi. I kekahi manawa ka maka ʻākau, i kekahi manawa ka maka hema.
- ʻO ka esotropia hoʻokipa:Hiki ke hoʻoponopono pinepine ʻia kēia ʻano ma ke kau ʻana i nā aniani maka a i ʻole nā aniani hoʻopili. Hana pinepine kēia i ka poʻe i loaʻa ka ʻike mamao.
- ʻO ka esotropia ʻaʻole kūpono: He paʻakikī ke mālama ʻia kēia ʻano me nā aniani wale nō. Pono paha ke ʻoki kino.
- Pseudoesotropia: ʻAʻole kēia he esotropia maoli, akā ua like ia me ia. ʻO kēia no ka mea he ihu pālahalaha ko nā pēpē a me ka ʻili keu ( nā ʻili epicanthal ) ma nā kihi o loko o ko lākou mau maka. ʻAʻole pono kēia i ka lāʻau lapaʻau, a e nalo wale ke ʻano i kona wā e ulu ana ka pēpē.
He aha nā hōʻailona o Esotropia?
ʻO ka hōʻailona nui, ʻo ia kekahi a i ʻole nā maka ʻelua e huli ana i loko i ka ihu. Inā loaʻa iā ʻoe kēia, ʻaʻole paha ʻoe e ʻike. ʻIke pinepine ʻia e nā poʻe ʻē aʻe. Eia kekahi, loaʻa paha iā ʻoe kēia mau hōʻailona:
- ʻAʻole neʻe pū nā maka ma ke ala like.
- ʻO ka ʻūmiʻi ʻana, ka ʻūmiʻi ʻana, a me ka hoʻohuli ʻana i kou poʻo i kekahi ʻaoʻao e ʻike maopopo ai hiki ke hoʻopilikia i nā maka.
- Nā pilikia me ka ʻike hohonu. ʻO ke ʻano kēia he paʻakikī ke hoʻomaopopo pololei i ka mamao a i ʻole ke kokoke ʻana o kahi mea.
- ʻO ka ʻike pālua (diplopia).
- ʻAmblyopia - Ua kapa ʻia hoʻi kēia ʻo "maka palaualelo".
He aha nā kumu o ʻEsotropia?
ʻO ke kumu nui o ka esotropia ka nele o ka hoʻonohonoho ʻana ma waena o nā ʻiʻo o kou mau maka. ʻO ka maʻamau, hana pū nā ʻiʻo o ko kākou mau maka ma ke ʻano he hui e kōkua iā kākou e ʻike i ka mea like me nā maka ʻelua (ka ʻōnaehana binocular). ʻO ia ke kumu e hiki ai iā kākou ke ʻike i ke kokoke a i ʻole ka mamao o kekahi mea. He mea nui loa i nā maka ʻelua ke hana pū i ka wā e holo paikikala ai, e hoʻokele ana i ke kaʻa, a i ʻole e heluhelu ana i kahi puke.
ʻIke mamao pinepine nā keiki ʻōpio me ka esotropia. ʻO ke ʻano kēia, ʻike maopopo lākou i nā mea mamao ma mua o nā mea kokoke. I kekahi manawa, hiki i ka esotropia ke lilo i hōʻailona e pono ai lākou i nā aniani e hoʻoponopono i kēia ʻike mamao.
I kekahi manawa he genetic ka esotropia. Hiki i nā hoahānau koko ʻē aʻe o kou ʻohana ke loaʻa nā pilikia ʻeha o ka maka.
Eia kekahi, hiki i ka esotropia ke lilo i hōʻailona o nā maʻi ʻē aʻe. Eia kekahi laʻana:
- He pilikia i loko o kekahi a i ʻole nā maka ʻelua, e like me ka cataract , kahi pilikia me ka retina, a i ʻole kahi pilikia me ke aʻalolo optic.
- He pilikia e hoʻopilikia ana i kou lolo. Eia kekahi laʻana, hoʻonui ʻia ke kaomi intracranial a i ʻole kahi puʻupuʻu lolo.
- Nā kūlana e pili ana i ka ʻōnaehana nerve, no ka laʻana, ka hōʻino ʻia o ke aʻalolo ma muli o ka hahau ʻana a i ʻole ka maʻi diabetes .
- Nā ʻeha maka.
- Nā kūlana thyroid .
He aha nā kumu pilikia no Esotropia?
Aia kekahi mau kumu pilikia e hiki ke kōkua i ka ulu ʻana o esotropia:
- Ka hānau mua ʻana .
- Aia kekahi o ka ʻohana i loaʻa i ka strabismus .
- Ka hoʻohana ʻana i ka lāʻau lapaʻau a i ʻole ka waiʻona i ka wā hāpai.
- Nā ʻokoʻa hoʻoilina.
- Nā maʻi neurologic .
- ʻIke mamao kiʻekiʻe.
- Nā pilikia olakino ʻē aʻe, e like me ka hyperthyroidism a me ka maʻi diabetes .
He aha nā pilikia e hiki mai ana o Esotropia?
Hoʻopilikia ʻo Esotropia i kou mau maka e hana pū. Hiki i kēia ke alakaʻi i nā pilikia e like me:
- ʻIke pālua.
- Nā pilikia ʻike peripheral - ʻo ia hoʻi, ka emi ʻana o ka laulā o ka ʻike i nā ʻaoʻao ke nānā pololei i mua.
- Ka nalowale ʻana o ka ʻike 3-D a me ka ʻike binocular.
- ʻIke pōwehiwehi .
- Ka emi ʻana o ka ʻike ma kekahi maka ( Amblyopia ).
ʻO ka mea nui loa, hiki i kēia mau hopohopo hoʻonaninani ke alakaʻi i ka hilinaʻi haʻahaʻa iā ia iho i nā poʻe he nui, hiki ke alakaʻi i ka hopohopo pili kanaka a me ka hoʻemi ʻana i ka hana ma ke kula a me nā hana ʻē aʻe.
Pehea e ʻike ʻia ai ʻo Esotropia?
Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau hōʻailona, e kuhikuhi aku kāu kauka ʻohana iā ʻoe i kahi loea maka ( ophthalmologist ) a i ʻole optometrist . E nīnau ke kauka iā ʻoe e pili ana i kou ʻohana a me ka mōʻaukala olakino, a laila e hana i kahi hoʻokolokolo maka. Hiki ke hana ʻia nā hoʻokolohua aʻe:
- Hoʻāʻo ʻike maka - e ʻike i ke akaka o kāu ʻike ʻana.
- Hoʻāʻo refraction - ke ana ʻana i ka maikaʻi o ka hoʻopololei ʻana o nā maka i ka mālamalama me nā aniani kūpono.
- Nā hoʻokolohua hoʻohālikelike a me ka nānā ʻana.
- Hoʻāʻo hoʻonui ʻana i ka maka - E nānā i ke olakino o nā ʻano i loko o ka maka.
He aha nā lāʻau lapaʻau no Esotropia?
Hiki i kekahi mau hihia o ka esotropia ke hoʻopau iā lākou iho. Eia naʻe, inā ʻaʻole lākou e hoʻopau, hiki i kāu kauka maka ke kuhikuhi i hoʻokahi a i ʻole ka hui pū ʻana o kēia mau lāʻau lapaʻau:
- Nā aniani maka a i ʻole nā aniani hoʻopili.
- Ka mālama ʻana i ka amblyopia (ka uhi ʻana i ka maka me kahi ʻāpana ikaika a i ʻole ka hoʻohana ʻana i nā kulu maka hoʻonui e hoʻopōʻele i ka ʻike ma ka maka ikaika).
- Nā Prisms - He ʻano aniani kūikawā kēia i hoʻopili ʻia i nā aniani.
- ʻO ka inikini Botulinum toxin (Botox® ) - Hoʻonāwaliwali kēia i nā ʻiʻo maka no kekahi manawa.
- ʻO ke ʻoki ʻana i ka strabismus .
He mea nui: Inā loaʻa iā ʻoe ka esotropia ma ke ʻano he hōʻailona o kekahi maʻi ʻē aʻe, e mālama kāu kauka i ke kūlana kumu. ʻO ka maʻamau, ʻo ka kaohi ʻana i ke kūlana kumu e kōkua pū i ka esotropia e hoʻoponopono.
Hiki ke pale ʻia ʻo Esotropia?
ʻAʻole hiki ke pale loa ʻia ʻo Esotropia, akā hiki iā ʻoe ke kōkua i ka mālama ʻana i ke kūlana ma ka lawe ʻana i kāu keiki no nā hoʻokolohua maka maʻamau ke ʻike ʻoe i kekahi mau loli i ko lākou mau maka a i ʻole ka ʻike.
He aha ka manaʻolana no kekahi me esotropia?
Inā ʻoe e loaʻa ana i ka lāʻau lapaʻau no ka esotropia, e like me ke kau ʻana i nā aniani maka, ka hoʻohana ʻana i nā aniani hoʻopili, a i ʻole ke ʻoki ʻana, maikaʻi loa kāu prognosis. ʻO ka mea nui loa, ʻo ia ka hahai pololei ʻana i kāu hoʻolālā lapaʻau a ʻike pinepine i kāu kauka no nā nānā ʻana.
Āhea e ʻike ai kaʻu keiki i ke kauka e pili ana i ka esotropia?
Inā pilikia kāu keiki me ko lākou mau maka - ʻo ia hoʻi ke ʻū mau nei lākou, a inā ʻike ʻoe e neʻe ana ko lākou mau maka mai kēlā ʻaoʻao a i kēia ʻaoʻao e ʻike maopopo i nā mea - e ʻike koke i ke kauka. He ʻoiaʻiʻo nō hoʻi kēia nou.
Inā loli koke nā maka o kāu a i ʻole kāu keiki a i ʻole ke ʻano ʻē, ʻoiai ma hope o kahi ulia, e ʻike koke i ke kauka. He mea nui loa ka loaʻa koke ʻana o ke kōkua ma hope o kahi ulia.
He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka o kaʻu keiki?
Hiki iā ʻoe ke nīnau i ke kauka o kāu keiki i nā nīnau penei:
- He aha ke ʻano o ka esotropia i loaʻa i kaʻu keiki?
- He aha nā koho lapaʻau āu e paipai nei?
- Pono anei kaʻu keiki i ke ʻoki kino?
- He aha kaʻu e hana ai e pale aku ai i ka hoʻi hou ʻana o Esotropia?
I ka hōʻuluʻulu manaʻo (Leka Lawe-Home)
He maʻi maka maʻamau ʻo Esotropia. Hiki iā ia ke hoʻopilikia i kou ʻike, e paʻakikī ai ka hana ʻana i ka hana, nā haʻuki, a me nā hana o kēlā me kēia lā. Eia kekahi, hiki iā ia ke hoʻopilikia i kou kiʻi ponoʻī a hoʻopilikia pono ʻole i nā pilina pilikanaka. Inā loaʻa iā ʻoe a i ʻole kāu keiki ka esotropia, he mea nui loa ia e loaʻa kahi hōʻailona i ka wā hikiwawe. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻo ka wikiwiki o kou hiki ke hoʻoponopono i ke kūlana o kou mau maka. No laila, mai kānalua e ʻimi i ke aʻo lapaʻau inā he kānalua iki kou.
`ʻEsotropia, ka huli ʻana o nā maka i loko, ka ʻūmiʻi, nā maʻi maka i nā keiki, nā pilikia ʻike, ka nānā ʻana i ka maka, Strabismus











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