Ke huli nei kou mau maka i waho? E kamaʻilio kākou e pili ana i ka exotropia!

Ua ʻike anei ʻoe i kāu keiki liʻiliʻi, a i ʻole kekahi āu i ʻike ai, ua huli iki kekahi a ʻelua paha o nā maka i waho, i nā pepeiao? A i ʻole ua pani ʻo ia i kekahi maka i ka wā e nānā ana i ke TV a i ʻole i waho i ka lā mālamalama? I kekahi manawa e ʻike paha ʻoe iā ia e hoʻokiʻekiʻe ana i kona poʻo i kekahi ʻaoʻao. Eia kekahi o nā hōʻailona o kahi maʻi i kapa ʻia ʻo "Exotropia" a mākou e kamaʻilio nei i kēia lā. Mai hopohopo, he mea kēia i loaʻa i nā poʻe he nui, a e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī a me ka maʻalahi.

I ka ʻōlelo maʻalahi, he aha ka exotropia?

ʻO Exotropia (puana ʻia ʻo "ex-so-tro-pee-ya") kahi hewa o nā maka. I ka lāʻau lapaʻau, kapa pinepine mākou i kēia ʻano ma ke ʻano he "strabismus." Ua lohe paha ʻoe i ka huaʻōlelo "nā maka kea," ʻo ia hoʻi ia.

No laila, ma kēia `(Exotropia)`, hoʻokahi a i kekahi manawa ʻelua mau maka e huli i waho, ʻo ia hoʻi, i ka ʻaoʻao kahi o nā pepeiao. Inā hoʻokahi wale nō maka e huli i waho ma kēia ʻano, kapa mākou ia he `(Monocular Exotropia)`. Inā ʻelua mau maka e huli i waho ma kēia ʻano, kapa ʻia ia he `(Bilateral Exotropia)`.

Ua lohe paha ʻoe i kahi maʻi i kapa ʻia ʻo `(Esotropia)`. ʻO ia ka wā e huli ai nā maka i loko, ʻo ia hoʻi, i ka ihu. ʻO kēia `(Exotropia)` ke kū'ē i kēlā. ʻOiai ʻike pinepine ʻia kēia maʻi i nā pēpē ʻōpio a me nā keiki, hiki ke loaʻa i kekahi manawa i nā pākeke.

ʻO ka mea nui loa, ʻo ia ke ʻimi koke i ke kōkua lapaʻau inā manaʻo ʻoe e huli ana ka maka o kāu keiki i waho. ʻO kēia no ka mea hiki i kahi keiki me ia ʻano maka ke loaʻa nā pilikia ʻike maka, a hiki i kēia ʻano ke hoʻopilikia i ka hilinaʻi o ke keiki iā ia iho a me nā pilina pili kanaka. No laila, ʻoi aku ka maikaʻi o ka loaʻa ʻana o kahi hōʻailona a hoʻomaka i ka lāʻau lapaʻau i ka wā hikiwawe loa.

He aha nā ʻano nui o ka exotropia?

Aia kekahi mau ʻano like ʻole o ka "Exotropia". E nānā kākou i nā mea nui:

• ʻO Intermittent Exotropia: ʻO kēia ke ʻano maʻamau. E like me ka inoa e hōʻike nei, ʻaʻole ia e loaʻa mau. Hele mai a hele aku. No ka laʻana, hiki i kāu keiki ke hoʻohuli i ko lākou mau maka i waho ke luhi loa lākou, a i ʻole ke loaʻa iā lākou kahi maʻi e like me ke anu, a i ʻole ke kaumaha lākou. Hiki ke ʻike ʻia kēia i ka nānā ʻana i kahi mea mamao.
• ʻO ka Exotropia Mau: Ma kēia ʻano, hoʻohuli mau ʻia kekahi a i ʻole nā ​​maka ʻelua i waho. Hiki ke ʻike ʻia kēia ʻano ke nānā aku i kahi kokoke a mamao. ʻAʻole kēia i maʻamau e like me ka Intermittent Exotropia i ʻōlelo mua ʻia.
• ʻO Exotropia pēpē a hānau paha: ʻO ke ʻano kēia e kū nei kēia maʻi i ka wā hānau a i ka wā ʻōpiopio paha.
• Sensory Exotropia: Hana ʻia kēia i loko o kahi maka i loaʻa mua ka ʻike maikaʻi ʻole. Huli ka maka me ka ʻike maikaʻi ʻole i waho no ka mea ʻaʻole hiki ke hana pū me kekahi maka.
• ʻOkoʻa kēia mai ka Unilateral Exotropia (kahi e huli mau ai kekahi maka i waho).
• ʻO ka Exotropia Hoʻomau a Lua paha: Hana ʻia kēia ʻano ma hope o ke ʻoki ʻana e mālama iā Esotropia (nā maka e huli ana i loko).

He aha nā hōʻailona o ka exotropia?

E nānā kākou i nā hiʻohiʻona maʻamau e ʻike ʻia ma kēia kūlana:

• Hoʻokahi a i ʻole nā ​​maka ʻelua i kekahi manawa a i ʻole e huli mau ana i waho.
• Ke nānā ʻana.
• Ka ʻeha o ka maka.
• ʻEha poʻo.
• ʻIke pālua a i ʻole Diplopia.
• E pani ana i kekahi maka i ka wā e ʻālohilohi ana ka lā.
• Ua emi ka ʻike hohonu.

Inā loaʻa iā ʻoe a i kāu keiki paha kekahi o kēia mau hōʻailona, ​​​​e ʻike pono i kahi ophthalmologist.

No ke aha e hana ʻia ai kēia exotropia?

Aia kekahi mau kumu no kēia. E nānā kākou i ke ʻano o lākou:

• ʻIke ʻia nā ʻano: Ma kekahi mau ʻohana, ua hoʻoili ʻia kēia kūlana (strabismus) mai kēlā hanauna a kēia hanauna.
• Ka nāwaliwali o nā ʻiʻo maka: Hiki ke hana kēia ke hana pono ʻole nā ​​​​ʻiʻo e kāohi ana i ka neʻe ʻana o ka maka.
• ʻO ka lawa ʻole o ka hui ʻana (CI): ʻO kēia ka wā hiki ʻole i nā maka ke kau i kahi kiko hoʻokahi ke nānā aku i kahi mea kokoke.
• Nā kūlana ʻōnaehana nerve: Hiki ke hana ʻia ʻo Exotropia e nā kūlana e like me ka hahau ʻana a i ʻole nā ​​​​​​pū koko o ka lolo.
• ʻIke maka ʻino loa: Inā ʻilihune loa ka ʻike ma kekahi maka, e huli paha kēlā maka i waho.

I kekahi manawa, ʻoiai no ka exotropia intermittent , ʻaʻole paha e loaʻa kahi kumu kūpono.

ʻO wai ka mea i ʻoi aku ka nui o ka hoʻomohala ʻana i ka exotropia? (Nā kumu pilikia)

Aia kekahi mau kumu e hoʻonui ai i ka pilikia o kēia maʻi. ʻO lākou kēia:

• Nā maʻi neurologic.
• Ka hānau mua ʻana.
• Ka hoʻohana ʻana i nā lāʻau lapaʻau a me ka waiʻona i ka wā hāpai.
• Nā ʻokoʻa hoʻoilina.
• Nā hewa refractive i hoʻoponopono ʻole ʻia (e.g., ʻaʻole e komo i nā aniani) `(Nā hewa refractive i hoʻoponopono ʻole ʻia)`.
• ʻO ka loaʻa ʻana o kekahi o ka ʻohana me ke ʻano `(Strabismus)`.

He aha ka mea e hana ʻia inā ʻaʻole hāʻawi ʻia ka lāʻau lapaʻau? (Nā pilikia)

Inā ʻaʻole mālama ʻia kēia kūlana "Exotropia", ʻoiai ʻo "Intermittent Exotropia", hiki iā ia ke lilo i "Constant Exotropia". Eia kekahi, inā e ʻoi aku ka ʻino o kēia kūlana i ka wā kamaliʻi, hiki i ke keiki ke loaʻa i kahi kūlana i kapa ʻia ʻo "Lazy Eye" (Amblyopia).ʻO ke ʻano kēia, ua nāwaliwali ka ʻike ma kekahi maka. Eia kekahi, hiki ke nalowale ka hiki ke ʻike i nā mea ma nā ʻano ʻekolu (ʻike binocular) ma ka hana pū ʻana me nā maka ʻelua.

Pehea e ʻike pololei ʻia ai ka exotropia? (Diagnosis)

E ʻike paha ʻoe e huli ana nā maka o kāu keiki i waho. A i ʻole e ʻike paha kāu kauka ʻohana i kēia. (I kekahi manawa, ʻaʻole ʻike ka mea me ka exotropia.) E kuhikuhi paha lākou iā ʻoe i kahi ophthalmologist a i ʻole optometrist.

E nīnau ke kauka o kāu keiki e pili ana i ka mōʻaukala olakino o kou ʻohana a me ka mōʻaukala olakino o kāu keiki. A laila e hana lākou i kahi hoʻokolokolo maka. E nānā kēia hoʻokolokolo i ke ʻano o ka neʻe ʻana a me ka nānā ʻana o nā maka o kāu keiki. Hiki i kēia mau hoʻokolohua ke komo pū me:

• Hoʻāʻo ʻIke Maka: Ke heluhelu ʻana i nā keiki i nā leka mai kahi pakuhi, a i ʻole ma ke ʻano o nā keiki ʻōpio, e hoʻāʻo ana pehea lākou e ʻike ai i nā mea.
• Hoʻāʻo Refraction: He hoʻāʻo e ana i ke ʻano o ka hoʻopili ʻana o ka mālamalama i loko o nā maka ma o ka nānā ʻana iā lākou ma o kahi moʻo o nā aniani like ʻole. ʻAʻole pono nā keiki e ʻōlelo a pane paha i kēia mau hoʻāʻo.
• Ka hoʻonohonoho ʻana o nā maka a me ka hoʻāʻo ʻana i ka noʻonoʻo: Nānā kēia mau hoʻāʻo i ke ʻano o ke kūlike ʻana o nā maka o ke keiki a pehea ka maopopo o kā lākou ʻike ʻana.
• Ke hoʻonui nei i ka haumāna o ka maka e nānā i ke olakino o nā ʻano i loko o ka maka.

He aha nā lāʻau lapaʻau no ka exotropia?

ʻOkoʻa ka lāʻau lapaʻau ma muli o ke koʻikoʻi o ke kūlana. I kekahi manawa, ʻaʻole koʻikoʻi loa ka exotropia intermittent, a i ʻole e hoʻomaikaʻi paha ia ma kona iho i ka hala ʻana o ka manawa. ʻO nā koho lapaʻau e komo pū me:

• Ka hoʻopili maka: ʻO kēia ka uhi ʻana i ka maka ʻike maikaʻi a ikaika hoʻi me kahi ʻāpana a hoʻoikaika i ka maka nāwaliwali e hoʻoikaika iā ia.
• Kulu maka: He hana lapaʻau kēia, e like me ke kau ʻana i nā peʻahi maka, hāʻawi i ka hoʻoulu hou aku i ka maka nāwaliwali.
• Nā aniani hoʻoponopono: Hiki i ke kauka ke ʻōlelo i nā aniani a i ʻole nā ​​​​aniani hoʻopili.
• ʻIke hoʻōla: Inā loaʻa i kāu keiki ka lawa ʻole o ka hoʻohui ʻana i ʻōlelo ʻia ma luna, hiki i nā hana maka ke kōkua.
• Botulinum Toxin (Botox®): ʻO ke komo ʻana o Botox® i loko o nā ʻiʻo maka e hiki ke kōkua i ka hoʻoponopono hou ʻana i nā maka.
• ʻoki kino: Hiki i ke kauka ke hana i ke ʻoki kino e hoʻopaʻa a wehe paha i nā ʻiʻo i hoʻokahi a i ʻole nā ​​​​maka ʻelua.

Hiki ke pale ʻia kēia exotropia?

ʻAʻohe ala e pale aku ai i kēia maʻi mai ka hanana ʻana. Eia nō naʻe, inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, he manaʻo maikaʻi e kamaʻilio me ke kākāʻōlelo genetic e pili ana i ka pilikia o ka hoʻoili ʻana i kēia maʻi i kāu keiki.

He aha ka wā e hiki mai ana no ka poʻe me kēia maʻi? (Ho'ōla hou ʻana)

Hiki i ka Exotropia ke hoʻomaikaʻi i ka hala ʻana o ka manawa, akā ʻaʻole e nalowale loa ka hapa nui o nā ʻano. Hiki i nā lāʻau lapaʻau ʻoki ʻole ke kōkua i ka kaohi ʻana i ke kūlana, akā he nui ka poʻe i loaʻa ka manawa e hoʻi hou mai ai ke kūlana.

Āhea e pono ai i kaʻu keiki ke ʻike i ke kauka?

E ʻike mau i ke kauka inā loaʻa i kāu keiki kekahi mau hōʻailona e hopohopo nei iā ʻoe. Eia kekahi mau mea:

• ʻEha maka.
• ʻIke pālua.
• ʻIke pōwehiwehi.
• ʻEha poʻo.
• Ke ʻano o ka maka e huli ana i waho.

He aha kaʻu e nīnau aku ai i ke kauka o kaʻu keiki?

Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• He aha ke ʻano o ka exotropia i loaʻa i kaʻu keiki?
• He aha nā koho lapaʻau āu e paipai nei?
• Pono anei kaʻu keiki i ke ʻoki kino?
• Inā hana ʻia ke ʻoki kino, he aha nā pōmaikaʻi a me nā pilikia?

Hiki i ka exotropia ke hoʻoulu i ka makapō?

Inā ʻaʻole mālama ʻia, hiki i ka exotropia ke alakaʻi i kahi kūlana i kapa ʻia ʻo "lazy eye" (amblyopia), ʻo ia hoʻi ka nalowale o ka ʻike ma kekahi maka. Inā ʻaʻole mālama ʻia, hiki ke nalowale ka ʻike binocular a hiki ke hoʻopilikia ʻia ka ʻike mamao. Eia nō naʻe, ʻaʻole maʻamau ka makapō piha.

Ke ʻoi aku ka ʻino o ka exotropia me ka makahiki?

Inā ʻaʻole mālama ʻia, e lilo ka `(Exotropia)` i mea ʻino i ka hala ʻana o ka manawa. Hiki ke kāohi ʻia, akā ʻaʻole paha e nalowale loa. Manaʻo kekahi poʻe noiʻi ʻo ka hopena mau loa i ka `(Intermittent Exotropia)` ʻo ia ka hoʻoponopono ʻana i ka lolo, akā ʻaʻole hiki kēia i kēia manawa.

Inā loaʻa i kāu keiki ka "(Exotropia)," hiki i ke kūlana ke hoʻopilikia i ko lākou manaʻo ponoʻī. Hiki iā ia ke paʻakikī i ke kūkulu ʻana a me ka mālama ʻana i nā pilina me nā poʻe ʻē aʻe. Ke kamaʻilio kekahi me ka nānā ʻole ʻana i nā maka, hiki iā lākou ke nānā ʻole a i ʻole e noʻonoʻo nui i kahi mea ʻē aʻe.

ʻO ia ke kumu he mea nui loa ka ʻike ʻana i kahi loea maka i ka wā e ʻike ai ʻoe i kēia pilikia. ʻOi aku hoʻi no nā keiki, he mea nui e hoʻokolokolo maka e hōʻoia i ke olakino o nā maka a pau a ʻike maikaʻi. ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i kēia mai ka hana ʻana, hiki iā ʻoe ke hana a loaʻa ka lāʻau lapaʻau i ka wā mua.

E hoʻomanaʻo kākou i nā mea nui loa (Leka Lawe-Home)

ʻAe, e hōʻuluʻulu kākou i nā mea nui e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• ʻO Exotropia ka huli ʻana o kekahi a i ʻole nā ​​maka ʻelua i waho (i nā pepeiao). He ʻano strabismus kēia, a i ʻole maka kea.
• ʻOiai ʻike pinepine ʻia kēia i nā keiki, hiki ke hana ʻia i nā pākeke.
• Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke hōʻemi i nā pilikia ʻike a me ka hopena i ka hilinaʻi iā ia iho o ke keiki.
• ʻO nā lāʻau lapaʻau e komo pū me nā ʻaki maka, nā kulu maka, nā aniani, nā hoʻomaʻamaʻa maka, nā inikini Botox®, a me ke ʻoki kino.
• Inā he mau hopohopo kāu e pili ana i nā maka o kāu keiki, e ʻike koke aku i kahi kauka maka.
• Hiki ke kāohi ʻia kēia maʻi, akā ʻaʻole paha e ho'ōla loa ʻia. Eia nō naʻe, me ka mālama pono ʻana, hiki iā ʻoe ke ola i kahi ola maikaʻi.

Manaʻolana wau he mea kōkua kēia ʻike iā ʻoe. Inā he mau nīnau hou aku kāu, e ʻoluʻolu e nīnau i ke kauka.

ʻEktropia , ʻeʻe maka, ʻōwili maka, nā maʻi maka o nā keiki, nā pilikia ʻike maka, ka mālama ʻana i nā maka, strabismus