Ua ʻike anei ʻoe i kekahi me nā maka ʻelua kala like ʻole? Malia paha he uliuli kekahi maka a he ʻeleʻele kekahi. A i ʻole he nui nā kala i loko o hoʻokahi maka. ʻO kēia ka mea a mākou e kapa nei he Heterochromia i ka lāʻau lapaʻau. Nui ka poʻe e ʻike i kēia e kahaha nei, a makaʻu iki paha kekahi. No laila e kamaʻilio pololei kākou e pili ana i kēia, maʻalahi, a e hoʻoponopono i nā nīnau a pau i loko o kou poʻo.
He aha maoli ka heterochromia?
I ka ʻōlelo maʻalahi, ʻo Heterochromia ka wā he ʻokoʻa ke kala o kou mau maka. A i ʻole, i ka wā he nui kou mau kala i ka maka hoʻokahi. ʻO ka ʻāpana e hāʻawi ana i ko mākou mau maka i ko lākou kala ua kapa ʻia ʻo 'iris' (i kapa ʻia hoʻi ʻo iris). ʻO ka maʻamau, ʻo nā iris o ko mākou mau maka ʻelua he like ke kala. Hoʻoholo ʻia kēia kala e kahi pigment i kapa ʻia ʻo melanin . Ke nui ka melanin, ʻeleʻele a ʻeleʻele paha nā maka, a i ka wā he liʻiliʻi ka melanin, lilo nā maka i polū, ʻōmaʻomaʻo, a hina paha.
Ke loaʻa iā ʻoe ka heterochromia, hiki ke ʻokoʻa loa ke kala o ka iris ma kekahi maka mai ke kala o kekahi maka. I ka hapanui o nā hihia, he kūlana kūikawā a ʻino ʻole kēia, e like me kekahi poʻe he mau māka hānau. Eia naʻe, he mea kakaikahi loa , hiki ke loli ke kala o nā maka ma muli o kekahi mau kūlana olakino.
No laila, inā ʻike ʻoe a i ʻole kāu keiki i kekahi mea e like me kēia, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka maka e pili ana i ia mea. A laila hiki iā ia ke nānā pono iā ʻoe e hoʻoholo inā he mea ʻino ʻole ia a inā he kumu paha.
Aia kekahi mau ʻano like ʻole o kēia?
ʻAe, ʻekolu mau ala nui e hiki ai iā mākou ke ʻike i ka heterochromia. Ma ka ʻike ʻana i kēia mau mea, hiki iā ʻoe ke hoʻomaopopo i ke ʻano āu a i ʻole kekahi āu i ʻike ai.
| ʻAno o ka heterochromia | ʻAno a me ka wehewehe maʻalahi |
|---|---|
| Heterochromia piha | Ma kēia, lawe kekahi maka i kahi waihoʻoluʻu ʻokoʻa loa. Eia kekahi laʻana, he uliuli kekahi maka a he ʻeleʻele kekahi. |
| Heterochromia ʻāpana | Ma kēia, hoʻokahi wale nō ʻāpana o ka iris o ka maka hoʻokahi he ʻokoʻa ke kala. Ua like ia me kahi ʻāpana keke me ke kala ʻokoʻa. |
| Heterochromia waena | Ua hoʻopuni ʻia ka haumāna ʻeleʻele ma waenakonu o ka maka e ke apo o nā kala like ʻole. I kekahi manawa hiki i kēia ʻokoʻa kala ke ʻike ʻia e pālahalaha aku i waho, me he mea lā ua haehae ʻia. |
No ke aha e loli ai ke kala o nā maka penei? He aha nā kumu?
Aia paha he nui nā kumu no kēia. E nānā kākou iā lākou pākahi.
1. Nā kumu hoʻoilina olakino a maikaʻi ʻole
ʻO kēia ke kumu nui o Heterochromia. He hoʻololi hoʻoilina ʻino ʻole kēia, hoʻokaʻawale ʻia. Ke kuhikuhi nei kēia mau genes i ko mākou kino e hana a mālama i ka melanin. No laila, hiki i kahi loli liʻiliʻi i kēia mau genes ke hoʻololi i ke kala o nā maka. Hiki ke hoʻoili ʻia kēia ma o nā hanauna. ʻAʻole kēia e hōʻeha i nā maka a i ʻole ke kino.
2. Nā kūlana olakino hānau a i loaʻa paha
I kekahi manawa, hiki ke loli ke kala o nā maka ma muli o kekahi mau kūlana olakino, i hānau ʻia mai ka wā hānau a i loaʻa paha ma hope o ke ola. He mea kākaʻikahi loa ka hapa nui o kēia mau kūlana.
E lawe i ka maʻi Horner , no ka laʻana. Hānau ʻia kekahi mau keiki me ia, aʻo kekahi poʻe e loaʻa iā ia ma hope o ke ola. Hana ʻia ia i ka wā e hōʻino ʻia ai nā aʻalolo e holo ana i kekahi ʻaoʻao o ka maka. Pono nā pūnaewele (melanocytes) e hana ana i ka melanin, ka mea e hāʻawi ana i ke kala i nā maka, i nā hōʻailona mai nā aʻalolo. Ke hōʻino ʻia kēia mau aʻalolo, ua emi ka hana ʻana o ka melanin, a ua māmā ka maka ma kēlā ʻaoʻao ma mua o ka maka ʻē aʻe.
Aia ma lalo iho kekahi mau maʻi lapaʻau ʻē aʻe (pinepine ʻole) hiki ke hoʻoulu i ka heterochromia.
| Nā kumu hānau | Nā Kumu i Loaʻa |
|---|---|
| ʻO ka maʻi Horner hānau | ʻO ka maʻi Horner i hoʻomaka ma hope |
| ʻO ka maʻi Waardenburg | ʻO Neuroblastoma (ka maʻi ʻaʻai o ka ʻōnaehana nerve) |
| ʻO ka maʻi Parry-Romberg | ʻO ka iridocyclitis heterochromic Fuchs |
| ʻO ka maʻi Sturge-Weber | ʻO ke kanesa e kū mai ana i loko o ka maka (Intraocular melanoma) |
| ʻAno Neurofibromatosis 1 | ʻO ka glaucoma |
| ʻO ka melanosis maka | Ka mumū i loko o ka maka (Uveitis) |
3. Nā ʻeha maka a me kekahi mau lāʻau lapaʻau
- He ʻeha a ulia paha i ka maka.
- ʻO kekahi mau kulu maka, e like me Latanoprost , e mālama ana i ka glaucoma.
- Hoʻohana ʻia kekahi mau mea hoʻonani, e like me LATISSE® , e hoʻoulu i nā maka maka.
Aia kekahi lāʻau lapaʻau no kēia? Pono anei au e ʻike i ke kauka?
ʻAʻohe lāʻau lapaʻau kūikawā no ke kūlana i kapa ʻia ʻo heterochromia. No ka mea, ʻaʻole ia he maʻi, akā he hōʻailona wale nō. ʻO ka mea nui loa, ʻo ia ka ʻike a me ka mālama ʻana i ke kūlana kumu, inā he hoʻokahi. No ka laʻana, inā he maʻi ʻaʻai e like me 'Neuroblastoma', he mea nui e mālama koke iā ia.
ʻO ia ke kumu a mākou e ʻōlelo nei inā ʻike ʻoe i kahi loli i ke kala o kou mau maka, pono ʻoe e ʻike i kahi kauka maka no ka hoʻokolokolo maka piha.
ʻOi loa aku inā he ʻokoʻa ke kala o nā maka o kāu keiki liʻiliʻi , a inā ʻike ʻoe i kahi mea e like me ka haumāna liʻiliʻi a i ʻole ka lihilihi e hāʻule ana, e hoʻomaopopo i kāu kauka pediatric . E kuhikuhi ʻo ia iā ʻoe no ka hoʻāʻo hou aku inā pono.
E pili ana i nā aniani hoʻopili kala
Inā nānā kāu kauka i kou kūlana a hoʻoholo ʻaʻole ia he mea ʻino, ʻaʻole pono ʻoe i kekahi lāʻau lapaʻau. Eia nō naʻe, inā makemake ʻoe e mālama i ke kala like o nā maka ʻelua, hiki iā ʻoe ke hoʻohana i nā aniani hoʻopili kala. Eia nō naʻe, aia wale nō kēia iā ʻoe.
He mea nui loa: Inā ʻoe e hoʻohana ana i nā aniani hoʻopili kala, pono ʻoe e kiʻi i kahi palapala kauoha mai ke kauka maka. ʻO ka hoʻohana ʻana i nā aniani i kūʻai ʻia ma ka pūnaewele a i ʻole ma kahi ʻē aʻe me ke kauoha ʻole a ke kauka hiki ke hana i nā maʻi maka koʻikoʻi a me ka hōʻino mau loa.
Leka Lawe-Home
- He ʻano kū hoʻokahi a ʻino ʻole ka Heterochromia (nā kala maka like ʻole) i loaʻa pinepine i ka wā hānau.
- Eia nō naʻe, he mea kakaikahi loa ia, hiki ke lilo i hōʻailona o kahi maʻi. No laila, inā ʻike ʻoe i kahi loli o ke kala o nā maka (kou a i ʻole kāu keiki), mai hopohopo a e ʻike pono i kahi kauka maka.
- ʻAʻole koi ʻia ka lāʻau lapaʻau no Heterochromia, akā inā wale nō he maʻi olakino ma lalo o ke kumu.
- Mai kūʻai a hoʻokomo i nā aniani hoʻopili kala mai nā wahi like ʻole me ka ʻole o ke aʻo ʻana a ke kauka. Hiki iā ia ke hōʻeha nui i kou mau maka makamae.
- ʻO ka manawa pinepine, ʻo ka lāʻau lapaʻau wale nō āu e pono ai, ʻo ia ka hōʻoia a ke kauka "ua maikaʻi nā mea a pau, ʻaʻohe mea e makaʻu ai." He waiwai nui kēlā e like me nā lāʻau lapaʻau āpau.
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