Ke piʻi nei anei kou maka i luna? He hypertropia anei kēia? E kamaʻilio kāua!

Ua ʻike anei ʻoe ua ʻoi aku ke kiʻekiʻe o kekahi o kou mau maka ma mua o kekahi? A i ʻole ua nānā pololei kāu keiki liʻiliʻi i mua a manaʻo ua hoʻohuli ʻia kekahi maka i luna? Malia paha e hoʻāʻo lākou e hoʻokiʻekiʻe i ko lākou poʻo e nānā. Inā kamaʻāina kēia iā ʻoe, a laila he mea nui loa iā ʻoe ke ʻike e pili ana i ke kūlana a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo Hypertropia . Mai hopohopo, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

He aha ka Hypertropia? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka hypertropia kahi kūlana kahi e huli mau ai kekahi o kou mau maka i luna. I ka pololei, ʻaʻole kuhikuhi nā maka ʻelua i ke kuhikuhi like. He kuhi hewa kēia o nā maka, ʻo ia hoʻi ma ka ʻōlelo lapaʻau he strabismus .

E nānā, ʻeono ko kākou mau ʻiʻo e kāohi ana i ka neʻe ʻana o ko kākou mau maka. Ua like lākou me nā kaula liʻiliʻi. ʻO ka maʻamau, hana pū kēia mau ʻiʻo a pau, e hana ana ma ke ʻano he hui hoʻokahi, e mālama i nā maka ʻelua ma kahi hoʻokahi ke nānā aku kākou i kekahi mea. Akā, he paʻakikī i kekahi kanaka me ka strabismus ke kāohi i kēia mau neʻe ʻana o ka maka, no laila, ʻaʻole hiki iā lākou ke mālama i ke kūlike kūpono o ka maka.

Inā loaʻa iā ʻoe ka hypertropia , ʻaʻole kūlike ka maka i hoʻopilikia ʻia me ka maka ʻē aʻe a huli i luna. ʻOiai ke hoʻāʻo ʻoe e nānā pololei i mua, ke nānā iki nei kēia maka i luna. Me he mea lā aia ma luna iki o ke kikowaena o kou maka. I kekahi manawa kapa nā kauka i kēia "ma waho o ke kūlike kū pololei."

Hiki i kēia ke hoʻoluhi a kaumaha i kou mau maka. ʻO ka mea kupanaha, ʻo kekahi poʻe, ʻoi aku hoʻi nā kamaliʻi ʻōpio, ʻaʻole lākou i ʻike he hypertropia ko lākou a i ʻole he hewa kekahi mea me ko lākou mau maka. ʻAʻole paha e ʻike kāu keiki, akā ke kīloi nei paha lākou i ko lākou poʻo e nānā i waho o ka maka i hoʻopilikia ʻia.

Hiki i ka Hypertropia ke hoʻoulu i ka ʻike maka pōwehiwehi a me ka ʻike pālua (kapa nā kauka i kēia diplopia ). Eia nō naʻe, ʻo nā keiki ʻōpio a me nā pākeke i loaʻa i ka strabismus no ka manawa lōʻihi, ʻaʻole lākou e ʻike pinepine i ka ʻike pālua.

ʻO ka mea nui, ʻoiai inā loaʻa i kāu keiki ka hypertropia a i ʻole kekahi ʻano strabismus ʻē aʻe, ʻaʻole ia he manaʻo he pilikia olakino koʻikoʻi ʻē aʻe kāna e hoʻopilikia ai i kona lolo a kino paha. No laila, mai hopohopo pono ʻole.

Eia nō naʻe, inā ʻike ʻoe i kekahi mau loli i kou mau maka a i ʻole ka ʻike ʻana, pono ʻoe e ʻike i kahi loea mālama maka i ka wā hikiwawe loa.

ʻO wai ka mea e ʻoi aku ka nui o ka hoʻomohala ʻana i ka hypertropia?

Hiki i ka Hypertropia ke ulu maoli i loko o kekahi. Ma ke ʻano maʻamau, ma kahi o 5% o ka heluna kanaka ʻAmelika e loaʻa ana kekahi ʻano strabismus .

I kekahi manawa, holo ka Hypertropia i loko o nā ʻohana. ʻO ia hoʻi, hiki ke hoʻoili ʻia i nā hanauna. Akā, no ka mea he hypertropia kou, ʻaʻole ia he manaʻo e loaʻa pū ana i kāu mau keiki.

He aha nā hōʻailona o Hypertropia?

ʻO ka hōʻailona maopopo loa, ʻaʻole i kūlike kekahi maka me kekahi, akā ua hoʻohuli ʻia i luna. I kekahi manawa hiki ke hoʻopilikia ʻia nā maka ʻelua ma kēia ʻano. I kēia hihia, ʻike ʻia paha ka maka i hoʻopilikia ʻia ua hoʻohuli ʻia i lalo, aʻo ka maka ʻē aʻe e nānā pololei ana i mua.

ʻO nā hōʻailona ʻē aʻe:

• ʻIke pālua ( Diplopia) .
• ʻIke pōwehiwehi.
• Luhi a kaumaha hoʻi nā maka.
• ʻEha poʻo.

ʻIke wale kekahi poʻe i kēia mau hōʻailona ke luhi loa lākou a i ʻole ke kaumaha. Hiki i kahi loea maka ke kapa i kēia he "intermittent hypertropia," ʻo ia hoʻi, hiki wale mai ia i kekahi manawa, ʻaʻole i nā manawa a pau.

E hoʻomanaʻo pono: ʻOi aku ka nui o ka pilikia o nā keiki ʻōpio me ka hypertropia i ka loaʻa ʻana o kahi maʻi i kapa ʻia ʻo "lazy eye" (Amblyopia) . No laila, inā ʻike ʻoe i kekahi mau loli a i ʻole nā ​​​​hōʻailona i nā maka o kāu keiki, e ʻike koke i kahi ophthalmologist. He mea nui loa kēia.

No ke aha mākou e ulu ai i ka hypertropia? He aha nā kumu?

ʻO nā ʻiʻo e hoʻoneʻe i ko kākou mau maka i luna a i lalo (kū) ​​e kāohi ʻia e ʻelua mau aʻalolo kūikawā i loko o ko kākou lolo. ʻO lākou ke kolu o ke aʻalolo cranial (Cranial nerve III - Oculomotor nerve) a me ke ʻehā o ke aʻalolo cranial (Cranial nerve IV - Trochlear nerve) . Hiki ke loaʻa ka Hypertropia ma muli o ka hōʻino ʻia ʻana o kēia mau aʻalolo, nā ʻiʻo maka, a i ʻole kekahi mea ʻē aʻe i loko o ka lolo. Eia kekahi laʻana:

• Nā kūlana e like me nā hahau ʻana .
• Nā ʻeha maka.
• ʻO ka poino i hana ʻia i ka wā a ma hope paha o ke ʻoki maka.

Eia kekahi, hiki i kekahi mau kūlana olakino ke hana i ka hypertropia . ʻO kēia mau mea:

• ʻO ka maʻi o Graves .
• ʻO ka maʻi maka thyroid .
• ʻO ka maʻi Brown .
• ʻO ka maʻi ʻaʻai (myasthenia gravis ).

ʻO kekahi mea ʻē aʻe, hiki ke hana ʻia ka hypertropia inā paʻa loa a nāwaliwali paha nā ʻiʻo e hoʻoneʻe ai i kou mau maka.

Hiki ke loaʻa ka Hypertropia me nā ʻano strabismus ʻē aʻe. No ka laʻana, loaʻa i ka poʻe me ka strabismus horizontal ka hypertropia i kekahi manawa.ʻO ka dissociated vertical deviation (DVD) kahi ʻano kūikawā o ka hypertropia . Ma kēia, hoʻohuli ʻia kekahi a i ʻole nā ​​​​maka ʻelua i ka manawa like. ʻIke pinepine ʻia ka DVD i nā keiki ʻōpio me ka strabismus .

Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe ka Hypertropia? (Diagnosis)

Hiki i ke kauka maka ke haʻi maopopo iā ʻoe inā he hypertropia kou. E hana ʻo ia i kahi hoʻokolokolo maka. E nānā ʻo ia iā ʻoe ʻoiai ʻoe e nānā pololei ana i mua a ʻoiai ʻoe e neʻe ana i kou mau maka. E nānā pū ʻo ia i kou mau maka e ʻike inā he mau pilikia ʻē aʻe e hiki ke hoʻoulu i kēia mau hōʻailona.

Pono paha ʻoe e hana i kahi MRI scan a i ʻole nā ​​​​hoʻāʻo koko e hoʻoholo ai i ke kumu kūpono.

He aha nā lāʻau lapaʻau no ka hypertropia?

ʻO ke ʻano o ka mālama ʻana i ka hypertropia e pili ana i ke kumu. ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia:

• Nā maka aniani: Hiki i nā maka aniani me nā aniani kūikawā ke hoʻoponopono i nā hewa refractive e hoʻoulu ai i ka hypertropia . E noʻonoʻo e like me ka hoʻoponopono ʻana i ka aniani ma kahi kāmela.
• Nā Prisms: He ʻano aniani kūikawā kēia. Hoʻololi nā prism i loko o kēia mau aniani i ke kiʻi āu e ʻike ai, e kōkua ana i ka pale ʻana i ka ʻike pālua ( diplopia ).
• Ke kau nei i kahi pale maka: Pono paha nā keiki ʻōpio me ka "maka palaualelo" (Amblyopia) e kau i kahi pale maka ma luna o ko lākou maka maikaʻi e koi ai i ko lākou lolo e hoʻohana i ko lākou maka nāwaliwali. Hiki i nā pākeke me ka diplopia ke hoʻohana i kahi pale maka e ālai i ke kiʻi ʻelua a lākou e ʻike ai.
• ʻO ka inikini toxin botulinum: Hiki i kahi ophthalmologist ke hāʻawi iā ʻoe i kahi inikini toxin botulinum e hoʻomaha ai i nā ʻiʻo i hoʻopilikia ʻia a puni kou maka.
• ʻO ke ʻoki kino: I kekahi manawa, hiki ke hoʻihoʻi ʻia nā maka i ke kūlike ma o ka hoʻopaʻa ʻana, hoʻonāwaliwali ʻana, a i ʻole ke kau hou ʻana i nā ʻiʻo maka. Hana pinepine ʻia kēia ma ke ʻano he hopena mau loa.

Hiki ke pale ʻia ka Hypertropia?

ʻO kaʻoiaʻiʻo, he paʻakikī pinepine ka pale ʻana i ka hypertropia . No ka mea, ua hana ʻia e nā kūlana olakino hiki ʻole iā mākou ke kaohi, a i ʻole e nā pilikia e like me ka hahau ʻana , a i ʻole e nā ulia i nā maka. No laila, ʻaʻohe mea hiki iā mākou ke hana e pale aku ai.

Akā, ma ke ʻano laulā, ke hana nei ʻoe me kekahi mau mea hana a i ʻole ke komo ʻana i kekahi hana e hiki ai ke hoʻoweliweli i kou mau maka,E ʻaʻahu mau i nā maka aniani pale a me nā lako palekana kūpono. He mea nui loa kēia.

He aha ka mea e hana inā loaʻa iaʻu ka hypertropia? He aha kaʻu e manaʻo ai?

ʻO ka maʻamau, ke mālama ʻia ka hypertropia a ua kūlike pono nā maka, pono e hoʻi kou ʻike a me ke kūlana o ka maka i ka maʻamau.

ʻO ka hapa nui o ka manawa, ʻaʻohe hopena lōʻihi o nā kumu o ka hypertropia i kou ʻike. Eia nō naʻe, ʻo kekahi poʻe i loaʻa i ka hahau a i ʻole kahi ʻeha maka koʻikoʻi paha e loaʻa mau ana kekahi kekelē o ka ʻike haʻahaʻa ma hope o ka mālama ʻia ʻana o ko lākou hypertropia .

E haʻi aku kāu kauka maka iā ʻoe i ka mea e manaʻo ai a me ka lōʻihi o ka manawa e ho'ōla ai kou mau maka. No laila e nīnau pono iā ia i kāu mau nīnau.

ʻEhia pinepine e pono ai iaʻu e nānā i koʻu mau maka?

Ma ka nānā pinepine ʻana i kou mau maka a me kou ʻike maka, hiki i kahi loea maka ke ʻike i nā pilikia i ka wā mua. ʻO ka pinepine o kou nānā ʻana i kou mau maka e pili ana i kou mau makahiki:

• Nā keiki ʻōpio: A hiki i ka wā e lawa ai ka makahiki o kāu keiki e hoʻomaka ai i ke kula, pono ʻoe e nānā i nā maka o kāu keiki e ke kauka pediatric i kēlā me kēia kipa ʻana i ke keiki olakino, a laila hoʻokahi a ʻelua paha makahiki ma hope o kēlā.
• Nā mākua ma lalo o 40 mau makahiki: I kēlā me kēia ʻelima a ʻumi makahiki.
• Nā pākeke ma waena o 40 a me 54 mau makahiki: I kēlā me kēia ʻelua a ʻehā mau makahiki.
• Nā mākua ma luna o 55 mau makahiki: I kēlā me kēia makahiki hoʻokahi a ʻekolu.

Inā ʻoe e komo i nā aniani maka, nā lepili maka, a i ʻole kekahi mea kōkua ʻike maka ʻē aʻe, pono paha ʻoe e nānā pinepine ʻia kou mau maka ma mua o kēia mau manawa. Pono pū ka poʻe me ka maʻi diabetes e nānā pinepine ʻia ko lākou mau maka.

ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke nīnau i kāu loea maka i ka pinepine o kou pono e nānā ʻia ai kou mau maka.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

I ka manawa e ʻike ai ʻoe i kekahi mau loli i kou mau maka a i ʻole ka ʻike ʻana, e ʻike i ke kauka a kauka maka paha. Mai hoʻokaʻulua.

Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, e hele koke i ka lumi pilikia o ka haukapila:

• Ka nalowale koke ʻana o ka ʻike.
• ʻEha nui ma nā maka.
• ʻAʻole hiki ke hoʻoneʻe i kekahi a i ʻole nā ​​maka ʻelua.
• Inā ʻike ʻoe i nā kukui hou a i ʻole nā ​​​​mea lana i mua o kou mau maka.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• Loaʻa iaʻu ka hypertropia a i ʻole kekahi ʻano strabismus ʻē aʻe?
• He aha ke kumu o kēia ʻano i kapa ʻia ʻo hypertropia ?
• He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu?
• ʻEhia ka lōʻihi e ho'ōla ai?

E nīnau i kēia mau nīnau a e loaʻa iā ʻoe kahi ʻike maopopo o kou kūlana.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO Hypertropia kahi kūlana kahi e huli aʻe ai kekahi o kou mau maka, ʻoiai inā ʻaʻole ʻoe e hoʻāʻo. Hiki ke hopohopo ke nalowale ka mana o kahi ʻāpana o kou kino āu e manaʻo ai hiki iā ʻoe ke kaohi. Akā, ʻo ka hypertropia kahi kūlana hiki ke mālama ʻia a ho'ōla ʻia i ka nui. A ʻaʻohe ona hopena lōʻihi i kou ʻike.

Ma muli o ke kumu o kou hypertropia (a me kāu mau hōʻailona), e loaʻa i kahi ophthalmologist kahi lāʻau lapaʻau e kōkua iā ʻoe e hoʻoponopono pono i kou mau maka a i ʻole e hoʻoponopono i kāu astigmatism.

Inā ʻike ʻoe i kāu keiki liʻiliʻi e ʻūmiʻi ana, he hōʻailona paha ia o ka hypertropia . No laila, inā ʻike ʻoe i kekahi mau hōʻailona i ko lākou mau maka, e ʻike koke i kahi loea maka. Inā ʻaʻole mālama ʻia, aia nā keiki liʻiliʻi i ka pilikia nui o ka loaʻa ʻana o ka amblyopia .

No laila, mai makaʻu, inā he kānalua kou, e ʻike i ke kauka a loaʻa ka ʻōlelo aʻo. Hiki i ka mālama mua ke loaʻa nā hopena maikaʻi!

ʻO Hypertropia, nā maʻi maka, strabismus, ʻike maka mamao, ʻike pālua, maka palaualelo, olakino maka