E noʻonoʻo ua kiʻi ʻoe i kāu mea liʻiliʻi. I kekahi manawa, ke kiʻi ʻoe i kahi kiʻi me ka flash, ʻulaʻula nā maka. Akā inā ʻike ʻoe i kekahi o nā haumāna ʻeleʻele i ke kiʻi e ʻālohilohi ana i ke keʻokeʻo, hina, a melemele paha, e hopohopo iki ʻoe, ʻeā? ʻO ia ka mea a mākou e kapa nei he leukocoria ma ka ʻōlelo lapaʻau. ʻOiai ʻike pinepine ʻia kēia i nā keiki, hiki ke hana ʻia i kekahi manawa i nā pākeke.
He aha maoli ka Leukocoria?
I ka ʻōlelo maʻalahi, ʻo leukocoria ke ʻano he "haumāna keʻokeʻo." Ua kapa pū kekahi poʻe ia he "haumāna maka pōpoki."
I kēia manawa, ʻo ka mea maʻamau e hana ʻia, ke pā ka mālamalama i ka maka, pā ia i ka retina ma ke kua o ka maka a ʻike ʻia ke kukui e puka mai ana he ʻulaʻula. ʻO ia ke kumu e ʻulaʻula ai ko kākou mau maka ke kiʻi mākou me ka flash. Ua kapa ʻia kēia ʻo ka 'red reflex' i ka lāʻau lapaʻau.
Eia nō naʻe, inā he mea keʻakeʻa ma ke ala o ke kukui i ka retina, ʻo ia wale nō ke pā ka mālamalama i ke keʻakeʻa a lele hou mai, a laila ʻike ʻia he keʻokeʻo, hina, a melemele paha. He hōʻailona koʻikoʻi kēia e hiki ke loaʻa kekahi mea ʻē i loko o ka maka.
He mea koʻikoʻi anei kēia? Pono anei kākou e makaʻu?
Akā ʻo ka mea nui e hoʻomanaʻo ai ma ʻaneʻi , ʻaʻohe kumu e hopohopo ai a makaʻu paha no ka mea wale nō ʻoe e ʻike i kahi mea e like me ia ma kekahi kiʻi.
I kekahi manawa, hiki ke hoʻomālamalama ʻia ka mālamalama mai ka ʻili o ka maka a ʻike ʻia e like me ia. He ʻālohilohi liʻiliʻi wale nō ia ma kekahi ʻaoʻao o ka haumāna. Eia nō naʻe, i ka leukocoria, ʻike ʻia ka haumāna ua aneane keʻokeʻo loa.
Inā he kānalua kāu, e hoʻāʻo i kēia:
- E kiʻi i kekahi mau kiʻi hou aʻe o ke keiki.
- E nānā iā ia mai kēlā me kēia ʻaoʻao (luna, lalo, hema, ʻākau).
- E hoʻāʻo me ka flash a me ka ʻole.
Inā ʻike ʻia kou manamana lima ʻeleʻele he keʻokeʻo i nā kiʻi he nui, mai hoʻowahāwahā iā ia. ʻOi aku ka maikaʻi o ka ʻike koke ʻana i kahi kauka keiki a kauka maka paha no ka ʻōlelo aʻo.
He aha ke kumu o kēia?
Hiki ke loaʻa kekahi mau kumu o ka leukocoria. ʻAʻole koʻikoʻi kekahi a hiki ke mālama ʻia. Akā, he mau kūlana kekahi e pono ai mākou e hopohopo nui.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Nā kumu maʻamau | |
| Nā Cataracts | ʻO kēia ke kumu maʻamau (ma kahi o 74%). Hiki ke hana ʻia kēia maʻi ma muli o ke ao ʻana o ka lens o ka maka, ma muli paha o ka hānau ʻana a i ʻole ma muli o nā keiki. |
| ʻO ka Retinoblastoma | ʻO kēia ke kumu e hopohopo nui ai kākou. He maʻi ʻaʻai kēia e kū mai ana ma ka retina. He mea nui loa ka ʻike mua ʻana. |
| Nā kumu ʻē aʻe (kākaʻikahi) | |
| Ka wehe ʻana o ka retina | ʻO ke kaʻawale ʻana o ka retina mai nā ʻiʻo ma lalo o ka maka. |
| Retinopathy o ka hānau mua ʻana | Ka ulu ʻana o nā kīʻaha koko i nā maka o nā pēpē hānau mua ʻole. |
| Maʻi ʻaʻahu | He kūlana i hoʻokumu ʻia e ke kahe ʻana o ke wai mai nā kīʻaha koko i loko o ka retina. |
| Nā kumu ʻē aʻe kakaikahi loa | ʻO nā kumu ʻē aʻe e pili ana i ka persistent fetal vasculature (PFV), endophthalmitis (kahi maʻi i loko o ka maka), coloboma (kahi lua hānau ma kahi ʻāpana o ka maka), a me nā maʻi TORCH (nā maʻi i hoʻoili ʻia mai ka makuahine hāpai i ka pēpē). |
Pehea e mālama ʻia ai?
Hoʻōla ʻia ʻo Leukocoria ma muli o ke kumu kumu. E hana kāu kauka i nā hoʻokolohua e pono ai, e hoʻoholo i ke kumu pololei, a e paipai i ka lāʻau kūpono loa.
Lapaʻau no nā cataracts
ʻO kēia ke kumu maʻamau a me ka mea maʻalahi e mālama ʻia. ʻO ke kaʻina hana maʻamau ka wehe ʻana i ka lens noe a hoʻololi iā ia me kahi lens hana. Hiki i kēia ke holomua loa i nā keiki.
Lapaʻau no ka Retinoblastoma
He mea paʻakikī iki kēia. ʻO ka mālama ʻana no kēia maʻi kanesa e pili ana i nā kumu he nui, e like me kahi o ka puʻupuʻu, kona nui, a inā ua pālahalaha.
Ma ke ʻano he mau ʻano lapaʻau:
- Kemoterapia
- Hoʻōla radiation
- ʻO ke ʻano hana Cryotherapy
- Hoʻōla wela
Hiki ke hoʻohana pū ʻia kekahi a ʻoi aku paha mau lāʻau lapaʻau. ʻO ka mea nui ma ʻaneʻi, ʻo ia ka ʻike ʻana i ka maʻi a hoʻomaka i ka lāʻau lapaʻau i ka wā hikiwawe loa. Ma kēlā ʻano, ʻoi aku ka nui o ka hiki ke hoʻōla ʻia ka maka a me ka ʻike o ke keiki.
ʻOkoʻa nā lāʻau lapaʻau no nā maʻi laha ʻē aʻe. E wehewehe pono kāu kauka i kēlā me kēia maʻi iā ʻoe a wehewehe i ka lāʻau lapaʻau maikaʻi loa no ia.
Ka mea hiki iā ʻoe ke hana ma ke ʻano he makua
ʻO ka hapa nui o ka manawa, ke hele ʻoe i ke keʻena lapaʻau pēpē, nānā ke kauka i nā maka o ke keiki no kēia 'reflex ʻulaʻula'. Akā i kekahi manawa, ma ke ʻano he mau mākua, ʻo ʻoe ka mea mua e ʻike i kēia ma ke kiʻi.
No laila, e hoʻomanaʻo i kēia i ka nānā ʻana i nā kiʻi a kāu keiki. ʻAʻole kēia manaʻo e nānā ʻoe i kēlā me kēia kiʻi me ke kānalua. Akā inā ʻike ʻoe i kahi mea kānalua, mai hoʻowahāwahā iā ia.
E hoʻomanaʻo, ʻo ka retinoblastoma ke kumu o kahi 1 i loko o 5 mau maʻi ʻaʻai maka o nā kamaliʻi. No laila, ʻo ka ʻike mua ʻana a me ka mālama ʻana e hoʻonui nui i nā manawa kūpono e hoʻopakele ai i ke ola o kahi keiki, a me ko lākou mau maka a me ka ʻike.
No laila, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ʻo ka mea maikaʻi loa a ʻo ka mea wale nō e hana ai, ʻo ia ke ʻimi i ke kōkua lapaʻau, ma mua o ka ʻimi ʻana i ka ʻike ma ka pūnaewele.
Leka Lawe-Home
- Inā ʻike ʻia ka iris o ke keiki he keʻokeʻo, hina, a melemele paha i loko o ke kiʻi, ua kapa ʻia ia he leukocoria.
- ʻOiai ke kumu maʻamau o kēia he ʻano hiki ke mālama ʻia e like me ka cataracts, hiki ke lilo ia i hōʻailona o kahi maʻi maʻi maka koʻikoʻi i kapa ʻia ʻo retinoblastoma.
- Mai hopohopo ma ka ʻike wale ʻana iā ia ma hoʻokahi kiʻi. E lawe i kekahi mau kiʻi hou aʻe mai nā kihi like ʻole a nānā.
- Inā hoʻomau ka ʻike ʻia ʻana o ka ʻāʻī ʻeleʻele i ke keʻokeʻo loa i kekahi mau kiʻi, mai hoʻokaʻulua a e ʻike koke aku i kahi pediatrician a i ʻole ophthalmologist.
- ʻO ka ʻike mua ʻana e hoʻonui nui i ka manawa kūpono e hoʻopakele ai i ka maka o ke keiki, ka ʻike, a me ke ola pū kekahi. Mai hoʻowahāwahā i kahi hōʻailona e like me kēia.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka ʻili maloʻo? He pilikia hoʻonaninani paha ia?
ʻAʻole kēia he pilikia wale nō e kū mai ana mai ka hoʻopili ʻole ʻana i nā kirīmi! ʻO ka 'ʻIli Maloʻo' kahi kūlana hoʻonāukiuki loa kahi e nalowale loa ai ka ʻaila maoli (Sebum) a me ka wai e pono ai ka ʻili o ke kanaka, e lilo ai ka ʻili i mea ʻino loa, unahi, ʻili a me ka ʻūlū hiki ʻole ke hoʻomanawanui (Pruritus/Itching). He hōʻailona waho paha kēia o kahi maʻi weliweli i loko o ke kino!
💬 He aha nā kumu nui no ka nalowale ʻana o ka makū o ka ʻili a me ka ʻili ʻana o ka ʻili (ʻIli Maloʻo)?
Aia kekahi mau kumu nui no kēia: 1) 'Kaiapuni a me nā ʻano maʻamau' - noho i loko o ka AC i ka lā a pau, ʻauʻau i ka wai wela no nā hola, a me ka hoʻohana ʻana i nā kopa ʻino (nāna e wehe i ka ʻaila a pau mai ke kino)! 2) 'Nā Kūlana ʻIli' - Eczema / Atopic Dermatitis, a me Psoriasis (kahi ʻano ʻili koʻikoʻi e hoʻoulu ai i nā ʻāpana ʻulaʻula a me nā unahi kālā). 3) Nā kumu weliweli loa: Diabetes, Hypothyroidism, a me ka maʻi puʻupaʻa.
💬 He aha kekahi mau lāʻau lapaʻau home no ka ʻili maloʻo? Āhea ʻoe e ʻike ai i ke kauka?
E hōʻoia e kau i kahi moisturizer maikaʻi (Moisturizer Mānoanoa/Vaseline) i kou kino pulu ma hope o ka ʻauʻau ʻana, e hoʻōki i ka ʻauʻau ʻana i ka wai wela, a e hoʻohana i ke kopa palupalu! Eia nō naʻe, inā 1) ua māwae/nahā kou ʻili a ua kahe ke koko a ua kahe ka pus melemele (Pus/Infection), 2) ʻaʻole hiki iā ʻoe ke kū i ka maneʻo a ʻaʻole hiki ke hiamoe i ka pō (Neneʻo nui), 3) ua ʻulaʻula kou ʻili a pehu i ka wela (Cellulitis - he maʻi bacteria nui), pono ʻoe e ʻike koke i kahi dermatologist!
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