Ke heluhelu ʻoe i kahi nūpepa, ke nānā aku nei nā leka me he mea lā ua ʻāwili ʻia? A i ʻole ke ʻano o nā mea pololei e like me nā puka makani a me nā puka e kīkoʻo ana? I kekahi manawa, ke ʻano nui a liʻiliʻi paha nā mea ma mua o ko lākou ʻano maoli, hiki ke lilo i mea weliweli iki. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi hoʻololi ʻike maka e like me kēia. I ka lāʻau lapaʻau, kapa mākou i kēia metamorphopsia.
I ka ʻōlelo maʻalahi, he aha ka Metamorphopsia?
I ka ʻōlelo maʻalahi, he hoʻopilikia ia o kou ʻike. ʻAʻole ia he maʻi maoli, akā he hōʻailona o kahi maʻi. Me he mea lā ke nānā nei ʻoe i ke ao nei ma o ʻelua mau aniani me ka helu hewa.
E loli paha ke ʻano, ka nui, a i ʻole ke kūlana o nā mea āu e ʻike ai. Eia kekahi laʻana:
- Hiki ke ʻike ʻia nā laina pololei me he mea lā ua kīkoʻo ʻia a ua ʻāwili ʻia.
- Hiki i nā mea ke ʻike ʻia he nui aku ma mua o ko lākou ʻano maoli.
- Hiki i nā mea ke ʻike ʻia he liʻiliʻi ma mua o ko lākou ʻano maoli.
- Hiki i nā mea ke manaʻo kokoke a mamao aku paha ma mua o ko lākou ʻano maoli.
ʻOkoʻa kēia ʻike mai kēlā kanaka a kēia kanaka. Loaʻa i kekahi poʻe kēia hewa ma kahi ʻāpana liʻiliʻi wale nō o ko lākou ʻike, aʻo kekahi poʻe e ʻike paha i ka hewa ma ko lākou ʻike holoʻokoʻa. Hiki ke pili nā kumu o kēia i ka maka a i ʻole ka lolo.
He aha nā kumu nui o kēia ʻike kuhihewa?
Hiki ke hoʻokaʻawale ʻia nā kumu nui no kēia i ʻekolu mau māhele. E nānā kākou i ke ʻano o lākou.
| Māhele o nā kumu | He wehewehe maʻalahi |
|---|---|
| 1. Nā hewa refraction | ʻO kēia ke kumu maʻamau. Hiki ke hana ʻia kēia ʻano ke komo pono ʻole nā kukuna mālamalama i ka maka. No ka laʻana, hiki ke loaʻa ka astigmatism koʻikoʻi, kahi ʻokoʻa nui o ka mana o ka ʻike ma waena o nā maka ʻelua (Anisometropia), a i ʻole kahi ʻano ʻē iki no ka manawa pōkole i ka wā e hoʻomaʻamaʻa ai ka maka i nā aniani hou. |
| 2. Nā pilikia o ka retina | He mea kēia e makaʻala nui ai.ʻO ka retina ka membrane ʻike mālamalama i loko o ko kākou mau maka e ʻike ai i ka mālamalama. Ua like ia me ke kiʻiʻoniʻoni i loko o ke kāmela. Inā ʻāwili ʻia kēia membrane, pehu, haehae ʻia, a hemo paha mai kona papa lalo, ua hoʻopilikia loa ʻia ke kiʻi a kākou e ʻike nei. Hiki ke lilo i mea weliweli loa kēia, no ka mea, i kekahi manawa hiki iā ia ke alakaʻi i ka nalowale mau loa o ka ʻike. |
| 3. Nā kumu e pili ana i ka lolo | ʻO kēia kekahi kumu e emi iki ai kā mākou ʻike. ʻOiai ke hopu nei ko mākou mau maka i ka mālamalama, ua hana ʻia ke kiʻi a mākou e ʻike ai e ka lolo. Inā ʻaʻole i hana pono ʻia nā hōʻailona i hoʻouna ʻia e nā maka i loko o ka lolo, hiki iā mākou ke ʻike i nā mea i hoʻopilikia ʻia. |
ʻIke hou aku e pili ana i nā pilikia retina ...
ʻO ka Metamorphopsia, ka mea i hoʻokumu ʻia e nā pilikia me ka retina, he maʻi koʻikoʻi loa ia. ʻIke nui ʻia kēia hōʻailona inā ua hōʻino ʻia ka macula , ka ʻāpana o ka retina ma ke kikowaena e kōkua iā ʻoe e ʻike maopopo i nā kikoʻī a me nā kala.
ʻO kekahi o nā kūlana e hiki ai ke hana i kēia:
- ʻO ka degeneration macular e pili ana i ka makahiki (ʻano pulu)
- ʻO ka retinopathy diabetic a me ka edema macular
- ʻŌpū maka
- Ka haehae a kaʻawale paha o ka retina
- ʻO ka migraine maka
- Ke kahe koko ʻana o ka retina
- Ka maʻi o nā membrane i loko o ka maka (Uveitis)
E aʻo pū kākou e pili ana i nā kumu e pili ana i ka lolo
Hiki ke hana ʻia kēia hihiʻo kekee e kekahi mau loli i ka hana o ka lolo.
- ʻO kekahi migraine me nā kūlana aura
- Nā hopu ʻana
- Nā kūlana hahau a i ʻole mini-stroke (TIA)
- Nā kūlana laha ʻole e like me ka maʻi Alice in Wonderland
- ʻO kekahi mau lāʻau lapaʻau a me ka hoʻohana ʻana i nā lāʻau lapaʻau
Pehea e mālama ʻia ai kēia maʻi?
E hoʻomanaʻo ʻaʻohe lāʻau lapaʻau pololei no Metamorphopsia , ʻoiai ʻaʻole ia he maʻi. Kuhikuhi ʻia ka lāʻau lapaʻau i ke kūlana kumu e hoʻoulu ai i ka hōʻailona.
ʻo kahi laʻana,
- Inā he maʻi diabetes ke kumu, ua kaohi maikaʻi ʻia ka maʻi diabetes a, inā pono, hāʻawi ʻia ka mālama maka laser a i ʻole nā inikini.
- Inā he retina i hemo ke kumu, pono paha ke ʻoki ʻana.
- Inā he pilikia me ke aniani ke kumu, hiki ke pale ʻia kēia ma ka hāʻawi ʻana i ke aniani kūpono.
E hoʻoholo kāu kauka i ke kumu kikoʻī o kou ʻano a wehewehe iā ʻoe i ka lāʻau kūpono loa.
He aha kāu e hana ai inā manaʻo ʻoe i kekahi mea e like me kēia?
ʻO kēia ka ʻāpana koʻikoʻi loa. I ka wā e ʻike ai ʻoe i kahi ʻano ʻē o ka maka e like me kēia, mai ʻoluʻolu e nānā ponoʻī a mai hoʻāʻo e mālama iā ia ma ka home.
Inā ʻike ʻoe i kēia ʻano ʻike maka (Metamorphopsia) no ka manawa mua i kou ola, e noʻonoʻo he pilikia olakino ia a e ʻike koke i ke kauka. Inā pono, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
No ke aha ʻoe e ʻōlelo ai pēlā? No ka mea, inā he pilikia koʻikoʻi ka retina ke kumu, hiki i kēlā me kēia kekona e hala ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau ke hōʻino i kou ʻike. I kekahi manawa, ʻaʻole hiki ke hoʻihoʻi ʻia ka pōʻino. ʻO ia ke kumu he mea nui ka manawa ma ʻaneʻi.
Inā loaʻa iā ʻoe kahi maʻi olakino e like me ka migraine a ua kamaʻilio ʻoe me kāu kauka e pili ana i kēia hōʻailona, ua hāʻawi paha ʻo ia iā ʻoe i ka ʻōlelo aʻoaʻo no ka hoʻokaʻawale ʻana ma waena o kahi pilikia a me kahi mea maʻamau. Eia nō naʻe, inā he kānalua a hopohopo paha kāu, ʻoi aku ka palekana o ka ʻimi ʻana i ka ʻōlelo aʻoaʻo lapaʻau.
Leka Lawe-Home
- He hōʻailona ka Metamorphopsia kahi e ʻike ʻia ai nā mea i keakea a i ʻole keakea ʻia. ʻAʻole ia he maʻi.
- Hiki ke hana ʻia kēia e nā pilikia me ka maka (retina) a i ʻole ka lolo. Hiki i nā pilikia retinal ke koʻikoʻi loa a hiki ke alakaʻi i ka nalowale mau loa o ka ʻike.
- Inā ʻike ʻoe i kekahi o kēia mau hōʻailona no ka manawa mua , e noʻonoʻo he pilikia ia a e ʻike koke i ke kauka . Mai hoʻokaʻulua.
- ʻAʻole no ka hōʻailona ka lāʻau lapaʻau, akā, no ke kūlana kumu i hoʻokumu ai.
- Inā he mau hopohopo kou e pili ana i kou ʻike maka, mai hoʻowahāwahā iā ia. E kamaʻilio me kāu kauka e pili ana i ia mea. Hiki i ka ʻike mua a me ka mālama ʻana ke kōkua i ka pale ʻana i kou ʻike maka makamae.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka nāwaliwali? He luhi maʻamau anei kēia?
ʻAʻole kēia he luhi maʻamau! ʻO ke ʻano o ka 'nāwaliwali' i ka lāʻau lapaʻau, ʻoiai ke ikaika o kou noʻonoʻo, ʻaʻole hiki i kou lima / wāwae / ʻiʻo nui ke lohe i kāu mea e ʻōlelo nei a ua hoʻemi ʻia kona ikaika / mana e 100% (Pohō o ka ikaika o nā ʻiʻo), a he kīnā neurological / muscular weliweli loa ia (Neurological / Muscular defect) kahi hiki ʻole iā ʻoe ke paʻa i ke kīʻaha a piʻi paha i kahi alapiʻi.
💬 He aha nā kumu nui e nāwaliwali koke ai nā lālā o ke kanaka e like me kēia?
ʻElua kumu nui no kēia: 1) 'Ka pōʻino nui i ka lolo a me nā aʻalolo' - Hiki ke hana ʻia kēia ma muli o ka pahū ʻana/paʻa ʻana o ke kīʻaha koko i loko o ka lolo (Stroke), ka degeneration o ke aʻalolo (Multiple Sclerosis), a i ʻole kahi disc herniated i loko o ka iwi kuamoʻo (Herniated Disc). 2) 'Maʻi nui i loko o ka lolo' - Hiki nō hoʻi ke hana ʻia kēia ma muli o ke kaulike ʻole o ka electrolyte i loko o ke koko (Severe Electrolyte Imbalance), ka degeneration o ke aʻalolo ma muli o ka maʻi diabetes koʻikoʻi (Diabetic neuropathy), anemia (Anemia), a me nā maʻi ʻeha nui o ka ʻiʻo (Myasthenia gravis).
💬 Ke manaʻo ʻoe ua maʻi ʻoe, he aha nā 'pilikia' e koi ai iā ʻoe e holo koke i ka ʻoihana pilikia o ka haukapila me ka ʻole o ka inu ʻana i nā wikamina/meli?
ʻO ka pōʻino nui loa a koʻikoʻi loa! Inā loaʻa i ke kanaka i ola koke, i loko o nā minuke a i ʻole koke paha, 1) ʻike i ka 'nāwaliwali ʻaoʻao' o ke kino/maka, ka maʻi lolo piha a me ka ʻōlelo slurred, he 'stroke' maoli nō ia o ka lolo (paralysis/make i loko o ʻekolu hola)! 2) Inā hoʻomaka ka maʻi lolo ma nā wāwae ʻelua a hoʻolōʻihi i ka umauma i loko o nā hola (Guillain-Barre syndrome) a ʻaʻole hiki i ke kanaka ke hanu, pono e kāhea ʻia kahi ambulance me ka kali ʻole i kekona!
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