E noʻonoʻo ʻoe e hele koke ana ʻoe mai kahi wahi i hoʻomālamalama maikaʻi ʻia i kahi lumi pouli. He manawa iki ka manawa e hoʻomaʻamaʻa ai kou mau maka i ka pouli, akā ʻaʻole hiki iā ʻoe ke ʻike i kekahi mea, ʻeā? He mea maʻamau kēlā. Akā no kekahi poʻe, he manawa lōʻihi ka manawa e hoʻomaʻamaʻa ai ko lākou mau maka i ka pouli, a ʻaʻole hiki iā lākou ke ʻike iki. Lilo kēia i pilikia nui i ka wā e hoʻokele ana i ka pō a i ʻole e hana ana i ka hana ma ka mālamalama haʻahaʻa. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia 'makapō pō', a i ʻole ka inoa lapaʻau no ia mea ʻo Nyctalopia.
I ka ʻōlelo maʻalahi, he aha ka 'makapō pō' (Nyctalopia)?
ʻO ka mea mua e hoʻomaopopo ai, ʻaʻole he maʻi ʻokoʻa ka makapō pō. He hōʻailona maoli ia o kahi maʻi ʻē aʻe. I ka pōkole, ʻo ia ka hiki ʻole ke ʻike maopopo i ka mālamalama haʻahaʻa a i ʻole ka pouli. Pili pū ia i ka hiki ʻole o nā maka ke hoʻololi koke i nā loli koke o ka mālamalama (e.g., ka hele ʻana mai ka mālamalama a i ka pouli). Hiki i kekahi poʻe ke loaʻa i kēia maʻi i ka wā kamaliʻi, aʻo kekahi poʻe e loaʻa iā ia i ka wā makua.
Pehea lā kākou e ʻike ai i ka pōʻeleʻele? E ʻike kākou!
I mea e maopopo ai i kēia, pono ʻoe e loaʻa kahi manaʻo iki no ke ʻano o ka hana ʻana o ko kākou mau maka i ka pōʻeleʻele. Ua like ko kākou mau maka me nā kāmela ʻenehana kiʻekiʻe. ʻElua mau ʻāpana nui o kēia e kōkua iā kākou e ʻike i ka pōʻeleʻele.
- Retina : Aia kēia ma ke kua o ko kākou maka. Ua like ia me ke sensor i loko o kahi kāmela. Loaʻa iā ia ʻelua ʻano kūikawā o nā cell e ʻike i ka mālamalama. ʻO kēia nā cones a me nā rods.
- Nā Kone: Kōkua kēia iā mākou e ʻike i ke kala a me nā kikoʻī maikaʻi.
- Nā koʻokoʻo: ʻO kēia nā meʻe o kā mākou moʻolelo. No ka mea, ʻo kēia nā pūnaewele e kōkua nui iā mākou e ʻike i ka pōʻeleʻele. ʻO nā koʻokoʻo ka 95% o nā pūnaewele i ʻike i ka mālamalama i loko o ko mākou retina.
- ʻIris: Ua ʻike anei ʻoe pehea e nui ai nā maka o ka pōpoki i ka pōʻeleʻele a liʻiliʻi i ka mālamalama? He ʻāpana like ko ko kākou mau maka. ʻO ia ka iris. ʻO kēia ka ʻāpana o ka maka e kāohi ana i ka nui o ke kukui e komo ana i ka maka, ʻo ia ka haumāna . I ka pōʻeleʻele, wehe ia, e hoʻonui ana i ka haumāna a e ʻae ana i ka mālamalama hou aku i loko o ka maka. I ka mālamalama, ʻuʻuku ia, e kaupalena ana i ka nui o ke kukui.
No laila, inā ʻaʻole hana pono kēia mau cell rod, a inā ʻaʻole lawa ka nui o ka pupil, ʻaʻole lawa ka mālamalama o ka maka. ʻO ia ka manawa e pilikia ai ka ʻike ʻana i ka pōʻeleʻele.
He aha nā kumu nui o kēia kūlana?
Nui nā mea e hiki ai ke hoʻoulu i ka makapō pō. E nānā kākou iā lākou ma kahi papa maʻalahi. Hiki ke hoʻokaʻawale ʻia kēia mau mea i ʻelua mau ʻāpana nui: ʻaʻole lawa ka mālamalama e hiki ana i ka maka a i ʻole ka retina e hana pono ʻole ana.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Nā Cataracts | Lilo ke aniani o ka maka i ao, kahi e hōʻemi ai i ka nui o ka mālamalama e komo ana i ka maka. ʻOi aku ka maʻamau o kēia i ko kākou ʻelemakule ʻana. |
| ʻO ka glaucoma | Ka hōʻino ʻana i ke aʻalolo optic ma muli o ka hoʻonui ʻia o ke kaomi i loko o ka maka. Hiki i kēia ke hoʻopilikia i ka ʻike peripheral a me ka ʻike pō. |
| Ka nele o ka wikamina A | He mea nui ka wikamina A no ka hana pono ʻana o kā mākou mau koʻokoʻo. Ke nele ke kino i ka wikamina A, lilo ka ʻike pō i mea pōʻino. ʻO ka poʻe i hana ʻia i ke ʻoki pohō kaumaha (e laʻa me ke ʻoki bypass gastric) ua nui ka pilikia no ka mea ua emi ka omo ʻana o ka wikamina A. |
| Kekahi mau maʻi hoʻoilina | Aia kekahi mau maʻi hoʻoilina kakaikahi e hoʻopilikia ana i ka retina, e like me Retinitis Pigmentosa , cone-rod dystrophy , a me ka congenital stationary night blindness (CSNB) . |
| ʻO kekahi mau ʻoki laser | Hiki i kekahi poʻe ke paʻakikī i ka ʻike ʻana i ka pō ma ke ʻano he hopena ʻaoʻao ma hope o nā ʻoki kino e like me LASIK e wehe ai i nā aniani. |
Aia kekahi lāʻau lapaʻau no kēia?
ʻAe! ʻO ka nūhou maikaʻi , hiki ke mālama ʻia nā maʻi he nui e hoʻoulu ai i ka hou ʻana i ka pō . Aia ka lāʻau lapaʻau i ke kumu kumu.
ʻo kahi laʻana,Inā loaʻa iā ʻoe nā cataracts , hiki ke wehe ʻia me kahi ʻoki maʻalahi a ho'ōla loa ʻia. Ma hope o kēlā, e hoʻi hou kou ʻike i ka maʻamau. Inā ʻo ke kumu he nele i ka huaora A , hiki ke hoʻoponopono maʻalahi ʻia kēia ma ka lawe ʻana i nā pila huaora e like me ka ʻōlelo a kāu kauka.
Eia nō naʻe, ʻaʻohe lāʻau lapaʻau o kekahi mau maʻi hoʻoilina , e like me Retinitis Pigmentosa. Eia nō naʻe, e aʻo aku kāu kauka iā ʻoe i nā ʻano hana a me nā mea hana e hoʻokele ai i nā hōʻailona a maʻalahi i kou ola.
No ka mea, he nui nā kumu no kēia, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke ʻike i kahi kauka maka, ʻo ia hoʻi kāu kauka, e ʻike i ke kumu pololei. A laila wale nō hiki iā ʻoe ke hoʻoholo i ka lāʻau kūpono loa nāu.
He aha nā pilikia inā ʻaʻole mālama ʻia?
ʻO ka pilikia nui a koke loa o kēia, ʻo ia nā ulia kaʻa . I ka wā e hoʻokele ana i ka pō, hiki i nā kukui ʻālohilohi ma ke alanui, me nā kukui o nā kaʻa e hiki mai ana, ke paʻakikī i kou mau maka. Eia kekahi, i ke ahiahi, i ka wā e mae ai ke kukui a pouli, ua emi ka ʻike ʻana, no laila he kiʻekiʻe ka manawa e ʻike ʻole ai i kahi kanaka a holoholona paha ma ke alanui a hana i kahi ulia.
No laila, inā ʻike ʻoe i ka nalowale iki o ka ʻike i ka pō, e ʻoluʻolu e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini weliweli i ka pō a hiki i kou ʻike ʻana i ke kauka. He mea nui loa kēia no kou palekana a me ka palekana o haʻi.
Āhea wau e ʻike ai i ke kauka?
ʻAʻole kēia he mea hiki iā ʻoe ke ʻike a mālama paha ma ka home. Inā ʻike ʻoe i nā loli i kou ʻike i ka pō, a inā paʻakikī iā ʻoe ke ʻike i ka wā e hele ai mai ka mālamalama a i ka pouli, he kumu maoli nō ia e ʻike ai i kahi loea maka. ʻOiai ʻaʻole koʻikoʻi ka hapa nui o nā kumu, hiki i ka ʻike mua a me ka mālama ʻana ke kōkua i ka pale ʻana i ka hōʻino koʻikoʻi o ka ʻike i ka wā e hiki mai ana.
Leka Lawe-Home
- ʻAʻole ʻo Nyctalopia kahi maʻi ʻokoʻa, akā he hōʻailona ia o kahi maʻi ʻē aʻe.
- ʻO nā kumu maʻamau ka cataracts, glaucoma, nele i ka vitamin A, a me kekahi mau maʻi genetic.
- ʻO ka nūhou maikaʻi, hiki ke mālama pono ʻia nā kumu he nui o kēia ʻano, no laila mai hopohopo.
- Inā loaʻa iā ʻoe kekahi pilikia me kou ʻike i ka pō, e ʻoluʻolu e ʻike koke i kahi kauka maka.
- No kou palekana a no ka palekana o haʻi, e pale i nā hana weliweli e like me ka hoʻokele kaʻa ʻana i ka pō a hiki i ka loaʻa ʻana o ke aʻo lapaʻau kūpono.
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