Ke neʻe mālie nei kou mau maka? E aʻo kākou e pili ana iā Nystagmus!

Ua ʻike anei ʻoe i kou mau maka e neʻe ana i mua a i mua, i luna a i lalo, a i ʻole i loko o nā pōʻai, me ke kāohi ʻole ʻia? Malia paha ke manaʻo nei ʻoe e haʻalulu ana a neʻe paha nā mea āu e nānā nei. He mea weliweli paha kēia. Akā, mai hopohopo. I kēia lā e kamaʻilio mākou e pili ana i kēia maʻi. I ka lāʻau lapaʻau, kapa mākou ia he nystagmus. E nānā kākou i ke ʻano o ia mea, no ke aha e hana ai, a me kāu mea e hiki ai ke hana e pili ana i ia mea.

I ka ʻōlelo maʻalahi, he aha ka nystagmus?

ʻO ka nystagmus, i ka ʻōlelo maʻalahi, he neʻe wikiwiki, hana hou ʻia o ko mākou mau maka. Hiki ke hana i kēia ma kekahi maka a i ʻole nā ​​maka ʻelua. Hiki i kēia mau neʻe maka ke hele ma nā ʻaoʻao like ʻole.

• ʻAoʻao a ʻaoʻao: Neʻe wikiwiki nā maka mai kēlā ʻaoʻao a i kēia ʻaoʻao, e like me nā mea holoi o ke kaʻa. Kāhea mākou i kēia nystagmus horizontal.
• I luna a i lalo: Neʻe wikiwiki o nā maka i luna a i lalo. He nystagmus kū pololei kēia.
• Pōʻai: He neʻe ʻana e like me ka hoʻoneʻe ʻana i nā maka i kahi neʻe pōʻai. Ua kapa ʻia kēia he rotary nystagmus.

Hiki ke ʻokoʻa ke ʻano o kēia mau neʻe ʻana.

• ʻO Jerk Nystagmus: He neʻe koke kēia o nā maka mai kekahi ʻaoʻao a i kekahi ʻaoʻao, me he mea lā e hoʻāʻo ana e hoʻoponopono i kahi hewa.
• Pendular Nystagmus: ʻO kēia ka wā e neʻe ai nā maka ʻelua mai kēlā ʻaoʻao a i kēia ʻaoʻao ma ka wikiwiki like, e like me ka pendulum o kahi uaki kahiko e lele ana i mua a i mua.

Hiki i kēia neʻe ʻana o nā maka i kāohi ʻole ʻia ke hana i nā pilikia me ka ʻike , ka ʻike hohonu , ke kaulike o ke kino , a me ka hoʻonohonoho ʻana o nā lālā .

He aha nā ʻano nui o ka nystagmus?

Hiki i ka Nystagmus ke hoʻopilikia i nā keiki a me nā pākeke. Hoʻokaʻawale mākou iā ia i ʻelua ʻano nui, ma muli o ka makahiki i hoʻomaka ai ke ʻano.

1. ʻO ka Nystagmus hānau a i ʻole ka pēpē

ʻO kēia ke ʻano maʻamau. E like me ka inoa e hōʻike nei, hiki ke loaʻa i ka wā hānau a i ʻole e ulu i loko o nā mahina mua o ke ola, ma waena o 6 mau pule a me 3 mau mahina. I kekahi manawa hiki ke hoʻoilina. Eia naʻe, ʻaʻohe kumu maopopo no ia. Loaʻa i nā keiki me ka nystagmus hānau kēia neʻe ʻana ma nā maka ʻelua. A neʻe pinepine nā maka mai kēlā ʻaoʻao a i kēia ʻaoʻao. ʻO ka pilikia nui no kēia mau keiki ka ʻike maka pohihihi .

2. Loaʻa ka Nystagmus

Hiki i kēia ʻano ke ulu aʻe ma hope o ke ola, maʻamau i kēlā me kēia makahiki ma hope o 6 mau mahina. ʻOi aku ka maʻamau i nā pākeke. ʻO ka Nystagmus i loaʻa pinepine ʻia he hōʻailona o kahi maʻi ʻē aʻe. ʻO ke ʻano kēia he hōʻino i kou lolo , maka , a pepeiao paha.Hiki ke hana ʻia kēia e kahi maʻi olakino e hoʻopilikia ai i nā maka. I kekahi manawa hiki ke hana ʻia e ka waiʻona a i ʻole ka hoʻohana ʻana i ka lāʻau lapaʻau. ʻO kahi mea a nā pākeke me kēia ʻano nystagmus e ʻōlelo pinepine ai, "E ke kauka, me he mea lā e neʻe ana nā mea aʻu e ʻike nei, me he mea lā e haʻalulu ana."

He koʻikoʻi anei kēia kūlana?

He pilikia kēia i loaʻa i nā poʻe he nui. ʻAʻole weliweli ka nystagmus wale nō. Eia nō naʻe, hiki ke lilo i hōʻailona o nā maʻi koʻikoʻi ʻē aʻe, ʻoi aku hoʻi nā maʻi e pili ana i ka lolo. Eia kekahi laʻana:

• Hahau
• ʻŌpū lolo
• ʻEha poʻo
• ʻAkika
• Nā maʻi mumū o ka lolo

He aha nā hōʻailona o ka nystagmus?

ʻO ka hōʻailona nui, ʻo ia nā neʻe ʻana o nā maka i kāohi ʻole ʻia a mākou i kūkākūkā ai ma mua. Eia nō naʻe, aia paha kekahi mau hōʻailona ʻē aʻe ma muli o ke kumu.

No ke aha e hana ʻia ai kēia? He aha nā kumu o ka nystagmus?

I mea e maopopo ai i kēia, pono ʻoe e loaʻa kahi manaʻo iki no ke ʻano o ka neʻe ʻana o ko kākou mau maka. Hoʻomalu ʻia ka neʻe ʻana o ko kākou mau maka e kahi ʻōnaehana paʻakikī loa. Pili kēia i ka lolo , nā maka , a me ka ʻōnaehana vestibular, ʻo ia ka ʻāpana o ka pepeiao o loko e hoʻomalu ana i ke kaulike . Ua like ia me ka 'image stabilizer' i loko o kahi kāmela maikaʻi. ʻOiai ke neʻe nei kākou i ko kākou mau poʻo, paʻa mau ka mea a kākou e ʻike ai ma muli o ka hana o kēia ʻōnaehana. I ka nystagmus, aia kahi pilikia ma kekahi wahi ma kēia pilina.

Eia kekahi o nā kumu nui o nystagmus:

• Nā pilikia me ka ulu ʻana o ka lolo a i ʻole ka maka.
• Nā maʻi o ka retina a i ʻole ke aʻalolo optic.
• Nā maʻi kaulike pepeiao o loko, e like me ka Benign Paroxysmal Positional Vertigo (BPPV) a me ka maʻi Ménière .
• Hahau.
• Puʻupuʻu lolo.
• Nā ʻeha ma ka maka a i ʻole ke poʻo.
• Ka hoʻohana ʻana i ka waiʻona a i ʻole kekahi mau lāʻau lapaʻau.
• ʻAlbinism - He ʻano kēia i nele ai ka pigment i ka ʻili.
• Nā pilikia hihiʻo, e like me ka ʻike kokoke a i ʻole ka astigmatism.
• ʻO kekahi mau lāʻau lapaʻau, ʻoiai nā lāʻau antiseizure.
• Nā maʻi e hoʻopilikia ai i ka ʻōnaehana nerve waena, e like me ka Multiple Sclerosis (MS) .
• Nā pilikia maka i nā keiki ʻōpio. Eia kekahi laʻana, nā kūlana e like me ka strabismus a me nā cataracts.

I kekahi manawa ʻaʻole hiki ke loaʻa ke kumu maopopo no kēia. Kāhea mākou iā ia he Idiopathic Nystagmus .

Pehea e ʻike ai i kēia?

Inā loaʻa iā ʻoe nā hōʻailona o nystagmus, pono ʻoe e nānā mua ʻia e kahi ophthalmologist.Malia paha. E nānā pono ʻo ia i kou mau maka, e nīnau e pili ana i kāu mau hōʻailona, ​​a e nānā i nā maʻi maka ʻē aʻe e pili ana i kēia.

Akā no ka ʻike ʻana i ke kumu, pono paha ʻoe e ʻike i nā loea ʻē aʻe.

• Neurologist: E nānā i kahi pilikia e pili ana i ka lolo.
• Kauka Otorhinolaryngologist a i ʻole kauka ENT: E nānā i nā pilikia kaulike ma ka pepeiao o loko.

No ka ʻike ʻana i ke kumu kūpono, hiki iā ʻoe ke hana i nā hoʻokolohua aʻe:

• He hoʻokolohua neurological piha.
• Hoʻokolokolo pepeiao.
• Nā hoʻokolohua kūikawā e hoʻopaʻa i nā neʻe ʻana o nā maka, e like me Electronystagmography (ENG) a me Video-nystagmography (VNG) .
• Nā hoʻokolohua kiʻi lolo, e like me ka CT scan (Computed Tomography scan) a i ʻole MRI (Magnetic Resonance Imaging) .
• Nā hoʻokolohua genetic e ʻike i nā kīnā genetic e hoʻoulu ai i ka nystagmus congenital.

He aha nā lāʻau lapaʻau no ka nystagmus?

ʻO ke ʻano o ka mālama ʻana no kēia mea e hilinaʻi wale ʻia ana ma ke kumu nui o ka nystagmus. ʻO ia hoʻi, ke mālama nei mākou i ke kumu nui, ʻaʻole wale ka hōʻailona.

Ke mālama nei i ke kūlana kumu

I ka Acquired Nystagmus, ke ʻike mākou a mālama i ke kūlana kumu, hiki ke emi a nalo loa paha nā hōʻailona o Nystagmus. No ka laʻana, inā pilikia ka Nystagmus i ka pepeiao o loko, ʻo ka mālama ʻana i kēlā e hōʻemi i ka poniuniu a me ka ʻūlū ʻana o nā maka.

Nā aniani a i ʻole nā ​​​​aniani hoʻopili

I ka hoʻomaikaʻi ʻana o kou ʻike, hiki ke hoʻomalu ʻia nā neʻe wikiwiki o nā maka i kekahi ʻano. No laila, e ʻōlelo paha kāu kauka i nā aniani a i ʻole nā ​​​​aniani hoʻopili. Hiki iā lākou ke kuhikuhi i kahi ʻano aniani kūikawā i kapa ʻia he mau aniani prism . Hoʻemi kēia i ka nui o ke kaumaha o kou mau maka e ʻike ai.

Nā lāʻau lapaʻau

Aia kekahi mau lāʻau lapaʻau e hiki ke kōkua i ka hōʻemi ʻana i nā hōʻailona o ka nystagmus i nā pākeke. Eia kekahi laʻana, ʻo Gabapentin , Baclofen , a me Onabotulinumtoxina (Botox®) . Na kāu kauka e hoʻoholo inā he kōkua kēia mau mea iā ʻoe.

ʻO ke ʻoki ʻana i nā ʻiʻo maka

Hana pinepine ʻole ʻia kēia. Pili kēia ʻoki kino i ka hoʻololi ʻana i ke kūlana o nā ʻiʻo e hoʻoneʻe ai i nā maka. ʻAʻole hiki i kēia ʻoki kino ke hoʻōla loa i ka nystagmus, akā hiki iā ia ke maʻalahi i ka hoʻoneʻe ʻana i nā maka. Hoʻemi kēia i ka nui o ka huli ʻana a me ke kīloi ʻana i kou poʻo e ʻike maopopo.

ʻO ke ʻoki hoʻoponopono ʻike

Inā loaʻa iā ʻoe nā pilikia ʻike mamao me ka nystagmus, LASIKHe mea kōkua paha ke ʻoki laser, e like me kēia. E hoʻomanaʻo, ʻaʻole e ho'ōla kēia ʻoki i ka nystagmus. Eia nō naʻe, i ka hoʻomaikaʻi ʻana o kou ʻike, e emi iho paha nā hōʻailona o ka nystagmus.

Āhea ʻoe e ʻike ai i ke kauka?

He mea nui loa kēia. Inā ʻike koke ʻoe i kekahi mau loli i kou ʻike, ka ʻūlū ʻana o ka maka, nā pilikia me ke kaulike, a i ʻole ka pilikia me ka hoʻonohonoho ʻana, e ʻike koke i kāu kauka.

E hoʻomanaʻo, hiki i ka nystagmus ke hōʻailona mua o kahi maʻi koʻikoʻi, no laila he mea nui e loaʻa kahi hōʻailona a hoʻomaka koke i ka lāʻau.

Inā ua ʻike mua ʻia ʻoe me nystagmus, a ke ʻino nei kāu mau hōʻailona, ​​​​e hoʻomaopopo i kāu kauka.