Ua noʻonoʻo paha ʻoe i ka wikiwiki a me ka pololei o ka neʻe ʻana o ko kākou mau maka i ka wā e heluhelu ai kākou i kahi puke, e nānā ana i kahi kaʻa ma ke alanui, a i ʻole e kamaʻilio me kekahi? Hana ʻia kēia mau mea a pau me he mea kilokilo lā, me ka ʻike ʻole ʻia e kākou. No laila, ʻo ke koa nui ma hope o kēia kaʻina hana kupaianaha, ʻo ia ke aʻalolo oculomotor, a i ʻole ka mea a kākou e kapa nei ma ke ʻano lapaʻau ʻo `(Oculomotor Nerve)`. ʻO kēia ke kolu o nā hui nui he 12 o nā aʻalolo e pili pono ana i ko kākou lolo. ʻO ia ke kumu a mākou e kapa ai iā ia he `(CN III)`.
No laila he aha ka hana o ke aʻalolo oculomotor?
I ka ʻōlelo maʻalahi, hoʻomalu kēia aʻalolo i ʻehiku mau ʻiʻo a puni kou mau maka. ʻOiai he ʻekolu mau aʻalolo nui e pili ana i ka neʻe ʻana o ka maka, ʻo kēia ka mea hana nui loa. Ua like ia me ke poʻo luna ma ke keʻena.
E noʻonoʻo, ʻo kou mau maka nā kāmela ʻelua i loko o kou kino. Pono e hoʻohuli ʻia kēia mau kāmela ʻelua, hoʻonui ʻia, a hoʻoponopono ʻia e like me ke kukui. Aia nā pihi a pau e pili ana i kēlā hana ma kahi kokoke i kēia aʻalolo.
E nānā kākou i ka papa ma lalo nei e ʻike i ka mea e hana maoli ana me kēia aʻalolo.
| Hana nui | He wehewehe maʻalahi |
|---|---|
| Hoʻokiʻekiʻe i ka maka | Hāmama kou mau maka i ke kakahiaka a mālama iā lākou i ka lā a pau ma muli o nā hōʻailona mai kēia aʻalolo. |
| ʻO ka ʻōwili ʻana i nā maka i luna a i lalo | ʻO kēia ka mea e kōkua iā ʻoe e nānā i kahi mokulele ma ka lewa a i kahi mea i hāʻule i ka honua. |
| Ke ʻōwili nei i nā maka i ka ihu | Inā pae kahi nalo ma kou ihu, hoʻohuli kēia aʻalolo i kou mau maka i loko. |
| Kaohi haumāna | ʻO kēia cilia like ia e emi ana ke hōʻike ʻia i ka lā mālamalama e hōʻemi i ka nui o ka mālamalama e hiki ana i ka maka, a hoʻonui i ka pōʻeleʻele e omo i ka mālamalama hou aku. |
| Ke kālele ʻana ma ke kāohi ʻana i ka aniani o ka maka | Ke nānā ʻoe i kahi mea ma kahi mamao a laila hoʻāʻo koke e heluhelu i kahi puke e kokoke ana, hoʻololi kēia aʻalolo i ke ʻano o ka aniani o ka maka e ʻike maopopo ai ma nā mamao ʻelua. |
Akā, e hoʻomanaʻo, ʻaʻole kēia aʻalolo wale nō ka mea e kāohi ana i nā neʻe ʻana o nā maka. Kōkua nā aʻalolo ʻelua ʻē aʻe me ʻelua mau hana liʻiliʻi ʻē aʻe. ʻO lākou ka `(Trochlear nerve / CN IV)`, ka mea e kōkua ai i ka maka e huli i loko a nānā i lalo, a me ka `(Abducens nerve / CN VI)`, ka mea e kōkua ai i ka maka e huli i waho (i loko) .
Nā hiki kūikawā ma waho aʻe o ka neʻe ʻana o nā maka
ʻO kēia aʻalolo, me kekahi mau ʻōnaehana ʻē aʻe, kōkua iā mākou e hana i nā mea he nui me ke kūpono.
- Kahi e Noho ai: E noʻonoʻo e kiola ana kekahi i kahi pōpō iā ʻoe. Ma muli o ka hana o kēia aʻalolo hiki iā ʻoe ke hoʻomau i ka ʻike maopopo i ka pōpō, me ka ʻole o ka lilo ʻana i mea pōwehiwehi i kona hoʻokokoke ʻana mai.
- Ke nānā ʻana i nā neʻe maka (Saccades): ʻO kēia nā neʻe wikiwiki e hoʻoneʻe ai i kou mau maka mai ka huaʻōlelo a i ka huaʻōlelo, laina a laina, ke heluhelu ʻoe i kahi nūpepa a i ʻole puke. Ua like nō hoʻi lākou me ke nānā ʻana i nā kānaka i loko o kahi lumi i kēlā me kēia manawa.
- Hahai maʻalahi: Kōkua kēia hiki iā ʻoe e alualu maʻalahi i kahi kaʻa ma ke alanui a i ʻole kahi manu ma ka lewa me ka ʻole o ka lawe ʻana i kou mau maka mai ia mea.
- ʻO ka reflex Vestibulo-ocular: Kōkua kēia iā ʻoe e mālama i kou nānā ʻana me ke kūpaʻa ʻoiai ke huli koke ʻoe i kou poʻo i ka hema a i ʻole ka ʻākau. Hana pū ia me ka ʻōnaehana e kaohi ana i kou kaulike.
- ʻO ke kukui pupillary: Hoʻomalu kēia aʻalolo i ke kaʻina hana e ʻaelike ai ka haumāna o ka maka i ka wā e pā ai kahi kukui ʻālohilohi koke i ka maka, a hoʻonui i ka wā e emi ai ke kukui.
He aha nā kūlana olakino e hiki ke hoʻopilikia i kēia aʻalolo?
E like me nā aʻalolo ʻē aʻe i loko o ko mākou kino, hiki ke hōʻino ʻia ke aʻalolo oculomotor e nā maʻi like ʻole a me nā ulia. ʻO ke kūlana i hana pono ʻole ai kēia aʻalolo ua kapa ʻia ʻo "Oculomotor nerve palsy." Eia kekahi o nā kumu hiki.
| Kumu kūpono | He aha ka mea e hana nei? |
|---|---|
| Nā pilikia o ka ʻōnaehana kaapuni | ʻO ka maʻi diabetes mellitus i kāohi pono ʻole ʻia a me ke koko kiʻekiʻe hiki ke hōʻemi i ke kahe koko i ke aʻalolo. Ua kapa ʻia kēia ʻano he "ischemia." Hiki i kēia ke hōʻino i ke aʻalolo a lilo i ka hana o nā ʻiʻo āna e kaohi ai. |
| Nā ʻeha ma ke poʻo a me ka maka | Hiki i nā ʻeha ma ke poʻo a i ʻole ka ʻāpana a puni ka maka mai kahi ulia ke hōʻino pololei i kēia aʻalolo. |
| Nā maʻi | ʻO kekahi mau maʻi bacteria a me nā viral, e like me ka maʻi Lyme, hiki ke hoʻopilikia i ka hana aʻalolo. |
| Nā maʻi o ka lolo a me ka ʻōnaehana nerve | Hiki ke hoʻopilikia ʻia kēia aʻalolo e nā maʻi e hoʻopilikia ai i ka hana o ka lolo, e like me ka hahau ʻana , ka migraine, a me nā hopu ʻana. |
| Ka mumū | Hiki i kekahi mau kūlana autoimmune ke hoʻoulu i nā ʻiʻo a puni nā aʻalolo e pehu, e like me ka multiple sclerosis (MS). Hiki i kēia pehu ke hōʻino i nā aʻalolo a hoʻopilikia i kā lākou hana. |
| Nā puʻupuʻu | Hiki ke hoʻopaʻa ʻia a hōʻino ʻia kēia aʻalolo e nā puʻupuʻu a i ʻole nā puʻupuʻu maʻamau i loko o ka lolo. |
| Nā kūlana hānau | He mea kākaʻikahi loa, hiki mai nā pilikia i ka wā hānau ma muli o ke aʻalolo a i ʻole nā hale e hoʻopuni ana ʻaʻole i ulu pono. |
Pehea ʻoe e ʻike ai inā he pilikia me kēia aʻalolo? (Nā hōʻailona)
Inā he nāwaliwali a hōʻino paha i ke aʻalolo oculomotor, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona. Hiki ke hoʻomaka koke kēia mau mea.
- Ka lihilihi o ka maka (ptosis): ʻO ke ʻano e kūlou ana kekahi lihilihi i lalo, ʻaʻole hiki ke wehe maʻamau.
- Strabismus: ʻO ke ʻano kahi i huli ʻia ai kekahi maka i kahi ʻaoʻao ʻē aʻe, me ka hiki ʻole o nā maka ke kuhikuhi i ka ʻaoʻao like .
- ʻIke pālua (diplopia): ʻIke ʻana i hoʻokahi mea me he mea lā ʻelua.
- ʻIke pōwehiwehi: ʻIke ʻana i nā mea me ka pōwehiwehi, ʻaʻole hiki ke ʻike maopopo.
- ʻEha o ka maka a me ke poʻo: Hiki ke loaʻa nā ʻeha poʻo ma muli o ke kaumaha keu ma nā maka.
- Mydriasis: ʻOi aku ka nui o ka iris o kekahi maka ma mua o kekahi a ʻaʻole pane i ka mālamalama a pane lohi paha.
Inā ʻike koke ʻoe i nā hōʻailona e like me kēia, ʻoiai inā he ʻeha poʻo nui kou me ka ʻike pālua, nā lihilihi maka e hāʻule ana, a pēlā aku, he pilikia paha ia. I ia hihia, pono ʻoe e hele i kahi ETU (Emergency Treatment Unit) i ka hikiwawe loa.
He aha kā mākou e hana ai e pale aku i kēia ʻano maʻi neurological?
E like me kā mākou mālama ʻana i ko mākou kino holoʻokoʻa, pono mākou e noʻonoʻo i ke olakino o kēia aʻalolo. He mea nui loa ka hahai ʻana i kēia mau mea.
- E hana i nā hoʻokolohua lapaʻau makahiki a me nā hoʻokolohua maka. Hiki i kēia ke kōkua i ka ʻike ʻana i nā pilikia he nui ma mua o ka puka ʻana o nā hōʻailona.
- E pale loa i ka puhipaka, ka nau ʻana i ka paka, a pēlā aku. Inā ʻoe e hoʻohana mua nei iā lākou, e noi i kāu kauka no ke kōkua e hoʻōki.
- E pale i nā ʻeha poʻo. E kau i ka mahiole i ka wā e holo paikikala ai a me nā mokokaikala. E kau i ke kāʻei noho i ka wā e holo ai i loko o nā kaʻa.
- Inā loaʻa iā ʻoe nā maʻi mau e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, e kaohi pono iā lākou. E lawe i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka i ka manawa kūpono. E hahai pono i nā kuhikuhi e like me ka mea i hāʻawi ʻia.
ʻO ka mea hope loa, he ʻāpana koʻikoʻi loa kēia aʻalolo oculomotor e kōkua mālie ana i nā mea āpau a mākou e hana ai i kēlā me kēia lā. Inā ʻike ʻoe i kekahi mau loli i kāna hana, ʻo ka mea maikaʻi loa e hana ai, ʻaʻole e hopohopo a hopohopo paha, akā e ʻimi i ke aʻo lapaʻau.
Leka Lawe-Home
- ʻO ke aʻalolo oculomotor ke aʻalolo nui e kaohi ana i ka hapa nui o nā neʻe ʻana o ka maka, ka hāpai ʻana o ka lihilihi, a me ka nui o ka maka ʻeleʻele.
- Hiki i nā kūlana olakino maʻamau e like me ka maʻi diabetes i kāohi pono ʻole ʻia a me ke koko kiʻekiʻe ke hōʻino i kēia aʻalolo.
- Inā ʻike ʻoe i nā hōʻailona e like me ke kuʻe ʻana o nā maka, ka ʻike pālua (ʻike ʻana i ʻelua mau mea), a i ʻole ka paʻakikī i ka hoʻohuli ʻana i hoʻokahi maka, he mea nui e ʻike koke i ke kauka.
- Ma ka hahai ʻana i kahi nohona olakino a me ka mālama pono ʻana i nā maʻi maʻi, hiki iā mākou ke pale i ko mākou ʻōnaehana nerve holoʻokoʻa, me kēia aʻalolo.
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