Ua ʻike anei ʻoe ua hoʻokaʻawale iki ʻia nā maka o kāu keiki liʻiliʻi ma mua o ka maʻamau? A i ʻole ua haʻi aku kekahi kauka iā ʻoe e pili ana i ia mea? Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻano ʻo Orbital Hypertelorism . I kekahi manawa ua kapa ʻia ʻo Ocular Hypertelorism. ʻOiai hiki ke weliweli kēia mau ʻōlelo, ʻaʻole kēia he mea koʻikoʻi e like me kā mākou e manaʻo nei. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ke ʻano o ka Orbital Hypertelorism?
I ka ʻōlelo maʻalahi, ʻaʻole he maʻi ʻokoʻa ka Orbital Hypertelorism. Loaʻa pinepine ia ma ke ʻano he hōʻailona o kahi kīnā hānau ʻē aʻe a i ʻole kahi maʻi genetic.
E noʻonoʻo e pili ana i ia mea, i ka wā e noho ana ke pēpē i loko o ka ʻōpū, ke hoʻomaka mālie nei nā iwi o kona maka e hana i ke ʻano. I kēia manawa, ua hoʻokaʻawale iki ʻia nā lua maka ʻelua e mālama ana i kona mau maka ma mua o ka maʻamau. No laila, ʻoi aku ka ʻike ʻia o ka hakahaka ma waena o nā maka ma mua o ke keiki maʻamau. Ua piha kēia hakahaka i hoʻonui ʻia me nā iwi keu.
ʻO ka mea nui, ʻo ka hapa nui o nā keiki me nā maka mamao loa , ʻaʻole lākou e loaʻa i nā pilikia ʻike. Inā pilikia ka ʻike, pili ia i ka mamao o nā maka a me nā hōʻailona ʻē aʻe i loaʻa i ke keiki.
Pehea e ʻike pono ai nā kauka i kēia?
ʻO ka maʻamau, ʻike ke kauka i kēia maʻi i ka wā e hānau ai ka pēpē. I kekahi manawa, hiki ke ʻike ʻia i ka wā o ka ultrasound scan ʻoiai ke pēpē i loko o ka ʻōpū.
ʻAʻohe mamao i hoʻonohonoho ʻia ma waena o nā maka, akā hoʻohana nā kauka i ʻelua mau ana nui e hoʻoholo ai i kēia.
| ʻAno ana | Ua wehewehe maʻalahi ʻia |
|---|---|
| Ka mamao o loko o Canthal | ʻO ka mamao mai ke kihi o kekahi maka kokoke loa i ka ihu a hiki i ke kihi o kekahi maka kokoke loa i ka ihu. |
| Ka mamao o ka pupillary | ʻO ka mamao mai ke kikowaena o ka haumāna o kekahi maka a i ke kikowaena o ka haumāna o kekahi maka. |
ʻOi aku ke kiʻekiʻe o kēia mau ana ʻelua ma mua o ka maʻamau i nā keiki me ka hypertelorism orbital.
No ke aha lā kēia e hana nei? He aha nā kumu nui?
Manaʻo nā kauka ua hoʻokumu ʻia ke kahua no kēia kūlana ma waena o nā pule ʻehā a me ʻewalu o ka ulu ʻana o kahi pēpē. E noʻonoʻo i nā iwi o ke poʻo o kahi pēpē e like me nā ʻāpana o kahi puzzle ʻekolu-dimensional (3D) e hui pū ana. Inā he hoʻopilikia a hoʻololi paha i nā ʻanuʻu e pili ana i ka hoʻohui ʻana i kēia mau ʻāpana, hiki i nā lua maka ʻelua ke lilo i mea kūpono ʻole a lilo i mea mamao loa.
ʻO nā kumu nui ʻelua no kēia:
1. Nā kīnā hānau
2. Nā maʻi hoʻoilina
1. Nā kūlana hānau
ʻO ke kīnā hānau he ʻano ʻē i ke ʻano, nā ʻōpū o loko, a i ʻole nā kaʻina hana kemika o ke kino o kahi pēpē i ka wā hānau. Hiki ke hana ʻia kēia mau mea e:
- Nā kumu hoʻoilina a me nā kumu hoʻoilina.
- ʻO kekahi mau maʻi i loaʻa i ka makuahine i ka wā hāpai.
- Ka hōʻike ʻia ʻana i ka radiation.
- Ka hoʻohana ʻana i ka lāʻau lapaʻau a i ʻole ka waiʻona i ka wā hāpai.
I kekahi manawa hiki ke loaʻa nā kīnā hānau me ke kumu ʻole, ʻoiai he mea maʻamau ʻole. ʻO Craniosynostosis kekahi o ia mau kīnā hānau. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hui pū ʻana o nā sutures e hoʻopili ai i nā iwi o ke poʻo o ke pēpē. Hiki i kēia ke hana i ka Orbital Hypertelorism.
2. Nā maʻi hoʻoilina
He mau ʻāpana liʻiliʻi o ka DNA nā genes e hāʻawi i nā kuhikuhi i nā cell i loko o ko mākou kino. Hiki i nā mutations i loko o kēia mau genes ke hoʻoulu i nā maʻi genetic. ʻO kekahi o nā maʻi genetic e hiki ai ke hoʻoulu i ka orbital hypertelorism:
- ʻO ka maʻi Apert
- ʻO ka maʻi DiGeorge
- ʻO ka maʻi Edwards
- ʻO ka maʻi Crouzon
- ʻO ka maʻi Noonan
- ʻAno Neurofibromatosis 1
Inā loaʻa kēia ʻano maʻi i kāu keiki, hiki i kāu kauka ke kuhikuhi iā ʻoe no ke aʻoaʻo genetic, hiki ke kōkua iā ʻoe e hoʻomaopopo hou aʻe e pili ana i ka pilikia o kou ʻohana no nā maʻi genetic.
He aha nā lāʻau lapaʻau no kēia?
Hiki i nā keiki me kēia maʻi ke hoʻihoʻi hou i ko lākou mau maka ma o ke ʻoki kino. Ua kapa ʻia kēia he ʻoki kino reconstructive . Hana pinepine ʻia kēia ʻoki kino i ka wā ma waena o 5 a me 7 mau makahiki o ke keiki. Hāʻawi kēia ʻoki kino i ke keiki i kahi hiʻohiʻona maʻamau a hoʻemi i ka mamao ma waena o nā maka.
Pono kāu keiki i nā hoʻokolohua maka maʻamau ma mua a ma hope o ke ʻoki ʻana e nānā i nā loli i nā maka a me ka ʻike.
Hoʻohana nui nā kauka lapaʻau i ʻelua mau ʻano hana ʻoki no kēia.
| ʻAno o ke ʻoki kino | He aha ka mea e hana nei? |
|---|---|
| Pahu Osteotomy | Maanei, wehe ke kauka lapaʻau i ka iwi keu a me ka ʻili ma luna o ka ihu a hoʻololi hou i nā lua maka e kūpono i loko o kēlā hakahaka. E noʻonoʻo i ka ʻoki ʻana i kahi ʻāpana huinahā ma nā kuʻemaka a ma luna o ka ihu, a lawe mai i nā lua maka i loko o kēlā huinahā. |
| ʻĀpana Maka Bipartite | He ʻoki kino paʻakikī iki kēia. Hana ʻia ia ma nā keiki i loaʻa i ka hypertelorism orbital a me nā pilikia iwi maka ʻē aʻe (e.g., iwi ʻauwae, iwi papālina). Pili ia i ke ʻano hou ʻana o nā lua maka, ihu, a me nā iwi papālina e hoʻokokoke mai i nā maka, me ka hoʻoponopono pū ʻana i nā pilikia me ka ʻauwae a me nā niho. |
Nā pilikia hiki ke hana ʻia ma hope o ke ʻoki ʻana
E like me nā ʻoki kino āpau, he liʻiliʻi loa nā pilikia e pili ana. ʻO kēia mau mea:
- Ke kahe ʻana o ke koko
- Nā maʻi
- Ka ʻeha
- Ka lihilihi ʻana o ka maka ( Ptosis )
- Diplopia (ʻike pālua)
- Ka nalowale ʻana o ka ʻike a i ʻole ka makapō (he mea kākaʻikahi loa kēia)
E wehewehe pono ana kāu kauka i kēia mau pilikia iā ʻoe.
Āhea ʻoe e ʻike ai i ke kauka?
Inā ʻike ʻoe i kekahi mau loli i nā maka a i ʻole ka ʻike o kāu keiki, e ʻike koke i kāu kauka.
Eia kekahi, inā loaʻa i kāu keiki kekahi o nā hōʻailona ma lalo nei, e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Ka nalowale koke a i ʻole ka emi ʻana o ka ʻike.
- ʻEha nui ma nā maka.
- ʻIke ʻana i nā kukui hou a i ʻole nā mea lana i mua o nā maka.
E hoʻomanaʻo, ʻoiai ua hānau ʻia kahi pēpē me ka Orbital Hypertelorism, ʻaʻole ia he manaʻo ʻaʻole lākou e ulu olakino a maikaʻi e like me nā keiki ʻē aʻe. Ma muli o ke kūlana kumu i hoʻokumu ai, pono paha kāu pēpē i ka lāʻau lapaʻau no kekahi manawa. E kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- ʻAʻole he maʻi ʻokoʻa ka Orbital Hypertelorism. He hōʻailona ia o kahi kīnā hānau ʻē aʻe a i ʻole ke ʻano hoʻoilina.
- ʻAʻohe pilikia ʻike o ka nui o nā keiki me kēia maʻi.
- Ke hiki ke keiki ma kahi o 5-7 mau makahiki, hiki ke hana ʻia ke ʻoki kino e hoʻihoʻi i nā maka i ko lākou kaʻawale maʻamau.
- Inā loaʻa kēia maʻi i kāu keiki, mai makaʻu e kamaʻilio ākea me kāu kauka a loaʻa i ka ʻōlelo aʻoaʻo a me ka lāʻau lapaʻau e pono ai.
- He mea nui loa e ʻike i ke kauka i ka manawa kūpono a hana i nā hoʻokolokolo maka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ke ʻano o ke kūlana ʻo Orbital Hypertelorism?
ʻAʻole kēia he loli maʻamau i ke ʻano! ʻO ka 'Orbital Hypertelorism' kahi kīnā genetic/hānau e kū mai ana i ka wā e ulu ai ke poʻo o ka pēpē a me nā iwi a puni nā maka (orbits) i loko o ka ʻōpū, e hoʻolilo ana i ka mamao ma waena o nā maka i mea ʻē/mamao loa. ʻAʻole kēia he maʻi o nā maka, akā he pilikia me ka iwi maka!
💬 He aha nā kumu nui o ka hoʻokaʻawale ʻia ʻana o nā maka o ke keiki i kahi mamao loa (Orbital Hypertelorism)?
ʻAʻole kēia he maʻi maʻamau e kū hoʻokahi ana, akā he hiʻohiʻona nui ia o kekahi mau 'Genetic Syndromes' weliweli loa! I nā maʻi koʻikoʻi e like me 'Apert Syndrome', 'Crouzon Syndrome' a me 'DiGeorge Syndrome', ua hoʻokaʻawale ʻia kēia mau iwi ma muli o nā pilikia i loko o ke poʻo. I kekahi manawa, hiki i kahi puʻupuʻu e ulu ana ma ka maka i loko o ka ʻōpū (encephalocele) ke kumu e hoʻokaʻawale ʻia ai nā maka.
💬 He aha nā hōʻailona weliweli ʻē aʻe e ʻike ai nā keiki me nā maka mamao a he aha nā ʻoki kino e hiki ke hana ʻia e ho'ōla ai i kēia?
I ka manawa pinepine, loaʻa i kēia mau keiki nā pilikia ʻike, ke kīnā noʻonoʻo, nā kīnā puʻuwai, a me nā maʻi make e like me ka palale māwae. No ka ho'ōla ʻana i kēia, i ka wā e hiki ai i ke keiki ma kahi o 5-8 mau makahiki, pono lākou e hana i kahi ʻoki kino koʻikoʻi a paʻakikī loa (Craniofacial reconstruction / Facial Bipartition) kahi e ʻoki ʻia ai ke poʻo, mālama ʻia ka lolo, ʻoki ʻia ka lua maka a hoʻokokoke ʻia, a kūkulu hou ʻia ke alo.
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