Hiki iā ʻoe ke ʻike a puni ʻoe ʻoiai ke nānā pololei ʻoe i mua, ʻeā? E kamaʻilio kākou e pili ana i ka ʻike peripheral.

Ua hele wāwae paha ʻoe ma ke alanui a kū koke i kou ʻike ʻana i kahi kaʻa e hele mai ana mai ka ʻaoʻao mai? A i ʻole ua noho paha ʻoe i loko o kahi lumi a nānā i mua a ʻike i kekahi e hele ana mai ke kihi o kou maka? ʻO ia ka mea a mākou e kapa nei he ʻike peripheral . Hoʻohana mākou a pau i kēia hiki i ko mākou ola o kēlā me kēia lā me ka ʻike ʻole. No laila, e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī hou aku i kēia lā.

He aha ka ʻike peripheral?

I ka ʻōlelo maʻalahi, ke nānā pololei ʻoe i mua me ka neʻe ʻole ʻana o kou poʻo, ʻo nā mea āpau āu e ʻike ai i nā ʻaoʻao, ma luna, a ma lalo he ʻāpana ia o kāu ʻike peripheral. ʻO ia ke kumu a mākou e ʻōlelo ai "ʻike ma waho o ke kihi o kou maka."

ʻO ka mea āu e ʻike ai ke nānā pono ʻoe i kahi mea ua kapa ʻia ʻo kou ʻike waena . ʻO kēia ʻike ka mea maopopo loa a ʻoi loa.

E noʻonoʻo ʻoe e heluhelu ana ʻoe i kahi puke. Ke kau pono nei kou mau maka ma ka palapala. ʻO ia kou ʻike mua. Akā i ka manawa like, ʻaneʻane hiki ʻole iā ʻoe ke ʻike i nā mea ma waho o ka puke, e like me ka ʻōmole wai ma luna o ka papaʻaina, a i ʻole kekahi e hele ana. ʻO ia ka ʻike peripheral.

No ke aha he mea nui kēia hihiʻo iā mākou?

He mea nui ka ʻike maka no kā mākou hana o kēlā me kēia lā a no ka palekana hoʻi.

E noʻonoʻo ʻoe e hoʻokele ana i kahi kaʻa. Ke nānā pololei nei ʻoe i ke alanui. Akā, ma muli o kou ʻike peripheral hiki iā ʻoe ke makaʻala i nā kaʻa e hele mai ana mai kēlā ʻaoʻao kēia ʻaoʻao a me nā kānaka e keʻa ana ma ke alanui. Pēlā nō, ʻo ka mea hoʻokani pila cricket, ʻoiai e kālele ana i ka hahau ʻana i ka pōpō, loaʻa iā ia kahi manaʻo o kahi o nā mea hoʻokūkū ma muli o kēia ʻike. Ma muli nō hoʻi o kēia ʻike e kōkua iā ʻoe e pale aku i ke kuʻi ʻana i kahi mea ma ka ʻaoʻao i kou wā e hele ana.

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He aha nā ʻāpana o ka maka e hāʻawi ai i kēia ʻike?

Ua like ko kākou mau maka me ke kāmela. I loko o ka maka, ma ke kua, aia kahi pale i kapa ʻia ʻo ka retina . Loaʻa iā ia he mau miliona o nā keena e hopu ana i ka mālamalama. Hoʻopaʻa ʻia nā kiʻi o nā mea a kākou e ʻike ai ma kēia pale.

• ʻO ka ʻāpana o ka retina ma waenakonu, a ʻo ia ka mea e hāʻawi mai ai iā mākou i ka ʻike ʻoi a maopopo loa, ua kapa ʻia ʻo ka macula .
• Aia ma waenakonu ona kahi wahi koʻikoʻi loa i kapa ʻia ʻo ka fovea . Mai laila mai ko mākou ʻike waena .

No hea mai ka ʻike peripheral? Loaʻa ia mai ka ʻāpana waena o ka retina, ka macula, a me nā wahi e pili ana. ʻOiai he mau cell i ʻike ʻia e ka mālamalama kēlā mau wahi, ʻaʻole hiki iā lākou ke hāʻawi i ka ʻike ʻoi e like me ka fovea. ʻO ia ke kumu ʻaʻole maopopo nā mea a puni ʻoe e like me ko lākou wahi ma ke kikowaena.

He aha ka mea e hana ai inā nalowale kou ʻike?

ʻO kēia kūlana, kahi e nalowale ai kou hiki ke ʻike i kou wahi a puni a ʻike wale i ka mea pololei i mua, ua kapa ʻia ʻo ia he ʻike tunnel . E noʻonoʻo e ʻōwili ana i kahi ʻāpana pepa a nānā i ke ao nei ma o ia mea. ʻO ia ke ʻano o ia mea. ʻAʻole hiki iā ʻoe ke ʻike i kekahi mea ma nā ʻaoʻao ʻelua. Hiki i kēia ke lilo i kūlana weliweli loa, no ka mea, he mea paʻakikī loa ka hana ʻana i nā hana o kēlā me kēia lā, ʻoiai ke kalaiwa a me ka hele wāwae.

I kekahi manawa hiki ke ʻano ʻē aʻe kēia. ʻO ia hoʻi, ke loaʻa iā ʻoe ka ʻike peripheral, ʻo ka wahi āu e nānā pololei ai i mua wale nō e ʻike ʻia he wahi ʻeleʻele. Kāhea mākou i kēia (Central Scotoma) .

He mea maʻamau anei ke manaʻo e like me kāu e ʻike wale nei i nā mea mai ke kihi o kou maka?

I kekahi manawa e ʻike paha ʻoe i nā mea e like me nā pōpō liʻiliʻi o ke kaula, nā kiko ʻeleʻele, a i ʻole nā ​​ʻupena nananana e lana ana i mua o kou mau maka. Kāhea mākou i kēia mau mea (Eye floaters) . I ko mākou ʻelemakule ʻana, emi iki ka mea like me ka jelly i loko o ko mākou mau maka (Vitreous Humor) . A laila, haki nā ʻāpana liʻiliʻi o ia mea a ʻike ʻia he mau mea lana. I kekahi manawa, ʻike paha ʻoe i nā kukui uila e like me ka uila. ʻAʻole maʻamau kēia mau mea he mea weliweli.

Eia nō naʻe, inā ʻike mau ʻoe i nā mea i ʻike ʻole ʻia—e like me nā kinona, nā kukui, a i ʻole nā ​​laina—he mea ia e hopohopo ai.

• Malia paha he mau hallucinations ia.
• A i ʻole, he ʻano paha ia e like me ka Charles Bonnet syndrome , kahi e ʻike ai ka poʻe me ka ʻike maka ʻole i nā mea i ʻike ʻole ʻia.

Inā ʻike pinepine ʻoe i kēia mau hōʻailona, ​​a inā ʻike ʻoe i nā mea hou aku ma mua o ka wā ma mua, ʻoi aku ka maikaʻi o ka ʻike koke ʻana i kahi loea maka a nānā i kou mau maka. He mea nui loa ka ʻike pono ʻana i ka mea e hana nei mai ke kauka ma mua o ke kuhi ʻana iā ʻoe iho.

Pehea ʻoe e hoʻāʻo ai i kēia hihiʻo?

Ke hele ʻoe e ʻike i ke kauka maka, e nānā ʻo ia i kou ʻike peripheral. Aia kahi hoʻāʻo i kapa ʻia ʻo Visual Field Test . ʻO kāu wale nō e hana ai, ʻo ia ke haka pono i hoʻokahi wahi me ka neʻe ʻole ʻana i kou poʻo. A laila e nīnau lākou iā ʻoe inā hiki iā ʻoe ke ʻike i nā kukui e hele mai ana mai a puni ʻoe. He hoʻāʻo maʻalahi loa kēia, ʻaʻohe ʻeha. E haʻi pololei kēia iā ʻoe i ka mamao e hiki ai iā ʻoe ke ʻike a inā he mau pilikia ʻike kou.

Pehea ʻoe e mālama ai i ka ʻike maikaʻi a puni kou mau maka?

He waiwai nui ko kākou mau maka, no laila aia kekahi mau mea hiki iā kākou ke hana e mālama i ko kākou ʻike.

• Nā hoʻokolohua maka maʻamau: He mea nui loa ia e nānā ʻia kou mau maka e ke kauka maka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki, ʻoi aku hoʻi ma hope o 40 mau makahiki.
• He nohona olakino: He mea maikaʻi loa ka hoʻoikaika kino maikaʻi a me ka ʻai ʻana i ka meaʻai kaulike (ʻoi aku hoʻi nā huaʻai, nā mea kanu, a me ka iʻa).
• Ke kaohi ʻana i ke kaumaha o ke kino: ʻO nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe i hoʻokumu ʻia e ka momona hiki ke hoʻopilikia i nā maka.
• E pale i kou mau maka: E ʻaʻahu i kahi aniani maka maikaʻi ke hele ʻoe i waho i ka lā. E pale kēia i kou mau maka mai nā kukuna UV ʻino.

Inā loaʻa iā ʻoe kekahi mau pilikia ʻike maka, e kamaʻilio me kāu kauka e pili ana iā lākou. I kekahi manawa, hiki i nā hoʻomaʻamaʻa maka kūikawā (vision therapy) ke kōkua i ka hoʻomaikaʻi ʻana i kou ʻike maka.