ʻAʻole anei i kūlike kou mau maka a i ʻole nā ​​maka o kāu keiki? E kamaʻilio kākou e pili ana i ka Strabismus!

Ua ʻike anei ʻoe i kekahi manawa e huli ana nā maka o kāu keiki liʻiliʻi i nā ʻaoʻao ʻokoʻa? A i ʻole ke nānā pololei kekahi maka, me he mea lā e hele ana kekahi maka i kahi ʻaoʻao ʻokoʻa? Ua ʻike paha ʻoe i kēia iho. ʻO kēia ka mea a mākou e kapa nei he strabismus ma nā huaʻōlelo lapaʻau, a i ʻole nā ​​maka keʻa. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia i kēia lā.

He aha ka Strabismus? I ka pōkole...

I ka ʻōlelo maʻalahi, ʻo ka strabismus kahi kūlana kahi i kuhikuhi ʻole ai kou mau maka i ke kuhikuhi like. ʻO ia hoʻi, ke nānā nei kekahi maka i ke kuhikuhi ʻē aʻe i kekahi. E noʻonoʻo e like me nā kaikunāne ʻelua e hana pū ana. Pono lāua ʻelua e nānā i kahi like.

ʻO ka maʻamau, ʻeono mau ʻiʻo a puni ko kākou mau maka. Kōkua kēia mau ʻiʻo i ka hoʻoneʻe ʻana i nā maka mai kēlā ʻaoʻao a i kēia ʻaoʻao, i luna a i lalo. Ke hana pū kēia mau ʻiʻo a pau a hoʻonohonoho pono, kuhikuhi nā maka ʻelua i ka ʻaoʻao hoʻokahi. Eia nō naʻe, i loko o ke kanaka me ka strabismus, aia kahi pilikia me ka hana ʻana o kēia mau ʻiʻo. ʻO ka hopena, ʻaʻole hiki ke mālama ʻia ke kūlana maʻamau o nā maka (ka hoʻonohonoho ʻana o ka maka).

ʻOiai ʻo kēia ʻano ka mea maʻamau i nā keiki ʻōpio , hiki i nā pākeke ke loaʻa i ka strabismus. ʻO ke kumu nui o kēia i nā pākeke ʻo ia ka hahau ʻana. Hiki ke hana ʻia e ka ʻeha kino. I kekahi manawa, ʻo ka strabismus i loaʻa i ka wā kamaliʻi, ʻaʻole i mālama pono ʻia, a i ʻole e hoʻi hou mai ma hope o ka mālama ʻana, hiki ke loaʻa i ka wā makua.

He aha nā ʻano nui o ka strabismus?

Aia nā ʻano strabismus like ʻole. E nānā kākou i kekahi o lākou.

Nā ʻano i ʻike pinepine ʻia

• ʻO ka esotropia hoʻokipa: Loaʻa pinepine kēia i nā poʻe me ka ʻike maka kokoke i mālama ʻole ʻia a me ka poʻe me ka mōʻaukala ʻohana o nā maka e huli ana i loko. Ke nānā mākou i kahi mea, aia ko mākou mau maka i ke kuhikuhi a mākou e nānā ai. No laila, ke pono mākou e hana ikaika e ʻike i kahi mea mamao, hiki i ko mākou mau maka ke huli i loko.
• Exotropia intermittent: Ma kēia ʻano, ke kau ʻia kekahi maka ma kahi pahuhopu, huli ka maka ʻē aʻe i waho. I ka manawa pinepine, hiki i ka maka ke hoʻololi ma waena o ka nānā pololei ʻana i mua a me ka huli ʻana i waho.
• ʻO ka esotropia pēpē: Ma kēia, huli nui nā maka ʻelua i loko i nā pēpē ʻōpio, ʻo ia hoʻi, ma mua o 6 mau mahina. ʻAʻole pinepine kēia mau keiki i ka ʻike mamao, a ʻaʻole hoʻoponopono nā aniani i kēia kūlana. ʻOiai ke kū nei ka ʻokoʻa i loko i kekahi manawa i ka wā mua, lilo ia i mea mau loa ma hope o kekahi manawa. Hana ʻia kēia ʻokoʻa i ka wā e nānā ana i kahi mamao a me kahi kokoke. ʻO ka lāʻau lapaʻau no kēia, ʻo ia ke ʻoki ʻana i nā ʻiʻo o kekahi a i ʻole nā ​​maka ʻelua e hoʻoponopono i ka ʻokoʻa.

Ua hoʻokaʻawale ʻia hoʻi lākou e like me ke kuhikuhi i huli ʻia ai nā maka.

Hoʻokaʻawale nā ​​kauka i ka strabismus ma muli o ke kuhikuhi e huli ai ka maka, pehea ka pinepine o ka hana ʻana, a inā paha e pili ana i hoʻokahi maka a i ʻole nā ​​​​maka ʻelua.

• Inā huli kou maka i loko , ua kapa ʻia ia he esotropia .
• Inā huli kou maka i waho , ua kapa ʻia ʻo ia he exotropia . (ʻO esotropia a me exotropia nā ʻano o ka strabismus horizontal.)
• Inā huli i luna kou maka, ua kapa ʻia ia he hypertropia .
• Inā huli kou maka i lalo , ua kapa ʻia ʻo ia he hypotropia . (ʻO ka hypertropia a me ka hypotropia nā ʻano o ka vertical strabismus.)

Eia kekahi, ʻo kēia kūlana:

• Hiki i ka Strabismus ke mau a i ʻole ka wā pōkole. ʻO ka Strabismus e kū pinepine wale ana ua kapa ʻia ʻo ia he transient strabismus.
• Hiki ke lilo ia i hoʻokahi wale nō i nā manawa a pau .
• I kekahi manawa he maka hoʻokahi a i kekahi manawa ʻo kekahi (e ʻokoʻa ana) .

I kekahi manawa hiki ke pili pū ʻia ka strabismus me nā maʻi nerve. No ka laʻana, nā kūlana e like me ka oculomotor palsy, superior oblique palsy, a i ʻole abducens palsy. (Hoʻokumu ʻia kēia mau mea e nā pilikia me ko mākou mau aʻalolo cranial ʻekolu, ʻehā, a me ke ono.)

Pehea ka maʻamau o kēia ʻano?

Wahi a nā kuhi, ma kahi o 4% o ka heluna kanaka o ʻAmelika Hui Pū ʻIa, a i ʻole ma kahi o 13 miliona mau kānaka, i loaʻa i kēia maʻi ʻūlū maka. Hiki ke ʻike ʻia kēia maʻi ma Sri Lanka.

He aha nā hōʻailona o ka strabismus?

Inā loaʻa iā ʻoe a i kāu keiki ka strabismus, hiki iā ʻoe ke ʻike i nā hōʻailona penei:

• ʻIke pālua .
• Ke nānā aku i kahi mea kokoke , ua pani ʻia kekahi maka a ua uhi ʻia paha me ka lima .
• Hoʻohili a huli paha i ke poʻo i kekahi ʻaoʻao .
• Nā ʻeha poʻo .
• He paʻakikī ke heluhelu .
• Luhi nā maka (ʻeha ka maka) .
• Ke nānā aku i kahi mea ma kahi mamao, a i ʻole i loko o kahi mālamalama, ua pani ʻia kekahi maka .

I ka manawa hea e ʻike pinepine ʻia ai nā hōʻailona?

ʻIke pinepine ʻia ka Strabismus i nā pēpē hānau hou a me nā kamaliʻi liʻiliʻi . ʻIke pinepine ʻia ia i ka wā he 3 makahiki o ke keiki.

Eia nō naʻe, he mea maʻamau i nā maka o kāu pēpē hānau hou ke nānā aku i kekahi manawa e hāʻule ana a neʻe i ʻaneʻi a i ʻaneʻi . E nalo ana kēia ma hope o kekahi manawa. Ma kahi o 3-4 mahina o ka makahiki., Pono nā maka o ka pēpē e "nānā pono" i nā mea liʻiliʻi. Eia kekahi, pono e pololei a kūlike nā maka. Pono ka pēpē 6 mahina e ʻike maopopo i nā mea kokoke a me nā mea mamao.

He mea nui: Inā ʻike koke kahi keiki makua a makua paha i ka ʻūlū ʻana o nā maka , ʻoiai me ka ʻike pālua, he hōʻailona paha ia o kahi maʻi neurological koʻikoʻi . Inā hana ʻia kēia, pono ʻoe e ʻike koke i ke kauka .

Hiki maoli anei ke nānā aku e like me kahi moe me ka ʻole o kahi moe? - ʻO ia ka pseudostrabismus

I kekahi manawa, e like paha nā maka o kāu pēpē me he mea lā ua keʻa ʻia i ka wā ʻaʻole. Ua kapa ʻia kēia he pseudostrabismus, a i ʻole strabismus wahaheʻe. Hiki ke hana kēia inā he ʻili keu ko kāu pēpē ma nā kihi o loko o ko lākou mau maka a i ʻole inā ua palahalaha ke alahaka o ko lākou ihu. E nalo aku kēia ʻano i ka wā e ulu a ulu ai ka maka o kāu pēpē.

He aha nā kumu o ka strabismus?

ʻO ka hapa pinepine, hoʻokumu ʻia ka strabismus e kahi pilikia me ka kaohi neuromuscular o ka neʻe ʻana o ka maka. Pili kēia i ka lolo. Kākaʻikahi, hoʻokumu ʻia e kahi pilikia me ka ʻiʻo maka ponoʻī. ʻO kekahi kumu ʻē aʻe ka mōʻaukala ʻohana . Ma kahi o 30% o nā keiki me ka strabismus he lālā ʻohana ko lākou me ka pilikia like.

Nā mea pilikia no ka strabismus

Aia kekahi mau kumu ʻē aʻe e hiki ke kōkua i ka ʻeha o nā maka:

• Nā hewa refractive i hoʻoponopono ʻole ʻia.
• Ka ʻike nāwaliwali ma kekahi maka.
• Maʻi lolo.
• ʻO ka maʻi Down (ma kahi o 20% - 60% o ka poʻe me Down syndrome he strabismus).
• ʻO ka Hydrocephalus (kahi maʻi hānau kahi e hōʻiliʻili ai ka wai i loko o ka lolo).
• Nā puʻupuʻu lolo.
• ʻO ka hahau (ke kumu nui o ka strabismus i nā pākeke).
• Nā ʻeha poʻo - Hiki i kēia ke hōʻino i ka ʻāpana o ka lolo e kaohi ana i ka neʻe ʻana o ka maka, nā aʻalolo e kaohi ana i ka neʻe ʻana o ka maka, a me nā ʻiʻo o nā maka.
• Nā pilikia neurological.
• ʻO ka maʻi o Graves (ka nui o ka hana ʻana o ka hormone thyroid).

He aha nā pilikia e hiki ke loaʻa mai ka strabismus?

Manaʻo kekahi poʻe e hoʻomaikaʻi ka maka ʻili o nā keiki liʻiliʻi i ko lākou wā ʻelemakule. ʻO ka ʻoiaʻiʻo, inā ʻaʻole mālama ʻia, hiki ke ʻoi aku ka ʻino o ke kūlana.

Inā ʻaʻole i kūlike pono kou mau maka, hiki ke loaʻa nā pilikia e like me kēia:

• Maka palaualelo / amblyopiaA i ʻole e hōʻino mau ʻia paha ka ʻike ma ka maka i hoʻopilikia ʻia. Ke nānā nā maka i nā ʻaoʻao like ʻole, loaʻa i ka lolo ʻelua mau kiʻi. I mea e pale ai i ka ʻike pālua, hiki i ka lolo ke hoʻowahāwahā i ke kiʻi e puka mai ana mai ka maka i hoʻopilikia ʻia. ʻO kēia ke kumu o ka ulu maikaʻi ʻole ʻana o ka ʻike ma kēlā maka.
• ʻO ka ʻike maka pōwehiwehi , hiki ke hoʻopilikia i nā hana kula, nā hana, nā leʻaleʻa, a me nā hana leʻaleʻa.
• Ka ʻeha o ka maka.
• Luhi.
• Nā ʻeha poʻo.
• ʻIke pālua.
• ʻIke ʻekolu-dimensional / 3D maikaʻi ʻole . ʻO ia hoʻi, ua emi ka hiki ke ʻike i ka hohonu.
• Haʻahaʻa ka manaʻo ponoʻī (hilahila paha i ke ʻano o kou mau maka).

Eia kekahi, inā ʻaʻole ʻike ke kauka a hoʻolohe i ka strabismus, hiki ke nalo ʻia kahi pilikia koʻikoʻi e like me ka puʻupuʻu lolo .

Pehea e ʻike ʻia ai ka strabismus?

Pono nā keiki ma luna o 4 mahina e ʻike ʻia he strabismus e nānā pono i nā maka e ke kauka maka o nā keiki. E nānā pono kēia hoʻokolohua i ke ʻano o ka nānā ʻana a me ka neʻe ʻana o nā maka. Hiki i kēia hoʻokolohua ke komo pū me:

• Mōʻaukala lapaʻau ( e ʻike e pili ana i nā hōʻailona, ​​​​ka mōʻaukala ʻohana, nā pilikia olakino maʻamau, nā lāʻau lapaʻau i hoʻohana ʻia, a me nā mea ʻē aʻe e hoʻopilikia paha i nā hōʻailona).
• Ka ʻike maka ( ka heluhelu ʻana i nā leka ma ka pakuhi maka a i ʻole ka hoʻāʻo ʻana i ke ʻano ʻike maka o nā keiki ʻōpio).
• Hoʻāʻo refraction (ana i ka maikaʻi o ka hoʻohuli ʻana o nā maka i ka mālamalama ma ke kau ʻana i nā aniani kūpono). ʻAʻole pono nā keiki e lawa ka makahiki e kamaʻilio ai i ka wā e hoʻāʻo ʻia ai lākou no nā aniani maka.
• Nā hoʻokolohua hoʻohālikelike a me ka nānā ʻana .
• Ke nānā ʻana i ke olakino o nā ʻano kūloko o ka maka ma ka hoʻonui ʻana i nā haumāna me nā kulu maka.

Aia kekahi mau kumu ʻē aʻe e hiki ke kōkua i ka hoʻoholo ʻana i ke kumu a me ka mālama ʻana i ka strabismus:

• Ua hiki koke mai anei ka pilikia, a i ʻole ua lohi iki paha?
• Aia i loko o nā mahina 6 mua o ke ola, a i ʻole ua hana ʻia ma hope?
• Ke hoʻopilikia mau nei anei i ka maka hoʻokahi, a ke loli nei paha nā maka?
• He liʻiliʻi, waena, a nui paha ka nui o ke kaha kiʻi?
• Aia mau nō ia ma laila, a i ʻole i kekahi manawa wale nō?
• Ua loaʻa i kekahi o kou ʻohana ka strabismus?

He aha nā lāʻau lapaʻau no ka strabismus?

Aia nā ʻano lapaʻau like ʻole no ka strabismus. E kamaʻilio kāu kauka maka me ʻoe e pili ana i nā koho kūpono loa no kou kūlana kikoʻī. ʻO nā koho lapaʻau e komo pū me:

• Nā maka aniani a i ʻole nā ​​aniani hoʻopili:Inā loaʻa iā ʻoe nā hewa refractive i mālama ʻole ʻia, hiki i ke kau ʻana i nā aniani hoʻoponopono ke kōkua i ka mālama pololei ʻana i kou mau maka, no ka mea, e hōʻemi ana i ka hoʻoikaika ʻana o kou mau maka e hoʻokomo i ka nānā ʻana.
• Nā aniani Prism: He ʻano aniani kūikawā kēia e kūlou i ke kukui e komo ana i ka maka, e hōʻemi ana i ka ʻike pālua.
• ʻO Orthoptics (nā hoʻomaʻamaʻa maka): Hiki i kēia mau hoʻomaʻamaʻa ke kōkua no kekahi ʻano strabismus, ʻoiai ka lawa ʻole o ka convergence (kahi ʻano exotropia).
• Nā lāʻau lapaʻau: Hiki i nā kulu maka, nā ʻaila poni, a i ʻole nā ​​inikini o ka botulinum toxin ʻano A (e.g., Botox®) ke hoʻonāwaliwali i kahi ʻiʻo maka hana nui. Hiki ke hoʻohana ʻia kēia mau lāʻau lapaʻau me a i ʻole ma kahi o ke ʻoki kino, ma muli o kou kūlana.
• Ka Hoʻopili ʻana: Inā loaʻa iā ʻoe ka strabismus a me ka amblyopia, hoʻohana ʻia kēia ʻano hana e mālama ai. Hiki iā ia ke kōkua i ka kaohi ʻana i ka strabismus ma ka hoʻomaikaʻi ʻana i ka ʻike.
• ʻO ke ʻoki ʻana i nā ʻiʻo maka (ʻoki strabismus): Hoʻololi kēia ʻoki i ka lōʻihi a i ʻole ke kūlana o nā ʻiʻo maka e hoʻohālikelike pono i nā maka. Hana ʻia kēia ma lalo o ka anesthesia laulā, me ka hoʻohana ʻana i nā humuhumu hiki ke hoʻoheheʻe ʻia. I kekahi manawa, hāʻawi ʻia nā pākeke i kahi kaʻina hana i kapa ʻia ʻo ke ʻoki strabismus hiki ke hoʻololi ʻia. Ma kēia, hoʻoponopono ʻia ke kūlana o nā ʻiʻo maka ma hope o ke ʻoki ʻana.

Pono ʻoe e ʻike hou i kāu kauka no nā manawa hoʻopaʻa e ʻike ai pehea ʻoe e pane nei i ka lāʻau lapaʻau. Na ke kauka e hana i nā hoʻoponopono e pono ai.

Pehea ke ʻano o ke kūlana ma hope o ka mālama ʻana? Pehea ka nānā ʻana?

Inā loaʻa i kāu keiki ka strabismus, hiki i ka ʻike mua a me ka mālama ʻana ke kōkua iā lākou e loaʻa ka ʻike maikaʻi loa a me ka ʻike hohonu . Hiki i ka lāʻau lapaʻau ke pale aku i ka nalowale o ka ʻike.

Eia nō naʻe, ʻoiai inā he kanaka makua ʻoe, hiki ke mālama ʻia ka strabismus i kēlā me kēia makahiki . No laila, mai hoʻopau i ka manaʻolana.

Aia kekahi ala e pale aku ai i ka strabismus?

ʻAʻole, ʻaʻole hiki ke pale ʻia ka strabismus. Eia nō naʻe, inā manaʻo ʻoe he strabismus kou, hiki iā ʻoe ke noi i ke kauka o kāu keiki e hana i kekahi mau hoʻokolohua a ʻike i nā maʻi maka i ka wā mua .

Inā he kanaka makua ʻoe a ʻike ʻoe i kekahi pilikia me kou ʻike, ʻoiai inā ua loaʻa iā ʻoe kahi hahau a i ʻole kahi ʻeha maka, e ʻike pono i kahi kauka maka.

No nā keiki a me nā pākeke, he mea nui loa ia e ʻike i kāu kauka e like me ka papa hana hoʻokolokolo i ʻōlelo ʻia e kāu kauka maka.

Pono anei au e ʻike i ke kauka? Āhea wau e hele ai?

Inā kānalua ʻoe he maka ʻeleʻele kou a i ʻole kāu keiki, e ʻike pono i kahi kauka maka . Aia nā lāʻau lapaʻau kūpono no ka strabismus.

Inā he ʻeha kou maka a ʻike paha ʻoe i kahi loli koke i kou ʻike, pono ʻoe e ʻike mau i ke kauka .

Inā he pēpē hānau hou kāu, nui paha kou manawa e nānā ai i kāu pēpē. I ka wā mua, ʻaʻole paha e nānā pono nā maka, akā e holomua mālie kēia. Inā he mau hopohopo kou e pili ana i nā maka a i ʻole ka ʻike o kāu pēpē, e nīnau pono i kāu kauka. ʻAʻole pono kāu pēpē e kamaʻilio e hoʻāʻo ʻia no ka strabismus. ʻOiai inā he maka kea kāu pēpē - a i ʻole ʻoe - e hoʻomanaʻo he ʻano hiki ke mālama pono ʻia ka strabismus . E nīnau i kāu kauka no ka ʻike hou aku.

ʻO nā mea nui loa e pono ai mākou e hoʻomanaʻo

Ua kamaʻilio nui mākou e pili ana i ka strabismus i kēia lā. ʻO ka mea hope loa, e hoʻomanaʻo i kēia mau manaʻo:

• He mea nui loa ka ʻike mua ʻana: E makaʻala i nā loli i nā maka, ʻoi aku hoʻi i nā keiki ʻōpio.
• He maʻi hiki ke mālama ʻia ka Strabismus: mai hopohopo, aia nā ʻano lāʻau like ʻole i loaʻa.
• He mea nui e ʻimi i ke kōkua lapaʻau: Inā kānalua, a inā paha e kū mai nā hōʻailona, ​​e ʻike pono i kahi kauka maka.
• Aia kekahi mau lāʻau lapaʻau no nā pākeke: Hiki ke mālama ʻia kēia i kēlā me kēia makahiki, ʻaʻole wale i ka wā kamaliʻi.

He waiwai makamae kou mau maka. A ʻo kou kuleana nō hoʻi ke mālama i nā maka o kāu mau keiki. Lana koʻu manaʻo he mea pono kēia ʻike iā ʻoe!

Maka keʻa, Kuhihewa o nā maka, Strabismus, Nā maʻi maka i nā keiki, Nā ʻiʻo maka, ʻIke pālua, Maka palaualelo, Nānā maka, ʻoki maka