Ua manaʻo paha ʻoe e like me ʻoe e nānā ana i ke ao nei ma o kahi ʻōmole pepa ke nānā pololei ʻoe i mua? A i ʻole e hele ana ʻoe ma ke alanui a ʻike koke i kahi kaʻa e hoʻokokoke mai ana mai kēlā ʻaoʻao mai, a i ʻole e like me ʻoe e ʻūlū ana i ka maka ke hele mai kekahi iā ʻoe mai ka ʻaoʻao a kamaʻilio? ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo 'tunnel vision' a i ʻole peripheral vision loss. Mai makaʻu i ka inoa, e kamaʻilio maʻalahi kākou e pili ana.
I ka ʻōlelo maʻalahi, he aha ka 'ʻike tunnel'?
E noʻonoʻo ʻoe he ʻelua ʻāpana o kā kākou hihiʻo.
1. ʻIke Waena: ʻO kēia ka mea a ko kākou mau maka e kau ai i ka nānā pololei ʻana i mua. Me he mea lā e nānā ana ʻoe i kēia mau leka i kēia manawa. He moakāka a ʻoi loa kēia ʻike.
2. ʻIke ʻIkepili: ʻO kēia ka mea a mākou e kapa nei ʻo 'ʻike ʻana ma waho o ke kihi o ko mākou maka'. ʻOiai ke nānā pololei nei i mua, ʻaneʻane hiki ʻole iā mākou ke ʻike i nā mea ma nā ʻaoʻao. ʻAʻole maopopo kēia ʻike e like me ka ʻike waena, akā he mea nui loa ia no ka hoʻomaopopo ʻana i nā mea e hana nei a puni mākou.
ʻO ka ʻike ʻana ma ke alahaka kahi e nalowale mālie ai a nalowale koke paha kou ʻike ʻana ma ke alahaka. Hiki iā ʻoe ke ʻike wale i ka mea ma waena. Ua like ia me ka nānā ʻana ma o kahi alahaka. ʻO ia ke kumu i kapa ʻia ai he ʻike ʻana ma ke alahaka. Hiki i kēia ʻano ke hoʻopilikia i hoʻokahi a i ʻole nā maka ʻelua i ka manawa like. I kekahi manawa, hiki iā ʻoe ke ʻike i ka poniuniu a i ʻole ka nalowale o ke kaulike i ka wā e hele ana.
ʻO ka mea nui loa, ʻo ia ke ʻike koke aku i ke kauka maka inā ʻike ʻoe i kekahi mau loli koke i kou ʻike, ʻoiai ka nalowale ʻana o ka ʻike ma nā ʻaoʻao ʻelua. Inā nalowale koke kou ʻike, pono ʻoe e hele pololei i ka ʻOihana Pilikia o ka haukapila (ETU).
He aha nā kumu o ke 'ʻike ʻana o ke tunnel'?
ʻAʻohe kumu hoʻokahi no kēia ʻano, akā hiki i kekahi mau kumu ke hoʻopilikia iā ia. Hiki i kēia ke lilo i mau maʻi e pili ana i ko kākou mau maka, ka lolo, nā kīʻaha koko, a i ʻole nā aʻalolo. ʻO kekahi mau kumu o ka 'ʻike tunnel' he manawa pōkole, ʻo ia hoʻi hiki ke ho'ōla ʻia me ka lāʻau lapaʻau. Eia nō naʻe, hiki i kekahi mau kumu ke hōʻino mau loa i ka ʻike.
E nānā kākou i nā kumu nui.
| ʻO nā kumu nui o ka 'ʻike tunnel' | |
|---|---|
| Nā kūlana pili i ka maka | Nā maʻi ʻē aʻe o ke kino |
| Glaucoma: Ka hōʻino ʻana i ke aʻalolo optic ma muli o ke kaomi nui ʻana i loko o ka maka. ʻO kēia kekahi kumu nui o ka nalowale ʻana o ka ʻike ʻelua. | Migraine: Hiki i kekahi poʻe ke ʻike i nā loli ʻike maka pōkole ma mua a i ka wā o ka migraine. |
| Retinitis Pigmentosa: He maʻi genetic kēia e hoʻopilikia ai i ka retina o ka maka. | Hahau: ʻO ke kahe koko i ka lolo e hōʻino i nā ʻāpana o ka lolo e pili ana i ka ʻike. |
| ʻO ka Diabetic Retinopathy: Ka hōʻino ʻia ʻana o nā kīʻaha koko o ka maka ma muli o ka maʻi diabetes i kāohi ʻole ʻia. | Ke koko kiʻekiʻe (Hypertension): Hiki i ke koko kiʻekiʻe ke hōʻino i nā kīʻaha koko o ka maka. |
| Ka Wehe ʻana o ka Retinal: He pilikia kēia. Hiki i ka retina o ka maka ke hemo a lilo i mea e nalowale ai ka ʻike. | Nā haʻalulu: ʻO ka hōʻino ʻana i ka lolo i hana ʻia e ka hahau ʻana i ke poʻo e hiki ke hoʻopilikia i ka ʻike. |
| ʻO ka neuritis optic: ʻO ka mumū o ke aʻalolo e hoʻopili ai i ka maka i ka lolo. | Ka maʻi o ke aʻa Carotid: Ka haiki ʻana o nā kīʻaha koko nui ma ka ʻāʻī. |
Aia kekahi lāʻau lapaʻau no kēia?
ʻAe, ʻoiaʻiʻo nō. Akā, pili ka lāʻau lapaʻau i ke kumu nui o ka ʻike tunnel. ʻO ia ke kumu e paipai aku ai mākou e ʻike koke i ke kauka. E nānā ʻo ia iā ʻoe, e ʻike i ke kumu, a e hoʻomaka i ka lāʻau lapaʻau kūpono.
Pono paha e hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau. Eia kekahi laʻana, nā kulu maka no ka glaucoma. I kekahi mau hihia, pono paha ke ʻoki kino. E wehewehe kāu kauka maka iā ʻoe i ke ʻano o ka lāʻau e pono ai.
I ka manawa hea e pono ai ke nānā ʻia kou mau maka?
ʻOi aku ka maʻalahi o ka mālama ʻana i ka hapa nui o nā maʻi maka inā ʻike mua ʻia. No laila, he mea nui e hana i nā hoʻokolohua maka maʻamau , ʻoiai inā ʻaʻohe ou hōʻailona. Eia nā manawa maʻamau o ka hoʻokolohua maka:
| Pūʻulu makahiki | I ka manawa hea e nānā ai i kou mau maka |
|---|---|
| Nā keiki ʻōpio | Pono ke kauka pediatric e hana i kēia ma ka manawa e aʻo ana kāu keiki i ka pīʻāpā, a laila i kēlā me kēia 1-2 mau makahiki. |
| Nā mākua ma lalo o 40 mau makahiki | I hoʻokahi manawa i kēlā me kēia 5-10 mau makahiki. |
| Ma waena o 40 a me 54 mau makahiki | I hoʻokahi manawa i kēlā me kēia 2-4 mau makahiki. |
| Ma luna o 55 mau makahiki | I hoʻokahi manawa i kēlā me kēia 1-3 mau makahiki. |
He mea nui: Inā ʻoe e kau ana i nā aniani maka a i ʻole nā aniani hoʻopili, a inā he maʻi koʻikoʻi kou e like me ka maʻi diabetes , pono paha ʻoe e nānā pinepine ʻia kou mau maka. E nīnau i kāu kauka e pili ana i kēia.
Nā Hōʻailona ʻUlaʻula Ke Pono ʻoe e ʻIke koke i ke Kauka
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻokaʻulua. E ʻike koke i ke kauka. A i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila.
- Ka nalowale koke ʻana o ka ʻike.
- ʻEha nui ma nā maka.
- Nā ʻālohilohi hou a i ʻole nā mea lana i mua o nā maka.
Pili anei kēia i ka ADHD a me nā Panic Attacks?
- ADHD (Attention-Deficit/Hyperactivity Disorder): I kekahi manawa, ke hana nei nā keiki me ADHD i kahi mea a lākou e hauʻoli ai (e like me ka pāʻani wikiō), ke kau nei ko lākou manaʻo ma luna o ia mea. ʻAʻole lākou e hoʻolohe i kekahi mea ʻē aʻe a puni lākou. Ua kapa pū kekahi poʻe i kēia he 'ʻike tunnel'. Akā, ʻaʻole ia he hōʻailona lapaʻau. He ʻano hoʻohālikelike ia. ʻAʻohe nalowale maoli o ka ʻike ma nā ʻaoʻao ʻelua.
- Nā Hoʻouka Paniki: Hiki i ka hoʻouka paniki ke hana i nā ʻano hōʻailona kino a me ka noʻonoʻo. Manaʻo paha kekahi poʻe ua pōwehiwehi ko lākou ʻike a ʻaʻole hiki iā lākou ke ʻike maopopo. Inā ʻoe e ʻike nei i kēia, he mea nui e kamaʻilio me ke kauka a i ʻole ke kākāʻōlelo olakino noʻonoʻo .
Leka Lawe-Home
- ʻO ke 'ʻike maka o ke alahaka' ʻo ia ka wā e nalowale ai kou ʻike ma nā ʻaoʻao ʻelua, e like me ke nānā ʻana ma o kahi ʻauwai.
- Hiki ke hana ʻia kēia e nā kumu like ʻole, e like me ka glaucoma, ka maʻi diabetes, a me ka hahau. No laila, he mea nui loa ka ʻimi ʻana i ke kumu pololei.
- Inā loaʻa iā ʻoe kekahi mau loli koke i kou ʻike, ʻoiai ka nalowale koke ʻana o ka ʻike a i ʻole ka ʻeha o ka maka, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
- ʻOiai inā ʻaʻohe ou hōʻailona, e nānā mau i kou mau maka, e like me ke kūpono i kou mau makahiki. Hiki i kēia ke kōkua i ka ʻike ʻana i nā maʻi he nui i ka wā mua.
- Mai kānalua e kamaʻilio me kāu kauka e pili ana i nā pilikia pili i ka ʻike.
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