Ua emi iki anei kāu keiki i ka hana kula? Ke ʻōlelo nei ʻoe, "Māmā, ʻeha koʻu mau maka" i ka nānā ʻana i kahi puke? A i ʻole ke manaʻo nei ʻoe i ka luhi nui a me ke kaumaha i kou mau maka i ka nānā ʻana i kahi mea kokoke? I nā manawa e like me kēia, ua lohe paha ʻoe i kekahi poʻe e kamaʻilio ana e pili ana i kahi mea i kapa ʻia ʻo 'Vision Therapy'. He ʻano hana ia no ka hoʻomaʻamaʻa ʻana i nā maka, e like me ke 'physiotherapy' no ke kino. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia me ka maʻalahi loa, ʻo ia hoʻi, inā he ʻoiaʻiʻo a ʻaʻole paha, no wai ia mea kūpono a no wai ia mea kūpono ʻole.
I ka ʻōlelo maʻalahi, he aha ka Vision Therapy?
E noʻonoʻo e like me kahi papahana hoʻomaʻamaʻa e hoʻoikaika ai i ka pilina ma waena o nā ʻiʻo maka a me ka lolo. Hana pinepine ʻia kēia e kekahi mau kauka maka a i ʻole nā mea lapaʻau hana.
Pono e hoʻomau ʻia kēia kaʻina hana no kekahi mau pule a i kekahi mau mahina. ʻElua mau mea nui e pili ana i ia.
1. Nā hoʻomaʻamaʻa maka i hana ʻia ma lalo o ka nānā ʻana a ke kauka: Aia kekahi mau hoʻomaʻamaʻa maka kikoʻī hiki iā ʻoe ke hana ma ke keʻena.
2. Nā hoʻomaʻamaʻa e hana ma ka home: Eia kekahi, e hāʻawi ʻia ʻoe i kahi hoʻonohonoho hoʻomaʻamaʻa kaʻawale e hana ma ka home.
Ma waho aʻe o kēia mau hoʻomaʻamaʻa maka, hoʻohana ʻia kekahi mau mea hana ʻē aʻe i kekahi manawa. No ka laʻana, hiki i kēia mau mea ke komo pū me nā aniani hoʻomaʻamaʻa kūikawā, nā prisms pelu māmā, a me nā ʻāpana maka e uhi ana i hoʻokahi maka.
Aia kekahi mau ʻano nui o ka Vision Therapy?
ʻAe, aia kekahi mau lāʻau lapaʻau i ʻike ʻia ma kēia inoa. Akā, ʻaʻohe manaʻo like ma waena o nā kauka maka e pili ana iā lākou āpau. E nānā kākou i ke ʻano o lākou.
| Inoa o ke ʻano lapaʻau | I ka ʻōlelo maʻalahi... | Manaʻo loea |
|---|---|---|
| Lapaʻau ʻIke Orthoptic | Pili kēia i nā hoʻomaʻamaʻa e hoʻomaikaʻi ai i ka neʻe ʻana o nā maka a me ke kūlike ʻana. Hana pinepine ʻia kēia ma lalo o ka nānā ʻana a ke kauka niho. | He ʻano hana i ʻae ʻia e ka ʻepekema. Ua hōʻoia ʻia kēia he pono, ʻoiai no kekahi mau kūlana olakino. |
| Lapaʻau no ka Myopia (nearsightedness) | Nā hoʻomaʻamaʻa e hoʻopaneʻe ai i ka hoʻomaka ʻana o ka ʻike kokoke a i ʻole e kaohi i kona holomua. | Aia nā manaʻo like ʻole ma waena o nā loea e pili ana i ka holomua o kēia ʻano hana. |
| Lapaʻau no ka amblyopia (maka palaualelo) | No ka poʻe me ka maka palaualelo, hoʻāʻo lākou e hoʻoikaika i ka maka nāwaliwali ma ka uhi ʻana i ka maka ʻike maikaʻi (paʻi ʻana). | He nui o kēia mau lāʻau lapaʻau i loaʻa kahi kumu ʻepekema paʻa, akā ʻaʻole lākou a pau i hāʻule i loko o ka māhele hoʻopaʻapaʻa o "Vision Therapy." |
| Hoʻōla ʻana i ka mālamalama | He ʻano lapaʻau e pili ana i ka hōʻike ʻana i nā maka i nā kala like ʻole o ka mālamalama. | Manaʻo ka hapa nui o nā loea he pseudoscience kēia, ʻaʻohe ona kumu ʻepekema . |
| Hoʻōla ʻike ʻano | Nā hoʻomaʻamaʻa e hoʻomaikaʻi ai i ka hiki o ka lolo ke hoʻomaopopo (ka hana ʻike maka) i ka mea a nā maka e ʻike ai. | ʻO kēia ke ʻano hoʻopaʻapaʻa loa. ʻOiai ua ʻōlelo ʻia no nā mea e like me nā pilikia aʻo, ʻaʻole ʻae ʻia e nā hui lapaʻau nui. |
No laila, ke ʻōlelo maoli nei nā kauka i kēia lāʻau lapaʻau?
Eia ka mea nui loa e pono ai ʻoe e ʻike.
ʻO ka manaʻo like ma waena o ka hapa nui o nā kauka ophthalmologists a me nā pediatricians, ua hōʻoia ʻia ʻo Vision Therapy he pono no ʻelua mau kūlana kikoʻī .
ʻO kēlā mau kūlana ʻelua:
1. Ka Lapaʻau o ka Hui ʻAna: ʻO kēia ka hiki ʻole ke kālele ma ka hoʻohuli ʻana i nā maka ʻelua i loko i ka wā e nānā ana i kahi mea kokoke (e.g., heluhelu puke). Hiki i kēia ke hana i ka ʻeha o ka maka, ka ʻeha poʻo, a me ka ʻike pālua.
2. ʻAʻole Hana Kūpono: ʻO kēia ka paʻakikī i ka hoʻololi koke ʻana i ka manaʻo ma waena o nā mea kokoke a me nā mea mamao.
E hoʻomanaʻo, ʻelua wale nō kūlana i ʻike ʻia ʻo 'Convergence Insufficiency' a me 'Accommodative Dysfunction' i hōʻoia ʻia e ka ʻepekema e pōmaikaʻi mai ka Vision Therapy (ʻo ia hoʻi ʻo Orthoptic Vision Therapy).
ʻAʻohe hōʻike ʻepekema ikaika e hōʻike ana he pono ka Vision Therapy no nā kūlana ʻē aʻe, ʻoi aku hoʻi nā pilikia aʻo (e like me ka dyslexia) a i ʻole nā pilikia o ka nānā ʻana (e like me ADHD) i nā keiki.
No kēia kumu, ua hoʻopuka ka nui o nā hui lapaʻau koʻikoʻi o ka honua i nā ʻōlelo paipai e kūʻē i ka hoʻohana ʻana i ka Vision Therapy no nā kūlana ʻē aʻe ma mua o kēia mau mea ʻelua. ʻO kekahi o lākou:
- ʻO ka American Academy of Pediatrics
- ʻO ka American Academy of Ophthalmology
- ʻO ka Hui ʻAmelika no ka Pediatric Ophthalmology a me Strabismus
No laila he aha kaʻu e hana ai inā pilikia kaʻu keiki i ke aʻo ʻana?
Nui nā kumu e hakakā nei ke keiki me nā pilikia aʻo. ʻAʻole pono ia he pilikia maka. No laila, ma mua o ka hoʻohana ʻana i nā lāʻau hoʻopaʻapaʻa e like me ka Vision Therapy, he mea nui e ʻimi mua i ke kumu kūpono .
Eia nā kumu nui e pilikia ai ke keiki i ke aʻo ʻana a me nā mea e hana ai e pili ana i ia mea.
| Kumu kūpono | He aha ka mea e hana ai? |
|---|---|
| He pilikia maka maʻalahi | Hiki i ke keiki ke ʻike kokoke ( Myopia ), ʻike mamao ( Hyperopia ), a i ʻole he ʻano ʻē o ka iris ( Astigmatism ). A i ʻole he maʻi paha ko lākou e like me ka maka palaualelo ( Amblyopia ) a i ʻole strabismus . He aha e hana ai: ʻO ka mea mua, e ʻike i kahi kauka maka o nā keiki a loaʻa i kahi hoʻokolokolo maka piha me ka hoʻonui ʻana o ka pupil. I ka manawa pinepine, hiki ke hoʻoponopono piha ʻia kēia pilikia me kahi mau aniani hoʻoponopono a i ʻole kekahi lāʻau lapaʻau maʻalahi. |
| Dyslexia | ʻAʻole kēia he maʻi o nā maka. ʻO ka mea e hana ʻia ma kēia, ʻaʻole ʻike pololei ka lolo i nā leka a me nā huaʻōlelo i ʻike ʻia e nā maka. He aha e hana ai: ʻAʻohe pono o ka lāʻau lapaʻau ʻike maka i kēia kūlana. E ʻike i ke kauka pediatric o kāu keiki. E kuhikuhi ʻo ia iā ʻoe i kahi loea (e laʻa, he loea noʻonoʻo hoʻonaʻauao) no kēia. |
| Nā pilikia aʻo ʻē aʻe a i ʻole nā pilikia hana | Nui nā kūlana ʻē aʻe, e like me ka maʻi hyperactivity deficit attention (ADHD), hiki ke hoʻopilikia i ke aʻo ʻana o kahi keiki. He aha e hana ai: ʻAʻole pono e mālama ʻia kēia e nā kauka maka. E kuhikuhi aku kāu kauka keiki iā ʻoe i nā loea kūpono no kēia. |
Hoʻomaopopo mākou i ke ʻano hoʻonāukiuki a me ka weliweli no nā mākua ke ʻike i kahi keiki i hiki ʻole ke ʻike maopopo i ke ao nei a he paʻakikī hoʻi ke aʻo ʻana. I kēlā mau manawa, ke lohe ʻoe e pili ana i kahi mea e like me ka Vision Therapy, manaʻo paha ʻoe he hopena maikaʻi ia.
Akā e hoʻomanaʻo, ʻo ka pōʻino nui loa e hiki mai ana mai ka hoʻāʻo ʻana i kahi lāʻau lapaʻau i hōʻoia ʻole ʻia e ka ʻepekema , ʻo ia ka loaʻa ʻole o ke keiki i ka lāʻau lapaʻau kūpono a lākou e pono ai. Hiki i kēlā lohi ke hōʻeha mau loa i ko lākou ʻike. Eia kekahi, ʻoiai ʻaʻole i uhi ʻia kēia lāʻau Lapaʻau ʻIke e ka ʻinikua, pono ʻoe e hoʻolilo i ka nui o ke kālā mai kāu ʻeke ponoʻī.
No laila, inā he kānalua kou e pili ana i ka ʻike a i ʻole ke aʻo ʻana o kāu keiki, ʻo ka mea maikaʻi loa e hana mua ai, ʻo ia ke kamaʻilio me kāu kauka keiki. E hana ʻo ia i nā hoʻokolohua pololei loa a kuhikuhi iā ʻoe i nā lāʻau lapaʻau i hōʻoia ʻia e ka ʻepekema.
Leka Lawe-Home
- He ʻano hoʻomaʻamaʻa maka ka Vision Therapy. Akā, ʻaʻole ia he 'pōkā kilokilo' e ho'ōla i kēlā me kēia maʻi maka.
- Ua hōʻoia ʻia ʻoiai ua kūpono kēia lāʻau lapaʻau no ʻelua mau kūlana kikoʻī: Convergence Insufficiency a me Accommodative Dysfunction .
- E ʻoluʻolu e hoʻomaopopo ʻaʻole kūpono ka Vision Therapy a ʻaʻole ʻōlelo ʻia no nā keiki me nā pilikia aʻo (e.g. Dyslexia).
- Inā pilikia kāu keiki me nā haʻawina kula, ʻo ka hana mua e hana ai, ʻo iaʻO ke ala maikaʻi loa e mālama ai i kēia, ʻo ia ka nānā piha ʻana i nā maka e ke kauka maka o nā keiki. I ka manawa pinepine, hiki ke hoʻoponopono ʻia ka pilikia me nā aniani maka kūpono.
- Ma mua o ka hoʻohana ʻana i nā lāʻau lapaʻau hoʻopaʻapaʻa, e kamaʻilio mau me kāu kauka ʻohana a kauka keiki paha. E hāʻawi lākou iā ʻoe i ke alakaʻi ʻepekema pololei.
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