Ka āraia tetahi kanohi ina tahuri ō kanohi ki te taha? Me kōrero tātou mō te Internuclear Ophthalmoplegia (INO)!

Kua kite koe, kua kite rānei koe, ina ngana koe ki te titiro ki tētahi taha, te āhua nei kei te titiro tētahi o ō kanohi ki tētahi atu taha, kaua ki taua taha? Kāore rānei, ka mutu tētahi kanohi ki waenganui, ā, ko tētahi atu kanohi anake ka neke ki te taha? He wheako whakararuraru, whakamā hoki tēnei. I tēnei rā ka kōrero tātou mō tētahi take pea o tēnei, arā, he mate e kiia nei ko te `Internuclear Ophthalmoplegia`, `(INO)` rānei. Kaua e manukanuka, me whakamārama noa iho.

He aha te INO? (He aha te INO?)

Ki te kī māmā noa, ko te 'Internuclear Ophthalmoplegia (INO)' te kupu hauora mō te āhua e kore ai tetahi o ō kanohi (i ētahi wā ko ngā kanohi e rua) e tahuri katoa ki taua taha ina ngana koe ki te titiro ki te taha. Hei tauira, ki te ngana koe ki te titiro ki te taha matau, ka mutu tō kanohi maui i waenganui, kāore e neke atu i tō ihu. Ki te ngana rānei koe ki te titiro ki te taha maui, ka mutu tō kanohi matau.

Ki te tātarihia te tikanga o tēnei ingoa, ko te kupu "Internuclear" e pā ana ki te mahi tahi a ngā pokapū io (nuclei). Ko te kupu "Ophthalmoplegia" e pā ana ki te pararutiki o ngā uaua kanohi. Nō reira, i roto i te `(INO)`, he kino kei tētahi ara io motuhake (e kiia nei ko te `Medial Longitudinal Fasciculus`) e ahu mai ana i te roro e whakarite ana i ngā nekehanga o ō tātou kanohi. He rite tēnei ara io ki te pūnaha waea o tētahi whare. Kāore tātou e aro nui ki a ia kia tika rā anō tana mahi, engari ina he tetahi mea ka pā ki a ia ka mōhio tātou ki tōna uara.

Ka pāngia te kanohi kotahi e te INO (INO kotahi-taha) me ngā kanohi e rua i te wā kotahi (INO rua-taha).

He mea nui: I ētahi wā, ko tēnei āhuatanga "INO" he tohu pea mō tētahi āhuatanga kino, mōrearea hoki ki te ora, pērā i te whiu. Mēnā ka pāngia koe, tētahi atu rānei e mōhio ana koe e ēnei panoni kanohi me ngā tohu o te whiu (hei tauira, te tukunga o te kamo, te ngoikore o te ringa, te waewae rānei, te uaua ki te kōrero), me waea atu koe ki te 911 tonu ka haere ki te hōhipera.

Ka ora katoa ētahi tāngata i te INO. Heoi, ka pāngia pea ētahi e ngā tohu mō te toenga o ō rātou oranga. Ko te roa o te wā e ora ai ka whakawhirinaki nui ki te pūtake o te INO.

He aha ngā tohu o te INO? (He aha ngā tohu o te INO?)

Ko te tohu matua, ko te tohu tino kitea ko te kore e tahuri tika tetahi kanohi ina titiro ki te taha. Hei tāpiri, ka puta pea ēnei e whai ake nei:

• Te tirohanga takirua (Diplopia): Ka kitea nuitia tēnei ina titiro ki te taha. Mō ētahi tāngata, ka taea hoki tēnei ina titiro ake. Whakaarohia, me pēhea mēnā kei te hikoi koe i te huarahi, ā, ka kite ohorere koe i ngā mea katoa e rua ana? He tino whakamā, kāore?
• Te tirohanga pōuri, te tirohanga kino rānei: Ko ngā mea i mārama i mua, tera pea ka pōuriuri te āhua.
• Pōuriuri: Nā te kore e mahi tahi ngā kanohi, ka puta pea ngā raruraru taurite, ā, ka rite ki te pōuriuri.
• I ētahi wā, ka kitea pea te nekehanga tere o te kanohi (nystagmus) kāore e pā ana ki te ahunga o te tirohanga.

He aha te take e puta ai te INO? He aha ngā take?

E ai ki taku kōrero i mua ake nei, ka puta te IOP i te kino o te Medial Longitudinal Fasciculus (MLF), he ara muka io e whakahaere ana i te nekehanga o ō tātou kanohi. Kei roto i tēnei MLF ngā io e whakahaere ana i te nekehanga o ō tātou mahunga me ō tātou kanohi (tae atu ki te tuatoru o ngā io angaanga, te io Oculomotor). He rite ki tētahi "pūnaha taura" matatini i roto i tō tātou tinana.

Ka pāngia ētahi tāngata e te INO i muri i te whiu e kino ai te take roro. Ko te take roro te wāhanga o te roro kei raro e hono ana i tō tātou roro ki te taurakira (te pūnaha muka io e rere ana i te tuaiwi). He wāhanga tino nui tēnei o tō tātou pūnaha io matua.

He torutoru ngā take matua:

Anei ētahi o ngā take matua e hua ai te `(INO)`:

• Te Mate Pukupuku Maha (MS): He mate tēnei e pā ana ki te pūnaha io.
• Ngā whiu: Ngā whiu e pā tika ana ki te kakau roro.
• Totohu: Te toto i roto i te roro.
• Te Matūkino Arteriovenous (AVM): He momo rerekētanga whānau mai o ngā uaua toto i roto i te roro.
• Te mate pukupuku roro: Te mumura o te roro i puta mai i ngā mate urutā maha, pērā i te mate Lyme, te mate HIV, me te Herpes Zoster (te huaketo e hua ai te rewharewha me te herpes zoster).
• Ko ngā Whara Roro Kino (TBI) he whara roro i puta mai i ngā whara nui o te upoko .
• Ngā mate pūnaha ārai mate: Ngā mate e whakaeke ana i ngā pūtau ake o te tinana, pērā i te lupus me te mate Sjögren.

Me pēhea te tautuhi i te INO?

Mā te tākuta e tātari te INO mā te whakamātautau tinana. Ka tirohia e ia ō kanohi, ka tirohia hoki te nekehanga o aua kanohi. Ka tono atu rātou kia tirohia koe mai i tētahi taha ki tētahi taha, mai i runga, mai i raro. Mā tēnei ka āwhina ki te whakatau mēnā kei te neke tetahi kanohi me tetahi atu, kāore i te taurite.

I ētahi wā, ki te pāngia koe e tētahi āhuatanga pēnei i te whiu, i te whara rānei o te mahunga, ka kitea pea tēnei āhuatanga i ngā whakamātautau e mahia ana i taua wā.

He aha ngā whakamātautau e mahia ana?

Me mahi pea e tō tākuta tētahi, ētahi rānei o ngā matawai e whai ake nei hei whakatau mēnā he kino kei te ara io e kiia nei ko te Medial Longitudinal Fasciculus (MLF):

• Matawai MRI (MRI - Whakaahua Āhua Aukume) .
• Matawai CT (CT - Matawai Tomography Rorohiko)

Mena kāore ēnei karapa e whakarato i ngā mōhiohio mārama, ka tūtohu pea te tākuta i ētahi atu whakamātautau:

• Ngā whakamātautau toto: Ka taea e ēnei te kite i ngā mate pāwera, i ētahi atu raruraru rānei ka pā ki te roro.
• Te Tātari Tuaiwi / Te Wero Tuaiwi: Ko te tango tauira o te wai e karapoti ana i tō roro me tō taurakira (wai cerebrospinal). He tino āwhina tēnei mō te tautuhi i ngā mate pāwera.

He aha ngā maimoatanga mō te INO?

Ko te maimoatanga mō te (INO) ka whakawhirinaki ki te take. Ka rongoāhia e tō tākuta te take matua, kaua te mate tonu.

Whakaarohia, mēnā he whiu, he mate pēnei i te multiple sclerosis (MS) rānei te pūtake o te `(INO)`, me rongoā pea mō te wā roa – mō te wā katoa pea.

Mena i puta te `(INO)` i te mate, ka pai ake te āhua `(INO)` ina rongoatia te mate.

I ētahi wā, ki te mau tonu ngā tohu, ka werohia pea koe e tō tākuta ki te paitini botulinum hei whakangāwari i ngā uaua huri noa i ō kanohi. Ka āwhina tēnei ki te whakaiti i te tirohanga takirua (diplopia) me te wiriwiri kanohi koretake (nystagmus).

Mā tō tākuta koe e whakamārama he aha te maimoatanga e hiahiatia ana e koe, me ngā mea ka taea e koe te tumanako mai i te maimoatanga.

Ka taea te ārai i te INO?

Ina hoki, he uaua ki te ārai katoa i tēnei mate nā te mea ka puta ohorere, ka ohorere hoki ngā pūtake (pēnei i ngā āhuatanga ohorere, ngā mate urutā).

Engari i te nuinga o te wā, he mea tino nui te mau i ngā karu tiaki me ngā taputapu tiaki tika ina mahi ana koe me ngā taputapu, ina mahi rānei i ngā mahi ka whara ai te mahunga, te kanohi rānei. Ka āwhina tēnei ki te ārai i ngā whara roro, arā, tētahi o ngā tino take o te INO.

Āhea me tirotirohia ngā kanohi?

Mā te tirotiro i ō kanohi me tō tirohanga i ia wā, ka taea e tō tākuta kanohi te tautuhi wawe i ngā raruraru. Ko te auau o ngā whakamātautau kanohi ka rerekē i runga i tō tau:

• Ngā tāngata kei raro iho i te 40 tau te pakeke: Ia 5, ia 10 rānei tau.
• Ngā tāngata i waenga i te 40 me te 54 tau te pakeke: Ia 2, ia 4 rānei tau.
• Ngā tāngata i waenga i te 55 me te 64 tau te pakeke: Ia 1 ki te 3 tau. (He hapa hapa te tuhinga taketake, arā, 55-54, me whakatika kia 55-64)
• Ngā tāngata 65 tau te pakeke, neke atu rānei: Ia tau, ia 2 tau rānei.

Heoi, ki te mea he mate tōu, pērā i te mate huka, e pā ana ki te whakahaere a tō roro i ō kanohi, me tirotiro pea ō kanohi i ngā wā maha atu i tēnei. Pātai atu ki tō tākuta kanohi mō te auau o te tirotiro i ō kanohi.

He aha ngā mea ka taea e te tangata whai INO te tumanako atu?

He raruraru rangitahi te INO i ētahi wā, engari ka pāngia pea ētahi tāngata e ngā tohu puta noa i ō rātou oranga. Kei te pūtake o te whanaketanga o te INO te katoa. Ka roa pea te INO i roto i ngā āhuatanga pēnei i te sclerosis maha (MS) me ētahi mate pūnaha ārai mate.

Ko te hunga e pāngia ana e te `(INO)` nā te mate ka ora ake i muri i te memeha haere o te mate, ā, kāore he pānga mō te wā roa.

Mena kua pāngia koe e te whiu, te totohu, te whara roro rānei, mena he maha ngā mate pukupuku (MS) kei a koe, he nui ake te tūponotanga ka pāngia koe e ngā tohu mō te wā roa. Ko te pai o te whakaoranga o ō kanohi me tō tirohanga ka whakawhirinaki ki te roa o te wā i motuhia ai te rere o te toto ki tō roro me ō io.

Kōrero ki tō tākuta kia mōhio ai koe ki ngā mea hei tumanako atu māu, me pēhea hoki te whakahaere i ō tohumate.

Āhea ahau me toro atu ki te tākuta?

Me toro atu ki te tākuta ina kite koe i ngā panonitanga ki ō kanohi, ki ō tirohanga rānei.

Waihoki, ki te pā mai ētahi o ngā tohu e whai ake nei ki a koe , haere tonu ki te rūma whawhati tata o te hōhipera:

• Ki te kore e taea e koe te neke i ō kanohi.
• Ki te ngaro whakarere tō tirohanga (katoa, wāhanga rānei).
• Mena he mamae nui tō kanohi.
• Ki te tīmata koe ki te kite i ngā uira hou, i ngā mea rānei e rere ana i mua i ō kanohi.

He aha ngā pātai me pātai atu e au ki te tākuta?

Ina haere koe ki te tākuta, kaua e mangere ki te pātai i ēnei pātai:

• Kia pēhea te roa o tēnei pānga ki ōku kanohi?
• Ka rerekē tonu taku tirohanga mō ake tonu atu?
• He aha te momo maimoatanga e hiahiatia ana e au?
• Kia hia ngā wā me tirotiro ōku kanohi ā muri ake nei?

He aha te rerekētanga i waenga i te INO me te Strabismus?

(INO) ka puta mai i te kino o te ara io e kiia nei ko te Medial Longitudinal Fasciculus (MLF) me ngā io e whakahaere ana i te nekehanga o ngā kanohi.

Ko te matapōkere he kupu whānui mō ngā āhuatanga katoa e kore ai e taea te pupuri i ngā kanohi kia anga tonu ki te ahunga kotahi. I te nuinga o te wā, ka mahi tahi ngā uaua e ono e whakahaere ana i te nekehanga o ō tātou kanohi ki te huri i ngā kanohi e rua ki te ahunga kotahi. He uaua ki te hunga whai matapōkere te whakahaere i te nekehanga o ngā kanohi nā te mea he āhuatanga e pā ana ki aua uaua. Nō reira, he raruraru pūnaha io te matapōkere, ā, he whānui ake te matapōkere, he maha ngā wā he uaua.

He aha te Pseudo-INO? (He aha te Pseudo-INO?)

Ko te `Pseudo-INO` (arā, he rite ki te ``false INO``) e whakaatu ana i ngā tohu e rite ana ki te ``(INO)``. Heoi, he rerekē te āhua e pā ana ki ngā kanohi.

Ko te tino take o te `Pseudo-INO` he mate e kiia nei ko Myasthenia Gravis. Ko tēnei `(Myasthenia Gravis)` ka ngoikore ai ngā uaua puta noa i te tinana. Mena ka pā tēnei ngoikore ki ngā uaua huri noa i ngā kanohi, tērā pea kāore e taea e koe te whakahaere i ngā nekehanga o ngā kanohi. Mena ka pāngia koe e tētahi ngoikore uaua hou, tirohia he tākuta.

Karere Tangohia ki te Kāinga

Ko te Internuclear ophthalmoplegia (INO) he mate e pā ana ki te kaha o ō kanohi ki te nekeneke tahi me te maeneene. Ko te tikanga he mate hauora nui, he aituā rānei. Ahakoa te take o ō tohu, ka taea e tō tākuta te āwhina i a koe ki te kimi i te maimoatanga tika māu. Kaua e wehi ki te pātai ki tō tākuta i ngā pātai katoa e pā ana ki a koe i tēnei haerenga. Mā te aro hauora tere me te maimoatanga tika, ka taea te whakahaere i tēnei mate.

` ophthalmoplegia internuclear, INO, nekehanga kanohi, tirohanga takirua, diplopia, whiu, io angaanga