Kei tō tamaiti tēnei momo mate kanohi? Me kōrero tātou mō te 'Morning Glory Syndrome'

Ina titiro koe ki ngā kanohi o tāu tamaiti, kua kite koe i tētahi mea rerekē kei te kanohi kotahi? Tērā pea he āhua rerekē te āhua o roto o te kanohi, kei te tahuri te upoko o te pēpi ki tētahi taha, kei te pupuhi rānei tētahi kanohi. He mea noa ki te mātua te mataku ina kite i ēnei mea. I tēnei rā ka kōrero tātou mō tētahi āhuatanga ka pā ki ngā kanohi, he mea onge engari he mea nui kia mōhiotia. He āhuatanga tēnei e kiia nei ko te 'Morning Glory Syndrome '.

He aha tēnei 'Morning Glory Syndrome'?

Ki te whakarāpopototanga, ko te 'Morning Glory Syndrome' he mate e puta ana ina kore e whanake tika te wāhanga o tō kanohi kei roto i tō kanohi, arā, te tuara. Whakaarohia, ko te io matua e pā ana ki te tirohanga kei roto i tō tātou kanohi, ko te wāhi e hono ana ki te kanohi, arā, ko te wāhanga e kiia nei ko te pakiaka io whatu, kei roto i tēnei āhua, he āhua rite ki te hāneanea. He rite ki tētahi putiputi e kiia nei ko 'Morning Glory', ā, ina tirohia e te tākuta te `(Retina)' o tō kanohi, te āhua nei kei te titiro ia ki roto i taua putiputi. Koia te take i tapaina ai ko 'Morning Glory Syndrome'.

Ka puta tēnei i te raruraru o te whanaketanga o te kanohi i te wā e noho tonu ana te pēpi i roto i te kōpū . He maha ngā wā ka kitea wawetia, i ētahi wā i mua i te rua tau o te tamaiti. Ka puta he huringa hanganga i roto i te kanohi i tēnei 'Morning Glory Syndrome' (MGS) ka pā ki tō tirohanga. Ka whakanui ake hoki i te tūponotanga o te whakawhanake i ngā raruraru kanohi puta noa i te oranga. Kotahi anake te kanohi e pāngia ana e te nuinga o te wā, engari he tino onge ka pā ki ngā kanohi e rua.

Ko tētahi atu mea, i ētahi wā he rerekētanga noa iho te āhua o tēnei kanohi, arā, kāore he tohu. I taua wā, ka kiia e ngā tohunga ko te 'Morning Glory Disk Anomaly'. Heoi, ki te haere tahi mai tēnei rerekētanga āhua me ngā tohu, ka kiia ko te 'Morning Glory Syndrome'.

E hia te auau o tēnei āhuatanga?

He tino onge te mate Morning Glory Syndrome. E kiia ana i te ao whānui e pāngia ana e te 63,000 ngā tamariki kei raro iho i te 20 tau te pakeke. Ko tētahi atu mea whakamere ko te rua o te nui o tōna kitea i roto i ngā kōtiro i ngā tama. E kiia ana hoki he iti ake tōna kitea i roto i ngā tāngata mangu.

He aha ngā tohu o tēnei?

Ehara i te mea ka pāngia te katoa e te Morning Glory Syndrome (MGS) e ngā tohu ōrite. Heoi anō, he maha ngā tohu noa. E rua ngā wā ka pāngia te kanohi maui e tēnei mate i te kanohi matau.

Ngā tohu e pā ana ki te kanohi:

• TawhitiTe Matapōkere : Ko te tikanga o tēnei ahakoa e kitea mārama ana ngā mea e tata ana, ka āhua pōuriuri ngā mea e tawhiti ana.
• Ngā raruraru tirohanga mārama: Tērā pea ka puta he āputa, he ira matapo rānei (scotomas) i roto i tō tirohanga. Ahakoa he mea noa ki te katoa te whai ira matapo iti i roto i ia kanohi, tera pea ka nui ake tēnei ira matapo i te mea noa i roto i te kanohi e pāngia ana e te tangata whai MGS.
• Matapōkere: Ka tahuri tetahi, ngā kanohi e rua rānei ki ngā taha rerekē. Ka kīia e tātou he "kanohi whakawhiti".
• He mā, he hiriwa, he kōwhai, he hina- mā rānei te kiri kanohi (Leukocoria): Tērā pea he rerekē te tae o waenganui o te kanohi, e āhua mangu ana i te nuinga o te wā. Ki te kite koe i tēnei, me toro atu koe ki te tākuta tonu.

Ngā tohu e puta tahi ana me ētahi atu mate e pā ana:

Haunga ēnei tohu e pā ana ki te kanohi, kei reira anō ētahi atu āhuatanga hauora ka puta tahi me te Morning Glory Syndrome (MGS). Kei roto i ēnei āhuatanga:

• Encephalocele (he wāhanga o te roro e puta mai ana i te angaanga)
• Te mate Moyamoya (te angiangi o ngā oko toto e tuku toto ana ki te roro)
• 'Te mate PHACE'
• ``Neurofibromatosis momo 2 (NF2)''
• Te Mate Aicardi
• `Momo hapa Chiari I`
• `Te mate Duane` (i ētahi wā ka kiia ko `Te mate Okihiro`)

Ahakoa te ahua uaua o ēnei ingoa ki a koe, ki te whakapae te tākuta kei a koe te MGS, ka rapua hoki e rātou ētahi atu mate pēnei.

He aha te take mō tēnei?

Ina hoki, kāore anō kia mārama te mōhio o ngā tohunga ki te whanaketanga o te Morning Glory Syndrome (MGS). Ko te take nui o tēnei he mate tino onge, ā, i whakaahuatia tuatahitia i te tau 1969.

Heoi, ko tā ngā tohunga e mōhio ana ko te take o te MGS e pā ana ki tētahi whakararuraru i te whanaketanga o te kanohi i te wā e noho tonu ana te pēpi i roto i te kōpū . E whakaarohia ana tēnei e pā ana ki te kore e whanake tika ngā uaua toto e tuku toto ana ki te kanohi, ki ngā whakararuraru rānei i te whanaketanga o te kanohi me te io whatu.

Ko tētahi o ngā taunakitanga matua e whakaatu ana kei roto ngā raruraru o ngā oko toto, ko te rua o ngā wā ka pā te MGS ki te kanohi maui. I te nuinga o te wā, he iti ngā pūaha i waenganui i te taha maui me te taha matau o te ngākau o te tamaiti e tipu haere ana i roto i te kōpū. I te nuinga o te wā ka kati ēnei i mua tata atu, i muri rānei i te whānautanga.

Heoi, ki te mea he ngāwari te kukune ki te whakawhanake i ngā toto iti (microemboli), mā aua whakatuwheratanga ka taea e te toto toto te haere mai i te taha maui o te ngākau ki te taha matau. Mai i reira, ka taea te haere ki te roro. Mena he raruraru kei roto i te whanaketanga o ngā oko toto, ka taea e te toto toto te piri ki reira, ka aukati i te rere o te toto, ka aukati hoki i te tipu tika o te kiko. Ko ēnei momo huihuinga kua kī ko ngā raruraru kei roto i te whanaketanga o ngā oko toto ka whai wāhi ki te MGS.

Ahakoa ka puta te MGS i roto i ngā āhuatanga ira me ngā āhuatanga tuku iho, kāore anō kia whakaatuhia e ngā rangahau ko ēnei āhuatanga te take tika o te MGS. Ahakoa kua puta ngā pūrongo mō ētahi mema o te whānau kotahi e pāngia ana e te MGS, ehara i te mea tino noa.

He aha ngā raruraru ka puta?

Ko te raruraru tino noa o te Morning Glory Syndrome (MGS) ko te wehenga o te retina . Ka taea e tēnei āhuatanga te pā ki te 40% o te hunga whai MGS. He āhuatanga ohorere hauora tēnei.

Ko ētahi atu raruraru pea ko:

• Te tirohanga iti: He tino heke te tirohanga.
• Kanohi mangere (Amblyopia): Nā te kore e whanake tika te tirohanga o te kanohi kotahi, ka tīmata te roro ki te kore e aro ki ngā tohu mai i taua kanohi.
• Te neovascularization o te kanohi: Ka pā pea tēnei ki te tirohanga.
• Te wehenga o te retina (Retinoschisis) .

Me pēhea koe e mōhio ai ki tēnei?

Ka taea e te tākuta kanohi, inā koa he tohunga retina, te tautuhi i te Morning Glory Syndrome (MGS) mā te whakamahi i te huinga o ngā tikanga, tae atu ki te pātai mō ngā tohu e pā ana ki a koe, ki tāu tamaiti rānei, me ngā pānga e pā ana ki a koe.

Ka tirohia hoki e te tākuta tō tirohanga (o tō tamaiti rānei), ka titiro tika ki te kanohi e pāngia ana, ā, ka tangohia pea he whakaahua o te retina. He tino āwhina hoki ētahi matawai whakaahua retina motuhake.

Ko ngā whakamātautau hei āwhina i te tautuhi mate ko:

• He whakamātautau kanohi: Kei roto i tēnei ko ngā mea pēnei i te whakamātautau koi o te tirohanga, te whakamātautau mara tirohanga, me te whakamātautau rama kutikuti.
• Tomography Whārite Ātaahua (OCT): Ka taea e tēnei te tango whakaahua whakawhiti-wāhanga o roto o te kanohi.
• Angiography Fluorescein: Ka tirohia te āhua o ngā oko toto i roto i te kanohi.
• Whakaahua Āhua Aukume (MRI): Mā tēnei ka āwhina i te kite i ngā hanganga huri noa i te roro me ngā kanohi.

Ka taea te whakaora i tēnei? He aha ngā maimoatanga?

Ko te Morning Glory Syndrome (MGS) he mate e puta mai ana ina kore e whanake tika te roto o tō kanohi. Kāore e taea te whakatika, te rongoā rānei i ngā huringa whanaketanga, ā, kāore he rongoā . Ko te tikanga, kāore he rongoā tika mō te Morning Glory Syndrome.

Kaua e manukanuka. Ahakoa kāore he rongoā tika mō te MGS, ka taea te rongoā i ngā tohu me ngā raruraru e pā mai ana .

Ko ngā whāinga matua o te maimoatanga koia ēnei:

• Te whakakore i tētahi raruraru: Hei tauira, ki te motu te retina, ka taea te whakatika mā te pokanga.
• Te whakawhāiti i te pānga o tētahi raruraru: Te mau i tētahi ārai kanohi hei ārai i te kino haere o te kanohi mangere.
• Te ārai i ngā raruraru anō: Mēnā ka puta he motumotu o te retina, he mea nui kia tere te whakatika kia kore ai e pakaru tuturu, kia ngaro ai hoki te tirohanga.

Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki tō raruraru me ētahi atu āhuatanga. Ko tō tākuta te mea pai rawa atu hei tohutohu i a koe ko ēhea maimoatanga e tika ana mō tō āhuatanga me tā rātou e taunaki ana.

He aha te momo āpōpō ka taea e te tangata whai i tēnei mate te tumanako atu?

He maha ngā wā ka kitea te Morning Glory Syndrome (MGS) i te tamarikitanga. He mate pumau, mō te wā katoa . Kāore e taea te whakaora, te whakakore, te whakatika rānei. Ehara i te mea mōrearea ki te ora, engari ka pā kino ki te tirohanga. Neke atu i te hautoru o te hunga whai MGS ka pāngia e te wehenga o te retina.

Ko ētahi tāngata whai MGS, tera pea he tirohanga "noa" (20/20) he tirohanga tata noa rānei (i waenga i te 20/20 me te 20/70). Heoi, he tokomaha kāore . Ko te nuinga o ngā tāngata whai MGS ka taka ki roto i te kāwai "tiro hapa" (20/70 ki te 20/200) "matapo ture" rānei (20/200 me ngā whakatikatika pēnei i ngā mōhiti).

I tētahi atu taha, me āta tirotiro te kanohi o te hunga kāore i pāngia e te MGS, nā te mea he nui ake te tūponotanga o taua kanohi ki te whakawhanake i ētahi raruraru. Nā te mea ka puta te tirohanga tata (myopia) i te MGS, he tūponotanga ka wehea te retina, ā, ko te myopia tētahi o ngā tino take mō te wehenga o te retina, ahakoa kei reira te MGS, kāore rānei. Tērā pea he nui ake te tūponotanga o te kanohi kāore i pāngia ki te whakawhanake i te katarata.

Nā te mea ka kitea te MGS i te wā tamarikitanga, he maha ngā wā ka whakatauhia e ngā mātua, e ngā kaitiaki rānei ngā whakatau maimoatanga. He mahi nui anō tā rātou ki te mataara ki ngā tohu, ki ngā whanonga rānei e tohu ana he raruraru tirohanga tā te tamaiti e pā ana ki te MGS.

Ka taea te ārai i tēnei?

Kāore e taea te ārai i te Morning Glory Syndrome (MGS), ā, kāore he huarahi hei whakaiti i te mōrearea o tōna pānga.

Me pēhea taku tiaki i ahau anō/i taku tamaiti?

Mena kei a koe, kei tāu tamaiti rānei te MGS, ko te mea pai rawa atu māu ko te pupuri i tō tirohanga kia pai rawa atu . Mā tō tohunga kanohi koe e ārahi ki te mahi i tēnei. He mea tino nui kia ata whai i ngā tohutohu maimoatanga, kia whakamahia ō mōhiti kua tohua, ētahi atu maimoatanga rānei e ai ki te taunakitanga, ā, kia kite i tō tohunga mō ngā tirotiro auau.

Āhea koe e hiahia ai ki te toro atu ki te tākuta i ngā wā tata nei?

Mena kei a koe te MGS, he nui te tūponotanga ka pāngia koe e te wehenga o te retina. He āhuatanga ohorere hauora tēnei. Nō reira, he mea nui kia rapua he maimoatanga tonu mēnā kei a koe tētahi o ngā tohu e whai ake nei. Mā te maimoatanga wawe ka ārai i te kino tuturu me te whakaora i te tirohanga o te kanohi e pāngia ana.

Ko ngā tohu o te wehenga o te retina ko:

• Ngā kanapa ohorere o te māramatanga (Photopsia): Pērā i ngā kanapa o te uira.
• Ngā ira pango e āhua mānu ana, ngā ira pango rānei e puta mai ana i ngā wā maha: (He mea noa te kite i ētahi mea e mānu ana i mua i ngā kanohi, engari ki te piki haere ohorere, me aro atu koe).
• Te tirohanga pōuri: Tērā pea ka rite ki te ngaru pango, ki te ārai rānei e haere mai ana, e aukati ana i tō tirohanga.
• Te tirohanga pōuri ohorere.

Ki te kite koe i tētahi o ēnei tohu, me haere tonu ki te hōhipera .

He aha ngā pātai me pātai atu koe ki te tākuta?

Ka hiahia pea koe ki te pātai atu ki tō tākuta kanohi i ēnei pātai:

• Kia pēhea te kaha o te MGS o taku (o taku tamaiti rānei)?
• He aha te pānga ki te tirohanga a taku (a taku tamaiti rānei)?
• He aha ngā mea me tirotiro e au mēnā ki taku whakaaro he raruraru tirohanga tā taku tamaiti e pā ana ki tana MGS?
• He āhuatanga hauora anō kei reira ka whai wāhi ki te MGS i roto i ahau (i taku tamaiti rānei)? Me tuku atu ahau ki tētahi atu tohunga?

Hei whakamutunga, ngā mea hei maumahara

Ina kitea e koe kei te pāngia tō tamaiti, tō hoa rānei e manaaki ana e koe e te Morning Glory Syndrome (MGS), he mate onge e kore ai e whanake tika te retina i muri o te kanohi, tera pea ka pouri koe, ka pouri hoki. Kāore he rongoā tika mō tēnei mate.

Heoi, ahakoa kāore e taea te whakaora i te MGS, he maha ngā raruraru e pā mai ana ka taea te rongoā . Mena he MGS tāu tamaiti, kōrero ki tā rātou tākuta kanohi. He mea ka taea e koe te mahi hei whakawhāiti i ngā pānga o tēnei mate, me te ārai i tōna kino haere. Ko te tiaki i tō tirohanga te mea nui rawa atu . Nā te whanaketanga o ngā pokanga kanohi me ētahi atu maimoatanga i ēnei rā, he mea ka taea ake i mua. Nō reira, kaua e mutu te tumanako. Mā te tohutohu me te tiaki hauora tika, ka taea te whakahaere i tēnei mate.

`Te Mate o te Ata, MGS, Ngā Mate Kanohi, Retina, Ngā Mate Kanohi Tamariki, Te Whakararu Tirohanga, Te Wehenga o te Retina