Strabismus

ʻO Strabismus kahi maʻi kahi i kū ʻole nā ​​maka ʻelua i ka ala like.No laila, ʻaʻole lākou e nānā i ka mea like i ka manawa like. ʻO ke ʻano maʻamau o ka strabismus ʻike ʻia ma ke ʻano he "maka maka."

ʻEono mauʻiʻo ʻokoʻa e hoʻopuni i kēlā me kēia maka a hana "me he kime." Hāʻawi kēia i nā maka ʻelua i ka mea like.

I kekahi me ka strabismus, ʻaʻole hana pū kēia mau mākala. ʻO ka hopena, nānā ka maka hoʻokahi i kekahi mea, ʻoiai huli ka maka ʻē aʻe i kahi ʻaoʻao ʻokoʻa a nānā i kekahi mea ʻē aʻe.

Ke hiki mai kēia, hoʻouna ʻia nā kiʻi ʻelua i ka lolo - hoʻokahi mai kēlā me kēia maka. Huikau kēia i ka lolo. I nā keiki, aʻo paha ka lolo e nānā ʻole (kāohi) i ke kiʻi mai ka maka nāwaliwali.

Inā mālama ʻole ʻia ka strabismus, ʻaʻole maka ka maka a ka lolo e nānā pono ʻole ai. Kapa ʻia kēia nalowale o ka hihiʻo amblyopia. ʻO kekahi inoa no amblyopia ʻo "maka palaualelo." I kekahi manawa aia ka maka palaualelo ma mua, a ke kumu ia strabismus.

I ka hapa nui o nā keiki me ka strabismus, ʻike ʻole ʻia ke kumu. Ma mua o hoʻokahi hapalua o kēia mau hihia, aia ka pilikia ma hope a ma hope paha o ka hānau ʻana. Kapa ʻia kēia ʻo congenital strabismus.

ʻO ka hapa nui o ka manawa, pili ka pilikia me ka kaohi muscle, ʻaʻole me ka ikaika o nā mākala.

ʻO nā maʻi ʻē aʻe e pili ana i ka strabismus i loko o nā keiki:

• Apert Syndrome
• Pāpā lolo
• Rubella hānau
• ʻO Hemangioma kokoke i ka maka i ka wā kamaliʻi
• ʻO Incontcentia pigmenti maʻi maʻi
• Noonan syndrome
• ʻO Prader-Willi syndrome
• Retinopathy o ka wā ma mua
• Retinoblastoma
• ʻO ka hōʻeha lolo lolo
• Trisomy 18

Hoʻokumu ʻia ka Strabismus i ulu i nā mākua e:

• Botulism
• Diabetes (ke kumu i kahi kūlana i ʻike ʻia e like me ka strabismus paralytic i loaʻa)
• Maʻi maʻi kupapaʻu
• ʻO Guillain-Barré Syndrome
• Poino i ka maka
• Lāʻau ʻāpala
• Hahau
• ʻO ka hōʻeha lolo lolo
• ʻO ka nalowale o ka hihiʻo mai nā maʻi maka a ʻeha paha

ʻO kahi moʻolelo ʻohana o strabismus kahi mea pilikia. ʻO Farsightedness paha kahi mea kōkua, pinepine i nā keiki. ʻO nā maʻi ʻē aʻe e kumu i ka nalo ʻana o ka hihi ke kumu strabismus hoʻi.

Aia paha nā ʻōuli o ka strabismus i nā manawa āpau a hele mai a hele paha. Hiki i nā ʻōuli ke hoʻohui pū:

• Nā maka i kau ʻia
• Hōʻike pālua
• ʻO nā maka maka ʻole i ke ala hoʻokahi
• ʻO ka neʻe ʻana o nā maka i hoʻohui ʻole ʻia (ʻaʻole neʻe pū nā maka)
• Ka nalowale o ka hihiʻo a ʻike paha i ka hohonu

He mea nui e hoʻomaopopo i ka ʻike ʻole o nā keiki i ka ʻike pālua. ʻO kēia no ka mea hiki ke ulu wikiwiki ʻo amblyopia.

E hana ka mea mālama ola i kahi hoʻokolohua kino. Aia kēia hōʻike me kahi hōʻike kikoʻī o nā maka.

E hana ʻia kēia mau hoʻāʻo e hoʻoholo ai i ka nui o nā maka mai ke kūlike ʻole.

• ʻO ka reflex light Corneal
• Uhi uhi / wehe
• Hōʻike Retina
• ʻO ka hoʻokolohua ophthalmic maʻamau
• ʻIke ʻike

E hana ʻia kahi lolo a me ka ʻōnaehana ʻōnaehana (neurological).

ʻO ka hana mua i ka mālama ʻana i ka strabismus i nā keiki e kuhikuhi i nā aniani, inā pono.

A laila, pono e mālama ʻia ka amblyopia a i ʻole ka maka palaualelo. Kau ʻia kahi pale ma luna o ka maka maikaʻi ʻoi. Mālama kēia i ka lolo e hoʻohana i ka maka nāwaliwali a loaʻa ka ʻike maikaʻi.

ʻAʻole makemake paha kāu keiki i ke kau ʻana i ka pāʻina a i ʻole nā ​​aniani maka. Hoʻoikaika ke kāpili i ke keiki e ʻike ma o ka maka nāwaliwali i ka mua. Eia nō naʻe, he mea nui e hoʻohana i ka pale a i ʻole nā ​​aniani e like me ke kuhikuhi.

Pono paha ke ʻoki ʻana i nā mākala inā ʻaʻole neʻe pololei nā maka. E hoʻoikaika ikaika a nāwaliwali paha nā mākala ʻokoʻa i ka maka.

ʻAʻole hoʻoponopono ke kīʻaha hoʻomaʻemaʻe maka maka i ka ʻike maka maikaʻi ʻole o ka maka palaualelo. E hāʻule ke kaha kino inā ʻaʻole i mālama ʻia ka amblyopia. Pono paha kahi keiki e komo i nā aniani ma hope o ke kahakaha ʻana. ʻOi ke kūleʻa pinepine ke kaha inā hana ʻia ke wā ʻōpio ke keiki.

ʻO nā mākua me ka strabismus mālie e hele a hele paha e hana maikaʻi me nā aniani. Hiki paha i nā hoʻoikaika ʻana i nā mākala maka ke kū pololei i nā maka. ʻO nā ʻano ʻoi aku ka ʻoi loa e koi aku i ke kaha ʻana e pololei i nā maka. Inā kū ka strabismus ma muli o ka nalo ʻana o ka hihi, pono e hoʻoponopono ʻia ka nalo ʻike ma mua o ke kūleʻa ʻana o ke kaha ʻana o ka strabismus.

Ma hope o ke kaha ʻana, nānā pololei paha nā maka, akā hiki ke hoʻomau i nā pilikia o ka ʻike.

Loaʻa paha i ke keiki nā pilikia heluhelu ma ke kula. Hiki paha i nā mākua ke paʻakikī i ka hoʻokele. Hiki i ka hihi ke hoʻopili i ka hiki ke pāʻani i nā haʻuki.

I ka hapanui o nā hihia, hiki ke hoʻoponopono i ka pilikia inā ʻike a mālama ʻia i ka wanaʻao. ʻO ka nalo ʻana o ka hihi paʻa mau i ka maka hoʻokahi ke lohi paha ka lāʻau. Inā mālama ʻole ʻia ka amblyopia e pili ana i ka makahiki 11, e mau paha ia, Eia nō naʻe, hōʻike kahi noiʻi hou kahi ʻano kūikawā o ka palaki ʻana a me kekahi mau lāʻau i hiki ke kōkua e hoʻomaikaʻi i ka amblyopia, ʻoiai i nā mākua. Ma kahi o ka hapakolu o nā keiki me ka strabismus e ulu i ka amblyopia.

Nui nā keiki e loaʻa hou i ka strabismus a i ʻole amblyopia. No laila, pono e kiaʻi pono ʻia ke keiki.

Pono e loiloi koke ʻia ʻo Strabismus. Kāhea i kāu mea lawelawe a kauka maka paha inā kāu keiki:

• Hōʻike ʻia ke ʻano o nā maka keʻa
• ʻO nā hoʻopiʻi o ka hihiʻo lua
• He paʻakikī e ʻike

Kaha: ʻO ke aʻo ʻana a me nā pilikia o ke kula i kekahi manawa ma muli o ka hiki ʻole o ke keiki ke ʻike i ka papa ʻeleʻele a i ʻole nā ​​mea heluhelu.

Nā maka kea; Esotropia; Exotropia; Hypotropia; Hypertropia; ʻIntmiʻi; Walleye; Kuhi hewa ʻole o nā maka

• Hoʻoponopono i nā mākala maka - hoʻokuʻu

• Nā maka i kau ʻia
• Walleyes

ʻAmelika Hui Pū ʻIa no ka Pediatric Ophthalmology a me ka pūnaewele Strabismus. Strabismus. aapos.org/browse/glossary/entry?GlossaryKey=f95036af-4a14-4397-bf8f-87e3980398b4. Hoʻohou ʻia ʻOkakopa 7, 2020. Loaʻa iā Kēkēmapa 16, 2020.

Cheng KP. Ophthalmology. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 20.

Lavin PJM. Neuro-ophthalmology: ʻōnaehana kaʻa ocular. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 44.

Olitsky SE, Marsh JD. Nā maʻi o ka neʻe ʻana o ka maka a me ke kaulike. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 641.

Salemona JF. Strabismus. I: Salmon JF, ed. ʻO Ophthalmology Clinical Clinical. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 18.

ʻO Yen M-Y. ʻO Therapy no amblyopia: kahi kuanaʻike hou. Taiwan J ʻOphthalmol. 2017; 7 (2): 59-61. PMID: 29018758 pubmed.ncbi.nlm.nih.gov/29018758/.