ʻO Amblyopia

ʻO Amblyopia ka nalowale o ka hiki ke ʻike akāka ma o ka maka hoʻokahi. Kapa ʻia ʻo ia he "maka palaualelo." ʻO ia ke kumu maʻamau o nā pilikia ʻike i nā keiki.

Hana ʻia ʻo Amblyopia ke hana ʻole ke ala nerve mai hoʻokahi maka a i ka lolo i ka wā kamaliʻi. Hoʻonui kēia pilikia no ka mea hoʻouna ka maka maka ʻole i kiʻi hewa i ka lolo. ʻO kēia ka hihia ma strabismus (maka maka. I nā pilikia maka ʻē aʻe, hoʻouna ʻia ke kiʻi hewa i ka lolo. Kuhi kēia i ka lolo, a aʻo paha ka lolo e nānā ʻole i ke kiʻi mai ka maka nāwaliwali.

ʻO Strabismus ke kumu maʻamau o ka amblyopia. Aia pinepine kahi moʻolelo ʻohana o kēia ʻano.

ʻO ka huaʻōlelo "maka palaualelo" e pili ana i ka amblyopia, kahi e hele pinepine ai me strabismus. Eia nō naʻe, hiki i ka amblyopia me ka ʻole strabismus. Eia kekahi, hiki i nā kānaka ke loaʻa i ka strabismus me ka ʻole o ka amblyopia.

Nā kumu ʻē aʻe e:

• Cataract wā kamaliʻi
• ʻO ka ʻike maka, nearsightedness, a i ʻole astigmatism, keu hoʻi inā ʻoi aku ia i ka maka hoʻokahi

I ka strabismus, ʻo ka pilikia wale me ka maka ponoʻī ke kuhikuhi ʻia i ke ala hewa. Inā pilikia ka ʻike maka ʻole e ka pilikia o ka eyeball, e like me ka cataract, pono e mālama ʻia ka amblyopia, ʻoiai inā hemo ka cataract. ʻAʻole ulu paha ʻo Amblyopia inā ʻelua ʻelua ʻike ʻilihune o nā maka.

Nā ʻōuli o ke ʻano me:

• ʻO nā maka i huli a i waho paha
• ʻO nā maka i ʻike ʻole ʻole e hana pū
• ʻAʻole hiki ke hoʻokolokolo pono i ka hohonu
• ʻIke maikaʻi ʻole i ka maka hoʻokahi

I ka hapanui o nā hihia, hiki ke ʻike ʻia ka amblyopia me kahi hōʻike maka piha. ʻAʻole makemake pinepine ʻia nā hoʻāʻo kūikawā.

ʻO ka hana mua e hoʻoponopono i nā ʻano maka e hoʻopōʻino ʻole ana i ka maka amblyopic (e like me nā cataract).

ʻO nā keiki me kahi kuhi hewa (nearsightedness, farsightedness, a i ʻole astigmatism) e pono ai nā aniani.

A laila, kau ʻia ka pale ma ka maka maʻamau. Mālama kēia i ka lolo e hoʻomaopopo i ke kiʻi mai ka maka me ka amblyopia. I kekahi manawa, hoʻohana ʻia nā kulu e blur i ka hihiʻo o ka maka maʻamau ma kahi o ke kau ʻana i kahi patch ma luna. Hoʻohana nā ʻenehana hou i nā ʻenehana kamepiula, e hōʻike i kahi kiʻi ʻokoʻa iki i kēlā me kēia maka. I ka hala ʻana o ka manawa, ua kaulike ʻia ka hihiʻo ma waena o nā maka.

ʻO nā kamaliʻi ʻaʻole e ola pono ka hihi, a ʻo nā mea me hoʻokahi maka maikaʻi wale nō ma muli o kēlā me kēia ʻano maʻi, pono ke komo i nā aniani. E wāwahi kēia mau aniani a pale i ke kūpale.

ʻO nā kamaliʻi e mālama ʻia ma mua o ka makahiki 5 ʻaneʻane e hoʻi hou i ka hihiʻo kokoke i ka maʻamau. Eia nō naʻe, hoʻomau paha lākou i nā pilikia me ka ʻike hohonu.

Hiki ke hopena i nā pilikia ʻike mau inā hoʻolohi ʻia ka lapaʻau. Hiki i nā keiki i mālama ʻia ma hope o ka makahiki 10 ke manaʻo i ka hihiʻo e hoʻōla hapa wale nō.

Komo pū nā pilikia:

• Nā pilikia o ka mākala e pono ai paha he nui o nā ʻoki ʻana
• ʻO ka nalo ʻana o ka hihi paʻa mau i ka maka i hoʻopili ʻia

Kāhea aku i kāu kahu mālama ola a i ʻole ophthalmologist inā kuhi ʻoe i kahi pilikia o ka hihiʻo i kahi keiki ʻōpio.

ʻO ka ʻike ʻana a me ka mālama ʻana i ka pilikia ma mua e pale i nā keiki mai ka nalowale ʻana o ka ʻike maka. Pono nā keiki āpau e hōʻoia i ka maka i hoʻokahi manawa ma waena o nā makahiki 3 a me 5.

Hoʻohana ʻia nā hana kūikawā e ana i ka hihiʻo i loko o kahi keiki ʻōpio loa e ʻōlelo. Hiki i ka hapa nui o nā ʻoihana mālama maka ke hana i kēia mau ʻano hana.

Malu ka maka; Loaʻa ka hihiʻo - amblyopia

• Hōʻike ʻike ʻike hihi
• Walleyes

ʻO Ellis GS, ʻo Pritchard C. Amblyopia. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 11.11.

ʻO Kraus CL, Culican SM. Nā holomua hou i ka amblyopia therapy I: nā binocular therapies a me ka hoʻonui ʻia ʻana o ka pharmacologic. B J Ophthalmol. 2018; 102 (11): 1492-1496. PMID: 29777043 pubmed.ncbi.nlm.nih.gov/29777043/.

Olitsky SE, Marsh JD. Nā maʻi o ka hihiʻo. 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 639.

Repka MX. Amblyopia: nā kumu, nā nīnau, a me ka hoʻokele kūpono. I: Lambert SR, Lyons CJ, hoʻoponopono. ʻO Taylor & Hoyt's Pediatric Ophthalmology a me Strabismus. 5th lā. Piladelapia, PA: Elsevier; 2017: chap 73.

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/.