Hoʻoponopono mākala maka

ʻO ka hoʻomaʻemaʻe maka maka kahi ʻoki e hoʻoponopono i nā pilikia o nā mākala maka i kumu i ka strabismus (nā maka i hele aʻe).

ʻO ka pahuhopu o kēia ʻoki ʻana e hoʻihoʻi i nā mākala o ka maka i kahi kūpono. E kōkua kēia i nā maka e neʻe pololei.

Hana pinepine ʻia ka ʻoki ʻana i nā mākala i nā keiki. Eia nō naʻe, hiki i nā mākua i loaʻa nā pilikia maka like ke hana ia. ʻO nā keiki e loaʻa pinepine i ka anesthesia ākea no ke kaʻina hana. E hiamoe lākou a ʻaʻole lākou e ʻeha.

Kaukaʻi ʻia i ka pilikia, pono i hoʻokahi a i ʻole nā ​​maka ʻelua i ke ʻoki.

Ma hope o ka hopena o ka anesthesia, hana ka ʻokiʻoki maka i kahi ʻoki ʻoki liʻiliʻi i loko o ke kiko maopopo e uhi ana i ke keʻokeʻo o ka maka. Kapa ʻia kēia kele na conjunctiva. A laila e ʻimi ke kaukipō i hoʻokahi a ʻoi paha o nā mākala maka e pono ai ke ʻoki. I kekahi manawa hoʻoikaika ka ʻoki i ka mākala, a i kekahi manawa hoʻonāwaliwali ia.

• No ka hoʻoikaika ʻana i kahi mākala, hiki ke hoʻoneʻe ʻia kahi ʻāpana o ka mākala a i ʻole ke olonā e pōkole ai. Kapa ʻia kēia ʻanuʻu i ke ʻoki kino he resection.
• E hoʻonāwaliwali ai i kahi mākala, hoʻopili hou ʻia ia i kahi kiko mamao aku i ka hope o ka maka. Kapa ʻia kēia ʻanuʻu he recession.

ʻO ke ʻoki no nā mākua ka mea like. I ka hapanui o nā hihia, ala nā mākua, akā hāʻawi ʻia i ka lāʻau e numb i ka wahi a kōkua iā lākou e hoʻomaha.

Ke hana ʻia ke kaʻina hana i nā mākua, hoʻohana ʻia kahi humuhumu hoʻoneʻe i ka nāwaliwali nāwaliwali i hiki ai i nā loli liʻiliʻi ke hana ma hope i kēlā lā a i kekahi lā aʻe. ʻO kēia ʻenehana he hopena maikaʻi loa kāna.

ʻO Strabismus kahi maʻi kahi e kū ʻole ai nā maka ʻelua i ke ala like. No laila, ʻaʻole e kau ka maka i ka mea like i ka manawa like. ʻO ke kūlana i ʻike nui ʻia ma ke ʻano he "maka maka."

Paipai ʻia ke ʻōpala ke hoʻomaikaʻi ʻole ka strabismus me nā aniani a me nā hana maka.

Nā pilikia no kekahi anesthesia:

• Nā hopena i nā lāʻau anesthesia
• Nā pilikia hanu

ʻO nā pōʻino no kēlā me kēia ʻoki kino:

• Kahena
• Maʻi kīnā

ʻO kekahi mau pilikia no kēia ʻoki kino:

• Nā maʻi hōʻeha
• Poino i ka maka (laha ʻole)
• ʻIke papalua paʻa (laha ʻole)

E noi paha ke kauka lāʻau o kāu keiki iā:

• ʻO kahi mōʻaukala olakino piha a me ka hoʻokolohua kino ma mua o ke kaʻina hana
• Ana orthoptic (ana neʻe ʻana o ka maka)

E haʻi mau i ka mālama mālama ola o kāu keiki:

• He aha nā lāʻau a kāu keiki e lawe nei
• Hoʻopili i nā lāʻau, nā mea kanu, a me nā huaora āu i kūʻai ai me ka ʻole o ka lāʻau
• E pili ana i nā maʻi āpau i loaʻa i kāu keiki i nā lāʻau, latike, lipine, nā kopa a me nā hoʻomaʻemaʻe ʻili

I nā lā ma mua o ke kaha ʻana:

• Ma kahi o 10 mau lā ma mua o ke kaha ʻana, e noi ʻia ʻoe e haʻalele i ka hāʻawi ʻana i kāu keiki aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), a me nā mea ʻokiʻoki koko ʻē aʻe.
• E noi i ka mea hāʻawi i kāu keiki i nā lāʻau e pono ai i kāu keiki e lawe i ka lā o ke ʻoki.

I ka lā o ke kaha:

• E noi pinepine ʻia kāu keiki mai inu a ʻai ʻole i kekahi mea no kekahi mau hola ma mua o ke kaha ʻana.
• Hāʻawi i kāu keiki i nā lāʻau i haʻi ʻia e kāu kauka iā ʻoe e hāʻawi i kāu keiki me kahi wahi wai ʻuʻuku.
• E haʻi aku ka mea hāʻawi a kahu a kāu keiki iā ʻoe i ka wā e hōʻea ai no ke ʻoki.
• E hoʻomaopopo ka mea hāʻawi i ke olakino o kāu keiki no ke kaha ʻana a ʻaʻohe ona hōʻailona o ka maʻi. Inā maʻi kāu keiki, lohi paha ke kāla ʻana.

ʻAʻole pono ke ʻoki i kahi noho pō i ka haukapila i ka hapanui o ka manawa. Pololei pinepine ka maka ma hope o ke kahakaha ʻana.

ʻOiai ke ola nei mai ka anesthesia a i nā lā mua ma hope o ke kaha ʻana, pono i kāu keiki e hōʻalo i ka ʻānai ʻana i ko lākou mau maka. E hōʻike aku kāu kauka iā ʻoe pehea e pale aku ai i kāu keiki mai ka ʻānai ʻana i ko lākou mau maka.

Ma hope o kekahi mau hola o ke ola ʻana, hoʻi paha kāu keiki i ka hale. Pono ʻoe e kipa hele me ke kaukipō maʻi 1 a 2 mau pule ma hope o ke kahakaha ʻana.

I mea e pale aku ai i ka maʻi, pono paha ʻoe e kau i nā kulu a i ʻole ka hamo i nā maka o kāu keiki.

ʻAʻole hoʻoponopono ke ʻoki kino o ka maka i ka ʻike hune o ka maka palaualelo. E komo paha kāu keiki i nā aniani a i ʻole ka pā.

Ma ka laulā, ʻo ke keiki ʻōpio ke hoʻokō ʻia ka hana, ʻoi aku ka maikaʻi o ka hopena. Pono nā maka o kāu keiki e nānā maʻamau i mau mau pule ma hope o ke kaha.

Hoʻoponopono o ka maka keʻa; Resection a me ka recession; Hoʻoponopono Strabismus; ʻOki kino mākala Extraocular

• Hoʻoponopono i nā mākala maka - hoʻokuʻu

• Walleyes
• Ma mua a ma hope o ka hoʻoponopono hou ʻana o strabismus
• Hoʻoponopono i nā mākala maka - moʻo

ʻO nā kapa DK, ʻo Olitsky SE. ʻOki kino Strabismus. I: Lambert SR, Lyons CJ, hoʻoponopono. ʻO Taylor & Hoyt's Pediatric Ophthalmology a me Strabismus. 5th lā. Piladelapia, PA: Elsevier; 2017: chap 86.

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.

ʻO Robbins SL. Nā ʻenehana o ke ʻoki strabismus. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 11.13.

Sharma P, Gaur N, Phuljhele S, Saksena R. He aha nā mea hou na mākou i ka strabismus? ʻO India J Ophthalmol. 2017; 65 (3): 184-190. PMID: 28440246 pubmed.ncbi.nlm.nih.gov/28440246/.