ʻO Nystagmus

ʻO Nystagmus kahi manawa e wehewehe i ka neʻe wikiwiki, kaohi ʻole o nā maka i:

• ʻAoʻao a ʻaoʻao (horizontal nystagmus)
• I luna a i lalo (vertical nystagmus)
• Hoʻokaʻa (hoʻokaʻa a torsional nystagmus)

Aia i ke kumu, kēia mau neʻe ʻana i loko o nā maka ʻelua a i ʻole ma ka maka hoʻokahi wale nō.

Hiki i ka Nystagmus ke hoʻopili i ka hihiʻo, ke kaulike, a me ka hoʻohui ʻana.

Hoʻokumu ʻia nā neʻe ʻole o ka maka o ka nystagmus e ka hana maʻamau ʻole ma nā wahi o ka lolo e kaohi ana i ka neʻe o ka maka. ʻO ka ʻāpana o ka pepeiao i loko e ʻike i ka neʻe a me ke kūlana (ka labyrinth) kōkua i ka mālama ʻana i nā neʻe o ka maka.

ʻElua ʻano o ka nystagmus:

• Aia ka maʻi ʻōiwi Infantile nystagmus (INS) i ka hānau ʻana (hānau hānau).
• Hoʻokumu ka nystagmus i loaʻa ma hope ma ke ola ma muli o kahi maʻi a ʻeha paha.

NYSTAGMUS I KEIA MA KE HANAU (pēpē nystagmus maʻi, a i ʻole INS)

Māmā ka INS. ʻAʻole ia e lilo i koʻikoʻi loa, a ʻaʻole pili i kekahi ʻano maʻi ʻē aʻe.

ʻAʻole ʻike ka poʻe me kēia ʻano i ka neʻe ʻana o ka maka, akā ʻike paha kekahi poʻe ʻē iā lākou. Inā nui nā neʻe, hiki ke emi ma mua o 20/20 i ka ʻoi o ka hihi (ʻike ʻike). Hiki i ke ʻoki kino ke hoʻomaikaʻi i ka ʻike.

Hoʻokumu ʻia ʻo Nystagmus e nā maʻi hānau o ka maka. ʻOiai he kakaikahi kēia, pono ke kauka maka (ophthalmologist) e loiloi i kēlā me kēia keiki me ka nystagmus e nānā no ka maʻi o ka maka.

KAUOHA NYSTAGMUS

ʻO ke kumu maʻamau o ka nystagmus i loaʻa he mau lāʻau a lāʻau paha. ʻO Phenytoin (Dilantin) - kahi lāʻau antiseizure, waiʻona nui, a i ʻole nā ​​lāʻau hoʻomālū hiki ke hōʻino i ka hana a ka labyrinth.

Nā kumu ʻē aʻe e:

• ʻO ka ʻeha poʻo mai nā ulia kaʻa kaʻa
• Nā maʻi pepeiao o loko e like me labyrinthitis a i ʻole Meniere maʻi
• Hahau
• ʻO Thiamine a i ʻole vitamin B12 hemahema

ʻO kekahi maʻi o ka lolo, e like me nā sclerosis a i ʻole nā ​​tumors lolo, hiki ke hana i ka nystagmus inā hōʻino nā wahi e kaohi ana i nā neʻe o ka maka.

Pono paha ʻoe e hana i nā loli i ka home e kōkua ai me ka lualua, nā pilikia ʻike maka, a i ʻole nā ​​maʻi ʻōnaehana.

Kāhea i kāu mea mālama ola inā loaʻa iā ʻoe nā ʻōuli o nystagmus a i manaʻo paha he ʻano maʻi kāu.

E lawe kāu mea hāʻawi i ka mōʻaukala akahele a hana i kahi hoʻokolohua kino piha, e kia ana i ka ʻōnaehana hopohopo a me ka pepeiao o loko. E noi paha ka mea hāʻawi iā ʻoe e ʻaʻahu i nā maka o nā aniani e hoʻonui ai i kou mau maka no kahi ʻāpana o ka hoʻokolokolo.

No ka nānā ʻana no ka nystagmus, hiki i ka mea hāʻawi ke hoʻohana i kēia kaʻina hana:

• E wili ʻoe ma kahi o 30 kekona, kū, a hoʻāʻo e nānā i kahi mea.
• E neʻe mālie kāu mau maka i hoʻokahi ala, a laila e neʻe wikiwiki i kahi ʻaoʻao ʻē aʻe.

Inā loaʻa ʻoe i ka nystagmus ma muli o ke ʻano olakino, pili kēia mau neʻe ʻana o ka maka i ke kumu.

Loaʻa paha iā ʻoe nā hōʻike aʻe:

• CT scan o ke poʻo
• Electro-oculography: kahi hana uila no ke ana ʻana i ka neʻe ʻana o ka maka me ka hoʻohana ʻana i nā electrodes liʻiliʻi
• MRI o ke poʻo
• ʻO ka hoʻāʻo Vestibular ma ke hoʻopaʻa ʻana i nā neʻe o nā maka

ʻAʻohe lāʻau lapaʻau no ka nui o nā hihia o ka nystagmus hānau. ʻO ka mālama ʻana no ka nystagmus i loaʻa i ka kumu. I kekahi mau hihia, ʻaʻole hiki ke hoʻohuli i ka nystagmus. I nā hihia ma muli o nā lāʻau a i ʻole ka maʻi, hele pinepine ka nystagmus ma hope o ka hoʻomaikaʻi ʻana o ke kumu.

Hiki i kekahi mau hōʻailona ke kōkua i ka hoʻomaikaʻi ʻana i ka hana ʻike o nā poʻe me ka maʻi ʻōpio pēpē.

• ʻO Prism
• ʻOki kino e like me tenotomy
• Nā lāʻau lapaʻau no ka nystagmus pēpē

Holo ka maka i hope a i mua; Ka hoʻoneʻe maka maka ʻole ʻana; ʻO ka neʻe wikiwiki ʻana mai ka ʻaoʻao a i ka ʻaoʻao; Nā neʻe maka ʻole i kāohi ʻole ʻia; ʻO ka neʻe ʻana o ka maka - ʻaʻole kaohi

• Anatomy maka kūwaho a me loko

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.

Proudlock FA, Gottlob I. Nystagmus i ka wā kamaliʻi. I: Lambert SR, Lyons CJ, hoʻoponopono. ʻO Taylor a me Hoyt's Pediatric Ophthalmology a me Strabismus. 5th lā. Piladelapia, PA: Elsevier; 2017: chap 89.

Quiros PA, Chang MY. ʻO Nyastagmus, nā hoʻopili saccadic, a me nā oscillations. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 9.19.