Anisocoria

Anisocoria ka nui o nā haumāna i like ʻole. ʻO ka haumāna ka ʻāpana ʻeleʻele i ka waena o ka maka. Piʻi ka nui i ka mālamalama a me ka liʻiliʻi i ke kukui ʻōlinolino.

Loaʻa nā ʻokoʻa iki o ka nui o nā haumāna ma 1 a 5 mau kānaka olakino. ʻO ka pinepine, ʻoi aku ka liʻiliʻi o ke anawaena ma mua o 0.5 mm, akā hiki i ka 1 mm.

ʻO nā pēpē i hānau ʻia me nā haumāna ʻokoʻa ka nui ʻaʻole paha i loaʻa kahi maʻi maʻi i lalo. Inā loaʻa i nā lālā ʻohana ʻē aʻe nā haumāna like, a laila hiki i ka ʻokoʻa o ka nui o ka haumāna ke genetic a ʻaʻohe mea e hopohopo ai.

Eia kekahi, no nā kumu ʻike ʻole, ʻokoʻa ka manawa o nā haumāna i ka nui. Inā ʻaʻohe hōʻailona ʻē aʻe a inā hoʻi nā haumāna i ka maʻamau, ʻaʻohe mea e hopohopo ai.

ʻO nā nui o nā haumana kūlike ʻole ma mua o 1 mm e hoʻomohala ma hope i ke ola a hoʻi ʻole i ka nui like he hōʻailona paha ia o ka maka, lolo, kīʻaha koko, a i ʻole nā ​​maʻi nerve.

ʻO ka hoʻohana ʻana o nā kulu maka he kumu maʻamau ia o kahi hoʻololi maikaʻi ʻole i ka nui o nā haumāna. ʻO nā lāʻau ʻē aʻe i loaʻa i nā maka, me nā lāʻau mai nā inhalers hānō, hiki ke hoʻololi i ka nui o nā haumāna.

Nā kumu ʻē aʻe o ka nui o nā nui o nā haumāna i like ʻole:

• Aneurysm i ka lolo
• Kahe i loko o ka iwi poʻo i hōʻeha ʻia e ke poʻo o ka ʻeha
• Tumo lolo a i ʻole abscess (e like me, lesion pontine)
• ʻO ke kaomi nui i hoʻokahi maka i hoʻokumu ʻia e glaucoma
• Hoʻonui i ke kaomi intracranial, no ka pehu ʻana o ka lolo, hemorrhage intracranial, hahau nui ʻana, a i ʻole tumant intracranial
• ʻO ka maʻi o nā membrane a puni ka lolo (meningitis a i ʻole encephalitis)
• ʻEha poʻo Migraine
• Ka hopu ʻana (noho ʻokoʻa ka haumāna ma hope o ka pau ʻana o ka hopu ʻana)
• Tumor, mass, a i ʻole lymph node i ka umauma o luna a i ʻole lymph node e hoʻoulu ai i ke aʻalolo ke kumu o ka hōʻemi ʻana i ka hou ʻana, kahi haumāna liʻiliʻi, a i ʻole ka eyelid eyelid āpau ma ka ʻaoʻao i hoʻopilikia ʻia (Horner Syndrome)
• ʻO ka palsy nerve oculomotor diabetic
• ʻOki kino maka mua no ka maʻi cataract
  

Pili ka mālama ʻana i ke kumu o ka nui o ka nui o nā haumāna. Pono ʻoe e ʻike i kahi mea mālama ola inā loaʻa nā loli koke i hopena i ka nui o ka nui o nā haumāna.

Kāhea aku i kahi mea hāʻawi inā loaʻa ʻole ʻoe i ka wehewehe, a i ʻole nā ​​hoʻololi koke ʻana i ka nui o nā haumāna. Inā he loli hou o ka nui o nā haumāna, he hōʻailona paha ia o kahi kūlana koʻikoʻi loa.

Inā ʻokoʻa kāu nui haumāna ma hope o ka maka a poʻo paha i hōʻeha ʻia, e kiʻi koke i ke kōkua olakino.

E ʻimi mau i ka lāʻau lapaʻau inā loaʻa ka nui o nā haumāna i ka nui me:

• ʻIke makapō
• Hōʻike pālua
• ʻIke ka maka i ka mālam
• Fiva
• ʻEha poʻo
• Lilo o ka hihiʻo
• Nausea a i ʻole ka luaʻi
• ʻEhaʻeha maka
• ʻĀʻī ʻoʻoleʻa

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino a nīnau i nā nīnau e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino, e like me:

• He mea hou kēia na ʻoe a i ʻole nā ​​ʻokoʻa a nā haumana ma mua? I ka manawa hea i hoʻomaka ai?
• Loaʻa paha iā ʻoe nā pilikia ʻike e like me ka ʻike maka ʻole, ʻike ʻelua, a i ʻole ka ʻike māmā?
• Loaʻa iā ʻoe ke nalowale o ka hihiʻo?
• He ʻeha maka kou?
• Loaʻa iā ʻoe kekahi mau ʻōuli ʻē aʻe e like me ka headache, nausea, luaʻi, fiva, a ʻāʻī ʻoʻoleʻa?

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO nā haʻawina koko e like me CBC a me nā hoʻokae koko
• Cerebrospinal wai aʻo (lumbar puncture)
• CT scan o ke poʻo
• ʻEELE
• Luna MRI scan
• Tonometry (inā kuhi ʻia ka glaucoma)
• X-kukuna o ka ʻāʻī

Pili ka mālama ʻana i ke kumu o ka pilikia.

Ka hoʻonui ʻana i hoʻokahi haumāna; Nā haumana o ka nui ʻokoʻa; ʻO nā maka / haumāna i ka nui ʻokoʻa

• Haumana maʻamau

Baloh RW, Jen JC. Neuro-ophthalmology. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 396.

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.

ʻO Thurtell MJ, ʻo Rucker JC. Pupillary a me nā kuʻemaka maka ʻole. 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 18.