Created at:1/16/2025
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Ko te kanohi whakangā, e mohiotia ana i roto i te rongoā ko te amblyopia, ka puta mai ina kore tetahi kanohi e whanake i te tirohanga noa i te wā tamariki. Ka waiho tenei hei āhuatanga ka manakohia e tō roro te kanohi kaha ake, ā, ka ‘wareware’ noa atu ki ngā tohu mai i te kanohi ngoikore.
Whakaarohia ko tō roro te whiriwhiri ki te whakawhirinaki ki tetahi kanohi atu i tetahi, rite tonu ki te manako ki tō ringa rangatira. Ahakoa ka rongo pea tenei he āwangawanga, he tino noa te kanohi whakangā, e pā ana ki te 2-3% o ngā tamariki. Ko te rongo pai ko te kite wawe me te rongoā tika, ka taea e te nuinga o ngā tamariki te whanake i te tirohanga pai ake.
Ka puta te kanohi whakangā ina kore tō roro me tetahi kanohi e mahi tahi tika i ngā tau nui o te whanaketanga o te tirohanga. Ka ako tō roro ki te whakawhirinaki nui atu ki te kanohi e kite mārama ana, ka waiho tetahi atu kanohi hei ‘whakangā’ nā te kore e whakamahia.
Ka whanake pea tenei āhuatanga i mua i te 8 o ngā tau, ina kei te hanga tonu tō pūnaha tirohanga. Kāore te kanohi e pā ana i te ‘whati’ kē, kāore rānei i te pakaru. Engari, kāore ngā ara neural i waenganui i taua kanohi me tō roro i whanake penei i te mea me mahi. Koia te take i nui ai te mahi wawe – he tino āhei tō roro ki te huri i enei tau taitamariki.
He mea nui kia mārama kōrero, ehara te kanohi whakangā i te mea ka puta i te po kotahi. Ka whanake haere te āhuatanga i te wā e whanake ana te pūnaha tirohanga o tō tamaiti, koia te take i nui ai ngā tirotiro kanohi ā-tau i te wā tamariki.
Ka uaua pea te kite i te kanohi whakangā, nā te mea ka taea e ngā tamariki te whakarite pai, ka kore ngā tohu marama e kitea tonu. Heoi, he maha ngā tohu ka taea e koe te titiro atu, ka āhei pea te whakaatu kei pā ana tō tamaiti ki ngā rerekētanga tirohanga i waenganui i ōna kanohi.
Ko ēnei ngā tohu tino noa hei titiro atu:
Ka whanake etahi tamariki i ētahi tohu ngāwari ake ka uaua ki te kite. Āta pēnei pea rātou ki ngā mea kei tetahi taha, uaua ki ngā kaupae, ki te ahua pakaru rānei i ngā mahi hākinakina. Ka whakaatu aua whāinga i ngā wero e puta mai ana i te kite hohonu iti.
Kia mahara he tokomaha ngā tamariki he kanohi mangere kaore he tohu marama. Nō te mea ka tino pai te kaha o te roro ki te whakatikatika, koia te take ko ngā whakamātau kanohi ngaio te huarahi pono rawa atu ki te kite i te mate.
He maha ngā momo o te kanohi mangere, ka whanake mai ia i ngā take rerekē. Ka āwhina te mōhiotanga ki ēnei momo ki te āta mohio ki te aha pea e pā ana ki te tirohanga o tō tamaiti.
Ko ēnei ngā momo matua e toru:
Ko te amblyopia strabismic pea te mea e whakaahuahia ana e te nuinga o te iwi ina whakaaro ratou ki te kanohi mangere, na te mea ka kitea te kore tika o te kanohi. Heoi, ka taea te nui o te amblyopia refractive, a he maha nga wa ka uaua ake te kitea me te kore tirotironga ngaio.
Ko te amblyopia deprivation te momo tino onge engari te tino nui, na te mea e hiahia ana ki te maimoatanga wawe kia kore ai e ngaro te tirohanga mo ake tonu atu. He pai, ka kitea wawe tenei momo na te mea ka marama te aukatinga tinana.
Ka whanake te kanohi mangere ina he mea hei whakakore i te whanaketanga tirohanga noa i nga tau wawe o to tamaiti. Ko te take matua ko te whiwhi a to roro i nga korero tirohanga kore marama, ranei rerekee mai i tetahi kanohi, ka arahina ai ki te manaaki i te ahua marama mai i tetahi atu kanohi.
He maha nga ahuatanga ka taea te whakaoho i tenei tukanga:
I etahi wa, ka taea e nga take onge te awhina i te whanaketanga o te kanohi mangere. Ka uru pea enei ki etahi atu syndrome ira, nga raruraru whanautanga wawe, nga whakaroa whanaketanga ranei e pa ana ki te pūnaha tirohanga. I etahi wa onge, ka taea hoki e nga ahuatanga nui ake penei i nga raruraru retina, i nga raruraru o te ihu tirohanga ranei te arahi ki te amblyopia.
Ko te mea nui kia mārama ko te kanohi whakangāwari kaore i puta mai i tetahi mea i mahi rānei, kāore rānei i mahi koe hei mātua. Ko ēnei ngā rerekētanga whanaketanga e puta ana i te āhua noa, ā, mā te tiaki tika, ka taea te whakahaere angitu.
Me whakarite e koe tetahi whakamātau kanohi mena ka kite koe i ētahi tohu e whakaatu ana kaore ngā kanohi o tō tamaiti e mahi tahi pai ana. Ko te kite wawe me te maimoatanga ka whakapai ake te tupono o te whanaketanga o te tirohanga pai i ngā kanohi e rua.
Whakapa atu ki tetahi tohunga tiaki kanohi mena ka kite koe:
Ahakoa kaore koe e kite i ētahi tohu awangawanga, he mea nui ngā whakamātau kanohi ā-rū. Kei te tūtohutia e te American Academy of Pediatrics te whakamātau tirohanga i te tau 4, ā, he maha ngā tohunga e kōrero ana mō ngā whakamātau i mua atu mena he hītori whānau o ngā raruraru kanohi.
Kaua e tatari mena he awangawanga tōu - he tino whai hua te maimoatanga kanohi whakangāwari ina tīmata wawe. Ko te pūnaha tirohanga o tō tamaiti te tino whakarite i roto i ngā tau 7-8 o te ora, ā, koinei te matapihi pai mō te whakauru.
Ka taea e ētahi take te whakapiki ake i te tūponotanga o tō tamaiti ki te whanaketanga o te kanohi whakangāwari. Ahakoa ko te whai i ēnei take morearea kaore e whakamana i te āhua ka puta, ko te mōhio ki a rātou ka āhei te awhina i a koe ki te tiaki mō ngā tohu wawe.
Ko ngā take morearea matua ko:
Ko ētahi atu take morearea iti ake e tika ana te aro. Kei roto i ēnei ngā mate pūngao motuhake penei i te mate Down, te whakamahinga o te whakaongaonga e te whaea i te wā hapu, te raruraru rānei i te wā whānau e pā ana ki te tuku hauota ki te roro.
Ko te whai i ngā take morearea he tikanga noa iho kia āta titiro koe ki te whanaketanga tirohanga o tō tamaiti, kia whakarite hoki i ngā tirotiro kanohi auau. He tokomaha ngā tamariki he maha ngā take morearea kāore i whānau mai he kanohi mangere, ā, ko ētahi atu kāore he take morearea e kitea ana.
Ki te kore e rongoā te kanohi mangere, ka taea te arahi ki ngā raruraru tirohanga pumau e pā ana ki tō tamaiti i o rātou oranga katoa. Ko te rongo pai, ko ēnei raruraru ka taea te aukati i te nuinga ma te kite wawe me te rongoā tika.
Ko ngā raruraru nui rawa atu ko:
Ka taea te puta mai o ngā raruraru kaore i te noa engari he kino i roto i ētahi wāhi motuhake. Hei tauira, ki te kore e rongoāhia te amblyopia whakaiti i te katarata whānau i roto i ngā wiki tuatahi o te ora, ka kore pea e whanake te kanohi kua pā te mate ki te tirohanga whai hua, ahakoa he pokanga i muri mai.
Ko te pono whakamātautau ko te nuinga o ēnei raruraru ka taea te karo ma te rongoā wa tika. Ahakoa ka kitea te kanohi mangere i muri mai i te tamarikitanga, he maha tonu ngā whakapainga tirohanga nui e taea tonu ana, ahakoa ko te whakauru wawe te tikanga ka pai ake ngā hua.
Ahakoa kaore e taea e koe te aukati katoa i te kanohi mangere, na te mea he maha ngā take mai i ngā rerekētanga whanaketanga taiao, ka taea e koe te tango i ngā kaupae nui hei hopu wawe i te wa e tino whai hua ana te rongoā.
Ko ngā rautaki aukati tino nui e arotahi ana ki te kite wawe:
Mēnā kei tō whānau te hītori o ngā raruraru kanohi, whakaarohia ngā whakamātau kanohi i mua atu, ā, maha atu. Ka tūtohu etahi tohunga ki te whakamātau tuatahi i te tau 1-2 mō ngā tamariki he nui ngā take tūponotanga.
Kia mahara ko te aukati i te kanohi whakangāwari he mahi whakauru wawe tēnā, ehara i te mea ko te karo i te āhuatanga katoa. Ko te tere o te kite me te whakaora i te kanohi whakangāwari, ko te pai ake o te hua mō te whanaketanga o te tirohanga a tō tamaiti.
Ko te whakamātau i te kanohi whakangāwari e hiahia ana ki te whakamātau kanohi whānui e te tohunga tiaki kanohi. Ka whakamahi rātou i ētahi whakamātautau hei aromatawai i te pai o te kite o ia kanohi, me te pai o te mahi tahi o ngā kanohi a tō tamaiti.
Ko te tukanga whakamātautau e whakauru ana i te nuinga:
Mō ngā tamariki iti kaore e taea te pānui i ngā reta, ka whakamahi ngā tākuta kanohi i ngā tikanga motuhake penei i ngā tūtohu pikitia, ngā rama, i ngā whakamātautau kaupapa kore e hiahia ana ki ngā whakautu kupu. Ka taea e ēnei tikanga te aromatawai tika i te tirohanga ahakoa i ngā tamariki.
Kaore he mamae te whakamātautau, ā, e 30-60 meneti te roa. Ka whakamahi pea tō tohunga tiaki kanohi i ngā matū hei whakakore wā poto i te tirohanga a tō tamaiti mō te aromatawai tika ake, na reira whakaritea mō te ngaro o te tirohanga mō etahi haora i muri mai.
Ko te whakaora i te kanohi ngāwari e arotahi ana ki te whakatenatena i te roro o tō tamaiti kia whakamahi i te kanohi ngoikore, kia taea ai te whanake i te tirohanga pai ake. Ko te huarahi motuhake e whakamahia ana e whakawhirinaki ana ki te take o te amblyopia me tōna kaha.
Ko ētahi o ngā maimoatanga tino noa ko:
Ko te angitu o te maimoatanga e whakawhirinaki ana ki te tīmatanga wawe, i mua atu i te tau 7-8 ina tino whakaritea te pūnaha tirohanga. Heoi, he maha ngā whakapainga e taea ana ahakoa ka tīmata te maimoatanga i muri mai i te tamarikitanga, i te tauira rānei.
Ka hanga e tō rōpū tiaki kanohi tētahi mahere maimoatanga whaiaro e whakaae ana ki ngā hiahia motuhake o tō tamaiti. Ko te nuinga o ngā tamariki e hiahia ana ki ngā marama maha ki ngā tau o te maimoatanga pumau, me te aroturuki auau hei whakarite i te huarahi i te whakapainga o te tirohanga.
Ko te whakahaere angitu i te maimoatanga kanohi ngāwari i te kāinga e hiahia ana ki te manawanui, te pumau, me ngā rautaki auaha hei āwhina i tō tamaiti kia mahi tahi me te rongoā i whakaritea. Ko te nuinga o ngā maimoatanga e mahi pai ana ina whai i te tikanga i tūtohuhia e tō kaimahi tiaki kanohi.
Ko ētahi o ngā rautaki mahi mō te whakahaere kāinga:
Tumanako ki ētahi whakahē i te tīmatanga – he mea noa tenei. He tokomaha ngā tamariki e kite ana i te kore pai, i te pouri rānei i te tīmatanga. Kia manawanui, kia mau tonu, me te tuku atu i te tini o ngā whakamātautau me te whakamoemiti mō te mahi tahi.
Kia mau tonu te whakawhitiwhiti kōrero ki tō rōpū tiaki kanohi e pā ana ki te whakahaere o te maimoatanga i te kāinga. Ka taea e rātou te tuku atu i ētahi atu rautaki, te whakarereke rānei i te mahere maimoatanga ki te pōhēpohe tonu ngā wero.
Ko te whakarite mō te whakaritenga kanohi a tō tamaiti ka āhei te whakarite kia whiwhi koe i ngā korero tino nui, kia pai ai te haere o te haerenga. He iti te whakarite ka haere atu i te huarahi ki te whakatika i ō māharahara, me te mārama ki ngā hiahia tirohanga a tō tamaiti.
I mua i te whakaritenga, kohikohia ēnei korero:
Āwhina i tō tamaiti ki te whakarite mā te whakamārama atu ka titiro te taote kanohi ki ō rātou kanohi hei whakarite kia pai te mahi. Whakaū atu ki a rātou e kore te whakamātautau e mamae, ahakoa pea ka whiwhi rātou i ngā matū motuhake e ngāwari ai ngā mea mō tētahi wā.
Whakarite kia roa atu te wā o te whakaritenga i te mea i whakaarohia, inā koa ko te whakamātautau kanohi whānui tuatahi tēnei. Kawe mai ngā mahi hei pupuri i tō tamaiti kia noho humarie mēnā he wā tatari, ā, whakaritea tētahi atu hei tarai ki te kāinga mēnā ka whiwhi tō tamaiti i ngā matū whakawhānui.
He āhuatanga tirohanga nohinohi te kanohi mangere mō ngā tamariki e whakautu pai ana ki te rongoā ina kitea wawe. Ahakoa pea ka rongo te tangata i te whakaaro, ko te pono ko te nuinga o ngā tamariki he kanohi mangere ka taea te whakawhanake i te tirohanga pai ake me te tiaki tika me te rongoā mau tonu.
Ko te mea nui rawa atu hei mahara ko te kite wawe ka hanga i te rerekētanga nui rawa atu i te angitu o te rongoā. Ko ngā whakamātautau kanohi ā-tau i te wā tamariki, te noho mataara ki ngā tohu pea, me te whai i ngā rongoā i tūtohutia ko ōu taputapu pai rawa atu hei whakarite kia whanake tō tamaiti i te tirohanga pai rawa atu.
Mēnā kua tohua tō tamaiti he kanohi mangere, kia mōhio koe e kore koe e noho kotahi i tēnei haerenga. Me te manawanui, te mau tonu, me te tautoko mai i tō rōpū tiaki kanohi, ka taea e te nuinga o ngā tamariki te whakarite pai ki te rongoā, ā, ka haere tonu ki te koa ki ngā oranga mahi, angitu me te tirohanga pai ake.
Ahakoa pea he kupu kaha rawa atu te 'whakaora', ka taea te rongoā pai te kanohi mangere, inā koa ina kitea wawe. Ka whanake te nuinga o ngā tamariki i te tirohanga pai ake i te kanohi e pā ana me te rongoā tika. Ko te mea nui ko te tīmatanga o te rongoā i ngā tau whanaketanga nui ina tino whakaritea te roro ki te huringa.
Ko te take o tēnei e whakawhirinaki ana ki te take o te kanohi mangere. Ki te mea ko ngā hapa whakatikatika penei i te poto o te tirohanga, te roa rānei o te tirohanga, he take whakauru, ka hiahia pea tō tamaiti ki ngā karāheke mō te wā roa. Heoi, ka rereke pea te rongoā karāheke i te wā e whanake ana ō rātou kanohi, ā, ka kite etahi tamariki ka iti ake te whakatikatika e hiahiatia ana e rātou i te wā.
He rereke te roa o te maimoatanga i runga i te kino o te āhuatanga me te tere o te kite. Ka kite etahi tamariki i te whakapai i roto i ngā marama torutoru, ā, ka hiahia etahi atu ki te maimoatanga mō ngā tau maha. Ko te nuinga o ngā mahere maimoatanga e whakauru ana i te tirotiro auau me ngā whakarerekētanga e mahia ana i te wā e whakapai ake ana te tirohanga.
Ka whanake te kanohi mangere i te wā tamariki i te wā e hangaia ana te pūnaha tirohanga, i mua i te 8 tau te pakeke. Kāo ngā pakeke e whanake i te kanohi mangere, engari ka kite pea rātou i te kanohi mangere i kore i kitea i te wā tamariki. Ahakoa he uaua ake te maimoatanga pakeke, he whakapainga tonu e taea ana me te whakaora i te ngākau.
Ko te nuinga o ngā tamariki he kanohi mangere ka taea te whakauru haumaru ki ngā hākinakina, ahakoa ka hiahia pea rātou ki te wā atu hei whanake i ngā pūkenga e hiahia ana ki te kite hohonu pai. Korero ki tō kaimahi tiaki kanohi mō ētahi āwangawanga motuhake. He mea nui rawa te karāheke tiaki mō ngā tamariki he kanohi mangere, na te mea ka nui ake te tiaki i te kanohi kaha.