Ɔkwan bɛn so na nusu ba w’ani so? Momma yɛnka Lacrimal Apparatus no ho asɛm!

Yɛn nyinaa wɔ mmere bi a yɛn werɛ ahow, yɛn ani gye, na ɛtɔ mmere bi a yɛn ani yɛ yɛn nusu kɛkɛ, ɛnte saa? Nanso so woasusuw sɛnea wɔyɛ saa nusu yi ankasa, nea enti a yɛwɔ nusu, ne adwinnade a ɛyɛ nwonwa a ɛwɔ eyi akyi no ho pɛn? Ɛno ne nusu nhyehyɛe a ɛyɛ nwonwa a ɛbɔ yɛn aniwa ho ban na ɛma ɛyɛ nwini, anaasɛ sɛnea wɔfrɛ no wɔ aduruyɛ ho nyansahu mu no, ``Lacrimal Apparatus``, a ɛno ne nea yɛrebɛka ho asɛm nnɛ.

Dɛn ne nusu nhyehyɛe no? Dɛn nti na ɛho hia yɛn?

Sɛ yɛbɛka no tiawa a, wo nusu nhyehyɛe no yɛ ntini, kotoku, ne ntini a ɛyɛ den a ɛma w’aniwa nusu na eyi nusu a wɔde adi dwuma no fi hɔ. Wowɔ nhyehyɛe ahorow yi mu abien, biako ma aniwa biara.

Fa no sɛ nsu a wɔde gugu nnɔbae so a ɛma wo sare no kɔ so yɛ ahabammono na ɛyɛ frɔmfrɔm. Sɛnea mfiri a wɔde petepete nsu so gu wo turo mu nsu, nsu afiri a ɛwɔ asase ase, ne nsu a ɛkɔ nsu mu a ɛma nsu dedaw kɔ mu wɔ hɔ no, saa ara na saa nusu nhyehyɛe yi nso yɛ adwuma ma yɛn aniwa yɛ apɔwmuden na ɛyɛ nwini.

Nusu a saa nhyehyɛe yi a wɔsan frɛ no `lacrimal fluid` wɔ aduruyɛ mu no de ba no ma yɛn aniwa no ani yɛ nwini na ɛyɛ srade. Wɔbɔ mmeae a ɛyɛ mmerɛw ho ban, titiriw no akyi ntini a ɛwɔ aniwa fitaa `conjunctiva` ne ntini a ɛyɛ mmerɛw a ɛkata aniwa no tuntum `cornea` so. Ɛnyɛ ɛno nko, na mmom saa nusu yi hohoro mfutuma, efĩ, ne nneɛma a ɛma obi ho yɛ no hyew a ɛkɔ aniwa no mu nso. Ntini bi a ɛwɔ yɛn anim, `Facial Nerve anaa Seventh Cranial Nerve`, na ɛhwɛ ntini a ɛde saa nusu yi kɔ aniwa no mu na eyi fi hɔ no so.

Ɔkwan bɛn so na nusu hyehyɛ na ɛsen?

Beae titiriw a nusu tu ne nusu ntini a ɛwɔ w’aniwa akyi no. Eyinom ne baabi a wɔyɛ nkyene ne nsu a wɔde afrafra no. Sɛ wobɔ w’ani a, saa nsu yi trɛw fa w’ani nyinaa mu. Afei wɔde srade a efi ntini foforo, meibomian ntini a ɛwɔ w’aniwa anoano no fra. Ɛno ne bere a nusu a ɛtɔ gu fam no nyinaa ba.

Saa ngo a ɛwɔ mu yi ho hia yiye efisɛ ɛmma nsu no ntumi nkɔ ntɛmntɛm dodo. Afei nso, ngo yi kakraa bi tra aniwa no ano na ɛmma nusu nkɔ aniwa no ano.

Enti, bere a woahohoro w’ani na woayɛ nwini awie no, ɛsɛ sɛ woyi nusu dedaw yi fi w’ani so. Ɛno ne nea tear duct system no yɛ ma. Saa nusu yi fa ntokuru nketewa a ɛwɔ wo hwene nkyɛn no mu na ɛboaboa ano wɔ wo hwene akyi. Ɛno nti sɛ wosu pii a, wo hwene mu te nka na wo hwene mu nsuo. Nusu a ɛboro so no kɔ wo hwene mu ne wo menewam.

Dɛn ne nusu nhyehyɛe no afã atitiriw?

Afei momma yɛnhwɛ afã atitiriw a ɛka bom yɛ saa nusu nhyehyɛe yi nyinaa.

• Nsuo Ntini:Eyinom te sɛ adwumayɛbea atitiriw a wɔyɛ nusu. Saa ntini ahorow yi wɔ w’aniwa a ɛwɔ soro no ase pɛɛ, kɔ w’aniwa no akyi ntwea so. Wɔn kɛse bɛyɛ sɛ almond ketewaa bi. Wɔma nkyene nsu a ɛwɔ yɛn nusu mu no ba.

• Meibomian Ntini: Eyinom wɔ w’aniwa atifi ne ase anoano. Saa ntini ahorow yi na ɛma srade a ɛka bom yɛ wo nusu no. Saa ngo yi a wɔde fra nsu a efi nusu ntini no mu no boa ma ɛyɛ nusu sini wɔ w’ani no ani. Saa srade a ɛwɔ mu yi boa ma w’ani so yɛ nwini kyɛ, na ɛmma wo nusu no ntumi nkɔ ntɛmntɛm saa.

• Lacrimal Puncta: Eyinom ne ntokuru nketenkete a ɛma nusu a wɔde adi dwuma no fi w’ani so. Saa ntokuru yi (punctum - biako kabea, puncta - dodow kabea) wo w’aniwa atifi ne ase ntwea so, wo hwene mu. Bere biara a wobɛbɔ w’ani no, saa ntokuru yi yɛ adwuma te sɛ valve nketewa, na ɛtwe nusu dedaw fi w’ani so.

• Nusu Nkotoku: Nusu a efi nusu ntini mu ba no boaboa ano wɔ nusu kotoku yi mu. Eyinom wɔ aniwa no mu ntwea so, wɔ hwene no afã abien no nyinaa. Saa kotoku yi yɛ adwuma te sɛ bere tiaa mu tank ketewaa bi a esiw nusu dedaw no kwan sɛ ɛnsan nkɔ nusu ntini no mu.

• Nasolacrimal Duct (Tear Ducts): Eyinom ne nea yɛtaa frɛ no tear ducts. Awiei koraa no, nusu dedaw a ɛfa nusu ntini ne nusu kotoku no mu no sen fa saa ntini yi mu wɔ hwene no afã abien no nyinaa. Saa ntini ahorow yi ba awiei wɔ hwene no akyi. Sɛnea yɛadi kan aka no, eyi nti na nsu fi wo hwene mu bere a woresu no.

Susuw ho hwɛ, saa afã horow yi nyinaa wɔ abusuabɔ na ɛyɛ adwuma sɛ kuw, na ɛno nti na yɛn aniwa yɛ apɔwmuden na ɛho tew bere nyinaa no. Sɛ ɔhaw ketewaa bi wɔ ɔfã biako a, ebetumi aka nhyehyɛe no nyinaa.

Dɛn ne tebea horow a ɛtaa ka yɛn nusu nhyehyɛe no?

Ɛtɔ da bi a, ɔhaw ahorow betumi asɔre wɔ saa nusu nhyehyɛe yi mu. Tebea horow a yɛtaa nya bere a eyi asi no bi ni:

• Aniwa a Ɛyow: Eyi yɛ ɔhaw a ɛtaa ba nnipa pii so. Sɛ aniwa no ntumi nsu sɛnea ɛsɛ, anaasɛ sɛ nusu a ɛma nusu no su so tew (sɛ nhwɛso no, sɛ ngo dodow a meibomian ntini no ma so tew) a, aniwa no betumi ayow, ayɛ kɔkɔɔ, na ayɛ no yaw. Ɛtɔ da bi mpo a, ebetumi ayɛ te sɛ nea biribi wɔ aniwa no mu.

• Tetew a ɛboro so (Epiphora): Eyi ne eyi bɔ abira. Ɛte sɛ nea nusu pii repue, na ɛtɔ mmere bi a nusu betumi atɔ w’afono so. Ebia eyi fi nusu a ɛkɔ soro, anaasɛ ebetumi afi nusu ntini no mu a asiw a ɛmma nusu no ntumi nkɔ yiye.

• Nasolacrimal Duct a Ɛsiw Anom:Saa tebea yi abu so wɔ nkokoaa nkumaa mu titiriw. Esiane sɛ nusu ntini no mmue koraa nti, nusu betumi ayɛ kɛse wɔ aniwa no mu, na ɛtɔ mmere bi a ɛde ɔyare mmoawa ba.

• Dacryoadenitis: Eyi yɛ nusu ntini a ɛho ahonhon na ɛyɛ hyew . Eyi betumi afi ɔyare mmoawa anaa nneɛma afoforo mu aba.

• Dacryocystitis: Eyi yɛ ɔfe anaa ɔyare mmoawa a ɛba nusu kotoku no mu. Mpɛn pii no, nea ɛde eyi ba esiane sɛ nusu kwan no asiw nti.

Wobɛyɛ dɛn ahu sɛ ɔhaw bi wɔ nusu nhyehyɛe no mu?

Nsɛnkyerɛnne atitiriw kakraa bi wɔ hɔ a ɛkyerɛ sɛ ebia worehyia ɔhaw bi wɔ wo nusu nhyehyɛe no ho. Adeɛ a ɛho hia paa ne sɛ, sɛ wote nka sɛ w’ani ayɛ kusuu bere nyinaa, anaasɛ wowɔ nusuo a ɛyɛ nsuo (`Epiphora`) , ɛbɛtumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ biribi asɛe wɔ wo nusuo nhyehyɛeɛ no ho.

Fa no sɛ, sɛ wo Meibomian Glands no ntumi nyɛ adwuma yiye a, ɛnyɛ ngo a ɛdɔɔso mma wo nusu. Afei nusu no ntra w’ani so yiye, na ɛyow ntɛmntɛm dodo, anaasɛ ɛsa fi w’ani so. Ebia wubesusuw sɛ worehwie nusu pii, nanso nea ɛrekɔ so ankasa ne sɛ w’ani ntumi nkura nusu a ɛde ba no mu yiye.

Enti, sɛ wohyɛ biribi soronko bi nsow wɔ w’ani so – sɛ mpo ɛyɛ biribi ketewaa te sɛ aniwa a ɛyɛ mmerɛw a – ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ aniwa hwɛ ho ɔbenfo (Ophthalmologist) nkyɛn akɔhwɛ. Afei wobetumi ahu nea enye ankasa na wɔde ayaresa a ɛho hia ama.

Yɛbɛyɛ dɛn ama yɛn nusu nhyehyɛe no anya apɔwmuden?

Te sɛ yɛn aniwa no, ɛsɛ sɛ yɛhwɛ yiye kakra na ama saa nusu nhyehyɛe yi atra apɔwmuden.

• Yɛ aniwa mu nhwehwɛmu daa: Ɛnyɛ w’aniwa nko na oduruyɛfo no bɛhwɛ, na mmom w’aniwa akwahosan nyinaa nso, a wo nusu nhyehyɛe no dwumadi ka ho.
• Sɛ wuhu nsakrae bi wɔ w’ani so a, ka kyerɛ wo duruyɛfo ntɛm ara. Sɛ wohyɛ ahwehwɛ anaa ahwehwɛ a wɔde hwɛ ade a, ma wɔnhwɛ mu daa na sɛ ɛho hia a, ma wɔnsesa.
• Sɛ wowɔ aduruyɛ mu tebea bi te sɛ asikreyare a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ aniwa ho oduruyɛfo nkyɛn anyɛ yiye koraa no pɛnkoro afe biara, efisɛ asikreyare betumi aka aniwa no.
• Hyɛ aniwa ho banbɔ a ɛfata bere a woredi agumadi anaa woreyɛ adwuma a ebetumi ayɛ asiane ama aniwa no.

Nsɛm a Wɔaboaboa Ano (Nkrasɛm a Wɔde Kɔ Fie) .

Ebia woate ase mprempren sɛ yɛn nusu mfiri no nyɛ beae a nusu fi hɔ ara kwa, na mmom ɛyɛ nhyehyɛe a ɛho hia a ɛsra yɛn ani, ɛbɔ ho ban, na ɛma yɛn ani yɛ den. Nusu a nhyehyɛe yi de ba no boa yɛn aniwa ma ɛyɛ adwuma yiye na ɛtra apɔwmuden.

Enti, sɛ wote nka sɛ w’ani ayɛ wo yaw da bi anaasɛ wote nka sɛ w’ani ayɛ wo hyew a, mmu w’ani ngu so kɛkɛ sɛnea ɛte daa na kɔ aniwa ho oduruyɛfo nkyɛn. Bere a ɛtɔ mmere bi a nneɛma nketenkete betumi de saa sɛnkyerɛnne ahorow yi aba no, ebetumi nso ayɛ tebea bi ho sɛnkyerɛnne a sɛ wɔansa a, ebetumi asɛe w’ani anaa w’aniwa. Ɛmfa ho nea ɛde ba biara no, nnuruyɛfo betumi aboa ma wo nusu nhyehyɛe no asan akari pɛ.

Enti, hwɛ w’ani yiye, efisɛ ɛyɛ agyapade a ɛsom bo sen biara a ɛboa wo ma wuhu wiase!

` Nusu, nusu nhyehyɛe, nusu mfiri, aniwa akwahosan, aniwa a ɛyɛ kusuu, nusu, aniwa mu nyarewa