So ɛyɛ den sɛ wobɛdan w’ani akɔ ɔfã biako? Eyi betumi ayɛ Brown Syndrome!

So ɛtɔ mmere bi a wote nka sɛ wuntumi ntutu w’ani yiye, titiriw bere a worehwɛ soro no? Anaasɛ woahyɛ nsakrae bi nsow wɔ wo ba ketewa no aniwa mu? Ɛwom sɛ ɛtɔ mmere bi a yɛmfa yɛn adwene nsi saa nneɛma yi so kɛse de, nanso ebetumi afi aniwa mu nyarewa bi mu aba. Wiɛ, tebea a ɛte saa no biako a ɛka aniwa a ɛkeka ne ho ne "Brown Syndrome", a yɛrebɛka ho asɛm nnɛ.

Dɛn ne "Brown Syndrome"?

Sɛ yɛbɛka no tiawa a, "Brown Syndrome" yɛ ɔhaw a ɛwɔ ntini ne ntini a ɛboa ma yɛn aniwa tu (titiriw superior oblique muscle ne ne tendon ). Ebia wobɛte nso sɛ wɔfrɛ no "superior oblique tendon sheath syndrome."

Susuw ho saa kwan yi so: yɛn ani te sɛ mfoninitwa afiri. Ɛsɛ sɛ etumi di akɔneaba kɔ mmeae nyinaa. Ntini nketewa a atwa aniwa no ho ahyia ne ntini (ntini) a ɛka bom no boa eyi. Enti, sɛ saa `superior oblique` ntini yi ne ne ntini no ntumi nyɛ adwuma yiye a, ɛbɛyɛ den ama aniwa no sɛ ɛbɛkɔ baabiara a ɛnyɛ den.

Wɔwo nnipa binom a wɔwɔ saa tebea yi. Eyi kyerɛ sɛ ebia wɔn ntini a ɛyɛ oblique a ɛwɔ soro no bɛyɛ tiaa kakra anaasɛ ayɛ den dodo wɔ awo mu. Wɔfrɛ eyi Brown Syndrome a wɔde awo obi . Nanso, ɛtɔ mmere bi a, saa tebea yi betumi aba akyiri yi wɔ asetra mu. Nea enti a ɛte saa ne sɛ ntini anaa ntini a yɛreka ho asɛm no hohoro anaasɛ ɛyɛ den.

Brown syndrome taa ka aniwa biako pɛ (a wɔfrɛ no `unilaterally`). Ɛyɛ den ma obi a ɔwɔ saa tebea yi sɛ ɔbɛhwɛ ne mu ne soro bere koro mu. Ɛka baabi a aniwa no tumi kɔ soro nso.

Sɛ mpo wowɔ "Brown Syndrome" wɔ w'ani biako mu a, wubetumi de saa aniwa no ahu. Nanso, sɛ wohwɛ baabi foforo a, saa aniwa no ntumi nkɔ baabiara. Ebia ɛbɛyɛ te sɛ nea aniwa no akɔkyere , anaasɛ ɛte sɛ nea entumi nsan nkɔ afã horow nyinaa sɛnea ɛte biara.

Asɛmpa no ne sɛ ɛtɔ mmere bi a wobetumi de nnuru asa tebea yi a wɔfrɛ no "Brown syndrome" no. Ebia nnipa binom mpo behia oprehyɛn. Sɛ wuhu nsakrae bi wɔ w’ani anaa w’ani so a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo anaa aniwa ho oduruyɛfo nkyɛn ntɛm ara.

Hena na tebea yi ka no kɛse?

"Brown Syndrome" yɛ tebea a ɛntaa nsi . Nanso ebetumi ato obiara. Wɔkyerɛ sɛ ɛtaa ba mmea so kakra sen mmarima.

Dɛn ne "Brown Syndrome" ho sɛnkyerɛnne?

Obi a ɔwɔ "Brown syndrome" betumi anya sɛnkyerɛnne te sɛ eyinom:

• Ɛyɛ den sɛ wobɛhwɛ mu (akyerɛ hwene no) ne soro: Eyi ne sɛnkyerɛnne titiriw no. Ebetumi ayɛ te sɛ nea aniwa no asiw.
• Aniwa no a ɛnsɛ: Ebia ɛbɛyɛ te sɛ nea aniwa biako adan akɔ baabi foforo sen foforo no, titiriw bere a wohwɛ soro no.
• Aniwa mu yaw: Ebia nnipa binom bɛte ɛyaw bere a wɔretu wɔn ani no.
• Nnyigyei a "ɛbɔ" anaasɛ wɔte nka sɛ wɔakyere wo bere a wɔretu aniwa no: Nnipa binom bɔ amanneɛ sɛ wɔte nnyigyei a ɛbɔ bere a wɔretu wɔn aniwa no, anaasɛ wɔte nka sɛ biribi akɔhyɛ mu.
• Drooping eyelid (`Ptosis`): Ebia aniwa a ayɛ no yaw no aniwa no bɛba fam asen aniwa foforo no.

Ɛtɔ da bi a nnipa a wɔwɔ "Brown Syndrome" no dan wɔn ti kɔ ɔfã biako a wonnim. Eyi ba efisɛ wɔn aniwa ntumi nkɔ baabiara, na sɛnea ɛbɛyɛ a wobebua no, wɔdannan wɔn ti fi awosu mu bere a wɔrebɔ mmɔden sɛ wobehu ade tẽẽ no.

Wɔ saa sɛnkyerɛnne ahorow yi akyi no, "Brown Syndrome" nso betumi aka w'ani so, titiriw bere a wotwe wo ho fi mfoninitwa afiri no ho sen sɛ wobɛhwɛ w'anim tẽẽ no.

• Anisoadehu a ɛyera: Ebia aniwa a ɛwɔ aniwa a ayɛ no yaw no mu no so bɛtew.
• Anisoadehu abien (diplopia): Nneɛma abien a wuhu prɛko pɛ. Mpɛn pii no, eyi ba efisɛ aniwa abien no ntumi nkɔ baabiara yiye.
• Nhumu a emu dɔ a ɛso tew: Ebetumi ayɛ den sɛ wobebu kwan a ɛda nneɛma ntam no atɛn. Sɛ nhwɛso no, eyi betumi ayɛ ɔhaw bere a woreforo antweri anaa woresian anaa woreka kar no.

Dɛn na ɛde "Brown Syndrome" ba?

"Brown syndrome" ba bere a biribi ka ntini ne ntini (tendons) a ɛhwɛ yɛn aniwa so no. Nneɛma titiriw a ebetumi de eyi aba ne:

Brown yare a wɔde awo obi

Eyi ne Brown syndrome a ɛtaa ba. Congenital kyerɛ sɛ ɛwɔ hɔ bere a wɔawo no. Enti, akokoaa betumi anya saa tebea yi wɔ wɔn ani so bere a wɔawo no no. Abenfo nnya nhuu nea enti a eyi ba ankasa. Ebia efi nsakrae bi a ɛnyɛ anifere a ɛba wɔ aniwa no nyin mu wɔ nyinsɛn mu.

Nyarewa a nipadua no tumi ko tia nyarewa

Autoimmune disease ne bere a yɛn nipadua mu tumi a ɛko tia nyarewa, nhyehyɛe a ɛbɔ yɛn ho ban fi nyarewa ho no di mfomso tow hyɛ yɛn ankasa nipadua mu nkwammoaa so. Ɛnyɛ nea enti a eyi ba no pefee. Nyarewa bi a nipadua no tumi ko tia nyarewa a ebetumi de "Brown syndrome" aba no bi ne:

• Lupus a ɛyɛ hu
• Ntini mu yare a ɛma ntini mu yare
• Sjögren yare a ɛma obi nya ɔyare no
• Thyroid aniwa yare anaa dysthyroid yare

Saa nyarewa yi betumi ama ntini a atwa aniwa no ho ahyia no ahonhon, na asiw ntini a ɛwɔ soro a ɛyɛ oblique no dwumadi kwan.

Nyarewa ne aniwa mu nyarewa afoforo

Nyarewa bi ne aniwa mu haw afoforo betumi ama aniwa no ho ahonhon, na ɛde "Brown syndrome" aba. Nhwɛso ahorow:

• Sinus mu nyarewa (sinusitis): .Nyarewa a ɛwɔ mframa mu ntini (sinus) a atwa hwene ho ahyia no mu betumi atrɛw akɔ aniwa no mu na ama ɛho ahon.
• Orbital cellulitis: Nyarewa a ɛba ntini a atwa nnompe a ɛwɔ baabi a aniwa no wɔ no ho.
• Trochleitis: Ɔfã ketewaa a ɛte sɛ pulley (trochlea) a superior oblique tendon no fa mu no a ɛyɛ hyew.
• Tenosynovitis in superior oblique: Eyi yɛ ɔfe a ɛwɔ aduru a ɛkata ntini no so no mu.

Akwanhyia (Trauma) .

Ɛtɔ da bi a, "Brown syndrome" nso betumi afi akwanhyia a ɛba anim anaa aniwa so.

• Aniwa mu opira: Biribi te sɛ aniwa a wɔbɔ tẽẽ. Fa no sɛ, sɛ obi bɔ bɔɔl wɔ n’ani so bere a ɔrebɔ kriket a, biribi a ɛte saa.
• Anim a ɛpaapae: Nnompe a atwa aniwa no ho ahyia no betumi asɛe ntini a ɛwɔ soro a ɛyɛ oblique no. Sɛ w’anim apira wɔ kar akwanhyia mu a, eyi betumi aba.
• Nsɛnnennen a ɛba wɔ aniwa oprehyɛn akyi: Saa tebea yi betumi aba sɛ nea efi mu ba wɔ aniwa oprehyɛn bi akyi, nanso ɛntaa nsi koraa.

Ɔkwan bɛn so na wohu "Brown Syndrome"?

Wo duruyɛfo anaa aniwa ho ɔyaresafo bɛyɛ w’ani mu nhwehwɛmu de ahu sɛ wowɔ Brown syndrome anaa. Wɔbɛhwɛ w’ani bere a worehwɛ w’anim tẽẽ ne bere a wode w’ani rekɔ mmeae nyinaa nso. Ne titiriw no, wɔbɛka akyerɛ wo sɛ hwɛ soro, fam, nifa, benkum, mu, ne akyi. Afei wobetumi ahu sɛ ebia anohyeto bi wɔ w’ani a wode bɛkeka wo ho no mu anaa.

Ɛnyɛ ɛno nko, na mmom wɔbɛhwehwɛ w’ani nso mu ahwɛ sɛ ebia aniwa mu tebea afoforo a ebetumi de saa sɛnkyerɛnne ahorow yi aba anaa. Ɛtɔ da bi a, wobetumi de nnwinnade titiriw bi asusuw nneɛma te sɛ aniwa mu nhyɛso ne anisoadehu.

Ɔkwan bɛn so na wɔsa "Brown Syndrome"?

"Brown syndrome" ayaresa gyina nea ɛde ba ne sɛnea sɛnkyerɛnne ahorow no mu yɛ den so.

Ayaresa a wɔde wo awo "Brown syndrome".

Mmofra binom a wɔwo wɔn a wɔwɔ Brown yare no betumi anyin asen tebea no a wonni ayaresa biara . Sɛ wo ba no wɔ Brown syndrome a, w’ani duruyɛfo bɛkyerɛ wo mpɛn dodow a ɛsɛ sɛ wɔhwɛ n’ani na wahwɛ sɛ nsakrae bi aba n’ani so anaa. Ɛtɔ mmere bi a, bere a wo ba no nyin no, ntini no betumi adwo kakra na ɔhaw no afi hɔ.

"Brown Syndrome" a efi ɔfe mu ba no ayaresa

Sɛ wo sɛnkyerɛnne ahorow no fi aniwa no a ɛho ahonhon (ɔfe) a atwa ho ahyia, sɛ́ ɛyɛ yare bi a nipadua no tumi ko tia nyarewa, ɔyare mmoawa, anaa akwanhyia nti a, nea ɛde ba no a wobɛsa no bɛtaa atew "Brown syndrome" ho sɛnkyerɛnne no so.

Oduruyɛfo no bɛkyerɛ wo ayaresa a ehia, a egyina nea ɛde ɔfe no ba so.

Ɛda adi kɛse sɛ wubehia nnuru na ama wo ntini a ɛyɛ oblique a ɛwɔ soro no a ɛho ahonhon no so atew. Nnuru a wɔtaa de sa Brown syndrome ne:

• NSAIDs (Nonsteroidal Anti-Inflammatory Drugs): Eyinom ne nnuru a yɛnom ma ɛyaw ne ɔfe te sɛ aspirin, ibuprofen, ne naproxen. Ɛwom sɛ wobetumi atɔ eyinom wɔ nnurutɔnbea de, nanso sɛ wode redi dwuma bere nyinaa bɛboro nnafua 10 a, ɛho hia sɛ wohwehwɛ nnuruyɛfo afotu.
• Corticosteroids: Ɛtɔ mmere bi a, wo duruyɛfo betumi de corticosteroid ahyɛ wo ntini a ɛyɛ oblique a ɛwɔ soro no mu tẽẽ. Eyi betumi aboa ma ɔfe a ɛho ahonhon no so atew ntɛmntɛm.
• Nnuru a ɛma nipadua no tumi ko tia nyarewa: Ebia wo duruyɛfo bɛkyerɛw nnuru yi ama wo na ama wo nipadua no mu tumi a ɛko tia nyarewa no antow ahyɛ nkwammoaa a ɛte apɔw so. Wɔtaa de eyinom ma nnipa a wɔwɔ nyarewa a nipadua no tumi ko tia nyarewa.

Oprehyɛn a wɔyɛ ma "Brown Syndrome".

Nnipa dodow no ara a wɔwɔ Brown syndrome no nhia oprehyɛn. Nanso, sɛ tebea no ka w’ani so kɛse, anaasɛ ayaresa afoforo mma wo sɛnkyerɛnne no ntu mpɔn a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn mfa nsiesie wo ntini a ɛwɔ soro a ɛyɛ oblique no.

Ɛdenam nea ɛde wo "Brown Syndrome" ba so no, wo oprehyɛn ho oduruyɛfo bɛkyerɛ wo nea wobɛhwɛ kwan ne akwan horow a wɔde bedi dwuma. Nhwɛsoɔ:

• Tenotomy anaa tenectomy: Wɔyɛ oprehyɛn yi de gyae wo superior oblique no sɛ ɛyɛ den anaasɛ ɛyɛ den a.
• Stretching the superior oblique: Sɛ ɛyɛ tiaa dodo a, wobetumi ayɛ oprehyɛn de atrɛw mu.
• Cyst a woyi fi hɔ: Ɛtɔ mmere bi a, ebia biribi te sɛ cyst ketewaa bi na ɛde ɔhaw yi ba. Sɛ ɛba saa a, wobeyi afi hɔ.

Nsuro sɛ wɔbɛyɛ wo oprehyɛn. Mpɛn pii no, eyinom yɛ oprehyɛn a edi mu, nanso te sɛ oprehyɛn biara no, asiane ahorow bi wɔ hɔ. Wo duruyɛfo bɛkyerɛkyerɛ mu akyerɛ wo kɔ akyiri.

So wobetumi asiw "Brown Syndrome" ano?

Esiane sɛ ɛyɛ awo mu tebea, anaasɛ efi nyarewa a yentumi nni so (te sɛ nyarewa a nipadua no tumi ko tia nyarewa) ne akwanhyia nti, "Brown syndrome" no yɛ den ankasa sɛ wobesiw ano .

Nanso, mpɛn pii no, ɛho hia yiye sɛ wohyɛ ahobammɔ ahwehwɛ bere nyinaa na wode nneɛma a ɛfata a ɛbɔ wo ho ban di dwuma bere a wode nnwinnade reyɛ adwuma anaasɛ woreyɛ adwuma biara a ebetumi apira w’ani no . Ɛnyɛ "Brown Syndrome" nko na eyi betumi asiw ano na mmom aniwa mu opira afoforo pii.

Bere bɛn na ɛsɛ sɛ mehwɛ m’ani?

Sɛ wohwɛ w’ani ne w’ani so daa a, ebetumi aboa w’ani duruyɛfo ma wahu ɔhaw biara ntɛm. Mpɛn dodow a ɛsɛ sɛ wohwɛ w’ani no taa gyina mfe a woadi so:

• Mmofra nkumaa: Mmofra oduruyɛfo no bɛhwɛ wo ba no ani wɔ wɔn abura nsrahwɛ a wɔyɛ daa no mu - titiriw wɔ mfe a edi kan no mu, na afei mprenu afe biara.
• Mpanyimfo a wonnii mfe 40: Mfe anum kosi du biara.
• Mpanyimfo a wɔadi fi mfe 40 kosi 54: Mfe abien kosi anan biara.
• Mpanyimfo a wɔadi boro mfe 55: Mfe biako kosi abiɛsa biara.

Sɛ wohyɛ ahwehwɛ, ahwehwɛ a wɔde hwɛ ade, anaa nneɛma afoforo a wɔde hwɛ ade a, ebia ebehia sɛ wohwɛ w’ani mpɛn pii. Ɛsɛ sɛ wɔtaa hwɛ nnipa a wɔwɔ asikreyare nso wɔn ani sen wɔn a wɔakyerɛw wɔn din yi, efisɛ asikreyare betumi aka aniwa no.

Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wubebisa w’ani ho ɔbenfo mpɛn dodow a ɛsɛ sɛ woyɛ w’ani mu nhwehwɛmu.

Sɛ wowɔ "Brown Syndrome" a, dɛn na wubetumi ahwɛ kwan?

Sɛ wɔsa nea ɛde "Brown Syndrome" ba wie a, ɛsɛ sɛ wo sɛnkyerɛnne no tu mpɔn. Wubetumi ahwɛ kwan sɛ wo ho bɛtɔ wo koraa .

Mmofra binom a wɔwo wɔn a wɔwɔ "Brown Syndrome" no nyin sen tebea no a wonni ayaresa biara bere a wɔrenyin no.

Sɛ wɔyɛ wo oprehyɛn mpo a, "Brown syndrome" ntaa nnya nkɛntɛnso biara a ɛtra hɔ kyɛ wɔ w'ani anaa w'ani so. Enti mma ɛnhaw wo pii wɔ ho.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wuhu nsakrae biara wɔ w’ani anaa w’ani so pɛ a, kɔ oduruyɛfo nkyɛn. Sɛ ɛte sɛ nea ɛyɛ ade ketewaa mpo a, ebetumi ayɛ ɔhaw kɛse bi ho sɛnkyerɛnne ntɛm.

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, kɔ ayaresabea dwumadibea a wɔhwɛ ntɛmpɛ so ntɛm ara :

• Anisoadehu a ɛyera mpofirim.
• Aniwa mu yaw a emu yɛ den.
• Sɛ wote nka sɛ worehu akanea foforo (`flashes`) anaa nneɛma a ɛrehuruhuruw (`floaters`) wɔ w'ani so a.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, mma wo werɛ mmfi sɛ wubebisa nsɛm te sɛ eyinom:

• So mewɔ "Brown Syndrome" anaasɛ strabismus tebea foforo?
• Me yare no ho sɛnkyerɛnne no bɛtra hɔ bere tenten ahe?
• So mehia ayaresa biara?
• Dɛn na ɛde "Brown Syndrome" ba?
• Mpɛn ahe na ɛsɛ sɛ mesan hwɛ m’ani?

Nsɛmmisa yi akyi no, bisa adwenem naayɛ anaa nsɛmmisa biara a ebia wowɔ. Oduruyɛfo no wɔ ha sɛ ɔrebɛboa wo.

Nsonsonoe bɛn na ɛda "Brown syndrome" ne "aniwa a ɛyɛ ɔkwasea" (amblyopia) ntam?

"Brown syndrome" ne "lazy eye" (amblyopia - nnipa binom nso frɛ no "lazy eye") nyinaa yɛ tebea horow a ɛtaa ka aniwa biako. Nanso nsonsonoe no gyina nea ɛto aniwa anaa anisoadehu ankasa so.

"Brown syndrome," sɛnea yɛadi kan aka ho asɛm no, yɛ ɔhaw a ɛfa ntini anaa ntini bi a ɛkanyan aniwa no ho. Eyi ma ɛyɛ den sɛ wobɛdan aniwa no akɔ baabiara. Ɛwom sɛ ebetumi aka aniwa no de, nanso ɛnyɛ aniwa no mu yare.

Tebea bi a wɔfrɛ no "aniwa a ɛyɛ ɔkwasea" (`amblyopia`) ba wɔ mmofraase. Sɛ wo ba no wɔ `amblyopia` a, wɔn amemene no sua sɛ ebebu n'ani agu mfonini a efi aniwa a ɛnteɛ anaasɛ ɛyɛ kusuu mu ba no so. Mmom no, amemene no de mfonini a efi aniwa a ɛyɛ den no mu ba nkutoo na edi dwuma, na ɛma aniwa a ɛyɛ mmerɛw no mu anisoadehu no yɛ kɛse. Sɛ yɛbɛka no tiawa a, aniwa biako yɛ "ɔkwasea" efisɛ amemene no mfa nni dwuma yiye.

Nea ɛho hia no, ɛtɔ mmere bi a mmofra a wɔwo wɔn a wɔwɔ Brown syndrome no tumi nya amblyopia akyiri yi wɔ wɔn nkwa nna mu. Enti, ɛho hia sɛ wokɔ oduruyɛfo anaa aniwa ho oduruyɛfo nkyɛn ntɛm ara sɛ wuhu nsakrae bi wɔ wo ba no ani so a.

Nsonsonoe bɛn na ɛda "Brown Syndrome" ne strabismus (ani a wɔatwa) ntam?

Strabismus yɛ tebea a w’ani nhyia. Ɔkwan foforo so no, wɔdan aniwa biako kɔ baabi foforo sen foforo no. Eyi ne nea yɛfrɛ no "cross-eyed" wɔ kasa mu.

"Brown syndrome" yɛ nokwarem no, ɛyɛ strabismus bi. Wubehu no yiye bere a wohwɛ wo mu anaa soro no. Ɛbɛyɛ te sɛ nea w’ani biako ntumi nkɔ baabiara te sɛ foforo no (anaasɛ ebia ɛnhinhim koraa).

Ɛdenam sɛnea wɔasɛe w’ani ntini ne w’aniwa ntini kɛse so no, ebia w’ani bɛyɛ nea ɛnteɛ kakra bere a worehwɛ w’anim tẽẽ mpo no.

Sɛ wuhu biribi te sɛ aniwa a ɛkeka ne ho a wogyae koraa, anaasɛ wubehu sɛ wo ba no wɔ tebea bi a wofi awo mu a, ebetumi ayɛ hu ankasa. Ɛno yɛ ade a ɛfata. Nanso asɛmpa no ne sɛ, ɛmfa ho nea ɛde "Brown syndrome" ba no, ɛkame ayɛ sɛ ɛyɛ bere tiaa mu ɔhaw bere nyinaa. Nokwarem no, ebia wo anaa wo ba no renhia ayaresa titiriw biara gye sɛ wobɛkɔ aniwa ho oduruyɛfo nkyɛn daa.

Enti, sɛ wuhu nsakrae bi wɔ w’ani anaa w’ani so a, mmu w’ani ngu so na kɔ oduruyɛfo anaa aniwa ho oduruyɛfo nkyɛn ntɛm ara. Kae sɛ ɛtɔ mmere bi a, nsakrae ketewaa bi mpo betumi ayɛ ɔhaw kɛse bi a ɛsɛ sɛ wodi ho dwuma ntɛm ho sɛnkyerɛnne a edi kan.

Nneɛma a ɛsɛ sɛ wokae fi asɛm yi mu (Take-Home Message) .

Okay, enti seesei woanya nteaseɛ pa wɔ "Brown Syndrome" a yɛkaa ho asɛm no ho. Nneɛma kakraa bi a ɛsɛ sɛ yɛma ɛtra yɛn adwenem ni:

• "Brown syndrome" yɛ tebea a ɛyɛ den ma aniwa no sɛ ɛbɛkɔ baabiara (titiriw akɔ mu ne soro) esiane ɔhaw bi a ɛwɔ superior oblique muscle anaa tendon a ɛkanyan aniwa no nti.
• Eyi betumi aba bere a wɔawo no, anaasɛ ebetumi aba akyiri yi esiane nyarewa, nyarewa a nipadua no tumi ko tia nyarewa, anaa akwanhyia nti.
• Nsɛnkyerɛnne titiriw ne sɛ wobɛte nka sɛ wo ho ayɛ wo den bere a wohwɛ soro na wodan hwene no kɔ nkyɛn no. Anisoadehu mmɔho abien ne aniwa mu yaw nso betumi aba.
• Mpɛn pii no, saa tebea yi ka aniwa biako pɛ.
• Ɛtɔ mmere bi a, tebea horow a wonya fi awo mu no ankasa siesie bere a abofra no nyin no. Wobetumi asa nneɛma afoforo a ɛde ba (wɔde nnuru anaasɛ, ɛntaa mma, oprehyɛn).
• Sɛ wowɔ nsɛm bi a ɛhaw wo anaa nsakrae bi ba wo anaa wo ba no aniwa a ɛkeka ne ho anaa n’ani so a, hwɛ hu sɛ wobɛkɔ aniwa ho oduruyɛfo nkyɛn . Sɛ wohu ntɛm na wɔsa yare a, eye sen biara.

Biribiara nni hɔ a ɛsɛ sɛ wusuro, ayaresa pa wɔ hɔ ma saa tebea yi, na wɔ nsɛm dodow no ara mu no, wobetumi asa koraa mpo!

` Brown Syndrome, Aniwa a Ɛkeka ne Ho Ho Ɔhaw, Aniwa Nyarewa, Aniwa a Ɛnkɔ Hɔ, Mmofra Aniwa Nyarewa, Superior Oblique