So wo ba no rehyia ɔhaw wɔ aniwa a ɛkeka ne ho? Momma yɛnka Duane Syndrome ho asɛm!

So woahyɛ no nsow pɛn sɛ ɛyɛ den ma mmofra binom sɛ wɔbɛdan wɔn ani akɔ baabi koro? Anaasɛ ɛte sɛ nea wɔadan aniwa biako akɔ hwene no so na wɔadan aniwa foforo no akɔ aso no so. Ɛyɛ ade a ɛfata sɛ awofo bɛhaw wɔn ho kɛse bere a wohu biribi a ɛte sɛɛ, titiriw bere a ɛto wɔn ba no. Duane Syndrome a yɛrebɛka ho asɛm nnɛ no yɛ awo mu yare a ɛba bere a aniwa no keka ne ho. Sɛ yɛbɛka no tiawa a, eyi yɛ strabismus bi.

Dɛn ne Duane Syndrome? So wubetumi akyerɛkyerɛ mu kakra?

Okay, momma yɛnkyerɛkyerɛ eyi mu kakra. Ɛyɛ den ma obi a ɔwɔ Duane Syndrome sɛ ɔbɛdan n’ani akɔ nkyɛnkyɛn, kyerɛ sɛ, ɔbɛdan akɔ hwene no nkyɛn ne n’aso nkyɛn. Ebia ɛbɛyɛ aniwa biako, ebetumi ayɛ aniwa abien no nyinaa. Wɔ sɛnea ɛyɛ den sɛ wɔbɛdan aniwa yi akɔ nkyɛnkyɛn akyi no, ebia ɛbɛyɛ den ama nnipa binom nso sɛ wɔbɛhwɛ soro ne fam.

Ade foforo nso ne sɛ aniwa no nhyia, ɛhwɛ nkyɛnkyɛn, na ɛsono sɛnea aniwa no tumi tu bere a ɛrebɔ mmɔden sɛ ɛbɛkanyan aniwa no. Ade titiriw nti a ɛte saa ne sɛ ntini (cranial nerves) a ɛhwɛ yɛn aniwa mu ntini so no nyɛ adwuma yiye. Fa no sɛ, ɛte sɛ nea wuntumi nnan kar stia nkɔ baabiara.

Mpɛn pii no, wɔ 80% kosi 90% ntam no, saa tebea yi ka aniwa biako pɛ (afã biako). Wɔahu nso sɛ aniwa benkum no na ɛtaa ka .

So edin afoforo wɔ hɔ a wɔde frɛ eyi?

Yiw, edin afoforo pii wɔ hɔ a wɔde frɛ Duane Syndrome. Sɛ wo duruyɛfoɔ ka saa din yi mu baako a, mma ɛnhaw wo, wɔn nyinaa yɛ tebea korɔ.

• Duane retraction syndrome a ɛma obi twetwe ne ho
• Aniwa a wɔtwe kɔ akyi ho yare
• Retraction syndrome anaasɛ awo mu retraction syndrome
• Duane radial ray yare a ɛma obi ho yɛ hyew
• Still-Turk-Duane yare a ɛma obi da so ara yɛ adwuma

Ɛyɛ papa sɛ wubehu saa din ahorow yi, efisɛ ɛtɔ mmere bi a ebia saa din ahorow yi bɛda adi wɔ aduruyɛ ho kyerɛwtohɔ ahorow mu.

So Duane Syndrome ahorow bi wɔ hɔ?

Yiw, sɛnea yɛreka nnuan ho asɛm no, Duane syndrome ahorow atitiriw abiɛsa na ɛwɔ hɔ. Wɔfrɛ wɔn type 1, type 2, ne type 3. Afei momma yɛnhwɛ type biara wɔ ɔkwan soronko so.

Duane yare a ɛto so 1

Eyi ne ɔkwan a ɛtaa ba , a ɛyɛ Duane syndrome ayarefo nyinaa mu 78%.

Sɛ wo anaa wo ba no wɔ nea edi kan a, ɛyɛ den sɛ wobɛdan aniwa no akɔ abɔnten, kyerɛ sɛ, wobɛdan akɔ aso no so.. Nanso wubetumi adan w’ani akɔ wo hwene nkyɛn. Nanso sɛ woyɛ saa a, baabi a aniwa no wɔ no bue no sua, na aniwa no betumi ayɛ te sɛ nea ``ɛtwe ne ho''. Ɛtɔ da bi nso a, ebetumi ayɛ te sɛ nea wɔatwe aniwa no akɔ wo hwene nkyɛn (esotropia).

Duane yare a ɛto so abien

. 7% .

Obi a ɔwɔ ɔkwan a ɛto so abien no ntumi dan n’ani kɔ mu, kyerɛ sɛ, ɛkɔ hwene mu . Nanso, wotumi dan aniwa no kɔ aso no so. Nanso, sɛ wɔyɛ saa a, aniwa a ɛbue no bɛyɛ ketewaa te sɛ nea ɛte wɔ nea edi kan no mu no, na ebia ɛbɛyɛ te sɛ nea aniwa no rekɔ mu. Ebia saa nkurɔfo yi ani bɛdan akɔ abɔnten, akɔ aso no so (exotropia).

Duane yare a ɛto so 3

Saa ɔkwan yi ka ayarefo nyinaa mu bɛyɛ 15%.

Obi a ɔwɔ type 3 no ntumi dan n’ani kɔ afã abien no nyinaa, kɔ ne mu ne akyi . Afei nso, sɛ wofi mmeae ahorow hwɛ a, ebetumi ayɛ te sɛ nea aniwa no mu ayɛ teateaa na ɛbɛyɛ te sɛ nea aniwa no rekɔ mu.

Saa nkyekyɛmu yi ho hia sɛ nnuruyɛfo yɛ ayaresa ho nhyehyɛe na wɔte sɛnea yare no te ase.

Duane Syndrome abu so dɛn?

Sɛnea akontaabu a ɛwɔ United States kyerɛ no, nnipa dodow no mu bɛyɛ 4%, anaa nnipa bɛyɛ ɔpepem 13, wɔ strabismus bi. Wobu akontaa sɛ wɔn a wɔwɔ saa tebea yi mu 1% kosi 5% wɔ Duane syndrome.

Ade foforo ne sɛ saa tebea yi abu so kakra wɔ mmea mu .

Dɛn ne eyi ho sɛnkyerɛnne? So mmofra nkumaa nso hu eyinom?

Yiw, wotumi hu Duane yare no ho sɛnkyerɛnne ahorow bi wɔ nkokoaa nkumaa mpo mu. Ma yɛnhwɛ nea ɛkyerɛ titiriw no:

• Ti a wɔdannan a ɛnyɛ ne kwan so: Nnipa binom a wɔwɔ Duane yare no taa dan wɔn ti kɔ ɔfã biako de bɔ mmɔden sɛ wɔbɛma wɔn ani ayɛ tẽẽ. Fa no sɛ wo ti a wobɛdan bere a wohwɛ mfonini bi a ɛsensɛn ɔfasu no so no.
• Strabismus: Ɛtɔ mmere bi a, nanso ɛnyɛ bere nyinaa na ɛte sɛ nea aniwa abien no nyinaa nkyerɛ ɔkwan koro so .
• Amblyopia anaa aniwa a ɛyɛ ɔkwasea: Wɔsan frɛ eyi "aniwa a ɛyɛ ɔkwasea." Bere a amemene no sua aniwa a eye no, efi ase bu n’ani gu nsɛnkyerɛnne a efi aniwa a aka no mu no so. Eyi betumi ama bere kɔ so no, saa aniwa no nhu ade yiye .
• Aniwa biako a ɛda adi sɛ ɛyɛ ketewaa sen foforo no: Eyi fi aniwa no mu teateaa.
• Aniwa a wode bɛkɔ soro anaa fam bere a worehwɛ ɔkwan pɔtee bi so: Wɔfrɛ eyi ``up-shooting'' anaa ``down-shooting''. Ebetumi ayɛ te sɛ nea aniwa no rehuruw akɔ soro anaa akɔ fam mpofirim.

Sɛ wuhu saa sɛnkyerɛnne ahorow yi wɔ wo ba no ho a, ɛho hia yiye sɛ wobɛkɔ aniwa ho oduruyɛfo nkyɛn ampa ahwehwɛ afotu.

So nnipa a wɔwɔ Duane Syndrome no betumi anya ayaresa mu tebea afoforo?

Ɛwom sɛ ɛnyɛ bere nyinaa de, nanso ɛtɔ mmere bi a akwahosan ho haw afoforo betumi aka Duane yare no ho. Eyinom bi ne:

• Aso mu haw ahorow
• Goldenhar syndrome: Eyi yɛ tebea a ɛma anim, aso, ne akyi berɛmo yɛ nea ɛnteɛ.
• Ɔhaw ahorow a ɛwɔ w’akyi berɛmo anaa w’akyi berɛmo mu

Nea ɛka ho no, aniwa mu tebea afoforo betumi aba aka Duane yare no ho. Nhwɛsoɔ:

• Cataract: Eyi kyerɛ sɛ aniwa no ani a ɛyɛ mununkum no bɛyɛ mununkum.
• Microphthalmos: Wɔ eyi mu no, aniwa no bɛyɛ ketewaa wɔ ɔkwan a ɛnteɛ so.
• Nystagmus: Eyi ne bere a aniwa no tu ntɛmntɛm na wontumi nni so.
• Crocodile tears syndrome: Eyi ne anim ntini a entumi nyɛ adwuma yiye a wɔfrɛ no Bell’s palsy wɔ abusuabɔ. Wɔ saa tebea yi mu no, nusu pue bere a wodi anaa wɔnom biribi.

Enti, sɛ wohu sɛ Duane yare no wɔ hɔ a, nnuruyɛfo nso hwɛ sɛ tebea afoforo a ɛte saa ara wɔ hɔ anaa.

Dɛn ne nneɛma a ɛde Duane Syndrome ba?

Duane yare no yɛ awosu mu yare, nanso ɛnyɛ nea wɔtaa nya fi awo mu . Sɛnea yɛadi kan aka no, ɔhaw ahorow a ɛba yɛn ti nhwi mu ntini a ɛhwɛ yɛn aniwa no so no so na ɛde aniwa a ɛkeka ne ho ho haw ahorow yi ba.

Titiriw no, wɔahu sɛ ɛnanom a wɔde aduru a wɔfrɛ no thalidomide dii dwuma bere a wɔyem no mma betumi anya Duane yare no kakra (wɔmfa aduru no nni dwuma bio).

Nnipa a wɔwɔ Duane syndrome no mu bɛyɛ 10% wɔ abusua mufo afoforo a wɔn nso wɔ tebea no. Wɔ abusua mu nsɛm a ɛtete saa mu no, ɛtaa ka aniwa abien no nyinaa (afã abien).

Sɛ Duane syndrome no fi awo mu a, efi abofra bi a onya awosu mu nkwaadɔm a ɛyɛ soronko `CHN1`, `MAFB`, anaa `SALL4` fi wɔn awofo hɔ. Wɔfrɛ saa agyapade nhyehyɛe yi `autosomal dominant` . Eyi kyerɛ sɛ ebetumi aba a ɔbarima ne ɔbea nna mfa ho, na sɛ ɔwofo biako pɛ na ɔwɔ tebea no mpo a, abofra no betumi anya bi.

So Duane Syndrome yɛ ɔyare mmoawa?

Dabi, ɛnte saa koraa. Duane syndrome nyɛ yare a ɛde ɔyare mmoawa ba. Ɛne sɛ, ɛntrɛw mfi onipa biako so nkɔ foforo mu te sɛ atiridii anaa atiridiinini. Enti biribiara nni hɔ a enti ɛsɛ sɛ yesuro.

Ɔkwan bɛn so na wohu sɛ ɔwɔ Duane Syndrome?

Wo duruyɛfo, titiriw aniwa ho oduruyɛfo, bɛfa aduruyɛ ho abakɔsɛm a edi mũ na wahwɛ w’ani yiye. Wɔbɛsusuw nhyɛso dodow a ɛwɔ w’ani so ne baabi a wubetumi adan afi ɔfã biako akɔ ɔfã foforo.

Oduruyɛfo no nso betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu mfa nhwɛ sɛ ebia tebea afoforo a ebia ɛne Duane yare no wɔ abusuabɔ anaa.

Tebea foforo bi wɔ hɔ a wɔfrɛ no sixth cranial nerve palsy, a ɛte sɛ Duane yare no yiye, nanso ɛnyɛ nea abu so saa. Oduruyɛfo no nso bɛbɔ mmɔden sɛ obehu nsonsonoe a ɛda tebea abien yi ntam.

Ɔkwan bɛn so na wɔsa Duane Syndrome?

Ayaresa a wubetumi apaw no gyina mfe a woadi, sɛnea yare no mu yɛ den, ne ayaresa tebea foforo biara a ebia wowɔ so.

• Ebia nnipa binom nhia ayaresa: Nnipa binom a wɔwɔ Duane yare no nhia ayaresa titiriw biara. Nea ehia ara ne sɛ wɔkɔ so kɔ aniwa ho oduruyɛfo nkyɛn na wɔma wɔhwɛ wɔn aniwa.
• Aniwa a Ɛyɛ Ɔkwasea (Amblyopia) Ayaresa): Sɛ wowɔ aniwa a ɛyɛ ɔkwasea nso a, wubetumi abɔ mmɔden sɛ wobɛma saa aniwa no ahu ade yiye denam aduru a wode bɛkata aniwa pa no so na woama aniwa a ɛyɛ mmerɛw no ayɛ adwumaden no so. Eyi te sɛ nea wobɛka akyerɛ abofra a ne ho akokwaw wɔ adesua mu sɛ onnyina nkyɛn kakra na woama abofra foforo no hokwan.
• Oprehyɛn: Sɛ Duane yare no mu yɛ den a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de siesie aniwa no ntini. Saa oprehyɛn yi ntumi nsiesie ntini mu haw no, nanso ebetumi aboa ma aniwa ntini no asan asiesie, atew ti a ɛdannan wɔ ɔkwan a ɛnteɛ so no so, ama aniwa no ayɛ tẽẽ bere a ɛrehwɛ yɛn anim tẽẽ no, na adi aniwa a ɛkɔ soro/atotɔ a ɛba fam no so.

Kae sɛ ɛnyɛ obiara na ɛsɛ sɛ wɔyɛ no oprehyɛn. Ɛno yɛ wo duruyɛfo na obesi ho gyinae.

So wobetumi asiw Duane Syndrome ano?

Saa bere yi de, ɔkwan biara nni hɔ a wɔbɛfa so asiw Duane yare no ano. Wɔmfa aduru thalidomide a ebetumi ama Duane yare (a awo mu dɛmdi afoforo pii ka ho) no nni dwuma bio. Enti ɛho nhia sɛ yesuro.

Sɛ mewɔ Duane Syndrome a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Nnipa binom a wɔwɔ Duane yare no tumi dan wɔn ti kakra, ma wɔn ani hu ade yiye, na wɔtra ase sɛnea ɛsɛ. Wɔ tebea horow bi mu no, ebia oprehyɛn ho behia, sɛnea yɛadi kan aka ho asɛm no.

Sɛ wowɔ tebea foforo bi ka Duane syndrome ho a, wo duruyɛfo no bɛsa saa tebea no nso.

Ebia wɔbɛkamfo akyerɛ wo nso sɛ hyɛ ahwehwɛ na ama woahu ade yiye na/anaasɛ wobɛteɛteɛ w’ani gyinabea.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Wubetumi abisa wo duruyɛfo nsɛm te sɛ eyinom:

• So ɛsɛ sɛ mekɔ awosu ho ɔfotufo bi nkyɛn? (Titiriw sɛ obi a ɔwɔ abusua no mu wɔ saa tebea yi, anaasɛ merehwɛ mma pii kwan a).
• So mfiri bi wɔ hɔ a ɛboa ma obi hu ade?

Mpɛn pii no, oduruyɛfo behu sɛ abofra bi anya Duane yare no wɔ n’asetra mfe 10 a edi kan no mu. Sɛ wowɔ nneɛma bi a ɛhaw wo wɔ w’anisoadehu anaa wo ba no anisoadehu ho a, kɔ oduruyɛfo nkyɛn ntɛm ara. Wo duruyɛfo betumi aboa wo ma woasi Duane yare no aduru a eye sen biara ho gyinae na sɛ ɛwɔ hɔ a, wasa amblyopia.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti, sɛ yɛbɛbɔ Duane Syndrome a yɛaka ho asɛm no mua a, kae saa nneɛma yi:

• Duane syndrome yɛ awo mu yare a ɛma ɛyɛ den sɛ wɔbɛdan aniwa no afi ɔfã biako akɔ ɔfã foforo.
• Eyi nyɛ yare a wɔde kɔ nnipa mu.
• Nsɛnkyerɛnne no bi ne ti a ɔdan kɔ ɔfã biako, n’ani a ɛyɛ mmerɛw, ne aniwa biako a n’ani so tew.
• Eyi ahorow abiɛsa na ɛwɔ hɔ, na ɛtɔ mmere bi a ebetumi aba wɔ akwahosan ho haw afoforo ho.
• Ebia ayaresa no bi ne hwɛ a wɔbɛhwɛ, aniwa a ɛyɛ ɔkwasea no a wɔbɛbɔ, anaa oprehyɛn. Ɛnyɛ obiara na ɛsɛ sɛ wɔyɛ no oprehyɛn.
• Nea ɛho hia sen biara ne sɛ, sɛ wo anaa wo ba no wɔ saa sɛnkyerɛnne ahorow yi a, mma wo ho nnpopo na kɔ aniwa ho oduruyɛfo nkyɛn kɔhwehwɛ afotu ne ayaresa a ɛfata.

Mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Sɛ wowɔ nsɛmmisa foforo biara a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo!

Duane syndrome, strabismus, aniwa tebea a wɔde awo obi, aniwa a ɛkeka ne ho, aniwa a ɛyɛ ɔkwasea, aniwa a ɛyɛ mmerɛw, aniwa mu haw