So w’aniwa anim no te nka sɛ ayɛ mmerɛw ara kwa? Momma yɛnka (Floppy Eyelid Syndrome) ho asɛm?

So wote ɛyaw nso nka wɔ w’ani so na sɛ wosɔre anɔpa a, wote nka sɛ w’aniwa anim rehuruhuruw kɔ anim ne akyi? Ebia w’aniwa anim te sɛ nea ɛyɛ rɔba ara kwa bere a wode wo nsa ka no. Bere a eyi yɛ ɔhaw ketewaa bi ma nnipa binom no, ebetumi nso ayɛ tebea bi a yɛbɛka ho asɛm nnɛ a wɔfrɛ no (Floppy Eyelid Syndrome) ho sɛnkyerɛnne .

Dɛn ne Floppy Eyelid Syndrome a Ɛyɛ Fɛ?

Sɛ yɛbɛka no tiawa a, (Floppy Eyelid Syndrome) ne bere a w’aniwa anim, anaa w’aniwa ho were no yɛ mmerɛw na ɛyɛ rɔba. Ɛbɛyɛ nea ɛtrɛw, te sɛ rɔba dedaw bi. Eyi ma ɛyɛ mmerɛw sɛ w’aniwa anim bɛhuruhuruw akɔ mu anaasɛ ebefi mu, titiriw bere a woada no. Mpɛn pii no ebetumi aka aniwa a ɛwɔ soro abien no nyinaa.

Saa tebea yi abu so dɛn?

Mprempren nhwehwɛmu kyerɛ sɛ wiase nnipa dodow 2% kosi 4% na wɔwɔ saa tebea yi (Floppy Eyelid Syndrome). Nanso, nnuruyɛfo gye di sɛ dodow yi betumi akɔ soro koraa. Nea enti a ɛte saa ne sɛ, tebea yi ho sɛnkyerɛnne betumi aba wɔ nyarewa afoforo pii ho. Enti, ɛtɔ mmere bi a nnuruyɛfo, titiriw aniwa ho animdefo, sa saa sɛnkyerɛnne ahorow yi, nanso ebia wɔrenhu sɛ ɛyɛ eyi (Floppy Eyelid Syndrome) ankasa fã.

Dɛn ne Floppy Eyelid Syndrome ho sɛnkyerɛnne ahorow?

Saa tebea yi betumi de sɛnkyerɛnne ahorow pii aba, titiriw bere a wudi kan sɔre anɔpa no .

• Aniwa no ano yɛ mmerɛw yiye na ɛyɛ mmerɛw. Wobetumi abɔ mu/afiri mu bere a wɔde wɔn nsa ka kakraa bi mpo.
• Wote ɛyaw anaa ɔhyew nka wɔ w’ani so.
• Aniwa no yɛ nwunu efisɛ nusu nsu a ɛma aniwa no yɛ nwini no mfa srade nhyɛ mu yiye.
• W’ani reyɛ nsu efisɛ wo nipadua no reyɛ nusu pii na ama ayɛ nwini.
• Aniwa no ho ahonhon na ɛyɛ yaw. Yɛsan frɛ eyi blepharitis wɔ aduruyɛ mu.
• Ɛte sɛ nea biribi akɔhyɛ aniwa no mu.
• Sɛ́ wobɛte hann nka, a ɛkyerɛ sɛ ɛyɛ den sɛ wobɛhwɛ hann no (Photophobia) .
• Nsu bi te sɛ nsu a ɛtɔ fi aniwa no mu reba.

Dɛn nti na aniwa a ɛrekɔ fam yi yɛ ɔhaw?

Did you know that the thinnest skin on our bodies is found on our eyelids ? Sɛ aniwa yi betumi ayɛ adwuma yiye a, ɛsɛ sɛ ɛyɛ nea ɛyɛ den . Ɛno ne bere a wɔwɔ ‘ahunmu’ a wohia sɛ wɔtra aniwa no so denneennen na wɔforo kɔ soro ne fam bere a yɛbue, yɛto mu, na yɛbɔ yɛn ani no.

Nanso aniwa anim no nyɛ ade a wɔde kata so ara kwa. Wɔ mu no, ntini bi a wɔfrɛ no Meibomian ntini ahorow wɔ hɔ . Saa ntini yi ma (Meibum) .Wɔma srade bi a wɔfrɛ no meibum (wɔbɔ no meibum) fi mu. Saa ade yi ho hia yiye ma ɔkwan a yɛn nusu nhyehyɛe no fa so yɛ adwuma no. Saa ngo yi a wɔfrɛ no meibum no ne nusu nsu no fra, na ɛde srade gu aniwa no ani na ɛtew nusu nsu a ɛyɛ hyew no so. Ɛnyɛ ɛno nko, na mmom ɛboa nso ma aniwa no yɛ biako bere a wɔato aniwa no mu no, na ɛma ɛyɛ nsɔano a ɛmma mframa nkɔ mu. Eyi boa ma aniwa no kɔ so yɛ nwini.

Enti, sɛ w’aniwa no hwere saa ahoɔden yi a, ɛyɛ droopy, ɛntra baabi a ɛfata. Afei (Meibum) a efi (Meibomian ntini) no mu ba no ne nusu nsu no nfra yiye. Afei srade a wɔde hyɛ aniwa no mu no sɛe. Afei nso, esiane sɛ ɛnyɛ den sɛ aniwa no di akɔneaba nti, saa nsɔano a mframa ntumi nkɔ mu no nyɛ yiye bere a woato w’ani no. Eyi yɛ biribi a ebetumi asi bere nyinaa, titiriw bere a woada .

Dɛn na ɛde Floppy Eyelid Syndrome ba?

Ade titiriw nti a aniwa no hwe ase ne protein bi a wɔfrɛ no elastin a ɛyera wɔ aniwa no mu. Saa elastin yi na ɛma honam ani yɛ den. Nanso wɔda so ara nnim nea enti a ɛte saa ankasa. Nanso, nhwehwɛmu ama adwenem naayɛ aba nneɛma pii ho. Ɛyɛ den sɛ yɛbɛka sɛ ebia eyinom ne nneɛma a ɛde ba ankasa anaasɛ nneɛma a ɛde ba ara kwa. Nanso wosusuw sɛ eyinom di dwuma:

• Kɛseyɛ mmoroso ne Dae mu Ahomegye a Ɛmma Ntumi Nsiw (OSA): Saa tebea abien yi wɔ abusuabɔ kɛse. Sɛ woyɛ kɛse mmoroso, kyerɛ sɛ, woyɛ kɛse mmoroso kɛse a, asiane kɛse wom sɛ wubenya OSA. Sɛ wowɔ OSA a, wo home gyae bere a woada no. Eyi ma mframa pa dodow a wo nipadua nya no so tew. Oxygen a enni hɔ yi sesa nnuru a nipadua no yɛ no, na wɔyɛ enzyme pii a ebetumi abubu protein bi a wɔfrɛ no elastin. Nnipa a wɔwɔ OSA no mu bɛyɛ fã nso nya saa tebea yi (Floppy Eyelid Syndrome).
• Ntini a ɛka bom: Eyinom yɛ nyarewa a ɛka ntini a ɛka bom te sɛ ntini ne ntini a ɛma ntini no yɛ adwuma. Saa nyarewa yi nso betumi aka ɔkwan a nipadua no fa so yɛ elastin na ɛde di dwuma no. For example, conditions like Marfan syndrome and Ehlers-Danlos syndrome .
• Awosu: Nsakrae a ɛba wo DNA mu no betumi aka ɔkwan a wo nipadua no fa so yɛ elastin na ɛde di dwuma no. Ebia eyinom fi w’awofo hɔ, anaasɛ ebetumi ayɛ nsakrae a ɛbae wɔ akwanhyia mu bere a na worenyin sɛ akokoaa.
• Nyarewa afoforo a ɛka aniwa ne ntini a atwa ho ahyia: Ebia nnipa a wɔwɔ nyarewa a ɛma aniwa no tu kɔ anim no betumi akɔ asiane mu kɛse. Sɛ nhwɛso no , thyroid nyarewa te sɛ Hashimoto yare .

Nea ɛka eyi ho no, nneɛma afoforo pii wɔ hɔ a ɛde ba:

• Bɔbeasu: Mmarima taa nya Floppy Eyalid Syndrome sen mmea. Bɛyɛ nkyem abiɛsa mu abien yɛ mmarima.
• Mfeɛ:Saa tebea yi taa ba mpanyimfo mu. Ɛwom sɛ ebetumi anyin wɔ mmofra mu de, nanso ɛntaa nsi koraa.
• Mmusuakuw: Ebia nnipa a wɔn honam ani fã soronko bi (epicanthic fold) wɔ aniwa no mu ntwea so, te sɛ Asiafo mmusuakuw bi, rennya saa tebea yi esiane sɛnea wɔn aniwa anim te nti.

Dɛn ne nsɛnnennen a ebetumi afi Floppy Eyelid Syndrome mu aba?

Sɛ w’aniwa hwe ase a, ɛmma w’ani nnkɔ so nyɛ nwini na srade nhyɛ mu. Eyi betumi ama w'ani ayɛ abufuw na asɛe . Eyi betumi ama:

• Aniwa a ɛyɛ mmerɛw .
• Keratitis yɛ aniwa no anim fã a ɛda adi pefee no a ɛyɛ hyew.
• Aniwa a ɛtwetwe a ɛsan ba (RCE) .
• Aniwa mu akuru ne akuru a ɛwɔ hɔ.
• Wɔ tebea horow a emu yɛ den mu no, sɛ wɔansa a, aniwa a ɛyera betumi aba.

Ɔkwan bɛn so na wohu tebea yi (Floppy Eyelid Syndrome)?

Esiane sɛ eyi ho sɛnkyerɛnne (Floppy Eyelid Syndrome) ba wɔ nyarewa afoforo pii ho nti, nhwehwɛmu pɔtee biara nni hɔ a wɔde hu no pɛpɛɛpɛ.

Aniwa ho oduruyɛfo betumi ahu saa tebea yi denam wo sɛnkyerɛnne ahorow a obebisa wo, nsɛm a obebisa wo wɔ w’anisoadehu ne sɛnea w’ani te nka ho, na wahwehwɛ w’aniwa anim no so. Bere a wɔreyɛ nhwehwɛmu no, oduruyɛfo no de ne nsateaa ano bɛto w’aniwa honam ani. Ɛyɛ sɔhwɛ a ɛyɛ brɛoo a ɛnyɛ yaw, nanso ɛyɛ den a ɛbɛma woahu baabi a wubetumi akɔ akyirikyiri na woatwe w’aniwa anim.

Aniwa ho animdefo pii de saa kwan yi di dwuma de hu sɛ ebia wowɔ Floppy Eyelid Syndrome ne sɛnea emu yɛ den . Nneɛma atitiriw abien na wɔde di dwuma wɔ abasobɔde mu ma eyi:

• Ɔkwan a wɔfa so susuw: Eyi na ɛkyerɛ sɛnea aniwa no keka ne ho. Saa nsenia yi fi 0 kosi 4.
• Conjunctival Visibility System: Wɔ eyi mu no, aniwa ho oduruyɛfo no bɛma w’aniwa atifi anim bere a worehwɛ fam no. Sɛnea aniwa no fã fitaa a wɔfrɛ no conjunctiva no da adi no na ɛkyerɛ sɛnea emu yɛ den. Saa nsenia yi fi 0 kosi 3.

Dɛn ne ayaresa ahorow a wɔde sa eyi (Floppy Eyelid Syndrome)?

Akwan atitiriw abien na ɛwɔ hɔ a wɔfa so sa yare: ɔkwan a wɔfa so sa yare ne ɔkwan a wɔfa so yɛ oprehyɛn .

Ɔkwan a wɔfa so kora nneɛma so

Ɔkwan a wɔfa so yɛ ade a wɔde di dwuma wɔ ɔkwan a ɛyɛ katee so ne sɛ wɔbɛbɔ mmɔden sɛ wobesiw tebea yi ho sɛnkyerɛnne ahorow ano. Mpɛn pii no, eyi hwehwɛ sɛ wode plaster kata w’ani so bere a woada, wobɛda a wode aniwa akataso ahyɛ wo ho, anaasɛ wode nusu a wɔayɛ anaa aniwa srade bɛpetepete so ansa na woada.

Afei nso, wo duruyɛfo bɛka akyerɛ wo sɛ yɛ nna mu nhwehwɛmu nhwɛ sɛ wowɔ OSA anaa. Ma ɛno ntra w’adwenem, sɛ wonyɛ kɛse mpo a, wubetumi anya OSA.

Ade a ɛho hia sen biara: Sɛ wowɔ OSA a, sɛ wode Continuous Positive Airway Pressure (CPAP) afiri anaa Bilevel Positive Airway Pressure (BPAP) afiri (ɛtɔ mmere bi a wɔfrɛ no BiPAP®) di dwuma a, ebetumi aboa ma woadan elastin a ɛyera no na ama w’aniwa a ɛyɛ den no atu mpɔn. Ɛho hia paa sɛ wode saa afiri yi di dwuma anadwo biara. Anyɛ saa a, ɛremmoa pii. Ɔkwan foforo so no, OSA a wɔansa no betumi akum obi, enti afiri no a wɔde bedi dwuma no ho hia kɛse mpo.

Ɔkwan a wɔfa so yɛ oprehyɛn

Mpɛn pii no, wosusuw oprehyɛn ho sɛ nneɛma a wɔde siw ano no anyɛ adwuma a. Afei nso, sɛ wo tebea (Floppy Eyelid Syndrome) no mu yɛ den na asiane wɔ hɔ sɛ w’ani bɛsɛe a, ɛnde oprehyɛn betumi ayɛ ɔkwan a wubetumi afa so. Oprehyɛn ahorow pii wɔ hɔ a ebetumi ama w’aniwa ntini mu ayɛ den. W’ani ho oduruyɛfo anaa oprehyɛn ho oduruyɛfo bɛka oprehyɛn a wɔkamfo kyerɛ ne nea ɛsɛ sɛ wohwɛ kwan no ho nsɛm pii akyerɛ wo.

Sɛ wowɔ (Floppy Eyelid Syndrome) a, dɛn na wobɛhwɛ kwan?

Sɛ wowɔ Floppy Eyelid Syndrome a, wo sɛnkyerɛnne ahorow no taa di ɔhaw ahorow a ɛfa nsu a ɛwɔ w’ani so ho. Mpɛn pii no sɛ yare no ho sɛnkyerɛnne no sɛe kɛse bere a wudi kan sɔre anɔpa no . Sɛ wotaa da w’afã a, ebia w’aniwa no fã a wopɛ no benya wo sɛnkyerɛnne ahorow no so nkɛntɛnso kɛse. Bere a tebea yi nyɛ nea asiane wom tẽẽ no, ebetumi asɛe w’ani daa na aka w’ani so.

Sɛ wususuw sɛ wowɔ (Floppy Eyelid Syndrome) a, ɛyɛ papa sɛ wobɛkɔ aniwa ho oduruyɛfo nkyɛn na woakɔhwɛ. Sɛ saa a, wo duruyɛfo no bɛhwɛ sɛ (OSA) wɔ hɔ, na sɛ ɛho hia a, wasa.

Sɛ tebea yi (Floppy Eyelid Syndrome) no ankasa betumi atu mpɔn a, ɛsɛ sɛ wodi nea ɛde ba te sɛ OSA no ho dwuma koraa. Nanso, ɛsɛ sɛ wɔsa OSA ankasa, efisɛ ebetumi de ɔhaw ahorow a ɛde nkwa to asiane mu aba.

Dɛn ne tebea yi (Floppy Eyelid Syndrome) ho anidaso?

Adwene a ɛwɔ Floppy Eyelid Syndrome ho no ye yiye wɔ ayaresa ho. Ayaresa te sɛ (CPAP) anaa (BPAP) anaa (OSA) a wode bedi dwuma no bɛboa ma anyɛ yiye koraa no wo sɛnkyerɛnne ahorow no atu mpɔn akodu baabi. Nsɛnkyerɛnne a aka no renyɛ den pii na ɛbɛyɛ mmerɛw sɛ wɔde ayaresa afoforo a wɔmfa nnuru nni dwuma wom bedi so.

Oprehyɛn a wɔde sa Floppy Eyelid Syndrome no nkonimdi no dɔɔso yiye. Oprehyɛn a edi mu no yɛ 91% kosi 98% .

So wobetumi asiw Floppy Eyelid Syndrome ano?

Esiane sɛ yennim sɛnea Floppy Eyelid Syndrome no ba ankasa nti, ɛrentumi nyɛ yiye sɛ yebesiw ano koraa. Nanso, abenfo gye di sɛ wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya Floppy Eyelid Syndrome no so denam tebea horow a ebia ɛde ba a wobɛsa anaasɛ wobɛkwati so. Ebia eyinom bi ne:

• Mu duru a ɛfata a wobɛkɔ so akura mu ama wo.
• Fa wo mframa kwan so nhyɛso afiri a ɛyɛ papa no di dwuma sɛnea wɔkamfo kyerɛ no, anadwo biara, a wompa da koro mpo.
• Di nyarewa biara a enni sabea a ebia wowɔ (te sɛ Hashimoto yare) ho dwuma na asiw aniwa mu nsakrae a ebetumi ama woanya Floppy Eyelid Syndrome no ano.

Sɛ mewɔ (Floppy Eyelid Syndrome) a, mɛyɛ dɛn ahwɛ me ho?

Sɛ wowɔ Floppy Eyelid Syndrome a, ɛho hia sɛ wudi w’ani duruyɛfo akwankyerɛ akyi yiye sɛnea wubetumi. Ɛsɛ sɛ w'ani a wobɛbɔ ho ban bere a woada no yɛ ade titiriw . Afei nso, fa nusu a wɔde nsa ayɛ, aniwa mu aduru, anaa nneɛma afoforo di dwuma sɛnea wɔkamfo kyerɛ no. It is also important to avoid rubbing your eyes . Eyi betumi ama w’aniwa ayɛ mmerɛw kɛse.

Sɛ wo duruyɛfo de wo kɔ nna ho ɔbenfo nkyɛn kɔhwɛ sɛ OSA anaa a, ɛsɛ sɛ woyɛ saa sɛnea wɔkamfo kyerɛ no. Sɛ wohu sɛ OSA wɔ hɔ a, di oduruyɛfo titiriw no akwankyerɛ akyi pɛpɛɛpɛ. Eyi ho hia, efisɛ OSA a wɔansa no betumi akum obi.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn anaa mehwehwɛ aduruyɛfo afotu?

Sɛ wɔansa Floppy Eyelid Syndrome a, ebetumi asɛe aniwa daa. Sɛ wowɔ sɛnkyerɛnne ahorow a, ɛsɛ sɛ wokɔ aniwa ho ɔbenfo nkyɛn ntɛm ara sɛnea wubetumi . Eyi nyɛ asɛm a egye ntɛmpɛ, nanso ɛnyɛ biribi a ɛsɛ sɛ wugyina ano kɛkɛ, wubu w’ani gu so, anaa wobɔ mmɔden sɛ w’ankasa wobɛsa.

Sɛ wunim dedaw sɛ wowɔ saa tebea yi a, sɛ wo sɛnkyerɛnne no sesa anaasɛ ɛyɛ kɛse a, wo ne wo duruyɛfo nkasa. Sɛ ayaresa ahorow no mmoa, anaasɛ ɛte sɛ nea ɛrehwere ne mmɔdenbɔ a, wubetumi ne wo duruyɛfo akasa afa ɛno nso ho.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Nsɛmmisa bi a wubetumi abisa wo duruyɛfo ni:

• Me (Floppy Eyelid Syndrome) tebea no mu yɛ den dɛn?
• Ɔkwan bɛn so na eyi renya m’ani so nkɛntɛnso mprempren?
• Dɛn na metumi ayɛ de asa me yare no saa bere yi?
• Nsɛnnennen anaa nsunsuanso bɔne bɛn na ɛsɛ sɛ mehwɛ na mehwɛ yiye wɔ ho?

Nsonsonoe bɛn na ɛda Floppy Eyelid Syndrome ne tebea afoforo a ɛma aniwa a ɛyɛ mmerɛw (ptosis) no ntam?

Aniwa a ɛhwe ase, tebea a wonim no wɔ aduruyɛ ho nyansahu mu sɛ ptosis , betumi aba wɔ akwan foforo abien so:

• Sɛ w’aniwa ayɛ mmerɛw esiane ɔhaw bi a ɛwɔ ntini no ankasa ho nti a.
• Sɛ ntini a ɛka ntini no ho no ntumi nyɛ adwuma yiye a, ɛno kyerɛ sɛ nsɛnkyerɛnne a ɛma ntini no tu no sɛe.

Floppy Eyelid Syndrome yɛ soronko wɔ akwan abien a aka no ho efisɛ ɛne honam ani hwɛbea a ɛyɛ den no wɔ abusuabɔ pɔtee . Ɛnka ntini anaa ntini a ɛka aniwa a ɛkeka ne ho no.

Nsɛm a wɔaboaboa ano ne nneɛma a ɛsɛ sɛ wɔkae

Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea Floppy Eyelid Syndrome yɛ ade ketewaa bi de, nanso ebetumi ayɛ tebea bi a emu yɛ den kɛse a ebetumi akum obi a wɔfrɛ no Obstructive Sleep Apnea (OSA) ho sɛnkyerɛnne. Sɛ wɔansa Floppy Eyelid Syndrome a, ebetumi asɛe aniwa daa.

Sɛ wowɔ (Floppy Eyelid Syndrome) ho sɛnkyerɛnne a, mmu w’ani ngu so anaasɛ ngyina ano. Saa tebea yi a wubehu na woasa no bɛboa wo ma woanya apɔwmuden, ahu ade yiye, na asiw ɔhaw ahorow a asiane wom ano. Enti, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn na woanya afotu.

` Floppy Eyelid Syndrome, OSA, Dae mu Ahomegye, Aniwa Yare, CPAP, Aniwa a Ɛbɔ