So woahyɛ no nsow pɛn sɛ wo ba kumaa no ani ada nsow kakra sen sɛnea ɛte daa? Anaasɛ oduruyɛfo bi aka ho asɛm akyerɛ wo? Wɔ aduruyɛ mu no, yɛfrɛ tebea yi Orbital Hypertelorism . Ɛtɔ mmere bi a wɔsan frɛ no Ocular Hypertelorism. Ɛwom sɛ saa nsɛm yi betumi ayɛ hu de, nanso eyi nyɛ aniberesɛm sɛnea yesusuw no. Ɛnnɛ, yɛbɛka eyi ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so.
Dɛn ankasa ne Orbital Hypertelorism?
Sɛ yɛbɛka no tiawa a, Orbital Hypertelorism nyɛ yare a ɛda nsow. Ɛtaa ba sɛ awo mu dɛmdi foforo anaa awosu mu yare foforo ho sɛnkyerɛnne .
Susuw ho hwɛ, sɛ akokoaa wɔ awotwaa mu a, n’anim nnompe de nkakrankakra reyɛ ne su. Saa bere yi de, aniwa abien a ɛwɔ n’aniwa no mu no ntam kwan ware kakra sen sɛnea ɛte daa. Enti, nsonsonoe a ɛda aniwa ntam no da adi kɛse sen abofra a ɔte ase. Dompe foforo ahyɛ saa baabi a ɛkɔ soro yi ma.
Nea ɛho hia ne sɛ mmofra dodow no ara a wɔn aniwa ntam kwan ware saa no rennya anisoadehu mu haw biara. Sɛ́ ebia aniwa no bɛka aniwa no gyina sɛnea aniwa no ntam kwan ware ne sɛnkyerɛnne afoforo a abofra no wɔ so.
Ɔkwan bɛn so na nnuruyɛfo hu eyi pɛpɛɛpɛ?
Mpɛn pii no, oduruyɛfo hu saa tebea yi bere a wɔawo akokoaa no ara pɛ. Ɛtɔ mmere bi mpo a, wotumi hu bere a wɔreyɛ ultrasound scan bere a akokoaa no da so ara wɔ awotwaa mu no.
Wɔnkyerɛ kwan a ɛda aniwa no ntam, nanso nnuruyɛfo de susudua atitiriw abien na ɛkyerɛ eyi.
| Ɔkwan a wɔfa so susuw nneɛma | Wɔakyerɛkyerɛ mu tiawa |
|---|---|
| Canthal no mu Kwansin | Ɔkwan a ɛda aniwa biako ntwea a ɛbɛn hwene no ntwea so kosi aniwa foforo no ntwea so a ɛbɛn hwene no. |
| Pupillary Kwansin a Ɛwɔ Hɔ | Ɔkwan a ɛda aniwa biako anim mfinimfini kosi aniwa foforo no mfinimfini. |
Saa susuw abien yi nyinaa korɔn sen sɛnea ɛte wɔ mmofra a wɔwɔ orbital hypertelorism mu.
Dɛn nti na eyi rekɔ so? Dɛn ne ade titiriw nti a ɛte saa?
Nnuruyɛfo gye di sɛ wɔto tebea yi fapem wɔ akokoaa nyin adapɛn anan ne awotwe ntam. Susuw akokoaa ti nhwi nnompe ho sɛ ahodwiriwde a ɛwɔ afã abiɛsa (3D) asinasin a ɛka bom. Sɛ ɔhaw anaa nsakrae bi ba anammɔn a wɔfa so de saa asinasin yi bom no mu a, aniwa abien no betumi ayɛ nea ɛnteɛ na ɛne wɔn ho wɔn ho ntam kwan ware.
Nneɛma atitiriw abien nti a ɛte saa ne:
1. Awo mu dɛmdi
2. Awosu mu nyarewa
1. Tebea horow a wonya fi awo mu
Awo mu dɛmdi yɛ akokoaa nipadua no honam ani hwɛbea, ne mu akwaa, anaa nnuru a ɛyɛ adwuma wɔ awo mu a ɛnyɛ ne kwan so. Eyinom betumi afi:
- Awosu mu nneɛma ne awosu mu nneɛma.
- Nyarewa bi a ɛna no nya bere a wanyinsɛn.
- Mframa a ɛma mframa bɔ kɛse a wɔde wɔn ho hyɛ mu.
- Nnubɔne anaa nsa a wɔnom bere a wɔyem.
Ɛtɔ mmere bi a, awo mu dɛmdi betumi aba a ntease biara nnim, mpo a ɛba kwa. Craniosynostosis yɛ awo mu dɛmdi a ɛte saa no mu biako. Nea ɛkɔ so wɔ ha ne sɛ nhama a ɛka akokoaa no ti nhwi nnompe bom no bom. Eyi nso betumi ama Orbital Hypertelorism aba.
2. Awosu mu nyarewa
Awosu mu nkwaadɔm yɛ DNA nketenkete a ɛma nkwammoaa a ɛwɔ yɛn nipadua mu no akwankyerɛ. Nsakrae a ɛba saa awosu mu nkwaadɔm yi mu no betumi de awosu mu nyarewa aba. Awosu mu nyarewa a ebetumi ama obi anya orbital hypertelorism no bi ne:
- Apert yare a ɛma obi nya ɔyare no
- DiGeorge yare a ɛma obi nya ɔyare no
- Edwards yare a ɛma obi nya ɔyare no
- Crouzon yare a ɛma obi nya ɔyare no
- Noonan yare a ɛma obi nya ɔyare no
- Neurofibromatosis a ɛto so 1
Sɛ wo ba no wɔ saa tebea yi a, ebia wo duruyɛfo de wo bɛkɔ akɔma wo awosu ho afotu, na ɛno betumi aboa wo ma woate asiane a w’abusua wɔ sɛ wobenya awosu mu nyarewa no ase pii.
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Mmofra a wɔwɔ saa tebea yi betumi ama wɔn aniwa asan abom denam oprehyɛn so. Wɔfrɛ eyi oprehyɛn a wɔde san yɛ . Wɔtaa yɛ oprehyɛn yi bere a abofra no adi fi mfe 5 kosi 7 no. Saa oprehyɛn yi ma abofra no te sɛ nea ɛfata na ɛtew aniwa ntam kwan so.
Ɛho behia sɛ wɔyɛ wo ba no aniwa mu nhwehwɛmu daa ansa na wɔayɛ no oprehyɛn ne bere a wɔayɛ no oprehyɛn akyi de ahwɛ nsakrae a aba wɔ n’ani ne n’ani so.
Nnuruyɛfo a wɔyɛ oprehyɛn no de oprehyɛn akwan abien na edi dwuma titiriw ma eyi.
| Oprehyɛn ko a wɔyɛ | Dɛn na ɛrekɔ so? |
|---|---|
| Adaka mu Nnompe mu Nnompe | Ɛha yi, oduruyɛfo a ɔyɛ oprehyɛn no yi dompe ne were a ɛboro so wɔ hwene no atifi na ɔsan siesie aniwa no mu ma ɛhyɛ saa baabi no. Fa no sɛ woretwitwa ɔfã bi a ɛte sɛ ahinanan wɔ aniwa no ho ne hwene no atifi, na wode aniwa no ntini no aba saa ahinanan no mu. |
| Anim Nkyekyɛmu Abien | Eyi yɛ oprehyɛn a ɛyɛ den kakra. Wɔyɛ no wɔ mmofra a wɔwɔ orbital hypertelorism ne anim nnompe mu haw afoforo (e.g., anom dompe, afono nnompe). Nea ɛka ho ne sɛ wɔbɛsan ayɛ aniwa no mu ntini, hwene, ne anim nnompe no ma aniwa no abɛn, bere a wosiesie ɔhaw ahorow a ɛwɔ anom ne sẽ nso. |
Nsɛnnennen a ebetumi aba wɔ oprehyɛn akyi
Sɛnea ɛte wɔ oprehyɛn biara ho no, asiane nketenkete paa na ɛwɔ mu. Eyinom bi ne:
- Mogya a ɛretu
- Nyarewa a wɔde nyarewa ba
- Akuru a ɛwɔ hɔ
- Aniwa a ɛrehwe ase ( Ptosis ) .
- Diplopia (anisoadehu abien) .
- Anisoadehu a ɛyera anaasɛ anifurae (eyi ho yɛ na yiye) .
Wo duruyɛfo a ɔyɛ wo oprehyɛn no bɛkyerɛkyerɛ asiane ahorow yi mu akyerɛ wo kɔ akyiri.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Sɛ wuhu nsakrae bi wɔ wo ba no ani anaa n’ani so a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
Afei nso, sɛ wo ba nya sɛnkyerɛnne ahorow a edidi so yi mu biara a, kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) no nkyɛn ntɛm ara.
- Anisoadehu a ɛyera mpofirim anaasɛ ɛso tew.
- Ɛyaw a emu yɛ den wɔ aniwa mu.
- Sɛ wuhu flash foforo anaasɛ floaters wɔ aniwa anim.
Kae sɛ, esiane sɛ wɔwo akokoaa a ɔwɔ Orbital Hypertelorism nti, ɛnkyerɛ sɛ wɔrennyin wɔ apɔwmuden ne yiye te sɛ mmofra afoforo. Ɛdenam tebea a ɛde bae no so no, ebia wo ba no behia ayaresa kakra. Wo ne wo duruyɛfo nka ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Orbital Hypertelorism nyɛ yare a ɛda nsow. Ɛyɛ awo mu dɛmdi foforo anaa awosu mu tebea foforo ho sɛnkyerɛnne.
- Mmofra pii a wɔwɔ saa tebea yi nni aniwa mu haw biara.
- Sɛ abofra no di bɛyɛ mfe 5-7 a, wobetumi ayɛ oprehyɛn de asan de aniwa no asan akɔ baabi a ɛda ntam.
- Sɛ wo ba no wɔ saa tebea yi a, nsuro sɛ wo ne wo duruyɛfo bɛkasa pefee na woanya afotu ne ayaresa a ɛho hia.
- Ɛho hia paa sɛ wobɛkɔ oduruyɛfo nkyɛn bere ano na woayɛ w’ani mu nhwehwɛmu.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Tebea bɛn na Orbital Hypertelorism yɛ?
Eyi nyɛ nsakrae a ɛfata wɔ sɛnea obi te! ‘Orbital Hypertelorism’ yɛ awosu/awo mu dɛmdi a ɛba bere a akokoaa ti nhwi ne nnompe a atwa aniwa no ho ahyia (orbits) no nyin wɔ awotwaa no mu, na ɛma aniwa no ntam kwan no yɛ nea ɛnteɛ/ɛkɔ akyiri dodo. Eyi nyɛ aniwa mu yare, na mmom ɛyɛ anim nnompe ho haw!
💬 Dɛn ne nneɛma titire a ɛma abofra aniwa a ɛda akyirikyiri dodo (Orbital Hypertelorism)?
Eyi ntaa nyɛ yare a ɛba nkutoo, na mmom ɛyɛ ‘Awosu mu Nyarewa’ dodow bi a ɛyɛ hu kɛse no fã titiriw! Wɔ nyarewa a emu yɛ den te sɛ ‘Apert Syndrome’, ‘Crouzon Syndrome’ ne ‘DiGeorge Syndrome’ mu no, wɔpia saa nnompe yi mu esiane ɔhaw ahorow a ɛwɔ ti nhwi no mu nti. Ɛtɔ da bi a, akisikuru a ɛba anim bere a ɛwɔ awotwaa mu (encephalocele) nso betumi ama aniwa no atu.
💬 Nsɛnkyerɛnneɛ foforɔ bɛn na ɛyɛ hu a mmofra a wɔn ani akɔ akyirikyiri nya na oprehyɛn bɛn na wɔbɛtumi ayɛ de asa yei?
Mpɛn pii no, mmofra yi wɔ anisoadehu mu haw, adwene mu dɛmdi, komayare, ne nyarewa a edi awu te sɛ anom a ɛpaapae. Sɛnea ɛbɛyɛ na wɔasa eyi no, sɛ abofra no adi bɛyɛ mfe 5-8 a, ɛsɛ sɛ wɔyɛ wɔn oprehyɛn a emu yɛ den yiye na ɛyɛ den (Craniofacial reconstruction / Facial Bipartition) a wɔtwa ti nhwi no, wɔkora amemene no so, wotwa aniwa no mu na wɔtwe bɛn no, na wɔsan kyekye anim no.
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