So w’anisoadehu reyɛ mmerɛw nkakrankakra? Ebia eyi fi Terrien Marginal Degeneration!

So ɛtɔ mmere bi a wote nka sɛ w’aniwa yɛ soronko kakra na ɛyɛ kusuu wɔ w’ani abien no nyinaa mu? Ebia ɛwɔ aniwa biako pɛ mu. Mpɛn pii no, yɛmfa yɛn adwene nsi nneɛma a ɛte sɛɛ so kɛse, ɛnte saa? Yɛdwene sɛ, "Eyi ne nea ɛba bere a woanyin no." Nanso, aniwa mu nyarewa bi wɔ hɔ a wɔntaa nhu a ɛno nso fi ase wɔ sɛnkyerɛnne ahorow te sɛ eyinom mu. Ɛnnɛ, yɛrebɛka tebea bi a wɔntaa nte ho asɛm, nanso ɛfata paa sɛ wohu ho asɛm. Ɛno yɛ tebea bi a wɔfrɛ no Terrien Marginal Degeneration .

Dɛn ne Terrien Marginal Degeneration a Ɔsɛe no? Momma yɛnte ase kɛkɛ!

Sɛ yɛbɛka no tiawa a, eyi yɛ yare a ɛntaa nsi a ɛka yɛn ani. Nea ɛkɔ so wɔ eyi mu ne sɛ ‘aniwa’ no fã bi a ɛyɛ ntini a ɛda adi wɔ yɛn aniwa anim no yɛ teateaa nkakrankakra. Fa no sɛ ɛte sɛ mfoninitwa afiri. Ani no ne ɔfã titiriw a ɛboa ma hann ba mu na ɛma mfonini a emu da hɔ. Ɛte sɛ ahwehwɛ a ɛwɔ dɔn bi atifi no. Enti, sɛ aniwa yi fi ase yɛ teateaa a, bere kɔ so no, ebetumi asiw yɛn kwan sɛ yebehu nneɛma yiye.

Eyi nsi da koro pɛ. Ɛtaa nyin nkakrankakra. Ɛno nti na nnipa binom nhu mfiase no. Nanso, sɛ wuhu tebea no ntɛm a, wubetumi anya ayaresa de aboa ma woabɔ w’ani so anaasɛ wobɛsan ahwɛ bio. Mpɛn pii no, nea ɛka ayaresa ho ne ahwehwɛ , nnuru bi, ne ɛtɔ mmere bi a oprehyɛn a wɔyɛ de siesie w’aniwa anaa wode si ananmu.

Ɔkwan bɛn so na Terian Marginal Degeneration (TMD) yi ka wo?

Sɛnea yɛadi kan aka no, wɔ saa yare yi mu no, ani no fã bi yɛ teateaa. Bere a ani a ɛyɛ mmerɛw no kɔ so no, ani no akyi ano no fi ase yɛ petee. Wɔfrɛ eyi peripheral corneal flattening. Astigmatism betumi aba esiane eyi nti.

Dɛn ne Astigmatism ?

Fa no sɛ, ani a ɛwɔ apɔwmuden no yɛ kurukuruwa fɛfɛɛfɛ, te sɛ bɔɔl. Afei wɔde hann no si baabi pɛpɛɛpɛ na ɛma wonya mfonini a emu da hɔ. Nanso wɔ astigmatism mu no, ani no nsusuwii sesa kakra, te sɛ ɛmo, anaa te sɛ rugby bɔɔl. Afei hann no ntumi nkɔ baabiara, na mmom ɛwɔ mmeae pii, enti nneɛma a wuhu no betumi ayɛ te sɛ nea ɛyɛ kusuu, atrɛw, na ɛtɔ mmere bi mpo a emu apaapae abien.

Enti, saa tebea a ɛma wohu ade yiye yi betumi ama w’ani so ayɛ kusuu na ebia wuntumi nhu nneɛma yiye. Terian Marginal Degeneration (TMD) betumi aka aniwa biako pɛ anaa aniwa abien no nyinaa.

Asɛmpa no ne sɛ, nea ɛnte sɛ aniwa mu tebea afoforo bi no, mpɛn pii no TMD mma aniwa mu yaw. Nanso ɛtɔ mmere bi a aniwa no tumi yɛ kɔkɔɔ na ɛho ahonhon kakra, na ɛno ne ɔfe .

Ɛntaa mma koraa sɛ sɛ ani no yɛ teateaa yiye a, ebetumi atetew anaasɛ ato mu . Eyi betumi asi mpofirim, anaasɛ sɛ w’ani apira anaa asɛe a, ebetumi aba. Eyi yɛ tebea a egye ntɛmpɛ na ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.

Hena na tebea yi ka no kɛse?

Saa tebea yi a wɔfrɛ no Terian Marginal Degeneration (TMD) , no, wɔtaa hu wɔ mmarima a wɔadi boro mfe 40. Nanso, ɛno nkyerɛ sɛ afoforo ntumi nnya bi. Ebetumi ato obiara wɔ mfe biara mu. Wɔahu nso sɛ nnipa a wɔwɔ nyarewa bi a ɛma obi ho hyehye no , te sɛ ntini mu yare ne mmofra ntini mu yare a ɛyɛ mmerɛw no taa nya TMD.

Terian Marginal Degeneration (TMD) abu so dɛn?

Eyi yɛ tebea a ɛntaa nsi koraa ankasa. Nhwehwɛmufo nnya ntumi nhu nnipa dodow pɔtee a wɔwɔ saa yare yi. Felix Terrien, Franseni aniwa ho ɔyaresafo na odii kan kaa TMD ho asɛm wɔ 1900 mu.

So Terian Marginal Degeneration (TMD) ahorow atitiriw bi wɔ hɔ?

Nyansahufo gye di sɛ tebea yi ahorow atitiriw abien na ɛwɔ hɔ, terian marginal degeneration ( TMD ).

1. Ɔkwan a ɛto so 1: Wɔtaa hu eyi wɔ nnipa a wɔadi boro mfe 55. Wɔ saa ɔkwan yi so no, yare no kɔ so nkakrankakra, a ɛho nhia sɛ ɛyɛ hyew (te sɛ aniwa a ɛyɛ kɔkɔɔ na ɛho ahonhon).

2. Ɔkwan a Ɛto so 2: Saa ɔkwan yi so na ɛyɛ nea ɛyɛ hyew . Ɛtaa ba mmerante a wɔadi mfe 20 ne 30 so kɛse. Nnuruyɛfo nso ahu saa ɔkwan yi wɔ nnipa a wɔwɔ tebea horow a edidi so yi mu:

• Anterior Basement Membrane Dystrophy: Eyi yɛ awosu mu (awosu mu) ahrawa mu yare.
• Erythema Elevatum Diutinum: Eyi yɛ honam ani yare a ɛtra hɔ kyɛ.
• Posterior Polymorphous Dystrophy: Eyi nso yɛ aniwa mu yare a ɛntaa nsi. Ɛma nsu anaa nneɛma afoforo boaboa ano wɔ ani no mu.

So nyarewa afoforo bi wɔ hɔ a ɛte sɛ Terian Marginal Degeneration (TMD)?

Yiw, aniwa mu nyarewa afoforo pii wɔ hɔ a ɛda sɛnkyerɛnne ahorow a ɛte sɛ TMD sɛnkyerɛnne ahorow yi adi. Ɛno nti na ɛho hia kɛse sɛ wubehu yare no pɛpɛɛpɛ no. Ɛno ansa na wubetumi anya ayaresa nhyehyɛe a ɛfata sen biara. Nyarewa yi bi ne:

• Acanthamoeba Keratitis a ɛwɔ nipadua no mu
• Corneal Ectasia (nyarewa kuw bi a bere kɔ so no, anim no nsusuwii sesa na astigmatism kɔ soro) .
• Corneal Ulcer ( apirakuru a ɛba ani so) .
• Keratoconus (a ani no puepue ma ɛyɛ kɔne) .
• Marginal Furrow Degeneration (eyi nso ma ani no yɛ mmerɛw) .
• Mooren’s Ulcer (Eyi yɛ aniwa mu yare a ɛyɛ yaw a ɛsɛe aniwa no) .
• Aniwa mu rosacea (Aniwa mu rosacea ) .
• Pellucid Marginal Degeneration (PMD) (Eyi nso yɛ ani so yare a ɛntaa nsi a ɛma bere kɔ so no, ɛma obi nhu ade yiye) .
• Sclerokeratitis ( akisikuru ne ani a ɛyɛ mmerɛw) .
• Vernal Keratoconjunctivitis (VKC) (akisikuru a ɛtra hɔ kyɛ, a emu yɛ den a ɛka aniwa no ani) .

Esiane sɛ sɛnkyerɛnne ahorow a ɛte sɛɛ betumi abu so wɔ nyarewa pii mu nti, sɛ wuhu biribi soronko bi a, eye sɛ akyinnye biara nni ho sɛ wobɛkɔ aniwa ho oduruyɛfo nkyɛn akɔyɛ nhwehwɛmu.

Dɛn na ɛde Terian Marginal Degeneration (TMD) ba?

Nokwarem no, nhwehwɛmufo nnya nhuu biribi pɔtee a ɛde TMD ba. Nanso, wosusuw sɛ ebia yare bi a nipadua no tumi ko tia nyarewa (baabi a nipadua no mu tumi a ɛko tia nyarewa tow hyɛ nkwammoaa a ɛwɔ apɔwmuden so) anaa ɔyare a ɛma nipadua no sɛe (baabi a ntini anaa akwaa ahorow yɛ mmerɛw nkakrankakra) na ɛde ba. Nanso, wonnya nsii eyinom so dua.

Dɛn ne Terian Marginal Degeneration (TMD) ho sɛnkyerɛnne ahorow?

Mpɛn pii no, nnipa a wɔwɔ temporomandibular joint degeneration (TMD) no nni sɛnkyerɛnne biara. Ɛno ne ɔhaw no. Nanso, wɔ tebea horow bi mu no, ebia wubehyia nneɛma te sɛ:

• Astigmatism ma nsakrae ba nkakrankakra wɔ anisoadehu mu: Eyi kyerɛ sɛ nkakrankakra anisoadehu yɛ nea ɛyɛ kusuu na ebetumi ayɛ te sɛ nea emu nna hɔ bio.
• Aniwa no mu a ɛyɛ mmerɛw kakra anaasɛ ɛnyɛ dɛ esiane aniwa no ani a ɛnyɛ pɛpɛɛpɛ nti: Ebia ɛbɛyɛ te sɛ nea biribi akɔhyɛ aniwa no mu, anaasɛ anhwea bi wɔ aniwa no mu.

Wɔ tebea horow a emu yɛ den mu no, akwanhyia anaa opira betumi ama ani no mu atutu (Puncture or Tear) . Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ . Eyi betumi ama obi ani abere kɛse. Enti, sɛ biribi asɛe w’ani a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.

Ɔkwan bɛn so na wohu sɛ Terian Marginal Degeneration (TMD) no wɔ hɔ?

Nnuruyɛfo nam aniwa mu nhwehwɛmu a edi mũ so hu TMD . Ɛdenam tebea no a wobehu no pɛpɛɛpɛ so no, wobetumi ahu nsonsonoe a ɛda tebea afoforo a ɛma ani no yɛ mmerɛw no ntam, na wɔama wo ayaresa a ɛfata.

Ebia w’ani ho oduruyɛfo bɛyɛ nhwehwɛmu afoforo de atwa w’ani ho mfonini a ɛkɔ akyiri na wahwɛ sɛ nsakrae bi aba w’aniwa mu anaa. Saa sɔhwɛ ahorow yi bi ne:

• Anterior Segment Optical Nkitahodi Tomography
• Confocal Microscopy a Wɔde Hwɛ Nneɛma nketenkete
• Corneal Topography (Eyi ma wonya asase mfonini a ɛkyerɛ ani no ani) .
• Scanning Slit Topography a Wɔreyɛ no
• Nnyigyei a Wɔde Yɛ Nneɛma nketenkete (UBM) .

Saa nhwehwɛmu ahorow yi bɛma wo duruyɛfo anya w’aniwa tebea no ho ntease a emu da hɔ.

So aduru bi wɔ hɔ a wɔde sa Terian Marginal Degeneration (TMD)?

Nea ɛyɛ awerɛhow no, wonni aduru biara a wɔde sa TMD. Nanso mma ɛnhaw wo. Ayaresa betumi aboa ma woakora w’ani so na asiw nsɛnnennen ano. Ɛno nti na ɛho hia kɛse sɛ wobehu yare no ntɛm no . Afei wo duruyɛfo betumi ama wo ɔhwɛ a wuhia.

Dɛn ne ayaresa ahorow a wɔde sa Terian Marginal Degeneration (TMD)?

Mpɛn pii no, wonni ayaresa pɔtee biara a wɔde sa temporomandibular joint degeneration (TMD). Ebia wo duruyɛfo bɛkamfo " watchful waiting " (kyerɛ sɛ, hwɛ sɛnkyerɛnne ahorow na twɛn hwɛ sɛ tebea no mu bɛyɛ den anaa) ne nhwehwɛmu a wɔbɛyɛ daa de ahwɛ wo tebea no.

Nanso, sɛ TMD tebea yi ka w’ani so a, wobetumi de aniwa a wɔde siesie nneɛma adi dwuma sɛ aduru. Nhwɛsoɔ:

• Ahwehwɛ a wɔde polycarbonate ayɛ: Eyinom mu yɛ den sen plastic a wɔde di dwuma daa.
• Ahwehwɛ a Ɛyɛ Den, a Mframa Fa Mu: Eyinom yɛ ahwehwɛ a ɛyɛ den kakra a ɛma mframa pa fa aniwa no mu.
• Scleral Lenses a Wɔde Yɛ Ahwehwɛ:Eyinom yɛ ahwehwɛ akɛse a ɛyɛ den. Wɔkata ani no nyinaa so. Wɔteɛteɛ astigmatism, wɔbɔ aniwa no ho ban, na ɛma aniwa no tu mpɔn.

Sɛ wo ho ayɛ wo hyew kakra a, wo duruyɛfo betumi akyerɛw wo aniwa mu nnuru, srade, anaa gel . Ɛtɔ mmere bi a wobetumi de steroid a wɔde gu nipadua no so nso adi dwuma. Nanso, wɔn a wɔde di dwuma no sua efisɛ etumi ma ani no yɛ mmerɛw kɛse.

So ɛho behia sɛ wɔyɛ me oprehyɛn wɔ Terian Marginal Degeneration (TMD) ho?

Wɔ TMD a ɛkɔ akyiri mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn na ama w’ani no akora so, akura mu, anaasɛ asan ayɛ adwuma bio. Ebia w’ani duruyɛfo nso bɛkamfo akyerɛ sɛ woyɛ wo oprehyɛn sɛ ahwehwɛ a wɔde siesie no mmoa a.

Sɛ w’aniwa a ɛwɔ w’aniwa no asɛe kɛse a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔmfa w’aniwa a ɛhwɛ ade foforo nsi ananmu . Nea ɛka eyi ho ne sɛ wɔde ntini a efi obi a ɔwɔ apɔwmuden a ɔde ma anaasɛ ani a wɔde ayɛ aniwa mu bedi dwuma. Wubetumi ayɛ obi foforo te sɛ eyi:

• Partial Thickness Transplant (Lamellar Keratoplasty): Wɔ eyi mu no, w’aniwa no fã bi pɛ na wɔsesa.
• Full Thickness Transplant - Penetrating Keratoplasty: Wɔ eyi mu no, wɔsesa w’aniwa nyinaa.

Wo duruyɛfo bɛka oprehyɛn ahorow yi ho nsɛm pii akyerɛ wo.

So biribi wɔ hɔ a metumi ayɛ de asiw Terian Marginal Degeneration (TMD) a ɛbɛba no ano?

Nokwarem no, biribiara nni hɔ a wubetumi ayɛ de asiw TMD ano efisɛ wɔda so ara nnim nea ɛde ba ankasa. However, you can take some steps to protect your eyes and prevent the condition from getting worse .

Sɛnea ɛbɛyɛ a ani no ansɛe no, bɔ mmɔden sɛ wobɛhyɛ aniwa a ɛbɔ wo ho ban wɔ mmere yi mu:

• Bere a wode bleach anaa nnuru afoforo rehohoro ho no.
• Sɛ woreyɛ adwuma wɔ abɔnten a, te sɛ sare a wɔretwitwa.
• Bere a woredi agumadi te sɛ baseball ne hockey.
• Sɛ́ ɛyɛ bere a wode nnwinnade redi dwuma anaasɛ bere a wode paint regu so no.

Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ade a, di akwankyerɛ a ɛfa sɛnea wobɛhohoro w’aniwa ho na woakum mmoawa no akyi yiye na amma aniwa anaa aniwa mu yare ankɔ so. Sɛ wodi w’ani oduruyɛfo nkyɛn na wudi ayaresa ho akwankyerɛ ahorow akyi a, wubetumi asiw nsɛnnennen ano na woabɔ w’ani a ɛsom bo no ho ban.

Sɛ mewɔ Terion Marginal Degeneration (TMD) a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Nnipa pii wɔ tebea a ɛne Terian Marginal Degeneration (TMD) no.Wobetumi de ahwehwɛ anaa ahwehwɛ a wɔde hwɛ ade ne aduruyɛ mu nhwehwɛmu a wɔyɛ no daa adi ho dwuma yiye. Sɛ w’aniwa a ɛyɛ tratraa kɛse a, wo ne wo duruyɛfo nka akwan a eye sen biara a wobɛfa so abɔ w’ani ho ban na woasa wo sɛnkyerɛnne ahorow no ho asɛm. Mma ɛnhaw wo, wubetumi de saa tebea yi abɔ bra sɛnea ɛsɛ.

Bere bɛn na ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu wɔ temporomandibular joint degeneration (TMD) ho?

Ɛho hia sɛ wuhu Terian Marginal Degeneration (TMD) tebea no ntɛm sɛnea ɛbɛyɛ a wubetumi anya ayaresa a etu mpɔn. Sɛ w’ani yɛ wo yaw, wote yaw, anaa nsakrae ba w’ani so a , bɔ wo duruyɛfo amanneɛ ntɛm ara. Wo duruyɛfo betumi ama wo ayaresa akwan horow a ebetumi ama wo ho atɔ wo na akora w’ani so.

Kae sɛ aniwa yɛ yɛn nipadua mu akwaa a ɛyɛ mmerɛw na ɛsom bo sen biara no mu biako. Enti, sɛ wuhu nsakrae bi anaa wo ho nyɛ wo dɛ wɔ w’ani so a, nyansa wom sɛ wobɛhwehwɛ aduruyɛ mu afotu a wummu w’ani ngu so.

Awiei koraa no, kae eyi (Take-Home Message) .

Terrien Marginal Degeneration yɛ tebea a ɛntaa nsi a ɛma yɛn ani a ɛyɛ mmerɛw no anoano yɛ teateaa. Saa ani a ɛyɛ mmerɛw yi na ɛboa yɛn ma yehu ade yiye. Nnipa pii nhu yare no ho sɛnkyerɛnne biara. Wɔ afoforo fam no, aniwa a wɔde siesie aniwa betumi aboa ma wɔabɔ wɔn ani so na wɔasiw nsɛnnennen ano. Kɔ w’ani mu nhwehwɛmu daa. Afei wubetumi anya ɔhwɛ a wuhia. Hwɛ w’ani so yiye! Efisɛ yɛwɔ aniwa abien pɛ a yɛde hu wiase.

Terrien Marginal Degeneration, Aniwa Nyarewa, Anisoadehu, Anisoadehu a Ɛnyɛ Yiye, Astigmatism, Aniwa Akwahosan