Ède dzesii kpɔ be ame aɖewo ƒe ŋkume ƒe akpa si le etame la ɖiɖina vie, si wɔnɛ be wodzena abe ɖe wole alɔ̃ dɔma? Ðewohĩ wò ŋutɔ èto esia me kpɔ. Esia ate ŋu adzɔ ɖe ŋku ɖeka dzi, alo ate ŋu adzɔ ɖe ŋku eveawo dzi. Le atikewɔwɔ me la, míeyɔa nɔnɔme sia be Ptosis . Ame aɖewo hã yɔnɛ be ‘Blepharoptosis’. Mègatsi dzi o, nɔnɔme sia nye esi bɔ ŋutɔ. Mina míaƒo nu tso wo katã ŋu bɔbɔe eye eme nakɔ egbea.
Kpuie ko la, nukae nye Ptosis?
Ptosis nye ne wò ŋkume ƒe akpa si le etame la ɖiɖi ɖe anyi. Edze abe wotu fesre aɖe ƒe nutrenu afã ene. Susu vevitɔ si tae nye be levator lãmeka si kpena ɖe mía ŋu be míaƒe ŋkume nanɔ dzi la mele dɔ wɔm nyuie o. Bu eŋu abe lãmeka sia le abe ka sue aɖe si hea míaƒe ŋkumeʋuʋu yia dzi ene. Ne ka sia gbɔdzɔ alo do le ŋkume la, ŋkumeʋuʋua ɖiɖina.
Le alesi ŋkume ƒe akpa si le ɖiɖim nu la, ate ŋu akpɔ ŋusẽ ɖe wò nukpɔkpɔ dzi. Ɣeaɖewoɣi la, ŋkua ƒe akpa aɖe tu, eye le nɔnɔme sesẽwo me la, ate ŋu axe mɔ na ŋkua keŋkeŋ. Esia ate ŋu adzɔ le ŋku ɖeka ko dzi, alo le ŋku eveawo siaa dzi. Ɣeaɖewoɣi la, ŋku ɖeka ƒe ŋkume ate ŋu aɖiɖi wu evelia.
Ptosis ƒomevi vevi eve li:
Nɔnɔme sia ate ŋu ado mo ɖa le ɖevi suewo kple ame tsitsiwo siaa ŋu. Le esia nu la, míemae ɖe ƒomevi vevi eve me.
- Ptosis si Wodzina: Esia fia be wodzi viwòa kple dɔléle sia. Zi geɖe la, esia dzɔna le esi levator muscle (levator muscle) si míeyɔ va yi la metsina nyuie le vidzidɔa me o ta.
- Acquired Ptosis: Esia nye ƒomevi si dzɔna le ame tsitsi me. Nɔnɔme sia ate ŋu adzɔ ne lãmekaa gbɔdzɔ alo ɖe eɖokui ɖa tso ŋkume le tsitsi, afɔku, alo atikewɔwɔ ƒe nɔnɔme bubu aɖe ta.
Nukae nye esia ƒe dzesiwo?
Le nyateƒe me la, dzesi vevitɔe nye be edzena abe ŋkume ƒe akpa si le ʋuʋum ene. Gake dzesi bubu geɖewo ate ŋu anɔ anyi tsɔ kpe ɖe ema ŋu. Na míakpɔ nusiwo wonye ɖa.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| Ŋku ƒe ʋuʋudedi si le gegem ɖe anyi | Dzesi vevitɔ si dze ƒã wue nye be ŋkua ƒe ŋkume ƒe ŋkume ate ŋu atu keŋkeŋ alo eƒe akpa aɖe. |
| Ŋku ʋuʋu enuenu | Ðewohĩ adzro wò be nàtutu wò ŋkuwo enuenu atsɔ adze agbagba be yeakpɔ nu nyuie. |
| Aɖatsiwo nɔ sisim tso ŋkuwo dzi | Ne ŋkumeɖonuawo mewɔa dɔ nyuie o la, aɖatsi si sɔ gbɔ ate ŋu aƒo ƒu ɖe ŋkuawo me eye wòado go. |
| Nukpɔkpɔ ƒe gbɔdzɔgbɔdzɔ | Nukpɔkpɔ ate ŋu aɖe akpɔtɔ alo azu blukɔ le ŋkua ƒe gege ɖe ŋkua dzi eye wòxea mɔ na nukpɔkpɔ ta. |
| Ðeɖiteameŋu kple vevesese ƒo xlã ŋkuwo | Agbagbadzedze be nàkɔ wò ŋkumeɖobolowo ɖe dzi to wò ŋgonu ƒe lãmekawo zazã me be nàkpɔ nu nyuie ate ŋu ana ɖeɖi nate ŋuwò le wò ŋkuwo kple ŋgonu ŋu. |
| Kɔ ƒe tɔtrɔ (ɖeviwo) . | Ðevi suewo srɔ̃a alesi woatsɔ woƒe asikewo ayi dzi eye woƒe kɔwo akɔ ɖe megbe ne wole agbagba dzem be yewoakpɔ xexe si le yewoƒe ŋkume te. |
Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?
Nusiwo hea ptosis vɛ la toa vovo le eƒe ƒomevi nu. Abe alesi míegblɔe va yi ene la, wodzia vidzĩ aɖewo kple nɔnɔme sia (congenital ptosis).
Ptosis si dzɔna emegbe (acquired ptosis) ate ŋu atso nu geɖe gbɔ. Nɔnɔme sia ate ŋu ado mo ɖa ne lãmeka siwo kɔa ŋkume alo lãkusi siwo doa ka kplii la gbɔdzɔ le afɔku alo dɔléle aɖe ta. Ɣeaɖewoɣi la, ate ŋu atso lãmeka siwo kpɔa ŋkume ƒe nugbegblẽ hã gbɔ.
Nɔnɔme siwo ate ŋu ahe ptosis vɛ dometɔ aɖewoe nye:
- Ŋku ƒe ʋuʋudedi (Stye) .
- Horner ƒe dɔlélea
- Myasthenia gravis - Esia nye dɔléle si gbɔdzɔa lãmekawo.
- Gbagbãdᴐ
- Ŋku ƒe dɔdzẽwo
- Dɔléle siwo gblẽa nu le ŋku ƒe lãmekawo ŋu, abe ŋku ƒe ʋuʋu le gota ene
Gake wu esiawo katã la, .Nusi gbɔ ptosis tsona wu le ame tsitsiwo ŋue nye tsitsi. Le ɣeyiɣi aɖe megbe la, míaƒe ŋkume ƒe ŋutigbalẽ kple lãmekawo kekena hegbɔdzɔna. Ɣeaɖewoɣi, ne wole ŋkudɔ wɔm la, dɔwɔnu siwo wozãna tsɔ léa ŋkua ɖe te ate ŋu ana ŋkua nahe, si ate ŋu ana tɔtrɔ sia nawɔ kabakaba.
Nukae dzɔna ne womewɔ atike nɛ o?
Ne ptosis si wodzina le viwòa ŋu la, ele vevie ŋutɔ be nàdae kaba ale si nàte ŋui. Ne womewɔ atike nɛ o la, ate ŋu akpɔ ŋusẽ ɖe ɖevia ƒe nukpɔkpɔ ƒe tsitsi dzi tẽ. Ate ŋu ahe nugbegblẽ bubuwo hã vɛ.
Ðewohĩ ptosis fafɛ si le ame tsitsiwo me makpɔ ŋusẽ ɖe nukpɔkpɔ dzi boo o, eyata ɖewohĩ mahiã be woawɔ atike nɛ o. Gake ptosis sesẽ ate ŋu ahe kuxi sesẽwo vɛ ne womewɔ atike nɛ o.
Kuxi siwo ate ŋu ado tso ptosis gbɔ:
- Astigmatism: Ŋku ƒe ʋuʋudedi si le gegem ɖe ŋkua ƒe akpa si le ŋgɔgbe (cornea) la tea ɖe edzi. Esia ate ŋu atrɔ ŋkua ƒe nɔnɔme eye wòatrɔ nukpɔkpɔ (ana wòadze abe ɖe wòdidi eye wòle ƒoƒom ene).
- Amblyopia (alo ‘Ŋku Kuviatɔ’): Le nukpɔkpɔ ƒe gbɔdzɔgbɔdzɔ abe ŋku ƒe ʋuʋu ene ta la, vivivi la, ahɔhɔ̃a dzea aɖabaŋeŋe ƒu dzesi siwo tso ŋku ma gbɔ dzi. Esia ate ŋu ana ŋku ma nagate ŋu akpɔ nu tegbee. Esiae nye nusi míeyɔna be ‘kuviatɔ ŋku’.
- Asike ƒe nɔnɔme: Ne èna asike nanɔ dzi esime nèle ŋkume kpɔm la, ate ŋu ahe kɔ me kuxiwo vɛ, ŋgonu ƒe lãmekawo nasẽ, eye ɣeaɖewoɣi gɔ̃ hã la, tsitsi nahe ɖe megbe.
Aleke wokpɔa dɔléle sia dzea sii?
Zi geɖe la, ɖɔkta ate ŋu anya ne ptosis le ŋuwò ne elé ŋku ɖe wò ŋkumeʋuʋu si le gegem ɖe anyigba ŋu ko. Ne ŋku eveawo siaa le ŋeŋem la, ate ŋu asesẽ vie be woanya.
Wò ɖɔkta ado wò ŋutilã kpɔ eye anɔ eme be aɖo wò ɖe ŋkudɔdala gbɔ. Ŋkudɔdalaa ado ŋku kpɔ eye ate ŋu aɖo aɖaŋu be woawɔ dodokpɔ bubuwo ne ehiã.
Dodokpɔ kawoe wowɔna na esia?
- Slit lamp examination: Ŋku ƒe akpa siwo le tsɛ la me dzodzro kple nusuekpɔmɔ̃ tɔxɛ aɖe.
- Nukpɔkpɔ ƒe dodokpɔ: Dodokpɔ si dzidzea wò nukpɔkpɔ ƒe akpa, si fia alesi gbegbe nàte ŋu akpɔ nusiwo ƒo xlã wò.
- Ŋku ƒe ʋuʋu (ŋku ƒe ʋuʋu) dodokpɔ: Eléa ŋku ɖe ŋku ƒe lãmekawo ƒe dɔwɔwɔ ŋu to ŋkuwo ʋuʋu me.
- Tensilon dodokpɔ: Esia nye dodokpɔ tɔxɛ aɖe si wowɔna tsɔ léa ŋku ɖe nɔnɔme aɖe si woyɔna be myasthenia gravis ŋu.
Nukawoe nye atike siwo wozãna na ptosis?
Atikewɔwɔ nɔ te ɖe alesi wò ŋkume ƒe lãmekawo wɔa dɔ nyuie dzi. Ɣeaɖewoɣi la, ne nɔnɔmea mekpɔ ŋusẽ ɖe wò ŋku dzi o eye mètsi dzi ɖe wò dzedzeme ŋu o la, ɖewohĩ mahiã be nàwɔ atike aɖeke o.
Gake ne ptosis gblẽ nu le nukpɔkpɔ, dzedzeme, alo evea siaa ŋu la, wò ŋkudɔdala aɖo aɖaŋu na wò be nàdae. Dɔdamɔnua nɔ te ɖe nenye be dɔléle aɖe gbɔe nɔnɔmea tso loo alo tsitsi gbɔe wòtso ko dzi. Atike si wɔa dɔ nyuie wu na ptosis si tsitsi hena vɛ enye amekoko.
Ptosis Amekoko
Zi geɖe la, wowɔa esia to teƒea ƒe ʋuʋu (local anesthesia) kple atike si naa ame ƒe dzi dzea eme nana me. Esia fia be èle ŋudzɔ, gake mèsea veve aɖeke o.
Amekokomɔnu vevi eve li:
1. Ŋutilã ƒe lãɖeɖe ƒe mɔnu: Amekolaa lãa nu sue aɖe ŋutɔ le ŋkume ƒe akpa si le etame ƒe ŋutigbalẽ me. To edzi la, wokpɔa lãmeka sue si kɔa ŋkume, woblanɛ heblanɛ sesĩe, eye wokɔa ŋkumeʋuʋua ɖe dzi. Emegbe wogatsɔa ka blaa ŋutigbalẽa ƒe akpa si wotso la hetuae.
2. Mɔnu si me wometsoa ŋkume o: Le mɔnu sia me la, amekolaa ƒoa ŋkua ɖe eme eye wòblaa lãmeka si le ete la sesĩe. Esia mehiã be woatso ŋutigbalẽa ƒe akpa aɖeke o.
Ne wowɔ dɔ na wò vɔ la, wò ɖɔkta aɖe alesi nàlé be na wò ŋkuwoe me na wò. Ele vevie be nàgakpɔ wò ɖɔkta le amekokoa megbe ŋkeke ʋɛ aɖewo be woadoe kpɔ.
Ðe kuxi aɖewo le atikewɔwɔa mea?
Abe alesi wòle le amekoko ɖesiaɖe gome ene la, kuxi suesuesuewo ate ŋu ado mo ɖa le ptosis dɔwɔwɔ vɔ megbe.
- Ʋu si le dodom tso abi la me.
- Dɔlékuiwo ƒe gege ɖe amekokoa teƒe.
- Nusiwo gblẽ le ŋku ƒe ŋkume ƒe ŋkume.
- Ŋutete manɔamesi be woatu ŋkume keŋkeŋ.
- Ptosis gadzɔna ake le ɣeyiɣi aɖe megbe.
- Le amekoko megbe la, ŋkuawo ƒe nɔnɔme alo ŋkume ƒe ʋuʋu ƒe agbɔsɔsɔme ate ŋu asɔ vie (esiawo dometɔ akpa gãtɔ aɖɔ wo ɖokui ɖo le ɣeyiɣi aɖe megbe).
Ðe ŋkumeɖonu aɖewo lia?
Ɛ̃. Ŋku ƒe atike aɖe li si dzi woda asi ɖo na Acquired Ptosis ƒomevi aɖewo le ame tsitsiwo me. Woyɔa atike sia be Oxymetazoline . Ewɔa dɔ to alesi wòɖoa ŋku lãmeka si le dziƒomɔ̃a dzi tẽe eye wòʋãnɛ me. Ame aɖewo kpɔe be atike sia zazã kpena ɖe yewoƒe ŋkumeʋuʋu ŋu nyuie wu. Gake be ŋusẽ sia nanɔ anyi la, ele be nàzã atike sia gbesiagbe.
Nu vevitɔe nye be ŋkumeɖonu sia mewɔa dɔ na ptosis ƒomevi ɖesiaɖe o, eyata ele be nàƒo nu kple wò ŋkuŋutinunyala godoo be nàkpɔe ɖa be esia sɔ na wò hã.
Ðe woate ŋu axe mɔ ɖe ptosis nua?
Womate ŋu axe mɔ ɖe Ptosis si wodzina nu o. Elabena wodzia vidzĩa kple nɔnɔme ma. Azɔ hã, esesẽna na mí be míaxe mɔ ɖe nusiwo hea Ptosis (Acquired Ptosis) vɛ siwo dzɔna emegbe, abe tsitsi ene nu. Eyata le esi teƒe be woaxe mɔ ɖe esia nu la, ele vevie wu be woade dzesii kaba eye woadi atike nyuitɔ ne edzɔ.
Ɣekaɣie wòle be makpɔ ɖɔkta?
Esia nye nyabiase vevi aɖe ŋutɔ. Ele be nàkpɔ ɖɔkta godoo, vevietɔ ŋkudɔdala, le nɔnɔme siwo gbɔna me:
| Ɣekaɣie nàkpɔ wò ɖɔkta | |
|---|---|
| Ne woxe mɔ ɖe nukpɔkpɔ nu | Ne wò ŋkume ƒe ʋuʋu na wòsesẽna be nàwɔ wò gbesiagbedɔwo, axlẽ nu, alo aku ʋu. |
| Ne ètsi dzi ɖe wò dzedzeme ŋu | Ne nɔnɔme sia na nèse le ɖokuiwò me be yeƒe dzedzeme mevo o. |
| Ne èmiã ŋku zi ɖeka | Ne ŋkume ƒe akpa ɖeka ɖiɖi zi ɖeka alo dze tutu gɔme la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake elabena ate ŋu anye nɔnɔme sesẽ aɖe abe ʋusɔgbɔdɔ ene ƒe dzesi. |
| Ne dzesi bubuwo hã li | Tsɔ kpe ɖe ŋkume ƒe ʋuʋu ŋu la, ne èkpɔa nu zi eve alo ŋku le veve sem. |
| Ne ptosis le viwòa ŋu | Mègahe ɖe megbe o. Ele vevie ŋutɔ be nàkpɔ ŋkudɔdala kaba ale si nàte ŋui be nàxe mɔ ɖe nukpɔkpɔ ƒe tsitsi ƒe kuxiwo nu le viwòa ŋu. |
Gbedasi si Wotsɔ Yi Aƒeme
- Ptosis nye ŋkume ƒe akpa si le etame ƒe ɖiɖi. Ate ŋu anye nusi wodzina alo adze egɔme le eƒe tsitsime.
- Susu vevitɔ si tae esia dzɔna ɖe ame tsitsiwo dzi enye tsitsi.
- Ne ptosis le ɖevi ŋu la, ele vevie ŋutɔ be wòayi ŋkudɔdala gbɔ kaba, elabena ate ŋu akpɔ ŋusẽ ɖe ŋku ƒe tsitsi dzi.
- Ne nɔnɔme sia doa kplamatse nukpɔkpɔ alo tsi dzi ɖe dzedzeme ŋu la, atikewɔmɔnu nyuiwo li, abe amekoko ene.
- Ne ŋkume ƒe akpa aɖe ɖiɖi kpata la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake elabena ate ŋu anye atikewɔwɔ me dɔléle sesẽ aɖe ƒe dzesi.
- Ƒo nu kple wò ɖɔkta ɣesiaɣi be nànya atike si nyo na wò nɔnɔmea.
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