Ŋkuʋuʋu nye nusi mí katã míekpɔna le ɣeyiɣi aɖe me. Gake bu eŋu kpɔ ne àte ŋu aɖu wò ŋkumeɖobolowo dzi ale gbegbe be ŋku eveawo siaa atɔ sesĩe zi ɖekaa? Ɣeaɖewoɣi la, esia ate ŋu ado dziku na wò ale gbegbe be màte ŋu awɔ wò gbesiagbedɔwo gɔ̃ hã o. Emae nye nusi míeyɔna le atikewɔwɔ me be blepharospasm. Mègatsi dzi o, míaƒo nu tso wo katã ŋu le nya bɔbɔewo me egbea.
Kpuie ko la, nukae nye Blepharospasm?
Blepharospasm nye lãmeka siwo ƒo xlã wò ŋkuwo ƒe tete kabakaba le lɔlɔ̃nu faa me, si kpena ɖe ŋuwò nèʋua wo hetua wo. Ne míagblɔe tututu la, menye ŋkuʋuʋu dzro aɖe koe wònye vie o. Le nɔnɔme sesẽ aɖewo me la, teteɖeanyiawo ate ŋu asẽ ale gbegbe be wò ŋkuwo ate ŋu atɔ sesĩe, si axe mɔ na wò ŋkumekpɔkpɔ.
Numekukuwo ɖee fia be esia nye ahɔhɔ̃mekawo ƒe kuxi wu ŋku ƒe kuxi. Eyae nye be, dzesi siwo tso ahɔhɔ̃a me ƒe tɔtrɔ aɖewo gbɔe wòtsona.
Blepharospasm ƒomevi vevi eve li:
Woate ŋu ama nɔnɔme sia ɖe hatsotso vevi eve me le alesi wòdzɔnae nu.
1. Blepharospasm Gbãtɔ: Esiae nye ƒomevi si bɔ wu. Ŋkɔ bubu si wotsɔ na esiae nye `Benign Essential Blepharospasm` (BEB). `Benign` le afisia gɔmee nye ``nuveviwɔamemawɔmawɔ''. Esia fia be menye dɔléle sesẽ bubu ƒe dzesie wònye o. Enye nɔnɔme si dzɔna le eɖokui si. Gake togbɔ be megblẽa nu le eŋu o hã la, ate ŋu agblẽ nu le gbesiagbegbenɔnɔ ŋu vevie.
2. Secondary Blepharospasm: Atikewɔwɔ ƒe nɔnɔme bubu, atike, alo nusi gbɔ wòtso gbɔe esia ƒomevi tsona. Kpuie ko la, edzena abe dɔléle bubu ƒe dzesi ene. Gake mègatsi dzi o, dɔléle siwo hea esia vɛ la dometɔ akpa gãtɔ menye nu sesẽ alo afɔku nenema gbegbe o.
Nu vevitɔe nye be nàƒo nu kple ɖɔkta ne èsusu be dɔléle sia le ye ŋu. Mègakpɔ dɔlélea le ɖokuiwò si o.
Nukae nye nɔnɔme sia ƒe dzesiwo? Aleke wòto vovo tso ŋkuʋuʋu si sɔ gbɔe?
Togbɔ be ŋku ƒe ʋuʋu ƒe dzesi ɖeka koe nye ŋku ƒe ʋuʋu hã la, eto vovo kura tso ŋku ƒe ʋuʋu si sɔ gbɔ. Na míakpɔ nusiwo koŋ nya mawo nye ɖa. Anɔ bɔbɔe na wò be nàse nusiawo gɔme ne èlé ŋku ɖe kplɔ̃ aɖe ŋu.
| Alesi nɔnɔmea le | Numeɖeɖe bɔbɔe |
|---|---|
| Ekpɔa ŋusẽ ɖe ŋku eveawo siaa dzi | Zi geɖe la, le nɔnɔme sia me la, ŋku eveawo siaa ʋuʋuna le ɣeyiɣi ɖeka me. Ƒã ŋutɔ be ŋku ɖeka koe naʋuʋu. |
| Mate ŋu aɖu edzi o. | Esia menye nusi nèɖoe koŋ wɔ o. Màte ŋu atɔ te ʋuʋu sia ne èdze agbagba be yeaxe mɔ nɛ gɔ̃ hã o. Ðɔktawo bua eŋu be enye dystonia, si nye ʋuʋu ƒe dɔléle. |
| Ʋusɔgbɔdɔa ƒe lolome kple ɣeyiɣi didi si wòxɔna | Ele vevie be nànya afisi ŋkuawo tu se ɖo (afisi wòkeke ɖo) kple ɣeyiɣi didi si ŋkuʋuʋua xɔna (ɣeyiɣi didi). Ɣeaɖewoɣi la, ŋkuawo ate ŋu anɔ ʋuʋu sesĩe sɛkɛnd geɖe. |
| Zi nenie nèɖe ŋku ɖa | Numekukuwo ɖee fia be amesiwo ŋu dɔléle sia le la ʋuʋua ŋku zi geɖe le aɖabaƒoƒo ɖeka me wu ame mamã dedie tɔ, ne womele ŋku lém ɖe wo ŋu o gɔ̃ hã. |
| "Sidzenu ƒe ayemɔwo". | Nukutɔe la, ʋu ƒe sisi sia ate ŋu aɖe akpɔtɔ hena ɣeyiɣi aɖe ne èwɔ nu bɔbɔe aɖewo. Le kpɔɖeŋu me, ne èle ha aɖe ƒom, ƒo nu, alo ka asi mo ŋu la, ʋu ƒe sisi ate ŋu atɔ vie. Togbɔ be womenya nusi tututu gbɔ wòtso o hã la, ɖɔktawo bua esia be enye dzesi. |
Nukae hea esia vɛ?
Womenya nusi tututu gbɔ esia tso haɖe o 100%, gake ɖikeke vevi eve li.
1. Basal Ganglia Function: Míaƒe ahɔhɔ̃ ƒe akpa sia kpena ɖe mía ŋu míewɔa ɖoɖo ɖe míaƒe ʋuʋu ŋu. Bu eŋu abe ʋu ƒe gear-ɖoɖo ene. Ðɔktawo xɔe se be ne akpa sia ƒe dɔwɔwɔ mesɔ o la, ʋuʋu si womedi o, si nye ʋuʋudedi, ate ŋu adzɔ.
2. Mo ƒe Lãmetsi (Cranial Nerve VII): Lãmetsi sia tsɔa dzesiwo tso míaƒe ahɔhɔ̃ me yia ŋkume ƒe lãmekawo me. Ɣeaɖewoɣi ne dzesi aɖeke metso ahɔhɔ̃a gbɔ o gɔ̃ hã la, lãmeka sia ƒe lãmenugbagbeviwo dzea dɔwɔwɔ gɔme le wo ɖokui si. Ɣemaɣi la, ʋuʋudedi sia ƒomevi hã ate ŋu adzɔ.
Nukawoe nye nusiwo ate ŋu ana woaxɔ blepharospasm?
Nu aɖewo ate ŋu ana nɔnɔme sia nadzɔ ɖe edzi. Na míalé ŋku ɖe nusiwo wonye ŋu.
- Ŋutsu alo nyɔnu nyenye: Nyɔnuwo ate ŋu axɔ dɔléle sia zi gbɔ zi eve va ɖo ene wu ŋutsuwo.
- Ƒe: Zi geɖe la, esia dzɔna zi geɖe le ƒe 50 va ɖo ƒe 70 dome.
- Ƒome ŋutinya: Ne dɔlélea le ame aɖe ŋu le wò ƒomea me la, mɔnukpɔkpɔ geɖe wu li be wò hã nàxɔe. Wosusui be domenyiŋusẽfianu ƒe kadodo aɖe ate ŋu anɔ wo dome.
- Nuteɖeamedzi Kple Ðeɖiteameŋu: Nuteɖeamedzi kple ɖeɖiteameŋu fũ ate ŋu ahe taɖuame sia ƒomevi vɛ alo ana wòagagblẽ ɖe edzi.
- Atikewɔwɔ ƒe nɔnɔme bubuwo: Nɔnɔme sia ate ŋu atso ŋku ƒe abixɔxɔ, ŋku ƒe ƒuƒu, ŋku ƒe dɔlékuiwo, kple dɔléle bubu siwo do ƒome kple lãmekawo gbɔ. Ɣeaɖewoɣi la, ate ŋu atso ŋku ƒe akpa si le ʋuʋum (keratoconjunctivitis) kple ŋkume ƒe dɔdzẽ (blepharitis) hã gbɔ.
- Atike aɖewo: Esia ate ŋu adzɔ hã abe atike aɖewo ƒe nugbegblẽ le ame ŋu ene, vevietɔ esiwo wonana na Parkinson ƒe dɔlélea.
- Fotovɔvɔ̃: Esia ate ŋu atso ŋkuwo ƒe kekeli si gbɔ eme ƒe seselelãme hã gbɔ.
- Susu ƒe lãmesẽnyawo: Wokpɔe be kadodo le nɔnɔmewo abe dzimaɖitsitsi kple blanuiléle kpakple ŋku ƒe ʋuʋu dome.
Kuxi kawoe esia ate ŋu ahe vɛ?
Blepharospasm menye dɔléle si ate ŋu ade ame ƒe agbe afɔku me o. Ke hã, ate ŋu akpɔ ŋusẽ ɖe wò gbesiagbegbenɔnɔ dzi vevie. Bu nusi adzɔ ne èmiã ŋku sesĩe kasia esime nèle ʋu kum, nèle mɔa tsom, alo nèle agbalẽ aɖe xlẽm la ŋu kpɔ.
Eyata ʋukuku kple mɔ̃wo zazã ate ŋu anye afɔku na amesi ŋu blepharospasm sesẽ le.
Azɔ hã, nɔnɔme sia ate ŋu ahe vɔvɔ̃ kple ŋukpe vɛ le hadomegbenɔnɔ me dzedze me. Ame geɖe dzea agbagba be yewoaƒo asa na hadomenuwɔnawo le vɔvɔ̃ be "nukae ame bubuwo abu tso ŋunye?" Esia ate ŋu ana nɔnɔmewo abe dzimaɖitsitsi kple blanuiléle ene nadzi ɖe edzi.
Aleke ɖɔkta awɔ anya esia?
Esia ate ŋu asesẽ vie be woakpɔ dɔlélea. Ɣeaɖewoɣi la, ahiã be nàyi ɖɔkta geɖe gbɔ.
- Ŋkudɔdala: Zi geɖe la, ŋkuŋutinunyalae nyea ame gbãtɔ si ɖia ɖase le nɔnɔme sia ŋu.
- Ahɔhɔ̃ŋutinunyala: Esi wònye be esia nye kuxi si do ƒome kple lãmekawo ta la, ahiã be nàdi ahɔhɔ̃ŋutinunyala ƒe kpekpeɖeŋu hafi nàte ŋu akpɔ dɔlélea nyuie wu ahadae.
Ðɔktaa akpɔ dɔlélea to wò dodokpɔ kple wò dzesiwo biabia wò me. Ɣeaɖewoɣi la, woate ŋu aɖe gbe hã be woawɔ dodokpɔ tɔxɛ aɖe abe electromyography ene atsɔ alé ŋku ɖe lãmekawo ƒe dɔwɔwɔ ŋu.
Nukawoe nye atike siwo wozãna na blepharospasm?
Womekpɔ atike aɖeke na dɔléle sia haɖe o. Gake atikewɔmɔnu siwo wɔa dɔ ŋutɔ li siwo ate ŋu akpe ɖe ame ŋu wòaɖu dzesiawo dzi ahanɔ agbe si sɔ.
| Atikewɔwɔ ƒe mɔnu | Numeɖeɖe aɖe tso eŋu |
|---|---|
| Botulinum aɖi (OnabotulinumtoxinA) ƒe atikewo dodo | Esiae nye atike si wozãna wu eye wòkpɔa dzidzedze wu le xexeame. Mí katã míenya BOTOX® ɖe esia ta. Le afisia la, wodoa atike sia ƒe agbɔsɔsɔ sue aɖe ŋutɔ ɖe lãmeka siwo ƒo xlã ŋkuawo me. Esia nana lãmekawo ƒe dɔwɔwɔ si mehiã o la nu tsona hena ɣeyiɣi aɖe. Nusiwo do tso eme dzea kpɔkpɔ gɔme le ŋkeke eve va ɖo etɔ̃ megbe. Atike sia ƒe dɔwɔwɔ nɔa anyi abe ɣleti 3-4 ene. Le ema megbe la, ele be nàgado atike la ake. |
| Lens tɔxɛwo (FL-41 tinted lenses) . | Nusiwo wotsɔna tsia ŋkuwo nu ate ŋu aɖe ŋkuwo ƒe seselelãme ɖe kekeli ƒe ƒutsotsoe aɖewo ŋu dzi akpɔtɔ. FL-41 nye amadede tɔxɛ aɖe si ƒe amadede nye pink. Lens siawo ate ŋu akpe ɖe ŋuwò nàɖu keklẽ si kekeli hena vɛ ƒe dzidziɖedzi dzi. Wogayɔa esiawo be "blue light glasses." |
| Amekoko | Wozãa esia abe mɔnu mamlɛtɔ ene. Le dɔléle siwo nu sẽ ŋutɔ siwo mewɔa nu ɖe atike si wodona gɔ̃ hã ŋu o me la, wowɔa dɔ nɛ be woaɖe ŋkume ƒe lãmekawo ƒe akpa aɖe ɖa. |
| Atikewɔwɔ na ame | Numekuku aɖewo ɖee fia be abɔtasisi ate ŋu awɔ dɔ vie le taɖodzinu sia ta. Gake ele be nàƒo nu kple wò ɖɔkta hafi awɔ atike siawo dometɔ aɖe ŋudɔ. |
Ne nɔnɔme sia le ŋunye la, nukae wòle be mawɔ?
Ne dzesi siawo le ŋuwò la, nu nyuitɔ si nàwɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo. Tsɔ kpe ɖe eŋu la, nu ʋɛ aɖewo li nàte ŋu awɔ be wò gbesiagbegbenɔnɔ nanɔ bɔbɔe:
- Takpɔ ɖokuiwò ta tso kekeli me: Ðe kekeli si klẽna nyuie dzi kpɔtɔ to ɣe ƒe ŋkumewu kple kposɔ dodo me.
- Kpɔ nuteɖeamedzi dzi: Dze agbagba nàna wò susu nadze akɔ anyi to nuwo abe yoga kple ŋugbledede ene dzi.
- Dɔ alɔ̃ nyuie: Ðeɖiteameŋu ate ŋu ana nɔnɔme sia nagagblẽ ɖe edzi. Eyata dɔ alɔ̃ nyuie.
- Bu dedienɔnɔ ŋu kpɔ: Ne èle nu siwo me afɔku le abe ʋukuku ene wɔm la, bu wò nɔnɔmea ŋu zi eve. Zã dutoƒoʋuwo ne ehiã.
- Bia kpekpeɖeŋu: Mègahe ɖe megbe le kpekpeɖeŋu biabia le nuwo abe mɔa tsotso alo nane fɔfɔ tso kɔkɔƒe ene me o. Wò dedienɔnɔe nye nu vevitɔ kekeake.
Gbedasi si Wotsɔ Yi Aƒeme
- Menye ŋku ƒe ʋuʋu si sɔ koe blepharospasm nye o. Enye lãmekawo ƒe dɔmawɔmawɔ nyuie si nana ŋkuwo tuna sesĩe, eye womate ŋu aɖu wo dzi o.
- Zi geɖe la, esia gblẽa nu le ŋku eveawo siaa ŋu le ɣeyiɣi ɖeka me.
- Togbɔ be menye ame ƒe agbe afɔku o hã la, ate ŋu akpɔ ŋusẽ gã aɖe ɖe gbesiagbedɔwɔwɔ kple susu ƒe lãmesẽ dzi.
- Botox® dodo nye atike si kpɔa dzidzedze ŋutɔ eye wozãnɛ le afisiafi.
- Ne dzesi siawo le ŋuwò la, ele vevie ŋutɔ be nàyi ŋkudɔdala alo ahɔhɔ̃ŋutinunyala gbɔ be wòaɖo aɖaŋu na wò vɔvɔ̃ alo ŋukpe manɔmee.
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