Ðe wòle ʋuʋum le wò ŋkuwo ŋua? Mina míaƒo nu tso ‘akpɔkplɔ ƒe afɔ’ siawo ŋu!

Ne èle tsitsim la, ɖewohĩ ède dzesii be fli nyuiwo dzena le wò ŋkuwo ƒe dzogoewo dzi. Míeyɔa esiawo be ‘akpɔkplɔ ƒe afɔwo’ alo ame aɖewo yɔa wo be ‘nukoko ƒe fliwo’. Ne míagblɔe tututu la, le atikewɔwɔ me la, woyɔa wo be ``Lateral Canthal Lines''. Fli siawo dzɔna gbã ne lãmeka sue siwo ƒo xlã wò ŋkuwo la vuvu ne èle nu kom, lé blanui, eƒe mo wɔ yaa, alo nèle nuteɖeamedzi me. Gbã la, ne èko alɔgbɔnu alo nèle ŋku lém ɖe nu ŋu ko hafi fli siawo dzena, gake le ɣeyiɣi aɖe megbe la, fli siawo ate ŋu adze dzedze gɔme ne wò mo megale dzedzem o alo ne èbɔbɔ nɔ anyi kpoo gɔ̃ hã.

Nukatae ‘akpɔkplɔ ƒe afɔ’ siawo dzɔna? Nu bubu kawoe kpɔa ŋusẽ ɖe wo dzi?

Kpuie ko la, esia nye dzɔdzɔme tsitsi ƒe akpa aɖe. Protein ƒomevi eve li siwo kpena ɖe míaƒe ŋutigbalẽ ŋu wòli ke eye wòlolo abe alesi wònɔ esime míenye ɖeviwo ene. Woawoe nye `(Collagen)` kple `(Elastin)` . Abe alesi siminti kple anyikpe hiã be woatsɔ atu xɔ ene la, esiawo hã le vevie na ŋutigbalẽa ƒe lãmesẽ. Ne míele tsitsim la, míaƒe ŋutilã wɔa `(Collagen)` kple `(Elastin)` le dzɔdzɔme nu. Emegbe ŋutigbalẽa ƒe sesẽ kple eƒe tete ɖe edzi dzi ɖena kpɔtɔna, eye fli nyui siawo, i.e. akpɔkplɔ ƒe afɔwo, dzea dzedze gɔme.

Azɔ hã, nu bubu geɖewo hã kpɔa ŋusẽ ɖe esia dzi.

• Ɣe ƒe keklẽ: Ɣeyiɣi didi si míenɔa ŋdɔ me kple ne míezãa ɣe ƒe keklẽŋusẽtike tsɔ kpɔa mía ɖokui ta tso ŋdɔkutsu dzatsɛ me la le vevie ŋutɔ. UV keklẽ (infrared rays) si gblẽa nu le ɣea ŋu gblẽa nu le míaƒe ŋutigbalẽ ŋu eye wònaa kolagen ƒe gbagbã kabakaba.
• Nuɖuɖu: Nuɖuɖu si míeɖuna hã wɔa akpa aɖe le afisia. Nuɖuɖu siwo me antioxidants sɔ gbɔ ɖo ɖuɖu ate ŋu aɖe nusiwo gblẽ le ŋutigbalẽa ŋu dzi akpɔtɔ.
• Domenyiŋusẽfianu: Ɣeaɖewoɣi la, esiawo te ŋu ƒua du le ƒomewo me. Ne flitetewo nɔ dziwòlawo ŋu kaba la, anɔ eme be wò hã nànɔ wo ŋu.
• Sigaretnono: Atamanolawo ƒe ŋutigbalẽ tsina kabakaba eye wònɔa ƒoƒom wu.

Ðe akpɔkplɔ ƒe afɔwo kpɔa ŋusẽ ɖe ŋutsuwo kple nyɔnuwo siaa dzi sɔsɔea?

Tsitsi mekpɔa ŋusẽ ɖe amesiame dzi le mɔ ɖeka nu o. Numekukuwo ɖee fia be ŋutsuwo ate ŋu axɔ akpɔkplɔ ƒe afɔwo kple flitete siwo goglo wu nyɔnuwo. Susu geɖewo tae wòle alea ɖo. Ðekae nye be ŋutsuwo medoa ɣe ƒe ŋkumewu kple ɣe ƒe keklẽŋusẽtike zi geɖe o. Le ɣeyiɣi ma ke me la, numekulawo kpɔe be enzyme si woyɔna be ``Matrix Metalloproteinases'', alo ``MMPs'' sɔ gbɔ ɖe ŋutsuwo ƒe ŋutigbalẽ me wu. ``MMP'' siawo nye enzyme siwo gblẽa ``Collagen'' me le míaƒe ŋutigbalẽ me le dzɔdzɔme nu. Eyata, ne ``MMP'' geɖe wu la, ``Collagen'' si le ŋutigbalẽa me la gblẽna kabakaba eye flitetewo dzɔna kabakaba.

Aleke ‘akpɔkplɔ ƒe afɔ’ siawo kpɔa ŋusẽ ɖe nye ŋutilã dzii?

Ne míagblɔe tututu la, togbɔ be àte ŋu ase le ɖokuiwò me be yeƒe dzi nadze eme vie ne èle ahuhɔ̃e me kpɔm hã la, ‘akpɔkplɔ ƒe afɔ’ siawo mekpɔa ŋusẽ gã aɖeke ɖe wò ŋutilã ƒe lãmesẽ dzi o. Womehea vevesese alo ŋutilã me vevesese bubu vɛ o. Gake le ame aɖewo gome la, flitete siawo ate ŋu ana woase le wo ɖokui me be yewomele dedie le yewoƒe dzedzeme ŋu o eye kakaɖedzi mele yewo si o.

Ne ètsi dzi ɖe ‘akpɔkplɔ ƒe afɔ’ siawo ŋu la, ɖo ŋku edzi be wonye tsitsi ƒe akpa aɖe le dzɔdzɔme nu eye be mí katã míadze ŋgɔ wo ɣeaɖeɣi. Gake àte ŋu aƒo nu kple ŋutigbalẽŋutinunyala, si nye ɖɔkta si bi ɖe ŋutigbalẽdɔlélewo me, tso atike vovovo siwo woatsɔ aɖe ɖa siawo ƒe dzedzeme dzi akpɔtɔ ŋu.

Ɣekaɣie akpɔkplɔ ƒe afɔwo dzea dzedze gɔme?

Zi geɖe la, èdzea dzesidede ‘akpɔkplɔ ƒe afɔ’ siawo gɔme le ƒe 30 lɔƒo. Gake le wò ŋutigbalẽdzikpɔkpɔ ƒe ɖoɖo kple domenyiŋusẽfianu nu la, ɖewohĩ womadze o vaseɖe esime nèxɔ ƒe 40. Nu vevitɔe nye be nàdze agbagba axe mɔ ɖe wo nu eye nàna woƒe tsitsi nagbɔdzɔ.

Nukawo koŋue hea akpɔkplɔ ƒe afɔ vɛ?

Abe alesi míedzro eme va yi ene la, collagen kple dzɔdzɔme enzyme bubu siwo le ŋutigbalẽa me kpena ɖe ŋutigbalẽa ŋu wòlolona eye wònyea sɔhɛ. Le dzɔdzɔme nu la, collagen sia dzi ɖena kpɔtɔna ne míele tsitsim. Gake wò agbenɔnɔ ƒe tiatia ate ŋu akpɔ ŋusẽ ɖe alesi ‘akpɔkplɔ ƒe afɔ’ siawo tsina kabakabae kple alesi fliawo gogloe hã dzi. Kpɔe ɖa be nya siawo ku ɖe ŋuwò hã:

• Ɣe ƒe keklẽ kple ɣe ƒe keklẽŋusẽtike zazã: Ɣe ƒe keklẽŋusẽtike si ƒe SPF nye 30 alo esi wu nenema zazã ate ŋu akpɔ wò ŋutigbalẽ ta tso ɣe ƒe keklẽ si gblẽa nu le ame ŋu (UV) si me.
• Ɣe ƒe ŋkumewu alo kposɔ si ƒe abɔwo keke dodo: Esia akpɔ wò ŋkuwo ta tso ɣe ƒe keklẽ me eye wòaɖe ŋku ƒe ʋuʋu dzi akpɔtɔ. Ŋkuʋuʋu hã nye nusi gbɔ ‘akpɔkplɔ ƒe afɔ’ tsona. Bu alesi gbegbe aŋɔsisi na wò ne èɖe ŋku ɖe ŋdɔkutsu dzatsɛ ŋu kpɔ!
• Nuteɖeamedzi dzi ɖuɖu: Menye nukoko koe hea ‘akpɔkplɔ ƒe afɔ’ vɛ o. Ne èɖe seselelãmewo abe dziku, dzimaɖitsitsi, alo blanuiléle ene gblɔ la, wò mo ƒe lãmekawo ƒoa ke eye fliwo dona. Eyata ele vevie be nàɖu nuteɖeamedzi dzi le wò agbe me eye nàlé be na wò susu ƒe nyonyo.
• Nuɖuɖu si naa lãmesẽ ɖuɖu: Nuɖuɖu siwo me antioxidants sɔ gbɔ ɖo (e.g. atikutsetsewo, amagbewo) ɖuɖu ate ŋu aɖe free radicals kple ɖiƒoƒo nutome si gblẽa ŋutigbalẽa ƒe ŋusẽkpɔɖeamedzi dzi akpɔtɔ.

Aleke míewɔna xea mɔ na akpɔkplɔ ƒe afɔwo ƒe dzedzeme heɖea wo dzi kpɔtɔna?

Agbenɔnɔ ƒe tɔtrɔ geɖe li nàte ŋu awɔ atsɔ awɔ avu kple fli nyui siawo. Atike siwo womeƒlena le atikedzraƒe o (OTC) kple mɔnu aɖewo hã li siwo ate ŋu akpe ɖe ame ŋu be wòaxe mɔ ɖe akpɔkplɔ ƒe afɔ nu.

Atikewɔwɔ siwo womeƒlena le atikedzraƒe o (OTC):

• Nusiwo woɖena ɖa:Esia ɖea ŋutigbalẽmenugbagbevi kukuwo ɖa le ŋutigbalẽa ƒe akpa si le etame (epidermis). Esia wɔnɛ be ŋutigbalẽ yeye si le lãmesẽ me dona. Esia ate ŋu akpe ɖe ŋuwò nàɖe fli nyuiwo kple flitete siwo kplɔa ame yia akpɔkplɔ ƒe afɔwo gbɔ la ƒe dzedzeme dzi akpɔtɔ. Gake ɖo ŋku edzi be mele be nàwɔ esia edziedzi o, zi ɖeka alo zi eve ko le kwasiɖa me sɔ nyuie.
• Peptide-kplu: Peptide nye amino acid ƒomevi aɖe si le wò ŋutigbalẽ me le dzɔdzɔme nu. Ne ètsɔ atike siwo me esiawo le sisi ɖe eŋu la, wò ŋutilã susuna be amino acid la nye collagen si gblẽ. Emegbe ŋutilãa wɔa collagen yeye tsɔ ɖɔa nusiwo gblẽ la ɖo. Dzadzraɖo sia yɔa fli nyuiwo me eye wòɖea woƒe dzedzeme dzi kpɔtɔna.
• Retinol: Retinol nye atike si wozãna tsɔ tsia tsitsi nu si ame geɖe lɔ̃a zazã. Wotsɔ vitamin A wɔ Retinol, eye wòdoa ŋusẽ collagen kple elastin, siwo nye nu vevi eve siwo nana ŋutigbalẽ dzena abe ɖekakpui ene, eye wòlolona. Àte ŋu aƒlee le atikedzraƒe, gake ne èsusu be yehiã atike si lolo wu la, yi ŋutigbalẽŋutinunyala gbɔ. Retinol ate ŋu agblẽ nu le ame ŋu vie, eyata xlẽ mɔfiameawo nyuie hafi nàzãe.

Ðe atike aɖe li si woatsɔ aɖe akpɔkplɔ ƒe afɔwo ɖaa? Nukawoe nye atikewɔmɔnuawo?

Ne èle tsitsim la, wò akpɔkplɔ ƒe afɔwo ate ŋu ava goglo eye woadze nyuie wu. Ɣemaɣi la, àte ŋu abu eŋu be yeayi ŋutigbalẽŋutinunyala gbɔ be woawɔ atike nɛ be woaɖe woƒe dzedzeme dzi akpɔtɔ.

Atikewɔwɔ aɖewo siwo woate ŋu awɔ to ŋutigbalẽŋutinunyala ƒe kpekpeɖeŋu me:

• Atikewo ƒe Ʋuʋudedi: Le kpɔɖeŋu me, nusiwo le abe Glycolic Acid alo Alpha Hydroxy Acid ene. Togbɔ be atike aɖewo li siwo me Alpha Hydroxy le siwo nàte ŋu aƒle le atikedzraƒe hã la, ɖɔkta ate ŋu atsɔ Glycolic Acid awɔ lãgbalẽ si sesẽ wu, si ƒe agbɔsɔsɔme sɔ gbɔ wu. Esia ɖea ŋutigbalẽa ƒe akpa si le etame ɖa blewuu, si wɔnɛ be ŋutigbalẽ yeye dzena.
• Botulinum Aɖi Dodo: Ame geɖe yɔa esia be Botox® . Le atikewɔwɔ sia me la, ɖɔkta la doa atike sue aɖe ŋutɔ si woyɔna be botulinum toxin ɖe teƒe siwo dɔlélea le. Atikea wɔa dɔ to mɔxexe ɖe lãmekawo ƒe tete nu (abe ne èle ŋku ʋuʋum ene), si kpena ɖe ame ŋu be fli suesuesuewo kple flitetewo nagadze o.
• Retinol si wozãna ɖe lãme: Ne retinol-tike siwo womeƒlena le atikedzraƒe o mewɔ nusi nèdi o la, ɖɔkta ate ŋu akafu retinol-tike si ŋu ŋusẽ le wu, si ƒe agbɔsɔsɔme sɔ gbɔ wu.

Nukawoe nye atikewɔwɔa ƒe kuxiwo/nugbegblẽ le ame ŋu?

Abe atike ɖesiaɖe ene la, atike siwo womeƒlena le atikedzraƒe o kple esiwo woŋlɔ na ame siaa ate ŋu ahe afɔku kple nugbegblẽ le ame ŋu vɛ. Ne ŋutigbalẽ si sea veve le ŋuwò la, anɔ eme be àkpɔ eƒe nugbegblẽ le ame ŋu.

• Ŋutilã ƒe dzikudodo, dɔdzẽ si tso retinol cream gbɔ:Ame aɖewo ate ŋu akpɔ ŋutigbalẽa ƒe ʋuʋu, abiã, avuvu, aŋe, alo adze abe ʋuʋudedi ene, ne wozã Retinol zi gbãtɔ alo ne wozãe le agbɔsɔsɔ gã me. Ƒo asa na ɣe ƒe keklẽ tẽ ne èzã Retinol vɔ.
• Botulinum aɖi dodo ƒe nugbegblẽ le ame ŋu: Vevesese, abi alo vuvu le afisi wodoe ɖo, taɖuame, kɔ ƒe sesẽ, kple ŋkume ƒe ʋuʋu (ptosis) ate ŋu adzɔ ɣeaɖewoɣi. Zi geɖe la, nusiawo nɔa anyi ɣeyiɣi kpui aɖe ko.

Ɣekaɣie wòle be makpɔ ɖɔkta le akpɔkplɔ ƒe afɔwo ŋu?

Ne wò akpɔkplɔ ƒe afɔwo le nuteɖeamedzi geɖe hem vɛ na wò eye wòle ŋusẽ kpɔm ɖe wò kakaɖedzi dzi la, ele vevie be nàyi ɖɔkta gbɔ, vevietɔ ŋutigbalẽŋutinunyala. Ate ŋu akpe ɖe ŋuwò nàkpɔ egbɔkpɔnu nyuitɔ na wò. Ate ŋu akpe ɖe ŋuwò nàɖe ʋuʋudedi siawo ƒe dzedzeme dzi akpɔtɔ eye wòana kakaɖedzi nanɔ asiwò ɖe ɖokuiwò ŋu.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne èle alesi nàwɔ akpɔ wò ŋutigbalẽ si le tsitsim gbɔ ŋu bum la, anyo be nàƒo nu kple ŋutigbalẽŋutinunyala. Nyabiase aɖewo siwo nàte ŋu abiae nye esi:

• Nukae nye `Botox®` ƒe atikekuiwo ƒe nugbegblẽ le ame ŋu?
• Ðe tiatia bubu aɖewo li siwo dzi mato ada nye ‘akpɔkplɔ ƒe afɔwo’a?
• Ðe medze na Botox® dodo na amea?
• Ðe Botox® dodo na ame vea amea?
• Retinol ƒe atike kae sɔ nam?
• Ɣeyiɣi didi kae dɔdamɔnu sia xɔna?

Mlɔeba la, nusi dzi nàɖo ŋkui (Take-Home Message) .

Ðewohĩ madzɔ dzi na wò ne èkpɔ fli nyui siwo ƒo xlã wò ŋkuwo o. Gake, ɖo ŋku edzi be tsitsi nye agbe ƒe akpa aɖe le dzɔdzɔme nu , eye mí katã míexɔa ʋuʋudedi ʋɛ aɖewo le ɣeyiɣi aɖe me. Enyo ŋutɔ be nàbu wò ‘akpɔkplɔ ƒe afɔwo’ be enye alɔgbɔnukoko kple nuteƒekpɔkpɔ siwo nèkpɔ le wò agbe me ƒe dzesi.

Ke hã, ne wò ‘akpɔkplɔ ƒe afɔwo’ le ŋusẽ kpɔm ɖe wò kakaɖeamedzi dzi la, mègakpe ŋu na wò alo ɣlae ɖe ɖokuiwò dzi o. Mɔ geɖewo li siwo dzi woato aɖe ʋuʋudedi siawo ƒe dzedzeme dzi akpɔtɔ, eɖanye to ɖɔkta gbɔ yiyi alo `Botox®` alo atikewɔwɔ bubu si sɔ wɔwɔ me o. Nu vevitɔ kekeakee nye be wò dzedzeme nakpɔ dzidzɔ. Mègahe ɖe megbe gbeɖe le nusi hiã la wɔwɔ me o! Nɔ lãmesẽ me eye nàkpɔ dzidzɔ!

` Akpɔkplɔ ƒe afɔwo, ʋuʋudedi siwo ƒo xlã ŋkuwo, ŋutigbalẽ si le gbagbãm, tsitsi, ŋutigbalẽdzikpɔkpɔ, ɣe, kolagen