Ðe wò ŋkume le tɔtrɔm ɖe ememea? Mina míasrɔ̃ nu tso entropion sia ŋu!

Ðe wòsena le ɖokuiwò me ɣeaɖewoɣi be nane le wò ŋku mea, alo wò ŋkuwo biãna eye tsi nɔa tsia ƒom ɣesiaɣia? Esiae nye ne ŋkumeʋuʋua le ʋuʋum yi eme eye wòdze ŋkumeʋuʋua ƒe eme. Egbea míele nu ƒom tso nɔnɔme sia ŋu, si woyɔna le atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya me be ‘Entropion’. Mègatsi dzi o, ne ènya nya esia ko la, àkpɔe be menye kuxi gã aɖekee nye esia o.

Nukae nye Entropion? Mina míase egɔme bɔbɔe!

Kpuie ko la, entropion nye ne wò ŋkume trɔ ɖe eme, ɖo ta wò ŋkume. Ne edzɔ alea la, wò ŋkume kple ŋkume ƒe ŋutigbalẽ ƒoa xlã wò ŋkume. Bu eŋu kpɔ, ewɔna na wò abe kekui aɖe le wò ŋkume ene. Ʋuʋudedi sia ate ŋu agblẽ nu geɖe le wò ŋku ƒe akpa si le ŋgɔgbe ŋu, vevietɔ akpa si me kɔ le wò ŋku ƒe ŋgɔgbe, si nye ŋkume ƒe ŋkume , eye ate ŋu ana nàxɔ abi gɔ̃ hã.

Esia ƒe akpa bubu aɖe hã li, si nye ne ŋkumeʋuʋu trɔ ɖe gota. Woyɔa ema be ‘Ectropion’. Gake egbea míele nu ƒom tso tɔtrɔ ɖe ememe ŋu.

Zi geɖe la , entropion gblẽa nu le ŋkume ƒe akpa si le ete ŋu . Ame aɖewo ate ŋu akpɔe le ŋku ɖeka ko dzi, evɔ ame bubuwo ya ate ŋu anɔ ŋku evea siaa ŋu. Míeyɔnae be ``Akpa eve ƒe entropion''. Ne womewɔ atike na esia nyuie o abe alesi megblɔe ene la, ŋkume ƒe ŋkumeʋuʋu ate ŋu agblẽ eye nukpɔkpɔ gɔ̃ hã ate ŋu abu . Eyata ne dzesi siawo le ŋuwò la, ele vevie ŋutɔ be nàyi ŋkudɔdala gbɔ be woawɔ atike nɛ. Abe afɔɖeɖe gbãtɔ ene la, wotea mɔnu siwo me womezãa nuvevi ame o kpɔ, gake ɣeaɖewoɣi la, ate ŋu ahiã be woawɔ dɔ nɛ.

Nukawoe nye entropion ƒomevi veviwo?

Entropion ƒomevi vevi geɖewo li. Mina míalé ŋku ɖe nusiwo wonye ŋu:

• Involutional entropion: Esiae nye ƒomevi si bɔ wu . Ne míele tsitsim la, lãmeka kple lãkusi siwo ƒo xlã míaƒe ŋkuwo la gbɔdzɔna vivivi heɖea asi le wo ŋu. Ema koŋ tae wòle alea ɖo. Abe ale si ko mía tɔgbuiwo kple mamawo ƒe ŋutigbalẽ vuvu ene la, nu siwo le eme ƒe ŋusẽ hã dzi ɖena kpɔtɔna.

• Spastic entropion: Esia ƒomevi ate ŋu adzɔ ne ŋkua tɔtɔ le mɔ aɖe nu, le kpɔɖeŋu me, to ŋkua tutu sesĩe akpa, ne ŋkua xɔ dɔlékui, alo ne ŋkua vuvu. Ate ŋu adzɔ vevietɔ le ŋku ƒe dɔwɔwɔ vɔ megbe , alo le amesiwo ƒe ŋkume vuvu xoxo le tsitsi ta gome.

• Cicatrical entropion: Esia nye nɔnɔme si me abi ƒe lãkusiwo dzɔna le ŋkume. Esia ate ŋu atso dzobibi, dɔlékui sesẽ aɖe, ŋku ƒe abixɔxɔ, ŋkudɔ, alo keklẽŋusẽdɔdamɔnu na kansa gbɔ. Abi sia nana ŋkua trɔna yia eme.

• Entropion si wodzina:Esia mebɔ kura o, gake wodzia vidzĩ aɖewo kple nɔnɔme sia. Esia fia be wotrɔa ŋkumeʋuʋua yia eme tso esime wodzii .

• Mɔ̃ɖaŋununya ƒe entropion: Esia dzɔna ne ŋkumeʋuʋua lolo akpa, si wɔnɛ be wòʋuʋuna yia eme. Esia ate ŋu adzɔ ne ƒu alo dɔdzẽ aɖe do ɖe ŋkume.

Nukae nye entropion ƒe dzesiwo?

Ne entropion le ŋuwò la, àte ŋu akpɔ ŋku ƒe dzesi geɖe siwo meɖea dzi ɖi o. Kpɔe ɖa be nya siawo nye nya siwo nènya nyuie hã:

• Seselelãme si nɔa ame me ɣesiaɣi be nane le ŋkua me. Abe ke sue aɖe alo ŋkumeɖobolo si ƒo ɖe eme ene.
• Ŋkuwo ƒe biã.
• Aɖatsi si le dodom enuenu (ŋku siwo me tsi le).
• Nukpɔkpɔ si me mekɔ o.
• Ŋku ƒe vevesese.
• Ŋku siwo le ʋuʋum.
• Kekeli ƒe seselelãme (esesẽna be woakpɔ gota le kekeli si klẽna me - míeyɔa esia be ``Fotovɔvɔ̃'') kple ya ƒe seselelãme.
• Tsi si dona le ŋkuwo me alo tsi si dona tso ŋkuwo ƒe dzogoewo dzi.

Ne entropion dze dziwò zi gbãtɔ la, ɖewohĩ ɣeaɖewoɣi koe dzesi siawo adze le ŋuwò. Gake le ɣeyiɣi aɖe megbe la, zi geɖe la, dzesi siawo va nɔa anyi ɖaa.

Nukatae entropion dzɔna? Nukawoe gbɔ wòtsona?

Nu vevi etɔ̃e le ŋkume ƒe akpa si ŋu entropion le ŋu: ŋkume ƒe ʋuʋu, ŋkume ƒe ʋuʋu ƒe lãmeka si kɔa ŋkume ƒe ʋuʋu tso teƒe si wòlé ɖe eŋu, kple ŋkume ƒe lãmeka si xea mɔ na ŋkume si sesẽ akpa, si trɔa ŋkume ƒe ʋuʋu yi eme le esi teƒe be wòatrɔ ayi gota. Ŋku ƒe ʋuʋudedi si le ete bɔ ŋutɔ le amesiwo xɔ wu ƒe 60 me , elabena ŋkume ƒe akpa si le ete ƒe kpekpeɖeŋu gbɔdzɔna ne ame tsi.

Tsɔ kpe ɖe eŋu la, susu bubu geɖewo li siwo tae ŋkumeɖonu ate ŋu atrɔ ayi ememe:

• Ŋku ƒe abixɔxɔ.
• Ŋku ƒe dɔlélewo.
• Amekoko siwo wowɔ na ŋku va yi.
• Ŋkuwo ƒe vuvu kple dɔdzẽ ƒe nɔnɔmewo.
• Abi ƒe lãkusi si tso nusiwo míeyɔ va yi dometɔ ɖesiaɖe gbɔ.

Amekae le afɔku gã me be entropion nadze ame dzi?

Ƒe si ame xɔe nye afɔku gãtɔ kekeake si ate ŋu ana ame naxɔ entropion. Edzena zi geɖe le amesiwo xɔ wu ƒe 60. Le Amerikatɔwo ƒe Ŋkudɔŋutinunyalawo ƒe Habɔbɔ ƒe nya nu la, dɔlélea dzea amesiwo xɔ wu ƒe 60 ƒe abe 2.1% dzi.

Azɔ hã, amesiwo ŋu alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe le la le afɔku gã aɖe me be woaxɔ entropion. Esia le alea elabena woƒe ŋkume ƒe akpa si le etame ate ŋu aɖiɖi akpa (si woyɔna be "Floppy eyelid syndrome"), si wɔnɛ be woate ŋu aʋuʋu ayi eme wu.

Nu bubue nye be nyɔnuwo te ŋu xɔa entropion wu ŋutsuwo.Mekpɔe hã be ema.

Aleke ɖɔktawo wɔa dea dzesi entropion?

Wò ŋkuŋutinunyala abia wò dzesiwo kple atikewɔwɔ ŋutinya wò gbã. Emegbe awɔ ŋkudɔ bliboe . Alé ŋku ɖe ŋutigbalẽ me kuxiwo, dɔlékuiwo, alo abi aɖeke ŋu hã. Alé ŋku ɖe ŋkume ƒe goawo hã ŋu nyuie, elabena nɔnɔme bubuwo li siwo ate ŋu adze abe entropion ene. Ele vevie be woakpɔ dɔlélea nyuie , elabena esiae afia atike nyuitɔ kekeake.

Dodokpɔ siwo wozãna tsɔ dea dzesi entropion

Ðɔktaa ate ŋu awɔ dodokpɔ geɖe atsɔ akpɔe ɖa be entropion le ŋuwò hã:

• Dodokpɔ si wowɔna le megbe: Le dodokpɔ sia me la, ɖɔktaa hea wò ŋkume ƒe akpa si le ete la ɖe anyi evɔ meɖea mɔ na wò be nànɔ ŋku lém ɖe ŋuwò o. Emegbe woléa ŋku ɖe ɣeyiɣi didi si wòxɔna hafi wògatrɔna yia dzi ŋu. Zi geɖe la, egatrɔna yia dzi le sɛkɛnd ɖeka alo eve me.
• Nusiwo hea susu ɖa ƒe dodokpɔ: Le dodokpɔ sia me la, ɖɔktaa hea wò ŋkume ƒe akpa si le ete la ɖa le wò ŋkumeʋuʋu ŋu. To ehehe me la, wodzidzea ŋkume kple ŋkume ƒe didime. Ne didime sia wu milimeta 6 la, wobunɛ be enye nusi mesɔ o.
• Slit lamp exam: Slit lamp nye nusuekpɔmɔ̃ tɔxɛ aɖe . Ðɔktaa azã akaɖi si klẽna atsɔ alé ŋku ɖe wò ŋku ŋu nyuie akpɔe ɖa be nɔnɔme sia ƒe dzesi aɖewo li hã. Esia ate ŋu ade dzesi nu suetɔ kekeake si gblẽ le ŋkua ŋu gɔ̃ hã.

Nukawoe nye atike siwo wozãna na entropion?

Wò ɖɔkta ate ŋu azã mɔnu vovovowo atsɔ ada entropion. Dɔdamɔnu siwo bɔ dometɔ aɖewoe nye:

• Amisisi na ŋkume: Ami si me ami le alo aɖatsi si wowɔ kple asi sisi ɖe ŋkua ŋu ate ŋu akpe ɖe ame ŋu be wòaɖe vevesese dzi akpɔtɔ. Gake esia menye egbɔkpɔnu si anɔ anyi ɣeyiɣi didi o.

• Lãmetsi falɛfalɛ: Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã ŋkumeɖonu falɛfalɛwo atsɔ akpɔ wò ŋkuwo ta tso ŋkukuxiwo me. Lens siawo wɔa dɔ abe atike si wotsɔ blaa nu ene eye woɖea dzesiwo dzi kpɔtɔna.

• Tepe: Woate ŋu azã kasɛt tɔxɛ aɖe atsɔ alé ŋkumeɖonua ɖe teƒea hena ɣeyiɣi aɖe. Esia hã nye nusi woate ŋu awɔ bɔbɔe le aƒeme.

• Nutatawo: Ðɔkta ate ŋu atrɔ ŋkumeɖonua eye wòatsɔ aŋe ʋɛ aɖewo aɖo ŋkume be wòalé ɖe teƒea. Abi si wotsɔa lãgbalẽ siawo ƒoa ƒui la akpe ɖe ŋkua ŋu wòagatrɔ ayi gota o ɣleti geɖe.

• Botox® ƒe Atikewo:Woate ŋu ado botulinum aɖi sue aɖe ɖe lãmeka siwo trɔa ŋkume ƒe akpa si le eme la gbɔdzɔgbɔdzɔ. Esia naa gbɔdzɔe ɣleti geɖe.

• Eyelash removal / Epilation: Be woaxe mɔ na ŋkumeɖonu siwo doa dziku la be woagatutu ŋkua ƒe anyime o la, woyɔa wo ɖeɖe kple wo ɖeɖeɖa ƒe ɖoɖo be ``Epilation''.

Ðo ŋku edzi be dɔdamɔnu siawo ƒe akpa gãtɔ nyea ɣeyiɣi kpui aɖe ko. Ne èdi be yeakpɔ egbɔkpɔnu si anɔ anyi ɖaa la, ahiã be woawɔ dɔ na wò.

Ɣeaɖewoɣi la, ne dɔdzẽ si nɔa anyi didi gbɔe ŋkuvi si wogbugbɔ trɔ la tso la, wò ɖɔkta ate ŋu aɖe gbe be woawɔ ʋudodokpɔ (dɔdokpɔƒewo) alo woaɖe ŋutilã ƒe akpa aɖewo ɖa be woatsɔ akpɔe ɖa be nusiwo mebɔ o abe ŋku ƒe lãkusi si nye ocular cicatricial pemphigoid alo trachoma ene hã.

Entropion ƒe amekoko

Togbɔ be atikewɔwɔ siwo menye amekoko o siwo míeyɔ ɖe etame ate ŋu akpe ɖe ame ŋu le ɣeyiɣi kpui aɖe me hã la, zi geɖe la, amekoko hiãna be woaɖɔ ŋkumeɖonu si wogbugbɔ trɔ la ɖo keŋkeŋ eye wòatrɔe ɖe eƒe nɔnɔme si sɔ me. Zi geɖe la, wowɔa amekoko sia le atike si naa ame ƒe dzi dzea eme kple atike si naa alɔ̃dɔdɔ ame le teƒea me. Àte ŋu ayi aƒeme gbemagbe ke woawɔ dɔ na wò.

Amekokomɔnu vovovowo li siwo dzi woato aɖɔ entropion ɖo:

• Ŋku ƒe ʋuʋu: Esia bia be nàbla wò ŋkume to ewɔwɔ kpuie vie me (si woyɔna be wedge resection alo lateral tarsal strip).
• Retractor reinsertion: Esia bia be woabla lãmeka si ʋua ŋkume eye wòtua ŋkume (`lid retractor`) la sesĩe.
• Orbicularis debulking: Esia bia be woagbɔdzɔ lãmeka si kpena ɖe ame ŋu be wòatu ŋkua ƒe akpa aɖe (orbicularis lãmeka).
• Ŋku ƒe axadzi gbugbɔgatu: Woate ŋu azã elektrikŋusẽ alo cryotherapy atsɔ aɖe ŋkume ƒe akpa si tra ɖa le abi alo abi si nɔa anyi didi ta ɖa tegbee.

Togbɔ be atikewɔwɔ siwo menye amekoko o kpena ɖe ame ŋu le ɣeyiɣi kpui aɖe me hã la, zi geɖe la, amekoko hiãna be woatsɔ aɖɔ entropion ɖo keŋkeŋ eye wòanɔ anyi tegbee.

Ame geɖe kpɔa nugbegblẽ le ame ŋu hena ɣeyiɣi aɖe le entropion dɔwɔwɔ vɔ megbe. Ʋuʋudedi kple ƒoƒoe nye esiwo bɔ wu. Esiawo nye dɔyɔyɔ ƒe akpa si sɔ. Woate ŋu akpɔ esiawo gbɔ to atike siwo wò ɖɔkta ŋlɔ na wò kple vuvɔŋɔli ƒe atikewo zazã me. Zi geɖe la, amekokoa wu enu keŋkeŋ le kwasiɖa eve me.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èse le ɖokuiwò me be yeƒe ŋkume le tɔtrɔm ɖe ememe la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.Ne edze abe wò ŋkumeʋuʋu mele tɔtrɔm ɖe ememe o ene, gake nèsena le ɖokuiwò me ɣesiaɣi be nane le wò ŋku me la, ke yi ɖɔkta gbɔ. Ate ŋu anye entropion.

Nya kawoe wòle be nàbia ɖɔktaa?

Ne entropion le ŋuwò la, àte ŋu abia nya siawo wò ɖɔkta:

• Kuxi kawo ŋue wòle be makpɔ nyuie le?
• Nukae wòle be maƒo asa na le hayahayaɣi?
• Ðe wòhiã be matrɔ ava hena dodokpɔawo? Ne nenemae la, ke ɣekaɣie?
• Nukae mate ŋu awɔ be entropion nagagadzɔ o?

Ðe woate ŋu axe mɔ ɖe entropion nua?

Entropion nye dɔléle si nyea tsitsi ƒe akpa aɖe le dzɔdzɔme nu zi geɖe eye ɣeaɖewoɣi la, abi ƒe lãkusi gbɔe wòtsona, eyata esesẽna be woaxe mɔ ɖe enu keŋkeŋ. Gake be nàɖe afɔku si le entropion xɔxɔ me le ŋku ƒe abi ta dzi akpɔtɔ la, do dedienɔnɔ ƒe ŋkumekpɔnu ne èle dɔ si ate ŋu ade abi wò ŋkuwo ŋu wɔm (le kpɔɖeŋu me, ne èle ati lãm alo nèle ga ƒom).

Nukae dzɔna ne entropion le ŋuwò? Nukae nàte ŋu akpɔ mɔ na?

Nu nyuiwo dona tso ame geɖe siwo dia atike na entropion hafi wògblẽa nu le ŋkua ŋu. Zi geɖe la, entropion dɔwɔwɔ kpɔa kuxia gbɔ, eye ƒã hafi nɔnɔmea gadzena ake.

Gake ele vevie be woada entropion be woaxe mɔ ɖe kuxi siwo anɔ anyi ɖaa nu. Kuxi siwo ate ŋu ado ƒome kple ŋkumeʋuʋu si wogbugbɔ trɔ la dometɔ aɖewoe nye:

• Ŋku ƒe dɔlélewo
• Ŋku ƒe ŋkume ƒe ʋuʋu
• Nukpɔkpɔ ƒe bublu

Gbedasi si Wotsɔ Yi Aƒeme

Ne èsena le ɖokuiwò me ɣesiaɣi be nane le wò ŋku me, alo ne edze abe wò ŋkume le tɔtrɔm ɖe eme ene la, ke entropion ate ŋu anɔ ŋuwò. Ele vevie be woakpɔ dɔléle sia gbɔ be woaxe mɔ ɖe kuxi siwo anɔ anyi ɣeyiɣi didi abe ŋkume ƒe dɔmawɔmawɔ nyuie kple ŋku ƒe nukpɔkpɔ ƒe bublu ene nu. Ðo dze kple wò ɖɔkta tso atikewɔmɔnu siwo ate ŋu ana wò vevesese, ŋku ƒe lãmesẽ, kple agbenɔnɔ bliboa nanyo ɖe edzi ŋu. Mègavɔ̃ alo ŋu nakpe wò be yeaƒo nu tso eŋu o. Zi alesi nèxɔ atike kaba la, zi nenemae wò lãme ate ŋu anyo kaba!

` Entropion, ŋkume ƒe tɔtrɔ yi eme, ŋkudɔlélewo, ŋku siwo le ʋuʋum, ŋku dzĩwo, ŋkuwo ƒe dzedzeme, tsitsi kple ŋkuwo