Ðe wò ŋkume ƒe akpa si le ʋuʋu ɖi ko? Mina míaƒo nu tso (Floppy Eyelid Syndrome) ŋua?

Ðe nèsea veve hã le wò ŋkuwo ŋu eye nèsena le ɖokuiwò me be yeƒe ŋkumeʋuʋu le ʋuʋum yina kple megbe ne èfɔ le ŋdi mea? Ðewohĩ wò ŋkume ƒe ʋuʋudediwo ase le eɖokui me abe goma koe wole ene ne èka asi wo ŋu. Togbɔ be esia nye fuɖename sue aɖe na ame aɖewo hã la, ate ŋu anye nɔnɔme aɖe si ŋu míaƒo nu tsoe egbea si woyɔna be (Floppy Eyelid Syndrome) ƒe dzesi hã.

Nukae nye Floppy Eyelid Syndrome ƒe dɔléle?

Kpuie ko la, (Floppy Eyelid Syndrome) nye ne ŋutigbalẽ si le wò ŋkume, alo ŋkume, la vuvu eye wòzu goma. Eva zua nusi kekena, abe rababa xoxo aɖe ene. Esia wɔnɛ be wò ŋkumeʋuʋu nɔa bɔbɔe be wòage ɖe eme alo ado go, vevietɔ ne èle alɔ̃ dɔm. Zi geɖe la, ate ŋu agblẽ nu le ŋkume ƒe akpa evea siaa ŋu.

Aleke gbegbee nɔnɔme sia bɔe?

Numekuku siwo wowɔ fifia ɖee fia be dɔléle sia (Floppy Eyelid Syndrome) le xexeamenɔlawo ƒe 2% va ɖo 4% ŋu. Gake ɖɔktawo xɔe se be xexlẽme sia ate ŋu asɔ gbɔ wu ema kura. Nusitae nye be nɔnɔme sia ƒe dzesiwo ate ŋu ado mo ɖa kple dɔléle bubu geɖewo. Eyata ɣeaɖewoɣi la, ɖɔktawo, vevietɔ ŋkudɔdalawo, daa dzesi siawo, gake ɖewohĩ womakpɔe adze sii be enye esia (Floppy Eyelid Syndrome) ŋutɔ ƒe akpa aɖe o.

Nukae nye Floppy Eyelid Syndrome ƒe dzesiwo?

Nɔnɔme sia ate ŋu ahe dzesi geɖe vɛ, vevietɔ ne èfɔ zi gbãtɔ le ŋdi me .

• Ŋkuawo va nɔa gbadzaa ŋutɔ eye wodzena. Woate ŋu aʋuʋu ɖe eme/do go ne woka asi wo ŋu vie gɔ̃ hã.
• Èse veve alo dzobibi le wò ŋkuwo ŋu.
• Ŋkuawo ƒuna elabena aɖatsitsi si dea tsi ŋkuawo me mele ami sisim nyuie o.
• Wò ŋkuwo le tsi ƒom elabena wò ŋutilã le aɖatsi geɖe ɖem be wòanɔ tsi.
• Ŋkuawo vuvu eye wole veve sem. Míeyɔa esia hã be blepharitis le atikewɔwɔ me.
• Ewɔna nam abe ɖe nane tsi ŋkua me ene.
• Kekeli ƒe seselelãme, si fia be esesẽna be woalé ŋku ɖe kekeli ŋu (Photophobia) .
• Tsi aɖe si le abe tsidzadza ene le dodom tso ŋkuawo me.

Nukatae ŋkume ƒe ʋuʋu sia nye kuxi?

Ènya be ŋutigbalẽ si le tsɛ wu le míaƒe ŋutilã ŋu la le míaƒe ŋkume ? Be ŋkumeɖonu siawo nate ŋu awɔ dɔ nyuie la, ele be woanɔ te sesĩe . Ɣemaɣie ‘teƒe’ si hiã be woanɔ ŋkumeʋuʋua dzi sesĩe eye woaʋuʋu yi dzi kple anyime ne míeʋu, tu, eye míeʋuʋu ŋku la le wo si.

Gake menye nutsyɔnu dzro aɖe koe ŋkua nye o. Lãmenugbagbevi ƒomevi aɖe si woyɔna be Meibomian glands le eme . Lãmenugbagbevi siawo wɔa (Meibum) .Woɖea ami aɖe si woyɔna be meibum (woyɔnae be meibum) doa goe. Nu sia le vevie ŋutɔ na alesi míaƒe aɖatsimɔ̃ wɔa dɔe. Ami sia si woyɔna be meibum la tsakana kple aɖatsitsia, si naa ami ɖe ŋkuawo ƒe gowo dzi eye wòɖea aɖatsitsi ƒe yaƒoƒo dzi kpɔtɔna. Menye ema ɖeɖeko o, ke ekpena ɖe ame ŋu hã be ŋkume ƒe ŋkume nanɔ ɖeka ne wotu ŋkua, si wɔnɛ be nutrenu aɖe nɔa anyi si nana ya megena ɖe eme o. Esia kpena ɖe ŋkuawo ŋu be tsi nɔa wo ŋu.

Eyata ne wò ŋkume ƒe ʋuʋu sia bu la, wova nɔa anyi kpoo, womenɔa wo nɔƒe nyuie o. Emegbe (Meibum) si dona tso (Meibomian glands) me metsaka kple aɖatsitsia nyuie o. Emegbe ŋkuawo ƒe amisisi la me gblẽna. Azɔ hã, esi ŋkumeʋuʋua ʋãna bɔbɔe ta la, nutrenu ma si me ya megena ɖo o la medzɔna nyuie ne ètu wò ŋkuwo o. Esia nye nusi ate ŋu adzɔ ɣesiaɣi, vevietɔ ne èle alɔ̃ dɔm .

Nukawoe hea Floppy Eyelid Syndrome vɛ?

Nusi koŋ gbɔ ŋkume ƒe ʋuʋu tsoe nye protein si woyɔna be elastin ƒe bu le ŋkume. Elastin siae nana ŋutigbalẽa te ŋu nɔa te. Gake womenya nusi tututu tae wòle alea ɖo haɖe o. Gake numekukuwo na ɖikeke va le nu geɖe ŋu. Esesẽ be míagblɔ nenye be esiawoe nye nusiwo gbɔ wòtsona godoo loo alo nusiwo gbɔ wòtso koe. Gake wosusu be esiawo wɔa akpa aɖe:

• Lolo akpa Kple Alɔ̃dɔdɔ ƒe Mɔxenu (OSA): Nɔnɔme eve siawo do ƒome kplikplikpli. Ne èlolo akpa, si fia be èlolo akpa vevie la, ke àte ŋu axɔ OSA. Le OSA gome la, wò gbɔgbɔ nu tsona ne èle alɔ̃ dɔm. Esia ɖea oxygen si wò ŋutilã xɔna dzi kpɔtɔna. Oxygen ƒe anyimanɔmanɔ sia trɔa ŋutilã ƒe atikewo ƒe dɔwɔwɔ, eye wowɔa enzyme geɖe siwo ate ŋu agbã protein si woyɔna be elastin. Ame siwo ŋu OSA le ƒe afã lɔƒo hã xɔa nɔnɔme sia (Floppy Eyelid Syndrome).
• Kadodo ƒe dɔlélewo: Esiawo nye dɔléle siwo gblẽa nu le kadodoŋusẽwo abe ƒunukpeƒewo kple lãkusiwo ene ŋu. Dɔléle siawo ate ŋu akpɔ ŋusẽ ɖe alesi ŋutilãa wɔa elastin kple eŋudɔwɔwɔ hã dzi. Le kpɔɖeŋu me, nɔnɔmewo abe Marfan ƒe dɔléle kple Ehlers-Danlos ƒe dɔléle ene .
• Domenyiŋusẽfianu: Tɔtrɔ siwo vaa wò DNA me ate ŋu akpɔ ŋusẽ ɖe ale si wò ŋutilã wɔa elastin hezãnɛ dzi. Esiawo ate ŋu anye domenyinyi tso dziwòlawo gbɔ, alo woate ŋu anye tɔtrɔ siwo dzɔ le vo me esime nènɔ tsitsim abe fugboe ene.
• Dɔléle bubu siwo gblẽa nu le ŋkuwo kple lãmenugbagbevi siwo ƒo xlãe ŋu: Amesiwo ŋu dɔléle siwo nana ŋkuwo doa go yia ŋgɔ le ate ŋu anɔ afɔku me wu. Le kpɔɖeŋu me , lãkusidɔlélewo , abe Hashimoto ƒe dɔléle ene .

Tsɔ kpe ɖe esia ŋu la, nu bubu geɖewo hã li siwo gbɔ wòtsona:

• Ŋutsu alo nyɔnu nyenye: Ŋutsuwo ate ŋu axɔ Floppy Eyalid Syndrome wu nyɔnuwo. Wo dometɔ siwo ade eve le etɔ̃ me nye ŋutsuwo.
• Ƒe:Nɔnɔme sia bɔ ɖe ame tsitsiwo me wu. Togbɔ be ate ŋu adze le ɖeviwo me hã la, ƒã ŋutɔ.
• To vovovo me tɔwo: Amesiwo ƒe ŋutigbalẽ ƒe akpa tɔxɛ aɖe (epicanthic fold) le ŋku ƒe dzogoe ememetɔ, abe Asiatɔwo ƒe to aɖewo ene, ate ŋu axɔ nɔnɔme sia fũu le woƒe ŋkume ƒe wɔwɔme ta.

Nukawoe nye kuxi siwo ate ŋu ado tso Floppy Eyelid Syndrome me?

Ne wò ŋkumewo ɖiɖi la, enaa wò ŋkuwo megatsia tsi eye woasi ami o. Esia ate ŋu ana wò ŋkuwo nado dziku eye woagblẽ nu le wo ŋu . Esia ate ŋu ana:

• Ŋku ƒe dɔléle ƒuƒu .
• Keratitis nye ŋkume ƒe ŋkumeʋuʋu, si nye ŋkua ƒe ŋgɔgbekpa si me kɔ la ƒe dɔdzẽ.
• Ŋku ƒe ʋuʋu enuenu (RCE) .
• Ŋku ƒe abi kple abi.
• Le nɔnɔme sesẽwo me la, ne womewɔ atike nɛ o la, ŋku ate ŋu abu.

Aleke wokpɔa dɔléle sia (Floppy Eyelid Syndrome) dzea sii?

Esi wònye be esia (Floppy Eyelid Syndrome) ƒe dzesiwo dzena le dɔléle bubu geɖewo ŋu ta la, dodokpɔ aɖeke meli koŋ si woatsɔ anya dɔlélea nyuie o.

Ŋkudɔdala ate ŋu anya nɔnɔme sia to wò dzesiwo biabia wò, nyabiasewo biabia wò tso wò nukpɔkpɔ kple alesi wò ŋkuwo sena le wo ɖokui me ŋu, kple wò ŋkumeʋuʋu me dzodzro me. Le dodokpɔa wɔɣi la, ɖɔktaa atsɔ eƒe asibidɛ ƒe nugbɔ aɖo wò ŋkume ƒe ŋutigbalẽ dzi. Enye dodokpɔ si fa miamiamia ale gbegbe be mevea ame o, gake wòsẽna ale gbegbe be nàte ŋu akpɔ afisi nàte ŋu aʋuʋu wò ŋkumeʋuʋu ahahe.

Ŋkuŋutinunyala geɖe zãa mɔnu sia tsɔ nyaa ne Floppy Eyelid Syndrome le ŋuwò kple alesi gbegbe wòsẽe. Dzesidede ƒe ɖoɖo vevi eve li siwo wozãna na esia:

• Mɔnu si wotsɔ dzidzea nu: Esia dzidzea ŋkume ƒe ʋuʋu ƒe agbɔsɔsɔme. Dzidzenu sia tso 0 va ɖo 4.
• Ŋku ƒe Nukpɔkpɔ ƒe Ðoɖo: Le esia me la, ŋkudɔdala akɔ wò ŋkume ƒe akpa si le etame ɖe dzi esime nèle ŋku lém ɖe anyi. Alesi ŋkua ƒe akpa ɣi si woyɔna be ŋkumeɖonu dzenae dzie wokpɔa alesi gbegbe wòsẽe. Dzidzenu sia tso 0 va ɖo 3.

Nukae nye atike siwo wozãna na esia (Floppy Eyelid Syndrome)?

Atikewɔwɔmɔnu vevi eve li: mɔnu si wozãna tsɔ léa nu ɖe ​​te kple amekokomɔnu .

Nuwo takpɔkpɔ ƒe mɔnu

Mɔnu si wozãna tsɔ léa nuteƒewɔwɔ me ɖe asi bia be woadze agbagba axe mɔ ɖe nɔnɔme sia ƒe dzesiwo nu be woagadzɔ o. Zi geɖe la, esia bia be nàtsɔ aŋɔ atsyɔ wò ŋkuwo dzi ne èle alɔ̃ dɔm, mlɔ anyi kple ŋkumeɖonu, alo nàtsɔ aɖatsi alo ŋkumemi si wowɔ hafi amlɔ anyi.

Azɔ hã, wò ɖɔkta abia tso asiwò be nàwɔ alɔ̃dɔdɔ ƒe dodokpɔ akpɔe ɖa be OSA le ŋuwò hã. Ema nenɔ susu me na wò, àte ŋu axɔ OSA ne mèlolo akpa o gɔ̃ hã.

Nu vevitɔ kekeake: Ne OSA le ŋuwò la, Continuous Positive Airway Pressure (CPAP) mɔ̃ alo Bilevel Positive Airway Pressure (BPAP) mɔ̃ (si woyɔna ɣeaɖewoɣi be BiPAP®) zazã ate ŋu akpe ɖe ŋuwò nàtrɔ elastin ƒe bu la eye wòana wò ŋkume ƒe ʋuʋu nanyo ɖe edzi. Ele vevie ŋutɔ be nàzã mɔ̃ sia zã sia zã. Ne menye nenema o la, makpe ɖe ŋuwò boo o. Le go bubu me la, OSA si womewɔ atike na o ate ŋu awu ame, eyata mɔ̃a zazã le vevie wu.

Amekoko ƒe mɔnu

Zi geɖe la, wobua amekoko ŋu ne afɔɖeɖe siwo me woɖea mɔ ɖe nu ŋu le mewɔ dɔ o. Azɔ hã, ne wò dɔlélea (Floppy Eyelid Syndrome) nu sẽ eye afɔku li be ŋkua nagblẽ la, ekema amekoko ate ŋu anye tiatia. Amekoko geɖe li siwo ate ŋu ana wò ŋkume ƒe lãkusiwo nasẽ. Wò ŋkudɔdala alo amekola agblɔ nu geɖe tso dɔdamɔnu si wokafu kple nusi nàkpɔ mɔ na ŋu na wò.

Nukae nàkpɔ mɔ na ne (Floppy Eyelid Syndrome) le ŋuwò?

Ne Floppy Eyelid Syndrome le ŋuwò la, zi geɖe la, wò dzesiwo ƒoa xlã kuxi siwo le tsi si le wò ŋkuwo me ŋu. Zi geɖe la, dzesiawo gblẽna ɖe edzi ne èfɔ zi gbãtɔ le ŋdi me . Ne èlɔ̃a alɔ̃dɔdɔ le wò axadzi la, wò dzesiwo ate ŋu akpɔ ŋusẽ ɖe ŋkua ƒe akpa si nèlɔ̃ wu dzi wu. Togbɔ be nɔnɔme sia menye afɔku tẽ o hã la, ate ŋu agblẽ nu le wò ŋkuwo ŋu tegbee eye wòagblẽ nu le wò nukpɔkpɔ ŋu.

Ne èsusu be (Floppy Eyelid Syndrome) le ŋuwò la, anyo be nàyi ŋkudɔdala gbɔ eye nàna woakpɔe ɖa. Ne nenemae la, wò ɖɔkta alé ŋku ɖe (OSA) ŋu eye ne ehiã la, adae.

Be nɔnɔme sia (Floppy Eyelid Syndrome) nanyo ɖe edzi le eɖokui si la, ele be woakpɔ nusi gbɔ wòtso abe OSA ene gbɔ keŋkeŋ. Gake ele be woada OSA ŋutɔ, elabena ate ŋu ahe kuxi siwo ate ŋu ade ame ƒe agbe afɔku me vɛ.

Nukae nye nɔnɔme sia (Floppy Eyelid Syndrome) ƒe mɔkpɔkpɔ?

Mɔkpɔkpɔ na Floppy Eyelid Syndrome nyo ŋutɔ le atikewɔwɔ me. Atikewo abe (CPAP) alo (BPAP) alo (OSA) zazã akpe ɖe ŋuwò be wò dzesiwo nanyo ɖe edzi vaseɖe afi aɖe ya teti. Dzesi susɔeawo masẽ boo o eye wòanɔ bɔbɔe be woaɖu wo dzi ne wozã atike bubu siwo me womezãa atike aɖeke le o.

Dzidzedzekpɔkpɔ le amekoko me le Floppy Eyelid Syndrome dada me sɔ gbɔ ŋutɔ. Amekoko ƒe dzidzedzekpɔkpɔ le 91% va ɖo 98% dome .

Ðe woate ŋu axe mɔ ɖe Floppy Eyelid Syndrome nua?

Esi míenya alesi tututu Floppy Eyelid Syndrome dzɔna o ta la, manya wɔ be míaxe mɔ ɖe enu keŋkeŋ o. Gake eŋutinunyalawo xɔe se be àte ŋu aɖe afɔku si le Floppy Eyelid Syndrome xɔxɔ me dzi akpɔtɔ ne èda nɔnɔme siwo ate ŋu ana wòaxɔe alo aƒo asa na wo. Esiawo ate ŋu anye:

• Kpekpeme si sɔ me léle ɖe asi na wò.
• Zã wò yaƒoƒomɔ̃ ƒe nyaƒoɖeamenu nyuitɔ abe alesi wokafui ene, zã sia zã, eye ŋkeke ɖeka pɛ hã mato ŋuwò o.
• Kpɔ dɔléle ɖesiaɖe si anɔ ŋuwò (abe Hashimoto ƒe dɔléle ene) gbɔ be nàxe mɔ ɖe ŋku ƒe tɔtrɔ si ate ŋu ana Floppy Eyelid Syndrome nadzɔ nu.

Aleke mawɔ akpɔ ɖokuinye dzi ne (Floppy Eyelid Syndrome) le ŋunye?

Ne Floppy Eyelid Syndrome le ŋuwò la, ele vevie be nàwɔ ɖe wò ŋkudɔdala ƒe mɔfiamewo dzi pɛpɛpɛ alesi nàte ŋui. Ele be wò ŋkuwo takpɔkpɔ esime nèle alɔ̃ dɔm nanye nu vevitɔ . Azɔ hã, zã aɖatsi siwo wowɔ kple asi, ŋkumeɖonu, alo atike bubuwo abe alesi wokafui ene. Ele vevie hã be nàƒo asa na ŋkuwo tutu . Esia ate ŋu ana wò ŋkume nadze anyi wu.

Ne wò ɖɔkta ɖo wò ɖe alɔ̃dɔdɔ ŋuti nunyala gbɔ be wòakpɔ OSA hã la, ele be nàwɔe abe alesi wokafui ene. Ne wokpɔ OSA la, wɔ ɖe eŋutinunyala ƒe mɔfiamewo dzi pɛpɛpɛ. Esia le vevie ŋutɔ, elabena OSA si womewɔ atike na o ate ŋu awu ame.

Ɣekaɣie wòle be makpɔ nye ɖɔkta alo adi atikewɔlawo ƒe aɖaŋuɖoɖo?

Ne womewɔ atike na Floppy Eyelid Syndrome o la, ate ŋu agblẽ nu le ŋku ŋu tegbee. Ne dzesiwo le ŋuwò la, ele be nàyi ŋkudɔdala gbɔ kaba ale si nàte ŋui . Esia menye nudzɔdzɔ kpata o, gake menye nusi wòle be nàdo dzi, aŋe aɖaba aƒu edzi, alo adze agbagba be yeawɔ atike na wò le ɖokuiwò si ko o.

Ne ènya xoxo be dɔléle sia le ye ŋu la, ƒo nu kple wò ɖɔkta ne wò dzesiwo trɔ alo gagblẽ ɖe edzi. Ne atikewɔwɔwo mele kpekpem ɖe ame ŋu o, alo ne edze abe ɖe womegale dɔ wɔm nyuie o ene la, àte ŋu aƒo nu tso ema hã ŋu na wò ɖɔkta.

Nya kawoe wòle be mabia nye ɖɔkta?

Nya aɖewo siwo nàte ŋu abia wò ɖɔktae nye esi:

• Aleke gbegbee nye (Floppy Eyelid Syndrome) dɔlélea nu sẽe?
• Aleke esia le ŋusẽ kpɔm ɖe nye ŋkuwo dzi fifia?
• Nukae mate ŋu awɔ atsɔ ada nye dɔlélea le ɣeyiɣi sia me?
• Kuxi alo nugbegblẽ kawoe wòle be manya nu tsoe eye makpɔ nyuie le wo ŋu?

Vovototo kae le Floppy Eyelid Syndrome kple nɔnɔme bubu siwo nana ŋkume ƒe ʋuʋu ɖiɖi (ptosis) dome?

Ŋku ƒe ʋuʋudedi, si nye dɔléle si woyɔna le atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya me be ptosis , ate ŋu adzɔ le mɔ eve bubuwo nu:

• Ne wò ŋkumewo gbɔdzɔ le lãmekawo ŋutɔ ƒe kuxi aɖe ta.
• Ne lãmeka siwo do ƒome kple lãmekawo mele dɔ wɔm nyuie o la, ema fia be dzesi siwo nana lãmekaawo ʋãna la me gblẽna.

Floppy Eyelid Syndrome to vovo na mɔnu eve bubuawo elabena edo ƒome kple ŋutigbalẽa ƒe teteɖeanyi koŋ . Mekpɔa ŋusẽ ɖe lãmeka alo lãmeka siwo kpɔa gome le ŋkume ƒe ʋuʋu me dzi o.

Kpuie ko kple nusiwo dzi wòle be woaɖo ŋkui

Togbɔ be Floppy Eyelid Syndrome adze nu sue aɖe hã la, ate ŋu anye dɔléle si nu sẽ wu, si ate ŋu awu ame si woyɔna be Obstructive Sleep Apnea (OSA) ƒe dzesi. Ne womewɔ atike na Floppy Eyelid Syndrome o la, ate ŋu agblẽ nu le ŋku ŋu tegbee.

Ne (Floppy Eyelid Syndrome) ƒe dzesiwo le ŋuwò la, mègaŋe aɖaba ƒu wo dzi alo do dzi le wo me o. Nɔnɔme sia nyanya kple edada akpe ɖe ŋuwò nànɔ lãmesẽ me, akpɔ nu nyuie, eye nàxe mɔ ɖe kuxi siwo me afɔku le nu. Eyata, kpɔ egbɔ be yeyi ɖɔkta gbɔ eye yeaxɔ aɖaŋuɖoɖo.

` Floppy Eyelid Syndrome, OSA, Alɔ̃dɔdɔ ƒe Gbɔgbɔtsixe, Ŋkudɔléle, CPAP, Ŋku ƒe Ʋuʋu