Ðe nèse le ɖokuiwò me kpɔ be yeƒe ŋku ɖeka le anyime vie ne wotsɔe sɔ kple eveliaa? Alo ne èlé ŋku ɖe viwò suea ƒe ŋkuwo ŋu la, ɖe wo dometɔ ɖeka dzea anyi vie le esi teƒe be wòanɔ ɖeka kple eveliaa? Esiae nye nusi míeyɔna be hypotropia le atikewɔwɔ me. Le nyateƒe me la, esia nye ŋkuawo ƒe nɔnɔme ƒe tɔtrɔ, alo ne míagblɔe tututu la, ŋku ɖeka ƒe nɔƒe si bɔbɔ wu evelia. Mègatsi dzi o, míaƒo nu tso esia ŋu tsitotsito egbea.
Nukae Nye Hypotropia?
Kpuie ko la, hypotropia nye ŋkuwo ƒe masɔmasɔ, alo le atikewɔwɔ me la, strabismus ƒomevi aɖe . Esiae nye ne wò ŋku ɖeka trɔ ɖe anyi màte ŋu aɖu edzi o. Esia to vovo na hypertropia (si nye ne ŋkua trɔ yi dzi). Ame aɖewo ate ŋu anye be ʋu ƒe ŋeŋe koe le wo ŋu, alo ŋkua hã ate ŋu atrɔ ɖe akpa ɖeka ne ele tɔtrɔm ɖe anyi. Le kpɔɖeŋu me, ne ŋku ƒe ʋu ƒe sisi le lãme na wò tsɔ kpe ɖe ŋkua ƒe tɔtrɔ yi eme ŋu (si woyɔna be esotropia) , zi geɖe la, edoa ƒome kple nɔnɔme aɖe si woyɔna be ŋku kpekpe ƒe dɔléle . Nenema ke hypotropia ate ŋu adzɔ hã ne ŋkua trɔ ɖe gota (si woyɔna be exotropia) .
Ðe hypotropia ƒomevi vovovowo lia?
Ẽ, woate ŋu ade nɔnɔme sia hatsotso vovovowo me. Na míakpɔ alesi:
- Dzidzime alo nusi woxɔ: Zi geɖe la, esia do ƒome kple nɔnɔme aɖe si wodzi wò. Esia tae wokpɔnɛ zi geɖe le ɖevime. Ke hã, ate ŋu atso atikewɔwɔ ƒe nɔnɔme yeye aɖe si va doa mo ɖa le eƒe tsitsime hã gbɔ ɣeaɖewoɣi.
- Akpa ɖeka alo akpa eve: Zi geɖe la, ŋku ɖeka koe wòdzena le ɣeyiɣi ɖeka me, eye zi geɖe la, ŋku ɖeka koe wòdzena. Gake le go aɖewo me la, ate ŋu adze ŋku vovovowo dzi le ɣeyiɣi vovovowo me. Ƒã ŋutɔ be wòadze ŋku eveawo dzi le ɣeyiɣi ɖeka me.
- Ðe wònɔa anyi ɖaa loo alo ɖe wònɔa ɣeaɖewoɣia? (Ɣesiaɣi alo ɣeaɖewoɣi): Wò ŋku ate ŋu anɔ anyi ɣesiaɣi, alo ɣeaɖewoɣi koe wòanɔ nenema. Le nɔnɔme aɖe si woyɔna be dissociated hypotropia , me la, ɖeko ŋkua trɔna ɖe anyi ne wò ahɔhɔ̃ mele to ɖom ŋku ma o.
Ne hypotropia le ŋuwò la, màte ŋu aɖu ŋku ƒe ʋuʋu siawo dzi o. Ðewohĩ màkpɔe adze sii gɔ̃ hã o. Ðewohĩ ɖevi sue siwo ŋu dɔléle sia le mate ŋu ase egɔme be yewoƒe ŋkuwo to vovo na ame bubuwo o. Esia ate ŋu anye kuxi le hadome kple ŋutilã me. Eɖanye ɖevie nènye, ɖevi si ŋu dɔléle sia le dzilae nènye, alo ame tsitsi si ŋu dɔléle sia le yeyee o, ate ŋu ahe kuxi vovovowo vɛ - menye wo katãe do ƒome kple nukpɔkpɔ o.
Nukae nye Hypotropia ƒe dzesiwo?
Ne wò ŋkuwo mewɔ dɔ ɖekae le mɔ si wɔ ɖeka nu o la, ate ŋu ana ŋku eve nakpɔ nu nyuie o . Esia ate ŋu ahe dzesiwo abe:
- Nukpɔkpɔ si me mekɔ o
- Nukpɔkpɔ eve
- Ŋku ƒe tete
- Taɖuame
- Goglome ƒe nukpɔsusu si gblẽ
Ame aɖewo tsɔa ta ɖe axa ɖeka be yewoakpɔ nu nyuie wu. Esia ate ŋu ana kɔ nasẽ eye wòase veve. Le ɖevi suewo gome la, ta ʋuʋu sia ƒomevi ate ŋu akpɔ ŋusẽ ɖe alesi wotsinae hã dzi. Le kpɔɖeŋu me, woƒe mo ate ŋu anye esi mesɔ o.
Ðe Hypotropia nye dɔléle sesẽ aɖea?
Alesi esia kpɔa ŋusẽ ɖe dziwòe nɔ te ɖe zi nenie wòdzɔna kple alesi wòsẽnae dzi. Àte ŋu ase veve alo asesẽ na wò ne èle nukpɔkpɔ nyuie ƒe dɔwo wɔm , abe nuxexlẽ alo avɔlɔlɔ̃ ene. Le ɖevi suewo gome la, ŋkuwo ƒe masɔmasɔ sia ate ŋu adzi ɖe edzi le ɣeyiɣi aɖe megbe. Le go aɖewo me la, esia ate ŋu ahe nɔnɔme aɖe si woyɔna be amblyopia , alo “kuviatɔ ŋku” vɛ. Afɔku si le nɔnɔme sia me dzina ɖe edzi ne ɖevia le tsitsim. Esia tae wòle vevie ŋutɔ be woado ŋku kpɔ edziedzi tso ɖevime ke.
Nukawoe hea Hypotropia vɛ?
Hypotropia dzɔna ne nane dzɔ ɖe lãmeka siwo ƒo xlã wò ŋku dzi si xea mɔ nɛ be wòagaʋuʋu ayi dzi kple anyime nyuie o. Dɔléle alo abi siwo gblẽa nu le lãmeka siawo ŋu ate ŋu ana woagbɔdzɔ, woasẽ, alo woasẽ. Ɣeaɖewoɣi la, lãmeka siwo kpɔa lãmeka siawo dzi mete ŋu wɔa woƒe dɔ o. Dɔléle alo abi siwo gblẽa nu le wò lãmekawo ŋu ate ŋu agblẽ nu le lãmeka siawo ŋu. Nu geɖewo ate ŋu ahe esia vɛ, siwo dometɔ aɖewoe nye:
- Ahɔhɔ̃ me abiwo
- Brown syndrome - Esia nye kuxi si le lãmeka aɖe si kpena ɖe ŋkua ŋu wòyia dzi.
- Lãmetsi siwo le ŋkua godo ƒe fibrosis
- Moebius syndrome - Esia nye nɔnɔme si mebɔ o si gblẽa nu le lãmeka siwo kpɔa mo kple ŋku ƒe lãmekawo dzi ŋu.
- Ahɔhɔ̃mekawo ƒe dɔlélewo
- Oculomotor nerve palsy - Lãmetsi sia le vevie ŋutɔ na ŋku ƒe ʋuʋu.
- Orbital ƒe gbagbã
- Thyroid ŋkudɔléle
- Trochlear nerve palsy - Esia hã nye lãmeka si kpɔa gome le ŋku ƒe ʋuʋu me.
- Ƒumelãwo alo dɔdzẽwo
Nusiwo gbɔ wòtsona siawo ate ŋu adze nu dziŋɔ. Gake ɖo ŋku edzi be menye wo katãe kpɔa ŋusẽ ɖe amesiame dzi o. Dɔlélea didi nyuie nye nu vevitɔ kekeake.
Aleke ɖɔktawo wɔa dea dzesi ŋku sia si mesɔ o?
Ŋkuŋutinunyalawo dea dzesi dɔléle si nye hypotropia. Wowɔa ŋkudodokpɔ blibo kple dodokpɔ tɔxɛ geɖe. Dodokpɔ siawo ate ŋu akpe ɖe wo ŋu woanya alesi gbegbe wò mesɔ o kple alesi wòle ŋusẽ kpɔm ɖe wò nukpɔkpɔ dzii.
Dodokpɔ siawo dometɔ aɖewoe nye:
- Bruckner ƒe dodokpɔ: Ðɔktaa klẽna ɖe wò ŋkuwo me eye wòléa ŋku ɖe alesi kekelia klẽna le ŋku ƒe ŋkume.
- Hirschberg dodokpɔ: Woklẽ kekeli sue aɖe ɖe ŋkuawo me eye wodo ŋkume ƒe ŋkumekpɔnu kpɔ be eƒe ŋkume le keklẽm hã.
- Krimsky dodokpɔ: Le Hirshberg dodokpɔa wɔɣi la, ɖɔktaa tsɔa prismwo dana ɖe wò ŋku ŋgɔ.
- Dodokpɔ si tsyɔa nu dzi/ɖea nu ɖa: Ðɔktaa tua ŋku ɖeka hena ɣeyiɣi aɖe eye wòléa ŋku ɖe alesi ŋku kemɛa trɔna ɖe nɔnɔmea ŋui ŋu.
- Prism ƒe nutsyɔnu dodokpɔ: Ne wole nutsyɔnu dodokpɔa wɔm la, wotsɔa prism dana ɖe ŋkua ŋgɔ.
- Dot test 4: Wobia tso asiwò be nàlé ŋku ɖe dometsotso siwo le amadede vovovowo me siwo ŋu wotsɔ amadede vovovowo ƒe filterwo da ɖe wò ŋkuwo dzi.
- Red filter dodokpɔ: Wobia tso asiwò be nàlé ŋku ɖe akaɖi si ŋu wotsɔ filter dzĩ da ɖe ŋku ɖeka dzi.
- Maddox rod dodokpɔ: Ètoa ŋkumekpɔnu ɖeka dzi kpɔa nu, si wɔnɛ be kekeli dzena abe fli ene tsɔ wu be wòadze abe fli ene.
- Maddox rod dodokpɔ eve: Wotsɔa ŋkumeɖonu eveawo siaa dana ɖe wò ŋkuwo dzi eye wobia tso asiwò be nàtsɔ fli eve siwo nèkpɔ la asɔ kple wo nɔewo.
- Bagolini striated lens test: Wobia tso asiwò be nàto lens si ŋu fli le dzi alé ŋku ɖe kekeli aɖe ŋu, eye wokpɔa fli eve.
- Titmus/randot dodokpɔ: Wobia tso asiwò be nàlé ŋku ɖe agbalẽ si me nɔnɔmetata siwo le akpa etɔ̃ (3-D) le ŋu esime nèdo ŋkumeɖobolo tɔxɛwo (polarized glasses).
Ðewohĩ ahiã be nàgawɔ dodokpɔ bubuwo alo ayi ɖɔkta bubu gbɔ be nàkpɔ nusi gbɔ vovototo sia tso , elabena nusi gbɔ wòtsoe afia atike nyuitɔ kekeake.
Nukawoe nye Hypotropia ƒe atikewo?
Atikewɔwɔ nɔ te ɖe nusi gbɔ wòtso dzi. Ɣeaɖewoɣi la, nusi gbɔ wòtso la dada aɖɔ hypotropia la ɖo. Gake menye nenemae wònɔna ɣesiaɣi o. Ðewohĩ ahiã be nàdo ŋkumeɖonu kple prism siwo woŋlɔ na wò be nàɖɔ wò nukpɔkpɔ ɖo.
Ðe woate ŋu ada Hypotropia keŋkeŋa?
Le nusi gbɔ wòtso nu la, woate ŋu atsɔ atike siwo menye amekoko o atsɔ ada hypotropia ɣeaɖewoɣi. Wò ɖɔkta ate tiatia siawo kpɔ gbã. Ne womewɔ dɔ o la, woate ŋu aɖo aɖaŋu be woawɔ dɔ nɛ atsɔ aɖɔe ɖo. Strabismus amekoko wɔa dɔ to asitɔtrɔ le lãmeka siwo ƒo xlã wò ŋkuwo ŋu be woaɖɔ alesi womesɔ o ɖo. Esia ate ŋu aɖɔ alesi ʋu ƒe sisi le lãme na wò ƒe dzedzeme ɖo eye le go geɖe me la, ate ŋu aɖɔ wò nukpɔkpɔ ɖo. Gake ame aɖewo ate ŋu ahiã be woatsɔ ŋkumeɖonu kple prism bubuwo aɖɔe ɖo.
Nukae woate ŋu akpɔ mɔ na le nɔnɔme sia megbe? (Nyagblɔɖi) .
Ne wokpɔ dɔlélea dze sii hedae kaba la, mɔkpɔkpɔa nyo ŋutɔ. Ne womewɔ atike nɛ ɣeyiɣi didi o la, ate ŋu asesẽ be woadae emegbe. Le ɖevi suewo gome la, tsi ƒe ɖiɖi si womewɔ atike na o ate ŋu ana ŋku ƒe goglome ƒe nukpɔsusu nabu alo ŋku si le ʋuʋu ɖi (ŋku kuviatɔ), si ate ŋu ana ŋku si ŋu dɔlélea le la nagate ŋu akpɔ nu tegbee.
Ðevi sue aɖe ɖoɖo ɖa be woawɔ dɔ na eƒe ŋku ate ŋu anye mɔkpɔkpɔ sesẽ aɖe na dzilawo. Gake nusiwo dona tso eme na ɖevi siwo wowɔ dɔ na le ɣeyiɣi si wokafu me la nyo ŋutɔ.
Eɖanye be wodzi viwòa kple dɔlélea loo alo wòva xɔe le eƒe tsitsime o, hypotropia ate ŋu anye nɔnɔme si tea ɖeɖi ame ŋu eye wòtɔtɔa ame. Mí katã míeɖoa ŋu ɖe míaƒe ŋkuwo ŋu be míawɔ dɔ ɖekae. Ne ŋku ɖeka mesɔ o la, ate ŋu akpɔ ŋusẽ ɖe míaƒe nukpɔkpɔ, míaƒe dzedzeme, kple míaƒe nɔƒe le yamenutome dzi. Nya nyuiae nye be woate ŋu adae, eye ne wodae kaba la, woate ŋu adae zi geɖe. Be nàkpɔ nu nyuitɔ kekeake la, yi ŋkudɔdala gbɔ kaba ale si nàte ŋui.
Gbedasi si Wotsɔ Yi Aƒeme
Hypotropia nye nɔnɔme si me ŋku ɖeka trɔna yia anyime. Ate ŋu anye nusi wodzina alo adze egɔme le eƒe tsitsime. Dzesiawo ate ŋu anye nukpɔkpɔ zi eve, ŋku ƒe tete, kple taɖuame. Le ɖevi suewo gome la, ne womede dzesii o eye womedae nɛ kaba o la, ate ŋu ahe nɔnɔme aɖe si woyɔna be "kuviatɔ ŋku" (amblyopia) vɛ, si ate ŋu ana woakpɔ nu tegbee.
Eyata ne dzesi siawo dometɔ aɖe le ŋuwò alo viwòa ŋu la, mègatsi dzodzodzoe o eye nàyi ŋkudɔdala gbɔ godoo. Ne wodoe kpɔ nyuie, di nusi gbɔ wòtso, eye wodze atikewɔwɔ nyuitɔ gɔme la, woate ŋu aɖu nɔnɔme sia dzi le mɔ geɖe nu, eye ɣeaɖewoɣi gɔ̃ hã la, woate ŋu adae keŋkeŋ. Ðo ŋku edzi be atikewɔwɔ kaba hea nu nyuitɔ kekeake vɛ!
` Hypotropia, Ŋkudɔléle, Ŋku ƒe ʋuʋu yi anyime, Nukpɔkpɔ eve, Ŋku ƒe tete, Ðeviwo ƒe ŋkudɔ











💬 Comments (0)
Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee