Ðe ŋku ƒe kuxi sia ƒomevi le viwò suea ŋua? Mina míaƒo nu tso 'Morning Glory Syndrome' ŋu.

Ne èlé ŋku ɖe viwò suea ƒe ŋkuwo ŋu la, ɖe nède dzesii kpɔ be nane to vovo le ŋku ɖeka ŋua? Ðewohĩ ŋkua ƒe akpa si le eme adze nusi wɔ nuku vie, alo vidzĩa ƒe ta trɔ ɖe axa ɖeka, alo ŋku ɖeka le dodom. Enye nusi sɔ be dzila navɔ̃ vie ne ekpɔ nu siawo tɔgbi. Egbea míele nu ƒom tso nɔnɔme aɖe si ate ŋu agblẽ nu le ŋkuwo ŋu, si mebɔ vie o gake wòle vevie ŋutɔ be woanya nu tso eŋu. Ema nye nɔnɔme aɖe si woyɔna be 'Morning Glory Syndrome '.

Nukae nye ‘Ŋdi Ŋutikɔkɔe ƒe Dɔléle’ sia?

Kpuie ko la, ‘Morning Glory Syndrome’ nye nɔnɔme si dzɔna ne wò ŋku ƒe akpa si le wò ŋku me, si nye megbe, metsi nyuie o. Bu eŋu kpɔ, lãmeka vevitɔ si do ƒome kple nukpɔkpɔ le míaƒe ŋku me, teƒe si wòdo ƒome kple ŋkua, si fia be akpa si woyɔna be ŋkume ƒe ke, si le nɔnɔme sia me la le abe ʋuʋudedi ene. Ele abe seƒoƒo aɖe li si woyɔna be ‘Ŋdi Ŋutikɔkɔe’ ene, eye ne ɖɔkta lé ŋku ɖe wò ŋku ƒe `(Retina)' me la, edzena abe ɖe wòle seƒoƒo ma me kpɔm ene. Esia tae wotsɔ ŋkɔ nɛ be ‘Morning Glory Syndrome’ ɖo.

Esia tsoa kuxi aɖe si le ŋkua ƒe tsitsi me esime vidzĩa gakpɔtɔ le vidzidɔa me gbɔ . Zi geɖe la, wokpɔnɛ kaba ŋutɔ, ɣeaɖewoɣi hafi ɖevia xɔa ƒe eve. ‘Ŋdi Ŋutikɔkɔe ƒe Dɔléle’ (MGS) sia naa ŋkua ƒe wɔwɔme ƒe tɔtrɔ siwo ate ŋu akpɔ ŋusẽ ɖe wò nukpɔkpɔ dzi. Enaa ŋkudɔ vovovowo xɔxɔ ƒe afɔkua hã dzina ɖe edzi le eƒe agbemeŋkekewo katã me. Zi geɖe la, ŋku ɖeka koe wòdzena, gake ƒã ŋutɔ hafi wòate ŋu adze ŋku eveawo siaa dzi.

Nu bubue nye be, ɣeaɖewoɣi la, vovototo koe ate ŋu anɔ ŋku sia ƒe dzedzeme me, si fia be dzesi aɖeke manɔ eŋu o. Le nɔnɔme ma me la, eŋutinunyalawo yɔnɛ be ‘Morning Glory Disk Anomaly’. Ke ne dzesiwo kpe ɖe dzedzeme ƒe vovototo sia ŋu la, ekema woyɔnɛ be ‘Ŋdi Ŋutikɔkɔe ƒe Dɔléle’.

Aleke gbegbee nɔnɔme sia bɔe?

Morning Glory Syndrome nye dɔléle si mebɔ kura o . Le xexeame katã la, wobu akɔnta be edzea ɖevi siwo wu 63,000 vie siwo mexɔ ƒe 20 haɖe o. Nya dodzidzɔname bubue nye be ebɔ ɖe nyɔnuviwo me wu ŋutsuviwo zi gbɔ zi eve. Wogblɔ hã be mebɔ ɖe ameyibɔwo me boo o.

Nukae nye esia ƒe dzesiwo?

Menye amesiame si ŋu Morning Glory Syndrome (MGS) le la akpɔ dzesi mawo ke o. Ke hã, dzesi aɖewo li siwo bɔ. Nɔnɔmea ate ŋu agblẽ nu le miame ŋku ŋu zi gbɔ zi eve wu ɖusime.

Dzesi siwo do ƒome kple ŋku:

• DidiƒeMyopia : Esia fia be togbɔ be woate ŋu akpɔ nusiwo te ɖe wo nɔewo ŋu nyuie hã la, woate ŋu akpɔ nusiwo le didiƒe ʋĩi.
• Nukpɔkpɔ ƒe kuxi siwo dze ƒã: Àte ŋu akpɔ dometsotsowo alo ŋkuagbãtɔwo (scotomas) le wò ŋkumekpɔkpɔ ƒe ŋutete me. Togbɔ be esɔ be dzɔdzɔmeŋutete sue aɖe nanɔ amesiame ŋkume le ŋku ɖesiaɖe ŋu hã la, ŋkuagbãƒe sia ate ŋu alolo wu alesi wòle le amesi ŋu MGS le ƒe ŋku si ŋu dɔlélea le me.
• Strabismus: Wotrɔa ŋku ɖeka alo evea siaa ɖe mɔ vovovowo nu. Míegblɔna be "ŋku siwo wotso".
• Ŋku ƒe ŋkume ɣi, klosalo, ɣi, alo ɣie- ɣie (Leukocoria): Ŋku ƒe titina, si dzena yibɔ zi geɖe la, ate ŋu adze abe amadede bubu ene. Ne èkpɔ esia la, ele be nàyi ɖɔkta gbɔ enumake godoo.

Dzesi siwo dzena le nɔnɔme bubu siwo do ƒome kplii ŋu:

Tsɔ kpe ɖe ŋku ƒe dzesi siawo ŋu la, lãmesẽkuxi bubuwo hã li siwo ate ŋu ado mo ɖa kpe ɖe Morning Glory Syndrome (MGS) ŋu. Nɔnɔme siawo dometɔ aɖewoe nye:

• Encephalocele (ahɔhɔ̃a ƒe akpa aɖe si do tso tagbɔ) .
• Moyamoya dɔléle (ʋuka siwo naa ʋu yia ahɔhɔ̃a me ƒe ƒuƒu) .
• `PHACE ƒe dɔléle`
• ``Ahɔhɔ̃mekawo ƒe dɔléle ƒomevi 2 (NF2)''.
• ` Aicardi ƒe Dɔléle `
• `Chiari ƒe nɔnɔme gbegblẽ ƒomevi I`
• `Duane ƒe dɔléle` (si woyɔna ɣeaɖewoɣi be `Okihiro ƒe dɔléle`)

Ŋkɔ siawo aɖi nya sesẽ vie na wò, gake ne ɖɔkta aɖe ɖi ɖase be MGS la, woadi nɔnɔme bubuwo abe esia ene hã.

Nuka tae wòle alea ɖo?

Le nyateƒe me la, eŋutinunyalawo menya nu tso alesi Morning Glory Syndrome (MGS) dzɔnae ŋu nyuie haɖe o . Esia ƒe akpa gãtɔ tso esi wònye dɔléle si mebɔ kura o eye woƒo nu tso eŋu zi gbãtɔ nyitsɔ laa le ƒe 1969 me ta.

Gake nusi eŋutinunyalawo nyae nye be nusi gbɔ MGS tsona do ƒome kple tɔtɔ aɖewo le ŋkua ƒe tsitsi me esime vidzĩa gakpɔtɔ le vidzidɔa me . Wosusu be esia do ƒome kple ʋuka siwo naa ʋu ŋkua ƒe tsitsi nyuie o, alo tɔtɔ le ŋkua kple ŋku ƒe lãmeka ƒe tsitsi me.

Kpeɖodzi vevi siwo ɖee fia be ʋukawo me kuxiwo le eme dometɔ ɖekae nye be MGS ate ŋu agblẽ nu le miame ŋku ŋu zi gbɔ zi eve. Zi geɖe la, ʋuƒo suesuesuewo nɔa fugboe si le tsitsim le vidzidɔa me le dzia ƒe miame kple ɖusime dome. Zi geɖe la, esiawo nu tsona do ŋgɔ teti na vidzidzi alo le ŋkeke ʋɛ aɖewo megbe.

Gake ne fugboea te ŋu xɔa ʋu suesuesuewo (microemboli) la, ʋuƒo mawo ate ŋu ana ʋuka aɖe nazɔ tso dzia ƒe miame ayi ɖusime. Tso afima la, ate ŋu azɔ mɔ ayi ahɔhɔ̃a gbɔ. Ne tɔtɔ aɖewo do mo ɖa le ʋukawo ƒe tsitsi me la, ʋuka si me ʋu sina tona la ate ŋu atɔ ɖe afima, si axe mɔ na ʋu ƒe sisi eye wòaxe mɔ na ʋukaawo ƒe tsitsi nyuie. Nudzɔdzɔ siawo ƒomevie ɖee fia be ʋukawo ƒe tsitsi ƒe tɔtɔ nana MGS dzɔna.

Togbɔ be MGS ate ŋu adzɔ kple domenyiŋusẽfianu kple domenyiŋusẽfianu ƒe nɔnɔmewo hã la, numekuku meɖee fia be nɔnɔme siawo hea MGS vɛ tẽ o. Togbɔ be wogblɔ be ƒome ɖeka me tɔ geɖe xɔ MGS hã la, mebɔ nenema gbegbe o.

Kuxi kawoe ate ŋu ado mo ɖa?

Kuxi si bɔ wu le Morning Glory Syndrome (MGS) ŋue nye ŋku ƒe ŋkume ƒe ʋuʋu . Nɔnɔme sia ateŋu adzɔ le amesiwo ŋu MGS le ƒe 40% me. Esia nye atikewɔwɔ me nudzɔdzɔ kpata aɖe .

Kuxi bubuwo ate ŋu anye:

• Nukpɔkpɔ sue: Nukpɔkpɔ dzi ɖe kpɔtɔ ŋutɔ.
• Kuviatɔ ŋku (Amblyopia): Esi ŋku ɖeka ƒe nukpɔkpɔ metsi nyuie o ta la, ahɔhɔ̃a tea aɖabaŋeŋe ƒu dzesi siwo tso ŋku ma me dzi.
• Ŋku ƒe ʋuka yeyewo ƒe ʋuʋu: Esia ate ŋu akpɔ ŋusẽ ɖe nukpɔkpɔ dzi.
• Ŋku ƒe ʋuʋu (Retinoschisis) .

Aleke nèwɔ de dzesi esia?

Ŋkudɔdala, vevietɔ ŋku ƒe ŋkumeŋutinunyala, ate ŋu azã mɔnu vovovowo atsɔ anya Morning Glory Syndrome (MGS), siwo dometɔ aɖewoe nye biabia tso dzesi siwo me tom wò alo viwòa le kple nusiwo wògblẽna le ame ŋu ŋu.

Ðɔktaa alé ŋku ɖe wò (alo viwòa) ƒe nukpɔkpɔ hã ŋu, akpɔ ŋku si ŋu dɔlélea le la me tẽ, eye ɖewohĩ aɖe ŋkume ƒe foto. Ŋku ƒe nɔnɔmetata tɔxɛ aɖewo hã ate ŋu akpe ɖe ame ŋu ŋutɔ.

Dodokpɔ siwo ate ŋu akpe ɖe ame ŋu le dɔléle didi me enye:

• Ŋkudodokpɔ: Esia lɔ nuwo abe ŋku ƒe nukpɔkpɔ dodokpɔ, ŋku ƒe dodokpɔ, kple akaɖi si me ʋuʋudedi le ƒe dodokpɔ ɖe eme.
• Optical Coherence Tomography (OCT): Esia ate ŋu aɖe ŋkua ƒe akpa si woɖe ɖe vovo.
• Fluorescein Angiography: Esia dzroa ʋuka siwo le ŋkua me ƒe nɔnɔme me.
• Magnetic Resonance Imaging (MRI): Esia kpena ɖe ame ŋu wòkpɔa xɔtunu siwo ƒo xlã ahɔhɔ̃a kple ŋkuwo.

Ðe woate ŋu ada esiaa? Nukawoe nye atikewɔmɔnuawo?

Morning Glory Syndrome (MGS) nye dɔléle si dzɔna ne wò ŋku ƒe akpa si le eme metsi nyuie o. Womate ŋu adzra tɔtrɔ siwo va le tsitsi me ɖo alo ada wo o, eye atike aɖeke hã meli o . Ema fia be atike aɖeke meli tẽ na Morning Glory Syndrome o.

Gake mègatsi dzi o. Togbɔ be atike aɖeke meli tẽ na MGS o hã la, woate ŋu ada dzesi kple kuxi siwo wòhena vɛ .

Taɖodzinu vevi siwo le atikewɔwɔ ŋue nye esiawo:

• Kuxi aɖe gbugbɔgaɖɔɖo: Le kpɔɖeŋu me, ne woɖe ŋkume ƒe ŋkumeʋuʋua ɖa la, woate ŋu awɔ dɔ nɛ adzrae ɖo.
• Kuxi aɖe ƒe ŋusẽkpɔɖeamedzi dzi ɖeɖe kpɔtɔ: Ŋkutike dodo be ŋku kuviatɔ nagagblẽ ɖe edzi o.
• Mɔxexe ɖe kuxi bubuwo nu: Ne ŋku ƒe ŋkume ƒe ʋuʋu dzɔ la, ele vevie be woaɖɔe ɖo kaba be woaxe mɔ ɖe nusiwo agblẽ tegbee kple ŋku ƒe nukpɔkpɔ ƒe bublu nu.

Atikewɔwɔ ƒe tiatia nɔ te ɖe wò kuxi(wo) tɔxɛ kple nu bubu geɖe dzi. Wò ɖɔkta ate ŋu agblɔ atikewɔmɔnu siwo sɔ na wò nɔnɔmea kple esiwo wokafu na wò nyuie wu.

Etsɔme ka ƒomevie amesi ŋu nɔnɔme sia le ate ŋu akpɔ mɔ na?

Zi geɖe la, wokpɔa Morning Glory Syndrome (MGS) le ɖevime. Enye nɔnɔme si nɔa anyi ɖaa, si nɔa ame ƒe agbemeŋkekewo katã me . Womate ŋu adae, atrɔe, alo adzrae ɖo o. Medea ame ƒe agbe afɔku me o, gake ate ŋu agblẽ nu le nukpɔkpɔ ŋu vevie. Ame siwo ŋu MGS le la dometɔ siwo wu akpa etɔ̃lia kpɔa ŋku ƒe ŋkume ƒe ʋuʋu.

Ame aɖewo siwo ŋu MGS le ate ŋu akpɔ nu "si sɔ" (20/20) alo akpɔ nu si sɔ gbɔ kloe (le 20/20 kple 20/70 dome). Gake ame geɖe mewɔa esia o . Ame akpa gãtɔ siwo ŋu MGS le la dzena le "amesiwo ƒe ŋkuwo mekpɔa nu nyuie o" (20/70 va ɖo 20/200) alo "ŋkuagbãtɔwo le se nu" (20/200 kple ɖɔɖɔɖowo abe ŋkumeɖobolo ene).

Le go bubu me la, ele be woalé ŋku ɖe amesiwo ŋu MGS le le akpa ɖeka ŋu nyuie, elabena ŋku ma hã le afɔku gã aɖe me be kuxi aɖewo nadze wo dzi. Esi wònye be MGS nana ame kpɔa nu kpuie (nukpɔkpɔ kpuie) ta la, afɔku li be ŋku ƒe ŋkume naɖe ɖa, eye nukpɔkpɔ kpuie nye afɔku gã aɖe na ŋku ƒe ʋuʋu, eɖanye MGS le eme alo mele eme o. Ŋku si ŋu dɔlélea mele o hã ate ŋu anɔ afɔku gã aɖe me be ŋkudɔ nadze eŋu.

Esi wònye be wokpɔa MGS le eƒe ɖevime ta la, zi geɖe la, dzilawo alo ame siwo kpɔa wo dzi lae tsoa nya me le atikewɔwɔ ŋu. Wowɔa akpa vevi aɖe hã le ŋudzɔnɔnɔ ɖe dzesiwo alo nuwɔna siwo ate ŋu afia be ŋku ƒe kuxi aɖe le ɖevi si do ƒome kple MGS ŋu.

Ðe woate ŋu axe mɔ ɖe esia nua?

Womate ŋu axe mɔ ɖe Morning Glory Syndrome (MGS) nu o , eye mɔ aɖeke meli si dzi woato aɖe eƒe dzɔdzɔ ƒe afɔkua dzi akpɔtɔ o.

Aleke mawɔ akpɔ ɖokuinye/vinye dzi?

Ne MGS le ŋuwò alo viwòa ŋu la, nu nyuitɔ si nàte ŋu awɔe nye be nàlé wò ŋkumekpɔkpɔ me ɖe asi alesi nàte ŋui . Wò ŋkuŋutinunyala afia mɔ wò le alesi nàwɔ esiae ŋu. Ele vevie ŋutɔ be nàwɔ ɖe wò atikewɔwɔ ŋuti mɔfiamewo dzi nyuie, azã wò ŋkumeɖobolo alo atike bubu siwo woŋlɔ na wò abe alesi wokafui ene, eye nàyi wò dɔwɔla bibi gbɔ be woado wò kpɔ edziedzi.

Ɣekaɣie wòhiã be nàyi ɖɔkta gbɔ kpuie?

Ne MGS le ŋuwò la, ke èle afɔku gã aɖe me be ŋku ƒe ŋkume ƒe ʋuʋu nadze ŋuwò. Esia nye atikewɔwɔ me nudzɔdzɔ kpata aɖe . Eyata ele vevie be nàdi atike na wò enumake ne dzesi siwo gbɔna la dometɔ aɖe dze ŋuwò. Zi geɖe la, atikewɔwɔ kaba ate ŋu axe mɔ ɖe nusiwo gblẽ tegbee nu eye wòana ŋku si ŋu dɔlélea le la nagakpɔ nu ake.

Dzesi siwo dzena le ŋku ƒe ʋuʋu ŋue nye:

• Kekeli ƒe keklẽ kpata (Photopsia): Abe dzikedzo ene.
• Teƒe yibɔ siwo dze abe ɖe wole tsia dzi ene alo esiwo le tsia dzi siwo dzena wu zi ɖeka: (Esɔ be nàkpɔ nu aɖewo siwo le tsia dzi le ŋkuwo ŋgɔ, gake ne wodzi ɖe edzi zi ɖeka la, ele be nàlé ŋku ɖe eŋu).
• Nukpɔkpɔ si me mekɔ o: Esia ate ŋu ase le eɖokui me abe ƒutsotsoe yibɔ alo xɔmetsovɔ aɖe gbɔna eye wòxe mɔ na wò nukpɔkpɔ ƒe akpaa ene.
• Nukpɔkpɔ si me mekɔ o kpata.

Ne èkpɔ dzesi siawo dometɔ aɖe la, yi kɔdzi kaba .

Nya kawoe wòle be nàbia ɖɔktaa?

Àte ŋu abia nya siawo wò ŋkuŋutinunyala:

• Aleke gbegbee nye (alo vinye ƒe) MGS la nu sẽe?
• Aleke wòakpɔ ŋusẽ ɖe nye (alo vinyea) ƒe nukpɔkpɔ dzii?
• Nu kawoe wòle be madi ne mesusu be ŋku ƒe kuxi aɖe le vinye ŋu si do ƒome kple eƒe MGS?
• Ðe atikewɔwɔ me nɔnɔme bubuwo li siwo ate ŋu ana MGS nadzɔ le menye (alo vinyea) mea? Ðe wòhiã be woaɖom ɖe dɔdala bibi bubua?

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Ne èva nya be Morning Glory Syndrome (MGS), si nye dɔléle si mebɔ o si me ŋku ƒe ŋkume ƒe akpa si le megbe metsi nyuie o le viwò alo ame aɖe si dzi nèkpɔna ŋu la, ate ŋu alé blanui eye dzi naɖe le ƒowò. Atike aɖeke meli na dɔléle sia tẽ o.

Gake togbɔ be womate ŋu ada MGS o hã la, woate ŋu ada kuxi siwo wòhena vɛ la dometɔ geɖe . Ne MGS le viwòa ŋu la, ƒo nu kple woƒe ŋkudɔdala. Nu aɖewo li nàte ŋu awɔ be nàɖe nɔnɔme sia ƒe nugbegblẽwo dzi akpɔtɔ eye nàxe mɔ ɖe enu be wòagagblẽ ɖe edzi o. Wò nukpɔkpɔ ta kpɔkpɔe nye nu vevitɔ kekeake . Esi wowɔ ŋgɔyiyi le ŋkudɔdada kple dɔdamɔnu bubuwo me egbea ta la, anya wɔ wu tsã. Eya ta, mègana mɔkpɔkpɔ o. Ne wowɔ atikewɔlawo ƒe aɖaŋuɖoɖo kple beléle nyuitɔ la, woate ŋu akpɔ nɔnɔme sia gbɔ.

`Morning Glory Syndrome, MGS, Ŋkudɔlélewo, Retina, Ðeviwo ƒe Ŋkudɔlélewo, Nukpɔkpɔ ƒe Dɔmawɔmawɔ nyuie, Retina ƒe Detachment