Ðe viwòa ƒe ŋkuwo ƒe dzogoewo dzena le wo nɔewo gbɔ viea? Mina míaƒo nu tso Telecanthus ŋu!

Ède dzesii kpɔ be edze abe viwòa alo ame bubu ƒe ŋku ƒe dzogoe ememetɔwo (dzogoe siwo ɖo ta ŋɔti gbɔ) dome didi vie wu alesi wòle dzɔdzɔmeea? Ne èkpɔ esia la, ɖewohĩ àdi be yeanya nu vi aɖe, alo àvɔ̃ vie gɔ̃ hã. Esiae nye nusi míeyɔna be telecanthus le atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya me. Esia aɖi dɔléle sesẽ aɖe, gake mègavɔ̃ o. Mina míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Kpuie ko la, nukae nye Telecanthus?

Telecanthus nye, le nyateƒe me la, míaƒe ŋkume ƒe dzogoe ememetɔ eveawo dome didime ƒe dzidziɖedzi, alo nusi ɖɔktawo yɔna be `medial canthi` . Zi geɖe la, esia nyea nusi wodzina . Eyae nye be nɔnɔme sia ate ŋu anɔ anyi le vidzidzi me. Wogblɔ be nusi koŋ gbɔ esia tsonae nye domenyiŋusẽfianu ƒe dɔlélewo .

Gake ɣeaɖewoɣi la, telecanthus ƒe nɔnɔme sia ate ŋu ado mo ɖa le abi kple nuveviwɔame siwo le míaƒe mo ta, alo ne woɖe dɔdzẽ aɖe le mo dzi gɔ̃ hã.

Ŋkɔ bubu aɖe hã li na esia, si nye `dystopia canthorum` . Ke hã, ŋkɔ `Telecanthus` ye wozãna wu.

Aleke esia akpɔ ŋusẽ ɖe vinye dzii?

Ne vi si ŋu Telecanthus le dzilae nènye la, esɔ be nàtsi dzi ɖe viwòa ƒe ŋutilã kple susu ƒe nyonyo ŋu. Gake nya nyui aɖe li! Telecanthus ɖeɖe mevea ame o eye zi geɖe la , mehea ŋku ƒe kuxiwo vɛ o . Gake ne ŋku ƒe dɔmawɔmawɔ nyuie bubuwo kpe ɖe Telecanthus ŋu la, ŋku ƒe kuxiwo ate ŋu ado mo ɖa.

Nu bubue nye be, ne viwòa le tsitsim la, ate ŋu akpe eŋu vie alo akpe ŋu nɛ. Woate ŋu asusu be, "Nye ŋkuwo mele abe ame bubu ɖesiaɖe tɔ ene o." Ne esia le ŋusẽ kpɔm ɖe viwòa ƒe bubudede eɖokui ŋu dzi la, àte ŋu aƒo nu kple ɖɔkta tso mɔ siwo dzi nàto awɔ amekoko atsɔ aɖɔ telcanthus ƒe nɔnɔmea ɖo ŋu. Azɔ hã, nuƒoƒo kple susumedɔdala ate ŋu akpe ɖe ŋuwò ŋutɔ le ɣeyiɣi siawo tɔgbe me.

Amekawoe xɔa nɔnɔme sia?

Zi geɖe la, telecanthus nye domenyiŋusẽfianu ƒe dɔléle aɖe si nɔa anyi le vidzidzi me ƒe dzesi. Domenyiŋusẽfianu ƒe dɔléle vevi siwo ate ŋu ahe telecanthus vɛ la dometɔ aɖewoe nye esi:

• Cri du chat syndrome ( Esia ate ŋu ahe kuxiwo vɛ le ɖevia ƒe tsitsi kple tsitsi ŋu, eye ate ŋu ana gbeɖiɖi sesẽ aɖe hã nado abe avu ƒe avifafa ene.)
• Down ƒe dɔléle si nye Down syndrome
• Dubowitz ƒe dɔlélea
• Ehlers-Danlos ƒe dɔlélea
• Fetal alcohol syndrome (nɔnɔme si ate ŋu adzɔ ɖe ɖevi dzi ne vidadaa no aha le fufɔɣi) .
• Klinefelter ƒe dɔlélea
• Noonan ƒe dɔlélea
• Kpuie ƒe dɔléle `(SHORT syndrome)`
• Turner ƒe dɔlélea
• Waardenburg ƒe dɔlélea

Nu aɖewo hã li siwo nana ɖevi ƒe domenyiŋusẽfianu ƒe dɔléle ƒe afɔku dzina ɖe edzi. Le kpɔɖeŋu me:

• Dada ƒe modzakaɖetikewo zazã le fufɔɣi.
• Atike siwo gblẽa nu le ame ŋu alo keklẽŋusẽ ƒe dodo le fufɔɣi.
• Domenyiŋusẽ ƒe dɔléle sia ƒomevi nɔ ame aɖe si le ƒomea me (si do ƒome kple nugbagbewo) kpɔ.

Ðe ame tsitsiwo ate ŋu axɔ Telecanthus?

Togbɔ be esia mebɔ vie o hã la, ẽ, amesi womedzi kple dɔlélea o gɔ̃ hã ate ŋu axɔ telecanthus le eƒe tsitsime. Ɣeaɖewoɣi la, abi siwo nu sẽ alo dɔdzẽ siwo le mo dzi ate ŋu atrɔ mo ƒe nɔnɔme. Esia ate ŋu ana ŋku ɖeka alo evea siaa ƒe dzogoewo nate ɖe wo nɔewo ŋu. (Taflatse, nyati gbãtɔ gblɔ be "wote ɖe wo nɔewo ŋu wu", gake telecanthus gɔmee nye "wo dome didi wu". Eyata mele ema ɖɔm ɖo. Afɔku alo dɔdzẽ ateŋu ana ŋkuwo ƒe dzogoewo naʋuʋu eye woadidi wu.)

Aleke gbegbee nɔnɔme sia bɔe?

Ƒã ŋutɔ be Telecanthus nanɔ eɖokui si. Wokpɔnɛ zi geɖe le domenyiŋusẽfianu ƒe dɔléle bubuwo ŋu.

Nukae nye Telecanthus ƒe dzesiwo?

Zi geɖe la, telecanthus ŋutɔ mehea ŋkuve alo ŋku ƒe kuxiwo vɛ o. Gake ne edzɔ kpe ɖe dɔléle bubu siwo gblẽa nu le ŋkuawo ƒe tsitsi ŋu la, nusiwo gbɔna ate ŋu adzɔ:

• Nukpɔkpɔ si mebɔ o
• Myopia / nukpɔkpɔ kpuie
• Hyperopia (nukpɔkpɔ didi) .

Nukawoe hea Telecanthus vɛ?

Wodzia ame aɖewo kple telecanthus ( si wodzina ). Ne telecanthus si wodzina le ŋuwò la, ate ŋu atso esi lãkusi siwo léa wò ŋkumeƒuwo ɖe wo nɔewo ŋu - medial canthal tendons - didi akpa alo mele teƒe nyuitɔ o ta. Le esi teƒe be lãkusi siawo nana wò ŋkume ƒe dzogoe ememetɔwo nate ɖe wo nɔewo ŋu la, wohe wo ɖa.

Le ame bubuwo gome la, nɔnɔmea ate ŋu ava do mo ɖa le woƒe tsitsime, le abi alo dɔléle aɖewo ta. Le kpɔɖeŋu me:

• Naso-orbital ethmoid (NOE) ƒe gbagbãwo . Esiawo nye gbagbãƒe siwo sesẽ ŋutɔ.
• Squamous cell carcinomas ƒe dɔlélewo
• Basal cell carcinomas ƒe dɔlélewo

Nusiwo Hea Telecanthus si Naa Nuveviwɔame vɛ

Telecanthus si wɔa nuvevi ame la tsoa abi siwo woxɔna le mo dzi gbɔ. Ame ƒe anyidzedze kple ʋufɔku ate ŋu ana ame nagbã si woyɔna be naso-orbital ethmoid (NOE) fractures . NOE ƒe gbagbã siawo ate ŋu agblẽ nu le wò ŋɔti, ŋɔti ƒe ƒuwo, ŋkume, ŋgonu, kple wò tagbɔ ƒe ŋgɔgbe ŋu. NOE ƒe gbagbã ate ŋu agblẽ nu le wò medial canthal tendons ŋu, si ana telecanthus nadzɔ.

Telecanthus si gblẽa nu le ame ŋu ate ŋu atso dɔdzẽ hã gbɔ - zi geɖe la , squamous cell carcinomas alo basal cell carcinomas . Ne dɔdzẽ siawo dzɔ ɖe ŋkume ƒe dzogoe ememetɔwo dzi la, amekoko be woaɖe wo ɖa ate ŋu agblẽ nu le medial canthal tendons ŋu, si ana telecanthus si wɔa nuvevi ame.

Nukae nye Pseudotelecanthus?

Mo ƒe abi sesẽwo ate ŋu ana ame navuvu, abi, eye tsi naƒo ƒu ɖe ŋkuawo dome, le ŋɔti tame, kple ŋgonu. Kuxi siawo ate ŋu ana ŋkua ƒe dzogoe ememetɔwo nadze abe ɖe wole adzɔge ʋĩi ene. Ŋkuŋutinunyala ate ŋu ayɔ esia be `telecanthus evelia` alo `pseudotelecanthus` . Esia nye be woatsɔ ade vovototoe kple abi si woxɔ gbã la dome. Esia fia be lãkusi ƒe kuxi ŋutɔŋutɔ aɖeke mele eme o, ke boŋ ʋuʋudedi si nana ŋkuawo dzena le didiƒe ʋĩ.

Aleke woawɔ ade dzesi Telecanthus?

Ðɔkta ate ŋu akpɔe be vidzĩ ƒe ŋkuwo to vovo akpa le edzidzi megbe teti. Wozãa dzidzenu tɔxɛ aɖe tsɔ dzidzea didime si le vidzĩa ƒe ŋku ƒe dzogoe ememetɔwo dome (``kanthal ƒe didime ememetɔ`').

Dodokpɔwo abe esiawo ene hã ate ŋu awɔ viwòa:

• CT-dɔdamɔnu
• Domenyiŋusẽfianu dodokpɔ be woatsɔ ade dzesi domenyiŋusẽfianu ƒe dɔlélewo
• X-ray dodokpɔ `(X-ray)`

Ðɔktaa alé ŋku ɖe ɖevia ƒe mo kple taɖu ƒe nɔnɔme bubuwo hã ŋu. Esi wònye be zi geɖe la, telecanthus ɖeɖe medzɔna o ta la, dzesi bubuwo hã ate ŋu anɔ viwòa ŋu. Domenyiŋusẽ ƒe dɔléle aɖewo siwo ate ŋu ahe telecanthus vɛ ate ŋu ahe kuxiwo vɛ na ɖevia ƒe dzi, ayiku, ƒuwo, kple lãmekawo hã.

Ðɔkta ka ƒomevie daa Telecanthus?

Zi geɖe la , ŋkudɔdala aɖee daa telecanthus . Ðɔkta siawoe nye wò:

• Ŋku ƒe ʋuƒo
• Aɖatsimɔ̃wo
• Mo ƒe ƒuwo

Kuxi siwo gblẽa nu le nuwo abe...

Ɣeaɖewoɣi la, toŋutinunyala siwo bi ɖe ta kple kɔ ƒe dɔwɔwɔ me hã daa telecanthus.

Esi wònye be zi geɖe la, lãmesẽkuxi bubuwo gbɔe telecanthus tsona ta la, ɖɔkta ƒomevi bubuwo ate ŋu anɔ viwò alo viwò ƒe atikewɔlawo dome.

Nukawoe nye atike siwo wozãna na Telecanthus?

Telecanthus ƒe atikewɔwɔ vevitɔe nye amekoko . Ame aɖewo tiaa amekoko le atsyɔ̃ɖoɖo ta. Amekoko siawo ate ŋu anye:

• Tendon shortening and fixation : Amekolaa lãa wò medial canthal tendons wòdidi nyuie. Emegbe wotsɔa lãkusi siwo le kpuie la blana ɖe ƒu aɖe si le wò ŋɔti ƒe axadzi kple wò ŋkumeɖonu dome la ŋu. Zi geɖe la, wozãa mɔnu sia na telecanthus si wodzina.
• Transnasal wiring: Zi geɖe la, wozãa mɔnu sia na telecanthus si wɔa nuvevi ame. Amekolaa ɖea ŋku si ŋu dɔlélea le ƒe medial canthal tendon ɖa eye wògbugbɔae ɖoa teƒe bubu. Emegbe wozãa ka tsɛ aɖe ŋutɔ tsɔ blaa lãkusia ɖe wò tagbɔ ŋu. Wotoa ka la to do suesuesue siwo le wò ŋkume kple ŋɔti ƒe ƒuwo me.

Vevietɔ: Telcanthus ƒe dɔléle siwo mesẽ o siwo mekpɔa ŋusẽ ɖe nukpɔkpɔ alo bubudede ame ɖokui ŋu dzi o ate ŋu mahiã be woawɔ atike na wo o.

Ðe woate ŋu axe mɔ ɖe esia nua?

Mɔ aɖeke meli si dzi woato axe mɔ ɖe telecanthus nu o. Ne ètsi dzi be yeatsɔ domenyiŋusẽfianu ƒe nɔnɔmea ana viwòwo la, àte ŋu aƒo nu kple ɖɔkta tso domenyiŋusẽfianu ŋuti aɖaŋuɖoɖo ŋu .

Nukae nye mɔkpɔkpɔ na amesi ŋu Telecanthus le?

Telecanthus megblẽna ɖe edzi ne ame tsi o. Eye zi geɖe la, mehiã be woawɔ atike nɛ o (negbe ɖe wòhiã le susu siwo míeyɔ ɖe etame ta hafi). Zi geɖe la, amekoko si woyɔna be telecanthus kpɔa dzidzedze. Gake le amekoko megbe la, wò medial canthi (dzogoe ememetɔwo) ate ŋu agate ɖe wo nɔewo ŋu ake (i.e., magadidi boo o). Ðewohĩ ahiã be woawɔ dɔ na ame aɖewo zi evelia.

Telecanthus, si nye domenyiŋusẽfianu ƒe dɔléle, ate ŋu ahe dɔléle sesẽwo vɛ ɣeyiɣi didi, abe:

• Tsitsi ƒe megbetsitsi
• Nusɔsrɔ̃ ƒe kuxiwo
• Kuxi siwo le wò dzi, lãkusi, dɔgbo, kple ŋutinu bubuwo ŋu.

Nya kawoe wòle be nàbia wò ɖɔkta?

Ne Telecanthus le wò alo viwò ŋu la, anyo be nàbia wò ɖɔkta nya siawo abe esiawo ene:

• Ðe ŋku ƒe kuxi bubuwo le vinye ŋu tsɔ kpe ɖe Telecanthus ŋua?
• Ðe Telecanthus hiã atikewɔwɔa?
• Aleke mate ŋu akpe ɖe vinyea ŋu wòakpɔ susu kple seselelãme ƒe kuxi siwo Telecanthus hena vɛ la gbɔ?
• Aleke wòate ŋu awɔ dɔ na vinye kaba be wòaɖɔ Telecanthus ɖo?
• Nukae hea Telecanthus vɛ?

Vovototo kae le Telecanthus kple Hypertelorism dome?

Ame eve siawo ate ŋu atɔtɔ ame vie, gake vovototo vi aɖe le wo dome.

• Telecanthus : Le esia me la, wò ŋkume ƒe dzogoe ememetɔwo koe didi tso wo nɔewo gbɔ akpa. Mekpɔa ŋusẽ ɖe didime si le axadzi canthi kple ŋkuviawo dome dzi o. Ðewohĩ adze abe wò ŋkuwo dome didi akpa o ene, gake wò ŋkume ƒe dzogoe ememetɔwo ate ŋu ate ɖe wò ŋku ƒe akpa si le amadede vovovowo me (iris) ŋu ŋutɔ.
• Hypertelorism : Amesiwo ŋu dɔléle sia le ƒe ŋku ƒe dzogoe ememetɔ kple egodo siaa, kpakple didime si le woƒe ŋkume ƒe ŋkume . Ne hypertelorism le ŋuwò la, ate ŋu adze ƒã be wò ŋkuwo dome didi ŋutɔ.

Nɔnɔme siawo evea siaa ate ŋu atso domenyiŋusẽfianu ƒe dɔmawɔmawɔ nyuie gbɔ. Woyɔa telecanthus ɣeaɖewoɣi be pseudohypertelorism .

Vovototo kae le Telecanthus kple Epicanthus dome?

• Epicanthus nye ŋutigbalẽ si wobla ɖe wò ŋkume ƒe akpa si le etame, si le wò ŋkume ƒe dzogoe ememetɔ tame. Ŋkuŋutinunyala ate ŋu ayɔ esia hã be epicanthal fold alo monolid eyes . (Esia nye nɔnɔme si bɔ ɖe Asia-dukɔwo me.) Epicanthus kple telecanthus ate ŋu adzɔ ɖekae.

Vovototo kae le Telecanthus kple BPES (Blepharophimosis-ptosis-epicanthus inversus syndrome) dome?

BPES (Blepharophimosis-ptosis-epicanthus inversus syndrome) nye dɔléle si gblẽa nu le ŋutigbalẽ si ƒo xlã ŋkuwo ƒe tsitsi ŋu. Telcanthus hã ƒe dzesi le eŋu. BPES ƒe dzesiwo ate ŋu anye:

• Blepharophimosis : Ŋku ƒe lãkusiwo le kpuie ŋutɔ, wometsi nyuie o, eye womeʋuna bliboe o.
• Epicanthus inversus : Ŋutilã si le ŋkume ƒe akpa si le ete la ƒoa xlãe yia dzi tso ŋkume ƒe dzogoe ememetɔ dzi (si to vovo na epicanthus si sɔ).
• Ptosis : Esia nye ne ŋkume ƒe akpa si le etame la ɖiɖi yi anyime.

Togbɔ be telecanthus nye nɔnɔme si mebɔ o hã la, ate ŋu asesẽ na wò alo viwòa. Zi geɖe la, domenyiŋusẽfianu ƒe dɔléle aɖe gbɔe wòtsona, eye ate ŋu ahe kuxi bubuwo hã vɛ na viwòa ƒe ŋkuwo alo eƒe ŋutilã.

Kpuie ko la, nusiwo dzi wòle be míaɖo ŋkui (Take-Home Message) .

Enyo, eyata mina míaɖo ŋku nya vevi aɖewo dzi tso nusiwo ŋu míeƒo nu tsoe me.

• Telecanthus nye ŋkuwo ƒe dzogoe ememetɔwo dome didime ƒe dzidziɖedzi. Zi geɖe la, esia nyea nɔnɔme si wodzina.
• Ne esia ɖeɖe dzɔ la, zi geɖe la, mehea vevesese alo ŋku ƒe kuxi gã aɖeke vɛ o.
• Gake esia ate ŋu ado ƒome kple domenyiŋusẽfianu ƒe dɔlélewo, siwo ate ŋu ahe lãmesẽkuxi bubuwo vɛ.
• Ne egblẽ nu le ɖevia ƒe bubudede eɖokui ŋu la, àte ŋu abu amekoko ŋu. Susu ƒe lãmesẽ ŋuti aɖaŋuɖoɖo hã le vevie ŋutɔ.
• Togbɔ be womate ŋu axe mɔ ɖe esia nu o hã la, nuwo abe domenyiŋusẽfianu ŋuti aɖaŋuɖoɖo ene ate ŋu akpe ɖe ŋuwò nànya afɔku si le eme.
• Ne ɖikeke alo kuxi aɖe le ŋuwò la, ƒo nu kple ɖɔkta godoo. Mègavɔ̃ alo ŋu nakpe wò o. Wò lãmesẽ kple viwòa tɔe nye nu vevitɔ kekeake.

Ðo ŋku edzi be menye wò ɖeka koe o. Nu nyuitɔ si nàwɔe nye be nànya nɔnɔme siawo eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo si hiã.

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` Telacanthus, ŋkudɔ, domenyiŋusẽfianu ƒe dɔlélewo, ɖeviwo ƒe lãmesẽ, amekoko, dzesiwo, ŋku ƒe lãmesẽ