Ðe wò ŋkuwo le blukɔ vivivia? Ðewohĩ Terrien ƒe Marginal Degeneration gbɔe esia tso!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe nukpɔkpɔ to vovo vie eye wò ŋku eveawo siaa me mekɔna oa? Ðewohĩ ŋku ɖeka koe wòle. Zi geɖe la, míeléa ŋku ɖe nu siawo tɔgbe ŋu boo o, alo? Míesusuna be, "Esiae dzɔna ne ètsi." Gake ŋkudɔ aɖewo li siwo mebɔ o siwo hã dzea egɔme tso dzesi siawo tɔgbe dzi. Egbea, míele nu ƒom tso nɔnɔme aɖe si ŋu womesea nu tsoe boo o, gake esɔ ŋutɔ be woanya nu tso eŋu. Ema nye nɔnɔme aɖe si woyɔna be Terrien Marginal Degeneration .

Nukae nye Terrien ƒe Marginal Degeneration? Mina míase egɔme bɔbɔe!

Kpuie ko la, esia nye dɔléle si mebɔ o si dzea míaƒe ŋkuwo dzi. Nusi dzɔna le esia mee nye be ‘ŋku ƒe ŋkume ƒe akpa aɖe, si nye lãkusi si me kɔ le míaƒe ŋku ƒe ŋgɔgbe la, nɔa tsɛe vivivi. Bu eŋu abe fotoɖemɔ̃ ene. Ŋku ƒe ŋkumeʋuʋue nye akpa vevitɔ si kpena ɖe ame ŋu wòhea kekeli vɛ eye wòwɔa nɔnɔmetata si me kɔ. Ele abe ahuhɔ̃e si le gaƒoɖokui tame ene. Eyata ne ŋkume ƒe ŋkume ƒe ŋkumeʋuʋu sia dze ƒuƒu gɔme la, le ɣeyiɣi aɖe megbe la, ate ŋu ado kplamatse míaƒe ŋutete be míakpɔ nuwo nyuie.

Esia medzɔna le zã ɖeka me o. Zi geɖe la, eva nɔa blewu. Esia tae ame aɖewo medea dzesii le gɔmedzedzea me o. Gake ne ède dzesi nɔnɔmea kaba la, àte ŋu axɔ atike be wòakpe ɖe ŋuwò nàkpɔ wò ŋkume alo wòagakpɔ nu ake. Zi geɖe la, atikewɔwɔa lɔ ŋkumeɖonu , atike aɖewo, kple ɣeaɖewoɣi amekoko be woatsɔ adzra wò ŋkumeɖonu ɖo alo aɖɔlii.

Aleke Terian Marginal Degeneration (TMD) sia kpɔa ŋusẽ ɖe dziwòe?

Abe alesi míegblɔe va yi ene la, le dɔléle sia me la, ŋkume ƒe akpa aɖe ƒuna. Ne ŋkume ƒe gbagbã le edzi yim la, ŋkume ƒe gota gome dzea gbadzaa gɔme. Woyɔa esia be ŋkume ƒe akpa si le gota ƒe gbadzaƒe. Astigmatism ate ŋu adzɔ le esia ta.

Nukae nye Astigmatism ?

Bu eŋu kpɔ, ŋkumeɖonu si le lãmesẽ me la le goglo nyuie, abe bɔl ene. Emegbe kekelia ƒe susu nɔa teƒe ɖeka pɛpɛpɛ eye wònaa nɔnɔmetata si me kɔ. Gake le ŋkume ƒe nɔnɔme me la, ŋkume ƒe nɔnɔme trɔna vie, abe azi ene, alo abe rugby bɔl ene. Ekema menye teƒe ɖeka koe kekelia le o, ke boŋ le teƒe geɖe, eyata nu siwo nèkpɔ la ate ŋu adze abe ɖe wo mekɔ o, wokeke, eye ɣeaɖewoɣi gɔ̃ hã woama ɖe eve me ene.

Eyata, ŋku ƒe ʋuʋu ƒe nɔnɔme sia ate ŋu ana wò ŋku natsi eye ɖewohĩ màte ŋu akpɔ nuwo nyuie o. Terian Marginal Degeneration (TMD) ate ŋu adze ŋku ɖeka ko alo ŋku eveawo dzi.

Nya nyuiae nye be, to vovo na ŋkudɔ bubu aɖewo la, zi geɖe la, TMD menaa ŋkuvea ame o. Gake ɣeaɖewoɣi la, ŋkuawo te ŋu biã eye wovuvu vie, si nyea dɔdzẽ .

Ƒã ŋutɔ ne ŋkume ƒe ŋkume ƒe ŋkume le sue ŋutɔ la, ate ŋu avuvu alo ado . Esia ate ŋu adzɔ kpata, alo ate ŋu adzɔ ne wò ŋku xɔ abi alo gblẽ. Esia nye nudzɔdzɔ kpata eye ele be nàyi atikewɔƒe enumake.

Ameka dzie nɔnɔme sia gblẽa nu le wu?

Nɔnɔme sia si woyɔna be Terian Marginal Degeneration (TMD) , dzena zi geɖe le ŋutsu siwo xɔ wu ƒe 40. Gake ema mefia be ame bubuwo mate ŋu axɔe o. Ate ŋu adzɔ ɖe ame sia ame dzi le ƒe ɖesiaɖe me. Wokpɔe hã be amesiwo ŋu dɔléle aɖewo siwo gblẽa nu le ame ŋu le , abe ƒunukpeƒetetedɔ kple ɖeviwo ƒe ƒunukpeƒetetedɔ ene, ate ŋu axɔ TMD wu.

Aleke gbegbee Terian Marginal Degeneration (TMD) bɔe?

Le nyateƒe me la, esia nye nɔnɔme si mebɔ kura o. Numekulawo mete ŋu nya ame agbɔsɔsɔme si tututu dɔléle sia le haɖe o. Felix Terrien, si nye Franseawo ƒe ŋkudɔdalae ƒo nu tso TMD ŋu zi gbãtɔ le ƒe 1900 me.

Ðe Terian Marginal Degeneration (TMD) ƒomevi vevi aɖewo lia?

Dzɔdzɔmeŋutinunyalawo xɔe se be nɔnɔme sia ƒomevi vevi evee li, si nye terian marginal degeneration ( TMD ).

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2. Ƒomevi 2: Dɔdzẽ ƒe dzesi le ƒomevi sia ŋu . Ebɔ ɖe ɖekakpui siwo xɔ ƒe 20 kple 30 me wu. Ðɔktawo kpɔ esia ƒomevi le amesiwo ŋu dɔléle siawo le hã ŋu:

• Anterior Basement Membrane Dystrophy: Esia nye domenyiŋusẽfianu (domenyiŋusẽfianu) ƒe dzitodzito me dɔléle.
• Erythema Elevatum Diutinum: Esia nye ŋutigbalẽdɔléle si nɔa anyi didi.
• Posterior Polymorphous Dystrophy: Esia hã nye ŋkudɔ si mebɔ o. Enaa tsi alo nu bubuwo ƒoa ƒu ɖe ŋkume ƒe ŋkume.

Ðe dɔléle bubu aɖewo li siwo ɖi Terian Marginal Degeneration (TMD) tɔa?

Ẽ, ŋkudɔ bubu geɖe li siwo ɖea dzesi siwo sɔ kple TMD ƒe dzesi siawo fiana. Esia tae wòle vevie ŋutɔ be woakpɔ dɔlélea nyuie. Ema ko hafi nàte ŋu akpɔ atikewɔwɔ ƒe ɖoɖo si sɔ wu. Dɔléle siawo dometɔ aɖewoe nye:

• Acanthamoeba Aɖuɖɔtoedɔléle
• Corneal Ectasia (dɔlélewo ƒe ƒuƒoƒo si me ŋkume ƒe nɔnɔme trɔna eye ŋkume ƒe ʋuʋu dzina ɖe edzi le ɣeyiɣi aɖe megbe) .
• Corneal Ulcer ( abi si woxɔ le ŋkume ƒe ŋkume ŋu) .
• Keratoconus (si me ŋkume ƒe ŋkume ƒe ŋkumeʋuʋu dona ɖe gota wòzua cone ƒe nɔnɔme) .
• Marginal Furrow Degeneration (esia hã nana ŋkume ƒe ŋkume ƒe akpa si le ƒuƒuie) .
• Mooren ƒe Abi (Esia nye ŋkudɔ si vea ame si gblẽa nu le ŋkume ƒe ŋkume) .
• Ŋku ƒe rosacea (Ŋku me rosacea ) .
• Pellucid Marginal Degeneration (PMD) (Esia hã nye ŋkume ƒe dɔléle si mebɔ o si nana ame ƒe ŋku megakpɔa nu nyuie o le ɣeyiɣi aɖe megbe)
• Sclerokeratitis ( aɖuɖɔtoe kple ŋkume ƒe ʋuʋu) .
• Vernal Keratoconjunctivitis (VKC) (nulɔdɔ sesẽ si nɔa anyi didi, si gblẽa nu le ŋkua ƒe gowo ŋu) .

Esi wònye be dzesi siawo tɔgbe ate ŋu bɔ ɖe dɔléle geɖe me ta la, ne ède dzesi nane si to vovo la, anyo wu be nàyi ŋkudɔdala gbɔ godoo be woadoe kpɔ.

Nukae hea Terian Marginal Degeneration (TMD) vɛ?

Le nyateƒe me la, numekulawo mete ŋu ke ɖe nusi koŋ gbɔ TMD tsona ŋu haɖe o. Gake wosusui be dɔléle si dɔlékuiwutikewo tsona (afisi ŋutilãa ƒe dɔlélenutsiŋutete dzea lãmenugbagbevi siwo le lãmesẽ me dzi le) alo dɔléle aɖe si gblẽa nu le ame ŋu (afisi lãmekawo alo ŋutinuwo gbɔdzɔna vivivi) ate ŋu anye nusi gbɔ wòtso. Gake womeɖo kpe esiawo dzi haɖe o.

Nukae nye Terian Marginal Degeneration (TMD) ƒe dzesiwo?

Zi geɖe la, dzesi aɖeke menɔa amesiwo ŋu temporomandibular joint degeneration (TMD) le ŋu o. Emae nye kuxia. Gake le go aɖewo me la, àte ŋu ato nusiwo le abe:

• Astigmatism nana nukpɔkpɔ ƒe tɔtrɔ vivivi: Esia fia be vivivi la, nukpɔkpɔ va nɔa blukɔm eye ate ŋu ase le eɖokui me abe ɖe megadzena nyuie o ene.
• Ŋku ƒe ʋuʋu alo vevesese vie le ŋkume ƒe akpa si mesɔ o ta: Ate ŋu ase le eɖokui me abe nane tsi ŋkua me ene, alo abe keku aɖe le ŋkua me ene.

Le nɔnɔme siwo gbɔ eme me la, afɔku alo abi ate ŋu ana ŋkume ƒe ŋkume nado (Puncture or Tear) . Esia nye atikewɔwɔ me nudzɔdzɔ kpata aɖe . Esia ate ŋu ana ame nabu ŋku vevie. Eyata ne nane gblẽ le wò ŋku ŋu la, ele be nàyi atikewɔƒe enumake.

Aleke wokpɔa Terian Marginal Degeneration (TMD) ƒe dɔlélea?

Ðɔktawo toa ŋkudodokpɔ blibo me kpɔa TMD . Ne wokpɔ dɔlélea nyuie la, woate ŋu ade vovototoe tso nɔnɔme bubu siwo nana ŋkume ƒe ŋkume ƒe ŋkumeƒuna ƒuna gbɔ, eye woana atike nyuitɔ wò.

Wò ŋkudɔdala ate ŋu awɔ dodokpɔ bubuwo atsɔ aɖe wò ŋkuwo ƒe nɔnɔmetata tsitotsito ahalé ŋku ɖe tɔtrɔ siwo le wò ŋkume ƒe ŋkume ŋu hã. Dodokpɔ siawo dometɔ aɖewoe nye:

• Ŋgɔgbe Akpa Optical Coherence Tomography
• Confocal Nusuekpɔmɔ̃
• Corneal Topography (Esia wɔa ŋkume ƒe anyigba ƒe nɔnɔmetata) .
• Slit Topography ƒe Scanning
• Ultrasound ƒe Nusuekpɔmɔ̃ (UBM) .

Dodokpɔ siawo ana wò ɖɔkta nase wò ŋkume ƒe nɔnɔme gɔme nyuie.

Ðe atike aɖe li na Terian Marginal Degeneration (TMD)a?

Nublanuitɔe la, atike aɖeke meli na TMD o. Gake mègatsi dzi o. Atikewɔwɔ ate ŋu akpe ɖe ŋuwò nàlé ŋku ɖe nu ŋu eye màxe mɔ ɖe kuxiwo nu. Esia tae dɔlélea didi kaba le vevie ŋutɔ ɖo. Ekema wò ɖɔkta ate ŋu ana beléle si nèhiã la wò.

Nukae nye Terian Marginal Degeneration (TMD) ƒe atikewo?

Zi geɖe la, atike aɖeke koŋ meli na temporomandibular joint degeneration (TMD) o. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be " nàlala nyuie " (si fia be nàlé ŋku ɖe dzesiawo ŋu ahalala akpɔe ɖa be nɔnɔmea gagblẽ ɖe edzi hã) kple dodokpɔ edziedzi be nàlé ŋku ɖe wò nɔnɔmea ŋu.

Gake ne TMD ƒe nɔnɔme sia gblẽ nu le wò nukpɔkpɔ ŋu la, woate ŋu azã ŋkumeɖonu siwo ɖɔa ame ɖo abe atike ene. Le kpɔɖeŋu me:

• Glass siwo wotsɔ polycarbonate wɔ: Esiawo sesẽ wu plastic si wozãna ɖaa.
• Kpɔkpɔnu Siwo Sesẽ, Siwo Me Gas Le: Esiawo nye ŋkumeɖonu ƒomevi aɖe si sesẽ vie si wɔnɛ be ɔksidzin toa ŋkua me.
• Scleral Lenses ƒe ŋkumeɖonu:Esiawo nye ŋkumeɖonu gã siwo sesẽ. Wotsyɔa ŋkume ƒe ŋkumeƒu bliboa dzi. Woɖɔa ŋku ƒe ʋuʋu ɖo, wokpɔa ŋku ta, eye wokpɔa nu nyuie wu.

Ne dɔdzẽ si nu mesẽ o le ŋuwò la, wò ɖɔkta ate ŋu aŋlɔ ŋkumeɖonu, ami, alo gelũhɛwo na wò . Ɣeaɖewoɣi la, woate ŋu azã steroid siwo wozãna ɖe lãme hã. Gake wo zazã mede ŋgɔ o elabena woate ŋu ana ŋkume ƒe ŋkume ƒe akpa si le ʋuʋu ɖi la naɖiɖi ɖe edzi.

Ðe wòahiã be woawɔ dɔ nam le Terian Marginal Degeneration (TMD) ta?

Le TMD ƒe dɔléle siwo de ŋgɔ wu me la, ahiã be woawɔ dɔ na wò be nàkpɔ wò ŋku ƒe dɔwɔwɔ ta, alé eme ɖe te, alo wòagawɔ dɔ ake. Wò ŋkudɔdala ate ŋu aɖo aɖaŋu hã be nàwɔ dɔ na wò ne ŋkumeɖonu siwo ɖɔa ame ɖo mele kpekpem ɖe ŋuwò o.

Ne wò ŋkume ƒe ŋkumeʋuʋu gblẽ vevie la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàdo ŋkume ƒe ŋkumeʋuʋu . Esia bia be woazã lãkusi si tso nunala si le lãmesẽ me alo ŋkume ƒe ŋkumeʋuʋu si wowɔ kple asi me. Àte ŋu ado ame bubu na wò abe esia ene:

• Partial Thickness Transplant (Lamellar Keratoplasty): Le esia me la, wò ŋkume ƒe akpa aɖe koe woɖɔlia.
• Full Thickness Transplant - Penetrating Keratoplasty: Le esia me la, woɖɔlia wò ŋkume ƒe ŋkume katã.

Wò ɖɔkta agblɔ nu geɖe tso amekoko siawo ŋu na wò.

Ðe nane li mate ŋu awɔ atsɔ axe mɔ ɖe Terian Marginal Degeneration (TMD) ƒe dzɔdzɔ nua?

Le nyateƒe me la, naneke meli nàte ŋu awɔ atsɔ axe mɔ ɖe TMD nu o elabena womenya nusi tututu gbɔ wòtso haɖe o. Gake àte ŋu aɖe afɔ aɖewo atsɔ akpɔ wò ŋkuwo ta eye nàxe mɔ na nɔnɔmea be wòagagblẽ ɖe edzi o .

Be nàxe mɔ ɖe ŋkume ƒe nugbegblẽ nu la, dze agbagba nàdo ŋkumeɖonu siwo akpɔ ame ta le ɣeyiɣi siawo me:

• Ne èle bleach alo atike bubuwo dzram ɖo.
• Ne èle dɔ wɔm le gota, abe gbe ŋeŋe ene.
• Ne èle kamedefefewo abe baseball kple hockey ene ƒom.
• Eɖanye ne èle dɔwɔnuwo zãm alo ne èle amadede dam o.

Ne èdo ŋkumeɖonu la, wɔ ɖe mɔfiame siwo ku ɖe wò ŋkumeɖonu ŋu kɔklɔ kple dɔlékuiwutikewo zazã ŋu dzi nyuie be nàxe mɔ ɖe ŋku alo ŋkume ƒe dɔlékuiwo xɔxɔ nu. Ne èwɔ ɖe wò ŋkudɔdala ƒe ɣeyiɣiwo dzi eye nèwɔ ɖe atikewɔwɔ ŋuti mɔfiamewo dzi la, àte ŋu axe mɔ ɖe kuxiwo nu eye nàkpɔ wò ŋku xɔasi la ta.

Nukae wòle be makpɔ mɔ na ne Terion Marginal Degeneration (TMD) le ŋunye?

Terian Marginal Degeneration (TMD) ƒe dɔlélea le ame geɖe ŋu.Woate ŋu akpɔ egbɔ nyuie ne wozã ŋkumeɖobolo alo ŋkumeɖonu kple atikewɔlawo ƒe dodokpɔ edziedzi. Ne ŋkume ƒe ŋkumeʋuʋu le tsɛ vevie la, ƒo nu kple wò ɖɔkta tso mɔnu nyuitɔ siwo dzi nàto akpɔ wò ŋkuwo ta ahada wò dzesiwo ŋu. Mègatsi dzi o, àte ŋu anɔ agbe si sɔ kple nɔnɔme sia.

Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo le Terian Marginal Degeneration (TMD) ŋu?

Ele vevie be nàde dzesi Terian Marginal Degeneration (TMD) ƒe nɔnɔmea kaba ale be nàte ŋu axɔ atike nyui aɖe. Ne ŋku me mekɔ o, vevesese, alo nukpɔkpɔ ƒe tɔtrɔ , na wò ɖɔkta nanya enumake. Wò ɖɔkta ate ŋu ana atikewɔmɔnu siwo ate ŋu ana gbɔdzɔe wò eye wòana wò nukpɔkpɔ nanɔ anyi la wò.

Ðo ŋku edzi be ŋkuwo nye míaƒe ŋutilã ƒe ŋutinu siwo sea nu gɔme nyuie wu eye woxɔ asi wu la dometɔ ɖeka. Eyata ne ède dzesi tɔtrɔ alo vevesese aɖe le wò ŋkuwo ŋu la, nunya anɔ eme be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo evɔ màŋe aɖaba aƒu edzi o.

Mlɔeba la, ɖo ŋku esia dzi (Take-Home Message) .

Terrien Marginal Degeneration nye dɔléle si mebɔ o si nana míaƒe ŋkume ƒe gowo ƒuna. Ŋku ƒe ŋkumeʋuʋu siae kpena ɖe mía ŋu míekpɔa nu nyuie. Ame geɖe medea dzesi dzesi aɖeke o. Le ame bubuwo gome la, ŋkumeɖonu siwo ɖɔa ame ɖo ate ŋu akpe ɖe wo ŋu woakpɔ woƒe nukpɔkpɔ ta eye woaxe mɔ ɖe kuxiwo nu. Do ŋkume na wò edziedzi. Ekema àte ŋu akpɔ beléle si nèhiã. Lé be na wò ŋkuwo! Elabena ŋku eve koe le mía si be míakpɔ xexeame.

Terrien Marginal Degeneration, Ŋkudɔlélewo, Ŋku ƒe Dɔléle, Nukpɔkpɔ ƒe Blu, Astigmatism, Ŋku ƒe Lãmesẽ