Ensonda z’amaaso g’omwana wo zirabika nga ziri wala katono? Ka twogere ku Telecanthus!

Wali okirabye nti ebanga eri wakati w’enkoona ez’omunda ez’amaaso g’omwana wo oba ag’omuntu omulala (enkoona ezitunudde mu nnyindo) lirabika nga liwanvuko katono okusinga ku lya bulijjo? Kino bw’okiraba, oyinza okuba ng’oyagala okumanya katono, oba n’okutya katono. Kino kye tuyita telecanthus mu sayansi w’obusawo. Kino kiyinza okuwulikika ng’obulwadde obw’amaanyi, naye totya. Ka twogere ku nsonga eno mu ngeri ennyangu, mu ngeri gy’osobola okutegeera.

Mu ngeri ennyangu, Telecanthus kye ki?

Telecanthus, mu ngeri ennyangu, kweyongera mu bbanga wakati w’enkoona ebbiri ez’omunda ez’ebikowe byaffe, oba abasawo kye bayita `medial canthi` . Emirundi egisinga, kino kiva ku buzaale . Kwe kugamba, embeera eno esobola okubaawo ng’azaalibwa. Ekisinga okuvaako kino kigambibwa nti buzibu mu buzaale .

Wabula oluusi, embeera eno eya telecanthus esobola okubaawo olw’obuvune n’okulumwa mu maaso gaffe, oba ne bwe kiba nga kimaze okulongoosebwa ekizimba ku maaso.

Waliwo erinnya eddala eritegeeza kino, nga lino ye `dystopia canthorum` , naye erinnya `Telecanthus` lye lisinga okukozesebwa.

Kino kinaakwata kitya omwana wange?

Bw’oba ​​muzadde w’omwana alina Telecanthus, kya bulijjo okufaayo ku mbeera y’omwana wo mu mubiri ne mu birowoozo. Naye waliwo amawulire amalungi! Telecanthus yokka teruma era ebiseera ebisinga tereeta buzibu mu kulaba . Wabula singa Telecanthus ewerekerwako obuzibu obulala mu maaso, obuzibu mu kulaba buyinza okubaawo.

Ekirala, omwana wo bw’agenda akula, ayinza okuwulira ng’akwatibwa ensonyi katono oba ng’akwatibwa ensonyi olw’ekyo. Bayinza okulowooza nti, "Amaaso gange tegalinga ga buli muntu." If this is affecting your child’s self-esteem , osobola okwogera n’omusawo ku ngeri y’okulongoosaamu embeera ya telcanthus. Ate era, okwogera n’omukugu mu by’obulamu bw’obwongo kiyinza okuyamba ennyo mu biseera nga bino.

Ani afuna embeera eno?

Ebiseera ebisinga, telecanthus kabonero ka buzibu bw’obuzaale obubeerawo ng’azaalibwa. Bino bye bimu ku bizibu ebikulu eby’obuzaale ebiyinza okuleeta telecanthus:

• Cri du chat syndrome ( Kino kiyinza okuleeta obuzibu mu kukula n’okukula kw’omwana, era kiyinza n’okuleeta eddoboozi ery’amaanyi ng’embwa ekaaba.)
• Obulwadde bwa Down syndrome
• Obulwadde bwa Dubowitz
• Obulwadde bwa Ehlers-Danlos
• Fetal alcohol syndrome (embeera eyinza okubaawo mu mwana singa maama anywa omwenge ng’ali lubuto) .
• Obulwadde bwa Klinefelter
• Obulwadde bwa Noonan syndrome
• Obulwadde obumpi `(Obulwadde obumpi)`
• Obulwadde bwa Turner syndrome
• Obulwadde bwa Waardenburg

Waliwo n’ebintu ebimu ebyongera obulabe bw’omwana okufuna obulwadde bw’obuzaale. Okugeza nga:

• Maama okukozesa ebiragalalagala mu by’okwesanyusaamu ng’ali lubuto.
• Okukwatibwa eddagala ery’obulabe oba emisinde ng’oli lubuto.
• Omuntu mu maka (biologically related) abadde n’obulwadde obw’ekika kino obw’obuzaale emabegako.

Abantu abakulu basobola okukulaakulanya obulwadde bwa Telecanthus?

Wadde nga kino tekitera kubaawo katono, yee, n’omuntu atazaalibwa n’embeera eno asobola okufuna telecanthus ng’akula. Oluusi, obuvune obw’amaanyi oba ebizimba mu maaso bisobola okukyusa enkula ya ffeesi. Kino kiyinza okuvaako enkoona z’eriiso erimu oba zombi okusemberera. (Musonyiwe, ekiwandiiko ekyasooka kyagamba nti "okusemberera awamu", naye telecanthus kitegeeza "ewala nnyo". Kale ekyo nkitereeza. Akabenje oba ekizimba kiyinza okuvaako enkoona z'amaaso okutambula ne zigenda wala.)

Embeera eno ya bulijjo etya?

Telecanthus si nnyangu nnyo okubeera nayo ku bwayo. Kitera okulabibwa n’obulwadde obulala obw’obuzaale.

Bubonero ki obulaga obulwadde bwa Telecanthus?

Telecanthus yennyini tetera kuleeta bulumi bwa maaso oba obuzibu mu kulaba. Wabula bwe kibaawo nga kikwatagana n’obulwadde obulala obukosa engeri amaaso gye gakulaamu, bino wammanga bisobola okubaawo:

• Okulaba okutono
• Myopia / okulaba okumpi
• Hyperopia (okulaba ewala) .

Biki ebivaako Telecanthus?

Abantu abamu bazaalibwa n’obulwadde bwa telecanthus ( congenital ). Bw’oba ​​olina obulwadde bwa telecanthus obuzaalibwa, kiyinza okuba nga kiva ku kuba nti emisuwa egikwata ebikowe by’amaaso go wamu - emisuwa egy’omu makkati (medial canthal tendons ) - miwanvu nnyo oba tegiri mu kifo kituufu. Mu kifo ky’okusembereza enkoona z’ebikowe byo eby’omunda, emisuwa gino gizisikambula.

Ku balala, embeera eno eyinza okubaawo nga bakuze, olw’obuvune oba endwadde ezimu. Okugeza nga:

• Okumenya kwa naso-orbital ethmoid (NOE) . Zino zimenyamenya nnyo.
• Kookolo w’obutoffaali obuyitibwa Squamous cell carcinomas
• Kookolo w’obutoffaali obutono (basal cell carcinomas).

Ebivaako Obulwadde bwa Traumatic Telecanthus

Traumatic telecanthus eva ku buvune mu maaso. Okugwa n’obubenje bw’emmotoka bisobola okuvaako okumenyaamenya okuyitibwa naso-orbital ethmoid (NOE) fractures . Okumenya kuno okwa NOE kuyinza okukosa ennyindo yo, amagumba g’ennyindo, ebisenge by’amaaso, ekyenyi, n’emmanju w’ekiwanga kyo. Okumenya kwa NOE kuyinza okwonoona emisuwa gyo egya medial canthal, ekivaako telecanthus.

Traumatic telecanthus era esobola okuva ku bizimba - ebiseera ebisinga kookolo w'obutoffaali obuyitibwa squamous cell carcinomas oba basal cell carcinomas . Singa ebizimba bino bitondebwa mu nsonda ez’omunda ez’ebikowe by’amaaso, okulongoosa okubiggyamu kuyinza okwonoona emisuwa gya medial canthal, ne kireetawo okulumwa ennyo (traumatic telecanthus).

Pseudotelecanthus kye ki?

Obuvune obw’amaanyi mu maaso busobola okuvaako okuzimba, enkovu, n’okuzimba amazzi wakati w’amaaso, waggulu w’ennyindo ne ku kyenyi. Ebizibu bino bisobola okuvaako enkoona z’amaaso ez’omunda okulabika nga ziri wala nnyo. Omukugu mu maaso ayinza okuyita kino `secondary telecanthus` oba `pseudotelecanthus` . Kino kikoleddwa okugyawula ku buvune obwasooka. Kino kitegeeza nti tewali buzibu bwa misuwa bwennyini, wabula okuzimba okuleetera amaaso okulabika nga gali wala.

Oyinza otya okuzuula Telecanthus?

Omusawo asobola okulaba ng’omwana amaaso gateekebwa wala nnyo amangu ddala ng’amaze okuzaalibwa. Bakozesa olufuzi olw'enjawulo okupima ebanga wakati w'enkoona ez'omunda ez'amaaso g'omwana (``inner canthal distance`').

Omwana wo ayinza n’okukeberebwa nga bino:

• Okukebera CT
• Okukebera obuzaale okuzuula endwadde z’obuzaale
• Okukebera mu X-ray `(X-ray)`

Omusawo agenda kukebera n’ebintu ebirala ebiri mu maaso n’ekiwanga ky’omwana. Okuva bwe kiri nti telecanthus tetera kubaawo yokka, omwana wo ayinza okuba n’obubonero obulala. Endwadde ezimu ez’obuzaale eziyinza okuleeta telecanthus nazo zisobola okuleeta obuzibu ku mutima gw’omwana, ensigo, amagumba n’obusimu.

Omusawo wa ngeri ki ajjanjaba Telecanthus?

Telecanthus etera okujjanjabibwa omusawo alongoosa amaaso . Abasawo bano be ba:

• Ebisenge by’amaaso
• Emikutu gy’amaziga
• Amagumba mu maaso

Okujjanjaba ebizibu ebikosa ebintu nga...

Oluusi, abakugu mu by’amatu, abakugu mu kulongoosa omutwe n’ensingo, nabo bajjanjaba obulwadde bwa telecanthus.

Olw’okuba telecanthus etera okuva ku mbeera endala ez’ebyobulamu, ttiimu y’abasawo yo oba ey’omwana wo eyinza okubeeramu ebika by’abasawo ebirala.

Bujjanjabi ki obuweebwa Telecanthus?

Obujjanjabi obukulu obw'okukozesa telecanthus kwe kulongoosa . Abantu abamu balondawo okulongoosebwa olw’ensonga z’okwewunda. Okulongoosa kuno kuyinza okuli:

• Okufunza emisuwa n’okuginyweza : Omusawo alongoosa asala emisuwa gyo egy’omu makkati (medial canthal tendons) okutuuka ku buwanvu obutuufu. Olwo emisuwa egyafunzibwa ne gikwata ku ggumba eriri wakati w’oludda lw’ennyindo yo n’ekisenge ky’amaaso go. Enkola eno etera okukozesebwa ku congenital telecanthus.
• Transnasal wiring: Enkola eno etera okukozesebwa ku traumatic telecanthus. Omusawo alongoosa aggyawo omusuwa gwa medial canthal tendon ogw’eriiso erikosebwa n’addamu okuguteeka mu kifo. Olwo omusuwa guno ne gukwata ku kiwanga kyo nga bakozesa waya ennyimpi ennyo. Waya eno eyisibwa mu butuli obutonotono munda mu kisenge ky’amaaso go n’amagumba g’ennyindo.

Ekikulu: Emisango emitono egya telcanthus egitakosa kulaba oba okwetwala mu kitiibwa giyinza obuteetaagisa bujjanjabi.

Kino kisobola okuziyizibwa?

Tewali ngeri yonna gye tuyinza kuziyiza telecanthus. Bw’oba ​​weeraliikirira okuyisa embeera y’obuzaale eri abaana bo, osobola okwogera n’omusawo ku kubuulirira ku buzaale .

Endowooza etya eri omuntu alina Telecanthus?

Telecanthus teyongera bubi n’emyaka. Era ebiseera ebisinga tekyetaagisa bujjanjabi (okuggyako nga kyetaagisa olw’ensonga ezoogeddwako waggulu). Okulongoosa Telecanthus kutera kuba kwa buwanguzi. Naye oluvannyuma lw’okulongoosebwa, canthi yo ey’omu makkati (enkoona ez’omunda) ziyinza okuddamu okusemberera (i.e., okufuuka ezitali wala nnyo). Abantu abamu bayinza okwetaaga okulongoosebwa omulundi ogw’okubiri.

Telecanthus, embeera y’obuzaale, esobola okuvaako embeera ez’amaanyi ennyo ez’ekiseera ekiwanvu, gamba nga:

• Okulwawo kw’enkulaakulana
• Obulemu mu kuyiga
• Obuzibu ku mutima gwo, amawuggwe, enkola y’omu lubuto n’ebitundu by’omubiri ebirala.

Bibuuzo ki by’osaanidde okubuuza omusawo wo?

Bw’oba ​​ggwe oba omwana wo olina Telecanthus, kirungi okubuuza omusawo ebibuuzo nga bino:

• Omwana wange alina ebizibu ebirala eby’amaaso ng’oggyeeko Telecanthus?
• Telecanthus yeetaaga obujjanjabi?
• Nnyinza ntya okuyamba omwana wange okukola ku kusoomoozebwa kw’ebirowoozo n’ebirowoozo okuva ku Telecanthus?
• Omwana wange asobola kulongoosebwa mangu ki okutereeza Telecanthus?
• Kiki ekivaako Telecanthus?

Njawulo ki eriwo wakati wa Telecanthus ne Hypertelorism?

Bino ebibiri biyinza okubuzaabuza katono, naye waliwo enjawulo entono.

• Telecanthus : Mu kino, enkoona z’amaaso go ez’omunda zokka ze zibeera wala nnyo. Ebanga wakati wa lateral canthi n’abayizi terikosebwa. Amaaso go gayinza okulabika ng’agatali wala nnyo, naye enkoona ez’omunda ez’ebikowe byo ziyinza okuba nga zisemberera nnyo ekitundu ky’eriiso lyo ekya langi (iris).
• Hypertelorism : Abantu abalina embeera eno balina enkoona z’amaaso gaabwe ez’omunda n’ez’ebweru, awamu n’ebanga wakati w’amaaso gaabwe . Bw’oba ​​olina obulwadde bwa hypertelorism, kiyinza okulabika obulungi ng’amaaso go gali wala nnyo.

Embeera zino zombi ziyinza okuva ku buzibu mu buzaale. Telecanthus oluusi eyitibwa pseudohypertelorism .

Njawulo ki eriwo wakati wa Telecanthus ne Epicanthus?

• Epicanthus kitundu kya lususu ekiri munda mu kibikka kyo eky’okungulu, waggulu w’enkoona ey’omunda ey’ekibikka kyo. Omukugu mu maaso era kino ayinza okukiyita epicanthal fold oba monolid eyes . (Eno mbeera ya bulijjo mu nsi za Asia.) Epicanthus ne telecanthus zisobola okubeerawo awamu.

Njawulo ki eriwo wakati wa Telecanthus ne BPES (Blepharophimosis-ptosis-epicanthus inversus syndrome)?

BPES (Blepharophimosis-ptosis-epicanthus inversus syndrome) mbeera ekosa enkula y’olususu okwetoloola amaaso. Era emanyiddwa nga telcanthus. Obubonero bwa BPES buyinza okuli:

• Blepharophimosis : Ebikoola by’amaaso bifunda nnyo, tebikula bulungi, era tebigguka mu bujjuvu.
• Epicanthus inversus : Olususu oluli ku ludda olw’omunda olw’ekibikka ekya wansi luzinga waggulu okuva ku nsonda ey’omunda ey’ekibikka (ekikontana n’ekibikka ekya bulijjo).
• Ptosis : Kino kye kiseera ekibikka eky’okungulu bwe kigwa wansi.

Wadde nga telecanthus embeera etali ya bulijjo, eyinza okukusoomooza oba omwana wo. Ebiseera ebisinga kiva ku buzibu bw’obuzaale, era kiyinza n’okuleeta ebizibu ebirala mu maaso oba omubiri gw’omwana wo.

Mu bufunze, ebintu bye twetaaga okujjukira (Take-Home Message) .

Okay, kale ka tujjukire ezimu ku nsonga enkulu okuva mu bye twogeddeko.

• Telecanthus kwe kwongera ku bbanga wakati w’enkoona ez’omunda ez’amaaso. Eno etera okuba embeera ey’obuzaale.
• Kino bwe kibaawo kyokka, ebiseera ebisinga tekireeta bulumi bwa maanyi oba obuzibu mu kulaba.
• Kyokka kino kiyinza okukwatagana n’endwadde z’obuzaale, eziyinza okuvaako ebizibu ebirala eby’obulamu.
• Bwe kiba nga kikosa ekitiibwa ky’omwana, oyinza okulowooza ku ky’okulongoosebwa. Okubuulirira ku bulamu bw’obwongo nakyo kikulu nnyo.
• Wadde nga kino tekiyinza kuziyizibwa, ebintu ng’okubudaabudibwa ku buzaale bisobola okukuyamba okumanya akabi akaliwo.
• Bw’oba ​​olina okubuusabuusa oba ekizibu kyonna, mazima ddala yogerako n’omusawo. Totya wadde okuswala. Obulamu bwo n’obw’omwana wo bye bisinga obukulu.

Jjukira nti toli wekka. Ekisinga obulungi kwe kumanya embeera zino n’okunoonya amagezi ag’omusawo ageetaagisa.

` Telacanthus, endwadde z'amaaso, endwadde z'obuzaale, obulamu bw'abaana, okulongoosebwa, obubonero, obulamu bw'amaaso