Kodi chikope chanu chimangomva ngati chamasuka? Tiyeni tikambirane za (Floppy Eyelid Syndrome)?

Kodi mumamvanso kupweteka m'maso mwanu komanso kumva ngati zikope zanu zikugwedezeka m'mbuyo ndi mtsogolo mukadzuka m'mawa? Mwina zikope zanu zimamveka ngati za rabara mukazikhudza. Ngakhale izi ndi zovuta zazing'ono kwa anthu ena, zitha kukhalanso chizindikiro cha vuto lomwe tikambirane lero lotchedwa (Floppy Eyelid Syndrome) .

Kodi Floppy Eyelid Syndrome ndi chiyani?

Mwachidule, (Floppy Eyelid Syndrome) ndi pamene khungu la zikope zanu, kapena zikope zanu, limakhala lotayirira komanso losalala. Limakhala lotambasuka, ngati lamba wakale wa rabara. Izi zimapangitsa kuti zikope zanu zikhale zosavuta kugwedezeka kapena kutuluka, makamaka mukagona. Nthawi zambiri zimatha kukhudza zikope zonse ziwiri zakumtunda.

Kodi vutoli ndi lofala bwanji?

Kafukufuku waposachedwapa akusonyeza kuti pakati pa 2% ndi 4% ya anthu padziko lonse lapansi ali ndi vutoli (Floppy Eyelid Syndrome). Komabe, madokotala amakhulupirira kuti chiwerengerochi chikhoza kukhala chokwera kwambiri. Chifukwa chake n'chakuti zizindikiro za vutoli zimatha kuchitika ndi matenda ena ambiri. Chifukwa chake, nthawi zina madokotala, makamaka akatswiri a maso, amachiritsa zizindikirozi, koma sangazindikire kuti ndi gawo la vutoli (Floppy Eyelid Syndrome).

Kodi zizindikiro za Floppy Eyelid Syndrome ndi ziti?

Vutoli lingayambitse zizindikiro zingapo, makamaka mukadzuka m'mawa .

• Zikope zimamasuka kwambiri ndipo zimapindika. Zimatha kugwedezeka/kutuluka ngakhale pang'ono.
• Mukumva kupweteka kapena kutentha m'maso mwanu.
• Maso amauma chifukwa madzi otulutsa misozi omwe amanyowetsa maso sakuwapaka mafuta oyenera.
• Maso anu akutuluka madzi chifukwa thupi lanu likupanga misozi yambiri kuti ikhale yonyowa.
• Zikope zimatupa ndipo zimapweteka. Timatchanso izi kuti blepharitis m'mawu azachipatala.
• Zikumveka ngati chinachake chatsekedwa m'diso.
• Kukhala ndi chidwi ndi kuwala, zomwe zikutanthauza kuti n'kovuta kuyang'ana kuwala (Photophobia) .
• Madzi ngati dontho akuchokera m'maso.

N’chifukwa chiyani kupendekeka kwa chikope kumeneku kuli vuto?

Kodi mukudziwa kuti khungu lopyapyala kwambiri pa matupi athu limapezeka pa zikope zathu ? Kuti zikope izi zigwire ntchito bwino, ziyenera kukhala zotanuka . Pamenepo ndi pamene zimakhala ndi 'malo' omwe zimafunika kukhala zolimba pamwamba pa diso ndikusuntha mmwamba ndi pansi pamene tikutsegula, kutseka, ndi kuphethira.

Koma chikope si chophimba chokha. Mkati mwake muli mtundu wa gland wotchedwa Meibomian glands . Glands zimenezi zimapanga (Meibum)Amatulutsa mafuta otchedwa meibum (otchedwa meibum). Mankhwalawa ndi ofunikira kwambiri pa momwe makina athu osokera amagwirira ntchito. Mafutawa, otchedwa meibum, amasakanikirana ndi madzi osokera, kudzoza pamwamba pa maso ndikuchepetsa kutuluka kwa madzi osokera. Sikuti amangotero, komanso amathandiza kusunga zikope pamodzi maso akatsekedwa, kupanga chisindikizo chomwe chimaletsa mpweya kutuluka. Izi zimathandiza kuti maso azikhala onyowa.

Kotero, pamene maso anu atayika kulimba kumeneku, amakhala ofooka, samakhala pamalo abwino. Kenako (Meibum) yomwe imachokera ku (matenda a Meibomian) siisakanikirana bwino ndi madzi otuluka misozi. Kenako mafuta a maso amasokonezeka. Komanso, chifukwa maso amayendayenda mosavuta, chisindikizo chopanda mpweya sichimapangidwa bwino maso anu akatsekedwa. Ichi ndi chinthu chomwe chingachitike nthawi zonse, makamaka mukagona .

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a Floppy Eyelid?

Chifukwa chachikulu chomwe chimapangitsa kuti zikope zikhale zopindika ndi kutayika kwa puloteni yotchedwa elastin m'zikope. Elastin iyi ndi yomwe imapangitsa khungu kukhala lolimba. Koma chifukwa chenicheni cha izi sichikudziwikabe. Komabe, kafukufuku wabweretsa kukayikira pazinthu zingapo. N'zovuta kunena ngati izi ndi zomwe zimayambitsa kapena zomwe zimangowonjezera. Koma izi zikuganiziridwa kuti zimagwira ntchito:

• Kunenepa Kwambiri ndi Kulephera Kugona Bwino (OSA): Matenda awiriwa ndi ofanana kwambiri. Ngati muli ndi kunenepa kwambiri, ndiko kuti, kunenepa kwambiri, muli pachiwopsezo chachikulu chotenga matenda a OSA. Ndi OSA, kupuma kwanu kumasiya pamene mukugona. Izi zimachepetsa kuchuluka kwa mpweya womwe thupi lanu limalandira. Kusowa kwa mpweya kumeneku kumasintha momwe thupi limagwirira ntchito, ndipo ma enzyme ambiri amapangidwa omwe amatha kuswa puloteni yotchedwa elastin. Pafupifupi theka la anthu omwe ali ndi OSA nawonso amakhala ndi vutoli (Floppy Eyelid Syndrome).
• Matenda a minofu yolumikizana: Awa ndi matenda omwe amakhudza minofu yolumikizana monga cartilage ndi tendons. Matendawa amathanso kukhudza momwe thupi limapangira ndikugwiritsa ntchito elastin. Mwachitsanzo, matenda monga Marfan syndrome ndi Ehlers-Danlos syndrome .
• Majini: Kusintha kwa DNA yanu kungakhudze momwe thupi lanu limapangira ndi kugwiritsa ntchito elastin. Izi zitha kukhala zochokera kwa makolo anu, kapena zitha kukhala kusintha mwangozi komwe kunachitika mukukula kwanu ngati mwana wosabadwayo.
• Matenda ena omwe amakhudza maso ndi minofu yozungulira: Anthu omwe ali ndi matenda omwe amachititsa kuti maso atuluke patsogolo akhoza kukhala pachiwopsezo chachikulu. Mwachitsanzo , matenda a chithokomiro , monga matenda a Hashimoto .

Kuwonjezera pa izi, palinso zinthu zina zingapo zomwe zimayambitsa izi:

• Jenda: Amuna ali ndi mwayi waukulu wopeza Floppy Eyalid Syndrome kuposa akazi. Pafupifupi awiri mwa atatu ndi amuna.
• Zaka:Matendawa amapezeka kwambiri mwa akuluakulu. Ngakhale kuti amatha kufalikira mwa ana, nthawi zambiri samapezeka kawirikawiri.
• Mtundu: Anthu omwe ali ndi khungu lapadera (epicanthic fold) pakona yamkati mwa diso, monga mafuko ena aku Asia, sangakhale ndi vutoli chifukwa cha kapangidwe ka zikope zawo.

Kodi mavuto omwe angakhalepo chifukwa cha Floppy Eyelid Syndrome ndi ati?

Zikope zanu zikagwa, zimalepheretsa maso anu kukhala onyowa komanso opaka mafuta. Izi zingayambitse kukwiya ndi kuwonongeka kwa maso . Izi zingayambitse:

• Matenda a maso ouma .
• Keratitis ndi kutupa kwa cornea, yomwe ndi mbali yowonekera kutsogolo kwa diso.
• Kuwonongeka kwa cornea komwe kumachitika nthawi zambiri (RCE) .
• Zilonda za cornea ndi zipsera.
• Pa milandu yoopsa, ngati sanalandire chithandizo, masomphenya amatha kutayika.

Kodi vutoli (Floppy Eyelid Syndrome) limapezedwa bwanji?

Popeza zizindikiro za matendawa (Floppy Eyelid Syndrome) zimachitika ndi matenda ena ambiri, palibe mayeso enieni oti adziwe matendawa molondola.

Dokotala wa maso akhoza kuzindikira vutoli mwa kukufunsani za zizindikiro zanu, kukufunsani mafunso okhudza maso anu ndi momwe maso anu akumvera, komanso kufufuza maso anu. Pa nthawi yoyezetsa, dokotalayo adzaika nsonga ya chala chake pakhungu la maso anu. Ndi mayeso ofatsa mokwanira kuti asakupwetekeni, koma olimba mokwanira kuti awone momwe mungasunthire ndikukoka maso anu.

Akatswiri ambiri a maso amagwiritsa ntchito njira imeneyi kuti adziwe ngati muli ndi Floppy Eyelid Syndrome komanso momwe imakhudzira . Pali njira ziwiri zazikulu zowunikira zomwe zimagwiritsidwa ntchito pa izi:

• Njira yoyezera: Izi zimayesa kuchuluka kwa kayendedwe ka chikope. Muyeso uwu umasiyana kuchokera pa 0 mpaka 4.
• Dongosolo Loona M'maso: Mu izi, dokotala wa maso adzakweza chikope chanu chakumtunda pamene mukuyang'ana pansi. Kuopsa kwake kumadalira kuchuluka kwa gawo loyera la diso, lotchedwa conjunctiva, lomwe limawonekera. Muyeso uwu umayambira pa 0 mpaka 3.

Kodi mankhwala a matenda a Floppy Eyelid Syndrome ndi ati?

Pali njira ziwiri zazikulu zochizira: njira yosamalira odwala komanso njira yochitira opaleshoni .

Njira yosungira zinthu

Njira yosamala imaphatikizapo kuyesetsa kupewa zizindikiro za matendawa. Izi nthawi zambiri zimaphatikizapo kuphimba maso anu ndi pulasitala pamene mukugona, kugona ndi chophimba maso, kapena kupaka misozi yopangira kapena mafuta odzola maso musanagone.

Komanso, dokotala wanu adzakufunsani kuti muyesedwe kugona kuti aone ngati muli ndi OSA. Kumbukirani kuti, mutha kukhala ndi OSA ngakhale mutakhala kuti simuli onenepa kwambiri.

Chofunika kwambiri: Ngati muli ndi OSA, kugwiritsa ntchito makina opitilira muyeso a Continuous Positive Airway Pressure (CPAP) kapena makina opitilira muyeso a Bilevel Positive Airway Pressure (BPAP) (nthawi zina amatchedwa BiPAP®) kungathandize kuchepetsa kutayika kwa elastin ndikuwonjezera kulimba kwa zikope zanu. Ndikofunikira kwambiri kugwiritsa ntchito makinawa usiku uliwonse. Kupanda kutero, sizingathandize kwambiri. Kumbali inayi, OSA yosachiritsidwa ikhoza kupha, kotero kugwiritsa ntchito makinawa ndikofunikira kwambiri.

Njira yopangira opaleshoni

Opaleshoni nthawi zambiri imaganiziridwa ngati njira zodzitetezera sizinagwire ntchito. Komanso, ngati vuto lanu (Floppy Eyelid Syndrome) ndi lalikulu ndipo pali chiopsezo cha kuwonongeka kwa maso, ndiye kuti opaleshoni ikhoza kukhala njira ina. Pali njira zingapo zochitira opaleshoni zomwe zingamangirire minofu ya chikope chanu. Dokotala wanu wa maso kapena dokotala adzakuuzani zambiri za njira yomwe akupangira komanso zomwe mungayembekezere.

Kodi mungayembekezere chiyani ngati muli ndi (Floppy Eyelid Syndrome)?

Ngati muli ndi Floppy Eyelid Syndrome, zizindikiro zanu nthawi zambiri zimagwirizana ndi mavuto a chinyezi m'maso mwanu. Zizindikiro nthawi zambiri zimakhala zoipitsitsa mukadzuka m'mawa . Ngati mumakonda kugona chammbali, mbali yanu ya diso yomwe mumakonda ingakhudzidwe kwambiri ndi zizindikiro zanu. Ngakhale kuti vutoli si loopsa mwachindunji, lingayambitse kuwonongeka kosatha m'maso mwanu ndikusokoneza masomphenya anu.

Ngati mukuganiza kuti muli ndi (Floppy Eyelid Syndrome), ndi bwino kupita kwa dokotala wa maso kuti akakuoneni. Ngati ndi choncho, dokotala wanu adzakufufuzani (OSA) ndipo, ngati kuli kofunikira, adzakuchizani.

Kuti vutoli (Floppy Eyelid Syndrome) lichoke palokha, chomwe chimayambitsa vutoli, monga OSA, chiyenera kuthetsedwa kwathunthu. Komabe, OSA yokha iyenera kuchiritsidwa, chifukwa ingayambitse mavuto oopsa.

Kodi chiyembekezo cha vutoli (Floppy Eyelid Syndrome) ndi chotani?

Chiyembekezo cha Floppy Eyelid Syndrome ndi chabwino kwambiri pa chithandizo. Kugwiritsa ntchito mankhwala monga (CPAP) kapena (BPAP) kapena (OSA) kudzakuthandizani kuti zizindikiro zanu zichepe pang'ono. Zizindikiro zotsalazo sizidzakhala zovuta kwambiri ndipo zidzakhala zosavuta kuzilamulira ndi mankhwala ena osagwiritsa ntchito mankhwala.

Chiŵerengero cha kupambana kwa chithandizo cha Floppy Eyelid Syndrome pa opaleshoni n'chokwera kwambiri. Chiŵerengero cha kupambana kwa opaleshoni chili pakati pa 91% ndi 98% .

Kodi Floppy Eyelid Syndrome ingapewedwe?

Popeza sitikudziwa bwino momwe Floppy Eyelid Syndrome imakulira, n'zosatheka kuiletsa kwathunthu. Komabe, akatswiri amakhulupirira kuti mutha kuchepetsa chiopsezo chanu chokhala ndi Floppy Eyelid Syndrome mwa kuchiza kapena kupewa matenda omwe angayambitse vutoli. Izi zingaphatikizepo:

• Kusunga kulemera koyenera kwa inu.
• Gwiritsani ntchito makina anu abwino opumira mpweya monga momwe mukulimbikitsira, usiku uliwonse, osaphonya tsiku limodzi.
• Yesetsani kupewa kusintha kwa maso komwe kungayambitse matenda a Floppy Eyelid Syndrome (monga matenda a Hashimoto).

Kodi ndimadzisamalira bwanji ngati ndili ndi (Floppy Eyelid Syndrome)?

Ngati muli ndi Floppy Eyelid Syndrome, ndikofunikira kutsatira malangizo a dokotala wa maso anu momwe mungathere. Kuteteza maso anu pamene mukugona kuyenera kukhala chinthu chofunika kwambiri . Komanso, gwiritsani ntchito misozi yopangidwa, madontho a maso, kapena mankhwala ena monga momwe mukulangizira. Ndikofunikanso kupewa kukanda maso anu . Izi zingapangitse kuti zikope zanu zigwedezeke kwambiri.

Ngati dokotala wanu akutumizani kwa katswiri wa kugona kuti akaone ngati muli ndi OSA, muyenera kuchita izi monga momwe mwalangizidwira. Ngati OSA yapezeka, tsatirani malangizo a katswiriyo ndendende. Izi ndizofunikira, chifukwa OSA yosachiritsidwa ikhoza kupha.

Kodi ndiyenera kupita liti kwa dokotala wanga kapena kufunafuna upangiri wa dokotala?

Ngati simunalandire chithandizo, Floppy Eyelid Syndrome ingayambitse kuwonongeka kwa maso kosatha. Ngati muli ndi zizindikiro, muyenera kuwonana ndi katswiri wa maso mwamsanga . Izi si zadzidzidzi, koma si chinthu chomwe muyenera kungopirira nacho, kunyalanyaza, kapena kuyesa kuchichiza nokha.

Ngati mukudziwa kale kuti muli ndi vutoli, lankhulani ndi dokotala wanu ngati zizindikiro zanu zasintha kapena zikuipiraipira. Ngati mankhwala sakuthandiza, kapena ngati akuoneka kuti akuchepa mphamvu, mutha kulankhulanso ndi dokotala wanu za vutoli.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Nazi mafunso ena omwe mungafunse dokotala wanu:

• Kodi vuto langa (Floppy Eyelid Syndrome) ndi lalikulu bwanji?
• Kodi izi zikukhudza bwanji maso anga tsopano?
• Kodi ndingachite chiyani kuti ndichiritse vuto langa panthawiyi?
• Ndi mavuto kapena zotsatirapo ziti zomwe ndiyenera kudziwa ndikusamala nazo?

Kodi kusiyana pakati pa Floppy Eyelid Syndrome ndi matenda ena omwe amayambitsa ma eyelid opindika (ptosis) ndi kotani?

Makope opindika, omwe amadziwika mu sayansi ya zamankhwala kuti ptosis , amatha kuchitika m'njira zina ziwiri:

• Ngati maso anu ali ofooka chifukwa cha vuto la minofu yokha.
• Ngati mitsempha yolumikizidwa ndi minofu sikugwira ntchito bwino, zikutanthauza kuti zizindikiro zomwe zimapangitsa minofu kusuntha zasokonekera.

Matenda a Floppy Eyelid Syndrome ndi osiyana ndi njira zina ziwiri chifukwa amagwirizana kwambiri ndi kulimba kwa khungu . Sakhudza minofu kapena dongosolo la mitsempha lomwe limakhudzidwa ndi kuyenda kwa zikope.

Chidule ndi zinthu zoti muzikumbukira

Ngakhale kuti Floppy Eyelid Syndrome ingaoneke ngati chinthu chaching'ono, ikhoza kukhala chizindikiro cha matenda oopsa kwambiri, omwe angathe kupha otchedwa Obstructive Sleep Apnea (OSA). Ngati sachiritsidwa, Floppy Eyelid Syndrome ingayambitse kuwonongeka kwa maso kosatha.

Ngati muli ndi zizindikiro za (Floppy Eyelid Syndrome), musazinyalanyaze kapena kuzipirira. Kuzindikira ndi kuchiza vutoli kudzakuthandizani kukhala ndi thanzi labwino, kuwona bwino, komanso kupewa mavuto oopsa. Chifukwa chake, onetsetsani kuti mwaonana ndi dokotala ndikupeza upangiri.

Matenda a Floppy Eyelid, OSA, Sleep Apnea, Matenda a Maso, CPAP, Kuzungulira kwa Eyelid