Ese ijisho ryawe rimeze nk'aho ridafite aho ribogamiye? Reka tuvuge kuri (Floppy Eyelid Syndrome)?

Ese wumva ububabare mu maso yawe ndetse ukumva amaso yawe azunguruka ujya inyuma no hejuru iyo ukangutse mu gitondo? Wenda amaso yawe yumva asa n'aho asa n'aho ari nk'urubura iyo uyakozeho. Nubwo ibi ari ikibazo gito kuri bamwe, bishobora no kuba ikimenyetso cy'indwara tugiye kuvugaho uyu munsi yitwa (Floppy Eyelid Syndrome) .

Indwara y'amaso y'ikibyimba (Floppy Eyelid Syndrome) ni iki?

Mu magambo make, (Floppy Eyelid Syndrome) ni igihe uruhu rwo ku maso yawe, cyangwa amaso yawe, ruhinduka nk'urushundura. Rurakomera, nk'umukandara ushaje. Ibi bituma amaso yawe yinjira cyangwa asohoka byoroshye, cyane cyane iyo usinziriye. Akenshi bishobora kugira ingaruka ku maso yo hejuru yombi.

Iyi ndwara ikunze kugaragara gute?

Ubushakashatsi buriho bugaragaza ko hagati ya 2% na 4% by'abatuye isi bafite iyi ndwara (Floppy Eyelid Syndrome). Nyamara, abaganga bizera ko iyi mibare ishobora kuba iri hejuru cyane. Impamvu ni uko ibimenyetso by'iyi ndwara bishobora kubaho no mu zindi ndwara nyinshi. Kubwibyo, rimwe na rimwe abaganga, cyane cyane abaganga b'amaso, bavura ibi bimenyetso, ariko bashobora kutamenya ko ari bimwe mu bigize iyi ndwara (Floppy Eyelid Syndrome).

Ni ibihe bimenyetso bya Floppy Eyelid Syndrome?

Iyi ndwara ishobora gutera ibimenyetso byinshi, cyane cyane iyo ubyutse bwa mbere mu gitondo .

• Amaso y'ijisho ararekura cyane kandi arananuka. Ashobora kwinjira cyangwa gusohoka nubwo yaba akozeho gato.
• Urababara cyangwa ukagira ubushyuhe mu maso.
• Amaso aruma kubera ko amazi y'amarira atuma amaso arushaho kumera neza.
• Amaso yawe arimo arabira kuko umubiri wawe urimo gukora amarira menshi kugira ngo akomeze kuba mashya.
• Amaso y'ijisho arabyimbye kandi arababaza. Ibi kandi tubyita blepharitis mu magambo y'ubuvuzi.
• Bisa nkaho hari ikintu cyafatiwe mu jisho.
• Kuba umuntu yumva urumuri, bivuze ko bigoye kureba urumuri (Photophobia) .
• Amazi ameze nk'igitonyanga arimo gusohoka mu maso.

Kuki iki kibazo cyo kunama kw'amaso ari ikibazo?

Ese wari uzi ko uruhu rworoshye ku mibiri yacu ruboneka ku mboni zacu ? Kugira ngo izi mboni zikore neza, zigomba kuba zirekuye . Icyo gihe ziba zifite 'umwanya' zigomba kuguma hejuru y'ijisho no kuzamuka no kumanuka iyo dufunguye, dufunga, kandi duhumbya amaso.

Ariko ijisho ry'ijisho si igipfundikizo gusa. Imbere muri ryo harimo ubwoko bw'agahu kitwa imitezi ya Meibomian . Izi mitezi zikora (Meibum)Zisohora ikintu gifite amavuta cyitwa meibum (cyavuzwe meibum). Iki kintu ni ingenzi cyane ku buryo sisitemu yacu yo kwangiza uruhu ikora. Aya mavuta, yitwa meibum, avanga n'amazi yo kwangiza uruhu, agasiga amavuta ku buso bw'amaso kandi akagabanya umwuka w'amazi yo kwangiza uruhu. Si ibyo gusa, ahubwo anafasha mu gutuma amaso aguma hamwe iyo amaso afunze, bigatuma umwuka ufunga neza. Ibi bifasha mu gutuma amaso ahora atoshye.

Rero, iyo amaso yawe atakaje ubwo buryo bworoshye bwo kubyimba, ahita acika intege, ntaguma mu mwanya we neza. Hanyuma (Meibum) ikomoka kuri (glandes za Meibomian) ntivanga neza n'amazi yo kwirabura. Hanyuma amavuta yo kwirabura mu maso arahungabana. Nanone, kubera ko amaso agenda yoroshye, icyo gipfundikizo cy'umwuka ntigikora neza iyo amaso yawe afunze. Ibi ni ibintu bishobora kubaho igihe cyose, cyane cyane iyo usinziriye .

Ni izihe mpamvu zitera indwara ya Floppy Eyelid Syndrome?

Impamvu nyamukuru ituma amaso y'ijisho agwa ni ukubura poroteyine yitwa elastin mu maso y'ijisho. Iyi elastin ni yo ituma uruhu rukomera. Ariko impamvu nyayo y'ibi ntiramenyekana. Icyakora, ubushakashatsi bwateje gushidikanya ku bintu byinshi. Biragoye kumenya niba ibi ari impamvu nyazo cyangwa ari ibintu biyitera gusa. Ariko ibi bivugwa ko bigira uruhare:

• Umubyibuho ukabije n'indwara yo kubura umwuka wo gusinzira (OSA): Izi ndwara ebyiri zirafitanye isano rya bugufi. Niba ufite umubyibuho ukabije, ni ukuvuga umubyibuho ukabije cyane, uba uri mu kaga ko kurwara indwara yo kubura umwuka. Ukoresheje indwara yo kubura umwuka uhagije, guhumeka kwawe kurahagarara mugihe usinziriye. Ibi bigabanya ingano ya ogisijeni umubiri wawe ubona. Uku kubura ogisijeni bihindura imikorere y'imiti mu mubiri, kandi hakorwa enzyme nyinshi zishobora gusenya poroteyine yitwa elastin. Hafi kimwe cya kabiri cy'abantu bafite indwara yo kubura umwuka na bo barwara iyi ndwara (Floppy Eyelid Syndrome).
• Indwara zo mu mitsi ihuza imiterere y'umubiri: Izi ni indwara zigira ingaruka ku mitsi ihuza imiterere y'umubiri nk'imitsi n'imitsi. Izi ndwara zishobora no kugira ingaruka ku buryo umubiri ukora kandi ugakoresha elastin. Urugero, indwara nka Marfan syndrome na Ehlers-Danlos syndrome .
• Impinduka mu miterere y'uturemangingo: Impinduka muri ADN yawe zishobora kugira ingaruka ku buryo umubiri wawe ukora kandi ugakoresha elastin. Izi mpinduka zishobora kuba uzirazwe n'ababyeyi bawe, cyangwa zikaba ari impinduka zabayeho mu gihe wari ukiri uruhinja.
• Izindi ndwara zigira ingaruka ku maso n'ingingo zikikije: Abantu bafite indwara zituma amaso abyimba bashobora kuba bari mu kaga gakomeye. Urugero , indwara za tiroyide , nka Hashimoto's disease .

Uretse ibi, hari n'ibindi bintu byinshi bitera iyi ndwara:

• Igitsina: Abagabo bafite amahirwe menshi yo kurwara indwara ya Floppy Eyalid kurusha abagore. Abagera kuri bibiri bya gatatu ni abagabo.
• Imyaka:Iyi ndwara ikunze kugaragara cyane mu bantu bakuru. Nubwo ishobora kugaragara mu bana, ni gake cyane.
• Ubwoko: Abantu bafite uruhu rwihariye (epicanthic fold) mu mfuruka y'imbere y'ijisho, nk'amwe mu moko yo muri Aziya, bashobora kudakunze kurwara iyi ndwara bitewe n'imiterere y'amaso yabo.

Ni izihe ngorane zishobora guterwa na Floppy Eyelid Syndrome?

Iyo amaso yawe aguye, bibuza amaso yawe kuguma ahumye kandi afite amavuta. Ibi bishobora gutuma amaso yawe arakara kandi akangirika . Ibi bishobora gutuma:

• Indwara y'amaso yumye .
• Keratite ni ukubyimba kw'ijisho, igice cy'imbere cy'ijisho kibonerana.
• Gutemba kw'ijisho ry'umugongo (RCE) .
• Ibisebe byo mu jisho n'inkovu.
• Mu bihe bikomeye, iyo bitavuwe, umuntu ashobora kutabona neza .

Iyi ndwara (Floppy Eyelid Syndrome) ipimwa ite?

Kubera ko ibimenyetso by'iyi ndwara (Floppy Eyelid Syndrome) bigaragarira mu zindi ndwara nyinshi, nta bipimo byihariye bitangwa kugira ngo bisuzumwe neza.

Umuganga w’amaso ashobora gusuzuma iyi ndwara akubaza ibimenyetso byawe, akubaza ibibazo bijyanye n’uko ubona n’uko amaso yawe yumva, akanasuzuma amaso yawe. Mu gihe cyo gusuzuma, muganga azashyira agace k’urutoki rwe ku ruhu rw’amaso yawe. Ni ikizamini cyoroshye ku buryo kitababaza, ariko gikomeye bihagije kugira ngo arebe aho ushobora kwimuka no gukura amaso yawe.

Abaganga benshi b'amaso bakoresha ubu buryo kugira ngo bamenye niba ufite Floppy Eyelid Syndrome n'uburemere bwayo. Hari uburyo bubiri bw'ingenzi bwo gupima ibipimo bukoreshwa kuri ibi:

• Uburyo bwo gupima: Ibi bipima ingano y'imyenge y'amaso. Iki gipimo kiva kuri 0 kigera kuri 4.
• Sisitemu yo Kubona Ijisho ry'Imboni: Muri ibi, umuganga w'amaso azamura ijisho ryo hejuru mu gihe ureba hasi. Ubukana bugenwa n'uburyo igice cy'umweru cy'ijisho, cyitwa conjunctiva, kigaragara. Iki gipimo kiri hagati ya 0 na 3.

Ni ubuhe buryo bwo kuvura iyi ndwara (Floppy Eyelid Syndrome)?

Hari uburyo bubiri bw'ingenzi bwo kuvura: uburyo bwo kwirinda indwara zifata igihe kirekire n'uburyo bwo kubaga .

Uburyo bwo kubungabunga ibidukikije

Uburyo bwo kwirinda indwara burimo kugerageza gukumira ibimenyetso by'iyi ndwara. Ibi akenshi bikubiyemo gupfuka amaso yawe na plaster mu gihe usinziriye, kuryama wambaye agapfukamunwa k'amaso, cyangwa kwisiga amavuta y'amaso y'ubukorano cyangwa amavuta yo kwisiga mu maso mbere yo kuryama.

Nanone, muganga wawe azagusaba gukora ikizamini cyo gusinzira kugira ngo arebe niba ufite OSA. Ibuka ko ushobora kugira OSA nubwo waba udafite umubyibuho ukabije.

Ikintu cy'ingenzi: Niba ufite OSA, gukoresha imashini ikoresha umuvuduko uhoraho w'umwuka (CPAP) cyangwa imashini ikoresha umuvuduko uhoraho w'umwuka (BPAP) (rimwe na rimwe yitwa BiPAP®) bishobora gufasha mu gusubiza inyuma ibura rya elastine no kunoza uburyo amaso yawe arushaho gukomera. Ni ngombwa cyane gukoresha iyi mashini buri joro. Bitabaye ibyo, ntacyo bizafasha cyane. Ku rundi ruhande, OSA itavuwe ishobora kwica, bityo gukoresha iyo mashini ni ingenzi cyane.

Uburyo bwo kubaga

Ubusanzwe kubagwa bifatwa nk'ibikenewe iyo ingamba zo kwirinda zitagize icyo zigeraho. Nanone, niba indwara yawe (Floppy Eyelid Syndrome) ikomeye kandi hakaba hari ibyago byo kwangirika kw'amaso, kubagwa bishobora kuba amahitamo. Hari uburyo bwinshi bwo kubaga bushobora gukaza ingingo z'amaso yawe. Umuganga w'amaso cyangwa umuganga w'amaso azakubwira byinshi ku buryo bagusaba n'icyo wakwitega.

Ni iki wakwitega niba ufite (Floppy Eyelid Syndrome)?

Niba ufite indwara ya Floppy Eyelid Syndrome, ibimenyetso byawe akenshi bifitanye isano n'ibibazo by'ubushuhe mu maso yawe. Ibimenyetso bikunze kuba bibi iyo ubyutse bwa mbere mu gitondo . Niba ukunda kuryama uryamye ku ruhande, uruhande rwawe rw'ijisho rushobora kugira ingaruka zikomeye ku bimenyetso byawe. Nubwo iyi ndwara idateye akaga cyane, ishobora kwangiza amaso yawe burundu no kugira ingaruka ku kureba kwawe.

Niba ukeka ko ufite (Floppy Eyelid Syndrome), ni byiza kujya kwa muganga w’amaso akagusuzumisha. Niba ari uko bimeze, muganga wawe azagusuzumisha (OSA) kandi nibiba ngombwa akavurwa.

Kugira ngo iyi ndwara (Floppy Eyelid Syndrome) irusheho kuba nziza ubwayo, impamvu nyamukuru, nka OSA, igomba gukemurwa burundu. Ariko, OSA ubwayo igomba kuvurwa, kuko ishobora gutera ingorane zishobora gushyira ubuzima mu kaga.

Ni iki giteganyijwe kuri iyi ndwara (Floppy Eyelid Syndrome)?

Icyizere cy’indwara ya Floppy Eyelid Syndrome ni cyiza cyane mu kuvura. Gukoresha uburyo bwo kuvura nka (CPAP) cyangwa (BPAP) cyangwa (OSA) bizafasha ibimenyetso byawe koroherwa nibura ku rugero runaka. Ibimenyetso bisigaye bizaba bike kandi byoroshye kubigenzura ukoresheje ubundi buryo bwo kuvura busanzwe.

Igipimo cy'intsinzi mu kubaga indwara ya Floppy Eyelid Syndrome ni kinini cyane. Igipimo cy'intsinzi mu kubaga kiri hagati ya 91% na 98% .

Ese indwara ya Floppy Eyelid Syndrome ishobora kwirindwa?

Kubera ko tutazi neza uko indwara ya Floppy Eyelid Syndrome ikura, ntibishoboka kuyirinda burundu. Ariko, abahanga bemeza ko ushobora kugabanya ibyago byo kurwara Floppy Eyelid Syndrome uvura cyangwa ukirinda indwara zishobora kuyitera. Izi zishobora kuba zirimo:

• Kugukomeza kugira ibiro byiza.
• Koresha imashini yawe ikoresha umuvuduko w'ubuhumekero neza nkuko byasabwe, buri joro, nta munsi n'umwe ubura.
• Gucunga indwara zidakira ushobora kuba ufite (nk'indwara ya Hashimoto) kugira ngo wirinde impinduka mu maso zishobora gutera Floppy Eyelid Syndrome.

Ni gute nakwiyitaho niba mfite (Floppy Eyelid Syndrome)?

Niba ufite indwara ya Floppy Eyelid Syndrome, ni ngombwa gukurikiza amabwiriza ya muganga w'amaso yawe uko bishoboka kose. Kurinda amaso yawe mu gihe usinziriye bigomba kuba ikintu cy'ingenzi . Nanone, koresha amarira y'ubukorano, ibitonyanga by'amaso, cyangwa ibindi bikoresho nk'uko byasabwe. Ni ngombwa kandi kwirinda kwisiga amaso yawe . Ibi bishobora gutuma amaso yawe arushaho kunama.

Niba muganga wawe agutumye kwa muganga w’inzobere mu by’ibitotsi kugira ngo agusuzume indwara ya OSA, ugomba kubikora uko byasabwe. Niba indwara ya OSA igaragaye, kurikiza amabwiriza y’inzobere neza. Ibi ni ngombwa, kuko indwara ya OSA itavuwe ishobora kwica.

Ni ryari ngomba kubonana na muganga cyangwa gushaka inama kwa muganga?

Indwara y'amaso idakira ishobora kwangiza amaso burundu. Niba ufite ibimenyetso, ugomba kubonana na muganga w'amaso vuba bishoboka . Ibi si ibintu byihutirwa, ariko si ikintu ugomba kwihanganira, kwirengagiza, cyangwa kugerageza kuvura wenyine.

Niba usanzwe uzi ko ufite iyi ndwara, vugana na muganga wawe niba ibimenyetso byawe bihindutse cyangwa bikarushaho kwiyongera. Niba imiti idafasha, cyangwa niba isa n'aho itakaza ubushobozi bwayo, ushobora no kubibwira muganga wawe.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Dore ibibazo bimwe na bimwe ushobora kubaza muganga wawe:

• Indwara yanjye (Floppy Eyelid Syndrome) ikabije gute?
• Ibi bigira ingaruka ki ku maso yanjye ubu?
• Ni iki nakora kugira ngo mvure indwara yanjye muri iki gihe?
• Ni izihe ngorane cyangwa ingaruka mbi nkwiye kumenya no kwitondera?

Ni irihe tandukaniro riri hagati ya Floppy Eyelid Syndrome n'izindi ndwara zitera amaso ahumye (ptosis)?

Indwara yo kujojoba mu maso, indwara izwi mu buvuzi nka ptosis , ishobora kubaho mu bundi buryo bubiri:

• Niba amaso yawe afite intege nke bitewe n'ikibazo cy'imitsi ubwayo.
• Iyo imitsi ifitanye isano n'imitsi idakora neza, bivuze ko ibimenyetso bituma imitsi igenda bihungabana.

Indwara ya Floppy Eyelid Syndrome itandukanye n'ubundi buryo bubiri kuko ifitanye isano cyane cyane n'uburyo uruhu rukomera . Ntigira ingaruka ku mitsi cyangwa ku mitsi ikora mu kuzunguruka kw'amaso.

Incamake n'ibintu byo kwibuka

Nubwo indwara ya Floppy Eyelid Syndrome isa n'aho ari nto, ishobora kuba ikimenyetso cy'indwara ikomeye cyane, ishobora kwica yitwa Obstructive Sleep Apnea (OSA). Iyo itavuwe, Floppy Eyelid Syndrome ishobora kwangiza amaso burundu.

Niba ufite ibimenyetso bya (Floppy Eyelid Syndrome), ntukabirengagize cyangwa ngo ubihanganire. Kumenya no kuvura iyi ndwara bizagufasha kugira ubuzima bwiza, kubona neza, no kwirinda ingorane zishobora guteza akaga. Rero, menya neza ko wagiye kwa muganga no kukugira inama.

` Floppy Eyelid Syndrome, OSA, Guhagarara k'ibitotsi mu gihe cyo gusinzira, Indwara z'amaso, CPAP, Kuzunguruka kw'amaso mu gihe cyo gusinzira