Ese nawe uhura n'ingorane zo gufunga amaso neza? Reka twige kuri (Lagophthalmos)!

Ese rimwe na rimwe birakugora gufunga amaso yawe burundu? Cyangwa hari umuntu uzi ufite iki kibazo? Nubwo ibi bishobora gusa nkaho ari ibintu byoroshye kuri bamwe, mu by'ukuri bishobora kuba ari ikibazo kigomba gufatwa nk'ikintu gikomeye. Uyu munsi tugiye kuvuga ku bijyanye n'uku kudashobora gufunga amaso yawe burundu, mu buryo bw'ubuvuzi byitwa `(Lagophthalmos)`.

"Lagophthalmos" ni iki mu by'ukuri?

Mu magambo make, "Lagophthalmos" ni indwara aho amaso yawe adashobora gufunga burundu. Ibi bishobora kubaho mu jisho rimwe cyangwa yombi. Tekereza nawe, iyo duhumbya amaso cyangwa dusinziriye, amaso yacu agomba kuba afunze burundu. Iki kibazo kibaho iyo adafunze.

Iyi ndwara rimwe na rimwe ishobora kubaho ubwayo. Cyangwa, ishobora no kujyana n'indi ndwara, nko kumera kw'ijisho rinanutse (ptosis). Hari igihe ishobora no kubaho nk'ingaruka mbi nyuma yo kubagwa ijisho (blepharoplasty) cyangwa gusana ptosis.

Iyo indwara ya `(Lagophthalmos)` idakabije cyane, ni ukuvuga ko iyo ijisho rifunguye gato gusa, bishobora kuba atari ikibazo gikomeye. Ariko, iyo ijisho ritafunze neza, bishobora guteza ibibazo bikomeye. Tekereza, ijisho ry'umukara ry'ijisho ryacu, ni ukuvuga `(cornea), rihora rihura n'umuyaga, ivumbi, n'indi myanda. Ibi bishobora gutera imvune mu maso, inkovu, ndetse rimwe na rimwe no guta ubwenge. Kubwibyo, ni ngombwa cyane kwita kuri ibi.

Ese hari ubwoko bwa `(Lagophthalmos)`?

Yego, hari ubwoko bwinshi bw'ingenzi bw'iyi ndwara ya "Lagophthalmos". Reka turebe ibyo ari byo.

Lagophthalmos yo mu ijoro

Iki ni cyo gihe amaso yawe asanzwe afunze iyo uri maso, ariko iyo usinziriye, ntabwo afunze burundu. Ijambo "lagophthalmos" risobanura "amaso asa n'ay'urukwavu." Kera, byari byitezwe ko inkwavu ziryama zifunguye amaso. Niyo mpamvu byitwaga gutyo. Ariko ubu abahanga mu bya siyansi bavuga ko inkwavu ziryama zifunze amaso. Ariko, byagaragaye ko abantu bagera kuri 20%, cyangwa umuntu umwe kuri batanu, amaso yabo aba afunguye igice cyangwa burundu iyo basinziriye nijoro. Ibi byitwa `(Nocturnal Lagophthalmos)`.

Paralytic Lagophthalmos iterwa no kwangirika kw'imitsi

Iyo imitsi yo mu maso idakora neza, ni ukuvuga iyo idakora (nk'indwara yo gucika intege), dushobora kudashobora gufunga amaso yacu burundu. Iyi mitsi iba ku mpande zombi z'isura yacu. Iyo iyi mitsi yangiritse, "Paralytic Lagophthalmos" ibaho.

Lagophthalmos y'imikaniko iterwa n'impamvu za mekanike

Hari igihe iyi ndwara ishobora kubaho atari ukubera ikibazo cy'imitsi, ahubwo ni ukubera ikibazo runaka mu miterere y'amaso, cyangwa kwangirika guterwa n'impanuka. Ibi byitwa `(Mechanical Lagophthalmos)`. `(Cicatricial Lagophthalmos)` ni ubwoko bwa `(Mechanical Lagophthalmos)`. Ni ukuvuga ko amaso adashobora gufungwa neza bitewe n'inkovu.

Ni ibihe bimenyetso bya `(Lagophthalmos)`?

Ikimenyetso nyamukuru ni uko amaso adafunga neza. Ariko, hashobora kubaho ibindi bimenyetso byinshi usibye ibi. Reba niba ufite kimwe muri ibi bimenyetso:

• Kurya amazi kenshi mu maso cyangwa kumva amaso yumye. Bamwe bashobora no kumva amaso yabo asa n'aho arimo kurira.
• Ukumva uhora wumva ikintu kimeze nk'aho kiri mu jisho, nk'aho inyoni yagurutse, cyangwa ijisho rishyushye cyangwa ribabara.
• Kubona nabi. Kutabona neza.
• Ubutukura bw'amaso.
• Kongera ubushobozi bwo kumva urumuri (photophobia). Ibi bivuze ko bigoye kureba urumuri, kandi amaso yumva asa n'aho arimo guhinduka ubururu.
• Igisebe cyo mu maso ni ikimenyetso gikomeye.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni ngombwa kubonana na muganga kugira ngo akugire inama.

Ni izihe mpamvu za `(Lagophthalmos)`?

Hari impamvu nyinshi zishobora gutera iyi ndwara. Ariko si indwara yandura. Ntushobora kuyirwara iturutse ku wundi muntu, cyangwa ngo uyirwarane n'undi muntu.

Hari impamvu ebyiri z'ingenzi zitera ``Lagophthalmos``:

1. Kwangirika kw'imitsi yo mu maso.

2. Kwangirika kw'amaso yawe.

Bitewe no kwangirika k'imitsi yo mu maso

Hari impamvu zitandukanye zishobora gutuma imitsi yo mu maso yangirika:

• Kwangirika kw'amaso bitewe n'impanuka cyangwa ibikomere.
• Indwara yitwa 'Bell's palsy'. Muri ibi, imitsi yo ku ruhande rumwe rw'isura ihita ikora.
• Indwara nka ' Stroke' .
• Ibibyimba, nka neuroma y'amajwi.
• Hari indwara zimwe na zimwe ziterwa n’ubwiyongere bw’umubiri, nka syndrome ya Guillain-Barré.
• Indwara z'uturemangingo nka 'syndrome ya Moebius'.
• Indwara zitandukanye.
• Kurya uburozi.

Bitewe no kwangirika kw'amaso

Ibitsi bishobora kwangirika cyangwa gukomereka mu buryo butandukanye. Muri byo harimo:

• Indwara nka `Lax eyelid syndrome (LES)`.Muri iki gihe, amaso ararekura kandi agahita agwa. `(Floppy eyelid syndrome (FES))` ni imwe muri izo ndwara. Muri iki gihe, amaso arasohoka byoroshye, rimwe na rimwe ndetse n'impanuka. `(Floppy eyelid syndrome)` ikunze kugaragara ku bagabo bafite umubyibuho ukabije bafite BMI irenga 25.
• Indwara zimwe na zimwe, nka Stevens-Johnson syndrome, zishobora gutera uduheri ku ruhu.
• Ubushyuhe bw'imiti.
• Kwangirika kw'izuba ku ruhu.
• Kubaga amaso y'ijisho, urugero `(gusana ptosis)` cyangwa `(blepharoplasty)`.

Ni gute wamenya `(Lagophthalmos)`?

Niba ufite ibi bimenyetso, gana umuganga w’amaso uzagukorera ibizamini bitandukanye kugira ngo amenye niba ufite iyi ndwara. Muganga asanzwe azakora ibi bikurikira:

• Bazakubaza ibibazo bijyanye n'amateka y'ubuzima bwawe, nk'izindi ndwara ufite n'imiti ufata.
• Uzabwirwa gufunga amaso yawe.
• Bazabona uburyo ufunga amaso yawe cyane.
• Bapima ingano y'amaso yawe.
• Bakurikirana inshuro uhumbya amaso n'uko amaso yawe afunga burundu iyo uhumbya amaso.

Nyuma y'ibi bizamini, muganga ashobora kukubwira neza niba ufite "Lagophthalmos", niba ari yo, ubwoko bwayo, n'uburemere bwayo.

Indwara ya Lagophthalmos ivurwa ite?

Uburyo bwo kuvura `(Lagophthalmos)` buterwa n'impamvu. Muganga wawe azabanza kugerageza kuvura impamvu nyamukuru. Urugero, niba ari ubwandu, niba ari ikibyimba, cyangwa niba ari indwara y'uruhu, azayivura.

Hari uburyo bwo kubaga n'uburyo butarimo kubaga bwo kuvura indwara ya ``Lagophthalmos''.

Uburyo bwo kuvura butari ubwo kubaga

• Ibitonyanga by'amaso (nk'amarira y'ubukorano) bifasha kugabanya ubwumye no kugumana ubushuhe mu maso.
• Siga amavuta mu maso nijoro. Ibi bitanga ubushuhe bwinshi.
• Koresha kaseti kugira ngo ufunge amaso nijoro cyangwa ushyireho udupira mu maso kugira ngo ugumane ubushuhe.
• Indorerwamo zidasanzwe (`indorerwamo z'ubushuhe`). Izi zifasha mu gutuma amaso ahora atoshye.
• Udukoresho duto dushobora gushyirwa ku maso.

Uburyo bwo kuvura indwara zo kubaga

Mu bihe bimwe na bimwe, cyane cyane iyo indwara ikomeye cyangwa ubundi buryo bwo kuvura budafasha, kubagwa bishobora kuba ngombwa.

• `Tarsorrhaphy`: Ibi bikubiyemo gufatanya amaso by'agateganyo cyangwa burundu, igice kimwe cyangwa burundu.
• Gushyiramo ibiremereye bya zahabu cyangwa platine mu jisho ryo hejuru: Ibi bikubiyemo gushyira ibintu biremereye bito mu jisho ryo hejuru. Uburemere butuma ijisho rimanuka rigafunga. Ibi ni ingirakamaro cyane cyane ku bantu bafite ubumuga bwo mu mutwe (paralytic lagophthalmos) (indwara iterwa no kudakora neza kw'imitsi).
• Kubaga amaso yo hejuru: Ibi birimo kubaga imitsi iri imbere mu maso yo hejuru (`imitsi isubiza inyuma`) n'ibice by'uruhu.
• Kubaga amaso yo hasi: Ibi birimo kubaga kugira ngo amaso yo hasi akomeze kandi "abenje" ndetse no gukaraba uruhu kugira ngo amaso yo hasi azamuke.
• Kubagwa mu maso: Niba lagophthalmos iterwa no gucika intege mu maso, hakorwa ubuvuzi butandukanye bwo kuzamura mu maso. Bumwe muri ubwo bubagwa burimo gutera imitsi no kwimura ingingo zoroshye.

Wibuke ko muganga wawe ari we uzaguhitiramo uburyo bwo kuvura bukubereye, bityo muganire witonze kuri ibi kandi ubisobanukirwe.

Ese hari ingorane cyangwa ingaruka mbi zo kuvurwa na `(Lagophthalmos)`?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari igihe habaho ingorane zishobora kubaho mu kuvura "Lagophthalmos." Ibi ntibibaho kuri buri wese, ariko ni byiza kubimenya.

• Inkovu.
• Kwandura indwara.
• Entropion - Ibi bivuze ko ijisho ryinjira imbere, bigatera umujinya mu jisho.
• Amaso y'ijisho arekuye.
• Ibibazo by'ahantu hakozwe imbunda.

Niba ikintu nk'iki kibaye, ugomba guhita ubibwira muganga.

Nigute nakira ibimenyetso bya `(Lagophthalmos)`?

Hari ibintu ushobora gukora kugira ngo amaso yawe akomeze kuba maso.

• Gukoresha ibitonyanga by'amaso nk'uko muganga yabigutegetse.
• Gufunga amaso nijoro no gucuranga kaseti.

Niba ufite indwara nk'indwara yo mu maso, ushobora no gukenera ubufasha mu bintu nko kurya no kuvuga. Vugana na muganga wawe na byo.

Nigute nagabanya ibyago byo kurwara `(Lagophthalmos)`?

Nta buryo bwo kwirinda burundu "Lagophthalmos". Ariko, ushobora gufata ingamba zo kurinda amaso yawe ukoresheje:

• Ambara ibikoresho byo kwirinda bipfuka amaso yawe iyo uri ku kazi cyangwa ukina siporo yo gukubitaho.
• Ambara indorerwamo z'izuba iyo izuba rirenze.
• Irinde kureba mu maso bitari ngombwa.
• Karaba intoki zawe neza mbere yo gukora ku maso yawe.

Byongeye kandi, niba urimo gutekereza kubagwa kugira ngo ukosore ijisho rinanutse (`ptosis repair`) cyangwa kugira ngo ubwiza bw'amaso yawe (`blepharoplasty`), menya neza ko wagisha inama umuganga uvura amaso.Abaganga bavura amaso ni abaganga b'amaso b'inzobere mu kubaga amaso mu buryo bwo kongera kubaka hirya no hino mu maso.

Bigenda bite iyo ngize `(Lagophthalmos)`?

Ubusanzwe, imiterere y’indwara ya lagophthalmos ni myiza, cyane cyane iyo idakabije. Lagophthalmos iterwa n’indwara nka Bell's palsy ikunze kwikemurira ubwayo.

Ariko, iyo indwara ikomeye cyane, ni ngombwa gushaka ubuvuzi bukwiye. Kutabikora bishobora kwangiza amaso burundu.

Ni ryari nkwiye kujya kwa muganga ku bijyanye n'indwara ya `(Lagophthalmos)`?

Niba ufite kimwe muri ibi bimenyetso, nko kuma amaso, amaso afite amazi, cyangwa ukumva ikintu kigufashe mu jisho, ugomba kujya kwa muganga. Cyane cyane niba ubonye impinduka mu maso yawe, ntubyirengagize.

Niba waramaze gupimwa indwara ya `(Lagophthalmos)` kandi ukaba uri kuyivurwa, ariko ibimenyetso ntibikongere, cyangwa ngo birusheho kuba bibi, menyesha muganga wawe ako kanya.

Hari igihe ushobora no kutamenya ko amaso yawe yo hejuru n'ayo hasi adafunga neza kugeza igihe biguteye ibibazo mu maso. Kenshi na kenshi, ubu bwoko bwa lagophthalmos buterwa n'indwara yo mu maso nka Bell's palsy. Kubwibyo, niba ufite ikibazo cyo kutabona cyangwa kutamererwa neza mu maso, menya neza ko wagisha inama kwa muganga.

Amaherezo, ikintu cy'ingenzi cyane (Ubutumwa bwo kujyana mu rugo)

Rero, `(Lagophthalmos)` ni indwara aho amaso adashobora gufunga neza. Iki si ikintu cyo gufata nk'ikintu cyoroshye, kuko amaso yacu ari ingingo zoroshye cyane.

• Niba ubonye ikintu kidasanzwe, kidashimishije, cyangwa gihindutse mu maso yawe, nyamuneka ntukirengagize. Shaka muganga ako kanya.
• Iyo ibimenyetso nk'amaso yumye, amaso afite amazi, ndetse n'ubushyuhe bukomeje, bishobora kuba ikimenyetso cya "Lagophthalmos".
• Iyo igaragaye kandi ikavurwa vuba, iyi ndwara akenshi ishobora gukemurwa neza.
• Ni ngombwa cyane gukurikiza inama za muganga no kurinda amaso yawe .

Ni inshingano zawe kurinda amaso yawe, bityo turagusaba kwitonda kuri ibi.

Lagophthalmos , kudashobora gufunga amaso, amaso yumye, amaso y'ijisho, imitsi yo mu maso, kubagwa amaso, Bell's palsy, igisebe cy'inyuma, fotophobia