So w’aniwa ahonhon mpofirim na w’ani so ayɛ kusuu? Momma yensua saa (Corneal Hydrops) yi ho ade?

Fa no sɛ wobɛsɔre anɔpa na mpofirim ara w’ani biako ayɛ kɔkɔɔ, ahonhon, na wuntumi nhu ade yiye. Anaasɛ, sɛ biribi te sɛ nsensanee fitaa pue mpofirim wɔ w’ani mu nso ɛ? Yiw, sɛ biribi a ɛte sɛɛ si a, ɛyɛ osuahu a ɛyɛ hu na ɛhaw adwene kɛse ankasa. Ɛnnɛ yɛrebɛka yareɛ bi a ɛbɛtumi aka aniwa ho asɛm. Ɛno yɛ tebea a wɔfrɛ no `(Corneal Hydrops)`. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne `(Aniwa mu Nsuo)`? Dɛn nti na eyi ba?

Sɛ yɛbɛka no tiawa a, `(Corneal Hydrops)` yɛ yɛn aniwa no fã a ɛda adi, ɛte sɛ watch-glass a ɛwɔ ring tuntum no atifi (i.e. aniwa no fã a ɛwɔ kɔla), a yɛfrɛ no wɔ aduruyɛ mu `(cornea)`, efisɛ saa `(cornea)` no hohoro. Ɛhonhon te sɛ ahwehwɛ a nsu ahyɛ mu ma. Afei ma yɛnhwɛ nea enti a eyi ba. Yɛn `(cornea)` no wɔ ntoatoaso pii. Ntini bi wɔ hɔ a ɛyɛ mmerɛw yiye, ɛyɛ mmerɛw a ɛkame ayɛ sɛ ɛwɔ eyi mu, a wɔfrɛ no `(Descemet ntini)`. Sɛ biribi nti mpaapaemu ketewaa bi wɔ saa `(Descemet membrane)` yi mu, te sɛ nusu ketewaa bi a ɛwɔ ntama mu a, nsu a ɛwɔ yɛn aniwa mu (nsu mu aseresɛm) no fa mpaapaemu yi mu kɔ `(stroma)`, a ɛyɛ `(cornea)` no mfinimfini fã no mu. Fa no sɛ ɔponkɛse a ɛtwe nsu. Ɛno ne bere a `(stroma)` fã no hyɛ nsu ma na ɛho ahonhon. Eyi ne nea yɛfrɛ no `(Corneal Hydrops)`. Wɔ saa ɔfe yi akyi no, ebia ɔfe bi bɛba aniwa no mu, te sɛ kɔkɔɔ ne ɛyaw. Afei, biribi te sɛ nufusu fitaa bi betumi apue wɔ wo `(cornea)` so. Eyi nso betumi ama w'ani a ɛda adi pefee no ayɛ kusuu . Saa `(Corneal Hydrops)` tebea yi taa ba mpofirim, mpofirim. Ebia wo ho ye nnɛ na sɛ wohwɛ ade kyee anɔpa a, w’ani betumi ahonhon na w’ani aniwa nso asesa. Ɛno nti na nnuruyɛfo de asɛmfua `(acute)` di dwuma de kyerɛ 'mpofirim'. Ɛno nti na ebia wobɛte `(Acute Corneal Hydrops)` nso wɔ ho. Ɛkyerɛ ade koro, esii mpofirim. Saa tebea yi betumi aba sɛ ɔhaw wɔ nnipa a wɔwɔ nyarewa a ɛsakra ani no nsusuwii, te sɛ `(Keratoconus)` mu. Yɛfrɛ saa nyarewa kuw yi a ɛsakra anim no nsusuwii `(cornea)` `(corneal ectasias)`. Ɛtɔ da bi a `(Corneal Hydrops)` betumi ayɛ yiye a wɔmfa ayaresa biara mma. Nanso, mmɔ mmɔden da sɛ w’ankasa wubesi gyinae ahorow . Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, akyinnye biara nni ho sɛ kɔ w’ani ho oduruyɛfo, aniwa ho ɔbenfo. Obetumi ahu sɛ eyi yɛ `(Corneal Hydrops)` anaa biribi foforo, na obetumi nso ahu ayaresa a ɛfata wo sen biara.

Corneal Hydrops abu so dɛn?

Sɛnea nhwehwɛmu kyerɛ no, nnipa a wɔwɔ Keratoconus no mu 0.2% kosi 2.8% nya Corneal Hydrops. Wɔ United States no, wobu akontaa sɛ nnipa 100,000 biara mu 55 na ɛdɔɔso. Eyi kyerɛ sɛ Corneal Hydrops nyɛ nea ɛntaa nsi, nanso ɛho hia sɛ wɔn a wɔwɔ Keratoconus no hu. Saa tebea yi taa ba mmarima so kakra sen mmea . Ɛtaa ka mmerante ne mmabaa a wɔadi mfe 20 ne 30.

Dɛn ne `(Corneal Hydrops)` ho sɛnkyerɛnne?

Ebia nnipa binom renkyerɛ sɛnkyerɛnne biara sɛ wɔwɔ `(Corneal Hydrops)` mpo a. Nanso, nnipa pii nya yare no ho sɛnkyerɛnne. Nea wɔyɛ ni:

• Aniwa a ɛyera mpofirim : Aniwa a kan no na ehu ade yiye no yɛ kusuu mpofirim na entumi nhu ade yiye.
• Aniwa fitaa bi a ɛte sɛ nufusu: Beae a nsu no boaboa ano wɔ aniwa no mu no yɛ fitaa.
• Aniwa mu yaw : Ebia nnipa binom bɛte ɛyaw a emu yɛ den.
• Photophobia: Aniwa yɛ bruu araa ma entumi nhwɛ hann no, na wɔte ɛyaw nka.
• Aniwa a ɛyɛ kɔkɔɔ : Ebia aniwa no bɛyɛ kɔkɔɔ.
• Aniwa a nsu wom: Ebia ɛbɛyɛ te sɛ nea nusu reba kɛkɛ.
• Ɛyɛ den sɛ wode ahwehwɛ a wɔde hwɛ ade bɛhyɛ mu: Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ade a, ebia ɛbɛyɛ den ama wo sɛ wode bɛhyɛ mu, anaasɛ wobɛte nka sɛ ɛnyɛ wo dɛ sɛ wode bɛhyɛ mu.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, afotu a eye sen biara a metumi de ama wo ne sɛ wobɛkɔ aniwa ho oduruyɛfo nkyɛn a worensɛe bere .

Adɛn nti na saa `(Corneal Hydrops)` yi ba? Dɛn na ɛde ba?

Corneal Hydrops nyɛ biribi a ebetumi atrɛw afi onipa biako so akɔ foforo so te sɛ atiridiinini. Nnuruyɛfo gye di sɛ nneɛma atitiriw pii na ɛde ba:

• W’aniwa a wobɛma ayɛ tratraa: Sɛ w’aniwa no yɛ mmerɛw na ɛyɛ mmerɛw a, hokwan kɛse wɔ hɔ sɛ nusu bɛtetew Descemet no ntini no mu.
• Corneal ectasia : Nyarewa te sɛ Keratoconus ma ani no hwere ne kurukuruwa a ɛfata na ɛbɛyɛ conical. Saa deformation yi nso betumi asɛe Descemet no membrane no.
• Aniwa a wɔtaa de petepete:Nnipa binom taa de wɔn ho twitwiw wɔn ani anaasɛ wɔde wɔn ho twitwiw wɔn ani. Eyi pira aniwa no kɛse. Eyi a wob y no betumi de nhyɛso aba `(cornea)` no so na ama `(Descemet's membrane)` no mu atetew.

Hena na ɔwɔ asiane kɛse mu sɛ obenya `(Corneal Hydrops)`?

Ɛda adi sɛ nnipa binom benya saa tebea yi sen afoforo. Momma yɛnhwɛ nnipa ko a wɔyɛ:

• Nnipa a wɔwɔ nyarewa wɔ `(Corneal ectasia)` kuw mu: Titiriw wɔn a wɔwɔ `(Keratoconus)` no na wɔwɔ asiane kɛse mu.
• Nnipa a wɔwɔ atopic dermatitis: Atopy yɛ tebea a ɛma nipadua no mu tumi a ɛko tia nyarewa no yɛ adwuma boro so, anaasɛ ɛtaa nya akisikuru. Ebia nnipa a wɔwɔ saa tebea yi nso betumi akɔ asiane kɛse mu efisɛ wɔtaa petepete wɔn ani esiane nneɛma te sɛ aniwa a ɛyɛ wɔn yaw nti.
• Nnipa a wɔwɔ Down syndrome : Nnipa a wɔwɔ Down syndrome nso wɔ asiane mu sɛ wobenya Corneal Hydrops a ɛka tebea horow te sɛ Keratoconus ho.

Dɛn ne nsɛnnennen a ebetumi afi Corneal Hydrops mu aba?

Wɔ bere a `(Corneal Hydrops)` mu no, akyinnye biara nni ho sɛ w'ani so bɛsɛe. Afei nso, sɛ saa ɔfe yi (corneal edema) kyɛ, kyerɛ sɛ, sɛ wɔansa no yiye a, mogya ntini foforo betumi ayɛ aniwa no mu (neovascularization) . Saa mogya ntini yi nyɛ nea ɛsɛ sɛ ɛtaa yɛ wɔ `(cornea)` mu, na ebetumi asiw anisoadehu kwan bio. Afei nso, akuru betumi ayɛ `(cornea)` no so.

Ɔkwan bɛn so na wohu Corneal Hydrops?

Sɛ wokɔ aniwa ho oduruyɛfo nkyɛn a, obedi kan abisa wo wo yare no ho sɛnkyerɛnne ne w’ayaresa ho abakɔsɛm. Afei, ɔbɛyɛ aniwa mu nhwehwɛmu a edi mũ. Wɔ sɔhwɛ yi mu no, mpɛn pii no oduruyɛfo no betumi ahu sɛ ɔwɔ Corneal Hydrops.

Sɔhwɛ ahorow bɛn na wɔreyɛ ama eyi?

Ɛtɔ mmere bi a, sɛ ehia sɛ oduruyɛfo no hu nsɛm pii a, ebia ɔbɛkamfo nhwehwɛmu foforo bi akyerɛ.

• Anterior segment optical coherence tomography (AS-OCT): Eyi te sɛ aniwa no mu nhwehwɛmu. Ebetumi ahu sɛnea ani no mu nsu a ɛwɔ nipadua no mu no ayɛ no pɛpɛɛpɛ, asusuw baabi a ɛho ahonhon no akodu, na ahwɛ sɛnea ayaresa no kɔ so.
• Ultrasound biomicroscopy (UBM): Eyi te sɛ ultrasound scan. Ɛboa ma wohu sɛ ebia ntetewmu bi wɔ Descemet no ntini no mu anaa.
• Tomography: Saa sɔhwɛ yi betumi ama woahu sɛnea w’aniwa ani hwɛbea no te ne sɛnea ne kɛse te.
• Seidel sɔhwɛ: Saa sɔhwɛ yi hwɛ sɛ nsu a ɛwɔ aniwa no mu no tu fi ani no mu anaa.

Saa sɔhwɛ ahorow yi nyinaa nyɛ yaw, enti biribiara nni hɔ a ɛsɛ sɛ yesuro. Oduruyɛfo no bɛkyerɛkyerɛ biribiara mu akyerɛ wo.

Dɛn ne ayaresa a wɔde sa `(Corneal Hydrops)`?

Wɔde nnuru na ɛtɔ mmere bi a wɔyɛ oprehyɛn na ɛsa Corneal Hydrops yare. Ebia ɛho behia nso sɛ wɔsa tebea a ɛwɔ ase a ɛde Corneal Hydrops (te sɛ Keratoconus) bae no.

Nnuru a wɔde sa yare

Sɛ nusu a ɛwɔ Descemet ntini mu no sua na ɛhoa no sua a, nnuruyɛfo taa kamfo nnuru a wɔde gu nipadua no so a wɔfrɛ no aniwa mu aduru kyerɛ.

• Hypertonic saline solution: Eyi yɛ aduru a nkyene wom kɛse. Sɛ wɔde gu aniwa no so a, ɛtwe nsu a ɛboro so fi stroma no mu na ɛboa ma ɔfe no so tew.
• Nsu a steroid wom: Eyinom brɛ ɔfe a ɛwɔ aniwa no mu ase.
• Aniwa nhyɛso-brɛ ase `(drops)`: Ɛtɔ da bi a aniwa nhyɛso betumi ayɛ kɛse. Sɛ ɛba saa a, wɔde saa `(drops)` yi ma sɛ wɔmfa nni so.
• Nnuru a ekum ɔyare mmoawa (drops): Sɛ ɛho hia a, wɔde eyinom ma na wɔasiw ɔyare mmoawa a ebetumi aba no ano.
• Aniwa mu nsu a ɛma aniwa tuntum no trɛw: Eyinom boa ma ɛyaw no so tew.

Sɛnea oduruyɛfo no kyerɛ no, ɛho hia yiye sɛ wode saa ``(drops)`` yi di dwuma wɔ bere a ɛfata mu.

Bere bɛn na ɛho hia sɛ wɔyɛ oprehyɛn?

Sɛ Descemet membrane no mu tetew no yɛ kɛse, ɛho ahonhon no mu yɛ den, anaasɛ asiane wɔ hɔ sɛ aniwa no mu ntokuru bɛtow a, nnuruyɛfo betumi akamfo akyerɛ sɛ wɔnyɛ no oprehyɛn. Nea ɛka oprehyɛn yi ho ne sɛ wɔto nusu no mu na wɔma nsu no ntumi nkɔ. Ɛtɔ mmere bi a, wɔde mframa a ɛyɛ hu hyɛ ani no mu na ama ɔfe no so atew ntɛmntɛm. Wɔ tebea horow a emu yɛ den mu no, sɛ wɔansa no yiye a, corneal hydrops betumi ama mogya ntini a ɛnyɛ ne kwan so ayɛ aniwa no mu. Sɛ ɛba saa a, ɛho behia nso sɛ wɔsa.

So wobetumi asiw Corneal Hydrops ano?

Sɛ wowɔ tebea bi te sɛ `(Keratoconus)` a, wo ne w'ani duruyɛfoɔ nkasa fa ayaresa bi a wɔfrɛ no `(Crosslinking)` ho. Saa `(Crosslinking)` ayaresa yi betumi ama `(Keratoconus)` yareɛ no agyae, na ɛtumi nso brɛ asiane a ɛwɔ nsɛnnennen te sɛ `(Corneal Hydrops)` mu no ase. Nanso, wɔ tebea horow bi mu no, `(Acute Corneal Hydrops`, a ɛba sɛ ɔhaw a ɛfa `(Keratoconus)` ne `(corneal)` nyarewa afoforo ho no, ebia wontumi nsiw ano koraa. Sɛ wowɔ mmere mu akisikuru anaa tebea afoforo a ɛma w'ani yɛ wo yaw a, bɔ mmɔden sɛ wobɛtew w'ani a wobɛpetepete na woabɔ wo ho so sɛnea wubetumi biara . Eyi bɛboa ma woasiw ɛnyɛ `(Corneal Hydrops)`, nanso aniwa mu haw afoforo pii nso.

Bere tenten ahe na ebegye na obi anya ahoɔden afi `(Corneal Hydrops)` mu? Dɛn ne adwene a ɛwɔ hɔ?

Wo duruyɛfo betumi asa aniwa mu nsu a emu yɛ den. Nanso, mpɛn pii no eyi betumi agyaw akuru wɔ ani no so. Saa akuru yi betumi anya w’ani so nkɛntɛnso a ɛtra hɔ daa. Sɛ eyi ba a, ebia akuru no behia ayaresa foforo, ebia oprehyɛn mpo (te sɛ ani a wɔde si ananmu). Ɛho hia sɛ wo ne wo duruyɛfo no kɔ so di akyi daa bere a wo ho atɔ wo ne bere a wo ho atɔ wo no. Eyi ne bere a wo duruyɛfo betumi akyerɛ ayaresa nhyehyɛe a eye sen biara ama wo. Bere a ne ho bɛtɔ no betumi afi adapɛn kakraa bi kosi asram kakraa bi. Eyi gyina baabi a ahonhon no kodu, sɛnea nusu no te, ne sɛnea wo nipadua no yɛ n’ade so.

Mɛyɛ dɛn ahwɛ m’ani so?

• Kwati sɛ wobɛpetepete w’ani sɛnea wubetumi biara. Eyi ne ade a ɛho hia sen biara. Sɛ w’aniwa yɛ wo yaw a, fa aniwa mu nnuru di dwuma sɛnea wo duruyɛfo kyerɛ wo no.
• Mma nna a wode bɛyɛ w’ani nhwehwɛmu a wo duruyɛfo de ama wo no nmpa wo ti so. Kɔ na kɔhwɛ w’ani wɔ bere ano.
• Sɛ wowɔ tebea bi te sɛ `(Keratoconus)` a, di ayaresa a wɔakyerɛw ama wo no akyi pɛpɛɛpɛ.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn? Bere bɛn na ɛho hia sɛ wɔsa yare ntɛm?

Wo duruyɛfo bɛkyerɛ wo bere a ɛsɛ sɛ wuhu no anaasɛ wokɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu. Mpɛn pii no, sɛ nea edidi so yi mu biara ba a, hwehwɛ aduruyɛfo afotu ntɛm ara:

• Sɛ w’aniwa yera mpofirim anaasɛ ɛso tew kɛse a.
• Sɛ mpofirim ara wunya aniwa mu yaw a wuntumi nnyina ano a.
• Sɛ ɔyare mmoawa bi ho sɛnkyerɛnne te sɛ atiridiinini da adi a.
• Sɛ nsu bi fi aniwa no mu a wɔnhwɛ kwan a.

Wɔ tebea horow a ɛte sɛɛ mu no, ɛbɛyɛ papa sɛ wobɛyɛ ho biribi ntɛm a worenkyɛ.

So metumi de contact lenses adi dwuma sɛ mewɔ Corneal Hydrops a?

Sɛ wowɔ `(Corneal Hydrops)` a, contact lenses a wobɛhyɛ no taa betumi ayɛ nea ɛnyɛ dɛ na ɛyɛ yaw mpo . Sɛ wuhu sɛ wowɔ saa tebea yi wie a, ɛda adi sɛ ebehia sɛ wugyae ahwehwɛ a wode hwɛ ade a wode hyɛ wo ho. Sɛ wosa wo yare wie a, ebia wubetumi ahyɛ ahwehwɛ a wɔde hwɛ ade bio bere a wo duruyɛfo apene so no. Wo ne wo duruyɛfo nka eyi ho asɛm na si gyinae.

Ɛyɛ ade a ɛfata sɛ obiara besuro bere a n’ani so tew mpofirim na n’aniwa yɛ no yaw no. Ɛtɔ da bi a, saa nsɛnkyerɛnne yi betumi ayɛ tebea bi a wɔfrɛ no `(Corneal Hydrops)` ho sɛnkyerɛnne. Enti, sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, kɔ aniwa ho oduruyɛfo nkyɛn ntɛm ara. Obetumi ahu nea ɛde wo `(cornea)` a ɛho ahonhon no ba na ɔkamfo ayaresa a ɛho hia akyerɛ.

Awiei koraa no, nkrasɛm a wɔde kɔ fie

Okay, yɛaka `(Corneal Hydrops)` ho asɛm pii seesei, ɛnte saa? Ma nsɛntitiriw yi ntra w’adwenem:

• Corneal Hydrops yɛ ani a ɛwosow mpofirim. Nea ɛde eyi ba titiriw ne nusu a ɛba aniwa no mu ntini a ɛyɛ mmerɛw (Descemet ntini) mu a ɛma nsu tu kɔ aniwa no mu.
• Anisoadehu a ɛyɛ kusuu mpofirim, aniwa fitaa a ɛyɛ fitaa, aniwa mu yaw, ne hann a wɔte nka no ne sɛnkyerɛnne atitiriw.
• Nnipa a wɔwɔ nyarewa te sɛ ``Keratoconus'' ne wɔn a wɔtaa petepete wɔn ani no wɔ asiane kɛse mu sɛ wobenya saa tebea yi.
• Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, n’ankasa nsi gyinae na kɔ aniwa ho oduruyɛfo nkyɛn ntɛm ara.
• Ebia nea ɛka ayaresa ho ne nsu a wɔde gu mu, na ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔyɛ oprehyɛn.
• Kwati sɛ wobɛpete w’ani na woadi nnuruyɛfo afotu akyi no ho hia yiye na ama wo ho atɔ wo ntɛmntɛm na woasiw tebea horow a ɛte saa ara ano daakye.

Kae sɛ w’ani som bo paa. Enti hwɛ wɔn yiye. Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.