Woahwɛ w’ani pɛn? Oduruyɛfo no de nsu bi gu w’ani so na ɔka kyerɛ wo sɛ twɛn kakra. Afei sɛ wohwɛ a, nneɛma a ɛbɛn wo, te sɛ nkyerɛwde a ɛwɔ wo fon so no, hwɛ sɛ ɛyɛ kusuu, ɛnte saa? Ɛte sɛ nea wuntumi mpue mpo nkɔ owia mu. Ɛwom sɛ nnipa pii suro eyi de, nanso nokwarem no ɛyɛ ɔkwan a mfaso wɔ so kɛse a nnuruyɛfo fa so hwɛ w’ani yiye. Ɛnnɛ yɛreka tebea yi ho asɛm, a ɛne Cycloplegia.
Dɛn ne Cycloplegia?
Sɛ yɛbɛka no tiawa a, Cycloplegia yɛ ntini a ɛwɔ w’aniwa mu a ɛboa ma wode w’adwene si biribi so no a ɛyɛ mmerɛw bere tiaa bi. Eyi fi aniwa mu aduru titiriw bi a oduruyɛfo de gu w’ani so. Eyi yɛ bere tiaa mu de koraa.
Fa no sɛ aniwa bi wɔ w’ani mu, te sɛ mfoninitwa afiri ketewaa bi. Saa ahwehwɛ yi wɔ ntini ketewaa bi a ɛboa wo ma wuhu nneɛma a ɛbɛn (e.g. nhoma, telefon) ne nneɛma a ɛwɔ akyirikyiri pefee denam wɔn adwene a wobɛsesa so. Yɛfrɛ eyi `(ciliary nipadua)`. Adeyɛ a saa ntini ahorow yi fa so twetwe na ɛtrɛw de sesa ahwehwɛ no nsusuwii no, wɔfrɛ no "dabere".
Saa dabere yi te sɛ reflex, a ɛkyerɛ sɛ yentumi nni so sɛnea yɛpɛ. Enti ɛtɔ mmere bi a, sɛ wɔreyɛ yɛn aniwa mu nhwehwɛmu a, saa reflex yi betumi anya nkɛntɛnso ketewaa bi wɔ nea efi nhwehwɛmu no mu ba no so. Ɛno ne bere a ɔkwan a wɔfrɛ no Cycloplegia yi som bo kɛse ma yɛn.
Dɛn nti na nnuruyɛfo de saa kwan yi di dwuma?
Nneɛma atitiriw pii nti na wɔde cycloplegia di dwuma.
- Sɛ wɔrehwehwɛ aniwa no mu a: Wɔde saa kwan yi di dwuma titiriw bere a wɔrehwehwɛ mmofra aniwa mu anaasɛ bere a ɛsɛ sɛ wɔsusuw tumi ankasa a ahwehwɛ no wɔ (refractive errors) no. Efisɛ, ɛtɔ mmere bi a, titiriw wɔ mmofra nkumaa mu no, saa ntini ahorow a wɔde wɔn adwene si biribi so yi betumi ayɛ adwuma dodo na asakra nea efi aniwa mu nhwehwɛmu no mu ba. Enti, sɛ oduruyɛfo no de saa aduru yi ma na ogyae saa ntini ahorow no kakra a, obetumi asusuw tumi ankasa a w’ani wɔ no pɛpɛɛpɛ.
- Bere a wɔreyɛ aniwa oprehyɛn: Saa kwan yi boa ma ntini a ɛwɔ aniwa no mu no yɛ mmerɛw bere tiaa bi na ɛma aniwa no tra baabi biako bere a wɔreyɛ aniwa no oprehyɛn no.
- Sɛ́ aniwa mu nyarewa bi ayaresa: Wɔde saa nnuru yi sa nyarewa te sɛ "aniwa a ɛyɛ ɔkwasea" (amblyopia) ne uveitis, a ɛyɛ aniwa no mu ɔfe.
- Hann a wɔte nka: Aniwa no anim no yɛ kɛse na entumi nni hann dodow a ɛkɔ mu no so. Eyi ma ɛyɛ den sɛ wobɛhwɛ owia, na aniwa no te sɛ nea ɛredan bruu.
- Ɛyɛ den sɛ wubehu baabi a ɛbɛn: Sɛ worehwɛ nhoma, atesɛm nkrataa, nsɛm a ɛwɔ wo fon so, anaa kɔmputa so a, nsɛm no da adi pefee.
- Tiyɛ: Ebia nnipa binom benya tiyɛ kakra esiane eyi nti.
- Ɔhyew kakra a ɛba bere a wode aniwa aduru no ahyɛ wo ho akyi (eyi taa yɛ ketewaa bi na ɛkɔ ntɛmntɛm).
- Aniwa a ɛyɛ kɔkɔɔ.
- Aniwa a ɛyɛ mmerɛw kakra.
- Cycloplegia yɛ adeyɛ a ɛma aniwa no ntini a ɛtwe adwene si biribi so no yɛ mmerɛw bere tiaa bi, na wɔde hwehwɛ aniwa no mu na wɔsa nyarewa bi.
- Wɔde aniwa mu aduru na ɛyɛ eyi. Ɛyɛ bere tiaa mu de koraa na ɛnyɛ yaw.
- Nneɛma bɔne a ɛtaa ba ne sɛ obi nhu ade yiye, ɛyɛ den sɛ obehu nneɛma a ɛbɛn, ne hann a ɔte nka. Eyinom kɔ bere a nnuru no sa no.
- Kwati sɛ wobɛka kar anaasɛ wobɛyɛ adwuma a ɛbɛn wo bere a wowɔ cycloplegia no. Sɛ wokɔ abɔnten a, hyɛ ahwehwɛ a wɔde hwɛ owia.
- Sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den te sɛ koma a ɛbɔ ntɛmntɛm, adwene a ɛyɛ basaa, anaasɛ akisikuru a, kɔ wo duruyɛfo nkyɛn ntɛm ara anaa kɔ ETU.
- Sɛ wowɔ eyi ho dadwen anaa ehu bi a, wo ne w’ani duruyɛfo nkasa. Wɔbɛkyerɛkyerɛ biribiara mu akyerɛ wo.
Sɛ nhwɛso no, sɛ wɔma abofra a ɔwɔ ‘aniwa a ɛyɛ ɔkwasea’ (amblyopia) aduru yi wɔ wɔn aniwa pa mu a, ɛbɛyɛ den sɛ saa aniwa no behu baabi a ɛbɛn. Afei ɛsɛ sɛ aniwa a ɛyɛ mmerɛw no yɛ adwumaden, na saa aniwa no mu yɛ den.
Afei nso, kae sɛ ɛtɔ mmere bi a eyi betumi ayɛ nea efi mu ba. Sɛ nhwɛso no, sɛ wode biribi te sɛ scopolamine aduru no sa kankyee yare a, .Ɛsɛ sɛ wohohoro wo nsa yiye bere a woadi ho dwuma awie no. Sɛ ɛnte saa a, sɛ aduru no kɔ w’ani so a, w’ani betumi ayɛ kusuu nna pii.
Mfaso bɛn na ɛwɔ cycloplegia so?
Mfaso pii wɔ saa kwan yi so. Momma yɛnhwɛ wɔn saa kwan yi so na yɛate wɔn ase yiye.
| Animkɔ kwan | Nkyerɛkyerɛmu a Ɛnyɛ Den |
|---|---|
| Berɛtia mu | Sɛ aduru no sa a, aniwa no san kɔ sɛnea na ɛte kan no a ennya nkɛntɛnso biara a ɛtra hɔ kyɛ. |
| Nea ɛnyɛ nea wɔde hyɛ nipadua mu | Ɛnyɛ den yiye sɛ wode bɛpete so sɛ aniwa mu aduru. Ɛho nhia sɛ wode inject anaasɛ wobɛtwitwa biribiara. |
| Ɛyaw biara nni mu | Sɛ wɔde aduru no gu so a, ɛyaw biara nni hɔ. Nanso esiane sɛ aniwa no trɛw nti, ebia wobɛte nka kakra na wo ho nyɛ wo dɛ bere a worehwɛ abɔnten no. Ɛno nti na nnuruyɛfo ma wo ahwehwɛ a wɔde hwɛ owia no. |
| Sɛ wowɔ nneɛma pii a wubetumi apaw | Sɛ aduru biako ntumi nyɛ adwuma mma wo a, akwan foforo wɔ hɔ a wubetumi afa so. Na, sɛnea w’ahiade te no, wubetumi apaw nnuru a ɛwɔ nkɛntɛnso bere tiaa anaa bere tenten. |
So nsunsuanso bɔne biara nni hɔ? Momma yɛnhwɛ ɛno nso.
"Nsunsuanso bɔne" titiriw a ɛwɔ cycloplegia nnuru mu ne aniwa a ɛtrɛw. Nokwarem no, eyi yɛ biribi a oduruyɛfo no pɛ sɛ ohu bere a ɔrehwehwɛ w’ani mu no. Enti ebia wubenya ɔhaw nketenkete bi esiane eyi nti.
Nea ɛka eyi ho no, ebia nsunsuanso nketenkete afoforo pii wɔ hɔ:
Ade a ɛho hia sen biara ne sɛ wo duruyɛfo no bedi kan akyerɛkyerɛ nea aduru no mu nsunsuanso pɔtee bi ne sɛnea ebia wɔbɛte nka mu akyerɛ wo.
Tebea yi bɛkɔ so akosi bere bɛn?
Eyi gyina aduru ko a wɔde ma wo so. Nnuru bi sɛe wɔ nnɔnhwerew kakraa bi mu, bere a afoforo nso betumi atra hɔ nna pii.
| Nnuru Din | Bere Tenten a Enya Nkɛntɛnso |
|---|---|
| Atropine a wɔde di dwuma | nnafua 7 kosi 12 |
| Cyclopentolate a wɔde yɛ ade | Ɛkɔsi nnɔnhwerew 24 |
| Homatropine a wɔde di dwuma | Nnafua 1 kosi 3 |
| Phenylephrine a wɔde yɛ aduru | Ɛkɔsi nnɔnhwerew 6 |
| Scopolamine a wɔde di dwuma | Nnafua 3 kosi 7 |
| Tropicamide a wɔde yɛ aduru | Nnɔnhwerew 6 kosi 24 |
Dɛn ne sɛnkyerɛnne ahorow a ɛyɛ hu a ɛhwehwɛ sɛ wokɔ oduruyɛfo nkyɛn?
Nneɛma bɔne a anibere wom a efi aniwa nnuru mu ba no ntaa mma. Nanso, sɛnkyerɛnne ahorow bi wɔ hɔ a asiane wom a ɛsɛ sɛ wohwɛ yiye, titiriw wɔ nnuru a wɔde di dwuma bere tenten ho. Sɛ wuhu eyinom mu biara a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara anaasɛ wokɔ ayaresabea a ɛbɛn wo no dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ (ETU).
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Nsɛnkyerɛnne a ɛhwehwɛ sɛ wɔkɔ ayaresabea ntɛm ara | |
| Suban mu nsakrae | Basabasayɛ ne basabasayɛ a ɛba mpofirim. |
| Nsakrae a ɛba koma a ɛbɔ mu | Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm dodo (tachycardia). |
| Kesereneeyɛ | Nneɛma te sɛ baabi a wowɔ ne bere a wo werɛ befi. |
| Mogya mmoroso a ɛba fam (hypotension) . | Totɔ piti ne adwenemhaw bere a wogyina hɔ no. |
| Akisikuru a ɛma obi ho kyere no | Eyi yɛ tebea a asiane wom paa. |
| Ɔhome mu adwenemhaw | Ahome a wɔhome brɛoo anaasɛ ɛnyɛ den. |
Ebia ɛbɛyɛ te sɛ nea Cycloplegia yɛ ɔhaw kakra ma wo, nanso nokwarem no, ɛyɛ adwinnade a ɛsom bo kɛse ma aniwa ho animdefo. Ɛma aniwa mu nhwehwɛmu yɛ mmerɛw, ɛma ahwehwɛ no yɛ pɛpɛɛpɛ, na ɛboa ma wɔsa aniwa mu tebea horow bi. Nea ɛho hia sen biara no, ɛyɛ bere tiaa mu de. Sɛ aduru no sa a, w’ani bɛsan ayɛ sɛnea na ɛte kan no.
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