So woakɔ aniwa ho oduruyɛfo nkyɛn pɛn na wɔaka akyerɛ wo sɛ, "Ɛte sɛ nea nhyɛso a ɛwɔ w'ani so no yɛ kɛse kakra, ma yɛnyɛ sɔhwɛ kakra"? Anaasɛ ehu ka wo kakra esiane sɛ obi a ɔwɔ w’abusua mu anya atiridiinini nti? Ɛnnɛ yɛbɛka sɔhwɛ bi a ɛho hia paa nanso ɛnyɛ den koraa a wɔyɛ wɔ mmerɛ a ɛte saa mu ho asɛm. Ɛno ne Gonioscopy sɔhwɛ no. Ɛwom sɛ edin no yɛ den kakra de, nanso ɛyɛ mmerɛw yiye na ɛnyɛ yaw.
Dɛn ne Gonioscopy kɛkɛ?
Sɛ yɛbɛka no tiawa a, Gonioscopy yɛ nhwehwɛmu a ɛnyɛ nea wɔde hyɛ wo mu a w’ani duruyɛfo yɛ. Ne titiriw no, ɛhwɛ sɛ ebia nsu a ɛkɔ w’ani mu no reyɛ adwuma yiye anaa. Ɛte sɛ nea worehwɛ sɛ nsu a ɛkɔ wo fie no asiw anaa. Sɛ nhyehyɛe yi ntumi nyɛ adwuma yiye a, nhyɛso a ɛwɔ aniwa no mu no betumi ayɛ kɛse, na ebetumi de tebea horow a emu yɛ den te sɛ atiridiinini aba . Enti sɔhwɛ yi boa kɛse ma wohu nneɛma a ɛtete saa ntɛm.
Tebea bɛn mu na wɔyɛ sɔhwɛ yi?
Nneɛma pii nti na ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ. Glaucoma yɛ yare a ɛma nhyɛso a ɛwɔ aniwa no mu (intraocular pressure) kɔ soro, na ɛma aniwa ntini no sɛe, na ebetumi ama aniwa no ayɛ mmerɛw nkakrankakra. Enti, wobetumi ayɛ sɔhwɛ yi bere biara a adwenem naayɛ bi wɔ hɔ a ɛfa ho.
Saa sɔhwɛ yi titiriw yɛ:
- Kyerɛ atiridiinini ko: Atiridiinini ahorow atitiriw abien na ɛwɔ hɔ. Eyinom ne atiridiinini a wɔde toto anim ne atiridiinini a ɛbue. Gonioscopy ho hia na ama woahu ɔkwan pɔtee a wowɔ.
- Hu aduruyɛ mu tebea afoforo: Eyi nso betumi aboa ma wɔayi tebea afoforo a ɛde sɛnkyerɛnne ahorow a ɛte sɛ atiridiinini te sɛ pseudoexfoliation syndrome ba no afi hɔ.
- Akisikuru anaa Kokoram a Ɛwɔ Aniwa no Mu: Wɔsan yɛ nhwehwɛmu yi de kyerɛ sɛ ebia wosusuw sɛ akisikuru anaa kokoram bi wɔ iris (aniwa no fã a ɛwɔ kɔla) no mu anaa.
Kae sɛ, sɛ aniwa no mu nhyɛso kɔ so kyɛ dodo a, ebetumi asɛe aniwa no daa na mpo atumi ahwere aniwa no koraa. Ɛno nti na sɔhwɛ ahorow te sɛ eyi ho hia kɛse no.
Ɔkwan bɛn so na Gonioscopy sɔhwɛ yi yɛ adwuma?
Nyansahu a ɛwɔ eyi akyi no yɛ mmerɛw yiye. Fa no sɛ wopɛ sɛ wuhu biribi a ɛwɔ dan bi ntwea foforo so. Deɛn na woyɛ? Woma ahwehwɛ bi so na wohwɛ mu, ɛnte saa? Ɛno ne ɔkwan a ɛyɛ mmerɛw koro no ara a wɔde di dwuma wɔ ha no.
Wɔ yɛn aniwa no mu, ani no akyi (ɔfã a ɛda adi wɔ aniwa no anim) ne aniwa no anim no, ɔdan bi a nsu ahyɛ mu ma wɔ hɔ. Wɔfrɛ eyi sɛ anim dan .Wɔreyɛ nsu a ɛwɔ saa dan yi mu (nsu mu aseresɛm) no bere nyinaa na wɔretu. Saa nsu yi fi baabi a wɔfrɛ no "drainage angle," baabi a iris ne aniwa no fã fitaa (sclera) hyia no.
Ahwehwɛ titiriw a wɔde di dwuma wɔ gonioscopy mu no de ahwehwɛ a ɛma nneɛma kɛse anaa ahwehwɛ di dwuma na ama oduruyɛfo no ahu baabi a nsu no fa no tẽẽ. Otumi hu ntɛm ara sɛ ɛyɛ teateaa, asiw ano, anaa ɛyɛ apɔwmuden.
Dɛn ne Gonioscopy ahwehwɛ ahorow?
Ahwehwɛ ahorow atitiriw abien na wɔde yɛ sɔhwɛ yi. Ɛyɛ papa sɛ wubehu sɔhwɛ ko a woreyɛ.
| Lens type | Sɛnea ɛyɛ adwuma | Beae a wɔtaa de di dwuma |
|---|---|---|
| Gonioscopy a Ɛnyɛ Tẽẽ | Saa ahwehwɛ yi wɔ ahwehwɛ. Hann no bɔ saa ahwehwɛ no na ɛdannan, na ɛma oduruyɛfo no hu saa anim no. | Wɔ aniwa ho oduruyɛfo adwumayɛbea hɔ. Eyi ne ɔkwan a wɔtaa fa so yɛ adwuma. |
| Gonioscopy a Wɔde Yɛ Tẽẽ | Saa ahwehwɛ yi nni ahwehwɛ. Mmom no, ɛma hann no yɛ kɛse, na ɛma oduruyɛfo no hu baabi a nsu no kɔ no tẽẽ. | Wɔtaa yɛ eyi wɔ oprehyɛn dan mu, ne oprehyɛn foforo. |
So ɛsɛ sɛ misiesie me ho ansa na sɔhwɛ no aba?
Mpɛn pii no, wunhia ahosiesie titiriw biara. Eyi yɛ sɔhwɛ a wobetumi ayɛ bere biara.
Nanso ade biako wɔ hɔ: Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ade a, hwɛ hu sɛ wubebisa wo duruyɛfo sɛ ɛsɛ sɛ wugyae a wode bɛhyɛ nna kakraa bi ansa na woayɛ nhwehwɛmu no anaa.
Sɛ wɔreyɛ nhwehwɛmu yi de aka oprehyɛn ho a, wo duruyɛfo bɛma wo akwankyerɛ pɔtee a ɛfa sɛnea wubesiesie wo ho ama no ho.
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Momma yɛnka Indirect Gonioscopy a ɛda adi sɛ ɛsɛ sɛ woyɛ no ho asɛm. Ɛte sɛ nea ɛyɛ aniwa mu nhwehwɛmu a wɔyɛ no daa (slit lamp exam) no fã.
1. Aniwa a ɛyɛ mmerɛw: Nea edi kan no, oduruyɛfo no de nnuru bi a ɛma ɛyɛ mmerɛw bɛhyɛ w’ani so. Eyi bɛma w’ani ayɛ mmerɛw. Enti worente ɛyaw anaa ahotɔ biara nka.
2. Ahwehwɛ a wobɛsiesie: Afei, wode ahwɛyiye de ahwehwɛ ketewa no si w’ani so. Wɔde nsuo a ɛtɔ gu ahwehwɛ no so na amma mframa a ɛretu wɔ ahwehwɛ no ne w’ani ntam na ayɛ mmerɛw sɛ wobɛkyinkyin.
3. Nhwehwɛmu: Seesei woahu sɛ oduruyɛfo no de afiri bi a kanea kɛse wom, kanea a wɔapaapae mu, reyɛ w’ani mu nhwehwɛmu. Ɔde saa ahwehwɛ no bɛhwɛ w’ani mu. Saa bere yi de, wɔbɛka akyerɛ wo sɛ hwɛ w’anim tẽẽ, anaasɛ oduruyɛfo no bɛka akyerɛ wo sɛ hwɛ ɔkwan bi so (ɔforo, fam, benkum, nifa).
4. Dynamic Gonioscopy: Ɛtɔ da bi a, oduruyɛfo no bɛpia ahwehwɛ no brɛoo paa wɔ w’ani so. Wɔfrɛ eyi sɛ dynamic gonioscopy . Nsuro, eyi yɛ sɛ wobɛhwɛ sɛ adhesions (synechiae) biara wɔ iris no mu anaa.
5. Awiei: Sɔhwɛ no bɛba awiei wɔ simma kakraa bi mu. Afei wobeyi ahwehwɛ no afi hɔ. Ebia wubenya tetew bi, na ɛno yɛ ade a ɛfata.
Ebia nnuru a wɔde trɛw mu ka sɔhwɛ yi ho anaasɛ ɛnyɛ saa. Oduruyɛfo no na ɔkyerɛ eyi.
So asiane anaa nsunsuanso bɔne bi wɔ eyi mu?
Asɛmpa no ne sɛ Gonioscopy sɔhwɛ no ankasa nni asiane anaa nsunsuanso bɔne biara.
Nanso esiane aniwa mu nnuru a wɔde di dwuma de ma aniwa no yɛ mmerɛw na ebia ɛtrɛw aniwa no mu nti , ebia wubenya bere tiaa mu ɔhaw bi, te sɛ aniwa a ɛyɛ mmerɛw nnɔnhwerew kakraa bi. Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo.
Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na woyɛ akyi?
Ade a eye sen biara wɔ eyi ho ne sɛ oduruyɛfo no betumi aka nea efi mu ba no akyerɛ wo bere a wɔawie nhwehwɛmu no ara pɛ.
Sɛ wuhu sɛ nsu a ɛkɔ mu no ayɛ ketewaa a, ɛkyerɛ sɛ wowɔ asiane mu sɛ wubenya atiridiinini. Afei wo duruyɛfo no bɛka ayaresa a wuhia (aniwa a wɔde gu, laser ayaresa, anaa oprehyɛn) ho asɛm.
Nanso, ɛtɔ mmere bi a, wobetumi atoto anim a nsu yi sen fa so no mu koraa. Wɔfrɛ eyi angle-closure glaucoma . Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ efisɛ ebetumi ama obi ani abere mpofirim. Sɛ wuhu eyi a, wo duruyɛfo de wo bɛkɔ akɔhwɛ wo ntɛm ara.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Glaucoma yɛ yare a ɛtaa ba komm, a ɛnkyerɛ sɛnkyerɛnne biara wɔ ne mfiase. Enti, ɛho hia paa sɛ wobɛhwɛ w’ani daa. Nyansa wom sɛ anyɛ yiye koraa no, wobɛhwɛ w’ani pɛnkoro afe biara, titiriw sɛ woka asiane akuw a edidi so yi ho a:
- Sɛ woadi boro mfe 40 a
- Sɛ obi a ɔwɔ abusua no mu wɔ glaucoma a
- Sɛ wowɔ asikreyare (Type 2 asikreyare) a .
- Sɛ wowɔ aniwa mu nhyɛso a ɛkɔ soro (ocular hypertension) a .
- Sɛ wode corticosteroids redi dwuma bere tenten a
- Sɛ wowɔ aniwa a ɛyɛ den a ɛka w’aniwa kɛse, te sɛ nea wutumi hu ade yiye anaasɛ wutumi hu ade akyirikyiri a
| Nsɛnkyerɛnne a ɛkyerɛ | Nea ɛsɛ sɛ wɔyɛ |
|---|---|
| Wo ne wo duruyɛfo nkasa. | |
| Aniwa a ɛyɛ kɔkɔɔ | Sɛ wuhu saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, kɔ w’ani duruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. |
| Tiyɛ, akisikuru, ne ɔfe | |
| Sɛ wuhu nkaa a ɛte sɛ nyankontɔn bere a worehwɛ akanea no | |
| Anisoadehu a ɛso tew (tunnel vision) anaasɛ nsensanee tuntum foforo | |
| Aniwa mu yaw anaa nhyɛso (eyi taa ba bere a nhyɛso no yɛ kɛse dodo) . | |
| Kɔ Emergency Treatment Unit (ETU) ntɛm ara. | |
| Anisoadehu a ɛyera mpofirim anaasɛ ɛyɛ kusuu | Eyinom betumi ayɛ sɛnkyerɛnne ahorow a emu yɛ den yiye. Kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo a wonntwentwɛn wo nan ase. |
| Aniwa mu yaw a emu yɛ den mpofirim (titiriw bere a ne ti yɛ no yaw na ne ho yɛ no yaw) . | |
Nkrasɛm a Wɔde Kɔ Fie
- Gonioscopy yɛ nhwehwɛmu a ɛnyɛ yaw, ɛnyɛ den, na ahobammɔ wom a wɔde hu nyarewa te sɛ atiridiinini.
- Saa sɔhwɛ yi gye simma kakraa bi pɛ .
- Wo duruyɛfo betumi abɔ wo amanneɛ wɔ nea afi mu aba no ho bere a wɔawie nhwehwɛmu no ara pɛ.
- Aniwa mu nhwehwɛmu a wɔyɛ no daa ho hia yiye na ama woatumi abɔ w’ani ho ban.
- Anisoadehu a ɛyera mpofirim anaasɛ aniwa mu yaw kɛse yɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Wɔ tebea horow a ɛtete saa mu no, kɔ ayaresabea bi Dwumadibea a Ɛhwɛ Nneɛma a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara.
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