So ɛsɛ sɛ wɔde ahwehwɛ a ɛma aniwa no yɛ mmerɛw no si ananmu? Momma yensua biribiara fa saa ahwehwɛ yi ho (Intraocular Lenses - IOLs) wɔ ɔkwan a ɛnyɛ den so!

So wowɔ nanabea anaa nana bi wɔ fie a onwiinwii sɛ wɔn ani ayɛ kusuu na biribiara ayɛ kusuu? Anaasɛ ɛyɛ den ma w’ankasa sɛ wobɛkenkan atesɛm krataa anaa wobɛhwɛ wo fon bere a worenyin no? Ade titiriw nti a eyi ba no betumi ayɛ "cataracts". Enti ɛnnɛ yɛrebɛka ade ketewaa bi nanso ɛho hia a ɛyɛ nwonwa a wɔde hyɛ yɛn aniwa mu bere a wɔreyɛ oprehyɛn no ho asɛm. Ɛno ne aniwa mu ahwehwɛ, anaa sɛnea yɛfrɛ no wɔ aduruyɛ mu no, Intraocular Lenses, anaa IOLs tiawa.

Dɛn ne saa IOL ahorow yi? Sɛ yɛbɛka no tiawa a...

Fa w’ani sɛ mfoninitwa afiri pa. Saa mfoninitwa afiri yi wɔ abɔde mu ahwehwɛ. Dwumadi a saa aniwa yi yɛ ne sɛ ɛbɛma hann a efi nneɛma a yehu mu ba no asi hɔ na ama yɛanya mfonini a emu da hɔ wɔ retina a ɛwɔ aniwa no mu no so. Bere kɔ so, titiriw bere a yɛrenyin no, abɔde mu ahwehwɛ yi fi ase yɛ mununkum nkakrankakra na ɛbɛyɛ nufusu. Ɛno ne nea yɛfrɛ no "cataract."

Afei susuw nea ɛbɛba sɛ mfoninitwa afiri no ahwehwɛ no ho fĩ, mfutuma, ɛyɛ mmerɛw, na ɛyɛ kusuu a, susuw ho hwɛ? Mfonini ahorow a wotwa no mu nna hɔ, ɛnte saa? Saa na ɛba bere a woanya atiridiinini no. Enti, nea woyɛ wɔ oprehyɛn mu ne sɛ wubeyi abɔde mu ahwehwɛ a ɛyɛ mununkum no na wode ahwehwɛ a emu da hɔ na wɔayɛ a wobetumi agyaw wɔ aniwa no mu daa asi ananmu . Saa ahwehwɛ a wɔde ayɛ no ne nea yɛfrɛ no IOL .

Ɛnyɛ sɛ IOL ahwehwɛ yi betumi asiesie aniwa a ɛyɛ mmerɛw nko, na mmom aniwa mu haw afoforo pii a wubetumi de ahwehwɛ anaa ahwehwɛ a wɔde hwɛ ade asiesie nso.

• Myopia: Nneɛma a wubehu no yiye, nanso wuhu nneɛma wɔ akyirikyiri sɛ ɛyɛ nea wontumi nhu.
• Nhumu a ɛbɛn (Hyperopia): Sɛ wuhu ade yiye wɔ akyirikyiri, nanso ɛyɛ den ma wo sɛ wobɛkenkan nneɛma a ɛbɛn wo, titiriw nhoma.
• Presbyopia: Tebea a ɛka nnipa pii a wɔadi boro mfe 40, na ɛhwehwɛ sɛ wɔde ahwehwɛ hyehyɛ wɔn ho ansa na wɔatumi ahu ade a ɛbɛn.
• Astigmatism: Tebea a hann ntumi nkɔ baabiara, na ɛde anisoadehu a ɛkyinkyim ba, esiane nsakrae kakra a ɛba aniwa no nsusuwii mu nti.

Sɛ wonya saa IOL ahwehwɛ yi wɔ w’ani so pɛ a, ɛtra hɔ wo nkwa nna nyinaa. Enti wubetumi atew sɛnea wode wo ho to ahwehwɛ so no so kɛse.

Hena na ohia saa IOL ahwehwɛ yi?

Nnipa akuw atitiriw abien nya IOL ahwehwɛ yi so mfaso kɛse.

1. Wɔn a wɔn ani ayɛ mmerɛw no fam: Sɛ ani a ɛyɛ mmerɛw no anyin araa ma ɛresiw w’ani a, ɛho behia sɛ wɔyɛ oprehyɛn yi fi hɔ. Sɛ woyi a, ɛkame ayɛ sɛ ɛho behia sɛ wɔde IOL ahwehwɛ bɛhyɛ aniwa no mu. Sɛ ɛnte saa a, wɔrentumi nsan nnya anisoadehu bio. Eyi nti na wɔyɛ IOL a wɔde hyɛ nipadua mu dodow no ara wɔ Sri Lanka no.

2. Wɔn a wɔn ani nhu ade yiye nanso wɔmfata sɛ wɔyɛ oprehyɛn te sɛ LASIK no:Nnipa binom wɔ aniwa mu haw a ɛhwehwɛ sɛ wɔde ahwehwɛ hyehyɛ wɔn, nanso ebia wɔrentumi nyɛ wɔn aniwa oprehyɛn a wɔde laser (LASIK). Wɔ tebea horow a ɛtete saa mu no, wobetumi ayɛ oprehyɛn a wɔde sesa ahwehwɛ a ɛma aniwa no yɛ mmerɛw, a nea ɛka ho ne sɛ woyi abɔde mu ahwehwɛ no na wɔde IOL hyɛ nipadua no mu.

Dɛn ne IOL ahwehwɛ ahorow? Emu nea ɛwɔ he na ɛfata wo?

Eyi ne ɔhaw a nnipa pii wɔ. IOL ahorow pii wɔ hɔ. Wɔn mu biara wɔ mfaso ne ɔhaw ahorow. Sɛ wode ahwehwɛ bi di dwuma a, ebia wobɛda so ara hia ahwehwɛ ama nneɛma te sɛ nhoma anaa atesɛm krataa akenkan. "Premium" lenses binom betumi atew wo ho a wode to ahwehwɛ so no so kɛse, nanso ebetumi nso de nsunsuanso bɔne te sɛ glare ne halos a atwa kanea ho ahyia bere a woreka kar anadwo no nso aba.

Enti, ɛho hia yiye sɛ wo ne w’ani ho oduruyɛfo bɛkasa na woapaw ahwehwɛ a ɛfata w’asetra kwan, w’ahiade, ne nea wopɛ yiye.

Sɛnea ɛbɛyɛ a ɛbɛyɛ mmerɛw sɛ yɛbɛte ase no, ma yɛnhwɛ ahwehwɛ ahorow atitiriw a ɛwɔ pon bi so.

Lens ahorow titiriw afoforo

• Ahwehwɛ a ɛma hann sesa (LALs): Eyinom yɛ soronko kakra. Sɛ woyɛ oprehyɛn wie a, wo duruyɛfo betumi de hann a ano yɛ den (UV) aduru titiriw ahorow adi dwuma de asesa tumi a ɛwɔ saa ahwehwɛ yi mu wɔ anifere kwan so ma ama woahu ade a wopɛ. Eyinom nso yɛ monofocal, enti wubehia ahwehwɛ na ama woatumi ahu ade a ɛbɛn.
• Phakic Lenses: Wɔtaa de eyinom di dwuma wɔ mmerante ne mmabaa mu. Wɔnnyi abɔde mu ahwehwɛ no mfi hɔ. Mmom no, wɔde saa ahwehwɛ yi hyɛ abɔde mu ahwehwɛ no anim. Wɔde di dwuma de siesie sɛnea nnipa a wɔnfata sɛ wɔde laser sa wɔn yare no hu ade a ɛbɛn wɔn.

Susuw ho ansa na wo ne wo duruyɛfo akasa.

Ansa na wobɛkɔ akɔhwɛ w’ani oprehyɛn ho oprehyɛn no, bisa wo ho nsɛm yi. Afei wubenya nea wopɛ ho adwene a emu da hɔ.

• So ɛtɔ mmere bi a m’ani gye ho sɛ mɛhyɛ ahwehwɛ? Sɛ saa a, atirimpɔw ahorow bɛn nti? (e.g., nhoma akenkan kɛkɛ? Anaasɛ bere nyinaa?)
• Anisoadehu bɛn na mihia ma m’adwuma? So mehwɛ kɔmputa da mũ nyinaa? Enti, so ɛnyɛ hwee sɛ mɛhyɛ ahwehwɛ ama saa adwuma no?
• So metaa ka kar anadwo?Enti, so metumi ayɛ me su sɛ mɛhu nkaa a ɛhyerɛn a atwa akanea ho ahyia?
• Dɛn ne nneɛma a m’ani gye ho? So meyɛ obi a meyɛ adwuma a ɛyɛ mmerɛw, te sɛ ntadepam anaa mfoniniyɛ? Anaasɛ meyɛ obi a mebɔ agumadi anaa n’ani gye ho sɛ mɛkɔ abɔnten? Ahwehwɛ besiw saa dwumadi ahorow yi kwan akodu he?
• Dɛn ne sika a mede bɛyɛ oprehyɛn no? Wɔ aban ayaresabea mu no, wɔtaa de ahwehwɛ a wɔde hwɛ ade biako ma kwa. Nanso, ebia ɛsɛ sɛ wutua sika foforo wɔ ahwehwɛ soronko te sɛ multifocals ho. Wɔ ankorankoro ayaresabea mu no, ɛsono nneɛma bo kɛse a egyina ahwehwɛ ko a wɔde yɛ no so. Di kan hu saa asɛm no.

Dɛn ne nsɛnnennen a ebetumi aba wɔ IOL a wɔde hyɛ nipadua mu no mu?

Mpɛn pii no, IOL a wɔde hyɛ nipadua mu no yɛ oprehyɛn a edi mu yiye. Nanso, sɛnea ɛte wɔ oprehyɛn biara ho no, nsɛnnennen bi wɔ hɔ a ɛntaa nsi a ebetumi aba. Eyinom nyɛ biribiara a ɛsɛ sɛ wusuro, nanso eye sɛ wobɛma w’ani ada hɔ.

• Posterior Capsular Opacification: Wɔsan frɛ eyi "cataract a ɛto so abien." Asram anaa mfe pii wɔ oprehyɛn no akyi no, ade a ɛyɛ tratraa bi a ɛnyɛ hann ba wo IOL no akyi. Eyi abu so yiye. Eyi betumi ama w’ani so ayɛ kusuu kakra bio. Eyi yɛ mmerɛw yiye sɛ wɔbɛsa. Mpɛn pii no, wobetumi de laser hann ayi layer no afi hɔ wɔ ayaresabea hɔ wɔ simma kakraa bi mu, na ama w’ani so atew.
• IOL a ɛtwetwe: Ahwehwɛ a wɔde ahyɛ mu no kɔ baabiara. Eyi yɛ ade a ɛntaa nsi koraa. Asiane no dɔɔso kakra wɔ nnipa a wɔwɔ aniwa mu yare ahorow bi anaa wɔn a wɔabɔ wɔn aniwa denneennen no mu.
• UGH syndrome (Uveitis-glaucoma-hyphema syndrome): Tebea a ɛntaa nsi koraa a ɛnam IOL ahwehwɛ a ɛbɔ aniwa no afã horow te sɛ aniwa a ɛwɔ anim no so.
• IOL opacification: Ahwehwɛ a wɔde ayɛ no ankasa mununkum. Eyi ho yɛ na koraa wɔ nnɛyi ahwehwɛ ahorow ho.
• Refractive Surprise: Sɛ wɔyɛ oprehyɛn wie a, ebia w’ani renhu sɛnea wo ne wo duruyɛfo hwɛ kwan no. Sɛ ɛba saa a, wo duruyɛfo bɛkyerɛkyerɛ akwan horow a wubetumi afa so, te sɛ nea wubegye anisoadehu no atom sɛnea ɛte, anaasɛ ahwehwɛ a wode bedi dwuma, laser ayaresa, anaasɛ IOL a wobɛsesa.

Sɛ wowɔ eyinom mu biara ho asɛm bi a ɛhaw wo a, wo ne wo duruyɛfo nkasa ansa na woayɛ wo oprehyɛn. Obegyina w’ayaresa ho abakɔsɛm ne w’ani akwahosan so akyerɛkyerɛ asiane ahorow mu akyerɛ wo.