So nhyɛso a ɛwɔ aniwa no mu no yɛ kɛse? Momma yɛnka Ocular Hypertension ho asɛm!

Bere a wɔayɛ w’ani mu nhwehwɛmu pɛn no, so oduruyɛfo no aka nhyɛso a ɛwɔ w’ani mu no ho asɛm pɛn? Ebia woate tebea bi a wɔfrɛ no "ocular hypertension" ho asɛm. Ɛyɛ asɛmfua a ɛyɛ hu, nanso biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho. Momma yɛnka ho asɛm wɔ ɔkwan a ɛnyɛ den na ɛnyɛ den sɛ yɛbɛte ase so, ɛyɛ?

Dɛn ankasa ne aniwa mu mogya mmoroso?

Sɛ yɛbɛka no tiawa a, aniwa mu mogya mmoroso ne bere a nhyɛso a ɛwɔ w’ani mu, anaa Intraocular Pressure (IOP) no dɔɔso sen sɛnea ɛte daa no. Susuw ho hwɛ, yɛn aniwa ma nsu a emu da hɔ bere nyinaa. Yɛfrɛ eyi "nsu mu aseresɛm." Saa nsu yi sen kɔ aniwa no anim na afei ɛsen fi aniwa no mu. Eyi te sɛ sɛnea nsukorabea bi a ɛwɔ yɛn fie no hyɛ nsu ma na nsu a ɛboro so no kɔ.

Mpɛn pii no, ɛsɛ sɛ nsu dodow a ɛkɔ aniwa no mu no ne dodow a efi mu no yɛ pɛ. Nanso, sɛ biribi nti saa nsu yi ntumi nkɔ yiye a, nsu no boaboa ano wɔ aniwa no mu na nhyɛso kɔ soro.

Wɔde mercury milimita (mmHg) susuw nhyɛso a ɛfata a ɛwɔ yɛn aniwa mu no . Eyi te sɛ sɛnea wosusuw wo mogya mmoroso no. Mpɛn pii no, ɛsɛ sɛ saa nhyɛso yi yɛ mmHg 11 kosi mmHg 21. Sɛ nhyɛso a ɛwɔ w’ani biako anaa abien no nyinaa mu no boro 21 mmHg mprenu anaa nea ɛboro saa bere a wokɔ w’ani hwɛ ho ɔbenfo nkyɛn a, wobetumi asusuw sɛ wowɔ aniwa mu mogya mmoroso.

Sɛ saa tebea yi wɔ aniwa abien no nyinaa mu a, yɛfrɛ no "Bilateral Ocular Hypertension." Sɛ nhyɛso no yɛ kɛse wɔ aniwa biako pɛ mu a, wɔfrɛ no "Unilateral Ocular Hypertension."

Enti, so `Ocular Hypertension` ne `Glaucoma` yɛ ade koro?

Dabi, saa abien yi yɛ soronko kakra. Nanso abusuabɔ bi wɔ hɔ. Ocular Hypertension betumi ama obi anya tebea bi a wɔfrɛ no Glaucoma . Glaucoma yɛ bere a nhyɛso kɛse a ɛwɔ aniwa no mu (IOP a ɛkɔ soro) sɛe w’aniwa ntini no . Saa aniwa ntini yi ne nea ɛka yɛn ani bata amemene no ho tẽẽ na ɛde nea yehu no mfonini kɔ amemene no mu.

Wo de susuw ho hwɛ, sɛ ntini yi sɛe a, dɛn na ɛba? Yiw, sɛ wɔansa atiridiinini no yiye a, nkakrankakra wubetumi ahwere w’ani so. Ɛno nti na ɛho hia paa sɛ wohwɛ `Ocular Hypertension` so.

Nea ɛho hia: Aniwa mu mogya mmoroso yɛ tebea a ebetumi adi atiridiinini anim. Enti, ɛho hia sɛ wuhu na wodi so ntɛm.

Saa tebea yi taa yɛ dɛn na wɔfrɛ no `Ocular Hypertension`?

Eyi yɛ tebea a abu so sen sɛnea ebia wubesusuw ankasa. Sɛ nhwɛso no, wɔ ɔman bi te sɛ Amerika mu no, wobu akontaa sɛ nnipa bɛyɛ ɔpepem 3 kosi 6 na wɔyare saa tebea yi. Eyi kyerɛ sɛ wɔn nyinaa wɔ asiane mu sɛ wobenya atiridiinini. Ɛho hia paa sɛ yehu tebea a ɛte saa wɔ yɛn man yi mu na yɛyɛ aniwa mu nhwehwɛmu daa.

Hena na ɔwɔ asiane kɛse mu sɛ obenya `Ocular Hypertension`?

Momma yɛnhwɛ asiane ahorow a ɛde tebea yi ba. Nneɛma bi a yentumi nsakra, sɛ nhwɛso no, mfe a obi adi ne abusuakuw. Nanso nneɛma bi wɔ hɔ a ɛsɛ sɛ yɛma yɛn ani da hɔ.

Nneɛma bi a ɛma asiane a ɛwɔ hɔ sɛ obi benya `Ocular Hypertension` ne glaucoma no yɛ kɛse ni:

• Mogya mmoroso: Eyi kyerɛ sɛ wo mogya mmoroso kɔ soro sen sɛnea ɛte daa.
• Mogya mmoroso a ɛba fam (Hypotension): Mogya mmoroso a ɛba fam sen sɛnea ɛte daa nso betumi aka.
• Asikreyare: Asiane yi dɔɔso wɔ nnipa a wɔwɔ asikreyare mu.
• Extreme Myopia: Wɔn a wɔhyɛ ahwehwɛ, titiriw wɔn a wɔkyerɛw nnuru a ɛkorɔn yiye.
• Aniwa no mfinimfini fã a ɛyɛ teateaa: Aniwa no yɛ ade a ɛbɔ aniwa no ho ban a ɛda adi pefee wɔ aniwa no anim. Eyi taa ba nnipa a wɔn ani a ɛyɛ tratraa no so.
• Mogya a ɛretu wɔ aniwa ntini ti no mu.

Tebea afoforo bi nso betumi ama asiane yi ayɛ kɛse:

• Pigment Dispersion Syndrome: Eyi ne bere a pigment nketenkete paapae fi aniwa no fã a ɛwɔ kɔla (iris) no mu, na esiw nsu a ɛkɔ aniwa no mu no kwan.
• Pseudoexfoliation Syndrome: Wɔ eyi mu no, nneɛma nketenkete a ɛte sɛ protein betumi aboaboa ano wɔ aniwa no mu na asiw nsu no kwan.

Nneɛma afoforo bi a ɛde asiane ba:

• Sɛ́ wadi boro mfe 40.
• Sɛ́ wowɔ abusua abakɔsɛm a ɛkyerɛ sɛ obi anya atiridiinini anaa aniwa mu mogya mmoroso.
• Sɛ́ obi fi Afrika anaa Hispanic abusua mu. (Ɛwom sɛ eyi mfa Sri Lanka ho kɛse de, nanso eye sɛ wubehu.)
• Steroid nnuru a wɔde di dwuma bere tenten (e.g., nnuru bi a wɔde sa ayamtu, ntini mu yare, ne nea ɛkeka ho) .
• Esiane sɛ wɔadi kan apira wɔn ani anaasɛ wɔayɛ wɔn aniwa oprehyɛn nti.

So eyi wɔ sɛnkyerɛnne soronko bi?

Eyi ne ɔfã a ɛyɛ anifere wɔ Ocular Hypertension ho. Mpɛn pii no, tebea yi nkyerɛ sɛnkyerɛnne biara . Ebia worenhu biribiara. Ɛno nti na yɛka bere nyinaa sɛ aniwa mu nhwehwɛmu a wɔyɛ no daa ho hia yiye no. Ɛyɛ bere a w’ani duruyɛfo yɛ nhwehwɛmu nkutoo na wubetumi ahu sɛ nhyɛso a ɛwɔ w’ani mu no yɛ kɛse anaa.

Nanso, ɛntaa mma koraa , ebia nnipa binom bɛte ɛyaw kakra bere a wɔrekeka wɔn ani anaasɛ wɔde wɔn nsa aka wɔn ani no.

Ɛwom sɛ aniwa mu haw ahorow bi betumi ama obi ti ayɛ no yaw na ne ti ayɛ no yaw de, nanso eyi ntaa nsi koraa wɔ aniwa mu mogya mmoroso ho.

Dɛn nti na nhyɛso a ɛwɔ aniwa no mu no yɛ kɛse? Dɛn na ɛde ba?

Nneɛma atitiriw abien na ɛde `Ocular Hypertension` ba. Biako ne sɛ nsuo a ɛwɔ aniwa no mu a wɔfrɛ no `Aqueous Humor` a yɛadi kan aka ho asɛm no yɛ nea wɔyɛ boro so. Ɔfoforo no ne sɛ, biribi asiw anaa ɔhaw foforo bi wɔ ɔkwan a nsu fa so fi aniwa no mu, kyerɛ sɛ, `Anterior Chamber Angle` . Saa `drainage angle` yi wɔ aniwa no anim, wɔ iris ne cornea ntam.

Sɛ nsu a ɛkɔ nsu mu yi siw a, dɛn na ɛba? Nsu boaboa ano na nhyɛso kɔ soro. Nneɛma pii nti na eyi betumi asi:

• Ebia wɔbɛsiw nsu a ɛkɔ mu no kwan.
• Ɛwom mpo sɛ anim dan no abue de, nanso ebia nsu no ntumi nkɔ yiye.
• Saa aduru asinasin anaa protein asinasin a yɛadi kan aka ho asɛm no akɔhyɛ baabi a nsu no kɔ no.
• Ebia biribi te sɛ aniwa mu kokoram asiw kwan no kwan.
• Ebia efi aniwa a atwam a asɛe nso.

So adwennwen nso betumi ama aniwa mu nhyɛso akɔ soro?

Yiw, eyi nso ho hia. Nnansa yi nhwehwɛmu bi ada no adi sɛ adwennwen, anaa adwene mu adwennwen nso betumi ama aniwa mu nhyɛso akɔ soro. Enti, w’adwene mu akwahosan a wobɛhwɛ so nso ye ma w’ani.

Ɔkwan bɛn so na nnuruyɛfo hu eyi? (Nyare a Wɔahu) .

W’ani duruyɛfo bedi kan ayɛ w’ani mu nhwehwɛmu a edi mũ. Sɛ osusuw sɛ wowɔ aniwa mu mogya mmoroso a, ebia ɔbɛkra sɛ wɔnyɛ nhwehwɛmu titiriw kakraa bi bio. Eyinom bi ne:

• Gonioscopy: Saa sɔhwɛ yi hwɛ sɛnea nsu a ɛkɔ w’ani mu no yɛ adwuma (anterior chamber angle). Ɛde ahwehwɛ soronko bi ne afiri a wɔde hwɛ nneɛma nketenkete a wɔfrɛ no slit lamp na edi dwuma .
• Pachymetry: Eyi kyerɛ w’aniwa no mu duru, efisɛ w’aniwa no mu duru ka nhyɛso a ɛwɔ aniwa no mu.
• Tonometry: Eyi yɛ sɔhwɛ a wɔde susuw nhyɛso a ɛwɔ aniwa no mu (IOP) tẽẽ. Ebia wɔayɛ w’ani mu nhwehwɛmu a wote nka sɛ mframa bi rebɔ w’ani so, ɛnte saa? Ɛte saa.
• Visual Field Test: Eyi sɔ w’aniwa field of vision hwɛ, a ɛkyerɛ baabi a wubetumi ahu akyirikyiri ne sɛ ebia wubetumi ahu nneɛma wɔ nkyɛnkyɛn anaa. Wobetumi atew saa anisoadehu yi so wɔ tebea horow te sɛ atiridiinini mu.
• Optical Coherence Tomography (OCT): Eyi yɛ sɔhwɛ a ɛkɔ akyiri yiye. Ebetumi asusuw aniwa mu ntini mu nkwammoaa no akwahosan ho pɛpɛɛpɛ yiye, a ɛkyerɛ sɛ ebia wɔasɛe anaa.

Saa nhwehwɛmu ahorow yi akyi nkutoo na wubetumi ahu pɛpɛɛpɛ sɛ ebia wowɔ aniwa mu mogya mmoroso anaasɛ woanya atiridiinini.

Dɛn ne ayaresa ahorow a wɔde sa Ocular Hypertension?

Ɛtɔ da bi a, sɛ wo tebea no mu nyɛ den dodo a, ebia oduruyɛfo no besi gyinae sɛ ɔne wo bɛkasa na wama woaba mu akɔyɛ w’ani mu nhwehwɛmu daa ahwɛ tebea no so.

Nanso, sɛ wusi gyinae sɛ ɛsɛ sɛ wobrɛ wo nhyɛso ase a, ebia wo duruyɛfo bɛkyerɛw aniwa aduru ama wo. Wɔbɛka akyerɛ wo nso sɛ kɔ so san ba bɛhwɛ wo nhyɛso no bere ne bere mu.

Nnuru ahorow pii wɔ hɔ a ɛtew nhyɛso a ɛwɔ aniwa no mu so:

• Prostaglandins: Wɔde nnuru yi ma pɛnkoro da biara na ɛyɛ adwuma denam nsu dodow a ɛsen fi aniwa no mu a ɛma ɛkɔ soro no so.
• Beta-blockers: Wobetumi akyerɛw eyinom pɛnkoro anaa mprenu da biara. Wɔtew nsu dodow a ɛba aniwa no mu no so.
• Alpha-adrenergic agonists: Wobetumi de eyinom ama mprenu anaa mprɛnsa da biara. Wɔyɛ adwuma denam nsu a wɔtew so bere a wɔma nsu a ɛkɔ nipadua no mu no yɛ kɛse no so.
• Carbonic Anhydrase Inhibitors: Saa nnuru yi nso brɛ nsu a ɛba no ase. Wɔde ma mprenu kosi mprɛnsa da biara.
• Rho Kinase Inhibitor: Saa aduru a wɔde ma pɛnkoro da biara yi nso ma nsu a ɛba no so tew.
• Miotic anaa Cholinergic Agents: Ɛsɛ sɛ wɔde eyinom gu so bɛyɛ mpɛn anan da biara. Ɛwom sɛ na wɔde di dwuma kɛse bere bi a atwam de, nanso wɔnkyerɛw mma mpɛn pii bio. Wɔnam nsu a efi aniwa no mu a wɔma ɛkɔ soro no so na ɛyɛ adwuma.

Yɛsrɛ sɛ hyɛ no nsow: Te sɛ nnuru nyinaa no, nnipa binom betumi anya aniwa nnuru yi mu nsunsuanso bɔne. Sɛ nhwɛso no, aniwa a ɛyɛ kɔkɔɔ, ɛyaw, ne ɔhyew. Enti, ɛho hia paa sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.

Ɛtɔ mmere bi a, sɛ nnuru yi ntumi nni nhyɛso no so a, ebia ebehia sɛ wɔyɛ wo oprehyɛn na ama nhyɛso a ɛwɔ w’ani mu no so atew. Ɔkwan biako ne laser trabeculoplasty . Eyi de laser hann di dwuma de bue akwanside a ɛwɔ nsu a ɛkɔ nsu mu no mu.

So metumi atew asiane a ɛwɔ hɔ sɛ menya Ocular Hypertension no so?

Mpɛn pii no, asiane ahorow a ɛma obi nya aniwa mu mogya mmoroso no yɛ nneɛma a yentumi nsakra (e.g., mfe a yɛadi, abusua abakɔsɛm). Nanso, nneɛma bi wɔ hɔ a yebetumi ayɛ na ama yɛn ani ayɛ yiye. Eyinom ho hia ma w’akwahosan nyinaa ne w’ani akwahosan nso.

Aniwa mu nhwehwɛmu

Eyi ne ade a ɛho hia sen biara . Mma aniwa ho oduruyɛfo a wobɛkɔ daa na woakɔhwɛ w’ani no nmpa wo ti so. Sɛ ɔhaw bi wɔ hɔ a , ɛbɛyɛ papa sɛ wubehu ntɛm .

Sigaretnom

Mma nnom sigaret. Sigaretnom nye mma w’ani paa. Sɛ wonom sigaret a, wo ne wo duruyɛfo nkasa mfa mmoa a wubenya na ama woagyae.

Afotu pii a wɔde bɛbɔ aniwa akwahosan ho ban

• Fa ahwehwɛ a wɔde hwɛ owia di dwuma: Titiriw bere a worekɔ abɔnten wɔ owia hann a ano yɛ den mu no.
• Hyɛ aniwa a ɛbɔ wo ho ban: Sɛ woreyɛ adwuma biara (e.g. nnua adwuma, woreyam) anaasɛ woredi agumadi a ɛwɔ nkɛntɛnso.
• Hwɛ yiye wɔ aniwa mu nyarewa ho wɔ w’abusua mu: nyarewa te sɛ aniwa a ɛyɛ mmerɛw ne aniwa a ɛyɛ mmerɛw .
• Ma w’ani nnye w’ahome bere a wode bere pii hwɛ kɔmputa ne telefon so no.
• Hwɛ yiye wɔ aniwa mu yare ho: titiriw sɛ wohyɛ ahwehwɛ a wɔde hwɛ aniwa so a .

Akwahosan nyinaa

Wo nipadua nyinaa a wobɛma ayɛ yiye nso boa ma wobɔ w’ani ho ban.

• Di aduan pa a ahoɔden wom. Fa nhabannuru a ɛyɛ ahabammono tuntum (te sɛ spinach, kale, ne collard greens) ne mpataa a omega-3 srade acid pii wom (te sɛ salmon, tuna, ne mackerel) ka ho.
• Kɔ so yɛ nnam. Apɔw-mu-teɛteɛ nso boa ma wɔbɔ obi ho ban fi nyarewa afoforo ho.
• Di wo mogya mmoroso, srade dodow, ne asikre dodow a ɛwɔ wo mogya mu no so.
• Hwehwɛ akwan a wobɛfa so atew adwennwen so. Nneɛma te sɛ yoga, adwennwen, anaa apɔw-mu-teɛteɛ nso yɛ akwan pa a wɔfa so tew adwennwen so.

Sɛ mewɔ Ocular Hypertension a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Wontumi nsa Ocular Hypertension koraa. Nanso, wo duruyɛfo betumi asa yare no na wahwɛ so.

Nnipa a wɔwɔ `Ocular Hypertension` no wɔ asiane kɛse mu sɛ wobenya atiridiinini. Nanso, ɛnyɛ obiara a ɔwɔ `Ocular Hypertension` na obenya glaucoma . Ma ɛno ntra w’adwenem. Sɛ wudi wo duruyɛfo akwankyerɛ akyi yiye a, mpɛn pii no wubetumi asiw atiridiinini ano anaasɛ wobɛtwentwɛn so.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn fa `Ocular Hypertension` ho?

Kɔ wo duruyɛfo nkyɛn mpɛn dodow a ɔka kyerɛ wo no pɛpɛɛpɛ. Afei nso, sɛ w’aniwa yɛ wo yaw soronko, ɛyaw, anaa ɛyɛ wo yaw a ennyae a, hwɛ hu sɛ wobɛkɔ w’ani duruyɛfo nkyɛn . Afei nso, sɛ wunya aniwa mu sɛnkyerɛnne foforo biara anaasɛ sɛ yare no ho sɛnkyerɛnne bi a ɛwɔ hɔ dedaw no mu yɛ den a, ka kyerɛ wo duruyɛfo ntɛm ara.

Bere a ɛho hia sɛ obiara yɛ n’ani mu nhwehwɛmu daa no, ɛho hia titiriw sɛ wowɔ Ocular Hypertension a. Ɛho hia nso sɛ wobɛnom nnuru a wo duruyɛfo akyerɛw ama wo no sɛnea ɔka kyerɛ wo no pɛpɛɛpɛ. Sɛ wohwɛ yiye a, wubetumi asiw Ocular Hypertension ano na anyɛ kɛse, asɛe aniwa ntini no, na ama woahwere aniwa no.

Take-Home Message a efi Nea Yɛaka no mu

Okay, enti, momma yɛnhwɛ nneɛma a ɛho hia paa a ɛsɛ sɛ wode sie w'adwene mu fi nea yɛaka ho asɛm afa `Ocular Hypertension` ho:

• Ocular Hypertension yɛ nhyɛso a ɛkɔ soro wɔ aniwa no mu . Mpɛn pii no ɛmma wonnya yare no ho sɛnkyerɛnne biara .
• Saa tebea yi betumi ama obi anya yare bi a asiane wom a wɔfrɛ no glaucoma . Glaucoma nso tumi ma obi ntumi nhu ade yiye.
• Aniwa mu nhwehwɛmu a wɔyɛ no daa ne ɔkwan a eye sen biara a wobɛfa so ahu eyi ntɛm.
• Sɛ wo duruyɛfo ka kyerɛ wo sɛ wowɔ `Ocular Hypertension` a, mma wo ho nnyɛ wo hu . Ayaresa wɔ hɔ a wɔde sa no. Di oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ.
• Asetra pa a wobɛkɔ so akura mu (adidi pa, apɔw-mu-teɛteɛ, ne sigaret a wonnom) ho hia yiye ma aniwa akwahosan.

Kae sɛ w’ani som bo paa. Enti ɛyɛ w’asɛyɛde sɛ wobɛhwɛ wɔn. Sɛ wowɔ ɔhaw bi a, nsuro sɛ wo ne oduruyɛfo bɛkasa.

` Aniwa mu Nhyɛso, Aniwa Nhyɛso, Glaucoma, Aniwa Akwahosan, Aniwa mu Nhwehwɛmu, Aniwa mu Nhyɛso, IOP