So wunim aniwa mu nhwehwɛmu titiriw (Pachymetry Test) yi ho asɛm ankasa? Momma yɛnkasa!

So woakɔ aniwa ho oduruyɛfo nkyɛn pɛn na woate biribi te sɛ, "Ɛsɛ sɛ yɛhwɛ sɛnea w'aniwa no mu yɛ duru"? Ebia wususuwii sɛ ɛno yɛ nwonwa kakra. Dɛn ne saa susuw a wɔde susuw aniwa no mu duru ho yi? Ɛno ne nea yɛfrɛ no sɔhwɛ a wɔyɛ ma no, ``Pachymetry Test'' anaa ``Corneal Pachymetry Test.'' Sɛ yɛbɛka no tiawa a, ɛsusuw wo ``Cornea'', ade a ɛyɛ mmerɛw a ɛwɔ w'ani anim no mu duru.

Dɛn ne Pachymetry sɔhwɛ no? Dɛn nti na ɛho hia?

Okay, momma yenni kan nhwɛ nea saa `(Cornea)` yi yɛ. Wowɔ aniwa, na ɛwɔ anim a ɛda adi na ɛyɛ den kakra , te sɛ ahwehwɛ. Te sɛ dɔn bi ahwehwɛ. Eyi na ɛboa yɛn ma yehu nneɛma yiye, kyerɛ sɛ, ɛboa ma yɛde yɛn adwene si hann so denam hann a yɛde bɛkɔ aniwa no mu no so. Ɛsan yɛ adwuma sɛ kyɛm a ɛho hia a ɛbɔ aniwa no ho ban fi nneɛma te sɛ mfutuma ne mmoawa ho.

Enti, saa `(Pachymetry)` sɔhwɛ yi susuw sɛnea `(Cornea)` no mu duru te pɛpɛɛpɛ. Eyi yɛ sɔhwɛ a ɛho hia yiye, efisɛ egyina `(Cornea)` no mu duru so no, ɛboa ma wohu sɛ wowɔ aniwa mu nyarewa bi anaasɛ enni bi, na ɛsan nso hwɛ sɛ wofata ma ayaresa ahorow bi anaa.

Ade foforo nso, abusuabɔ kakra wɔ saa `(Pachymetry)` sɔhwɛ yi ne sɔhwɛ foforo a wɔfrɛ no `(Corneal Topography)` ntam. `(Corneal Topography)` yɛ kɔla map a ɛkyerɛ wo `(Cornea)`. Ɛbɛtumi ama nsɛm pii afa `(Cornea)` no nsɛsoɔ ne ne soro ho.

Bere bɛn na wɔyɛ saa pachymetry sɔhwɛ yi?

Tebea ahorow pii wɔ hɔ a w’ani duruyɛfo betumi asi gyinae sɛ ɔbɛyɛ saa ``Pachymetry`` sɔhwɛ yi. Momma yɛnhwɛ nea wɔyɛ:

• Glaucoma: Eyi yɛ yare a ebetumi asɛe aniwa ntini no na asɛe aniwa no esiane aniwa mu nhyɛso (IOP) a ɛkɔ soro nti. Enti, sɛ wususuw sɛ wowɔ glaucoma, anaasɛ wɔresa wo yare a, ɛho hia yiye sɛ wususuw w’aniwa no mu duru. Nea enti a ɛte saa ne sɛ w’aniwa a ɛyɛ den no betumi aka nea efi tonometry nhwehwɛmu a wɔde susuw aniwa mu nhyɛso mu ba no.
• Refractive errors surgery: Sɛ woreyɛ nhyehyɛe sɛ wobɛyɛ oprehyɛn te sɛ LASIK de ahu ade a ɛbɛn anaasɛ wohu akyirikyiri a ɛhwehwɛ sɛ wohyɛ ahwehwɛ a, akyinnye biara nni ho sɛ ɛho behia sɛ woyɛ Pachymetry sɔhwɛ. Eyi yɛ nea wɔde behu sɛ ebia w’aniwa no mu yɛ duru sɛnea ɛbɛyɛ a wubetumi ayɛ oprehyɛn no anaa.
• Aniwa mu nyarewa: Nyarewa bi wɔ hɔ a ɛka ani no, te sɛ corneal hydrops (tebea a ɛma ani no yɛ nsu), keratoconus (tebea a ɛma ani no pue kɔ anim), ne Fuchs’ dystrophy (tebea a ɛka ani no mu fã). Saa sɔhwɛ yi betumi aboa ma wɔahu saa nyarewa yi na wɔayɛ ayaresa ho nhyehyɛe.
• Aniwa a wɔapirapira:Sɛ biribi to aniwa no a, wɔde di dwuma nso de hwɛ sɛ aniwa no asɛe anaa ne mu duru aka.

Sɛ yɛbɛka no tiawa a, nsɛm a ɛfa aniwa no mu duru ho a wonya fii Pachymetry sɔhwɛ yi mu no boa kɛse wɔ nea efi Tonometry sɔhwɛ a ɛkyerɛ nhyɛso a ɛwɔ w’ani so no mu ba no ase yiye mu.

Ɔkwan bɛn so na wɔyɛ saa pachymetry sɔhwɛ yi? So ɛyɛ asɛm kɛse?

Ɛho nhia sɛ wusiesie wo ho pii ma sɔhwɛ yi. Mpɛn pii no, wobetumi awie wɔ simma kakraa bi mu. Akwan titiriw abien na ɛwɔ hɔ a wobɛfa so ayɛ eyi:

1. Ɔkwan a wɔfa so yɛ Optical Pachymetry

Nea ɛba wɔ eyi mu ne sɛ wɔma wotra nkongua bi so wɔ afiri bi anim. Ɛsɛ sɛ wode wo ti ne wo hwene si baabi pɔtee bi wɔ afiri no so. Afei afiri no twa w'ani mfonini, hwehwɛ saa mfonini ahorow no mu na ɛsusuw `(Cornea)` no mu duru. Wɔ saa kwan yi so no, biribiara nka w’ani. Ɛtɔ da bi a, wɔde nnɛyi akwan te sɛ `(Optical Coherence Tomography - OCT)` na ɛyɛ eyi. Eyi yɛ ɔkwan a ɛyɛ ntɛm yiye na ɛnyɛ yaw.

2. Ultrasonic Pachymetry kwan a wɔfa so yɛ no

Wɔ saa kwan yi so no, oduruyɛfo no di kan de aduru a ɛma ɛyɛ mmerɛw gu w’ani so. Eyi ma w’ani yɛ mmerɛw kakra, enti wonte nka sɛ wo ho nyɛ wo dɛ. Afei, wɔde ahwɛyiye de adwinnade bi a ɛho tew a wɔayam no yiye na ɛte sɛ kyerɛwdua a wɔfrɛ no pachymeter si w’aniwa no ani sikɔne kakraa bi. Saa adwinnade yi de ultrasound asorɔkye a ɛyɛ nnyigyei asorɔkye a ɛkɔ soro di dwuma de susuw w’aniwa no mu duru. Mpɛn pii no, wɔsusuw ne kɛse wɔ ani no mfinimfini, nanso ɛtɔ mmere bi a wobetumi asusuw mmeae afoforo nso.

Nea ɛho hia: Sɛ wunim sɛ wɔbɛma w’ani so aduru bere a woreyɛ w’ani mu nhwehwɛmu no a, ɛbɛyɛ papa sɛ wobɛma obi foforo aka wo sen sɛ wobɛka kar. Aniwa mu nsu bi betumi ama aniwa tuntum no atrɛw, na ebetumi ama aniwa no ayɛ kusuu kakra. Ɛtɔ mmere bi a, nsu a ɛma obi ho tɔ no nso betumi anya aniwa so nkɛntɛnso ketewaa bi.

So asiane ahorow bi wɔ sɔhwɛ yi mu?

Ebia eyi yɛ biribi a wo nso woredwen ho. Momma yɛnhwɛ.

• Optical Pachymetry Ɔkwan: Esiane sɛ wɔmfa saa kwan yi nka aniwa no nti, asiane biara nni hɔ a ɛsɛ sɛ yɛka ho asɛm. Ahobammɔ wom paa.
• Ultrasonic Pachymetry: Saa kwan yi nso nni asiane kɛse biara, nanso nneɛma nketenkete kakraa bi wɔ hɔ a ɛntaa nsi koraa:
• Hokwan ketewaa bi wɔ hɔ sɛ aniwa mu yare bɛba (ɛno nti na wɔde nnwinnade a ɛho tew di dwuma no).
• Aniwa no betumi ayɛ kɔkɔɔ kakra, ayɛ hyew, anaasɛ ayɛ no yaw (aniwa a ɛyɛ hyew).
• Ebia nnipa binom benya akisikuru a emu nyɛ den wɔ aniwa a wɔde gu aniwa mu a ɛyɛ mmerɛw ho.
• Sɛ wɔde Pachymeter no mia aniwa no so a, ɛtɔ mmere bi a ebetumi agyaw bere tiaa mu nsensanee ketewaa bi wɔ Aniwa no ani. Eyi bɛsa yare wɔ nna kakraa bi mu.

Nea ɛho hia sen biara ne sɛ, sɛ wunya aniwa mu haw biara, w’aniwa yɛ wo yaw, anaa biribi foforo biara a ɛyɛ soronko wɔ w’ani mu nhwehwɛmu biara akyi a, ɛsɛ sɛ wobɔ w’ani duruyɛfo amanneɛ ntɛm ara.

Wobɛyɛ dɛn anya sɔhwɛ mu aba? Dɛn na wɔka kyerɛ wo?

Nea eye sen biara ne sɛ ɛkame ayɛ sɛ wunya nea efi mu ba no wɔ sɔhwɛ no akyi pɛɛ. Wo duruyɛfo betumi ne wo aka wɔn ho asɛm wɔ hɔ ara.

Sɛnea nhwehwɛmu ahorow a wɔyɛe wɔ United States kyerɛ no, sɛ wɔkyekyem pɛpɛɛpɛ a, obi a ɔwɔ apɔwmuden `(Cornea)` (Central Corneal Thickness - CCT) mu duru yɛ micrometer 540 kosi 550 `(micrometers)` anaa microns `(microns). Nanso eyi yɛ bo a wɔkyekyem pɛpɛɛpɛ ara kwa, kae. Ɛnyɛ saa bo yi nko na wo duruyɛfo no besusuw ho, na mmom obesusuw nneɛma afoforo pii nso ho, te sɛ wo mfe a woadi, w’akwahosan nyinaa, ne sɛ ebia wowɔ aniwa mu nyarewa afoforo, bere a ɔresi nea ɔbɛka afi nea afi mu aba yi mu ho gyinae no. Enti, sɛ mpo wo `(Cornea)` kɛseyɛ no boro saa kwan a ɛfata yi so a, ebia w'aniwa bɛyɛ apɔwmuden.

Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na ɛsɛ sɛ meyɛ akyi?

Fa no sɛ wo Pachymetry sɔhwɛ no mu aba no nni nea ɛfata mu. Dɛn na ɛba saa bere no? Oduruyɛfo no de nea efi mu ba yi di dwuma de si nea ɔbɛyɛ akyi.

• Wɔ Glaucoma ho: Sɛ wowɔ glaucoma a, saa corneal thickness data yi betumi aboa ma woahu sɛnea woreyɛ w’ade wɔ w’ayaresa no ho ne sɛ ebia ɛsɛ sɛ wɔsesa w’ayaresa no anaa.
• Wɔ aniwa oprehyɛn ho: Sɛ woresiesie wo ho ama oprehyɛn te sɛ `(LASIK)` a, `(Cornea)` no mu duru ho hia yiye. Efisɛ, sɛ `(Cornea)` no nyɛ den sɛnea ɛbɛyɛ a wobetumi ayɛ oprehyɛn no a, tebea bi a wɔfrɛ no `(Corneal ectasia)` betumi aba wɔ oprehyɛn no akyi. Ɛno kyerɛ sɛ `(Cornea)` no yɛ mmerɛw na ɛpuepue kɔ n'anim. Ɛno betumi anya anisoadehu so nkɛntɛnso kɛse. Enti, wɔyɛ sɔhwɛ yi ansa na wɔayɛ oprehyɛn no na ama saa asiane no so atew.

Sɛ w’aniwa no yɛ den a, ɛkyerɛ dɛn?

Ebia nnipa binom ani a ɛyɛ mmerɛw no bɛyɛ kɛse kakra sen sɛnea ɛte daa. Dɛn na ɛno kyerɛ?

• Mpɛn pii no, wɔahu sɛ nnipa a wɔn ani so yɛ den no, asiane a ɛwɔ hɔ sɛ wobenya atiridiinini no sua kakra.
• Afei nso, sɛ wɔresusuw obi a n’aniwa yɛ den aniwa so nhyɛso (IOP) a, ebetumi akyerɛ sɛ ɛsom bo kɛse sen nhyɛso ankasa. Ɛne sɛ, esiane sɛ ani a ɛwɔ anim no mu yɛ duru nti, ebia pressure gauge no bɛma wɔakenkan ade a ɛnteɛ.

Enti, ɛdenam w’aniwa a ɛwɔ w’aniwa no mu duru pɔtee a wubehu so no, wo duruyɛfo betumi ayɛ w’aniwa nhyɛso ho nhwehwɛmu pɛpɛɛpɛ na wahu wo pɛpɛɛpɛ.

Enti, nneɛma bɛn na ɛsɛ sɛ yɛkae fi saa asɛm yi mu?

Okay, mewɔ anidaso sɛ seesei woanya adwene pa wɔ `(Pachymetry Test)` no ho. Sɛ yɛbɛka no tiawa a, eyi yɛ sɔhwɛ a ɛnyɛ yaw na ɛyɛ ntɛm a ɛho hia yiye ma w’ani akwahosan.

Kae:Sɛ w’ani duruyɛfo kamfo kyerɛ sɛ wɔnyɛ Pachymetry nhwehwɛmu a, ɛkyerɛ sɛ ɛsɛ sɛ wohu w’aniwa no mu duru, susuw w’aniwa mu nhyɛso (IOP) ho pɛpɛɛpɛ, na wohu sɛ ebia woyɛ obi a ɔfata sɛ wɔyɛ w’ani oprehyɛn anaasɛ wɔyɛ nhyehyɛe ma tebea horow te sɛ atiridiinini ayaresa. Eyi yɛ anammɔn biako bio a ebetumi aboa ma woabɔ w’anisoadehu ho ban.

Enti, ɛho hia sɛ wudi nnuruyɛfo afotu akyi. Sɛ wowɔ nsɛmmisa bi a, nsuro sɛ wubebisa wo duruyɛfo.

` Pachymetry, aniwa mu nhwehwɛmu, ani a ɛyɛ den, glaucoma, LASIK oprehyɛn, aniwa akwahosan, aniwa mu nhwehwɛmu