Ɔkwan a wɔfa so ka ahwehwɛ a wɔde hwɛ ade ho asɛmpa! Momma yensua Refractive Lens Exchange ho ade wɔ ɔkwan a ɛnyɛ den so.

So woabrɛ sɛ wobɛhwehwɛ w’aniwa ahwehwɛ anaa w’aniwa ahwehwɛ anɔpa biara bere a woasɔre awie no? So woabrɛ sɛ wobɛma w’aniwa ahwehwɛ no ayɛ nsu bere a osu tɔ, ayɛ sum, na ɛsɛ sɛ wohohoro mu bere nyinaa? Ebia woyɛ obi a wopɛ agumadi, na afei saa ahwehwɛ yi yɛ ɔhaw kɛse. Enti nnipa pii susuw sɛ eyi ano aduru biara nni hɔ, sɛ ɛsɛ sɛ wotra ase saa wo nkwa nna nyinaa. Nanso nokwarem no, nnɛyi nnuruyɛ akwan bi wɔ hɔ a ebetumi aka ahwehwɛ yi ho asɛmpa na ama w’ani so atew . Ɛnnɛ yɛreka oprehyɛn titiriw a ɛte saa biako ho asɛm.

Dɛn ankasa ne Refractive Lens Exchange (RLE)?

Sɛ yɛbɛka no tiawa a, eyi nso yɛ aniwa oprehyɛn. Nanso, eyi hwehwɛ sɛ wuyi abɔde mu ahwehwɛ a ɛwɔ w’ani no mu no fi hɔ koraa na wode ahwehwɛ a wɔde nsa ayɛ (Intraocular Lens - IOL ) a wɔayɛ no sɛnea ɛbɛyɛ a ɛbɛfata w’ankasa w’aniwa mu sintɔ no ahyɛ mu daa.

Fa no sɛ wode ahwehwɛ ketewaa bi a ahoɔden te sɛ w’aniwa ahwehwɛ anaa ahwehwɛ a wode hwɛ w’ani no bɛhyɛ w’ani mu. Sɛ wɔde afiri a wɔde yɛ ahwehwɛ no hyɛ nipadua mu pɛ a, ɛyɛ adwuma te sɛ wo abɔde mu ahwehwɛ no ara pɛ. Ɛma hann a ɛhyɛn w'ani so no twe adwene si na ɛde n'adwene si retina no so tẽẽ . Eyi ma wutumi hu ade yiye a ɛnyɛ nea ɛyɛ kusuu. Ɛho nhia sɛ nnipa pii hyɛ ahwehwɛ bio da wɔ oprehyɛn yi akyi. Ebia nnipa binom behia ahwehwɛ nkutoo ama nnwuma a wɔbɛn ho, te sɛ nhoma anaa atesɛm krataa akenkan.

Ebia woate laser oprehyɛn ho asɛm, te sɛ `(LASIK)` ne `(PRK)`. Saa oprehyɛn ahorow yi sesa aniwa no ani hwɛbea no nsusuwii na ama aniwa no atumi ahu ade yiye. Nanso nnipa binom, titiriw wɔn a wɔn ani nhu ade yiye (wɔn a wotumi hu ade yiye anaasɛ wotumi hu ade akyirikyiri) ntumi nyɛ saa laser oprehyɛn yi. Ɛno ne bere a nnuruyɛfo hyɛ nyansa sɛ wɔnyɛ `(Refractive Lens Exchange)` oprehyɛn.

Henanom na oprehyɛn yi ye ma wɔn? (Na henanom na ɛnyɛ mma?)

Saa oprehyɛn yi nyɛ obiara dea. W’ani oprehyɛn ho ɔyaresafo bɛhwɛ w’ani mu na wasi gyinae sɛ ebia eyi fata wo anaa. Pon a ɛwɔ ase ha no bɛma woanya eyi ho adwene pa.

So mfe a obi adi ho hia?

Mpɛn pii no, oprehyɛn yi ye ma nnipa a wɔadi boro mfe 40. Nneɛma pii nti na ɛte saa. Biako ne sɛ nnipa a wɔn mfe akɔ anim ntaa nhyia nsɛnnennen wɔ oprehyɛn no akyi. Foforo nso ne sɛ nnipa pii a wɔadi boro mfe 40 wɔ baabi a wotumi hu nneɛma a ɛbɛn (presbyopia) dedaw. Enti oprehyɛn yi betumi adi saa ɔhaw no ho dwuma prɛko pɛ.

Nsonsonoe bɛn na ɛda ani a ɛyɛ mmerɛw oprehyɛn ne eyi ntam?

Eyi yɛ biribi a nnipa pii adwene tu fra wɔ ho. Oprehyɛn abien yi nyinaa hwehwɛ sɛ woyi aniwa no abɔde mu ahwehwɛ no na wɔde aniwa a wɔde ayɛ (IOL) si ananmu. Nanso, nea enti a wɔyɛɛ no ​​oprehyɛn no yɛ soronko koraa.

• Cataract oprehyɛn: Wɔyɛ eyi efisɛ abɔde mu ahwehwɛ a ɛwɔ w’ani so no abɛyɛ mununkum (te sɛ ahwehwɛ a sum kabii wom). Saa mununkum yi resiw w’anisoadehu kwan. Enti woyi ahwehwɛ a ɛyɛ mununkum no na wɔde ahwehwɛ a wɔde nsa ayɛ a emu da hɔ hyɛ mu na ama wɔatumi asan ahu ade yiye. Eyi yɛ aduruyɛ mu ahiade .
• Refractive Lens Exchange (RLE) oprehyɛn: Wɔyɛ eyi de siesie aniwa mu haw ahorow (te sɛ nea ɛbɛn anaa akyirikyiri) a ɛba bere a w’abɔde mu ahwehwɛ no mu da hɔ , nanso entumi mfa hann nsi hɔ yiye no. Ɔhaw a ɛwɔ ha no nyɛ ahwehwɛ no mununkum, na mmom ɔhaw a ɛfa adwene a wɔde si biribi so ho . Wɔyɛ eyi na ama wo ho a wode to ahwehwɛ anaa ahwehwɛ a wɔde hwɛ ade so no so atew na ama da biara da asetra ayɛ mmerɛw. Enti, eyi yɛ oprehyɛn a wɔpaw sen sɛ ɛbɛyɛ aduruyɛ mu ahiade.

Ɔkwan bɛn so na wusiesie wo ho ansa na wɔayɛ wo oprehyɛn?

W’ani oprehyɛn ho ɔyaresafo bɛhwehwɛ w’ani mu yiye ansa na wɔayɛ wo oprehyɛn na ɔne wo asusuw aniwa mu ahwehwɛ ahorow (IOL) a ebia wɔde bɛhyɛ mu no ho. Ɛho hia sɛ wubisa nsɛm biara a ebia wowɔ saa bere yi.

IOL ahorow atitiriw pii wɔ hɔ:

• Monofocal IOLs: Saa ahwehwɛ yi tumi ma wohu ade yiye wɔ akyirikyiri anaa akyirikyiri . Wontumi mfa abien no nyinaa mma. Sɛ nhwɛso no, sɛ wohyɛ saa ahwehwɛ yi de hu ade wɔ akyirikyiri a, akyinnye biara nni ho sɛ wubehia ahwehwɛ ama nnwuma a ɛbɛn te sɛ nhoma akenkan anaa wo fon a wobɛhwɛ.
• Multifocal IOLs (ahwehwɛ a ɛma wuhu akyirikyiri ne nea ɛbɛn nyinaa): Saa ahwehwɛ yi ma wutumi hu nneɛma a ɛwɔ akyirikyiri ne nea ɛbɛn nyinaa a wunni ahwehwɛ. Nanso, wɔwɔ sintɔ ahorow bi. Ebia nnipa binom behu hann ne halos bere a wɔreka kar anadwo no. Mpɛn pii no, eyinom yera bere a bere kɔ so no.
• Ɔkwan a wɔfa so hwɛ ade biako: Eyi yɛ ɔkwan a ɛyɛ anigye yiye. Nea woyɛ wɔ ha ne sɛ wode ``monofocal`` lens a ɛma wotumi hu akyirikyiri bɛhyɛ aniwa biako mu na wode ``monofocal`` lens a ɛma wohu ade a ɛbɛn wo bɛhyɛ aniwa foforo no mu. Ɛwom sɛ mfiase no ɛte sɛ nea ɛyɛ nwonwa kakra de, nanso bere tiaa bi akyi no, w’amemene no de eyi yɛ ne su na wufi ase hu akyirikyiri ne baabi a ɛbɛn nyinaa a wunhu.

Wo ne wo duruyɛfo nkasa na si akwan horow yi mu nea ɛfata w’asetra kwan, w’adwuma, ne w’ahiade yiye ho gyinae.

Ɔkwan bɛn so na wɔyɛ oprehyɛn no?

Biribiara nni hɔ a enti ɛsɛ sɛ yesuro oprehyɛn yi. Mpɛn pii no egye bɛyɛ simma 15-30 ansa na wɔawie. Anamɔn a wɔfa so yɛ oprehyɛn no ne nea edidi so yi:

1. Nea edi kan no , wɔde aniwa mu nsu gu w'ani mu de ma ɛyɛ mmerɛw . Enti worente ɛyaw biara nka. Sɛ ɛho hia a, wobetumi ama wo aduru a ɛma wo ho dwo wo na ama wo ho adwo wo. Wobɛte nka, nanso w’aniso bɛyɛ nea ɛyɛ kusuu. Nea wubetumi ahu ara ne hann ne kankyee bi.

2. Afei, oduruyɛfo a ɔyɛ oprehyɛn no de laser hann anaa agyan a ɛyɛ fɛ yiye di dwuma de twa ketewaa bi wɔ baabi a aniwa no fitaa (sclera) ne ani no hyia.

3. Afei, wode adwinnade a ɛte sɛ kyerɛwdua (phacoemulsification) di dwuma de bubu w’abɔde mu ahwehwɛ no mu nketenkete na wɔde ahwɛyiye twe fi mu.

4. Afei, wɔde ahwehwɛ a wɔde ayɛ (IOL) a wɔadi kan apaw no hyɛ baabi a wɔabɔ no mu denam saa ntwitwiridii ketewaa no so na wɔde si ahwehwɛ a ɛyɛ mmerɛw a ɛkura ahwehwɛ no mu yiye.

5. Saa ntwitwiridii yi sua araa ma enhia sɛ wɔpam mpo . Ɛbɛto mu na n’ankasa asa yare.

6. Awiei koraa no, wɔde wo bɛkɔ ayaresabea a wɔde aniwa kyɛm ketewaa bi abata ho.

Dɛn na ɛba wɔ oprehyɛn no akyi?

Wɔ oprehyɛn no akyi no, wɔbɛhwɛ wo bɛyɛ simma 30 na afei wɔama wo kwan ma woakɔ fie. Ɛho hia sɛ obi ba de wo bɛkɔ fie. Afei nso, ɛsɛ sɛ wunya obi a ɔde wo bɛkɔ ayaresabea a edi kan a wobɛkɔ wɔ oprehyɛn no akyi. Oduruyɛfo no bɛkyerɛ wo bere a wubetumi aka kar bio.

Ɛyɛ ade a ɛfata sɛ wubenya ɔhaw bi wɔ nna kakraa a edi kan wɔ oprehyɛn no akyi. Eyinom yɛ bere tiaa mu de.

• Anisoadehu a ɛyɛ kusuu kakra
• Anisoadehu abien
• Aniwa mu a ɛyɛ yaw, te sɛ nea anhwea wɔ mu.
• Aniwa a ɛyɛ kɔkɔɔ
• Nusu a ɛresen fi aniwa so

Eyinom bɛyera koraa bere a bere kɔ so no. Nnipa binom nso betumi anya aniwa mu nsunsuanso bɔne a efi aniwa mu ahwehwɛ (IOL) mu.

• Ɛte sɛ sunsuma bere a wofi nkyɛn hwɛ no
• Hann a ɛhyerɛn a wubehu bere a wofi nkyɛn hwɛ no
• Halo anaa hann a ɛhyerɛn a wubehu wɔ akanea ho, titiriw anadwo

Eyinom taa ba nnipa a wɔwɔ IOL ahorow a ɛwɔ mmeae pii no mu, na ɛtaa so tew bere kɔ so bere a amemene no yɛ nsakrae ma ɛne no hyia no.

Mfaso ne asiane bɛn na ɛwɔ oprehyɛn yi so?

Te sɛ oprehyɛn biara no, eyi wɔ mfaso ne asiane nyinaa. Sɛ wɔma aniwa ho oprehyɛn ho ɔbenfo a ne ho akokwaw yɛ oprehyɛn yi a, ebetumi atew asiane ahorow no so kɛse.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Ɛyɛ ade a ɛfata sɛ aniwa no benya nsakrae bi wɔ bere a ɛsa no mu wɔ oprehyɛn no akyi, nanso sɛnkyerɛnne ahorow bi wɔ hɔ a ɛsɛ sɛ yɛma yɛn ani da hɔ titiriw.

Nneɛma foforo bɛn na wobetumi afa so ka oprehyɛn yi ho?

Refractive Lens Exchange nyɛ obiara dea. Ebia akwan foforo bi wɔ hɔ a wubetumi afa so a ɛfata wo.

• Glasses anaa Contact Lenses: Eyi ne ɔkwan a ɛyɛ mmerɛw na ɛnyɛ nea wɔde hyɛ nipadua mu.
• Laser oprehyɛn (LASIK, PRK): Ebia eyinom fata ma nnipa a wɔn ani nhu ade yiye.
• Phakic Intraocular Lens (PIOL) Implantation: Eyi hwehwɛ sɛ wode ahwehwɛ foforo bɛhyɛ w’abɔde mu ahwehwɛ no anim a wunnyi mfi hɔ. Ɛte sɛ nea wode contact lens ahyɛ w’ani mu. Eyi yɛ ɔkwan pa a wobetumi afa so, titiriw ma nnipa a wonnii mfe 40 a wotumi hu ade yiye nanso wonnya mfii ase nhu ade a ɛbɛn no.

Ade a ɛho hia sen biara ne sɛ wo ne w’ani ho ɔyaresafo bɛkasa afa akwan horow yi mu biara ho, nea eye ne nea enye, na woapaw nea eye ma wo.