Momma yensua sɔhwɛ a ɛkyerɛ aniwa nhyɛso (Tonometry) wɔ ɔkwan a ɛnyɛ den so no ho ade.

Woahwɛ w’ani pɛn? Na afei mpofirim ara wo nya sɔhwɛ a wobɔ mframa kɔ w’ani mu na ɛma wo ho yɛ wo yaw kakra? Ɛnnɛ yɛbɛka akwan bi a wobɛfa so asusu nhyɛsoɔ a ɛwɔ w’ani mu ho asɛm, a sɔhwɛ a nnipa dodoɔ no ara nim no ka ho. Eyi nyɛ hu sɛnea ebia wubesusuw no. Nokwarem no, ɛyɛ sɔhwɛ a ɛho hia yiye a wode bɛbɔ w’aniwa ho ban.

Dɛn ne Tonometry?

Sɛ yɛbɛka no tiawa a, tonometry yɛ aduruyɛ mu sɔhwɛ a ɛkyerɛ nhyɛso a ɛwɔ w’ani mu (intraocular pressure). Eyi yɛ nhwehwɛmu a ɛho hia sen biara a wɔde hu tebea bi a wɔfrɛ no glaucoma no mu biako. Akwan pii wɔ hɔ a wɔfa so yɛ sɔhwɛ yi. Wɔn nyinaa yɛ ntɛm paa na ɛnyɛ yaw.

Dɛn nti na sɔhwɛ yi ho hia saa?

Aniwa ho animdefo de sɔhwɛ yi di dwuma titiriw de hwehwɛ atiridiinini mu na wohu. Wɔtaa yɛ no sɛ aniwa mu nhwehwɛmu a wɔyɛ no daa no fã. Wɔyɛ no nso bere a aniwa apira anaa sɛnkyerɛnne afoforo bi wɔ hɔ no.

Ɛtɔ mmere bi a, nnuruyɛfo nso de sɔhwɛ yi di dwuma de hwɛ sɛ ebia aniwa mu nhyɛso rekɔ soro sɛ nnuru bi a worenom (aniwa mu mogya mmoroso) mu nsunsuanso bɔne anaa.

Ɔkwan bɛn so na eyi susuw aniwa mu nhyɛso?

Nsu bi a wɔfrɛ no aqueous humor ahyɛ yɛn aniwa mu, titiriw anim dan no mu ma. Saa nsu yi de nhyɛso ba aniwa no mu, na ɛma ɛyɛ kurukuruwa. Tonometry susuw nhyɛso a ɛwɔ saa nsu yi mu.

Ade a wɔde susuw saa nhyɛso yi ne mercury milimita (mmHg). Ade koro no ara a wɔde susuw wo mogya mmoroso no na wɔde yɛ eyi.

Akwan titiriw bɛn na wɔfa so yɛ tonometry?

Akwan pii wɔ hɔ a wo duruyɛfo betumi afa so asusuw w’ani so nhyɛso. Momma yɛnhwɛ nea wɔyɛ.

Akwan afoforo a wɔfa so yɛ adwuma

Wɔ saa akwan titiriw yi akyi no, akwan foforo te sɛ `Dynamic contour tonometry` ne `Electronic indentation tonometry` wɔ hɔ. Afei nso, mprempren wɔreyɛ akwan horow a wɔfa so susuw nhyɛso bere a wɔhyɛ ahwehwɛ a wɔde hwɛ ade no ho nhwehwɛmu.

So ɛsɛ sɛ misiesie biribi ansa na mayɛ sɔhwɛ no?

Mpɛn pii no, biribiara nni hɔ a ɛsɛ sɛ woyɛ pɔtee na ama woasiesie wo ho ama sɔhwɛ yi.

Nanso ade ketewaa biako wɔ hɔ. Sɛ ɛbɛyɛ yiye a, nhyɛ atade anaa T-shirt a ɛma wo kɔn mu yɛ den da a wɔbɛyɛ sɔhwɛ no. Sɛ wohyɛ atade a ɛwɔ kɔla a, ma ɛnyɛ mmerɛw kakra. Efisɛ sɛ wo kɔn mu yɛ den a, nhyɛso a ɛwɔ w’ani so no betumi akɔ soro kakra, na ebia wɔbɛkyerɛw wɔ sɔhwɛ amanneɛbɔ no so wɔ ɔkwan a ɛnteɛ so.

Osuahu bɛn na wunya bere a woreyɛ sɔhwɛ no?

Eyi betumi ayɛ soronko kakra a egyina ɔkwan a wofa so yɛ sɔhwɛ a woreyɛ no so.

• Sɛ woreyɛ applanation tonometry a, wo duruyɛfo de nnuru a wɔde kum nipadua no ne aduru kɔkɔɔ bi a wɔfrɛ no fluorescein bɛhyɛ w’ani mu.
• Nanso eyinom mu biara nni hɔ a wɔhwehwɛ mma sɔhwɛ a ɛnyɛ nea wɔde di nkitaho no.

Sɔhwɛ dodow no ara gye sikani kakraa bi pɛ. Ɛtɔ mmere bi a, oduruyɛfo no betumi afa akenkan no mprenu anaa mprɛnsa na ama wanya akenkan a edi mu. Enti nsusuw sɛ, "Oh, so meyɛɛ bɔne bi?" Ɛyɛ adeyɛ a ɛyɛ daa.

Dɛn ne gyinapɛn ahorow a ɛfata? Sɛ nea efi mu ba no sesa a, dɛn na ɛsɛ sɛ yɛyɛ?

Nhyɛso a ɛwɔ nnipa a wɔwɔ apɔwmuden dodow no ara aniwa mu no yɛ mercury milimita 10 kosi 21 (mmHg - 21 mmHg) . Sɛ nea efi mu ba no nni saa kwan yi akyi a, nneɛma kakraa bi wɔ hɔ a ebetumi asi akyi.

Sɛ nea efi mu ba no dɔɔso sen sɛnea ɛte daa a

Sɛ sɔhwɛ a ɛnyɛ den kyerɛ sɛ wo nhyɛso no yɛ kɛse a, mpɛn pii no wo duruyɛfo no bɛbɔ mmɔden sɛ ɔde ɔkwan a ɛyɛ pɛpɛɛpɛ te sɛ applanation tonometry besi so dua. Sɛ wohu sɛ wo nhyɛso no yɛ kɛse a, ebia wo duruyɛfo besi gyinae sɛ ɔbɛkɔ so ahwɛ wo tebea no so anaasɛ obefi ase sa yare. Wɔbɛyɛ nhyehyɛe sɛ wobɛkɔ akɔhwɛ wo.

Sɛ nea efi mu ba no sua sen bo a ɛfata a

Aniwa nhyɛso a ɛba fam (a ennu `5 mmHg` anaa `6 mmHg`) nso yɛ ɔhaw. Eyi nso betumi asɛe aniwa no na ama aniwa no ayera. Sɛ wo nhyɛso no sua a, wo duruyɛfo bɛkyerɛkyerɛ anammɔn a edi hɔ ne ayaresa mu akyerɛ wo.

So metumi aka kar bere a wɔasɔ ahwɛ awie no?

Eyi yɛ biribi a ɛsɛ sɛ yesusuw ho. Sɛ woma wɔyɛɛ aniwa mu nhyɛso ho nhwehwɛmu no nkutoo a, anka ɔhaw biara nni kar a wobɛka mu.

Nanso, wɔ nhyɛso a ɛwɔ aniwa no mu a wɔsusuw akyi no, wɔde dilation (eye dilation) di dwuma de hwehwɛ aniwa no mu. Sɛ wotrɛw w’ani mu saa a, ebia ɛbɛyɛ den ama wo sɛ wobɛka kar. Ebia wobɛte hann nka na ebia wuntumi nhu nneɛma a ɛbɛn wo yiye nnɔnhwerew kakraa bi.

Enti, ɛyɛ nea asiane biara nni ho sɛ wobɛma obi aka wo anaasɛ ɔde kar foforo bedi dwuma da a wɔbɛhwɛ w’ani no. Ɛyɛ papa sɛ wubebisa wo duruyɛfo no afotu wɔ eyi ho.