Yala i delila k’i yɛrɛ ɲininka ko fɛn caman bɛ kɛ nin farikolo yɔrɔ fitinin in kɔnɔ min bɛ wele ko an ɲɛ, a bɛ baara kɛ cogo min na wa? Tiɲɛ na, ɲɛ ye danfɛn kabakoma ye. Bi an bɛ na kuma ɲɛ yɔrɔ dɔ kan min nafa ka bon kosɛbɛ, an tɛ kuma caman fɔ min kan. O ye ɲɛ ‘ɲɛfɛ-yɔrɔ’ ye, walima furakɛli siratigɛ la , ɲɛda ɲɛfɛla . Hali ni nin ye yɔrɔ fitinin ye, a ye yɔrɔ ye min nafa ka bon i ka yeli la.
N’an y’a fɔ cogo nɔgɔman na, nin ɲɛfɛla-so in ye mun ye?
A ka nɔgɔn kosɛbɛ. Yɔrɔ jɛlen ni bulama min bɛ i ɲɛ ɲɛfɛ, o bɛ wele ko ɲɛkisɛ . Yɔrɔ fitinin min bɛ ɲɛkisɛ kɔfɛ, o bɛ wele ko ɲɛfɛla. Nin so in tɛ lankolon dɔrɔn ye. A bɛ fa ni ji kɛrɛnkɛrɛnnen dɔ ye a kɔnɔ. an b' o ji wele ko jimafɛnw .
Sisan, i bɛ se ka miiri ko: "Nin yɔrɔ fitinin in ni ji bɛɛ min bɛ a kɔnɔ, o ye mun ye?" Tiɲɛ na, o bɛ jɔyɔrɔba ta.
Miiri k’a filɛ i bɛ lensɛri convexe ta ka fɛn dɔ bonya. Walasa k’a ye ka ɲɛ, yɔrɔjan dɔ ka kan ka kɛ fɛn ni ɲɛkisɛ ni i ɲɛ cɛ. An ɲɛw bɛ ten. An ka kan ka yɔrɔ dɔ mara ɲɛkisɛ ni ɲɛkisɛ ni ɲɛkisɛ ni ɲɛkisɛ cɛ an ɲɛ kɔnɔ.
Kɔnɔbara ɲɛfɛla nafa ka bon o yɔrɔjan in marali la. Ji min bɛ a kɔnɔ (Aqueous Humor) o bɛ degun dɔ lase ɲɛ kɔnɔ. an b' o wele ɲɛda kɔnɔ tansiyɔn . I n’a fɔ n’i ye fiɲɛ fiyɛ ka kɛ bololanɛgɛ ye, a bɛ funu ka segin a cogo la, o degun de kosɔn ɲɛkisɛ bɛ ‘fiɲɛ’, o kɔrɔ ye ko a cogoya bɛnnen don. O de y’a to ɲɛ fan bɛɛ bɛ yɔrɔ bɛnnenw na, wa an bɛ se ka yeli kɛ ka ɲɛ.
O ji (jilama) bɛ taa ɲɛ kɔnɔ cogo di?
Nin ye wale ye min bɛ mɔgɔ kabakoya kosɛbɛ. Ni fɛn bɛɛ bɛ baara kɛ ka ɲɛ an ɲɛ kɔnɔ, o (Aqueous Humor) ji bɛ bɔ, ka lamaga, ka bɔ a hakɛ wajibiyalen na. O bɛ balo ni oksizɛni di ɲɛw ma, wa a bɛ ɲɛ farikolo tangacogo fana dɛmɛ. Nin ji in balansi nafa ka bon kosɛbɛ. Ni ji cayara, ɲɛ tansiyɔn bɛ bonya, ni a dɔgɔyara, tansiyɔn bɛ dɔgɔya. Ninnu fila si man ɲi ɲɛw ma.
Nin wale in bɛ baara kɛ cogo min na, o filɛ nin ye:
1. Nin jisuma in bɛ sɔrɔ fɔlɔ ɲɛ yɔrɔ dɔ fɛ min bɛ wele ko ciliary body .
2. O ji in bɛ sɔrɔ ka woyo ka don ‘ kɔfɛla ’ kɔnɔ ɲɛ yɔrɔ kulɛrilen kɔfɛ, n’o ye ɲɛkisɛ ye .
3. Ka bɔ yen, ɲɛ bɛ tɛmɛ ɲɛkisɛ fɛ ka don ‘ Anterior Chamber ’ kɔnɔ an bɛ kuma min kan.
4. Kɔnɔbara ɲɛfɛla falen kɔfɛ, ji tɛmɛnen ka kan ka bɔ. O bɛ kɛ jibɔyɔrɔ kɛrɛnkɛrɛnnen dɔ fɛ min bɛ ɲɛfɛla yɔrɔ nɔngɔn na. An b' a wele ko Trabecular Meshwork .
5. Ji min bɛ tɛmɛ o jibɔyɔrɔ in fɛ, o bɛ laban ka lajɛ joli siraw la ɲɛ yɔrɔ finman na (sclera) ka ɲagami joli la.
O sɛrɛkili in bɛ Kɛ tuma bɛɛ. Ni a bɛ baara kɛ ka ɲɛ, an ɲɛw bɛ to kɛnɛya la.
Bana jumɛnw bɛ sɔrɔ tuma caman na minnu bɛ ɲɛda ɲɛfɛla degun?
Ko minnu bɛ ɲɛfɛla la, olu bɛ se ka tila tilayɔrɔba naani ye.
- Degun bɛ caya ɲɛda ɲɛfɛla la.
- Tansiyɔn dɔgɔyali ɲɛda ɲɛfɛla la.
- Yɛlɛma donna ɲɛfɛla yɔrɔ bonya walima a cogoya la.
- Fɛn minnu tɛ deli ka kɛ, olu bɛ don ɲɛfɛla so kɔnɔ.
Degun bɛ caya ɲɛ kɔnɔ
I n’a fɔ n y’a fɔ cogo min na ka tɛmɛ, degun ka kan ka kɛ ɲɛ kɔnɔ. Nka ni o degun in cayara kojugu (Ocular Hypertension) , o bɛ kɛ sababu ye ka ɲɛ kɔnɔna yɔrɔw kɔsegin. o degun in bɛ daminɛ ka ɲɛkisɛw tiɲɛ . an bɛ o de wele ko ɲɛnamini . Ni a ma furakɛ ka ɲɛ, a bɛ se ka kɛ fiyentɔya yɛrɛ ye. Glaucome ye fiyentɔya sababuba ye diɲɛ kɔnɔ.
Ɲɛkisɛ tansiyɔn dɔgɔyali
I n’a fɔ tansiyɔn jiginni bɛ se ka kɛ farati ye cogo min na, tansiyɔn dɔgɔyali fana bɛ se ka kɛ farati ye. o bɛ wele ko ɲɛkisɛ tansiyɔn jiginni . Ni o kɛra, ɲɛ bɛ se ka funu, i n’a fɔ balon min fiyɛlen don. Nin ye furakɛli kɔrɔtɔko ye. O bɛ se ka kɛ sababu ye ka ɲɛ tiɲɛ kudayi ani ka fiyentɔya kɛ. Ɲɛ joginw ni opereli bɛ se ka kɛ sababu ye ka ji bɔ ɲɛfɛla la, o bɛ kɛ sababu ye ka tansiyɔn jigin.
Yɛlɛma donna ɲɛda ɲɛfɛla cogoya walima a bonya la
Mɔgɔ dɔw bɛ bange ni u ɲɛfɛla yɔrɔ ka dɔgɔn dɔɔni walima u ka dun. O b’a to a ka teli ka kɛ ko ji bɛ tɛmɛ sira min fɛ, o bɛna datugu. O bɛ dɔ fara degun kan ɲɛ kɔnɔ, o bɛ dɔ fara ɲɛnamini sɔrɔli kan.
Fɛn minnu tɛ ɲɛfɛla yɔrɔ la
Tuma dɔw la, fɛn minnu tɛ yen ta ye, olu bɛ se ka don nin ji in na (ɲɛnajɛ jilama). I n'a fo:
- Pigment fragments : Pigment fragments minnu bɛ ɲɛ yɔrɔ kulɛrilen (iris) la, olu bɛ se ka kari ka don o ji la. o bɛ wele ko « Syndrome de dispersion pigmentaire » . Ni o yɔrɔw karilen don ka jibolisira bali, degun bɛ bonya ani ka ɲɛgɛnɛsiralabanaw sɔrɔ.
- Banakisɛ: Ni banakisɛ walima tumu wɛrɛw donna ɲɛ kɔnɔ, bana jugumanba dɔ bɛ se ka sɔrɔ min bɛ wele ko endophtalmitis .
- Kansɛribanakisɛw : Ni kansɛri kɛra ɲɛ kɔnɔ (ɲɛ kɔnɔ melanoma) , o farikolokisɛw bɛ se ka dalajɛ o ji in na.
- Funu : Uveitis (ɲɛ funu) fana bɛ se ka kɛ sababu ye ka nin ji in nɔgɔ ani ka gɛlɛyaw lase mɔgɔ ma.
Nin gɛlɛya suguya in taamasiɲɛw ye jumɛnw ye?
Taamasiɲɛ damadɔ bɛ yen minnu bɛ se ka kɛ ni gɛlɛya ye ɲɛda ɲɛfɛla la. Dɔw bɛ barika sɔrɔ kosɛbɛ, k’a sɔrɔ dɔw bɛ se ka bɔ dɔɔni dɔɔni. A nafa ka bon kosɛbɛ ka o dɔn.
| Taamaʃyɛn | Cogojirali |
|---|---|
| Ni nin taamasiɲɛ ninnu bɛ aw la, aw bɛ taa dɔgɔtɔrɔso la joona! | |
| Joli falenni ɲɛ kɔnɔ (Hyphema) . | Joli bɛ ɲɔgɔn lajɛ ɲɛ nɛrɛma ɲɛfɛ. O bɛ se ka kɛ faratiba taamasyɛn ye. |
| Ɲɛ minnu bɛ bonya walima minnu bɛ bɔ kɛnɛma (Buphthalmos) . | Ɲɛw, kɛrɛnkɛrɛnnenya la denmisɛnni fitiniw na, u bɛ i ko u ka bon cogo la min tɛ deli ka kɛ. |
| Dusukunnata ni fɔɔnɔ ni ɲɛdimi ye | A bɛ se ka kɛ ɲɛ tansiyɔn jiginni barikama taamasiɲɛ ye (Glaucome acute). |
| Sanjiba mankanw yeli yeelen lamini na | Kulɛriw ye sanjiba ye anpulu walima yeelen lamini na n’i b’a lajɛ. |
| Yeli bɔnɛni yɔrɔnin kelen | Yeli bɔnɛni barikama, a dafalen walima a yɔrɔ dɔ, kun ɲɛnama tɛ. |
| Taamasiɲɛ minnu bɛ ye dɔɔni dɔɔni nka a nafa ka bon ka i janto olu la | |
| Ɲɛdimi walima a girinya | Dimi jugumanba walima degun min bɛ bɔ ɲɛ kɔnɔ. |
| Kunkolodimi | Kungolodimi, kɛrɛnkɛrɛnnenya la ɲɛw lamini. |
| Ɲɛw bilenni | Ɲɛ bilenmanw bɛ to ka kɛ. |
| Yeli kɛcogo fitini | Yeli tiɲɛni dɔɔni dɔɔni waati tɛmɛnen kɔfɛ. |
Min nafa ka bon, o ye ko tuma dɔw la, bana minnu bɛ i n’a fɔ ɲɛnamini, olu tɛ taamasiɲɛ si jira a daminɛ na. O de kama a nafa ka bon ka to ka aw ɲɛw lajɛ.
Fɛɛrɛ jumɛnw bɛ kɛ ka ɲɛda ɲɛfɛla sɛgɛsɛgɛ?
Ni aw taara ɲɛdɔgɔtɔrɔ dɔ fɛ, a bɛna aw ɲɛda ɲɛfɛla lajɛ i n’a fɔ sɛgɛsɛgɛli kɛcogo kɔrɔ dɔ. Sɛgɛsɛgɛli suguya caman bɛ se ka kɛ o baara kama.
- Slit Lamp Exam: Mikɔrɔskɔpu kɛrɛnkɛrɛnnen bɛ kɛ ka aw ɲɛ kɔnɔna bonya, i n’a fɔ ɲɛda ɲɛfɛla ni ɲɛkisɛ.
- Tonometry (Tonometry): O bɛ kɛ ka ɲɛ kɔnɔ tansiyɔn suman. O nafa ka bon kosɛbɛ ɲɛnamini dɔnni na.
- Gonioskopi : O bɛ a lajɛ ni jibɔyɔrɔ min bɛ ji bɔ ɲɛda ɲɛfɛla yɔrɔ la, o dabɔra walima ni a datugulen don.
- Pachymetry (Pachymetry): O bɛ ɲɛkisɛw janya suman. O fana bɛ dɛmɛ don ka ɲɛ tansiyɔn jateminɛ ka ɲɛ.
Ka fara ninnu kan, dɔgɔtɔrɔ bɛ se ka aw bila ka taa sɛgɛsɛgɛli kɛrɛnkɛrɛnnen wɛrɛw kɛ ka kɛɲɛ ni aw ka bana taamasiɲɛw ye.
An bɛ se ka mun kɛ walisa k’an ɲɛw tanga?
Fɛn damadɔ bɛ yen aw bɛ se ka minnu kɛ walasa aw ɲɛw ka to kɛnɛya la, i n’a fɔ ɲɛfɛla.
- Min nafa ka bon kosɛbɛ, o ye ka ɲɛw sɛgɛsɛgɛ tuma bɛɛ . Hali ni aw ma lunɛti don, aw bɛ taa ɲɛdɔgɔtɔrɔ dɔ fɛ san fila o san fila a dɔgɔyalenba la walasa ka ɲɛ sɛgɛsɛgɛli dafalen kɛ. Ni bana dɔw bɛ aw ka denbaya kɔnɔ i n’a fɔ ɲɛnamini, hakilitigiyako don aw ka taa a lajɛ joona.
- Aw bɛ aw ɲɛw tanga. Aw ye aw jija ka lakana lunɛti don ni aw bɛ farikoloɲɛnajɛ kɛ, ni aw bɛ nakɔbaara kɛ, ni aw bɛ baara kɛ ni masinw ye, ani ni aw bɛ baara kɛ ni kemikɛlifɛnw ye.
- Aw bɛ aw ka bana basigilenw kɔlɔsi.Ni bana dɔw bɛ aw la i n’a fɔ sukarodunbana walima tansiyɔn jiginni, aw bɛ u kunbɛn ka ɲɛ, barisa o banaw bɛ nɔ bila ɲɛ kɛnɛya la.
- Aw ye aw janto aw ka kɛnɛya bɛɛ lajɛlen na. Aw bɛ dumuni nafama dun. Aw bɛ girinya kɛnɛman mara min bɛ bɛn aw ma. Nin fɛn ninnu fana nafa ka bon kosɛbɛ aw ɲɛw ka kɛnɛyako la.
Kɔnɔna-yɔrɔ ye an ɲɛ yɔrɔ ye min bɛ an ɲɛ ɲɛfɛ, wa a nafa ka bon an bolo ka diɲɛ ye. O la, ni ɲɛkisɛ taamasiɲɛ dɔw bɛ aw la, aw kana aw ɲɛmajɔ o la. Ni aw ye bana sɛgɛsɛgɛli ni furakɛli kɛcogo ɲuman sɔrɔ a waati la, o bɛ se ka aw dɛmɛ ka aw ka yeli nafama tanga.
Take-Home cikan
- Ɲɛda ɲɛfɛla ye ɲɛ yɔrɔ dɔ ye min nafa ka bon ɲɛ cogoya sabatili la ani yeli kama.
- A nafa ka bon kosɛbɛ ka ji (jilama) degun balansi ɲɛ kɔnɔ. Ni degun cayara, o bɛ se ka kɛ sababu ye ka bana jugumanba dɔw lase mɔgɔ ma i n’a fɔ ɲɛnamini.
- Ni aw ye taamasiɲɛ dɔw ye i n’a fɔ yelikɛbaliya barikama, ɲɛw joli bɛ bɔ, walima ɲɛdimi min bɛ fara fɔɔnɔ kan, aw bɛ a jate kɔrɔtɔko ye ka taa dɔgɔtɔrɔso la joona.
- Hali ni a taamasiɲɛw tɛ a la, ka to ka ɲɛlajɛ kɛ, o de ye fɛɛrɛ ɲuman ye min bɛ se ka i yɛrɛ tanga bana nataw caman ma.











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