Ðe nèle ede dzesii be yeƒe ŋkuwo le ʋuʋum vie alo be yeƒe ŋkuwo me mekɔ oa? Ðewohĩ nuwo medzena abe tsã ene o, alo ɖe nèkpɔa kekeli ƒe asigɛwo ne èle akaɖiwo alo ablɔdzikaɖiwo kpɔma? Togbɔ be menye nusi ŋu ame geɖe tsi dzi ɖo gbesiagbe o hã la, ŋkudɔ aɖe koŋ li si ŋu wòle be nànya: Keratoconus . Togbɔ be ŋkɔa aɖi nya sesẽ hã la, mina míama nusi wònye, nusita wòdzɔna, alesi wokpɔnɛ, kple atikewɔmɔnu siwo li le Nirogi Lanka me.
Nuka Tututue Nye Keratoconus?
Kpuie ko la, Keratoconus nye dɔléle aɖe si gblẽa nu le wò ŋku ŋu. Woyɔa nusi me kɔ, si le goglo, si le abe fesre ene le wò ŋku ƒe ŋgɔgbe la be ŋkume ƒe ŋkume . Eƒe dɔ vevitɔe nye be wòakpɔ wò ŋku ta eye wòakpe ɖe ŋuwò nàna kekeli nate ŋu akpɔ nu nyuie. Zi geɖe la, wò ŋkume ƒe nɔnɔme nɔa gbadzaa eye wòle abe dome ene.
Gake le Keratoconus gome la, ŋkume ƒe ŋkumeʋuʋu dzea ƒuƒu gɔme eye wòdona yia gota wòzua nɔnɔme si le abe ʋuƒo ene . Bu eŋu be enye anyigba gbadza si le goglo si le tsatsam vivivi zua to si le ɖaɖɛ si mele ɖoɖo nu o.
Zi geɖe la, nɔnɔme sia dzena le sɔhɛmenɔɣi alo ame tsitsi ƒe gɔmedzedze , togbɔ be ate ŋu adze egɔme ɣeaɖewoɣi le ɖevime alo woate ŋu ade dzesii le eƒe tsitsime gɔ̃ hã. Togbɔ be ŋkume ƒe nɔnɔme trɔna vivivi le ƒe geɖe me hã la, le sɔhɛwo gome la, tɔtrɔ siawo ate ŋu adzɔ kabakaba vie .
Aleke Keratoconus Kpɔa Ŋusẽ Ðe Wò Nukpɔkpɔ Ŋui?
Keratoconus kpɔa ŋusẽ ɖe wò ŋku dzi le mɔ vevi eve nu:
1. Ne ŋkume ƒe ŋkume ƒe ŋkume ƒe akpa si le ʋuʋum la, eƒe ŋkume meganɔa blɔ o eye meganɔa sɔsɔm o. Esiae nye nusi ɖɔktawo yɔna be ŋku ƒe ʋuʋu si mebɔ o . Le esia ta la, zi geɖe la, ŋkumeɖobolo siwo wozãna edziedzi la dzea agbagba be yewoana nɔnɔmetata si me kɔ eye woɖɔe ɖo.
2. Ne ŋkume ƒe ŋkume le dodom la, wò ŋku va nɔa nu kpɔm kpuie (myopia) . Zi geɖe la, esia wɔnɛ be wòhiãna be nàtrɔ atike siwo woŋlɔ na wò enuenu na wò ŋkumeɖobolo.
Aleke gbegbee Nɔnɔme Sia Bɔ?
Le akɔntabubu nu la, Keratoconus dzea ame siwo ade 50 va ɖo 200 dzi le ame 100,000 ɖesiaɖe me. Mebɔ akpa o, gake kakaɖedzitɔe la, enye nɔnɔme si ŋu wòle be atikewɔlawo nalé ŋku ɖo.
Nukae Nye Keratoconus ƒe Dzesiwo?
Ne Keratoconus le ŋuwò la, àte ŋu akpɔ dzesi siwo gbɔna:
- Nukpɔkpɔ ƒe blukɔ vivivi le ŋku ɖeka alo evea siaa me. Zi geɖe la, egblẽa nu le ŋku eveawo siaa ŋu.
- Nukpɔkpɔ eve ne ŋku ɖeka koe le ŋku lém ɖe eŋu.
- Halo alo keklẽ si le keklẽm kpɔkpɔ ƒo xlã akaɖi siwo le keklẽm, abe asigɛwo kpɔkpɔ ƒo xlã akaɖi ƒe akaɖi ene.
- Kekeli ƒe seselelãme. Woyɔe be fotovɔvɔ̃ , eye akaɖi si sɔ gɔ̃ hã ate ŋu ase le eɖokui me be yemevo o alo wòadze ƒã.
- Nukpɔkpɔ si tro. Fli dzɔdzɔewo ate ŋu adze abe ƒutsotsoewo, woƒo xlã wo nɔewo, alo wobɔbɔ ene. Le kpɔɖeŋu me, ne èlé ŋku ɖe fesre aɖe ŋu la, àte ŋu akpɔ dzogoe siwo tro tsɔ wu be fli dzɔdzɔewo nadze.
Vevietɔ: Ne ède dzesi dzesi siawo dometɔ ɖeka alo esi wu nenema la, taflatse wɔ ɖoɖo ɖe ŋkudɔdala gbɔ. Ne wokpɔ dɔlélea kaba la, enaa edzikpɔkpɔ nɔa bɔbɔe wu.
Nukae Hea Keratoconus vɛ?
Womenya nusi tututu gbɔ Keratoconus tso o. Gake numekukuwo ɖee fia be domenyiŋusẽfianu wɔa akpa aɖe, elabena ate ŋu aƒu du le ƒomewo me, eye wòbɔ ɖe amesiwo ŋu lãmesẽkuxi aɖewo le hã me wu.
Zi geɖe la, menye abi alo dɔléle gbɔe Keratoconus tsona o. Gake wode dzesii be ŋkututu atraɖii ate ŋu ana dɔlélea nayi edzi kabakaba. Ne ezu numame na wò be nàtutu ŋku enuenu la, anyo ŋutɔ be nàdzudzɔ.
Nɔnɔme Siwo Do Ƒome Kplii
Keratoconus do ƒome kple ɖoɖowɔɖi ƒe nɔnɔme geɖe. Amesiwo ŋu nya siawo le ate ŋu akpɔ ŋku ƒe dzikudodo atraɖii alo woƒe ŋkuwo tutu ƒe didi geɖe wu:
- Ŋutilã ƒe nulɔdɔwo abe atopic dermatitis kple allergic dermatitis ene .
- No me nulɔdɔwo alonulɔdɔ si nye aɖuɖɔtoedɔ .
- Asrãdɔ .
- Down ƒe dɔléle si nye Down syndrome .
- Ehlers-Danlos ƒe dɔlélea .
- Osteogenesis imperfecta (ƒumeŋuɖui ƒe dɔléle).
- Ŋkudɔléle siwo wodzina , abe aniridia ene .
Kuxi Siwo Ate ŋu Ado tso Keratoconus me
Ne womewɔ atike na Keratoconus o la, ate ŋu ahe kuxi sesẽwo vɛ:
- Ŋku ƒe abi: Ne abi le ŋkume ƒe akpa si le ŋkume la, ate ŋu ana ame nakpɔ nu tegbee.
- Corneal hydrops: Cornea ƒe vuvu kpata le tsi si ƒo ƒu ta. Esia nye nɔnɔme kpata aɖe si hiã beléle enumake.
- Fleischer ƒe asigɛwo: Gayibɔ ƒe tsɔtsɔ ɖe ŋkume ƒe ŋkume, si dzena abe asigɛ si ƒe amadede nye aŋutiɖiɖi ene.
- Nukpɔkpɔ ƒe dɔmawɔmawɔ nyuie: Tso nukpɔkpɔ ƒe dɔmawɔmawɔ nyuie dzi va ɖo ŋku ƒe dɔmawɔmawɔ nyuie dzi.
Aleke Wokpɔa Keratoconus ƒe Dɔléle?
Le wò ŋkudɔa me la, wò ŋkudɔdala adzro wò dzesiwo kple wò ƒome ŋutinya me hafi awɔ ŋkudɔdada bliboe. Woate ŋu azã dodokpɔ tɔxɛ geɖe:
- Nukpɔkpɔ ƒe ŋutete dodokpɔ: Ŋku ƒe nɔnɔmetata zazã atsɔ ada nukpɔkpɔ kpɔ eye woazã phoropter atsɔ anya ŋkumeɖonu nyuitɔ si woŋlɔ nɛ be eme nakɔ wu.
- Slit lamp examination: Nusuekpɔmɔ̃ tɔxɛ aɖe kple kekeli si klẽna si wozãna tsɔ léa ŋku ɖe wò ŋkume ƒe wɔwɔme ŋu tsitotsito.
- Keratometry: Enye ŋkume ƒe ŋkume ƒe goglome dzidzedze be woatsɔ akpɔ alesi gbegbe ŋkume ƒe ŋkume ƒe ʋuʋu le.
- Ŋku ƒe nɔnɔmetata (tomography kple topography): Dodokpɔ siawo wɔa 3D "nɔnɔmetata" si me kɔ nyuie le ŋkume ƒe anyigba ŋu. Esiawoe nye sikadzidzenu si woatsɔ ade dzesi Keratoconus ƒe anyinɔnɔ kple eƒe ŋgɔyiyi pɛpɛpɛ.
Aleke Wodaa Keratoconus Dɔe?
Atikewɔwɔ nɔ te ɖe alesi nɔnɔmea nu sẽe dzi. Wò ŋkudɔdala akafu mɔ nyuitɔ si dzi nàto ayi ŋgɔe na wò.
Ŋkuɖodzinu kple ŋkumeɖonu siwo wotsɔna kpɔa ŋkume
Le gɔmedzedzea me la, ŋkumeɖonu siwo wozãna ɖaa alo ŋkumeɖonu falɛfalɛwo ate ŋu ana nukpɔkpɔ nanyo ɖe edzi. Gake ne nɔnɔmea le sesẽm ɖe edzi eye ŋku ƒe ʋuʋu si mebɔ o le sesẽm ɖe edzi la, ɖewohĩ ŋkumeɖobolo magasɔ gbɔ o. Le nɔnɔme mawo me la, àte ŋu ahiã ŋkumeɖonu sesẽ tɔxɛwo (siwo me gas te ŋu gena ɖo sesẽ) .
Cornea ƒe ʋuʋudedi
Esia nye dɔdamɔnu si me wozãa UV-kekeli tsɔ naa keratoconus ƒe ŋgɔyiyi dzi ɖena kpɔtɔna alo tɔa enu . Le atikewɔwɔ sia me la, wotsɔa tsitetewo ƒoa wò ŋku, eye wotsɔa tsi si me riboflavin (vitamin B2) le dea eme abe miniti 30 ene. Le esia megbe la, wò ŋku gadea UV keklẽ me aɖabaƒoƒo 30 bubu. Dɔwɔwɔ sia doa ŋusẽ kadodo si le kolagen ka siwo le wò ŋkume ƒe ŋkume ƒe ŋkume ƒe ŋkume, si kpena ɖe ŋuwò be tɔtrɔ bubuwo nagatrɔ le eƒe nɔnɔme ŋu o.
Asigɛ ƒe akpa siwo woate ŋu ade ame me (INTACS) .
"INTACS" nye mɔ̃ suesuesue siwo le abe asigɛ ene siwo wotsɔ de wò ŋkume ƒe ŋkume. Esiawo ate ŋu akpe ɖe ŋuwò nànɔ ŋku lém ɖe nu ŋu nyuie wu alo ana ŋkumeɖonu dodo naɖe dzi ɖi wu. Wowɔa dɔ sia hã le atike si naa alɔ̃dɔdɔ ame le teƒea me to atike siwo naa ame ƒe lãme gbãna zazã me. Wò ɖɔkta wɔa mɔ suewo le ŋkume ƒe ŋkume ƒe ŋkume be woatsɔ ade asigɛ siawo eme. Emegbe asigɛawo naa ŋkume ƒe ŋkume ƒe akpa si le gbadzaa, si kpena ɖe eŋu wòɖɔa eƒe nɔnɔme si le abe kɔ ene ɖo vaseɖe afi aɖe.
Cornea dodo na ame
Ne wò keratoconus de ŋgɔ ŋutɔ la, wò ɖɔkta ate ŋu ado susu ɖa be nàdo ŋkume ƒe ŋkume ƒe ŋkume. Le dɔdamɔnu sia me la, wotsɔa lãmenugbagbevi si le lãmesẽ me si tso nunala si ku gbɔ ɖɔlia wò ŋkume ƒe ŋkume si ŋu dɔléle le. Togbɔ be zi geɖe la, nukpɔkpɔ nyona ɖe edzi le ame bubu dodo vɔ megbe hã la, ate ŋu axɔ ƒe ɖeka kple edzivɔ hafi wò ŋkua nali ke. Ame aɖewo ate ŋu ahiã ŋkumeɖonu tɔxɛwo kokoko be woakpɔ nu nyuitɔ kekeake le dɔwɔwɔ nɛ vɔ megbe.
Ðe atike siawo ƒe nugbegblẽ le ame ŋu alo kuxi aɖewo doa mo ɖaa?
Abe atikewɔwɔ ɖesiaɖe ene la, afɔku siwo ate ŋu ado tso keratoconus ƒe atikewɔwɔ me.
- Afɔku siwo ate ŋu ado tso Corneal cross-linking me:
- Ŋku ƒe vevesese alo dzikudodo
- Ŋku ƒuƒu
- Keratoconus ƒe gbegblẽ
- Dɔlékuiwo
- Afɔku siwo ate ŋu anɔ INTACS me:
- Dɔlékuiwo
- Glare alo halowo kpɔkpɔ ƒo xlã akaɖiwo
- Ŋku ƒe ŋkume ƒe ʋuʋu
- Afɔku siwo ate ŋu ado tso ŋkume ƒe ŋkumeʋuʋu me :
- Cornea graft gbegbe
- Dɔlékuiwo
- Glaucoma ƒe dɔléle
Kuxi siwo dona tso ŋkumeɖonu alo ŋkumeɖonu siwo wotsɔna kpɔa ŋkume gbɔ mebɔ kura o. Gake ne ède dzesii be wò ŋkuwo le dzo dam alo nèse veve aɖe la, taflatse yi ɖɔkta gbɔ.
Ɣeyiɣi didi kae wòxɔna hafi wòhayana le atikewɔwɔ vɔ megbe?
Ɣeyiɣi si nàhaya la nɔ te ɖe atikewɔwɔ si ƒomevi nèxɔ dzi. Dɔdamɔnu aɖewo nana nèhaya le ŋkeke ʋɛ aɖewo megbe, gake bubuwo ya ate ŋu axɔ ɣeyiɣi didi wu sã.
Ðe woate ŋu axe mɔ ɖe keratoconus nua?
Nublanuitɔe la, mɔ aɖeke meli si dzi woato axe mɔ ɖe keratoconus nu o. Gake ne nɔnɔme siwo do ƒome kplii siwo ŋu míeƒo nu tsoe va yi dometɔ aɖe le ŋuwò la, ƒoƒo asa na ŋkututu fũ ate ŋu akpe ɖe ŋuwò nàɖe wò afɔkua dzi akpɔtɔ.
Nukae dzɔna ne keratoconus le ŋunye?
Ne wowɔ atike na wò nyuie la, àte ŋu anɔ agbe si me dzidzeme le esime nèle keratoconus dzi kpɔm.
Ne wò nukpɔkpɔ to vovo kura le wò ŋku eveawo dome la, àte ŋu ado go kuxiwo le dadasɔ ŋu. Taflatse dzro esia me kple wò ɖɔkta, eye woawɔ dɔ kpli wò akpɔ egbɔkpɔnu.
Amesiame to vovo. Keratoconus si nu mesẽ o le ame aɖewo ŋu si meyi ŋgɔ o, gake ame bubuwo ya gagblẽna ɖe edzi vivivi. Manya wɔ be woagblɔ alesi tututu nɔnɔmea ava nɔ na ame aɖeke o.
Ðe keratoconus ate ŋu ana ame nakpɔ nu nyuiea?
Ne womewɔ atike na keratoconus o la, ate ŋu ana ame nakpɔ nu tegbee. Le tɔtrɔ siwo va le ŋkume ƒe ŋkume ƒe ŋkume ŋu ta la, eva sesẽna be woatsɔ ŋku ƒe ŋkume ƒe ŋkume ƒe ŋkume ƒe ŋkume akpɔ nu nyuie, ne wozã ŋkumeɖobolo alo ŋkumeɖonu falɛfalɛ siwo wozãna ɖaa gɔ̃ hã.
Gakpe ɖe eŋu la, ne èle laser vision correction surgery , abe LASIK ene ŋu bum la, taflatse nyae be keratoconus ƒe amesinɔnɔ ate ŋu anye afɔku, elabena amekokoa ate ŋu ana nɔnɔmea nagagblẽ ɖe edzi. Ne èle amekoko ma tɔgbe ŋu bum la, wò ŋkudɔdala ada wò amekokoa kpɔ. Ne keratoconus si nu mesẽ o gɔ̃ hã le ŋuwò la, mègawɔ LASIK o negbe ɖe wò ɖɔkta kafui na wò koŋ hafi.
Ɣekaɣie wòle be makpɔ nye ɖɔkta?
Ne ède dzesi tɔtrɔ aɖewo le wò ŋkumekpɔkpɔ me la, yi ŋkudɔdala gbɔ ɣesiaɣi. Ne keratoconus le ŋuwò la, ahiã be woado wò kpɔ enuenu; mègana ɖoɖo siawo nato ŋuwò o.
Ɣekaɣie wòle be mayi dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ?
Yi dɔwɔƒe si te ɖe ŋuwò le nudzɔdzɔ kpatawo gbɔ kpɔƒe si te ɖe ŋuwò enumake ne:
- Èkpɔa nukpɔkpɔ bu zi ɖeka.
- Ŋku ƒe vevesese sesẽ aɖe le fu ɖem na wò.
- Wowɔ ŋkudɔ na wò nyitsɔ laa (le kpɔɖeŋu me, amekoko) eye fifia dɔlékui ƒe dzesiwo le ŋuwò, abe dzoxɔxɔ alo ʋuʋudedi si dona tso ŋkua me ene.
Nya kawoe wòle be mabia nye ɖɔkta tso keratoconus ŋu?
Àte ŋu abu eŋu be yeabia nya siwo gbɔna la wò ɖɔkta:
- Èxɔe se be domenyiŋusẽfianu aɖe li si dzi wotu nye nɔnɔmea ɖoa?
- Ðe wòle be woado domenyiŋusẽfianu aɖe kpɔa?
- Ðe menye ame si di be yeado dɔdamɔnu aɖe kpɔa?
- Zi nenie wòle be woado nye ŋkuwo kpɔ?
- Dzesi kawoe wòle be mabu be enye nudzɔdzɔ kpata?
- Ènya ƒuƒoƒo aɖewo siwo doa alɔ amesiwo ŋu keratoconus lea?
Ðe ame aɖe si ŋu keratoconus le ate ŋu anɔ agbe si sɔa?
Ẽ, keŋkeŋ. Togbɔ be keratoconus ate ŋu akpɔ ŋusẽ ɖe wò ŋku dzi hã la, mele be wòaxe mɔ na wò be màganɔ agbe si me dzidzeme le o.
Ðe wobua amesi ŋu keratoconus le be enye ŋkuagbãtɔ le se nua?
Zi geɖe la, ne keratoconus le ŋuwò la, mefia be ènye ŋkuagbãtɔ le se nu o. Gake ne keratoconus , si de ŋgɔ ŋutɔ le ŋuwò la, wò ŋku ƒe ʋuʋu ate ŋu aɖo dzidzenu si woɖo na ŋkumaʋumaʋu le se nu.
Mlɔeba la, ɖo ŋku edzi be... (Take-Home Message)
Dɔléle aɖe abe keratoconus ene xɔxɔ ate ŋu asesẽ, gake wò ŋkudɔdala le afima be yeado alɔ wò. Keratoconus ƒe atikewo li, eye wò ɖɔkta awɔ dɔ kpli wò kplikplikpli akpɔ mɔnu si sɔ nyuie wu na wò hiahiãwo. Sidzedze nye xɔ̃wò vevitɔ. Miate ŋu abia nyawo faa, adzro nu siwo ŋu nètsi dzi ɖo me, eye nàƒo nu faa tso nu siwo nèhiã be nànɔ agbe nyuitɔ kekeake ŋu. Nɔ anyi kpoo, eye nàwɔ ɖe wò ɖɔkta ƒe atikewɔwɔ ŋuti aɖaŋuɖoɖowo dzi veviedodotɔe. Nirogi Lanka le gbɔwò le wò mɔzɔzɔ yi lãmesẽ me.
