Mina míasrɔ̃ nu tso tsi xɔasi eve siawo (Nukokoedoname) siwo le wò ŋkuwo me ŋua? (Tsi me Nukokoedoname & Vitreous Nukokoedoname)

Hello! Efɔ̃a? Egbea míele nu ƒom tso nane si le vevie ŋutɔ na míaƒe ŋkuwo ŋu. Ðewohĩ mèsee kpɔ o, gake tsi tɔxɛ eve le míaƒe ŋkuwo me. Esiawoe kpena ɖe mía ŋu be míaƒe ŋkuwo nanɔ nyuie eye míaƒe ŋkuwo nanɔ lãmesẽ me. Woyɔa tsi eve siawo be Aqueous Humor kple Vitreous Humor . Gɔmesese siwo le nya "Nukokoedoname" ŋu dometɔ ɖekae nye "tsi si le ŋutilã me." Eyata ŋkɔ siawo evea siaa fia tsi sia si le ŋkua me.

Nukatae tsi eve siawo le vevie na míaƒe ŋkuwo alea gbegbe ɖo?

Kpuie ko la, míaƒe ŋkuwo mate ŋu awɔ dɔ nyuie ne tsi eve siawo mele mía si o. Mina míatsɔ wo dometɔ ɖesiaɖe akpɔ nusi wowɔna ɖa.

Nukae dzɔna ɖe nukokoedoname si me tsi le dzi?

Bu eŋu kpɔ, wò ŋku le abe bɔl sue aɖe ene, alo? Woyɔa tsi si kpena ɖe bɔl sia ŋu wònɔa nɔnɔme nyui me eye wòfuna la be tsi me nukokoedoname. Enye tsi si me kɔ abe tsi ene . Tsi sia le dodom le míaƒe ŋkuwo me ɣesiaɣi, eye wole tsi xoxowo ɖem ɖa. Ðeko wòle abe ɖe wole tsigoe me yɔm le aƒe aɖe me ene, eye wole tsi si sɔ gbɔ ɖem le eme.

Esia bia koŋ be woakpɔ nyaƒoɖeamenu si le ŋkua me dzi (Ocular Pressure) . Woléa nyaƒoɖeamenu sia me ɖe asi ne tsi agbɔsɔsɔme si gena ɖe ŋkua me sɔ kple tsi agbɔsɔsɔme si dona le ŋkua me. Lãmetsi sia hã naa nunyiame siwo hiã ŋkua. Eyae nye be ŋkua xɔa nusiwo wòhiã be wòanɔ lãmesẽ me to tsi sia dzi.

Nukae dzɔna ɖe vitreous humor dzi?

Vitreous Humor nye tsi vevi bubu si le ŋkua me. Gake menye tsi koe wònye abe tsi si me nukokoedoname le ene o, ke boŋ eƒe dzɔdzɔme le ʋeʋẽm vie eye wòle abe jelly ene . Enɔa ŋkua me, eye wòyɔa teƒe gã aɖe le ŋkua megbe kple ŋkume ƒe ŋkume. Woyɔa teƒe sia be vitreous cavity.

Nukokoedoname sia si me woɖea nu le la naa ŋku hã. Ekpena ɖe ame ŋu hã be ŋkua ƒe dzɔdzɔmenɔnɔme nanɔ anyi . Abe alesi balloon ƒoa ya ne èku ya ɖe eme ene la, jelly sia kpena ɖe ŋkua ƒe akpa si le eme ƒe nɔnɔme ŋu. Edo ƒome kple ŋku ƒe ŋkume, si nye ŋku ƒe akpa si ɖoa nusi míekpɔna ɖe ahɔhɔ̃a. Ekpena ɖe kekeli hã ŋu wògena ɖe ŋkua me.

Ènyaa, ɣeaɖewoɣi la, ʋɔnudrɔ̃nyawo ŋuti dzɔdzɔmeŋutinunyalawo zãa nukokoedoname sia si me woɖea nu le tsɔ dia nu ɖesiaɖe si mele ame kuku ƒe ŋutilã me le dzɔdzɔme nu o.

Afika tututue tsi eve siawo le le ŋkua me?

Azɔ mina míakpɔ afisi tsi me nukokoedoname kple vitreous nukokoedoname le le ŋkua me ɖa.

Afisi Tsi Me Nukokoedoname Le

Akpa aɖe si woyɔna be ŋgɔgbexɔ le wò ŋku me . Esia le ŋkua ƒe ŋkume kple ŋkume ƒe akpa si me kɔ (si me kɔ le ŋkua ƒe ŋgɔgbe) dome. HãAkpa aɖe hã li si woyɔna be `megbexɔ`. Esia le ŋkua ƒe ŋkume kple ŋkume ƒe ŋkume (ŋku ƒe akpa si le amadede me) dome.

Tsi ƒe nukokoedoname la tsoa ciliary ŋutilã si le megbexɔa me gbɔ. Emegbe tsi la sina toa ŋkua ƒe ŋkume yia ŋkua ƒe ŋgɔgbe. Tso afima la, edona le ŋkua me hewɔa ɖeka kple ʋua. Edona to teƒe aɖe si woyɔna be scleral venous sinus me.

Afisi Vitreous Humor la Le

Vitreous Humor le ŋkua ƒe akpa aɖe si woyɔna be Vitreous Body . Enɔ Vitreous Cavity si le Lens kple Retina dome. Vitreous Humor sia nye ametakpɔnu aɖe si woyɔna be Vitreous Membrane. Togbɔ be ekɔ vie wu tsi hã la, edzena le kekeli me ŋutɔ. Ènya be vitreous nukokoedoname sia nye míaƒe ŋku ƒe lolome bliboa ƒe 80% lɔƒoa !

Nukae wotsɔ wɔa tsi eve siawoe?

Tsi siawo evea siaa ƒe akpa gãtɔ nyea tsi . Ne míagblɔe tututu la, wole abe 98% va ɖo 99% ene.

• Tsɔ kpe ɖe tsi ŋu la, dze, sukli, protein, kple kolagen hã le vitreous humor la me. Phagocytes, si nye lãmenugbagbevi ƒomevi aɖe si kpena ɖe ŋkua ŋu be wòanɔ dzadzɛ hã le eme.
• Tsi, amino acid, elektrikŋusẽ abe sodium kple potassium, ascorbic acid, glutathione, kple immunoglobulins le Aqueous Humor me .

Nukawoe nye atikewɔwɔ me nɔnɔme siwo bɔ siwo gblẽa nu le tsi siawo ŋu?

Ele vevie ŋutɔ be woado ŋku kpɔ edziedzi. Elabena woate ŋu ada dɔléle ɖesiaɖe eye nu nyuiwo ado tso eme ne wokpɔe kaba . Nɔnɔme geɖewo li siwo ate ŋu ado ƒome kple tsi me nukokoedoname kple vitreous nukokoedoname:

• Glaucoma: Esia nye nɔnɔme si me tsi si le ŋkua me ƒoa ƒu eye nyaƒoɖeamenu si le ŋkua me dzina ɖe edzi, si gblẽa nu le ŋku ƒe lãmeka ŋu. Glaucoma ye nye nu evelia si hea ŋkunɔwo vɛ le xexeame .
• Megbe Vitreous Detachment: Ne èle tsitsim la, vitreous humor la nɔa sue eye vivivi la, edzea egɔme nɔa vovom tso retina gbɔ. Ne esia dzɔ la, àte ŋu akpɔ teƒe yibɔ suesuesuewo (floaters) alo kekeli ƒe keklẽ siwo dze abe ɖe wole keklẽm le wò ŋkume ene. Le ame aɖewo gome la, esia ate ŋu ana ŋku ƒe ŋkume navuvu alo wòaɖe eɖokui ɖa. Eyata ne èdze floaters alo flashes kpɔkpɔ gɔme la, ele be nàna woado wò ŋkuwo kpɔ godoo.
• Uveitis ƒe dɔléle:Le nyateƒe me la, dɔlélewo ƒe ƒuƒoƒo aɖee nye esia. Ate ŋu ana ŋkuwo nabiã, woase veve, eye woabi. Ate ŋu agblẽ nu le ŋku ƒe ŋkume, uvea (si me lãgbalẽŋudɔwɔnu si naa tsi ƒe nukokoedoname le), kple sclera (ŋku ƒe akpa ɣi) ŋu.
• Tsitsi ƒe Ŋku ƒe Dɔléle (AMD): Tɔtrɔ siwo vaa ŋkume ƒe nukokoedoname me ne míele tsitsim hã ate ŋu anye nusi gbɔ AMD tsona. AMD ye nye nu vevitɔ si nana ame siwo xɔ wu ƒe 50 ƒe ŋkuwo megakpɔa nu nyuie o. Ekpɔa ŋusẽ ɖe ŋku ƒe ŋkume ƒe akpa si kpɔa míaƒe nukpɔkpɔ gbãtɔ dzi (ne míagblɔe bɔbɔe la, nusi míekpɔna ne míekpɔ ŋgɔ tẽ).
• Macular Hole: Do ate ŋu adzɔ le macula me le afɔku alo atikewɔwɔ ƒe nɔnɔme bubu aɖe ta. Zi geɖe la, ŋku ɖeka koe wògblẽa nu le. Atikewɔwɔ ɖekae nye vitrectomy, si me woɖea vitreous humor ɖa eye wotsɔa nusi le abe gas ene ɖoa eteƒe.

Vevietɔ ŋutɔ: Ne èkpɔ tɔtrɔ alo vevesese aɖe le wò ŋkume la, yi ŋkudɔdala gbɔ enumake . Mègahe ɖe megbe o.

Nukae nye dɔléle siwo do ƒome kple tsi siawo ƒe dzesi siwo bɔ?

Ne èyi ŋkudɔdala gbɔ la, abia nya wò tso wò atikewɔwɔ ŋutinya, ƒomea ƒe atikewɔwɔ ŋutinya, kple dzesi siwo le ŋuwò fifia ŋu. Dzesi siawo ate ŋu anye:

• Teƒe yibɔ suesuesuewo, nusiwo le abe web ene (floaters) kple kekeli ƒe keklẽ (flashes) siwo le ʋuʋum le ŋkuwo ŋgɔ.
• Nukpɔkpɔ dzi ɖe kpɔtɔ, nukpɔkpɔ si me kɔ o , halos, kple kuxi siwo le axadzinɔnɔ ŋu.
• Ŋku ƒe vevesese .
• Taɖuame .

Dodokpɔ siwo bɔ siwo léa ŋku ɖe tsi ƒe nukokoedoname kple vitreous nukokoedoname ƒe lãmesẽ ŋu

Wò ŋkudɔdala ado wò ŋkuwo kpɔ nyuie. Ate ŋu awɔ dodokpɔ siawo dometɔ aɖewo alo wo katã:

• Alfabeta ƒe ʋuƒo kple amadede dodokpɔ: Ðewohĩ èkpɔ ʋuƒo si dzi ŋɔŋlɔdzesiwo le la kpɔ. Ŋɔŋlɔdzesiawo va nɔa sue ɖe edzi le fli ɖesiaɖe me. Àte ŋu awɔ dodokpɔ aɖe hã kple dometsotso siwo le amadede vovovowo me akpɔe ɖa be yeate ŋu ade vovototo amadedewo dome hã.
• Nukpɔkpɔ ƒe Dodokpɔwo: Dodokpɔ siawo dzidzea alesi wò ŋkuwo ʋãna nyuie kple afisi nàte ŋu akpɔ nu le mɔ ɖesiaɖe nu. Ðɔktaa ʋãa eƒe asibidɛ ɖe wò mo ŋgɔ, eye wòtsɔa eƒe asibidɛ nɔa tetem ɖe ŋuwò wu. Nusi nàwɔ koe nye be nàʋuʋu wò ŋkuwo. Àte ŋu azã kɔmpiuta hã na esia.
• Ŋku dodokpɔ siwo keke: Ðɔktaa ade atike wò ŋkuwo me. Esia ana ŋkuvi la nalolo ɖe edzi. Esia ana wòakpɔ nusianu si le wò ŋku me nyuie wu. Atsɔ asilénu aɖe si woyɔna be ŋkukpɔmɔ̃ (fundoscopy) akpɔ wò ŋku ƒe eme.

Azɔ hã, woate ŋu akeke ŋkuawo ɖe enu be woaɖe ŋku ƒe ŋkume kple ŋku ƒe lãmeka ƒe foto, abe fundus fotoɖeɖe alo optical coherence tomography (OCT) ene .

• Tonography: Esia doa nyaƒoɖeamenu si le ŋkua me kpɔna. Wozãa mɔ̃ aɖe si woyɔna be tonometer tsɔ ƒoa ya ɖe ŋkua me. Ɣeaɖewoɣi la, ne mɔ̃a ka ŋkua la, woate ŋu azã ŋkumeɖonu atsɔ ana ŋkua natsi. Mɔnu aɖe hã li si dzi mɔ̃a meka ŋkua ŋu o.

Dɔléle siwo do ƒome kple tsi siawo ƒe atike kawoe bɔ?

Woate ŋu awɔ nusiwo gbɔna abe nɔnɔme siwo do ƒome kple tsi ƒe nukokoedoname alo vitreous nukokoedoname ƒe atikewɔwɔ ene:

• Atikewo: Esiawo ate ŋu anye ŋkumetsi (be woatsɔ aɖe ŋkua ƒe nyaƒoɖeamenu dzi akpɔtɔ) alo atike siwo wonana ŋkua be ʋuka yeyewo nagadzɔ o.
• Laser-dɔdamɔnu: Woate ŋu awɔ esia atsɔ aɖe ʋukawo dzi akpɔtɔ alo adzra ŋkume ƒe ŋkumeʋuʋu ɖo.
• Amekoko: Ne ŋku ƒe ŋkume ƒe aɖatsiwo vuvu alo ɖe wo nɔewo ɖa la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ dɔ na wò. Vitrectomy nye amekoko mawo dometɔ ɖeka.

Nukae míate ŋu awɔ be tsi siawo siwo le ŋkua me nanɔ lãmesẽ me?

Nu aɖewo li nàte ŋu awɔ be wò ŋkuwo nanɔ lãmesẽ me eye woana woƒe lãmesẽ nanyo ɖe edzi. Ne èwɔ nusiawo la, wò tsi nukokoedoname kple vitreous nukokoedoname ƒe lãmesẽ hã anyo. Aɖaŋuɖoɖo mawoe nye esi:

• Ƒo nuɖuɖu nyui si me nunyiame le. De amagbe damawo, atikutsetsewo, kple tɔmelãwo abe salmon, tuna, kple halibut ene wò nuɖuɖu me.
• Ne ènoa atama la, dzudzɔe. Menyo na wò ŋkuwo kura o.
• Kamedede. Enyo na wò ŋutilã bliboa le bliboe. Ekpena ɖe ŋuwò hã be wò kpekpeme nanɔ lãmesẽ me. Esia ɖea dɔléle bubu siwo ate ŋu agblẽ nu le wò ŋkumekpɔkpɔ ŋu, abe suklidɔ ene, xɔxɔ ƒe afɔkua dzi kpɔtɔna.
• Do ŋkume na wò edziedzi. Ne ŋku ƒe kuxi aɖewo le ŋuwò la, gblɔe na wò ɖɔkta ɣesiaɣi.
• Takpɔ wò ŋkuwo. Do wò ŋkumeɖobolo (ne ehiã), ɣe ƒe ŋkumewu, kple dedienɔnɔ ƒe ŋkumewu ne èle dɔ si ate ŋu agblẽ nu le wò ŋkuwo ŋu wɔm.
• Ne èzã ɣeyiɣi geɖe tsɔ lé ŋku ɖe kɔmpiuta, TV, alo telefon ŋu la, wɔ ɖe 20/20/20 ƒe sea dzi. Ema fia be, le miniti 20 ɖesiaɖe me la, lé ŋku ɖe nane si didi abe afɔ 20 ene ŋu abe sɛkɛnd 20 ene.

Nu vevitɔ kekeake siwo dzi nàɖo ŋkui (Take-Home Message) .

Nukpɔkpɔ nye nusi xɔ asi ŋutɔ na mí katã, alo? Nu aɖewo li nàte ŋu awɔ be wò ŋkuwo nanɔ lãmesẽ me. Ne èwɔ nusiawo la, tsi eve siwo le wò ŋkuwo me, siwo woyɔna be aqueous humor kple vitreous humor, anɔ lãmesẽ me.

Nu vevitɔe nye be nàdo ŋku kpɔ edziedzi eye nàyi ŋkudɔdala gbɔ enumake ne ède dzesi tɔtrɔ alo vevesese aɖe le wò ŋkumekpɔkpɔ me. Ðo ŋku edzi be abe alesi wòle le lãmesẽkuxi ɖesiaɖe gome ene la, ekpɔkpɔ kabae nye mɔ nyuitɔ si dzi woato akpɔ nu nyuitɔ kekeake.

Eyata, lé be na wò ŋkuwo. Emae nye nu nyuitɔ kekeake si nàte ŋu awɔ!

` Ŋkuwo, Tsi Nukokoedoname, Vitreous Nukokoedoname, Ŋku Lãmesẽ, Glaucoma, Nukpɔkpɔ, Ŋkudɔlélewo