Míaƒe ŋkuwo nye nuwɔwɔ wɔnuku aɖe, alo? Míekpɔa xexeame hekpɔnɛ to ŋutinu sue eve siawo dzi. Gake aleke gbegbee míenya nu tso ŋkua ƒe akpa suesuesue siwo míate ŋu akpɔ tso gota o, gake wowɔa dɔ vevi ŋutɔ geɖe ŋu? Le nyateƒe me la, ŋku nye akpa suesuesue geɖe siwo wɔa dɔ ɖekae ƒe ƒuƒoƒo. Egbea míele nu ƒom tso kalẽtɔ vevi aɖe ŋutɔ, gake womese nya kpɔ o, si meƒoa nu o le ŋku me ŋu. Emae nye ciliary ŋutilã la.
Nukae nye Ciliary Body?
Enyo, mina míadze egɔme bɔbɔe. Ne èkpɔ wò ŋku le ahuhɔ̃e me la, àkpɔ akpa aɖe si le amadede vovovowo me, alo? Ame aɖewo ƒe asi le eŋu yibɔ, ame aɖewo hã ƒe amadede nye aŋutiɖiɖi. Míeyɔa esia be iris. Ciliary ŋutilã sia le iris megbe. Ema fia be míate ŋu akpɔe tẽ o.
Be nàse nya sia gɔme nyuie wu la, bu eŋu ale. Le míaƒe ŋkuwo me la, lãkusi tɔxɛ aɖe si woyɔna be uvea . Esia nye akpa etɔ̃ ƒe ƒuƒoƒo. Ele abe ŋkɔ etɔ̃ nanɔ teƒe etɔ̃ siwo le mɔ ɖeka dzi ene.
1. Iris: Esiae nye ŋkua ƒe akpa si le amadede vovovowo me. Ekpɔa kekeli agbɔsɔsɔme si gena ɖe ŋkua me dzi.
2. Ciliary Body: Esiae nye akpa si kplɔe ɖo si do ƒome kple iris.
3. Choroid: Esia nye ʋuka siwo le ŋkua ƒe megbe me ƒe ƒuƒoƒo. Enye nunyiametsoƒe vevitɔ na ŋku.
Akpa etɔ̃awo katã va ƒoa ƒu wɔa uvea. Eyata ciliary ŋutilã nye uvea ƒe akpa vevi aɖe ŋutɔ.
Subɔsubɔdɔ kae dze le akpa sue sia me?
Togbɔ be esia le sue hã la, dɔ si wòwɔna la mele sue o. Dɔ vevi eve le ciliary ŋutilã ŋu.
1. Wɔ tsi si hiã ŋkua
Tsi aɖe si me kɔ si woyɔna be aqueous humor le míaƒe ŋkuwo me . Ele abe balloon si me ya yɔ fũu ene. Lãmetsi sia naa ŋkua kpɔa nyaƒoɖeamenu si hiã eye wònana wònɔa nɔnɔme nyui me. Ele abe ʋu ƒe taya dodo ene. Ne nyaƒoɖeamenua dzi ɖe kpɔtɔ la, ŋkua ate ŋu aɖiɖi, eye ne edzi ɖe edzi la, ŋkua ate ŋu agblẽ.
Lãmetsi vevi sia ŋutɔe nyea ciliary ŋutilã. Menye ema ɖeɖeko o, ke tsi siae naa nunyiame si hiã ŋkumeɖonu kple ŋkume ƒe ŋkume, si nye lãkusi si me kɔ le ŋkua ƒe ŋgɔgbe hã. Eyata tsi sia manɔmee la, ŋkua mate ŋu anɔ lãmesẽ me o.
2. Kpekpe ɖe ŋuwò be nàkpɔ nuwo nyuie (Focusing) .
Esiae nye ŋutete wɔnukutɔ kekeake si le ciliary ŋutilã ŋu. Tsɔe be èle agbalẽ aɖe xlẽm. Emegbe kasia èfɔ mo dzi kpɔ ʋetsuvi aɖe le akpataa me. Emegbe ègatrɔ kpɔ agbalẽa. Ɣesiaɣi si nèkpɔe nyuie, evɔ màtsi dzodzodzoe o, alo?
Nusi koŋ gbɔ esia tsoe nye ciliary body. Ewɔa dɔ ale:
- Ne èlé ŋku ɖe eŋu nyuie la:Ne èlé ŋku ɖe nane si te ɖe ŋuwò, abe agbalẽ ene ŋu la, lãmeka siwo le ciliary body la me sesẽna (contract). Esia wɔnɛ be ŋkua ƒe ŋkumeɖonu la nɔa ƒoƒom, si fia be wòtsina vie.
- Ne èle nu kpɔm le didiƒe: Ne èlé ŋku ɖe nane si le didiƒe ʋĩ ŋu la, lãmeka mawo ɖea dzi ɖi, eye ŋkua ƒe ŋkumeɖonu hã nɔa gbadzaa.
Dɔ vevi bubu si ciliary ŋutilã wɔnae nye be wòakpe ɖe kekeli si tso nusi ŋu míele ŋku lém ɖo me la ŋu to ŋkumeɖonu la ƒe nɔnɔme tɔtrɔ me. Nu suesuesue siwo le abe ka ene siwo woyɔna be zonular fibers hã kpena ɖe dɔ sia ŋu.
Zi geɖe la, le ƒe 40-45 xɔxɔ vɔ megbe la, míaƒe ŋku si te ɖe mía ŋu la me mekɔna vie, alo? Eva sesẽna vie be woaxlẽ nyadzɔdzɔgbalẽ alo akpɔ telefon. Míeyɔa esia be presbyopia . Susu ɖeka si tae nye be lãmeka siwo le lãkusi ƒe ŋutilã me ƒe dɔwɔwɔ gbɔdzɔna vie ne míele tsitsim.
Aleke ciliary ŋutilã sia le?
Abe alesi míegblɔe va yi ene la, esia le ŋkume ƒe ŋkume ƒe megbe, eyata míate ŋu akpɔe tso gota o. Gake ne ètsɔ dɔwɔnu tɔxɛwo kpɔe la, ele abe asigɛ ene. Eƒe akpa siwo le ƒutsotsoewo kple esiwo le ƒoƒom hã le eŋu. Míeyɔa wo be ciliary processes . Nukokoedoname si me tsi le si míeyɔ va yi la tsoa akpa mawo siwo me ƒutsotsoewo le la gbɔ.
Le amadede gome la, ɖa ƒe akpa si le gota la ƒe amadede do viviti, gake akpa si le eme ya me kɔ eye amadede aɖeke mele eŋu o.
Dɔléle kawoe gblẽa nu le ciliary ŋutilã ŋu?
Abe míaƒe ŋutilã ƒe akpa bubu ɖesiaɖe ene la, atikewɔwɔ me nɔnɔme vovovowo ate ŋu akpɔ ŋusẽ ɖe ciliary ŋutilã dzi. Wo dometɔ aɖewoe nye esi.
Dzoxɔxɔ Kple Dɔlékuiwo
Woyɔa uvea ƒe dɔdzẽ zi geɖe be uveitis . Esi wònye be ɖa ƒe ŋutilã hã nye uvea ƒe akpa aɖe ta la, uveitis ate ŋu agblẽ nu le ɖa ƒe ŋutilã hã ŋu. Ne womewɔ atike nɛ o la, ate ŋu ana ame nate ŋu akpɔ nu ɣeaɖewoɣi o.
Dɔléle aɖe hã li si gblẽa nu le ŋkume kple ŋkume ƒe ŋutilã siaa ŋu, si woyɔna be iridocyclitis . Esia ate ŋu atso dɔlékui vovovowo gbɔ, atikewɔwɔ me nɔnɔme bubuwo abe ƒunukpeƒetetedɔ ene, alo ɣeaɖewoɣi le susu aɖeke manɔmee.
Tumors kple Masses
Dɔdzẽ siwo menye kansa o kple esiwo me kansa le siaa ate ŋu ado ɖe ŋkua me. Adenomas nye dɔdzẽ suesuesue siwo menye kansa o. Ke hã, woate ŋu azu kansa ɣeaɖewoɣi.
Ŋku me Dɔléle si nye MelanomaEnye ŋkudɔléle ƒomevi si bɔ wu le ame tsitsiwo me. Gake ƒã ŋutɔ hã. Zi geɖe la, edzea egɔme tso choroid me, gake ate ŋu akaka ɖe ciliary ŋutilã hã me.
Nɔnɔme Bubuwo
Tsɔ kpe ɖe esia ŋu la, ate ŋu agblẽ nu le ɖa ƒe ŋutilã ŋu le susu bubu geɖe ta.
- Glaucoma: Míenya be ciliary ŋutilã lae naa tsi si le ŋkua me la dona. Ne le susu aɖe ta xe mɔ na nukokoedonamenya sia si me tsi le be wòagatso ŋkua me o la, ke nyaƒoɖeamenu si le ŋkua me dzina ɖe edzi akpa. Esiae míeyɔna be ŋkudɔ.
- Ŋku ƒe Nuveviwɔame: Nane abe ʋufɔku alo atike aɖe si ge ɖe ŋkua me ene ate ŋu agblẽ nu le ŋkume ƒe ŋutilã ŋu alo ate ŋu aɖe eɖokui ɖa le eƒe nɔƒe (detachment) gɔ̃ hã.
- Coloboma: Esia nye dɔléle si wodzina si me ŋku ƒe lãkusi ƒe akpa aɖe bu. Nɔnɔme sia ate ŋu akpɔ ŋusẽ ɖe ciliary ŋutilã hã dzi.
- Ŋku ƒe Dɔmawɔmawɔ nyuie: Esia nye nɔnɔme si tso ŋku ƒe lãkusi ƒe gbegblẽ gbɔ. Ɣeaɖewoɣi la, ate ŋu anye kuxi bubu si le ŋkua me ƒe dzesi.
Nukae nye dzesiawo ne kuxi sia ƒomevi le ŋuwò?
Ne nɔnɔme aɖe si do ƒome kple ciliary body le ŋuwò la, àte ŋu akpɔ dzesi siawo dometɔ ɖeka alo esi wu nenema. Ne dzesi siawo dometɔ aɖe le ŋuwò la, ele be nàkpɔ ɖɔkta kaba .
| Dzesi si dzena | Numeɖeɖe bɔbɔe |
|---|---|
| Nukpɔkpɔ si me mekɔ o | Sese le ame ɖokui me be nuwo mele dzedzem nyuie o. |
| Ŋkuwo ƒe biã | Ŋku ƒe akpa si le ɣie la ƒe amadede biã. |
| Ŋkuwo vuvu | Ŋku ƒe akpa si vuvu alo ƒo xlã ŋkua. |
| Aɖatsiwo nɔ sisim tso ŋkuwo dzi | Ŋku siwo me tsi le le susu aɖeke koŋ ta o. |
| Nukpɔkpɔ ƒe bu | Nukpɔkpɔ dzi ɖena kpɔtɔna vivivi alo kpata alo eƒe nukpɔkpɔ buna. |
| Ŋku ƒe vevesese | Vevesese si tso ŋkua me alo ƒo xlãe. |
| Taɖuame | Taɖuame si do ƒome kple ŋku ƒe kuxi. |
| Hyphema ƒe nyagbɔgblɔ | Ʋu ƒe ƒoƒo ɖe ŋkua ƒe akpa si le ŋgɔgbe ƒe dzedzeme. |
Aleke ɖɔkta awɔ anya dɔléle siawo?
Ne èyi ŋkudɔdala gbɔ la, abia wò gbã tso wò dzesiwo kple atikewɔwɔ ŋutinya ŋu. Emegbe, woado ŋku kpɔ. Ne wosusu be kuxi aɖe le ɖa ƒe ŋutilã ŋu la, woate ŋu adɔ dodokpɔ siwo gbɔna la dometɔ ɖeka alo esi wu nenema:
| Dodokpɔ | Kpuie ko la,... |
|---|---|
| Ultrasound Biomicroscopy ƒe dɔwɔwɔ | Esia nye ultrasound scan si me kɔ nyuie si zãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ wɔa ŋkua ƒe akpa si me kɔ nyuie. |
| Nukpɔkpɔ ƒe Ðekawɔwɔ ƒe Tomography (OCT) . | Dodokpɔ si me womewɔa nuvevi ame o si zãa kekeli ƒe keklẽ tsɔ wɔa ŋkua ƒe megbe (vevietɔ ŋku ƒe ŋkume ƒe nɔnɔmetata) siwo wotso ɖe wo nɔewo ŋu. |
| Angiography (ʋukawo ƒe dɔwɔwɔ ŋuti numekuku). | Dodokpɔ si me wozãa amadede tɔxɛ aɖe tsɔ dea ametia me be woakpɔ ʋuka siwo le ŋkua me la nyuie. |
| Biopsy ƒe dɔwɔwɔ | Ne wosusu be kansa le ame ŋu la, woɖea lãkusi sue aɖe le ŋkua ŋu hedonɛ kpɔna le nusuekpɔmɔ̃ me. |
Dɔléle siawo ƒe atike kawoe?
Atikewɔwɔ ƒe tiatia nɔ te ɖe wò nɔnɔmea ƒe nɔnɔme dzi, eye atikewɔmɔnu vovovowo li.
- Atikewo: Woate ŋu ana esiawo abe ŋkumeɖonu, ami, atikekui, alo atikekui ene.
- Laser-dɔdamɔnu: Dɔdamɔnu si wozãna to laser-yawo zazã me.
- Cryotherapy: Atikewɔwɔ si me wozãa vuvɔ si nu sẽ ŋutɔ.
- Amekoko: Le go aɖewo me la, ahiã be woawɔ dɔ na ame be woaɖe ŋkua ƒe akpa aɖewo ɖa alo atsɔ ŋkumeɖonu aɖe ade eme, abe ŋkumeʋuʋu ɖeɖeɖa me ene.
Aleke míewɔna be míaƒe ŋkuwo, si nye ciliary ŋutilã la, nanɔ lãmesẽ me?
Míate ŋu axe mɔ ɖe dɔlélewo katã nu o, gake agbenɔnɔ si me lãmesẽ le dzi wɔwɔ ate ŋu aɖe vi ŋutɔ na wò ŋkuwo kple wò ŋutilã bliboa.
- Do ŋkumekpɔ edziedzi: Ne kuxi aɖeke meli o hã la, yi ŋkudɔdala gbɔ zi ɖeka ya teti le ƒea me be wòado wò ŋkuwo kpɔ.
- Lé ŋku ɖe dzesiawo ŋu: Ne ède dzesi tɔtrɔ, vevesese, alo blukɔ le wò ŋkuwo ŋu la, mègaŋe aɖaba ƒu edzi eye nàyi ɖɔkta gbɔ enumake o.
- Na nunyiame nyui nasu asiwò: Nuɖuɖu siwo me vitamin A, C, kple E sɔ gbɔ ɖo (abe karɔt, mɔli, amagbe, amititsetse, kple tɔmelã ene) nyo na ŋkuwo ŋutɔ. Ne nane tsi dzi na wò le wò nuɖuɖu ŋu la, bia wò ɖɔkta tso vitamin kpeɖeŋutɔ nono ŋu.
- Zã akaɖi si sɔ: Na akaɖi nyui nanɔ eŋu ale be ɖeɖi nate wò ŋkuwo ŋu ne èle nu xlẽm alo le dɔ wɔm.
- Kamedede: Kamedede edziedzi nana ʋu ƒe sisi le ŋutilãa me nyona ɖe edzi. Enyo na ŋkuwo hã.
- No tsi geɖe: Mexe mɔ na tsi ƒe vɔvɔ le ŋutilãa me o.
- Ƒo asa na atamanono: Sigaretnono gblẽa nu le ŋkuwo ŋu ŋutɔ.
- Do ɣe ƒe ŋkumewu: Do ɣe ƒe ŋkumewu nyuiwo be nàkpɔ ɖokuiwò ta tso UV keklẽ me ne èle ŋdɔ me yim.
- Do dedienɔnɔ ƒe ŋkumewu: Ne èle dɔ aɖewo wɔm (abe gaƒoƒo ene) alo nèle kamedefefe siwo ate ŋu ade wò ŋkuwo afɔku me wɔm la, do dedienɔnɔ ƒe ŋkumekpɔnu siwo wowɔ na taɖodzinu ma.
Míaƒe ŋkuwo nye ŋutinu si gɔme sese sesẽ ŋutɔ. Akpa vevi aɖe le eƒe akpa sue ɖesiaɖe si wòle be wòawɔ. Ciliary ŋutilã nye kalẽtɔ mawo dometɔ ɖeka si meƒoa nu o si wɔa subɔsubɔdɔ gã aɖe. Eyata, mina míalé be na míaƒe ŋkuwo eye míana míaƒe ŋutilã bliboa nanɔ lãmesẽ me hã.
Gbedasi si Wotsɔ Yi Aƒeme
- Ciliary ŋutilã nye ŋkua ƒe akpa si womate ŋu akpɔ o, gake ele vevie ŋutɔ.
- Eƒe dɔ vevitɔwoe nye be wòawɔ tsi si ŋkua hiã eye wòakpe ɖe ame ŋu wòakpɔ nu nyuie (si ƒe susu nanɔ nu ŋu) ne ele ŋku lém ɖe eŋu le didiƒe kple didiƒe.
- Mègaŋe aɖaba ƒu dzesiwo abe ŋku ƒe ʋuʋu, ŋku biã, alo ŋku ƒe vevesese dzi gbeɖe o.
- Le kuxi ɖesiaɖe si do ƒome kple wò ŋkuwo gome la, di aɖaŋuɖoɖo tso ɖɔkta bibi gbɔ kaba.
- Numame nyuiwo abe nuɖuɖu si me nunyiame le ɖuɖu, atamanono, kple ŋkudodokpɔ edziedzi ene ate ŋu akpe ɖe ŋuwò be wò ŋkuwo nanɔ lãmesẽ me ɣeyiɣi didi.

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