Kpɔe ɖa le susu me be èfɔ gbeɖeka ŋdi eye wò ŋku ɖeka biã, vuvu, eye kasia megate ŋu le nu kpɔm nyuie o. Alo ɖewohĩ, ne ède dzesi alilikpo ɣi aɖe si le dodom tso afi aɖeke le wò ŋku me o. Gɔmesese le eŋu be nuteƒekpɔkpɔ siawo doa vɔvɔ̃ na ame eye wòtsia dzi. Egbea, míele nu ƒom tso nɔnɔme aɖe si ate ŋu ahe dzesi siawo tututu vɛ ŋu: Corneal Hydrops . Taflatse mègatsi dzodzodzoe o; míaɖe esia me le nya bɔbɔe siwo me kɔ me be wòakpe ɖe ŋuwò nàse nusi ate ŋu anɔ dzɔdzɔm gɔme.
Nukae nye Corneal Hydrops, eye nukatae wòdzɔna?
Kpuie ko la, Corneal Hydrops dzɔna ne wò ŋkume ƒe ŋkume —si nye nusi me kɔ, si le abe gaƒoɖokui ene, si tsyɔa wò ŋku ƒe ŋgɔgbe—la vuvu kple tsi, abe alesi tsi yɔ balloon ene.
Be míase nusitae wòdzɔna alea gɔme la, ele be míalé ŋku ɖe ŋkume ƒe wɔwɔme ŋu. Eƒe ƒuƒoƒo vovovowo, eye akpa si le eme wu la nye lãkusi tsɛ aɖe si le tsɛ ŋutɔ si woyɔna be Descemet ƒe lãkusi . Ne aɖatsi alo gbagbã sue aɖe do le lãkusi sia me la, tsi si tso wò ŋku me (nukokoedonamenya si me tsi le) sina yia ŋkume ƒe titina, si woyɔna be stroma . Bu eŋu abe ƒumebɔbɔ si xɔa tsi ene; stroma la tsina, si wɔnɛ be ŋkume ƒe ŋkumeʋuʋu vuvu eye wòzua alilikpo. Esiae nye nusi míeyɔna be Corneal Hydrops.
Tsɔ kpe ɖe abi sia ŋu la, àte ŋu akpɔ abi, abibi, kple vevesese. Le tsi si le lãme na wò ta la, àte ŋu akpɔ teƒe aɖe si le ɣie abe notsi ene le wò ŋku me, eye kasia wò ŋku ate ŋu azu blukɔ alo ado viviti .
Zi geɖe la, Corneal Hydrops dzɔna kpata. Àte ŋu amlɔ anyi ahase le ɖokuiwò me be yeƒe lãme sẽ eye nànyɔ kple abi gã aɖe eye wò ŋkuwo natrɔ. Esia tae ɖɔktawo zãa nya si nye acute tsɔ ɖɔnɛ ɖo, eye zi geɖe la, woyɔa nɔnɔmea be Acute Corneal Hydrops .
Zi geɖe la, nɔnɔme sia doa mo ɖa abe kuxi aɖe ene le amesiwo ŋu ŋkume ƒe nɔnɔme trɔna ƒe nɔnɔmewo le xoxo, siwo woyɔna le wo katã me be ŋkume ƒe ectasias , abe Keratoconus ene.
Togbɔ be Corneal Hydrops ate ŋu akpɔ egbɔ le eɖokui si ɣeaɖewoɣi hã la, mele be wò ŋutɔ nàwɔ atikewɔwɔ ŋuti nyametsotsowo gbeɖe o . Ne èkpɔ dzesi siawo la, taflatse yi ŋkudɔdala gbɔ enumake. Woawo koe ate ŋu anya nenye be enye Corneal Hydrops alo nɔnɔme bubu aɖe vavã eye woanya atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake na wò.
Aleke gbegbee Corneal Hydrops bɔe?
Numekukuwo ɖee fia be ame ɖekaɖeka siwo ŋu Keratoconus le ƒe 0.2% va ɖo 2.8% ate ŋu axɔ Corneal Hydrops. Togbɔ be menye nɔnɔme si bɔ ŋutɔ le nusianu me o hã la, enye afɔku vevi aɖe si ŋu amesiwo ŋu wokpɔ be Keratoconus le nanya.
Edze abe ebɔ vie le ŋutsuwo me wu nyɔnuwo ene , eye zi geɖe la, edzea sɔhɛ tsitsi siwo xɔ ƒe 20 kple 30 dzi.
Nukae nye Corneal Hydrops ƒe dzesiwo?
Togbɔ be ame aɖewo maɖe dzesi siwo dze ƒã afia o hã la, wo dometɔ akpa gãtɔ ade dzesi dzesi geɖe. Lé ŋku ɖe esiawo ŋu:
- Nukpɔkpɔ ƒe bublu kpata : Wò nukpɔkpɔ si me kɔ tsã ate ŋu azu alilikpo alo agblẽ zi ɖeka.
- Teƒe si le ɣie si le abe notsi ene le ŋkua ŋu: Zi geɖe la, ŋkume ƒe akpa si tsi ƒo ƒu ɖo la adze abe ɖe mekɔ o alo ɣie ene.
- Ŋku ƒe vevesese : Ame aɖewo ate ŋu ase veve alo ase veve vevie.
- Kekeli ƒe seselelãme si gbɔ eme (Fotovɔvɔ̃): Akaɖiwo ate ŋu adze abe ɖe woklẽ ŋkuagbãtɔe alo woase veve ne wokpɔ wo ene.
- Ŋku ƒe bibi : Ŋku si ŋu dɔlélea le ate ŋu azu dzĩ si woate ŋu akpɔ.
- Ŋku siwo me tsi le dodom le: Ðewohĩ àse le ɖokuiwò me abe ɖe nèle aɖatsi ɖum atraɖii ene.
- Esesẽna be nàdo ŋkumeɖonu: Ne èdo ŋkumeɖonu la, àte ŋu akpɔe be vevesese alo manya wɔ be yeade wo eme o.
Ne èkpɔ dzesi siawo dometɔ aɖe la, aɖaŋuɖoɖo nyuitɔ kekeake si mate ŋu aɖo na wòe nye be nàte ɖe ŋkudɔdala aɖe ŋu enumake kaba .
Nukatae Corneal Hydrops dzɔna?
Corneal Hydrops mexɔa ame o, abe dzamezã si bɔ ene. Atikeŋutinunyalawo xɔe se be nu geɖee nana wòva dzɔna:
- Ŋku ƒe ʋuʋu: Ne ŋkume ƒe ŋkume ƒe ŋkume le tsɛ akpa eye wògbɔdzɔ la, alesi wòate ŋu adzɔe be Descemet ƒe lãkusi navuvu.
- Ŋku ƒe nɔnɔme ƒe tɔtrɔ (Corneal ectasia): Nɔnɔmewo abe Keratoconus ene nana ŋkume ƒe nɔnɔme meganɔa eƒe dzɔdzɔme ƒe nɔnɔme si le dzogoe ene me o eye wòdona zua cone. Masɔmasɔ siawo nana nuteɖeamedzi nɔa lãkusia ŋu, si wɔnɛ be wòte ŋu gblẽna bɔbɔe.
- Ŋku tutu enuenu: Ezu numame na ame geɖe be woatutu ŋku sesĩe. Esia gblẽa nu le ame ŋu ŋutɔ; nyaƒoɖeamenua ate ŋu ate ɖe ŋkume ƒe ŋkumeʋuʋu dzi eye wòana lãkusi si le bɔbɔe la nagbã.
Amekae le afɔku gã me be woaxɔ Corneal Hydrops?
Ame aɖewo le afɔku me wu bubuwo, siwo dometɔ aɖewoe nye:
- Ame siwo ŋu Corneal ectasia le: Etɔxɛe la, amesiwo ŋu wokpɔ be Keratoconus le lae dzea afɔku gãtɔ kekeake.
- Ame Siwo Ŋu Atopy Le: Atopy nye dɔléle siwo ŋu nulɔdɔ alo dɔlélenutsiŋutete si wɔa dɔ fũu akpa ƒe didi. Esi wònye be ŋku ƒe ʋuʋu atraɖii ɖea fu na ame siawo zi geɖe ta la, ŋku tutu wo enuenu bɔbɔe wu.
- Ame siwo ŋu Down ƒe dɔlélea le : Ame siwo ŋu Down ƒe dɔlélea le la do ƒome kple Keratoconus wu eye le esia ta la, afɔku si le wo me be woaxɔ Corneal Hydrops la lolo wu.
Nukawoe nye kuxi siwo ate ŋu ado tso Corneal Hydrops me?
Le Corneal Hydrops ƒe ɣeyiɣia me la, wò ŋkumekpɔkpɔ agblẽ godoo. Gakpe ɖe eŋu la, ne ʋuʋudedi (ŋku ƒe ʋuʋu) gakpɔtɔ li ɣeyiɣi didi aɖe esi womekpɔ egbɔ nyuie o la, ate ŋu ana ʋuka yeyewo nazu ʋuka yeyewo (ʋuka yeye siwo mesɔ o ƒe tsitsi) . Ʋuka siawo mele ŋkume ƒe ŋkume si me kɔ la me o eye woate ŋu axe mɔ na nukpɔkpɔ geɖe wu. Ate ŋu ana ŋkume ƒe abi naxɔ abi tegbee hã.
Aleke wokpɔa Corneal Hydrops ƒe dɔlélea?
Ne èyi ŋkudɔdala gbɔ la, woaƒo nu tso wò dzesiwo kple atikewɔwɔ ŋutinya ŋu gbã. Emegbe woawɔ ŋkumedodokpɔ blibo aɖe. Zi geɖe la, dodokpɔ sia sɔ gbɔ be ɖɔktaa nakpɔ Corneal Hydrops.
Dodokpɔ kawoe le eme?
Ne wò ɖɔkta hiã nyatakaka bubuwo la, ate ŋu aɖo aɖaŋu na wò be nàzã nɔnɔmetata bubuwo atsɔ akpɔ dɔlélea alo dodokpɔ bubuwo atsɔ akpɔ alesi gbegbe nu gblẽ le ŋuwòe.
- Anterior segment optical coherence tomography (AS-OCT): Bu esia be enye wò ŋku ƒe ŋgɔgbe ƒe fotoɖeɖe tsitotsito. Enaa wò ɖɔkta te ŋu ɖoa kpe ŋkume ƒe tsi ƒe dɔléle si wokpɔ le ŋuwò dzi, dzidzea alesi gbegbe vuvua loloe, eye wòléa ŋku ɖe wò dɔyɔyɔ ƒe ŋgɔyiyi ŋu.
- Ultrasound biomicroscopy (UBM): Esia zãa ultrasound mɔ̃ɖaŋununya tsɔ naa nukpɔkpɔ si me kɔ nyuie, si kpena ɖe ame ŋu wòdea dzesi aɖatsi ɖesiaɖe si le Descemet ƒe lãkusi me.
- Tomography: Scan sia naa wò ŋkume ƒe nɔnɔme kple eƒe titrime ƒe nɔnɔmetata si me kɔ, si nye 3D.
- Seidel dodokpɔ: Dodokpɔ bɔbɔe sia léa ŋku ɖe tsi aɖeke si le dodom tso wò ŋku me ŋu hã.
Dodokpɔ siawo mewɔa nuvevi ame kura o eye vevesese aɖeke mele wo ŋu o, eyata mehiã be woatsi dzi o. Wò ɖɔkta aɖe afɔɖeɖe ɖesiaɖe me na wò eme nakɔ.
Atike kawoe li na Corneal Hydrops?
Zi geɖe la, ŋkume ƒe Tsiwo dada bia be woatsɔ atikewo adoe alo le go aɖewo me la, amekoko. Tsɔ kpe ɖe eŋu la, wò ɖɔkta ate ŋu ada dɔléle si gbɔ wòtso si na wòdzɔ, abe Keratoconus ene.
Atikewɔwɔ ƒe Atikewɔwɔ
Ne aɖatsi si le wò Descemet ƒe lãkusi me le sue eye wòte ŋu ɖua abi la dzi la, zi geɖe la, ɖɔktawo ŋlɔa atike siwo nàzã ɖe lãme na wò.
- Hypertonic saline drops: Dze sɔ gbɔ ɖe tsi siawo me, si kpena ɖe ame ŋu wòɖea tsi si sɔ gbɔ ɖe wò ŋkume ƒe ʋuʋudedi me be wòaɖe abi dzi akpɔtɔ.
- Steroid-tsi: Wozãa esiawo tsɔ naa dɔdzẽ si le ŋkua me la nu fa.
- Nyaƒoɖeamenu dzi ɖeɖe kpɔtɔ: Ne wò ŋkume ƒe nyaƒoɖeamenu dzi ɖe edzi la, tsi siawo akpe ɖe ŋuwò be wòanɔ dedie.
- Dɔlékuiwutikewo: Woŋlɔa esiawo be woatsɔ axe mɔ ɖe dɔlékui ɖesiaɖe si ate ŋu axɔ wo nu.
- Tsi siwo kekena: Ɣeaɖewoɣi la, wozãa tsi siwo kekea ŋkume ƒe ŋkume tsɔ naa gbɔdzɔe ame tso vevesese me.
Ele vevie ŋutɔ be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ eye nàzã atike siawo abe alesi nèɖoe ene pɛpɛpɛ.
Ɣekaɣie wòhiã be woawɔ dɔ na ame?
Ne aɖatsi si le Descemet ƒe lãkusi me lolo, vuvua nu sẽ, alo afɔku li be ŋkume ƒe ʋuʋu nado la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ dɔ na wò. Dɔwɔwɔ siawo ƒe taɖodzinue nye be woatre aɖatsi la nu eye woatɔ te tsi si le dodom. Le go aɖewo me la, woate ŋu atsɔ gas-ku aɖe ade ŋkua me be wòakpe ɖe abi si le eŋu la nu wòaɖiɖi kabakaba wu. Le nɔnɔme siwo mebɔ o, siwo nu sẽ, siwo me atikewɔwɔ tsi megbe la, ʋuka siwo mesɔ o ate ŋu adzɔ, si ate ŋu abia beléle tɔxɛ bubuwo.
Ðe nàte ŋu axe mɔ ɖe Corneal Hydrops nua?
Ne dɔléle aɖe abe Keratoconus ene le ŋuwò la, dzro ‘Crosslinking’ me kple wò ŋkuŋutinunyala. Dɔwɔwɔ sia ate ŋu akpe ɖe ŋuwò nàna wò ŋkume ƒe ŋkumeƒu nali ke, si ate ŋu aɖe kuxiwo abe Ŋku ƒe Tsi ene ƒe afɔkua dzi akpɔtɔ. Togbɔ be manya wɔ ɣesiaɣi be woaxe mɔ ɖe dɔléle sesẽwo nu bliboe o hã la, àte ŋu aɖe wò afɔkua dzi akpɔtɔ ŋutɔ ne èƒo asa na ŋkututu . Ne ɣeyiɣi aɖe ƒe nulɔdɔ alo ŋku ƒe dzikudodo atraɖii le fu ɖem na wò la, taflatse di atike—wò asiwo didi tso ŋku gbɔe nye mɔ nyuitɔ ɖeka kolia si dzi nàto akpɔ wò ŋku ƒe lãmesẽ ta.
Ɣeyiɣi didi kae wòxɔna hafi wòhaya eye mɔkpɔkpɔ kae le eme?
Togbɔ be wò ɖɔkta ate ŋu ada Acute Corneal Hydrops hã la, ŋkume ƒe abi aɖewo ate ŋu anɔ anyi, si ate ŋu agblẽ nu le wò ŋkumekpɔkpɔ ŋu. Ne esia dzɔ la, wò ɖɔkta ate ŋu adzro tiatia aɖewo abe ŋkume ƒe ŋkumeʋuʋu ene me. Le wò hayahayaɣi kple emegbe la, ɣeyiɣi siwo katã wowɔna tsɔ kplɔa ame ɖo la dede le vevie ŋutɔ . Hahaya ate ŋu axɔ tso kwasiɖa ʋɛ aɖewo va ɖo ɣleti geɖe, le alesi vuvua nu sẽe kple alesi wò ŋutilã ƒe dɔyɔyɔ ƒe ŋuɖoɖo tɔxɛa nu.
Aleke nàwɔ akpɔ wò ŋkuwo ta?
- Ƒo asa na ŋkututu: Esiae nye se vevitɔ kekeake. Ne ʋuʋudedi le ŋuwò la, zã atike siwo woŋlɔ ɖi la ɖe eteƒe.
- Lé ɣeyiɣi siwo katã nàwɔ be nàkplɔ wò ɖo la me ɖe asi: Lé ŋku ɖe ŋuwò ɣesiaɣi le vevie ŋutɔ be nàhaya.
- Kpɔ nɔnɔme siwo gbɔ wòtso gbɔ: Ne Keratoconus alo ŋkudɔ bubu aɖe le ŋuwò la, lé wò atikewɔwɔ ƒe ɖoɖoa me ɖe asi sesĩe.
Ɣekaɣie wòle be nàdi beléle kpata?
Ne èto nusi gbɔna dometɔ aɖe me la, yi atikewɔƒe enumake le dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ:
- Nukpɔkpɔ ƒe bu kpata, si ɖe dzesi ŋutɔ.
- Ŋku ƒe vevesese sesẽ si womate ŋu ado dzi atsɔ o.
- Dɔlékui sesẽ aɖe ƒe dzesiwo (le kpɔɖeŋu me, asrã alo vuvɔ kpata).
- Tsi alo ʋuʋudedi si mebɔ o si dona le ŋkua me.
Mègalala o; nudede eme kaba le vevie ŋutɔ le nɔnɔme siawo me.
Ðe nàte ŋu ado ŋkumeɖonu siwo ŋu Corneal Hydrops lea?
Zi geɖe la , ŋkumeɖonu dodo le Corneal Hydrops zazã me meɖea dzi ɖi o eye ate ŋu ana ame nase veve . Anɔ eme be ahiã be nàdzudzɔ wo dodo enumake. Ne wò ŋku nya haya ko la, wò ɖɔkta ana nànya nenye be ele dedie be nàtrɔ ayi ŋkumeɖonu zazã dzi eye ɣekaɣie wòanɔ dedie.
Enye nusi sɔ le dzɔdzɔme nu be nàtsi dzimaɖi ne wò ŋkuwo xɔ alilikpo zi ɖeka alo wò ŋku le veve sem. Dzesi siawo ate ŋu anye ŋkume ƒe Tsi ƒe dzesiwo. Ne ède dzesi tɔtrɔ siawo la, taflatse yi ŋkudɔdala gbɔ enumake ale be woate ŋu ade dzesi nusi gbɔ wòtso eye woadze atikewɔwɔ si hiã be woatsɔ akpɔ wò ŋku ta gɔme.
Gbedasi si Wotsɔ Yi Aƒeme
Be míagbugbɔ aƒo eta la, nusiwo dzi wòle be nàɖo ŋkui tso Corneal Hydrops ŋue nye esi:
- Enye ŋkume ƒe ʋuʋu kpata si aɖatsi si le lãkusi ememetɔ (Descemet ƒe lãkusi) me hena vɛ.
- Dzesi veviwo: Nukpɔkpɔ si me kɔ kpata, teƒe siwo dzena abe ɣie ene le ŋkua ŋu, vevesese, kple kekeli ƒe seselelãme.
- Ƒuƒoƒo siwo me afɔku le ŋutɔ dometɔ aɖewoe nye amesiwo ŋu Keratoconus le alo amesiwo ƒoa ŋku enuenu.
- Ne ède dzesi dɔlélea ƒe dzesiwo la, yi ŋkudɔdala gbɔ enumake.
- Atikewɔwɔa tso atike siwo wotsɔ ƒoe dzi va ɖo amekoko dzi.
- Ƒo asa na ŋkututu eye nàwɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖowo dzi pɛpɛpɛ be nàhaya kabakaba wu eye wòanɔ dedie wu.
Wò ŋutega xɔ asi ŋutɔ. Mègahe ɖe megbe le nya ɖesiaɖe si anɔ asiwò le mɔa dzi la biabia wò ɖɔkta ŋu o.
