Ðe wò ŋkuwo vuvu zi ɖeka eye wò ŋkuwo megakpɔa nu nyuie oa? Mina míasrɔ̃ nu tso (Corneal Hydrops) sia ŋu?

Tsɔe be èfɔ le ŋdi me eye kasia wò ŋku ɖeka biã, vuvu, eye màte ŋu akpɔ nu nyuie o. Alo, ne nane abe teƒe ɣi aɖe ene do ɖe wò ŋku me zi ɖeka ya ɖe? Ẽ, ne nane si le abe esia ene dzɔ la, le nyateƒe me la, enyea nuteƒekpɔkpɔ si doa vɔvɔ̃ na ame ŋutɔ eye wòtsia dzimaɖi. Egbea míele nu ƒom tso dɔléle aɖe si ate ŋu adze ŋkuwo dzi ŋu. Ema nye nɔnɔme si woyɔna be `(Corneal Hydrops)`. Mègatsi dzi o, míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nukae nye `(Ŋku ƒe Tsiwo)`? Nukatae esia dzɔna ɖo?

Kpuie ko la, `(Corneal Hydrops)` nye míaƒe ŋku ƒe akpa si me kɔ, si le abe gaƒoɖokui ƒe ahuhɔ̃e ene le asigɛ yibɔa tame (i.e. ŋku ƒe akpa si le amadede me), si míeyɔna le atikewɔwɔ me be `(cornea)`, elabena `(cornea)` ma vuvu. Evuvuna abe kplu si me tsi yɔ fũ ene. Azɔ na míakpɔ nusitae esia dzɔna ɖa. Míaƒe `(cornea)` ƒe ƒuƒoƒo vovovowo le esi. Lãmetsi aɖe si le ʋeʋẽm ŋutɔ, si le bɔbɔe ŋutɔ , si le esia me kloe, si woyɔna be `(Descemet ƒe lãkusi)`. Ne le susu aɖe ta la, gbagbãƒe sue aɖe le `(Descemet ƒe lãkusi)` sia me, abe aɖatsi sue aɖe si le avɔ me ene la, tsi si le míaƒe ŋku me (nukokoedoname si me tsi le) sina toa gbagbãƒe sia me yia `(stroma)` me, si nye `(cornea)` ƒe titina. Bu eŋu abe ƒumebɔbɔ si xɔa tsi ene. Ɣemaɣie `(stroma)` ƒe akpaa yɔ fũ kple tsi eye wòvuvu. Esiae nye nusi míeyɔna be `(Corneal Hydrops)`. Tsɔ kpe ɖe abi sia ŋu la, abi aɖewo ate ŋu anɔ ŋkua me, abe abibi kple vevesese ene. Emegbe, nane abe ɣie si le abe notsi ene ate ŋu adze le wò `(cornea)` dzi. Esia ate ŋu ana wò ŋkumekpɔkpɔ nyuie hã nazu blukɔ . `(Corneal Hydrops)` nɔnɔme sia dzɔna zi geɖe kpata, kpata. Àte ŋu anɔ nyuie egbea eye ne èlé ŋku ɖe eŋu le ŋufɔke la, wò ŋku ate ŋu avuvu eye wò ŋku ate ŋu atrɔ. Esia tae ɖɔktawo zãa nya `(acute)` tsɔ gɔmee nye 'kasia'. Esia tae àte ŋu ase `(Acute Corneal Hydrops)` hã ​​tso eŋu. Efia nu ma ke, edzɔ kpata. Nɔnɔme sia ateŋu adzɔ abe kuxi ene na amesiwo ŋu dɔléle siwo trɔa ŋkume ƒe nɔnɔme, abe `(Keratoconus)` ene. Míeyɔa dɔlélewo ƒe hatsotso sia si trɔa ŋkume ƒe nɔnɔme be `(cornea)` `(corneal ectasias)`. Ɣeaɖewoɣi la, `(Corneal Hydrops)` ateŋu ahaya atike aɖeke mawɔmawɔe. Gake mègadze agbagba gbeɖe be ye ŋutɔ yeawɔ nyametsotsowo o . Ne dzesi siawo le ŋuwò la, yi wò ŋkudɔdala, si nye ŋkuŋutinunyala gbɔ godoo. Ateŋu akpɔe ɖa be esia nye `(Corneal Hydrops)` alo nu bubu aɖe hã, eye ateŋu anya atike si sɔ na wò wu hã.

Aleke gbegbee Corneal Hydrops bɔe?

Le numekukuwo nu la, amesiwo ŋu Keratoconus le ƒe 0.2% va ɖo 2.8% xɔa Corneal Hydrops. Le United States la, wobu akɔnta be ame 55 le ame 100,000 me. Esia fia be Corneal Hydrops mebɔ o, gake ele vevie be amesiwo ŋu Keratoconus le nanyae. Nɔnɔme sia bɔ ɖe ŋutsuwo me vie wu nyɔnuwo . Zi geɖe la, edzea sɔhɛ siwo xɔ ƒe 20 kple 30 dzi.

Nukae nye `(Corneal Hydrops)` ƒe dzesiwo?

Ame aɖewo mateŋu aɖe dzesi aɖeke afia o ne `(Corneal Hydrops)` le wo ŋu gɔ̃ hã. Ke hã, dzesiwo dzena le ame geɖe ŋu. Nusiwo wonye enye si:

• Nukpɔkpɔ bu kpata : Ŋku si kpɔa nu nyuie tsã la va zua blukɔ zi ɖeka eye megate ŋu kpɔa nu nyuie o.
• Teƒe ɣi aɖe si le abe notsi ene le ŋkua me: Teƒe si tsi la ƒoa ƒu ɖo le ŋkume ƒe ŋkume la va zua ɣie.
• Ŋkuve : Ame aɖewo ate ŋu ase veve vevie.
• Fotovɔvɔ̃: Ŋkuwo va zua blɔ ale gbegbe be womete ŋu kpɔa kekeli o, eye wosea veve.
• Ŋkuwo ƒe biã : Ŋkuawo ate ŋu abiã.
• Ŋku siwo me tsi le: Ðewohĩ ɖeko wòase le eɖokui me abe aɖatsiwo le dodom ene.
• Esesẽna be nàde ŋkumeɖonu: Ne èdo ŋkumeɖonu la, ate ŋu asesẽ na wò be nàde eme, alo màse le ɖokuiwò me be yeade eme o.

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, aɖaŋuɖoɖo nyuitɔ kekeake si mate ŋu aɖo na wòe nye be nàyi ŋkudɔdala gbɔ evɔ màgblẽ ɣeyiɣi o .

Nukatae `(Corneal Hydrops)` sia dzɔna? Nukawoe gbɔ wòtsona?

Corneal Hydrops menye nane si ate ŋu akaka tso ame ɖeka me ayi ame bubu abe dzamezã ene o. Ðɔktawo xɔe se be nu vevi geɖe gbɔe wòtsona:

• Wò ŋkume ƒe ʋuʋu: Ne ŋkume ƒe ŋkume ƒe ŋkume le tsɛ eye wògbɔdzɔ la, mɔnukpɔkpɔ geɖe li be aɖatsi aɖe nado le Descemet ƒe lãkusi me.
• Corneal ectasia : Dɔlélewo abe Keratoconus ene nana be ŋkume ƒe nɔnɔme meganɔa gogloe si sɔ o eye wòzua conical. Trɔtrɔ sia ate ŋu agblẽ nu le Descemet ƒe lãkusi hã ŋu.
• Ŋku ʋuʋu enuenu:Enye numame na ame aɖewo be woatutu ŋku alo aʋuʋu ŋku. Esia gblẽa nu le ŋkuwo ŋu ŋutɔ. Esia wɔwɔ ateŋu ade nyaƒoɖeamenu ɖe ​​`(cornea)` dzi eye wòana aɖatsi nado le `(Descemet ƒe lãkusi)` me.

Amekae le afɔku gã me be wòaxɔ `(Corneal Hydrops)`?

Ame aɖewo ate ŋu axɔ nɔnɔme sia wu ame bubuwo. Mina míalé ŋku ɖe amesiwo wonye ŋu:

• Ame siwo ŋu dɔléle le le `(Corneal ectasia)` ƒe hatsotso me: Vevietɔ amesiwo ŋu `(Keratoconus)` le lae le afɔku gãtɔ me.
• Ame siwo ŋu atopic dermatitis le: Atopy nye nɔnɔme si me dɔlélenutsiŋutete wɔa nu wògbɔa eme, alo wòte ŋu xɔa nulɔdɔ bɔbɔe. Amesiwo ŋu dɔléle sia le hã ate ŋu anɔ afɔku me geɖe wu elabena wodina be yewoatutu yewoƒe ŋkuwo enuenu le nuwo abe ŋku siwo le ʋuʋum ene ta.
• Ame siwo ŋu Down syndrome le : Ame siwo ŋu Down syndrome le hã le afɔku me be woaxɔ Corneal Hydrops kpe ɖe nɔnɔmewo abe Keratoconus ene ŋu.

Nukae nye kuxi siwo ate ŋu ado tso `(Corneal Hydrops)` me?

Le `(Corneal Hydrops)` ƒe ɣeyiɣia me la, wò ŋkumekpɔkpɔ agblẽ godoo. Azɔ hã, ne ʋuʋudedi sia (ŋku ƒe ʋuʋu) nɔa anyi didi, si fia be ne womedae nyuie o la, ʋuka yeyewo ate ŋu ado ɖe ŋkua me (neovascularization) . Ʋuka siawo menye esiwo wòle be woanɔ `(cornea)` me le dzɔdzɔme nu o, eye woate ŋu ado kplamatse nukpɔkpɔ geɖe wu. Azɔ hã, abi ateŋu adzɔ ɖe `(cornea)` dzi.

Aleke wokpɔa Corneal Hydrops ƒe dɔlélea?

Ne èyi ŋkudɔdala gbɔ la, abia wò gbã tso wò dzesiwo kple atikewɔwɔ ŋutinya ŋu. Emegbe, awɔ ŋkudɔ bliboe. Le dodokpɔ sia me la, zi geɖe la, ɖɔktaa ate ŋu ade dzesi Corneal Hydrops.

Dodokpɔ kawoe wole wɔwɔm na esia?

Ɣeaɖewoɣi la, ne ehiã be ɖɔktaa nanya nyatakaka bubuwo la, ate ŋu aɖo aɖaŋu be woawɔ dodokpɔ bubu aɖewo.

• Anterior segment optical coherence tomography (AS-OCT): Esia le abe ŋkua ƒe akpa si le eme ƒe fotoɖeɖe ene. Ate ŋu anya ŋkume ƒe tsi si le lãme na ame nyuie, akpɔ alesi gbegbe wòvuvui, eye wòalé ŋku ɖe alesi dɔyɔyɔ le ŋgɔ yim ŋu.
• Ultrasound biomicroscopy (UBM): Esia sɔ kple ultrasound scan. Ekpena ɖe ame ŋu be woanya ne aɖatsi aɖe le Descemet ƒe lãkusi me.
• Tomography: Dodokpɔ sia ate ŋu ana nàkpɔ wò ŋkume ƒe nɔnɔme kple eƒe titrime nyuie.
• Seidel dodokpɔ: Dodokpɔ sia léa ŋku ɖe tsi si le ŋkua me la do go le ŋkua ƒe ŋkume hã.

Dodokpɔ siawo katã mevea ame o, eyata naneke meli si ŋu woavɔ̃ ɖo o. Ðɔktaa aɖe nusianu me na wò.

Nukae nye atikewɔwɔ na `(Corneal Hydrops)`?

Wotsɔa atikewo kple amekoko ɣeaɖewoɣi daa Corneal Hydrops. Ate ŋu ahiã hã be woada nɔnɔme si gbɔ wòtso si he Corneal Hydrops (abe Keratoconus ene) vɛ.

Atikewo zazã

Ne aɖatsi si le Descemet ƒe lãkusi me le sue eye vuvua mesɔ gbɔ o la, zi geɖe la, ɖɔktawo kafua atike siwo wozãna ɖe lãme na ame siwo woyɔna be ŋkumeɖonu.

• Hypertonic saline solution: Esia nye atike si me dze le ŋutɔ. Ne wotsɔe de ŋkua dzi la, ehea tsi si sɔ gbɔ ɖe ŋkua me eye wòkpena ɖe ame ŋu be wòaɖe abi dzi akpɔtɔ.
• Steroid-tsi siwo me steroid le: Esiawo ɖea abi si le ŋkua me dzi kpɔtɔna.
• Ŋku ƒe nyaƒoɖeamenu-ɖiɖi `(drops)`: Ɣeaɖewoɣi la, ŋku ƒe nyaƒoɖeamenu ate ŋu asɔ gbɔ. Ne edzɔ alea la, wonaa `(drops)` siawo be woatsɔ aɖu edzi.
• Dɔlékuiwutikewo (tsitete): Wona esiawo ne ehiã be woatsɔ axe mɔ ɖe dɔlékuiwo xɔxɔ nu.
• Ŋku ƒe tsi siwo kekea ŋku yibɔa ɖe enu: Esiawo kpena ɖe ame ŋu be vevesese dzi ɖena kpɔtɔna.

Le ɖɔkta ƒe nya nu la, ele vevie ŋutɔ be woazã ``(drops)`` siawo le ɣeyiɣi nyuitɔ dzi.

Ɣekaɣie wòhiã be woawɔ dɔ na ame?

Ne aɖatsi si le Descemet ƒe lãkusi me lolo, vuvua nu sẽ ŋutɔ, alo afɔku le ŋkume ƒe ŋkumeʋuʋu me la, ɖɔktawo ate ŋu aɖo aɖaŋu be woawɔ dɔ nɛ. Amekoko sia bia be woaxe aɖatsi la eye woaxe mɔ na tsi si le eme la be wòagado go o. Ɣeaɖewoɣi la, wotsɔa gas-ku aɖe dea ŋkume ƒe ŋkumeʋuʋu me be wòaɖe abi dzi akpɔtɔ kaba. Le nɔnɔme sesẽwo me la, ne womedae nyuie o la, ŋkume ƒe tsi si le ŋkua me ate ŋu ana ʋuka siwo mesɔ o nadzɔ ɖe ŋkua me. Ne edzɔ alea la, ahiã be woawɔ atike nɛ hã.

Ðe woate ŋu axe mɔ ɖe ŋkume ƒe Tsi ƒe Dɔléle nua?

Ne dɔléle aɖe abe `(Keratoconus)` le ŋuwò la, ƒo nu kple wò ŋkudɔdala tso atikewɔwɔ si woyɔna be `(Crosslinking)` ŋu. `(Crosslinking)` dɔdamɔnu sia ateŋu atɔ te `(Keratoconus)` dɔlélea be wòagagblẽ o, eye ateŋu aɖe kuxiwo abe `(Corneal Hydrops)` ƒe afɔku hã dzi akpɔtɔ. Ke hã, le go aɖewo me la, `(Acute Corneal Hydrops`, si va abe kuxi si tso `(Keratoconus)` kple `(corneal)` dɔléle bubuwo gbɔ ene la, ɖewohĩ womate ŋu axe mɔ ɖe enu keŋkeŋ o. Ne ɣeyiɣi aɖe ƒe nulɔdɔ alo nɔnɔme bubu siwo nana ŋkuwo ʋuʋuna le ŋuwò la, dze agbagba nàɖe ŋkuwo tutu kple wo ƒoƒo dzi akpɔtɔ alesi nàte ŋui . Esia akpe ɖe ŋuwò nàxe mɔ ɖe menye `(Corneal..) ɖeɖeko nu o Hydrops)`, gake ŋku ƒe kuxi bubu geɖewo hã.

Ɣeyiɣi didi kae wòaxɔ hafi woahaya tso `(Corneal Hydrops)` me? Nukae nye mɔkpɔkpɔa?

Wò ɖɔkta ate ŋu ada ŋkume ƒe ʋu ƒe sisi kpata. Gake zi geɖe la, esia ate ŋu agblẽ abi ɖe ŋkume ƒe ŋkume. Abi sia ate ŋu akpɔ ŋusẽ ɖe wò ŋku dzi tegbee. Ne edzɔ alea la, ate ŋu ahiã be woawɔ atike bubu na abi la, ɖewohĩ woawɔ dɔ nɛ gɔ̃ hã (abe ŋkume ƒe ŋkumeʋuʋu ene). Ele vevie be nànɔ ɖɔkta gbɔ kpɔkpɔ edziedzi le wò hayahayaɣi kple emegbe. Esiae nye ɣeyiɣi si me wò ɖɔkta ate ŋu anya atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake na wò. Ɣeyiɣi si wòahaya ate ŋu atso kwasiɖa ʋɛ aɖewo va ɖo ɣleti ʋɛ aɖewo. Esia nɔ te ɖe alesi gbegbe aɖatsia le, alesi aɖatsia le, kple alesi wò ŋutilã wɔa nui dzi.

Aleke malé be na nye ŋkuwoe?

• Ƒo asa na ŋkututu alesi nàte ŋui. Esiae nye nu vevitɔ kekeake. Ne ŋkuwo le ʋuʋum la, zã ŋkumeɖonu abe alesi wò ɖɔkta gblɔe ene.
• Mègana wò ŋkudodokpɔ ŋkeke siwo wò ɖɔkta na wò la nato ŋuwò o. Yi ɖado wò ŋkuwo kpɔ ɖe game dzi.
• Ne dɔléle aɖe abe `(Keratoconus)` le ŋuwò la, wɔ ɖe atikewɔwɔ si woŋlɔ na wò dzi pɛpɛpɛ.

Ɣekaɣie wòle be makpɔ ɖɔkta? Ɣekaɣie wòhiã be woawɔ atike kpata?

Wò ɖɔkta agblɔ ɣeyiɣi si wòle be nàkpɔe alo ayi xɔ si me wowɔa dɔ kpata le la na wò. Zi geɖe la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne nusiwo gbɔna dometɔ aɖe dzɔ:

• Ne wò nukpɔkpɔ bu zi ɖeka alo wòɖiɖi ŋutɔ.
• Ne kasia wòse veve si dzi màte ŋu ado dzi le o.
• Ne dɔlékui aɖe abe dzoxɔxɔ ene ƒe dzesiwo dze.
• Ne tsi aɖe do tso ŋkua me si womele mɔ kpɔm na o.

Le nɔnɔme siawo tɔgbe me la, anyo wu be nàwɔ nu kaba evɔ màhe ɖe megbe o.

Ðe mate ŋu azã ŋkumeɖonu ne Corneal Hydrops le ŋunyea?

Ne `(Corneal Hydrops)` le ŋuwò la, zi geɖe la, ŋkumeɖonu dodo ate ŋu ana nàvo eye wòave wò gɔ̃ hã . Ne ènya nya be dɔléle sia le ye ŋu ko la, anɔ eme be ahiã be nàdzudzɔ ŋkumeɖonu zazã. Le atikewɔwɔ vɔ megbe la, àte ŋu agado ŋkumeɖonu ake ne wò ɖɔkta da asi ɖe edzi. Ðo dze kple wò ɖɔkta tso esia ŋu eye nàtso nya me.

Enye nusi sɔ be ame sia ame navɔ̃ ne eƒe ŋkuwo dzi ɖe kpɔtɔ zi ɖeka eye woƒe ŋkuwo le veve sem. Ɣeaɖewoɣi la, dzesi siawo ateŋu anye nɔnɔme aɖe si woyɔna be `(Corneal Hydrops)` ƒe dzesiwo. Eyata ne dzesi siawo le ŋuwò la, yi ŋkudɔdala gbɔ enumake. Ate ŋu anya nusi gbɔ wò `(cornea)` ƒe vuvu tso eye wòakafu atikewɔwɔ si hiã.

Mlɔeba la, gbedasi si woatsɔ ayi aƒemee

Enyo, míeƒo nu geɖe tso `(Corneal Hydrops)` ŋu fifia, alo? Nya siawo nenɔ susu me na wò:

• Corneal Hydrops nye ŋkume ƒe ʋuʋu kpata. Nusi koŋ gbɔ esia tsonae nye aɖatsi si le ŋkume ƒe lãkusi si le tsɛ (Descemet ƒe lãkusi) me si nana tsi sina yia ŋkua me.
• Nukpɔkpɔ si me mekɔ o kpata, teƒe ɣi aɖe si le ŋku ƒe ɣie, ŋku ƒe vevesese, kple kekeli ƒe seselelãme nye dzesi vevitɔwo.
• Ame siwo ŋu dɔlélewo abe ``Keratoconus'' le kple amesiwo ƒoa ŋku enuenu la le afɔku gã aɖe me be woaxɔ nɔnɔme sia.
• Ne dzesi siawo tɔgbe le ŋuwò la, mègawɔ nyametsotso le ɖokuiwò si eye nàyi ŋkudɔdala gbɔ enumake o.
• Atikewɔwɔ ate ŋu anye tsitete, eye ɣeaɖewoɣi ate ŋu ahiã be woawɔ dɔ nɛ.
• Ƒo asa na ŋkututu kple atikewɔlawo ƒe aɖaŋuɖoɖowo dzi wɔwɔ le vevie ŋutɔ be nàhaya kaba eye nàxe mɔ ɖe nɔnɔme mawo tɔgbe nu le etsɔme.

Ðo ŋku edzi be wò ŋkuwo xɔ asi ŋutɔ. Eyata lé be na wo nyuie. Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le wò ɖɔkta biabia me o.