Ne èyi ɖado ŋku kpɔ la, ɖe ɖɔktaa ƒo nane ɖe wò ŋku me abe ya si le sisim enea? Alo ɖe wotsɔ aŋe sue aɖe de wò ŋku me helé ŋku ɖe eŋua? Ame geɖe susuna be dodokpɔ aɖe koe esia nye be yeakpɔ nusi nye wò ŋku ƒe nukpɔkpɔ. Gake nusi tututu wole dzidzemee nye nyaƒoɖeamenu si le wò ŋku me. Egbea, mina míaƒo nu tso nusi ŋku ƒe ʋuʋu sia nye, alo nusi woyɔna le atikewɔwɔ me be Intraocular Pressure (IOP) ŋu.
Nuka tututue nye ŋkume ƒe nyaƒoɖeamenu?
Kpuie ko la, esia fia tsi si le wò ŋku me ƒe nyaƒoɖeamenu. Bu míaƒe ŋku abe bɔl sue aɖe si me tsi yɔ fũ ene. Be bɔl ma nalé eƒe nɔnɔme me ɖe asi la, ele be nyaƒoɖeamenu aɖe nanɔ eme. Aleae nyaƒoɖeamenu sia le vevie na míaƒe ŋkuwo ƒe lãmesẽ kple míaƒe nukpɔkpɔ.
Lãmetsi ƒomevi vevi eve le míaƒe ŋkuwo me.
- Nukokoedoname si me Tsi Le: Esia nye tsi si le ŋkua ƒe ŋgɔgbe gome (le ŋkua ƒe ŋkumeʋuʋu kple ŋkumeɖonu dome).
- Vitreous Humor: Esia nye nu ɣi aɖe si le abe gel ene si le xɔ gã si le ŋkua ƒe megbe la me.
Míaƒe ŋutilã ɖɔa nyaƒoɖeamenu si le míaƒe ŋkuwo me ɖo le mɔ wɔnuku aɖe ŋutɔ nu. Ne tsi yeye le nukokoedoname me le ŋkua me la, tsi xoxo agbɔsɔsɔme si sɔ la dona le ŋkua me. Woɖea tsi sia doa goe to tsidzɔƒe nyui aɖe ŋutɔ si le ŋkua me dzi. Míeyɔa esia be tsidzɔƒe ƒe dzogoe. Dɔ sia le abe pɔmpi ʋuʋu kple tsidzɔƒe si le tsinyegoe me ʋuʋu ene. Tsia gena ɖe eme hedona, eyata tsiléƒea meyɔa fũ o eye mekɔna o. Gake ne dadasɔ sia bu la, kuxiwo dzea egɔme.
Ne ŋkua ƒe nyaƒoɖeamenu dzi ɖe edzi wu alesi wòle be wòanɔ la, míeyɔnɛ be Ŋku ƒe Ʋusɔgbɔdɔ . Ne womekpɔ esia gbɔ o la, ate ŋu agblẽ nu le ŋkua ƒe akpa siwo le tsɛ, vevietɔ ŋku ƒe lãkusi si tsɔa míaƒe nukpɔkpɔ yia ahɔhɔ̃a me. Nu sia si gblẽ le ŋku ƒe lãmeka ŋu ate ŋu ahe nɔnɔme aɖe si woyɔna be Glaucoma , si ate ŋu ana ame nabu nu tegbee ne womewɔ atike nɛ o.
Nukatae ŋku ƒe ʋuʋu dzina ɖe edzi?
Togbɔ be zi geɖe la, míaƒe ŋutilã ɖɔa nyaƒoɖeamenu sia ɖo hã la, ɣeaɖewoɣi la, dadasɔ sia ate ŋu agblẽ. Susu vevi siwo tae.
| Wᴐe be | Kpuie ko la,... |
|---|---|
| Nukokoedonamenya siwo me tsi le wɔwɔ fũ akpa | Lãmetsi si sɔ gbɔ akpa ƒoa ƒu ɖe ŋkua me. Emegbe, tsi geɖe ƒoa ƒu ɖe eme wu esi dona le eme. |
| Dzogoe si me tsi sina tona la ƒe xexe | Tsi si ƒoa ƒu la ƒe tsidzɔƒe va xena, si wɔnɛ be ŋkua ƒe nyaƒoɖeamenu dzina ɖe edzi. |
| Ŋku ƒe Nuveviwɔame/Abixɔxɔ | Ne nane ƒo ŋkua alo de abi eŋu la, nuɖoanyi tsɛ sia si le eme ate ŋu agblẽ. |
| Atike aɖewo | Nɔnɔme sia ate ŋu atso atikewo gbɔ, vevietɔ corticosteroids (ŋkutikewo, atikekuiwo, amiwo). Eyata mègazã esiawo ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o. |
Aleke wodzidzea ŋku ƒe nyaƒoɖeamenu?
Woyɔa nyaƒoɖeamenudzidzenu sia be tonometry . Wò ŋkudɔdzikpɔla awɔ esia le ŋkudodokpɔ me. Wodzidzenɛ le mercury milimeta (mmHg) me. Esia nye nudzidzenu ma ke si me wodzidzea wò ʋu ƒe sisi le.
Nyaƒoɖeamenu si sɔ le ŋku si le lãmesẽ me me le 10 mmHg va ɖo 20 mmHg dome .
Zi geɖe la, wowɔa dodokpɔ sia le mɔ eve nu:
1. Ya ƒe Ʋuʋu ƒe Tonometry: Esia bia be mɔ̃ aɖe naƒo ya sue aɖe ɖe wò ŋku me. Wodzidzea nyaƒoɖeamenua to alesi gbegbe ŋkua ƒe ŋgɔgbekpa si me kɔ (ŋku ƒe ŋkume ƒe ŋkume) tutum ɖe ya si le sisim la me dzidzedze me.
2. Contact Tonometry: Le mɔnu sia me la, ɖɔktaa tsɔa tsi siwo nana ame ƒe lãme ʋuʋuna la dea wò ŋku me eye emegbe wòkaa asi dɔwɔnu sue aɖe ŋutɔ ŋu blewuu ɖe wò ŋku ƒe anyime tsɔ dzidzea nyaƒoɖeamenua.
Aleke wòsena le eɖokui me ne ŋku ƒe tete dzi ɖe edzi?
Esiae nye nusi me afɔku le wu le dɔléle sia ŋu kple nusi ŋu wòle be míalé ŋku ɖo.
Zi geɖe la, ŋku ƒe ʋuʋu sesĩe mehea dzesi aɖeke vɛ o. Mɔ ɖeka kolia si dzi nàto anya ne exɔe nye ŋkudodokpɔ. Zi geɖe la, dzesiawo dzea egɔme ne ŋku ƒe lãkusia gblẽ eye wò nukpɔkpɔ gblẽ. Kaka ɣemaɣi naɖo la, nusiwo dome gblẽ la dometɔ aɖewo do xoxo.
Esia tae wòle vevie ŋutɔ be woado ŋku kpɔ edziedzi, vevietɔ le ƒe 40 xɔxɔ vɔ megbe, ne vevesese aɖeke mele eme o gɔ̃ hã.
Ɣekaɣie wòle be nàkpɔ ɖɔkta?
Togbɔ be zi geɖe la, ŋku ƒe sisi ƒe dzidziɖedzi mehea dzesiwo vɛ o hã la, dzesi aɖewo ate ŋu adze le nɔnɔme kpata aɖewo me alo ne ŋkudɔ le edzi yim.
| Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo | |
|---|---|
| Ne dzesi siawo le ŋuwò la, yi ɖɔkta gbɔ enumake: | |
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| Yi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake ne nusiawo dzɔ: | |
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Ðe ʋu ƒe sisi nye nu ɖeka, ŋku ƒe sisi nye nu ɖeka, alo nu evea?
Ɛ̃. Esia nye ɣeyiɣi si me ame geɖe tɔtɔna le. Ʋusɔgbɔdɔ (Hypertension) kple ŋku ƒe ʋusɔgbɔdɔ (Ocular Hypertension) nye dɔléle vovovo eve. Esi ʋusɔgbɔdɔ le ŋuwò ta la, mefia kokoko be wò ŋku ƒe sisi le dzi yim o. Ðeka mehea evelia vɛ tẽ o.
Gake, ɖo ŋku esia dzi: Amesiwo ŋu ʋusɔgbɔdɔ le la ate ŋu axɔ ŋkudɔ. Azɔ hã, ne ʋu ƒe sisi dzi ɖe edzi akpa alo ɖiɖi akpa la, ate ŋu agblẽ nu le ʋu si yia ŋkume ƒe lãmeka me ŋu, si ana ame nagate ŋu akpɔ nu o. Eya ta, ne ʋusɔgbɔdɔ le ŋuwò la, ele vevie be nàƒo nu kple wò ɖɔkta, nànya afɔku si le wò ŋkudɔ me, eye nàdo ŋkume na wò edziedzi.
Wò ɖɔkta ate ŋu aŋlɔ ŋkumeɖonu, laser-dɔdamɔnu, alo amekoko gɔ̃ hã na wò abe atike ene. Woakpɔ esia to nu geɖe me dzodzro me, siwo dometɔ aɖewoe nye wò ŋku ƒe sisi kple wò ŋku ƒe lãmeka ƒe nɔnɔme.
Gbedasi si Wotsɔ Yi Aƒeme
- Ŋku me ƒe nyaƒoɖeamenu (IOP) le vevie na míaƒe ŋkuwo ƒe lãmesẽ, gake ele be wòanɔ agbɔsɔsɔ aɖe me ɣesiaɣi (10-20 mmHg).
- Esi wònye be zi geɖe la, ŋku ƒe ʋuʋu (ŋku ƒe ʋusɔgbɔdɔ) meɖea dzesi aɖeke fiana o ta la, ele vevie ŋutɔ be woado ŋkume na ame edziedzi.
- Ne womeɖu nɔnɔme sia dzi o la, ate ŋu ana ŋkudɔ nadze ame dzi, si ate ŋu ana ame nakpɔ nu tegbee.
- Ne èxɔ wu ƒe 40, ŋkudɔ le ŋuwò le ƒomea me, alo nɔnɔme aɖewo abe suklidɔ alo ʋusɔgbɔdɔ ene le ŋuwò la, kpɔ egbɔ be wodo wò ŋkuwo kpɔ zi ɖeka ya teti le ƒea me.
- Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. Ele vevie ŋutɔ be woazã ŋkumeɖonu le ɣeyiɣi nyuitɔ dzi kple le agbɔsɔsɔ nyuitɔ me.
👩🏽 ⚕️ Nyabiase bubuwo (FAQs)
💬 Procainamide injection/tablets nye atike sesẽ ŋutɔ si wonana na dɔléle ka?
Esia menye atike dzro aɖeke o! Esia nye atike si ŋu ŋusẽ le ŋutɔ si wozãna le kɔdziwo tsɔ xɔa amewo ɖe agbe le ‘Antiarrhythmic - Class 1A’ nɔnɔme sesẽwo me, vevietɔ ne dzia ƒe xɔ siwo le ete la ƒo zi ɖeka le mɔ si dzi womate ŋu aɖu o nu eye dɔnɔa le ku ge (Life-threatening Ventricular Arrhythmias / V-Tach)!
💬 Ne dzia le ƒoƒom abe tagbɔsesẽ ene la, aleke nàwɔ awɔ dzia ƒe ʋuʋu wòasɔ to atike sia (Procainamide) nana me?
Dzia ƒoa kabakaba le elektrikŋusẽ ta (Action Potentials)! Le ƒoƒo gbãtɔ gome la, ele be ‘Sodium’ ƒe akpa suesuesuewo nage ɖe eme be woaxɔ dzo le lãmenugbagbeviawo me. Ne atikekui sia ge ɖe dzia me la, exea agbo siwo katã ɖea mɔ na sodium be wòage ɖe eme la hexea wo. Tsɔ kpe ɖe eŋu la, enaa ɣeyiɣi si wòxɔna hafi lãmenugbagbeviawo xɔa dzo eye wogbugbɔ ɖoa wo nɔƒe la didi ɖe edzi sesẽe (to mɔxexe ɖe potassium nu to NAPA ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ me)! Esia wɔnɛ be dzia meganɔa ƒoƒom kabakaba o eye wònana ɣlidodoa dzi ɖena kpɔtɔna.
💬 Nukae nye 'afɔku siwo wua ame (Black Box Warning / Lupus)' siwo ŋu wòle be amesiwo le atike sia (Procainamide) nom nanya nu tsoe?
Afɔku gãtɔe nye be ate ŋu ana ‘dzi ƒe tsotso yeye kura si wua ame (Proarrhythmia)’ (eyatae wonanae le nɔnɔme kpata aɖe me ko ɖo)! Afɔku gãtɔ bubu si ɖea fu na ame wue nye be ne wozã esia ɣleti ʋɛ aɖewo vɔ la, dɔnɔ siwo wu 30% axɔ dɔléle sesẽ aɖe si woyɔna be ‘Lupus-like Syndrome’ (mo ƒe dzodzro si le abe kpakpaluʋui ene, ƒunukpeƒeveame) godoo! Afɔku gã aɖe hã li be woaku le ʋumenugbagbevi ɣiwo ƒe tsɔtsrɔ̃ keŋkeŋ (Agranulocytosis) ta.
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