Ðe kuxi aɖe le ʋu ƒe sisi yi ŋkuwo mea? Mina míasrɔ̃ nu tso (Ischemic Optic Neuropathy) ŋu le mɔ bɔbɔe aɖe nu!

Ðe nèse le ɖokuiwò me zi ɖeka be yeƒe ŋkuwo me mekɔ o alo be yeƒe ŋkuwo me mekɔ oa? Ðewohĩ èfɔ le ŋdi me eye mète ŋu kpɔa nu nyuie le ŋku ɖeka me oa? Alo ɖe nèse le ɖokuiwò me kasia abe ɖe yibɔ aɖe le wò ŋkume enea? Ne èto nane si le abe esia ene me kpɔ la, mègaɖe asi le eŋu bɔbɔe nenema o, enyoa? Egbea míele nu ƒom tso nɔnɔme aɖe si ate ŋu ahe dzesi siawo tɔgbe vɛ ŋu, eye ele be nàɖɔ ŋu ɖo vie, gake ne ènyae do ŋgɔ la, ate ŋu akpe ɖe ŋuwò nàkpɔ egbɔ. Woyɔa ema be `(Ischemic Optic Neuropathy)` , si woyɔna hã be `(ION)` kpuie.

Ènya nusi `(Ischemic Optic Neuropathy - ION)` nyea?

Kpuie ko la, `(Ischemic Optic Neuropathy)` nye nɔnɔme si me lãmeka vevitɔ si hea ŋku vaa ŋku dzi, si nye `(Optic Nerve)` mexɔa ʋu si sɔ o, si wɔnɛ be mgate ŋu kpɔa nu o. Bu eŋu kpɔ, nukae adzɔ ne seƒoƒo aɖe si le míaƒe abɔ me mekpɔ tsi nyuie o? Ekuna vivivi, alo? Aleae wòle le esia gome. Ne ʋu ƒe sisi yi wò `(Optic Nerve)` ƒe akpa aɖewo tɔ te la, akpa mawo dzudzɔa dɔwɔwɔ nyuie, eye mlɔeba wodzea kuku gɔme. Ne ʋu ƒe sisi ƒe nutsotso sia nu sẽ alo enɔ anyi ɣeyiɣi didi la, `(Ŋku ƒe Lãmetsi)` ateŋu agblẽ tegbee.

Zi geɖe la, nɔnɔme sia dzɔna le teƒe si le gota le wò ŋku ƒe megbe si woyɔna be ``Optic Disk.`` ``Optic Disk`` nye afisi ʋukawo kple ``Optic Nerve`` do ƒome kple ŋkua le. Nɔnɔme sia si woyɔna be ``ION`` mebɔ boo o eye wòdzea amesiwo xɔ wu ƒe 50 dzi wu.

Ðe `(ION)` ƒomevi vevi aɖewo li?

Ẽ, `(Ischemic Optic Neuropathy)` ƒomevi vevi eve li. Na míakpɔ nusiwo wonye ɖa:

1. Anterior Ischemic Optic Neuropathy (AION) : Esiae nye ION ƒomevi si bɔ wu. Ekpɔa ŋusẽ ɖe ŋku ƒe lãmeka si le ŋku ƒe lãkusi te alo ŋku ƒe lãkusi ŋutɔ dzi.

2. `(Posterior Ischemic Optic Neuropathy - PION)` : Le ƒomevi sia me la, ŋusẽkpɔɖeamedzia dzɔna ɖe `(Optic Nerve)` ƒe akpa aɖe si le megbe vie la dzi.

Azɔ mina míaƒo nu tso ƒomevi siawo dometɔ ɖesiaɖe ŋu tsitotsito vie.

Tɔtrɔwo le `(AION)` me

`(AION)` ga si ƒomevi sue eve le esi:

• Arteritic Anterior Ischemic Neuropathy (AAION) : Esia nye ʋukawo ƒe dɔdzẽ (Arteritis) . Zi geɖe la, nɔnɔme sia dzɔna le nɔnɔmewo abe Vasculitis, siwo nye ʋukawo ƒe dɔdzẽ ene me.
• `(Nonarteritic Anterior Ischemic Neuropathy - NAION)` : Le esia me la, ʋukawo ƒe dɔdzẽ aɖeke mele eme abe alesi míegblɔe va yi ene o. Esia dzɔna zi geɖe elabena ʋu ƒe sisi yi `(Optic Nerve)` me xe mɔ.

Mina míasrɔ̃ nu vi aɖe tso `(PION)` ŋu

Abe AION ene la, ƒomevi sue eve le PION si, Arteritic kple Nonarteritic. Eyae nye be ʋukawo ƒe dɔléle gbɔe PION tsona, eye ʋu ƒe sisi ƒe tɔtɔ si me ʋuka me dɔdzẽ mele o gbɔe PION tsona.

Nukae nye esia ƒe dzesiwo? Ðe esiawo hã le asiwòa?

`(ION)` ƒe dzesi vevitɔe nye ŋku ƒe ʋuʋu. Ke hã, alesi wòdzɔnae ateŋu ato vovo le `(ION)` ƒe ƒomevi nu. Nenema ke dzesi bubuwo hã toa vovo le ƒomevi si wokpɔna nu.

Dzesi siwo le `(NAION)` me

Zi geɖe la, ŋku ƒe bublu le NAION ta nyea nusi dzɔna kpata eye vevesese aɖeke menɔa eŋu o. Zi geɖe la, wosenɛ le wo ɖokui me be enye nukpɔkpɔ ƒe blukɔ alo nukpɔkpɔ ƒe bu le nukpɔkpɔ ƒe akpa aɖe, vevietɔ afã si le ete . Ɣeaɖewoɣi , amadede ƒe nukpɔkpɔ ƒe bu (dyschromatopsia) hã ate ŋu adzɔ.

Ame geɖe dea dzesi nukpɔkpɔ sia zi gbãtɔ ne wofɔ le ŋdi me. Ate ŋu anye le alɔ̃dɔdɔ didi alo alɔ̃dɔdɔ kpui aɖe megbe.

Ƒã hafi nukpɔkpɔ ate ŋu aɖiɖi vivivi le ɣeyiɣi si ade kwasiɖa eve me. NAION ye nye ION ƒomevi si bɔ wu, eye zi geɖe la , edzea ŋku ɖeka dzi le ɣeyiɣi ɖeka me. Gake amesiwo ƒe ŋku ɖeka me NAION le la dometɔ siwo ade 15% ate ŋu axɔ nɔnɔmea le ŋku evelia me emegbe.

Dzesi siwo le `(AAION)` me

Le `(AAION)` me la , zi geɖe la, nukpɔkpɔ buna kpata. Eyae nye be nukpɔkpɔ ate ŋu azu blukɔ, aɖiɖi, aɖiɖi, alo abu keŋkeŋ. Le `(AAION)` me la, ateŋu akpe ɖe dzesi siwo do ƒome kple `(Arteritis)` si míeyɔ va yi ŋu. Woawoe nye:

• Taɖuame: Vevietɔ le ŋgonu ƒe akpa eveawo.
• Ʋuka siwo le ŋgonu ƒe akpa eveawo ƒe vuvu: Womate ŋu ase ʋu ƒe sisi aɖeke ne woka asi esiawo ŋu o.
• Vevesese le aɖu ƒe lãmekawo me ne wole nuɖuɖu ɖum.
• Malaise kple/alo lolo dzi ɖeɖe kpɔtɔ si womeɖe o.

Le ame ʋɛ aɖewo me la, Arteritic ION ƒe "vivi" ƒomevi aɖe ate ŋu adzɔ. Esia fia be ŋku megakpɔa nu nyuie o, gake Arteritis ƒe dzesi bubuawo dometɔ aɖeke mele eme o.

Dzesi siwo le `(PION)` me

Arteritic PION kple Nonarteritic PION siaa nana ame ƒe ŋkuwo buna kpata, vevesese aɖeke manɔmee. Gake PION ate ŋu awɔ ŋgɔyiyi le eƒe gɔmedzedze. Esia fia be dzesiawo nu sẽna ɖe edzi vivivi le ɣeyiɣi aɖe megbe.

Nukatae `(Ischemic Optic Neuropathy)` sia dzɔna? Nukawoe gbɔ wòtsona?

Nusiwo hea `(ION)` vɛ ateŋu ato vovo le eƒe ƒomevi nu. Na míakpɔ alesi wòwɔa dɔe ɖa.

Nusiwo hea `(NAION)` vɛ

Eŋutinunyalawo meka ɖe nusita tututu NAION dzɔna dzi haɖe o. Gake wosusuna be zi geɖe la, nusiwo wotsɔ ƒo ƒuie.Wosusu be ʋu si sina yia ŋkume ƒe lãmekaa me xe mɔ na esia tso. Zi geɖe la, nɔnɔme siawo kpɔa ŋusẽ ɖe ale si wò ʋukawo kpɔa ŋusẽ ɖe ʋu ƒe sisi to ŋkume ƒe lãmeka me dzi. Zi alesi ɖokuidziɖuɖu ma le dɔ wɔm nyuie ko la, màtu NAION ɖo o. Gake nudzɔdzɔ alo kuxi aɖewo ate ŋu agblẽ ɖokuidziɖuɖu ma me. Esiawo dometɔ aɖewoe nye:

• Dɔwɔɖoɖo ƒe tɔtrɔ le `(Optic Disk)` si le ŋkua me: Esia fia be `(Optic Disk)` va nɔa sue alo nɔa ʋeʋẽm. Wogayɔa esia be "disk at risk".
• Ʋusɔgbɔdɔ (Hypertension).
• `(Suklidɔ Ƒomevi 2)` (Suklidɔ Ƒomevi 2).
• Atherosclerosis (ami siwo le ʋukawo me).
• Sleep Apnea (Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe).
• Ʋu ƒe sisi dzi ɖe kpɔtɔ le alɔ̃dɔdɔ me (`Nocturnal Hypotension`).
• Ʋusɔgbɔdɔ (ʋumenugbagbevi dzĩwo alo hemoglobin ƒe ɖiɖi le ʋu me).
• Sigaretnono (si me vaping hã le).
• Taɖuame.
• Atike aɖewo: Phosphodiesterase inhibitors (le kpɔɖeŋu me, atike siwo wozãna tsɔ daa tsitretsitsi ƒe dɔmawɔmawɔ nyuie) ate ŋu awɔ akpa aɖe le ION me. Gake eŋutinunyalawo mexɔe se be atike siawo ɖeɖeko hea ION vɛ o.

Nusiwo hea `(Arteritic ION)` (AAION kple APION) vɛ .

Nu ɖeka si gbɔ AAION kple APION siaa tsona: Ʋukawo me dɔléle. Ʋukawo katã ƒe dɔdzẽ gbɔe nɔnɔme sia tsona. Nusiwo gbɔ esia tsona zi geɖee nye:

• `(Lãmenugbagbevi Gãwo ƒe Ʋukawo ƒe Dɔléle - GCA)`
• `(Vasculitis)` (ʋukawo ƒe dɔdzẽ ƒe nɔnɔmewo) ƒomevi bubuwo.

Nusiwo hea `(Nonarteritic PION - NPION)` vɛ

Susu tɔxɛ geɖewo li siwo kpɔa ŋusẽ ɖe `(NPION)` dzi. Woawoe nye:

• Nɔnɔme siwo gblẽa nu le ʋu ƒe sisi le ŋkua me ŋu: Esiawo dometɔ geɖe sɔ kple esiwo hea NAION vɛ. Le kpɔɖeŋu me, Suklidɔ Ƒomevi 2 lia, Ʋusɔgbɔdɔ, Ʋukawo ƒe Ʋuʋudedi.
• Ʋudodo: Ʋu ƒe sisi kpata ate ŋu ana ʋu naxe mɔ na ŋkua ƒe megbe, si ana NPION nadzɔ.
• Amekoko: Ʋu ƒe sisi ate ŋu aɖiɖi le susu vovovowo ta le amekoko me. Esia ate ŋu ahe PION vɛ.

Amekawoe le afɔku gã me be woaxɔ esia?

Ame aɖewo ate ŋu axɔ dɔléle sia (Ischemic Optic Neuropathy). Na míakpɔ amesiwo wonye ɖa:

• Ame siwo ŋu ʋukawo ƒe afɔku le: Esia fia be amesiwo ŋu nɔnɔme siwo ŋu míeƒo nu tsoe va yi, abe ʋusɔgbɔdɔ, suklidɔ, ʋumemi ƒe agbɔsɔsɔ, atamanono, kple alɔ̃madɔmadɔ ene, le afɔku gã aɖe me.
• Ame siwo ŋu dɔdzẽ ƒe dɔlélewo le: Le kpɔɖeŋu me, amesiwo ŋu dɔlélewo abe `(Giant Cell Arteritis - GCA)` le hã le afɔku me be woaxɔ `(ION)`.
• Ame siwo xɔ wu ƒe 50.
• Le ŋutsuwo gomeWoate ŋu atsi vie wu nyɔnuwo.

Aleke ɖɔkta wɔna dea dzesi esia?

Wò ŋkudzikpɔla ate ŋu azã mɔnu vovovowo ƒe ƒuƒoƒo atsɔ anya ION. Zi geɖe la, wodzea dɔlélewo didi gɔme kple nyabiasewo biabia wò tso wò dzesiwo, agbemenudzɔdzɔ siwo dzɔ nyitsɔ laa, kple wò atikewɔwɔ ŋutinya ŋu. Wò ŋuɖoɖowo akpe ɖe wo ŋu woaɖe nusiwo ate ŋu ahe wo vɛ ƒe xexlẽdzesiwo dzi akpɔtɔ to nɔnɔme bubu siwo ate ŋu asɔ kple ION tɔ ɖeɖeɖa me. Emegbe woawɔ ŋkudɔ , eye woalé ŋku ɖe ŋkua ƒe akpa siwo kpɔa ŋkua ƒe akpa si le ŋkua ƒe megbe, ŋu etɔxɛe.

• Anterior ION (AION): Arteritic kple Nonarteritic AION siaa hea tɔtrɔ siwo woate ŋu akpɔ le wò ŋkumeʋuʋu me vɛ le gɔmedzedzea me. Tɔtrɔ siawo kpena ɖe wò ŋkudɔdala ŋu wòkpɔa dɔlélea. Ne wole AAION kpɔm la, woalé ŋku ɖe eŋu hã be dzesi siwo do ƒome kple Arteritis dometɔ aɖe le ŋuwò hã.
• `(Posterior ION - PION)`: Wode dzesi ƒomevi siawo sesẽ vie. Elabena le gɔmedzedzea me la, tɔtrɔ aɖeke mele `(Optic Disk)` me si woate ŋu akpɔ o.

Dodokpɔ kawoe wole wɔwɔm na esia?

Dodokpɔ geɖe li siwo ate ŋu akpe ɖe ame ŋu woanya dɔlélea (ION) kple nɔnɔme ɖesiaɖe si ate ŋu ahe dɔlélea vɛ. Esiawo dometɔ aɖewo le bɔbɔe eye mehiã ŋutilãmekutrikuku geɖe o. Le kpɔɖeŋu me:

• Nukpɔkpɔ dodokpɔ: Kpɔe ɖa be nukpɔkpɔ ƒe nɔnɔme ƒe gbɔdzɔgbɔdzɔ aɖeke (teƒe siwo ŋkuagbãtɔ) le hã.
• Ʋu ƒe sisi dzidzedze.
• Ʋudodokpɔ: Kpɔ nɔnɔmewo abe Suklidɔ Ƒomevi 2, ʋumemi ƒe agbɔsɔsɔ si sɔ gbɔ, kple vitamin ƒe anyimanɔmanɔ ene ɖa.
• Ŋku me ƒe nyaƒoɖeamenu dzidzedze.
• Fluorescein Angiography: Esia zãa amadede tɔxɛ aɖe tsɔ ɖea ʋuka siwo le ŋkua me ƒe foto.
• Optical Coherence Tomography (OCT): Esia ate ŋu awɔ ŋku ƒe lãmeka kple ŋku ƒe ŋkume ƒe nɔnɔmetata siwo woɖe tso wo nɔewo ŋu tsitotsito.

Wowɔa dodokpɔ aɖewo koŋ be woatsɔ ade dzesi alo agbe nɔnɔmewo abe ``Arteritis'' (siwo hiã atikewɔwɔ tɔxɛ kaba ale si woate ŋui). Dodokpɔ siawo ate ŋu anye:

• Nɔnɔmetatawo dodokpɔ: Ultrasound alo magnetic resonance imaging (MRI) si wotsɔ kpɔa ʋuka siwo le ŋutigbalẽa te le ŋgonu ƒe akpa eveawo.
• Temporal Artery Biopsy: Woɖea lãkusi sue aɖe tso ʋuka aɖe si le ŋgonu ƒe akpa eveawo me hedoa nɔnɔmewo abe GCA ene kpɔna.
• Ʋudodokpɔ hena tɔtrɔ siwo ku ɖe dɔdzẽ ŋu: abe `(Erythrocyte Sedimentation Rate - ESR)` kple `(C-reactive Protein - CRP)` dodokpɔwo ene.

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàgawɔ dodokpɔ bubuwo le wò dzesiwo kple wò lãmesẽ ŋutinya nu. Woate ŋu agblɔ dodokpɔawo kple nusita nèhiã wo ŋu nya geɖe na wò.

Nukawoe nye atike siwo wozãna na esia? Ðe woate ŋu adaea?

ION ƒe atikewɔwɔ toa vovo le nusi gbɔ wòtso nu. Ɣeaɖewoɣi la, ɖɔkta ate ŋu ada ION la tẽ. Ɣebubuɣiwo la, nusi hiã koe nye be woaɖu ʋukawo ƒe afɔkuwo dzi ahada dzesiawo.

Atikewɔwɔ na `(Arteritic Ischemic Optic Neuropathy)`

Ele be woatsɔ atike siwo tsia dzodzodzoetsitsi nu `(Corticosteroid)` (e.g. `(Prednisone)`) alo dɔlélenutsiŋutete ƒe dɔlékuiwutikewo abe `(Tocilizumab - Actemra®)` ada dɔ na `(Tocilizumab - Actemra®)` siaa kaba . Zi geɖe la, wonaa `(Corticosteroid)` abe atikekui ene, gake ɣeaɖewoɣi la, wodonɛ hã to ʋuka me (IV). Wonaa `(Corticosteroid)` sia ƒe agbɔsɔsɔme le gɔmedzedzea me le agbɔsɔsɔ gã me eye emegbe woɖea edzi vivivi le ŋkeke alo kwasiɖa geɖe me. Ðewohĩ ahiã be ame aɖewo nano atike sia le agbɔsɔsɔ sue aɖe me ɣeyiɣi didi aɖe be woaxe mɔ ɖe ŋku ƒe kuxi siwo nɔa anyi ɖaa nu tso `(ION)` gbɔ.

Atikewɔwɔ na `(Nonarteritic Ischemic Optic Neuropathy)`

Nublanuitɔe la, atike aɖeke meli si ŋu kpeɖodzi le be ewɔa dɔ nyuie na `(Nonarteritic ION)` o. Negbe ɖe dɔléle aɖe le ŋuwò abe `(Arteritis)`, `(Corticosteroid)` ƒe atikewo zi geɖe la, womeɖoa aɖaŋu na wò o.

Fifia la, atike vevitɔ si wozãna na `(Nonarteritic ION)` enye be woaɖu dzesiwo dzi eye woada nusiwo gbɔ wòtso kple nusiwo gbɔ wòtso alo woaɖe wo dzi akpɔtɔ. Esia le vevie elabena zi geɖe la, `(Nonarteritic ION)` gblẽa nu le ŋku ɖeka ŋu le ɣeyiɣi ɖeka me. Eyata mɔnu sia ateŋu aɖe afɔku si le ŋku eveawo ƒe nukpɔkpɔ ƒe bu le `(ION)` ta dzi akpɔtɔ.

Ne wò ŋku megakpɔa nu nyuie o le ION ta la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã kpekpeɖeŋunu siwo le abe nudzidzenuwo ene, alo nàzã nudzinu ƒe ɖoɖowo alo gbeɖiɖi ƒe sededewo/nyaŋuɖoɖo le wò mɔ̃wo dzi. Esiawo ate ŋu akpe ɖe ŋuwò nàxe fe ɖe ŋku ƒe kuxiwo ta alo akpɔ wo gbɔ.

Nukae wòle be míakpɔ mɔ na ne nɔnɔme sia do mo ɖa?

Zi geɖe la, ION nana ame ƒe ŋku buna zi ɖeka. "Kpata" ateŋu afia miniti alo gaƒoƒo, gake ɣeaɖewoɣi ateŋu axɔ ŋkeke geɖe. ION ƒomevi siwo bɔ wu nana nukpɔkpɔ me mekɔna o alo wògblẽa nu le ame ŋu. Ƒomevi aɖewo ate ŋu ana ame nabu nu keŋkeŋ. Ɣeaɖewoɣi la, nukpɔkpɔ si me mekɔ o ƒe ɣeyiɣi kpui aɖewo nɔa anyi hafi ION nana nukpɔkpɔ bu keŋkeŋ.

Ðe esia ana nye nukpɔkpɔ nanyo ɖe edzia?

`(ION)` menye nusi dea ame ƒe agbe afɔku me o, gake ate ŋu ana wò ŋku nabu vevie si ate ŋu ado kplamatse wò agbe.

Le go aɖewo me la, woate ŋu atrɔ ION, gake zi geɖe la, enaa nukpɔkpɔ buna tegbee ya teti.Ke hã, ame siwo ƒe ŋkuwo megakpɔa nu nyuie o hã srɔ̃a alesi `woatrɔ ɖe nɔnɔme sia ŋu`. Emegbe wodzea woƒe nukpɔkpɔ ƒe akpa bubuwo zazã gɔme hena dɔ aɖewo koŋ wɔwɔ, abe nuxexlẽ ene. Ne esia dzɔ la, adze abe woƒe ŋkumekpɔkpɔ nyo ɖe edzi ene, gake nusi le dzɔdzɔm ŋutɔŋutɔe nye be wole dɔ wɔm nyuie wu le woƒe nukpɔkpɔ ƒe bublu ŋu.

Ðe woate ŋu axe mɔ ɖe Ischemic Optic Neuropathy nua?

Màte ŋu axe mɔ ɖe (ION) nu keŋkeŋ o. Gake àte ŋu aɖe afɔku si le eme be wòaxɔe dzi akpɔtɔ. Mɔ vevitɔ si dzi woato awɔ esiae nye be woaƒo asa na nɔnɔme siwo ate ŋu ahe (ION) vɛ alo akpe ɖe wo ŋu alo aɖu wo dzi. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàtrɔ wò ʋusɔgbɔdɔtikewo be nàxe mɔ ɖe ʋu ƒe sisi le alɔ̃ me nu, nàdze atike siwo ɖea ʋumemi dzi kpɔtɔna gɔme, nàtrɔ asi le wò suklidɔtikewo ŋu, nàdzudzɔ atamanono (si me vaping hã le), kple mɔxexeɖedɔléle nu ƒe mɔnu bubuwo be nàɖe wò dɔlélea ƒe mɔnukpɔkpɔ dzi akpɔtɔ (ION).

Azɔ hã, ne ehiã be woawɔ dɔ na wò la, atikewɔlawo awɔ afɔɖeɖewo atsɔ axe mɔ ɖe `(ION)` nu. Ne èxɔ `(ION)` do ŋgɔ, alo ne ènya be dɔléle aɖe le ye ŋu si ateŋu ahee vɛ (abe `GCA` alo `vasculitis` ene) la, gblɔe na wò amekola kple/alo atikewɔla si naa alɔ̃dɔdɔ hafi woawɔ wò dɔ na wò. Emegbe woate ŋu awɔ ɖoɖo ɖe eŋu eye woawɔ tɔtrɔ ɖesiaɖe si hiã.

Aleke nèléa be na ɖokuiwò ne dɔléle sia le ŋuwò?

Ne ``Nonarteritic ION'' nɔ ŋku ɖeka ŋu va yi la, ele be nàɖɔ ŋu ɖo ŋutɔ le tɔtrɔ ɖesiaɖe alo nukpɔkpɔ ƒe bu le wò ŋku evelia me ŋu. Elabena ne enya dze ŋku ɖeka dzi ko la, mɔnukpɔkpɔ geɖe wu li be wòava le ŋku kemɛa dzi emegbe.

Ne Arteritic ION le ŋuwò la, wò ŋkudɔdala aɖo wò ɖe eŋutinunyala bibi aɖe, abe Lãmetsiŋutinunyala ene. Lãmetsiŋutinunyala ate ŋu akpe ɖe ŋuwò nànya dɔlélenutsiŋutete alo dɔdzẽ ƒe nɔnɔme ɖesiaɖe si le ete si ate ŋu ahe wò Ʋukawo ƒe Dɔléle vɛ ahadae. Ele vevie be nàwɔ ɖe wò ŋkudɔdala kple ɖɔkta bubuwo ƒe mɔfiamewo dzi be nàkpɔ wò nɔnɔmea gbɔ. Esia akpe ɖe ŋuwò nàƒo asa na dzobibi kple nukpɔkpɔ bubu alo kuxi bubuwo le etsɔme.

Ɣekaɣie wòle be nàkpɔ wò ŋkuŋutinunyala?

Wò ŋkudɔdala awɔ ɖoɖo be yeayi aɖakpɔ wò ŋkume edziedzi be yealé ŋku ɖe wò ŋkumekpɔkpɔ alo wò ŋkuwo ŋu be tɔtrɔ aɖeke le ŋuwò hã. Ele be nàwɔ ɖoɖo siawo dzi abe alesi wokafui ene. Azɔ hã, ne ède dzesi tɔtrɔ aɖewo le wò nukpɔkpɔ me la, ele be nàte ɖe wo ŋu kaba ale si nàte ŋui. Woate ŋu agblɔ na wò ne ehiã be nàƒo nu kpli wo, adi atikewɔla kpata, alo tɔtrɔ bubu aɖe koŋ.

Ɣekaɣie wòle be nàyi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Nukpɔkpɔ ƒe bu kpata ɖesiaɖe nye dzesi kpata si hiã be woakpɔ egbɔ enumake.Elabena, ateŋu anye nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me abe `(Stroke)` (nɔnɔme abe lãmetutudɔ ene ƒe dzesi), alo ateŋu anye ŋku ƒe nɔnɔme kpata abe `(Retinal Detachment)` (retina ƒe ɖeɖeɖa - si woateŋu ada ne wodae kaba).

Atikewɔla si wona hehee kple dodokpɔ tɔxɛwo koe ate ŋu anya nenye be ŋku ƒe nukpɔkpɔ kpata nye nusi dzɔ kpata vavã. Le nɔnɔme sia tɔgbe me la , aɖabaƒoƒo ate ŋu ana tɔtrɔ gã aɖe nava. Esia tae anyo wu be màŋe aɖaba aƒu edzi ne mèkpɔ ŋku ƒe nukpɔkpɔ kpata kpɔ o. Ne dɔléle aɖe le ŋuwò si na nèle afɔku me be màte ŋu akpɔ nu kpata o, alo ne edze ŋuwò kpɔ la, ƒo nu kple wò ɖɔkta. Woate ŋu aɖe ɣeyiɣi si me dzesi sia hiã be woawɔ atike na wò kpata kple ɣeyiɣi si me wònye nusi nàkpɔ mɔ na le wò nɔnɔmea ta la me.

Nya siwo wòle be nàbia wò ɖɔkta

Nyabiase aɖewo siwo nàte ŋu abiae nye esi:

• Ischemic Optic Neuropathy ƒomevi ka ƒomevie le ŋunye?
• Nukae ate ŋu anye nusi gbɔ esia tso alo le kpekpem ɖe eŋu?
• Atikewɔwɔmɔnu kawoe nèkafu?
• Ðe nye ŋku ƒe bublu anɔ anyi ɖaa, alo ɖe mɔnukpɔkpɔ li be wòanyo ɖe edzia?

Ðe `(Ischemic Optic Neuropathy)` nye `(Stroke)`?

Ao, gake nu aɖewo ɖi wo nɔewo.

`(Ischemia)` nye ne lãmenugbagbeviwo mexɔ ʋu nyuie o eye wodze kuku gɔme. `(Ischemic Stroke)` nye ne edzɔ le wò ahɔhɔ̃ me. `(ION)` dzɔna le wò `(Optic Nerve)` me. Esia tae woɖi wo nɔewo gake womesɔ o.

Susu bubu si ta woɖi wo nɔewo enye be amesiwo ŋu `(ION)` ƒe dzesiwo dzena ɣeaɖewoɣi. Ne esia dzɔ la, efia be èle afɔku gã aɖe me be `(Optic Nerve Ischemia)` kple ŋku ƒe nukpɔkpɔ ƒe bublu le ŋkeke ʋee siwo gbɔna me. Eyata, mele be nàŋe aɖaba aƒu ŋkumekpɔkpɔ kpata dzi o. Ne edzɔ alea la, ele be nàyi atikewɔƒe kpata enumake.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Nukpɔkpɔ ƒe bu kpata kple Ischemic Optic Neuropathy fia be wò Optic Nerve mele ʋu xɔm wòsɔ gbɔ o. Le ɣeyiɣi aɖe megbe la, esia ate ŋu ana ame nagblẽ nu tegbee eye wòagakpɔ nu nyuie o. Eyata ŋku ƒe nukpɔkpɔ kpata menye nusi dzi woaŋe aɖaba aƒu alo alala gbeɖe o.

Ne nɔnɔme aɖe le ŋuwò si ate ŋu ana nàkpɔ nu kpata alo ``ION'' la, anyo be nàƒo nu kple wò ŋkuŋutinunyala. Woate ŋu agblɔ nusiwo ŋu nàlé ŋku ɖo kple nusi nàwɔ ne ède dzesi tɔtrɔwo le wò nukpɔkpɔ me na wò. Nuwɔwɔ kabakaba ate ŋu ana tɔtrɔ gã aɖe nava eye wòakpe ɖe ŋuwò nàkpɔ ta tso ŋku ƒe kuxi sesẽwo kple vevesese me. Eyata, lé be na wò ŋkuwo!

` Ischemic Optic Neuropathy, ION, AION, PION, Nukpɔkpɔ ƒe Bubu, Ŋkudɔléle, Ŋku ƒe Lãmetsiŋusẽ, Nukpɔkpɔ ƒe Bubu Kpata