Ðe màte ŋu akpɔ nu le didiƒe hã oa? Na míasrɔ̃ nu tso nɔnɔme sesẽ aɖe si le ŋkua me ŋua? (Myopic Degeneration) ƒe Dɔléle .

Ðe nèkpɔa nu siwo le didiƒe ʋĩ gake nu siwo te ɖe wo nɔewo ŋu nyuie koe nèkpɔna ɣeaɖewoɣia? Míeyɔa esia be 'nukpɔkpɔ kpuie' alo `(Myopia)'. Togbɔ be esia sɔ na ame akpa gãtɔ hã la, ɣeaɖewoɣi la, nukpɔkpɔ didi ƒe kuxi sia ate ŋu ayi ŋgɔ wu . Ne esia dzɔ la, `(Retina)`, si nye ƒuƒoƒo si sea nu gɔme ŋutɔ le ŋkua me, si nye teƒe si míekpɔa nɔnɔmetatawo le la, dzea gbegblẽ gɔme. Esiae nye nusi míeyɔna be `(Myopic Degeneration)` alo `(Degenerative Myopia)`. Esia nye nusi ŋu wòle be míaɖɔ ŋu ɖo, elabena le ɣeyiɣi aɖe megbe la, nusiwo gblẽ le ame ŋu sia ate ŋu adzi ɖe edzi eye ate ŋu adzɔ be ŋkua nabu tegbee . Gake mègatsi dzi o, menye ame sia ame si kpɔa nu kpuie lae tua esia ɖo o. Gake eŋutinunyalawo gblɔ be ame ɖeka le 33 ɖesiaɖe me koe dɔléle sia dzea edzi le le xexeame.

Eyata nukae nye `(Myopic Degeneration)` ƒe dzesiwo?

Dzesi vevi gbãtɔe nye nukpɔkpɔ kpuie vevie . Esia fia be atike si nèŋlɔ na wò ŋkumeɖoboloa sɔ gbɔ akpa. Ne nɔnɔme sia le edzi yim la, àdze egɔme ade dzesi tɔtrɔ siwo le wò nukpɔkpɔ ƒe didime ŋu, vevietɔ le wò ŋku ƒe titina . Esiawo dometɔ aɖewoe nye:

• Ne èlé ŋku ɖe eŋu la, àte ŋu akpɔ teƒe yibɔ aɖe alo teƒe aɖe si me mekɔ o le wò ŋku ƒe titina . Ate ŋu anɔ abe ŋkumaʋumaʋu si me màte ŋu akpɔ naneke le o ene gɔ̃ hã.
• Amadede aɖewo kpɔkpɔ sesẽna .
• Míehiã kekeli geɖe wu tsã hafi míate ŋu akpɔ nuwo nyuie.
• Ne èlé ŋku ɖe nuwo ŋu kple fli dzɔdzɔewo la, wodzena abe ɖe wokeke eye wole ƒoƒom ene .
• Àte ŋu akpɔ nu yibɔ suesuesue siwo le tsia dzi le wò ŋku ŋgɔ (floaters) , alo àte ŋu akpɔ kekeli ƒe keklẽ .

Ne èyi ŋkudɔdala gbɔ la, ne esusu be nɔnɔme sia le eŋu la, ado wò ŋkuwo kpɔ ahadi nusiwo le abe:

• Tɔtrɔ siwo vaa macula, si nye wò ŋku ƒe titina, si le vevie na nukpɔkpɔ nyuie ƒe nɔnɔme me.
• Ʋu si dona le ŋku ƒe ŋkume, eƒe ƒuƒu, eƒe ʋuʋu, alo eƒe vuvu.
• Macular holes ƒe wɔwɔme le nukpɔkpɔ ƒe titina.
• Macular puckering dzɔna le nukpɔkpɔ ƒe titina (Macula).

Nukatae míexɔa Myopic Degeneration?

Kpuie ko la, nusi koŋ gbɔ esia tsonae nye nukpɔkpɔ kpuie vevie . Ne wò ŋku ƒe atikewɔmɔnu nye `(-6.00 diopters)` alo esi wu nenema la, wobunɛ be esẽ ŋutɔ. Alo wò ŋku ƒe didime tso ŋgɔgbe va ɖo megbe ate ŋu anye milimeta 26 alo esi wu nenema. Bu eŋu kpɔ, ne míedze agbagba be míakpɔ nane nyuie la, míaƒe ŋku ƒe lãmekawo wɔa dɔ sesĩe wu alesi wòle dzɔdzɔmee. Ne míaƒe ŋkuwo le tetem ɣesiaɣi la, lãkusi tsɛ si le ŋkua me si woyɔna be `(Retina)` mate ŋu anɔ te ɖe hehe sia nu o. Emae gblẽa nu le ŋku ƒe ŋkume ƒe dɔwɔwɔ ŋu.

Amekae le afɔku me wu be wòaxɔ nɔnɔme sia?

Afɔku geɖe li siwo me kɔ ƒã siwo nana Myopic Degeneration va dzɔna:

• Myopia ƒe Sesẽme: Afɔkua dzina ɖe edzi le alesi wò Myopia nu sẽe, alo alesi wò atike si woŋlɔ na wò la sɔ gbɔe nu.
• Ŋku ƒe didime: Zi alesi wò ŋkume loloe, si fia be zi alesi wò ŋkume didie la, zi nenemae afɔku si le wò ŋkume be nàxɔ dɔléle sia la dzina ɖe edzii.
• Ƒe si nèxɔ: Afɔku sia ate ŋu adzi ɖe edzi ne èle tsitsim, alo ɣeyiɣi didi si nèkpɔ nu kpuie.

Tsɔ kpe ɖe esia ŋu la, eŋutinunyalawo susui be nu bubu geɖewo ate ŋu ana nɔnɔme sia nadze egɔme alo agblẽ ɖe edzi:

• Ƒome ŋutinya kple domenyiŋusẽfianu: Kpeɖodziwo li be nukpɔkpɔ kpuie tso dzidzime yi dzidzime. Gake ehiã be woagawɔ numekuku bubuwo be woase alesi tututu domenyiŋusẽfianu kple ƒome ŋutinya kpɔa ŋusẽ ɖe nutete ƒe dɔmawɔmawɔ nyuie dzii gɔme.
• Gbɔdɔdɔ: Numekuku aɖewo ɖee fia be nyɔnuwo ate ŋu axɔ nɔnɔme sia.
• Ameƒomevinyenye kple to si me wotso: Togbɔ be wogblɔna be Asiatɔwo ƒe dzidzimeviwo le afɔku gã aɖe me hã la, womate ŋu aƒo nya ta godoo le esia hã ŋu o.
• Nutoa me ƒe nɔnɔmewo: Esiawo nye nusiwo dzɔna le wò gbesiagbegbenɔnɔ me. Le kpɔɖeŋu me, ne ele be nàlé ŋku ɖe nane ŋu nyuie le wò dɔ alo modzakaɖeɖe ta, alo ne èdo ŋkumeɖonu nyuitɔ. Bu eŋu kpɔ, ame aɖewo zãa woƒe ŋkekea ƒe akpa gãtɔ ɖe woƒe telefon, kɔmpiuta, alo ŋkuléle ɖe nu suesuesuewo ŋu. Ðeɖi tea woƒe ŋkuwo ŋu vevie. Nu mawo tɔgbe ate ŋu akpɔ ŋusẽ ɖe esia hã dzi.

Nukawoe nye kuxi siwo ate ŋu ado tso Myopic Degeneration me?

Nɔnɔme sia ƒe kuxi vevitɔwo katã ku ɖe wò ŋkume ƒe lãkusiwo ŋu. Kuxi siawoe nye:

• Neovascularization: Ne lãkusi si le ŋkua ƒe ŋkume la le sue la, ʋuka xoxowo gbãna eye ʋu dona le wo me. Emegbe ŋutilãa dzea agbagba be yeawɔ ʋuka yeyewo be ʋu nagbugbɔ ayi sisi, gake ʋuka yeye siawo gagblẽa nu le ŋkume ƒe ŋkume.
• Layer separations: Ne ŋku ƒe lãkusia le sue la, afɔku si le ŋkume ƒe ƒuƒoƒoawo mamã tso wo nɔewo gbɔ, alo ŋkume ƒe ƒuƒoƒoa ƒe vuvu alo ɖeɖeɖa, dzina ɖe edzi.
• Nukpɔkpɔ si mebɔ o: Tɔtrɔ siwo míeyɔ ɖe etame ate ŋu ana ame nabu nu tegbee, ame ƒe ŋkuwo nabu vevie, alo ŋkuagbã gɔ̃ hã .

Vevietɔ: Ne kuxi siawo do mo ɖa la, ɖewohĩ womagate ŋu akpɔ nu ake ne womewɔ atike nɛ kaba o. Eyata ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne dzesiwo le ŋuwò.

Aleke ɖɔktawo wɔa anya dɔléle sia (Myopic Degeneration)?

Ŋkudɔdalawo ate ŋu akpɔ Myopic Degeneration to dodokpɔ vovovowo dzi. Wowɔa dodokpɔ siawo ƒe akpa gãtɔ le ŋkudodokpɔ si wowɔna edziedzi me. Ðewohĩ màde dzesi tɔtrɔ geɖe siwo va le wò ŋku me le Myopic Degeneration ta o, alo màde dzesi vovototo gã aɖe gɔ̃ hã le wò ŋku ƒe nukpɔkpɔ me le gɔmedzedzea me o. Gake ŋkudɔdala si wona hehee nya nu tso tɔtrɔ siawo ŋu, eya ta azã mɔnu tɔxɛwo, dodokpɔwo, alo dɔwɔnu tɔxɛwo atsɔ ade dzesi wo. Woate ŋu abia tso asiwò hã be nàlé ŋku ɖe nɔnɔmetata aɖe si woyɔna be Amsler grid ŋu akpɔe ɖa be teƒe siwo ŋkuagbãtɔ alo nusiwo tro le wò nukpɔkpɔ ƒe akpa aɖe le hã.

Tsɔ kpe ɖe eŋu la, nɔnɔmetatawo dodokpɔ siwo ate ŋu akpe ɖe ame ŋu woanya Myopic Degeneration hã li. Woawoe nye:

• Fluorescein angiography kple Indocyanine green angiography: Esiawo nye dodokpɔ tɔxɛ siwo léa ŋku ɖe ʋuka siwo le ŋkua me ƒe nɔnɔme ŋu.
• Optical coherence tomography (OCT): Esia xɔa ŋkume ƒe akpa si wotso eye wòte ŋu dea dzesi tɔtrɔ siwo menya kpɔna dzea sii bɔbɔe o gɔ̃ hã le eƒe ƒuƒoƒoawo me.
• Ŋku ƒe ultrasound dodokpɔ `(Ŋku ƒe ultrasound)`

Nukawoe nye Myopic Degeneration ƒe atikewo?

Atikewɔwɔ na Myopic Degeneration ƒe taɖodzinue nye be woaxe mɔ ɖe nɔnɔmea nu be wòagagblẽ ɖe edzi o eye woatrɔ kuxi ɖesiaɖe si ate ŋu ado mo ɖa alesi woate ŋui.

Atikewɔwɔ vevitɔwo dometɔ aɖewoe nye esi:

• Nukpɔkpɔ ɖɔɖɔɖo: ŋkumeɖobolo alo ŋkumeɖonu nyuitɔ dodo ate ŋu aɖe ŋku ƒe tete dzi akpɔtɔ. Ate ŋu akpe ɖe ame ŋu be wòaxe mɔ ɖe tɔtrɔ siwo vaa ŋkume ƒe ŋkumeʋuʋu me nu alo aɖe wo dzi akpɔtɔ.
• Atikewo: Míaƒe ŋutilã zãa protein aɖe si woyɔna be Vascular Endothelial Growth Factor (VEGF) tsɔ tsia ʋuka yeyewo. Atike siwo tsia tre ɖe VEGF ŋu wɔa dɔ to protein sia ƒe dɔwɔwɔ nutsitsi me. Esiawo nye atike siwo wodona ɖe ŋkua me.
• Laser-dɔdamɔnu kple keklẽŋusẽdɔdamɔnu: Ŋkudɔdamɔnu aɖewo siwo zãa laser kple kekeli ate ŋu akpe ɖe ame ŋu be ʋu nagado le ŋkua ƒe megbe o eye wòagblẽ nu le ŋkua ƒe megbe ŋu. Esia ate ŋu ana nukpɔkpɔ kpuie ƒe dɔmawɔmawɔ nyuie ƒe ŋgɔyiyi nagbɔdzɔ.
• Ŋku ƒe dɔwɔwɔ: Ele be woawɔ dɔ na ame be woatsɔ aɖɔ Myopic Degeneration (e.g., retinal detachment) ƒe kuxi aɖewo ɖo. Amekoko ate ŋu atɔ te ŋku ƒe ʋuʋu eye wòaxe mɔ na ŋku ƒe nukpɔkpɔ kabakaba si womate ŋu atrɔ o.

Wò ŋkudɔdala aɖe atikewɔmɔnu siwo sɔ na wò kple nusiwo nàte ŋu akpɔ mɔ na tso wo gbɔ la me na wò tsitotsito.

Nukae wòle be mabia nye ŋkudɔdala?

Àte ŋu abia wò ŋkudɔdala nyawo abe:

• Aleke gbegbee nye Myopic Degeneration nu sẽe?
• Nukae mate ŋu awɔ atsɔ axe mɔ ɖe dɔléle sia ƒe ŋgɔyiyi nu alo ana wòaɖe edzi akpɔtɔ?
• Atikewɔwɔmɔnu kawoe le asinye?
• Zi nenie wòle be mado nye ŋkuwo kpɔ ahadi atikewɔlawo ƒe aɖaŋuɖoɖo?
• Dzesi kawoe mate ŋu ado dzi atsɔ vaseɖe esime mava ɖɔkta gbɔ?
• Dzesi kawoe bia be mayi atikewɔƒe enumake?

Nukae dzɔna ne Myopic Degeneration le ŋunye?

Ne Myopic Degeneration le ŋuwò la, nusi nàte ŋu akpɔ mɔ na la toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Le ame aɖewo gome la, egblẽna ɖe edzi vivivi le ɣeyiɣi aɖe megbe. Ŋusẽ si gbegbe nɔnɔme sia kpɔna ɖe wò agbe dzii la nɔ te ɖe alesi wò Myopia la nu sẽe, alo alesi wò ŋkumeʋuʋu didie dzi.

Ðo ŋku edzi ɣesiaɣi be: Ne mèyi ŋkudɔdala gbɔ edziedzi o eye wodo wò ŋkuwo kpɔ la, ke èle afɔku gã aɖe me be ŋku nagblẽ tegbee eye wò ŋku nabu le Myopic Degeneration ta. Togbɔ be woate ŋu axe mɔ ɖe kuxi siawo nu ɣeaɖewoɣi hã la, woate ŋu aɖo seɖoƒe na wo alo ahe wo ɖe megbe ya teti ne wodo ŋku kpɔ edziedzi.

Myopia, vevietɔ ne esẽ ŋutɔ, ate ŋu anye fuɖename vie. Menye ema ɖeɖeko o, ke enyanya be ate ŋu agblẽ nu le wò ŋkuwo ŋu ate ŋu ado vɔvɔ̃ na wò. Gake esi wònye be Myopic Degeneration nye dɔléle si wokpɔna le xexeame katã ta la, eŋutinunyalawo le atike yeye siwo nyo wu dim ɣesiaɣi.

Ne Myopic Degeneration le ŋuwò la, wò ŋkudɔdala ate ŋu ana atikewɔmɔnu siwo nàzã eye wòakpe ɖe ŋuwò nàkpɔ wò dzesiwo gbɔ ale be nàte ŋu alé fɔ ɖe nusiwo le vevie na wò wu ŋu.

Gbedasi si Wotsɔ Yi Aƒeme

• Ne ŋkuléle ɖe nu ŋu vevie le ŋuwò la, nya nu tso nukpɔkpɔ kpuie ƒe gbegblẽ ŋu, vevietɔ ne wò atike si nèŋlɔ na wò wu -6.00.
• De dzesi dzesiawo: Kpɔ nyuie le nuwo abe teƒe yibɔ siwo le wò ŋku ƒe titina, amadedewo nyanya sesẽ, dzedzeme si le fli me, kple esiwo le tsia dzi le wò ŋkume ŋu.
• Ele vevie be nàde dzesii kaba: Do ŋkume na wò edziedzi. To mɔ sia dzi la, ne kuxi aɖe do mo ɖa la, àte ŋu ade dzesii kaba eye nàdze edada gɔme.
• Atikewɔwɔ aɖewo li: Atike vovovowo li siwo dzi woato axe mɔ na dɔlélea be wòagagblẽ ɖe edzi o eye woaɖe kuxi siwo dona tso eme dzi akpɔtɔ. Mègavɔ̃ be yeaƒo nu kple wò ɖɔkta o.
• Agbenɔnɔ ƒe tɔtrɔ: Zi geɖe la, nuwo abe gbɔɖeme nana wò ŋkuwo, nuɖuɖu si da sɔ ɖuɖu, kple atamanono ƒoƒo asa na ene nyo na ŋku ƒe lãmesẽ.

Wò ŋutɔ wò agbanɔamedzie wònye be nàlé be na wò ŋkuwo. Eyata ele vevie ŋutɔ be míanya esia eye míaɖe afɔ siwo hiã.

` Myopic Degeneration, Degenerative Myopia, Pathologic Myopia, Nukpɔkpɔ kpuie, Ŋkudɔlélewo, Retina, Nukpɔkpɔ ƒe Bubu