Ðe wò ŋku le ʋu ƒe sisi dzi ɖem kpɔtɔa? Mina míasrɔ̃ nu tso (Ocular Ischemic Syndrome) sia ŋu!

Ðe wò ŋku bu zi ɖeka, alo ɖe nèle vevesese alo kpekpeme wɔnuku aɖe si womate ŋu aɖe o la sem le ŋku ɖeka alo evea siaa ŋua? Alo ɖe wò ŋkuwo trɔna zua blɔ ne èdo go? Ɣeaɖewoɣi la, míesusuna be ŋku ƒe tete koe esiawo nye, gake ate ŋu anye be nane si nu sẽ wu le megbe nɛ. Emae nye nusi Ocular Ischemic Syndrome nye. Togbɔ be ŋkɔa aɖi vɔvɔ̃ vie hã la, mina míaƒo nu tso eŋu bɔbɔe.

Nukae nye `(Ocular Ischemic Syndrome)` sia?

Kpuie ko la, Ocular Ischemic Syndrome nye ŋkudɔ si mebɔ o si dzɔna ne míaƒe ŋkuwo mexɔ ʋu si sɔ o. Ami (si woyɔna hã be kpe gbadzɛwo) si le ʋuka gã siwo le míaƒe kɔ si woyɔna be Carotid Artery me gbɔe esia tsona koŋ. Ʋuka siawo hã naa ʋu yia míaƒe ŋkuwo dzi. Eyata ne ʋuka siawo xe la, ʋu si yia ŋkuawo gbɔ dzi ɖena kpɔtɔna. Esia ate ŋu ana ŋku nakpɔ kuxiwo eye ŋku nase veve.

Ne míagblɔe bubui la, gɔmesese si le ŋkɔ sia ŋu, nya ɖe nya nu, le ale:

• "Ŋku" gɔmee nye le atikewɔwɔ me "si ku ɖe ŋkuwo ŋu."
• "Ischemic" alo "Ischemia" nye nɔnɔme si me ʋu ƒe sisi dzi ɖena kpɔtɔna le "atherosclerosis" (ʋukawo ƒe ƒuƒu alo sesẽ ta). Nɔnɔme siae nye nusi hea "Carotid Artery Disease" (Carotid Artery Disease) vɛ.
• "Dɔléle" fia nɔnɔme si me dzesi geɖewo dzɔna ɖekae.

Eyata ne wotsɔ nusiawo katã ƒo ƒui la, esia nye dzesiwo ƒe ƒuƒoƒo si tso ʋu ƒe sisi ɖe ŋkuwo me dzi ɖeɖe kpɔtɔ gbɔ. Nɔnɔme sia, vevietɔ, ateŋu anye `(Carotid Artery Disease)` ƒe dzesi gbãtɔ. Nɔnɔme sia si woyɔna be `(Carotid Artery Disease)` dzia ʋusɔgbɔdɔ kple dzidɔ ƒe afɔku ɖe edzi . Eyata ele vevie ŋutɔ be míanya esia.

Nukatae esia dzɔna ɖo? Nukae nye nusiwo gbɔ `(Ocular Ischemic Syndrome)` tsona?

Abe alesi megblɔe va yi ene la, nusi koŋ gbɔ esia tsonae nye `(Carotid Artery Disease)` (Carotid Artery Disease) . Wogayɔa esia be `(Carotid Artery Stenosis)`. `(Stenosis)` fia ʋuka aɖe ƒe ʋuʋu alo eƒe xexe. Ʋuka eve siawo siwo woyɔna be `(Carotid Arteries)` siwo le wò kɔ ƒe akpa eveawo tsɔa ʋu si me oxygen sɔ gbɔ ɖo yia ta, kɔ, ahɔhɔ̃, kple ŋkuwo gbɔ. Eyata ne `(Plaque)`, si nye ami aɖe, dze ƒoƒo ɖe ʋuka siawo me gɔme (woyɔa esia hã be `(Atheroma)`), ʋu ƒe sisi va xea mɔ.

Ʋuka siwo woyɔna be `(Ophthalmic Arteries)` siwo naa ʋu míaƒe ŋkuwo dzea egɔme tso `(Carotid Arteries)` siawo gbɔ. Eyata, amesi ŋu `(Carotid Artery Disease)` le la mexɔa ʋu si sɔ gbɔ na woƒe ŋkuwo o. Ʋu ƒe anyimanɔmanɔ mae nye nusi dzi wotu `(Ocular Ischemic Syndrome)` ɖo.

Tsɔ kpe ɖe susu vevi sia ŋu la, susu bubuwo hã li siwo ƒã hafi wokpɔna:

• `(Carotid Artery Dissection)` (nɔnɔme si sɔ kple carotid artery dissection) .
• Vasculitis (ʋukawo ƒe dɔdzẽ). Kpɔɖeŋu aɖewoe nye Takayasu ƒe Ʋukawo ƒe Dɔléle, Lãmenugbagbevi Gãwo ƒe Ʋukawo ƒe Dɔléle (GCA), kple Behcet ƒe Dɔléle.
• `(Fibrovascular Dysplasia)`
• `(Scleroderma)`
• `(Moyamoya Dɔléle)`

Amekae le afɔku me wu?

Ocular Ischemic Syndrome nye dɔléle si mebɔ kura o , si dzea ame abe 8 ene le miliɔn ɖeka me.

Zi geɖe la, dɔléle sia dzea amesiwo xɔ tso ƒe 50 va ɖo ƒe 80. Ŋutsuwo ate ŋu axɔe abe nyɔnuwo tɔ ene zi gbɔ zi eve .

Afɔku geɖe li siwo gblẽa nu le esia ŋu:

• `(Dzidɔ)` (Dɔléle siwo le dzitodzito me, si nye dɔléle siwo do ƒome kple dzitodzito kple ʋukawo)
• Dzitodzito me Dɔléle (CAD) .
• Suklidɔ
• Ʋusɔgbɔdɔ (Hypertension) .
• Lolo akpa, atamanono, alo evea siaa.
• `(Moyamoya Dɔléle)` (Esia hã nye dɔléle si do ƒome kple ʋuka siwo naa ʋu ahɔhɔ̃a)
• Ne ʋusɔgbɔdɔ alo ʋusɔgbɔdɔ si nɔa anyi ɣeyiɣi kpui aɖe (TIA) (abe ʋusɔgbɔdɔ sue ene) dze dziwò va yi.

Nukawoe nye Ocular Ischemic Syndrome ƒe dzesiwo?

Nɔnɔme sia ƒe dzesiwo medzena ɣesiaɣi o. Gake ne dzesiawo dze la, zi geɖe la, ŋku ɖeka koe wòdzena le . Nɔnɔme sia kpɔa ŋusẽ ɖe wò nukpɔkpɔ dzi koŋ. Di dzesi siawo ne ɖewo le ŋuwò:

• Vevesese si nu metsina o, si le veve sem, si dona tso ŋkua me eye wòva nɔa yiyim ɣeaɖewoɣi.
• Wosea ŋku ƒe vevesese ne ŋku ƒe nyaƒoɖeamenu dzi ɖe edzi.
• Dilated pupils (kplu yibɔ le ŋkua titina).
• Seselelãme abe teƒe yibɔwo alo ka siwo le tsia dzi le ŋkuwo ŋgɔ ene (Eye Floaters).
• Nukpɔkpɔ ƒe bu vivivi alo kpata (Low Vision) alo nukpɔkpɔ ƒe bu hena ɣeyiɣi aɖe eye emegbe wògakpɔtɔ ake (Transient Vision Loss).
• Kekeli kpɔkpɔ sesẽ, nukpɔkpɔ si me mekɔ o (Photophobia).
• Sese le ɖokuiwò me abe ɖe nèle nu eve kpɔm ene (Diplopia).

Aleke ɖɔktawo wɔa nya sia tututue?

Ocular Ischemic Syndrome ƒe dzesiwo ate ŋu asɔ kple nɔnɔme bubuwo abe suklidɔ ƒe ŋkume ƒe dɔléle kple Central Retinal Vein Occlusion (CRVO) ene. Eyata ele vevie be woakpɔ dɔlélea nyuie .

Ŋkudɔdalawo wɔa dodokpɔ siwo gbɔna tsɔ dea dzesi dɔléle sia:

• Ŋkudodokpɔ: Wowɔa ŋkudodokpɔ vovovowo be woakpɔ nusi gbɔ nukpɔkpɔ ƒe kuxiwo tso. Le kpɔɖeŋu me, ŋkumedodokpɔ si keke, optical coherence tomography (OCT) scan, electroretinography (dodokpɔ si dzidzea ŋkume ƒe dɔwɔwɔ), kple nukpɔkpɔ-evoked potentials (dodokpɔ si dzidzea lãmekawo ƒe dɔwɔwɔ si do ƒome kple nukpɔkpɔ).
• Fluorescein Angiogram : Esia nye dodokpɔ si me wodoa amadede tɔxɛ aɖe ɖe ʋuka aɖe si le alɔnu me tsɔ léa ŋku ɖe ɣeyiɣi didi si wòxɔna hafi ʋu sina yia ʋuka siwo le ŋkua me me kple nenye be ʋu le dodom tso ʋukawo me hã.

Tsɔ kpe ɖe eŋu la, dzidɔŋutinunyala (ɖɔkta si bi ɖe dzidɔ kple ʋukawo me) ate ŋu aɖe gbe be woawɔ dodokpɔ siawo tɔgbe atsɔ akpɔe ɖa be dzitodzito me dɔléle hã:

• `(Carotid Artery Duplex Vascular Ultrasound)` (Ʋuka siwo le kɔ me ƒe fotoɖeɖe)
• `(CT Angiogram - CTA)`, `(Carotid Angiogram)` alo `(Magnetic Resonance Angiogram - MRA)` (esiawo hã nye scan ƒomevi tɔxɛ siwo léa ŋku ɖe ʋuka siwo le kɔ me ƒe nɔnɔme ŋu).

Nukawoe nye atike siwo wozãna na esia?

Afɔɖeɖe geɖe siwo do ƒome kple wo nɔewo li siwo wowɔna le Ŋku ƒe Ʋuʋudedi ƒe Dɔléle dada me. Esia bia be eŋutinunyala bibi vovovowo nawɔ nu aduadu.

Ŋku ƒe kuxiwo dada:

• Ŋku ƒe atike ƒomeviwo: Atike siwo tsia VEGF nu alo steroid. Esiawo kpena ɖe ame ŋu be ŋku ƒe ʋuʋudedi dzi ɖena kpɔtɔna.
• Ŋku ƒe Ʋuʋudedi Siwo Wotsɔ Atike Wɔe: Ðe ŋkume ƒe nyaƒoɖeamenu kple dɔdzẽ dzi kpɔtɔ.
• Ate ŋu ahiã hã be woawɔ ŋkudɔ na ame to laser dzi be woaxe mɔ ɖe ŋku ƒe nyaƒoɖeamenu si nu sẽ nu.

Atikewɔwɔ na `(Carotid Artery Disease)`:

• Ʋumenugbagbeviɣitikewo, kpakple atike siwo woatsɔ aɖu nɔnɔmewo abe suklidɔ kple ʋusɔgbɔdɔ ene dzi.
• Carotid Angioplasty and Senting: Dɔwɔwɔ si me wotsɔa mɔ̃ si le abe ʋuƒo ene doa ʋuka si xe la me eye wotsɔa ʋuka si me ʋu sina tona (si nye mɔ̃ sue aɖe si le abe lãgbalẽ ene) dea eme be wòagaxe ake o.
• Carotid Endarterectomy: Amekoko si wowɔna tsɔ ɖea ʋuka si ƒo ƒu ɖe ʋuka me la ɖa.

Kuxi kawoe esia ate ŋu ahe vɛ?

Menye amesiame si ŋu Ocular Ischemic Syndrome le lae akpɔ ŋku ƒe kuxi sesẽwo enumake o. Gake amesiwo ŋu dɔlélea le ƒe afã lɔƒo akpɔ nu vie le ƒe ɖeka me . Azɔ hã, ame siwo ade adre le ewo ɖesiaɖe me axɔ dɔléle aɖe si woyɔna be Neovascular Glaucoma. Le Neovascular Glaucoma me la, ʋuka yeye siwo mesɔ o dzɔna le ŋkua me, si xea mɔ na tsi ƒe sisi le ŋkua me. Esia ate ŋu ana ŋku ƒe ʋuʋu nakɔ si me afɔku le.

Nukae nye amesi ŋu Ŋku ƒe Ʋuʋudedi ƒe Dɔléle le ƒe lãmesẽ?

Le nyateƒe me la, nɔnɔme si woyɔna be `(Carotid Artery Disease)` si hea `(Ocular Ischemic Syndrome)` vɛ ate ŋu ade ame ƒe agbe afɔku me . Esi wokpɔe be `(Ocular Ischemic Syndrome)` le ye ŋu vɔ la, le ƒe atɔ̃ meAme ene kloe le ewo ɖesiaɖe me kuna le dzidɔ alo ʋusɔgbɔdɔ ta. Eyata atikewɔlawo didi kaba kple tɔtrɔ le agbenɔnɔ me ate ŋu akpe ɖe ŋuwò ŋutɔ le wò lãmesẽ takpɔkpɔ me.

Vevietɔ: Menye ɖe mele agbagba dzem be matsɔ esia ado vɔvɔ̃ na wò o. Gake ele vevie ŋutɔ be nàse nɔnɔme sia ƒe vevienyenye gɔme eye nàɖe afɔ siwo hiã.

Ðe woate ŋu axe mɔ ɖe Ocular Ischemic Syndrome nua?

Ẽ, nanewo li nàte ŋu awɔ atsɔ aɖe afɔku si le `(Carotid Artery Disease)` xɔxɔ me dzi akpɔtɔ eye to edzi la, `(Ocular Ischemic Syndrome)` Esiawoe nye:

• Ƒo nuɖuɖu si naa dzidɔ, abe Mediterranea Nuɖuɖu ene.
• Di mɔ nyui siwo dzi nàto aɖu nuteɖeamedzi dzi.
• Kpɔ suklidɔ kple ʋusɔgbɔdɔ dzi nyuie.
• Lé kpekpeme si sɔ na wò la me ɖe asi.
• Ne ènoa atama la, bia kpekpeɖeŋu be nàdzudzɔ.
• Nɔ dɔ dzi alesi nàte ŋui eye nàde kame.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èkpɔ dzesi siawo dometɔ aɖe la, yi ɖɔkta gbɔ godoo:

• Vevesese le ŋkuwo me.
• Nukpɔkpɔ ƒe tɔtrɔ ɖesiaɖe nye kuxi.

Azɔ hã, ne èkpɔ lãmetutudɔ ƒe dzesiwo (e.g. nuƒoƒo sesẽ, ŋutilã ƒe akpa ɖeka ƒe ʋuʋu, mo ƒe akpa ɖeka ƒe ɖiɖi) la, yi kɔdzi enumake alo nàƒo ka na 1990.

Nukae wòle be mabia nye ɖɔkta?

Ne èyi ɖɔkta gbɔ la, àte ŋu abia nyawo abe:

• Nukatae dzesi siawo le fu ɖem nam?
• Dodokpɔ kawoe wòle be mawɔ?
• Atikewɔwɔ kae nyo nam wu?
• Nukae wòle be mawɔ be nye dzi ƒe lãmesẽ nanyo ɖe edzi?
• Nukae mate ŋu awɔ atsɔ akpɔ nye ŋkuwo ta?
• Ðe wòle be matsi dzi ɖe kuxi siwo ado mo ɖa ŋua?

Nɔnɔme ɖesiaɖe si gblẽa nu le ŋkuwo ŋu nye nusi ŋu wotsi dzi ɖo ŋutɔŋutɔ. Ne Ocular Ischemic Syndrome le ŋuwò la, ŋku ƒe tɔtrɔ ate ŋu anye dzesi gbãtɔ si fia be wò ʋukawo xe eye ʋu si sina yia ta me dzi ɖe kpɔtɔ. Esia ate ŋu anye nɔnɔme bubuwo abe Carotid Artery Disease ene hã ƒe dzesi. Ŋku ƒe nɔnɔme bubuwo hã ate ŋu ahe dzesi siawo vɛ.

Eyata ele vevie ŋutɔ be nàkpɔ ŋkudɔdala si si nuteƒekpɔkpɔ le le ŋkudɔ mawo siwo mebɔ o didi kple wo dada me . Ðewohĩ ahiã hã be nàyi dzidɔŋutinunyala gbɔ be wòada ``Carotid Artery Disease''. Dɔdamɔnu sia wɔa dɔ to ʋuka aɖe si xe la ʋuʋu me eye wònana ʋu sina yia ŋkuawo me nyuie wu. Àte ŋu awɔ tɔtrɔ le agbenɔnɔ me hã be nàkpɔ wò dzi kple ŋkuwo ta.

Nu vevitɔ kekeake si dzi wòle be nàɖo ŋkui (Take-Home Message) .

• Ocular Ischemic Syndrome nye dɔléle si tsoa ʋu ƒe sisi yi ŋkuwo me dzi ɖeɖe kpɔtɔ gbɔ, eye nusi koŋ gbɔ wòtsonae nye ʋuka siwo le kɔ me ƒe xexe (Carotid Arteries).
• Ne dzesiwo abe nukpɔkpɔ ƒe ɖiɖi alo ŋku ƒe vevesese ene le ŋuwò la, kpɔ egbɔ be yedi atikewɔlawo ƒe aɖaŋuɖoɖo.
• Esia ateŋu anye ``Carotid Artery Disease'' ƒe dzesi, si dzia dzidɔ kple ʋusɔgbɔdɔ ƒe afɔku ɖe edzi .
• Ne wokpɔe kaba, da dɔ nyuie, eye wotrɔ agbenɔnɔ la, woate ŋu akpɔ lãmesẽ ta.
• Ele vevie ŋutɔ be nàƒo asa na atamanono, aɖu nu nyuiwo, ade kame, eye nàɖu suklidɔ kple ʋusɔgbɔdɔ dzi.

Ne nyabiase bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le nuƒoƒo kple wò ɖɔkta me o. Míele didim be nàhaya kaba!

` Ocular Ischemic Syndrome, Ʋu ƒe sisi yi ŋkuwo me dzi ɖe kpɔtɔ, Carotid Artery Disease, Nukpɔkpɔ ƒe ɖiɖi, Ŋku ƒe vevesese, Carotid Artery Disease, Atherosclerosis