Ðe wònye ŋku ƒe abi gã aɖea? (Open Globe Injury) Mina míaƒo nu tso esia ŋu tsitotsito!

Èbu alesi míaƒe ŋkuwo sea nu gɔme eye asixɔxɔ le wo ŋui ŋu kpɔa? Afɔku sue aɖe gɔ̃ hã ate ŋu agblẽ nu le ŋkuwo ŋu vevie. Ɣeaɖewoɣi ne nane dzɔ ɖe ŋkuwo dzi la, adze abe ɖe menye nu vevi aɖeke o ene, gake le nyateƒe me la, ate ŋu anye nɔnɔme sesẽ aɖe. Egbea míele nu ƒom tso abi si me afɔku le ŋutɔ si ate ŋu adzɔ ɖe ŋkuwo dzi ŋu. Ðɔktawo yɔa esia be `(Open Globe Injury)`. Kpuie ko la, ele abe ŋku si me mã ene.

Nukae nye `(Open Globe Injury)` sia? Mina míase egɔme bɔbɔe ŋutɔ!

Kpuie ko la, ``Open Globe Injury'' nye ne míaƒe ŋku – si nye ŋkumeʋuʋu, si ɖɔktawo yɔna be ``globe'' – ƒo nu sesẽ aɖe, alo nane ɖaɖɛ aɖe ƒo ɖe eme, si na be lãɖeɖe alo do aɖe to ŋkua ƒe gli ƒe titrime bliboa me. Bu eŋu abe bɔl sue aɖe si le gbagbãm ene. Ne edzɔ alea la, ŋkua ƒe gli megatua keŋkeŋ o. Esia wɔnɛ be lãkusi tsɛ si le ŋkua me la dona doa goe.

Míaƒe ŋku ƒe gli nye akpa eve. Ðekae nye akpa ɣi , si ɖɔktawo yɔna be `(Sclera)`. Bubue nye ŋkua ƒe akpa si me kɔ, si woyɔna be ŋkua ƒe ŋkume . `(Open Globe Injury)` dzɔna ne lãɖeɖe aɖe to ŋkume ƒe ŋkume, ŋkume ƒe lãkusi, alo evea siaa ƒe titrime bliboa me.

Vevietɔ: Esia to vovo kura eye wòsesẽ wu ŋku si woƒo!

Ŋku ƒe ʋuʋu, si woyɔna hã be ``Ŋku ƒe Ʋuʋu``, nye ʋuʋudedi sue aɖe si dzɔna le ŋkume ƒe akpa si le gota ko. Zi geɖe la, wometsɔa ɖeke le eme nenema gbegbe o. Ke hã, ``Open Globe Injury`` nye abi si goglo wu eye wòsẽ wu.

Ðe `(Open Globe Injury)` sia ƒomevi vovovowo lia?

Ẽ, abi sia ƒomevi vovovowo li le alesi wòdzɔna nu:

• Globe Rupture: Esia dzɔna ne nane si me mekɔ o (si mekɔ o) ƒo ŋkua sesĩe, abe bɔl sesẽ aɖe ƒoe ene.
• Full-thickness globe laceration: Esia dzɔna ne nu ɖaɖɛ aɖe lã ŋkua.
• Globe penetration: Esia nye ne nu ɖaɖɛ aɖe ge ɖe ŋkua me eye wòtsi ŋkua me.
• Globe perforation: Le afisia hã la, nu ɖaɖɛ aɖe gena ɖe ŋkua me, gake etoa ŋkua me hedoa go, alo wòtoa teƒe aɖe le ŋkua me yia teƒe bubu.

Aleke kee wòɖale o, mègaŋlɔ be o be esi woʋu ŋkua ƒe gli ƒe akpa aɖe ta la, nusiwo le ŋkua me ate ŋu ado.

Amekawoe ate ŋu adzɔ le afɔku siawo tɔgbe me wu?

Le nyateƒe me la, amesiame ateŋu axɔ ``Open Globe Injury''. Gake numekukuwo ɖee fia be ŋutsuwo le afɔku me wu . Vevietɔ ɖekakpui siwo mexɔ ƒe 40 haɖe o ate ŋu axɔ dɔléle sia zi gbɔ zi eve wu ŋutsu siwo xɔ wu ƒe 40.

Azɔ hã, ne wowɔ ŋkudɔ na wò va yi – le kpɔɖeŋu me, ŋku ƒe dɔwɔwɔ na wò, ŋkudɔ ƒe dɔwɔwɔ na wò, alo ŋkume ƒe ŋkume ƒe ʋuʋu aɖewo – hã la, èle afɔku me vie. Esia le alea elabena ŋkua ƒe ametakpɔnu te ŋu gbɔdzɔna vie ɣeaɖewoɣi le teƒe siwo wowɔ dɔa le.

Nukae nye ``Open Globe Injury'' ƒe dzesiwo? Aleke nèwɔ dea dzesii?

Nuveviwɔame sia ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ, gake dzesi siwo bɔ wue nye:

• Vevesese sesẽ aɖe le ŋkua ŋu .
• Àte ŋu abu wò ŋku alo wò ŋku ate ŋu azu blukɔ.
• Tsi aɖe ate ŋu ado le ŋkua me.
• Àte ŋu akpɔ abi si woate ŋu akpɔ le ŋkua tame gɔ̃ hã.
• Àte ŋu akpɔ lãkusi si le ŋkua me wòanɔ dodom . Esia nye dzesi vevi aɖe ŋutɔ.

Nukae hea afɔku sia tɔgbe vɛ?

Mina míalé ŋku ɖe nu vevi siwo gbɔ `(Open Globe Injury)` sia tso ŋu:

• Adze anyi: Vevietɔ ne èdze anyi heƒo ta. Esia bɔ ɖe amesiwo xɔ wu ƒe 75. Kpɔ nyuie ne teƒe siwo le glidzaglidza alo nusiwo ate ŋu agbã wò.
• Nu ɖaɖɛwo abe lãgbalẽŋudɔwɔnu ene: Esia le vevie ŋutɔ le aƒe siwo me ɖevi suewo le me. Mègagblẽ nuwo abe lãgbalẽŋudɔwɔnu kple hɛ ene ɖe afisi woate ŋu alé wo le bɔbɔe o.
• Aʋawɔwɔ: Esia ate ŋu adzɔ ne woƒo wò ta, si fia be ne wotsɔ asi ƒo wò.
• Ʋufɔkuwo kple dɔwɔƒewo ƒe mɔ̃wo ƒe afɔkuwo: Nɔnɔme sia ate ŋu atso nu suesuesue siwo wotsɔ ƒu gbe sesĩe le dɔwɔƒewo, alo mɔ̃awo ŋutɔ ƒe gege ɖe wo me ta.
• Shrapnel: Nuwo abe tu kakɛwo ene.
• Tudada.
• Wowó: Ele be nàɖɔ ŋu ɖo ŋutɔ ne èle dzo dam gɔ̃ hã.
• Akplɔdada.
• Billy Hook: Ele be amesiwo yia tɔƒodede hã nakpɔ nyuie le esia ŋu.

Aleke ɖɔktawo wɔa dea dzesi ``Open Globe Injury''?

Ne èsusu be ŋku xɔ abi vevie abe esia ene la, nu vevitɔ si wòle be nàwɔe nye be màgaka asi ŋku ŋu, aƒoe, alo atutu ŋku le susu aɖeke ta o. Esia wɔwɔ ate ŋu ana nɔnɔmea nagagblẽ ɖe edzi. Ele be nàkpɔ ŋkudɔdala alo ayi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata kaba ale si nàte ŋui.

Ðɔkta ado wò ŋku kpɔ, aɖo to wò dzesiwo, eye ɖewohĩ asusu be ``Open Globe Injury'' le ŋuwò le alesi wò ŋku le nu. Ɣeaɖewoɣi la, woateŋu awɔ ``Ultrasound'' alo ``Magnetic Resonance Imaging (MRI)'' scan, gake ne wokpɔ egbɔ be ga kakɛ aɖeke mele ŋkua me o ko hafi. Elabena ne ga kakɛwo li la, ``MRI'' ateŋu anye afɔku.

Ne anya wɔ la, ɖɔktaa abia nya wò tsitotsito abe alesi afɔkua dzɔe, gaƒoƒo si wòdzɔ, kple nusi dzɔ le ema megbe ene.Le dodokpɔ gbãtɔa me la, wometsɔa nya aɖeke dea ŋkua dzi o. Zi geɖe la, ɖɔktaa awɔ dodokpɔ siwo gbɔna:

• A blibo `(Slit akaɖi ŋku dodokpɔ)`. Esia wɔnɛ be nète ŋu kpɔa ŋkua ƒe akpawo katã nyuie.
• `(Snellen ŋku ƒe nɔnɔmetata)` dodokpɔ. Esia nye dodokpɔ kple "E gã" si doa alesi nàte ŋu akpɔ nu nyuie la kpɔ.
• ``Computed Tomography (CT)`` ƒe fotoɖeɖe le wò mo kple aɖu ƒe akpa dzi.

Aleke wowɔa atike na ``Open Globe Injury''?

(Open Globe Injury) nye atikewɔwɔ kpata. Esia fia be ele be woaxɔ wò ɖe kɔdzi enumake. Ne abi bubu aɖewo li siwo ate ŋu ade ame ƒe agbe afɔku me le afɔkua me la, atikewɔlawo ƒe ƒuƒoƒoa awɔ atike na ame mawo gbã. Ema ko hafi ŋkudɔdalaa ado ŋkua kpɔ.

``Open Globe Injuries'' akpa gãtɔ hiã amekoko. Vaseɖe esime woawɔ dɔ na wò, alo ne wò abi la mehiã be woawɔ dɔ na wò o (si mebɔ kura o) la, ele be nàwɔ nusiwo gbɔna godoo:

• Dze agbagba nànɔ anyi kpoo alesi nàte ŋui.
• Mègaka asi wò ŋku ŋu alo mimie gbeɖe o. Mègade nyaƒoɖeamenu aɖeke wò ŋku dzi o.
• Kpɔ wò ŋku ta. Ðɔktawo atsyɔ edzi.
• Mègawɔ naneke si ana wò ŋkuwo natsi dzi o. Ema fia be woakɔ nu kpekpewo, abɔbɔ ɖe anyi, alo anɔ tetem ɖe nugododeƒea. Dze agbagba nàƒo asa na kɔdzi alo aɖuɖɔɖɔɖɔ alesi nàte ŋui. Gake ne màte ŋu adzudzɔ o la, ɖe asi le eŋu. Mègalé wò kɔdzi alo aɖuɖɔ o.
• No atike si wò ɖɔkta na wò be nàdzudzɔ aɖuɖɔɖɔɖɔ eye nàɖe vevesese dzi akpɔtɔ abe alesi wogblɔe ene. (Ne wometsɔ atike na wò o gake nègale veve sem vevie alo nèle ʋuʋum la, gblɔe na wò ɖɔkta.)
• Ne èle aba dzi , na wò ta nakɔ dzi abe dzidzenu 30 ene.
• Ne ehiã la, do tetanus ƒe atike nɛ.

Zi geɖe la, wotsɔa amekoko kpata daa abi siwo woxɔ le Globe Globe Injury (OGI) ŋu, afisi wotsɔa ka blaa ŋkume ƒe ŋkume kple ŋkume ƒe ŋkumeʋuʋu ɖekae le. Ne ehiã be woawɔ dɔ na wò la, wò amekola adze agbagba be yeagatsɔ ŋkumeka ɖesiaɖe si le gbadzaa si do tso abi la me la ablae, alo aɖe lãkusi ɖesiaɖe si gblẽ la ɖa. Woadze agbagba hã be yewoana nyaƒoɖeamenu si le ŋkua me la nagaɖo nɔnɔme si sɔ me.

Le amekoko vɔ megbe la, ɖɔktaa aŋlɔ dɔlékuiwutike siwo woatsɔ ade ŋkua me eye woanoe ɣeaɖewoɣi. Wona dɔlékuiwutike siawo be woatsɔ axe mɔ ɖe dɔlékui sesẽ siwo le ŋkua me, abe ŋkumeʋuʋu, kple dɔlékui bubuwo ene nu.

Zi geɖe la, exɔa kwasiɖa eve ya teti hafi wò ŋkuwo hayana, gake egahiã kokoko be nàkpɔ wò ŋkuwo ta kwasiɖa ʋɛ aɖewo kpee.

Ele vevie ŋutɔ be amekoko gbãtɔ sia nakpe ɖe ame ŋu koŋ be wòatu ŋkua eye wòadze dɔyɔyɔa gɔme. Zi geɖe la, àte ŋu axɔ abi bubuwo (abe ŋku ƒe ʋuʋu, ŋku ƒe ʋuʋu, alo ŋkume ƒe aɖatsi ene). Wodaa amesiawo ɣeaɖewoɣi to amekoko siwo wowɔna emegbe me, ne ŋkua haya vie vɔ.

Ahiã be nàyi wò ɖɔkta gbɔ zi geɖe (ɖoɖo siwo woawɔ atsɔ akplɔe ɖo) be nàlé ŋku ɖe wò hayahaya ŋu hã. Ðoɖo siawo dzi wɔwɔ le vevie ŋutɔ na wò ŋku ƒe lãmesẽ.

Nukae nye kuxi siwo ate ŋu ado tso ``Open Globe Injury'' me?

Ŋku ƒe abi siwo nu sẽ wu dometɔ ɖekae nye ``Open Globe Injury''. Nusi ado tso eme nɔ te ɖe abi si wòxɔ kple alesi gbegbe wògblẽe dzi koŋ. Kuxi siwo ate ŋu ado mo ɖa dometɔ aɖewoe nye esi:

• Ŋku ƒe vevesese atraɖii.
• Nukpɔkpɔ ƒe bublu tegbee alo ŋku ƒe nukpɔkpɔ si me kɔ o.
• Retina ƒe ʋuʋu.
• Choroidal rupture: Esia ate ŋu ana ʋu nado vevie eye wòatrɔ le ŋkua ƒe nyaƒoɖeamenu me.
• Nɔnɔme aɖe si woyɔna be `(Phthisis bulbi)`. Esia nye ne nukpɔkpɔ dzi ɖe kpɔtɔ, ŋkua ƒe nyaƒoɖeamenu le sue, eye ŋkua "dzudzɔ dɔwɔwɔ" hena ɣeyiɣi aɖe. Kpuie ko la, ŋkua dzi ɖena kpɔtɔna.
• Dɔlékui aɖe si le ŋkua me (endophthalmitis). Esia nye nu sesẽ ŋutɔ eye ate ŋu ana ŋkua nabu tegbee alo ŋkua nabu gɔ̃ hã.
• Ele be woaɖe ŋkua ɖa keŋkeŋ. Esia mebɔ o, gake le nɔnɔme siwo gbɔ eme me la, ahiã be woaɖe ŋkua ɖa ne abi la nu sẽ ale gbegbe be womate ŋu aɖɔe ɖo o.

Aleke woate ŋu aɖe afɔku sia ƒomevi dzi akpɔtɔ?

Togbɔ be womate ŋu axe mɔ ɖe afɔkuwo katã nu o hã la, woate ŋu awɔ afɔɖeɖe aɖewo atsɔ aɖe afɔkua dzi akpɔtɔ. Mina míalé ŋku ɖe nusiwo wonye ŋu:

• Mègagblẽ nu ɖaɖɛwo (abe lãgbalẽŋudɔwɔnu kple hɛ ene) ɖe teƒe si ɖevi suewo ate ŋu aɖo o. Fia wo be woazã nu mawo tɔgbe nyuie.
• Do dedienɔnɔ ƒe ŋkumewu ne èle dɔ wɔm, vevietɔ ne èle dɔ wɔm kple mɔ̃wo, kple ne èle kamedefefe siwo wotsɔa ka ɖe ame ŋu alo kamedefefe siwo zɔna kabakaba (e.g. kriket, baseball) ƒom.
• Kpɔ nyuie ŋutɔ ne èle ʋu kum.
• Wɔ ɖe dedienɔnɔ ŋuti ɖoɖowo dzi ne èle mɔ̃wo zãm le dɔwɔƒe. Mègawɔ dɔ kple mɔ̃wo esime nèmu aha o.
• Ƒo asa na ŋutilã me dzrewɔwɔ kple ame bubuwo.
• Kpɔ nyuie vevietɔ ne wowɔ dɔ na wò va yi, alo ne wò ŋku ɖeka megakpɔa nu nyuie kura o xoxo.
• Ðe nusiwo ate ŋu age tso ʋɔtrua nu (avɔ siwo glidzaglidza, nusiwo mehiã o le ablɔdzi) ɖa eye nàdzra wo ɖo. Kpɔ egbɔ be akaɖi nyuiwo le aƒea me.

Nukae wòle be makpɔ mɔ na ne ``Open Globe Injury'' le ŋunye?

Ne ``Open Globe Injury'' le ŋuwò la, zi geɖeAnyo wu be woawɔ dɔ na ame le gaƒoƒo 24 va ɖo 48 me tso esime wòxɔ abi. Ɣeyiɣi si woatsɔ ada dɔe nɔ te ɖe alesi abi si woxɔ gbã la nu sẽe dzi.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ele be woabu abi ɖesiaɖe si axɔ ŋkua be enye atikewɔwɔ kpata . Ele be nàkpɔ ɖɔkta alo ayi kɔdzi ƒe xɔ si me wowɔa dɔ kpata le enumake.

Ne ``Open Globe Injury'' le ŋuwò la, anyo be nàbia wò ŋkudɔdala tso nusiwo gbɔna ŋu:

• Dɔ kawoe wòle be maƒo asa na?
• Ɣekaɣie mate ŋu atrɔ ayi dɔme alo suku?
• Aleke wòle be mamlɔ aba dzi?
• Ŋkuɖodzinu ka ƒomevie wòle be mazã?
• Ne dzesi aɖewo dze le ŋunye la, ɖe wòle be magayi ɖɔkta gbɔ alo ayi xɔ si me wowɔa dɔ kpata le?
• Ŋkudɔdala ka ƒomevie wòle be makpɔ hena atikewɔwɔ bubuwo? (Le kpɔɖeŋu me, ``Retina specialist'' ne retina gblẽ, ``Glaucoma specialist'' ne nyaƒoɖeamenu si le ŋkua me lolo le amekoko megbe).

Ðo ŋku edzi be ne ède abi wò ŋku ŋu le dzrewɔwɔ, anyidzedze, alo afɔku bubu aɖe me la, yi kɔdzi ƒe xɔ si me wowɔa dɔ kpata le enumake. Ðewohĩ mànya ɣemaɣi be ``Open Globe Injury'' le ye ŋu o. Gake ne ɖe le asiwò la, ehiã be nàkpɔ atikewɔƒe enumake be wò ŋku nagakpɔ nu o, eye ɖewohĩ nàxɔ wò ŋku ɖe agbe. Kpekpeɖeŋu li na nɔnɔme sia. Àte ŋu akpe asi ɖe afɔku sia ƒomevi hã nu ne èdo ŋkutakpɔnu si wokafu ɣesiaɣi eye nèku ʋu dedie.

Gbedasi si Woatsɔ Yi Aƒeme: Mina míaɖo ŋku edzi!

Enyo, eyata mina míagbugbɔ aƒo nu tso nya vevi aɖewo ŋu tso `(Open Globe Injury)` si ŋu míeƒo nu tsoe egbea ŋu:

• ``Open Globe Injury'' nye abi gã aɖe ŋutɔ na ŋku. Ebia be ŋkua ƒe gli ƒe aɖatsi alo do keŋkeŋ.
• Esia to vovo kura eye afɔku le eme wu ŋkuʋuʋu si sɔ.
• Ne èkpɔ dzesiwo abe ŋku ƒe vevesese sesẽ, nukpɔkpɔ ƒe bu, alo tsi si dona le ŋkua me ene la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
• Mègakpɔ ame ŋkume alo akpɔ ŋkume le susu aɖeke ta o.
• Zi geɖe la, ehiãna be woawɔ dɔ kpata.
• Dedienɔnɔ ŋuti ɖoɖowo dzi wɔwɔ (dedienɔnɔ ƒe ŋkumeɖobolo dodo, nu ɖaɖɛwo zazã nyuie) ate ŋu akpe ɖe mía ŋu míaxe mɔ ɖe afɔku mawo nu.

Wò ŋkuwo xɔ asi ŋutɔ. Eya ta, wò agbanɔamedzie wònye be nàlé be na wo. Ne nane dzɔ ɖe dziwò la, mègatsi dzodzodzoe alo atsi dzodzodzoe o, ke boŋ di atikewɔlawo ƒe kpekpeɖeŋu enumake.

` Open Globe Injury, Ŋku ƒe Abixɔxɔ, Ŋku ƒe Afɔkuwo, Ŋku ƒe Aɖatsi, Ŋku ƒe Atikewɔwɔ Kpata, Nukpɔkpɔ ƒe Bubu, Ŋku ƒe Amekoko