Ðe nètsɔ ɣeyiɣi kpui aɖe de ŋugble le wò ŋkuwo ƒe lãmesẽ ŋu hebia ɖokuiwò kpɔ be, “Ðe nye ŋkuwo le nyuie vavãa?” Ɣeaɖewoɣi la, tɔtrɔ suesuesuewo dzɔna le míaƒe ŋkuwo me siwo ɖewohĩ míenya kura o. Woyɔa nɔnɔme mawo dometɔ ɖeka be Optic Disc Drusen. Mega tsi dzi o; mina míama esia ɖe nya bɔbɔewo me kple Nirogi Lanka.
Nukae nye Optic Disc Drusen?
Kpuie ko la, Optic Disc Drusen nye calcium kple protein siwo me ami le suesuesue siwo ƒoa ƒu ɖe wò ŋku ƒe optic disc (alo optic nerve head) me. Bu wo be wonye kpe suesuesue siwo me kpe xɔasiwo le. Le nyateƒe me la, nya “drusen” dzɔ tso Germanygbe me nya aɖe si gɔmee nye “kpe” alo “nodule” me. Le ɣeyiɣi aɖe megbe la, nu siawo siwo woda ɖe anyigba la ate ŋu asɔ gbɔ alo asẽ ɖe edzi.
Ŋku ƒe lãkusi nye wò ŋkume ƒe akpa si le ŋgɔgbe tututu , si nye mɔ vevi si tsɔa nukpɔkpɔ ŋuti nyatakakawo tso wò ŋku dzi yia wò ahɔhɔ̃ me.
Togbɔ be drusen siawo te ŋu kpɔa ŋusẽ ɖe ŋku ɖeka ko dzi ɣeaɖewoɣi (afã ɖeka) hã la, le 75% me la, wokpɔa wo le ŋku eveawo siaa dzi (afã eve) . Le go aɖewo me la, woate ŋu ana nukpɔkpɔ naɖiɖi vie .
Aleke gbegbee nɔnɔme sia bɔe? Amekawoe le afɔku me?
Akɔntabubuwo ɖee fia be ameawo ƒe 1% va ɖo 2% ate ŋu anye amesiwo ŋu optic disc drusen le. Nyatakaka aɖewo gblɔ be esia le 1.8% va ɖo 2.4% dome. Nɔnɔme sia ate ŋu adze amesiame dzi metsɔ le ŋutsu alo nyɔnu nyenye me o, togbɔ be numekukuwo ɖee fia be ebɔ ɖe Caucasustɔwo dome wu ne wotsɔe sɔ kple to bubuwo me tɔwo hã.
Aleke nàwɔ anya ne wo le asiwò? Nukawoe nye dzesiawo?
Zi geɖe la, amesiwo ŋu optic disc drusen le la mekpɔa dzesi aɖeke kura o . Zi geɖe la, ŋkudɔdalae ke ɖe eŋu le ŋkudodokpɔ edziedzi me.
Gake ame aɖewo ate ŋu akpɔ dzesi aɖewo, abe:
- Nukpɔkpɔ ƒe gbɔdzɔgbɔdzɔ: Esia fia be àte ŋu ade dzesi teƒe siwo ŋkuagbãtɔ le wò nukpɔkpɔ ƒe akpa si nèkpɔna, siwo dome wò titina alo gota (axadzi) ƒe nukpɔkpɔ hã le. Ðewohĩ ŋkuagbãƒe gã aɖe anɔ asiwò si màde dzesii be ame aɖe le tetem ɖe ŋuwò tso axadzi esime nèle ŋgɔ kpɔm tẽ o.
- Ɣeyiɣi kpui aɖewo ƒe ŋkumekpɔkpɔ si me mekɔ o alo ɣie.
- Nukpɔkpɔ le gota gome ƒe bu vivivi.
- Kpe ɣi alo ɣi siwo wokpɔna : Ne ɖɔkta le ŋku lém ɖe wò ŋku ŋu la, ate ŋu akpɔ nusiwo le ɣie siawo. Wo dometɔ aɖewo dzena le anyigba dzi (visible optic disc drusen), gake bubuwo ya “ɖi” (buried optic disc drusen) eye wo kpɔkpɔ sesẽna.
Bu Samanti, amesi sena le eɖokui me zi geɖe abe ɖe wòle ʋuʋum le eƒe nukpɔkpɔ si le gota gome ene la ƒe ŋutinya ŋu kpɔ. Le gɔmedzedzea me la, metsɔ ɖeke le eme boo o, gake esi wòyi ŋkudɔdala gbɔ vɔ la, ekpɔe be optic disc drusen le ŋku eveawo ŋu.
Nukatae nusiawo va dona?
Togbɔ be míenya drusen siawo ƒe wɔwɔme tso protein siwo me ami le kple nu bubuwo ƒe ƒuƒoƒo me hã la, dzɔdzɔmeŋutinunyalawo menya nusi tututu gbɔ nu siawo siwo ƒo ƒu tsona haɖe o . Le go aɖewo me la, ate ŋu anye domenyinyi , si fia be ne dɔléle sia le ƒomea me tɔ aɖe ŋu la, ate ŋu adzɔ be wò hã nàxɔe geɖe wu.
Aleke wokpɔa dɔlélea dzea sii? Dodokpɔ kawoe wowɔna?
Zi geɖe la, wò ŋkudɔdala ate ŋu akpɔ drusen siawo le ŋkudɔdada si wowɔna ɖaa me. Be woaɖo kpe dɔlélea dzi la, woate ŋu aɖo aɖaŋu be woawɔ dodokpɔ bubuwo, abe:
- Nukpɔkpɔ ƒe dodokpɔ: Be nàwɔ wò nukpɔkpɔ ƒe nɔnɔmetata eye nàde dzesi teƒe ɖesiaɖe si nukpɔkpɔ bu le.
- Optical Coherence Tomography (OCT): Mɔ̃ɖaŋununya deŋgɔ aɖe si ɖea wò ŋku ƒe nɔnɔmetata siwo wotso, si wɔnɛ be ɖɔktaa kpɔa afisi tututu drusen la le kple eƒe lolome.
- Ultrasound : Scan si wozãna tsɔ léa ŋku ɖe ŋkua me, si wɔa dɔ ŋutɔ le dzesidede drusen “si woɖi” me.
- CT Scan (computed tomography): Wozãnɛ ɣeaɖewoɣi, vevietɔ tsɔ dea dzesi calcium si le lãme na ame.
- Fluorescein angiography: Dɔdamɔnu si me wozãa fotoɖemɔ̃ tɔxɛ aɖe kple amadede si me keklẽ le tsɔ ɖea foto ŋkua ƒe megbe, si wɔnɛ be ɖɔktaa te ŋu léa ŋku ɖe wò ʋukawo ƒe nɔnɔme ŋu .
- Fundus autofluorescence: Nɔnɔmetatawo ɖeɖe ƒe mɔnu si mehiã be woado amadede na ame o; ezãa amadede aɖe si le dzɔdzɔme nu le ŋkua me si woyɔna be lipofuscin tsɔ ɖea drusen la fiana.
Ðe atikewɔmɔnu aɖe lia? Aleke wokpɔa edzii?
Ne optic disc drusen le ŋuwò la, anɔ eme be màhiã be woawɔ atike na wò alo akpɔ egbɔ etɔxɛe o . Fifia la, amekoko alo atike aɖeke meli si dzi woato aɖe nu siawo siwo wotsɔ de eme la ɖa o . Taflatse kakaɖedzi nenɔ asiwò be, le ame akpa gãtɔ gome la, nɔnɔme sia mehea nya veviwo vɛ o.
Nukae nye mɔkpɔkpɔ ne optic disc drusen le asinye?
Zi geɖe la , nyagblɔɖi si wogblɔ ɖi na amesi ŋu optic disc drusen le la nyo ŋutɔ . Nusi ɖe dzesi wu si ate ŋu akpɔ ŋusẽ ɖe ame dzi enye ŋkuléle ɖe nu ŋu le gota gome dzi ɖeɖe kpɔtɔ vie.
Ƒã hafi kuxiwo ate ŋu ado mo ɖa, abe:
- Choroidal neovascular membranes (CNVM): Ʋuka yeye siwo mesɔ o siwo dzɔna le ŋkua me. Woate ŋu ado ʋu, si ate ŋu agblẽ nu le wò nukpɔkpɔ le titina ŋu. Ne esia dzɔ la, ate ŋu ahiã be woatsɔ laser awɔ dɔe .
- Anterior ischemic optic neuropathy (AION): Nɔnɔme si me ʋu ƒe sisi yi ŋku ƒe lãmeka me dzi ɖena kpɔtɔna, si ate ŋu agblẽ nu le lãmekawo ŋu.
- Retinal vascular occlusions: Retina ƒe ʋukawo ƒe xexe.
Esi wònye be kuxi siawo mebɔ kura o ta la, susu aɖeke meli si ta woatsi dzi fũu akpa o.
Ðe nɔnɔme sia nye afɔkua?
Ne ède dzesi tɔtrɔ sue aɖewo le wò nukpɔkpɔ me hã la, zi geɖe la, womebua optic disc drusen be enye nɔnɔme si me afɔku le o . Gake woate ŋu atsɔ wo asɔ kple atikewɔwɔ me nya bubuwo, si tae atikewɔwɔ me toto edziedzi le vevie ɖo.
Ðe woate ŋu axe mɔ ɖe enua?
Nublanuitɔe la, mɔ aɖeke meli si wonya fifia si dzi woato axe mɔ ɖe optic disc drusen ƒe ŋgɔyiyi nu o .
Ɣekaɣie wòle be makpɔ ɖɔkta?
Nukpɔkpɔ dodokpɔ edziedzi le vevie ŋutɔ. Tsɔ kpe ɖe eŋu la, ne ède dzesi tɔtrɔ aɖewo le wò ŋkume , ele be nàyi ŋkudɔdala aɖe gbɔ enumake. Mègaŋe aɖaba ƒu tɔtrɔ suesuesuewo gɔ̃ hã dzi o.
Aleke optic disc drusen to vovo tso ŋku ƒe nɔnɔme bubuwo gbɔe?
Esi nɔnɔme aɖewo ƒe dzedzeme ɖi wo nɔewo ta la, ele vevie be míade vovototo wo dome.
Mègatɔtɔe kple Papilledema o!
Woyɔa optic disc drusen ɣeaɖewoɣi be “pseudopapilledema.” Doŋgɔgbe “aʋatso” fia alakpa.
Papilledema nye ŋku ƒe lãmeka ƒe ta ƒe vuvu le taɖuame ƒe nyaƒoɖeamenu si dzi ɖe edzi ta. Esia nye atikewɔwɔ kpata. Togbɔ be optic disc drusen ate ŋu ana optic disc la nadze abe ɖe wòvuvu ene hã la, menye vuvu ŋutɔŋutɔe wònye o, eyatae woyɔ nya be “pseudopapilledema.”
Glaucoma kple Ŋku ƒe Disk Drusen
Glucoma kple optic disc drusen siaa ate ŋu ahe nyawo vɛ le wò ŋkumekpɔkpɔ ƒe ŋutete me. Ɣeaɖewoɣi la, nɔnɔme eveawo siaa ate ŋu anɔ anyi ɖekae gɔ̃ hã. Ele be wò ɖɔkta nate ŋu ade vovototo wo dome, elabena ŋkudɔ nye dɔléle sesẽ aɖe si yia ŋgɔ, si hiã be woawɔ atike nɛ vevie.
Ðe kadodo aɖe le Retinitis Pigmentosa domea?
Amesiwo ŋu Retinitis Pigmentosa (RP) le ate ŋu axɔ optic disc drusen, vevietɔ amesiwo ŋu RP alo Usher syndrome ƒomevi aɖewo le .
Ðe Noonan ƒe dɔlélea wɔa akpa aɖea?
Noonan ƒe dɔlélea nye domenyiŋusẽfianu ƒe dɔléle si ate ŋu akpɔ ŋusẽ ɖe ŋku ƒe tsitsi dzi, si wɔnɛ be ame ɖekaɖeka siwo ŋu dɔléle sia le la te ŋu xɔa ŋku ƒe ʋuka ƒe drusen bɔbɔe.
Kpuie ko la: Nu Vevi Siwo Wotsɔna Yia Nu
Kpuie ko la, nusiwo dzi wòle be nàɖo ŋkui tso optic disc drusen ŋue nye esi:
- Wonye calcium kple protein ƒe ƒuƒoƒo siwo dzɔna ɖe ŋku ƒe lãmeka ƒe ta dzi.
- Dzesi aɖeke mele ame akpa gãtɔ ŋu kura o.
- Zi geɖe la, nɔnɔmea megblẽa nu le ame ŋu o , togbɔ be kuxi siwo mebɔ o ate ŋu ado mo ɖa hã.
- Atikewɔwɔ alo atikewɔwɔ tɔxɛ aɖeke mehiã na dɔléle akpa gãtɔ o .
- Vevietɔ wu la: yi edzi nànɔ ŋkume kpɔm edziedzi eye nàkpɔ wò ɖɔkta ne ède dzesi tɔtrɔ aɖewo le wò ŋkumekpɔkpɔ me.
Ðo ŋku edzi be wò ŋkuwo nye nunana xɔasi aɖe. Wò agbanɔamedzie wònye be nàlé be na wo. Mègabu ŋku ƒe dzimaɖitsitsi aɖeke nu tsɛe gbeɖe o.
Ne nyabiase bubuwo gale asiwò la, taflatse ƒo nu kple wò ŋkudɔdala; wodzra wo ɖo nyuie wu be woana nyatakaka siwo de to wu wò.
