Ðe ɖɔkta aɖe do wò ŋkuwo kpɔ eye wogblɔ na wò be nàdzidze wò ŋkume ƒe titrime kpɔa? Ðewohĩ wogblɔ na wò hã be nàwɔ ‘Pachymetry Test’. Ame geɖe sena le wo ɖokui me be ewɔ nuku vie ne wose ŋkɔ sia, eye wosusuna be dodokpɔ gã aɖee wònye alo be ave ye. Eyata egbea, mina míaƒo nu tso nusi Pachymetry Dodokpɔ sia nye, nusita wowɔe, kple nenye be ele be nàvɔ̃e ŋu.
Kpuie ko la, nukae nye Pachymetry Dodokpɔ sia?
Kpuie ko la, Pachymetry Test nye dodokpɔ si wotsɔ dzidzea wò ŋkume ƒe titrime. Fifia ɖewohĩ ànɔ ɖokuiwò biam be, "Nukae nye ŋkume ƒe ŋkumeʋuʋu sia?"
Ŋku ƒe ŋkume ƒe akpa si le sue, si me kɔ keŋkeŋ, si le abe gaƒoɖokui ene le míaƒe ŋku ƒe ŋgɔgbe. Dɔ vevi eve le esi:
1. Ekpena ɖe mía ŋu míekpɔa nu nyuie to kekeli si gena ɖe ŋkua me la ƒe susu tsɔtsɔ ɖo nu ŋu me.
2. Ŋkuwo takpɔkpɔ tso ke kple dɔlékuiwo si me.
Eyata, Pachymetry Dodokpɔ sia dzidzea ŋkume ƒe ŋkume ƒe titrime le micrometers me. Esia naa nyatakaka vevi aɖe ŋutɔ ɖɔktaa ku ɖe ŋkua ƒe lãmesẽ ŋu. Ɣeaɖewoɣi la, wowɔa dodokpɔ sia kpe ɖe dodokpɔ si woyɔna be `Corneal Topography`, si wɔa ŋkume ƒe anyigba ƒe nɔnɔmetata.
Nɔnɔme kawo mee wowɔa dodokpɔ sia le?
Ðɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ sia le susu geɖe ta. Wo dometɔ siwo bɔ wue nye:
- Glaucoma ƒe dɔlélewo didi kple edada: Glaucoma nye dɔléle si me ŋkua ƒe nyaƒoɖeamenu (Intraocular Pressure - IOP) dzina ɖe edzi eye ate ŋu agblẽ nu le ŋku ƒe lãmeka ŋu. Ðɔktawo tsɔa dodokpɔ si woyɔna be `Tonometry` dzidzea nyaƒoɖeamenu sia. Gake ŋkume ƒe titrime wɔa akpa vevi aɖe le afisia.
- Hafi woawɔ dɔ na ŋkumeɖobolo: Ame geɖewo le amekoko abe `LASIK` ene wɔm fifia be woaɖe woƒe ŋkumeɖobolo ɖa. Amekoko sia bia be woatrɔ ŋkume ƒe nɔnɔme to laser-yawo zazã me. Eyata hafi woawɔ dɔ sia na wò la, ele be nànya ne wò ŋkume ƒe ŋkume ƒe kpekpeme le kpekpem ale gbegbe be wòate ŋu anɔ te ɖe enu. Ne ŋkume ƒe ŋkume le sue la, kuxiwo abe `(corneal ectasia)` ate ŋu ado mo ɖa le amekokoa megbe. Eyata wowɔa dodokpɔ sia godoo hena dedienɔnɔ.
- Nɔnɔme bubu siwo do ƒome kple ŋkume ƒe ŋkumeʋuʋu:Wozãa dodokpɔ sia hã tsɔ léa ŋku ɖe nɔnɔme siwo kpɔa ŋusẽ ɖe ŋkume ƒe ŋkume ƒe titrime dzi, abe `keratoconus` (ŋku ƒe akpa si dona le ŋkume ƒe nɔnɔme si le abe cone ene), `Fuchs' dystrophy`, kple `corneal hydrops`.
- Ŋku ƒe abixɔxɔ: Esia kpena ɖe ame ŋu hã be woakpɔe ɖa be ŋkume ƒe ŋkumeʋuʋu gblẽ alo eƒe titrime trɔ ne ŋku xɔ abi hã.
- Optical Pachymetry (mɔnu si me womezãa kadodo aɖeke le o) metsɔa afɔku aɖeke o.
- Afɔku ʋɛ aɖewo koe le Ultrasonic Pachymetry (mɔnu si ka asi to ŋu) ŋu. Ke hã, esiawoNusiwo ate ŋu adzɔ ƒã ŋutɔ.
- Dɔlékuiwo xɔxɔ (anɔ eme be esia madzɔ o elabena woɖe dɔlékuiwutike le dɔwɔnuawo ŋu nyuie).
- Sese le eɖokui me be ŋkua le veve sem vie alo le dziku dom.
- Ame aɖewo ƒe nulɔdɔ le atike siwo naa ame ƒe lãme gbãna ŋu.
- Nusiwo gblẽ le ŋkume ƒe ŋkume ŋu hena ɣeyiɣi aɖe, abe ʋuʋudedi sue aɖe ene, le esi wòka asi mɔ̃a ŋu ta.
- Pachymetry Test nye dodokpɔ bɔbɔe ŋutɔ, si me vevesese mele o, eye wòwɔa dɔ kabakaba, si dzidzea wò ŋkume ƒe titrime.
- Esia le vevie be woate ŋu anya ŋkudɔ nyuie eye woakpɔ egbɔ be wole dedie hafi woawɔ dɔ na wo abe LASIK ene.
- Dodokpɔmɔnu eve li: ɖeka meka asi ŋkua ŋu o, eye evelia bia be woatsɔ dɔwɔnu sue aɖe aka ŋkua ŋu blewuu le eƒe ʋuʋu vɔ megbe.
- Dodokpɔa me tsonu nye xexlẽdzesi aɖe ko. Wò ɖɔkta koe ate ŋu ana numeɖeɖe nyuitɔ kekeake na wò le nusi wòfia kple wò ŋkuwo ƒe lãmesẽ ŋu. Eyata mègati kpo aƒo nya ta tso eŋu ɖeɖeko o.
- Ne nya aɖe le asiwò ku ɖe wò ŋkudodokpɔ alo dodokpɔ sia ŋu la, mègahe ɖe megbe le wò ɖɔkta biabia me o.
Le kpɔɖeŋu me, ne wò ŋkume ƒe ŋkume ƒe ʋuʋudedi lolo wu alesi wòle dzɔdzɔmee la, ate ŋu anye be nyaƒoɖeamenu si le ŋkua me asɔ gbɔ wu alesi wòle ŋutɔŋutɔ. Nenema ke ne ŋkume ƒe ŋkume ƒe ŋkume le tsɛ wu , ate ŋu anye be nyaƒoɖeamenua naɖiɖi wu alesi wòle ŋutɔŋutɔ. Eyata titrime sia nyanya le vevie ŋutɔ na ɖɔkta be wòanya ne ŋkudɔ le ŋuwò alo mele ŋuwò o.
Mɔnu kawoe nye dodokpɔ sia wɔwɔ?
Mɔ vevi eve li siwo dzi woato awɔ dodokpɔ sia. Wo ame evea siaa wɔa dɔ kabakaba ŋutɔ eye wole bɔbɔe. Mehiã be nàwɔ nu tɔxɛ aɖeke hafi adzra ɖo ɖe esia ŋu o.
| Dodokpɔmɔnu | Alesi wòdzɔnae |
|---|---|
| Nukpɔkpɔ ƒe Pachymetry | Le esia me la, dɔwɔnu aɖeke meka wò ŋku dzi o. Nusi nàwɔ koe nye be nànɔ anyi ɖe mɔ̃ aɖe ŋgɔ atsɔ wò asike kple ŋgonu aɖo teƒe aɖe le edzi. Wodzidzea eƒe titrime tso nɔnɔmetata siwo mɔ̃a ɖe me. Optical Coherence Tomography (OCT) hã nye mɔnu sia tɔgbe bubu. |
| Ultrasonic Pachymetry ƒe dɔwɔwɔ | Le dɔ sia wɔwɔ me la, gbã la, wotsɔa tsi aɖewo siwo nana ame ƒe lãme ʋuʋuna la dea wò ŋku me. Eyata màse naneke le ɖokuiwò me o. Emegbe wotsɔa dɔwɔnu sue aɖe si le abe nuŋlɔti ene si me dɔlékui mele o (pachymeter) ƒe nugbɔ dana ɖe wò ŋkume ƒe ŋkume blewu ŋutɔ hena sɛkɛnd ʋɛ aɖewo. Wozãa ultrasound ƒutsotsoewo tsɔ dzidzea eƒe titrime. |
Ŋkuɖodzinya vi aɖe
Ne ènya be woana atike siwo naa ame ƒe lãme gbãna alo atike siwo kekea ŋkume na wò hena wò ŋkudodokpɔ la, anyo wu be nàdoe kple ame bubu, elabena atike siawo ate ŋu ana wò ŋku nadze nyuie hena ɣeyiɣi aɖe.
Ðe afɔku aɖe le esia mea?
Esia nye dodokpɔ si le dedie ŋutɔ.
Ne wò ŋku yi edzi le veve sem alo le ŋku lém ɖe ŋuwò le dodokpɔ sia megbe la, yɔ wò ɖɔkta enumake.
Mina míanya nu tso dodokpɔa me tsonu ŋu.
Nu nyuitɔ kekeake si le dodokpɔ sia ŋue nye be dodokpɔa me tsonuawo dzena enumake. Ðɔktaa ate ŋu aƒo nu tso eŋu na wò enumake.
Ŋku si le lãmesẽ me ƒe titina ŋkume ƒe titrime le mama dedie nu le micrometer 540 va ɖo 550 dome .
Gake ɖo ŋku edzi be asixɔxɔ si le mamã dedie nu koe esia nye. Ate ŋu ato vovo le wò ƒexɔxɔ, ameƒomevinyenye, kple lãmesẽkuxi bubuwo nu. Eyata mègatsi dzi ne wò asixɔxɔ le vovototo sia godo vie o. Ðewohĩ wò ŋkuwo le lãmesẽ me keŋkeŋ. Wò ɖɔkta koe ate ŋu aɖe emetsonua gɔme nyuie.
Wò ɖɔkta ate ŋu anɔ te ɖe emetsonuwo dzi atso nya me le alesi nàda wò ŋkudɔ alo nenye be ènye ame nyui aɖe si woawɔ dɔ na wò ŋkume.
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