Ðe nènya nu tso ŋkudodokpɔ tɔxɛ sia (Pachymetry Test) ŋu nyateƒea? Mina míaƒo nu!

Èyi ŋkudɔdala gbɔ kpɔ eye nèse nya aɖe abe, "Ele be míalé ŋku ɖe wò ŋkume ƒe titrime ŋu" kpɔa? Ðewohĩ èsusui be ema wɔ nuku vie. Nukae nye ŋkume ƒe ŋkume ƒe titrime dzidzedze sia? Emae nye nusi míeyɔna be dodokpɔ si wowɔ nɛ, ``Pachymetry Test'' alo ``Corneal Pachymetry Test.'' Kpuie ko la, edzidzea wò ``Cornea'', si nye ƒuƒoƒo si me kɔ le wò ŋku ŋgɔ ƒe titrime.

Nukae nye Pachymetry dodokpɔa? Nukatae wòle vevie?

Enyo, mina míalé ŋku ɖe nusi `(Cornea)` sia nye ŋu gbã. Ŋku le asiwò, eye lãkusi si me kɔ, si sesẽ vie le ŋgɔgbe, abe ahuhɔ̃e ene. Abe gaƒoɖokui ƒe ahuhɔ̃e ene. Esiae kpena ɖe mía ŋu míekpɔa nuwo nyuie, si fia be ekpena ɖe mía ŋu míeléa ŋku ɖe kekeli ŋu to ehehe yi ŋkua me. Ewɔa dɔ hã abe akpoxɔnu vevi aɖe si kpɔa ŋkua ta tso nuwo abe ke kple dɔlékuiwo ene me.

Eyata, `(Pachymetry)` dodokpɔ sia dzidzea alesi tututu `(Cornea)` ƒe titrime le. Esia nye dodokpɔ vevi aɖe ŋutɔ, elabena le `(Cornea)` ƒe titrime nu la, ekpena ɖe ame ŋu be nànya ne ŋkudɔ aɖewo le ŋuwò alo mele ŋuwò o, eye wòkpena ɖe ŋuwò hã be nàkpɔe ɖa be èsɔ na atikewɔwɔ aɖewo hã.

Nu bubu, kadodo vi aɖe le `(Pachymetry)` dodokpɔ sia kple dodokpɔ bubu si woyɔna be `(Corneal Topography)` dome. `(Corneal Topography)` wɔa amadede ƒe nɔnɔmetata na wò `(Cornea)`. Ateŋu ana nyatakaka geɖe tso `(Cornea)` ƒe nɔnɔme kple eƒe anyigba ŋu.

Ɣekaɣie wowɔa pachymetry dodokpɔ sia?

Nɔnɔme geɖewo li siwo me wò ŋkudɔdala ate ŋu atso nya me be yeawɔ ``Pachymetry`` dodokpɔ sia. Mina míalé ŋku ɖe nusiwo wonye ŋu:

• Glaucoma: Esia nye dɔléle si ate ŋu agblẽ nu le ŋku ƒe lãmeka ŋu eye wòagblẽ nu le nukpɔkpɔ ŋu le ŋkume ƒe nyaƒoɖeamenu (IOP) si dzi ɖe edzi ta. Eyata ne èsusu be ŋkudɔ le ye ŋu, alo wole edadam la, ele vevie ŋutɔ be nàdzidze wò ŋkume ƒe titrime. Esia le alea elabena wò ŋkume ƒe titrime ate ŋu akpɔ ŋusẽ ɖe tonometry dodokpɔ si dzidzea ŋku ƒe nyaƒoɖeamenu me tsonu dzi.
• Refractive errors surgery: Ne èle ɖoɖo wɔm be yeawɔ dɔ na wò abe LASIK ene le nukpɔkpɔ kpui alo nukpɔkpɔ didi si hiã be nàdo ŋkumeɖobolo ta la, ahiã godoo be woawɔ Pachymetry dodokpɔ. Esia nye be woatsɔ anya ne wò ŋkume ƒe ŋkume ƒe lolome le kpekpem ale gbegbe be woate ŋu awɔ dɔa.
• Ŋku ƒe dɔlélewo: Dɔléle aɖewo li siwo gblẽa nu le ŋkume ƒe ŋkume ŋu, abe ŋkume ƒe tsi ƒe sisi (nɔnɔme si me ŋkume ƒe ŋkume zua tsi), keratoconus (nɔnɔme si me ŋkume ƒe ŋkume ƒe ŋkume doa go yi ŋgɔ), kple Fuchs ƒe dystrophy (nɔnɔme si gblẽa nu le ŋkume ƒe akpa si le eme ŋu). Dodokpɔ sia ate ŋu akpe ɖe ame ŋu wòanya dɔléle siawo ahawɔ ɖoɖo ɖe atikewɔwɔ ŋu.
• Ŋku ƒe abixɔxɔ:Ne nane dzɔ ɖe ŋkua dzi la, wozãnɛ hã tsɔ kpɔae ɖa be ŋkume ƒe ŋkumeʋuʋu gblẽ alo eƒe titrime gblẽ.

Kpuie ko la, ŋkume ƒe ŋkume ƒe titrime ŋuti nyatakaka siwo wokpɔ tso Pachymetry dodokpɔ sia me kpena ɖe ame ŋu ŋutɔ le Tonometry dodokpɔ si dzidzea wò ŋku ƒe nyaƒoɖeamenu ƒe emetsonuwo gɔmesese nyuie me.

Aleke wowɔa pachymetry dodokpɔ siae? Ðe wònye nya gã aɖea?

Mehiã be nàdzra ɖo geɖe ɖe dodokpɔ sia ŋu o. Zi geɖe la, woate ŋu awu enu le aɖabaƒoƒo ʋɛ aɖewo ko me. Mɔ vevi eve li siwo dzi míato awɔ esia:

1. Optical Pachymetry mɔnu

Nusi dzɔna le esia me enye be wona nèbɔbɔ nɔ zikpui dzi le mɔ̃ aɖe ŋgɔ. Ele be nàda wò ta kple asike ɖe teƒe aɖe koŋ le mɔ̃a dzi. Emegbe mɔ̃a ɖea wò ŋku ƒe foto, dzroa nɔnɔmetata mawo me eye wòdzidzea `(Cornea)` ƒe titrime. Le mɔnu sia me la, naneke meka wò ŋku dzi o. Ɣeaɖewoɣi la, wozãa egbegbe mɔnuwo abe `(Optical Coherence Tomography - OCT)` na esia. Esia nye mɔnu si zɔna kabakaba ŋutɔ eye vevesese aɖeke mele eŋu o.

2. Ultrasonic Pachymetry mɔnu

Le mɔnu sia me la, ɖɔktaa tsɔa atike si naa ame ƒe lãme ʋuʋuna la dea wò ŋku me gbã. Esia nana wò ŋku tsia dzodzodzoe hena ɣeyiɣi aɖe, ale be mèsea veve aɖeke o. Emegbe wotsɔa dɔwɔnu dzadzɛ aɖe si me dɔlékui mele o, si le abe nuŋlɔti ene si woyɔna be pachymeter la dana ɖe wò ŋkume ƒe ŋkume ƒe gowo dzi nyuie hena sɛkɛnd ʋɛ aɖewo. Dɔwɔnu sia zãa ultrasound waves, siwo nye gbeɖiɖi ƒe ƒutsotsoe siwo ƒe tsɔtsɔme sesẽ, tsɔ dzidzea wò ŋkume ƒe titrime. Zi geɖe la, wodzidzea eƒe titrime le ŋkume ƒe titina, gake ɣeaɖewoɣi la, woate ŋu adzidze teƒe bubuwo hã.

Vevietɔ: Ne ènya be woaxɔ ŋkumeɖonu na ye le wò ŋkumedodokpɔ me la, anyo wu be nàna ame bubu naku ʋu na wò tsɔ wu be nàku ʋu. Ŋku ƒe tsitete aɖewo ate ŋu ana ŋkuvi yibɔa nakeke, si ate ŋu ana ŋkua natsi vie. Nusiwo nana ame ƒe lãme gbãna hã ate ŋu akpɔ ŋusẽ sue aɖe ɖe nukpɔkpɔ dzi ɣeaɖewoɣi.

Ðe afɔku aɖewo le dodokpɔ sia mea?

Esia ate ŋu anye nusi ŋu wò hã nèle tame bum le. Na míakpɔe ɖa.

• Optical Pachymetry Mɔnu: Esi womeka asi ŋkua ŋu le mɔnu sia me o ta la, afɔku aɖeke mele eme si ŋu woaƒo nu tsoe o. Ele dedie ŋutɔ.
• Ultrasonic Pachymetry: Mɔnu sia hã metsɔa afɔku gã aɖeke o, gake nu suesuesue ʋɛ aɖewo li siwo ate ŋu adzɔ ƒã ŋutɔ:
• Mɔnukpɔkpɔ sue aɖe li be ŋkudɔ nadze ame dzi (eyatae wozãa dɔwɔnu dzadzɛwo ɖo).
• Ŋkuawo ate ŋu abiã vie, abi, alo avuvu (ŋku ƒe dziku).
• Ame aɖewo ate ŋu akpɔ nulɔdɔ si nu mesẽ o ne ŋkumeɖonu siwo naa ŋku nɔa ʋuʋum.
• Ne wozi Pachymeter la ɖe ŋkua ŋu la, ate ŋu agblẽ ʋuʋudedi sue aɖe ɖi hena ɣeyiɣi aɖe le ŋkume ƒe ŋkume ɣeaɖewoɣi. Esia ada gbe le ŋkeke ʋee aɖewo megbe.

Nu vevitɔe nye be ne èkpɔ nukpɔkpɔ ƒe kuxi aɖe, ŋku ƒe vevesese, alo nu bubu aɖe si mebɔ o le ŋkumedodo ɖesiaɖe megbe la, ele be nàna wò ŋkudɔdala nanya enumake.

Aleke nèwɔna xɔa dodokpɔa me tsonu? Nukae wogblɔna na wò?

Akpa nyuitɔ kekeakee nye be èkpɔa dodokpɔa me tsonu enumake kloe le dodokpɔa megbe. Wò ɖɔkta ate ŋu aƒo nu tso wo ŋu na wò le afima tututu.

Le numekuku siwo wowɔ le United States nu la, ame si le lãmesẽ me ƒe `(Cornea)` (Central Corneal Thickness - CCT) ƒe titrime le mama dedie nu le micrometer 540 va ɖo 550 `(micrometers)` alo micron `(microns) dome. Gake asixɔxɔ si le mama dedie nu koe esia nye, ɖo ŋku edzi. Menye asixɔxɔ sia ɖeɖeko ŋue wò ɖɔkta abu o, ke abu nu bubu geɖewo hã ŋu, abe ƒe si nèxɔ, wò lãmesẽ bliboa, kple ne ŋkudɔ bubuwo le ŋuwò hã, ne ele nya me tsom tso emetsonu siawo me. Eyata, ne wò `(Cornea)` ƒe titrime mele agbɔsɔsɔ sia si sɔ me o hã la, wò ŋkuwo ate ŋu anɔ lãmesẽ me.

Ne emetsonuwo mesɔ o la, nukae wòle be mawɔ azɔ?

Tsɔe be wò Pachymetry dodokpɔa me tsonu mele agbɔsɔsɔ si sɔ me o. Nukae dzɔna ɣemaɣi? Ðɔktaa zãa emetsonu siawo tsɔ tsoa nya me le nusi wòawɔ kplɔe ɖo ŋu.

• Le Glaucoma gome: Ne ŋkudɔ le ŋuwò la, ŋkume ƒe titrime ŋuti nyatakaka sia ate ŋu akpe ɖe ŋuwò nànya alesi nèle nu wɔm ɖe wò atikewɔwɔ ŋu kple nenye be ehiã be woatrɔ wò atikewɔwɔ.
• Le ŋkudɔdada gome: Ne èle dzadzram ɖo ɖe amekoko abe `(LASIK)` ene ŋu la, `(Cornea)` ƒe titrime le vevie ŋutɔ. Elabena, ne `(Cornea)` la melolo ale gbegbe be woate ŋu awɔ dɔa o la, nɔnɔme aɖe si woyɔna be `(Corneal ectasia)` ate ŋu ado mo ɖa le amekokoa megbe. Ema fia be `(Cornea)` la gbɔdzɔna eye wòdona ɖe ŋgɔ. Ema ate ŋu akpɔ ŋusẽ gã aɖe ɖe nukpɔkpɔ dzi. Eyata, wowɔa dodokpɔ sia do ŋgɔ na amekokoa be woaɖe afɔku ma dzi akpɔtɔ.

Nukae wòfia ne wò ŋkume ƒe ŋkume le ɣie?

Ame aɖewo ƒe ŋkume ƒe ŋkumeʋuʋu ate ŋu alolo vie wu alesi wòle dzɔdzɔmee. Nukae ema fia?

• Le goawo katã me la, wokpɔe be amesiwo ƒe ŋkume ƒe ŋkume le ɣie wu la ƒe ŋkumeʋuʋu ƒe afɔkua dzi ɖe kpɔtɔ vie.
• Azɔ hã, ne wole ŋku ƒe sisi (IOP) dzidzem na amesi ƒe ŋkume ƒe ŋkume le ɣie la, ate ŋu aɖe asixɔxɔ si lolo wu afia wu nyaƒoɖeamenu ŋutɔŋutɔ. Eyae nye be esi ŋkume ƒe ŋkume ƒe akpa si le kpekpem wu ta la, nyaƒoɖeamenudzidzenu ate ŋu ana woaxlẽ nu si mesɔ o.

Eyata ne wò ɖɔkta nya wò ŋkume ƒe titrime tututu la, ate ŋu ada wò ŋku ƒe sisi nyuie akpɔ eye wòakpɔ wò nyuie.

Eyata nu kawo dzie wòle be míaɖo ŋkui le ŋutinya sia me?

Enyo, mele mɔ kpɔm be susu nyui aɖe va su asiwò azɔ tso `(Pachymetry Test)` ŋu. Kpuie ko la, esia nye dodokpɔ si me vevesese mele o, si wowɔna kabakaba, si le vevie ŋutɔ na wò ŋku ƒe lãmesẽ.

Ɖo ŋku edzi:Ne wò ŋkudɔdala kafui be woawɔ Pachymetry dodokpɔ la, efia be ele be woanya wò ŋkume ƒe titrime, woada wò ŋkume ƒe ʋuʋu (IOP) akpɔ nyuie, eye woakpɔe ɖa be ènye ame nyui aɖe si woawɔ dɔ na wò le ŋkume alo awɔ ɖoɖo ɖe atikewɔwɔ na nɔnɔmewo abe ŋkudɔ ene ŋu. Esia nye afɔɖeɖe ɖeka bubu si ate ŋu akpe ɖe ŋuwò nàkpɔ wò ŋkumekpɔkpɔ ta.

Eyata ele vevie be nàwɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖowo dzi. Ne nya aɖe le asiwò la, mègavɔ̃ be yeabia wò ɖɔkta o.

` Pachymetry, ŋku dodokpɔ, ŋkume ƒe titrime, ŋkudɔ, LASIK amekoko, ŋku ƒe lãmesẽ, ŋku dodokpɔ