Ðe wodo wò ŋkuwo kpɔ kpɔa? Eye emegbe kasia wowɔa dodokpɔ aɖe si me nèkua ya ɖe wò ŋkuwo me eye wònana nètsia dzodzodzoe viea? Egbea míele nu ƒom tso mɔ siwo dzi nàto adzidze nyaƒoɖeamenu si le wò ŋkuwo me dometɔ aɖewo ŋu, siwo dometɔ aɖewoe nye dodokpɔ si ame akpa gãtɔ nya nyuie. Esia mevɔ̃ɖi abe alesi nàsusui ene o. Le nyateƒe me la, enye dodokpɔ vevi aɖe ŋutɔ be nàkpɔ wò ŋkuwo ta.
Nukae Nye Tonometry?
Kpuie ko la, tonometry nye atikewɔwɔ me dodokpɔ si dzidzea nyaƒoɖeamenu si le wò ŋku me (ŋku me ƒe nyaƒoɖeamenu). Esia nye dodokpɔ vevitɔwo dometɔ ɖeka be woatsɔ anya dɔléle aɖe si woyɔna be ŋkudɔ. Mɔ vovovowo li siwo dzi woato awɔ dodokpɔ sia. Wo katã wowɔa nu kabakaba ŋutɔ eye womesea veve o.
Nukatae dodokpɔ sia le vevie nenema gbegbe ɖo?
Ŋkudɔdalawo zãa dodokpɔ sia koŋ tsɔ doa ŋkudɔlékui kpɔna hekpɔnɛ. Zi geɖe la, wowɔa esia abe ŋkudodokpɔ si wowɔna edziedzi ƒe akpa aɖe ene. Wowɔa esia hã ne ŋku xɔ abi alo dzesi bubuwo.
Ɣeaɖewoɣi la, ɖɔktawo zãa dodokpɔ sia hã tsɔ léa ŋku ɖe ŋku ƒe sisi le dzidzim ɖe edzi abe atike aɖewo siwo nèzãna (ŋku me ʋusɔgbɔdɔ) ƒe nugbegblẽ le ame ŋu ene hã.
Ne ŋkudɔ le ŋuwò xoxo la, ahiã be woawɔ dodokpɔ sia edziedzi be woakpɔe ɖa be wò atikewɔwɔa le dɔ wɔm hã. Esiae nye mɔ nyuitɔ si dzi nàto akpɔ egbɔ be wò ŋku ƒe sisi dzi ɖum.
Aleke esia dzidzea ŋku ƒe sisi?
Tsi aɖe si woyɔna be aqueous humor yɔ míaƒe ŋkuwo me, vevietɔ ŋgɔgbexɔa me. Lãmetsi sia dea nyaƒoɖeamenu ŋkua ƒe akpa si le eme, si wɔnɛ be eƒe nɔnɔme le abe goglo ene. Tonometry dzidzea tsi sia ƒe nyaƒoɖeamenu.
Nusi wozãna tsɔ dzidzea nyaƒoɖeamenu siae nye mercury milimeta (mmHg). Wozãa nusi wozãna tsɔ dzidzea wò ʋu ƒe sisi na esia.
Nukawoe nye tonometry ƒe mɔnu veviwo?
Mɔnu vovovowo li siwo dzi wò ɖɔkta ate ŋu azã atsɔ adzidze wò ŋku ƒe sisi. Na míalé ŋku ɖe nusiwo wonye ŋu.
| Dodokpɔmɔnu | Kpuie ko la, nukae dzɔna? |
|---|---|
| Tonometry si me kadodo mele o (Air-puff) . | Esia nye "yaƒoƒomɔ̃" dodokpɔ si ame geɖe nya nyuie. Mɔ̃ aɖe ɖoa ya sue aɖe ɖe wò ŋku ƒe ŋkume. Mɔ̃a dzidzea wò ŋku ƒe nyaƒoɖeamenu ne ya le zɔzɔm to eme hele megbe yim. |
| Gbeɖiɖi ƒe tonometry | Esiae nye mɔnu si de pɛpɛpɛ wu ɖesiaɖe si li. Le afisia la, wodea ŋkumewu siwo naa alɔ̃dɔdɔ ame, eye wokaa dɔwɔnu sue aɖe ƒe nugbɔ ɖe wò ŋkume blewu ŋutɔ. Wodzidzea nyaƒoɖeamenua to ŋusẽ si ŋkua wɔna ɖe ŋkua ƒe anyime be wòana wòadze gbadzaa la dzi. |
| Tonometry si trɔna yia teƒe bubuwo | Esia zãa mɔ̃ sue aɖe ŋutɔ si le abe plastik bɔl ene si ƒe nugbɔ le. Edzidzea nyaƒoɖeamenu to alesi wòtena ɖe ŋkua ŋu, ka asi ŋkua ŋu, eye wògbugbɔna yia megbe dzi. Esia hã nye mɔnu si fa miamiamia ŋutɔ, si me vevesese aɖeke mele o. |
Mɔnu bubuwo
Tsɔ kpe ɖe mɔnu vevi siawo ŋu la, mɔnu bubuwo hã li abe `Dynamic contour tonometry` kple `Electronic indentation tonometry`. Azɔ hã, wole numekuku wɔm tso mɔnu siwo dzidzea nyaƒoɖeamenu ɣesiaɣi esime wodo ŋkumeɖonu ŋu fifia.
Ðe wòhiã be madzra nane ɖo hafi adoe kpɔa?
Zi geɖe la, naneke meli si wòle be nàwɔ koŋ hafi adzra ɖo ɖe dodokpɔ sia ŋu o.
Gake nu sue ɖeka koe li. Ne anya wɔ la, mègado awudziwui alo T-shirt si axe wò kɔ le dodokpɔa gbemagbe o. Ne èdo awu ʋlaya si ƒe kɔme le la, ke na wòaɖe asi vie. Elabena ne wò kɔ xaxa la, wò ŋku ƒe nyaƒoɖeamenu ate ŋu adzi ɖe edzi vie, si ate ŋu aŋlɔ ɖe dodokpɔa ƒe nyatakakaa dzi vodadatɔe.
Nuteƒekpɔkpɔ ka ƒomevie nèkpɔna ne èle dodokpɔa wɔm?
Esia ate ŋu ato vovo vie le dodokpɔ si wɔm nèle ƒe mɔnu nu.
- Ne èle applanation tonometry wɔm na wò la, wò ɖɔkta atsɔ atike siwo naa alɔ̃dɔdɔ kple amadede ɣi aɖe si woyɔna be fluorescein ade wò ŋku me.
- Gake esiawo dometɔ aɖeke mehiã na dodokpɔ si me womedea kadodo aɖeke ame dzi o la o.
Dodokpɔ akpa gãtɔ xɔa sɛkɛnd ʋɛ aɖewo ko. Ɣeaɖewoɣi la, ɖɔkta ate ŋu axɔ nuxexlẽa zi eve alo zi etɔ̃ be wòakpɔ nuxexlẽ si de pɛpɛpɛ. Eyata mègasusu be, "Oo, ɖe mewɔ nu gbegblẽ aɖea?" Enye nusi yia edzi ɖaa.
Dodokpɔ siawo dometɔ aɖeke mevea ame o. Ne èse veve aɖe la, gblɔe na wò ɖɔkta enumake.
Nukawoe nye dzidzenu siwo sɔ? Nukae woawɔ ne emetsonuwo trɔ?
Nyaƒoɖeamenu si le ame siwo le lãmesẽ me akpa gãtɔ ƒe ŋku me la nyea mercury milimeta 10 va ɖo 21 (mmHg - 21 mmHg) . Ne wò emetsonua mele agbɔsɔsɔ sia me o la, ke nu ʋɛ aɖewo li siwo ate ŋu adzɔ emegbe.
Ne emetsonuwo sɔ gbɔ wu alesi wòle dzɔdzɔmee
Ne dodokpɔ bɔbɔe aɖe ɖee fia be wò nyaƒoɖeamenu nu sẽ la, zi geɖe la, wò ɖɔkta adze agbagba be yeatsɔ mɔnu si de pɛpɛpɛ wu, abe asiƒome ƒe tonometry ene, aɖo kpe edzi. Ne woɖo kpe edzi be wò nyaƒoɖeamenu nu sẽ la, wò ɖɔkta ate ŋu atso nya me be yeayi edzi anɔ ŋku lém ɖe wò nɔnɔmea ŋu alo yeadze atikewɔwɔ gɔme. Woawɔ ɖoɖo ɖe ŋuwò be nàwɔ ɖoɖo ɖe eŋu be yeakplɔe ɖo.
Kpata: Ɣeaɖewoɣi la, nɔnɔme kpata aɖe (angle-closure glaucoma) ate ŋu adzɔ, afisi ŋkua ƒe nyaƒoɖeamenu dzina ɖe edzi ŋutɔ zi ɖeka, si wɔnɛ be ŋkua vea ame eye ŋkua megakpɔa nu nyuie o. Esia nye atikewɔwɔ kpata. Ne edzɔ alea la, ele be nàyi ETU (Emergency Treatment Unit) enumake. Ne menye nenema o la, àte ŋu abu ŋku tegbee.
Ne emetsonuwo le asixɔxɔ si sɔ nu
Ŋku ƒe nyaƒoɖeamenu si bɔbɔ (si mede `5 mmHg` alo `6 mmHg` o) hã nye kuxi. Esia ate ŋu agblẽ nu le ŋkua hã ŋu eye wòana ŋkua nagate ŋu akpɔ nu nyuie o. Ne wò nyaƒoɖeamenu le sue la, wò ɖɔkta aɖe afɔɖeɖe siwo kplɔe ɖo kple atikewɔwɔ me na wò.
Ðe mate ŋu aku ʋu le dodokpɔa megbea?
Esia nye nusi ŋu wòle be woabu. Ne ɖeko nèna wowɔ ŋku ƒe sisi ƒe dodokpɔa la, anye ne kuxi aɖeke manɔ ʋukuku me o.
Gake tsɔ kpe ɖe ŋkua ƒe nyaƒoɖeamenu dzidzedze ŋu la, wozãa dilation (eye dilation) tsɔ doa ŋkua ƒe akpa si le eme la kpɔna. Ne èkeke wò ŋkuwo alea la, ʋukuku ate ŋu asesẽ na wò. Ðewohĩ kekeli ƒe nu léa dzi na wò eye màte ŋu akpɔ nuwo nyuie le teƒe si te ɖe ŋuwò o gaƒoƒo ʋɛ aɖewo.
Eyata anyo wu be nàna ame aɖe naku wò alo azã ʋu bubu le gbesigbe woado wò ŋku kpɔ. Anyo wu be nàbia wò ɖɔkta be wòaɖo aɖaŋu na wò le esia ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Tonometry nye dodokpɔ si wowɔna kabakaba, si me vevesese aɖeke mele o, si dzidzea ŋku ƒe nyaƒoɖeamenu eye wòle vevie be woate ŋu ade dzesi ŋkudɔ kaba.
- Ŋku ƒe nyaƒoɖeamenu si sɔ la nɔa 10 mmHg va ɖo 21 mmHg dome.
- Ne wò dɔwɔwɔ me tsonu mele agbɔsɔsɔ si sɔ me o la, mègavɔ̃ o eye nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi.
- Ne ètsɔ atike si naa ame ƒe lãme ʋuʋuna dea ŋku dzi la, ƒo asa na asikaka wò ŋku ŋu alo asitutu ŋku vaseɖe esime ƒoƒoa nu nayi.
- Ne nyaƒoɖeamenua dzi ɖe edzi zi ɖeka kple ŋku ƒe vevesese sesẽ la, ke enye nusi dzɔ kpata. Di atikewɔla enumake.
- Ne èyi ɖado ŋku kpɔ la, anyo wu be ame aɖe naku wò ayi aƒeme, elabena woate ŋu azã ŋkume ƒe ŋkume siwo keke.
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