Ðe nèsena le ɖokuiwò me hã be yeƒe ŋkuwo le tɔtrɔm vie ne èle tsitsim? Ɣeaɖewoɣi ne èlé ŋku ɖe agbalẽ alo nyadzɔdzɔgbalẽ aɖe ŋu la, ɖe nèsena le ɖokuiwò me be lɛtaawo me mekɔ oa, alo ɖe nèsena le ɖokuiwò me be yekpɔ nuwo le kpuie? Togbɔ be nusiawo nye nusiwo dzɔna ne èle tsitsim hã la, ɣeaɖewoɣi esia ate ŋu anye nusi ŋu wòle be nàtsi dzi ɖo vie. Enyo, esia nye nɔnɔme sesẽ aɖe si dzɔna le ŋkua me si woyɔna be wet macular degeneration, alo `(Wet Macular Degeneration - WMD)`. Mina míaƒo nu tso esia ŋu tsitotsito egbea.
Nukae nye Wet Macular Degeneration?
Kpuie ko la, ŋku ƒe dɔmawɔmawɔ nyuie nye ŋku ƒe dɔmawɔmawɔ nyuie si nu sẽ wu, si de ŋgɔ wu, si nye Age-Related Macular Degeneration (ARMD), si nye dɔléle si gblẽa nu le míaƒe ŋkuwo ŋu ne míele tsitsim. Fifia ɖewohĩ ànɔ nusi ARMD nye ŋu bum. Enye nɔnɔme si gblẽa nu le ŋku ƒe ŋkume , si nye ŋku ƒe akpa aɖe si kpena ɖe mía ŋu míekpɔa nu nyuie ne míele tsitsim.
Eyata ne nɔnɔme sia nu sẽ, si fia be ne ŋku ƒe dɔmawɔmawɔ nyuie (WMD) dzɔ la, ʋuka yeye siwo gbɔdzɔ, gake womele lãmesẽ me o, dzea wɔwɔ gɔme le lãkusi si woyɔna be ŋku ƒe ŋkume ƒe ŋkumeʋuʋu si le ŋkua me la te. Esi ʋuka yeye siawo gbɔdzɔ ŋutɔ ta la, wodzea ʋu kple tsiwo dodo gɔme. Ʋu kple tsi sia si le dodom ate ŋu agblẽ nu le lãmenugbagbevi siwo le ŋku ƒe ŋkume ŋu eye wòana míaƒe ŋku nagate ŋu akpɔ nu o, vevietɔ nukpɔkpɔ le titina . Ne míagblɔe tututu la, esiae nèkpɔna ne èkpɔ ŋgɔ tẽ.
Bu eŋu kpɔ, ne èlé ŋku ɖe ame aɖe ƒe mo ŋu la, mo ƒe titina me mekɔna o, eye ƒã hafi nàte ŋu akpɔ nusiwo ƒo xlãe. Emae nye nusi dzɔna le nya sia me.
Ʋudodo sia ate ŋu ana abi ƒe lãkusi hã nadzɔ. Esia ate ŋu agblẽ nu le ŋku ƒe ŋkume ŋu geɖe wu, si ana nukpɔkpɔ nagblẽ ɖe edzi. Le ɣeyiɣi aɖe megbe la, ʋuka sia si le dodom kple abi ate ŋu ana ame nagate ŋu akpɔ nu tegbee. Gake ne wokpɔe dze sii hedae kaba , ate ŋu axe mɔ na nusiwo agblẽ tegbee alo ana nukpɔkpɔ nagagblẽ ɖe edzi gɔ̃ hã o. Eyata ne ède dzesi tɔtrɔ aɖewo le wò nukpɔkpɔ me la, ele vevie ŋutɔ be nàkpɔ ŋkudɔdala (ŋkudɔdala) kaba ale si nàte ŋui.
Ŋkɔ bubu siwo ɖɔktawo zãna na dɔléle siae nye ``exudative macular degeneration'' kple ``neovascular macular degeneration. ``Exudate'' nye atikewɔwɔ me nya si wozãna na "tsi si le dodom." Afi mae ŋkɔa tso.
Aleke gbegbee dɔléle sia bɔe?
Afɔku si le `(ARMD)` xɔxɔ me dzina ɖe edzi ne míele tsitsim. Le nyateƒe me la, eyae nye nu vevitɔ si nana ame siwo xɔ wu ƒe 60 ƒe ŋkuwo buna.
Nukae nye ŋku ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo?
`(WMD)` nɔnɔme sia hea titinakpɔkpɔ ƒe bu si me vevesese aɖeke mele o vɛ.Ate ŋu adze ŋku eveawo siaa dzi, gake ɣeaɖewoɣi la, ŋku ɖeka dzie wògblẽa nu le wu eye evelia ya megblẽa nu le eŋu boo o.
Dzesi vevi aɖewoe nye esi:
- Teƒe dovivitiwo alo nusiwo le tsia dzi kpɔkpɔ le ŋkume .
- Blurry vision , vevietɔ ne èle ŋku lém ɖe eŋu nyuie.
- Amadedewo ƒe nukpɔkpɔ ƒe vɔvɔ alo dzi ɖeɖe kpɔtɔ . Ðewohĩ màte ŋu ade vovototo blɔ kple ɣi dome o.
- Nukpɔkpɔ si tro / nɔnɔmetɔtrɔ . Le kpɔɖeŋu me, ate ŋu adze abe fesre aɖe ƒe gatiwo keke ene.
- Nu siwo le sue wu alesi wole ŋutɔŋutɔ kpɔkpɔ (micropsia) .
- Nukpɔkpɔ ƒe teƒe siwo do viviti .
- Teƒe siwo ŋkuagbãtɔ / scotomas .
- Titina ƒe nukpɔkpɔ ƒe bu keŋkeŋ, eye gota gome koe susɔ .
Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, kpɔ egbɔ be yeyi ŋkudɔdala gbɔ enumake.
Nukawoe hea ŋku ƒe dɔmawɔmawɔ nyuie vɛ?
Esesẽ be woade dzesi nu ɖeka si gbɔ nɔnɔme sia tso, ``(WMD).`` Ke boŋ, afɔku geɖewo ƒoa ƒu nana dɔléle sia xɔxɔ ƒe mɔnukpɔkpɔ dzina ɖe edzi.
Afɔku mawo kple nusiwo gbɔ wòtsona dometɔ aɖewoe nye esi:
- Ƒe : Ne èle tsitsim la, ŋku ƒe dɔmawɔmawɔ nyuie ƒomevi ɖesiaɖe va dzea dziwò.
- Domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi kple ƒome ŋutinya : Tɔtrɔ aɖewo (trɔtrɔ) le domenyiŋusẽfianu (DNA) siwo ƒe dome nènyi tso dziwòlawo gbɔ ate ŋu ana WMD xɔxɔ ƒe afɔkua nadzi ɖe edzi. Ne wò ƒomea me tɔ aɖe xɔ dɔlélea kpɔ la, anɔ eme be wò hã nàxɔe.
- Ameƒomevinyenye : Ame siwo tso Europa ye le afɔku gãtɔ me be woaxɔ (WMD). Ame siwo tso Afrika la mexɔa esia boo o.
- Nuɖuɖu : Vitamin aɖewo (vevietɔ vitamin C kple E) , mineral ( akɔbli kple zinc ), kple vitamin A ƒe akpa aɖewo alo nunyiame siwo do ƒome kplii (beta-carotene, lutein, zeaxanthin) ƒe anyimanɔmanɔ ate ŋu ana WMD nadze ame dzi.
- Anyigba ƒe teƒe si nèle : Ne èle teƒe si te ɖe equator ŋu la, wò kekeli bliboa asɔ gbɔ wu. Esia hã ate ŋu anye nusi akpe ɖe eŋu.
- Numame aɖewo : Atamazazã ate ŋu awɔ akpa aɖe le (WMD) ƒe dzɔdzɔ me.
- Lãmesẽnya bubuwo : Nɔnɔmewo abe ʋumemi ƒe agbɔsɔsɔ fũ (hypercholesterolemia), ʋusɔgbɔdɔ (ʋusɔgbɔdɔ), kple dzitodzito me dɔléle (dzitodzito me dɔléle) ate ŋu ana WMD nadze ame dzi. Kpeɖodzi vovovowo gakpɔtɔ li ku ɖe ne suklidɔ (Suklidɔ - Ƒomevi 1 kple Ƒomevi 2) hã kpena ɖe eŋu.
Nukawoe nye dɔléle sia ƒe kuxiwo?
Kuxi vevitɔ si dona tso ŋku ƒe dɔmawɔmawɔ nyuie me enye ŋku ƒe nukpɔkpɔ le titina ƒe bu.Ne womewɔ atike na wo o la, amesiwo ŋu WMD le dometɔ 80% va ɖo 90% magakpɔ nu o mlɔeba ale gbegbe be woabu wo be wonye ŋkunɔwo le se nu. Eyae nye be woƒe ŋkuwo megakpɔa nu nyuie o ale gbegbe be womete ŋu wɔa gbesiagbedɔwo o.
Aleke woawɔ anya ŋku ƒe dɔmawɔmawɔ nyuie?
Ŋkuŋutinunyala, le kpɔɖeŋu me ŋkudɔdala alo ŋkudɔŋutinunyala, ate ŋu azã mɔnu vovovowo ƒokpli atsɔ anya WMD.
Afɔɖeɖe gbãtɔe nye ŋkudodokpɔ edziedzi . Le ɣeyiɣi sia me la, woate ŋu alé ŋku ɖe wò ŋkume ƒe ŋkume tẽ. Woate ŋu awɔ esia to asi dɔwɔnu si woyɔna be ŋkumekpɔmɔ̃ zazã me , alo to wò ŋkume ƒe ŋkume keke ɖe enu kple akaɖi si me woɖe do le dodokpɔ wɔwɔ me . Woate ŋu azã grid bɔbɔe aɖe si woyɔna be Amsler grid eye test hã . Esia ate ŋu akpe ɖe ŋuwò nàde dzesi nu ɖesiaɖe si tɔtɔ le wò ŋkume (edzena abe fli la keke ene le wò ŋku ƒe ŋkume ƒe tɔtɔ ta).
Tsɔ kpe ɖe ŋkudodokpɔ kple akaɖi si me ʋuʋudedi le dodokpɔ ŋu la, ŋkudɔdala ate ŋu awɔ nɔnɔmetata siwo me womezãa nuvevi ame o hã. Esiawo ate ŋu alé ŋku ɖe nusiwo le ememe kple ʋuka siwo le wò ŋku ƒe megbe ŋu. Dodokpɔ siwo woate ŋu awɔ dometɔ aɖewoe nye:
- Optical Coherence Tomography (OCT) : Esia le abe fotoɖemɔ̃ si ɖea ŋkua ƒe akpa si wotso ɖe wo nɔewo ŋu ene.
- Fluorescein angiography : Esia bia be woado amadede aɖe ɖe ʋuka aɖe si le wò alɔnu me eye nàɖe foto ne ele ʋuka siwo le wò ŋku me la me tom.
- Indocyanine green angiography (ICGA) : Esia nye dodokpɔ si me wozãa amadede ƒomevi bubu, si sɔ kple esi do ŋgɔ.
Aleke wowɔa nu ɖe esia ŋui?
Wet macular degeneration nye dɔléle si woate ŋu ada ŋutɔ ne wokpɔe kaba . Mɔ vevi eve li siwo dzi woato ada WMD: atikewo kple laser zazã .
Atikewo wɔa dɔ to protein aɖe si woyɔna be Vascular Endothelial Growth Factor (VEGF) , si míaƒe ŋutilã zãna tsɔ wɔa ʋuka yeyewo la xexe me. Ne woxe VEGF la, ʋuka yeyewo dzudzɔa wɔwɔ. Wodoa atike siawo to atike si wodona ɖe wò ŋku me tẽ me . Mègavɔ̃ o, togbɔ be wogblɔ be wodo wo ɖe wò ŋku me hã la, wowɔa wo to wò ŋku ƒe ʋuʋu ale gbegbe be màse le ɖokuiwò me o me.
Atike ƒomevi aɖewo siwo xea mɔ na VEGF lae nye esi:
- `Aflibercept`
- `Bevacizumab ƒe atike`
- `Brolucizumab ƒe atike`
- `Farisimab`
- `Ranibizumab`
Taɖodzinu si le laser-dada na WMD ŋue nye be woatɔ te ʋuka yeyewo ƒe tsitsi eye ne anya wɔ la, woaɖe wo dzi akpɔtɔ. Ne àte ŋu awɔ dɔ na wò laser la nɔ te ɖe afisi ʋuka yeyeawo le le wò ŋkume ƒe ŋkume kple nu bubu geɖe dzi. Gake fifia la, atike siwo wodona ɖe lãme na ame bɔ wu laser zazã.
Wò ŋkuŋutinunyala ate ŋu aɖe wò atikewɔmɔnu siwo nàtia me nyuie wu. Nyatakaka siwo wonana lae sɔ wu eye wòkpena ɖe ŋuwò wu na wò nɔnɔme tɔxɛa . Woagblɔ nusiwo ate ŋu ado tso eme alo kuxi siwo ate ŋu ado tso eme kple atikewɔwɔ si akpe ɖe ŋuwò wu hã na wò.
Nukae nye ŋku ƒe dɔmawɔmawɔ nyuie ƒe mɔkpɔkpɔ?
Mɔkpɔkpɔ na nɔnɔme `(WMD)`, si nye alesi wòahaya nyuie alo alesi eƒe ŋutega anɔ, nɔ te ɖe nu geɖewo dzi. Esiawoe nye:
- Aleke gbegbe wò `(WMD)` nɔnɔmea gblẽe nye si.
- Afikae wò macula me gblẽ le?
- Atikewɔwɔ ƒe tiatia siwo nàte ŋu axɔ, alo wole xɔm xoxo.
- Lãmesẽnya bubu siwo le ŋuwò.
Esi nu geɖe kpɔa ŋusẽ ɖe wò nukpɔkpɔ dzi ta la, wò nukpɔsusu ate ŋu ato vovo kura. Wò ŋkuŋutinunyala ate ŋu agblɔ alesi wò nukpɔsusu anɔ te ɖe wò nɔnɔme tɔxɛa dzi na wò.
Ðe woate ŋu axe mɔ ɖe ŋku ƒe dɔmawɔmawɔ nyuie nua?
Esi wònye be nu geɖewo kple afɔkuwo li siwo nana `(WMD)` ƒe dzɔdzɔ ta la, manya wɔ be woaxe mɔ ɖe enu keŋkeŋ o. Gake nanewo li nàte ŋu awɔ atsɔ aɖe afɔku si le eme be nàxɔe dzi akpɔtɔ alo ahe eƒe tsitsi ɖe megbe.
Nu vevitɔ kekeake siwo nàte ŋu awɔ atsɔ axe mɔ ɖe AMD nu alo ahe ɖe megbe dometɔ aɖewo dzea egɔme ne ŋku ƒe dɔmawɔmawɔ nyuie, si nye AMD ƒomevi si mesẽ boo o, le ŋuwò. Afɔɖeɖe aɖewo siwo wò ŋkudɔdala ate ŋu akafu na wòe nye esi:
- Zã Amsler ƒe grid gbesiagbe . Wò ŋkudɔdala ate ŋu ana Amsler grid wò be nàzã le aƒeme eye wòafia alesi nàzãe wò. Ne ède dzesi tɔtrɔ alo tɔtɔ aɖewo le wò ŋkumekpɔkpɔ me la, ele be nàte ɖe wò ŋkudɔdala ŋu kaba ale si nàte ŋui. Esia wɔwɔ ate ŋu aɖe ŋku ƒe nugbegblẽ si womate ŋu atrɔ o kple ŋku ƒe nukpɔkpɔ ƒe bublu dzi akpɔtɔ.
- Yi wò ŋkudɔdala gbɔ hena ŋkudodokpɔ edziedzi . Esia ate ŋu akpe ɖe ame ŋu wòade dzesi WMD le eƒe gɔmedzedze.
- No nuɖuɖu kpeɖeŋutɔ gbesiagbe . Zi geɖe la, vitamin C, vitamin E, akɔbli, zinc, lutein, zeaxanthin, kple beta-carotene nɔa esiawo me. (Mègano beta-carotene ne èle atama nom o, elabena enaa aɖuɖɔtoemekansa xɔxɔ ƒe afɔkua dzina ɖe edzi.)
- Dzudzɔ atamanono, alo mègadze egɔme o . Esia lɔ atama/nicotine zazã ƒomevi ɖesiaɖe ɖe eme, si me vaping kple atama si me dzudzɔ mele o hã le. Wò ɖɔkta ate ŋu agblɔ nusiwo akpe ɖe ŋuwò nàdzudzɔ dɔa ŋu nya na wò.
- Do ɣe ƒe ŋkumewu. Ɣe ƒe keklẽ ate ŋu ana wò ŋku ƒe dɔmawɔmawɔ nyuie (MWD) nadzi ɖe edzi. Ɣe ƒe ŋkumewu ate ŋu aɖe ŋusẽ si ɣe ƒe keklẽ kpɔna ɖe wò ŋkuwo dzi dzi akpɔtɔ.
- Nɔ dɔ dzi . Kamedede kpena ɖe wò lãmesẽ ŋu le mɔ geɖe nu, eye wò ŋkume ƒe lãmesẽ hã le eme.
- Lé lolo si sɔ me ɖe asi . Nu geɖe siwo nana wò dɔlélea xɔxɔ ƒe afɔkua dzina ɖe edzi (WMD) do ƒome kple wò ŋutilã ƒe lãmesẽ bliboa.
Nu bubuwo li nàte ŋu awɔ atsɔ akpe ɖe ŋuwò nàxe mɔ ɖe nukpɔkpɔ ƒe bublu nu le WMD ta. Ne nya aɖe le asiwò alo nètsi dzi ɖe nusi nàte ŋu awɔ ŋu la, bia wò ŋkudɔdala. Ate ŋu ana mɔfiame kple nunɔamesi siwo ate ŋu akpe ɖe ŋuwò la wò.
Aleke mawɔ akpɔ ɖokuinye dzi ne ŋku ƒe dɔmawɔmawɔ nyuie le ŋunye?
Ne èdze wò ŋku ƒe nukpɔkpɔ gɔme le (WMD) ta la, ate ŋu agblẽ nu le ŋuwò ŋutɔ. Ate ŋu akpɔ ŋusẽ ɖe wò ŋutete be nànɔ agbe le ɖokuiwò si kple wò gbesiagbedɔwo kple dɔwɔna siwo nèwɔna ɖaa dzi.
Ne èbu wò ŋku xoxo le `(WMD)` ta la, nanewo gakpɔtɔ li nàte ŋu awɔ atsɔ akpe ɖe ɖokuiwò ŋu. Esiawoe nye:
- Bia wò ŋkudɔdala tso ŋkumekpɔkpɔ ƒe ɖɔɖɔɖo ŋu . Esia le abe kamedede alo dɔwɔɖui ƒe atikewɔwɔ ene, gake na wò ŋkuwo. Gbugbɔgaɖɔɖo sia ƒomevi fiaa wò be nàtrɔ ɖe tɔtrɔ siwo le wò nukpɔkpɔ me siwo le asiwò xoxo ŋu ahawɔ dɔ tso wo ŋu.
- Zã dɔwɔnuwo kple mɔ̃ɖaŋununya . Nusiwo womezãna le mɔ̃ɖaŋununya me boo o abe ŋkumeɖonu alo ŋkumeɖonu ene ate ŋu ana gbesiagbedɔwo kple dɔwɔnawo nanɔ bɔbɔe. Mɔ̃ɖaŋununya deŋgɔwo abe asitelefon dzi dɔwɔɖoɖowo alo elektrɔnikmɔ̃ tɔxɛwo ene hã ate ŋu akpe ɖe ŋuwò nàtrɔ ɖe wò ŋku ƒe bu alo tɔtrɔwo ŋu. Wò ŋkudɔdala ate ŋu aɖo aɖaŋu kple nyatakaka tɔxɛwo na wò ku ɖe dɔwɔnu siwo (mɔ̃ɖaŋununya deŋgɔ alo esiwo mebɔ o) siwo ate ŋu akpe ɖe ŋuwò ŋu.
- Wɔ nunɔamesiwo kple kpekpeɖeŋu siwo le asiwò la ŋudɔ . Le afisi nèle nu la, dziɖuɖu kple habɔbɔ siwo le wo ɖokui si ate ŋu anɔ anyi siwo ate ŋu akpe ɖe ŋuwò le wò gbesiagbe nuhiahiãwo me. Wo zazã ate ŋu akpe ɖe ŋuwò nànɔ agbe le ɖokuiwò si eye wòana wò agbe nanɔ bɔbɔe.
Ɣekaɣie wòle be makpɔ nye ŋkudɔdala?
Wò ŋkudɔdala aɖo aɖaŋu na wò be nàwɔ ɖoɖo ɖe sasrãkpɔ ŋu be nàkpɔ wò WMD ƒe nɔnɔmea gbɔ eye nàtrɔ asi le wò atikewɔwɔ ŋu ne ehiã. Sasrãkpɔ siawo le vevie ŋutɔ be woaɖe ŋku ƒe nukpɔkpɔ dzi akpɔtɔ.
Azɔ hã, ne ède dzesi tɔtrɔwo le wò ŋkumekpɔkpɔ me, le kpɔɖeŋu me, nu siwo tɔtɔ siwo dzena ne ètsɔ Amsler ƒe ŋkumekpɔmɔ̃ do wò ŋkuwo kpɔ la, ele be nàte ɖe wò ŋkuŋutinunyala ŋu enumake .
Nya kawoe wòle be mabia nye ŋkudɔdala?
Nya aɖewo siwo nàte ŋu abia wò ŋkuŋutinunyalae nye esi:
- Aleke gbegbe nye `(WMD)` nɔnɔmea gblẽe?
- Ɣeyiɣi kae ate ŋu anɔ anyi be ŋku magate ŋu akpɔ o, eye nukae mate ŋu awɔ atsɔ aɖe nusiwo gblẽ le eŋu dzi akpɔtɔ alo aɖe edzi akpɔtɔ?
- Ðe afisi tɔtrɔwo le le ŋku ƒe lãkusi me kpɔa ŋusẽ ɖe atikewɔwɔ siwo woate ŋu azã alo mɔnukpɔkpɔ si li be atikewɔwɔ mawo nakpɔ dzidzedze dzia?
- Aleke mawɔ aɖo seɖoƒe na nusiwo agblẽ le ame ŋu geɖe wu?
- Dɔwɔnu kple kpekpeɖeŋu kawoe mate ŋu akpɔ?
- Ðe ŋkuléleɖenuŋu ƒe atikewɔwɔ aɖe vi nam?
Nukpɔkpɔ nye seselelãme si ame geɖe zãna le woƒe gbesiagbegbenɔnɔ katã me, eye zi geɖe la, womebua eŋu gɔ̃ hã o. Wò ŋkumekpɔkpɔ ƒe bu ate ŋu anye nuteƒekpɔkpɔ si tea ɖeɖi ame ŋu eye wòate ɖe ame dzi. Gake nanewo li nàte ŋu awɔ be nàɖe nusiwo gblẽ la dzi akpɔtɔ, axe mɔ ɖe nukpɔkpɔ bubu nu, eye nàtrɔ ɖe tɔtrɔ siwo le edzi yim xoxo ŋu.
Mɔ nyuitɔ si dzi nàto anya nu tso nusi nàte ŋu awɔ tso nɔnɔme sia ŋue nye be nàƒo nu kple wò ŋkudɔdala. Afia mɔ wò le afɔɖeɖe kple tɔtrɔ siwo ate ŋu akpe ɖe ŋuwò me. Mehiã be nànɔ te ɖe nɔnɔme sia alo eƒe ŋusẽkpɔɖeamedziwo ɖeɖeko gbɔ o, wole afima be yewoakpe ɖe ŋuwò.
Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .
Enyo, eyata mina míaƒo nya vevi aɖewo siwo dzi wòle be nàɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe me kpuie:
- Wet macular degeneration (WMD) nye ŋku ƒe dɔmawɔmawɔ nyuie (ARMD) si tso tsitsi gbɔ. Enye nɔnɔme si me ʋuka yeye siwo gbɔdzɔ la dzɔna le ŋkua me, si ate ŋu ana ʋu nado le ŋkua me eye wòana ame nagate ŋu akpɔ nu le titina o.
- Dzesiawo ate ŋu anye teƒe yibɔwo le ŋkuwo ŋgɔ, ŋku ƒe nukpɔkpɔ si me kɔ o, kple ŋku ƒe nukpɔkpɔ si me kɔ o. Ne èkpɔ dzesi siawo la, yi ɖɔkta gbɔ enumake.
- Ne wokpɔ esia dze sii kaba la, woate ŋu adae . Ŋkutikewo, atike siwo wodona ɖe lãme na ame, kple laser-dɔdamɔnu li.
- Nu aɖewo li siwo nàte ŋu adze agbagba axe mɔ na , abe nuɖuɖu nyui ɖuɖu, atamanono, ɣe ƒe ŋkumewu dodo, kple ŋkudodokpɔ edziedzi ene.
- Ne dɔléle sia le ŋuwò la, ele vevie ŋutɔ be nànɔ kadodo me kple wò ŋkudɔdala edziedzi eye nàwɔ ɖe woƒe aɖaŋuɖoɖowo dzi. Mɔnuwo kple mɔ̃ aɖewo hã li siwo ate ŋu akpe ɖe ŋuwò nànɔ agbe kple ŋku si mebɔ o.
Eyata, beléle na wò ŋkuwo le asiwò. Ne ɖikeke alo kuxi aɖewo le ŋuwò la, mègahe ɖe megbe le atikewɔlawo ƒe aɖaŋuɖoɖo didi me o.
` Macular degeneration, wet macular degeneration, WMD, ARMD, ŋku ƒe nukpɔkpɔ, ŋkudɔ, ŋku ƒe dɔléle











💬 Comments (0)
Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee