Contact Lens Si Wotsɔ Kpe Ðe Ŋkua Te Alo Woxatsae: Nusita Mate Ŋu Bu Le Wò Ŋku Megbe O¶
Xexlẽme kpatawo toa vovo le dukɔ ɖesiaɖe me. Axa sia zã 911, si nye xexlẽdzesi na United States kple Canada. Dukɔ bubu geɖewo zãa 112, 999, alo xexlẽdzesi bubu. Di xexlẽdzesi si le miaƒe dukɔa me.
Wò ŋkututu, nyɔnyrɔ̃ tso alɔ̃dɔdɔ le wò ŋkumeɖonu me, alo agbagbadzedze be yeaɖe ŋkumeɖonu aɖe ɖa le zã me ko hafi nàkpɔe be yeƒe ŋku me mekɔ o eye ŋkumeɖonua bu le wò ŋkume ƒe akpa si le etame te la hea vɔvɔ̃ ƒe ƒutsotsoe vɛ enumake. Ame akpe geɖe dolawo yia dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ ɣleti sia ɣleti eye woka ɖe edzi be ŋkumeɖonu falɛfalɛ aɖe si woɖe ɖa alo hydrogel kakɛ si vuvu la ƒu du "le yewoƒe ŋkume ƒe akpa aɖe megbe" ɖo ta yewoƒe ahɔhɔ̃ gbɔ, eye wònana dɔdaƒe ƒe nɔnɔme kpata vavãtɔa gagblẽna ɖe edzi to woƒe ŋkumeʋuʋu si ƒu, si le ƒuƒlu la ƒoƒo enuenu kple woƒe asibidɛwo susu be ŋkume ƒe lãkusi si me kɔ lae nye ŋkumeɖonu si wotsɔ ka ŋkume.
Gbugbɔ gbɔgbɔ sesĩe eye nàɖe wò asibidɛwo ɖa le wò ŋku ŋu fifia: le ŋutilã ƒe wɔwɔme nu la, manya wɔ be ŋkumeɖonu alo kakɛ si vuvu nazɔ mɔ le wò ŋkume ƒe akpa si le megbe gbeɖe o. Lãmetsiŋusẽ si me tsi mele o si yia edzi si woyɔna be ŋkumeʋuʋu la ƒoa fli ɖe wò ŋkume ƒe akpa si le eme eye wògatrɔna ɖe wò ŋku ƒe ɣie (sclera), si wɔa nusi wotu keŋkeŋ, kotoku si wu enu ŋkuagbãtɔ (ŋkume ƒe mɔ si dzi woato alo fornix) si didi milimeta 8 va ɖo 10 (inch 0.3 va ɖo 0.4) ko tso wò ŋkume ƒe liƒo si le etame. Ne èse veve vevie, si naa akplɔ wò, wò ŋku megate ŋu kpɔa nu kpata, tsi si le ɣie-amadede dzẽ, alo atikewo zazã la, di atikewɔƒe kpata alo nàƒo ka na wò nutoa me xexlẽdzesi kpata (911 le United States kple Canada, 112 le Europa Dukɔwo ƒe Habɔbɔ bliboa me, 999 le United Kingdom; kpɔ wo katã xexlẽdzesi siwo wozãna kpata). Ne èdi ŋku kple mo ƒe nɔnɔme kpata siwo do ƒome kplii la, kpɔ super glue si wotsɔna ƒoa ŋkume, nuyiwo, alo ŋutigbalẽ, . aɖuwɔwɔe si womi, fiakuku ƒe gbɔgbɔ, kple ŋkumeɖobolo si gbã, kple atike si woŋlɔ na ame si bu kpata si wogbugbɔ de eme.
Wɔ esia fifia¶
- Dzudzɔ ŋkumeʋuʋu le wò ŋku titina enumake vaseɖe esime nàɖo kpe edzi be ŋkumeɖonu aɖe bɔbɔ nɔ ŋkume ƒe ŋkume ŋutɔŋutɔ. Nuveviwɔame ɖeka kolia si ŋkudɔdalawo kple ŋkudɔdalawo daa le "nukpɔkpɔ ƒe ŋkumekpɔnu si tsi" vɔvɔ̃ megbe enye iatrogenic corneal epithelial abrasion si dola aɖe si tsɔ ŋkumeɖonu la da ɖe tsileƒe ƒe kplɔ̃ dzi le vo me evɔ menya kpɔ o, alo amesi ƒe ŋkumekpɔnu la hena vɛ ƒu du le etame nutsyɔnu te, eye emegbe wozã aɖabaƒoƒo 15 tsɔ tsɔ woƒe asibidɛwo ƒo woƒe ŋkume ƒe akpa si le ƒuƒlu si me kɔ la henɔ etutum.
- Klɔ wò asiwo nyuie kple adzalẽ kple tsi si me ʋeʋẽ lilili mele o hena sɛkɛnd 20 eye nàtsɔ afɔkpa si me lãgbalẽ mele o aƒu gbe. Mègatsɔ asibidɛ siwo mèklɔ o alo asibidɛ siwo wotsɔ asilétike, atadimi, alo aha sesẽ si wotsɔna klɔa asi ŋu, si nana atikewo ƒe ŋkumeʋuʋu enumake, ka asi wò ŋkume alo ŋkumeʋuʋu ŋu gbeɖe o.
- Tsi ɖe wò ŋku dzi dɔmenyotɔe kple ŋkumeɖonu si me dɔlékui mele o si gbugbɔa tsi le ŋkume, aɖatsi siwo wowɔ si me dɔlékui mele o, alo dzetsi 0.9% si me dɔlékui mele o (mègaƒo tsi alo hydrogen peroxide gbeɖe o). Hydrogel alo silicone-hydrogel ƒe ŋkumeɖonu falɛfalɛ léna ɖe ŋkua ŋu sesĩe alo ƒoa xlã ŋkua ƒe akpa eve ne ezu tsi vɔ le eme, si wɔa dɔ abe kplu si wotsɔ noa nu ƒuƒu ene. Ne ètsɔ dze si me dɔlékui mele o alo tsi si wotsɔ gbugbɔa tsi ƒua gbe 5 va ɖo 10 yɔ ŋkua dzi eye nètu wò ŋku aɖabaƒoƒo 2 blibo la, enaa polymer matrix ƒuƒu la gaxɔa tsi, wògavuvuna va ɖoa eƒe gogloƒe si sɔ, eye wòtsia tsia dzi le eɖokui si.
- Mègatsɔ atike si me kɔ si nye red-cap 3% hydrogen peroxide cleaning solution (abe Clear Care alo PeroxiClear) de wò ŋku me tẽ gbeɖe o. Aŋetu ƒe tɔtɔ le zãtiƒe ƒe ŋkumekpɔmɔ̃ ƒe nɔnɔme kpata me nana be atikewo xɔa ŋkume ƒe dzobibi vevie, si naa ʋuʋudedi. Kpɔ aŋetu ƒe nuŋɔŋlɔ dzi zi eve: zã sterile saline, multipurpose contact lens rinsing solution, alo ami si wotsɔna ƒoa ŋkume ɖe ŋkua me tẽ ko.
- Kpɔ mɔ si to vovo na afisi nèse ŋkumeɖonua le eye nàtsɔe asisi ɖe wò ŋkume ƒe akpa si le etame si wotu la dzi blewuu ɖo ta wò ŋɔti gbɔ. Ne èse le ɖokuiwò me be dutalã aɖe le ʋuʋum le kɔkɔƒe le wò tame nutsyɔnu te la, kpɔ tẽ yi anyime ɖo ta wò afɔkpawo gbɔ, do wò ŋkume ƒe akpa si le etame la blewu, eye nàzã asibidɛ ɖeka si le dzadzɛ le wò ŋkume ƒe akpa si wotu la ƒe gota gome atsɔ aƒoe nyuie tso gotagome nutsyɔnu la gbɔ dzogoe dzi yi eme ɖo ta wò ŋɔti ƒe tɔdzisasrã gbɔ. Esia kplɔa ŋkumeɖonu si woxatsa la yia anyime yia dzogoe ememetɔ si le ete la me afisi nàte ŋu akɔe ɖe dzi bɔbɔe.
- Ne womi ŋkumeɖonu sesẽ si me gas-te ŋu gena ɖo (RGP / sesẽ) ɖe wò ŋku ƒe ɣie dzi la, mègatsɔe ƒu gbe alo ƒoe ɖe ŋkume ƒe ŋkume ƒe ŋkume gbeɖe o. Ne èhe ŋkumeɖonu sesẽ si wono to ŋkua dzi la, eƒoa ŋkume ƒe lãkusi; ke boŋ, te wò ŋkume ƒe akpa si le ete ƒe nugbɔ sesĩe ɖe ŋkua ƒe ɣi (sclera) si te ɖe ŋkumeɖonu sesẽa ƒe gota gome ŋu tututu be wòana ŋkumeɖonua ƒe nugbɔ nakɔ ɖe dzi, nàtsɔ ya ƒe kuɖɔ agbã vacuum seal la, eye nàɖee ɖa.
Danger
Mègazã aŋenu, aɖuɖɔ, bobby pin, asibidɛ, alo pɔmpi me tsi atsɔ aɖe ŋkumeɖonu si tsi wò ŋku dzi gbeɖe o, eye mègatsɔ ŋkumeɖonu yeye de ŋku dzĩ si le veve sem la dzi gbeɖe ne èɖe ŋkumeɖonu si tsi alo si vuvu vɔ o. Amoeba siwo nɔa agbe faa siwo woyɔna be Acanthamoeba siwo wokpɔna le pɔmpi me (si me tsi si woɖe tso tsinyegoe me, vudo me tsi, kple tsileƒetsi hã le) me. Ne pɔmpi me tsi klɔ ŋku si ŋu nusuekpɔmɔ̃ ƒe ʋuʋudedi le tso ŋkumeɖonu si tsi alo vuvu gbɔ la, ate ŋu ahe Acanthamoeba keratitis, si nye ŋkume ƒe dɔlékui si gbãa ŋku, si nu sẽ ŋutɔ, si nye parasitic corneal infection vɛ. Zã dze si me dɔlékui mele o alo ŋkumeɖonu si me dɔlékui mele o si wozãna na dɔ vovovowo ɣesiaɣi, eye nàgblẽ ŋkumeɖonu siwo me dɔlékui mele o ɖi gaƒoƒo 24 va ɖo 48 ya teti ne wò ŋku se le eɖokui me be yevuvu alo kekeli le eŋu le eɖeɖe vɔ megbe.
Nyametsotso ƒe ati: Dedie ɖeɖeɖa ƒe ɖoɖowɔɖi to contact lens ƒomevi kple teƒe si wòle nu¶
flowchart TD
Start["Contact Lens Si Klɔ, Woklã Ðe Ŋku Te, Alo Wovuvu le Ŋku Me"] --> VerifyCheck{"Afɔɖeɖe 1: Ðe ŋkumeɖonu la gakpɔtɔ le wò ŋkume godooa?"}
VerifyCheck -->|"Nyemeka ɖe edzi o: Nukpɔkpɔ si me kɔ o + ŋku le veve sem"| VisionTest["Kpɔ ŋku BUBU la dzi eye nàlé ŋku ɖe didiƒe KPLEE nuxexlẽ ƒe nukpɔkpɔ si te ɖe eŋu siaa ŋu - Lala sekɛnd 60 hafi nàka asi ŋku ŋu eye nàtsɔ akaɖi alé ŋku ɖe tsinyegoe/anyigba/awudziwui ŋu"]
VerifyCheck -->|"Woɖo kpe edzi le ŋku me"| TypeCheck{"Nuka ƒomevie wònye, eye afikae wòbɔbɔ nɔ?"}
TypeCheck -->|"1. Lens Falɛfalɛ Siwo Le Titina Ðe Cornea (Woƒui / Womie Le Alɔ̃dɔdɔ Megbe) ."| Dehydrated["MÈGAKPƆ LENS ƑUƑOƑE O: 1. Tsɔ saline si me dɔlékui mele o ƒe tsidzadza 8 va ɖo 10 alo tsi gbugbɔgade tsi ŋkume 2. Do ŋkua eye nàtsɔe asisi nutsyɔnu blewuu aɖabaƒoƒo 2 blibo 3. Ne lens la nya ʋuʋu faa milimeta 2 ko la, tsɔe ƒu gbe ɖe sclera ɣi dzi eye nàƒoe"]
TypeCheck -->|"2. Lens Falɛfalɛ si Woxatsa Alo Ʋuʋu Yi Kɔkɔ Le Ŋku ƒe Tame Te"| UpperCul["1. Tsɔ dze si me dɔlékui mele o tsyɔ ŋku dzi ale be eƒe nugbɔ siwo woxatsa la naɖe 2. Kpɔ anyigba tẽe le anyigba esime nèle ŋkume kɔm 3. Alo wɔ Cotton-Swab Upper Eyelid Eversion (flip lid) be nàtutu lens la ɖa"]
TypeCheck -->|"3. Ripped / Torn Soft Lens Fragment si wogblẽ ɖe Ŋku me"| FragmentSearch["1. De kakɛ si wogakpɔ la asibidɛ ƒe nugbɔ le dzetsi me be nàkpɔ aɖaŋunu ƒe nɔnɔme si bu 2. Klɔ ŋku ɖe agba dzi kple dze si me dɔlékui mele o ƒe sisi atraɖii 3. Ka asi kotoklobo xɔdzo alo lãkusi ƒe dzogoe ŋu be wòakaka ɖe ƒunukpeƒe ɣiwo dzi"]
TypeCheck -->|"4. Sesẽ Gas-Tɔtrɔ (RGP / Sesẽ) alo Scleral Lens Suctioned"| HardLens["MÈGAHE ƲUƲU ƑE ƑOMEA ME O: 1. Tsɔ tsiɖɔɖɔ ƒe tsiɖɔɖɔ 2. Mia ŋkume ƒe axadzi blewuu ɖe sclera ɣi siwo le lens ƒe go godo tututu me 3. Gbugbɔ vacuum seal ale be ya ƒe kuɖɔ nage ɖe lens te, emegbe nàkɔe ɖe dzi"]
--- .
Akpa 1: Ŋutilã ƒe kpeɖodzi si tae ŋkumeɖonu mate ŋu ayi wò ŋku megbe gbeɖe o¶
Amegbetɔ ƒe ŋku ƒe ŋgɔgbe ƒe ŋutilã ƒe wɔwɔme tututu gɔmesese ɖea susu me ŋɔdzi si le ŋkumeɖonu si "bu" ŋu dzi kpɔtɔna enumake eye wòkpena ɖe ŋuwò nèkpɔa kotoku sue si me goglo o si me ŋkumeɖonua ɣla eɖokui ɖo ŋutɔŋutɔ la le susu me.
1. Ŋkuʋuʋu ƒe Cul-de-Sac (Kotoku si Wotre U-Turn) .¶
Ne èhe wò ŋkume ƒe akpa si le ete la yi anyime eye nèkpɔ ahuhɔ̃e me la, àkpɔe be ŋkume ƒe akpa si le pink eye tsi le eme la le ƒoƒom ɖe dzi blewuu ɖe ŋkume ƒe akpa ɣia dzi. Lãmetsi ma si yia edzi, si megbã o lae nye ŋkumeʋuʋu: - Palpebral Conjunctiva: Eɖoa fli ɖe wò ŋkume ƒe akpa si le etame kple esi le ete ƒe megbe (ememe). - Ŋku ƒe ŋkume ƒe Fornix (Cul-de-Sac): Ne ŋkume ƒe goglome anɔ abe milimeta 8 va ɖo 10 (inch 0.3 va ɖo 0.4) le wò ŋkume ƒe akpa si le etame (le etame nutsyɔnu te) kple milimeta 5 va ɖo 6 (inch 0.2) le wò ŋkume ƒe go si le ete (le ete nutsyɔnu te) te la, ŋkumeʋuʋua wɔa a wotre enu keŋkeŋ 180-degree U-turn. - Bulbar Conjunctiva: Etrɔna yia ŋgɔ tso U-trɔtrɔ ma dzi tsɔ tsyɔ ŋkume ƒe ʋuʋudedi ɣia dzi vaseɖe ŋkume ƒe ŋkume ƒe go kemɛ dzi.
[ SIDE CROSS-SECTION OF THE UPPER EYELID & EYEBALL ]
====================================================
Upper Fornix (Cul-de-Sac) <-- SEALED DEAD-END POCKET (Max 10 mm deep)
/===\ A folded lens stops right here.
| (C) | <-- Folded Contact Lens
Upper Eyelid | |
| |=====[ Eyeball / Sclera ]
| | /
\___/ | <-- Clear Cornea
Esi wònye be conjunctival fornix nye U-turn loop si wotu keŋkeŋ, si nuwuwu ŋkuagbãtɔe le godoo ƒo xlã wò ŋkume ƒe gotagome si nye degree 360 ta la, zero physical opening, gap, or tunnel si kplɔa ame yia ŋkumeʋuʋua megbe. Contact lens ateŋu aƒo afã abe taco shell ene eye wòatsɔe aɣla ɖe fornix kotoku si keke si le etame si le wò ŋkume ƒe ɖa tame kpoo, afisi màse le ɖokuiwò me kura o, gake mate ŋu atrɔ ayi megbe gbeɖe o.
--- .
Akpa 2: Alesi nàwɔ aɖo kpe edzi be ŋkumeɖonu la gakpɔtɔ le wò ŋku me (Ƒo asa na "Phantom Lens" ŋkume ƒe abixɔxɔ)¶
Hafi nàzã miniti 20 atsɔ aklɔ wò ŋkume alo aʋuʋui la, kpɔe ɖa be ŋkumeɖonu la medo ɖe wò tsiléƒe ƒe kplɔ̃, afɔkpa, awudziwui, alo akɔtaɖonu dzi xoxo o.
1. Nusita wò ŋku gakpɔtɔ sena le eɖokui me abe ŋkumeɖonu aɖe si le eme ene ne ege do goe gɔ̃ hã¶
Ne ŋkumeɖonu ƒuƒu aɖe ƒo wò ŋku alo do go le alɔ̃ dɔm alo le ŋku tutu me la, egblẽa nusuekpɔmɔ̃ ƒe ʋuʋudedi alo teƒe ƒuƒu aɖe ɖe ŋkume ƒe ŋkume (a superficial punctate epithelial erosion). Esi wònye be vevesese ƒe lãmeka ƒe nuwuwu (trigeminal nerve C-fibers) sɔ gbɔ ɖe amegbetɔ ƒe ŋkume ƒe ŋkume wu le ŋutilãa me ta la, nusuekpɔmɔ̃ si ƒe didime nye milimeta 1 ƒe ʋuʋu gɔ̃ hã hea Foreign Body Sensation si wonya nyuie vɛ, afisi wò ahɔhɔ̃ ka ɖe edzi 100 le alafa me be plastik kakɛ aɖe gakpɔtɔ le wò ŋkume ƒe akpa si le etame te esime ŋkua le ƒuƒlu keŋkeŋ ŋutɔŋutɔ.
2. Sɛkɛnd 60 ƒe Nukpɔkpɔ ƒe Kpeɖodzi Dodokpɔ¶
- Tsɔ Wò Ŋku Bubu (si Mekpɔ Ŋusẽ Le O) Kple Wò Asibidɛ: Kpɔ ŋku si ŋu dɔlélea le ko le gli gaƒoɖokui si le didiƒe alo xɔa ƒe go kemɛ dzi, eye emegbe nàlé ŋku ɖe nuŋɔŋlɔ nyuiwo ŋu le aŋetu si didi sentimeta 30 (inch 12) dzi.
- Ne èkpɔa nu kpuie (myopic, e.g., -3.00 D prescription) eye didiƒe nuŋɔŋlɔwo me mekɔ kura o esime nuŋɔŋlɔ siwo le kpuie xexlẽ le sentimeta 15 va ɖo 25 (inch 6 va ɖo 10) me le ɖaɖɛ abe kristalo ene la, wò ŋkumeɖonu la menye titina le wò ŋkume ƒe ŋkume o.
- Gake ne ŋkumeɖonu aɖe ku ɖe wò ŋkume ƒe titina (si dzɔna enuenu ne ame aɖe ŋlɔ be be yede ŋkumeɖonu xoxo alo ŋlɔ be be yeaɖee ɖa) la, wò ŋkumekpɔkpɔ to ŋku ma dzi asɔ kple wò atike si nèŋlɔ si nèɖɔ ɖo (negbe ɖe nètsɔ ŋkumeɖonu eve ƒo ƒu ɖe wo nɔewo dzi le manyamanya me, si naa ŋusẽ si nèŋlɔ na wò la dzina ɖe edzi zi gbɔ zi eve).
- Klẽ Penlight alo Smartphone Flashlight le 45-Degree Side Angle Le Wò Ŋku Dzi le Ahuhɔ̃e Me:
- Mègaklẽ kekelia ɖe wò ŋkume tẽ o. Do akaɖia ɖe wò to gbɔ eye nàklẽ keklẽa ɖe axadzi le wò ŋku ƒe domedome esime nèle ahuhɔ̃e si lolona me kpɔm.
- Kpɔ lãkusi ɣia ɖa milimeta 1 va ɖo 2 le ŋkume ƒe ŋkume ƒe asigɛ si le amadede me godo: ne ŋkumeɖonu falɛfalɛ aɖe bɔbɔ nɔ wò ŋkume ƒe titina la, kekeli si le axadzi la atsɔ vɔvɔli ƒe fli si le gotagome si to vovo, si me mekɔ o la aƒo xlã ŋkumeɖoboloa ƒe gota gome le ŋkumeɖonu ɣia dzi.
- Ne mèkpɔ gotagome asigɛ ma si me kɔ o le lãkusi ɣia dzi o la, mègaƒo wò ŋku ƒe titina o, elabena nusi kpɔm nèle enye wò ŋkume ƒe ŋkumeʋuʋu si le ƒuƒlu, si me kɔ.
--- .
Akpa 3: Afɔɖeɖe ɖesiaɖe ɖeɖeɖa mɔnuwo na "stuck lens" nɔnɔme ɖesiaɖe¶
Tia dɔdamɔnu si tututu le ete si sɔ kple afisi wò ŋkumeɖonu le kple ŋkumeɖonu ƒomevi si nèdo.
4 contact lens entrapment scenarios kple dedie asiɖeɖe le mɔnuwo tsɔtsɔ sɔ kple wo nɔewo¶
| Mɔ̃ɖeɖe ƒe Nɔnɔme | Nusita Wòdzɔ | Nusi MELE Be Mawɔ GBEÐE O | Mɔnu si Wotsɔ Ðea Asi Le Dedie Ŋu Tutu |
|---|---|---|---|
| 1. Soft Lens Centered on the Cornea, Dried & Stuck Tight (Zi geɖe Le Alɔ̃dɔdɔ alo Alɔ̃dɔdɔ vɔ megbe) | Aɖatsi ƒe film la ƒu le nutsyɔnu siwo wotu te, si na tsi vɔ le hydrogel polymer la me, eɖiɖi vie le base-curve radius me, eye wòtre nu ɖe ŋkume ƒe lãkusi ŋu. | Mègaɖe ŋkumeɖonu falɛfalɛ ƒuƒu si meʋãna o ɖa alo aɖee ɖa le ŋkume ƒe ŋkume ƒe ŋkume ŋu gbeɖe o. Ne èɖe ŋkumeɖonu si me tsi mele o la ɖa le ŋkume ƒe lãmenugbagbevi gbagbe siwo le etame la ɖa abe ŋkume ƒe lãkusi si le ŋdɔkutsu ɖum la ƒe akpa si le etame ene. | 1. De dze si me dɔlékui mele o ƒe tsitete 8 va ɖo 10 alo tsi si wotsɔ gbugbɔa tsi ƒoa tsii ɖe lãme. 2. Do ŋku eye nàtsɔe asisi ɖe nutsyɔnu la dzi blewuu hena miniti 2 vaseɖe esime tsi nagaɖo ŋkumeɖonua me. 3. Dodokpɔ ƒe ʋuʋu: tu ŋkume ƒe liƒo si le ete la yi dzi ɖe ŋkumeɖonu la ƒe go si le ete ŋu. Ne enya ƒu du faa milimeta 2 ko la, kpɔ dziƒo, tsɔ ŋkumeɖonua ƒu gbe ɖe anyi ɖe lãkusi ɣia dzi, eye nàƒoe blewu. |
| 2. Lens Falɛfalɛ Si Wobla Ðe Afã Kɔkɔme Le Ŋku ƒe Tame Te (Le Superior Fornix Me) | Ŋkua tutu alo ŋkumeʋuʋu ɖe ŋkumeɖonu ƒuƒu dzi nana be etame ƒe nugbɔ léa ŋkume ƒe akpa si le etame, eye wòblaa ŋkua ɖe afã me (nugbɔwo léna ɖe wo nɔewo ŋu) eye wòdoa sɔ yia dzi yia kotoku si le etame si ƒe didime nye milimeta 10 la me. | Mègaku asibidɛ ŋkuagbãtɔwo yi dzi le wò ŋkume te gbeɖe o. Màte ŋu atsɔ asibidɛwo aɖo fornix si ƒe didime nye milimeta 10 la tame ne mètsɔ asibidɛwo ƒo xlãe o. | 1. Tsɔ dze si me dɔlékui mele o ƒo ŋkua ale be hydrogel ƒe go siwo woxatsa la naɖe wo nɔewo ɖa. 2. Kpɔ dzɔdzɔe yi anyime esime nèle etame nutsyɔnu hem ɖa le anyigba ƒe gogloƒea ŋu. 3. Ne etsi dzi la, wɔ Single-Step Upper Eyelid Eversion over a Cotton Swab (si ŋu woƒo nu tsoe tsitotsito le ete) be nàɖe ŋkumeɖonu si woxatsa la ɖe go eye nàtsɔ tsi si wotsɔ ƒoe atutui. |
| 3. Lens Falɛfalɛ Si Wovuvu / Si Wovuvu Kple Kakɛ aɖe Si Susɔ Ðe Ŋkua Me | Asibidɛ ƒe ɖaƒoƒo, dry case pinch, alo rubbing vuvu hydrogel lens la wòzu kakɛ eve alo esi wu nenema siwo me ʋuʋudedi le; kakɛ ɖeka do ɖe wò asibidɛ dzi esime kakɛ susɔea ƒe nugbɔ ɖaɖɛ si vuvu la le ʋuʋum le nutsyɔnu la te. | Mègatsɔ kakɛ si do la ƒu gbe gbeɖe o. Èhiã akpa ma be nàɖo kpe edzi ne wogakpɔ lens la ƒe 100%. | 1. Da kakɛ si wofɔ la ɖe dzetsi me ɖe kplɔ̃ doviviti aɖe dzi be nàkpɔ alesi gbegbe bu. 2. bɔbɔ ɖe agba dzi eye nàtsɔ dze si me dɔlékui mele o aklɔ ŋku si le ʋuʋu ɖi la ɖaa esime nèle wò ŋku ʋuʋum le gotagome bliboe. 3. Ne kakɛ si me kɔ la le tsia dzi ɖe ƒunukpeƒe ɣia dzi la, tsɔ kotoku si me wode dzee alo mo ƒe lãkusi ƒe dzogoe si woxatsa ka asi eŋu vie (capillary action lifts it right off). |
| 4. Rigid Gas-Permeable (RGP / Hard) alo Scleral Lens Si Womi Yi Ŋkume alo Sclera | RGP ƒe ŋkumeɖonu sesẽwo meblana o; ke boŋ woƒua du tso ŋkume ƒe ʋuƒo si le gbadzaa la dzi yia ŋkume ƒe ʋuʋudedi ɣi si le gbadzaa wu (afisi woƒe gogloƒe si le sesẽm wu la wɔa dɔ abe plunger suction kplu ene) alo wotrea wo nu sesĩe ɖe aɖatsi ƒuƒu aɖe dzi. | Mègatsɔ asibidɛ atutu RGP ƒe ŋkumekpɔnu si wono la to ŋkume ƒe ŋkume alo atsɔe aƒu gbe ɖe ŋkume ƒe ŋkumeʋuʋu dzi gbeɖe o. Lens sesẽ ƒe nugbɔ sesẽ ɖaɖɛa wɔa dɔ abe lãgbalẽŋudɔwɔnu ene ne wohee to ŋkume ƒe domedome esime wole vacuum mimi te. | 1. De amisisi ƒe tsiwo ɖe lãme eye nàdi disk si me kɔ la le ƒunukpeƒe ɣia dzi. 2. Da wò asibidɛ ƒe nugbɔ ɖe wò ŋkume ƒe gota ŋutigbalẽ dzi le ŋkumeɖonu sesẽa ƒe gota gome tututu. 3. Mia wò ŋkume blewuu yi ememe yi ɖe ŋkumeɖonu ɣia si le ŋkumekpɔnu ƒe alɔnu godo tututu be nàge ɖe ŋkumeɖoboloa me vie, nàna ya ƒe kuɖɔ aɖe nadze le ŋkumeɖonua ƒe go te be wòagbã vacuum seal la. Alo zã DMV rababa suction plunger si me dɔlékui mele o si wotsɔ de lens la ƒe go gbɔ. |
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Ðoɖowɔɖi Tsitotsito 1: Tsi gbugbɔgatsɔ na ŋkumeɖonu falɛfalɛ si lé ɖe wò ŋku titina eye nànɔ tsia dzi¶
Ne ènyɔ le ŋkumeɖonu falɛfalɛwo me mlɔ anyi vɔ megbe (alo ne èwɔ dɔ gaƒoƒo geɖe le yaƒoƒomɔ̃ ƒuƒu alo yameʋu me ya me vɔ megbe) la, tsi si le hydrogel ŋkumeɖonua me ƒe alafa memama 15 meganɔa eme o eye wòwɔa ɖeka kple ŋkume ƒe ŋkume ƒe ŋkumeʋuʋu nyuie. 1. De Dzetsi si Yia Edzi: Klɔ ta ɖe megbe tẽe nàdze ŋgɔ dzisasrãa. He wò ŋkume ƒe akpa si le ete la yi anyime be nàwɔ tsigo sue aɖe eye nàmimi ** ŋkumeɖonu si me dɔlékui mele o si gbugbɔa tsi le ŋkume, aɖatsi wɔwɔe siwo me atike aɖeke mele o, alo dze si me dɔlékui mele o** ɖe ŋkumeɖonua dzi tẽ. 2. Tsɔe eye nàʋuʋu blewu hena Sɛkɛnd 90 va ɖo 120: Mègatsɔ asibidɛwo aɖo eme enumake o. Hydrogel plastic hiã aɖabaƒoƒo 1 va ɖo 3 blibo ƒe tsidedee be wòaxɔ tsi atrɔ ayi eƒe cross-linked polymer matrix me eye wòaɖe eƒe goglome dzi akpɔtɔ. Esi wò ŋku tu la, da asibidɛ dzadzɛ ɖeka ƒe aŋekotoku gbadzaa ɖe wò ŋkume ƒe akpa si le etame si wotu la dzi eye nàwɔ asisisi suesuesue siwo le gotagome fafɛ (mègazi ŋkua ƒe akpa si le anyime o). 3. Wɔ "Push-Test" Hafi Pinching: Ʋu wò ŋku le ahuhɔ̃e ŋgɔ. Da asibidɛ ɖeka ɖe wò ŋku ƒe akpa si le ete ƒe ŋutigbalẽ dzi le ɖa ƒe fli tututu eye nàtu nutsyɔnu si le ete ƒe axadzi blewuu yi dzi ɖe ŋkumeɖonu la ƒe go si le ete ŋu. - Ne lens la meʋã kura o: Dzudzɔ enumake elabena tsi gakpɔtɔ le eme. Tsɔ saline si me dɔlékui mele o ƒe tsitete 6 bubu kpe ɖe eŋu, miã ŋku, eye nàlala miniti 2 bubu. - Ne lens la ƒo vie eye wòƒu du milimeta 2 va ɖo 3 yi dzi: Suction seal la gbã. 4. Slide to the White Sclera to Remove: Kpɔ dziƒo vie ɖo ta dzisasrãa gbɔ (alo nàɖo ta wò ŋɔti gbɔ), zã wò asibidɛ si wotsɔ fiaa nu ƒuƒui la nàtsɔ aɖe ŋkumeɖonu si xɔ dzo la ɖa le ŋkume ƒe ŋkumeʋuʋu si sea nu gɔme la dzi ayi ŋkua ƒe ɣie (sclera) (afisi ŋkua ƒe ʋuʋudedi le gbadzaa wu eye ŋkumeɖonua le eɖokui si le ʋuʋum vie), eye nàƒoe blewuu le ŋkumeɖonu si le gbadzaa la dome wò asibidɛ gã kple asibidɛ si wotsɔ fiaa nu (mègatsɔ wò asibidɛwo gbeɖe o).
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Ðoɖowɔɖi 2 lia si me nyawo de to: Didi kple eɖeɖe le ŋkumeɖonu falɛfalɛ si woxatsa si xaxa ɖe ŋkume ƒe akpa si le etame te ŋu¶
Woblaa ŋkumekpɔnu siwo "bu" ƒe alafa memama 80 kple edzivɔ ɖe afã me abe ɣleti afã ƒe taco-kplu ene eye wotsɔa wo ɣlana ɖe superior conjunctival fornix (le ŋkume ƒe akpa si le etame te, le tarsal plate si le abe ƒunukpeƒe sesẽ ene la tame) la me.
Afɔɖeɖe A: Downward-Gaze Lid-Lift kple Nasal Sweep (Ewɔa dɔ le 75% le upper-lid cases me)¶
- Trɔ wò ta ɖe megbe eye nàtsɔ dze si me dɔlékui mele o alo ŋkumeɖonu ƒe tsi si wozãna na dɔ vovovowo ade ŋkua me. Nu ka ta? Ne ŋkumeɖonu falɛfalɛ aɖe ƒo ɖe afã me le wò nutsyɔnu te la, polymer ƒe afã ƒuƒu eveawo léna ɖe wo nɔewo ŋu abe aŋe ene. Ne dze yɔ kotokua me la, enaa ŋkumeɖonu si woxatsa la gaʋuna ake, si wɔnɛ be eƒe akpa si le edzi zi gbɔ zi eve ale be ŋkumeʋuʋua ƒoae doa goe.
- Tsɔ Ŋku ƒe Tame eye nàhe Etame Nutsyɔnu la ayi gota Adzo le Ŋkuʋuʋu gbɔ: Ne èle ahuhɔ̃e me kpɔm la, lé wò ŋkume ƒe ŋkume ƒe ɖa blewu le asibidɛ kple asibidɛ dome, he ŋkume ƒe etame yi ŋgɔ (adzo le wò ŋkume) milimeta 3, eye esi nèle nutsyɔnu la lém ɖe gota, kpɔe ɖa tẽe yi anyime ɖo ta wò asike/afɔkpa abe alesi wò ŋku ate ŋu atrɔe.
- Nusita Esia Wɔa Dɔ Le Mɔ̃ɖaŋununya Me: Ne wò ŋkumeʋuʋu trɔ yi anyime la, ŋkume ƒe akpa si le etame la ʋuʋuna yia anyi tso fornix kotoku si le etame la me esime ŋkumeɖonu si wodo ɖe dzi la nana nuheŋusẽ kple dze klɔa ŋkumeɖonu si womebla o la yia anyime ɖe wò ŋku ƒe ɣi si wokpɔna la dzi.
- Ŋku si Wotu ƒe Gome-yi-Ememe Klɔƒe: Ne ŋkumeɖonu la gakpɔtɔ le kɔkɔƒe la, yi edzi nànɔ ŋku lém ɖe anyigba, do wò ŋkume blewu, da wò asibidɛ si fia wò ŋkume ƒe gota gome (gbedoxɔa ƒe akpa) si le wò ŋkume ƒe etame si wotu la le ŋkumeƒu si wotu la te tututu, eye nàtsɔe aƒoe nyuie ayi ememe ɖo ta wò ŋɔti ƒe dzogoe ememetɔ (medial canthus). Gbugbɔ wɔe zi 4 va ɖo 5; lens la ado enuenu abe tsilindo sue aɖe si woxatsa ene le wò ŋku ƒe dzogoe pink ememetɔ (lacrimal caruncle) tututu.
Afɔɖeɖe B: Alesi nàtrɔ wò ŋkume ƒe akpa si le etame ɖe kotoku dzi (Upper Eyelid Eversion) .¶
Ne ŋkumeɖonu si woxatsa alo kakɛ si vuvu la lé ɖe wò ŋkume ƒe akpa si le ete si xɔ dzo (tarsal conjunctiva) ŋu la, ŋkume ƒe akpa si le etame ʋuʋu yi eme yi gota (nutre nutsyɔnu la) ana kotoku ɣaɣla la nadze le sɛkɛnd 5 me eye vevesese aɖeke mele eŋu o. Ŋkudɔdalawo wɔa afɔɖeɖe sia le ŋkudodokpɔ ɖesiaɖe si wowɔna edziedzi me.
[ HOW TO FLIP (EVERT) THE UPPER EYELID WITH A COTTON SWAB ]
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1. Look straight DOWN at the floor (keep looking down the whole time)
2. Place a cotton swab horizontally across the upper eyelid crease (1 cm above lashes)
3. Grasp upper eyelashes with the other hand, pull OUT and fold UP over the swab
- Tsi tre ɖe ahuhɔ̃e si me kekeli le nyuie ŋgɔ eye nàlé kotoku dzadzɛ (Q-tip) (alo nuŋlɔti ƒe ʋuƒo dzadzɛ si le gbadzaa) ɖe asi si ɖu dzi la me.
- Kpɔ anyigba tẽ kple ŋku eveawo eye nàtsi tre ɖe didi be yeafɔ mo dzi alo amimi wò ŋkumeʋuʋu ŋu le nyanya me, elabena ŋkuléle ɖe anyigba ŋu naa levator palpebrae lãmekaa ɖea dzi ɖi ale be ŋkumeʋuʋua trɔna agbagbadzedze aɖeke manɔmee.
- Tsɔ wò asibidɛ gã kple asibidɛ si meɖua dzi o la ƒo ŋkume ƒe akpa si le titina la blewuu eye nàhe ŋkume ƒe akpa si le etame la vie yi anyime kple gota ɖa tso ŋkumeʋuʋua gbɔ.
- Da kotokua ƒe nugbɔ le tsia dzi le wò ŋkume ƒe akpa si le etame ƒe gota ŋutigbalẽ dzi le dzɔdzɔme ŋkume ƒe ʋuʋudedi me tututu (anɔ abe sentimeta 1 / inch 0.4 le ɖa ƒe fli la tame, si nye tarsal plate sesẽa ƒe tame).
- Mia kotoklobo la ɖe anyi bɔbɔe ŋutɔ ɖe fli ma ŋu abe hinge fulcrum ene esime nèle ŋkumeɖoboloawo kɔm yi dzi eye nèle nutsyɔnu la ƒom ɖe megbe le kotoklobo la dzi ɖo ta wò ŋkume.
- Ðe kotokua ɖa esime nètsɔ asibidɛ ɖeka lé ŋkume ƒe ɖa blewu ɖe wò ŋgonu si le etame ŋu (eye nèyi edzi le ŋku lém ɖe anyigba). Fifia wò ŋkume ƒe akpa si le etame ƒe akpa si le eme si le pink la dze keŋkeŋ le ahuhɔ̃ea me, eye wò ŋkumeɖonu si woxatsa alo kakɛ si vuvu la anɔ anyi ɖe teƒe si woate ŋu akpɔe nyuie.
- Tsɔ dze si me dɔlékui mele o de tsi kotokua ƒe nuwuwu dzadzɛa eye ka asi eŋu vie ɖe ŋkumeɖonu si woxatsa la ŋu, si alé ɖe kotoku si xɔ dzo la ŋu enumake eye wòakɔe enumake.
- Be nàtrɔ wò ŋkume ƒe akpa si sɔ la, ɖeko nàɖe asi le ŋkumeɖoboloa ŋu, kpɔ DZIƑE tẽe ɖo ta dzisasrãa gbɔ, eye nàɖe ŋku ɖe edzi zi ɖeka; ŋkumeʋuʋua trɔna yia eƒe nɔnɔme si sɔ me le eɖokui si.
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Ðoɖowɔɖi 3 lia si me nyawo de to: Woɖe ŋkumeɖonu ƒe kakɛ si vuvu alo vuvu la ɖa¶
Hydrogel ƒe ŋkumeɖonu falɛfalɛwo vuvuna ɖe afã me ɣeaɖewoɣi ne wole ŋkua me. Esi wònye be hydrogel ƒe dzogoe etɔ̃ si me tsi le si me kɔ si ƒe didime nye milimeta 3 la ƒe keklẽŋusẽ sɔ pɛpɛpɛ kple wò aɖatsiwo ta la, ate ŋu anye nusi womate ŋu akpɔ o kloe le wò ŋku ƒe ɣie ŋu esime wòle ʋuʋum sesĩe si le ɖaɖɛ wɔm le ŋkuʋuʋu ɖesiaɖe me. 1. Gbugbɔ wɔ "Jigsaw Puzzle" la ɖe Doviti Countertop dzi: Mègatsɔ contact lens ƒe akpa si nèhe xoxo la ƒu gbe gbeɖe o. Da kakɛ ma si gaxɔ la ɖe dzetsi aɖe me ɖe kplɔ̃ doviviti aɖe alo wò asibidɛ ƒe nugbɔ ale be wòaʋu gbadzaa. Kpɔ eƒe nɔnɔmetata ɖa: ɖe dzinu sue aɖe si le abe dzinuvi ene bu le eƒe go ɖeka dzia, alo ɖe ŋkumeɖonua ma 50/50 yi titinaa? Ne ènya ɖe kakɛ susɔea ɖa le wò ŋku dzi ko la, tsɔ kakɛ eveawo da ɖe wo nɔewo xa be nàɖo kpe edzi be wobu akɔnta le ŋkumeɖonua ƒe alafa memama 100 ŋu (eyata nànya be kakɛ etɔ̃lia aɖeke megali o). 2. The Eyecup / Bowl Immersion Blink Flush: Ne mète ŋu kpɔ kakɛ si me kɔ o la, tsɔ sterile 0.9% saline solution (alo sterile multipurpose contact lens rinsing solution, mègatsɔ pɔmpi tsi gbeɖe o) yɔ shot glass dzadzɛ, eyecup si me dɔlékui mele o, alo agba sue aɖe me vaseɖe eƒe gogloƒe. Tsɔ wò mo bɔbɔ ɖe anyi, nyrɔ wò ŋku si le ʋuʋu ɖi la ɖe dzetsi si me dɔlékui mele o la me tẽ, eye aɖe ŋku kabakaba zi 10 esime nèle wò ŋku ʋuʋum ɖe miame, ɖusime, dzi, kple anyime. Hydrogel kakɛ si le ʋeʋẽm la nyɔnyrɔ tso ŋkua me ayi ɖe glass alo agbaa gɔme. 3. The Wet Cotton-Swab alo Tissue Capillary Touch: Ne ènya kpɔ kakɛ si vuvu la ƒe go si me kɔ la wòtsi ɖe ŋkume ɣia dzi (alo le ŋkume ƒe akpa si le ete la me ko), mègadze agbagba be yeatsɔ asibidɛ eve siwo me mekɔ o aƒo kakɛ sue aɖe si vuvu la o. Ke boŋ, trɔ mo ƒe lãkusi dzadzɛ si me lãgbalẽ mele o ƒe dzogoe wòazu teƒe falɛfalɛ (alo zã kotoklobo si wotsɔ dze ɖeka ƒo tsii) eye ka asi eƒe nugbɔ ŋu tẽ ɖe kakɛ si le ŋkua ƒe ɣie dzi (mègaka asi titina ŋkume ƒe ŋkume ŋu gbeɖe o). Ʋukawo ƒe hehe nana be hydrogel kakɛ tsɛa léna ɖe lãkusi alo kotokua ŋu enumake.
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Akpa 4: Atikewɔwɔ me vovototodedeameme le ŋkumeɖonu ɖeɖeɖa vɔ megbe (Corneal abrasion vs. infectious ulcer) .¶
Ne èɖe ŋkumeɖonu sesẽ aɖe vɔ la, ɣesiaɣi kloe la, wò ŋku adze pink vie (conjunctival hyperemia) eye wòado dziku vie le mɔ̃a ƒe asitɔtrɔ kple dze si wotsɔ klɔe ta. Aleke nèdea vovototo dzikudodo si sɔ le eɖeɖe vɔ megbe kple atikewɔwɔ kpata dome?
1. Gaƒoƒo 2 ƒe Sea kple "Gblẽ Kadodowo Gbɔ" ƒe Sedede¶
- Tsɔ ŋkumekpɔnu si woɖe ɖa la ƒu gbe Enumake: Ne ŋkumeɖonu falɛfalɛ aɖe do le akpa ɖeka le esi woxatsae ɖe wò ŋkume te gaƒoƒo geɖe vɔ megbe hã la, eƒe polymer ƒe anyime la, nusuekpɔmɔ̃ ƒe ʋuʋudediwo, eƒe goawo ƒe aɖatsiwo, kple protein siwo le eme la le eŋu fifia. Tsɔe ƒu gbe eye nàʋu ʋuʋudedi yeye aɖe ne wò ŋkua haya vɔ ko.
- Na Oxygen Gaƒoƒo 24 na Wò Ŋkume: Mègatsɔ ŋkumeɖonu yeye ade ŋkumeɖobolo yeyee mega ne èle gbagba dzem be yeaɖe ŋkumeɖonu si tsi alo vuvu la ɖa vɔ teti o. Ne wò asibidɛwo alo ŋkumeɖonu ƒuƒu la na ŋkume ƒe ŋkume ƒe ʋuʋudedi sue aɖe la, ŋkumeɖonu yeye aɖe ƒoƒo ɖe ƒoƒoa dzi léa dɔlékuiwo (Pseudomonas aeuginosa* alo Staphylococcus) ɖe ŋkume ƒe mɔxenu si gbã la ŋu tẽ le ŋkume ƒe ŋkumeɖonu si me dzoxɔxɔ le si me oxygen mesɔ gbɔ ɖo o me. Do wò ŋkumeɖobolo gaƒoƒo 24 ya teti.
2. Aflaga dzĩ ƒe dzesi siwo hiã be woawɔ ŋkudɔdala, ŋkudɔdala, alo beléle kpata ƒe dodokpɔ ŋkeke ɖeka¶
Di ŋkudodokpɔ eŋutinunyala (zã slit-lamp biomicroscope kple fluorescein dye stain) egbea ne èto nusiwo gbɔna dometɔ aɖe me: 1. Duta-ŋutilã ƒe Seselelãme alo Vevesese si Medzudzɔna o si nɔa anyi wu Gaƒoƒo 2 va ɖo 3 le eɖeɖe vɔ megbe: Ne mète ŋu ɖo kpe edzi kokoko nenye be kakɛ aɖe gakpɔtɔ le wò ŋku me o, alo ne vevesese sesẽ si le ʋuʋum la gakpɔtɔ li wu gaƒoƒo 2 le ŋkumeɖonua ɖeɖe ɖa kple wò ŋku si wotu la ɖeɖe vɔ megbe la, ŋkudɔdala alo ɖɔkta si kpɔa nudzɔdzɔ kpatawo gbɔ ate ŋu aƒã ɣi si me vevesese mele o la ɖe eme fluorescein dye eye nàklẽ kekeli si ƒe amadede nye cobalt-blɔ ɖe wò ŋku me. Lens ƒe kakɛ ɖesiaɖe si me kɔ si woɣla klẽna neon green si klẽna enumake le cobalt-blue kekeli te, eye ŋkume ƒe ŋkume ƒe ʋuʋu ɖesiaɖe dzena nyuie ale be woate ŋu aŋlɔ dɔlékuiwutikewo na ame. 2. Fotovɔvɔ̃ (Vevesese Ne Wole Xɔme Kekeli alo Ɣe ƒe Kekeli Si Sɔ Kpɔm): Kekeli ƒe seselelãme si le gbegblẽm ɖe edzi si kpe ɖe ŋkume ƒe ʋuʋu le lɔlɔ̃nu faa me (blepharospasm) kple tsi ƒe vuvu ɣesiaɣi fia be ŋkume ƒe lãkusi ƒe abi gã aɖe alo ŋkume ƒe ʋuʋu kaba. 3. Yevu alo Gray Pinpoint Spot le Amadede Iris/Cornea alo Yellow-Green Discharge: Kpɔ dome si me kɔ le wò amadede iris dzi le ahuhɔ̃e me nyuie: ne èkpɔ fiã, ɣi, alo alilikpo pinpoint dot aɖe le ŋkume ƒe ŋkume (a corneal infiltrate alo ulcer), alo mucopurulent tsi si le ɣie la, yi ŋkudɔdaƒe kpata alo dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ enumake. Pseudomonas corneal ulcers si do ƒome kple ŋkumekpɔmɔ̃ ate ŋu ayi ŋgɔ kabakaba le gaƒoƒo 24 me eye wòahiã be woatsɔ fluoroquinolone dɔlékuiwutike si ŋu wodo ŋusẽe si woŋlɔ na ŋkume na ame.
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Nutome ƒe xexlẽdzesi siwo ku ɖe nudzɔdzɔ kpatawo ŋu kple dɔwɔƒea ƒe ɖoɖowo¶
| Dukɔ / Nutome | Atikewɔwɔ Kpata / Ŋku ƒe Nuveviwɔame Dɔdɔ | Kpata Non-Fatal Ŋku Triage & Aɖaŋuɖoɖo Line | Atikewɔnuwo & Contact Lens Dzikpɔƒe |
|---|---|---|---|
| United States | 911 (alo Kɔdzi Kpata Dɔwɔƒe si te ɖe ŋuwò / Ŋku ER) | Nutoa me Ŋkudɔdala / Ŋkudɔdala On-Call Service alo Dɔnɔdzikpɔlawo ƒe Triage Line | U.S. Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe (FDA Dɔwɔƒe si Kpɔa Mɔ̃wo Kple Kekeliŋutinunya ƒe Lãmesẽnyawo Gbɔ) & CDC |
| Canada | 911 (Atikewɔwɔ Kpata ƒe Dɔwɔƒe) | 811 (Nutome Lãmesẽnyawo Gbɔkpɔha / Telehealth Dɔnɔdzikpɔlawo ƒe Vovototo) | Lãmesẽ Canada Atikewɔnuwo Dzikpɔƒe |
| Fiaɖuƒe Dukɔ Ƒoƒuawo | 999 alo 112 (Afɔku Sesẽ) . | NHS 111 (Eɖoe ɖe nutoa me Ŋkudɔléle Suewo ƒe Dɔwɔƒe [MECS] / Ŋkudɔdaƒe Kpata) | Atikewo kple Lãmesẽnyawo Gbɔkpɔha (MHRA) & Ŋkudɔdalawo ƒe Kɔledzi |
| Europa Dukɔwo ƒe Ðekawɔha | 112 (Europatɔwo ƒe Xexlẽdzesi Kpata) | 116 117 (Atikewɔwɔ ƒe Dɔwɔƒe si Menye Kpata o le DE, FR, AT, IT) | Europa ƒe Atikewɔwɔ Dɔwɔƒe (EMA) / Dukɔa ƒe Dɔwɔƒe si Kpɔa Dɔwɔnyawo Gbɔ (MDR 2017/745) |
| Australia & New Zealand | 000 (Australia) / 111 (New Zealand) ƒe ɣleti gbãtɔ me. | 1800 022 222 (Lãmesẽnyawo Gbɔkpɔha le Australia) / 0800 611 116 (Lãmesẽnyawo Gbɔkpɔha NZ) | Atikewɔwɔ ƒe Adzɔnuwo Dzikpɔƒe (TGA, Australia) / Medsafe (NZ) |
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Nya siwo wobiaa amewo enuenu¶
Ðe ŋkumeɖonu ate ŋu age ɖe nye ŋkume ƒe megbe age ɖe nye ta me gbeɖe oa?¶
Ao, manya wɔ le ŋutilã ƒe wɔwɔme gome 100 le alafa me o. Lãmetsi pink si xɔ dzo si le wò ŋkume ƒe akpa si le eme (asi ƒe ŋkume) la ƒoa xlã wò le wò ŋkume ƒe goglome si ade milimeta 8 va ɖo 10 (si mede sentimeta afã o) te eye wòléna ɖe wò ŋkume ƒe akpa ɣi (bulbar conjunctiva) ŋu ɣesiaɣi. Esia wɔa kotoku si le gota si wotu keŋkeŋ, si ƒe nuwuwu ŋkuagbãtɔe si woyɔna be **conjunctival fornix**. Naneke mele wò ŋku ƒe ŋgɔgbekpa dzi o, eɖanye ŋkumeɖonu falɛfalɛ, RGP ŋkumeɖonu sesẽ, ŋkumeɖonu, alo ŋkumeɖonu ƒe kakɛ si vuvu o, mate ŋu ato lãmenugbagbeviwo ƒe gli ma si wotu nu ɖo me gbeɖe be wòage ɖe wò ŋku ƒe anyigba ƒe gogloƒe megbe o.
Aleke mawɔ anya ne ŋkumeɖonu la gakpɔtɔ le nye ŋku me alo ne ege do go eye ɖeko meƒo nye ŋkume ƒe ŋkume?¶
Gbã la, tsyɔ wò ŋku evelia dzi eye nàdo wò nukpɔkpɔ kpɔ le didiƒe kple didiƒe siaa be nàkpɔe ɖa be wò atike si nèŋlɔ na wò ɖɔɖɔɖoa gakpɔtɔ bɔbɔ nɔ wò ŋkume ƒe ŋkume hã. Evelia, klẽ akaɖi si le axadzi le dzidzenu 45 me le wò ŋku dzi esime nèle ŋku lém ɖe ŋkume ɣi si didi milimeta 1 va ɖo 2 pɛ ko le wò ŋkume ƒe ŋkume si le amadede me godo ŋu nyuie le ahuhɔ̃e me: ne ŋkumeɖonu falɛfalɛ aɖe le wò ŋkume ƒe ŋkume ƒe ŋkume la, àkpɔ eƒe gotagome gota gome si le gota si me kɔ o. Ne mèkpɔ gotagome ʋuƒo ma le ŋkua ƒe ɣie o la, **dzudzɔ wò ŋku ƒe titina ƒoƒo enumake**. Nusuekpɔmɔ̃ ƒe ŋkume ƒe ʋuʋu senɛ le eɖokui me be esɔ kple ŋkume ƒe ŋkumekpɔnu si tsi ("phantom lens sensation"), eye wò ŋkume ƒe ʋuʋu ƒuƒlu ƒoƒo nana be lãkusi ƒe ʋuʋudedi sesẽwo.
Ke ne contact lens solution alo rewetting drops mele asinye o eye nye lens la tsi ɖe?¶
Ne èle adzɔge tso aƒeme eye mègatsɔ ŋkumeɖonu ƒe tsi si me dɔlékui mele o, tsi si wotsɔ gbugbɔa tsi ƒua gbe, alo aɖatsi wɔwɔe si me nusiwo gblẽa nu le ame ŋu mele o la, **mègatsɔ pɔmpi me tsi, tsinono si le aŋetu me, alo aɖuɖɔ de wò ŋku me o**. Ke boŋ mia ŋku eveawo eye nàna wò dzɔdzɔme aɖatsi siwo me woɖea nu le la naƒo ƒu aɖabaƒoƒo 3 va ɖo 5 (nɔnɔme yi anyime eye nàtutu wò ŋkume ƒe akpa si le etame si wotu la blewuu tso gota gome ayi wò ŋɔti gbɔ be wòana aɖatsi natso), alo nàzɔ ayi atikedzraƒe ɖesiaɖe si te ɖe ŋuwò, nuɖuɖudzraƒe, alo fiase si me wodzraa nu tsɛwo le me aɖaƒle dzetsi alo ŋkumeɖonu siwo me dɔlékui mele o ƒe aɖa ɖeka ɖe dɔlar ʋɛ aɖewo nu.
Nye ŋkumeɖonu sesẽ si me gas-to (RGP / sesẽ) la ƒu du ɖe nye ŋku ƒe ɣie dzi eye womie sesĩe: aleke mawɔ aɖee ɖa?¶
Esi wònye be ŋkua ƒe ɣie (slera) ƒe goglome le gbadzaa wu titina ŋkume ƒe ŋkumeʋuʋu si le gbadzaa ta la, RGP ŋkumekpɔnu sesẽ aɖe si ƒua du ɖe ŋkume ƒe ŋkumeʋuʋua dzi wɔa dɔ abe kplu sue aɖe si wotsɔ noa nu ene. **Mègalé ŋkumeɖonu sesẽ si womi la tẽe alo ahee ɖe wò ŋku dzi tẽ o.** Gbã la, tsɔ amisisiwo ƒo ŋkua ɖe ŋkua dzi. Eyome, kpɔ ahuhɔ̃e me be yeakpɔ afisi ŋkumeɖonua le, da wò asibidɛ si wotsɔ fiaa nu dzadzɛa ɖe **wò ŋkume ƒe gota ŋutigbalẽ** dzi le ŋkumeɖonu sesẽa ƒe gota gome tututu, eye nàzi ŋkume ƒe axadzi blewuu **yi ememe yi ɖe ŋkumeɖonu ɣi si le ŋkume ƒe liƒo godo tututu** la me. Ne wotsɔ sclera la de lens la ƒe go kemɛ dzi la, egbãa vacuum seal la ale be ya ƒe kuɖɔ aɖe gena ɖe lens la te, si wɔnɛ be wòte ŋu ƒua tsi faa enumake.
Ðe mate ŋu amlɔ anyi ne nyemete ŋu ɖe ŋkumeɖonu si woxatsa la do goe tso nye ŋkume ƒe akpa si le etame te le zã me oa?¶
Ne wobla ŋkumeɖonu falɛfalɛ aɖe ɖe ŋkume ƒe ŋkumekpɔnu falɛfalɛ aɖe ɖe dzi le ŋkume ƒe fornix kotoku si le etame (si le titina ŋkume ƒe ŋkume ƒe ŋkume) me, wò ŋku mele **veve sesẽ aɖe, ŋku ƒe ŋkumeʋuʋu, alo tsi si me ʋuʋudedi le le eŋu o, eye nètsɔ dze si me dɔlékui mele o yɔe fũ evɔ medze edzi le zãtiƒe o la, ele dedie wu be nàdzudzɔ ŋku ƒoƒo, aƒã ami ɖe wò ŋkume, adɔ alɔ̃, eye nàyi ŋkudɔdala si le nutoa me gbɔ gbã le eme ŋdi me tsɔ wu be nàƒo wò ŋkume ƒe ŋkumeʋuʋu ƒuƒlu le ŋdi ga 2:00 me. Zi geɖe la, aɖatsi dodo le zã ɖeka me kple ŋku ƒe ʋuʋu le REM le ŋkumeʋuʋu si me woɖe dzi ɖi te te wɔa dɔ le dzɔdzɔme nu le ŋkumeɖonu si woxatsa la vaseɖe wò ŋku ƒe dzogoe ememetɔ dzi hafi ŋdi naɖo.
Nukae adzɔ ne meyi ŋkudɔdala alo beléle kpata gbɔ le ŋkumeɖonu si tsi alo vuvu ta?¶
Ne woɖe ŋkumeɖonu si tsi alo vuvu le ŋkudɔdala ƒe dɔwɔƒe alo ŋkudɔdaƒe si kpata la mexɔa aɖabaƒoƒo 2 o eye vevesese aɖeke mele eŋu kura o. Atikewɔla la dea amadede ɣi si me dɔlékui mele o **fluorescein amadede** ɖeka (kple atike si naa alɔ̃dɔdɔ ame ne wò ŋku le veve sem), trɔa wò ŋkume ƒe akpa si le etame blewuu to atike si ƒe nugbɔ le kotoku me zazã me le **slit-lamp biomicroscope** si wodo ɖe ŋgɔ te kple akaɖi si ƒe amadede nye cobalt, tsɔa wet swab alo blunt jewelers’ kɔa ŋkume ƒe ŋkume ƒe akpa dama si le keklẽm la doa goe. forceps, eye wòléa ŋku ɖe wò ŋkume ƒe ŋkume ƒe ŋkume ŋu be yeakpɔe ɖa be mehiã be nàzã dɔlékuiwutikewo o.
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Mɔfiame siwo do ƒome kplii¶
- Super glue si wotsɔna ƒoa ŋkume, nuyiwo, alo ŋutigbalẽ: Acetone vs. oil release
- Aɖuwɔwɔe si womi, fiakuku ƒe gbɔgbɔ, kple ŋkumeɖobolo alo tomemɔ̃ si gbã
- Atike siwo woŋlɔ na ame siwo bu: Atikewo gbugbɔgade kpata kple mɔxexe ɖe atikeawo zazã nu
- Xexeame katã ƒe xexlẽdzesi kpatawo kple dɔnɔdzikpɔʋuwo ɖoɖo ɖa
Note
Kpekpeɖeŋunana gbãtɔ si ŋu woda asi ɖo si wowɔna le asi me tso Atitsoga Dzĩ Habɔbɔ, St John Ambulance, alo nutoa me dɔwɔla aɖe gbɔ la, efia ŋkume tsidede dedie kple alesi woawɔ nu kpata na amedzrowo, atikewo ƒe sisi, kple mo ƒe abixɔxɔ wò.
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Dzɔtsoƒewo kple dziɖuɖumegãwo ƒe mɔfiame¶
- Amerikatɔwo ƒe Ŋkudɔlélewo Ŋuti Nusrɔ̃ƒe (AAO, United States): Dɔwɔƒe ƒe Mɔfiame le Contact Lens Entraption le Superior Conjunctival Fornix me, Ŋku ƒe Ʋuʋudedi ƒe Mɔnu, Kple Mɔxexe Ðe Iatrogenic Corneal Epithelial Abrasions Nu.
- Dɔlélenutsitsi Kple Mɔxexe Ðe Enu Dɔwɔƒe (CDC, United States): Lãmesẽ ƒe ŋkumekpɔnu Dodo Kple Belélename Mɔfiamewo: Acanthamoeba Keratitis Mɔxexe Ðe Dɔléle Nu, Mɔxexe Ðe Pɔmpi Tsi Ŋku ƒe Dɔléle Nu, Kple Nugbagbevi suesuesuewo ƒe Keratitis Red Flags.
- U.S. Food and Drug Administration (FDA, United States): Afɔku Siwo Le Kakaɖedzikpɔmɔ̃ Ŋu, Hydrogel Si Me Tsi Mele O Kple Rigid Gas-Permeable (RGP) Lenswo Ƒe Ðeɖeɖa Dedie, Kple Hydrogen Peroxide Solution Dedienɔnɔ Ŋuti Nuxlɔ̃amewo.
- Ŋkudɔdalawo ƒe Kɔledzi kple Dukɔa ƒe Lãmesẽnyawo Gbɔkpɔha (NHS, United Kingdom): Dɔwɔƒe ƒe Mɔfiamewo na Ŋku ƒe Ʋuʋudedi, ŋkumekpɔnu ƒe Kakɛ siwo Wolé Ðe Asi, Kple Fluorescein Slit-Lamp Dodokpɔ.
- Amerikatɔwo ƒe Ŋkuŋutinunyalawo ƒe Habɔbɔ (AOA, United States): Dɔnɔ si le ŋkumekpɔmɔ̃ dzi kpɔkpɔ: ŋkumekpɔnu falɛfalɛ siwo léna ɖe nu ŋu dzi kpɔkpɔ, ŋkume ƒe ŋkumeʋuʋu ƒe asiɖeɖe le eŋu, kple ŋkume ƒe ŋkume ƒe dodokpɔ le eɖeɖe vɔ megbe.