So w’ani ho ahonhon te sɛ nsu mu akisikuru? Momma yensua Cystoid Macular Edema ho ade!

So woasusuw sɛnea yɛn ani yɛ nwonwa no ho pɛn? Ade ketewaa bi mpo, sɛ yɛfa mu hu wiase no a, ebetumi anya yɛn ani so nkɛntɛnso kɛse? Ɛnnɛ yɛrebɛka tebea a ɛte saa biako a ebetumi aka aniwa no ho asɛm. Ɛno ne Cystoid Macular Edema . Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea edin no yɛ den kakra de, nanso momma yɛnte ase kɛkɛ.

Dɛn ankasa ne Cystoid Macular Edema?

Sɛ yɛbɛka no tiawa a, eyi yɛ ɔfe a ɛba w’aniwa fã a wɔfrɛ no macula . Seesei ebia woresusuw nea macula no yɛ ho. Fa no sɛ w’ani te sɛ mfoninitwa afiri, na retina ne ntini a ɛwɔ aniwa no akyi. Ɛte sɛ sini a ɛwɔ mfoninitwa afiri mu no. Macula yɛ retina no fã ketewaa a ɛyɛ mmerɛw yiye, a ɛwɔ retina no mfinimfini pɛɛ.

Saa macula yi ne nea ɛboa yɛn ma yehu nneɛma pefee na ɛyɛ nnam (mfinimfini anisoadehu) . Sɛ wokenkan nhoma bi a, wutumi hu nkyerɛwde pefee, wutumi hu obi a ɔwɔ akyirikyiri anim, na wubetumi ahu kɔla ahorow mu pɛpɛɛpɛ, na ne nyinaa fi saa macula ketewaa yi. Fa no sɛ, eyi nti na yetumi hu nneɛma pa te sɛ birikisi mmiako mmiako wɔ ɔdan bi mu ne nhaban mmiako mmiako wɔ dua bi so.

Enti, biribi nti, nsu boaboa ano wɔ macula no mu na ɛho ahonhon. Saa ɔfe (edema) yi ba wɔ cystoid kwan so, te sɛ nsu mu akisikuru nketenkete. Ɛno ne nea yɛfrɛ no cystoid macular edema.

Dɛn ne tebea yi ho sɛnkyerɛnne? Yɛbɛyɛ dɛn ate ase?

Asɛmpa no ne sɛ ɛtɔ mmere bi a ebia worennya yare no ho sɛnkyerɛnne biara koraa. Nanso, sɛ woyɛ saa a, ebia wubefi ase ahu nsakrae bi wɔ w’anisoadehu mu. Nhwɛsoɔ:

• Anisoadehu a ɛyɛ kusuu anaasɛ akyinkyim : Ebia nea worehwɛ no mfinimfini bɛyɛ te sɛ nea ɛyɛ kusuu anaasɛ ɛtrɛw, te sɛ nea worehwɛ nsu kuruwa mu.
• Ɛsono kɔla ahorow: Ebia nneɛma bi te sɛ nea ɛyɛ pink, ɛwom mpo sɛ ɛnyɛ saa kɔla no ankasa de.
• Nneɛma a ɛreyɛ tuntum, a ɛresakra ne nsusuwii: Ebia nneɛma a wuhu no bɛyɛ te sɛ nea ɛyɛ sum, emu nna hɔ kɛse, na ebia ne nsusuwii mpo asesa.

Sɛ nhwɛso no, sɛ wobɔ mmɔden sɛ wobɛkenkan atesɛm krataa na mfinimfini nkyerɛwde no mu nna hɔ, anaasɛ wohwɛ TV na mpofirim ara ɛte sɛ nea odiyifo no anim mfinimfini nkutoo ayɛ kusuu a, ebetumi ayɛ tebea yi ho sɛnkyerɛnne.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Nneɛma pii na ɛde cystoid macular edema ba. Wɔn titiriw ne:

• Ɔfe a ɛba bere a wɔayɛ aniwa oprehyɛn akyi:Saa tebea yi betumi aba, titiriw bere a wɔayɛ ani a ɛyɛ mmerɛw oprehyɛn anaa oprehyɛn a wɔde yi ani no fi nipadua no mu akyi. Ɛnam ɔfe ketewaa bi anaa kuru a ɛba aniwa no mu wɔ oprehyɛn akyi.
• Asikreyare : Nnipa a wɔwɔ asikreyare no taa nya aniwa mu haw. Eyi yɛ emu biako.
• Retinal Vein Occlusion: Sɛ mogya ntini bi a ɛwɔ aniwa no mu siw a, saa ɔfe yi nso betumi aba.
• W’ani a ɛyɛ hyew: Eyi nso betumi afi nneɛma afoforo a ɛde ɔfe ba aniwa no mu te sɛ uveitis .
• W’ani a wopira : Sɛ biribi bɔ w’ani na ɛma wupira a, ɛno nso betumi ayɛ nea ɛde ba.
• Nnuru bi mu nsunsuanso bɔne : Nnuru bi, sɛ nhwɛso no, vitamin B3 (Niacin), ne nnuru bi a wɔde sa asikreyare nso betumi ama asiane yi ayɛ kɛse.

Hena na ɔwɔ asiane kɛse mu sɛ obenya saa tebea yi?

Wɔtaa hu saa tebea yi bere a wɔayɛ atiridiinini oprehyɛn akyi. Afei nso, sɛ wowɔ tebea horow a edidi so yi a, ɛda adi sɛ wubenya cystoid macular edema wɔ oprehyɛn akyi:

• Retina Ntini a Ɛsiw (RVO) .
• Uveitis ( aniwa no mu a ɛyɛ hyew) .
• Ntini a ɛwɔ nipadua no mu (macular pucker ) .
• Macular tokuru
• Asikyireyareɛ
• Retinitis pigmentosa (yare a ɛma aniwa no sɛe) .

Afei nso, sɛnea yɛadi kan aka no, nnuru bi betumi aka eyi. Ade foforo ne sɛ, sɛ wowɔ saa tebea yi wɔ aniwa biako mu a, hokwan wɔ hɔ sɛ ɛbɛka aniwa foforo no nso.

Sɛ wɔansa a, nsɛnnennen bɛn na ebetumi aba?

Eyi ne ade a ɛho hia sen biara. Sɛ wɔansa cystoid macular edema no yiye a, aniwa no betumi asɛe nkakrankakra, na awiei koraa no, ɛbɛma aniwa no ayɛ mmerɛw daa anaasɛ aniwa nhu ade yiye. Enti, ɛho hia paa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛ wowɔ sɛnkyerɛnne bi a.

Ɔkwan bɛn so na nnuruyɛfo hu eyi? (Nyare a Wɔahu) .

Ebia w’ani duruyɛfo bɛyɛ nhwehwɛmu biako anaa nea ɛboro saa de ahu sɛ wowɔ saa tebea yi anaa:

• Dilated retinal exam: Wɔde aniwa mu nsu a ɛtrɛw mu, w’aniwa ring tuntum no trɛw, na wɔde ahwehwɛ soronko bi hwehwɛ macula no mu. Afei wobetumi de eyi adi dwuma de ahwɛ sɛ wubetumi ahu akisikuru anaa akisikuru bi anaa.
• Fluorescein angiography: Nea ɛka eyi ho ne sɛ wode aduru soronko bi bɛhyɛ ntini bi a ɛwɔ w’abasa mu mu na wode mfoninitwa afiri soronko bi atwa mogya ntini a ɛwɔ w’ani mu no mfonini. Sɛ nsu bi fi mogya ntini no mu a, eyi nso betumi aboa ma wɔahu mmeae a ɛho ahonhon.
• Optical coherence tomography (OCT): Eyi ne ɔkwan a eye sen biara na wɔde di dwuma kɛse a wɔfa so hu yare yi. Ɛde hann soronko bi twa ntini a ɛwɔ w’aniwa mu no mfonini a ɛyɛ fɛ, a wo retina ka ho, a wontwa mu biara. Ɛte sɛ nea woreyɛ ‘scan’ wɔ w’ani mu.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ayaresa no gyina nea ɛde wo cystoid macular edema no ba so. Enti, ɛho hia sɛ aniwa ho oduruyɛfo kamfo ayaresa a ɛfata ma wo kyerɛ. Ebia wɔde wo bɛkɔ retina ho ɔbenfo nso nkyɛn. Sɛ wosa wo yare a, mpɛn pii no wubetumi asan ahu ade bio.

Akwan pii wɔ hɔ a wɔfa so sa yare:

• Steroidal anaa nonsteroidal anti-inflammatory eye drops: Eyinom yɛ aniwa mu aduru a wɔde tew ɔfe so.
• Nnuru a wɔde twitwiw aniwa mu: Wɔde nnuru gu ade a ɛte sɛ jelly a ɛwɔ aniwa no mu (vitreous) no mu. Nnuru yi mma mogya ntini foforo ntumi nkɔ na ɛntu.
• Nnuru a wɔde ma aniwa mu nhyɛso so tew: Ɛtɔ mmere bi a, nnuru a wɔde tew aniwa mu nhyɛso so betumi aboa ma aniwa a ɛho ahonhon no so atew.
• Laser ayaresa (photocoagulation): Wɔde laser mframa di dwuma de siw mogya a ɛretu mfi ntini no mu no ano.
• Vitrectomy: Oprehyɛn a wɔde yi ade a ɛte sɛ jelly a ɛwɔ aniwa no mu (vitreous) no fi hɔ. Wɔyɛ eyi wɔ nsɛm a emu yɛ den kɛse mu.

So ayaresa no mu nsunsuanso bɔne bi wɔ hɔ?

Sɛnea ɛte wɔ ayaresa biara ho no, asiane anaa nsunsuanso bɔne bi wɔ hɔ a ebetumi aba. Nanso, hokwan ahorow no sua koraa. Nhwɛsoɔ:

• Asiane ketewaa bi wɔ hɔ sɛ mogya bɛtu ne ɔyare mmoawa bere a wɔde aduru no ahyɛ mu no.
• Afei nso, sɛ wɔde nnuru hyɛ aniwa no mu a, ebetumi ayɛ kɔkɔɔ, ayɛ no yaw, anaa ɛho ayɛ hyew. Ebia eyi fi aduru no ankasa anaa aniwa hohoro a wɔde dii dwuma ansa na wɔde aduru no ahyɛ mu no.

Ntɛm ahe na metumi asan akɔ adwuma bere a wɔasa me yare awie no?

Mpɛn pii no, wɔ ayaresa afoforo akyi no, wunni anohyeto kɛse biara. Wubetumi akɔ adwuma ne sukuu sɛnea wotaa yɛ no. Nanso, woSɛ wɔyɛ wo vitrectomy a, ebegye bere kakra ansa na wo ho atɔ wo. Ebia worentumi nkɔ adwuma bɛyɛ dapɛn biako kosi adapɛn abiɛsa.

Dɛn na yebetumi ayɛ na ama asiane a ɛwɔ hɔ sɛ tebea yi bɛba no so atew?

Nneɛma bi wɔ hɔ a, sɛ yɛhwɛ so a, yebetumi atew asiane a ɛwɔ hɔ sɛ yebenya cystoid macular edema no so:

• Di nyarewa a enni sabea te sɛ asikreyare ne mogya mmoroso ho dwuma: Sɛ wowɔ saa nyarewa yi a, ɛho hia yiye sɛ wudi wo duruyɛfo akwankyerɛ akyi, nom wo nnuru no yiye, na wudi ho dwuma.
• Hwɛ w’ani daa: Anyɛ yiye koraa no, kɔ aniwa ho oduruyɛfo nkyɛn pɛnkoro afe biara ma wɔnhwɛ w’ani. Saa kwan yi so no, wobetumi ahu ɔhaw biara ntɛm.
• Gyae sigaretnom: Ɛnyɛ sɛ sigaretnom yɛ bɔne ma w’ani nko, na mmom ɛyɛ wo nipadua nyinaa nso.
• Di aduan a ahoɔden wom: Sɛ wudi nhabannuru, nnuaba, ne nhabannuru pii a, eye ma w’ani yiye.
• Apɔw-mu-teɛteɛ daa: Apɔw-mu-teɛteɛ ye ma w’akwahosan nyinaa, na ɛka w’ani wɔ ɔkwan a ɛnteɛ so.
• Bɔ w’ani ho ban: Sɛ woreyɛ adwuma anaa woredi agoru wɔ ɔkwan bi so a ebetumi de w’ani ato asiane mu a, hyɛ ahwehwɛ a ɛbɔ wo ho ban. Eyi betumi aboa ma wɔasiw aniwa mu opira ne nyarewa a ebetumi de tebea horow te sɛ eyinom aba no ano.

Sɛ mewɔ cystoid macular edema a, dɛn na metumi ahwɛ kwan sɛ mɛkɔ m’anim?

Sɛ wohu sɛ wowɔ cystoid macular edema na wɔsa wo yare yiye a, ɛda adi sɛ wubetumi ama w’ani ayɛ den na woadan nneɛma a asɛe no bi. Nanso, ɛho behia sɛ wokɔ w’ani duruyɛfo nkyɛn daa kɔhwɛ wo sɛnea wɔakyerɛ wo no.

Nanso, sɛ wɔansa a, anisoadehu betumi asɛe nkakrankakra na awiei koraa no, ama aniwa no ayera kɛse. Ɛno nti na ayaresa a wɔde ma ntɛm ho hia kɛse no.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ tebea bi a ɛka w’aniwa, a cystoid macular edema ka ho a, ɛho hia sɛ wudi w’ani duruyɛfo akwankyerɛ akyi yiye. Ɛdenam aniwa mu nhwehwɛmu a wobɛkɔ daa so no, wo ne wo duruyɛfo nyinaa betumi ahu ɔhaw biara ntɛm.

Sɛ wuhu nsakrae bi wɔ w’ani so, te sɛ aniwa a ɛyɛ kusuu anaa aniwa a ɛyɛ kusuu a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Nea ɛho hia sen biara: Sɛ wohwere w’ani so mpofirim, anaa sɛ biribi si w’ani so na epira a, kɔ ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ a ɛbɛn wo no ntɛm ara. Wɔ tebea horow a ɛtete saa mu no, ɛho hia sɛ wonya ayaresa ntɛm!

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no wɔ eyi ho?

Sɛ wokɔ wo duruyɛfo nkyɛn a, ɛbɛyɛ papa sɛ wubebisa wɔn nsɛm biara a wowɔ fa cystoid macular edema ho. Nhwɛsoɔ:

• Dɛn na ɛsɛ sɛ mihu fa cystoid macular edema ho?
• Ayaresa bɛn na wokamfo kyerɛ?
• Dɛn ne saa ayaresa no mu nsunsuanso bɔne?
• Dɛn na metumi ahwɛ kwan daakye?
• Kɔkɔbɔ nsɛnkyerɛnne bɛn na ɛsɛ sɛ mehwɛ yiye?
• Nhyehyɛe bɛn na ɛsɛ sɛ midi akyi kɔ oduruyɛfo nkyɛn?
• So wokamfo kyerɛ sɛ menyɛ nsakrae wɔ m’asetra kwan mu?
• So ɛyɛ adwene pa sɛ m’abusua mufo afoforo bɛsɔ eyi ahwɛ?

Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .

Aniwa mu nyarewa yɛ ade a ɛyɛ hu. Nanso, nea ɛho hia sen biara ne sɛ wobɛhwɛ w’ani daa na woakɔ aniwa ho oduruyɛfo nkyɛn bere a wuhu nsakrae biara wɔ w’ani so ara pɛ.

Sɛ wohu yare no ntɛm na wɔsa no ntɛm a, ɛno ne akwan a eye sen biara a wobɛfa so anya nea eye sen biara!

Enti hwɛ w’ani so yiye, efisɛ ɛyɛ nneɛma a ɛsom bo sen biara a yɛwɔ na yɛahu wiase fɛfɛ yi no mu biako.