So woyɛ obi a ɔhyɛ ahwehwɛ a wɔde hwɛ ahwehwɛ? Anaasɛ wunya aniwa kɔkɔɔ na ɛyɛ mmerɛw bere a woreguare anaa woreguare no? Ebia wubesusuw sɛ ɛyɛ ade a ɛfata. Nanso wɔ saa sɛnkyerɛnne ahorow yi akyi no, ebia ɔyare mmoawa a emu yɛ den kɛse, a ɛma obi hu ade mpo wɔ asiane mu. Ɛnnɛ yɛreka aniwa mu yareɛ a ɛntaa nsi, nanso ɛyɛ hu paa a wɔfrɛ no `Acanthamoeba Keratitis (AK)` ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne Acanthamoeba Keratitis (AK)?
Eyi yɛ ɔyare mmoawa a ɔyare mmoawa bi a enyin wɔ yɛn aniwa no fã a ɛda adi pefee, ani a ɛyɛ mmerɛw no, de ba ankasa. Wɔfrɛ saa ɔyare mmoawa yi Acanthamoeba. Sɛ wɔansa no yiye a, ebetumi asɛe w’ani kɛse na mpo ama woahwere w’ani koraa .
Ɛtaa ka aniwa biako kan, nanso ebetumi aka aniwa abien no nyinaa. Ɔyare mmoawa no fi ase wɔ ani no atifi fã (epithelium). Bere a yare no kɔ so no, ɔyare no trɛw kɔ ne mu.
Hena ne Acanthamoeba yi?
Acanthamoeba yɛ abɔde ketewaa bi a ɛwɔ nkwammoaa biako a wɔfrɛ no amoeba. Ɛyɛ nea ɛyɛ den kakra sen ɔyare mmoawa. Esiane sɛ etumi wie n’asetra kwan a nnipa anaa mmoa nka ho nti, nyansahufo mmu no sɛ ɛyɛ ɔyare mmoawa ankasa. Nanso sɛ ɛhyɛn onipa nipadua mu pɛ a, ɛyɛ n’ade te sɛ ɔyare mmoawa.
Acanthamoeba ahorow bɛboro 20 na wohu wɔ wiase nyinaa. Wɔte baabiara a atwa yɛn ho ahyia - wɔ nsuo pa, nkyene nsuo, asase mu, baabiara. Eyinom mu no, wɔahu sɛ mmoa ahorow bɛyɛ 8 na ɛde yare ``(AK)`` ba.
Ade titiriw a ɛwɔ saa abɔde yi ho ne sɛ otumi tra tebea abien mu.
1. Active form: Wɔ saa kwan yi so no, ɔyɛ nnam, ɔkyinkyin.
2. Cyst form: Wɔ eyi mu no, ɛyɛ akorade a ɛyɛ den yiye a ɛbɔ ne ho ban, te sɛ aboa a ɔrekɔ awɔw bere mu nna mu.
Saa ``(cyst)`` stage yi ne nea asiane wom sen biara. Efisɛ bere a ɛwɔ saa abon yi mu no, etumi gyina tebea biara a emu yɛ den ano.
- Ɔhyew a ɛkɔ soro ne awɔw: Egyina ɔhyew a efi -20 kosi +56 Celsius ano.
- Aduan pa ne nsu a wonnya: Ebetumi atra ase bɛyɛ mfe 20 wɔ dan mu hyew mu!
- Nnuru ne awuduru: Nnuru a wɔsɛe nnɔbae betumi anya nnuru a wɔko tia mpo.
- Owia hann: Ɛwom sɛ ultraviolet hann a ɛwɔ owia hann mu no kunkum mmoawa nketenkete pii de, nanso saa akisikuru yi betumi atra ase.
Ɛho hia paa sɛ yɛhunu yei ɛfiri sɛ saa abɔdeɛ yi tumi hyɛn yɛn nipadua mu denneennen ne sɛ ``cyst''. Ɛno nti na ɛsɛ sɛ yɛbɔ yɛn ho ban yiye.
Dɛn ne yare yi ho sɛnkyerɛnne?
Saa sɛnkyerɛnne ahorow yi ba bere a Acanthamoeba mmoawa no hyɛn w’aniwa no mu no. Ɛtɔ mmere bi a, saa sɛnkyerɛnne ahorow yi betumi aba na akɔ. Ebia wɔn ho bɛtɔ wɔn nna kakraa bi, afei wɔn ho asɛe bio.
Nsɛnkyerɛnne titiriw no ne eyinom:
- Aniwa mu yaw: Ɛtɔ mmere bi a, ɛyaw no tumi yɛ den araa ma wontumi nnyina ano.
- Amannɔne nipadua ho nkate: Nkate a ɛne sɛ biribi akɔhyɛ aniwa mu , nanso sɛ wubue anaa wohwɛ a, wuntumi nhu biribiara.
- Aniwa a nsu wom (epiphora).
- Photophobia: Sɛnea aniwa no te nka wɔ hann ho.
- Aniwa a ɛyɛ kɔkɔɔ na ɛyɛ hyew.
- Ɛte sɛ nea aniwa no anim ayɛ mununkum na ɛho agu fĩ: Ebia wubehu biribi a ɛte sɛ mprɛte wɔ ani no so.
- Anisoadehu a ɛyɛ kusuu: Eyi taa yɛ sɛnkyerɛnne a ɛba bere a yare no mu yɛ den kɛse no.
Yɛbɛyɛ dɛn anya saa yare yi?
Saa yare yi tumi kɔ nnipa mu. Ɛno kyerɛ sɛ yebetumi anya afi nneɛma a atwa yɛn ho ahyia mu. Nanso ɛnyɛ nea efi onipa biako hɔ nkɔ foforo hɔ tẽẽ. Akwan 3 titiriw na ɛwɔ hɔ a saa Acanthamoeba abɔdeɛ yi tumi fa so hyɛn yɛn aniwa mu.
1. Ahwehwɛ a Wɔde Di Dwuma
2. Nsu a ɛho ntew
3. Aniwa mu opira
Abusuabɔ a ɛda ahwehwɛ a wɔde hwɛ ade ne yare yi ntam
Eyi ne ade a ɛho hia sen biara. Nnipa a wonya `Acanthamoeba Keratitis` no mu 90% yɛ wɔn a wɔhyɛ contact lens! Nneɛma pii nti na ɛte saa.
- Ahwehwɛ a wɔde hwɛ ahwehwɛ a wɔde bɛhyɛ bere tenten asen bere a wɔkamfo kyerɛ no .
- Tap nsu a wode bedi dwuma bere a wode contact lenses sie na wosiesie no.
- Contact lenses anaa wɔn case a wɔrenhohoro ho yiye.
- Aguare ne asuguare a wɔde ahwehwɛ a wɔde hwɛ ade di dwuma.
- Contact lens cases a ɛho agu fĩ ne ano aduru a wɔde bedi dwuma.
Nea ɛho hia yiye: Mfa tap mu nsu nni dwuma mma biribiara a ɛfa ahwehwɛ a wɔde hwɛ ade ho da. Sɛ chlorine wɔ tap nsu mu mpo a, ɛrennɔɔso sɛ ebekum Acanthamoeba akisikuru no.
| Nea ɛde ɔyare mmoawa ba | Nkyerɛmu |
|---|---|
| Nsu a ɛho ntew | Ɛnyɛ den sɛ Acanthamoeba tumi tra ase wɔ nsu mu. Wobetumi ahu no wɔ nsu a wɔnom a wɔatew ho, nsu a wɔde ahyɛ toa mu, ne asuguarebea nsu mpo mu. Mpɛn pii no, sɛ ɛkɔ w’ani so a, ɛmfa ɔhaw biara mma. Nanso, sɛ w’ani apira, ɔyare mmoawa foforo, anaasɛ wo nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw a, asiane kɛse wom. |
| Aniwa a wɔapirapira | Aniwa no anim ahwehwɛ te sɛ kar ahwehwɛ. Sɛ ɛtwetwe a, ɛnyɛ den sɛ mmoawa bɛkɔ mu, nsateaa nnadewa, nnadewa, ahaban, anaa efĩ mpo betumi apira aniwa no. |
Ɔkwan bɛn so na wobetumi ahu yare no?
Nokwarem no, ɛyɛ den kakra sɛ wobehu yare yi wɔ mfiase. Bɛyɛ 75% - 90% wɔ bere no mu no, nnuruyɛfo susuw mfiase no sɛ ɛyɛ ɔyare mmoawa anaa ɔyare mmoawa a ɛnyɛ den. Nneɛma pii nti na ɛte saa:
- Saa yare yi ho sɛnkyerɛnne te sɛ aniwa mu yare a ɛtaa ba no ara pɛ.
- Esiane sɛ eyi yɛ yare a wɔntaa nhu nti, nnuruyɛfo nsusuw ho mfiase no.
- Nhwehwɛmu a wɔyɛ de si yare no so dua (aniwa a wɔde twitwiw anaa nipadua mu nhwehwɛmu) no yɛ nea emu yɛ den kakra, na ɛnyɛ ayaresabea ahorow nyinaa na wɔwɔ nnwinnade a wohia.
Sɛ wokɔ aniwa ho ɔbenfo bi nkyɛn a, wɔbɛhwehwɛ w’ani mu. Wɔbɛyɛ slit lamp nhwehwɛmu de ahwɛ w’ani mu. Afei wobebisa wo yare no ho sɛnkyerɛnne ne dwumadi ahorow a woayɛ nnansa yi ho asɛm na ama wɔanya tebea no ho adwene.
Adeyɛ a wɔtaa yɛ ne sɛ wobedi kan asa ɔyare mmoawa/yare mmoawa bi. Sɛ saa ayaresa no mmoa a, ɛnde wosusuw sɛ `(AK)` na wofi ayaresa ase ma ɛno.
Dɛn ne ayaresa ahorow no?
Botae atitiriw abien na ɛwɔ ayaresa mu. Biako ne sɛ wobeyi ɔyare mmoawa no afi hɔ, na biako nso ne sɛ wɔbɛtew ɛyaw ne sɛnkyerɛnne afoforo so. Mfiase no, wɔde nnuru na wɔde sa yare, na sɛ yare no mu yɛ den a, ebia ɛho behia sɛ wɔyɛ oprehyɛn.
Ayaresa titiriw ne nnuru a wɔde kum ɔyare mmoawa a wɔde gu nipadua no so. Ɛsɛ sɛ wɔde eyinom di dwuma sɛnea oduruyɛfo kyerɛ no pɛpɛɛpɛ.
Wɔ tebea horow bi a emu yɛ den mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn:
- Debridement: Eyi betumi ayi Acanthamoeba mmoawa no afi ani no mu na ama ayɛ mmerɛw sɛ nnuru bɛkɔ mu.
- Aniwa a wɔde si ananmu: Ɛtɔ mmere bi a, ɛsɛ sɛ woyi ani a asɛe no koraa na wɔde foforo si ananmu.
Nea ɛho hia sen biara ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Sɛ ɛnte saa a, ɔyare mmoawa no betumi asan aba bio. Nkwammoaa a wɔwɔ ``cyst'' gyinabea no betumi asan ayɛ adwuma bio na ɛde sɛnkyerɛnne ahorow aba wɔ asram pii akyi mpo.
Wobɛyɛ dɛn atumi abɔ wo ho ban afi yare yi ho?
Eyi yɛ yare a wotumi siw ano kɛse. Ɛsɛ sɛ wohwɛ yiye wɔ saa nneɛma yi ho titiriw sɛ wohyɛ ahwehwɛ a wɔde hwɛ ade a.
| Do's | Ɛnsɛ sɛ woyɛ saa |
|---|---|
| Fa ano aduru titiriw nkutoo di dwuma de sie na siesie ahwehwɛ a wɔde hwɛ ahwehwɛ no. | Mfa tap mu nsu, nsu a wɔde ahyɛ toa mu, anaa nnompe nni dwuma da . |
| Siesie wo contact lens case no daa na fa foforo di dwuma asram 3 biara. | Nguare, nguare, anaa nsu bere a wohyɛ ahwehwɛ a wɔde hwɛ ade no. |
| Hyɛ ahwehwɛ a wɔde hwɛ ade wɔ bere a wo duruyɛfo akyerɛ wo no nkutoo. | Mma anadwo a wode ahwehwɛ a wɔde hwɛ ade ahyɛ wo ho (gye sɛ wo duruyɛfo ama ho kwan pɔtee). |
| Sɛ wunya aniwa mu yare a, hwɛ hu sɛ wubeyi ahwehwɛ a wɔde hwɛ aniwa ne ahwehwɛ a na wode redi dwuma no afi hɔ. | Mmu w’ani ngu aniwa mu yaw, kɔkɔɔ, anaa aniwa a ɛyɛ kusuu so. |
Sɛ wowɔ aniwa mu yare ho sɛnkyerɛnne bɛboro nna kakraa bi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Dodow a wufi ayaresa ase ntɛm no, dodow no ara na hokwan a wowɔ sɛ wobɛbɔ w’ani ho ban no yɛ kɛse.
Nkrasɛm a Wɔde Kɔ Fie
- Acanthamoeba Keratitis (AK) yɛ ɔyare mmoawa a wɔntaa nhu nanso emu yɛ den a ebetumi ama obi ani afura.
- Saa yare yi taa ba nnipa a wɔde ahwehwɛ a wɔde hwɛ ade di dwuma wɔ ɔkwan a ɛnteɛ so no so.
- Mfa tap mu nsu nhohoro anaa mfa ahwehwɛ a wɔde hwɛ ade nsie da.
- Gyae aguare anaa asuguare koraa bere a wohyɛ ahwehwɛ a wɔde hwɛ ade no.
- Sɛ w’aniwa yɛ wo yaw a wuntumi nnyina ano, wo ho yɛ kɔkɔɔ, wote hann nka, anaasɛ wunhu ade yiye a, mmu w’ani ngu so na kɔ wo duruyɛfo nkyɛn ntɛm ara. Ayaresa a wɔde ma ntɛm no betumi agye w’ani a ɛsom bo no nkwa.
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