So woahwere w’anisoadehu mpofirim na woasan anya bi? Momma yensua (Amaurosis Fugax) ho ade?

So woahwere aniwa biako, anaa ebia w’ani abien no nyinaa mpofirim bere tiaa bi, na afei woasan anya bi wɔ simma kakraa bi mu pɛn? Ebetumi ayɛ osuahu a ɛyɛ hu, te sɛ nea ntama tuntum bi atɔ w’ani so, anaasɛ obi retwe ntama afi nkyɛn. Ɛnnɛ yɛrebɛka saa bere tiaa mu anisoadehu a ɛyera yi ho asɛm.

Dɛn ne Amaurosis Fugax?

Sɛ yɛbɛka no tiawa a, saa `(Amaurosis Fugax)` yi kyerɛ sɛ wohwere w'aniwa wɔ aniwa biako mu, anaasɛ ɛtɔ da bi a w'ani abien no nyinaa, bere tiaa bi, kyerɛ sɛ, bere tiaa bi. Nanso wonte ɛyaw biara nka wɔ eyi mu. Nea enti a ɛte saa ne sɛ mogya a ɛkɔ retina , a ɛyɛ nkwammoaa a ɛwɔ aniwa no akyi a ɛde nea yehu ho nsɛnkyerɛnne kɔ amemene no mu no gyae kakra na ɛtwa mu. Fa no sɛ yɛn ani te sɛ mfoninitwa afiri, na saa retina yi yɛ adwuma te sɛ ne sini. Afei, sɛ mogya no ankɔ mu yiye a, ahoni no gyae sɛ wobehu no kakra.

Edin ``Amaurosis Fugax'' no fi Hela asɛmfua ``amaurosis'' a ɛkyerɛ 'esum'' ne Latin asɛmfua ``fugax'' a ɛkyerɛ 'bere tiaa mu'' anaa 'bere tiaa bi''. Sɛnea edin no kyerɛ no, saa anisoadehu a wɔhwere yi taa di fi sikɔne kakraa bi kosi simma kakraa bi . Ɛtɔ mmere bi a, anisoadehu betumi ayera koraa, anaasɛ ne fã bi pɛ na ayɛ kusuu.

Ɛtɔ da bi a nnuruyɛfo frɛ saa tebea yi `aniwa biako anifurae bere tiaa bi`, `aniwa biako a ɛyera bere tiaa bi`, anaa `aniwa abien a ɛyera bere tiaa bi`. Ɛno kyerɛ sɛ `bere tiaa mu aniwa a ɛyera wɔ aniwa biako mu` anaasɛ `bere tiaa mu aniwa a ɛyera wɔ aniwa abien no nyinaa mu`.

Bere a ebia nneɛma a ɛde anisoadehu a ɛte sɛɛ ba no bi yɛ nketenkete no, afoforo nso betumi ayɛ tebea horow a emu yɛ den a ɛsɛ sɛ wɔde adwene si so kɛse . W’ani duruyɛfo bɛboa wo ma woahu nea ɛde ba ankasa. Ɛno ansa na wubetumi afi ase ayɛ ayaresa a ɛfata.

Adeɛ a ɛho hia paa ne sɛ wobɛkae sɛ sɛ biribi nti w’aniwa yera mpofirim a, ɛyɛ ntɛmpɛ na ɛsɛ sɛ wohwehwɛ aduruyɛfoɔ afotuo ntɛm ara.

Dɛn ne eyi ho sɛnkyerɛnne?

Sɛ wowɔ `(Amaurosis Fugax)` a, sɛnkyerɛnne titiriw no ne sɛ wobɛma w’aniwa no fã bi ayɛ sum mpofirim, ɛnyɛ yaw, ayɛ kusuu, anaasɛ wobɛyera koraa. Wɔ ebinom fam no, eyi te sɛ ntama a efi soro rehwe ase anaasɛ ɛretwe ntama wɔ aniwa anim. Ebetumi ayɛ osuahu a ɛte sɛ ntama a wɔto mu wɔ agoru bi mu no.

Fa no sɛ, bere a Nilanthi renom ne anɔpa tii no, mpofirim ara ntama tuntum bi hwee n’ani nifa anim. Wantumi anhu biribiara bɛyɛ simma biako. Ná ehu aka no yiye. Nanso bere bi akyi no, otumi huu ade bio. Eyi ne su a ɛwɔ `(Amaurosis Fugax)`.

Sɛnea edin no kyerɛ no, eyi yɛ bere tiaa mu de.. Ɛno kyerɛ sɛ ɛbɛyɛ yiye wɔ n’ankasa mu wɔ bere tiaa bi akyi, na w’anisoadehu no bɛsan aba. Nanso, eyi betumi asi bɛboro pɛnkoro. Enti, kae sɛ aniwa a ɛyera mpofirim, ɛyaw wɔ hɔ anaasɛ ɛnte saa no yɛ biribi a ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara. Efisɛ ntease a anibere wom betumi aba wɔ eyi akyi.

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

Nea ɛde `(Amaurosis Fugax)` ba titiriw ne, sɛnea yɛaka ho asɛm dedaw no, mogya ntini bi a ɛde mogya kɔ retina a ɛwɔ aniwa no mu no siw esiane biribi nti. Ade a ɛho hia sen biara ne sɛ wubehu nea ɛde saa akwanside yi ba ankasa. Ɛno ansa na wo duruyɛfo no betumi asi ayaresa a ɛfata ho gyinae.

Nneɛma pii nti na ebetumi ama retina ntini no asiw:

• Mogya a ɛtwetwe: Mogya a ɛtwetwe a ɛba nipadua no mu mmeae afoforo betumi abubu na akɔhyɛ mogya ntini ketewaa bi a ɛde mogya kɔ aniwa no mu mu.
• Plaque a efi Atherosclerosis mu: Ɛtɔ mmere bi a, yɛn mogya ntini akɛse no afasu mu yɛ den a srade a ɛwɔ hɔ (tebea a wɔfrɛ no atherosclerosis) wom. Saa abonnua yi fã ketewaa bi betumi abubu na akɔhyɛ mogya ntini mu, te sɛ efĩ a ɛkyere paipu mu no ara pɛ.
• W’aniwa ntini a ɛyɛ hyew: Ɔyare mmoawa anaa ɔfe a ɛba w’aniwa ntini a ɛde nkrasɛm fi aniwa no so kɔ amemene no mu (te sɛ aniwa mu ntini mu yare) nso betumi ama woahwere w’ani so bere tiaa bi.

Bio nso, wo duruyɛfoɔ nso bɛhwɛ sɛ wowɔ tebea foforɔ bi a ɛbɛtumi ayɛ ``Amaurosis Fugax'' ho sɛnkyerɛnne anaa.

• Transient Ischemic Attack (TIA): Eyi te sɛ akisikuru ketewaa bi. Mogya a ɛkɔ amemene no mu no gyae bere tiaa bi na afei ɛsan kɔ sɛnea na ɛte kan no. Eyi betumi ayɛ kɔkɔbɔ sɛnkyerɛnne a ɛkyerɛ sɛ ɔyare kɛse bi reba.
• Akisikuru: Tebea a emu yɛ den a ɛba bere a wɔatwa mogya a ɛkɔ amemene no fã bi mu koraa no.
• Giant Cell Arteritis: Wɔsan frɛ no Temporal Arteritis, eyi yɛ yare a ɛma ntini akɛse ne akɛse a ɛwɔ ti ne kɔn mu no hohoro na ɛyɛ hyew. Ebetumi aka ntini a ɛma mogya kɔ aniwa no nso.
• Optic Neuritis: Aniwa ntini a ɛho ahonhon anaasɛ ɛyɛ hyew.
• Multiple Sclerosis (MS): Eyi yɛ yare a ɛka ntini ahorow.
• Ti a opira (Traumatic Brain Injury - TBI): Ɛtɔ da bi a saa aniwa mu haw ahorow yi tumi ba bere a obi apira ti akyi.

Hena na ɔwɔ asiane mu kɛse?

Asiane ahorow pii wɔ hɔ a ebetumi aboa ma `(Amaurosis Fugax)` anya nkɔso. Eyinom bi yɛ nneɛma a wotumi sesa, bere a afoforo nso yɛ nneɛma a wontumi nsakra. Wɔn mu bi ni:

• Carotid Artery Stenosis: Sɛ srade a ɛwɔ mu no siw mogya ntini titiriw (carotid artery) a ɛde mogya fi kɔn no afã abien no nyinaa kɔ amemene no mu no ano a.
• Mogya mmoroso (Hypertension): Eyi ne nea mogya mmoroso kyerɛ.
• Mogya mu srade a ɛkɔ soro (Hypercholesterolemia): Srade bɔne a ɛwɔ mogya mu no kɔ soro.
• Sigaretnom: Eyi yɛ biribi a ɛde nyarewa pii ba.
• Sɛ woanya `(TIA)` a atwam a.
• Asikreyare: Wɔsan frɛ no asikreyare.
• Komayare: Asiane yi nso yɛ kɛse ma nnipa a wɔwɔ komayare.
• Cocaine a wɔde di dwuma.
• Asanom boro so (`Asanom a wɔde di dwuma ho haw`).
• Mfe 50 anaa nea ɛboro saa: Asiane a ɛwɔ hɔ sɛ obi benya nyarewa bi no yɛ kɛse bere a obi nyin no.

Sɛnea wubetumi ahu no, asiane ahorow yi mu pii nso ne tebea horow te sɛ komayare ne ɔyare a ɛma obi hwe ase wɔ abusuabɔ, enti ɛho hia sɛ wuhu eyinom.

So eyi betumi ayɛ nea asiane wom? Dɛn ne nsɛnnennen no?

Yiw, egyina nea ɛde bere tiaa mu aniwa a ɛyera a wɔfrɛ no `(Amaurosis Fugax)` akyi no , nsɛnnennen a ebetumi afi eyi mu aba no betumi ayɛ nea emu yɛ den yiye. Titiriw sɛ ɛyɛ ade a edi `(Stroke)` anaa `(koma mu adeyɛ`) anim a, ebetumi mpo de nkwa ato asiane mu. Ɛno nti na yɛka sɛ sɛ w’ani hwere mpofirim a , mmu w’ani ngu so koraa, na kɔ oduruyɛfo nkyɛn ntɛm ara . Sɛ wohu nea ɛde ba ntɛm a, wobetumi asiw nsɛnnennen a emu yɛ den ano kɛse.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo w’ayaresa ho abakɔsɛm ne sɛnkyerɛnne ahorow a woanya no ho asɛm. Afei, wɔbɛyɛ aniwa mu nhwehwɛmu a edi mũ. Ɛho hia nso sɛ wuhu sɛ wowɔ ayaresa tebea foforo bi te sɛ mogya mmoroso anaa komayare anaa.

Dɛn ne sɔhwɛ ahorow no?

Sɛ wo duruyɛfoɔ susu sɛ wowɔ `(Amaurosis Fugax)` a, ɔbɛtumi ahyɛ sɛ wɔnyɛ nhwehwɛmu ahodoɔ pii. Eyinom mu dodow no ara yɛ sɔhwɛ ahorow a ɛfa wo `vascular health` ho. Sɛnea wɔte ni:

• Nipadua mu nhwehwɛmu: Aduruyɛ mu nhwehwɛmu a wɔyɛ no nyinaa.
• Mogya mu nhwehwɛmu:
• Mogya Dodow a Edi Mu (CBC) .
• Mogya mu asikre dodow (`mogya mu asikre nhwehwɛmu`) .
• Hwɛ nneɛma te sɛ mogya a ɛtwetwe bere.
• Mfoninitwa nhwehwɛmu a wɔyɛ wɔ wo ntini nhyehyɛe ho:
• Ultrasound scans (`Ultrasounds`): Wɔde eyinom hwɛ sɛnea carotid ntini ahorow no te, titiriw wɔ kɔn mu.
• MRI scan (`Magnetic Resonance Mfoniniyɛ - MRI`):Wobetumi atwa amemene no ne mogya ntini no ho mfonini a ɛkɔ akyiri.
• CT scan (`Computed Tomography - CT`): Eyi nso tumi twa amemene ne mogya ntini ho mfonini.
• ECG sɔhwɛ (`An electrocardiogram`): Ɛhwɛ sɛnea koma no yɛ adwuma.
• Holter monitor testing: Afiri a ɛhwɛ koma no bɔ nnɔnhwerew 24 anaa nea ɛboro saa.
• C-reactive protein (CRP) nhwehwɛmu: Ɛhwɛ sɛ nipadua no mu ayɛ hyew anaa.
• Erythrocyte sedimentation rate (ESR) sɔhwɛ: Eyi nso betumi ama obi anya tebea horow a ɛma ɔyare no yɛ hyew ho adwene.

Dɛn ne ayaresa a wɔde sa eyi?

Ayaresa a wɔde sa `(Amaurosis Fugax)` no gyina nea ɛde ba no so. Nneɛma a ɛde ba a yɛadi kan aka ho asɛm no bi, te sɛ `(Stroke),` hwehwɛ sɛ wɔsa yare ntɛm ara. Sɛ tebea foforo te sɛ `(Giant Cell Arteritis) na ɛde ba a, ɛnde ayaresa pɔtee bi wɔ hɔ a wɔde sa saa tebea no.

Sɛ yɛbɛka no tiawa a, `(Amaurosis Fugax)` yɛ sɛnkyerɛnne. Enti ayaresa no yɛ yare a ɛda adi a ɛde saa sɛnkyerɛnne no bae no. Nhwɛsoɔ:

• Sɛ nea ɛde ba ne mogya a ɛtwetwe , wobetumi ama mogya a ɛma mogya tu (te sɛ aspirin).
• Sɛ carotid artery no mu yɛ teateaa kɛse (Carotid Artery Stenosis) , nnuruyɛfo betumi akamfo akyerɛ sɛ wɔnyɛ oprehyɛn mmue (Carotid Endarterectomy) anaasɛ wɔmfa stent nhyɛ mu.
• Sɛ ɛyɛ tebea a ɛma ɔhyew te sɛ `Giant Cell Arteritis` , wobetumi ama nnuru a ekum ɔyare mmoawa te sɛ `steroids`.

Enti, nea ɛho hia sen biara ne sɛ wubehu nea ɛde ba no ntɛm na woafi ayaresa a ɛfata ase.

Dɛn na metumi ahwɛ kwan wɔ tebea yi ho?

Wo adwene wɔ `(Amaurosis Fugax)` ho nso gyina nea ɛde ba no so. Sɛ ɛyɛ tebea a emu yɛ den te sɛ `(Stroke),` a ɛho hia yiye sɛ wobɛhwehwɛ aduruyɛ mu afotu ntɛm ara.

``(Amaurosis Fugax)`` yɛ, sɛnea edin no kyerɛ no, bere tiaa mu tebea. Eyi kyerɛ sɛ anisoadehu a ɛyera no ankasa besiesie bere tiaa bi akyi. Nanso, sɛ aduruyɛ mu tebea horow bi wɔ hɔ a ɛde ba a, ebehia sɛ wɔsa wɔn yare na wɔhwɛ so.

Sɛ nhwɛsoɔ no, sɛ wowɔ yareɛ te sɛ `Giant Cell Arteritis` anaa `Multiple Sclerosis (MS)` a, ɛsɛ sɛ wodi ayaresa a wo duruyɛfoɔ kamfo kyerɛ wɔ saa nyarewa no ho no akyi pɛpɛɛpɛ. Sɛ wɔsa yareɛ a ɛwɔ aseɛ no a, wɔbɛdi sɛnkyerɛnne `(Amaurosis Fugax)` nso so.

So wobetumi asiw Amaurosis Fugax ano?

Awerɛhosɛm ne sɛ, ɔkwan biara nni hɔ a wɔbɛfa so asiw `(Amaurosis Fugax)` ano koraa. Nanso, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya saa tebea yi so denam w’akwahosan nyinaa a wobɛhwɛ so yiye no so.

Mɛyɛ dɛn atumi atew asiane no so?

Saa nneɛma yi betumi aboa ma asiane a ɛwɔ hɔ sɛ wubenya `(Amaurosis Fugax) no so atew:

• Di tebea horow a enni sabea ho dwuma: Di tebea horow a ɛwɔ hɔ dedaw te sɛ mogya mmoroso, asikreyare, ne srade a ɛdɔɔso ho dwuma. Fa wo nnuru no sɛnea wo duruyɛfo kyerɛ no.
• Aduan pa a wubedi akyi: Di ​​nnuaba, nhabannuru, atoko, aburow a wɔayam, nam a ɛnyɛ den, ne mpataa pii. Yɛn mpɔtam hɔ aduan nso wɔ saa nnuan a ahoɔden wom yi pii. (Sɛ nhwɛso no, wɔka sɛ Mediterraneafo aduan no ma apɔwmuden.) Tew nnuan a ngo, asikre, ne nkyene pii wom so sɛnea wubetumi biara.
• Kura mu duru a ɛfata wo mu: Bɔ mmɔden sɛ wobɛma wo mu duru a ɛfata wo tenten.
• Kɔ so yɛ apɔw-mu-teɛteɛ: Yɛ biribi te sɛ nantew anaa apɔw-mu-teɛteɛ anyɛ yiye koraa no simma 30 da biara.
• Gyae sigaretnom: Sɛ wonom sigaret a, srɛ mmoa na ama woagyae.
• To nsa a wonom ano hye: Sɛ wonom nsa a, ɛbɛyɛ papa sɛ wobɛtew so ma ayɛ kakraa bi, anaasɛ wugyae koraa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn wɔ aniwa mu haw ahorow ho?

Eyi ho hia paa. Sɛ wohwere w’ani so mpofirim, ɛyaw anaa enni mu a, kɔ oduruyɛfo ntɛm ara. Fa no sɛ biribi a egye ntɛmpɛ. Mma nsɛe bere.

Sɛ ɛnyɛ ntɛm mpo a, kɔ aniwa mu nhwehwɛmu daa sɛnea wo duruyɛfo kamfo kyerɛ no. Eyi betumi aboa ma wɔahu tebea horow bi ansa na aba.

Nsɛmmisa bɛn na ɛsɛ sɛ mibisa me duruyɛfo fa Amaurosis Fugax ho?

Sɛ wowɔ nsɛmmisa bi fa eyi ho a, nsuro da sɛ wubebisa wo duruyɛfo. Wubetumi abisa nsɛm te sɛ eyinom:

• So me ``Amaurosis Fugax'' no ne akwahosan tebea foforo biara wɔ abusuabɔ?
• Wɔ me fam no, dɛn na oduruyɛfo no bu no sɛ ɛyɛ nea egye ntɛmpɛ? (i.e., sɛnkyerɛnne bɛn na ɛsɛ sɛ meba mu ntɛm ara sɛ menya bi a?)
• Ayaresa bɛn na wokamfo kyerɛ me?
• Dɛn ne nsunsuanso bɔne a ebetumi afi saa ayaresa no mu aba?
• So wokamfo kyerɛ sɛ kɔ oduruyɛfo titiriw bi nkyɛn kɔhwɛ no?
• Nhyehyɛe bɛn na ɛsɛ sɛ midi akyi de yɛ aniwa mu nhwehwɛmu?

Enti, nneɛma bɛn na ɛho hia sen biara a ɛsɛ sɛ yɛde fi asɛm yi mu kɔ fie?

Okay, eyinom yɛ nneɛma bi a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm de besi nnɛ no mu.

Sɛ wo nya aniwa a ɛyera bere tiaa bi paa da bi – te sɛ nea ntama bi ahwe ase wɔ w’ani anim a – ebetumi ayɛ `(Amaurosis Fugax)`. Sɛ eyi ba, anaa sɛ mpofirim ara w’ani so tew bere biara a, ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara. Afei nnuruyɛfo ne wo bɛyɛ adwuma de ahu nea ɛde `(Amaurosis Fugax)` tebea no ba, ne sɛ ebia wowɔ tebea foforo bi a ɛfa ho anaa.

Mpɛn pii no, dodow a wohu yare no ntɛm no, dodow no ara na wobetumi afi ayaresa ase ntɛm, na nea efi mu ba no ye.

Enti, sɛ wote yaw anaasɛ wote yaw a, ntwentwɛn wo nan ase sɛ wobɛhwehwɛ mmoa sɛ w’ani so tew mpofirim a. Afei nso, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo ma ɔmma wo nkyerɛkyerɛmu wɔ nsɛmmisa biara a ebia wowɔ a ɛfa sɛnea wobehu yare no ne ayaresa ho. W’akwahosan ho hia wo paa.

` Amaurosis Fugax, bere tiaa mu aniwa a ɛyera, aniwa a ɛhwɛ ade, retina, mogya ntini a asiw, TIA, Stroke, obubuafo