So wuhu nsensanee te sɛ eyi wɔ w’ani mu? Momma yɛnka Angioid Streaks ho asɛm!

So woakɔ aniwa ho oduruyɛfo nkyɛn pɛn na woate biribi te sɛ, "Wotumi hu saa nsensanee nketewa yi wɔ w'ani mu, yɛfrɛ no Angioid Streaks"? Anaasɛ woate din yi nkyɛe? Ebia wosuro kakra sɛ wobɛte eyi. Nanso mma ɛnhaw wo. Ɛnnɛ, yɛrebɛka saa tebea yi a wɔfrɛ no Angioid Streaks ho asɛm wɔ ɔkwan a ɛnyɛ den na ntease wom so.

So wunim nea Angioid Streaks yɛ?

Sɛ yɛbɛka no tiawa a, Angioid Streaks yɛ nsensanee nketenkete a ɛyɛ mmerɛw a epue wɔ w’aniwa retina ase. Wɔte sɛ mogya ntini, nanso ɛnyɛ mogya ntini ankasa. Wɔtaa hu wɔn bere a w’ani duruyɛfo hwehwɛ w’ani mu no. Mpɛn pii no, wotumi hu wɔn wɔ aniwa abien no nyinaa mu. Nnipa binom nso frɛ wɔn Knapp streaks anaa Knapp striae.

Fa no sɛ, w'ani mu no, `Optic Disc` (kyerɛ sɛ, aniwa ntini no fã a etwa to ansa na akɔka amemene no ho), na ɛte sɛ nea saa nsensanee yi trɛw kɔ abɔnten fi hɔ. Wɔyɛ bere a ntini bi a wɔfrɛ no `Bruch's membrane` nyin wɔ aniwa no mu. Saa `Bruch's membrane` yi ne `Choroid` no mu kataso (ɛha na mogya ntini a ɛde mogya ne aduannuru ba aniwa no mu no wɔ). Ɛwɔ `Retina` ne `Sclera` ntam.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Mpɛn pii no, angioid streaks ho sɛnkyerɛnne biara nni hɔ. Wei kyerɛ sɛ ebia worenhu nsakrae anaa ɔhaw biara. Nanso, ɛtɔ mmere bi a nsɛnnennen bi a ɛbata saa angioid streaks yi ho no betumi ama obi aniwa nhu ade yiye. Ɛno nti na nnuruyɛfo dwen eyi ho no.

Dɛn nti na saa angioid nsensanee yi ba?

Ade titiriw nti a ɛte saa ne mpaapaemu a ɛba `Bruch's membrane` a yɛadi kan aka ho asɛm no mu. Wɔ nnipa binom fam no, bere kɔ so no, saa ntini yi yɛ den, ɛde nneɛma te sɛ calcium gu mu, na ɛnyɛ den sɛ ɛbɛbubu. Ɛno ne bere a mpaapaemu a ɛte sɛ nsensanee yi ba.

Ɛtɔ da bi a, eyinom nso betumi afi aniwa mu opira mu aba.

Dɛn ne nneɛma a ɛde asiane ba?

Akwahosan tebea horow bi wɔ hɔ a ebetumi ama Angioid Streaks aba. Nea ɛbɛyɛ na eyinom atra wɔn adwenem no, ɛtɔ mmere bi a nnuruyɛfo de asɛmfua tiawa PEPSI di dwuma. Ma yɛnhwɛ nea wɔyɛ:

• P - Pseudoxanthoma elasticum: Eyi yɛ awosu mu yare. Ɛnam aboɔden abo a ɛwɔ nipadua no nhama a ɛyɛ den no mu nti. Saa yare yi taa ne Angioid Streaks wɔ abusuabɔ.
• E - Ehlers-Danlos syndrome: Eyi nso yɛ awosu mu tebea a ɛka nipadua no ntini a ɛka bom no.
• P - Paget's disease of the bone: Eyi ye yare a enya nnompe. Ɛka ɔkwan a nnompe foforo fa so hyehyɛ na ɛbubu.
• S - Sickle cell disease: Eyi ye yare a wonya fi awo mu a ɛka mogya mu nkwammoaa kɔkɔɔ. Mogya mu nkwammoaa kɔkɔɔ no sɛe na ebetumi akɔto mogya ntini no mu.
• I - Idiopathic tebea horow: Eyinom yɛ tebea horow a wontumi nhu nea ɛde ba pɔtee biara . Eyinom betumi aka hemoglobin (wo mogya mu nkwammoaa kɔkɔɔ no fã) anaa collagen (ade titiriw a ɛwɔ ntini a ɛka bom) a ɛwɔ wo mogya mu no.

Adeɛ a ɛho hia ne sɛ, ɛnsɛ sɛ wonya yareɛ biara a PEPSI ka na ama woanya Angioid Streaks. Eyinom ne nyarewa atitiriw a wobetumi de abata ho.

Nneɛma afoforo a ɛde asiane ba

Wɔ aduruyɛ mu tebea atitiriw yi akyi no, nneɛma afoforo pii betumi ama asiane a ɛwɔ hɔ sɛ obi benya Angioid Streaks no ayɛ kɛse:

• Mpanyinyɛ: Nsakrae a ɛba Bruch ntini mu bere a obi nyin no.
• Aniwa mu opira: Sɛnea yɛadi kan aka no, eyinom nso betumi afi nneɛma te sɛ aniwa a wɔbɔ denneennen.

Dɛn ne nsɛnnennen a ebetumi afi Angioid Streaks mu aba?

Ɛwom sɛ mpɛn pii no, angioid streaks nyɛ asiane biara de, nanso ɛtɔ mmere bi a ebetumi de nsɛnnennen aba a ɛka w’ani so. Eyinom ne nea asiane wom.

Nsɛnnennen atitiriw abien na ɛwɔ hɔ:

1. Choroidal neovascularization: Eyi ne bere a mogya ntini foforo a ɛnyɛ papa nyin wɔ retina no mu . Eyinom te sɛ nwura, na ɛnyɛ papa mma aniwa. Wobetumi ama mogya atu anaasɛ nsu atu, na ama aniwa nhu ade yiye na wɔakyinkyim.

2. Subretinal hemorrhage: Saa mogya ntini a ɛyɛ mmerɛw a ayɛ foforo yi betumi apaapae na mogya atu wɔ retina no ase. Eyi nso betumi asɛe anisoadehu.

Ɛyɛ bere a nsɛnnennen te sɛ eyinom sɔre nkutoo na w’ani fi ase kyinkyim anaasɛ ɛso tew mpo.

Ɔkwan bɛn so na wohu eyi? Sɔhwɛ ahorow bɛn na wɔyɛ?

Mpɛn pii no, w’ani duruyɛfo betumi ahu saa angioid nsensanee yi bere a woreyɛ aniwa mu nhwehwɛmu daa no. Nanso, sɛnea ɛbɛyɛ na woasi tebea no so dua, ayi tebea afoforo afi hɔ, na woahu sɛ nsɛnnennen bi wɔ hɔ a, ebia wo duruyɛfo bɛpɛ sɛ wɔyɛ wo nhwehwɛmu pii. Ɛtɔ da bi a, ebia wɔbɛka akyerɛ wo sɛ ma wɔnsan nyɛ nhwehwɛmu yi bere ne bere mu na ama woahu sɛnea wo tebea no resakra.

Sɔhwɛ ahorow a wɔyɛ

Mfoninitwa sɔhwɛ atitiriw a wɔyɛ ne:

• Fluorescein angiography a wɔde yɛ adwuma:Nea ɛka eyi ho ne sɛ wode aduru soronko bi bɛhyɛ ntini bi a ɛwɔ wo nsa mu mu. Afei, mfoninitwa afiri titiriw bi twa mfonini bere a aduru no fa mogya ntini a ɛwɔ w’ani mu no mu no. Eyi ma wuhu ɔhaw ahorow a ɛwɔ wo mogya ntini ahorow te sɛ mogya ntini foforo mu no pefee.
• Optical coherence tomography (OCT): Eyi te sɛ aniwa no mu nhwehwɛmu. Ɛde hann hann di dwuma de twa aniwa no mu mfonini a wɔatwa no ntwea so. Ebetumi ahwɛ nneɛma te sɛ retina no ntoatoaso a ɛyɛ duru, nsu a ɛboaboa ano, ne mogya ntini foforo.
• Fundus autofluorescence: Wɔde abɔde mu ade bi a wɔfrɛ no lipofuscin a ɛwɔ aniwa no mu di dwuma de hu nsakrae ne nkwammoaa a ɛwɔ aniwa no mu a asɛe.

Oduruyɛfo no begyina nsɛm a wubenya afi nhwehwɛmu ahorow yi mu so asi ayaresa a wuhia ho gyinae.

So aduru bi wɔ hɔ a wɔde sa Angioid Streaks?

Ayaresa pɔtee biara nni hɔ a wɔde sa Angioid Streaks. Ɛne sɛ, mprempren wonni aduru biara a wɔde sa nsensanee no. Nanso, adeɛ a ɛho hia paa ne sɛ wɔbɛsa nsɛnnennen a ɛfiri mu ba no, na wɔasa tebea biara a ɛhyɛ aseɛ a ɛbɛtumi abata ho (te sɛ deɛ ɛwɔ PEPSI din mu no).

Ayaresa pɔtee a wɔde sa nsɛnnennen

Sɛ wowɔ tebea bi te sɛ nea yɛkaa ho asɛm a wɔfrɛ no ``choroidal neovascularization'' (i.e. mogya ntini foforo a wɔmpɛ a ɛba) a, wo duruyɛfo betumi ahyɛ ayaresa te sɛ eyinom ho nyansa:

• Photocoagulation: Eyi de laser sɛe mogya ntini a wɔmpɛ no.
• Photodynamic therapy (PDT): Nea ɛka eyi ho ne sɛ wode aduru titiriw bi a ɛma hann tumi kɔ wo nipadua mu, afei wode hann soronko bi kɔ w’ani so ma ɛsɛe mogya ntini a wompɛ no.
• Nnuru a ɛko tia ntini mu endothelial growth factor (anti-VEGF): Eyinom ne ayaresa a wɔtaa de di dwuma. Nea ɛka ho ne sɛ wɔde aduru titiriw bi bɛhyɛ nsu a ɛte sɛ jelly a ɛwɔ aniwa no mu a wɔfrɛ no vitreous humor no mu. Saa nnuru yi na ɛma mogya ntini foforo nyin. Wɔsan frɛ wɔn VEGF inhibitors. Ebia ɛho behia sɛ wɔsan yɛ saa nnuru a wɔde twitwiw nipadua no mu ɔsram biara anaasɛ sɛnea ɛho hia.
• PDT ne nnuru a ekum VEGF a wɔde bedi dwuma abom: Ɛtɔ mmere bi a wobetumi de saa ayaresa abien yi abom adi dwuma.

So nsunsuanso bɔne/nsɛnnennen bi wɔ ayaresa no mu?

Sɛnea ɛte wɔ aduruyɛ biara mu no, saa ayaresa ahorow yi betumi de nsunsuanso bɔne anaa nsɛnnennen bi aba. Ɛyɛ papa sɛ wubehu saa nso.

• Laser photocoagulation a wɔde yɛ adwuma:Bere a eyi betumi ama aniwa no mu atew wɔ bere tiaa bi mu no, ɛtɔ mmere bi a ebetumi asɛe ntini a ɛte apɔw, na ama mogya atu wɔ retina no mu na ama obi atumi ahu ade wɔ mfinimfini.
• Nnuru a ɛko tia VEGF: Mpɛn pii no, nsunsuanso bɔne a efi nnuru a wɔde twitwiw nipadua mu yi mu ba no yɛ bere tiaa mu. Ebi ne aniwa a ɛyɛ yaw, kɔkɔɔ, nusu, ne nsu a ɛsensɛn nsu mu. Asiane ketewaa bi pɛ na ɛwɔ hɔ sɛ obi benya aniwa mu yare a emu yɛ den wɔ aduru biara a wɔde twitwiw obi mu no mu.
• PDT ayaresa: Ebia owia a ɛhyew no bɛkɔ soro bere tiaa bi wɔ eyi akyi. Ebia anifuraefo bi nso wɔ anisoadehu no mu. Ebia nnuru a ɛma hann no ho yɛ no hyew, na ɛntaa mma sɛ mogya ntini foforo a wɔmpɛ betumi aba.

Sɛ wɔhyɛ nyansa sɛ wɔmfa ayaresa bi mma wo a, ɛho hia yiye sɛ wo ne wo duruyɛfo susuw mfaso, ɔhaw ahorow, ne nea ebetumi afi mu aba no ho yiye.

Sɛ mewɔ Angioid Streaks a, dɛn na ɛba?

Sɛ wowɔ angioid streaks nkutoo, kyerɛ sɛ, sɛ nsɛnnennen foforo biara nni hɔ a, ɛnyɛ nea asiane wom saa. Nanso, sɛ w’ani apira a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ aniwa ho oduruyɛfo nkyɛn na wonya ayaresa.

Sɛ wowɔ nhyehyɛe mu tebea bi a ɛda adi a ɛma wo angioid streaks ba a, ɛho hia yiye sɛ wudi wo duruyɛfo ayaresa nhyehyɛe akyi na wunya aniwa so hwɛ a ɛho hia.

So wobetumi asiw eyi ano? Ɔkwan bɛn so na wobetumi atew asiane no so?

Ɔkwan biara nni hɔ a wɔbɛfa so asiw angioid streaks a aduruyɛ mu tebea horow a ɛda adi de ba no ano. Nanso, wubetumi asiw nea efi aniwa mu opira mu ba no ano.

W’ani a wobɛbɔ ho ban ne ade a ɛho hia sen biara wɔ ha. Sɛ wohyɛ nneɛma a ɛbɔ aniwa ho ban a, ebetumi atew asiane no so wɔ mmere te sɛ eyinom mu:

• Sɛ wode mfiri anaa nneɛma a ebetumi ama aniwa apira (e.g. welding, grinder a wɔde di dwuma, nnua a wɔde yɛ adwuma) reyɛ adwuma a.
• Bere a wote moto so (a visor no wɔ dade kyɛw no so).
• Bere a wode wo ho hyɛ agumadi a ɛyɛ den kakra mu (sɛ nhwɛso no, woredi kriket, titiriw bere a worebɔ bat, anaasɛ worebɔ fielding).
• Bere a woreyɛ adwuma wɔ turo mu, titiriw bere a woretwitwa nkorabata na woretutu nnua no.

Mmere bɛn na eye sen biara a wubetumi akɔ oduruyɛfo nkyɛn?

Ɛyɛ papa sɛ wobɛkɔ aniwa ho oduruyɛfo nkyɛn daa akɔhwɛ w’ani. Sɛ wowɔ aniwa mu yare anaa tebea foforo bi a ebetumi aka w’ani a, ebia ebehia sɛ wokɔ wo duruyɛfo nkyɛn mpɛn pii.

Sɛ wuhyia aniwa mu haw ahorow yi bi a, kɔ aniwa ho oduruyɛfo nkyɛn ntɛm ara:

• Sɛ wowɔ aniwa mu yaw a.
• Sɛ wohu nsakraeɛ biara wɔ anisoadehunu mu (e.g. blurring, distortion, dark spots).

Sɛ ɛba saa a, kɔ oduruyɛfo nkyɛn ntɛm ara anaa kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ:

• Sɛ wunya aniwa mu opira a.
• Sɛ wote ɛyaw a emu yɛ den anaasɛ mogya tu wo wɔ aniwa no mu a.
• Sɛ w’aniwa yera mpofirim anaasɛ ɛyɛ kusuu kɛse a.

Nsɛmmisa a ɛsɛ sɛ wobisa oduruyɛfo/oduruyɛfo

Sɛ wuhu sɛ wowɔ Angioid Streaks wie a, wubetumi abisa wo duruyɛfo nsɛm te sɛ eyinom:

• Dɛn nti na mewɔ saa angioid streaks yi?
• Ayaresa bɛn na mihia?
• Dɛn ne ayaresa ahorow yi mu nsunsuanso bɔne?
• Mpɛn ahe na ɛsɛ sɛ mihu wo?
• Nnuruyɛfo atitiriw afoforo bɛn na ɛsɛ sɛ mekɔ wɔn nkyɛn (e.g. tebea bi a ɛhyɛ ase)?
• Nsɛnkyerɛnne foforo anaa sɛnkyerɛnne ahorow a ɛkyerɛ sɛ tebea no mu reyɛ den bɛn na ɛsɛ sɛ mehwɛ yiye?
• Me tebea no bɛyɛ dɛn sɛ mɛkɔ m’anim (prognosis)?

Nsonsonoe bɛn na ɛwɔ `Lacquer cracks` ne `Angioid Streaks` ntam?

Eyinom abien nyinaa yɛ nneɛma a ɛte sɛ nsensanee wɔ aniwa no mu bere a wohwehwɛ aniwa no mu no. Nanso, ɛsono sɛnea ɛte ne nea ɛde ba.

• Lacquer mpaapaemu: Wɔtaa hu eyinom wɔ nnipa a wɔn ani da hɔ kɛse (wɔnhu ade yiye) ani so.
• Angioid Streaks: Eyinom betumi afi tebea horow a yɛadi kan aka ho asɛm no bi mu aba, anaasɛ aniwa no a ɛsɛe.

Ɛtɔ mmere bi a, sɛ nsensanee yi mu nna hɔ a, ebia ɛho behia sɛ oduruyɛfo no yɛ mfoninitwa nhwehwɛmu te sɛ OCT na ama wahu nsonsonoe a ɛda abien no ntam pɛpɛɛpɛ.

Awiei koraa no, nkrasɛm a wɔde kɔ fie no

Sɛ wowɔ angioid streaks a, ebia wunnim mpo. Mpɛn pii no, oduruyɛfo na ohu wɔn bere a wɔreyɛ aniwa mu nhwehwɛmu daa no. Mpɛn pii no, biribiara nni hɔ a wubetumi ayɛ wɔ wɔn ho gye sɛ wobɛhwɛ wɔn. Ɛne sɛ, twɛn kɛkɛ na hwɛ sɛ wɔbɛsesa anaa.

Nanso, ɛtɔ mmere bi a wo duruyɛfo betumi asusuw sɛ wowɔ aduruyɛ mu tebea bi a ɛda adi a ɛne eyi wɔ abusuabɔ. Sɛ ɛte saa a, ebia ebehia sɛ woyɛ nhwehwɛmu foforo.

Nea ɛho hia sen biara ne sɛ worensuro na wutie nea wo duruyɛfo ka no yiye. Hwɛ hu sɛ wubebisa nsɛm afa sɔhwɛ ahorow a wobɛyɛ ne nea nea ebefi mu aba no bɛkyerɛ wo ho. W’aduruyɛfo kuw no wɔ hɔ sɛ wɔbɛboa wo na wɔaboa wo ma woasisi gyinae pa. Yɛ w’ani mu nhwehwɛmu daa na bɔ w’ani ho ban, na wubetumi atew asiane a ɛwɔ hɔ sɛ wubehyia ɔhaw pii no so.

` Angioid Streaks, Angioid Streaks, Aniwa mu Nyarewa, Aniwa mu Ntini, Retina, Bruch's Membrane, Aniwa Akwahosan