So wowɔ sini fitaa bi a ɛte sɛ sini wɔ w’ani so? Ebetumi ayɛ (Band Keratopathy)!

So woahyɛ no nsow pɛn sɛ ahama fitaa anaa sini bi reyɛ wɔ w’ani anim, wɔ w’aniwa no atifi? Ɛtɔ da bi a, ebetumi de aniwa a ɛnyɛ dɛ, atenka a ɛyɛ yaw, ne nea ɛkeka ho aka ho Ɛno ne nea yɛrebɛka ho asɛm nnɛ. Nnuruyɛfo frɛ eyi `(Band Keratopathy)`. Mma ɛnhaw wo, momma yɛnka eyi ho asɛm tiawa.

Dɛn ne Band Keratopathy?

Sɛ yɛbɛka no tiawa a, `(Band Keratopathy)` yɛ yare a ɛwɔ `(Cornea)`, ntini a emu da hɔ a ɛwɔ w'ani anim no mu. Wunim, saa ntini a emu da hɔ yi te sɛ mfɛnsere a hann fa mu hyɛn yɛn aniwa mu. Mpɛn pii no, emu da hɔ koraa, na ɛno nti na yehu wiase no pefee no.

Nanso wɔ `(Band Keratopathy)` mu no, wɔde calcium nkyene `(Calcium nkyene)` gu w'aniwa no mu ntoatoaso bi mu. Fa no sɛ limescale a ɛba nsu paipu mu bere a bere kɔ so no. Saa calcium a ɛwɔ hɔ yi yɛ band (ɛno nti na wɔfrɛ no asɛmfua `Band`). Mpɛn pii no, efi ase wɔ ani no akyi ano `(peripheral)` na ɛtrɛw kɔ `(mfinimfini)`.

Saa calcium a ɛwɔ hɔ yi ba bere a retina no asɛe anaasɛ ayɛ mmerɛw no. Eyi betumi afi yare bi a ɛwɔ aniwa no ankasa mu, anaasɛ tebea foforo a ɛka wo nipadua nyinaa, te sɛ ɔhaw bi a ɛwɔ wo nipadua mu ahoɔden a ɛko tia nyarewa no mu.

Wɔsan frɛ eyi `(Band-Shaped Keratopathy - BSK)`, `(Corneal Band Keratopathy)` ne `(Calcific Band Keratopathy)`.

Dɛn na eyi yɛ aniwa?

Mpɛn pii no, ani a ɛwɔ anim no mu da hɔ, enti yetumi hu ade yiye. Nanso sɛ saa calcium yi dɔɔso a, saa pefeeyɛ no yera, na aniwa no yɛ kusuu na ɛte sɛ nea ɛyɛ tumm .

Sɛ saa calcium a ɛwɔ hɔ yi yɛ den a, ebetumi ama w’ani ayɛ mununkum. Ebia wubefi ase ate nka wɔ w’ani mu ansa na woahu mpo. Bere kɔ so no, eyi betumi ama obi nhu ade yiye .

Mpɛn pii no, saa calcium yi gu mmeae a afoforo betumi ahu bere a w’ani abue no.

Dɛn ne eyi ho sɛnkyerɛnne?

Sɛ wowɔ `(Band Keratopathy)` a, wobɛtumi anya saa nsɛnkyerɛnneɛ yi mu baako anaa nea ɛboro saa:

• Anisoadehu a wontumi nhu: Wonhu ade yiye te sɛ kan no.
• Aniwa mu yaw: Ɛyaw betumi aba, titiriw bere a calcium nketenkete a ɛwɔ mu no mu paapae na ɛhyɛ aniwa no abufuw no.
• Aniwa a ɛyɛ yaw anaasɛ atenka a ɛte sɛ anhwea wɔ aniwa mu: Wɔsan frɛ eyi ``ahɔho nipadua mu nkate'' wɔ aduruyɛ mu. Ɛyɛ atenka bi kɛkɛ sɛ biribi akɔhyɛ mu.
• Photophobia: Wote nka sɛ ɛyɛ den sɛ wobɛhwɛ hann sen sɛnea wotaa yɛ, te sɛ nea w’ani reyɛ bruu.
• Aniwa a ɛyɛ kɔkɔɔ.
• Nsakrae a ɛba wɔ sɛnea aniwa no te mu:Ebia w’ankasa wubetumi ahu bere a wohwɛ ahwehwɛ mu, anaasɛ bere a oduruyɛfo de kanea a wɔapaapae aniwa mu nhwehwɛmu hwehwɛ w’ani mu no, na ebia wubehu ahama fitaa-fitaa, ebia mmeae a ɛte sɛ nkoko.

Dɛn nti na yenya ade a ɛte sɛɛ?

Ade titiriw a ɛde `(Band Keratopathy)` ba ne calcium dodow a ɛnkari pɛ wɔ nipadua no mu. Nneɛma pii betumi de aba. Ebi yɛ nyarewa a ɛka aniwa nkutoo, na ebi nso yɛ nyarewa a ɛka nipadua no nyinaa.

Aniwa mu nyarewa betumi de ``Band Keratopathy`` aba

Ebia aniwa mu nyarewa te sɛ:

• Glaucoma: Eyi yɛ yare a ɛma aniwa ntini a ɛboa yɛn ma yehu ade no sɛe esiane nhyɛso a ɛkɔ soro wɔ aniwa no mu nti. Sɛ wɔansa no yiye a, ebetumi ama obi ani afura mpo.
• Keratoconjunctivitis: Eyi ne bere a w’ani no afã abien, ani a ɛyɛ mmerɛw ne w’aniwa no ho hyehye no.
• Uveitis: Eyi yɛ nyarewa kuw bi a ɛma aniwa no yɛ kɔkɔɔ, ɛho ahonhon, na ɛyɛ yaw. Eyi nso betumi ama obi ani afura sɛ wɔansa no yiye a.
• Phthisis bulbi: Eyi yɛ tebea a ɛma aniwa no sɛe kɛse na ɛyɛ ketewaa. Ɛtɔ da bi a wɔfrɛ no ``end-stage eye''.
• Aniwa a opira: Aniwa no sɛe, sɛ́ ebia efi akwanhyia anaa asehwe mu.

Band Keratopathy esiane nyarewa a ɛma nipadua no tumi ko tia nyarewa nti

Saa tebea yi nso betumi aba esiane basabasayɛ bi a ɛwɔ yɛn nipadua no ahobammɔ nhyehyɛe mu, kyerɛ sɛ, nipadua no mu tumi a ɛko tia nyarewa no mu nti.

• Juvenile idiopathic arthritis: Eyi yɛ yare a nipadua no tumi ko tia nyarewa. Eyi kyerɛ sɛ nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ n’ankasa nkwammoaa so. Ebetumi aka nipadua no nkwaa biara.
• Sarcoidosis: Eyi nso yɛ yare a ɛma obi ho hyehye no. Ɛwom sɛ ɛtaa ka ahurututu no de, nanso ebetumi aka akwaa afoforo nso.
• Discoid lupus: Ebia nnipa a wɔwɔ saa yare yi honam ani ayɛ den na ɛho ayɛ hyew, te sɛ anim anaa aso a ɛyɛ kurukuruwa.

Esiane sɛ calcium a ɛkɔ soro wɔ mogya mu (Hypercalcemia) .

Sɛ calcium dodow a ɛwɔ wo mogya mu no kɔ soro dodo, kyerɛ sɛ, sɛ wunya tebea bi a wɔfrɛ no `(Hypercalcemia) a, ɛno nso na ɛde ba. Nneɛma pii nti na `(Hypercalcemia)` betumi aba:

• Hyperparathyroidism: Eyi betumi aba bere a parathyroid ntini anan a ɛwɔ yɛn kɔn mu no mu biako anaa nea ɛboro saa yi parathyroid hormone pii fi adi no.
• Vitamin D awuduru: Vitamin D a wɔnom boro so.
• Paget yare: Saa yare yi ma nnompe mu yɛ mmerɛw na nnompe foforo a ɛba ntɛmntɛm ne mpɛn dodow a ɛba no kɔ soro.

Ayaresa mu tebea afoforo

Wɔ nea yɛaka ho asɛm wɔ atifi hɔ no akyi no, nyarewa afoforo bi nso betumi de `(Band Keratopathy):` aba

• Gout: Eyi yɛ ntini mu yare bi a uric acid ahwehwɛ na ɛde ba.
• Multiple Myeloma: Eyi yɛ mogya mu kokoram a ɛntaa nsi. Ɛwom sɛ wobetumi de ayaresa asi yare no so de, nanso ɛyɛ den sɛ wɔbɛsa no koraa.
• Ichthyosis: Eyi yɛ honam ani yare, ɛwɔ ahorow bɛboro 20.
• Asaabo mu yare a ɛba awiei: Eyi ne bere a asaabo no di nkogu na entumi ntew mogya no ho.
• Nnuru bi a wɔde di dwuma: Nnuru bi nso betumi de eyi aba.

Wobɛyɛ dɛn ahu sɛ wowɔ saa yare yi?

Sɛ wowɔ sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no a, wubetumi akɔ oduruyɛfo a ɔhwɛ ayarefo nkyɛn nkyɛn, anaasɛ wubetumi akɔ aniwa ho ɔbenfo nkyɛn tẽẽ.

Oduruyɛfo no bedi kan abisa wo w’ayaresa ho abakɔsɛm ne mprempren sɛnkyerɛnne ahorow ho asɛm de ahu nea ɛde tebea yi ba (calcific band keratopathy) na wapow ayaresa tebea afoforo.

Nea ɛka ho no, wobetumi nso ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mpɛn pii mfa nhwɛ sɛnea nneɛma yi dodow te wɔ wo mogya mu:

• Calcium a ɛwɔ nipadua no mu
• Phosphorus a ɛwɔ nipadua no mu
• Nnuru a ɛma nipadua no nya ahoɔden
• Mogya mu urea nitrogen (BUN) ne creatinine (eyinom yɛ asaabo dwumadi ho nhwehwɛmu) .

Aniwa ho oduruyɛfo no bɛhwɛ w’ani yiye. Ɛkame ayɛ sɛ eyi bɛka kanea a wɔapaapae mu nhwehwɛmu ho .

Dɛn ne ayaresa ahorow a ɛwɔ hɔ a ɛbɛma obi ho atɔ no?

Wɔfrɛ Band Keratopathy ayaresa titiriw no Chelation . Chelation yɛ adeyɛ a ɛfa nneɛma te sɛ dade anaa aboɔden abo a ɛwɔ nipadua no mu ho kyekyere ade foforo ho na afei woyi fi nipadua no mu ara kwa.

Wɔ eyi mu no, nnuruyɛfo de aduru bi a wɔfrɛ no ethylene-diamine-tetra-acetic acid (EDTA) di dwuma de yi calcium a ɛwɔ w’ani so no fi hɔ. Ɛtɔ mmere bi a, oduruyɛfo no betumi de laser nso ayi calcium a aka biara afi hɔ na wama ani a wɔasa no yare no ani ayɛ mmerɛw. Wɔfrɛ eyi keratectomy a wɔde sa yare .

Ade a ɛho hia sen biara ne sɛ wɔtaa yɛ saa ayaresa yi sɛ ayaresa a wɔde ma wɔ ayaresabea. Eyi kyerɛ sɛ wubetumi akɔ fie da koro no ara. Wɔyɛ no nso wɔ aduru a wɔde kum nipadua no mu.

W’ani behia ahobammɔ titiriw bɛyɛ adapɛn abien wɔ ayaresa akyi. Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa amniotic membrane graft anaasɛ aduru titiriw bi a ɛbɔ wo ho ban a wɔde kyekyere wo ho.Wubetumi de ahyɛ. Eyinom abien nyinaa ma aniwa a wɔayɛ no aduru no bɔ ho ban.

Nea ɛho hia yiye: Sɛ wowɔ Band Keratopathy esiane tebea foforo a ɛwɔ ase nti a, nnuruyɛfo bɛsa saa tebea a ɛhyɛ ase no nso. Sɛ ɛnte saa a, calcium a ɛwɔ hɔ no betumi asan aba bio.

Dɛn na yebetumi ayɛ de atew eyi a ɛba no so?

Sɛnea ɛbɛyɛ a wobɛtew asiane a ɛwɔ hɔ sɛ wubenya `(Band Keratopathy)` so no, wubetumi ahwɛ w’akwahosan nyinaa ne w’ani akwahosan so. Ɛno kyerɛ sɛ:

• Sɛ wowɔ mogya mmoroso, srade a ɛdɔɔso, anaa nyarewa a enni sabea te sɛ asikreyare a, di so yiye.
• Di aduan a ahoɔden wom.
• Yɛ apɔw-mu-teɛteɛ daa.
• Kura mu duru a ɛfata a ɛfata wo mu.
• Kɔ aduruyɛ mu nhwehwɛmu daa, na mma ɛnmpa ​​wo ti so sɛ wobɛkɔ aniwa ho oduruyɛfo nkyɛn akɔhwɛ w’ani.

Dɛn na obi a ɔwɔ `(Band Keratopathy)` betumi ahwɛ kwan?

Wɔ nnipa dodow no ara fam no, nkɔmhyɛ (nea daakye bɛba) a ɛfa Band Keratopathy ho no ye, nanso sɛ wɔsa tebea a ɛde bae no yiye nkutoo a. Ɛnyɛ nea ɛdɔɔso sɛ wobeyi calcium a ɛwɔ aniwa no mu no afi hɔ ara kwa. Sɛ wɔansiesie nea ɛde calcium haw no bae a, saa nneɛma a ɛwɔ hɔ yi betumi asan aba bio.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Ɛho hia sɛ wohwɛ w’ani so, ne wo nipadua nyinaa nso. Sɛ wote nka sɛ biribi nyɛ papa koraa, te sɛ aniwa a ɛyɛ mmerɛw anaasɛ aniwa a ɛyɛ mmerɛw bere nyinaa a, kɔ aniwa ho oduruyɛfo nkyɛn ntɛm ara. Dodow a wunya mmoa ntɛm no, dodow no ara na nea ebefi mu aba no bɛyɛ papa.

Nnuruyɛfo dwen w’ani a wobɛbɔ ho ban ho te sɛ wo ara pɛ. Ɛno nti na sɛ wuhu nsakrae biara wɔ w’ani so anaasɛ w’aniwa mu haw a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara.

Sɛ wowɔ aniwa mu yare ahorow bi, nipadua no mu tumi a ɛko tia nyarewa, anaa tebea horow a calcium dodow a ɛwɔ mogya mu no dɔɔso dodo (hypercalcemia) a, bisa wo duruyɛfo no asiane a ɛwɔ hɔ sɛ wubenya Band Keratopathy no ho asɛm. Aniwa mu nhwehwɛmu a wobɛyɛ daa no betumi aboa ma w’ani ayɛ yiye.

Enti, dɛn na ɛsɛ sɛ yɛde fi asɛm yi mu kɔ fie?

Ne tiawa mu no, ``Band Keratopathy`` yɛ calcium a ɛwɔ aniwa no ntini a emu da hɔ ``Cornea.`` Eyi betumi ama aniwa no ayɛ mmerɛw na aniwa no ayɛ basaa.

• Nneɛma pii betumi aba: aniwa mu nyarewa, nyarewa afoforo a ɛwɔ nipadua no mu (nkwaboaa a ɛko tia nyarewa ho haw, calcium dodow a ɛkɔ soro), ne nea ɛkeka ho.
• Hu sɛnkyerɛnne ahorow no: aniwa a ɛyɛ mmerɛw, aniwa mu yaw, aniwa a ɛyɛ mmerɛw, hann a ɛyɛ mmerɛw.
• Ayaresa ahorow bi wɔ hɔ: Wobetumi ayi calcium afi hɔ, nanso ɛsɛ sɛ wɔsa nea ɛde ba no.
• Hwehwɛ nnuruyɛfo afotu: Sɛ wuhu nsakrae bi wɔ w’ani so a, kɔ oduruyɛfo nkyɛn ntɛm.

W’ani som bo paa. Enti hwɛ wɔn. Mewɔ anidaso sɛ saa nsɛm yi so bɛba wo mfaso!

` Band keratopathy, vitreous humor, calcium a ɛwɔ hɔ, aniwa mu nyarewa, aniwa a ɛyɛ kusuu, aniwa akwahosan, chelation