So wowɔ aniwa ho haw a ɛte sɛɛ? Momma yɛnka Chorioretinitis ho asɛm!

So woahyɛ no nsow pɛn sɛ w’aniwa yɛ kɔkɔɔ mpofirim, w’aniwa yɛ mmerɛw kakra, na ɛtɔ mmere bi a wuhu nsensanee tuntum nketewa a ɛsensɛn w’ani mu? So ɛyɛ den ma wo sɛ wobɛhwɛ hann no? Saa nneɛma yi nyɛ nea ɛba ara kwa. Eyinom betumi afi w’ani no afã abien a ɛho hia yiye, choroid ne retina, a ɛyɛ hyew, anaasɛ ɛho ahonhon mu aba . Wɔ nnuruyɛ mu no, yɛfrɛ tebea yi chorioretinitis . Eyi betumi ayɛ tebea a emu yɛ den, enti ɛho hia sɛ wohu.

Dɛn ne Chorioretinitis?

Sɛ yɛbɛka no tiawa a, chorioretinitis yɛ ɔfe a ɛba w’ani akyi, choroid ne retina . Ɛyɛ tebea horow kuw kɛse bi a wɔfrɛ no uveitis , a ɛyɛ aniwa no mu ɔfe no mu biako ankasa.

Fa w’ani no sɛ mfoninitwa afiri ketewaa bi. Saa mfoninitwa afiri yi wɔ afã horow.

• Choroid yɛ ntini bi a ɛwɔ aniwa no mu. Mogya ntini a ɛma aniwa no nya mogya no wɔ mu. Ɛwɔ retina ne aniwa no fã fitaa (sclera) ntam. Te sɛ asase a ɛma dua nya nsu ne aduannuru no, saa ara na choroid no na ɛma retina no aduan. Enti sɛ ɔhaw bi wɔ ho a, anisoadehu betumi asɛe.
• Retina yɛ ntini a ɛyɛ mmerɛw yiye wɔ aniwa no akyi. Wɔahyehyɛ ahoni a yehu no wɔ ha. Ɛte sɛ sini a ɛwɔ mfoninitwa afiri mu no. Ɛyɛ nea ɛde hann nsɛnkyerɛnne kɔ amemene no mu, enti yehu nneɛma.

Enti, sɛ choroid ne retina nyinaa ho hyehye bere koro mu a, yɛfrɛ saa tebea no chorioretinitis. Sɛ ɔfe yi fi ase sɛe aniwa no a, wɔsan frɛ no chorioretinopathy . Ɔfã '-pathy' kyerɛ ɔsɛe. Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ aniwa a wontumi nhu ade yiye, w’aniwa yɛ wo yaw, na wote hann nka a, ɛsɛ sɛ wokɔ aniwa ho oduruyɛfo nkyɛn ntɛm ara.

Dɛn ne Chorioretinitis ho sɛnkyerɛnne ahorow?

Saa sɛnkyerɛnne ahorow yi betumi ayɛ soronko wɔ onipa biara ho. Ebia nnipa binom benya saa sɛnkyerɛnne ahorow yi biako anaa nea ɛboro saa.

• Sɛ wuhu nsensanee tuntum, nsu a ɛsensɛn nsu so, anaa hann a ɛhyerɛn wɔ w’ani so: Fa no sɛ wote hɔ dinn kɛkɛ na mpofirim ara wuhu akɔre ntaban nketewa anaa nsensanee tuntum a ɛretu wɔ ha ne ha wɔ w’ani anim. Ɛtɔ da mpo a, ebia wubehu hann a ɛhyerɛn te sɛ anyinam.
• Aniwa a ɛyɛ kɔkɔɔ: Ebia aniwa no fã fitaa no bɛdan kɔkɔɔ.
• Anisoadehu a wontumi nhu: Ebia wuntumi nhu nneɛma yiye, te sɛ nea worehwɛ sum mu . Ebia wobɛte nka nso sɛ nkyerɛwde no ayɛ basaa bere a worekenkan no.
• Aniwa mu yaw: Ɛyaw betumi afi aniwa no mu anaa atwa ho ahyia.
• Photophobia: Ɛyɛ den sɛ wubehu bere mpo a owia anaa akanea adum, na ebia aniwa no te sɛ nea ɛredan bruu.
• Nusu a ɛtra so: Ebia nusu bɛsen afi aniwa no mu te sɛ nsu ara kwa.
• Ɛyɛ den sɛ wubehu kɔla ahorow: Ebia kɔla ahorow bi bɛyɛ te sɛ nea ɛsono nea ɛwɔ afoforo mu, anaasɛ ɛbɛyɛ den sɛ wubehu kɔla ahorow.

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, mmu w’ani ngu so. Kɔ aniwa ho oduruyɛfo nkyɛn ntɛm ara.

Dɛn ne nneɛma a ɛde chorioretinitis ba?

Nneɛma atitiriw abien na ɛde tebea yi ba: nea ɛde ɔyare ba ne nea ɛnyɛ nea ɛde ɔyare ba.

Chorioretinitis a ɔyare mmoawa na ɛde ba (Nneɛma a ɛde ɔyare ba) .

Saa nyarewa yi bi betumi aba wɔ awo mu (wɔde awo) anaasɛ wonya wɔ nkwa mu.

• Toxoplasmosis: Eyi ne ade a ɛtaa de chorioretinitis ba. Ɛyɛ ɔyare mmoawa a ɔyare mmoawa bi de ba. Ebetumi afa mpataa nsu ne nam ne mpataa a wɔannoa no yiye so anya.
• Nsamanwaw: Yiw, nsamanwaw a yɛn nyinaa nim no nso betumi aka aniwa no wɔ saa kwan yi so.
• Cytomegalovirus (CMV): Eyi yɛ ɔyare mmoawa a ebetumi aka nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw.
• Syphilis: Eyi yɛ ɔyare a efi nna mu ba a ebetumi asɛe aniwa nso.

Bio nso, mmoawa te sɛ Zika mmoawa, rubella mmoawa, varicella-zoster mmoawa a ɛde akokɔsrade ba , ne fungal yare ahorow bi betumi de eyi aba.

Nneɛma a ɛnyɛ ɔyare mmoawa

Ɛtɔ mmere bi a, chorioretinitis betumi aba a ɔyare mmoawa biara nni mu.

• Aniwa mu opira: Sɛ biribi bɔ aniwa no na epira a, ɛda adi sɛ ɔfe a ɛte sɛɛ bɛba.
• Nyarewa a nipadua no tumi ko tia nyarewa ne nea ɛma obi ho hyehye no: Eyinom yɛ nyarewa a yɛn nipadua no ankasa nipadua mu tumi a ɛko tia nyarewa no tow hyɛ yɛn ankasa nkwammoaa so. Nhwɛso ahorow bi ne tebea horow te sɛ ntini mu yare , sarcoidosis , ne Behçet yare .
• Kokoram ahorow bi: Kokoram te sɛ lymphoma , anaasɛ kokoram a efi nipadua no mmeae afoforo atrɛw akɔ aniwa mu (yare a ɛtrɛw kɔ mmeae afoforo) nso betumi de tebea yi aba.
• Awosu mu tebea horow bi: Ɛntaa mma sɛ awosu mu tebea horow bi a wɔde kɔ awo ntoatoaso mu nso betumi de yare yi aba.

Dɛn ne nsɛnnennen a ebetumi afi Chorioretinitis mu aba?

Sɛ wɔansa yare yi yiye a, wobetumi atew aniwa so na anifurae a ɛtra hɔ daa mpo betumi aba.Enti, ɛho hia paa sɛ wohwehwɛ aduruyɛfo afotu bere a sɛnkyerɛnne ahorow no da adi ara pɛ.

Ɔkwan bɛn so na wohu Chorioretinitis?

Sɛ wokɔ aniwa ho oduruyɛfo nkyɛn a, ɔbɛhwɛ w’ani. Mpɛn pii no, eyi hwehwɛ sɛ wode aniwa mu nsu bɛtrɛw w’ani mu, na woahwɛ w’ani akyi yiye. Afei oduruyɛfo no betumi ahwɛ sɛnea wo retina ne choroid te. Ɛtɔ da bi a, wotumi hu nneɛma te sɛ akuru dedaw (chorioretinal scars) nso.

Dɛn ne nhwehwɛmu ahorow a wɔde hu yare no?

Wɔ aniwa mu nhwehwɛmu akyi no, oduruyɛfo no betumi ayɛ nhwehwɛmu ahorow te sɛ:

• Nhwehwɛmu a wɔyɛ wɔ aduruyɛdan mu wɔ nneɛma a wɔde afiri w’ani mu ho: Wobetumi de nhwɛsode ketewaa bi a wɔafa afi w’ani mu akɔ lab akɔhwɛ sɛ ɔyare mmoawa bi wɔ hɔ anaa, na sɛ ɛte saa a, ɔkwan bɛn so.
• Optical Coherence Tomography (OCT): Eyi te sɛ 3D scan a wɔde hwɛ aniwa no mu. Ɛde hann di dwuma de twa nsensanee a ɛwɔ aniwa no akyi no ho mfonini. Eyi betumi aboa ma wɔahu baabi a ɔfe no kodu ne sɛnea nsu a ɛboaboa ano wɔ hɔ.
• Fluorescein angiography: Nea ɛka eyi ho ne sɛ wode aduru soronko bi bɛhyɛ ntini bi a ɛwɔ w’abasa mu mu na woatwa mogya ntini a ɛwɔ w’ani mu no mfonini. Eyi betumi aboa ma woahwɛ sɛ ɔhaw bi wɔ wo mogya ntini mu anaa.
• Indocyanine green (ICG) angiography: Eyi yɛ sɔhwɛ a wɔde aduru koro no ara a wɔde yɛ nea wɔde yɛ kan no di dwuma, nanso ɛhwɛ mogya ntini a ɛwɔ choroid a ɛwɔ retina ase no titiriw.

Sɛ tebea foforo a ɛde chorioretinitis ba a, ebia ebehia sɛ oduruyɛfo no yɛ nhwehwɛmu foforo na ama wahu saa tebea no.

Ɔkwan bɛn so na wɔsa Chorioretinitis?

Aniwa ho nnuruyɛfo taa sa tebea yi denam steroid a wɔde ma na ama ɔfe no so atew so . Wobetumi de eyinom ama sɛ aniwa mu aduru, nnuru, anaa ɛtɔ mmere bi a wɔde nnuru a wɔde twitwiw nipadua mu. Nanso, ɛnsɛ sɛ wɔde steroid di dwuma bere tenten, efisɛ ebetumi de ɔhaw ahorow aba.

Enti, ebia w’ani ho ɔyaresafo ne ntini mu yare ho oduruyɛfo, oduruyɛfo a ne ho akokwaw wɔ nkwaa mu yaw ne nyarewa a nipadua no tumi ko tia nyarewa mu bɛyɛ adwuma de akyerɛw nnuru a ɛmma steroid nsɛe a ɛhwɛ wo nipadua no mu tumi a ɛko tia nyarewa so.

Sɛ ɔyare mmoawa bi na ɛde chorioretinitis ba a, wogyina ɔyare mmoawa a ɛde ɔyare no bae no so sa yare.

• Nnuru a ekum ɔyare mmoawa sɛ ɛyɛ ɔyare mmoawa a
• Antifungals sɛ ɛyɛ fungal yareɛ a
• Antiparasitics sɛ ɔyare mmoawa bi wɔ hɔ a
• Sɛ ɔyare mmoawa bi wɔ hɔ aNnuru a ekum ɔyare mmoawa

Ɛho hia yiye sɛ wobɛnom saa nnuru yi sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, bere tenten a wɔakyerɛw ama wo no nyinaa. Mma nnyae aduru no nom esiane sɛ wo ho atɔ wo nti.

Ɛntaa mma koraa sɛ ebia ɛho behia sɛ wɔyɛ oprehyɛn a wɔfrɛ no vitrectomy de yi nsu ne nneɛma a asɛe fi aniwa no mu.

Anidaso bɛn na obi a ɔwɔ chorioretinitis betumi anya?

Sɛ wowɔ chorioretinitis, na wosa no yiye, ne nea ɛde ba no nso a, mpɛn pii no nea efi mu ba no ye . Nanso, ebehia sɛ wokɔ aniwa ho oduruyɛfo nkyɛn daa na ama wɔahwɛ w’ani.

Nnipa dodow no ara nnya anisoadehu mu haw a ɛtra hɔ daa bere a wɔasa wɔn yare awie no.

Nanso, sɛ wɔansa chorioretinitis a, ebetumi aka w’ani so. Ɔhaw biako ne chorioretinal atrophy . Wei kyerɛ sɛ aniwa no afã horow a ɛka no – retina ne choroid – twetwe na egyae adwumayɛ yiye. Sɛ wɔansa a, ebetumi ama obi ntumi nhu ade koraa (anifurae) .

So wobetumi asiw Chorioretinitis ano?

Ɛwom sɛ wontumi nsiw ano koraa de, nanso wubetumi ayɛ nea edidi so yi de atew asiane a ɛwɔ hɔ no so:

• Bɔ wo ho ban fi nyarewa ho:
• Fa samina hohoro wo nsa yiye bere nyinaa .
• Twe wo ho fi nnipa a wɔyare ho.
• Fa nna a ahobammɔ wom di dwuma .
• Sɛnea ɛbɛyɛ na woakwati toxoplasmosis no, hyɛ nsateaa bere a woredi mpataa nsu ho dwuma no, na noa nam ne mpataa yiye.
• Kɔ w’ani duruyɛfo nkyɛn wɔ nhyehyɛe a woyɛ no daa mu: Sɛ wowɔ tebea afoforo te sɛ asikreyare a, ɛho hia sɛ wokɔhwɛ w’ani.
• Sɛ wuhu nsakrae biara wɔ w’ani so a, kɔ aniwa ho oduruyɛfo nkyɛn ntɛm ara: Ntwɛn bere a woahyɛ da ayɛ.
• Hwɛ w’akwahosan nyinaa so: di aduan a ɛkari pɛ, teɛteɛ w’apɔw mu, na di tebea biara a enni sabea a wowɔ no ho dwuma.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Sɛ wɔahu sɛ wowɔ chorioretinitis dedaw a, wo duruyɛfo bɛkyerɛ wo aniwa mu haw ahorow a ebia wowɔ. Sɛ wɔama wo ayaresa nhyehyɛe bi na ɛte sɛ nea ɛnyɛ adwuma a, wo ne wo duruyɛfo nka ho asɛm.

Bere biara, sɛ́ ebia woahu sɛ wowɔ aniwa mu yare bi anaasɛ wonni bi no, sɛ wuhyia nea edidi so yi mu biara a, kɔ aniwa ho oduruyɛfo nkyɛn anaa kɔ ayaresabea dwumadibea a wɔhwɛ ntɛmpɛ so ntɛm ara:

• Sɛ biribi to aniwa no a.
• Sɛ wohwere w’ani so mpofirim anaasɛ w’aniso yɛ mmerɛw kɛse a.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Wubetumi abisa wo duruyɛfo nsɛm te sɛ eyinom afa chorioretinitis ho:

• Dɛn nti na minyaa saa yare yi?
• Ayaresa bɛn na wokamfo kyerɛ?
• So aduru yi mu nsunsuanso bɔne bi wɔ hɔ?
• Nsɛnnennen bɛn na ɛsɛ sɛ mehwɛ yiye wɔ ho?
• So ebetumi aba sɛ saa yare yi bɛka obi foforo biara wɔ m’abusua mu? (titiriw sɛ awosu mu nneɛma bi wɔ hɔ a) .

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

Yɛn ani yɛ akwaa a ɛsom bo paa. Ɛyɛ ade a ɛfata sɛ w’ani bɛtetew na ayɛ wo yaw kakra ɛtɔ mmere bi a. Nanso, sɛ w’ani so yɛ kusuu, w’aniwa yɛ wo yaw, w’aniwa sesa, anaa bere nyinaa wuhu biribi a ɛsensɛn w’ani anim a, mmu w’ani ngu so. Ebetumi ayɛ w’ani mu ɔfe te sɛ chorioretinitis.

Dodow a wuhu yare no ntɛm na wufi ase sa yare no, dodow no ara na hokwan a wowɔ sɛ wobɛkora w’ani a ɛsom bo no so no yɛ kɛse. Enti, nsuro na hwehwɛ aduruyɛ mu afotu a ɛnkyɛ. Ɛyɛ w’asɛyɛde sɛ wobɛhwɛ w’ani so!

` Chorioretinitis, aniwa a ɛyɛ hyew, aniwa mu yare, aniwa a enhu ade yiye, retina, choroid