Wiase a Ɛwɔ Aniwa Mu: Momma Yɛnsua Choroid a Ɛma Yɛn Anisoadehu no Nkwa Ho Ade

So woasusuw sɛnea yɛn aniwa yɛ adwuma te sɛ super camera ho pɛn? Biribiara a yehu, kyerɛ sɛ, kɔla, hann, nsusuwii, eyi nyinaa de kɔ amemene no mu wɔ sikani kakraa bi mu, na ɛma yetumi hu wiase yi. Wɔ saa aniwa ketewa yi mu no, ɔbran bi a wonnim no pii wɔ hɔ a ɛho nhia ma yɛn anisoadehu, nanso yɛnka ho asɛm pii. Ɛno ne nea yɛfrɛ no 'Choroid'. Ɛwom sɛ edin no yɛ nwonwa kakra de, nanso n’adwuma ho hia paa. Enti momma yɛnka eyi ho asɛm tiawa ne ayamye mu nnɛ.

Sɛ yɛbɛka no tiawa a, dɛn ne saa choroid yi?

Fa no sɛ yɛn aniwa no yɛ bɔɔl a ɛwɔ nsensanee abiɛsa. Wɔfrɛ mfinimfini fã no uvea. Choroid no yɛ saa mfinimfini fã no fã a ɛho hia yiye. N’adwuma titiriw ne sɛ ɛbɛma mogya, a ɛno ne aduan a aniwa no afã afoforo a ɛho hia a ɛho hia ma yɛn anisoadehu no hia. Nea ɛka ho no, ɛboa nso ma yetumi di hann dodow a ɛkɔ aniwa no mu no so na ɛma yehu ade yiye.

Dɛn ne dwumadi atitiriw abien a choroid no yɛ?

Yebetumi akyekyɛ ɔsom a choroid no de ma yɛn aniwa no mu ayɛ no afã atitiriw abien.

1. Mogya a Wɔde Ma

Eyi ne adwuma a ɛho hia sen biara na ɛyɛ adwuma titiriw a choroid no yɛ. Ɛte sɛ anyinam ahoɔden adwumayɛbea titiriw bi a ɛde nsu ne anyinam ahoɔden kɔ kurow bi mu. Retina ne optic nerve a ɛwɔ yɛn aniwa mu no te sɛ adwumayɛbea abien a ɛyɛ adwuma a ennyae. Esiane sɛ wɔde nsɛnkyerɛnne kɔ amemene no mu bere nyinaa nti, wohia mogya ne aduannuru pii sen ntini afoforo.

Enti, mogya ntini nketenkete a ɛyɛ nhama , a wɔaboaboa ano wɔ wɔn ho wɔn ho so wɔ choroid yi mu. Ɛnam mogya ntini nhyehyɛe yi so na retina ne aniwa ntini no nya oxygen ne aduannuru a ɛkɔ so. Sɛ wɔtew saa nneɛma a wɔde ma yi so kakra mpo a, yɛn ani betumi asɛe kɛse.

2. Hann a Wɔtwetwe

Eyi yɛ adwuma a wonnim pii, nanso ɛho hia yiye. So woahu ahuru tuntum a ɛwɔ abon a ɛbata mmeae a wɔkyere nnwom gu kasɛt so no afasu ho sɛnea ɛbɛyɛ a nnyigyei no ntumi nkɔ so no pɛn? Saa pɛpɛɛpɛ na choroid no yɛ wɔ aniwa no mu.

Ebia woate melanin , aduru a ɛma yɛn honam ani kɔla yɛ bruu no ho asɛm. Wohu saa melanin yi nso pii wɔ choroid no mu. Wɔde melanin di dwuma wɔ honam ani de bɔ ho ban fi ultraviolet mframa a epira a efi owia mu ba no ho.Ɛbɔ honam ani ho ban denam UV mframa a ɛtwetwe no so. Wɔ aniwa no mu no, saa melanin yi mma hann a ɛba mu no mmɔ apete wɔ aniwa no mu a ɛho nhia.

Ɛhe na saa choroid yi wɔ?

Choroid no wɔ yɛn aniwa no akyi nkyem abiɛsa mu abien. Sɛ yɛbɛka no tiawa a, ɛwɔ yɛn aniwa no fasu fitaa a ɛwɔ akyi paa (sclera) ne aniwa no fã a ɛwɔ mu paa, retina . Ɛte sɛ sandwich a ɛwɔ mfinimfini no.

Eyi yɛ ntini a ɛyɛ tratraa yiye. Ɛne sɛ, ɛyɛ den te sɛ krataa A4 a yɛtaa tintim no nkutoo. Nanso mogya ntini kɛse a mekaa ho asɛm no wɔ saa kɛse ketewaa no mu. Ɛtɔ da bi a, sɛnea yɛwɔ awo agyiraehyɛde wɔ yɛn honam ani no, saa ara na saa choroid yi nso betumi anya awo agyiraehyɛde (nevi). Yɛrentumi nhu eyinom mfi abɔnten. Sɛ aniwa ho oduruyɛfo bi hwehwɛ aniwa no mu nkutoo a, wohu eyinom.

Tebea bɛn na ebetumi aka choroid no?

Nneɛma pii a ɛka mogya a ɛkɔ yɛn nipadua mu, te sɛ nyarewa a ɛma obi ho hyehye no nso betumi aka choroid no. Efisɛ mogya ntini na ɛyɛ ne nyinaa. Tebea atitiriw a wobetumi ahu no bi ne:

• Albinism: Awosu mu yare a ɛma melanin kɔla a ɛwɔ honam ani ne aniwa mu no so tew. Saa melanin a enni hɔ yi ma aniwa no ntumi nnyina hann ano (photophobia) na ɛma aniwa no ntumi nhu ade yiye.
• Tebea horow a wonya fi awo mu: Sɛ nhwɛso no, tebea horow te sɛ choroideremia betumi asɛe retina no.
• Asikreyare a ɛde retinopathy ba: Asikreyare betumi asɛe mogya ntini a ɛwɔ aniwa no mu, na ɛno nso betumi aka choroid no.
• Macular degeneration: Titiriw wɔ ‘wet’ type mu no, mogya ntini foforo a ɛyɛ mmerɛw nyin wɔ choroid no mu, na ebetumi asɛe anisoadehu.
• Aniwa mu kokoram: Kokoram, titiriw aniwa mu melanoma, betumi aba wɔ choroid no mu.
• Aniwa mu ischemia: Mogya a ɛkɔ aniwa no mu a ɛnkɔ yiye, te sɛ aniwa a ɛyɛ mmerɛw mu.
• Glaucoma: Sɛ nhyɛso a ɛkɔ soro wɔ aniwa no mu sɛe aniwa ntini ne retina a, ebetumi aka choroid no nso wɔ ɔkwan a ɛnteɛ so.
• Aniwa a wɔapirapira.
• Tebea ahorow a ɛma obi ho hyehyee: Ɔfe ne ɔyare mmoawa a ɛba aniwa no mu, te sɛ uveitis anaa chorioretinitis.

Wobɛyɛ dɛn ahu ɔhaw bi a ɛwɔ choroid no ho?

Sɛ ɔhaw bi ba choroid no ho a, ɛka yɛn anisoadehu tẽẽ. Enti, ɛho hia paa sɛ yɛhwɛ nsakrae biara a ɛba anisoadehu mu.

Nhwehwɛmu bɛn na wɔyɛ de hu tebea horow a ɛtete saa?

Sɛ wokɔ aniwa ho ɔbenfo nkyɛn a, wobebisa wo yare no ho sɛnkyerɛnne na wɔahwɛ w’ani mu. Sɛ wosusuw sɛ ɔhaw bi wɔ choroid no ho a, wobetumi ayɛ nhwehwɛmu ahorow a edidi so yi:

• Visual acuity test: Sɔhwɛ a ɛkɔ so wɔ ɔkwan a ɛkɔ akyiri so a ɛkyerɛ sɛnea w’aniwa no yɛ nnam.
• Aniwa mu sɔhwɛ: Sɔhwɛ a wɔde hwɛ sɛ ebia ɔhaw bi wɔ w’aniwa mu (akwan a wubetumi ahu a worenhinhim wo ti).
• Slit lamp exam: Wɔ eyi mu no, oduruyɛfo no de ahwɛyiye de adwinnade titiriw bi a ɛte sɛ microscope hwehwɛ w’ani no mu.
• Retinal imaging tests: Esiane abusuabɔ a ɛda choroid ne retina ntam nti, retina no mu nhwehwɛmu nso betumi ama woanya choroid no ho nsɛm.
• Fluorescein angiography: Wɔde aduru soronko bi gu ntini bi a ɛwɔ abasa no mu mu, na wotwa mogya ntini a ɛwɔ aniwa no mu no mfonini.
• Optical Coherence Tomography (OCT): Eyi te sɛ nea woreyɛ aniwa no mu fã a wɔatwa no akuturuku. Ebetumi ahwɛ sɛnea aniwa no mu nsensanee no mu duru te ne sɛ ebia ɛho ahonhon bi anaa.

Dɛn ne nnuru a wɔde sa nyarewa a ɛfa choroid ho?

Mpɛn pii no, sɛ́ anka wɔbɛsa choroid no tẽẽ no, wɔsa tebea a ɛda adi a ɛrehaw no no. Eyi kyerɛ sɛ sɛ wɔsa nea ɛde ba no a, choroid no tebea nso tu mpɔn. Akwan a wɔfa so sa yare no betumi ayɛ soronko kɛse a egyina yare no so.

Ɛdenam wo tebea so no, ebia wubehia ayaresa foforo, na wo duruyɛfo no bɛkyerɛkyerɛ mu akyerɛ wo kɔ akyiri.

Ɔkwan bɛn so na wobetumi akura choroid ne aniwa akwahosan mu?

Yɛn ani yɛ ade a ɛsom bo paa. Enti ɛsɛ sɛ yɛn nyinaa bɔ mmɔden sɛ yɛbɛbɔ wɔn ho ban. Nneɛma pii wɔ hɔ a wubetumi ayɛ na ama aniwa no nyinaa anya akwahosan pa, a choroid ka ho.

• Yɛ aniwa mu nhwehwɛmu daa: Sɛ́ ebia wobɛhyɛ ahwehwɛ anaasɛ woanhyɛ no, ɛho hia sɛ anyɛ yiye koraa no, aniwa ho oduruyɛfo hwɛ w’ani pɛnkoro afe biara. Saa kwan yi so no, wobetumi ahu ɔhaw biara ansa na sɛnkyerɛnne ahorow ada adi.
• Bɔ w’ani ho ban: Sɛ woreyɛ welding, wode nnuru reyɛ adwuma, anaasɛ woreyɛ adwuma wɔ mmeae a mfutuma wɔ a, hwɛ hu sɛ wobɛhyɛ ahobammɔ ahwehwɛ/ahwehwɛ.
• Kwati sigaretnom ne tawanom: Tawa a yɛnom ne nea yɛwe no sɛe yɛn mogya a ɛkɔ nipadua no mu tẽẽ. Esiane sɛ choroid no yɛ mogya ntini a ɛtoatoa so nti, sigaretnom betumi asɛe no tẽẽ.
• Di nyarewa a enni sabea ho dwuma: Sɛ wowɔ nyarewa te sɛ Asikreyare ne Hypertension , di ho dwuma yiye sɛnea wo duruyɛfo kyerɛ wo. Sɛ wɔantumi anhyɛ saa nyarewa yi so a, aniwa no sɛe no betumi ayɛ kɛse.
• Hwɛ w’akwahosan nyinaa so: Ɛnyɛ sɛ wudi aduan a ɛkari pɛ, wo mu duru a ɛfata, na woteɛteɛ w’apɔw mu daa no ye ma w’ani nko, na mmom wo nipadua nyinaa nso.

Choroid yɛ yɛn aniwa no fã a ɛyɛ komm, nanso ɛho hia yiye. Ɛma yɛn anisoadehu no nya nkwa na ɛboa yɛn ma yehu wiase no yiye. Enti, ɛyɛ yɛn asɛyɛde sɛ yɛma yɛn ani da hɔ na yɛhwɛ yɛn ani so.

Choroid Sinhala, choroid, aniwa mu nyarewa, retina, mogya ntini a ɛwɔ aniwa mu, aniwa a ɛyera, aniwa akwahosan