Wiase a Ɛwɔ Aniwa Mu: Choroid a Ɛma Yɛn Anisoadehu Tumi no Ntease

Wiase a Ɛwɔ Aniwa Mu: Choroid a Ɛma Yɛn Anisoadehu Tumi no Ntease | Nirogi Lanka na ɔkyerɛwee

Physician Reviewed — Not Medical Advice

So woasusuw sɛnea yɛn aniwa yɛ adwuma te sɛ mfoninitwa mfiri a ɛkɔ anim a ɛyɛ pɛpɛɛpɛ yiye ho pɛn? Wɔkyere biribiara a yehu—kɔla, hann hann, ne nsusuwii biara—na wɔde kɔ w’amemene mu wɔ milisekɔn kakraa bi mu, na ɛma wutumi hu wiase no mu osuahu. Ɔbran bi a wɔanto dwom a ɛho hia ma w’anisoadehu ahintaw saa akwaa ketewaa a ɛyɛ nwonwa yi mu tɔnn: ‘choroid’. Ɛwom sɛ ebia edin no bɛyɛ te sɛ nea ɛyɛ soronko de, nanso dwuma a edi no ho hia. Ɛnnɛ, momma yɛne Nirogi Lanka nhwehwɛ mu wɔ ɔkwan a ɛyɛ mmerɛw na adamfofa su so.

Wɔ Nsɛmfua a Ɛyɛ Mmerewa mu no, Dɛn ne Choroid?

Fa w’ani sɛ bɔɔl a wɔde ntoatoaso abiɛsa ayɛ. Wɔfrɛ mfinimfini fã no uvea, na choroid yɛ saa ɔfa no fã titiriw. N’adwuma titiriw ne sɛ ɛbɛma mogya a oxygen pii wom, na ne titiriw no ɛbɛyɛ adwuma sɛ nkwa a ɛboa w’aniwa nneɛma a ɛho hia no. Bio nso, ɛboa ma hann a ɛhyɛn w’ani so no yɛ nea ɛfata na ama woahwɛ ahu sɛ wubehu ade yiye na ɛyɛ nnam.

Dɛn ne Choroid Dwumadi Titiriw Abien?

Wobetumi akyekyɛ choroid no adwuma mu ayɛ no dwumadi atitiriw abien.

1. Mogya a Wɔde Ma

Eyi ne adwuma a ɛho hia sen biara a choroid no yɛ. Fa no sɛ anyinam ahoɔden adwumayɛbea a ɛde anyinam ahoɔden ne nsu ma kurow a nnipa pii wɔ hɔ. Retina ne aniwa ntini no te sɛ adwumayɛbea ahorow a enni gyinabea a wɔhwehwɛ nneɛma pii. Esiane sɛ wɔde nsɛnkyerɛnne kɔ amemene no mu bere nyinaa nti, wohia mogya ne aduannuru pii sen ntini afoforo dodow no ara.

Mogya ntini a ɛyɛ den na ɛyɛ mmerɛw ahyɛ choroid no ma . Ɛnam saa nhyehyɛe yi so na retina ne aniwa ntini no nya oxygen ne aduannuru a ehia na ama wɔatumi ayɛ adwuma no a ɛsen bere nyinaa. Sɛ saa nneɛma a wɔde ma yi sɛe kakra mpo a, ebetumi aka w’anisoadehu kɛse.

2. Hann a Wɔtwetwe

Bere a wɔntaa nka ho asɛm no, eyi yɛ adeyɛ a ɛho hia. So woahyɛ foam panels a ɛyɛ tumm a ntokuru wom a ɛwɔ mmeae a wɔkyere nnwom gu kasɛt so a wɔayɛ sɛnea ɛbɛyɛ a nnyigyei rennye no nsow pɛn? Choroid no yɛ adwuma a ɛte saa ara wɔ w’ani mu.

Ebia wunim melanin , aduru a ɛma yɛn honam ani kɔla kɔla. Melanin pii wɔ choroid no mu. Bere a melanin a ɛwɔ honam ani no twetwe UV mframa a epira de bɔ wo ho ban no, wɔ aniwa mu no, ɛmma hann npete a wuntumi nni so.

Ne titiriw no, te sɛ mfoninitwa afiri a ɛkorɔn mu no, melanin a ɛwɔ choroid no mu no twetwe hann a ɛyera, na ɛma ɛde n’adwene si nkwammoaa a ɛma hann a ɛwɔ wo retina no mu no so pɛpɛɛpɛ. Sɛ eyi nni hɔ a, anka hann bɛbɔ w’ani mu, na ama w’ani so ayɛ te sɛ nea ɛyɛ kusuu na ɛyɛ kusuu.

Ɛhe na Choroid no Wɔ?

Choroid no kata w’aniwa akyi bɛyɛ nkyem abiɛsa mu abien so. Sɛ yɛbɛka no tiawa a, ɛtra aniwa no fasu fitaa a ɛwɔ akyi sen biara a wɔfrɛ no sclera , ne retina , a ɛyɛ mu fã a ɛhwɛ aniwa so no ntam.

Ɛyɛ aduru a ɛyɛ tratraa a ɛyɛ nwonwa—bɛyɛ sɛ krataa a wɔde di dwuma daa no mu duru. Nanso, wɔ saa beae ketewaa no mu no, ɛwɔ saa mogya ntini kɛse no. Sɛnea ebia wubenya akisikuru wɔ wo honam ani no, saa ara na choroid no nso betumi anya nsensanee a asiane biara nni ho a wɔfrɛ no nevi. Eyinom ntumi nhu mo; mpɛn pii no, w’ani ho oduruyɛfo na ohu bere a woreyɛ nhwehwɛmu daa no.

Tebea Bɛn na Ebetumi Aka Choroid no?

Esiane sɛ choroid yɛ mogya ntini a ɛyɛ den titiriw nti, nhyehyɛe mu nsɛm—te sɛ mogya a ɛkɔ nipadua no mu haw anaa nyarewa a ɛma obi ho hyehye no—betumi aka no tẽẽ. Tebea horow bi a ɛtaa ba ne:

  • Albinism: Awosu mu yare a ɛma melanin a ɛwɔ honam ani ne aniwa mu no so tew, na mpɛn pii no ɛma hann te nka (photophobia) na ɛma obi nhu ade yiye.
  • Tebea horow a wonya fi awo mu: Te sɛ choroideremia, a ebetumi ama retina asɛe.
  • Asikreyare a ɛde retinopathy ba: Asikre a ɛwɔ mogya mu a ɛdɔɔso betumi asɛe ntini a ɛyɛ mmerɛw a ɛwɔ choroid no mu no.
  • Macular degeneration: Wɔ ‘nsu’ kwan so no, mogya ntini a ɛnyɛ ne kwan so betumi anyin afi choroid no mu, na ama aniwa no ayera.
  • Aniwa mu kokoram: Te sɛ aniwa mu melanoma, a ebetumi afi ase wɔ choroid no mu.
  • Aniwa mu ischemia: Mogya a ɛso tew, te sɛ aniwa a ɛyɛ mmerɛw.
  • Glaucoma: Bere a ɛne aniwa mu nhyɛso wɔ abusuabɔ titiriw no, ebetumi aka choroid ne ntini a atwa ho ahyia no akwahosan wɔ ɔkwan a ɛnteɛ so.
  • Apirakuru: Aniwa no a ɛyɛ hu betumi asɛe ne mu.
  • Tebea ahorow a ɛma obi ho hyehyee: Te sɛ uveitis anaa chorioretinitis, a ɛyɛ nyarewa anaa ɔfe a ɛwɔ aniwa no mu.

Wobɛyɛ Dɛn Hu Ɔhaw Bi a Ɛwɔ Choroid no Ho?

Ɔsɛmpɔw biara a ɛfa choroid ho no bɛka w’ani so tẽẽ. Enti, sɛ wuhu nsakrae bi mpofirim wɔ w’ani so a, ɛho hia sɛ wokɔ w’ani hwɛ ho ɔbenfo nkyɛn anaasɛ wohwehwɛ ayaresa a egye ntɛmpɛ sɛ w’ani so tew mpofirim a emu yɛ den a.

Nsɛnkyerɛnne a Ɛkyerɛ sɛ Choroidal Disorders
Nsɛnkyerɛnne a Ɛtaa Ba
Nsonsonoe a ɛyɛ sum anaa mmeae a ɛda hɔ kwa wɔ anisoadehu mu Nkɔso a ɛba wɔ mmeae a anifuraefo (scotomas) ba.
Anisoadehu a ɛyɛ kusuu General a enni hɔ pefee wɔ w’anisoadehu afã no mu.
Anisoadehu abien Mfonini abien a wubehu sen sɛ wubehu biako (diplopia).
Aniwa mu yaw ne tiyɛ Aniwa a ɛnyɛ dɛ a ɛkɔ so wɔ aniwa no mu anaa nea atwa ho ahyia.
Nkate a ɛwɔ hann ho Ɔhaw anaa ɛyaw bere a wɔde no hyɛ hann mu (photophobia).
Nsɛnkyerɛnne a Egye Ntɛmntɛm a Ɛhia sɛ Wɔde Aduruyɛ Hwɛ Ntɛm ara
Akisikuru ne ɔfe a aniwa mu yɛ no yaw Nsɛnkyerɛnne a emu yɛ den a ebetumi akyerɛ sɛ nhyɛso kɛse.
Halo ahorow a atwa akanea ho ahyia Sɛ wuhu nkaa a ɛyɛ nyankontɔn a atwa hann fibea ahorow ho ahyia.
Anisoadehu a ɛyera mpofirim anaasɛ ɛso tew Eyi yɛ aduruyɛ mu tebea a egye ntɛmpɛ a egye ayaresa ntɛm ara.
Akanea a ɛrehyerɛn mpofirim Hann a ɛpae mpofirim (photopsias) a wuhu.

Sɛ wuhu saa sɛnkyerɛnne ahorow a egye ntɛmpɛ yi bi a, nkyɛ. Yɛsrɛ sɛ fa w’ani kyerɛ Emergency Department (ER) a ɛbɛn wo no ntɛm ara. Sɛ ɛba aniwa akwahosan so a, sekan biara ho hia.

Ɔkwan bɛn so na wohu tebea horow yi?

Sɛ wokɔ aniwa ho ɔbenfo nkyɛn a, wɔbɛhwɛ wo sɛnkyerɛnne ahorow no mu na wɔayɛ aniwa mu nhwehwɛmu a edi mũ. Sɛ wosusuw sɛ choroidal tebea bi wɔ hɔ a, wobetumi akamfo nhwehwɛmu a edidi so yi akyerɛ:

  • Visual acuity test: Nhwehwɛmu a wɔyɛ no daa de susuw sɛnea wutumi hu ade pefee.
  • Visual field test: Ɛhwehwɛ w’aniwa a ɛwɔ akyirikyiri no mu na ama woahu nsonsonoe anaa mmeae a anifuraefo biara wɔ.
  • Slit lamp exam: Microscope titiriw bi a wo duruyɛfo de hwɛ w’ani no mu nneɛma.
  • Retinal imaging tests: Esiane sɛ choroid ne retina wɔ abusuabɔ kɛse nti, retina no ho mfonini a wɔyɛ no ma yenya choroid no ho nsɛm a ɛsom bo.
  • Fluorescein angiography: Wɔde aduru bi gu wo nsa ntini mu de twa mogya ntini a ɛwɔ w’aniwa mu no ho mfonini kɔ akyiri.
  • Optical Coherence Tomography (OCT): Ɛyɛ scan a ɛnyɛ nea wɔde hyɛ mu a ɛma w’aniwa ho mfonini a wɔatwitwa, na ɛma oduruyɛfo no hu sɛ aniwa no ho ahonhon anaa nsakrae aba aniwa no mu.

Dɛn ne ayaresa a wobetumi apaw ama choroidal tebea horow?

Mpɛn pii no, ayaresa no twe adwene si tebea a ɛwɔ ase a ɛka choroid no ho dwuma a wobedi so. Ɛdenam nea ɛde ba no ntini a yebedi ho dwuma so no, mpɛn pii no yebetumi ama choroid no akwahosan nso atu mpɔn. Ayaresa nhyehyɛe ahorow gu ahorow kɛse a egyina wo yare pɔtee a woahu so.

Ɔkwan a Wɔfa so Yɛ Ayaresa Nea ɛka ho...
Nnuru a wɔde sa atiridiinini Ɛkɔ fam ma aniwa no nhyɛso so tew na ɛbɔ aniwa ntini no ho ban.
Nnuru a wɔde ko tia ɔyare mmoawa Nnuru a wɔde tew aniwa no mu a ɛho ahonhon anaasɛ ɛyɛ hyew so.
Aduru a wɔde ko tia VEGF Nnuru a wɔde twitwiw mogya mu a wɔayɛ sɛ wɔde besiw mogya ntini a ɛnyɛ ne kwan so a ɛretu no nyin.
Kokoram ho ayaresa ahorow Ayaresa titiriw te sɛ oprehyɛn anaa mframa a wɔde ma aniwa mu akisikuru.
Mogya a ɛsen no ho nhyehyɛe Nnuru te sɛ nnuru a ekum mogya a ɛtwetwe mogya anaasɛ mogya mmoroso a wɔde siw mogya so de boa mogya a ɛkɔ nipadua no mu yiye.
Aniwa oprehyɛn a wɔyɛ Oprehyɛn a wɔyɛ de siesie aniwa no nhyehyɛe a asɛe no.

Ɛdenam w’ankorankoro akwahosan ahiade so no, wo duruyɛfo bɛkyerɛ wo kwan wɔ ayaresa kwan a eye sen biara so.

Wobɛyɛ dɛn de Nirogi Lanka abɔ w’ani akwahosan ho ban?

W’anisoadehu no som bo. Sɛ wobɛbɔ w’ani akwahosan ho ban, a choroid ka ho a, ɛhwehwɛ sɛ wohwɛ yiye ansa na woayɛ. Nneɛma pii a wubetumi ayɛ de akura w’ani akwahosan mu bere tenten ni.

  • Yɛ Aniwa mu Nhwehwɛmu Daa: Ɛmfa ho sɛ wobɛhyɛ ahwehwɛ anaasɛ worenhyɛ no, ɛho hia sɛ anyɛ yiye koraa no, aniwa ho oduruyɛfo bɛhwɛ w’ani pɛnkoro afe biara. Eyi ma wotumi hu nsɛm a ebetumi aba bere tenten ansa na sɛnkyerɛnne biara a ɛda adi asɔre.
  • Bɔ W’ani Ho Ban: Sɛ wode nnwinnade a wɔde weld, nnuru, anaa mmeae a mfutuma ne nneɛma a asɛe pii yɛ adwuma a, ɛsɛ sɛ wohyɛ ahobammɔ ahwehwɛ anaa ahwehwɛ a ɛfata bere nyinaa na amma w’ani anpira.
  • Kwati Sigaretnom ne Tawanom: Sigaretnom ne tawanom sɛe wo mogya a ɛkɔ wo mogya mu no tẽẽ. Esiane sɛ choroid yɛ ntini a mogya ntini pii wom nti, sigaretnom betumi apira ne dwumadi kɛse na apira tẽẽ.
  • Di Tebea horow a Enni Sabea Ho Dwumadi: Sɛ wo ne Asikreyare anaa Hypertension (mogya mmoroso) te a, hwɛ hu sɛ wɔadi tebea horow yi ho dwuma katee sɛnea wo duruyɛfo akwankyerɛ kyerɛ no. Sɛ woanhyɛ saa nyarewa yi so a, ebetumi ama w’ani asɛe kɛse na wontumi nsakra.
  • Fa Yiyedi Nyinaa Di Kan: Aduan a ɛkari pɛ a wubekura mu, wo mu duru a ɛfata, ne apɔw-mu-teɛteɛ a wode wo ho bɛhyɛ mu daa no so wɔ mfaso ɛnyɛ w’ani nko, na mmom wo nipadua nyinaa nso.

Choroid no yɛ ade a ɛyɛ komm nanso ɛho hia wɔ w’aniwa mu. Ɛhome nkwa kɔ w’anisoadehu mu na ɛboa wo ma wunya wiase a emu da hɔ na ɛyɛ hyew. Ɛdenam nsɛm a wobɛkɔ so anya na woadi kan ayɛ so no, wode asɛyɛde nyinaa to wo ho so sɛ wobɛbɔ w’ani a ɛsom bo no ho ban ne Nirogi Lanka.

Nneɛma Titiriw a Wɔde Kɔ

  • Choroid yɛ ade a ɛho hia a ɛwɔ w’ani mfinimfini a ɛma mogya na ɛma hann kɔ nipadua no mu.
  • Nsɛnkyerɛnne te sɛ aniwa a ɛyera mpofirim, hann a ɛhyerɛn a wohu, anaa aniwa mu yaw a akisikuru ka ho no yɛ aduruyɛ mu nsɛm a egye ntɛmpɛ; yɛsrɛ sɛ frɛ 911 anaa kɔ dwumadibea a ɛbɛn wo a wɔhwɛ ntɛmpɛ so ntɛm ara.
  • Ɔkwan a eye sen biara a wobɛfa so abɔ wo choroidal akwahosan ho ban ne sɛ wobɛhwɛ tebea horow te sɛ asikreyare ne mogya mmoroso so denneennen, na woakɔ so ayɛ aniwa mu nhwehwɛmu daa.
  • Sɛ wuhu nsakrae anaa wo ho nyɛ wo dɛ wɔ w’ani so a, mmɔ mmɔden sɛ wobɛhwɛ wo ho; wo ne oduruyɛfo bi nsusuw ho ntɛm ara sɛnea wubetumi.

Choroid, Aniwa Akwahosan, Aniwa Nyarewa, Retina, Aniwa Mogya Ntini, Anisoadehu a Ɛyera, Aniwa Ho Hwɛ