So wowɔ asikreyare? Afei ɛsɛ sɛ yɛhwɛ yɛn ani so kakra. Efisɛ nsɛnnennen bi a ɛba bere a asikreyare ba no betumi asɛe aniwa no a ɛrenkyerɛ sɛnkyerɛnne biara wɔ mfiase no. Tebea a ɛte saa no biako a ɛka aniwa no komm ne Asikreyare Macular Edema, anaa DME tiawa. Wɔ eyi mu no, nsu fi mogya ntini a ɛyɛ mmerɛw a ɛwɔ aniwa no mu no mu esiane asikreyare nti, na ɛma aniwa no mu hohoro. Sɛ wohu eyi ntɛm a, wobetumi ayɛ ho adwuma na wɔakora aniwa so. Ɛnnɛ, momma yɛnka sɛnea yebehu sɛ wowɔ DME tebea yi ankasa anaa.
Ɔkwan a wobɛfa so anya adwene kakra wɔ fie
Ansa na wobɛkɔ oduruyɛfo nkyɛn no, wubetumi ayɛ nhwehwɛmu kakra wɔ fie. Yɛfrɛ eyi ``Amsler grid`` sɔhwɛ. Ɛyɛ mmerɛw yiye.
Fa no sɛ nhyehyɛe bi a ɛte sɛ kratafa bi a efi akuturukubɔ ho mmara nhoma mu. Ɛwɔ nsensanee tuntum bi wɔ mfinimfini. Nea ɛsɛ sɛ woyɛ ne sɛ:
- Fa saa nhyehyɛe yi sie baabi a hann wɔ yiye, wɔ akyirikyiri a anka wobɛkenkan nhoma bi.
- Sɛ wohyɛ ahwehwɛ a, hyɛ.
- Afei fa wo nsa kata w’ani biako so na fa w’ani foforo no hwɛ nsensanee tuntum a ɛwɔ nhyehyɛe no mfinimfini no nkutoo.
- Bere a worehwɛ nsensanee no, hwɛ sɛ wubetumi ahu mmara a ɛyɛ ahinanan no wɔ nhyehyɛe no so anaa.
Mpɛn pii no, ɛsɛ sɛ wuhu saa nsensanee yi tẽẽ na emu da hɔ. Nanso sɛ wowɔ tebea bi te sɛ DME , ebia ɛbɛyɛ te sɛ nea nsensanee ahinanan yi atrɛw, ayɛ nsensanee, anaasɛ ayɛ kusuu mpo wɔ mmeae bi. Afei, sɔ aniwa foforo no hwɛ wɔ ɔkwan koro no ara so.
Nanso kae eyi: Amsler grid sɔhwɛ no yɛ ade ketewaa bi a ɛkyerɛ sɛ ebia wowɔ ɔhaw bi anaa. Ɛnyɛ ade a wɔde besi aniwa mu nhwehwɛmu a edi mũ ananmu. Sɛ wuhu nsakrae biara a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.
Sɛ wokɔ oduruyɛfo nkyɛn a, dɛn na ɛba?
Sɛ wowɔ asikreyare a, ɔkwan a eye sen biara a wobɛfa so ahwɛ w’ani ne sɛ wobɛkɔ aniwa ho oduruyɛfo, oduruyɛfo a ɔwɔ ntetee titiriw wɔ asikreyare aniwa hwɛ mu nkyɛn. Wɔbɛyɛ aniwa mu nhwehwɛmu a edi mũ. Sɔhwɛ yi hwehwɛ sɛ yɛyɛ nneɛma atitiriw pii.
1. Aniwa mu Nhumu Sɔhwɛ
Eyi ne aniwa mu sɔhwɛ a yɛn nyinaa nim. Wɔde kyerɛwpon bi a nkyerɛwde, nɔma, anaa agyiraehyɛde ahorow a ɛsono ne kɛse gu so wɔ akyirikyiri na wɔka kyerɛ wo sɛ kenkan. Eyi ne sɔhwɛ a oduruyɛfo no betumi de adi dwuma de anya adwene titiriw bi wɔ sɛnea w’anisoadehu te ne sɛ ebia mmerɛwyɛ bi wɔ hɔ anaa.
2. Aniwa mu Nhwehwɛmu a Wɔatrɛw mu
Eyi ne sɔhwɛ a ɛho hia sen biara a wɔde hu DME.
- Nea edi kan no, oduruyɛfo no de nnuru titiriw bi bɛhyɛ w’ani so.
- Saa nsu yi bɛma w’aniwa no ayɛ kɛse. Mma ɛnhaw wo, eyi yɛ bere tiaa mu de.
- Sɛ aniwa no anim yɛ kɛse a, oduruyɛfo no de afiri titiriw bi a wɔfrɛ no slit-lamp di dwuma de hyerɛn hann kɔ aniwa no mu na ohu aniwa no mu afã horow nyinaa pefee.
- Ade titiriw a wɔde wɔn adwene si aniwa no fã a wɔfrɛ no retina no so. Sɛ yɛbɛka no tiawa a, eyi ne ɔfã a ɛwɔ yɛn aniwa mu a ɛte sɛ mfoninitwa afiri sini. Wɔahyehyɛ nea yehu no mfonini wɔ ha.
- Retina no fã titiriw a ɛma yehu ade yiye ne macula. Wɔ DME mu no, ɛyɛ macula no na ɛho ahonhon.
- Enti, wɔ nhwehwɛmu yi mu no, oduruyɛfo no hwɛ sɛ nsu retu afi mogya ntini a ɛwɔ retina no mu, sɛ ɛho ahonhon, anaasɛ mogya nketenkete bi retu anaa.
3. Mfonini a wɔtwe wɔ aniwa no mu (Retinal Imaging) .
Eyi nso yɛ ɔkwan a wɔfa so yɛ adwuma nnɛ. Ɛte sɛ nea woretwa w’ani mu mfonini. Mfoninitwa afiri titiriw bi twa wo retina no mfonini na ɛde kɔ kɔmputa so. Afei aniwa ho oduruyɛfo hwehwɛ mfonini ahorow yi mu hwɛ sɛ ebia aduruyɛ mu tebea bi ho sɛnkyerɛnne bi wɔ hɔ anaa. Ɛwom sɛ eyi nyɛ nea ɛkɔ akyiri te sɛ aniwa mu nhwehwɛmu a edi mũ de, nanso ɛyɛ nhwehwɛmu pa a edi kan ma obi a ebia ontumi nkɔ aniwa ho oduruyɛfo nkyɛn.
Sɔhwɛ titiriw a ɛsɛ sɛ wɔyɛ sɛ wosusuw sɛ DME na ɛwɔ hɔ a
Wɔ atifi hɔ nhwehwɛmu ahorow no akyi no, sɛ wo duruyɛfo susuw sɛ wowɔ DME a, wɔbɛyɛ nhwehwɛmu titiriw pii bio de asi so dua. Sɔhwɛ atitiriw abien na ɛwɔ hɔ.
| Sɔhwɛ no din | Nea ɛba ara kwa | Dɛn na wubetumi ahu wɔ eyi mu? |
|---|---|---|
| Fluorescein Angiography a Wɔde Yɛ Adwuma | Wɔde aduru titiriw bi gu ntini bi a ɛwɔ wo basa mu mu. Sɛ saa aduru yi du w’ani so a, ɛma mogya ntini a ɛwɔ w’aniwa mu no da adi pefee. Afei wɔde mfoninitwa afiri titiriw bi twa mfonini ahorow a ɛtoatoa so. | Etumi hu baabi pɔtee a nsu retu afi mogya ntini a ɛwɔ aniwa no mu, sɛ ebia mogya ntini no asɛe, anaasɛ mogya ntini foforo a ɛyɛ mmerɛw ayɛ. |
| Tomography a Wɔde Aniwa Nhyiam (OCT) . | Eyi te sɛ aniwa no mu ultrasound scan. Nanso sɛ́ anka ɛbɛyɛ nnyigyei asorɔkye no, ɛde hann asorɔkye di dwuma de twa ntini a ɛwɔ aniwa no mu no ho mfonini a ɛkɔ akyiri yiye. Ɛnyɛ yaw. | Wobu eyi sɛ ɔkwan a eye sen biara na ɛyɛ nokware sen biara a wɔfa so hu DME. Etumi susuw retina no fã biara mu duru pɛpɛɛpɛ, enti etumi hu sɛnea ɛho ahonhon no pefee sen sɔhwɛ afoforo. |
Sɛ woyɛ nhwehwɛmu ahorow yi wie a, wo duruyɛfo betumi ahu sɛ ebia wowɔ DME anaasɛ wunni bi, na sɛ ɛte saa a, sɛnea emu yɛ den no. Afei obetumi akamfo ayaresa a ɛfata sen biara akyerɛ wo.
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ wowɔ asikreyare a, ɛho hia sɛ anyɛ yiye koraa no, aniwa ho oduruyɛfo hwehwɛ w’ani mu pɛnkoro afe biara, sɛ wunni sɛnkyerɛnne biara mpo a.
- Sɛ wuhu nsakrae biara wɔ w’ani so, te sɛ aniwa a ɛyɛ kusuu, mfonini a ɛyɛ kusuu, anaa nsensanee tuntum a ɛsensɛn nsu so , kɔ oduruyɛfo nkyɛn ntɛm ara a wontwentwɛn wo nan ase.
- Bere a Amsler grid sɔhwɛ a wɔyɛ wɔ fie no yɛ adwene pa no, ɛnyɛ nea wɔde besi aduruyɛ mu nhwehwɛmu ananmu ɔkwan biara so.
- DME yɛ tebea a wobetumi adi so yiye na sɛ wohu ntɛm a, wobetumi akora anisoadehu so. Enti nsuro, na di aduruyɛ mu afotu akyi wɔ bere a ɛfata mu.
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