So woate nka pɛn sɛ nsensanee tuntum nketenkete anaa asaawa bɔɔl a ɛrehuruhuruw wɔ w’ani anim bere a worehwɛ ɔfasu fitaa, wim a emu tew, anaa krataa fitaa bi? Wɔne wo tu bere a wokeka w’ani no. Sɛ wobɔ w’ani anaa wobɔ w’ani mpo a, wɔnkɔ. Sɛ osuahu yi te sɛ nea wunim a, mma ɛnhaw wo. Nnipa pii wɔ saa osuahu yi. Ɛnnɛ yɛreka `(Myodesopsias)` anaa sɛnea yɛtaa frɛ no, Eye Floaters ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne saa Eye Floaters yi?
Eye Floaters yɛ nneɛma nketenkete a ɛsensɛn w’ani mu. Fa no sɛ, yɛn aniwa mu, mfinimfini, ade bi a ɛte sɛ jelly wɔ hɔ. Yɛfrɛ eyi ``vitreous humor''. Saa jelly yi ma yɛn aniwa yɛ ne nsusuwii. Bere a yɛrenyin no, saa jelly yi twetwe nkakrankakra, ɛyɛ nsu kɛse, na ɛyɛ nneɛma nketenkete a ɛyɛ den. Saa nneɛma a ɛyɛ den yi ne nea ɛsensɛn saa jelly no mu.
Sɛ wohwɛ hann bi a, saa asinasin a ɛsensɛn nsu so yi sunsuma hwe ase wɔ ade a ɛte hann nka wɔ aniwa no akyi, retina . Saa sunsuma no ne nea wuhu sɛ nsensanee tuntum, te sɛ asaawa bɔɔl. Ɛte sɛ baabi tuntum bi a ɛwɔ mfonini mu bere a mfutuma ketewaa bi akɔhyɛ mfoninitwa afiri bi ahwehwɛ mu no.
Ɛtɔ mmere bi a, hann a ɛhyerɛn wɔ aniwa anim betumi aka floaters ho. Wɔfrɛ eyi ``photopsias''. Nneɛma abien no nyinaa betumi abom anaasɛ atew ne ho.
Nneɛma a ɛsensɛn nsu so yi betumi ayɛ nsusuwii bɛn?
Eyi betumi ayɛ soronko wɔ onipa biara ho. Nnipa binom hu wɔn sɛ akɔre anaa nwansena. Afoforo nso hu nsusuwii afoforo. Ebia wubehu nneɛma te sɛ eyi nso:
- Nsonsonoe nketenkete a ɛyɛ tuntum anaa tuntum
- Nneɛma te sɛ nhama
- Wɔayɛ no te sɛ akɔre ntaban
- Ntrɛwmu a wɔatwe
- Sunsuma nketewa te sɛ mununkum
Enti so eyi yɛ ade a ɛfata? So ɛsɛ sɛ mehaw me ho?
Mpɛn pii no, aniwa a ɛsensɛn nsu mu yɛ ade a ɛtaa ba a ɛba bere a obi nyin no. Ɛyɛ adeyɛ a ɛyɛ daa a jelly a ɛwɔ w'ani mu (`vitreous`) no twetwe. Wɔfrɛ eyi wɔ aduruyɛ mu sɛ ``posterior vitreous detachment``. Eyi nkyerɛ sɛ w’ani nni apɔwmuden.
Nanso, ɛho hia paa sɛ wobɛhwɛ w’ani daa. Titiriw sɛ wotaa hu saa floaters yi a, nyansa wom sɛ wobɛma oduruyɛfo ahwɛ w’ani ahwɛ ahu sɛ aniwa mu yare foforo biara nni hɔ a emu yɛ den.
Ade a ɛho hia sen biara ne eyi: Sɛ mpofirim ara wufi ase hu floaters pii a, ɛno nyɛ ade a ɛfata. Sɛ ɛba saa a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara.
Saa tebea yi betumi aba aniwa biako pɛ mu anaa aniwa abien no nyinaa mu. Nanso, mpɛn pii no, ɛnkɔ aniwa abien no nyinaa so bere koro mu.
Dɛn nti na saa aniwa a ɛsensɛn nsu mu yi ba na dɛn ne asiane ahorow a ɛwom?
Ade titiriw nti a ɛte saa ne onyin . Eyi abu so wɔ nnipa a wɔadi fi mfe 50 kosi 70. Ɛwom sɛ ebia mfiase no ɛbɛyɛ te sɛ nea ɛyɛ ahometew kakra de, nanso bere kɔ so no yɛn amemene no yɛ wɔn su na efi ase bu n’ani gu so. Ɛno nkyerɛ sɛ wɔkɔ, nanso yɛnhyɛ wɔn nsow pii.
Nanso ɛntaa mma koraa sɛ eyinom betumi ayɛ tebea bi a emu yɛ den kɛse ho sɛnkyerɛnne.
| Sɛnti | Nkyerɛmu |
|---|---|
| Onyin (ade titiriw a ɛde ba) . | Ɛba bere a ade a ɛte sɛ jelly a ɛwɔ aniwa no mu (vitreous) no twetwe na ɛyɛ den bere a obi nyin no. Eyi yɛ tebea a ɛfata. |
| Retina a ɛtetew/ɛtew ne ho | Sɛ aniwa no mu ntini no twetwe na ɛtwe fi aniwa no ho a, ebetumi atwe aniwa no so, na ama aniwa no atetew anaasɛ atew. Eyi yɛ tebea a egye ntɛmpɛ a ebetumi ama obi aniwa nhu ade yiye. |
| Nneɛma afoforo a ɛde ba (ɛntaa mma) . |
|
Hena na ɔwɔ asiane kɛse mu ma eyi?
- Wɔn a wɔadi boro mfe 50 no fam
- Wɔn a wɔhwɛ nneɛma a ɛbɛn no fam
- Sɛ obi a ɔwɔ w’abusua mu wɔ abakɔsɛm a ɛkyerɛ sɛ n’aniwa ayɛ mmerɛw a
- Sɛ woadi kan ayɛ w’ani oprehyɛn anaasɛ w’ani apira a
- Sɛ woanya ɔyare a ɛma obi ho hyehye te sɛ `uveitis` a
Ɔkwan bɛn so na oduruyɛfo no hwehwɛ eyi mu?
Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo eyi ho asɛm. EnneɛWɔde adwinnade titiriw bi a ɛtrɛw aniwa no mu na ɛtrɛw aniwa no mu hwehwɛ aniwa no mu. Wɔfrɛ eyi `dilated eye exam`. Eyi ma wotumi hu nea ɛsensɛn nsu so ne nea ɛho hia sen biara no, retina no pefee. Ade a ɛho hia sen biara wɔ ha ne sɛ wubehu sɛ ebia retina no asɛe anaasɛ ɛnte saa.
Ebia wo duruyɛfo bebisa wo nsɛm te sɛ eyinom:
- Bere bɛn na eyinom fii ase puei?
- Wɔte sɛn? Nnipa baahe na wuhu prɛko pɛ?
- Mpɛn ahe na wuhu?
- So wuhu hann a ɛhyerɛn te sɛ anyinam?
- So ɛte sɛ nea ntama bi atɔ w’ani so?
- So wuhu sunsuma wɔ w’anisoadehu no afã horow?
- So wowɔ asikreyare?
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Asɛmpa no ne sɛ, mpɛn pii no, ayaresa biara ho nhia. Ɛwom sɛ floaters yɛ ahometew de, nanso ɛnyɛ nea epira. Bere kɔ so no, wobetu afi w’anisoadehu mu na worenhu wɔn kakraa bi. Eyi ne ɔkwan a ahobammɔ wom sen biara.
Nanso, ɛntaa nsi koraa sɛ sɛ saa nsu a ɛsensɛn nsu so yi siw aniwa so kɛse, a ɛkyerɛ sɛ ɛhaw adwene araa ma wuntumi nyɛ da biara da nnwuma mpo a, ebia ebehia sɛ wɔyɛ wo oprehyɛn.
- Vitrectomy: Nea ɛka oprehyɛn yi ho ne sɛ woyi vitreous ne biribiara a ɛsensɛn aniwa no mu no fi hɔ. Bere kɔ so no, aniwa no de n’ankasa nsu bɛhyɛ baabi no ma. Nanso, oprehyɛn yi yɛ nea asiane wom. Ebetumi de nsɛnnennen te sɛ retina a ɛtwetwe ne ani a ɛyɛ mmerɛw aba. Enti, bere a ɛho hia koraa nkutoo na wɔyɛ.
Nea ɛho hia: Ofie aduru, nnuru, anaa apɔw-mu-teɛteɛ biara nni hɔ a ebetumi ayi aniwa a ɛsensɛn nsu mu no afi hɔ. Mma nsɛm a ɛnteɛ a ɛwɔ Intanɛt so nnaadaa wo.
Kɔkɔbɔ nsɛnkyerɛnne a ɛhwehwɛ sɛ wonya ayaresa ntɛm ara!
Mpɛn pii no, floaters nyɛ ade a egye ntɛmpɛ. Nanso, sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a, ebetumi ayɛ nea egye ntɛmpɛ. Eyi betumi akyerɛ sɛ wo retina no retetew anaasɛ ɛrepaapae. Enti kɔ oduruyɛfo nkyɛn ntɛm ara. Sɛ ɛho hia a, kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) .
| Kɔkɔbɔ Nsɛnkyerɛnne | |
|---|---|
| 1. Mpofirim ara, floaters pii prɛko pɛWofi ase rehu. | |
| 2. Hann a ɛhyerɛn fi ase pue ka nneɛma a ɛsensɛn nsu so ho. | |
| 3. Nkate a ɛte sɛ ntama bi a ɛrehwe ase wɔ aniwa anim anaasɛ sunsuma bi apue wɔ anisoadehu no nkyɛn . | |
| 4. Aniwa a ɛyɛ kusuu mpofirim anaasɛ ɛyera. | |
Nkrasɛm a Wɔde Kɔ Fie
- Aniwa a ɛsensɛn nsu mu yɛ tebea a asiane biara nni ho, a ɛtaa ba a ɛtaa ba bere a obi nyin no.
- Eyinom yɛ sunsuma a nsakrae a ɛba ade a ɛte sɛ jelly a ɛwɔ aniwa no mu no mu ba.
- Sɛ mpofirim ara wufi ase hu floaters pii, wuhu hann a ɛrehyerɛn, anaasɛ wote nka sɛ ntama bi ahwe ase afi w’anisoadehu mu a, ɛyɛ ntɛmpɛ. Kɔ oduruyɛfo nkyɛn ntɛm ara.
- Ofie aduru biara nni hɔ a wɔde sa eyinom. Sɛ wuhu nsakrae bi wɔ w’ani so a, wo ne wo duruyɛfo nkasa bere nyinaa.
- Sɛ wowɔ nyarewa te sɛ asikreyare anaa mogya mmoroso a, ɛho hia paa sɛ wobɛhwɛ w’ani daa.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Yareɛ bɛn na wɔkyerɛw Nadolol (Nadolol / Corgard) aduru?
Eyi ne beta-blocker a ɛnyɛ nea wɔpaw a tumi wom sen biara wɔ wiase! Nnuruyɛfo de di dwuma de siw mogya mmoroso a emu yɛ den, angina ano, na wɔasiw mogya a ɛbɛtɔ wɔ variceal no ano, titiriw bere a mmerɛbo no asɛe no.
💬 Sɛ wonom saa koma aduru a ɛyɛ hu (Nadolol) yi a, wobɛyɛ dɛn abrɛ wo koma bɔ ne wo mogya so?
Wo bo fuw/wosuro na wo koma bɔ ntɛmntɛm esiane nkrasɛm ‘Adrenaline/Epinephrine’ a amemene no de mena nti. Sɛ saa aduru yi hyɛn nipadua no mu ara pɛ a, apon a ɛwɔ koma no mu (Beta-1) ne mogya ntini/ahurututu (Beta-2) nyinaa siw/toto mu 100% na wɔto mu denneennen (Non-selective). Esiane sɛ ɔkwan biara nni hɔ a nkrasɛm no bɛfa so nti, koma no brɛ ase kɛkɛ, na mogya a ɛkɔ dwensɔtwaa/mmebo no mu no so tew na nipadua no dwo.
💬 Adɛn nti na wɔka sɛ ɛnsɛ sɛ wogyae saa aduru (Nadolol) yi nom mpofirim? Dɛn ne asiane ahorow a anibere wom (Black Box Warning)?
Sɛ wonom saa aduru yi asram pii na afei ‘wogyae mpofirim’ a, saa adrenaline agyefo a wɔasiw ano no nyinaa bebue mpofirim a wuntumi nni so! Afei, wɔ simma kakraa bi mu no, wubetumi anya komayare a emu yɛ den na wo koma agyae (Angina Exacerbation / Myocardial Infarction) na woawu (kae eyi yiye)! Afei nso, esiane sɛ eyi nso siw ahurututu no kwan nti, sɛ wode eyi ma nnipa a wɔwɔ ‘Asthma’ a, wobetumi ahome na wɔawuwu (wɔbara sɛ wɔbɛnom!).
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