So w’ani ayɛ kɔkɔɔ na ayɛ wo yaw, na akisikuru ayɛ w’aniwa no mu? Ebetumi ayɛ Giant Papillary Conjunctivitis!

So woyɛ obi a ɔhyɛ ahwehwɛ a wɔde hwɛ ahwehwɛ ? Sɛ saa a, ɛtɔ mmere bi a, w’ani betumi ayɛ wo yaw, ayɛ kɔkɔɔ, na woate nka sɛ wo ho nyɛ wo dɛ te sɛ nea biribi a ɛho agu fĩ anaa mfutuma akɔhyɛ wɔn mu? Ebia w’ani betumi ayɛ duru na woada. Sɛ wowɔ saa nsɛnkyerɛnne yi a, ebetumi afi tebea bi a wɔfrɛ no ‘Giant Papillary Conjunctivitis’, a yɛrebɛka ho asɛm nnɛ no. Nsuro edin tenten no, momma yɛmfa nyɛ mmerɛw, te sɛ nea wo ne w’adamfo bi rekasa.

Dɛn ne eyi (Giant Papillary Conjunctivitis)?

Sɛ yɛbɛka no tiawa a, eyi (Giant Papillary Conjunctivitis) yɛ tebea a ɛma ntini a ɛyɛ tratraa bi wɔ w’aniwa mu, a yɛsan frɛ no aniwa anim wɔ aduruyɛ mu, a ɛyɛ hyew . Ɛte sɛ nea sɛ yɛn honam ani pira wɔ baabi a, ɛho ahonhon na ɛyɛ kɔkɔɔ. Sɛ aniwa no mu yɛ hyew saa a, akuru nketenkete (papillae) , te sɛ akisikuru nketenkete, ba wɔ hɔ. Ɛtɔ da bi a saa abon yi tumi yɛ kɛseɛ kakra, ɛno nti na wɔde Borɔfo asɛmfua 'giant' ka ho, a ɛkyerɛ "kɛse".

Nokwarem no, saa tebea yi abu so koraa wɔ wɔn a wɔhyɛ ahwehwɛ a wɔde hwɛ ade mu, titiriw wɔ mmerante ne mmabaa mu, fi bere a wɔakɔ sukuu kosi wɔn mfe aduonu mu.

Dɛn ne eyi ho sɛnkyerɛnne? Momma yɛnhwehwɛ mu pɛpɛɛpɛ.

Okay, afei ma yɛnhwɛ sɛnkyerɛnne ahorow a wubetumi ahwɛ kwan sɛ wubehu wɔ tebea yi mu (Giant Papillary Conjunctivitis). Mpɛn pii no, wotumi hu saa sɛnkyerɛnne ahorow yi wɔ aniwa abien no nyinaa mu. Nanso ɛtɔ mmere bi a, ebetumi aba wɔ aniwa biako pɛ mu.

• Aniwa a ɛyɛ kɔkɔɔ: Eyi yɛ sɛnkyerɛnne atitiriw no mu biako.
• Aniwa a ɛyɛ yaw anaa ɛyɛ yaw: Aniwa no taa twitwiw, ɛtɔ mmere bi a ɛyaw kakra.
• Aniwa a ɛho ahonhon anaasɛ ɛbɛhwe ase (ptosis): Aniwa no betumi ahonhon na ɛtɔ mmere bi a ɛte sɛ nea ɛrehwe ase kakra. Yɛsan frɛ eyi ptosis .
• Anisoadehu a ɛyɛ kusuu: Ebia aniwa no ayɛ kusuu kakra esiane nsu a ɛyɛ den a ɛtɔ mmere bi a ɛyɛ nhama , a efi aniwa no mu ba nti.
• Sɛ obi te nka sɛ biribi wɔ aniwa no mu: Ɔhaw bere nyinaa, te sɛ nea anhwea anaa ade ketewaa bi wɔ aniwa no mu. Nnuruyɛfo nso frɛ eyi sɛ ahɔho nipadua mu nkate .

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛbɛyɛ papa sɛ wobɛhwɛ yiye, titiriw sɛ wohyɛ ahwehwɛ a wɔde hwɛ ade a.

Dɛn nti na eyi reto yɛn? Dɛn ne nea enti a ɛte saa?

Dɛn nti na nneɛma a ɛte sɛ akisikuru yi ba aniwa no mu? Nneɛma pii betumi ama eyi aba. Momma yɛnhwɛ emu atitiriw no.

Nneɛma a efi ahwehwɛ a wɔde hwɛ ade mu ba:

Mpɛn pii no, nea ɛde tebea yi ba titiriw (Giant Papillary Conjunctivitis) ne ahwehwɛ a wɔde hwɛ ade.Ɛyɛ nea wɔde di dwuma. Ɛno nti na nnuruyɛfo binom nso frɛ saa tebea yi ‘contact lens papillary conjunctivitis’.

• Ahwehwɛ anaa nnuru a wɔde siesie aniwa ho akisikuru: W’ani betumi ayɛ akisikuru wɔ ahwehwɛ a wohyɛ, anaa nnuru a wɔde siesie anaa wɔde sie no ho .
• Friction: Sɛ contact lens no petepete aniwa no mu a, saa ɔfe yi nso betumi aba esiane friction nti . Ɛte sɛ bere a yɛn mpaboa no kyekyere na yɛn nan bo fuw no.
• Nneɛma a ɛboaboa ano wɔ ahwehwɛ no so: Sɛ yɛde ahwehwɛ di dwuma a, nneɛma te sɛ protein a efi yɛn aniwa mu, pollen , ne mfutuma a efi nneɛma a atwa yɛn ho ahyia mu no betumi aboaboa ano wɔ aniwa no so. Sɛ wɔanhohoro eyinom ho yiye a, ebetumi apira aniwa nso na ɛde tebea yi aba.

Nneɛma afoforo nti a ɛnsɛ sɛ wɔhyɛ ahwehwɛ a wɔde hwɛ ade:

Nnipa a wɔnhyɛ ahwehwɛ a wɔde hwɛ ade nso betumi anya saa tebea yi (Giant Papillary Conjunctivitis). Nanso, ɛntaa nsi. Nneɛma afoforo nso wɔ hɔ a ebetumi ama aba:

• Aniwa a wɔde ayɛ: Saa tebea yi betumi aba nnipa a wɔde aniwa a wɔde ayɛ adwuma di dwuma no so, efisɛ ebetumi de apetepete aniwa no mu.
• Nhama a wotumi hu (scleral buckles): Eyi betumi afi nhama a ɛnsa yiye wɔ aniwa oprehyɛn akyi, anaasɛ scleral buckle (plastic anaa sponge asinasin) a wɔde yɛ retina oprehyɛn.
• Filtering bleb for glaucoma: Saa akasakasa yi nso betumi afi afiri ketewaa bi a ɛte sɛ bag ( filtering bleb ) a wɔde gu aniwa no mu sɛ aduru a wɔde sa aniwa no mu.
• Aboɔden abo a ɛwɔ aniwa no mu: Sɛ aboɔden abo bi boaboa ano wɔ aniwa no mu, ɔfã a ɛda adi wɔ aniwa tuntum no anim no mu, na ɛsɔre ( elevated band keratopathy ), sɛ ɛka aniwa no kurukuruwa a, saa tebea yi nso betumi aba.

So eyi ahorow bi wɔ hɔ?

Nyansahufo binom kyekyɛ tebea yi (Giant Papillary Conjunctivitis) mu abien:

1. Ɔkwan titiriw: Eyi fi akisikuru .

2. Secondary type: Eyi fi aniwa no atifi a ɛbɔ mpɛn pii .

Nanso nhwehwɛmufo afoforo binom ka sɛ mfiri na ɛde Giant Papillary Conjunctivitis ba, kyerɛ sɛ, nneɛma te sɛ nea ɛka ho, na ɛsono aniwa mu yare afoforo a ɛnam akisikuru so.

Asɛmmisa a ɛho hia sen biara: So eyi yɛ ɔyare mmoawa?

Asɛmmisa kɛse a nnipa pii wɔ ne sɛ ebia eyi yɛ ɔyare mmoawa anaa. Te sɛ aniwa mu nyarewa bi a yɛfrɛ no ‘ani a ɛyare’, a mmoawa anaa mmoawa de ba no, yɛ nea wɔde yare mmoawa ba.

Asɛmpa no ne sɛ saa tebea yi (Giant Papillary Conjunctivitis) ntumi nkɔ afoforo so.

Eyi kyerɛ sɛ, sɛ wowɔ saa tebea yi mpo a, wuntumi nnya obi foforo biara. Enti biribiara nni hɔ a enti ɛsɛ sɛ obi suro anaasɛ ɔbɛpam wo esiane sɛ wowɔ bi nti. Wubetumi akɔ adwuma ne sukuu sɛnea wotaa yɛ no.

Hena na ɛda adi sɛ obenya eyi? (Nneɛma a ɛde asiane ba) .

Asiane ahorow bi wɔ hɔ a ebetumi ama Giant Papillary Conjunctivitis aba. Momma yɛnhwɛ nea wɔyɛ:

• Contact lens a wɔde di dwuma: Asiane yi yɛ kɛse titiriw ma wɔn a wɔhyɛ ahwehwɛ a wɔmfa ntow ngu , a ɛkyerɛ sɛ wɔhyɛ ahwehwɛ koro no ara bere nyinaa.
• Sɛ wowɔ akisikuru a enni sabea: Sɛ woyɛ obi a wo ho yɛ wo hyew bere nyinaa wɔ nneɛma te sɛ mfutuma ne pollen ho a, ɛda adi sɛ tebea yi bɛba.
• Aniwa oprehyɛn anaa ayaresa: Aniwa oprehyɛn anaa ayaresa ahorow bi betumi ama nsensanee akɔ soro wɔ aniwa no mu. Eyinom nso betumi afi aniwa no a wɔde petepete so (Giant Papillary Conjunctivitis) so aba.

Sɛ wobu ani gu eyi so a, dɛn na ɛba? (Nsɛnnennen a ɛba) .

Susuw nea ɛbɛba sɛ yebu yɛn ani gu yɛn ani a ɛyɛ yɛn yaw, ɛyaw, ne kɔkɔɔ a ɛwɔ yɛn ani so no so na yɛka kɛkɛ sɛ, "Ɛnyɛ yiye" no ho hwɛ. Ɛtɔ da a, tebea no mu yɛ den na nsɛnnennen afoforo betumi asɔre.

• Nsɛnkyerɛnne no betumi asɛe: Ebia ɛyaw, nsu a ɛtɔ, ne biribi a wɔte nka wɔ aniwa mu no bɛyɛ kɛse.
• Aniwa no a ɛsɛe: Ɛha na ebetumi ayɛ nea asiane wom kakra. Cornea , aniwa no fã a ɛyɛ mmerɛw a ɛwɔ aniwa tuntum no anim no betumi asɛe. Eyi nso betumi aka anisoadehu.
• Aniwa a ɛrehwe ase (ptosis) anaa nneɛma foforo a ɛsɛe: Aniwa a ɛrehwe ase (ptosis) no betumi ayɛ nea ɛtra hɔ daa, anaasɛ aniwa no asɛe afoforo.

Enti, sɛ wowɔ sɛnkyerɛnne bi a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara.

Ɔkwan bɛn so na oduruyɛfo hu eyi? (Nyare a Wɔahu) .

Sɛ wuhu aniwa ho ɔbenfo bi a ɔwɔ saa sɛnkyerɛnne ahorow yi a, obedi kan abisa wo wo sɛnkyerɛnne ahorow no ho asɛm, sɛ ebia wohyɛ ahwehwɛ a wɔde hwɛ aniwa, nea ɛyɛ, ne sɛnea wohohoro ho. Afei, wɔbɛyɛ aniwa mu nhwehwɛmu a edi mũ.

Ade titiriw biako a ɛsɛ sɛ woyɛ wɔ ha ne sɛ wobɛdan w'ani . Eyi ne ɔkwan a wubetumi afa so ahu pɛpɛɛpɛ sɛ ebia saa papillae a yɛkaa ho asɛm no wɔ hɔ ne sɛnea ɛsõ.

Ɛtɔ da bi a, oduruyɛfo no de fluorescein bedi dwuma de ahu saa akuru yi yiye.Wubetumi nso asɔ ahwɛ sɛ wode aduru titiriw bi bɛhyɛ w’ani so.

Dɛn ne ayaresa ahorow no? Momma yɛn ho nyɛ yɛn den ntɛm!

Okay, afei momma yɛnhwɛ ayaresa a ɛwɔ hɔ ma saa tebea yi (Giant Papillary Conjunctivitis).

Ade a ɛho hia sen biara ne sɛ, sɛ woyɛ obi a ɔhyɛ ahwehwɛ a wɔde hwɛ ade a, akyinnye biara nni ho sɛ ebehia sɛ wugyae w’aniwa a wɔde hwɛ ade no koraa anyɛ yiye koraa no adapɛn abien. Ebia wɔbɛka akyerɛ wo sɛ gyae kyɛ mpo.

Nea ɛka ho no, wo duruyɛfo betumi akyerɛw nea edidi so yi ama wo:

• Aniwa mu aduru anaa srade: Eyinom boa ma ɛyaw ne ɔfe so tew. Ebia ɛbɛyɛ nnuru a ekum histamine , mast cell stabilizers , anaa abien no nyinaa a wɔaka abom.
• Nnuru a wɔde kum ɛyaw (NSAID): Wobetumi de nnuru a ɛnyɛ steroid a ekum ɔyare mmoawa (NSAID) (aduru a wɔde hyɛ aniwa mu anaa aniwa mu aduru) ama na ama ɔfe ne ɛyaw no so atew.
• Nusu a wɔde nsa ayɛ: Nea ɛbɛyɛ na aniwa anyɛ nwunu no, wobetumi atu wo fo sɛ fa nusu a wɔde ayɛ a nneɛma a wɔde siw ano nni dwuma.
• Corticosteroid aniwa mu aduru: Sɛ tebea no mu yɛ den a, wobetumi de corticosteroid a wɔde gu nipadua no so adi dwuma bere tiaa bi. Nanso, ɛsɛ sɛ wode eyinom di dwuma bere tenten a wo duruyɛfo akyerɛ wo nkutoo.

Sɛ wowɔ saa tebea yi esiane aniwa a wɔde ayɛ nipadua no nti , ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnsan nsiesie anaasɛ wɔmfa nsi ananmu.

So ayaresa no mu nsunsuanso bɔne bi wɔ hɔ?

Te sɛ nnuru nyinaa no, aniwa mu nnuru yi betumi de ɔhaw nketenkete aba. Titiriw steroid aniwa mu nnuru a ebetumi ama aniwa ayɛ mmerɛw anaasɛ aniwa no ayɛ kɛse bere a wɔde di dwuma bere tenten no. Ɛno nti na ɛsɛ sɛ wɔde di dwuma sɛnea wo duruyɛfo kyerɛ no nkutoo, na bere tenten a wɔde sa yare no nkutoo. Nnuru afoforo a wɔtaa de gu aniwa mu anaa srade nso betumi ama nnipa binom ayɛ wɔn yaw nketenkete te sɛ kɔkɔɔ ne abufuw.

Bere tenten ahe na egye ansa na asa?

Mpɛn pii no, wubefi ase ate nka sɛ wo ho atɔ wo bɛyɛ dapɛn biako wɔ bere a woafi ayaresa ase akyi. Nsɛnkyerɛnne no so bɛtew nkakrankakra. Nanso, sɛ woyɛ obi a wohyɛ ahwehwɛ a wɔde hwɛ ahwehwɛ a, ɛsɛ sɛ wotwɛn bɛyɛ ɔsram biako, anaa nea ɛboro saa mpo ansa na woatumi afi ase ahyɛ ahwehwɛ bio. Wo duruyɛfo na obegyina wo tebea so akyerɛ eyi.

Sɛ saa tebea yi wɔ hɔ mpo a, sɛ wɔsa no yiye a, wobetumi asa koraa. Enti biribiara nni hɔ a ɛsɛ sɛ yesuro.

Wobɛyɛ dɛn akwati eyi? (Akwan a wɔfa so siw ano) .

Ɛwom sɛ ɔkwan biara nni hɔ a wobɛfa so asiw Giant Papillary Conjunctivitis a ɛbɛba no ano koraa de, nanso nneɛma bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ no so, titiriw ama wɔn a wɔhyɛ ahwehwɛ a wɔde hwɛ ade no. Sɛ wudi anammɔn yi akyi a, wubetumi ahwɛ w’ani so.

• Ahwehwɛ ahorow a wobɛsesa: Sɛ ɛbɛyɛ yiye a, ɛbɛyɛ papa sɛ wobɛdan akɔ ahwehwɛ a ɛyɛ mmerɛw a wɔtow gu so . Anaasɛ, wo ne wo duruyɛfo nka ahwehwɛ a ɛyɛ den a mframa tumi fa mu ho asɛm .
• Nnuru a wɔde di dwuma a nneɛma a wɔde siesie ahwehwɛ nni mu: Sɛ worepaw nnuru a wode bɛhohoro ahwehwɛ na wode asie a, paw nea nnuru a wɔde siesie ahwehwɛ nni mu .
• Ahotew a wɔde di dwuma wɔ ahwehwɛ a wɔde hwɛ aniwa so no a wobedi so denneennen: Eyi ne ade a ɛho hia sen biara.
• Fa samina hohoro wo nsa yiye ansa na wode w’aniwa ahwehwɛ no ahyɛ mu na woayi afi mu.
• Mfa ahwehwɛ nhyɛ nkyɛ nsen sɛnea oduruyɛfo no kamfo kyerɛ no.
• Mfa ahwehwɛ a ɛma wohu ade nna (gye sɛ wo duruyɛfo ama ho kwan pɔtee).
• Ɔkwan pa a wobɛfa so asiesie ahwehwɛ: Sɛ worehohoro ahwehwɛ a, sɛ wode bɛhyɛ aduru no mu kɛkɛ a, ɛnnɔɔso. Ɛsɛ sɛ wode wo nsateaa petepete so na afei wode aduru no hohoro wɔn . Yɛfrɛ eyi sɛ ``rub and rinse`` kwan. Sɛ woyɛ no saa kwan yi so a, woyi nneɛma nketenkete a akɔtra ahwehwɛ no so no mu dodow no ara fi hɔ.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, titiriw:

• Sɛ w’ani nyɛ wo dɛ araa ma wuntumi nhyɛ ahwehwɛ a wɔde hwɛ ade a, .
• Sɛ w’ani yɛ kɔkɔɔ na ɛyɛ wo yaw bere nyinaa a, .
• Sɛ nsu a ɛyɛ den a ɛte sɛ akisikuru fi aniwa no mu ba a, .

Hwɛ hu sɛ wobɛkɔ aniwa ho oduruyɛfo nkyɛn akɔhwɛ wo. Dodow a wufi ayaresa ase ntɛm no, dodow no ara na wubetumi asa ntɛmntɛm na asiw nsɛnnennen ano.

Dɛn na ɛsɛ sɛ woyɛ wɔ tebea a egye ntɛmpɛ mu?

Sɛ mpofirim ara wote w’ani mu yaw kɛse anaasɛ wunhu ade mpofirim a, ɛyɛ ntɛmpɛ. Sɛ eyi ba a, ɛsɛ sɛ wokɔ ayaresabea dan a wɔhwɛ ntɛmpɛ a ɛbɛn wo no mu ntɛm ara .

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wokɔ wo duruyɛfo nkyɛn a, wubetumi abisa nsɛm yi de akyerɛkyerɛ wo tebea no mu bio:

• So ɛsɛ sɛ mesesa ahwehwɛ a mede di dwuma no?
• So ɛsɛ sɛ migyae contact lenses a wɔde di dwuma koraa?
• (Sɛ wode aniwa a wɔde ayɛ di dwuma a) So ɛsɛ sɛ meyɛ aniwa foforo a wɔde ayɛ?
• Dɛn ne ayaresa ahorow a wɔde sa tebea yi (Giant Papillary Conjunctivitis)?
• Dɛn ne ayaresa ahorow yi mu nsunsuanso bɔne a ebetumi afi mu aba?

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

Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ade anaasɛ wowɔ aniwa a wɔde ayɛ a, wubetumi anya aniwa mu yare bi a ɛnyɛ ɔyare mmoawa a wɔfrɛ no Giant Papillary Conjunctivitis. Nanso eyiƐyɛ tebea a wɔhwɛ so yiye na wotumi sa.

Ade a ɛho hia sen biara ne sɛ wobɛkɔ aniwa ho oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi, a wummu w’ani ngu sɛnkyerɛnne ahorow no so. Sɛ wubu w’ani gu so a, w’ani, titiriw w’aniwa no betumi asɛe kɛse. Enti hwɛ w’ani yiye. Fa ahotew pa di dwuma. Afei wubetumi akwati ɔhaw pii te sɛ eyi!

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