So woahyɛ baabi a ɛyɛ sum a ɛte sɛ mpɛtea a atwa obi aniwa anim ahyia pɛn? Ebia oduruyɛfo bi aka eyi ho asɛm akyerɛ wo. Ebia nnipa binom suro sɛ eyi bɛsɛe wɔn anisoadehu. Nanso eyi nyɛ biribi a epira aniwa ankasa. Nanso, eyi betumi ayɛ tebea foforo a emu yɛ den a ɛrekɔ so wɔ yɛn nipadua mu ho sɛnkyerɛnne a ɛho hia. Ɛnnɛ, momma yɛnka eyi ho asɛm tiawa.
Dɛn ne Kayser-Fleischer Nkaa (KF nkaa)?
Sɛ yɛbɛka no tiawa a, Kayser-Fleischer nkaa yɛ nkaa tuntum a ɛtwa yɛn aniwa no fã a ɛwɔ kɔla, iris no ho hyia. Kɔbere a ɛboro so wɔ yɛn nipadua mu a ɛboaboa ano wɔ aniwa no mu na ɛde saa nkaa yi ba . Wobetumi ayɛ sɛ ahabammono, sika kɔkɔɔ, anaa bruu.
Nea eye sen biara ne sɛ saa nkaa yi rempira w'ani .
Saa ring yi fi ase sɛ arc wɔ aniwa no atifi. Afei ɛde nkakrankakra trɛw na ɛbɛyɛ mprɛte a ɛyɛ ma. Saa nkaa yi wɔ baabi a aniwa no fã fitaa (sclera) ne ɔfã a emu da hɔ a ɛwɔ aniwa no fã a ɛwɔ kɔla (cornea) no atifi no hyia.
Ade a ɛho hia sen biara ne sɛ wɔ Sri Lankafo a wɔn ani yɛ bruu tuntum mu no, wontumi nhu Kayser-Fleischer nkaa yi pefee. Wɔ nnipa a wɔn ani yɛ kɔla yɛ hann mu no, ɛnyɛ den sɛ wobehu eyinom.
Ɔkwan bɛn so na ɛsono eyinom wɔ aniwa mu akisikuru afoforo ho?
Nsɛm afoforo nso wɔ hɔ a aniwa a ɛyɛ kurukuruwa ahorow yi ba. Enti, ɛho hia paa sɛ yɛbɛma nsonsonoeɛ ahunu na yɛahunu yeinom wɔ wɔn ho wɔn ho ho. Ma yɛnhwɛ nea ɛsono emu biara titiriw.
| Su a ɛwɔ hɔ | Kayser-Fleischer Nkawa a Wɔde Yɛ Adwuma | Senile Arcus a ɔyɛ ɔbarima | Fleischer Nkawa a Wɔde Yɛ Adwuma |
|---|---|---|---|
| Ahosuo | Green, sika kɔkɔɔ, bruu (kɔla tuntum) . | Kɔla fitaa-akuturuku (kɔla a ɛyɛ hann) . | Kɔla a ɛyɛ kɔkɔɔ-biribiri |
| Sɛnti | Kɔbere a wɔde gu fam | Lipids a ɛwɔ nipadua no mu | Dade a wɔde gu mu |
| Nyarewa a ɛbata ho | Wilson yare, mmerɛbo mu yare | Cholesterol a ɛkɔ soro, onyin | Keratoconus - a ewo aniwa no mu a ɛte sɛ kɔne |
| Nkyerɛkyerɛmu a wɔde kyerɛ | Ɛsɛ sɛ aniwa ho oduruyɛfo yɛ nhwehwɛmu a wɔde kanea a wɔapaapae mu yɛ. | Wotumi de aniwa nkutoo hu. | Ɛsɛ sɛ wɔde afiri a wɔde hwɛ nneɛma nketenkete soronko (slit-lamp examination) hwehwɛ mu. |
Sɛnea ɛbɛyɛ na aniwa ho oduruyɛfo bi ahwɛ sɛ KF nkaa yi wɔ hɔ no, ɔde afiri titiriw bi a wɔde hwɛ nneɛma nketenkete a wɔfrɛ no slit-lamp examination di dwuma . Ɛtɔ mmere bi a, nhwehwɛmu a emu dɔ a wɔfrɛ no gonioscopy nso ho hia. Eyi hwehwɛ sɛ wɔma aniwa no yɛ mmerɛw na wɔde ahwehwɛ soronko bi si aniwa no so.
Dɛn ne ade titiriw a ɛde Kayser-Fleischer Rings ba?
Ade titiriw a ɛde eyi ba na ɛtaa ba ne Wilson yare no .
Wilson yare no yɛ awosu mu tebea bi a ɛma nipadua no boaboa kɔbere pii ano sen sɛnea ehia. Mpɛn pii no, yɛn mmerɛbo yi kɔbere a ɛboro so no fi hɔ. Nanso wɔ obi a ɔwɔ Wilson yare no mu no, saa adeyɛ no nyɛ adwuma yiye. Afei, kɔbere yi fi ase boaboa ano wɔ mmerɛbo, amemene, aniwa, ne akwaa afoforo mu.
- Berɛbo mu yare: Kɔbere a ɛboaboa ano no betumi asɛe mmerɛbo no na ɛde mmerɛbo mu yare aba.
- Ntini ne adwene mu haw ahorow: Sɛ kɔbere fi ase boaboa ano wɔ amemene no mu a, ntini mu sɛnkyerɛnne ahorow ne adwene mu haw ahorow sɔre. Nhwɛsoɔ:
- Kankyee mu haw te sɛ akwaa a ɛwosow ne nantew a ɛyɛ den
- Ɔkasa a ɛyɛ den
- Dadwen ne adwenemhaw
- Nsakrae a ɛba suban ne nipasu mu
Fa no sɛ, efi nnipa a wɔwɔ ntini mu yare ho sɛnkyerɛnne esiane Wilson yare no ntiWotumi hu KF nkaa yi wɔ nnipa 100 biara mu bɛyɛ 95 mu. Wohu eyi wɔ nnipa bɛyɛ 50% a wɔwɔ mmerɛbo mu sɛnkyerɛnne nkutoo mu.
Nneɛma afoforo nti
Wilson yare no akyi no, nneɛma afoforo pii wɔ hɔ a ɛde KF nkaa ba. Eyinom nso yɛ nyarewa a efi mmerɛbo mu.
- Primary biliary cholangitis (PBC): Eyi yɛ yare a enni sabea a ɛsɛe bile ntini a ɛwɔ mmerɛbo no mu.
- Neonatal cholestasis: Nkokoaa a wɔawo wɔn foforo mmerɛbo mu a ɛnyɛ yiye.
Ɔkwan bɛn so na wɔsa eyi?
Ade a ɛho hia sen biara a ɛsɛ sɛ yɛn nyinaa te ase wɔ ha ne sɛ nnuruyɛfo nsa ringworm no ankasa yare. Wɔsa aduruyɛ mu tebea a ɛda adi a ɛde ringworm no bae no.
Wilson yare no ho ayaresa
Botae atitiriw abien na ɛwɔ ayaresa mu.
1. Kɔbere a ɛboro so a woyi fi nipadua no mu: Wɔfrɛ eyi kɔbere chelation therapy . Eyi kyerɛ sɛ wɔma nnuru titiriw (chelating agents) a ɛkyekyere kɔbere a ɛwɔ nipadua no mu na ɛnam nsu mu yi fi hɔ. Eyinom ho nhwɛso ne nnuru te sɛ penicillamine ne trientine.
2. Kɔbere a wɔtwe fi aduan mu a wɔtew so: Wɔnam zinc a wɔde ma so na ɛyɛ eyi . Zinc mma kɔbere a efi dwensɔtwaa mu no nkɔ nipadua no mu.
mmerɛbo mu nyarewa afoforo ayaresa
Wontumi nsa nyarewa te sɛ primary biliary cholangitis (PBC) koraa. Nanso, wɔde nnuru ma de siw yare no ho sɛnkyerɛnne ano na wɔasiw yare no mu nkɔso ano. Wɔ cholestasis a ɛba mmofra a wɔawo wɔn foforo mu ho no, wɔma nufusu titiriw a wɔde ma, nnuru a wɔde ko tia akisikuru, na wɔ tebea horow a emu yɛ den mu no, ebia ɛho behia sɛ wɔyɛ mmerɛbo foforo oprehyɛn .
So yentumi nsiw Kayser-Fleischer Rings yi a wɔbɛhyehyɛ no ano?
Nokwarem no, ɔkwan biara nni hɔ a wɔbɛfa so asiw saa nkaa yi ano tẽẽ, efisɛ tebea horow te sɛ Wilson yare a ɛde ba no yɛ awosu mu na wontumi nsiw ano.
Nanso, ade a eye sen biara a wubetumi ayɛ ne sɛ wubehu no ntɛm .
Sɛ obi a ɔwɔ w’abusua a ɛbɛn wo te sɛ ɛna, agya, anaa wo nua bi wɔ Wilson yare a, ɛho hia yiye sɛ wo ne wo duruyɛfo kasa fa ho na woyɛ nhwehwɛmu . Sɛ wuhu ntɛm a, ebetumi aboa wo ma woafi ase ayɛ ayaresa ansa na sɛnkyerɛnne ahorow no ada adi na asiw nsɛnnennen a emu yɛ den ano.
So saa nkaa yi yɛ nea ɛtra hɔ daa?
Dabi, eyi ne asɛmpa a eye sen biara. Kayser-Fleischer nkaa nyɛ nea ɛtra hɔ daa . Sɛ wɔsa yareɛ a ɛhyɛ aseɛ, sɛ nhwɛsoɔ no, Wilson yareɛ no yie a, wɔbɛyi kɔbere a ɛboro soɔ a ɛwɔ nipadua no mu no afiri hɔ. Afei saa nkaa a ɛwɔ aniwa no mu yi bɛyera nkakrankakra na ayera koraa .
Enti ɛho nhia sɛ wusuro sɛ wubehu eyi. Ade a ɛho hia sen biara ne sɛ wubehu sɛ ɛyɛ sɛnkyerɛnne na woafi ase asa tebea a ɛde ba no ntɛm ara sɛnea wubetumi. Sɛ aniwa ho oduruyɛfo ka eyi ho asɛm bere a ɔreyɛ w’ani mu nhwehwɛmu no a, ɔde wo bɛkɔ oduruyɛfo a ɔfata nkyɛn ma wakɔhwɛ wo bio.
Nkrasɛm a Wɔde Kɔ Fie
- Kayser-Fleischer nkaa nyɛ aniwa yare, na mmom ɛyɛ abɔnten so sɛnkyerɛnne a ɛkyerɛ yare bi a ɛwɔ ase (titiriw Wilson yare) a kɔbere a ɛboro so wɔ nipadua no mu na ɛde ba.
- Saa nkaa yi rempira w’aniwa.
- Mpɛn pii no, wodi kan hu eyinom bere a aniwa ho oduruyɛfo de afiri a wɔde hwɛ nneɛma nketenkete soronko bi hwehwɛ aniwa no mu no.
- Ɛkame ayɛ sɛ wobetumi ayi saa nkaa yi afi hɔ koraa bere a wɔsa yare a ɛda adi no yiye no.
- Sɛ obi a ɔwɔ w’abusua mu wɔ Wilson yare no a, sɛ sɛnkyerɛnne biara nni ho mpo a, ɛho hia yiye sɛ wobɛkɔ oduruyɛfo nkyɛn na woaka ho asɛm.
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