So wowɔ saa nsensanee nketenkete yi wɔ wo nnadewa so? Momma yɛnka Splinter Hemorrhage ho asɛm!

So woahu sɛ nsensanee ketewaa bi, kɔkɔɔ anaa bruu bi wɔ wo nsateaa nnadewa anaa wo nan ase nnadewa ase pɛn? Ɛte sɛ nea nnua asinasin bi akɔ nnadewa no mu. Ebia woanhyɛ no nsow. Nanso ɛnnɛ yɛrebɛka biribi a ɛte saa ho asɛm. Wɔ nnuruyɛ mu no, yɛfrɛ no (Splinter Hemorrhage) . Ɛwom sɛ edin no yɛ nwonwa kakra de, nanso ɛtɔ mmere bi a eyi betumi ayɛ nea ɛfata, nanso ɛtɔ mmere bi a ebetumi ayɛ yare foforo bi a ɛwɔ yɛn nipadua mu ho sɛnkyerɛnne. Enti, mma ɛnhaw wo, momma yɛnka eyi ho asɛm nkɔ akyiri.

Dɛn ne eyi (Splinter Hemorrhage)? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, eyi (Splinter Hemorrhage) yɛ bere a mogya ntini ketewaa bi (yɛfrɛ no (Capillaries) ) a ɛwɔ wo nnadewa ase no pae na mogya kakra fi mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, mogya ntini yi wɔ honam ani wɔ nnadewa no ase (yɛfrɛ no (Nail bed) ). Wɔyɛ mmerɛw yiye. Enti, sɛ biribi sɛe eyinom, kyerɛ sɛ, sɛ kuru ketewaa bi wɔ hɔ a, mogya kakra fi adi. Nanso saa mogya no mfi adi na mmom ɛkyere nnadewa ne honam ani. Ɛno ne nea yehu sɛ saa nhama no bere a yɛhwɛ nnadewa no atifi no.

Saa nsensanee yi taa yɛ kɔkɔɔ anaa kɔkɔɔ tuntum a ɛyɛ bruu. Wɔfrɛ no splinter hemorrhages efisɛ ɛte sɛ dua a asinasin wɔ nnadewa no ase. Saa nsensanee yi wɔ baabi a nnadewa no nyin bere nyinaa, kyerɛ sɛ, ne tenten.

Hena na ɛda adi sɛ obenya Splinter Hemorrhage?

Ebetumi ato obiara ankasa. Nanso, nhwehwɛmu ahorow bi ada no adi sɛ mmarima betumi anya yare no kakra sen mmea. Afei nso, ebia nnipa a wɔn honam ani yɛ tuntum no benya saa nsensanee yi mpɛn pii asen wɔn a wɔn honam ani yɛ hare no.

Ɔkwan bɛn so ankasa na Splinter Hemorrhage te?

Sɛnea yɛadi kan aka no, eyinom te sɛ dua asinasin bi wɔ nsateaa nnadewa ase.

• Eyinom te sɛ nsensanee teateaa a wotumi hu wɔ nnadewa no ase.
• Saa nhama yi wɔ baabi a nnadewa no nyin no.
• Wɔtaa tenten bɛyɛ milimita 1 kosi 3. Ɛno kyerɛ sɛ wɔyɛ nkyerɛwde nketewa paa.
• Wɔtaa hu eyinom wɔ nnadewa no atifi ano, nanso ebetumi aba wɔ nnadewa no so baabiara.
• Saa nkyerɛwde yi da adi kɔkɔɔ anaa kɔkɔɔ bere a edi kan a ɛba no. Nna kakraa bi akyi no, ɛdan bruu anaa tuntum .
• Bere a nnadewa no nyin no, ebia ɛbɛyɛ te sɛ nea ɛne owia no kɔ soro.

Splinter Mogya a ɛtɔ no abu so wɔ nsateaa nnadewa mu sen nansoaa nnadewa. Wɔ obi a ɔwɔ apɔwmuden fam no, eyi taa ba nnadewa biako pɛ mu. Nanso, sɛ nnadewa bɛboro biako na ɛwɔ saa nsensanee yi a, ebetumi ayɛ aduruyɛ mu tebea foforo ho sɛnkyerɛnne. Ɛno yɛ biribi a ɛsɛ sɛ yɛhaw yɛn ho wɔ ho.

Dɛn nti na eyi (Splinter Hemorrhage) ba? Dɛn na ɛde ba?

Fa no sɛ, eyi (splinter hemorrhage) ba bere a mogya ntini nketenkete a ɛwɔ wo nnadewa ase no asɛe wɔ ɔkwan bi so no.

1. Trauma a ɛba nnadewa no so

Eyi ne ade a ɛtaa de ba . Sɛ woankae mpo a, ebia wo nnadewa no abɔ biribi ma akuru.

• Fa no sɛ wo nsateaa akɔhyɛ ɔpon bi mu.
• Anaasɛ ebia wobɔɔ wo nansoaa te sɛ pon so nan.
• Ɛtɔ mmere bi a, eyi betumi aba bere a woyɛ ofie nnwuma, woma biribi a emu yɛ duru so, anaa wofa biribi denneennen na wode nnadewa no bɔ kakra no.
• Mprempren, mmeawa ne mmea binom de nneɛma te sɛ acrylic nnadewa di dwuma de ma wɔn nnadewa yɛ fɛ. Ɛtɔ da bi mpo a, sɛ woreyɛ biribi a ɛte saa mpo a, nnadewa no betumi asɛe kakra na eyi (mmogya a ɛpaapae) betumi aba.

Enti, mpɛn pii no, biribiara nni hɔ a ɛsɛ sɛ ɛhaw adwene wɔ mogya a ɛtɔ a ɛyɛ mpaapaemu a opira te sɛ eyi de ba no ho. Ɛno ankasa bɛkɔ bere a nnadewa no san nyin no.

2. Ayaresa tebea horow a ɛhyɛ ase

Nanso, ɛtɔ mmere bi a eyi (Splinter Hemorrhage) betumi aba a opira biara. Sɛ ɛba saa a, ebetumi ayɛ ayaresa tebea foforo bi a ɛwɔ yɛn nipadua mu ho sɛnkyerɛnne. Efisɛ nyarewa bi tumi sɛe yɛn mogya ntini.

Wora Tebea Ahorow

• Nail Psoriasis: Eyi yɛ honam ani yare a wɔfrɛ no Psoriasis no fã. Ɛyɛ yare a nipadua no tumi ko tia nyarewa, a ɛkyerɛ sɛ yɛn nipadua mu tumi a ɛko tia nyarewa no tow hyɛ yɛn honam ani nkwammoaa so. Eyi ma nsakrae ahorow ba nnadewa no mu, a Splinter Hemorrhage ka ho.
• Lichen Planus: Eyi nso yɛ ɔyare a ɛma obi ho hyehye no a ebetumi ama honam ani akisikuru na akɔ soro. Wɔkyerɛ sɛ nnipa a wɔwɔ Lichen Planus no mu bɛyɛ 35% nya Splinter Hemorrhage.

Vasculitis ne Systemic Nyarewa a Ɛma Nnipa Yɛ Nneɛma

• Mogya a ɛpaapae nso betumi aba esiane mogya ntini a ɛyɛ hyew, a ɛyɛ tebea bi a wɔfrɛ no vasculitis .
• Nyarewa bi te sɛ (Antiphospholipid syndrome) ne (Lupus) betumi de ntini mu yare aba . Eyinom yɛ nyarewa a ɛka nhyehyɛe ahorow a ɛwɔ yɛn nipadua mu.

Nyarewa a Wɔde Nyarewa Ba

• Wobetumi ahu mogya a ɛtɔ apaapae wɔ ɔyare mmoawa bi mu, titiriw endocarditis, koma no mu ntini mu yare. Nhwehwɛmu ahorow ada no adi sɛ nnipa a wɔwɔ endocarditis no mu 15% kosi 33% na wɔwɔ saa nnadewa a ɛyɛ nsensanee yi. Eyi betumi ayɛ sɛnkyerɛnne a ɛho hia yiye.
• Wobetumi ahu eyinom nso wɔ nnipa a wɔwɔ asaabo mu yare a enni sabea mu . Ebia esiane sɛ wɔreyɛ mogya ho ayaresa ( Hemodialysis ) nti, wobetumi ahu wɔn nso wɔ nnipa a wɔde asaabo foforo ama wɔn no mu.

Sɛ́ nnuru bi ho mmuae (Drug Reactions) .

• Nnuru ahorow bi wɔ hɔ a wɔde ko tia kokoram ( Kinase inhibitors) .Sɛ nhwɛso no, (sunitinib) , (sorafenib ) . Wɔbɔ amanneɛ sɛ nnipa a wɔnom saa nnuru yi mu 60% kosi 70% nya (splinter hemorrhage).
• Afei nso, nnipa a wɔde nnuru a ɛma mogya yɛ mmerɛw (e.g., Aspirin, Warfarin, Apixaban, Rivaroxaban) di dwuma de siw mogya a ɛbɛtɔ ano no taa nya saa tebea horow yi.

Nneɛma Afoforo a Ɛde Ba

• Ɛntaa mma sɛ, akisikuru a ɛnyɛ kokoram (a ɛnyɛ papa) a ɛba nnadewa no so ( Onychomatricoma) nso betumi de aba.
• Eyi yɛ biribi a ɛsɛ sɛ yɛhwɛ yiye wɔ ho: Ɛtɔ mmere bi a mogya a ɛtɔ apaapae no betumi ayɛ te sɛ subungual melanoma , honam ani kokoram bi a ɛba nnadewa ase. Ɛno nti na yɛka sɛ ɛyɛ adwene pa sɛ wobɛhwehwɛ aduruyɛ mu afotuo sɛ wotaa nya saa nhama yi a nteaseɛ biara nni mu a.

Ɔkwan bɛn so na oduruyɛfo hu sɛ mogya atɔ no wɔ akisikuru mu?

Sɛ wokɔ oduruyɛfo nkyɛn a ɔwɔ biribi te sɛ eyi a, obedi kan ahwɛ wo nnadewa mu yiye. Afei obebisa wo nsɛm kakraa bi:

• Bere bɛn na wudii kan huu owia yi?
• So woapira wo nnadewa nnansa yi? (Sɛ nhwɛso no, nnadewa a wɔde acrylic ayɛ)?
• So nnadewa bɛboro biako na ɛwɔ nsensanee yi?
• So wowɔ sɛnkyerɛnne foforo bi bere a saa akisikuru yi ada adi akyi? (e.g. atiridiinini, nkwaa mu yaw, ɔbrɛ) .
• So wowɔ mprempren ayaresa tebea foforo bi (e.g. asikreyare, komayare)?
• So mprempren worenom nnuru biara (a oduruyɛfo akyerɛw ama wo anaasɛ woatɔ afi nnurutɔnbea)?

Wobisa nsɛm yi na aboa ma wɔahu nea ɛde mogya a ɛtɔ wo ntini a ɛwɔ wo ntini mu no ba.

Sɔhwɛ ahorow bɛn na wɔbɛyɛ?

Mpɛn pii no, oduruyɛfo no tumi hu mogya a ɛretu wɔ akisikuru no mu ntɛm ara. Nanso ɛtɔ mmere bi a, titiriw sɛ nea ɛde ba no mu nna hɔ a, obetumi ayɛ nhwehwɛmu bi a wɔfrɛ no dermoscopy . Nea ɛka eyi ho ne sɛ wɔde adwinnade titiriw bi a wɔfrɛ no dermoscope bedi dwuma de ama nhama a ɛwɔ nnadewa no ase no ayɛ kɛse na wɔahwɛ no yiye. Eyi ma oduruyɛfo no sua sɛnea nhama no te, ne kɔla, ne sɛnea ɛte na ohu sɛ ebia ɛyɛ mogya a ɛtɔ apaapae anaa biribi foforo.

Ɔkwan bɛn so na wɔsa Splinter Hemorrhage?

Mogya a ɛtɔ akisikuru dodow no ara nhia ayaresa biara . Titiriw sɛ nnadewa no mu opira ketewaa bi na ɛde ba a, wɔde nkakrankakra benyin afi mpaapaemu no mu na wɔn ankasa ayera wɔ asram kakraa bi mu.

Kae sɛ, sɛ ɛyɛ mogya a ɛtɔ a ɛyɛ mpaapaemu a opira bi na ɛde ba a, mma ɛnhaw wo. Ɛno ankasa bɛsa yare.

Nanso, sɛ wonkae opira bi wɔ wo nnadewa so, anaasɛ wuhu saa nsensanee yi wɔ nnadewa pii so a, ɛnde akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Eyi bɛboa ma wɔahu nea ɛde ba no na wɔasa tebea a ɛde ba no.Sɛ nhwɛso no, sɛ ɛyɛ tebea te sɛ Nail Psoriasis a, oduruyɛfo no bɛkyerɛw srade anaa aduru a ɛfata ama wo. Sɛ ɛyɛ ɔyare mmoawa te sɛ Endocarditis a, ebia ɛho behia sɛ woma no nnuru a ekum ɔyare mmoawa.

Wobɛyɛ dɛn atumi atew asiane a ɛwɔ hɔ sɛ Mogya a Ɛpaapae Mu no so?

Nea ɛbɛyɛ na asiane a ɛwɔ hɔ sɛ mogya a ɛbɛtɔ wo nnadewa a apirakuru de aba no so atew no, ɛsɛ sɛ wobɔ mmɔden sɛ wobɛma wo nnadewa no ayɛ den .

• Di aduan a ahoɔden wom . Nnuan a vitamin B ne zinc pii wom titiriw boa ma nnadewa nyin. Fa nhabannuru, nnuaba, ne nufusu mu nneɛma ka w’aduan ho.
• Nom nsu pii . Nsu a wobɛkɔ so anya no nso ye ma wo nnadewa akwahosan.
• Sɛ woretwitwa wo nnadewa a, hwɛ yiye paa na woansɛe were a atwa nnadewa no ho ahyia no.
• Fa nnwinnade a ɛbɔ wo ho ban te sɛ nsateaa ne mpaboa di dwuma bere a woreyɛ adwuma a ebetumi apira wo nsa ne wo nan (e.g., turoyɛ, nneɛma a emu yɛ duru a wobɛma so).

Sɛ nnuru bi na ɛde mogya a ɛtɔ apaapae mu ba a, wobetumi asiw ano denam nnuru no a wobegyae anaasɛ wɔbɛtew dodow a wɔde ma no so. Nanso, nnyae nnuru biara a wobɛnom anaasɛ sesa dodow a wode ma no da a wonkɔ wo duruyɛfo nkyɛn. Eyi betumi ayɛ nea asiane wom.

Wɔrentumi nsiw nneɛma afoforo a ɛde ba, te sɛ nea aduruyɛ mu tebea horow a ɛda adi (mogya a ɛtɔ apaapae) de ba no ano bere nyinaa efisɛ ɛda adi sɛ yare no ankasa ho sɛnkyerɛnne.

Sɛ wowɔ Splinter Hemorrhage a, dɛn na wubetumi ahwɛ kwan?

Sɛ mogya a ɛtɔ gu nipadua no mu esiane opira anaa akwanhyia ketewaa foforo nti a, ɛnyɛ nea epira koraa . Ɛwom sɛ ebia ɛbɛyɛ nea ɛnyɛ fɛ kakra de, nanso ebefi hɔ ankasa wɔ nna kakraa bi mu anaa bere a nnadewa no asan anyin no.

Nanso, sɛ wuhu saa nsensanee yi a wunpirapirae biara a, ebetumi ayɛ tebea bi a emu yɛ den kɛse ho sɛnkyerɛnne . Enti, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn na wahu nea ɛde wɔn ba ankasa. Wo nkɔmhyɛ no begyina nea ɛde ba ne ayaresa a wɔde bɛma wo no so.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Mogya a ɛtɔ akisikuru dodow no ara fi opira na ɛno ankasa bɛsa. Nanso, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn wɔ nsɛm yi mu:

• Sɛ woankae opira biara a ɛbaa nnadewa no so a .
• Mogya a ɛpaapae: Sɛ ɛnkɔ wɔ nna kakraa bi mu anaasɛ bere a nnadewa no asan anyin akyi a.
• Sɛ wotaa nya mogya a ɛtɔ apaapae te sɛ eyi a.
• Sɛ saa nsensanee yi da adi wɔ nnadewa bɛboro biako so a .
• Sɛ sɛnkyerɛnne afoforo te sɛ atiridiinini, nipadua mu yaw, ne ahome a ɛyɛ den ka saa nsensanee yi ho a.

Awiei koraa no, nkrasɛm a wɔde kɔ fie

Mogya a ɛtɔ apaapae betumi ayɛ tebea a wɔtaa hu wɔ nnadewa mu, anaasɛ ebetumi ayɛ yare foforo ho sɛnkyerɛnne.

• Nea ɛtaa de ba ne opira nketenkete a ɛba nnadewa no so.Biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho, wɔn ankasa bɛsa.
• Nanso, sɛ saa nsensanee yi taa pue wɔ nnadewa pii so a ntease biara nnim a, ebetumi ayɛ yare a emu yɛ den ho sɛnkyerɛnne (e.g. komayare, asaabo mu yare, honam ani yare, nyarewa bi).
• Enti, sɛ w’adwene mu yɛ wo naa wɔ eyi ho a, yɛsrɛ wo kɔ oduruyɛfo nkyɛn. Sɛ ɛho hia a, obetumi ahu nea ɛde ba na ɔde ayaresa ama no.
• Hwɛ wo nnadewa akwahosan nso yiye. Aduan pa ne ahotew pa ho hia na ama nnadewa a ahoɔden wom.

Enti, mewɔ anidaso sɛ woanya ntease pa wɔ Splinter Hemorrhage ho mprempren. Hwɛ wo nipadua no yiye bere nyinaa. Sɛ ɛyɛ ade ketewaa mpo a, nyansa wom sɛ woremmu w’ani ngu so na sɛ ɛho hia a, wobɛhwehwɛ aduruyɛ mu afotu.

` Splinter Hemorrhage, Nail Streaks, Nail Bleeding, Nnadewa Nyarewa, Honam ani Nyarewa, Koma Yare Nsɛnkyerɛnne, Nnadewa Akwahosan