Ðe nèkpɔa fli siwo le abe esia ene le wò ŋkuwo mea? Mina míaƒo nu tso Angioid Streaks ŋu!

Èyi ŋkudɔdala gbɔ kpɔ eye nèse nya aɖe abe, "Àte ŋu akpɔ fli sue siawo le wò ŋku me, míeyɔna wo be Angioid Streaks" kpɔa? Alo ɖeko nèse ŋkɔ sia teti koe nye ema? Ðewohĩ àvɔ̃ vie ne èse nya sia. Gake mègatsi dzi o. Egbea, míele nu ƒom tso nɔnɔme sia si woyɔna be Angioid Streaks ŋu le mɔ bɔbɔe aɖe si gɔme woate ŋu ase nu.

Ènya nusiwo Angioid Streaks nyea?

Kpuie ko la, Angioid Streaks nye fli suesuesue siwo le gbadzaa siwo dzena le wò ŋku ƒe ŋkumeʋuʋu te. Wodze abe ʋukawo ene, gake le nyateƒe me la, menye ʋukawoe wonye o. Zi geɖe la, wokpɔa wo ne wò ŋkudɔdala le ŋku lém ɖe wò ŋkuwo ŋu. Zi geɖe la, woate ŋu akpɔ wo le ŋku eveawo siaa dzi. Ame aɖewo hã yɔa wo be Knapp streaks alo Knapp striae.

Bu eŋu kpɔ, le wò ŋku me la, `Optic Disc` (si fia be ŋku ƒe lãkusi ƒe akpa mamlɛtɔ hafi wòdo ƒome kple ahɔhɔ̃a), eye edze abe fli siawo kekena yia gota tso afima ene. Wodzɔna ne lãkusi aɖe si woyɔna be `Bruch ƒe lãkusi` do le ŋkua me. `Bruch ƒe lãkusi` siae nye `Choroid` ƒe nutsyɔnu ememetɔ (afi siae ʋuka siwo tsɔa ʋu kple nunyiamewo vaa ŋkua gbɔ la le). Enɔ `Retina` kple `Sclera` dome.

Nukae nye nɔnɔme sia ƒe dzesiwo?

Zi geɖe la, ʋumenugbagbeviɣidɔ ƒe dzesi aɖeke menɔa anyi o. Esia fia be ɖewohĩ màde dzesi tɔtrɔ alo vevesese aɖeke o. Gake kuxi aɖewo siwo do ƒome kple angioid streaks siawo ate ŋu ana ame nakpɔ nu ɣeaɖewoɣi. Esia tae ɖɔktawo tsia dzi ɖe esia ŋu ɖo.

Nukatae angioid ƒe fli siawo dzɔna?

Susu vevitɔe nye gbagbãƒewo ƒe wɔwɔ le `Bruch ƒe lãkusi` si ŋu míeƒo nu tsoe va yi la me. Le ame aɖewo gome la, lãkusi sia tsina le ɣeyiɣi aɖe megbe, etsɔa nuwo abe calcium ene dea eme, eye wògbãna bɔbɔe. Ɣemaɣie ʋuʋudedi siawo siwo le abe fli ene la dona.

Ɣeaɖewoɣi la, nusiawo ate ŋu atso ŋku ƒe abi hã gbɔ.

Nukawoe nye afɔku siwo le eme?

Lãmesẽnya aɖewo li siwo ate ŋu ahe Angioid Streaks vɛ. Be nusiawo nanɔ susu me na wo la, ɖɔktawo zãa kpukpui si nye PEPSI ɣeaɖewoɣi. Na míakpɔ nusiwo wonye ɖa:

• P - Pseudoxanthoma elasticum: Esia nye domenyiŋusẽfianu ƒe dɔléle. Tomenu siwo le ŋutilãa ƒe ka siwo te ŋu trɔna la me gbɔe wòtsona. Dɔléle sia do ƒome kple Angioid Streaks wu.
• E - Ehlers-Danlos syndrome: Esia hã nye domenyiŋusẽfianu ƒe nɔnɔme si gblẽa nu le ŋutilã ƒe kadodoŋusẽwo ŋu.
• P - Paget ƒe ƒu ƒe dɔléle: Esia nye dɔléle si gblẽa nu le ƒuwo ŋu. Ekpɔa ŋusẽ ɖe alesi ƒu yeyewo dzɔna hegbãnae dzi.
• S - Sickle cell disease: Esia nye dɔléle si ƒe dome míenyi si gblẽa nu le ʋumenugbagbevi dzĩwo ŋu. Ʋumenugbagbevi dzĩawo va gblẽna eye woate ŋu atsi ʋukawo me.
• I - Idiopathic conditions: Esiawo nye nɔnɔme siwo ŋu womate ŋu akpɔ nusi koŋ gbɔ wòtso o . Esiawo ate ŋu akpɔ ŋusẽ ɖe hemoglobin (wò ʋumenugbagbevi dzĩwo ƒe akpa aɖe) alo collagen (si nye kadodoŋusẽ ƒe akpa vevi aɖe) si le wò ʋu me dzi.

Nu vevitɔe nye be, mehiã be dɔléle ɖesiaɖe si PEPSI gblɔ la nanɔ ŋuwò hafi Angioid Streaks nadze ŋuwò o. Esiawoe nye dɔléle vevi siwo ate ŋu ado ƒome kplii.

Afɔku bubuwo

Tsɔ kpe ɖe atikewɔwɔ me nɔnɔme gã siawo ŋu la, nu bubu geɖewo ate ŋu ana afɔku si le Angioid Streaks xɔxɔ me nadzi ɖe edzi:

• Tsitsi: Tɔtrɔwo ate ŋu ava Bruch ƒe lãkusi me ne ame tsi.
• Ŋkuwo ƒe abixɔxɔ: Abe alesi míegblɔe va yi ene la, nusiwo abe ŋkuwo ƒoƒo sesẽwo ene hã ate ŋu ahe esiawo vɛ.

Nukawoe nye kuxi siwo ate ŋu ado tso Angioid Streaks me?

Togbɔ be zi geɖe la, angioid streaks megblẽa nu le ame ŋu o hã la, ɣeaɖewoɣi ate ŋu ahe kuxi siwo gblẽa nu le wò ŋku ŋu vɛ. Esiawoe nye esiwo me afɔku le.

Kuxi vevi eve li:

1. Choroidal neovascularization: Esiae nye esime ʋuka yeye siwo mele lãmesẽ me o tsina le ŋku ƒe ŋkume. Esiawo le abe gbe wuwlui ene, eye womenyo na ŋku o. Woate ŋu ado ʋu alo tsi nado le wo me, si ana woakpɔ nu nyuie eye wòatrɔ.

2. Ʋu si dona le ŋkua te: Ʋuka siawo siwo gbɔdzɔ yeyee ate ŋu agbã eye ʋu nado le ŋkume ƒe ŋkume te. Esia ate ŋu agblẽ nu le nukpɔkpɔ hã ŋu.

Ne kuxi siawo tɔgbe do mo ɖa ko hafi wò ŋkua tea tɔtɔ alo dzi ɖena kpɔtɔna gɔ̃ hã.

Aleke wokpɔa dɔléle sia dzea sii? Dodokpɔ kawoe wowɔna?

Zi geɖe la, wò ŋkudɔdala ate ŋu ade dzesi ʋuka siawo siwo me ʋu sina tona le ŋkume dodokpɔ si wowɔna edziedzi me. Gake be nàɖo kpe dɔlélea dzi, agbe nɔnɔme bubuwo, eye nànya ne kuxi aɖewo li la, wò ɖɔkta ate ŋu adi be woado wò kpɔ geɖe wu. Ɣeaɖewoɣi la, woate ŋu abia tso asiwò be nàgawɔ dodokpɔ siawo ake tso ɣeyiɣi yi ɣeyiɣi be woakpɔ alesi wò nɔnɔmea le tɔtrɔm.

Dodokpɔ ƒomevi siwo wowɔ

Nɔnɔmetatawo dodokpɔ vevi siwo wowɔnae nye:

• Fluorescein ƒe ʋukawo ƒe dɔwɔwɔ:Esia bia be nàdo amadede tɔxɛ aɖe ɖe ʋuka aɖe si le wò alɔnu me. Emegbe, fotoɖemɔ̃ tɔxɛ aɖe ɖea foto esime amadedea le zɔzɔm to ʋuka siwo le wò ŋku me la me. Esia wɔnɛ be nète ŋu kpɔa kuxi siwo le wò ʋukawo, abe ʋuka yeyewo ene, ŋu nyuie.
• Optical coherence tomography (OCT): Esia le abe ŋkua ƒe akpa si le eme ƒe fotoɖeɖe ene. Ezãa kekeli ƒe keklẽwo tsɔ ɖea ŋkua ƒe akpa si wotso ɖe wo nɔewo ŋu. Ate ŋu alé ŋku ɖe nuwo abe ŋkume ƒe ƒuƒoƒo ƒe titrime, tsi ƒe ƒuƒoƒo, kple ʋuka yeyewo ŋu.
• Fundus autofluorescence: Dodokpɔ sia zãa dzɔdzɔmenu aɖe si woyɔna be lipofuscin si le ŋkua me tsɔ dea dzesi tɔtrɔ kple nusiwo gblẽ le lãmenugbagbevi siwo le ŋkua me ŋu.

Ðɔktaa anɔ te ɖe nyatakaka siwo wòxɔ tso dodokpɔ siawo me dzi atso nya me le atikewɔwɔ si nèhiã ŋu.

Ðe atike aɖe li na Angioid Streaks?

Atike aɖeke meli koŋ na Angioid Streaks o. Eyae nye be fifia la, atike aɖeke meli na fliawo o. Ke hã, nu vevitɔe nye be woada kuxi siwo dona tso wo me, eye woada nɔnɔme ɖesiaɖe si ate ŋu ado ƒome kpli wo (abe esiwo le PEPSI ƒe ŋkɔwo me ene).

Atikewɔwɔ tɔxɛwo na kuxiwo

Ne nɔnɔme aɖe le ŋuwò abe esi ŋu míeƒo nu tsoe si woyɔna be ``choroidal neovascularization'' (i.e. ʋuka yeye siwo mèdi o ƒe wɔwɔme) la, wò ɖɔkta ate ŋu aɖo aɖaŋu le atikewɔwɔwo abe esiawo ene ŋu:

• Photocoagulation: Esia zãa laser tsɔ tsrɔ̃a ʋuka siwo womedi o.
• Photodynamic therapy (PDT): Esia bia be nàna atike tɔxɛ aɖe si sea kekeli nu wò ŋutilã, emegbe nàhe kekeli tɔxɛ aɖe ayi wò ŋku me be wòatsrɔ̃ ʋuka siwo mèdi o.
• Atike siwo tsia ʋukawo ƒe lãmenugbagbeviwo ƒe tsitsi nu (anti-VEGF): Esiawoe nye atike siwo wozãna wu. Wolɔ atike tɔxɛ aɖe dodo ɖe tsi si le abe jelly ene si le ŋkua me si woyɔna be vitreous humor me ɖe eme. Atike siawo kpɔa ʋuka yeyewo ƒe tsitsi dzi. Wogayɔa wo be VEGF mɔxenuwo. Ðewohĩ ahiã be woado atike siawo ake ɣleti sia ɣleti alo ne ehiã.
• PDT kple atike siwo tsia VEGF nu zazã ɖekae: Ɣeaɖewoɣi la, woate ŋu azã atike eve siawo ɖekae.

Ðe atikewɔwɔa ƒe nugbegblẽ le ame ŋu/kuxi aɖewo lia?

Abe alesi wòle le atikewɔwɔ ɖesiaɖe gome ene la, atikewɔwɔ siawo ate ŋu ahe kuxi aɖewo alo kuxi aɖewo vɛ. Enyo be nànya nu tso ema hã ŋu.

• Laser ƒe fotoɖeɖefia:Togbɔ be esia ate ŋu ana nukpɔkpɔ nakɔ le ɣeyiɣi kpui aɖe me hã la, ate ŋu agblẽ nu le lãmeka siwo le lãmesẽ me ŋu ɣeaɖewoɣi, si ana ʋu nado le ŋkume ƒe ŋkume eye wòana ame ƒe ŋku megakpɔa nu nyuie o.
• Atike siwo tsia VEGF nu: Zi geɖe la, atike siawo ƒe nugbegblẽ le ame ŋu nɔa anyi ɣeyiɣi kpui aɖe. Woate ŋu anye ŋku ƒe vevesese, abibi, aɖatsi, kple tsi ƒe sisi. Afɔku sue aɖe ŋutɔ le ŋkudɔ sesẽ xɔxɔ me le atike ɖesiaɖe dodo me.
• PDT dɔdamɔnu: Ɣe ƒe dzoxɔxɔ ate ŋu adzi ɖe edzi hena ɣeyiɣi aɖe le esia megbe. Ate ŋu anye be ŋkuagbãtɔ aɖe hã anɔ nukpɔkpɔa me. Nulɔdɔ ate ŋu anɔ atike siwo naa kekeli ƒe dɔwɔwɔ ŋu, eye ƒã hafi ʋuka yeye siwo womedi o ate ŋu adzɔ.

Ne wodo atike aɖe ƒe aɖaŋu na wò la, ele vevie ŋutɔ be nàdzro viɖe, kuxi siwo ate ŋu ado tso eme, kple eƒe nugbegblẽ le ame ŋu me kple wò ɖɔkta tsitotsito.

Nukae dzɔna ne Angioid Streaks le ŋunye?

Ne angioid streaks koe le ŋuwò, si fia be ne kuxi bubu aɖeke mele ŋuwò o la, ke afɔku mele eme nenema gbegbe o. Gake ne ŋku xɔ abi la, ele be nàyi ŋkudɔdala gbɔ godoo eye nàxɔ atike.

Ne dɔléle aɖe si le ŋuwò le ɖoɖo nu si nana wò ʋukawo me ʋu ƒe sisi le lãme na wò la, ele vevie ŋutɔ be nàwɔ ɖe wò ɖɔkta ƒe atikewɔwɔ ƒe ɖoɖoa dzi eye nàkpɔ ŋkuléleɖenuŋu si hiã.

Ðe woate ŋu axe mɔ ɖe esia nua? Aleke woate ŋu aɖe afɔkua dzi akpɔtɔ?

Mɔ aɖeke meli si dzi woato axe mɔ ɖe ʋukawo ƒe ʋuʋu si atikewɔwɔ me nɔnɔme siwo le ete hena vɛ nu o. Gake àte ŋu axe mɔ ɖe esiwo ŋku ƒe abixɔxɔ hena vɛ nu.

Wò ŋkuwo takpɔkpɔe nye nu vevitɔ kekeake le afisia. ŋkumekpɔnu dodo ate ŋu aɖe afɔkua dzi akpɔtɔ le ɣeyiɣi siawo tɔgbe me:

• Ne èle dɔ wɔm kple mɔ̃wo alo nusiwo ate ŋu ana ŋku naxɔ abi (e.g. welding, grinder zazã, atikpakpa).
• Ne èle dzokeke dom (si ƒe ʋuƒoa le gakukua dzi).
• Ne èle kamedefefe siwo tea ɖeɖi ame ŋu vie me (e.g. kriket ƒoƒo, vevietɔ ne èle bat ƒom, fielding).
• Ne èle dɔ wɔm le abɔ me, vevietɔ ne èle alɔwo lãm hele gbewo ƒom.

Ɣeyiɣi kawoe nye nyuitɔ kekeake siwo nàte ŋu ayi ɖɔkta gbɔ?

Anyo be nàyi ŋkudɔdala gbɔ edziedzi be woado wò ŋkuwo kpɔ. Ne ŋkudɔ alo dɔléle bubu aɖe le ŋuwò si ate ŋu agblẽ nu le wò ŋkuwo ŋu la, ahiã be nàyi ɖɔkta gbɔ zi geɖe.

Ne ŋkudɔ siawo dometɔ aɖe do mo ɖa la, yi ŋkudɔdala gbɔ enumake:

• Ne ŋku le veve sem na wò.
• Ne èkpɔ tɔtrɔ aɖewo le nukpɔkpɔ me (e.g. blukɔ, tɔtɔ, teƒe siwo do viviti).

Le go sia me la, yi ɖɔkta gbɔ enumake alo yi xɔ si me wokpɔa dɔnɔwo gbɔ kpata le:

• Ne èxɔ abi le ŋku dzi.
• Ne èse veve vevie alo ʋu le dodom le ŋkua me.
• Ne wò nukpɔkpɔ bu zi ɖeka alo wòva do viviti ŋutɔ.

Nya siwo wòle be woabia ɖɔkta/ɖɔkta

Ne ènya nya be Angioid Streaks le ye ŋu ko la, àte ŋu abia wò ɖɔkta nya siawo abe esiawo ene:

• Nukatae angioid streaks siawo le ŋunye?
• Atikewɔwɔ ka ƒomevie mehiã?
• Nukawoe nye atike siawo ƒe nugbegblẽ le ame ŋu?
• Zi nenie wòle be makpɔ wò?
• Eŋutinunyala bibi bubu kawoe wòle be makpɔ (e.g. na nɔnɔme aɖe si le ete)?
• Dzesi yeye alo dzesi siwo fia be nɔnɔmea le sesẽm ɖe edzi kawo ŋue wòle be malé ŋku ɖo?
• Aleke nye nɔnɔmea anɔ ne meyi ŋgɔ (nyagblɔɖi)?

Vovototo kae le `Lacquer cracks` kple `Angioid Streaks` dome?

Esiawo evea siaa nye nusiwo le abe fli siwo le ŋkua me ene ne èdo ŋkuawo kpɔ. Ke hã, woƒe dzedzeme kple nusiwo gbɔ wòtso la to vovo.

• Lacquer ƒe gbagbã: Zi geɖe la, wokpɔa nusiawo le amesiwo ƒe ŋkuwo mekpɔa nu kpuie ŋutɔ (siwo kpɔa nu kpuie) ƒe ŋkume.
• Angioid Streaks: Esiawo ate ŋu atso nɔnɔme aɖewo siwo ŋu míeƒo nu tsoe va yi gbɔ, alo ŋkua ƒe gbegblẽ gbɔ.

Ɣeaɖewoɣi la, ne fli siawo ƒe dzedzeme me mekɔ o la, ahiã be ɖɔktaa nawɔ nɔnɔmetatawo dodokpɔ abe OCT ene be wòade vovototo eveawo dome pɛpɛpɛ.

Mlɔeba la, gbedasi si woatsɔ ayi aƒemee

Ne angioid streaks le ŋuwò la, ɖewohĩ mànyae gɔ̃ hã o. Zi geɖe la, ɖɔkta va ke ɖe wo ŋu le ŋkudodokpɔ si wowɔna edziedzi me. Zi geɖe la, naneke meli nàte ŋu awɔ tso wo ŋu wu ŋkuléle ɖe wo ŋu o. Eyae nye be, lala ko nàkpɔe ɖa be woatrɔ hã.

Gake ɣeaɖewoɣi la, wò ɖɔkta ate ŋu asusu be atikewɔwɔ me dɔléle aɖe le ye ŋu si do ƒome kple esia. Ne nenemae la, ke ɖewohĩ ahiã be nàgawɔ dodokpɔ bubuwo.

Nu vevitɔe nye be màgavɔ̃ o eye nàɖo to nya siwo wò ɖɔkta agblɔ la nyuie. Kpɔ egbɔ be yebia nya tso dodokpɔ siwo nàwɔ kple nusiwo emetsonuwo agblɔ na wò ŋu. Wò atikewɔlawo ƒe ƒuƒoƒoa le afima be yewoado alɔ wò ahakpe ɖe ŋuwò nàwɔ nyametsotso nyuitɔwo. Do ŋkumekpɔ edziedzi eye nàkpɔ wò ŋkuwo ta, eye àte ŋu aɖe kuxi geɖe ƒe afɔkua dzi akpɔtɔ.

` Angioid Streaks, Angioid Streaks, Ŋkudɔlélewo, Ŋku ƒe Ʋuʋudedi, Retina, Bruch ƒe Membrane, Ŋku ƒe Lãmesẽ