Ðe ŋkudɔ sia ƒomevi le fu ɖem na wòa? Mina míaƒo nu tso Chorioretinitis ŋu!

Ède dzesii kpɔ be kasia wò ŋkuwo biãna, wò ŋkuwo me mekɔna o vie, eye ɣeaɖewoɣi la, èkpɔa teƒe yibɔ suesuesue siwo le tsia dzi le wò ŋkuwo mea? Ðe wòsesẽna na wò be nàlé ŋku ɖe kekelia ŋua? Menye ɖeko nusiawo dzɔna ko o. Esiawo ate ŋu atso wò ŋku ƒe akpa vevi eve siwo nye choroid kple retina ƒe dɔdzẽ, alo vuvu gbɔ . Le atikewɔwɔ me la, míeyɔa nɔnɔme sia be chorioretinitis . Esia ate ŋu anye nɔnɔme sesẽ aɖe, eyata ele vevie be nànyae.

Nukae nye Chorioretinitis?

Kpuie ko la, chorioretinitis nye wò ŋku ƒe megbe, choroid kple retina ƒe dɔdzẽ . Le nyateƒe me la, enye nɔnɔme siwo lolo wu siwo woyɔna be uveitis , siwo nye ŋku ƒe akpa si le eme ƒe dɔdzẽ la dometɔ ɖeka.

Bu wò ŋku abe fotoɖemɔ̃ sue aɖe ene. Akpa vovovowo le fotoɖemɔ̃ sia ŋu.

• Choroid nye lãkusi si le ŋkua me. Ʋuka siwo naa ʋu ŋkua le eme. Enɔa ŋkua ƒe ŋkume kple ŋku ƒe akpa ɣi (sclera) dome. Abe alesi anyigba si naa tsi kple nunyiame ati ene la, choroid ye nye esi naa nunyiame ŋkume ƒe ŋkume. Eyata ne kuxi aɖe le eŋu la, nukpɔkpɔ ate ŋu agblẽ.
• Retina nye lãkusi si sea nu gɔme ŋutɔ le ŋkua ƒe megbe. Wowɔ nɔnɔmetata siwo míekpɔna le afisia. Ele abe sinima si le fotoɖemɔ̃ me ene. Enye nusi ɖoa kekeli ƒe dzesiwo ɖe ahɔhɔ̃a, eyata míekpɔa nuwo.

Eyata ne choroid kple retina siaa xɔ abi le ɣeyiɣi ɖeka me la, míeyɔa nɔnɔme ma be chorioretinitis. Ne dɔdzẽ sia dze ŋkua ƒe gbegblẽ gɔme la, wogayɔnɛ be chorioretinopathy . Akpa si nye '-mɔ' fia nusiwo gblẽ. Ne dzesiwo abe ŋku ƒe ʋuʋu, ŋku ƒe vevesese, kple kekeli ƒe seselelãme ene le ŋuwò la, ele be nàyi ŋkudɔdala gbɔ enumake.

Nukae nye Chorioretinitis ƒe dzesiwo?

Dzesi siawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Dzesi siawo dometɔ ɖeka alo esi wu nenema ate ŋu anɔ ame aɖewo ŋu.

• Teƒe yibɔwo, tsi siwo le tsia dzi, alo kekeli ƒe keklẽ le wò ŋkume kpɔkpɔ: Tsɔe be ɖeko nèbɔbɔ nɔ anyi kpoo eye kasia nàkpɔ akpɔkplɔ suewo alo teƒe yibɔwo le ʋuʋum le afisia kple afima le wò ŋkume. Ɣeaɖewoɣi la, àte ŋu akpɔ kekeli ƒe keklẽ abe dzikedzo ene gɔ̃ hã.
• Ŋkuwo ƒe biã: Ŋku ƒe akpa si le ɣie ate ŋu azu dzĩ.
• Nukpɔkpɔ si me mekɔ o: Ðewohĩ màte ŋu akpɔ nuwo nyuie o, abe ɖe nèle ŋku lém ɖe afu aɖe me ene. Ðewohĩ àse le ɖokuiwò me hã be ŋɔŋlɔdzesiawo tɔtɔ ne èle nu xlẽm.
• Ŋku ƒe vevesese: Vevesese ate ŋu atso ŋkua ƒe eme alo eƒe golɔgoewo me.
• Fotovɔvɔ̃: Nukpɔkpɔ sesẽna ne ɣe alo akaɖiwo tsi gɔ̃ hã, eye ŋkuwo ate ŋu ase le wo ɖokui me abe ɖe wole blɔ trɔm ene.
• Aɖatsi si gbɔ eme: Ðeko aɖatsi ate ŋu atso ŋkuwo me abe tsi ene.
• Amadedewo nyanya sesẽ: Amadede aɖewo adze abe ɖe woto vovo na bubuwo ene, alo ate ŋu asesẽ be woade dzesi amadedewo.

Ne dzesi siawo dometɔ aɖe le ŋuwò la, mègaŋe aɖaba ƒu wo dzi o. Yi ŋkudɔdala gbɔ enumake.

Nukawoe hea chorioretinitis vɛ?

Nu vevi evee li siwo gbɔ nɔnɔme sia tsona: nusiwo tsoa dɔlékuiwo gbɔ kple esiwo mexɔa dɔlékuiwo o.

Chorioretinitis si tso dɔlékuiwo gbɔ (Dɔlékui siwo gbɔ wòtsona) .

Dɔlékui siawo dometɔ aɖewo ate ŋu anɔ anyi le vidzidzi me (wodzia wo) alo woaxɔe le agbe me.

• Toxoplasmosis: Esiae nye nusi gbɔ chorioretinitis tsona wu . Enye dɔlékui si dɔlékui aɖe hena vɛ. Ate ŋu ato avuwo ƒe aɖuɖɔ kple lã kple tɔmelã siwo womeɖa nyuie o dzi.
• Yɔmekpe: Ɛ̃, yɔmekpe si mí katã míenya la ate ŋu agblẽ nu le ŋkuwo hã ŋu alea.
• Cytomegalovirus (CMV): Esia nye dɔlékui ƒe dɔléle si ate ŋu adze amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ la dzi.
• Aɖuɖɔtoedɔ: Esia nye dɔlékui si tso gbɔdɔdɔ me si ate ŋu agblẽ nu le ŋkuwo hã ŋu.

Tsɔ kpe ɖe eŋu la, dɔlékuiwo abe Zika dɔlékui, rubella dɔlékui, varicella-zoster dɔlékui, si hea koklozi , kple fungi dɔlékui aɖewo ate ŋu ahe esia vɛ.

Nusiwo mexɔa dɔlékuiwo o

Ɣeaɖewoɣi la, chorioretinitis ate ŋu adzɔ dɔlékui aɖeke manɔmee.

• Ŋku ƒe abi: Ne nane ƒo ŋkua eye wòde abi eŋu la, anɔ eme be dɔdzẽ sia ƒomevi ate ŋu adzɔ.
• Dɔlélenutsiŋutete kple dɔdzẽ ƒe dɔlélewo: Esiawo nye dɔléle siwo me míaƒe ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete dzea mía ŋutɔwo ƒe lãmenugbagbeviwo dzi le. Kpɔɖeŋu aɖewoe nye nɔnɔmewo abe ƒunukpeƒetetedɔ , sarcoidosis , kple Behçet ƒe dɔléle ene.
• Kansa ƒomevi aɖewo: Dɔléle sia ate ŋu atso kansa abe ʋumenugbagbeviɣidɔ , alo kansa si kaka ɖe ŋkuwo me tso ŋutilã ƒe akpa bubuwo (metastatic disease) hã gbɔ.
• Domenyiŋusẽfianu aɖewo: Ƒã hafi dɔléle sia ate ŋu atso domenyiŋusẽfianu ƒe nɔnɔme aɖewo siwo toa dzidzimewo me hã gbɔ.

Nukawoe nye kuxi siwo ate ŋu ado tso Chorioretinitis me?

Ne womeda dɔléle sia nyuie o la, woate ŋu aɖe nukpɔkpɔ dzi akpɔtɔ eye ŋkuagbãtɔ tegbee gɔ̃ hã ate ŋu adzɔ.Eyata ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne dɔlélea ƒe dzesiwo dze ko.

Aleke wowɔa dea dzesi Chorioretinitis?

Ne èyi ŋkudɔdala gbɔ la, ado wò ŋkuwo kpɔ. Zi geɖe la, esia bia be nàtsɔ ŋkumeɖonu akeke wò ŋkuwo ɖe enu, eye nàlé ŋku ɖe wò ŋku ƒe megbe ŋu nyuie. Emegbe ɖɔktaa ate ŋu alé ŋku ɖe wò ŋku ƒe ŋkume kple ŋkume ƒe nɔnɔme ŋu. Ɣeaɖewoɣi la, woate ŋu akpɔ nuwo abe abi xoxowo (chorioretinal scars) hã.

Nukawoe nye dodokpɔ siwo wowɔna tsɔ dia dɔlélea?

Tsɔ kpe ɖe ŋkudodokpɔ ŋu la, ɖɔkta ate ŋu awɔ dodokpɔwo abe:

• Dodokpɔ siwo wowɔna le nusiwo woɖe tso wò ŋku me ŋu: Woate ŋu aɖo kpɔɖeŋu sue aɖe si woɖe tso wò ŋku me ɖe dodokpɔxɔ me be woanya ne dɔlékui aɖe le eŋu eye ne ele nenema la, ƒomevi ka.
• Optical Coherence Tomography (OCT): Esia le abe ŋkua ƒe akpa si woɖe le 3D me ene. Ezãa kekeli tsɔ ɖea ƒuƒoƒo siwo le ŋkua ƒe megbe la ƒe foto siwo wotso ɖe wo nɔewo ŋu. Esia ate ŋu akpe ɖe ame ŋu woanya alesi gbegbe dɔdzẽa keke tae kple alesi tsi ƒoa ƒui.
• Fluorescein angiography: Esia bia be woado amadede tɔxɛ aɖe ɖe ʋuka aɖe si le wò alɔnu me eye woaɖe ʋuka siwo le wò ŋku me ƒe foto. Esia ate ŋu akpe ɖe ŋuwò nàkpɔe ɖa be kuxi aɖewo le wò ʋukawo ŋu hã.
• Indocyanine green (ICG) angiography: Esia nye dodokpɔ si me wozãa amadede si wozãna tsã la ke, gake ʋuka siwo le choroid si le ŋkume ƒe ŋkume ƒe akpa si le ŋkua te la koŋue wòléa ŋku ɖe.

Ne dɔléle bubu aɖe gbɔe chorioretinitis tso la, ahiã be ɖɔktaa nawɔ dodokpɔ bubuwo atsɔ anya dɔléle ma.

Aleke wodaa Chorioretinitis ƒe dɔléleae?

Zi geɖe la , ŋkudɔdalawo daa dɔléle sia to steroid nana me be wòaɖe abi dzi akpɔtɔ . Woate ŋu ana esiawo abe ŋkumeɖonu, atikekuiwo, alo ɣeaɖewoɣi atikewo ene. Gake mele be woazã steroid ɣeyiɣi didi o, elabena woate ŋu ahe nugbegblẽ le ame ŋu vɛ.

Eyata wò ŋkudɔdala ate ŋu awɔ dɔ kple lãmekaŋutinunyala, si nye ɖɔkta si bi ɖe ƒunukpeƒeveame kple dɔléle siwo dɔlélenutsiŋutete hena vɛ me, aŋlɔ atike siwo me steroid mesɔ gbɔ ɖo o siwo kpɔa wò dɔlélenutsiŋutete dzi.

Ne dɔlékui aɖe gbɔe chorioretinitis tso la, dɔlékui si he dɔlélea vɛ dzie wotua atikewɔwɔ ɖo.

• Dɔlékuiwutikewo nenye be dɔlékui ƒe dɔlélee
• Antifungals nenye be enye fungi ƒe dɔlékui
• Atike siwo tsia dɔlékuiwo nu ne dɔlékui si nye parasitic dɔlékui aɖe li
• Ne dɔlékui ƒe dɔléle aɖe liDɔlékuiwutikewo

Ele vevie ŋutɔ be nàno atike siawo abe alesi tututu wò ɖɔkta gblɔe ene, le ɣeyiɣi si nèŋlɔ na wò la katã me. Mègadzudzɔ atikeawo nono le esi wò lãme sẽ ta ko o.

Ƒã ŋutɔ hafi wòahiã be woawɔ dɔ si woyɔna be vitrectomy be woaɖe tsi kple gbeɖuɖɔ ɖa le ŋkua me.

Mɔkpɔkpɔ ka ƒomevie ate ŋu anɔ amesi ŋu chorioretinitis le?

Ne chorioretinitis le ŋuwò, eye nèdae nyuie, kpakple nusi gbɔ wòtso hã la, zi geɖe la, emetsonua nyona . Gake ahiã be nàyi ŋkudɔdala gbɔ edziedzi be woado wò ŋkuwo kpɔ.

Ame akpa gãtɔ mekpɔa nu ƒe kuxi tegbee le atikewɔwɔ vɔ megbe o.

Gake ne womewɔ atike na wò o la, chorioretinitis ate ŋu agblẽ nu le wò nukpɔkpɔ ŋu. Kuxiawo dometɔ ɖekae nye chorioretinal atrophy . Esia fia be ŋkua ƒe akpa siwo ŋu wògblẽ nu le – ŋku ƒe ŋkume kple ŋkume ƒe ŋkume – tsia eye wodzudzɔa dɔwɔwɔ nyuie. Ne womewɔ atike nɛ o la, ate ŋu ana ame nagate ŋu akpɔ nu kura o (ŋkuʋuʋu) .

Ðe woate ŋu axe mɔ ɖe Chorioretinitis nua?

Togbɔ be womate ŋu axe mɔ ɖe enu keŋkeŋ o hã la, àte ŋu awɔ nu siwo gbɔna atsɔ aɖe wò afɔkua dzi akpɔtɔ:

• Takpɔ ɖokuiwò ta tso dɔlékuiwo me:
• Klɔ asi nyuie kple adzalẽ ɣesiaɣi .
• Te ɖa tso ame siwo le dɔ lém gbɔ.
• Wɔ gbɔdɔdɔ si me afɔku mele o .
• Be nàƒo asa na toxoplasmosis la, do asigɛ ne èle avuwo ƒe aɖuɖɔ ŋudɔ wɔm, eye nàɖa lã kple tɔmelã nyuie.
• Kpɔ wò ŋkudɔdala le ɖoɖowɔɖi si nèwɔna edziedzi me: Ne dɔléle bubuwo abe suklidɔ ene le ŋuwò la, ele vevie be nàdo wò ŋkuwo kpɔ.
• Ne ède dzesi tɔtrɔ aɖewo le wò nukpɔkpɔ me la, yi ŋkudɔdala gbɔ enumake: Mègalala ɣeyiɣi si nèɖo be yeakpɔ o.
• Lé be na wò lãmesẽ bliboa: ɖu nuɖuɖu si da sɔ, de kame, eye nàkpɔ nɔnɔme ɖesiaɖe si nɔa anyi didi si le ŋuwò gbɔ.

Ɣekaɣie wòle be makpɔ nye ɖɔkta?

Ne wokpɔe be chorioretinitis le ŋuwò xoxo la, wò ɖɔkta agblɔ ŋkudɔ siwo ate ŋu anɔ ŋuwò na wò. Ne wona atikewɔwɔ ƒe ɖoɖo wò eye edze abe mele dɔ wɔm o ene la, ƒo nu tso eŋu na wò ɖɔkta.

Ɣesiaɣi, eɖanye ŋkudɔ aɖe le ŋuwò alo mèkpɔe o, ne èto nusi gbɔna dometɔ aɖe me la, yi ŋkudɔdala gbɔ alo yi kɔdzi ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ enumake:

• Ne nane dzɔ ɖe ŋkua dzi.
• Ne wò ŋku bu zi ɖeka alo wò ŋku megakpɔa nu nyuie o.

Nya kawoe wòle be mabia nye ɖɔkta?

Àte ŋu abia wò ɖɔkta nya siawo abe esiawo ene tso chorioretinitis ŋu:

• Nukatae dɔléle sia dze dzinye?
• Atikewɔwɔ kae nèkafu?
• Ðe atikewɔwɔ sia ƒe nugbegblẽ aɖewo lia?
• Kuxi kawo ŋue wòle be maɖɔ ŋu ɖo le?
• Ðe wòate ŋu adzɔ be dɔléle sia nadze ame bubu aɖe dzi le nye ƒomea mea? (vevietɔ ne domenyiŋusẽfianu gbɔe wòtso) .

Mlɔeba la, nusi dzi nàɖo ŋkui (Take-Home Message) .

Míaƒe ŋkuwo nye ŋutinu xɔasi ŋutɔ. Esɔ be wò ŋkuwo navuvu ahanɔ veve sem vie ɣeaɖewoɣi. Gake ne wò ŋkuwo me mekɔ o, wò ŋkuwo le veve sem, wò nukpɔkpɔ trɔ, alo nèkpɔa nane nɔa tsia dzi le wò ŋkume ɣesiaɣi la, mègaŋe aɖaba ƒu edzi o. Ate ŋu anye wò ŋku ƒe akpa si le eme ƒe dɔdzẽ, abe chorioretinitis ene.

Zi alesi nèkpɔ dɔlélea dze sii kaba eye nèdze atikewɔwɔ gɔme la, zi nenemae mɔnukpɔkpɔ asu asiwò be nàkpɔ wò ŋku xɔasi la ta. Eyata, mègavɔ̃ o eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba. Wò agbanɔamedzie wònye be nàlé be na wò ŋkuwo!

` Chorioretinitis, ŋku ƒe dɔdzẽ, ŋkudɔ, ŋku ƒe dɔmawɔmawɔ nyuie, ŋku ƒe ŋkume ƒe dɔmawɔmawɔ nyuie, choroid