Nukae nye choroid sia si le ŋkua me? Mina míakpɔe ɖa pɛpɛpɛ!

Èbu alesi míaƒe ŋkuwo wɔa dɔ nukutɔe ŋu kpɔa? Ŋku nye ŋutinu si gɔme sese sesẽ ŋutɔ eye wòxɔ asi ŋutɔ. Eyata egbea míele nu ƒom tso ŋku ƒe akpa aɖe si womenya tututu o, gake wòle vevie ŋutɔ ŋu. Emae nye choroid la. Ðewohĩ mèse ŋkɔ sia kpɔ o. Gake esia menyo o, egbea míaƒo nu tso eŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nukae nye choroid? Subɔsubɔdɔ kae wòwɔna na ŋku?

Kpuie ko la, choroid nye wò ŋkume ƒe titina, wò ŋkume ƒe gota gli. Enye uvea tɔ. Ne míagblɔe tututu la, choroid nye ʋuka vevi siwo naa míaƒe ŋkuwo la dometɔ ɖeka. Ekpena ɖe ame ŋu hã be woakpɔ kekeli agbɔsɔsɔme si gena ɖe ŋkua me dzi. Eyata, choroid le vevie ŋutɔ le alesi míekpɔa xexeame me.

Dɔ vevi eve le choroid la ŋu:

1. Ʋu si hiã la nana ŋkua.

2. Kekeli si gena ɖe ŋkua me ƒe xɔxlɔ̃.

Azɔ mina míaƒo nu tso ame eve siawo ŋu tsitotsito vie .

1. Ʋu si naa ŋkua

Esiae nye dɔ vevitɔ si choroid wɔna. Vevietɔ la, esiae naa ʋu yia ŋkume kple ŋku ƒe lãkusi si le míaƒe ŋkuwo me. Bu eŋu kpɔ, ŋkume ƒe ŋkumeʋuʋu sia kple ŋku ƒe lãmeka le dzesiwo ɖom ɖe ahɔhɔ̃a ɣesiaɣi. Ele abe mɔ̃ eve siwo wɔa dɔ madzudzɔmadzudzɔe ene. Eyata, akpa eve siawo hiã ʋu kple nunyiame geɖe wu ŋkua ƒe lãkusi bubuawo. Ʋuka geɖe le choroid la me, abe tangle ene. Esia tae ate ŋu ana ʋu agbɔsɔsɔme si tututu hiã.

2. Kekeli ƒe xɔxlɔ̃

Dɔ vevi bubu si choroid wɔnae nye be wòaxɔ kekeli. Esia menye nusi dze ƒã ŋutɔ o, gake ele vevie ŋutɔ.

Ènya be amadede aɖe si woyɔna be melanin le choroid la me le agbɔsɔsɔ gã me wu lãmenugbagbevi bubu ɖesiaɖe si le míaƒe ŋkuwo mea? Melanin sia ke le míaƒe ŋutigbalẽ hã me. Melanin siae xɔa ultraviolet keklẽ siwo gblẽa nu le ɣea ŋu eye wòkpɔa míaƒe ŋutigbalẽ ta tso nusiwo le abe ŋutigbalẽ me kansa ene me. Menye keklẽŋusẽ si woyɔna be ultraviolet koe melanin ate ŋu axɔ o, ke boŋ kekeli si wokpɔna katã kloe.

Melanin si le ŋkua me wɔa dɔ abe acoustic foam ene, si wozãna tsɔ léa gbeɖiɖi. Ðewohĩ èkpɔ futukpɔ sia ƒomevi le haƒoƒewo ƒe gliwo ŋu kpɔ. Enaa gbeɖiɖia meganɔa dzodzom le teƒeteƒewo henɔa ɖiɖim o. Nenema kee melanin si le ŋkua me xea mɔ na kekeli be wòakaka ɖe ŋkua me o. Esia wɔnɛ be kekeli si mehiã o megblẽa nu le keklẽŋusẽ ƒe lãmenugbagbevi siwo le míaƒe ŋkume ƒe ŋkume ŋu o. Esia le vevie ŋutɔ na nukpɔkpɔ si me kɔ.

Afikae choroid la le? Aleke wòdzenae?

Choroid la le míaƒe ŋkume ƒe akpa eve le etɔ̃ me ƒe megbe. Ne míagblɔe tututu la, ele ŋkua ƒe gotagli ɣi (si míeyɔna be sclera) te eye wòle ŋkua ƒe ŋkume ƒe akpa si dea dzesi kekeli le ŋkua ƒe megbe la tame. Choroid ƒe titrime ate ŋu ato vovo tso milimeta 0.1 (mm) va ɖo abe milimeta 0.22 ene. Eyae nye be eƒe titrime anɔ abe agbalẽtamɔ̃ ƒe pepa si wozãna edziedzi ene.

Le choroid ƒe dzedzeme gome la, enye teƒe si ʋukawo yɔ fũ . Azɔ hã, eƒe amadede nyea viviti le melanin si le eme ta. Nusi wɔ nuku enye be, abe míaƒe ŋutigbalẽ ene la, dzigbedzesiwo alo teƒe siwo sɔ (si woyɔna be nevi) ate ŋu anɔ choroid la ŋu. Esiawo mele dzedzem na mí tso egodo o. Ne ŋkudɔdala aɖe do woƒe ŋkuwo kpɔ ko hafi ame akpa gãtɔ va nya be wole yewo ŋu.

Nɔnɔme kawoe ate ŋu akpɔ ŋusẽ ɖe choroid dzi?

Nublanuitɔe la, dɔléle geɖe li siwo ate ŋu agblẽ nu le choroid ŋu. Esia ate ŋu atso nu vovovowo gbɔ, tso ʋu ƒe sisi ƒe dɔlélewo dzi va ɖo dɔdzẽ ƒe dɔlélewo dzi. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Albinism : Melanin ƒe amadede ƒe anyimanɔmanɔ ate ŋu ahe ŋku ƒe kuxiwo kple kekeli ƒe seselelãme vɛ.
• Nɔnɔme siwo wodzina (wodzii le vidzidzi me) : Le kpɔɖeŋu me, dɔlélewo abe choroideremia ene ate ŋu agblẽ nu le ŋku ƒe ŋkume ƒe dɔwɔwɔ ŋu.
• Ŋku ƒe dɔléle si do ƒome kple suklidɔ .
• Choroidal neovascularization kple macular degeneration (vevietɔ eƒe nɔnɔme si me tsi le).
• Ŋku me dɔdzẽ : vevietɔ ŋkume melanoma.
• Eye ischemia : Esia nye ʋu ƒe sisi yi ŋkua me dzi ɖeɖe kpɔtɔ. Le kpɔɖeŋu me, ŋku ƒe ʋuʋu.
• Glaucoma gblẽa nu le ŋku ƒe lãmeka kple ŋku ƒe lãkusi ŋu .
• Ŋku ƒe abixɔxɔ .
• Dɔléle siwo tsoa dɔdzẽ me : Nɔnɔmewo abe uveitis alo chorioretinitis ene.

Ne kuxi aɖe le choroid la ŋu la, dzesi kawoe ate ŋu ado mo ɖa?

Ne dɔléle aɖe le ŋuwò si ku ɖe choroid ŋu la, àte ŋu akpɔ dzesi aɖewo. Esiawo dometɔ aɖewoe nye:

• Teƒe siwo do viviti le nukpɔkpɔ me (Scotomas) alo ŋku ƒe dɔmawɔmawɔ nyuie.
• Nukpɔkpɔ si me mekɔ o .
• Nukpɔkpɔ eve (Diplopia).
• Ŋku ƒe vevesese.
• Taɖuame.
• Kekeli ƒe seselelãme (ŋku blɔwo) (Fotovɔvɔ̃) .
• Nukpɔkpɔ si mebɔ o.

Ne èkpɔ dzesi siawo la, yi ɖɔkta gbɔ enumake!

Dzesi aɖewo li siwo fia be nɔnɔmea nu sẽ wu alo esi hiã kpata wu . Le nɔnɔme mawo me la, ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Esiawoe nye dzesi siwo ŋu wòle be woalé ŋku ɖo kpata:

* Ʋuʋudedi kple ʋuʋudedi kple ŋku ƒe vevesese/nyaƒoɖeamenu.

* Asigɛ siwo ƒe amadede le abe dziŋgɔli ene kpɔkpɔ ƒo xlã kekeli.

* Nukpɔkpɔ ƒe bu kpata le mɔ ɖesiaɖe nu .

* Kekeli ƒe keklẽ kpata le ŋkuwo ŋkume (Photopsias).

Ne èse le ɖokuiwò me be nane le abe esia ene la, taflatse yi ɖɔkta gbɔ kaba .

Dodokpɔ kawoe li be woatsɔ ade dzesi kuxi siwo le choroid la ŋu?

Ne èyi ɖado ŋkume kpɔ edziedzi la, ŋkudɔdala ate ŋu akpɔ tɔtrɔ siwo va le ŋkume ƒe lãkusi me to ŋkume ƒe akpa tsɛawo me, alo ase ŋkume ƒe nɔnɔme gɔme to tɔtrɔ siwo va ŋkume ƒe ŋkume ŋutɔ me. Tsɔ kpe ɖe eŋu la, dodokpɔ tɔxɛ geɖe li siwo ate ŋu akpe ɖe ame ŋu woalé ŋku ɖe choroid la ŋu ahanya dɔléle siwo do ƒome kplii. Woawoe nye:

• Visual acuity test : Esia nye dodokpɔ be nàkpɔ alesi nàte ŋu akpɔ nu nyuie.
• Nukpɔkpɔ ƒe ŋutete kple goglome ƒe nukpɔsusu ƒe dodokpɔwo.
• Slit lamp exam : Ŋkua dodokpɔ kple nusuekpɔmɔ̃ tɔxɛ aɖe.

Le ʋu ƒe sisi ƒe kadodo si le choroid kple retina dome ta la, dodokpɔ aɖewo siwo doa ŋkume ƒe ŋkume hã ate ŋu akpe ɖe ame ŋu woanya choroid ƒe nɔnɔme. Le kpɔɖeŋu me:

• Fluorescein ƒe ʋukawo ƒe dɔwɔwɔ ŋuti numekuku
• Indocyanine amadede dzẽ ƒe ʋukawo ŋuti numekuku
• Nukpɔkpɔ ƒe Ðekawɔwɔ ƒe Tomography (OCT) .

Dodokpɔ siawo ate ŋu akpe ɖe wò ɖɔkta ŋu wòase wò ŋkuwo ƒe nɔnɔme gɔme nyuie wu.

Nukawoe nye dɔléle siwo gblẽa nu le choroid ŋu ƒe atikewo?

Zi geɖe la, atikewɔwɔ boo aɖeke meli si kpɔa ŋusẽ ɖe choroid dzi tẽ o. Ke boŋ wodaa nɔnɔme si gbɔ wòtso si le ŋusẽ kpɔm ɖe choroid dzi . Eyata atikewɔwɔmɔnu ate ŋu ato vovo ŋutɔ le nɔnɔmea nu. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Albinism ƒe Atikewɔwɔ : Esi wònye domenyiŋusẽfianu ƒe dɔléle nye albinism ta la, womate ŋu adae tẽ o. Woɖoe be woaɖe dɔlélea ƒe dzesiwo dzi akpɔtɔ.
• Atike siwo tsia ŋkua ƒe ŋkumeʋuʋu nu : Esiawo ɖea ŋku ƒe ŋgɔgbe ƒe nyaƒoɖeamenu dzi kpɔtɔna eye woxea mɔ na nusiwo le ŋkua dzi kple eƒe golɔgoewo ƒe gbegblẽ.
• Atike siwo tsia dɔdzẽ nu : Atike siawo ɖea dɔdzẽ dzi kpɔtɔna. Woate ŋu ana wo le ɖoɖo nu alo woana ŋkua koŋ.
• Anti-vascular endothelial growth factor (VEGF) drugs : Atike siawo siwo tsia VEGF nu xea mɔ na ʋuka yeyewo ƒe dzɔdzɔ.
• Kansa ƒe atikewɔwɔwo: Abe kansa ƒomevi bubuwo ene la, ŋkudɔléle ate ŋu abia be woawɔ atike na ame abe amekoko, atikewɔmɔnu, kple keklẽŋusẽdɔdamɔnu ene.
• Atike siwo kpena ɖe/na ʋu ƒe sisi nyona ɖe edzi : Esia lɔ nu geɖe ɖe eme, abe ʋu ƒe sisi (anticoagulants) kple atike siwo kpɔa ʋu ƒe sisi dzi.
• Ŋku ƒe dɔwɔwɔ : Nɔnɔme aɖewo siwo gblẽa nu le ŋkume ƒe dɔwɔwɔ ŋu la hiã be woawɔ dɔ na wo be woaɖɔ wo ɖo.

Woate ŋu ado atike bubuwo ɖa le nɔnɔme si gbɔ wòtso nu. Wò ŋkudɔdala alo lãmesẽdɔwɔla bubu ate ŋu agblɔ nu geɖe tso atikewɔmɔnu siawo ŋu na wò eye wòakpe ɖe ŋuwò nàtia esi nyo na wò.

Nukae míate ŋu awɔ be míaƒe choroid nanɔ lãmesẽ me?

Nu geɖe li nàte ŋu awɔ be wò ŋkuwo nanɔ lãmesẽ me, siwo dometɔ aɖewoe nye wò ŋkume ƒe lãmesẽ. Esiawo dometɔ vevitɔe nye be woado ŋku kpɔ edziedzi . Esia ku ɖe amesiame ŋu, ke menye amesiwo doa ŋkumeɖobolo ɖeɖeko o.

Tsɔ kpe ɖe eŋu la, nu bubu siwo nàte ŋu awɔe nye:

• Do ŋkutakpɔnu . Ne èle dɔ aɖe wɔm la, do dedienɔnɔ ƒe ŋkumeɖobolo alo ŋkumeɖobolo siwo wowɔ koŋ na dɔ ma. Esia le vevie ŋutɔ ne èle dɔ wɔm kple ke alo atikewo.
• Ƒo asa na nicotine zazã . Atamanono, atamanono, kple atama ɖuɖu katã ate ŋu agblẽ nu le wò ʋu ƒe sisi ŋu, si ate ŋu agblẽ nu le wò ŋkuwo hã ŋu.
• Dzra nɔnɔme siwo nɔa anyi didi gbɔ . Ne dɔléle aɖe le ŋuwò si ate ŋu agblẽ nu le wò ŋkuwo kple/alo ʋu ƒe sisi ŋu, abe suklidɔ alo ʋusɔgbɔdɔ ene la, nɔnɔme ma dzi kpɔkpɔ nyuie ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe nu bubu siwo agblẽ le wò ŋkuwo ŋu nu alo ahe wo ɖe megbe.
• Lé be na wò lãmesẽ bliboa . Kpekpeme si sɔ me léle ɖe asi kple nunyiame nyui xɔxɔ siaa le vevie na ŋku ƒe lãmesẽ nyuitɔ kekeake me léle ɖe asi.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Enyo, eyata mele mɔ kpɔm be fifia èse choroid si ŋu míeƒo nu tsoe egbea gɔme nyuie wu.

Ðo ŋku edzi be wò ŋkume ƒe ŋkumeʋuʋue dea dzesi kekeli hetrɔnɛ wòzua dzesi siwo wokpɔna siwo woɖona ɖe wò ahɔhɔ̃a. Be woate ŋu awɔ esia la, ŋkume ƒe ŋkume ƒe ʋuka hiã ʋu gã si naa ame ɣesiaɣi. Eyata, wò choroid ye nye ʋu vevitɔ si naa wò ŋku ƒe ŋkume kple ŋku ƒe lãmeka. Choroid la kpena ɖe ŋuwò hã be nàkpɔ kekeli si gena ɖe wò ŋkuwo me dzi. Esia wɔnɛ be wònɔa bɔbɔe na ŋkume ƒe ŋkumeʋuʋu be wòawɔ dɔ tso kekeli ma ŋu nyuie.

Ðewohĩ womenya choroid la nyuie abe ŋkua ƒe akpa bubuwo ene o. Gake enye míaƒe ŋutega ƒe akpa vevi aɖe si le vevie ŋutɔ . Le wò gbesiagbegbenɔnɔ me la, nu geɖewo li nàte ŋu awɔ atsɔ akpɔ wò choroid ƒe lãmesẽ dzi - kple wò ŋkuwo katã. Eya ta, enyo be nàbu beléle na wò ŋkuwo ŋu, alo?

`Choroid, ŋku ƒe lãmesẽ, ŋku ƒe ŋkume ƒe lãmeka, ŋku ƒe lãmeka, melanin, ŋkudɔ, ŋku ƒe dodokpɔ