Yala an bɛna kuma Birdshot Chorioretinopathy kan bi wa?

Yala i delila k’a ye ko i bɛ fɛn nɛrɛma misɛnninw ye minnu bɛ ka panpan i ɲɛ kɔrɔ wa? Walima n’a sɔrɔ i ka yeli bɛ ka jɛya dɔɔnin wa? Ninnu bɛ se ka kɛ ko ye min tɛ kojugu ye, nka tuma dɔw la, u bɛ se ka kɛ gɛlɛya dɔ taamasiɲɛ ye aw ɲɛ kɔnɔ. Bi an bɛna kuma o ɲɛda bana sugu dɔ kan min man teli ka sɔrɔ, min bɛ se ka kunbɛn ni a furakɛra ka ɲɛ.

Nin ye mun ye (Birdshot Chorioretinopathy)?

N’an y’a fɔ cogo nɔgɔman na, Birdshot Chorioretinopathy, walima BSCR ni a surunyalen don, o ye funubana ye min man teli ka sɔrɔ, a bɛ sɔrɔ ɲɛ kɔnɔ. A tɛ bana basigilen ye , o kɔrɔ ye ko a tɛ kɛnɛya waati kunkurunnin kɔnɔ, nka a bɛ to senna. Ni a ma furakɛ ka ɲɛ, a bɛ se ka kɛ sababu ye ka yeli caman wuli kudayi walima hali ka yeli tiɲɛ pewu .

(BSCR) ye bana jugumanba ye min bɛ bana kulu dɔ la min bɛ wele ko ``Uveitis'', o bɛ ɲɛ kɔnɔna yɔrɔw tiɲɛ. A bɛ tali kɛ kosɛbɛ ninnu funu na:

• Ɲɛkisɛ : Nin ye yeelenbɔlan ye min bɛ an ɲɛ kɔfɛ. A bɛ iko filimu min bɛ kamera kɔnɔ. An bɛ ja minnu ye, olu sɛbɛnnen bɛ yan.
• Choroïde : O bɛ sɔrɔ ɲɛda ɲɛkisɛ jukɔrɔ. O ye fɛnɲɛnamafagalan ye min bɛ ɲɛkisɛ ni ɲɛkisɛ finman siri ɲɔgɔn na, ka joli lase ɲɛkisɛ ma, o kɔrɔ ye k’a balo.

Nin bana in taamasiɲɛ min ka bon kosɛbɛ, o ye nɔ misɛnninw bɔli ye, minnu ɲɛ ye krema ye, ɲɛda yɔrɔ jugumanba la ani ɲɛgɛnɛsira sanfɛla la. A taamasiɲɛ fɔlɔw ka teli ka kɛ fɛn nɛrɛmaw ye minnu bɛ pan ɲɛ ɲɛfɛ (floaters) , yeli fitini , walima u fila bɛɛ. a ka ca a la nin bana in bɛ ɲɛ fila bɛɛ minɛ .

Waati tɛmɛnen kɔfɛ, o tiɲɛni bɛ se ka kɛ sababu ye ka bana dɔw lase mɔgɔ ma i n’a fɔ cystoïde maculaire edema walima glaucome . Hali ni fura tɛ yen, Birdshot Chorioretinopathy ye bana ye min bɛ se ka furakɛ . A dɔnni joona nafa ka bon walasa furakɛli ka ɲɛ.

Jɔn bɛ Birdshot Chorioretinopathy sɔrɔ?

Tiɲɛ na, nin bana in bɛ se ka kɛ mɔgɔ o mɔgɔ la. Nka a ka teli ka kɛ baliku cɛmancɛ la, mɔgɔ finmanw na minnu si bɛ san 40 ni san 60 cɛ.A man teli kosɛbɛ denmisɛnw ka bana in sɔrɔ.

Yala bana wɛrɛw bɛ yen minnu ni nin bɔlen don ɲɔgɔn fɛ (Birdshot Chorioretinopathy) wa?

Ɔwɔ, bana damadɔ wɛrɛw, i n’a fɔ bana wɛrɛw minnu bɛ Uveitis kulu la, olu taamasiɲɛw bɛ se ka kɛ i n’a fɔ Birdshot Chorioretinopathy. O la, a nafa ka bon kosɛbɛ ka bana sɛgɛsɛgɛcogo ɲuman sɔrɔ walasa aw ka se ka furakɛli bɛnnen sɔrɔ. Bana minnu bɛ se ka kɛ i n’a fɔ BSCR, olu dɔw ye :

• Linfoma (kansɛri suguya dɔ) .
• Sarcoidosis (bana min bɛ funu misɛnniw bila farikolo yɔrɔ caman na) .
• `(Sympathetic ophthalmie)` (Uvɛti suguya min man teli ka sɔrɔ ɲɛ jogin fɛ)
• Sifili (bana min bɛ sɔrɔ cɛnimusoya fɛ) .
• `(Presumed ocular histoplasmosis syndrome (POHS))` (Bana min bɛ ɲɛw minɛ, o bɛ sɔrɔ ɲɛgɛnɛsiralabanaw fɛ)
• `(Sɔgɔsɔgɔninjɛ)` (Sɔgɔsɔgɔninjɛ) .
• `(Vogt-Koyanagi-Harada syndrome)` (bana min bɛ farikolojidɛsɛ furakɛ, a bɛ nɔ bila yeli ni mɛnni na)

Funubana kulu dɔ fana bɛ yen min bɛ wele ko ``White dot syndromes'', o fana bɛ se ka BSCR taamasiɲɛw jira. Olu bɛ ``joginda'' bila ɲɛda ni ɲɛdawolo la. Misali dɔw ye ninnu ye:

• `(Epithéliopathie pigment placoïde multifocale postérieure acute (APMPPE))`
• `(Kɔnɔboli ni panuveite multifocal (MCP))`
• `(Sindrome de point blanc evanescent multiple (MEWDS))`
• `(Punctate kɔnɔna koroidopathie (PIC))`

Mun na o bɛ wele ko (Birdshot Chorioretinopathy)?

Tiɲɛ na, nin ye bana kura ye, a ɲɛfɔra fɔlɔ san 1949. A kɛra san 1980 ye, ɲɛdɔgɔtɔrɔ fila y'a tɔgɔ da ko "(Birdshot Chorioretinopathy)". O kun ye ko krema ni oranjɛ nɔw bɛ yen minnu bɛ jɛnsɛn ɲɛda fan bɛɛ la. O tɔgɔ in Bɔra a la k’a sababu Kɛ o nɔgɔ ninnu cogoya bɛ i n’a fɔ marifa misɛnninw (kɔnɔw) minnu bɛ Kɛ ka kɔnɔw Fɔ. Miiri k’a filɛ, nɔgɔ dɔw bɛ ɲɛ kɔnɔ, i n’a fɔ marifa minnu bɛ jɛnsɛn ni marifa cilen don.

Yala tɔgɔ wɛrɛw bɛ o la wa?

Ɔwɔ, tɔgɔ damadɔ wɛrɛw bɛ yen minnu bɛ fɔ bana in ma (Birdshot Chorioretinopathy):

• `(Kɔnɔw ka sɔgɔsɔgɔninjɛ)`
• `(Kɔnɔw ka ɲɛgɛnɛsiralabanaw)`
• `(Kɔnɔw ka ɲɛda ɲɛkisɛw)`
• `(Kɔnɔw ka uveite)`
• `(BSCR)` (tɔgɔ surun)
• `(Uvɛti kɔfɛ)` (uvɛti min bɛ sɔrɔ ɲɛ kɔfɛ) .
• `(Kɔnɔbara basigilen)`

Birdshot Chorioretinopathy ka teli ka kɛ cogo di?

nin ye bana ye min man ca kosɛbɛ . Sɛgɛsɛgɛlikɛlaw dalen b’a la ko a bɛ mɔgɔ ba kɛmɛ o kɛmɛ na, a tɛ se ka mɔgɔ kelen minɛ. O kɔrɔ ye ko hali Sri Lanka, a bɛ se ka kɛ ko nin bana in bɛ mɔgɔ minnu na, nka a hakɛ ka dɔgɔ kosɛbɛ.

Mun de bɛ Birdshot Chorioretinopathy (Kɔnɔw ka ɲɛgɛnɛsiralabanaw) bila mɔgɔ la?

Ɲininikɛlaw ma bana in sababu tigitigi dɔn hali bi, nka u bɛ sigasiga ko a ye bana ye min bɛ sɔrɔ farikolo tangalanw fɛ . N’an y’a fɔ cogo nɔgɔman na, an farikolo yɛrɛ tangalan, n’o ye farikolo tangalan ye, o bɛ fili ka bin an yɛrɛ ka farikolo yɔrɔ kɛnɛmanw kan.

Mɔgɔ minnu sɔrɔla ni (BSCR) ye, olu ka ca ni 90% ye, farikolo tangalan dɔ bɛ u fari la (molecules min bɛ farikolo tangalanw lawuli) min bɛ wele ko `(HLA-A29)`. Nin ye fɛn ye min bɛ sɔrɔ bangebagaw fɛ. Nka, `(HLA-A29)` man kan ka sɔrɔ (Birdshot Chorioretinopathy). Ani fana, a bɛ se ka kɛ ko nin banakisɛfagalan in ka sɔrɔ nka a tɛ bana in sɔrɔ.

Birdshot Chorioretinopathy taamasiɲɛw ye jumɛnw ye?

Nin bana in taamasiɲɛw bɛ se ka ɲɔgɔn ta mɔgɔ kelen-kelen bɛɛ la. NinBana min bɛ taa ɲɛ, o ye bana ye min bɛ juguya dɔɔni dɔɔni kalo caman kɔnɔ fo ka se san caman ma.

Birdshot Chorioretinopathy taamasiɲɛ fɔlɔw ka teli ka kɛ:

• Fɛn nɛrɛmaw yecogo minnu bɛ panpan ɲɛ ɲɛfɛ (floaters) .
• Yeli kɛcogo fitini

a ka ca a la nin bana in tɛ ɲɛdimi walima ɲɛ bilenni bila mɔgɔ la . Nka, aw bɛ se ka ninnu sɔrɔ:

• Yeli bɛ Changé walima yeli bɛ dɔgɔya.
• Fɛnɲɛnɛma yeli dɔgɔyali walima yɔrɔjan jateminɛ gɛlɛya.
• Tansiyɔnba bɛ ɲɛ la (tansiyɔn jiginni ɲɛkisɛ la).
• Su fiyentɔya (nyctalopie) (yelikɛbaliya su fɛ).
• Kulɛri yeli gɛlɛyaw (`(kulɛri fiyentɔya)`), kulɛri dɔw danfara gɛlɛya (`(dyschromatopsia)`.
• Yeelen walima yeelenba dɔnni (fotophobie).

Mɔgɔ dɔw bɛ se ka yelikɛcogo caman sɔrɔ minnu tɛ deli ka kɛ walima ka hakili gɛlɛyaw sɔrɔ. I n'a fo:

• Plafond ventilateur effect : Ni aw ye aw ɲɛw datugu, a bɛ kɛ i n’a fɔ plafond ventilateur walima fiɲɛbɔlan bɛ ka wuli.
• Yeelen walima yeelen bɔli ye (fotopisi) walima ka cogoya tiɲɛnenw ye (metamorphopsia) .
• Yeli min tɛ ye, min bɛ manamana, i n’a fɔ a bɛ ji walima galasi nɔgɔlen fɛ .

Ni bana juguman don, bana dɔw bɛ se ka sɔrɔ i n’a fɔ ɲɛnamini walima ɲɛnamini. Olu bɛ se ka kɛ sababu ye ka ɲɛnayeli jugumanba bila mɔgɔ la hali ni funu furakɛli kɔfɛ. Kɔnɔw ka ɲɛgɛnɛsiralabanaw fana bɛ se ka kɛ sababu ye ka gɛlɛyaw lase ɲɛda cɛmancɛ yɔrɔ la, i n’a fɔ ɲɛda ɲɛkisɛw (cystoïde macular edema) ani ɲɛda ɲɛgɛnɛsiraw.

Birdshot Chorioretinopathy bɛ sɔrɔ cogo di?

Nin bana in dɔnni bɛ se ka gɛlɛya dɔɔni tuma dɔw la barisa a man teli ka sɔrɔ a la, wa a bɛ se ka kɛ ko a danfaralanw tɛ ye bana daminɛ na.

Ɲɛdɔgɔtɔrɔw ka teli ka BSCR sɛgɛsɛgɛ ɲɛ sɛgɛsɛgɛli fɛ. U bɛ joli sɛgɛsɛgɛli fana kɛ walasa ka a dɔn ni HLA-A29 banakisɛfagalan bɛ aw la.

Dɔgɔtɔrɔw bɛ se ka sɛgɛsɛgɛli suguya caman kɛ walasa ka aw kɔlɔsi waati tɛmɛnen kɔfɛ. A nafa ka bon ka to ka kuma aw ka dɔgɔtɔrɔ fɛ walasa ka aw mago bɛ ladonni min na.

Yala fura dafalen bɛ yen min bɛ wele ko Birdshot Chorioretinopathy wa?

A fɔ man di nka, fura dafalen tɛ nin bana in na. Nka, ni bana in sɛgɛsɛgɛra ka furakɛ joona , a taamasiɲɛw bɛ se ka dɔgɔya ani ka bana in bali ka juguya.

Aw ye aw hakili to a la: min nafa ka bon kosɛbɛ, o ye ka bana in sɛgɛsɛgɛ joona ka furakɛli daminɛ!

Jɔn bɛ se ka kɛ ne ka furakɛli jɛkulu kɔnɔ?

Aw ka ladonni jɛkulu bɛna furaw fɔ aw ye, ka aw kɔlɔsi, ka aw ka furaw ladilan ka kɛɲɛ ni aw ka bana ye ani aw kɔlɔlɔw. Aw ka kulu bɛ se ka kɛ ninnu ye:

• Ɲɛdɔgɔtɔrɔ : Dɔgɔtɔrɔba min bɛ ɲɛw ko ɲɛnabɔ.
• Sugunɛ furakɛla : Barisa furakɛli dɔw bɛ sugunɛ de minɛ.
• Ɲɛkisɛfagalan: Dɔgɔtɔrɔ min ka kalan kɛrɛnkɛrɛnnen don ɲɛ farikolo tangacogo gɛlɛyaw la.
• Sɔgɔsɔgɔninjɛ furakɛla : Dɔgɔtɔrɔ min ka baara ɲɛsinnen bɛ banaw ma minnu bɛ tali kɛ funu na farikolo la, barisa o fana ye funu bana ye.
• Ɲɛgɛnɛsiraw furakɛla : Barisa furakɛli dɔw bɛ nɔ bila kolo la.

Birdshot Chorioretinopathy bɛ furakɛ cogo di?

Nin bana in furakɛli bɛ bɔ aw ka bana juguya la ani a bɛ yɛlɛma cogo min na waati kɔnɔ. furakɛli kunba ye ka funu dɔgɔya aw ɲɛ na ani ka yelifɛn dɔw bali walima k' u lasegin .

A ka ca a la dɔgɔtɔrɔw bɛ fɔlɔ ka kɔritikositɛri (stéroïdes fura suguya dɔ) hakɛ caman di a ma walasa ka ɲɛ funu kunbɛn. O kɔ, a tata hakɛ bɛ dɔgɔya dɔɔni dɔɔni walasa ka kɔlɔlɔw farati dɔgɔya. Aw bɛ se ka furakisɛw ta nin cogo ninnu na:

• Ɲɛkisɛw
• Fura minnu bɛ ta da la
• Minɛn fitinin min bɛ don ɲɛ kɔnɔ opereli fɛ (intravitreal implant) .
• Pikiri kɛli
• A bɛ di jolisira dɔ kɔnɔ (IV - jolisira fɛ) .

Mɔgɔ caman fana ka kan ka farikolo tangalanw ta waati jan kɔnɔ . Nin fura ninnu bɛ aw farikolo tangalanw bali ka bin aw ɲɛw kan. Baara bɛ se ka kɛ ni ninnu dɔ ye kelen walima caman ye:

• `(Alkililafɛnw)`
• `(Fura minnu bɛ farikolojɔli dumuniw kɛlɛ)`
• `(Biologic agents)` (fura biologiki) .
• `(T-cell transduction/calcineurin inhibiteurs)`

Yala Birdshot Chorioretinopathy (Birdshot Chorioretinopathy) furakɛli bɛ se ka kɔlɔlɔ lase a ma wa?

Ɔwɔ, furakisɛw ni farikolo tangalanw tali kuntaalajan bɛ se ka kɔlɔlɔ jugumanw lase mɔgɔ ma . Misali la, kɔnɔboli gɛlɛyaw (banakisɛ, kirinni) walima kolo gɛlɛyaw (koloci) bɛ se ka sɔrɔ. Nin fura ninnu fana bɛ se ka dɔ fara ɲɛnamini walima ɲɛnamini sɔrɔli kan.

Aw ka dɔgɔtɔrɔ bɛna aw kɔlɔsi ni kɔlɔlɔ si tɛ aw la ani ka fura wɛrɛw di aw ma ni a mago bɛ a la. Ni aw bɛ furakisɛw ta minnu bɛ ta da la, aw ka dɔgɔtɔrɔ bɛna aw lajɛ ni koloci (koloci) ani aw ka kari farati.

Aw ka dɔgɔtɔrɔKolow sɛgɛsɛgɛli fana bɛ se ka kɛ. Fura (bisphosphonates) fana bɛ se ka di mɔgɔ ma walasa ka kolotugudaw bali.

Ne mago bɛ kɔlɔsili kuntaalajan sugu jumɛn na (BSCR)?

Yɛlɛma walima gɛlɛya o gɛlɛya bɛ aw ka bana na, aw ye aw janto o la . Aw ka dɔgɔtɔrɔ bɛna joli ni sugunɛ sɛgɛsɛgɛli kɛ walasa ka a dɔn aw ka sugunɛ, aw ka sugunɛ ni aw kolotugudaw bɛ baara kɛ cogo min na. A ka c’a la, aw mago bɛna kɛ fana ɲɛ sɛgɛsɛgɛli la tuma bɛɛ, ka ɲɛnayeli sɛgɛsɛgɛli kɛ, ani ka tomografi (OCT) sɛgɛsɛgɛ.

Yala ne bɛ se ka dɔ bɔ ne ka bana sɔrɔli la Birdshot Chorioretinopathy la wa?

Sisan, fɛɛrɛ dɔnnen tɛ yen min bɛ se ka nin bana in kunbɛn. A ka ca a la, a bɛ da a la ko a bɛ sɔrɔ farikolo tangalan kɛrɛnkɛrɛnnen dɔ fɛ (antigène) min bɛ sɔrɔ denbaya kɔnɔmɔgɔw fɛ.

Ɲɛ sɛgɛsɛgɛli kɛli tuma bɛɛ, o bɛ se ka kɛ sababu ye ka bana taamasiɲɛw dɔn joona, o la aw bɛ se ka furakɛli kɛ waati bɛnnen na ni aw mago bɛ a la. Aw bɛ a fɔ aw ka dɔgɔtɔrɔ ye ni ɲɛ gɛlɛya bɛ aw ka denbaya kɔnɔ.

Birdshot Chorioretinopathy ka ɲɛtaa ye mun ye?

bana in ɲɛnabɔcogo tɛ kelen ye mɔgɔ ni mɔgɔ cɛ . A bɛ bɔ bana juguya ni furakɛli ɲɛtaa la. Ni a man jugu, furakɛli bɛ se ka dɛmɛ don ka yeli sabati walima ka a ɲɛ yɛrɛ.

Tuma jumɛn na ne ka kan ka dɔgɔtɔrɔ ka ladilikan ɲini (Birdshot Chorioretinopathy) ko la?

A nafa ka bon ka a sɛgɛsɛgɛli ni furakɛli ɲini joona ɲɛdɔnbaga fɛ Birdshot Chorioretinopathy la. Hali ni a bɛ i n’a fɔ aw ka yeli ka ɲi, ɲɛ sɛgɛsɛgɛli bɛ se ka funu dɔgɔyalen dɔn.

Aw bɛ kɔlɔlɔ fɛn o fɛn sɔrɔ, a taamasiɲɛw yeli, walima yelikɛcogo minnu bɛ bɔ aw ka fura tali la, aw bɛ olu fɔ dɔgɔtɔrɔ ye. Fura wɛrɛ bɛ se ka di aw ma ni aw mago bɛ a la. Aw ka dɔgɔtɔrɔ bɛna kuma aw fɛ sugandiliw kan minnu ka fisa aw ma.

Take-Home cikan laban

(Birdshot Chorioretinopathy) ye bana ye min man teli ka sɔrɔ nka a bɛ se ka furakɛ . O la sa, kana siran. Min nafa ka bon kosɛbɛ, o ye ka to ka aw ɲɛw lajɛ ani ka dɔgɔtɔrɔ ka laadilikanw labato . Waati tɛmɛnen kɔfɛ, dɔgɔtɔrɔ bɛna a fɔ aw ye aw bɛ se ka aw ka yeli tanga cogo min na ani ka gɛlɛyaw bali. O tuma na fɛ, i bɛna se ka diɲɛ ye ka jɛya waati jan kɔnɔ. I janto i ɲɛw la, bawo u nafa ka bon kosɛbɛ!

` Kɔnɔw ka ɲɛgɛnɛsiralabanaw, Ɲɛbanaw, Yelilabanaw, Ɲɛkisɛw, Ɲɛkisɛw, farikolo tangalanw, Ɲɛw furakɛli