Olaba emiguwa nga gino munda mu maaso go? Ka twogere ku Angioid Streaks!

Wali ogenzeeko ew'omusawo w'amaaso n'owulira ekintu nga, "Olaba obunyiriri buno obutonotono munda mu liiso lyo, tubuyita Angioid Streaks"? Oba waakawulira erinnya lino? Oyinza okutya katono okuwulira bino. Naye teweeraliikiriranga. Leero, tugenda kwogera ku mbeera eno eyitibwa Angioid Streaks mu ngeri ennyangu, etegeerekeka.

Omanyi Angioid Streaks kye ki?

Mu ngeri ennyangu, Angioid Streaks layini entonotono, enkalu era ezirabika wansi w’ekitundu ky’eriiso lyo. Ziringa emisuwa, naye mu butuufu si misuwa. Zitera okulabibwa ng’omusawo w’amaaso akukebera amaaso. Zitera okulabibwa mu maaso gombi. Abantu abamu era baziyita Knapp streaks oba Knapp striae.

Teebereza, munda mu liiso lyo waliwo `Optic Disc` (kwe kugamba, ekitundu ekisembayo eky'obusimu bw'amaaso nga tebunnayungibwa ku bwongo), era emiguwa gino girabika nga gigenda ebweru okuva awo. Zikolebwa nga ekitundu ekiyitibwa `Bruch's membrane` kikula munda mu liiso. Kino `Bruch's membrane` kye kibikka eky'omunda ekya `Choroid` (wano we wabeera emisuwa egireeta omusaayi n'ebiriisa mu liiso). Kisangibwa wakati wa `Retina` ne `Sclera`.

Bubonero ki obulaga embeera eno?

Ebiseera ebisinga, tewabaawo bubonero bwa misuwa gya misuwa. Kino kitegeeza nti oyinza obutalaba nkyukakyuka yonna oba obutabeera bulungi. Wabula ebizibu ebimu ebikwatagana n’emiguwa gino egy’emisuwa oluusi bisobola okuvaako omuntu okubulwa okulaba. Eno y’ensonga lwaki abasawo beeraliikirivu ku nsonga eno.

Lwaki emiguwa gino egy’emisuwa gikola?

Ensonga enkulu kwe kutondebwa kw’enjatika mu `Bruch's membrane` gye twayogeddeko emabegako. Mu bantu abamu, oluwuzi luno lugonvuwa okumala ekiseera, ne lutereka ebintu nga kalisiyamu, era kyangu okumenya. Wano enjatika zino eziringa emiguwa we zitondebwa.

Oluusi, bino nabyo bisobola okuva ku buvune ku maaso.

Biki ebiyinza okuvaako akabi?

Waliwo embeera z’obulamu ezimu eziyinza okuvaako Angioid Streaks. Okusobola okukuuma bino mu birowoozo, abasawo oluusi bakozesa enfunyiro PEPSI . Ka tulabe kye bali:

• P - Pseudoxanthoma elasticum: Buno bulwadde bwa nsikirano. Kiva ku kuteekebwa kw’eby’obuggagga eby’omu ttaka mu biwuzi ebiwanvu (elastic fibers) eby’omubiri. Obulwadde buno businga kukwatagana na Angioid Streaks.
• E - Ehlers-Danlos syndrome: Eno nayo mbeera ya buzaale ekosa ebitundu by’omubiri ebiyunga.
• P - Obulwadde bwa Paget obw'amagumba: Buno bulwadde obukwata amagumba. Kikosa engeri amagumba amapya gye gakola n’okumenya.
• S - Obulwadde bwa Sickle cell disease: Buno bulwadde bwa nsikirano obukwata obutoffaali obumyufu. Obutoffaali obumyufu bufuuka obulema era busobola okusibira mu misuwa.
• I - Embeera z’obulwadde bwa Idiopathic : Zino mbeera ezitaliiko nsonga ntongole eyinza kuzuulibwa . Bino bisobola okukosa hemoglobin (ekitundu ky’obutoffaali bwo obumyufu) oba kolagini (ekitundu ekikulu eky’ebitundu ebiyunga) mu musaayi gwo.

Ekikulu kiri nti, tolina kuba na buli bulwadde PEPSI bw’egamba okusobola okufuna Angioid Streaks. Zino ze ndwadde enkulu eziyinza okukwatagana.

Ebintu ebirala ebiyinza okuleeta akabi

Ng’oggyeeko embeera zino enkulu ez’obujjanjabi, ensonga endala eziwerako ziyinza okwongera ku bulabe bw’okulwala Angioid Streaks:

• Okukaddiwa: Enkyukakyuka mu lususu lwa Bruch ziyinza okubaawo n’emyaka.
• Obuvune mu maaso: Nga bwe twagambye emabegako, bino nabyo bisobola okuva ku bintu ng’okukubwa ennyo amaaso.

Bizibu ki ebiyinza okuva mu Angioid Streaks?

Wadde ng’okubeera n’emiguwa gy’emisuwa (angioid streaks) ebiseera ebisinga tekiba kya bulabe, oluusi kiyinza okuleeta obuzibu obukosa okulaba kwo. Bino bye biba eby’akabi.

Waliwo ebizibu ebikulu bibiri:

1. Choroidal neovascularization: Kino kye kiseera emisuwa emipya egitalina bulamu bwe gikula mu retina. Bino biba ng’omuddo, era si mulungi eri liiso. Ziyinza okuvaamu omusaayi oba okukulukuta amazzi, ekivaako okulaba obubi n’okukyusakyusa.

2. Okuvaamu omusaayi wansi w’amaaso: Emisuwa gino emipya egy’omusaayi enafu giyinza okukutuka ne givaamu omusaayi wansi w’amaaso. Kino nakyo kiyinza okwonoona okulaba.

Ebizibu nga bino bwe bibaawo, okulaba kwo kwe kutandika okukyusibwakyusibwa oba n’okukendeera.

Kino kizuulibwa kitya? Bigezo ki ebikolebwa?

Ebiseera ebisinga, omusawo w’amaaso asobola okuzuula emisinde gino egy’emisuwa (angioid streaks) mu kukebera amaaso okwa bulijjo. Kyokka okukakasa embeera eno, okugaana embeera endala, n’okuzuula oba waliwo ebizibu byonna, omusawo ayinza okwagala okukeberebwa okusingawo. Oluusi, bayinza okukusaba okuddamu okukeberebwa kuno oluusi n’oluusi balabe engeri embeera yo gy’ekyuka.

Ebika by’okukebera okukolebwa

Ebikulu ebikeberebwa ebifaananyi ebikolebwa bye bino:

• Okukebera omusaayi mu ngeri ya fluorescein:Kino kizingiramu okufuyira langi ey’enjawulo mu musuwa oguli mu mukono gwo. Olwo, kkamera ey’enjawulo ekuba ebifaananyi nga langi eno etambula mu misuwa gy’omusaayi munda mu liiso lyo. Kino kikusobozesa okulaba obulungi ebizibu ebiri mu misuwa gyo, gamba ng’emisuwa emipya.
• Optical coherence tomography (OCT): Kino kiringa sikaani y’eriiso ery’omunda. Ekozesa ebitangaala okukuba ebifaananyi ebisalasala eby’omunda mu liiso. Kiyinza okutunuulira ebintu ng’obuwanvu bwa layers z’amaaso, amazzi agakuŋŋaanyizibwa, n’emisuwa emipya.
• Fundus autofluorescence: Okukebera kuno kukozesa ekintu eky’obutonde ekiyitibwa lipofuscin ekisangibwa munda mu liiso okuzuula enkyukakyuka n’okwonooneka kw’obutoffaali mu liiso.

Omusawo ajja kusalawo obujjanjabi bwe weetaaga okusinziira ku mawulire g’ofuna okuva mu kukeberebwa kuno.

Waliwo obujjanjabi bw’obulwadde bwa Angioid Streaks?

Tewali bujjanjabi bwa njawulo ku Angioid Streaks. Kwe kugamba, mu kiseera kino tewali ddagala ligoba miguwa egyo. Naye ekisinga obukulu kwe kujjanjaba ebizibu ebivaamu, n’okujjanjaba embeera zonna ez’obujjanjabi eziyinza okukwatagana nazo (nga ezo eziri ku lukalala lwa PEPSI).

Obujjanjabi obw’enjawulo ku bizibu ebivaamu

Bw’oba ​​olina embeera ng’eyo gye twayogeddeko eyitibwa ``choroidal neovascularization'' (i.e. okutondebwa kw’emisuwa emipya, egitayagala), omusawo wo ayinza okukuwa amagezi ku bujjanjabi nga buno:

• Photocoagulation: Kino kikozesa layisi okusaanyaawo emisuwa gy’omusaayi egitayagala.
• Photodynamic therapy (PDT): Kino kizingiramu okukuwa eddagala ery’enjawulo erikwata ekitangaala mu mubiri gwo, olwo n’olung’amya ekitangaala eky’enjawulo mu liiso lyo okusaanyaawo emisuwa gy’omusaayi gy’otayagala.
• Eddagala eriziyiza okukula kw’emisuwa (anti-VEGF): Lino lye ddagala erisinga okukozesebwa. Zizingiramu okufuyira eddagala ery’enjawulo mu mazzi agalinga jelly agali munda mu liiso agayitibwa vitreous humor. Eddagala lino lifuga okukula kw’emisuwa emipya. Era ziyitibwa ebiziyiza VEGF. Empiso zino ziyinza okwetaaga okuddibwamu buli mwezi oba nga bwe kyetaagisa.
• Okukozesa eddagala lya PDT n’eriziyiza VEGF awamu: Oluusi obujjanjabi buno obubiri busobola okukozesebwa awamu.

Waliwo ebizibu/ebizibu ebiva mu bujjanjabi?

Nga bwe kiri ku bujjanjabi bwonna, obujjanjabi buno buyinza okuba n’ebizibu oba ebizibu ebimu. Kirungi n'ekyo okukimanya.

• Okuziyiza okuzimba ekitangaala (photocoagulation) nga layisi:Wadde nga kino kiyinza okulongoosa okulaba mu bbanga ettono, oluusi kiyinza okwonoona ebitundu ebiramu, ne kivaako okuvaamu omusaayi mu maaso n’okubulwa okulaba wakati.
• Eddagala eriziyiza VEGF: Ebizibu ebiva mu mpiso zino bitera kuba bya bbanga ttono. Ziyinza okuli okulumwa amaaso, okumyuuka, okukutuka n’okulengejja. Waliwo akabi akatono ennyo ak’okukwatibwa obulwadde bw’amaaso obw’amaanyi buli lw’ofuna empiso.
• Obujjanjabi bwa PDT: Wayinza okubaawo okweyongera kw’okwokya omusana okumala akaseera oluvannyuma lwa kino. Era wayinza okubaawo ekifo ekizibe mu kulaba. Wayinza okubaawo alergy eri eddagala lino erikwata ekitangaala, era si bulijjo, emisuwa emipya egy’omusaayi egitayagala giyinza okutondebwawo.

Singa bakuteesa ku bujjanjabi, kikulu nnyo okukubaganya ebirowoozo n’omusawo mu bujjuvu ku birungi, ebibi, n’ebizibu ebiyinza okuvaamu.

Kiki ekibaawo singa mba n’obulwadde bwa Angioid Streaks?

Bw’oba ​​olina emisuwa gy’emisuwa gyokka, kwe kugamba, bw’oba ​​tewali bizibu birala, si kya bulabe nnyo. Wabula bw’oba ​​olina obuvune ku maaso, mazima ddala olina okugenda ew’omusawo w’amaaso n’ofuna obujjanjabi.

Bw’oba ​​olina embeera y’enkola enkulu ekuleetera emisuwa gyo egy’emisuwa, kikulu nnyo okugoberera enteekateeka y’omusawo wo ey’obujjanjabi n’okufuna obujjanjabi obwetaagisa.

Kino kisobola okuziyizibwa? Obulabe buno buyinza butya okukendeezebwa?

Tewali ngeri yonna gye tuyinza kuziyiza misuwa gya misuwa egiva ku mbeera z’obujjanjabi ezisirikitu. Kyokka osobola okuziyiza ebyo ebiva ku buvune ku maaso.

Okukuuma amaaso go kye kintu ekisinga obukulu wano. Okwambala ebyuma ebikuuma amaaso kiyinza okuyamba okukendeeza ku bulabe bwa:

• Bw’oba ​​okola n’ebyuma oba ebintu ebiyinza okuvaako okulumwa amaaso (e.g. okuweta, okukozesa ekyuma ekikuba, okukola embaawo).
• Bw’oba ​​ovuga pikipiki (nga visor eri ku nkofiira).
• Bw’oba ​​weenyigira mu mizannyo egy’amaanyi katono (e.g. okuzannya cricket, naddala ng’okuba bat, fielding).
• Bw’oba ​​okola mu lusuku naddala ng’osala amatabi n’okugogola ebisaka.

Biseera ki ebisinga obulungi okulaba omusawo?

Kirungi okugenda ew’omusawo w’amaaso buli kiseera okukeberebwa amaaso. Bw’oba ​​olina embeera y’amaaso oba embeera endala eyinza okukosa amaaso go, kiyinza okwetaagisa okulaba omusawo emirundi mingi.

Bw’ofuna ekimu ku bizibu bino eby’amaaso, genda mangu omusawo w’amaaso:

• Bw’oba ​​olina obulumi bw’amaaso.
• Singa ofuna enkyukakyuka yonna mu kulaba (e.g. okufuukuuka, okukyusakyusa, ebifo ebiddugavu).

Mu mbeera eno, laba omusawo mu bwangu oba genda mu kisenge eky’amangu:

• Bw’ofuna obuvune ku maaso.
• Singa ofuna obulumi obw’amaanyi oba okuvaamu omusaayi munda mu liiso.
• Singa okulaba kwo kubula mu bwangu oba okuziba ennyo.

Ebibuuzo by’olina okubuuza omusawo/omusawo

Bw’omala okumanya nti olina Angioid Streaks, osobola okubuuza omusawo ebibuuzo nga bino:

• Lwaki nnina emisono gino egya angioid streaks?
• Bujjanjabi bwa ngeri ki bwe nneetaaga?
• Biki ebiva mu bujjanjabi buno?
• Mirundi emeka gye nsaanidde okukulaba?
• Bakugu ki abalala be nsaanidde okulaba (e.g. ku mbeera esirikidde)?
• Bubonero ki obupya oba obubonero obulaga nti embeera yeeyongera okwonooneka gye nsaanidde okwegendereza?
• Embeera yange ejja kuba etya okugenda mu maaso (prognosis)?

Njawulo ki eri wakati wa `Lacquer cracks` ne `Angioid Streaks`?

Bino byombi bintu ebifaanana ng’emiguwa munda mu liiso ng’okebera amaaso. Kyokka endabika yazo n’ebiziviirako bya njawulo.

• Enjatika za Lacquer: Zino zitera okulabibwa mu maaso g’abantu abalaba ennyo (abalaba okumpi).
• Angioid Streaks: Bino biyinza okuva ku mbeera ezimu ze twayogeddeko emabegako, oba okwonooneka kw’eriiso.

Oluusi, singa endabika ya layini zino tetegeerekeka bulungi, omusawo ayinza okwetaaga okukola okukebera ebifaananyi nga OCT okusobola okwawula obulungi wakati w’ebintu bino byombi.

N’ekisembayo, obubaka bw’okutwala awaka

Bw’oba ​​olina emisuwa gy’emisuwa, oyinza n’obutamanya. Zitera okuzuulibwa omusawo mu kukebera amaaso okwa bulijjo. Emirundi egisinga, tewali ky’oyinza kuzikola okuggyako okuzeetegereza. Kwe kugamba, lindako olabe oba bakyuka.

Kyokka oluusi omusawo ayinza okulowooza nti olina embeera y’obujjanjabi ekwatagana ne kino. Bwe kiba bwe kityo, kiyinza okwetaagisa okwongera okukeberebwa.

Ekisinga obukulu kwe butatya n’okuwuliriza obulungi omusawo by’ayogera. Kakasa nti obuuza ebibuuzo ku bigezo by’ogenda okukola n’ebyavaamu bye binaakugamba. Ttiimu yo ey’abasawo eriwo okukuyamba n’okukuyamba okusalawo obulungi. Weekebeze amaaso buli kiseera era okuume amaaso, era osobola okukendeeza ku bulabe bw’okufuna ebizibu bingi.

` Angioid Streaks, Angioid Streaks, Endwadde z'amaaso, Okuzimba amaaso, Retina, Bruch's Membrane, Obulamu bw'amaaso