Tulina kwogera ku bulwadde bwa Birdshot Chorioretinopathy leero?

Wali owuliddeko ng’olaba ebintu ebiddugavu ebitonotono nga bitengejja mu maaso go? Oba olyawo okulaba kwo kuzibuwalirwa katono? Bino biyinza okuba ebya bulijjo naye oluusi biyinza okuba akabonero akalaga nti waliwo ekizibu munda mu liiso lyo. Leero tugenda kwogera ku mbeera emu ey’amaaso etali ya bulijjo ng’eyo eyinza okufugibwa singa ejjanjabwa obulungi.

Kino kye ki (Birdshot Chorioretinopathy)?

Mu ngeri ennyangu, Birdshot Chorioretinopathy oba BSCR mu bufunze, bulwadde obutatera kulabika obuzimba obubeera munda mu liiso. Si mbeera etawona , ekitegeeza nti tetereera mu bbanga ttono, wabula embeera etaggwaawo. Singa tebujjanjabwa bulungi, kiyinza okuvaako enkyukakyuka mu kulaba okw’olubeerera oba n’okubulwa ddala okulaba .

(BSCR) mbeera ya maanyi ebeera mu kibinja ky'endwadde eziyitibwa ``Uveitis'', ezonoona ebitundu ebiri munda mu liiso. Okusinga kizingiramu okuzimba kwa:

• Retina : Luno lwe luwuzi olukwata ekitangaala emabega w’eriiso lyaffe. Kiringa firimu eri mu kkamera. Ebifaananyi bye tulaba bikwatibwa wano.
• Choroid : Eno esangibwa wansi w’ekitundu ky’amaaso ekiyitibwa retina. Luno lwe luwuzi oluyunga retina ku kitundu ekyeru eky’eriiso, era ne lugabira omusaayi eri retina, kwe kugamba, lugiriisa.

Ekisinga okulaga obulwadde buno kwe kulabika kw’obutundutundu obutono, obw’ekyekulungirivu, obwa langi ya kizigo mu kitundu ekiwanvu eky’amaaso n’oluwuzi olwa waggulu olwa choroid. Obubonero obusooka butera okuba ebintu ebiddugavu ebitengejja mu maaso g’amaaso (ebitengejja) , okulaba okuzibu , oba byombi. Embeera eno etera okukwata amaaso gombi .

Ekiseera bwe kigenda kiyitawo, okwonooneka kuno kuyinza okuvaako embeera nga cystoid macular edema oba glaucoma . Wadde nga tewali ddagala, obulwadde bwa Birdshot Chorioretinopathy bulwadde obujjanjabwa . Okuzuula amangu kyetaagisa nnyo okusobola okufuna obujjanjabi obulungi.

Ani afuna obulwadde bwa Birdshot Chorioretinopathy?

Mu butuufu obulwadde buno busobola okukula mu muntu yenna. Naye businga kubeera mu myaka egy’omu makkati, abazungu abakulu abali wakati w’emyaka 40 ne 60. Tebutera nnyo kufuna bulwadde buno abaana.

Waliwo endwadde endala ezifaanagana ne zino (Birdshot Chorioretinopathy)?

Yee, endwadde endala eziwerako, omuli n’endwadde endala mu kibinja kya Uveitis, zisobola okuba n’obubonero obufaananako n’obwa Birdshot Chorioretinopathy. N’olwekyo, kikulu nnyo okufuna okuzuula okutuufu osobole okufuna obujjanjabi obutuufu. Ezimu ku ndwadde eziyinza okufaananako ne BSCR ze zino:

• Lymphoma (ekika kya kookolo) .
• Sarcoidosis (obulwadde obuleeta obuzimba obutonotono mu bitundu by’omubiri eby’enjawulo) .
• `(Sympathetic ophthalmia)` (Ekika kya uveitis ekitali kya bulijjo ekiva ku buvune ku maaso)
• Syphilis (obulwadde obusiigibwa mu by’okwegatta) .
• `(Presumed ocular histoplasmosis syndrome (POHS))` (Embeera ekosa amaaso evudde ku bulwadde bwa ffene)
• `(Obulwadde bw'akafuba)` (Obulwadde bw'akafuba) .
• `(Vogt-Koyanagi-Harada syndrome)` (obulwadde obukosa enkola y'obusimu, obukosa okulaba n'okuwulira)

Waliwo n'ekibinja ky'endwadde ezizimba eziyitibwa ``White dot syndromes'', nga nazo ziyinza okulaga obubonero bwa BSCR. Bino bireeta ``ebiwundu'' ku retina ne choroid. Ebimu ku byokulabirako bye bino:

• `(Obulwadde bw’omubiri obuyitibwa acute posterior multifocal placoid pigment epitheliopathy (APMPPE))`
• `(Obulwadde bw'amayinja mu bitundu bingi n'obulwadde bwa panuveitis (MCP))`
• `(Obulwadde bwa multiple evanescent white dot syndrome (MEWDS))`
• `(Obulwadde bw'emisuwa obw'omunda obwa punctate (PIC))`

Lwaki kino kiyitibwa obulwadde bwa Birdshot Chorioretinopathy?

Mu butuufu buno bulwadde bupya nnyo, obwasooka okunnyonnyolwa mu 1949. Wabula mu 1980 abasawo b'amaaso babiri ne babutuuma erinnya "(Birdshot Chorioretinopathy)". Ensonga eri nti waliwo ebifo ebizigo n’emicungwa ebiyitibwa oval ebibunye mu retina yonna. Erinnya lino liva ku kuba nti enkola y’amabala gano eringa enkola y’amasasi amatono (birdshot) agakozesebwa okukuba ebinyonyi amasasi. Teebereza, waliwo amabala munda mu liiso, ng’amasasi agasaasaana ng’emmundu ekubwa.

Waliwo amannya amalala agayitibwa kino?

Yee, waliwo amannya amalala agawerako agakozesebwa ku bulwadde buno (Birdshot Chorioretinopathy):

• `(Obulwadde bwa chorioretinitis obuva mu binyonyi)`
• `(Obulwadde bw'amaaso obuyitibwa birdshot retinochoroiditis)`
• `(Obulwadde bw'amaaso obuyitibwa birdshot retinochoroidopathy)`
• `(Obulwadde bwa uveitis obw'ekinyonyi)`
• `(BSCR)` (erinnya erimpi)
• `(Posterior uveitis)` (obulwadde bwa uveitis obubeerawo emabega w'eriiso) .
• `(Obulwadde bw'okuzimba omubiri obuyitibwa Vitiliginous choroiditis)`

Obulwadde bwa Birdshot Chorioretinopathy butera kwenkana wa?

Buno bulwadde bwa bbula nnyo . Abanoonyereza balowooza nti bukosa abantu abatakka wansi wa muntu omu ku buli lukumi. Kino kitegeeza nti ne mu Sri Lanka, wayinza okubaawo abantu abalina obulwadde buno, naye omuwendo mutono nnyo.

Kiki ekivaako obulwadde bwa Birdshot Chorioretinopathy?

Abanoonyereza n’okutuusa kati tebamanyi kituufu kivaako bulwadde buno, naye bateebereza nti bulwadde obuva ku busimu obuziyiza endwadde . Mu ngeri ennyangu, enkola y’omubiri gwaffe ey’okwekuuma, abaserikale b’omubiri, mu nsobi elumba ebitundu byaffe ebiramu.

Abantu abasoba mu 90% abazuuliddwa nga balina (BSCR) balina obuzaale obuziyiza endwadde (molekyulu esitula abaserikale b’omubiri) eyitibwa `(HLA-A29)` mu mubiri gwabwe. Kino kintu ekisikira abazadde. Wabula `(HLA-A29)` tekyetaagisa kukula (Birdshot Chorioretinopathy). Ate era, kisoboka okuba n’obuzaale buno obuziyiza endwadde naye nga tofuna bulwadde buno.

Bubonero ki obulaga obulwadde bwa Birdshot Chorioretinopathy?

Obubonero bw’obulwadde buno busobola okwawukana okusinziira ku muntu. NoObulwadde obugenda bweyongera bwe bulwadde obweyongera mpolampola okumala emyezi okutuuka ku myaka.

Obubonero obusooka obw’obulwadde bwa Birdshot Chorioretinopathy butera okuba:

• Okulaba ebintu ebiddugavu nga bitengejja mu maaso (floaters) .
• Okulaba okutali kwa maanyi

Embeera eno etera obutaleeta bulumi bwa maaso oba okumyuuka . Kyokka, oyinza okufuna bino wammanga:

• Okulaba kukyuka oba okulaba okukendeera.
• Okukendeera mu kulaba okw’okumpi oba okukaluubirirwa okusalawo ebanga.
• Puleesa enkulu mu liiso (ocular hypertension).
• Okuziba amaaso ekiro (nyctalopia) (okulaba obubi ekiro).
• Obuzibu mu kulaba langi (`(okuziba amaaso)`), obuzibu mu kwawula langi ezimu (`(dyschromatopsia)`.
• Okuwulira ekitangaala ekimasamasa oba okumasamasa (photophobia).

Abantu abamu bayinza okufuna enkyukakyuka mu kulaba ezitali za bulijjo oba obuzibu mu kutegeera. Okugeza nga:

• Ceiling fan effect : Bw’oziba amaaso, kirabika nga ceiling fan oba ekyuma ekikuba empewo kyekulukuunya.
• Okulaba okumyansa kw’ekitangaala oba okumasamasa (photopsia) oba okulaba ebifaananyi ebikyamye (metamorphopsia) .
• Okulaba okuzibu, okumasamasa, ng’olinga atunudde mu mazzi oba mu ndabirwamu encaafu .

Mu mbeera ez’amaanyi, embeera ng’okuzimba amaaso oba amaaso gayinza okuvaamu. Bino bisobola okuvaako okubulwa okulaba okw’amaanyi ne bwe baba bamaze okujjanjabwa okuzimba. Birdshot Chorioretinopathy era esobola okuvaako obuzibu mu kitundu ekiri wakati mu retina, gamba nga cystoid macular edema ne epiretinal membranes.

Obulwadde bwa Birdshot Chorioretinopathy buzuulibwa butya?

Obulwadde buno oluusi buyinza okukaluba katono okubuzuula kubanga bulwadde obutatera kulabika era nga n’amabala ag’enjawulo gayinza obutalabika mu ntandikwa y’obulwadde.

Abasawo b’amaaso batera okuzuula BSCR nga bayita mu kukeberebwa amaaso. Era bakola n’okukebera omusaayi okukebera oba olina ekirungo ekiziyiza obulwadde bwa HLA-A29.

Abasawo bayinza okukozesa ebikeberebwa eby’enjawulo okukulondoola ekiseera bwe kigenda kiyitawo. Kikulu okubeera ng’okwatagana n’omusawo wo okufuna obujjanjabi bwe weetaaga.

Waliwo eddagala erijjuvu eriwonya obulwadde bwa Birdshot Chorioretinopathy?

Ebyembi tewali ddagala lyonna eriwonya bulwadde buno. Wabula singa obulwadde buno buzuulibwa ne bujjanjabwa nga bukyali , obubonero busobola okukendeera era obulwadde buno busobola okutangira okweyongera.

Jjukira: ekisinga obukulu kwe kuzuula obulwadde buno nga bukyali n’okutandika okujjanjaba!

Ani ayinza okubeera ku ttiimu yange ey’obujjanjabi?

Ttiimu yo ey’okulabirira ejja kukuwa amagezi ku bujjanjabi, ekulondoole, n’okutereeza eddagala lyo okusinziira ku mbeera yo n’ebizibu ebiyinza okuvaamu. Ttiimu yo eyinza okuli:

• Ophthalmologist : Omusawo omukulu akola ku maaso.
• Omusawo w’ekibumba : Kubanga obujjanjabi obumu bukosa ensigo.
• Ocular immunologist: Omusawo alina okutendekebwa okw’enjawulo mu bizibu by’abaserikale b’omubiri gw’eriiso.
• Omusawo w’enkizi: Omusawo akuguse mu ndwadde ezikwatagana n’okuzimba mu mubiri, kubanga nayo bulwadde bwa kuzimba.
• Omusawo w'amagumba : Kubanga obujjanjabi obumu bukosa amagumba.

Obulwadde bwa Birdshot Chorioretinopathy bujjanjabwa butya?

Obujjanjabi bw’obulwadde buno businziira ku buzibu bw’embeera yo n’engeri gye bukyuka okumala ekiseera. Ekigendererwa ekikulu eky'obujjanjabi kwe kukendeeza ku kuzimba mu maaso go n'okuziyiza oba okuzzaawo ebimu ku kulaba okwabula .

Abasawo batera okusooka okuwandiika eddagala eriyitibwa corticosteroids (ekika ky’eddagala eriyitibwa steroids) nnyo okusobola okufuga okuzimba amaaso. Olwo, ddoozi ekendeezebwa mpolampola okukendeeza ku bulabe bw’ebizibu ebivaamu. Osobola okufuna eddagala lya steroids mu ngeri zino wammanga:

• Amatondo g’amaaso
• Eddagala ly’omu kamwa
• Ekyuma ekitono ekilongoosebwa nga kiteekebwa munda mu liiso (intravitreal implant) .
• Okukuba empiso
• Eweebwa mu musuwa (IV - mu misuwa) .

Abantu bangi era beetaaga okumira eddagala eriweweeza ku busimu bw’omubiri okumala ebbanga eddene . Eddagala lino liremya abaserikale b’omubiri okulumba amaaso go. Ekimu oba ebisingawo ku bino wammanga biyinza okukozesebwa:

• `(Ebirungo ebikola alkylating)`
• `(Eddagala eritta omubiri)`
• `(Eddagala erikola ebiramu)` (eddagala ly'ebiramu) .
• `(Okukyusa obutoffaali bwa T/ebiziyiza calcineurin)`

Obujjanjabi bwa Birdshot Chorioretinopathy (Birdshot Chorioretinopathy) busobola okuleeta ebizibu?

Yee, okukozesa eddagala eriyitibwa steroids n’eddagala eriziyiza obusimu bw’omubiri okumala ebbanga eddene kiyinza okuvaako ebizibu eby’amaanyi . Okugeza, obuzibu mu lubuto (amabwa, amabwa) oba obuzibu mu magumba (osteoporosis) busobola okubaawo. Eddagala lino era liyinza okwongera ku bulabe bw’okulwala amaaso oba obulwadde bwa glaucoma.

Omusawo ajja kukulondoola oba temuli buzibu bwonna era ajja kukuwandiikira eddagala eddala bwe kiba kyetaagisa. Bw’oba ​​omira eddagala eriweweeza ku bulwadde bw’amagumba, omusawo ajja kukukebera oba amagumba gakendedde (osteoporosis) n’obulabe bw’okumenya.

Omusawo woOkukebera amagumba nakyo kiyinza okulagirwa. Eddagala (bisphosphonates) nalyo liyinza okuwandiikibwa okuziyiza amagumba okugwa.

Kika ki eky’okulondoola okumala ebbanga eddene kye nneetaaga (BSCR)?

Weetegereze enkyukakyuka oba ebizibu byonna ebiyinza okubaawo mu mbeera yo. Omusawo ajja kukukebera omusaayi n’omusulo okukebera engeri ensigo, ekibumba n’obusigo bw’amagumba gye bikolamu obulungi. Era kirabika ojja kwetaaga okukeberebwa amaaso buli kiseera, okukeberebwa amaaso, n’okukeberebwa amaaso agayitibwa optical coherence tomography (OCT).

Nsobola okukendeeza ku bulabe bw’okulwala obulwadde bwa Birdshot Chorioretinopathy?

Mu kiseera kino tewali ngeri emanyiddwa ey’okuziyiza obulwadde buno. Emirundi egisinga, kirowoozebwa nti kiva ku nsengekera y’obutonde (antigen) ey’enjawulo (antigen) esikira okuva mu bantu b’omu maka.

Okukebera amaaso buli kiseera kiyinza okuyamba okuzuula obubonero bw’obulwadde nga bukyali, n’olwekyo osobola okufuna obujjanjabi mu budde bwe kiba kyetaagisa. Buulira omusawo wo singa wabaawo omuntu yenna mu maka go alina obuzibu mu maaso.

Endowooza etya eri obulwadde bwa Birdshot Chorioretinopathy?

Endowooza y'obulwadde buno ya njawulo okusinziira ku muntu . Kisinziira ku buzibu bw’embeera n’obuwanguzi bw’obujjanjabi. Mu mbeera enzibu, obujjanjabi busobola okuyamba okukuuma oba n’okulongoosa okulaba.

Ddi lwe nnina okunoonya amagezi g’abasawo ku (Birdshot Chorioretinopathy)?

Kikulu nnyo okunoonya okuzuula amangu n’okujjanjabibwa okuva ew’omusawo w’amaaso ku bulwadde bwa Birdshot Chorioretinopathy. Ne bwe kiba nti okulaba kwo kulabika nga kulungi, okukebera amaaso kuyinza okuzuula okuzimba okutono.

Buulira omusawo wo ku bizibu byonna ebiyinza okuva mu ddagala lyo, enkyukakyuka mu bubonero oba okulaba okuva mu ddagala lyo. Oyinza okuweebwa eddagala eddala bwe kiba kyetaagisa. Omusawo ajja kwogera naawe ku ngeri gy’oyinza okulondamu egisinga okukukwatako.

Obubaka Obusembayo Okutwala Awaka

(Birdshot Chorioretinopathy) bulwadde obutatera kulabika naye nga bujjanjabibwa . Kale tosattira. Ekisinga obukulu kwe kwekebeza amaaso go buli kiseera n’okugoberera omusawo by’akulagidde . Ekiseera bwe kinaagenda kiyitawo, omusawo ajja kukubuulira engeri gy’oyinza okukuuma okulaba kwo n’okuziyiza ebizibu. Olwo ojja kusobola okulaba ensi obulungi okumala ekiseera ekiwanvu ennyo. Labirira amaaso go, kubanga ga muwendo nnyo!

` Birdshot Chorioretinopathy, Endwadde z’amaaso, Obuzibu mu kulaba, Uveitis, Retina, Endwadde z’abaserikale b’omubiri, Obujjanjabi bw’amaaso