Olina ekifaananyi kya "bull's eye" munda mu maaso go? Ka tuyige ku kino (Bull's Eye Maculopathy)!

Oli otya? Leero tugenda kwogera ku mbeera y’amaaso emanyiddwa ennyo, naye nga nkulu nnyo. Oluusi amaaso gaffe gasobola okukyusa engeri gye tulabamu nga tetutegedde. Wali owuliddeko ku patterni eringa target ku target board? Ekyo kye kibaawo mu mbeera eno eyitibwa ``Bull's Eye Maculopathy''. Erinnya liwulikika nga lya kyewuunyo katono, si bwe kiri? Naye teweeraliikiriranga, ka tukyogereko mu bujjuvu era mu ngeri ennyangu.

``Obulwadde bw'amaaso ga Bull'' kye ki? Mu ngeri ennyangu ennyo...

Bull’s Eye Maculopathy mbeera etali ya bulijjo nnyo ereetera obutoffaali mu macula, ekitundu ekisinga obukulu mu retina, okunafuwa mpolampola era, okubeera omutuufu, okuvunda.

Teebereza, singa eriiso lyo liba nga kkamera, retina eringa firimu oba sensa eri emabega wa kkamera. Ebifaananyi bye tulaba bikwatibwa awo. Wakati ddala mu kitundu ky’amaaso ekiyitibwa retina, waliwo akatundu akatono naye nga kakulu nnyo akatuyamba okulaba ebintu obulungi ennyo era mu ngeri ensongovu. Ekyo kye bayita macula. Macula eno etuyamba okulaba obulungi ebintu ebirungi, gamba nga bwe tusoma ekitabo, bwe tutunuulira ffeesi y’omuntu, oba bwe tussaako obuwuzi obugonvu.

Kale, mu ``Bull's Eye Maculopathy'', obutoffaali mu ``macula'' eno bwe kwonooneka, omusawo bw'akebera munda mu liiso, balaba omusono gw'empeta ezikyuse langi mu ``macula'' eyo. Erinnya lyayo lifuna kubanga eringa empeta eziri ku target y’okukuba obusaale (bull’s eye pattern). Embeera eno eyinza okuvaako okubulwa okulaba okw’olubeerera.

Obulwadde buno busobola okusikira (i.e., okusiigibwa okuva mu bazadde bo okuyita mu buzaale). Abasawo oluusi bayita ekika kino eky'obusika ekya ``Bull's Eye Maculopathy'' ``Benign Concentric Annular Macular Dystrophy (BCAMD)''. Era kiyinza okuva ku ndwadde endala ez’amaaso oba nga kiva ku kukozesa eddagala erimu okumala ebbanga eddene .

Ekizibu kyonna eky’okulaba kiyinza okutiisa. Naye omusawo asobola okukuyamba okuzuula ekivaako n’okukuwa obujjanjabi n’obuyambi bwe weetaaga okusobola okugumira embeera eno.

Buzibu ki obulwadde bwa Bull’s Eye Maculopathy bwe buyinza okukola ku kulaba?

Bull’s Eye Maculopathy eva ku kwonooneka kw’obutoffaali obutuyamba okulaba ebintu. Kale, kino kiyinza okukosa okulaba kwo okw’omu makkati ku diguli ez’enjawulo.

• Abantu abamu bayinza okukaluubirirwa okulaba obulungi ebintu ebirungi.
• Oyinza obutasobola kwawula bulungi langi, oba okulaba kwo okwa langi kuyinza okukendeera.
• Okulaba kuyinza okukendeera ekiro.
• As central vision weakens , kiyinza okuba ekizibu okusoma ebitabo, okuvuga mmotoka, n’okulaba ebintu butereevu mu maaso.
• Obulwadde buno busobola okukwata eriiso limu lyokka oba amaaso gombi.

Naye ebiseera ebisinga, abantu abalina obulwadde bwa Bull’s Eye Maculopathy tebalina buzibu bwonna bunene ku kulaba kwabwe okw’okumpi - kwe kugamba, bye basobola okulaba okuva mu nsonda y’eriiso lyabwe. Kyokka, olw’okuba eno etera okuba embeera egenda mu maaso, okulaba kuyinza okweyongera okumala ekiseera .

Ani ali mu bulabe obw'amaanyi obw'okulwala ``Bull's Eye Maculopathy''?

``Ensonga y'akabi`` kye kintu ekyongera emikisa gy'okufuna obulwadde. Waliwo ebintu ebiwerako ebiyinza okuleeta obulwadde bwa ``Bull's Eye Maculopathy``:

• Singa omuntu mu maka alina ``Bull's Eye Maculopathy'' (ebyafaayo eby'obusika).
• Okubeera n'endwadde endala ez'amaaso nga macular degeneration .
• Embeera ezimu ez’obuzaale , okugeza, obulwadde bwa Batten oba obulwadde bwa Stargardt.
• Okukozesa eddagala erimu okumala ebbanga eddene naddala eryo erikozesebwa okujjanjaba endwadde z’abaserikale b’omubiri (endwadde z’abaserikale b’omubiri, mu ngeri ennyangu, mbeera ng’abaserikale b’omubiri gwo bennyini balumba obutoffaali bwo obulamu).

Embeera eno ya bulijjo etya?

Bull’s Eye Maculopathy mu butuufu mbeera etali ya bulijjo nnyo. Okugeza, ne mu Amerika, abantu batono nnyo abalina obulwadde buno. Kale, tosattira singa olaba enkyukakyuka yonna mu kulaba kwo.

Biki ebivaako obulwadde bwa ``Bull's Eye Maculopathy''?

Waliwo ensonga eziwerako lwaki kino kiyinza okuba nga kigenda mu maaso:

1. Ensengekera y’obuzaale:

Bull’s Eye Maculopathy, era emanyiddwa nga BCAMD, mbeera ya autosomal dominant. Mu ngeri ennyangu, singa omu ku muzadde aba n’obuzaale obukyusiddwa olw’obulwadde buno, emikisa 50% nti omwana we ajja kusikira obulwadde buno. Obuzaale buno bitundu bya DNA yaffe ebitereka amawulire mu mibiri gyaffe.

2. Endwadde endala:

Endwadde endala ez’amaaso, gamba nga cone-rod dystrophy oba retinitis pigmentosa, nazo zisobola okuleeta Bull’s Eye Maculopathy. Ekirala, nga bwe kyayogeddwako emabegako, abantu abalina endwadde z’obuzaale nga obulwadde bwa Batten oba obulwadde bwa Stargardt nabo bali mu bulabe bw’okufuna embeera eno.

3. Obutwa:

Ebintu ebimu naddala eddagala erimu bisobola okwonoona obutoffaali obuli wakati mu kulaba kwo (the macula). Okugeza, okukozesa eddagala nga chloroquine oba hydroxychloroquine okumala ebbanga eddene, erikozesebwa okujjanjaba embeera ng’endwadde z’enkizi oba lupus, kiyinza okuvaako Bull’s Eye Maculopathy.

Ate era abantu abalina okuteekebwamu omusaayi enfunda eziwera basobola okufuna embeera eyitibwa hemochromatosis (iron overload). Kino nakyo kiyinza okwonoona macula yo.

Eddagala `(Hydroxychloroquine)` lireeta litya `(Bull's Eye Maculopathy)`?

Abakugu n’okutuusa kati tebamanyi bulungi ngeri kino gye kibaawo. Naye okunoonyereza kulaga nti eddagala lino liyinza okwesiba ku butoffaali obuli mu retina yo ne likwata ku ngeri obutoffaali obwo gye bukolamu. Kino kitera okubaawo ng’omira ddoozi nnyingi ez’eddagala lino okumala ebbanga eddene. Eno y’ensonga lwaki abasawo bagamba nti abantu abamira eddagala lino bakebere amaaso buli kiseera.

Bubonero ki obw'obulwadde bwa ``Bull's Eye Maculopathy''?

Embeera eno okusinga ekosa okulaba. Obubonero buyinza okuli:

• Okulaba okuzibu oba okufuuse ekifu.
• Okulaba ebifo ebiddugavu oba ebisiikirize ebiddugavu mu kifo kyo eky’okulaba.
• Okukaluubirirwa okutegeera langi oba okuziba amaaso ga langi mu bujjuvu.
• Okulaba ebintu ng’obuwuzi obutengejja mu maaso g’amaaso (eye floaters) oba okulaba okumyansa kw’ekitangaala.
• Okulaba okutono ennyo .

Jjukira nti tolowooza nti olina obulwadde bwa Bull’s Eye Maculopathy olw’okuba olina obubonero buno bumu oba bubiri. Bino era biyinza okuba obubonero bw’embeera endala ez’amaaso. N’olwekyo, kikulu okunoonya amagezi mu basawo.

``Bull's Eye Maculopathy'' etunula etya munda mu liiso?

Kino si kintu ky’osobola okukitegeera ng’otunudde mu ndabirwamu. Omusawo w’amaaso ajja kukebera amaaso go n’amaaso ng’akozesa ekintu eky’enjawulo ekiyitibwa ophthalmoscope okuzuula oba olina oba nedda.

Mu budde obutuufu, omusono guno ogwa "liiso ly'ente" gulabika nga wakati ogwetooloovu, omuddugavu nga guliko empeta eziwerako eza langi enzirugavu okwetooloola. Amasekkati amaddugavu gakiikirira retina eya bulijjo. Empeta ezikyetoolodde si za bulijjo. Empeta zino ziyinza okuba ez’emicungwa emitangaavu, pinki oba kakobe. Langi zino ez’enjawulo ziva ku kwonooneka oba okuvunda mu makkati g’okulaba (macula).

Obulwadde bwa Bull’s Eye Maculopathy buzuulibwa butya?

Omusawo ayinza okukebera amaaso emirundi egiwerako okuzuula oba olina obulwadde bwa Bull’s Eye Maculopathy. Ebimu ku byo mulimu:

• Okukebera okulaba: Kino kigezo okulaba engeri gy’osobola okulaba obulungi. Ojja kusabibwa okusoma ekipande ky'ennukuta ekituufu (ekipande kya ``Snellen'') oba ekilondoola ekirina sayizi z'ennukuta ez'enjawulo. Okulaba kwo kujja kukeberebwa n’amaaso gombi ate ng’eriiso erimu lizibye okwawukana.
• Okugezesebwa mu kifo ekirabika:Kino kijja kukebera okulaba kwo okw’omu makkati n’okulaba okw’okumpi. Era kiyinza okukutegeeza oba olina ebifo ebizibe. Oyinza okusabibwa okutunuulira ekisenge kya layini, oba okusabibwa okukoleeza amataala oba okutambuza emikono gyo olabe wala w’osobola okulaba mu maaso go ne ku mabbali.
• Okugezesa okulaba langi: Olagibwa ekifaananyi ekikoleddwa mu butundutundu obwa langi nga wakati waliwo ennamba (color plate test). Bw’oba ​​tosobola kulaba nnamba, oyinza okuba n’obuzibe bwa langi. Osobola n’okukozesa ekyuma ekiyitibwa anomaloscope okulaba engeri gy’olabamu ekitangaala n’okumasamasa kwa langi.
• Ophthalmoscopy: Kino kizingiramu okugaziya amaaso n’amatondo g’amaaso. Oluvannyuma, ekyuma ekikebera amaaso kikozesebwa okukebera amaaso go, lenzi, retina, macula, obusimu bw’amaaso, n’emisuwa gyo egy’omusaayi. Okukebera kuno era kuyitibwa fundoscopy.
• Okukebera okuyitibwa optical coherence tomography (OCT): Kino kigezo ekitaliimu bulumi. Ekozesa amayengo g’ekitangaala okukuba ebifaananyi ebikwatagana ennyo, eby’ebitundu bisatu (3D) eby’ebitundu by’amaaso go naddala amaaso agayitibwa macula, wakati w’okulaba kwo. Okukebera kuno kusobola okuzuula okwonooneka n’okuvunda mu macula nga bukyali era mu ngeri etegeerekeka obulungi okusinga okukebera okulala.
• Okugezesebwa kwa Fundus autofluorescence imaging (FAF): Eno nkola mpya ey’okukuba ebifaananyi. Ekozesa ekitangaala kya bbululu okwekenneenya obutoffaali obulina langi mu retina yo. Obutoffaali obumu bunyiga oba bulaga ekitangaala kino mu ngeri ya njawulo okusinga endala. Kino kiyamba omusawo okulaba oba waliwo okwonooneka oba okusaanawo ku retina.

Obulwadde bwa Bull’s Eye Maculopathy busobola okuwona ddala?

Eky'ennaku, tewali ddagala lyonna lizuuliddwa ku ``Bull's Eye Maculopathy''.

Obulwadde bwa Bull's Eye Maculopathy bujjanjabwa butya?

Mu kiseera kino tewali bujjanjabi buyinza kuzzaawo kulaba kubula olw'obulwadde bwa ``Bull's Eye Maculopathy.`` Wabula singa embeera eno eva ku ddagala oba ekyuma ekisusse mu mubiri (obutwa), okuyimiriza eddagala oba okufuga omuwendo gw'ekyuma kiyinza okuziyiza oba okufuga obulwadde okweyongera.

Emirundi egisinga, ekigendererwa ekikulu eky’obujjanjabi kwe kuyamba abalwadde okubeera n’embeera ng’okubulwa okulaba n’okuziba langi. Omusawo ayinza okukugamba bino wammanga:

• Tekinologiya ayamba: Ng’ekyokulabirako, ebyuma ebikuza vidiyo, pulojekita oba ebyuma ebisoma ku ssirini.
• Endabirwamu oba lenzi ezikwata ku muntu.
• Okuddaabiriza okulaba okutono oba okujjanjaba emirimu: Bino bikuyigiriza enkola n’obukodyo obw’enjawulo okukola emirimu egya buli lunaku ng’olaba bulungi.
• Ebiyamba okulaba: Ebintu ng’ebintu ebikuza ebimera ebikwatibwa mu ngalo, ebitunula ewala oba lenzi ezisengejja ekitangaala.

Endowooza etya eri omuntu alina obulwadde bwa ``Bull's Eye Maculopathy''?

Okubulwa okulaba okuva ku bulwadde bwa Bull’s Eye Maculopathy kutera kuba kwa lubeerera era kuyinza okugenda mu maaso okumala ekiseera . Wabula nga bwe kyayogeddwako emabegako, singa okwonooneka kw’amaaso kuva ku kintu eky’obutwa, okwewala ekintu eky’obutwa kiyinza okuyamba okuziyiza embeera eyo okweyongera.

Waliwo engeri y'okuziyizaamu ``Bull's Eye Maculopathy''?

Mu butuufu, tewali ngeri ntongole ey'okuziyiza okukula kw'obulwadde bwa ``Bull's Eye Maculopathy''.

Naye olw’okuba eddagala erimu (e.g., hydroxychloroquine) lirina akabi k’okuleeta embeera eno, singa eddagala ng’eryo limira okumala ebbanga eddene, okwekebejja amaaso buli kiseera ng’omusawo bw’akuwa amagezi kiyinza okuyamba okuzuula okwonooneka kwonna nga bukyali n’okuziyiza obulwadde okweyongera.

Bibuuzo ki bye nnina okubuuza omusawo wange ku ``Bull's Eye Maculopathy''?

Bwoba olina ``Bull's Eye Maculopathy'', oyinza okwagala okubuuza omusawo wo ebibuuzo nga:

• "Omusawo, waliwo eddagala lye nmira mu kiseera kino eriyinza okwonoona embeera eno?"
• "Waliwo ebiriisa byonna ebiyinza okuyamba okulongoosa amaaso gange?"
• "Nnyinza ntya okukola emirimu gyange egya buli lunaku n'okubulwa okulaba kuno? Engeri ki ze nsobola okufuna obuyambi ku ekyo?"
• "Ntegeera ntya oba kikyali kya bulabe gyendi okuvuga?"
• "Kuno okufiirwa okulaba kwange kwa lubeerera?"
• "Kiyinzika kitya nti okulaba kwange kweyongera okusajjuka?"

Bull’s Eye Maculopathy obulwadde obutatera kulabika. Bw’olaba enkyukakyuka yonna mu kulaba kwo, tekisuubirwa nti kiva ku mbeera eno. Kyokka, tobuusa maaso kizibu kyonna eky’okulaba. Wadde ng’okubulwa amaaso kiyinza okukutiisa n’okukuleetera situleesi, waliwo engeri gy’oyinza okugumira embeera eyo. Omusawo wo asobola okukusindika mu bikozesebwa mu kulaba, empeereza y‟obuyambi, n‟obujjanjabi bw‟olina.

Bw’olaba enkyukakyuka yonna mu kulaba kwo, obutalaba bulungi oba obubonero obulala obupya, laba omusawo amangu ago. Ka kibe ki ekikuviiriddeko okubulwa okulaba, okujjanjaba amangu kiyinza okukendeeza ku buzibu bw’okulaba, okuyimirira, era oboolyawo n’okuzzaawo obuzibu bw’okulaba.

Ebintu ebikulu by'olina okujjukira (Take-Home Message)

Okay, kale ka tufunze ebimu ku bintu bye twogeddeko leero by’oyinza okusanga nga bikulu:

• Bull's Eye Maculopathy bulwadde bwa maaso obutatera kulabika nnyo nga mu kifo kino wakati w'okulaba (macula) mu liiso kyonoonese, ekivaamu enkola eringa "eriiso ly'ente ennume".
• Kino kiyinza okuvaako okulaba okw’omu makkati okunafuwa. Kino kiyinza okukosa ebintu ng’okusoma ebitabo n’okutegeera ffeesi.
• Kino kiyinza okuva ku buzaale, endwadde endala, n’okukozesa eddagala erimu okumala ebbanga eddene .
• Tewali ddagala likakafu eriwonya embeera eno n’okutuusa kati. Wabula waliwo engeri y’okuyamba okuddukanya obubonero n’okwanguyiza obulamu.
• Bw’olaba enkyukakyuka yonna mu kulaba kwo, kikulu okugenda ew’omusawo w’amaaso mu bwangu. Okuzuula amangu obulwadde n’okujjanjaba kiyinza okuyamba okuziyiza embeera eno okweyongera.

Buvunaanyizibwa bwo okulabirira amaaso go. Amaaso amalamu kitangaala kinene mu bulamu.

` Bull's Eye Maculopathy, obulwadde bw'amaaso, ekifo ekirabika, macula, okubulwa okulaba, okukeberebwa amaaso, hydroxychloroquine