Amaaso go gazimba mangu ate n’okulaba kwo kuzibuwalirwa? Ka tuyige ku kino (Corneal Hydrops)?

Kuba akafaananyi ng’ozuukuse ku makya era amangu ago eriiso lyo erimu ne limyufu, ne lizimba, era nga tosobola kulaba bulungi. Oba, watya singa ekintu ng’ekifo ekyeru kirabika mangu munda mu liiso lyo? Yee, singa ekintu nga kino kibaawo, ddala kiba kya ntiisa nnyo era kyeraliikiriza. Leero tugenda kwogera ku bulwadde obuyinza okukosa amaaso. Eyo mbeera eyitibwa `(Corneal Hydrops)`. Tofaayo, kino tujja kukyogerako mu ngeri ennyangu, mu ngeri gy’osobola okutegeera.

`(Amazzi g'omu maaso)` kye ki? Lwaki kino kibaawo?

Mu ngeri ennyangu, `(Corneal Hydrops)` kye kitundu ky’eriiso lyaffe ekitangaavu, ekiringa endabirwamu y’essaawa waggulu w’empeta enjeru (i.e. ekitundu ky’eriiso ekya langi), kye tuyita mu by’obusawo `(cornea)`, kubanga ekyo `(cornea)` kizimba. Kizimba ng’egiraasi ejjudde amazzi. Kati ka tulabe lwaki kino kibaawo. `(cornea)` yaffe erina layers eziwerako. Waliwo oluwuzi oluweweevu ennyo, oluweweevu kumpi oluli munda mu kino, oluyitibwa `(oluwuzi lwa Descemet)`. Singa olw’ensonga ezimu wabaawo enjatika entono mu `(Descemet’s membrane)` eno, ng’amaziga amatono mu lugoye, amazzi agali munda mu liiso lyaffe (aqueous humor) gakulukuta okuyita mu nnyatika eno ne gayingira mu `(stroma)`, nga ye layeri eya wakati eya `(cornea)`. Kilowoozeeko ng’ekizigo ekinyiga amazzi. Wano ekitundu kya `(stroma)` we kijjula amazzi ne kizimba. Kino kye tuyita `(Corneal Hydrops)`. Ng’oggyeeko okuzimba kuno, wayinza okubaawo okuzimba munda mu liiso, gamba ng’okumyuuka n’okulumwa. Olwo, ekintu ng’ekifo ekyeru, eky’amata kiyinza okulabika ku `(cornea)` yo. Kino nakyo kiyinza okuvaako okulaba kwo okutegeerekeka obulungi okufuuka okuzibu . Embeera eno eya `(Corneal Hydrops)` etera okubaawo mu bwangu, mu bwangu. Oyinza okuba ng’oli bulungi leero era bw’ogitunuulira enkeera ku makya, eriiso lyo liyinza okuzimba n’okukyuka okulaba. Y'ensonga lwaki abasawo bakozesa ekigambo `(acute)` okutegeeza 'suddenly'. Y'ensonga lwaki oyinza n'okuwulira `(Acute Corneal Hydrops)` ku nsonga eno. Kitegeeza kye kimu, kyaliwo mu bwangu. Embeera eno esobola okubaawo ng’ekizibu mu bantu abalina endwadde ezikyusa enkula y’amaaso, gamba nga `(Keratoconus)`. Ekibinja kino eky’endwadde ezikyusa enkula y’amaaso tukiyita `(cornea)` `(corneal ectasias)`. Oluusi `(Corneal Hydrops)` esobola okutereera nga tewali bujjanjabi bwonna. Kyokka, togezaako kusalawo ku bubwo . Bw’oba ​​olina obubonero buno, mazima ddala laba omusawo w’amaaso, omukugu mu maaso. Asobola okuzuula oba kino `(Corneal Hydrops)` oba ekintu ekirala, era asobola n'okusalawo obujjanjabi obusinga okukusaanira.

Corneal Hydrops etera etya?

Okusinziira ku kunoonyereza, wakati wa 0.2% ne 2.8% ku bantu abalina obulwadde bwa Keratoconus bafuna obulwadde bwa Corneal Hydrops. Mu Amerika, obulwadde buno bubalirirwamu abantu 55 ku buli 100,000. Kino kitegeeza nti Corneal Hydrops si ya bulijjo, naye kikulu eri abalina Keratoconus okukimanya. Embeera eno esingako katono mu basajja okusinga mu bakyala . Butera okukwata abavubuka abali mu myaka 20 ne 30.

Bubonero ki obwa `(Corneal Hydrops)`?

Abantu abamu bayinza obutalaga bubonero bwonna ne bwe baba nga balina `(Corneal Hydrops)`. Kyokka, abantu bangi bafuna obubonero. Bino bye bimu:

• Okubulwa amaaso mu bwangu : Eriiso eryali lilaba obulungi edda lifuuka enzirugavu mangu ne litasobola kulaba bulungi.
• Ekifo ekyeru ekiringa amata munda mu liiso: Ekitundu amazzi we gakuŋŋaanyizibwa mu liiso kifuuka kyeru.
• Okulumwa amaaso : Abantu abamu bayinza okufuna obulumi obw’amaanyi.
• Okutya ebifaananyi: Amaaso gafuuka ga bbululu nnyo ne gatasobola kutunuulira kitangaala ne gawulira obulumi.
• Okumyuuka kw’amaaso: Amaaso gayinza okumyuuka.
• Amaaso agafuuse amazzi: Kiyinza okuwulira ng’amaziga gajja.
• Okukaluubirirwa okuteeka lenzi: Bw’oyambala lenzi, oyinza okusanga obuzibu okuziteekamu, oba oyinza okuwulira nga tolina bulungi kuziteekamu.

Bw’oba ​​olina obubonero buno bumu oba obusingawo, amagezi agasinga obulungi ge nsobola okukuwa kwe kulaba omusawo w’amaaso nga tomala biseera .

Lwaki kino `(Corneal Hydrops)` kibaawo? Biki ebivaako?

Corneal Hydrops si kintu ekiyinza okusaasaana okuva ku muntu okudda ku mulala ng’omusujja. Abasawo balowooza nti waliwo ebikulu ebiwerako ebikiviirako:

• Okugonza kw’amaaso go: Omusono bwe gugonvuwa n’okunafuwa, emikisa mingi nti amaziga gajja kutondebwa mu luwuzi lwa Descemet.
• Corneal ectasia : Endwadde nga Keratoconus zireetera cornea okubulwa enkula yaayo eya bulijjo ey’enkulungo ne zifuuka conical. Okukyukakyuka kuno era kuyinza okwonoona oluwuzi lwa Descemet.
• Okusika amaaso emirundi mingi:Abantu abamu batera okusiiga oba okuziba amaaso. Kino kya bulabe nnyo eri amaaso. Okukola kino kiyinza okussa puleesa ku `(cornea)` ne kireeta okukutuka mu `(Descemet's membrane)`.

Ani ali mu bulabe obw’amaanyi obw’okulwala `(Corneal Hydrops)`?

Abantu abamu batera okufuna embeera eno okusinga abalala. Ka tulabe kye bali:

• Abantu abalina endwadde mu kiti kya `(Corneal ectasia)`: Naddala abalina `(Keratoconus)` be bali mu bulabe obusinga.
• Abantu abalina obulwadde bw’olususu obuyitibwa atopic dermatitis: Atopy mbeera ng’abaserikale b’omubiri basusse okukola, oba nga batera okufuna alergy. Abantu abalina embeera eno nabo bayinza okuba mu bulabe obw’amaanyi kubanga batera okusiiga amaaso olw’ebintu ng’amaaso agasiiwa .
• Abantu abalina obulwadde bwa Down syndrome : Abantu abalina obulwadde bwa Down syndrome nabo bali mu bulabe bw’okulwala Corneal Hydrops wamu n’embeera nga Keratoconus.

Bizibu ki ebiyinza okuva mu `(Corneal Hydrops)`?

Mu kiseera kya `(Corneal Hydrops)`, okulaba kwo mazima ddala kujja kukosebwa. Ate era, singa okuzimba kuno (corneal edema) kumala ebbanga ddene, kwe kugamba, singa tekujjanjabwa bulungi, emisuwa emipya giyinza okutondebwawo munda mu liiso (neovascularization) . Emisuwa gino si gye girina okuba mu `(cornea)` mu budde obutuufu, era giyinza okwongera okutaataaganya okulaba. Era, enkovu esobola okutondebwa ku `(cornea)`.

Corneal Hydrops ezuulibwa etya?

Bw’ogenda ew’omusawo w’amaaso, ajja kusooka kukubuuza ku bubonero bwo n’ebyafaayo by’obujjanjabi bwo. Olwo, ajja kukola okukebera amaaso mu bujjuvu. Mu kukebera kuno, omusawo ajja kutera okusobola okuzuula obulwadde bwa Corneal Hydrops.

Kino kigezo ki ekikolebwa?

Oluusi, omusawo bw’aba yeetaaga okumanya ebisingawo, ayinza okumuwa amagezi okukeberebwa ebirala.

• Anterior segment optical coherence tomography (AS-OCT): Kino kiringa sikaani y’eriiso ery’omunda. Kisobola okuzuula obulungi amazzi g’amaaso, okwekenneenya obunene bw’okuzimba, n’okulondoola enkulaakulana y’okuwona.
• Ultrasound biomicroscopy (UBM): Kino kifaananako n’okukebera amaloboozi amangi. Kiyamba okuzuula oba waliwo okukutuka mu luwuzi lwa Descemet.
• Tomography: Okukebera kuno kuyinza okufuna ekifaananyi ekitegeerekeka obulungi ku nkula n’obuwanvu bw’amaaso go.
• Seidel test: Okukebera kuno kukebera oba amazzi agali munda mu liiso gakulukuta okuva mu cornea.

Ebigezo bino byonna tebiruma, n’olwekyo tewali ky’oyinza kutya. Omusawo ajja kukunnyonnyola buli kimu.

Bujjanjabi ki obwa `(Corneal Hydrops)`?

Corneal Hydrops ejjanjabwa n’eddagala n’oluusi okulongoosebwa. Era kiyinza okwetaagisa okujjanjaba embeera eyaliwo eyavaako Corneal Hydrops (nga Keratoconus).

Obujjanjabi n’eddagala

Singa amaziga agali mu luwuzi lwa Descemet gaba matono ate nga n’okuzimba kutono, abasawo batera okukuwa amagezi okukozesa eddagala eriweebwa ku mubiri eriyitibwa amatondo g’amaaso.

• Hypertonic saline solution: Eno solution erimu omunnyo omungi. Bw’osiiga ku liiso, kiggya amazzi agasukkiridde mu stroma ne kiyamba okukendeeza ku kuzimba.
• Amatondo agalimu steroid: Gano gakendeeza ku buzimba munda mu liiso.
• Okukendeeza puleesa y’amaaso `(amatondo)`: Oluusi puleesa y’amaaso eyinza okuba waggulu. Ekyo bwe kibaawo, `(amatondo)` gano gaweebwa okukifuga.
• Eddagala eritta obuwuka (amatondo): Bino biweebwa bwe kiba kyetaagisa okutangira okukwatibwa obulwadde.
• Amatondo g’amaaso agagaziya eriiso eriddugavu: Gano gayamba okukendeeza ku bulumi.

Okusinziira ku musawo, kikulu nnyo okukozesa ``(amatondo)`` gano mu kiseera ekituufu.

Ddi lwe kyetaagisa okulongoosebwa?

Singa okukutuka mu luwuzi lwa Descemet kuba kunene, okuzimba kuba kwa maanyi oba nga waliwo akabi ak’okukutuka kw’amaaso, abasawo bayinza okukuwa amagezi okulongoosebwa. Okulongoosa kuno kuzingiramu okuggalawo amaziga n’okuyimiriza amazzi okukulukuta. Oluusi ekiwujjo kya ggaasi kiyingizibwa mu maaso okukendeeza amangu okuzimba. Mu mbeera enzibu, singa tezijjanjabwa bulungi, amazzi g’amaaso agayitibwa corneal hydrops gayinza okuvaako emisuwa egitaali gya bulijjo okukola munda mu liiso. Ekyo bwe kibaawo, era kijja kwetaagisa okujjanjabibwa.

Corneal Hydrops esobola okuziyizibwa?

Bwoba olina embeera nga `(Keratoconus)`, yogerako n'omusawo w'amaaso ku bujjanjabi obuyitibwa `(Crosslinking)`. Obujjanjabi buno obwa `(Crosslinking)` busobola okukomya obulwadde bwa `(Keratoconus)` okweyongera, era busobola n'okukendeeza ku bulabe bw'ebizibu nga `(Corneal Hydrops)`. Wabula mu mbeera ezimu, `(Acute Corneal Hydrops`, ejja ng'ekizibu kya `(Keratoconus)` n'endwadde endala `(corneal)`, eyinza obutaziyizibwa ddala. Bw'oba olina alergy ya sizoni oba embeera endala ezisiiwa amaaso, gezaako okukendeeza ku kusiiga n'okukunya amaaso go nga bwe kisoboka .Kino kijja kuyamba okuziyiza si `(Corneal.) yokka Hydrops)`, naye era n’ebizibu ebirala bingi eby’amaaso.

Kinatwala bbanga ki okudda engulu okuva mu `(Corneal Hydrops)`? Entunula eri etya?

Omusawo asobola okujjanjaba obulwadde bwa acute corneal hydrops. Kyokka kino kitera okuleka enkovu ku maaso. Enkovu eno esobola okukosa okulaba kwo okw’olubeerera. Singa kino kibaawo, enkovu eyinza okwetaaga obujjanjabi obulala, oboolyawo n’okulongoosebwa (nga okukyusa amaaso). Kikulu okubeera n’essaawa z’okugoberera buli kiseera n’omusawo wo ng’owona n’oluvannyuma lw’okuwona. Wano omusawo w’asobola okusalawo enteekateeka y’obujjanjabi esinga obulungi gy’oli. Ekiseera ky’okuwona kiyinza okuva ku wiiki ntono okutuuka ku myezi mitono. Kino kisinziira ku bunene bw’okuzimba, engeri y’amaziga n’engeri omubiri gwo gye guddamu.

Nlabirira ntya amaaso gange?

• Weewale okusiiga amaaso nga bwe kisoboka. Kino kye kintu ekisinga obukulu. Bw’oba ​​olina amaaso agasiiwa, kozesa amatondo g’amaaso ng’omusawo bw’akulagidde.
• Tosubwa nnaku z’okukeberebwa amaaso eziweereddwa omusawo wo. Genda okebere amaaso mu budde.
• Bwoba olina embeera nga `(Keratoconus)`, goberera obujjanjabi obulagiddwa ddala.

Ddi lwe nnina okulaba omusawo? Ddi lwe kyetaagisa obujjanjabi obw’amangu?

Omusawo ajja kukubuulira ddi lw’osaanidde okumulaba oba okugenda mu kisenge ky’abalwadde ab’amangu. Okutwalira awamu, funa amagezi mu bwangu omusawo singa wabaawo ekimu ku bino wammanga:

• Singa okulaba kwo kubula mu bwangu oba okukendeera ennyo.
• Singa ofuna obulumi bw’amaaso obutagumiikiriza mangu.
• Singa obubonero bw’obulwadde ng’omusujja bulabika.
• Singa wabaawo amazzi agafuluma mu liiso nga tosuubira.

Mu mbeera nga eno, kirungi okukola amangu awatali kulwa.

Nsobola okukozesa contact lenses singa mba nina Corneal Hydrops?

Bw’oba ​​olina `(Corneal Hydrops)`, okwambala contact lenses emirundi mingi kiyinza okukutawaanya era n’okukuluma . Bw’omala okumanya nti olina embeera eno, kirabika ojja kwetaaga okulekera awo okwambala lenzi. Oluvannyuma lw’okujjanjabwa, oyinza okuddamu okwambala lenzi ng’omusawo akukkirizza. Yogerako n’omusawo wo ku nsonga eno osalewo.

Kya bulijjo omuntu yenna okutya ng’okulaba kwe kukendedde mu bwangu n’amaaso gamuluma. Oluusi, obubonero buno buyinza okuba obubonero bw'embeera eyitibwa `(Corneal Hydrops)`. N’olwekyo bw’oba ​​olina obubonero buno, genda mangu omusawo w’amaaso. Ajja kusobola okuzuula ekivaako okuzimba kwo okwa `(cornea)` n'okukuwa amagezi ku bujjanjabi obwetaagisa.

N’ekisembayo, obubaka obutwala awaka

Okay, twogedde nnyo ku `(Corneal Hydrops)` kati, si bwe kiri? Ensonga zino zikuume mu birowoozo:

• Corneal Hydrops kwe kuzimba kw’amaaso okw’amangu. Ekisinga okuvaako kino kwe kukutuka mu luwuzi oluweweevu olw’olususu lw’amaaso (oluwuzi lwa Descemet) oluvaako amazzi okukulukuta mu liiso.
• Okulaba obubi mu bwangu, ekifo ekyeru ku liiso eryeru, okulumwa amaaso, n’okuwulira ekitangaala bye bisinga okulaga.
• Abantu abalina endwadde nga ``Keratoconus'' n'abo abatera okusiiga amaaso bali mu bulabe bwa maanyi okufuna embeera eno.
• Bw’oba ​​olina obubonero nga buno, tosalawo ku bubwo era ogende mangu omusawo w’amaaso.
• Obujjanjabi buyinza okuzingiramu amatondo, era oluusi kiyinza okwetaagisa okulongoosebwa.
• Okwewala okusiiga amaaso n’okugoberera amagezi g’abasawo kikulu nnyo okusobola okuwona amangu n’okutangira embeera ezifaananako bwe zityo mu biseera eby’omu maaso.

Jjukira nti amaaso go ga muwendo nnyo. N’olwekyo muzirabirire bulungi. Bw’oba ​​olina ekibuuzo ekirala kyonna ku nsonga eno, tolwawo kubuuza musawo wo.