Wali weebuuzizzaako nti, "Oo, amaaso gange gali bulungi?" Oluusi, ebintu ebitonotono bisobola okubaawo munda mu maaso gaffe bye tutamanyi na. Ekimu ku bintu ng’ebyo y’embeera eyitibwa Optic Disc Drusen, gye tugenda okwogerako leero. Tofaayo, kino tujja kukyogerako mu ngeri ennyangu.
Optic Disc Drusen bye biruwa?
Mu ngeri ennyangu, Optic Disc Drusen buba butono obuterekebwamu calcium ne proteins ez’amasavu ezikolebwa mu optic disc oba omutwe gw’obusimu bw’amaaso obw’eriiso lyo. Zilowoozeeko ng’amayinja amatonotono. Ekigambo "drusen" mu butuufu kiva mu kigambo ky'Olugirimaani ekitegeeza "ejjinja." Bino bisobola okukaluba katono, oba okukaluba, okumala ekiseera.
Ekikolo ky'obusimu bw'amaaso, oba kye tuyita era ``Optic Disc'', mu butuufu kye kitundu eky'omu maaso eky'obusimu bwo obw'amaaso. Obusimu buno bwe butwala by’olaba okutuuka ku bwongo.
Drusen zino oluusi zisobola okubeerawo mu liiso limu lyokka (`Unilateral`). Wabula emirundi egisinga (nga 75%) zirabibwa mu maaso gombi (`Bilateral`) . Mu mbeera ezimu, bino bisobola okuvaako okubulwa okulaba .
Embeera eno ya bulijjo etya? Ani asinga okubeera mu bulabe?
Kiteeberezebwa nti wakati wa 1% ne 2% ku bantu bayinza okuba nga balina optic disc drusen. Lipoota ezimu zitadde obulwadde buno ku bitundu 1.8% okutuuka ku bitundu 2.4%. Embeera eno esobola okukosa omuntu yenna, awatali kufaayo ku kikula ki. Wabula kizuuliddwa nti kisingako katono mu bazungu bw’ogeraageranya n’amawanga amalala.
Omanya otya nti bino olina? Obubonero bwe buliwa?
Ebiseera ebisinga, abantu abalina optic disc drusen tebalina bubonero bwonna . Oluusi, omusawo w’amaaso ajja kuzizuula ng’ogenda okwekebeza amaaso okwa bulijjo.
Kyokka abantu abamu bayinza okufuna obubonero. Mu bino mulimu:
- Obulema mu kifo ky’okulaba: Kino kitegeeza nti ebitundu by’ekifo kyo kyonna eky’okulaba (okulaba okw’omu makkati n’okulaba okw’okumpi) tebirabika. Abantu abamu bayinza n'okufuna ekifo ekinene ekizibe . Kuba akafaananyi ng’otunudde butereevu mu maaso era amangu ago n’olaba omuntu ng’ava ku mabbali.
- Okulaba kuyinza okufuuka enzirugavu oba okufuukuuka okumala akaseera katono.
- Okufiirwa mpolampola okulaba okw’okumpi.
- Ebifo ebyeru oba ebya kyenvu ku musingi gw’obusimu bwo obw’amaaso (`Optic Disc`) .Omusawo bw’akebera amaaso go, gayinza okulaba ebizimba . Drusen ezimu zirabika (`visible optic disc drusen`), naye ezimu ziyinza okuba nga "zikwese" (`buried optic disc drusen`). Zizibu okulaba mu ngeri ennyangu.
Teebereza, Samantha atera okuwulira nga tasobola kulaba bulungi ng’ekintu kitambula mu maaso ge. Mu kusooka yakibuusa amaaso, naye oluvannyuma lw’okugenda ew’omusawo w’amaaso lwe yakizuula nti yalina ‘optic disc drusen’ mu maaso gombi.
Lwaki optic disc drusen zikola?
Drusen zikolebwa okukuŋŋaanyizibwa kwa puloteyina z’amasavu n’ebintu ebirala. Naye bannassaayansi n'okutuusa kati tebamanyi bulungi lwaki ebintu bino bikuŋŋaanyizibwa ne bigonvuwa . Mu mbeera ezimu, kiyinza okusikira . Kino kitegeeza nti singa omuntu mu maka go alina embeera eno, naawe otera okubufuna.
Abasawo kino bakizuula batya? Bigezo ki bye bakola?
Ebiseera ebisinga, omusawo w’amaaso asobola okulaba drusen zino mu kukebera amaaso okwa bulijjo. Olwo bayinza okukola ebigezo nga bino okwongera okukakasa:
- Okugezesa ekifo ky’okulaba: Kino kikebera ekifo ky’olaba n’okumanya oba waliwo ebitundu by’otosobola kulaba.
- Optical Coherence Tomography (OCT): Eno ye sikaani ya tekinologiya ow’awaggulu . Kiba ng’okukuba ekifaananyi ky’eriiso ery’omunda n’okitunuulira layeri ku layeri. Kisobola okulaga ebintu ng’ekifo n’obunene bwa drusen.
- Ultrasound : Eno nayo sikaani okutunula munda mu liiso. Kiyamba nnyo naddala mu kuzuula drusen eziziikiddwa.
- CT scan (`CT - computed tomography scan`): Oluusi scan eno nayo eyinza okukolebwa naddala okunoonya ebifo ebirimu calcium.
- Fluorescein angiography: Kino kikozesa kkamera ey’enjawulo ne langi ya fluorescent okukuba ebifaananyi munda mu mugongo gw’eriiso. Kino kisobozesa embeera y’emisuwa okulabibwa.
- Fundus autofluorescence: Eno era nkola ya kukuba bifaananyi munda mu liiso. Kyokka kino tekikwetaagisa kukuba langi. Okukebera kuno kukolebwa nga tukozesa langi eyitibwa ``Lipofuscin'' ebeera mu mubiri gwaffe (ekuŋŋaanyizibwa nga tukaddiwa oba mu mbeera z'obujjanjabi ezimu).
Waliwo obujjanjabi ku kino? Kiddukanyizibwa kitya?
Bw’oba olina optic disc drusen, osanga tojja kwetaaga bujjanjabi bwonna oba okuddukanya okw’enjawulo . Mu kiseera kino tewali kulongoosa wadde eddagala eriwonya embeera eno. Naye teweeraliikiriranga, abantu abasinga tebalina kukyeraliikirira.
Bwemba nnina Optic Disc Drusen, kiki kye nsuubira?
Prognosis eri omuntu alina optic disc drusen okutwalira awamu nnungi nnyo . Kyokka, abalwadde abamu bayinza okufiirwa okulaba okw’okumpi . Ekyo kye kintu ekikulu ekiyinza okubaawo.
Tekitera nnyo, drusen zino zisobola okuleeta obuzibu. Ebizibu bino ebitatera kubaawo mulimu:
- Choroidal neovascular membranes (CNVM): Zino misuwa emipya egy’omusaayi egitaali gya bulijjo egikolebwa munda mu liiso. Ziyinza okuvaamu omusaayi ekiyinza okuvaako okubulwa okulaba wakati. Kino bwe kibaawo, kiyinza okwetaagisa obujjanjabi bwa layisi okuyimiriza omusaayi.
- Anterior ischemic optic neuropathy (AION): Kino omusaayi ogugenda mu busimu bw’amaaso bwe gukendeera, ekivaako obusimu okwonooneka.
- Okuzibikira kw’emisuwa gy’amaaso: Okuzibikira kw’emisuwa mu retina.
Bino bitera nnyo, n’olwekyo totya mu ngeri eteetaagisa.
Embeera eno ya bulabe?
Ne bw’olaba enkyukakyuka ezimu mu kulaba kwo, Optic Disc Drusen tetera kuba mbeera ya bulabe . Kyokka, ziyinza okukwatagana n’embeera endala ez’obujjanjabi. Eno y’ensonga lwaki amagezi g’abasawo n’okukeberebwa buli kiseera kikulu.
Waliwo engeri y’okuziyiza bino okubaawo?
Ebyembi, mu kiseera kino tewali ngeri yonna gye tuyinza kuziyiza kutondebwa kwa optic disc drusen.
Ddi lwe nnina okulaba omusawo?
Kikulu nnyo okukeberebwa amaaso go buli luvannyuma lwa kiseera (okukebera okulaba buli kiseera). Ate era, bw’olaba enkyukakyuka yonna mu kulaba kwo , laba omusawo mu bwangu. Tobuusa maaso kintu kyonna, ne bwe kiba kitono.
Njawulo ki eriwo wakati wa Optic Disc Drusen n’endwadde endala ez’amaaso?
Drusen asobola okufaanana n’embeera z’amaaso endala, n’olwekyo kikulu okumanya enjawulo eriwo wakati wazo.
Obutatabulwa na Papilledema!
Abantu abamu era bayita optic disc drusen "pseudopapilledema." "Pseudo" kitegeeza bulimba, ekitegeeza nti si kya ddala.
Obulwadde bwa PapilledemaWano puleesa eri munda mu kiwanga kyo (intracranial pressure) lw’ereetera optic disc okuzimba. Eno mbeera ya bujjanjabi ya mangu.
Optic disc drusen nayo esobola okuleeta ekikolo ky’obusimu bw’amaaso okulabika ng’ekizimba, naye si kizimba kya nnamaddala. Eno y’ensonga lwaki kiyitibwa `Pseudopapilledema`.
Glaucoma ne Disc y’amaaso Drusen
Glaucoma ne optic disc drusen byombi bisobola okuleeta obuzibu mu kifo kyo eky’okulaba. Oluusi, embeera zombi zisobola okubaawo awamu. N’olwekyo, omusawo wo alina okuba ng’asobola okwawula embeera zino zombi . Glaucoma mbeera ya maaso ya maanyi era nga yeetaaga okujjanjabibwa.
Waliwo akakwate ku Retinitis Pigmentosa?
Abantu abalina embeera eyitibwa retinitis pigmentosa (RP) batera okulwala optic disc drusen okusinga abantu bonna. Obulabe buno bungi nnyo naddala mu bantu abalina ebika bya RP ebimu ne mu bantu abalina embeera eyitibwa Usher syndrome .
Obulwadde bwa Noonan nabwo bukosa?
Obulwadde bwa Noonan bulwadde buva ku buzaale. Abantu abalina obuzibu buno bayinza okuba n’obuzibu mu nkula y’ekitundu ky’amaaso. N’olwekyo, omuntu alina obulwadde bwa Noonan syndrome naye ayinza okuba n’eddagala eriyitibwa optic disc drusen.
Mu bufunze, ebintu bye tulina okujjukira
Okay, kale twogedde nnyo ku Optic Disc Drusen. Mu kumaliriza, bino bye bimu ku bintu ebikulu by’olina okujjukira:
- Optic disc drusen bye bifo ebiterekeddwamu calcium ne proteins ez’amasavu ezikola ku musingi gw’obusimu bw’amaaso munda mu liiso.
- Abantu bangi tebafuna bubonero bwonna.
- Embeera eno etera obutaba ya bulabe , naye mu mbeera ezitatera kubaawo, enkyukakyuka ezimu mu kulaba oba ebizibu biyinza okubaawo.
- Mu kiseera kino tewali ddagala oba ddagala lya njawulo eriwonya kino.
- Ekisinga obukulu kwe kukeberebwa amaaso buli kiseera n’okufuna amagezi mu bwangu omusawo singa olaba enkyukakyuka yonna mu kulaba kwo.
Jjukira nti amaaso go ge gasinga okuba ag’omuwendo. N’olwekyo, buvunaanyizibwa bwo okubalabirira obulungi. Totwala kizibu kyonna ekikwatagana n’amaaso ng’ekitono olw’ensonga yonna.
Bw’oba oyagala okumanya ebisingawo ku nsonga eno, yogerako n’omusawo w’amaaso. Asobola okukubuulira ebisingawo.











💬 Comments (0)
Tewali bigambo biwandiikiddwa n'okutuusa kati. Yongera wano comment yo omulundi ogusoose.
Yongera ku comment yo