Nthawi zina timachita mantha pang'ono tikaona kusintha pang'ono m'maso mwathu, sichoncho? Makamaka zinthu zikayamba kusintha pang'ono. Vuto limodzi lotere limatchedwa
macular pucker . Koma musadandaule, tiyeni tikambirane mwachidule.
Kodi ichi ndi chiyani kwenikweni (Macular Pucker)?
Ganizirani diso lanu ngati kamera. Pali khoma kumbuyo kwa kamera iyi, yomwe timaitcha
retina . Chithunzi chilichonse chomwe mukuwona chimajambulidwa pa retina iyi, ngati filimu. Pakati pa retina iyi, pali kadontho kakang'ono kodziwika bwino kotchedwa
macula . Timawona zinthu momveka bwino, mwachangu, timawerenga buku, timazindikira zilembo, chifukwa cha macula iyi. Tsopano, mu mkhalidwe uwu wotchedwa ``Macular Pucker``, chomwe chimachitika ndikuti pamwamba pa macula, pali cellophane, kapena nembanemba yopyapyala kwambiri, kapena
minofu ya zipsera . Madokotala amatchanso izi
``Epiretinal Membrane (ERM)`` , ndipo anthu ena amatchanso
``Cellophane Maculopathy``` . Pamene nembanemba iyi ikuchepa pang'onopang'ono, nembanemba yomwe ili pansi pake imatambasukanso ndi makwinya, ngati nsalu. Ndicho chomwe chimatchedwa ``Macular Pucker'' kapena 'macular puckering.'' Izi sizimayambitsa mavuto akulu a masomphenya kwa aliyense, koma nthawi zina zimatha kusintha momwe mumaonera zinthu, kuzipangitsa kuti ziwoneke ngati zopotoka.
Kodi vutoli ndi lofala bwanji?
Matendawa otchedwa `(Macular Pucker)` ndi ofala kwambiri kuposa momwe mungaganizire. Kafukufuku waposachedwapa wapeza kuti anthu ambiri m'maiko ena akhoza kukhala ndi vutoli.
Chiwopsezo cha matendawa chimawonjezeka ndi ukalamba. Koma nkhani yabwino ndi yakuti si aliyense amene ali ndi `(Macular Pucker)` amene amataya maso.
Kodi zizindikiro za izi ndi ziti? Kodi mumadziwa bwanji ngati muli nazo?
Chizindikiro chachikulu cha izi ndichakuti
maso anu apakati amasokonekera. Makamaka, mizere yowongoka, monga mafelemu a zenera, mafelemu a zitseko, ndi mizere yomwe ili m'buku,
imawoneka yotambasuka kapena yokwinyika. Madokotala amatchanso izi
kuti "metamorphopsia." Tangoganizirani kuti mukuyang'ana pansi yokhala ndi matailosi, ndipo mizere yowongoka pakati pa matailosi imawoneka ngati yokwinyika. Ngakhale izi zingakhudze maso onse awiri, nthawi zambiri zimakhudza diso limodzi lokha. Ngakhale litakhala m'maso onse awiri, diso limodzi lingakhale loipa pang'ono kuposa linalo. Kuwonjezera pa mawonekedwe akwinyika, mungakumanenso ndi izi:
- Sizikumveka bwino monga kale, ngakhale mutayandikira bwanji zomwe mukuyang'ana.
- Nthawi zina chithunzi chimodzi chingawoneke ngati ziwiri (chithunzi chachiwiri).
- Chithunzi chomwe chikuwoneka m'diso limodzi chingamveke chachikulu kuposa diso lina.
Chofunika kwambiri ndichakuti kutayika kwa masomphenya komwe kumachitika chifukwa cha "Macular Pucker"
sikukonzedwe povala magalasi. N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?
Mwachidule, pali zinthu zingapo zomwe zingathandize kuti filimu ipangidwe pa macula. Nazi zina mwa zinthu zazikulu:
- Mabowo kapena kung'ambika kwa retina.
- Kukhala ndi mbiri ya kusokonekera kwa retina m'mbuyomu.
- Opaleshoni ya maso yapita (monga opaleshoni ya maso).
- Kuvulala kwa Maso.
- Matenda omwe amapezeka m'diso.
- Matenda a maso omwe amayamba chifukwa cha matenda a shuga (Diabetes-related retina disease / Diabetic Retinopathy)
- Matenda otupa omwe amapezeka mkati mwa diso ( Kutupa kwa diso / Uveitis )
Chinthu china n'chakuti nthawi zina `(Macular Pucker)` iyi imatha kuchitika popanda chifukwa chomveka bwino. Imatchedwa `(Idiopathic Macular Pucker)`, zomwe zikutanthauza kuti palibe chifukwa chomwe chingapezeke.
Kodi iyi ndi matenda opatsirana?
Ayi, ayi konse. `(Macular Pucker)` si matenda opatsirana. Simungawatenge kuchokera kwa wina, komanso simungawatenge kuchokera kwa wina.
Ndani ali pachiwopsezo chachikulu chotenga izi?
Tanena kale kuti ukalamba ndi chinthu chachikulu chomwe chimayambitsa chiopsezo. Kuphatikiza apo, chiopsezo chanu chotenga matenda a maso chikhoza kuwonjezeka ngati:
- Ngati muli ndi "Posterior Vitreous Detachment (PVD)``, komwe vitreous humor ( chinthu chonga jelly chomwe chili m'diso lanu) chimasiyana ndi retina. Izi zimachitika kawirikawiri mukamakalamba.
- Ngati mudachitidwapo opaleshoni ya maso ya laser , kapena opaleshoni ina ya maso , monga opaleshoni ya cataract.
- Ngati mudayamba mwakhala ndi vuto la retina kapena kutsekeka kwa retina .
- Ngati muli ndi vuto la kutupa kwa maso monga uveitis .
- Ngati muli ndi matenda a shuga a retinopathy .
- Ngati pakhala kuvulala kwakukulu kwa diso .
Kodi izi zingayambitse mavuto otani?
`(Macular Pucker)` ingayambitse
kutayika kwa masomphenya . Izi zikutanthauza kuti masomphenya anu akhoza kukhala osawoneka bwino kapena osawoneka bwino. Koma
Mwayi woti munthu asamaone bwino chifukwa cha izi ndi wochepa kwambiri. Choncho palibe chodetsa nkhawa nacho. Koma ngati muwona kusintha kwa masomphenya anu, ndi bwino kupita kwa dokotala. Kodi dokotala amazindikira bwanji izi?
Mukapita kwa dokotala wa maso, choyamba adzakufunsani za zizindikiro zanu ndi mbiri yanu yachipatala. Kenako, adzayika madontho a maso otambasuka m'maso mwanu ndikuyang'ana mkati mwa diso lanu. Madontho awa amagwiritsidwa ntchito kuti dokotalayo azitha kuwona bwino retina ndi macula yanu. Ndi mayeso ati omwe akuchitidwa?
Pa nthawi yoyezetsa maso anu, dokotala wanu adzagwiritsa ntchito kuwala kwapadera ndi lenzi yokulitsa kuti ayang'ane maso anu. Kuphatikiza apo, angachite mayeso ngati awa kuti athandize kudziwa ngati muli ndi vuto la maso:- Mayeso a Maso a Amsler Grid: Mu mayeso awa, mumapatsidwa pepala laling'ono lokhala ndi mabwalo ojambulidwa. Lili ndi mizere yopingasa ndi yoyimirira. Mukayang'ana mizere iyi, ngati ikuwoneka yotambasuka, yokwinya, kapena ngati mabwalo ena akusowa, izi zingakuthandizeni kudziwa ngati muli ndi vuto lililonse la masomphenya.
- Kujambula kwa Optical Coherence Tomography (OCT): Uku ndi kujambula komwe kumachitika ndi kamera yapadera. Kujambula zithunzi zooneka bwino za retina ndi macula anu, ngati gawo la keke. Zili ngati kuyang'ana mkati mwa keke. Kujambula kwa OCT kumeneku kungakudziwitseni ngati pali makwinya a macula, kapena macular pucker, komanso momwe alili ovuta.
Kodi chimachiritsidwa bwanji? Kodi tingatani?
Si macular puckers onse omwe amafunika chithandizo. Ngati zizindikiro zanu sizili zazikulu ndipo maso anu sakukhudzidwa kwambiri, dokotala wanu angakuuzeni kuti muyang'ane vutoli kwa kanthawi . Izi zikutanthauza kuti mubwere kudzayezetsa maso nthawi zonse. Komabe, ngati pakufunika chithandizo, pali njira zina zomwe sizingachitike opaleshoni komanso zomwe sizingachitike opaleshoni. Chithandizo chopanda opaleshoni (chithandizo chosalowa m'thupi)
Kwa munthu amene ali ndi vuto la macular pucker lomwe silikufuna opaleshoni, mungachite izi kuti moyo wanu watsiku ndi tsiku ukhale wosavuta:- Magalasi atsopano: Ngakhale kuti magalasi sangathe kukonza bwino vuto la masomphenya lomwe limayambitsidwa ndi macular pucker, mankhwala atsopano angathandize kukonza masomphenya anu onse.
- Kuwala kwabwino: Mukamawerenga mabuku kapena mukugwira ntchito yofewa, kuchita zimenezi pamalo owala bwino, komanso kugwiritsa ntchito nyali zowerengera kungathandize kuchepetsa kutopa kwa maso.
- Zipangizo zokulitsa:Ngati mukuvutika kuwerenga zilembo zazing'ono, mungagwiritse ntchito magalasi okulitsira kapena zipangizo zina.
Chithandizo cha opaleshoni
Ngati maso anu akhudzidwa kwambiri ndi macular pucker, dokotala wanu angakulangizeni opaleshoni. Opaleshoni iyi imatchedwa vitrectomy ndi kuchotsa nembanemba .- Iyi ndi njira yochizira odwala osapita kuchipatala , zomwe zikutanthauza kuti simukuyenera kukhala m'chipatala, ndipo mutha kupita kunyumba tsiku lomwelo mutachita opaleshoni.
- Opaleshoni iyi imaphatikizapo kupanga mabala ang'onoang'ono m'diso, kuchotsa pang'ono chinthu chonga jelly mkati mwa diso (vitreous humor), ndikuchotsa mosamala minofu ya chilonda kapena nembanemba yomwe yapangidwa pamwamba pa macula. Iyi ndi opaleshoni yovuta kwambiri.
Kodi ndi mavuto otani omwe angabwere chifukwa cha opaleshoni? Kodi ndiyenera kuopa?
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zina zomwe zimachitika pochotsa vitrectomy. Koma gulu lanu lachipatala lichita zonse zomwe lingathe kuti lichepetse zoopsazo. Nazi zina mwa zovuta zomwe zingachitike:- Kutuluka magazi .
- Matenda .
- Kung'ambika kwa retina kapena kutsekeka kwake .
- Ngati muli ndi ma cataract, adzaipiraipira.
- Bowo mu macula (bowo la macular) limachitika (izi sizimachitika kawirikawiri).
- Kupanikizika kwakukulu m'diso, zomwe zikutanthauza kukula kwa glaucoma .
Koma kumbukirani, mwayi woti izi zichitike ndi wochepa kwambiri, ndipo madokotala adzakudziwitsani bwino za izi. Kodi ndidzachira msanga bwanji nditalandira chithandizo?
Ngati mwachitidwa opaleshoni ya vitrectomy, maso anu akhoza kukhala osawoneka bwino kwa masiku angapo mutachitidwa opaleshoni. Maso anu akhoza kukhala opweteka komanso osasangalatsa. Izi ndi zachilendo. Simudzatha kupita kuntchito kapena kusukulu kwa milungu iwiri kapena inayi mutachitidwa opaleshoni. Ndikofunikira kupumitsa maso anu panthawiyi. Simuyeneranso kuyendetsa galimoto nthawi yomweyo mutachitidwa opaleshoni. Zingatenge miyezi itatu kuti maso anu awongolere bwino komanso kuti mulandire zabwino zonse za opaleshoniyo. Chifukwa chake khalani oleza mtima. Kodi pali njira yopewera izi kuti zisachitike?
Nthawi zina, makamaka pankhani ya idiopathic macular pucker, palibe njira yodziwikiratu yopewera izi. Komabe, zinthu monga kupewa matenda a maso okhudzana ndi matenda a shuga ( monga kusunga shuga wanu mosamala) komanso kupewa kuvulala kwa maso kungathandize kuchepetsa chiopsezo chanu chotenga matendawa. Kodi ndiyenera kuyembekezera chiyani ngati ndili mumkhalidwe uwu?
Tanena kale kuti milandu yambiri ya `(Macular Pucker)` siifuna chithandizo chapadera. Chomwe muyenera kuchita ndikuyesedwa maso nthawi zonse malinga ndi nthawi yomwe dokotala wanu wakupatsani. Kenako, dokotala wanu akhoza kuwona ngati pali kusintha kulikonse pa maso anu ndi thanzi lanu la maso. Mutha kukhala ndi mavuto ena a maso chifukwa cha `(Macular Pucker)`, koma musadandaule kuti izi zingayambitse khungu lonse. Mwayi ndi wochepa kwambiri. Ngati ndili ndi vutoli, ndingadzisamalire bwanji?
Mukadziwa kuti muli ndi vuto la maso, pali zinthu zingapo zomwe mungachite kuti muteteze maso anu:- Musaphonye masiku oyezetsa maso omwe dokotala wapereka.
- Khalani ndi thanzi labwino. Izi zikutanthauza kudya zakudya zopatsa thanzi komanso kuchita masewera olimbitsa thupi nthawi zonse.
- Tsatirani zizolowezi zabwino zosamalira maso. Mwachitsanzo, valani magalasi a dzuwa mukakhala padzuwa, sambani m'manja mwanu bwino musanakhudze maso anu, ndipo ngati muvala magalasi olumikizana, agwiritseni ntchito mosamala monga momwe dokotala wanu wanenera.
- Ngati mukusuta , yesani kusiya. Kusuta sikwabwino m'maso mwanu. Ngati mukufuna thandizo kuti musiye, funsani dokotala.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati muwona kusintha kwadzidzidzi kwa masomphenya anu , mwachitsanzo, kusawona bwino mwadzidzidzi, kuwonjezeka kwa makwinya, kapena mawonekedwe a zinthu zoyandama monga mawanga akuda, pitani kwa dokotala wa maso nthawi yomweyo. Ngati mwadzidzidzi mukumva ngati mukutaya maso anu, kapena ngati mukumva kupweteka kwambiri m'maso, pitani kuchipatala chadzidzidzi nthawi yomweyo, kapena ku Sri Lanka, imbani 1990 Rescue Ambulance Service.
Kodi zinthu ziwirizi zimatchedwa (Macular Pucker) ndi (Age-Related Macular Degeneration - AMD)?
Inde, awa ndi matenda awiri osiyana. Koma zizindikiro nthawi zina zimakhala zofanana. Matenda a macular pucker ndi age-related macular degeneration (AMD) ndi matenda omwe amakhudza macula. M'matenda onsewa, masomphenya anu a m'mphepete nthawi zambiri sakhudzidwa, koma masomphenya anu apakati amakhudzidwa. Mu AMD, maselo omwe ali mu macula amafooka ndipo amawonongeka ndi ukalamba. Mu matenda a macular pucker, gawo logawanika limapangidwa pa macula, zomwe zimapangitsa kuti ikwinyale. Mankhwala ake ndi osiyana. Kodi macular pucker ndi macular hole ndi chinthu chimodzi?
Ayi, ndi zinthu ziwiri zosiyana. ``Macular pucker`` ndi makwinya a minofu mu retina. Koma dzenje mu macula ndi ``macular bowo``.Zimatanthauza, monga momwe dzinalo likusonyezera, kuti pali dzenje laling'ono mu macula. Nthawi zina, kukhala ndi `(Macular Pucker)` kumawonjezera chiopsezo chokhala ndi `(Macular Hole)` pambuyo pake, koma si chitsimikizo. Zizindikiro zowoneka za `(Macular Hole)` nthawi zambiri zimakhala zoopsa kuposa za `(Macular Pucker)`. Komanso, `(Macular Hole)` nthawi zambiri imafuna opaleshoni. Pomaliza, zinthu zofunika kukumbukira:
Ndizachibadwa kumva mantha pang'ono komanso nkhawa mukamva koyamba kuti muli ndi vuto lotchedwa `(Macular Pucker)`, ndipo lingakhudze maso anu. Koma kumbukirani, matenda ambiri a `(Macular Pucker)` safuna chithandizo chapadera. Dokotala wanu adzakulankhulani za zomwe mungasankhe ndikukuthandizani kusankha njira yotsatira yabwino kwa inu. Chofunika kwambiri ndikuchita mayeso a maso nthawi zonse. Dokotala wanu wa maso adzakuuzani kangati komwe muyenera kuyang'aniridwa maso anu. Musaiwale kuuza dokotala wanu za kusintha kulikonse m'maso anu, ngakhale ang'onoang'ono. Mwanjira imeneyi, ngati pali chilichonse chomwe chiyenera kuchitika, mutha kuchilandira mwachangu. Chifukwa chake, ndikukhulupirira kuti izi zikuthandizani. Samalani maso anu!
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu