Kodi mukuona mikwingwirima ngati iyi m'maso mwanu? Tiyeni tikambirane za mikwingwirima ya Angioid!

Kodi munapitapo kwa dokotala wa maso ndipo munamvapo mawu akuti, "Mutha kuwona mizere yaying'ono iyi mkati mwa diso lanu, timaitcha kuti Angioid Streaks"? Kapena mwangomva dzinali? Mwina mukuchita mantha pang'ono kumva izi. Koma musadandaule. Lero, tikambirana za vutoli lotchedwa Angioid Streaks m'njira yosavuta komanso yomveka bwino.

Kodi mukudziwa zomwe Angioid Streaks ndi?

Mwachidule, Angioid Streaks ndi timizere ting'onoting'ono tomwe timawonekera pansi pa retina ya diso lanu. Timawoneka ngati mitsempha yamagazi, koma kwenikweni si mitsempha yamagazi. Nthawi zambiri timawoneka dokotala wa maso akamakuyang'anani maso anu. Nthawi zambiri timawoneka m'maso onse awiri. Anthu ena amatinso Knapp streaks kapena Knapp striae.

Tangoganizirani, mkati mwa diso lanu muli `Optic Disc` (ndiko kuti, gawo lomaliza la mitsempha ya optic isanalumikizane ndi ubongo), ndipo mizere iyi imawoneka kuti ikupita kunja kuchokera pamenepo. Imapangidwa pamene minofu yotchedwa `Bruch's membrane` ikukula mkati mwa diso. `Bruch's membrane` iyi ndi chophimba chamkati cha `Choroid` (apa ndi pomwe mitsempha yamagazi yomwe imabweretsa magazi ndi michere m'diso imapezeka). Ili pakati pa `Retina` ndi `Sclera`.

Kodi zizindikiro za vutoli ndi ziti?

Nthawi zambiri, palibe zizindikiro za angioid streaks. Izi zikutanthauza kuti simungazindikire kusintha kulikonse kapena kusasangalala. Komabe, mavuto ena okhudzana ndi angioid streaks awa nthawi zina angayambitse kutayika kwa masomphenya. Ichi ndichifukwa chake madokotala akuda nkhawa ndi izi.

Nchifukwa chiyani mikwingwirima ya angioid iyi imapanga?

Chifukwa chachikulu ndi kupangika kwa ming'alu mu `Bruch's membrane' yomwe tidakambirana kale. Mwa anthu ena, membrane iyi imakhuthala pakapita nthawi, imasunga zinthu monga calcium, ndipo imakhala yofooka mosavuta. Pamenepo ndi pomwe ming'alu yotereyi imapangika.

Nthawi zina, izi zingayambitsidwenso ndi kuvulala kwa maso.

Kodi zinthu zoopsa ndi ziti?

Pali matenda ena omwe angayambitse angioid streaks. Pofuna kukumbukira izi, madokotala nthawi zina amagwiritsa ntchito mawu ofupikitsa akuti PEPSI . Tiyeni tiwone zomwe zili:

• P - Pseudoxanthoma elasticum: Iyi ndi matenda obadwa nawo. Amayambitsidwa ndi kusungidwa kwa mchere mu ulusi wosalala wa thupi. Matendawa nthawi zambiri amagwirizanitsidwa ndi Angioid Streaks.
• E - Ehlers-Danlos syndrome: Iyi ndi matenda a majini omwe amakhudza minofu yolumikizana ya thupi.
• Matenda a P - Paget a mafupa: Uwu ndi matenda omwe amakhudza mafupa. Amakhudza momwe mafupa atsopano amapangikira ndikusweka.
• S - Matenda a sickle cell: Uwu ndi matenda obadwa nawo omwe amakhudza maselo ofiira a magazi. Maselo ofiira a magazi amafooka ndipo amatha kukodwa m'mitsempha yamagazi.
• Matenda a Idiopathic : Awa ndi matenda omwe palibe chifukwa chenicheni chomwe chingapezeke . Izi zitha kukhudza hemoglobin (gawo la maselo ofiira a magazi) kapena collagen (gawo lofunika kwambiri la minofu yolumikizana) m'magazi anu.

Chofunika ndichakuti, simuyenera kukhala ndi matenda onse omwe PEPSI imanena kuti mukhale ndi Angioid Streaks. Awa ndi matenda akuluakulu omwe angagwirizane nawo.

Zinthu zina zoopsa

Kuwonjezera pa matenda akuluakulu awa, zinthu zina zingapo zingawonjezere chiopsezo cha matenda a Angioid Streaks:

• Kukalamba: Kusintha kwa nembanemba ya Bruch kungachitike ndi ukalamba.
• Kuvulala m'maso: Monga tanenera kale, izi zitha kuchitikanso chifukwa cha zinthu monga kuvulala kwambiri m'maso.

Kodi ndi mavuto ati omwe angakhalepo chifukwa cha Angioid Streaks?

Ngakhale kuti mikwingwirima ya angioid nthawi zambiri siivulaza, nthawi zina ingayambitse mavuto omwe amakhudza masomphenya anu. Izi ndi zomwe zimakhala zoopsa.

Pali mavuto awiri akuluakulu:

1. Kutsegula mitsempha ya magazi m'mitsempha ya m'magazi: Apa ndi pamene mitsempha yatsopano yamagazi yosalimba imakula mu retina. Izi zimakhala ngati udzu, ndipo sizothandiza diso. Zingathe kutuluka magazi kapena kutulutsa madzi, zomwe zimapangitsa kuti maso asaone bwino komanso asokonezeke.

2. Kutuluka magazi m'thupi la munthu wosabadwa: Mitsempha yamagazi yofooka iyi yomwe yapangidwa kumene imatha kuphulika ndikutuluka magazi pansi pa retina. Izi zitha kuwononganso masomphenya.

Ndi pokhapokha ngati mavuto ngati amenewa abuka, maso anu amayamba kusokonekera kapena kuchepa.

Kodi izi zimazindikirika bwanji? Ndi mayeso ati omwe amachitidwa?

Nthawi zambiri, dokotala wanu wa maso amatha kuzindikira mizere ya angioid iyi panthawi yoyezetsa maso nthawi zonse. Komabe, kuti atsimikizire vutoli, athetse mavuto ena, ndikuwona ngati pali zovuta zilizonse, dokotala wanu angafune kuti muyesedwenso. Nthawi zina, angakupempheni kuti muyesedwenso mayesowa nthawi ndi nthawi kuti awone momwe vuto lanu likusinthira.

Mitundu ya mayeso omwe amachitika

Mayeso akuluakulu ojambulira zithunzi omwe amachitika ndi awa:

• Kuyeza kwa angiography ya fluorescein:Izi zimaphatikizapo kubaya utoto wapadera mu mtsempha womwe uli m'dzanja lanu. Kenako, kamera yapadera imajambula zithunzi pamene utotowo ukuyenda m'mitsempha yamagazi yomwe ili mkati mwa diso lanu. Izi zimakupatsani mwayi wowona bwino mavuto omwe ali ndi mitsempha yanu yamagazi, monga mitsempha yatsopano yamagazi.
• Optical coherence tomography (OCT): Izi zili ngati kujambula mkati mwa diso. Zimagwiritsa ntchito kuwala kuti zijambule zithunzi za mkati mwa diso. Zingathe kuona zinthu monga makulidwe a zigawo za retina, madzi oundana, ndi mitsempha yatsopano yamagazi.
• Fundus autofluorescence: Kuyesa kumeneku kumagwiritsa ntchito chinthu chachilengedwe chotchedwa lipofuscin chomwe chimapezeka mkati mwa diso kuti chizindikire kusintha ndi kuwonongeka kwa maselo m'diso.

Dokotala adzasankha chithandizo chomwe mukufuna kutengera zomwe mwapeza kuchokera ku mayesowa.

Kodi pali chithandizo cha matenda a Angioid Streaks?

Palibe mankhwala enieni a Angioid Streaks. Izi zikutanthauza kuti pakadali pano palibe mankhwala ochotsera mikwingwirima imeneyo. Komabe, chofunika kwambiri ndikuchiza mavuto omwe amabwera chifukwa cha matendawa, ndikuchiza matenda aliwonse omwe angakhale nawo (monga omwe ali pamndandanda wa PEPSI).

Mankhwala enieni a mavuto

Ngati muli ndi vuto ngati limene tinakambirana lotchedwa ``choroidal neovascularization'' (monga kupangika kwa mitsempha yatsopano yosafunikira yamagazi), dokotala wanu angakulangizeni mankhwala ngati awa:

• Photocoagulation: Izi zimagwiritsa ntchito laser kuwononga mitsempha yamagazi yosafunikira.
• Chithandizo cha Photodynamic (PDT): Izi zimaphatikizapo kupereka mankhwala apadera omwe amakhudza kuwala m'thupi lanu, kenako kulowetsa kuwala kwapadera m'diso lanu kuti kuwononge mitsempha yamagazi yosafunikira.
• Mankhwala oletsa kukula kwa mitsempha yamagazi (anti-VEGF): Awa ndi mankhwala omwe amagwiritsidwa ntchito kwambiri. Amaphatikizapo kubaya mankhwala apadera mumadzimadzi ofanana ndi jelly mkati mwa diso otchedwa vitreous humor. Mankhwalawa amawongolera kukula kwa mitsempha yatsopano yamagazi. Amatchedwanso kuti VEGF inhibitors. Majakisoni awa angafunike kubwerezedwa mwezi uliwonse kapena ngati pakufunika.
• Kugwiritsa ntchito mankhwala a PDT ndi mankhwala oletsa VEGF pamodzi: Nthawi zina mankhwala awiriwa angagwiritsidwe ntchito pamodzi.

Kodi pali zotsatirapo/zovuta zilizonse za chithandizochi?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, mankhwalawa amatha kukhala ndi zotsatirapo zina kapena zovuta zina. Ndi bwino kudziwa zimenezo.

• Kuundana kwa laser:Ngakhale izi zitha kuyeretsa masomphenya kwakanthawi kochepa, nthawi zina zimatha kuwononga minofu yathanzi, zomwe zimayambitsa kutuluka magazi m'maso komanso kutayika kwa masomphenya apakati.
• Mankhwala Oletsa Kudya Mankhwala Ochepetsa Kuchuluka kwa Magazi: Zotsatira zoyipa zomwe zimapezeka chifukwa cha jakisoniyu nthawi zambiri zimakhala za kanthawi kochepa. Zitha kuphatikizapo kupweteka kwa maso, kufiira, kung'ambika, ndi kuyandama. Pali chiopsezo chochepa kwambiri cha matenda oopsa a maso ndi jakisoni iliyonse.
• Chithandizo cha PDT: Pakhoza kukhala kuwonjezeka kwakanthawi kwa kutentha kwa dzuwa pambuyo pa izi. Pakhoza kukhalanso malo osawoneka bwino m'masomphenya. Pakhoza kukhala ziwengo ku mankhwala opatsa kuwala, ndipo nthawi zambiri, mitsempha yatsopano yamagazi yosafunikira ingapangidwe.

Ngati mwalangizidwa chithandizo, ndikofunikira kwambiri kukambirana bwino ndi dokotala wanu za ubwino, kuipa, ndi zotsatirapo zake.

Kodi chimachitika ndi chiyani ngati ndili ndi angioid streaks?

Ngati muli ndi mikwingwirima ya angioid yokha, ndiko kuti, ngati palibe zovuta zina, sizowopsa kwenikweni. Komabe, ngati mwavulala diso, muyenera kuwonana ndi dokotala wa maso ndikupeza chithandizo.

Ngati muli ndi vuto linalake lomwe limayambitsa angioid streaks, ndikofunikira kwambiri kutsatira dongosolo la chithandizo cha dokotala wanu ndikupeza chithandizo chofunikira cha maso.

Kodi izi zingapewedwe? Kodi chiopsezochi chingachepe bwanji?

Palibe njira yopewera mikwingwirima ya angioid yomwe imayamba chifukwa cha matenda enaake. Komabe, mutha kupewa yomwe imayamba chifukwa cha kuvulala kwa maso.

Kuteteza maso anu ndiye chinthu chofunikira kwambiri apa. Kuvala zovala zoteteza maso kungathandize kuchepetsa chiopsezo cha:

• Pogwira ntchito ndi makina kapena zinthu zomwe zingayambitse kuvulala kwa maso (monga kuwotcherera, kugwiritsa ntchito chopukusira, kupala matabwa).
• Mukakwera njinga yamoto (ndi chipewa choteteza nkhope pa chisoti).
• Mukamachita masewera olimbitsa thupi pang'ono (monga kusewera cricket, makamaka mukamenya bat, kusewera m'munda).
• Pogwira ntchito m'munda, makamaka podula nthambi ndi kudula mitengo.

Kodi nthawi zabwino zokaonana ndi dokotala ndi ziti?

Ndibwino kupita kwa dokotala wa maso nthawi zonse kuti akakuoneni maso. Ngati muli ndi vuto la maso kapena vuto lina lomwe lingakhudze maso anu, mungafunike kupita kwa dokotala pafupipafupi.

Ngati mukukumana ndi vuto lililonse la maso, pitani kwa dokotala wa maso nthawi yomweyo:

• Ngati muli ndi ululu wa maso.
• Ngati mukuwona kusintha kulikonse (monga kusokonekera, kusokonekera, mawanga akuda).

Pankhaniyi, pitani kwa dokotala nthawi yomweyo kapena pitani ku chipinda chadzidzidzi:

• Ngati mwavulala diso.
• Ngati mukumva kupweteka kwambiri kapena kutuluka magazi m'diso.
• Ngati maso anu atha mwadzidzidzi kapena ayamba kufooka kwambiri.

Mafunso oti mufunse dokotala/dokotala

Mukadziwa kuti muli ndi Angioid Streaks, mutha kufunsa dokotala mafunso monga awa:

• Nchifukwa chiyani ndili ndi mikwingwirima iyi ya angioid?
• Kodi ndi chithandizo chamtundu wanji chomwe ndikufunika?
• Kodi zotsatirapo zake ndi ziti?
• Kodi ndiyenera kukuonani kangati?
• Ndi akatswiri ena ati omwe ndiyenera kuwaona (monga matenda enaake)?
• Ndi zizindikiro ziti zatsopano kapena zizindikiro za matenda omwe akuipiraipira zomwe ndiyenera kuyang'anitsitsa?
• Kodi vuto langa lidzakhala bwanji mtsogolo (kuneneratu za matenda anga)?

Kodi kusiyana pakati pa `Lacquer cracks` ndi `Angioid Streaks` ndi kotani?

Zonsezi ndi zinthu zomwe zimaoneka ngati mikwingwirima mkati mwa diso mukamafufuza maso. Komabe, mawonekedwe awo ndi zomwe zimayambitsa ndi zosiyana.

• Ming'alu ya Lacquer: Izi nthawi zambiri zimawoneka m'maso mwa anthu omwe ali ndi vuto la myopia kwambiri (pafupi).
• Matenda a Angioid: Izi zitha kuchitika chifukwa cha matenda ena omwe takambirana kale, kapena kuwonongeka kwa diso.

Nthawi zina, ngati mawonekedwe a mizere iyi sakumveka bwino, dokotala angafunike kuchita mayeso ojambulira zithunzi monga OCT kuti asiyanitse bwino pakati pa ziwirizi.

Pomaliza, uthenga wopita nawo kunyumba

Ngati muli ndi mikwingwirima ya angioid, simungadziwe nkomwe. Nthawi zambiri dokotala amawapeza akamakupimani maso nthawi zonse. Nthawi zambiri, palibe chomwe mungachite kupatula kuwayang'ana. Ndiko kuti, ingodikirani kuti muwone ngati asintha.

Komabe, nthawi zina dokotala wanu angaganize kuti muli ndi vuto linalake la matenda lomwe likugwirizana ndi izi. Ngati zili choncho, mungafunike kuyesedwanso.

Chofunika kwambiri ndichakuti musachite mantha ndikumvetsera mosamala zomwe dokotala wanu akunena. Onetsetsani kuti mwafunsa mafunso okhudza mayeso omwe mudzakhala nawo komanso zomwe zotsatira zake zidzakuuzani. Gulu lanu lachipatala lilipo kuti likuthandizeni ndikupanga zisankho zoyenera. Yesani kuyezetsa maso nthawi zonse ndikuteteza maso anu, ndipo mutha kuchepetsa chiopsezo cha mavuto ambiri.

Mitsempha ya Angioid , Mitsempha ya Angioid, Matenda a Maso, Mitsempha ya Maso, Retina, Bruch's Membrane, Thanzi la Maso