Kodi tikambirane za Birdshot Chorioretinopathy lero?

Kodi munayamba mwamvapo ngati mukuona zinthu zazing'ono zakuda zikuyandama patsogolo pa maso anu? Kapena mwina maso anu sakuwoneka bwino? Izi zitha kukhala zachilendo, koma nthawi zina zimatha kukhala chizindikiro cha vuto mkati mwa diso lanu. Lero tikambirana za vuto limodzi losowa kwambiri la maso lomwe lingathetsedwe ngati litachiritsidwa bwino.

Kodi ichi ndi chiyani (Birdshot Chorioretinopathy)?

Mwachidule, Birdshot Chorioretinopathy, kapena BSCR mwachidule, ndi matenda otupa omwe amapezeka m'maso. Si matenda osatha , zomwe zikutanthauza kuti sachira pakapita nthawi yochepa, koma ndi matenda osatha. Ngati sachiritsidwa bwino, angayambitse kusintha kosatha kwa masomphenya kapena kutayika kwathunthu kwa masomphenya .

(BSCR) ndi matenda oopsa omwe amapezeka m'gulu la matenda otchedwa ``Uveitis'', omwe amawononga minofu ya m'diso. Makamaka amakhudza kutupa kwa:

• Retina : Iyi ndi nembanemba yomwe imamva kuwala kumbuyo kwa diso lathu. Ili ngati filimu yomwe ili mu kamera. Zithunzi zomwe tikuwona zajambulidwa apa.
• Choroid : Iyi ili pansi pa retina. Iyi ndi nembanemba yomwe imagwirizanitsa retina ndi gawo loyera la diso, ndikupereka magazi ku retina, ndiko kuti, imadyetsa retina.

Chizindikiro chachikulu cha matendawa ndikuwoneka ngati madontho ang'onoang'ono, ozungulira, okhala ndi utoto wofiirira m'kati mwa retina ndi pamwamba pa choroid. Zizindikiro zoyambirira nthawi zambiri zimaphatikizapo zinthu zakuda zomwe zimayandama patsogolo pa maso (zoyandama) , kusawona bwino , kapena zonse ziwiri. Matendawa nthawi zambiri amakhudza maso onse awiri .

Pakapita nthawi, kuwonongeka kumeneku kungayambitse matenda monga cystoid macular edema kapena glaucoma . Ngakhale kuti palibe mankhwala, Birdshot Chorioretinopathy ndi matenda ochiritsika . Kuzindikira msanga ndikofunikira kuti chithandizo chikhale chopambana.

Ndani amalandira Birdshot Chorioretinopathy?

Kwenikweni, matendawa amatha kufalikira mwa aliyense. Koma amapezeka kwambiri kwa achikulire azaka zapakati, oyera azaka zapakati pa 40 ndi 60. Ndikosowa kwambiri kuti ana adwale matendawa.

Kodi pali matenda ena ofanana ndi awa (Birdshot Chorioretinopathy)?

Inde, matenda ena angapo, kuphatikizapo matenda ena omwe ali m'gulu la Uveitis, amatha kukhala ndi zizindikiro zofanana ndi za Birdshot Chorioretinopathy. Chifukwa chake, ndikofunikira kwambiri kupeza matenda olondola kuti mulandire chithandizo choyenera. Matenda ena omwe angafanane ndi BSCR ndi awa:

• Lymphoma (mtundu wa khansa)
• Sarcoidosis (matenda omwe amayambitsa kutupa pang'ono m'mbali zosiyanasiyana za thupi)
• `(Sympathetic ophthalmia)` (Mtundu wosowa wa uveitis womwe umayamba chifukwa cha kuvulala kwa maso)
• Chimfine (matenda opatsirana pogonana)
• `(Presumed ocular histoplasmosis syndrome (POHS))` (Vuto lomwe limakhudza maso lomwe limayambitsidwa ndi matenda a bowa)
• `(Chifuwa chachikulu)` (Chifuwa chachikulu)
• `(Vogt-Koyanagi-Harada syndrome)` (matenda omwe amakhudza dongosolo la mitsempha, omwe amakhudza masomphenya ndi kumva)

Palinso gulu la matenda otupa otchedwa ``White dot syndromes'', omwe amathanso kusonyeza zizindikiro za BSCR. Izi zimayambitsa ``zilonda'' ku retina ndi choroid. Zitsanzo zina ndi izi:

• `(Acute posterior multifocal placoid pigment epitheliopathy (APPMPPE))`
• `(Multifocal choroiditis ndi panuveitis (MCP))`
• `(Multiple evanescent white dot syndrome (MEWDS))`
• `(Punctate inner choroidopathy (PIC))`

N’chifukwa chiyani izi zimatchedwa Birdshot Chorioretinopathy?

Imeneyi ndi matenda atsopano, omwe adafotokozedwa koyamba mu 1949. Mpaka mu 1980, madokotala awiri a maso adapatsa dzina lakuti "(Birdshot Chorioretinopathy)". Chifukwa cha izi ndikuti madonthowa amafalikira m'maso, omwe ali ndi utoto wofiirira komanso wa lalanje . Dzinali limachokera ku mfundo yakuti mawonekedwe a madonthowa amafanana ndi mawonekedwe a zipolopolo zazing'ono (birdshot) zomwe zimagwiritsidwa ntchito kuwombera mbalame. Tangoganizirani, pali madontho mkati mwa diso, monga zipolopolo zomwe zimafalikira mfuti ikawomberedwa.

Kodi pali mayina ena a izi?

Inde, pali mayina ena angapo omwe amagwiritsidwa ntchito pa matendawa (Birdshot Chorioretinopathy):

• `(Kutupa kwa mbalame)`
• '(Mbalame retinochoroiditis)`
• `(Mbalame retinochoroidopathy)`
• `(Birdshot uveitis)`
• `(BSCR)` (dzina lalifupi)
• `(Posterior uveitis)` (uveitis yomwe imachitika kumbuyo kwa diso)
• `(Vitiliginous choroiditis)`

Kodi Birdshot Chorioretinopathy ndi yofala bwanji?

Uwu ndi matenda osowa kwambiri . Ofufuza amakhulupirira kuti umakhudza anthu ochepera mmodzi pa anthu 100,000. Izi zikutanthauza kuti ngakhale ku Sri Lanka, pakhoza kukhala anthu omwe ali ndi matendawa, koma chiwerengerochi ndi chochepa kwambiri.

Kodi n’chiyani chimayambitsa matenda a Birdshot Chorioretinopathy?

Ofufuza sakudziwabe chomwe chimayambitsa matendawa, koma akuganiza kuti ndi matenda omwe amayambitsa chitetezo chamthupi . Mwachidule, chitetezo chamthupi lathu, chomwe ndi chitetezo chamthupi, chimaukira minofu yathu yathanzi molakwika.

Anthu opitilira 90% omwe amapezeka ndi (BSCR) ali ndi jini ya antibody (molekyulu yomwe imalimbikitsa chitetezo chamthupi) yotchedwa `(HLA-A29)` m'thupi lawo. Ichi ndi chinthu chomwe chimabadwa kuchokera kwa makolo. Komabe, `(HLA-A29)` sikofunikira kuti munthu ayambe (Birdshot Chorioretinopathy). Komanso, n'zotheka kukhala ndi jini ya antibody iyi koma osayambitsa matendawa.

Kodi zizindikiro za Birdshot Chorioretinopathy ndi ziti?

Zizindikiro za matendawa zimatha kusiyana malinga ndi munthu.Matenda opitirira muyeso ndi matenda omwe amakula pang'onopang'ono kwa miyezi ingapo mpaka zaka.

Zizindikiro zoyamba za Birdshot Chorioretinopathy nthawi zambiri zimakhala izi:

• Kuona zinthu zakuda zikuyandama pamaso pa maso (zoyandama)
• Maso osawoneka bwino

Vutoli nthawi zambiri silimayambitsa kupweteka kwa maso kapena kufiira . Komabe, mungakumane ndi zotsatirazi:

• Kusintha kwa masomphenya kapena kuchepa kwa masomphenya.
• Kuchepa kwa masomphenya kapena kuvutika kuweruza mtunda.
• Kuthamanga kwambiri kwa magazi m'maso (kuthamanga kwa magazi m'maso).
• Kusawona bwino usiku (nyctalopia) (kusawona bwino usiku).
• Mavuto a kuwona mitundu (`(khungu la mtundu)`), kuvutika kusiyanitsa mitundu ina (`(dyschromatopsia)`.
• Kuzindikira kuwala kowala kapena kuwala kowala (photophobia).

Anthu ena angakumane ndi kusintha kwa masomphenya kapena mavuto a maganizo. Mwachitsanzo:

• Zotsatira za fan ya denga : Mukatseka maso anu, zimaoneka ngati fan ya denga kapena windmill ikuzungulira.
• Kuwona kuwala kapena kuwala (photopsia) kapena kuwona mawonekedwe osokonekera (metamorphopsia) .
• Maso owoneka bwino, owala ngati akuyang'ana m'madzi kapena galasi lodetsedwa .

Pa milandu yoopsa, matenda monga cataract kapena glaucoma amatha kuyamba. Izi zingayambitse kutayika kwa masomphenya ngakhale atalandira chithandizo cha kutupa. Birdshot Chorioretinopathy ingayambitsenso mavuto pakati pa retina, monga cystoid macular edema ndi epiretinal membranes.

Kodi Birdshot Chorioretinopathy imapezeka bwanji?

Matendawa nthawi zina amakhala ovuta kuwazindikira chifukwa ndi matenda osowa ndipo mawanga odziwika bwino sangawonekere kumayambiriro kwa matendawa.

Madokotala a maso nthawi zambiri amazindikira BSCR kudzera mu mayeso a maso. Amachitanso mayeso a magazi kuti aone ngati muli ndi antibody ya HLA-A29.

Madokotala angagwiritse ntchito mayeso osiyanasiyana kuti akuwoneni pakapita nthawi. Ndikofunikira kulumikizana ndi dokotala wanu kuti mupeze chithandizo chomwe mukufuna.

Kodi pali mankhwala athunthu a Birdshot Chorioretinopathy?

Mwatsoka, palibe mankhwala athunthu a matendawa. Komabe, ngati matendawa atapezeka ndi kuchiritsidwa msanga , zizindikiro zake zimatha kuchepa ndipo matendawa amatha kupewedwa kuti asakule kwambiri.

Kumbukirani: chofunika kwambiri ndi kuzindikira matendawa msanga ndikuyamba kulandira chithandizo!

Ndani angakhale m'gulu langa la chithandizo?

Gulu lanu losamalira odwala lidzakulangizani chithandizo, kukuyang'anirani, ndikusintha mankhwala anu kutengera momwe mulili komanso zotsatira zake. Gulu lanu likhoza kuphatikizapo:

• Dokotala wa maso : Dokotala wamkulu amene amagwira ntchito za maso.
• Dokotala wa matenda a impso : Chifukwa mankhwala ena amakhudza impso.
• Katswiri wa matenda a maso: Dokotala amene waphunzitsidwa bwino za mavuto a chitetezo cha m'maso.
• Katswiri wa mafupa a m'chiuno: Dokotala amene amagwira ntchito yokhudza matenda okhudzana ndi kutupa m'thupi, chifukwa ichinso ndi matenda a kutupa.
• Dokotala wa mafupa : Chifukwa chakuti mankhwala ena amakhudza mafupa.

Kodi Birdshot Chorioretinopathy imachiritsidwa bwanji?

Chithandizo cha matendawa chimadalira kuopsa kwa vuto lanu komanso momwe limasinthira pakapita nthawi. Cholinga chachikulu cha chithandizo ndikuchepetsa kutupa m'maso mwanu ndikupewa kapena kubwezeretsa masomphenya omwe adatayika .

Madokotala nthawi zambiri amayamba ndi mankhwala ambiri a corticosteroid (mtundu wa mankhwala a steroid) kuti achepetse kutupa kwa maso. Kenako, mlingowo umachepetsedwa pang'onopang'ono kuti muchepetse chiopsezo cha zotsatirapo zoyipa. Mutha kupeza ma steroids m'njira zotsatirazi:

• Madontho a m'maso
• Mankhwala omwa
• Kachipangizo kakang'ono komwe kamayikidwa mkati mwa diso (intravitreal implant)
• Jakisoni
• Kuperekedwa mu mtsempha (IV - kudzera m'mitsempha)

Anthu ambiri amafunikanso kumwa mankhwala oletsa chitetezo chamthupi kwa nthawi yayitali . Mankhwalawa amaletsa chitetezo chamthupi chanu kuti chisaukire maso anu. Chimodzi mwa izi chingagwiritsidwe ntchito:

• `(Zothandizira alkylating)`
• `(Mankhwala oletsa kusintha kwa thupi)`
• `(Zopangira zamoyo)` (mankhwala achilengedwe)
• `(Kupereka maselo a T/zoletsa calcineurin)`

Kodi mankhwala a Birdshot Chorioretinopathy (Birdshot Chorioretinopathy) angayambitse zotsatirapo zoyipa?

Inde, kugwiritsa ntchito mankhwala a steroid ndi mankhwala oletsa chitetezo chamthupi kwa nthawi yayitali kungayambitse mavuto aakulu . Mwachitsanzo, mavuto am'mimba (zilonda, zilonda) kapena mavuto a mafupa (osteoporosis) amatha kuchitika. Mankhwalawa angapangitsenso kuti munthu adwale matenda a maso kapena glaucoma.

Dokotala wanu adzakuyang'anirani ngati pali zovuta zilizonse ndipo adzakupatsani mankhwala ena ngati pakufunika kutero. Ngati mukumwa mankhwala ophera tizilombo toyambitsa matenda, dokotala wanu adzakuyang'anirani ngati mafupa anu atayika (osteoporosis) komanso ngati muli ndi chiopsezo chosweka mafupa.

Dokotala wanuKujambula kuchuluka kwa mafupa kungalimbikitsidwenso. Mankhwala (bisphosphonates) angakupatseninso kuti mupewe kutayika kwa mafupa.

Ndi mtundu wanji wa kuyang'anira kwa nthawi yayitali komwe ndikufunika (BSCR)?

Dziwani kusintha kulikonse kapena zovuta zilizonse pa thanzi lanu. Dokotala wanu adzakuyesani magazi ndi mkodzo kuti awone momwe impso zanu, chiwindi, ndi mafuta a m'mafupa zikugwira ntchito. Mwina mungafunikenso kuyezetsa maso nthawi zonse, kuyezetsa maso, ndi kusanthula kwa optical coherence tomography (OCT).

Kodi ndingachepetse chiopsezo changa chotenga matenda a Birdshot Chorioretinopathy?

Pakadali pano palibe njira yodziwika yopewera matendawa. Nthawi zambiri, amakhulupirira kuti amayamba chifukwa cha jini inayake ya antibody (antigen) yomwe imatengedwa kuchokera kwa achibale.

Kuyezetsa maso nthawi zonse kungathandize kuzindikira zizindikiro zoyambirira za matenda, kotero mutha kupeza chithandizo chamankhwala nthawi yake ngati pakufunika kutero. Uzani dokotala wanu ngati wina aliyense m'banja mwanu ali ndi vuto la maso.

Kodi chiyembekezo cha Birdshot Chorioretinopathy ndi chotani?

Chiyembekezo cha matendawa chimasiyana malinga ndi munthu . Zimatengera kuopsa kwa matendawa komanso kupambana kwa chithandizo. Muzochitika zochepa, chithandizo chingathandize kusunga kapena kupititsa patsogolo masomphenya.

Kodi ndi liti pamene ndiyenera kupeza upangiri wa dokotala pa matenda a (Birdshot Chorioretinopathy)?

Ndikofunikira kupeza chithandizo mwachangu kuchokera kwa dokotala wa maso wa Birdshot Chorioretinopathy. Ngakhale maso anu atakhala bwino, kuyezetsa maso kungathandize kuzindikira kutupa pang'ono.

Uzani dokotala wanu za zotsatirapo zilizonse zoyipa, kusintha kwa zizindikiro, kapena masomphenya ochokera ku mankhwala anu. Mungapatsidwe mankhwala ena ngati pakufunika kutero. Dokotala wanu adzakambirana nanu za njira zomwe zili zoyenera kwa inu.

Uthenga Womaliza Wopita Nawo Kunyumba

(Birdshot Chorioretinopathy) ndi matenda osowa koma ochiritsika . Choncho musachite mantha. Chofunika kwambiri ndikupita kukayezetsa maso anu nthawi zonse ndikutsatira malangizo a dokotala wanu . Pakapita nthawi, dokotala wanu adzakuuzani momwe mungatetezere maso anu ndikupewa mavuto. Mukatero mudzatha kuona dziko bwino kwa nthawi yayitali. Samalani maso anu, chifukwa ndi amtengo wapatali kwambiri!

Matenda a Birdshot Chorioretinopathy, Matenda a Maso, Kulephera Kuona, Uveitis, Retina, Matenda a Autoimmune, Chithandizo cha Maso