Muli bwanji? Lero tikambirana za vuto la maso lomwe silidziwika bwino, koma lofunika kwambiri. Nthawi zina maso athu amatha kusintha momwe timaonera popanda ife kuzindikira. Kodi mudamvapo za kapangidwe kamene kamaoneka ngati chandamale pa bolodi la chandamale? Ndicho chimene chimachitika mu vuto ili lotchedwa ``Bull's Eye Maculopathy''. Dzinali limamveka lachilendo pang'ono, sichoncho? Koma musadandaule, tiyeni tikambirane za ilo mwatsatanetsatane komanso mosavuta.
Kodi "Bull's Eye Maculopathy" ndi chiyani? Mwachidule...
Matenda a Bull's Eye Maculopathy ndi matenda osowa kwambiri omwe amachititsa kuti maselo a macula, omwe ndi gawo lofunika kwambiri la retina, azifooka pang'onopang'ono ndipo, molondola kwambiri, aziwonongeka.
Tangoganizirani, ngati diso lanu lili ngati kamera, retina ili ngati filimu kapena sensa yomwe ili kumbuyo kwa kamera. Zithunzi zomwe timawona zimajambulidwa pamenepo. Pakati pa retina, pali malo ang'onoang'ono koma ofunikira kwambiri omwe amatithandiza kuwona zinthu momveka bwino komanso molunjika. Ndicho chomwe chimatchedwa macula. Macula iyi imatithandiza kuwona zinthu zazing'ono bwino, monga tikamawerenga buku, kuyang'ana nkhope ya munthu, kapena tikamangirira ulusi woonda.
Kotero, mu ``Bull's Eye Maculopathy'', pamene maselo mu ``macula'' iyi awonongeka, dokotala akayang'ana mkati mwa diso, amawona mawonekedwe a mphete zosinthika mu ``macula'' imeneyo. Dzina lake limatchedwa chifukwa limawoneka ngati mphete zomwe zili pa cholinga choponyera mivi (mawonekedwe a maso a ng'ombe). Vutoli lingayambitse kutayika kwa maso kosatha.
Matendawa amatha kutengera kwa makolo anu (monga, ochokera kwa makolo anu kudzera m'majini). Madokotala nthawi zina amatcha mtundu uwu wa ``Bull's Eye Maculopathy'' ``Benign Concentric Annular Macular Dystrophy (BCAMD)''. Angathenso kufalikira chifukwa cha matenda ena a maso kapena ngati zotsatira zoyipa za kugwiritsa ntchito mankhwala ena kwa nthawi yayitali .
Vuto lililonse la masomphenya lingakhale loopsa. Koma dokotala wanu angakuthandizeni kupeza chomwe chikuyambitsa vutoli ndikukupatsani chithandizo ndi chithandizo chomwe mukufunikira kuti muthane ndi vutoli.
Kodi Bull's Eye Maculopathy ingayambitse bwanji vuto la masomphenya?
Matenda a Bull's Eye Maculopathy amayamba chifukwa cha kuwonongeka kwa maselo omwe amatithandiza kuona zinthu. Chifukwa chake, izi zitha kukhudza masomphenya anu apakati pamlingo wosiyanasiyana.
- Anthu ena angavutike kuona bwino zinthu zazing'ono.
- Mwina simungathe kusiyanitsa mitundu bwino, kapena kuwona kwanu mitundu kungachepe.
- Kuona kungachepe usiku.
- Pamene masomphenya apakati akufooka , zimakhala zovuta kuwerenga mabuku, kuyendetsa magalimoto, ndikuwona zinthu molunjika.
- Matendawa angakhudze diso limodzi kapena maso onse awiri.
Koma nthawi zambiri, anthu omwe ali ndi vuto la Bull's Eye Maculopathy sakhala ndi vuto lalikulu ndi masomphenya awo akunja - kutanthauza zomwe amawona kuchokera pakona ya diso lawo. Komabe, chifukwa nthawi zambiri izi zimakhala vuto lopitirira, masomphenya amatha kuipiraipira pakapita nthawi .
Ndani ali pachiwopsezo chachikulu chotenga matenda a "Bull's Eye Maculopathy"?
"Chinthu choopsa" ndi chinthu chomwe chimawonjezera mwayi wopeza matenda. Pali zinthu zingapo zomwe zimayambitsa "Bull's Eye Maculopathy":
- Ngati wina m'banjamo ali ndi "Bull's Eye Maculopathy" (mbiri yobadwira).
- Kukhala ndi matenda ena a maso monga kuwonongeka kwa maso .
- Matenda ena a majini , mwachitsanzo, matenda a Batten kapena matenda a Stargardt.
- Kugwiritsa ntchito mankhwala ena kwa nthawi yayitali, makamaka omwe amagwiritsidwa ntchito pochiza matenda odziteteza okha (matenda odziteteza okha, mwachidule, ndi matenda omwe chitetezo cha mthupi lanu chimaukira maselo anu athanzi).
Kodi vutoli ndi lofala bwanji?
Matenda a Bull's Eye Maculopathy ndi matenda osowa kwambiri. Mwachitsanzo, ngakhale ku United States, anthu ochepa okha ndi omwe ali ndi matendawa. Choncho, musachite mantha ngati muwona kusintha kulikonse m'maso mwanu.
Kodi ndi zifukwa ziti za "Bull's Eye Maculopathy"?
Pali zifukwa zingapo zomwe izi zingachitikire:
1. Majini:
Bull's Eye Maculopathy, yomwe imadziwikanso kuti BCAMD, ndi vuto lalikulu la autosomal. Mwachidule, ngati kholo lililonse lili ndi jini yosinthika ya matendawa, pali mwayi wa 50% kuti mwana wawo adzalandira matendawa. Majini amenewa ndi mbali ya DNA yathu yomwe imasunga chidziwitso m'matupi athu.
2. Matenda ena:
Matenda ena a maso, monga cone-rod dystrophy kapena retinitis pigmentosa, angayambitsenso Bull's Eye Maculopathy. Komanso, monga tanenera kale, anthu omwe ali ndi matenda a majini monga Batten disease kapena Stargardt disease nawonso ali pachiwopsezo chotenga matendawa.
3. Poizoni:
Zinthu zina, makamaka mankhwala ena, zimatha kuwononga maselo omwe ali pakati pa maso anu (macula). Mwachitsanzo, kugwiritsa ntchito mankhwala monga chloroquine kapena hydroxychloroquine kwa nthawi yayitali, omwe amagwiritsidwa ntchito pochiza matenda monga nyamakazi kapena lupus, kungayambitse matenda a Bull's Eye Maculopathy.
Komanso, anthu omwe amafunika kuikidwa magazi pafupipafupi amatha kukhala ndi vuto lotchedwa hemochromatosis (kuchuluka kwa iron). Izi zitha kuwononganso macula anu.
Kodi mankhwala `(Hydroxychloroquine)` amayambitsa bwanji `(Bull's Eye Maculopathy)`?
Akatswiri sakudziwabe momwe izi zimachitikira. Koma kafukufuku akusonyeza kuti mankhwalawa amatha kumangirira ku maselo omwe ali mu retina yanu ndikukhudza momwe maselowo amagwirira ntchito. Izi zimachitika nthawi zambiri mukatenga mankhwala ambiri kwa nthawi yayitali. Ichi ndichifukwa chake madokotala amalimbikitsa kuti anthu omwe akumwa mankhwalawa aziyezetsa maso nthawi zonse.
Kodi zizindikiro za "Bull's Eye Maculopathy" ndi ziti?
Matendawa amakhudza kwambiri masomphenya. Zizindikiro zake zingakhale monga:
- Kuona zinthu mopanda nzeru kapena mopanda chifunga.
- Kuona madontho akuda kapena mithunzi yakuda m'munda mwanu wa masomphenya.
- Kuvuta kuzindikira mitundu kapena khungu losawona bwino.
- Kuona zinthu monga ulusi zikuyandama patsogolo pa maso (mawonekedwe oyandama) kapena kuona kuwala kowala.
- Kuona pang'ono kwambiri .
Kumbukirani, musaganize kuti muli ndi Bull's Eye Maculopathy chifukwa chakuti muli ndi chimodzi kapena ziwiri mwa zizindikirozi. Izi zitha kukhalanso zizindikiro za matenda ena a maso. Chifukwa chake, ndikofunikira kufunafuna upangiri wa dokotala.
Kodi "Bull's Eye Maculopathy" imawoneka bwanji mkati mwa diso?
Ichi si chinthu chomwe mungazindikire poyang'ana pagalasi. Dokotala wa maso adzayang'ana macula ndi retina yanu pogwiritsa ntchito chida chapadera chotchedwa ophthalmoscope kuti adziwe ngati muli nacho kapena ayi.
Kawirikawiri, mawonekedwe a "diso la ng'ombe" awa amawoneka ngati pakati pozungulira, mdima wokhala ndi mphete zingapo zowala kuzungulira. Pakati pa mdimawo akuyimira retina yabwinobwino. Mphete zozungulira ndi zachilendo. Mphete izi zitha kukhala lalanje wopepuka, pinki, kapena wofiirira. Mitundu yosiyanasiyana iyi imayamba chifukwa cha kuwonongeka kapena kuwonongeka pakati pa masomphenya (macula).
Kodi matenda a Bull's Eye Maculopathy amawapeza bwanji?
Dokotala wanu angachite mayeso angapo a maso kuti adziwe ngati muli ndi matenda a Bull's Eye Maculopathy. Ena mwa iwo ndi awa:
- Mayeso a kuwona bwino: Iyi ndi mayeso oti muwone momwe mungawonere bwino. Mudzafunsidwa kuti muwerenge tchati cha zilembo zokhazikika (tchati cha Snellen) kapena chowunikira chokhala ndi zilembo zosiyanasiyana. Maso anu adzayesedwa ndi maso onse awiri komanso diso limodzi litatsekedwa padera.
- Mayeso a m'munda wowoneka:Izi zidzakuthandizani kuona bwino pakati panu ndi maso anu. Zingakuthandizeninso kudziwa ngati muli ndi malo osawoneka bwino. Mungapemphedwe kuti muyang'ane mizere, kapena mungapemphedwe kuti muyatse magetsi kapena kusuntha manja anu kuti muwone kutalika komwe mungawone patsogolo panu komanso m'mbali.
- Mayeso a kuwona mitundu: Mumawonetsedwa chithunzi chopangidwa ndi madontho amitundu yosiyanasiyana chokhala ndi nambala pakati (mayeso a mbale yamitundu). Ngati simungathe kuwona nambalayo, mwina muli ndi vuto la khungu losawona mitundu. Muthanso kugwiritsa ntchito chipangizo chotchedwa anomaloscope kuti muwone momwe mumaonera kuwala ndi kuwala kwa mitundu.
- Ophthalmoscopy: Izi zimaphatikizapo kukulitsa maso a ana aang'ono ndi madontho a maso. Kenako, ophthalmoscope imagwiritsidwa ntchito pofufuza cornea yanu, lenzi, retina, macula, mitsempha ya optic, ndi mitsempha yamagazi yozungulira. Mayesowa amatchedwanso fundoscopy.
- Kuyesa kwa Optical coherence tomography (OCT): Iyi ndi mayeso osapweteka. Imagwiritsa ntchito mafunde owala kujambula zithunzi zatsatanetsatane, zamitundu itatu (3D) za zigawo za retina yanu, makamaka macula, pakati pa maso anu. Kuyesa kumeneku kumatha kuzindikira kuwonongeka ndi kuwonongeka kwa macula kale komanso momveka bwino kuposa mayeso ena.
- Mayeso a Fundus autofluorescence imaging (FAF): Iyi ndi njira yatsopano yojambulira zithunzi. Imagwiritsa ntchito kuwala kwabuluu kuti ione maselo okhala ndi utoto mu retina yanu. Maselo ena amayamwa kapena kuwonetsa kuwalaku mosiyana ndi ena. Izi zimathandiza dokotala kuona ngati pali kuwonongeka kulikonse kapena kuwonongeka kwa retina.
Kodi matenda a Bull's Eye Maculopathy angachiritsidwe kwathunthu?
Mwatsoka, palibe mankhwala athunthu omwe apezeka a ``Bull's Eye Maculopathy''.
Kodi matenda a Bull's Eye Maculopathy amachiritsidwa bwanji?
Pakadali pano palibe chithandizo chomwe chingabwezeretse masomphenya omwe adatayika chifukwa cha ``Bull's Eye Maculopathy``. Komabe, ngati vutoli layamba chifukwa cha mankhwala kapena chitsulo chochuluka m'thupi (poizoni), kusiya mankhwalawo kapena kuchepetsa milingo yachitsulo kungathe kuletsa kapena kuletsa matendawa kuti asakule kwambiri.
Nthawi zambiri, cholinga chachikulu cha chithandizo ndi kuthandiza odwala kukhala ndi matenda monga kulephera kuona bwino komanso khungu losawoneka bwino. Dokotala wanu angakulangizeni izi:
- Ukadaulo wothandizira: Mwachitsanzo, zokulitsa makanema, mapulojekitala, kapena zowerengera pazenera.
- Magalasi kapena ma contact lenses.
- Kubwezeretsa masomphenya osawoneka bwino kapena chithandizo cha ntchito: Izi zimakuphunzitsani njira zosiyanasiyana zochitira ntchito za tsiku ndi tsiku ndi maso osawoneka bwino.
- Zipangizo zothandizira kuona: Zinthu monga zokulitsa za m'manja, ma telescope, kapena magalasi osefera kuwala.
Kodi chiyembekezo cha munthu amene ali ndi vuto la "Bull's Eye Maculopathy" ndi chotani?
Kutaya masomphenya komwe kumachitika chifukwa cha matenda a Bull's Eye Maculopathy nthawi zambiri kumakhala kosatha ndipo kumatha kupitirira pakapita nthawi . Komabe, monga tanenera kale, ngati kuwonongeka kwa maso kumachitika chifukwa cha mankhwala oopsa, kupewa mankhwala oopsa kungathandize kupewa matendawa kuti asakule kwambiri.
Kodi pali njira yopewera "Bull's Eye Maculopathy"?
Ndipotu, palibe njira yeniyeni yopewera kukula kwa ``Bull's Eye Maculopathy''.
Komabe, popeza mankhwala ena (monga hydroxychloroquine) ali ndi chiopsezo choyambitsa vutoli, ngati mankhwala otere atengedwa kwa nthawi yayitali, kuyezetsa maso nthawi zonse monga momwe dokotala walangizira kungathandize kuzindikira kuwonongeka kulikonse msanga ndikuletsa matendawa kuti asakule kwambiri.
Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga okhudza "Bull's Eye Maculopathy"?
Ngati muli ndi vuto la "Bull's Eye Maculopathy", mungafune kufunsa dokotala wanu mafunso monga:
- "Dokotala, kodi pali mankhwala aliwonse omwe ndikumwa omwe angapangitse vutoli kukhala loipa?"
- "Kodi pali zakudya zina zomwe zingathandize kukonza maso anga?"
- "Ndingatani kuti ndigwire ntchito zanga za tsiku ndi tsiku ndi vuto la masomphenya? Ndi njira ziti zomwe ndingapezere thandizo pa izi?"
- "Ndingadziwe bwanji ngati kuli bwino kuti ndiyendetse galimoto?"
- "Kodi kutayika kwanga kwa maso kumeneku n'kosatha?"
- "Kodi pali kuthekera kotani kuti masomphenya anga aipire?"
Matenda a Bull's Eye Maculopathy ndi matenda osowa kwambiri. Ngati muwona kusintha kulikonse m'maso mwanu, sizingachitike kuti kumachitika chifukwa cha vutoli. Komabe, musanyalanyaze vuto lililonse la masomphenya. Ngakhale kutaya masomphenya anu kungakhale koopsa komanso kovutitsa maganizo, pali njira zothetsera vutoli. Dokotala wanu angakutumizireni ku chithandizo cha masomphenya, mautumiki othandizira, ndi chithandizo chomwe mukufuna.
Ngati muwona kusintha kulikonse m'maso anu, kusawona bwino, kapena zizindikiro zina zatsopano, pitani kwa dokotala nthawi yomweyo. Kaya chifukwa cha kutayika kwa masomphenya anu n'chiyani, chithandizo choyambirira chingachedwetse, kuletsa, komanso mwina kusintha mavuto a masomphenya.
Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)
Chabwino, tiyeni tifotokoze mwachidule zina mwa zinthu zomwe takambirana lero zomwe mungazione kuti ndizofunikira:
- Matenda a maso otchedwa Bull's Eye Maculopathy ndi matenda osowa kwambiri a maso omwe pakati pa maso (macula) m'diso amawonongeka, zomwe zimapangitsa kuti pakhale mawonekedwe ofanana ndi a "diso la ng'ombe".
- Izi zitha kufooketsa masomphenya apakati. Izi zitha kukhudza zinthu monga kuwerenga mabuku ndi kuzindikira nkhope.
- Izi zitha kuchitika chifukwa cha majini, matenda ena, komanso kugwiritsa ntchito mankhwala ena kwa nthawi yayitali .
- Palibe mankhwala enieni a vutoli pakadali pano. Komabe, pali njira zothandizira kuthana ndi zizindikiro ndikupangitsa moyo kukhala wosavuta.
- Ngati muwona kusintha kulikonse m'maso mwanu, ndikofunikira kupita kwa dokotala wa maso nthawi yomweyo. Kuzindikira matenda mwachangu ndi kulandira chithandizo kungathandize kupewa vutoli kuti lisakule kwambiri.
Ndi udindo wanu kusamalira maso anu. Maso abwino ndi nyali yabwino kwambiri pa moyo wanu.
Matenda a maso, malo owonera, macula, kutayika kwa maso, kuyezetsa maso, hydroxychloroquine











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