Kodi maso anu ali ofooka pakati? Tiyeni tiphunzire za Central Serous Retinopathy!

Kodi munayamba mwamvapo ngati maso anu asintha mwadzidzidzi? Mwina maso anu m'diso limodzi ali ndi chizungulire pakati, kapena mukuona malo akuda. Zinthu ngati izi si chinthu chomwe muyenera kungonyalanyaza. Lero, tiyeni tikambirane za chifukwa chimodzi chomwe chingayambitse zizindikirozi.

Kodi Central Serous Retinopathy ndi chiyani?

Mwachidule, iyi ndi vuto lomwe madzi amasonkhana kumbuyo kwa retina, gawo la diso lomwe ndi lofunika kwambiri pa masomphenya athu. Taganizirani za diso lathu ngati kamera. Retina ndi gawo lochepa lomwe lili ngati filimu mu kamera, kujambula kuwala ndikuthandiza ubongo kutanthauzira zithunzi. Pansi pa retina pali gawo lodzaza ndi mitsempha yamagazi yotchedwa choroid . Nthawi zina, madzi amatuluka kuchokera ku choroid iyi ndikuwunjikana kumbuyo kwa retina. Pamenepo ndi pomwe vutoli lotchedwa `Central Serous Retinopathy` limachitika. Madzi awa angayambitse retina kumasuka pang'ono ndikulekanitsidwa. Ngati zimenezo zitachitika, mavuto osiyanasiyana ndi masomphenya athu amayamba kuchitika.

Izi zimatchedwanso `Central Serous Chorioretinopathy`, mwachitsanzo.

Matendawa si ofala kwambiri, koma angachitikire aliyense. Pa avareji, amakhudza anthu pafupifupi 10 pa anthu 100,000 aliwonse. Komabe, chiwerengerochi chimasiyana malinga ndi jenda komanso zinthu zina zomwe zimayambitsa matendawa.

Kodi zizindikiro za izi ndi ziti?

Anthu ena akhoza kukhala ndi Central Serous Retinopathy popanda zizindikiro zilizonse. Izi zikutanthauza kuti vutoli likhoza kukhalapo m'diso popanda kusintha kwa masomphenya. Komabe, ngati zizindikirozo zichitika, zitha kuchitika m'diso limodzi kapena m'maso onse awiri nthawi imodzi. Yang'anani ngati muli ndi chimodzi mwa izi:

• Kuona molakwika : Zingawoneke ngati utsi wadutsa mu zomwe mukuyang'ana, kapena ngati kadontho ka utoto kagwa.
• Dothi lakuda pakati pa maso anu : Mutha kuona dothi lakuda, kapena mthunzi wakuda, pakati pa zomwe mukuyang'ana.
• Kuona molakwika: Chilichonse chimawoneka chakuda kuposa chachizolowezi, ndi kuwala kochepa.
• Zinthu zoyera zimaoneka mosiyana mu mtundu: Zinthu zoyera sizingaoneke zoyera konse, koma zingaoneke zakuda pang'ono, mwina zofiirira.
• Zinthu zimaoneka zazing'ono kapena kutali: Zinthu zingaoneke zazing'ono kuposa momwe zimaonekera nthawi zambiri kapena zingaoneke ngati zili kutali kuposa momwe zilili.
• Mizere yowongoka imawoneka yotambasuka: Mizere yowongoka, monga mafelemu a zitseko ndi mawindo ndi mizere ya matailosi, ingawoneke yotambasuka kapena yokhota.

N’chifukwa chiyani izi zikuchitika?

Ndipotu, asayansi sanapezebe chomwe chimayambitsa Central Serous Retinopathy. Koma chinthu chimodzi n'chodziwikiratu.Kupsinjika maganizo kumaoneka kuti kumakhudza kwambiri izi. Taganizirani izi, tikakhala ndi nkhawa kwambiri, thupi lathu limapanga mahomoni otchedwa cortisol . Cortisol iyi imatha kuyambitsa kutupa m'malo osiyanasiyana a thupi, ndipo monga tanenera kale, madzi amatha kutuluka. Chifukwa chake, anthu omwe ali ndi nkhawa zambiri ndipo amavutika kuwongolera kupsinjika kumeneku ali pachiwopsezo chachikulu chotenga matendawa.

Komanso, vutoli lingachitike kwa anthu omwe amagwiritsa ntchito mankhwala okhala ndi corticosteroids . Mankhwalawa nthawi zambiri amaperekedwa pochiza kutupa ndi ziwengo. Mwachitsanzo, odwala ena a mphumu amapatsidwa izi chifukwa cha kupweteka kwa mafupa. Chifukwa chake, ngati mukugwiritsa ntchito mankhwala otere, muyeneranso kusamala ndi zimenezo.

Ndani amene ali ndi mwayi waukulu wopeza izi?

Ngakhale aliyense akhoza kudwala `Central Serous Retinopathy`, anthu ena ali pachiwopsezo chachikulu. Nawa omwe ali:

• Amuna azaka zapakati pa 30 ndi 50: Amapezeka kwambiri mwa amuna azaka izi.
• Anthu omwe ali ndi vuto la kuona pang'ono (`Myopia` / `nearsensingness`): Izi zikutanthauza kuti ngakhale kuti zinthu zapafupi zitha kuoneka bwino, zinthu zakutali zimakhala zosawoneka bwino.
• Anthu omwe amagwiritsa ntchito mankhwala enaake: makamaka corticosteroids yomwe yatchulidwa pamwambapa.

Kuonjezera pa izi, palinso zinthu zina zoopsa:

• Matenda a autoimmune : Mwachitsanzo, anthu omwe ali ndi matenda monga lupus ndi rheumatoid arthritis.
• Matenda a mtima kapena kuthamanga kwa magazi : Anthu omwe ali ndi matendawa ali pachiwopsezo chachikulu.
• Matenda a bakiteriya a Helicobacter pylori: Ichi ndi bakiteriya yomwe nthawi zambiri imagwirizanitsidwa ndi gastritis.
• Matenda a impso : Mwachitsanzo, matenda monga glomerulonephritis.
• Mimba : Azimayi ena angakumane ndi vutoli panthawi ya mimba.
• Mavuto a tulo: Matenda monga kusowa tulo komanso kupuma movutikira.
• Mankhwala ena: Mankhwala ena otsekereza mphuno ndi mankhwala ogwiritsidwa ntchito pochiza matenda ogonana angakhudzenso izi.

Kodi madokotala amazindikira bwanji izi?

Ngati muwona kusintha kulikonse m'maso mwanu, ndiko kuti, ngati mukukumana ndi chimodzi kapena zingapo mwa zizindikiro zomwe tatchula pamwambapa, pitani kwa dokotala wa banja lanu kapena dokotala wa maso nthawi yomweyo.Muyenera kuonana ndi dokotala. Dokotala adzakufunsani za zizindikiro zanu ndikuwunika maso anu. Kuphatikiza apo, angachite mayeso apadera kuti aone retina yanu:

• Fluorescein Angiography (IVF): Izi zimaphatikizapo kubaya utoto wapadera mu mtsempha womwe uli m'dzanja lanu. Utoto uwu umayenda kudzera m'mitsempha yamagazi mkati mwa diso ndi kulowa mu retina. Kenako kamera yapadera imatenga zithunzi za mkati mwa diso. Izi zimakupatsani mwayi wowona komwe madzi akutuluka bwino.
• Optical Coherence Tomography (OCT): Ichi ndi chithunzi cha 3D cha mkati mwa diso. Chingathe kuyeza makulidwe a retina, kuona ngati pali kutupa, ndikuwona ngati pali serous retina yosweka.

Kodi chithandizo cha izi ndi chiyani?

Nthawi zambiri, vuto limeneli lotchedwa `Central Serous Retinopathy` limachira popanda chithandizo chilichonse mkati mwa milungu kapena miyezi ingapo. Izi zikutanthauza kuti madzi omwe asonkhana amatha okha. Chifukwa chake, dokotala wanu angakuuzeni kuti ``yang'anirani ndikudikirira``. Panthawi imeneyo, adzabwereza mayeso (monga ``OCT``) kuti awone ngati madziwo achepa.

Komanso, ngati mukumwa mankhwala aliwonse omwe mukuganiza kuti angayambitse vutoli, dokotala wanu adzakulangizani kuti musiye kumwa. Kuchepetsa kupsinjika maganizo n'kofunika kwambiri. Dokotala wanu adzakulangizaninso pankhaniyi.

Komabe, ngati madziwo sanachepe patatha miyezi ingapo, ndiye kuti dokotala angasankhe kuyamba kulandira chithandizo. Nayi njira zochiritsira izi:

• Mankhwala: Pali mankhwala ena, mwachitsanzo, jakisoni wotchedwa Anti-Vascular Endothelial Growth Factor (Anti-VEGF). Izi zitha kuletsa kukula kwa mitsempha yatsopano yamagazi mkati mwa diso. Komanso, mankhwala ena ochepetsa mphamvu ya magazi (omwe amathandiza kuchepetsa kusunga madzi m'thupi) angaperekedwe.
• Chithandizo cha Photodynamic (PDT): Izi zimaphatikizapo kubaya mankhwala otchedwa Verteporfin mumtsempha womwe uli m'manja mwanu. Mankhwalawa akangolowa m'diso lanu, laser yapadera yozizira imagwiritsidwa ntchito kutseka kutuluka kwa madzi.
• Mankhwala Ena Ochizira ndi Laser: Mankhwala oletsa kumva kupweteka m'maso ndipo nthawi zina laser yotenthetsera ingagwiritsidwe ntchito kuletsa kutuluka kwa madzi. Laser ya micropulse ndi mtundu wina wa laser. Imeneyi imagwiritsa ntchito ma pulse ang'onoang'ono a laser afupi kwambiri.

Ngati ndili ndi vutoli, ndingadzisamalire bwanji?

Kusintha moyo wanu kungakuthandizeni kuthana ndi matenda a Central Serous Retinopathy:

• Gonani bwino kwa maola osachepera asanu ndi awiri usiku uliwonse.
• Chepetsani kugwiritsa ntchito caffeine (tiyi, khofi), mowa, ndi corticosteroids. Pewani kugwiritsa ntchito corticosteroids popanda upangiri wa dokotala.
• Kuthana ndi kupsinjika maganizo. Izi zitha kuchitika pochita masewera olimbitsa thupi, kusinkhasinkha, kukhala ndi okondedwa anu, kapena kupempha uphungu.

Ngati muli ndi vuto la maso, yesani zinthu izi kuti muthane nalo:

• Lowani nawo gulu lothandizira. Mwanjira imeneyi mutha kukumana ndi anthu omwe ali mumkhalidwe womwewo ndi inu, kugawana zomwe akumana nazo, ndikumvetsetsana.
• Lankhulani ndi okondedwa anu kapena mlangizi za momwe mukumvera komanso momwe mukupirira.
• Gwiritsani ntchito zothandizira zomwe zimakuthandizani kuchita ntchito za tsiku ndi tsiku mosamala.

Kodi ndiyenera kupita liti kwa dokotala ngati ndaona kusintha kwa masomphenya anga?

Ngati muwona kusintha kulikonse m'maso mwanu, musanyalanyaze. Pitani kwa dokotala wa banja lanu kapena katswiri wa maso nthawi yomweyo. Matendawa, otchedwa Central Serous Retinopathy, nthawi zina amachira okha, koma nthawi zina amatha kuipiraipira ndikupangitsa kuti maso asaone bwino kapena asamaone bwino. Komanso, nthawi zina mavuto a maso amatha kukhala chizindikiro cha vuto lina loyambitsa vutoli. Ndicho chifukwa chake ndikofunikira kufunafuna chithandizo chamankhwala nthawi yomweyo.

Kodi ndingayembekezere chiyani ngati zili choncho?

Nthawi zambiri, Central Serous Retinopathy imakula bwino madzi akakhazikika okha. Masomphenya amabwerera mwakale, ndipo nthawi zina amakhala abwinobwino. Komabe, nthawi zina kuwonongeka kumakhala kosatha, ndipo kusintha kwa masomphenya kumatha kupitirira.

Chofunika ndichakuti ngakhale vutoli litachiritsidwa bwino ndikuchira, likhoza kubwereranso. Likhoza kubwereranso m'diso lomwelo kapena m'diso lina. Chifukwa chake, muyenera kupitiriza kukaonana ndi katswiri wa maso nthawi zonse.

Ndiye, ndi zinthu ziti zomwe tiyenera kukumbukira kuchokera munkhaniyi?

Ngati muli ndi vuto lililonse la masomphenya, musawanyalanyaze. Ndi bwino kupita kwa dokotala wa banja lanu kapena dokotala wa maso. `Central Serous Retinopathy` si matenda ofala kwambiri, koma ndi matenda a maso omwe angayambitse kutayika kwa masomphenya kosatha komanso zotsatirapo zina. Ngati mutazindikira msanga ndikuyamba kulandira chithandizo, mutha kuchepetsa kuwonongeka kwa masomphenya anu. Chifukwa chake, ndikofunikira kwambiri kusamalira maso anu ndikupempha upangiri wa dokotala ngati muwona kusintha kulikonse, mukumvetsa?