Kodi maso anu atupa mwadzidzidzi ndipo maso anu akuona movutikira? Tiyeni tiphunzire za (Corneal Hydrops) iyi?

Tangoganizani mukudzuka m'mawa ndipo mwadzidzidzi diso lanu limodzi lafiira, latupa, ndipo simukuona bwino. Kapena, bwanji ngati chinthu chonga banga loyera chaonekera mwadzidzidzi m'diso lanu? Inde, ngati chinthu chonga ichi chichitika, ndi chochitika choopsa komanso chodetsa nkhawa. Lero tikambirana za matenda omwe angakhudze maso. Umenewo ndi matenda otchedwa `(Corneal Hydrops)`. Musadandaule, tikambirana izi mosavuta, m'njira yomwe mungamvetse.

Kodi `(Corneal Hydrops)` ndi chiyani? Nchifukwa chiyani izi zimachitika?

Mwachidule, `(Corneal Hydrops)` ndi gawo lowonekera bwino, lofanana ndi galasi la diso lathu pamwamba pa mphete yakuda (monga gawo la mtundu wa diso), lomwe timalitcha azachipatala `(cornea)`, chifukwa `(cornea)` imeneyo imatupa. Imatupa ngati galasi lodzaza madzi. Tsopano tiyeni tiwone chifukwa chake izi zimachitika. `(cornea)` yathu ili ndi zigawo zingapo. Pali nembanemba yofewa kwambiri, yofewa yomwe ili pafupi mkati mwake, yomwe imatchedwa `(Descemet's membrane)`. Ngati pazifukwa zina pali mng'alu wawung'ono mu `(Descemet's membrane)` iyi, ngati kung'ambika pang'ono mu nsalu, madzi omwe ali mkati mwa diso lathu (aqueous humor) amatuluka kudzera mu mng'alu uwu kupita ku `(stroma)`, yomwe ndi gawo lapakati la `(cornea)`. Taganizirani ngati siponji yomwe imayamwa madzi. Pamenepo ndi pomwe gawo la `(stroma)` limadzaza ndi madzi ndikutupa. Izi ndi zomwe timatcha `(Corneal Hydrops)`. Kuwonjezera pa kutupa kumeneku, pakhoza kukhala kutupa mkati mwa diso, monga kufiira ndi kupweteka. Kenako, chinthu chonga malo oyera, ngati mkaka chingawonekere pa `(cornea)` yanu. Izi zingapangitsenso kuti maso anu owoneka bwino asaoneke bwino . Vuto la `(Corneal Hydrops)` ili nthawi zambiri limachitika mwadzidzidzi, mwadzidzidzi. Mutha kukhala bwino lero ndipo mukayang'ana m'mawa wotsatira, diso lanu likhoza kutupa ndipo maso anu angasinthe. Ndicho chifukwa chake madokotala amagwiritsa ntchito mawu oti `(acute)` kutanthauza 'mwadzidzidzi'. Ndicho chifukwa chake mungamvenso `(Acute Corneal Hydrops)` za izi. Zimatanthauzanso chimodzimodzi, zinachitika mwadzidzidzi. Vutoli likhoza kuchitika ngati vuto mwa anthu omwe ali ndi matenda omwe amasintha mawonekedwe a cornea, monga `(Keratoconus)`. Tikutcha gulu la matenda omwe amasintha mawonekedwe a cornea `(cornea)` `(corneal ectasias)`. Nthawi zina `(Corneal Hydrops)` imatha kuchira popanda chithandizo chilichonse. Komabe, musayese kupanga zisankho nokha . Ngati muli ndi zizindikiro izi, pitani kwa dokotala wa maso, katswiri wa maso. Iye akhoza kudziwa ngati izi ndi `(Corneal Hydrops)` kapena china chake, ndipo angadziwenso chithandizo choyenera kwa inu.

Kodi Corneal Hydrops ndi yofala bwanji?

Malinga ndi kafukufuku, pakati pa 0.2% ndi 2.8% ya anthu omwe ali ndi Keratoconus amadwala Corneal Hydrops. Ku United States, anthu 55 mwa 100,000 akudwala matendawa. Izi zikutanthauza kuti Corneal Hydrops si yachilendo, koma ndikofunikira kuti anthu omwe ali ndi Keratoconus adziwe za matendawa. Matendawa amapezeka kwambiri mwa amuna kuposa akazi . Nthawi zambiri amakhudza achinyamata azaka za m'ma 20 ndi 30.

Kodi zizindikiro za `(Corneal Hydrops)` ndi ziti?

Anthu ena sangasonyeze zizindikiro zilizonse ngakhale atakhala ndi `(Corneal Hydrops)`. Komabe, anthu ambiri amakhala ndi zizindikiro. Nayi zomwe zili:

• Kutaya masomphenya mwadzidzidzi: Diso lomwe kale linali ndi masomphenya abwino limasanduka losawoneka bwino ndipo silingathe kuwona bwino.
• Malo oyera ngati mkaka mkati mwa diso: Malo omwe madzi amasonkhana mu cornea amakhala oyera.
• Kupweteka kwa maso : Anthu ena angamve kupweteka kwambiri.
• Kuopa kuwala: Maso amakhala abuluu kwambiri moti sangathe kuyang'ana kuwala ndikumva kupweteka.
• Kufiira kwa maso: Maso amatha kufiira.
• Maso otuluka madzi: Zingamveke ngati misozi ikubwera.
• Kuvuta kuika ma contact lens: Ngati muvala ma contact lens, zingakuvuteni kuwayika, kapena mungamve kumasuka kuwayika.

Ngati muli ndi chimodzi mwa zizindikiro izi, upangiri wabwino kwambiri womwe ndingakupatseni ndikupita kwa dokotala wa maso popanda kuwononga nthawi .

N’chifukwa chiyani `(Corneal Hydrops)` imeneyi imachitika? Kodi zimayambitsa chiyani?

Corneal Hydrops si chinthu chomwe chingafalitsidwe kuchokera kwa munthu kupita kwa munthu monga momwe amachitira chimfine. Madokotala amakhulupirira kuti pali zifukwa zingapo zazikulu zomwe zimayambitsa chimfine:

• Kuchepa kwa cornea yanu: Pamene cornea iyamba kufooka, pali mwayi waukulu woti ming'alu ipangike mu nembanemba ya Descemet.
• Matenda a Corneal ectasia : Matenda monga Keratoconus amachititsa kuti cornea itaye mawonekedwe ake abwinobwino ozungulira ndipo imasintha kukhala yozungulira. Kusinthaku kungawonongenso nembanemba ya Descemet.
• Kukanda maso pafupipafupi:Anthu ena amakonda kukanda kapena kutsekereza maso awo. Izi zimavulaza kwambiri maso. Kuchita izi kungapangitse kuti `(cornea)` ipanikizike ndikung'ambika `(Descemet's membrane)`.

Ndani ali pachiwopsezo chachikulu cha matenda a `(Corneal Hydrops)`?

Anthu ena ali ndi mwayi waukulu wopeza vutoli kuposa ena. Tiyeni tiwone omwe ali:

• Anthu omwe ali ndi matenda omwe ali mgulu la `(Corneal ectasia)`: Makamaka omwe ali ndi `(Keratoconus)` ali pachiwopsezo chachikulu.
• Anthu omwe ali ndi atopic dermatitis: Atopy ndi matenda omwe chitetezo cha mthupi chimachita zinthu mopitirira muyeso, kapena chimakonda kukhala ndi ziwengo. Anthu omwe ali ndi vutoli akhozanso kukhala pachiwopsezo chachikulu chifukwa amakonda kukanda maso awo pafupipafupi chifukwa cha zinthu monga kuyabwa kwa maso.
• Anthu omwe ali ndi Down syndrome : Anthu omwe ali ndi Down syndrome ali pachiwopsezo chotenga Corneal Hydrops pamodzi ndi matenda monga Keratoconus.

Kodi mavuto omwe angakhalepo chifukwa cha Corneal Hydrops ndi ati?

Mu nthawi ya `(Corneal Hydrops)`, maso anu adzasokonekera. Komanso, ngati kutupa kumeneku (corneal edema) kumatenga nthawi yayitali, ndiko kuti, ngati sikuchiritsidwa bwino, mitsempha yatsopano yamagazi ingapangidwe mkati mwa diso (neovascularization) . Mitsempha iyi yamagazi si yomwe iyenera kukhala mu `(cornea)`, ndipo imatha kusokoneza masomphenya. Komanso, chilonda chingapangidwe pa `(cornea)`.

Kodi matenda a Corneal Hydrops amachiritsidwa bwanji?

Mukapita kwa dokotala wa maso, choyamba adzakufunsani za zizindikiro zanu ndi mbiri yanu yachipatala. Kenako, adzakuyesani maso mokwanira. Pa nthawi yoyezetsayi, dokotala nthawi zambiri amatha kuzindikira Corneal Hydrops.

Ndi mayeso ati omwe akuchitidwa pa izi?

Nthawi zina, ngati dokotala akufuna kudziwa zambiri, angakulimbikitseni kuti muyesedwenso zina.

• Anterior segment optical coherence tomography (AS-OCT): Izi zili ngati scan ya mkati mwa diso. Imatha kuzindikira molondola cornea hydrops, kuwona kuchuluka kwa kutupa, ndikuwona momwe machiritso akupitira patsogolo.
• Ultrasound biomicroscopy (UBM): Izi zikufanana ndi ultrasound scan. Zimathandiza kudziwa ngati pali kung'ambika mu nembanemba ya Descemet.
• Tomography: Mayesowa angathandize kupeza chithunzi chomveka bwino cha mawonekedwe ndi makulidwe a cornea yanu.
• Kuyesa kwa Seidel: Kuyesa kumeneku kumafufuza ngati madzi a m'diso akutuluka mu cornea.

Mayeso onsewa si opweteka, kotero palibe choopa. Dokotala adzakufotokozerani zonse.

Kodi mankhwala a `(Corneal Hydrops)` ndi ati?

Corneal Hydrops imachiritsidwa ndi mankhwala komanso nthawi zina opaleshoni. Zingakhalenso zofunikira kuchiza vuto lomwe limayambitsa Corneal Hydrops (monga Keratoconus).

Chithandizo ndi mankhwala

Ngati kung'ambika kwa nembanemba ya Descemet kuli kochepa ndipo kutupako kuli kochepa, madokotala nthawi zambiri amalangiza mankhwala opaka m'maso otchedwa madontho a m'maso.

• Mankhwala a saline otchedwa Hypertonic: Awa ndi mankhwala okhala ndi mchere wambiri. Akagwiritsidwa ntchito m'diso, amachotsa madzi ochulukirapo kuchokera ku stroma ndipo amathandiza kuchepetsa kutupa.
• Madontho okhala ndi steroid: Izi zimachepetsa kutupa mkati mwa diso.
• Kuchepetsa kuthamanga kwa magazi m'maso: Nthawi zina kuthamanga kwa magazi m'maso kungakhale kokwera. Ngati zimenezo zitachitika, kuthamanga kwa magazi kumeneku kumaperekedwa kuti kulamulire kuthamanga kwa magazi.
• Maantibayotiki (madontho): Awa amaperekedwa ngati pakufunika kutero kuti apewe matenda.
• Kutambasula (madontho a m'maso): Izi zimathandiza kuchepetsa ululu.

Malinga ndi dokotala, ndikofunikira kwambiri kugwiritsa ntchito ``(madontho)`` awa panthawi yoyenera.

Kodi opaleshoni imafunika liti?

Ngati kung'ambika kwa nembanemba ya Descemet kuli kwakukulu, kutupa kwake kuli kwakukulu, kapena pali chiopsezo cha kuboola kwa cornea, madokotala angalimbikitse opaleshoni. Opaleshoniyi imaphatikizapo kutseka kung'ambikako ndikuletsa madzi kutuluka. Nthawi zina thovu la mpweya limayikidwa mu cornea kuti lichepetse kutupa mwachangu. Pa milandu yoopsa, ngati silinalandire chithandizo choyenera, cornea hydrops ingayambitse mitsempha yamagazi yolakwika mkati mwa diso. Ngati zimenezo zitachitika, iyeneranso kuthandizidwa.

Kodi Corneal Hydrops ingapewedwe?

Ngati muli ndi vuto ngati `(Keratoconus)`, lankhulani ndi dokotala wanu wa maso za chithandizo chotchedwa `(Crosslinking)`. Chithandizo cha `(Crosslinking)` ichi chingaletse matenda a `(Keratoconus)` kuti asakule kwambiri, ndipo chingachepetsenso chiopsezo cha mavuto monga `(Corneal Hydrops)`. Komabe, nthawi zina, `(Acute Corneal Hydrops`, yomwe imabwera ngati vuto la `(Keratoconus)` ndi matenda ena a `(corneal)`, sichingapeweke kwathunthu. Ngati muli ndi ziwengo za nyengo kapena matenda ena omwe amayambitsa kuyabwa m'maso, yesani kuchepetsa kukanda ndi kukanda maso anu momwe mungathere . Izi zithandiza kupewa osati `(Corneal Hydrops)` yokha, komanso mavuto ena ambiri a maso.

Kodi zitenga nthawi yayitali bwanji kuti munthu achire ku `(Corneal Hydrops)`? Kodi chiyembekezo cha matendawa ndi chotani?

Dokotala wanu akhoza kuchiza cornea yoopsa. Komabe, nthawi zambiri izi zimatha kusiya chilonda pa cornea. Chilondachi chingakhale ndi zotsatirapo zosatha pa masomphenya anu. Ngati izi zitachitika, chilondacho chingafunike chithandizo china, mwina opaleshoni (monga kuyika cornea). Ndikofunikira kuti mupitirize kuonana ndi dokotala nthawi zonse mukachira komanso mutachira. Apa ndi pamene dokotala wanu angakupatseni njira yabwino kwambiri yothandizira. Nthawi yochira imatha kuyambira milungu ingapo mpaka miyezi ingapo. Izi zimadalira kukula kwa kutupa, mtundu wa kung'ambika, komanso momwe thupi lanu limayankhira.

Kodi ndimasamalira bwanji maso anga?

• Pewani kukanda m'maso mwanu momwe mungathere. Ichi ndiye chinthu chofunikira kwambiri. Ngati muli ndi maso oyabwa, gwiritsani ntchito madontho a m'maso monga momwe dokotala wanu wanenera.
• Musaphonye masiku oti dokotala wanu akuwonetseni maso anu. Pitani mukayeze maso anu pa nthawi yake.
• Ngati muli ndi vuto ngati `(Keratoconus)`, tsatirani bwino malangizo omwe mwapatsidwa.

Kodi ndiyenera kupita kwa dokotala liti? Kodi ndi nthawi iti pamene chithandizo chadzidzidzi chikufunika?

Dokotala wanu adzakuuzani nthawi yomwe muyenera kumuona kapena kupita kuchipatala chadzidzidzi. Kawirikawiri, funsani upangiri wa dokotala nthawi yomweyo ngati chilichonse mwa izi chichitika:

• Ngati maso anu atha mwadzidzidzi kapena achepa kwambiri.
• Ngati mwadzidzidzi mukumva kupweteka kwa maso kosapiririka.
• Ngati zizindikiro za matenda monga malungo zikuwonekera.
• Ngati pali kutuluka kwa madzi m'diso mosayembekezereka.

Muzochitika ngati izi, ndi bwino kuchitapo kanthu mwachangu popanda kuchedwa.

Kodi ndingagwiritse ntchito ma contact lens ngati ndili ndi Corneal Hydrops?

Mukakhala ndi `(Corneal Hydrops)`, kuvala ma contact lens nthawi zambiri kumakhala kosasangalatsa komanso kopweteka . Mukadziwa kuti muli ndi vutoli, mwina muyenera kusiya kuvala ma contact lens. Mukalandira chithandizo, mutha kuvalanso ma contact lens ngati dokotala wanu akuvomereza. Lankhulani ndi dokotala wanu za izi ndipo musankhe.

Ndizachibadwa kuti aliyense achite mantha maso ake akachepa mwadzidzidzi ndipo maso ake akupweteka. Nthawi zina, zizindikirozi zimatha kukhala zizindikiro za matenda otchedwa `(Corneal Hydrops)`. Chifukwa chake, ngati muli ndi zizindikirozi, pitani kwa dokotala wa maso nthawi yomweyo. Adzatha kuzindikira chomwe chimayambitsa kutupa kwa `(cornea)` yanu ndikulangiza chithandizo chofunikira.

Pomaliza, uthenga wopita nawo kunyumba

Chabwino, takambirana zambiri za `(Corneal Hydrops)` tsopano, sichoncho? Kumbukirani mfundo izi:

• Corneal Hydrops ndi kutupa kwadzidzidzi kwa cornea. Chifukwa chachikulu cha izi ndi kung'ambika kwa nembanemba yofewa ya cornea (nembanemba ya Descemet) komwe kumayambitsa kutuluka kwa madzi m'diso.
• Kusawona bwino mwadzidzidzi, malo oyera pa malo oyera a diso, kupweteka kwa maso, komanso kukhudzidwa ndi kuwala ndi zizindikiro zazikulu.
• Anthu omwe ali ndi matenda monga ``Keratoconus'' ndi omwe amapukuta maso awo pafupipafupi ali pachiwopsezo chachikulu chotenga matendawa.
• Ngati muli ndi zizindikiro ngati izi, musapange zisankho nokha ndipo pitani kwa dokotala wa maso nthawi yomweyo.
• Chithandizo chingaphatikizepo madontho, ndipo nthawi zina opaleshoni ingafunike.
• Kupewa kukanda m'maso ndi kutsatira malangizo a dokotala n'kofunika kwambiri kuti munthu achire msanga komanso kupewa zinthu ngati zimenezi mtsogolo.

Kumbukirani kuti maso anu ndi amtengo wapatali kwambiri. Choncho asamalireni bwino. Ngati muli ndi mafunso ena okhudza izi, musazengereze kufunsa dokotala wanu.