Kodi Fuchs' Dystrophy ndi chiyani? Kodi imakhudza maso anu onse awiri?

Kodi mumamvanso kusawoneka bwino mukadzuka m'mawa? Kodi zimaoneka ngati zikuipiraipira pamene tsiku likupitirira? Kapena nthawi zina zimakuvutani kuona magetsi mukayendetsa galimoto usiku? Ngakhale kuti izi zingawoneke ngati zinthu wamba, zitha kukhala chiyambi cha vuto laling'ono la maso. Umenewo ndi mtundu wa matenda omwe tikambirane lero, ndipo ndiwo Fuchs' Dystrophy .

Kodi Fuchs' Dystrophy ndi chiyani?

Mwachidule, Fuchs' Dystrophy ndi vuto lomwe limakhudza cornea ya maso anu onse awiri. Kodi mukudziwa kuti cornea ndi chiyani? Ndi nembanemba yowonekera bwino, yonga galasi yomwe imaphimba kutsogolo kwa diso lanu. Mbali yofiirira ya diso lanu, iris , ndi pupil imaphimbidwa ndi cornea iyi. Izi zimatchedwanso 'Fuchs' corneal dystrophy' ndi 'Fuchs' endothelial dystrophy'.

Choncho mukakhala ndi Fuchs' dystrophy, maselo omwe ali mkati mwa cornea yanu, otchedwa corneal endothelium, amafa pang'onopang'ono. Endothelium iyi ndi gawo lofunika kwambiri. Imagwira ntchito ngati kampompo kakang'ono ka madzi. Imathandiza kuchotsa madzi osafunikira mu cornea ndikusunga bwino komanso mwaukhondo.

Tangoganizirani, chimachitika n’chiyani maselo omwe amagwira ntchito mu pampu iyi akamwalira? Madzi amayamba kusonkhana mkati mwa cornea. Kenako cornea imatupa, n’kukhala ngati siponji yodzaza ndi madzi. Ichi ndichifukwa chake maso amayamba kuoneka osawoneka bwino, ndipo nthawi zina amatha kuoneka ngati chifunga chapanga diso. Pa milandu yoopsa kwambiri, matuza ang’onoang’ono amadzi amatha kupangika pamwamba pa cornea. Matuza amenewa amatha kuyambitsa ululu ndi kusasangalala m’diso.

Kodi magawo a Fuchs' Dystrophy ndi ati?

Pali magawo awiri akuluakulu a Fuchs' dystrophy.

• Gawo loyambirira: Chizindikiro chachikulu chomwe mudzakhala nacho pagawoli ndi kusawona bwino m'mawa . Chili ngati galasi lomwe limakutidwa ndi chifunga mukadzuka. Komabe, pamene mukuchita ntchito zanu za tsiku ndi tsiku, pakapita maola ochepa, kusawona bwino kumeneku kumachepa pang'onopang'ono ndipo maso anu amaonekera bwino. Anthu ena sangakhale ndi zizindikiro zazikulu pagawoli.
• Gawo lomaliza: Pamene matendawa akupitirira, kusawona bwino komwe kunachitika m'mawa kokha kumayamba kupitirira tsiku lonse. Kutupa kwa cornea kumakhala kosatha. Izi zikutanthauza kuti maso anu akhoza kukhala osawona bwino nthawi iliyonse ya tsiku, usiku, kapena m'mawa.

Kodi zizindikiro za Fuchs' Dystrophy ndi ziti?

Poyamba, simungaone zizindikiro zilizonse. Komabe, matendawa akamakula, mungaone zizindikiro monga:

• Kuchepa kwa masomphenya usiku: Izi zikufanana ndi kuwona kuwala ndi mawonekedwe ozungulira magetsi a galimoto usiku.
• Kuvuta kuona masiku amvula: Pamene malo ozungulira ayamba mdima pang'ono, zimakhala zovuta kuona zinthu bwino.
• Kuvuta kusiyanitsa pakati pa zinthu (kusamva bwino kwa kusiyana kwa zinthu): Mwachitsanzo, zingakhale zovuta kupeza switch yoyera pakhoma loyera.
• Kumva kuwala kowala: Maso amakhala abuluu kwambiri moti sangathe kuyang'ana kuwala kwa dzuwa kapena magetsi owala kunyumba.
• Zikumveka ngati pali mchenga kapena dothi m'maso mwanu. Ndi kumverera kokhumudwitsa ngati kuti chinachake chatsekedwa mkati.
• Matuza pa cornea amaphulika ndipo amachititsa kupweteka kwa maso. Ichi ndi chizindikiro choopsa pang'ono.
• Zilonda: Zilonda zimenezi zimayamba kupangika pakati pa cornea. Zilonda zimenezi zimatha kusokoneza masomphenya kwamuyaya.

Kodi n’chiyani chimayambitsa Fuchs’ Dystrophy?

Chifukwa chachikulu chomwe chimayambitsa matenda a Fuchs dystrophy ndi chakuti ndi cholowa . Izi zikutanthauza kuti ngati amayi kapena abambo anu ali ndi matendawa, inunso mungakhale ndi matendawa. Izi zimatchedwa autosomal dominant inheritance mu sayansi ya zamankhwala. Komabe, nthawi zina wina akhoza kudwala matendawa pang'onopang'ono, ngakhale palibe m'banjamo amene ali ndi matendawa.

Komanso, zinthu zina zingapangitse kuti Fuchs' dystrophy iipireipire .

• Kusuta: Anthu omwe amasuta ndudu amakhala ndi mwayi waukulu wopeza matendawa.
• Kukhudzidwa ndi kuwala kwa dzuwa (kukhudzidwa ndi kuwala kwa UV): Kukhudzidwa ndi kuwala kwa ultraviolet koopsa pafupipafupi sikwabwino.
• Kukhala ndi Matenda a Shuga: Matendawa amathanso kukhala oopsa kwambiri kwa anthu omwe ali ndi matenda a shuga.

Ndani ali pachiwopsezo chachikulu chotenga Fuchs' Dystrophy?

Anthu ena ali ndi mwayi waukulu wopeza Fuchs' dystrophy kuposa ena. Tiyeni tiwone amene ali.

• Zaka: Dokotala akhoza kuzindikira zizindikiro zoyamba za matendawa pakati pa zaka 30 ndi 40. Komabe, nthawi zambiri masomphenya amakhudzidwa munthu akakwanitsa zaka 50 .
• Jenda: Akazi ali ndi mwayi waukulu wopeza matendawa kuposa amuna.
• Mbiri ya banja: Monga tanenera kale, ngati wina m'banjamo ali ndi matenda a Fuchs' dystrophy, ena ali pachiwopsezo chotenga matendawa.

Kodi madokotala amazindikira bwanji Fuchs' Dystrophy?

Ngati muli ndi zizindikiro izi, chinthu choyamba chomwe muyenera kuchita ndikuwonana ndi katswiri wa maso . Iye adzakufunsani kaye za zizindikiro zanu, adzaunikanso mbiri yanu yachipatala, kenako adzakuyesani maso mokwanira.

Pa nthawi yoyezetsa maso iyi, dokotala amatha kuona zizindikiro zingapo zomwe zikusonyeza kuti ali ndi matenda a Fuchs' dystrophy.

• Mungathe kuona kuti zigawo zina za cornea zakhuthala .
• YanuKusintha kwa mawonekedwe a endothelium kungawonekere.
• Mutha kuona tinthu ting'onoting'ono totchedwa guttae mkati mwa cornea. Izi ndi chizindikiro cha maselo a endothelial ofooka.

Mayeso otsimikizira Fuchs' Dystrophy

Kuti atsimikizire matendawa, dokotala angachite mayeso angapo, monga:

• Kujambula pogwiritsa ntchito ma microscope apadera. Zitsanzo zake ndi monga kuyesa nyali yodulidwa ndi ma microscope a confocal/specular . Izi zimatithandiza kuona cornea pamlingo wa maselo.
• Pachymetry: Iyi ndi njira yoyesera yopanda ululu. Imayesa makulidwe a cornea yanu. Ngati cornea yatupa, imakhala yokhuthala kwambiri, sichoncho?
• Optical Coherence Tomography (OCT): Iyi ndi njira yowunikira diso popanda kupweteka. Imagwiritsa ntchito kuwala kuti ijambule zithunzi zomveka bwino za mkati mwa diso lanu, makamaka mbali ya cornea.

Kodi mankhwala a Fuchs' Dystrophy ndi ati?

Ndi kupita patsogolo kwa sayansi komwe kukuchitika panopa, Fuchs' dystrophy imatha kuchiritsidwa, koma singathe kuchiritsidwa . Poyamba matendawa, ngati palibe zizindikiro zazikulu, dokotala wanu angakupatseni chithandizo. Izi zikutanthauza kuti mungapemphedwe kuti mubwere kudzayezetsa maso nthawi ndi nthawi.

Nazi njira zina zochizira:

• Mafuta ndi madontho a m'maso: Ngati zizindikiro zanu sizili zazikulu, dokotala wanu angakupatseni mankhwala ochepetsa kutupa kwa cornea ndikuthandizira kutulutsa madzi ochulukirapo. Mpumulo wa izi nthawi zambiri umakhala wakanthawi.
• Choumitsira tsitsi chogwiritsidwa ntchito m'manja: Musadabwe, ichi ndi chithandizo! Kuti muchepetse kutupa kwa m'mawa, kupumira mpweya wozizira pankhope panu kuchokera ku choumitsira tsitsi (patali komanso mosamala) kwapezeka kuti kumathandiza kuuma chinyezi chochulukirapo mu cornea. Muyenera kufunsa dokotala wanu njira yeniyeni.
• Kuika cornea: Pamene maso anu ayamba kufooka kwambiri ndi Fuchs' dystrophy, opaleshoni ndiyo njira yabwino kwambiri yochizira. Mutha kuchitidwa opaleshoni ya endothelial keratoplasty (EK) , yomwe imaika gawo limodzi la cornea. Kapena mutha kukhala ndi cornea yatsopano. Opaleshoni ya EK tsopano yapambana kwambiri chifukwa imaphatikizapo kuchotsa gawo lokhalo la endothelium lomwe lili ndi matenda ndikuliyikanso gawo lathanzi.
• Kuchotsa Zovala za Descemet (DSO):Uwu ndi mankhwala atsopano. Umaphatikizapo kuchotsa kachidutswa kakang'ono ka maselo odwala pakati pa cornea. Izi zimathandiza maselo athanzi ozungulira cornea kukula ndikudzaza mipata. Izi sizingagwire ntchito kwa aliyense, ndipo ndi udindo wa dokotala kusankha.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga okhudza Fuchs' Dystrophy?

Ndikofunikira kupanga ubale wabwino ndi dokotala wa maso anu. Onetsetsani kuti mwapita kukayezetsa maso anu monga momwe mwakonzera. Uzani dokotala wanu nthawi yomweyo ngati muyamba zizindikiro zatsopano kapena ngati zizindikiro zanu zikuipiraipira.

Mungathe kufunsa dokotala mafunso monga:

• Ndi zizindikiro ziti zomwe ndiyenera kukuwonani mwamsanga?
• Kodi ndi chithandizo chiti chomwe mukundiuza? Kodi ubwino ndi kuipa kwake ndi kotani?
• Kodi pali mayeso aliwonse azachipatala omwe ndingatenge nawo mbali?
• Ngati ndili ndi vuto la maso, kodi pali zinthu zina zothandizira kuona movutikira zomwe zingandithandize?

Kodi Fuchs' Dystrophy ingapewedwe?

Ndipotu, pakadali pano palibe njira yopewera Fuchs' dystrophy. Komabe, ngati mukusuta, kusiya kusuta kungathandize. Ngati muli ndi matenda a shuga, ndikofunikiranso kugwira ntchito ndi dokotala wanu kuti muwongolere kuchuluka kwa shuga m'magazi mwanu.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi Fuchs' Dystrophy?

Kutengera ndi kuopsa kwa Fuchs' dystrophy, ngati simulandira chithandizo choyenera, mutha kumva kupweteka kwambiri, kulephera kuwona, komanso mwina khungu .

Koma mukalandira chithandizo choyenera, vuto lanu limatha kusintha kwambiri. Pambuyo pa opaleshoni ina (kuphatikizapo magalasi), maso anu amatha kubwerera ku 20/20, monga momwe munthu wathanzi amaonera, mkati mwa masiku ochepa. Ndicho chifukwa chake ndikofunikira kugwira ntchito ndi dokotala wanu kuti mupeze chithandizo choyenera kwa inu.

Kuona zizindikiro za matenda aliwonse a maso kungakhale koopsa, ndipo Fuchs' dystrophy ndi yosiyana. Ngati muli ndi zizindikiro monga kupweteka kwa maso kapena kusawona bwino, pitani kwa dokotala mwamsanga. Kumbukirani, kupeza matenda msanga ndi chithandizo nthawi zambiri kumabweretsa zotsatira zabwino kwambiri. Ofufuza nthawi zonse akupanga njira zatsopano zothanirana ndi Fuchs' dystrophy ndi matenda ena a maso.

Uthenga Wopita Nawo Kunyumba

Chabwino, ndikukhulupirira kuti tsopano mwamvetsa bwino Fuchs' Dystrophy, yomwe tidakambirana lero.

• Uwu ndi matenda obadwa nawo omwe amakhudza cornea ya diso.
• Zizindikiro zazikulu ndi kusawona bwino m'mawa , kusawona bwino tsiku lonse, kuwona mphete mukamawona kuwala, ndi kupweteka kwa maso.
• Zinthu monga kusuta fodya, kuwala kwa dzuwa koopsa, ndi matenda a shuga zingapangitse kuti matendawa achuluke kwambiri .
• Dokotala wa maso akhoza kuzindikira izi ndikukupatsani chithandizo choyenera .
• Pali njira zochizira monga mankhwala ndi opaleshoni yapadera (kuika corneal transplant, DSO).
• Ndikofunikira kwambiri kuzindikira ndi kuchiza matendawa mwachangu.

Ngati muli ndi zizindikiro izi, musaope kupita kwa dokotala. Maso ndi amtengo wapatali kwambiri, choncho ndi udindo wathu kuwasamalira.

Kusokonezeka kwa Maso, Kornea, Matenda a Maso, Kusawona Bwino, Kuvulala kwa Maso, Kusamutsira Kornea ku Corneal