Kodi bowa uyu amakhudzanso maso anu? Tiyeni tiphunzire za (Presumed Ocular Histoplasmosis Syndrome - POHS)!

Kodi munayamba mwaganizapo kuti bowa kakang'ono m'nthaka kangakhudze maso anu? Lero tikambirana za chinthu chomwe sichimamveka kawirikawiri, koma chofunikira kwambiri kudziwa. Ichi chimatchedwa Presumed Ocular Histoplasmosis Syndrome , kapena POHS mwachidule. Ngakhale ndi dzina lalitali pang'ono, tiyeni tisunge mosavuta.

Choyamba, kodi Histoplasmosis ndi chiyani?

Mwachidule, histoplasmosis ndi matenda a m'mapapo omwe amayamba chifukwa cha bowa wotchedwa Histoplasma capsulatum . Bowa uwu nthawi zambiri umapezeka m'nthaka. Umapezeka kwambiri m'nthaka yomwe ili ndi zitosi zambiri za mbalame kapena mileme (zomwe zimatchedwanso zitosi). Umapezeka kwambiri m'madera ena a United States, monga m'zigwa za Ohio ndi Mississippi River. Komabe, bowa uwu umapezekanso m'madera ena a dziko lapansi, makamaka m'madera omwe muli zitosi zambiri za mbalame kapena mileme.

Ndiye, kodi matenda a ocular histoplasmosis (POHS) ndi chiyani?

Matendawa otchedwa POHS amakhudza maso ngati chowonjezera, kapena vuto, la histoplasmosis yomweyi yomwe imakhudza mapapo. Chomwe chimachitika ndi chakuti bowa limayenda m'magazi ndipo limathera kumbuyo kwa maso. Pamenepo ndi pomwe vuto limayamba.

Kodi histoplasmosis ya maso imakhudza bwanji maso?

Nthawi zambiri, bowa `(Histoplasma capsulatum)` silimadwalitsa aliyense akamapuma. Kwa anthu ena, limalowa m'thupi ndipo limatha popanda zizindikiro zilizonse. Komabe, mwatsoka, bowa ili likalowa m'maso, mavuto awiri angachitike:

• Kutsegula mitsempha yamagazi m'maso ndi kukula kosazolowereka kwa mitsempha yamagazi komwe kungakhudze momwe diso limagwirira ntchito. Ngakhale izi zingamveke zovuta pang'ono, mwachidule, kupangika kwa mitsempha yatsopano yamagazi mkati mwa diso ndiko kosafunikira.
• Zipsera zimatha kupangika mkati mwa diso.

Zonsezi zingakhudze kwambiri masomphenya anu.

Ndani ali pachiwopsezo chachikulu chotenga matenda a POHS?

Tiyeni tiwone yemwe ali ndi mwayi waukulu wopeza vutoli:

• Monga tanenera kale, anthu okhala m'zigwa za Ohio kapena Mississippi ku United States ali pachiwopsezo chachikulu. Komabe, ngakhale ku Sri Lanka, ndi bwino kudziwa izi kwa iwo omwe amakhala m'madera omwe muli zitosi zambiri za mbalame ndi mileme.
• Kwa iwo amene amagwira mbalame ngati nkhuku, kwa iwo amene amagwira ntchito m'makhola a nkhuku. Nkhuku zimaleredwa m'nyumba zambiri ku Sri Lanka.
• Anthu omwe amagwira ntchito ndi dothi, monga malo afumbi m'mafamu ndi malo omanga , akhoza kukhala ndi bowa ngati amenewo.
• Anthu omwe amagwiritsa ntchito fodya kapena omwe akhala akuigwiritsa ntchito kale ali pachiwopsezo chachikulu.

Chinthu china chomwe chingayambitse vutoli ndi kufooka kwa chitetezo chamthupi. Kungayambitsidwe ndi:

• Chifukwa cha matenda ena, mwachitsanzo, nyamakazi ,Kwa anthu omwe ali ndi matenda monga multiple sclerosis.
• Kwa amayi apakati.
• Kwa okalamba ndi ana aang'ono.
• Mukamagwiritsa ntchito mankhwala enaake, makamaka omwe akumwa mankhwala oletsa chitetezo chamthupi.

Nchifukwa chiyani histoplasmosis imayamba m'maso awa?

Tanena kale kuti, imayambira m'nthaka komwe kuli bowa `(Histoplasma capsulatum)`. Taganizirani izi, mukakumba munda, kukumba dzenje, kapena kuyeretsa khola la nkhuku, bowa m'nthakayo umagwedezeka ndikuwonjezeredwa mumlengalenga. Kenako timatha kuupuma. Umu ndi momwe mapapu amayambukidwira. Koma, ofufuza sanadziwebe momwe imayendera kuchokera m'mapapo kupita kumbuyo kwa maso.

Kodi zizindikiro za POHS ndi ziti?

Poyamba vutoli, palibe zizindikiro. Ndicho chinthu choopsa kwambiri. Komabe, bowa `(Histoplasma capsulatum)` akakhudza maso ndikuyamba kupanga mitsempha yatsopano yamagazi yotchedwa `(Choroidal Neovascularization),` maso anu amayamba kusokonekera.

Mungamve zinthu motere:

• Kusiyana kwa kukula kwa chinthu chimodzi chomwe maso awiriwa amachiwona. Ngati kuti diso limodzi likuchiwona ngati chaching'ono ndipo linanso lalikulu.
• Malo osawona bwino m'masomphenya.
• Kuona molakwika kapena kutayika kwa maso popanda kupweteka.
• Mitundu singawonekere momwe iyenera kuonekera (mitundu ingawonekere yazimiririka).
• Kuwala kapena kuthwanima pamaso.
• Mizere yowongoka, monga zizindikiro za msewu, mipiringidzo ya mawindo, ndi mizere m'buku, imawoneka yotambasuka komanso yozungulira.

Ngati mukukumana ndi vuto lotere, muyenera kupita kwa dokotala wa maso mwamsanga .

Kodi mumadziwa bwanji ngati muli ndi POHS?

Mukapita kwa dokotala wa maso, chinthu choyamba chimene amachita ndikuyang'ana maso anu mosamala, makamaka kumbuyo kwa diso, kuti aone ngati muli ndi zotsatirazi:

• Zilonda
• Kutupa

Kodi chimachitika ndi chiyani ngati pali zizindikiro za matenda a histoplasmosis m'maso?

Ngati muli ndi zizindikiro izi, mungafunike kuyesedwa maso anu mozama, zomwe zimaphatikizapo kukulitsa maso anu ndi mankhwala . Izi zikuthandizani kuona bwino zomwe zili mkati mwa diso lanu. Dokotala angayang'ane:

• Mitsempha yamagazi yolakwika
• Kodi madzi asonkhana?
• Kutupa
• Madontho ang'onoang'ono oyera

Kuphatikiza apo, mudzakhala ndi fluorescein angiography.Mungafunikenso kuyesedwa kotchedwa Fluorescein Angiography. Izi zimaphatikizapo kubaya utoto wapadera mumtsempha womwe uli m'dzanja lanu. Utoto uwu umayenda ndi magazi anu kupita ku mitsempha yamagazi yomwe ili mkati mwa diso lanu. Kenako kamera yapadera imajambula zithunzi. Izi zingathandize kudziwa ngati muli ndi mitsempha yatsopano yamagazi (Choroidal Neovascularization).

Kodi aliyense amafunika chithandizo cha POHS?

Ayi, si aliyense amene angafunike chithandizo. Pokhapokha ngati bowa wa Histoplasma capsulatum wakhudza maso anu mwanjira ina, mungafunike kuyang'aniridwa nthawi zonse.

Kodi histoplasmosis ya maso imachiritsidwa bwanji?

Izi ndi zapadera pang'ono. Mankhwala oletsa bowa nthawi zambiri saperekedwa pa izi. Chifukwa, ngakhale kuti amayamba ndi bowa, si matenda a bowa omwe ali mkati mwa diso, koma ndi momwe amachitira.

M'malo mwake, chithandizochi ndi kuletsa mitsempha yatsopano yamagazi kuti isapangidwe (Choroidal Neovascularization). Pali njira ziwiri zazikulu zochitira izi:

1. Chithandizo cha anti-vascular endothelial growth factor (anti-VEGF): Izi zimaphatikizapo kubaya mankhwala otchedwa anti-VEGF mwachindunji m'diso lomwe lakhudzidwa. Mankhwalawa amaletsa kukula kwa mitsempha yamagazi yosakhazikika. Izi zingathandize kuchepetsa zizindikiro. Komabe, zingatenge jakisoni kangapo kuti muwone zotsatira zake.

2. Chithandizo cha Photodynamic: Mu izi, mankhwala ochepetsa kuwala otchedwa verteporfin amabayidwa mu mtsempha womwe uli m'dzanja lanu. Mankhwalawa amamangirira ku mitsempha yamagazi yomwe ili m'diso. Kenako, kuwala kwa laser komwe kumakhala kochepa kumagwiritsidwa ntchito kuyambitsa mankhwalawa. Mitsempha yamagazi yomwe ili m'diso imawonongeka.

Chofunika kwambiri ndichakuti chithandizo chonsechi chichitike motsogozedwa ndi katswiri wa maso.

Kodi tsogolo la anthu omwe ali ndi POHS ndi lotani? (Zotsatira)

Kuchiza histoplasmosis ya maso kungalepheretse kutayika kwa masomphenya. Ndi chinthu chabwino. Komabe, anthu ena sangabwererenso kuwona kwawo kwakale.

Kodi POHS ingakhudze thanzi la mtsogolo?

Inde, ngakhale mutalandira chithandizo chabwino, zizindikiro za POHS zimatha kubwereranso. Komabe, ngati zitabwereranso, sizingakhale zoopsa monga kale. Anthu omwe ali ndi chitetezo chamthupi chofooka ali pachiwopsezo chachikulu chobwereranso ku matendawa.

Kodi mungadziteteze bwanji ku matenda a POHS?

Sitingathe kuwona bowa (Histoplasma capsulatum) ukakhala mumlengalenga. Choncho zimakhala zovuta kwambiri kupewa kuupuma. Komabe, ngati muli pachiwopsezo chachikulu cha histoplasmosis, ndi bwino kupewa zinthu zina.

Pewani zinthu izi:

• Kuyenda m'malo ngati mapanga.Chifukwa mwina pali mileme mmenemo, ndipo mpweya wokwanira suli bwino.
• Kulowa m'khola la nkhuku ndikukhala mozungulira.
• Kugwira ntchito ndi dothi lomwe lingakhale ndi ndowe za mbalame kapena mileme.

Kodi ndingachite chiyani china kuti ndikhale otetezeka?

Ngati bowa `(Histoplasma capsulatum)` walowa m'mapapo mwanu, zingakhale zovuta kuti usafalikire m'maso mwanu. Chinthu chabwino kwambiri choti muchite ndikuwunika maso anu nthawi zonse. Mwanjira imeneyi, ngati pali vuto m'maso mwanu, mutha kulizindikira msanga.

Kodi zimakhala bwanji kukhala ndi POHS?

Ngati muli ndi vuto la masomphenya lomwe likupitilizabe, mutha kupeza thandizo kuchokera ku bungwe lotchedwa low vision rehabilitation . Katswiri wa zamaganizo adzakuphunzitsani njira zochitira zinthu za tsiku ndi tsiku mosamala. Mwachitsanzo, angakupatseni upangiri wa momwe mungachepetsere chiopsezo chogwa kapena kutsetsereka kunyumba.

Kumbukirani mwachidule (Uthenga Wopita Nawo Kunyumba)

Chabwino, ndikukhulupirira kuti mukukumbukira mfundo zofunika kuchokera pa zomwe takambirana.

• POHS ndi matenda omwe amayamba chifukwa cha bowa wotchedwa `(Histoplasma capsulatum)` womwe umakhudza maso.
• Bowa uwu umapezeka kwambiri m'nthaka yokhala ndi ndowe zambiri za mbalame ndi mileme .
• Muli pachiwopsezo chachikulu ngati mumagwira ntchito pafupi ndi zikho za nkhuku, mumagwira ntchito yolima dothi, mumagwiritsa ntchito fodya, kapena muli ndi chitetezo chamthupi chofooka .
• Ngati mukuona zizindikiro monga kusawona bwino, kuona mawanga akuda, kapena kuona mizere yowongoka , pitani kwa dokotala wa maso nthawi yomweyo.
• Ngati chithandizo chachitika pa nthawi yake, masomphenya angalephereke kuipiraipira.
• Ngakhale kuti n'zovuta kudziteteza kwathunthu ku matenda a POHS, ndikofunikira kwambiri kupewa zochitika zoopsa ndikuyang'aniridwa maso anu nthawi zonse.

Choncho, samalirani maso anu. Chifukwa, maso ndiye chuma chamtengo wapatali kwambiri chomwe tili nacho!

histoplasmosis , POHS, matenda a maso, matenda a bowa, kulephera kuwona bwino, kufalikira kwa mitsempha yamagazi m'mitsempha ya choroidal, thanzi la maso