Kodi munayamba mwaonapo malo amdima, ngati mphete ozungulira diso la munthu wina? Mwina dokotala anakuuzani za izi. Anthu ena angaope kuti izi zingawononge maso awo. Koma izi sizinthu zomwe zimavulaza diso. Komabe, izi zitha kukhala chizindikiro chofunikira cha matenda ena aakulu omwe akuchitika m'thupi lathu. Lero, tiyeni tikambirane za izi mosavuta.
Kodi mphete za Kayser-Fleischer (KF) ndi chiyani?
Mwachidule, mphete za Kayser-Fleischer ndi mphete zakuda zomwe zimapangidwa mozungulira mbali ya maso athu, iris. Mphete zimenezi zimachitika chifukwa cha mkuwa wochuluka m'thupi lathu womwe umasonkhana m'diso . Zitha kuoneka zobiriwira, zagolide, kapena zofiirira.
Chabwino kwambiri ndichakuti mphete izi sizingawononge maso anu .
Mphete iyi imayamba ngati mzere pamwamba pa diso. Kenako imafalikira pang'onopang'ono ndikukhala mphete yonse. Mphete izi zimapezeka pamalo pomwe gawo loyera la diso (sclera) limalumikizana ndi gawo loyera pamwamba pa gawo la diso (cornea).
Chofunika kwambiri ndichakuti anthu aku Sri Lanka omwe ali ndi maso akuda, mphete za Kayser-Fleischer sizimaoneka bwino kwenikweni. Kwa anthu omwe ali ndi maso owala, izi zimakhala zosavuta kuzizindikira.
Kodi izi zimasiyana bwanji ndi ziphuphu zina za m'maso?
Palinso zochitika zina pamene mitundu iyi ya mabwalo a maso imachitika. Chifukwa chake, ndikofunikira kwambiri kusiyanitsa ndi kuzindikira izi. Tiyeni tiwone kusiyana kwakukulu komwe kuli.
| Khalidwe | Mphete za Kayser-Fleischer | Arcus wachikulire | Mphete za Fleischer |
|---|---|---|---|
| Mtundu | Chobiriwira, chagolide, chabulauni (mitundu yakuda) | Mtundu woyera-imvi (mtundu wopepuka) | Mtundu wachikasu-bulauni |
| Chifukwa | Kuyika mkuwa | Kuyika kwa mafuta m'thupi | Kuyika chitsulo |
| Matenda okhudzana ndi izi | Matenda a Wilson, matenda a chiwindi | Cholesterol yambiri, ukalamba | Keratoconus - kutuluka kwa diso kooneka ngati konokono |
| Kudziwika | Dokotala wa maso ayenera kuchita kafukufuku wa nyali zodulidwa. | Kuonekera ndi maso. | Iyenera kuyesedwa ndi maikulosikopu yapadera (kuyezetsa kwa nyali). |
Kuti aone ngati pali mphete za KF izi, dokotala wa maso amagwiritsa ntchito maikulosikopu yapadera yotchedwa slit-lamp examination . Nthawi zina, pamafunikanso kufufuza mozama kwambiri kotchedwa gonioscopy . Izi zimaphatikizapo kuyika diso ndi diso lopanda dzanzi ndikuyika lenzi yapadera pamwamba pa diso.
Kodi chifukwa chachikulu cha Kayser-Fleischer Rings ndi chiyani?
Chifukwa chachikulu komanso chofala kwambiri cha izi ndi matenda a Wilson .
Matenda a Wilson ndi matenda a majini omwe amachititsa kuti thupi lizisonkhanitsa mkuwa wochuluka kuposa momwe limafunikira. Nthawi zambiri, chiwindi chathu chimachotsa mkuwa wochuluka. Koma mwa munthu amene ali ndi matenda a Wilson, njirayi sigwira ntchito bwino. Kenako, mkuwa uwu umayamba kusonkhana m'chiwindi, muubongo, m'maso, ndi ziwalo zina.
- Matenda a chiwindi: Kuchulukana kwa mkuwa kumatha kuwononga chiwindi ndikuyambitsa matenda a chiwindi.
- Matenda a mitsempha ndi maganizo: Pamene mkuwa uyamba kusonkhana mu ubongo, zizindikiro zosiyanasiyana za mitsempha ndi mavuto a maganizo zimabuka. Mwachitsanzo:
- Matenda oyenda monga kunjenjemera m'miyendo ndi kuyenda movutikira
- Kuvuta kulankhula
- Nkhawa ndi kuvutika maganizo
- Kusintha kwa khalidwe ndi umunthu
Tangoganizirani, kuchokera kwa anthu omwe ali ndi zizindikiro za mitsempha chifukwa cha matenda a WilsonMphete za KF izi zitha kuwoneka mwa anthu pafupifupi 95 mwa 100. Izi zimapezeka mwa anthu pafupifupi 50% omwe ali ndi zizindikiro za chiwindi zokha.
Zifukwa zina
Kuwonjezera pa matenda a Wilson, palinso zifukwa zina zingapo zomwe zimayambitsa mphete za KF. Izi ndi matenda okhudzana ndi chiwindi.
- Cholangitis yoyamba ya biliary (PBC): Iyi ndi matenda osatha omwe amawononga ducts ya biliary m'chiwindi.
- Matenda a makanda obadwa kumene: Kusokonekera kwa ndulu m'chiwindi mwa makanda obadwa kumene.
Kodi izi zimachiritsidwa bwanji?
Chofunika kwambiri chomwe tonse tiyenera kumvetsetsa apa ndichakuti madokotala sachiza mphutsi yokhayo, koma amachiza matenda omwe amayambitsa mphutsiyo.
Chithandizo cha matenda a Wilson
Pali zolinga ziwiri zazikulu za chithandizo.
1. Kuchotsa mkuwa wochuluka m'thupi: Izi zimatchedwa chithandizo cha mkuwa . Izi zikutanthauza kuti mankhwala apadera (mankhwala ochepetsa mkuwa) amaperekedwa omwe amamatira ku mkuwa m'thupi ndikuwuchotsa kudzera mu mkodzo. Zitsanzo za izi ndi mankhwala monga penicillamine ndi trientine.
2. Kuchepetsa kuyamwa kwa mkuwa kuchokera ku chakudya: Izi zimachitika popereka zowonjezera za zinc . Zinc imaletsa kuyamwa kwa mkuwa kuchokera m'matumbo kupita m'thupi.
Chithandizo cha matenda ena a chiwindi
Matenda monga primary biliary cholangitis (PBC) sangachiritsidwe kwathunthu. Komabe, mankhwala amaperekedwa kuti athetse zizindikiro ndikuletsa kupitirira kwa matendawa. Pa cholestasis mwa makanda obadwa kumene, mkaka wapadera wa mkaka, mankhwala oletsa kuyabwa amaperekedwa, ndipo pazochitika zazikulu, opaleshoni yoika chiwindi ingafunike.
Kodi sitingathe kuletsa kupangidwa kwa mphete za Kayser-Fleischer izi?
Palibe njira yoletsera mwachindunji mphete izi kuti zisapangidwe, chifukwa matenda monga matenda a Wilson omwe amayambitsa izi ndi obadwa nawo ndipo sangapewedwe.
Koma, chinthu chabwino kwambiri chomwe mungachite ndikuchizindikira msanga .
Ngati wina m'banja mwanu, monga mayi, bambo, kapena m'bale wanu, ali ndi matenda a Wilson, ndikofunikira kwambiri kuti mulankhule ndi dokotala wanu za matendawa ndikuyesedwa . Kuzindikira msanga kungakuthandizeni kuyamba chithandizo musanayambe zizindikiro ndikupewa mavuto aakulu.
Kodi mphete izi ndi zamuyaya?
Ayi, iyi ndi nkhani yabwino kwambiri. Mphete za Kayser-Fleischer si zokhalitsa . Matenda oyamba, mwachitsanzo matenda a Wilson, akachiritsidwa bwino, mkuwa wochuluka m'thupi umachotsedwa. Kenako mphete zimenezi m'maso zimazimiririka pang'onopang'ono ndipo zimasowa kwathunthu .
Choncho palibe chifukwa choopa kuona izi. Chofunika kwambiri ndi kuzindikira izi ngati chizindikiro ndikuyamba kuchiza vuto lomwe limayambitsa vutoli mwachangu momwe mungathere. Ngati dokotala wa maso atchula izi panthawi yoyezetsa maso anu, adzakutumizani kwa katswiri woyenera kuti akalandire chithandizo china.
Uthenga Wopita Nawo Kunyumba
- Mphete za Kayser-Fleischer si matenda a maso, koma chizindikiro chakunja cha matenda omwe ali mkati mwake (makamaka matenda a Wilson) omwe amayamba chifukwa cha mkuwa wambiri m'thupi.
- Mphete izi sizidzavulaza maso anu.
- Izi nthawi zambiri zimapezeka koyamba dokotala wa maso akamafufuza maso ndi maikulosikopu yapadera.
- Mphete zimenezi zimatha kuchotsedwa pafupifupi kwathunthu ngati matenda oyambawo athandizidwa bwino.
- Ngati wina m'banja mwanu ali ndi matenda a Wilson, ngakhale atakhala kuti palibe zizindikiro, ndikofunikira kwambiri kukaonana ndi dokotala ndikukambirana za matendawa.
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