Kodi mwana wanu ali ndi vuto la maso lotere? Tiyeni tikambirane za 'Morning Glory Syndrome'

Mukayang'ana maso a mwana wanu, kodi munayamba mwazindikirapo kuti pali china chake chosiyana ndi diso limodzi? Mwina mkati mwa diso mumawoneka zachilendo pang'ono, kapena mutu wa mwana watembenuzidwa mbali imodzi, kapena diso limodzi likutupa. Ndizachilendo kuti kholo lichite mantha pang'ono akaona zinthu ngati izi. Lero tikambirana za vuto lomwe lingakhudze maso, lomwe ndi losowa koma lofunika kwambiri kudziwa. Limenelo ndi vuto lotchedwa 'Morning Glory Syndrome '.

Kodi 'Morning Glory Syndrome' imeneyi ndi chiyani?

Mwachidule, 'Morning Glory Syndrome' ndi vuto lomwe limachitika pamene gawo la diso lanu lomwe lili mkati mwa diso lanu, kumbuyo, silikukula bwino. Tangoganizirani, mitsempha yayikulu yokhudzana ndi masomphenya ili mkati mwa diso lathu, malo omwe imalumikizana ndi diso, ndiko kuti, gawo lotchedwa muzu wa mitsempha ya optic, lomwe lili mu mkhalidwe uwu, lili ngati funnel. Zili ngati pali duwa lotchedwa 'Morning Glory', ndipo dokotala akayang'ana '(Retina)' ya diso lanu, zimawoneka ngati akuyang'ana duwa limenelo. Ichi ndichifukwa chake latchedwa 'Morning Glory Syndrome'.

Izi zimachitika chifukwa cha vuto la kukula kwa diso pamene mwana ali m'mimba . Nthawi zambiri limapezeka msanga kwambiri, nthawi zina mwana asanakwanitse zaka ziwiri. 'Morning Glory Syndrome' (MGS) iyi imayambitsa kusintha kwa kapangidwe ka diso komwe kungakhudze masomphenya anu. Imawonjezeranso chiopsezo chokhala ndi mavuto osiyanasiyana a maso moyo wonse. Nthawi zambiri imakhudza diso limodzi lokha, koma nthawi zambiri imatha kukhudza maso onse awiri.

Chinthu china n’chakuti, nthawi zina pangakhale kusiyana kokha pa mawonekedwe a diso ili, ndiko kuti, popanda zizindikiro zilizonse. Pankhaniyi, akatswiri amalitcha 'Morning Glory Disk Anomaly'. Komabe, ngati kusiyana kumeneku pa mawonekedwe kukugwirizana ndi zizindikiro, ndiye kuti limatchedwa 'Morning Glory Syndrome'.

Kodi vutoli ndi lofala bwanji?

Matenda a Morning Glory Syndrome ndi matenda osowa kwambiri . Padziko lonse lapansi, akuti amakhudza ana opitilira 63,000 osakwana zaka 20. Chinthu china chosangalatsa ndichakuti amapezeka kawiri mwa atsikana kuposa anyamata. Amanenedwanso kuti sapezeka kawirikawiri mwa anthu akuda.

Kodi zizindikiro za izi ndi ziti?

Si aliyense amene ali ndi Morning Glory Syndrome (MGS) amene angakumane ndi zizindikiro zomwezo. Komabe, pali zizindikiro zina zodziwika bwino. Vutoli limakhudza diso lakumanzere kawiri kuposa lakumanja.

Zizindikiro zokhudzana ndi maso:

• MtundaMyopia : Izi zikutanthauza kuti ngakhale zinthu zapafupi zitha kuwoneka bwino, zinthu zakutali zimaoneka zosawoneka bwino.
• Mavuto oonekeratu a maso: Mungakhale ndi mipata kapena mawanga osawona (scotomas) m'munda mwanu wowonera. Ngakhale kuti ndi zachilendo kuti aliyense akhale ndi banga laling'ono lachilengedwe losawona m'diso lililonse, banga losawonali likhoza kukhala lalikulu kuposa lachibadwa m'diso lokhudzidwa la munthu amene ali ndi MGS.
• Strabismus: Diso limodzi kapena onse awiri amatembenuzidwa mbali zosiyanasiyana. Timati "maso opingasa".
• Kornea yoyera, yasiliva, yachikasu, kapena yoyera ngati imvi (Leukocoria): Pakati pa diso, yomwe nthawi zambiri imawoneka yakuda, ingawonekere mtundu wina. Ngati muwona izi, muyenera kuwonana ndi dokotala nthawi yomweyo.

Zizindikiro zomwe zimachitika ndi matenda ena ofanana:

Kuwonjezera pa zizindikiro zokhudzana ndi maso, palinso matenda ena omwe angachitike limodzi ndi Morning Glory Syndrome (MGS). Matendawa ndi awa:

• Encephalocele (gawo la ubongo lomwe limatuluka m'chigaza)
• Matenda a Moyamoya (kuchepa kwa mitsempha yamagazi yomwe imapereka magazi ku ubongo)
• `PHACE syndrome`
• "Neurofibromatosis mtundu wachiwiri (NF2)"
• Matenda a Aicardi
• `Chiari malformation type I`
• `Duane syndrome` (nthawi zina imatchedwa `Okihiro syndrome`)

Mayina awa angamveke ngati ovuta pang'ono kwa inu, koma ngati dokotala akukayikira kuti ali ndi matenda a MGS, adzafunanso matenda ena ngati awa.

Kodi chifukwa chake ndi chiyani?

Ndipotu, akatswiri sakudziwa bwino momwe matenda a Morning Glory Syndrome (MGS) amakulira. Izi zimachitika makamaka chifukwa chakuti ndi matenda osowa kwambiri ndipo adafotokozedwa koyamba posachedwapa mu 1969.

Komabe, zomwe akatswiri amadziwa n'zakuti chomwe chimayambitsa MGS chikugwirizana ndi kusokonekera kwina kwa kukula kwa diso pamene mwana ali m'mimba . Izi zikuganiziridwa kuti zikugwirizana ndi mitsempha yamagazi yomwe imapereka magazi ku diso yomwe sikukula bwino, kapena kusokonezeka kwa kukula kwa diso ndi mitsempha ya maso.

Umboni waukulu womwe umasonyeza kuti pali mavuto a mitsempha yamagazi ndi wakuti MGS imakhudza diso lakumanzere kawiri. Kawirikawiri, mwana wosabadwayo amene akukula m'mimba amakhala ndi mipata yaying'ono pakati pa mbali yakumanzere ndi yakumanja ya mtima. Nthawi zambiri imatseka masiku angapo asanabadwe kapena masiku angapo atangobadwa.

Komabe, ngati mwana wosabadwayo ali ndi vuto lopanga magazi ochepa (microemboli), mipata imeneyo imalola magazi kuundana kuyenda kuchokera kumanzere kwa mtima kupita kumanja. Kuchokera pamenepo, imatha kupita ku ubongo. Ngati pali kusokonezeka kulikonse pakukula kwa mitsempha yamagazi, magazi kuundana amatha kutsekeka pamenepo, kutseka magazi ndikuletsa minofu kukula bwino. Ndi zochitika zamtunduwu zomwe zasonyeza kuti kusokonezeka pakukula kwa mitsempha yamagazi kumathandizira ku MGS.

Ngakhale kuti MGS imatha kuchitika ndi matenda a majini ndi cholowa, kafukufuku sanawonetse kuti matendawa amayambitsa matenda a MGS mwachindunji. Ngakhale kuti pakhala malipoti akuti anthu angapo a m'banja limodzi amatenga matenda a MGS, si zachilendo.

Kodi ndi mavuto otani omwe angachitike?

Vuto lofala kwambiri la Morning Glory Syndrome (MGS) ndi retinal detachment . Vutoli limatha kuchitika kwa anthu okwana 40% omwe ali ndi MGS. Izi ndi zadzidzidzi zachipatala .

Mavuto ena angaphatikizepo:

• Kuona pang'ono: Kuona pang'ono kwambiri.
• Diso laulesi (Amblyopia): Chifukwa chakuti masomphenya a diso limodzi sakula bwino, ubongo umayamba kunyalanyaza zizindikiro zochokera ku diso limenelo.
• Kutsegula mitsempha ya m'maso: Izi zingakhudze masomphenya.
• Kuchotsedwa kwa retinal (retinoschisis) .

Kodi mumazindikira bwanji izi?

Dokotala wa maso, makamaka katswiri wa retina, amatha kuzindikira matenda a Morning Glory Syndrome (MGS) pogwiritsa ntchito njira zosiyanasiyana, kuphatikizapo kufunsa za zizindikiro zomwe inu kapena mwana wanu mukukumana nazo komanso zotsatira zomwe mukukumana nazo.

Dokotala adzayang'ananso maso anu (kapena a mwana wanu), kuyang'ana mwachindunji m'diso lomwe lakhudzidwa, ndipo mwina adzajambula zithunzi za retina. Ma scan ena apadera a retina angathandizenso kwambiri.

Mayeso omwe angathandize kuzindikira matendawa ndi awa:

• Kuyezetsa maso: Izi zikuphatikizapo zinthu monga kuyezetsa kuona bwino, kuyezetsa malo owonera, ndi kuyezetsa nyali zosweka.
• Optical Coherence Tomography (OCT): Izi zimatha kujambula zithunzi za mkati mwa diso.
• Fluorescein Angiography: Iyi imayang'ana momwe mitsempha yamagazi ilili mkati mwa diso.
• Kujambula Maginito Oona Maso (MRI): Izi zimathandiza kuona kapangidwe ka ubongo ndi maso.

Kodi izi zitha kuchiritsidwa? Kodi mankhwala ake ndi otani?

Matenda a Morning Glory Syndrome (MGS) ndi matenda omwe amapezeka mkati mwa diso lanu mukapanda kukula bwino. Kusintha kwa kakulidwe sikungathe kukonzedwa kapena kuchiritsidwa, ndipo palibe mankhwala . Izi zikutanthauza kuti palibe chithandizo chachindunji cha matenda a Morning Glory Syndrome.

Koma musadandaule. Ngakhale kuti palibe mankhwala enieni a MGS, zizindikiro ndi mavuto omwe amabwera chifukwa cha matendawa akhoza kuchiritsidwa .

Zolinga zazikulu za chithandizo ndi izi:

• Kuthetsa vuto: Mwachitsanzo, ngati retina yachotsedwa, ikhoza kukonzedwa ndi opaleshoni.
• Kuchepetsa zotsatira za vuto: Kuvala chigamba cha maso kuti diso lofooka lisakule kwambiri.
• Kupewa mavuto ena: Ngati retina yasokonekera, ndikofunikira kukonza mwachangu kuti mupewe kuwonongeka kosatha komanso kutayika kwa masomphenya.

Njira zochiritsira zimadalira vuto lanu komanso zinthu zina zambiri. Dokotala wanu ndiye amene angathe kukuuzani bwino chithandizo chomwe chili choyenera pa vuto lanu komanso zomwe akulangizani.

Kodi munthu amene ali ndi vutoli angayembekezere tsogolo lotani?

Matenda a Morning Glory Syndrome (MGS) nthawi zambiri amapezeka ali ana. Ndi matenda osatha, a moyo wonse . Sangathe kuchiritsidwa, kubwezeretsedwa, kapena kukonzedwa. Sichiwopseza moyo, koma chimakhudza kwambiri masomphenya. Anthu oposa gawo limodzi mwa magawo atatu a odwala MGS amakumana ndi vuto la retina.

Anthu ena omwe ali ndi MGS akhoza kukhala ndi masomphenya "abwinobwino" (20/20) kapena masomphenya ofanana ndi abwinobwino (pakati pa 20/20 ndi 20/70). Komabe, ambiri satero . Anthu ambiri omwe ali ndi MGS ali m'gulu la "osawona bwino" (20/70 mpaka 20/200) kapena "osawona mwalamulo" (20/200 ndi zowongolera monga magalasi).

Kumbali ina, anthu omwe ali ndi MGS mbali imodzi ayenera kuyang'aniridwa mosamala ndi diso lawo lomwe silinakhudzidwe, chifukwa diso limenelo lili pachiwopsezo chachikulu chokumana ndi mavuto ena. Chifukwa MGS imayambitsa kusawona bwino (myopia), pali chiopsezo cha kusokonezeka kwa retina, ndipo myopia ndi chinthu chachikulu chomwe chimayambitsa kusokonezeka kwa retina, kaya pali MGS kapena ayi. Diso lomwe silinakhudzidwenso likhozanso kukhala pachiwopsezo chachikulu chotenga matenda a maso.

Popeza matenda a MGS amapezeka ali aang'ono, nthawi zambiri makolo kapena osamalira amasankha chithandizo. Amakhalanso ndi gawo lofunika kwambiri podziwa zizindikiro kapena makhalidwe omwe angasonyeze kuti mwana ali ndi vuto la masomphenya okhudzana ndi MGS.

Kodi izi zingapewedwe?

Matenda a Morning Glory Syndrome (MGS) sangapeweke , ndipo palibe njira yochepetsera chiopsezo cha matendawa.

Kodi ndimadzisamalira bwanji/ndingasamalire bwanji mwana wanga?

Ngati inu kapena mwana wanu ali ndi MGS, chinthu chabwino kwambiri chomwe mungachite ndikukhalabe ndi maso anu momwe mungathere . Katswiri wanu wa maso adzakutsogolerani momwe mungachitire izi. Ndikofunikira kwambiri kutsatira malangizo anu a chithandizo mosamala, kugwiritsa ntchito magalasi anu kapena mankhwala ena monga momwe mukulimbikitsira, ndikuwonana ndi katswiri wanu kuti akakuwoneni nthawi zonse.

Kodi muyenera kupita kwa dokotala nthawi yanji posachedwa?

Ngati muli ndi MGS, muli pachiwopsezo chachikulu chotenga retina. Izi ndi zadzidzidzi zachipatala . Chifukwa chake, ndikofunikira kupeza chithandizo mwachangu ngati muli ndi zizindikiro zotsatirazi. Chithandizo chachangu nthawi zambiri chimatha kupewa kuwonongeka kosatha ndikubwezeretsa masomphenya m'diso lomwe lakhudzidwa.

Zizindikiro za kuchotsedwa kwa retinal ndi izi:

• Kuwala kwadzidzidzi kwa kuwala (Photopsia): Monga kuwala kwa mphezi.
• Madontho akuda omwe amawoneka ngati akuyandama kapena oyandama omwe amawoneka kangapo: (N'zachibadwa kuona zinthu zina zoyandama pamaso pa maso, koma ngati zikuwonjezeka mwadzidzidzi, muyenera kusamala).
• Kuona molakwika: Izi zingamveke ngati mafunde akuda kapena nsalu ikubwera ndikutseka maso anu.
• Kusawona bwino mwadzidzidzi.

Ngati muwona chimodzi mwa zizindikiro izi, pitani kuchipatala mwamsanga .

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mungafune kufunsa dokotala wanu wa maso mafunso awa:

• Kodi matenda a MGS anga (kapena a mwana wanga) ndi oopsa bwanji?
• Kodi izi zidzakhudza bwanji maso anga (kapena a mwana wanga)?
• Ndi zinthu ziti zomwe ndiyenera kuyang'ana ngati ndikuganiza kuti mwana wanga ali ndi vuto la masomphenya okhudzana ndi matenda ake a MGS?
• Kodi pali matenda ena omwe angayambitse matenda a MGS mwa ine (kapena mwana wanga)? Kodi ndikufunika kutumizidwa kwa katswiri wina?

Pomaliza, zinthu zoti muzikumbukira

Mukazindikira kuti mwana wanu kapena munthu amene mumamusamalira ali ndi Morning Glory Syndrome (MGS), vuto losowa kwambiri lomwe retina kumbuyo kwa diso silikukula bwino, mungamve chisoni komanso kukhumudwa. Palibe chithandizo chachindunji cha vutoli.

Komabe, ngakhale kuti MGS singathe kuchiritsidwa, mavuto ambiri omwe imayambitsa amatha kuchiritsidwa . Ngati mwana wanu ali ndi MGS, lankhulani ndi dokotala wawo wa maso. Pali zinthu zomwe mungachite kuti muchepetse zotsatira za vutoli ndikuletsa kuti lisakule kwambiri. Kusunga maso anu ndiye chinthu chofunikira kwambiri . Ndi kupita patsogolo kwa opaleshoni ya maso ndi njira zina zochiritsira masiku ano, n'zotheka kwambiri kuposa kale lonse. Chifukwa chake, musataye mtima. Ndi upangiri woyenera wachipatala ndi chisamaliro, vutoli lingathe kuthetsedwa.

'Morning Glory Syndrome, MGS, Matenda a Maso, Retina, Matenda a Maso a Ana, Kulephera Kuwona, Kusamvana kwa Retina