Kodi diso lanu likuyenda bwino? Tiyeni tiphunzire za izi (Ocular Ischemic Syndrome)!

Kodi mwadzidzidzi mwataya maso anu, kapena mukumva kupweteka kwachilendo, kosamvetsetseka kapena kulemera m'diso limodzi kapena onse awiri? Kapena maso anu amasanduka abuluu mukatuluka panja? Nthawi zina timaganiza kuti izi ndi vuto la maso, koma pakhoza kukhala china chake choopsa kwambiri kumbuyo kwake. Ndicho chimene Ocular Ischemic Syndrome ili. Ngakhale dzinalo lingamveke loopsa pang'ono, tiyeni tikambirane mwachidule.

Kodi `(Ocular Ischemic Syndrome)` iyi ndi chiyani?

Mwachidule, matenda a Ischemic Syndrome a Ocular ndi vuto la maso losowa lomwe limachitika pamene maso athu salandira magazi okwanira. Izi zimachitika makamaka chifukwa cha mafuta omwe amapezeka m'mitsempha ikuluikulu yamagazi m'khosi mwathu otchedwa Carotid Artery. Mitsempha iyi imaperekanso magazi m'maso mwathu. Chifukwa chake, mitsempha iyi yamagazi ikatsekedwa, kuchuluka kwa magazi omwe amapita m'maso kumachepa. Izi zingayambitse mavuto a maso ndi kupweteka kwa maso.

Mwa kuyankhula kwina, tanthauzo la dzinali, liwu ndi liwu, ndi motere:

• "Maso" amatanthauza "zokhudzana ndi maso" m'mankhwala.
• "Ischemic" kapena "Ischemia" ndi vuto lomwe magazi amachepa chifukwa cha "atherosclerosis" (kuchepa kapena kuuma kwa mitsempha). Vutoli ndi lomwe limayambitsa "Carotid Artery Disease" (Carotid Artery Disease).
• "Syndrome" imatanthauza vuto lomwe zizindikiro zingapo zimachitika pamodzi.

Choncho, zonsezi zikaphatikizidwa, izi ndi zizindikiro zomwe zimachitika chifukwa cha kuchepa kwa magazi m'maso. Vutoli, makamaka, lingakhale chizindikiro choyambirira cha `(Matenda a Mitsempha ya Carotid)`. Vutoli lotchedwa `(Matenda a Mitsempha ya Carotid)` limawonjezera chiopsezo cha sitiroko ndi matenda a mtima . Chifukwa chake, ndikofunikira kwambiri kudziwa izi.

Nchifukwa chiyani izi zimachitika? Kodi zimayambitsa `(Ocular Ischemic Syndrome)` ndi ziti?

Monga ndanenera kale, chifukwa chachikulu cha izi ndi `(Carotid Artery Disease)` (Carotid Artery Disease) . Izi zimatchedwanso `(Carotid Artery Stenosis)`. `(Stenosis)` zikutanthauza kuchepa kapena kutsekeka kwa mtsempha wamagazi. Mitsempha iwiri iyi yamagazi yotchedwa `(Carotid Arteries)` mbali zonse ziwiri za khosi lanu imanyamula magazi okhala ndi mpweya wambiri kupita kumutu, pakhosi, muubongo, ndi m'maso. Chifukwa chake `(Plaque)`, chinthu chamafuta, chikayamba kusonkhana mkati mwa mitsempha iyi yamagazi (izi zimatchedwanso `(Atheroma)`), kuyenda kwa magazi kumatsekeka.

Mitsempha yamagazi yotchedwa `(Ophthalmic Arteries)` yomwe imapereka magazi m'maso mwathu imayambira pa `(Carotid Arteries)` iyi. Chifukwa chake, munthu amene ali ndi `(Carotid Artery Disease)` salandira magazi okwanira m'maso mwake. Kusowa kwa magazi kumeneko ndiko maziko a `(Ocular Ischemic Syndrome)`.

Kuwonjezera pa chifukwa chachikulu ichi, palinso zifukwa zina zomwe sizimapezeka kawirikawiri:

• `(Kuduladula Mitsempha ya Carotid)` (vuto lofanana ndi kung'ambika kwa mtsempha wa carotid)
• Vasculitis (kutupa kwa mitsempha yamagazi). Zitsanzo zikuphatikizapo Takayasu's Arteritis, Giant Cell Arteritis (GCA), ndi Behcet's Disease.
• `(Kusokonezeka kwa Mitsempha ya Fibrovascular)`
• `(Scleroderma)`
• `(Matenda a Moyamoya)`

Ndani amene ali pachiwopsezo chachikulu?

Matenda a Ischemic a Ocular ndi matenda osowa kwambiri , omwe amakhudza anthu pafupifupi 8 pa miliyoni.

Matendawa nthawi zambiri amakhudza anthu azaka zapakati pa 50 ndi 80. Amuna ali ndi mwayi wochuluka wopeza matendawa kuposa akazi .

Pali zinthu zingapo zomwe zimakhudza izi:

• `(Matenda a mtima)` (Matenda a mtima, ndiko kuti, matenda okhudzana ndi mtima ndi mitsempha yamagazi)
• Matenda a Mitsempha ya Mtima (CAD)
• Matenda a shuga
• Kuthamanga kwa magazi (BP)
• Kukhala wonenepa kwambiri, kusuta fodya, kapena zonse ziwiri.
• `(Matenda a Moyamoya)` (Iyi ndi matenda okhudzana ndi mitsempha yamagazi yomwe imapereka magazi ku ubongo)
• Ngati mudadwalapo sitiroko kapena transient ischemic attack (TIA) (monga sitiroko yaying'ono).

Kodi zizindikiro za matenda a Ischemic Ocular ndi ziti?

Zizindikiro za vutoli sizimaonekera nthawi zonse. Koma zizindikiro zikaonekera, nthawi zambiri zimakhudza diso limodzi lokha . Vutoli limakhudza kwambiri masomphenya anu. Yang'anani zizindikiro izi ngati muli nazo:

• Ululu wosasangalatsa komanso wopweteka womwe umachokera mkati mwa diso ndipo umabwera ndi kutha nthawi ndi nthawi.
• Kupweteka kwa maso kumamveka pamene kuthamanga kwa magazi m'maso kukukwera.
• Magulu otambasuka (bwalo lakuda pakati pa diso).
• Kumva ngati madontho akuda kapena ulusi ukuyandama pamaso (Eye Floaters).
• Kutaya pang'onopang'ono kapena mwadzidzidzi kwa masomphenya (Kuona Kochepa) kapena kutayika kwakanthawi kwa masomphenya kenako n'kubwereranso (Kutaya Kwakanthawi kwa Masomphenya).
• Kuvutika kuyang'ana kuwala, kusawona bwino (Photophobia).
• Kumva ngati mukuona zinthu ziwiri (Diplopia).

Kodi madokotala amamvetsa bwanji izi?

Zizindikiro za matenda a Ocular Ischemic Syndrome zimatha kufanana ndi matenda ena monga matenda a shuga a retinopathy ndi Central Retinal Vein Occlusion (CRVO). Chifukwa chake, ndikofunikira kupeza matenda olondola .

Madokotala a maso amachita mayeso otsatirawa kuti adziwe vutoli:

• Kuyezetsa maso: Mayeso osiyanasiyana a maso amachitidwa kuti apeze chomwe chimayambitsa mavuto a maso. Mwachitsanzo, kuyezetsa maso kotambasuka, kusanthula kwa optical coherence tomography (OCT), electroretinography (kuyezetsa komwe kumayesa ntchito ya retina), ndi zotheka zowoneka (kuyezetsa komwe kumayesa ntchito ya mitsempha yokhudzana ndi masomphenya).
• Fluorescein Angiogram : Iyi ndi njira yoyezera yomwe utoto wapadera umalowetsedwa mu mtsempha womwe uli m'dzanja kuti uwonetse nthawi yomwe magazi amayenda m'mitsempha yamagazi mkati mwa diso komanso ngati magazi akutuluka m'mitsempha yamagazi.

Kuphatikiza apo, katswiri wa mtima (dokotala yemwe ndi katswiri wa matenda a mtima ndi mitsempha yamagazi) angapemphe mayeso ngati awa kuti aone matenda a mitsempha ya carotid:

• `(Carotid Artery Duplex Vascular Ultrasound)` (Kujambula mitsempha yamagazi m'khosi)
• `(CT Angiogram - CTA)`, `(Carotid Angiogram)` kapena `(Magnetic Resonance Angiogram - MRA)` (izi ndi mitundu yapadera ya ma scan omwe amayang'ana momwe mitsempha yamagazi ilili m'khosi).

Kodi mankhwala ochizira izi ndi otani?

Pali njira zingapo zogwirizana zochizira matenda a Ischemic Syndrome ya Ocular. Izi zimafuna mgwirizano wa akatswiri osiyanasiyana.

Chithandizo cha mavuto a maso:

• Mitundu ya jakisoni wa maso: Mankhwala oletsa VEGF kapena ma steroid. Izi zimathandiza kuchepetsa kutupa m'maso.
• Madontho a M'maso Omwe Amathandizidwa: Amachepetsa kuthamanga kwa magazi m'maso ndi kutupa.
• Zingakhalenso zofunikira kuchitidwa chithandizo cha maso cha laser kuti mupewe kuthamanga kwa magazi m'maso.

Chithandizo cha `(Matenda a Mitsempha ya Carotid)`:

• Mankhwala ochepetsa magazi, komanso mankhwala oletsa matenda monga matenda a shuga ndi kuthamanga kwa magazi.
• Kutsegula kwa Carotid Angioplasty ndi Stenting: Njira yomwe mtsempha wamagazi wotsekedwa umadzazidwa ndi chipangizo chonga baluni ndipo stent (chubu chaching'ono chonga maukonde) imayikidwa kuti isatsekedwenso.
• Kuchotsa Carotid Endarterectomy: Njira yochitira opaleshoni yochotsa plaque yomwe yasonkhana mkati mwa mtsempha wamagazi.

Kodi izi zingayambitse mavuto otani?

Si aliyense amene ali ndi vuto la Ocular Ischemic Syndrome amene angakumane ndi mavuto aakulu a maso nthawi yomweyo. Komabe, pafupifupi theka la anthu omwe ali ndi vutoli adzataya masomphenya pang'ono mkati mwa chaka chimodzi . Komanso, anthu asanu ndi awiri mwa khumi adzadwala matenda otchedwa Neovascular Glaucoma. Mu Neovascular Glaucoma, mitsempha yatsopano yamagazi imapangika m'diso, zomwe zimaletsa kuyenda kwa madzi m'diso. Izi zingayambitse kuthamanga kwa magazi kwambiri m'maso.

Kodi thanzi la munthu amene ali ndi vuto la Ischemic Syndrome lili bwanji?

Ndipotu, matenda otchedwa `(Carotid Artery Disease)` omwe amayambitsa `(Ocular Ischemic Syndrome)` akhoza kukhala oopsa . Pambuyo popezeka ndi `(Ocular Ischemic Syndrome)`, mkati mwa zaka zisanuPafupifupi anthu anayi mwa khumi amafa ndi matenda a mtima kapena sitiroko. Chifukwa chake, kufunafuna chithandizo chamankhwala msanga ndikusintha moyo wanu kungathandize kwambiri kuteteza thanzi lanu.

Chofunika: Sindikufuna kukuopsezani ndi izi. Koma ndikofunikira kwambiri kumvetsetsa kuopsa kwa vutoli ndikuchitapo kanthu kofunikira.

Kodi matenda a Ischemic a Ocular angapewedwe?

Inde, pali zinthu zomwe mungachite kuti muchepetse chiopsezo chanu chotenga `(Carotid Artery Disease)` ndipo kudzera mu izi, `(Ocular Ischemic Syndrome).` Izi ndi izi:

• Idyani zakudya zopatsa thanzi, monga zakudya za ku Mediterranean.
• Pezani njira zabwino zothanirana ndi kupsinjika maganizo.
• Lamulirani bwino matenda a shuga ndi kuthamanga kwa magazi.
• Khalani ndi kulemera koyenera komwe kungakuyenerereni.
• Ngati mukusuta, pemphani thandizo kuti musiye.
• Khalani otanganidwa momwe mungathere ndipo chita masewera olimbitsa thupi.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala:

• Kupweteka m'maso.
• Kusintha kulikonse kwa masomphenya ndi vuto.

Komanso, ngati mukumva zizindikiro za ziwalo zopuwala (monga kuvutika kulankhula, dzanzi mbali imodzi ya thupi, kugwada kwa mbali imodzi ya nkhope), pitani kuchipatala nthawi yomweyo kapena imbani 1990.

Kodi ndifunse dokotala wanga chiyani?

Mukapita kwa dokotala, mukhoza kufunsa mafunso monga:

• N’chifukwa chiyani ndili ndi zizindikiro zimenezi?
• Ndi mayeso otani omwe ndiyenera kuchita?
• Ndi chithandizo chiti chomwe chili chabwino kwa ine?
• Kodi ndiyenera kuchita chiyani kuti ndikhale ndi thanzi labwino la mtima wanga?
• Kodi ndingatani kuti nditeteze maso anga?
• Kodi ndiyenera kuda nkhawa ndi zovuta?

Matenda aliwonse omwe amakhudza maso ndi vuto lalikulu. Ngati muli ndi Ocular Ischemic Syndrome, kusintha kwa masomphenya kungakhale chizindikiro choyamba chakuti mitsempha yanu ya magazi yatsekedwa ndipo magazi akuyenda pang'onopang'ono kupita kumutu. Izi zitha kukhalanso chizindikiro cha matenda ena, monga Carotid Artery Disease. Matenda ena a maso angayambitsenso zizindikirozi.

Chifukwa chake, ndikofunikira kwambiri kukaonana ndi dokotala wa maso yemwe ali ndi luso lozindikira ndi kuchiza matenda osowa a maso otere . Mungafunikenso kukaonana ndi dokotala wa mtima kuti akuthandizeni "Matenda a Mitsempha ya Carotid". Chithandizochi chimagwira ntchito potsegula mtsempha wamagazi wotsekedwa ndikukweza kuyenda kwa magazi m'maso. Muthanso kusintha moyo wanu kuti muteteze mtima wanu ndi maso anu.

Chinthu chofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

• Matenda a Ischemic a Ocular ndi matenda omwe amayamba chifukwa cha kuchepa kwa magazi kupita m'maso, chifukwa chachikulu ndi kutsekeka kwa mitsempha yamagazi m'khosi (Carotid Arteries).
• Ngati muli ndi zizindikiro monga kuchepa kwa masomphenya kapena kupweteka kwa maso, onetsetsani kuti mwapeza upangiri wa dokotala.
• Izi zitha kukhala chizindikiro cha "Matenda a Mitsempha ya Carotid", zomwe zimawonjezera chiopsezo cha matenda a mtima ndi sitiroko .
• Ngati matendawa apezeka msanga, chithandizo choyenera, komanso kusintha moyo, thanzi likhoza kusungidwa bwino.
• Ndikofunikira kwambiri kupewa kusuta fodya, kudya zakudya zabwino, kuchita masewera olimbitsa thupi, komanso kuwongolera matenda a shuga ndi kuthamanga kwa magazi.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kulankhula ndi dokotala wanu. Ndikukufunirani kuti muchire mwachangu!

Matenda a Ischemic a Macho, Kuchepa kwa Kuyenda kwa Magazi M'maso, Matenda a Mitsempha ya Carotid, Kuchepa kwa Kuwona, Kupweteka kwa Maso, Matenda a Mitsempha ya Carotid, Atherosclerosis