Kodi maso anu akuoneka ngati akutupa? (Proptosis) Tiyeni tikambirane za izi!

Kodi munayamba mwamvapo ngati maso anu ndi aakulu pang'ono kapena akutuluka? Mwina mnzanu kapena wachibale wanu wakuuzani za izi. Izi kwenikweni ndi vuto lomwe limawoneka mwa anthu ena. Timalitcha kuti (Proptosis) kapena (Exophthalmos) m'mawu azachipatala. Palibe choopa, ngati mukudziwa izi, mutha kuzilamulira ngati china chilichonse.

Kodi proptosis ndi chiyani?

Mwachidule, proptosis ndi pamene diso limodzi kapena onse awiri atuluka pamalo awo abwinobwino. Tangoganizani kuti maso anu, kapena diso limodzi, likuwoneka kuti lili patsogolo pang'ono kuposa masiku onse. Izi zingapangitse mawonekedwe anu kuwoneka osiyana pang'ono. Nthawi zina, zingawoneke ngati wina akukuyang'anani ndi maso ake otseguka modabwa, ndipo zingakhalebe choncho.

Tsopano popeza diso lili patsogolo panu, zingakhale zovuta pang'ono kuphethira. Mukudziwa, timaphethira kuti maso athu akhale onyowa komanso otetezeka. Nembanemba yoteteza yomwe ili pamwamba pa maso athu , yotchedwa cornea , imapeza chinyezi chomwe chimafunikira tikaphethira. Tikalephera kuphethira bwino, cornea imeneyo imauma ndipo pali mwayi waukulu kuti iwonongeke.

Kwa anthu ena, izi zingayambitse kusawona bwino, kapena kuwona kawiri - timatcha diplopia - ndi zina zotero. Vutoli limatchedwanso "kukula kwa maso" kapena "kutupa kwa maso."

Kodi zizindikiro za izi ndi ziti?

Tsopano tiyeni tiwone zizindikiro zina zomwe mungamve ndikuwona maso awa akatuluka.

Maso anu akamatupa, zoyera za maso anu zimaonekera kwambiri kuposa masiku onse. Maso anu amatulukanso m'malo omwe ali ndi maso. Mungaone kuti maso anu akumtunda sakuoneka bwino, zomwe zimapangitsa kuti maso anu azioneka ngati atseguka kwambiri.

Kuwonjezera pa chizindikiro chachikulu ichi, pakhoza kukhala zizindikiro zina zingapo:

• Mukasuntha maso anu, mumamva ngati atsekeredwa mkati, ngati mchenga .
• Maso ouma, kufiira, kapena kung'ambika pafupipafupi. Timatchanso izi (Epiphora) .
• Kutupa ndi kufiira kwa zikope.
• Kumva ngati minofu yathina poyesa kusuntha diso, ndipo nthawi zina kusatha kusuntha diso konse.
• Kukhala wozindikira kuwala kumatanthauza kuvutika kuyang'ana kuwala, komanso kuwala kwa dzuwa.
• Mutu.
• Malungo.

Kodi zizindikiro zomwe zimafunika thandizo lachipatala mwamsanga ndi ziti?

Ngati muli ndi zizindikiro izi, muyenera kuonana ndi dokotala nthawi yomweyo. Kumbukirani kuti izi ndi zinthu zachibadwa, eti?

• Kumva kugunda m'maso.
• Mwadzidzidzi, mukumva ngati maso anu akutuluka.
• Kukhala ndi ululu waukulu kapena kufiira m'maso.
• Zizindikiro zimenezi zimangooneka m'diso limodzi lokha.
• Kutaya kuona kapena kuchepa pang'onopang'ono kwa maso anu.
• Kuona zinthu ziwiri nthawi imodzi (kuona zinthu ziwiri nthawi imodzi).
• Kuyang'ana chinthu momveka bwino kumatanthauza kukhala ndi vuto loyang'ana kwambiri.

N’chifukwa chiyani maso anga amatuluka chonchi? Kodi zifukwa zake ndi ziti?

Chabwino, tsopano tiyeni tiwone chifukwa chake maso amatuluka motere, ndipo n’chiyani chingayambitse izi?

Nthawi zambiri, chifukwa chachikulu cha izi ndi vuto la chitetezo chamthupi chanu. Mwachidule, asilikali omwe amateteza matupi athu ku matenda amaukira molakwika maselo ena athu. Pankhaniyi, chitetezo chamthupi chimenecho chimaukira maselo a gland yanu ya chithokomiro ndi minofu yomwe ili kumbuyo kwa maso anu.

Kutupa kwa maso kumeneku mwa anthu omwe ali ndi vuto la chithokomiro kumatchedwa Matenda a Maso a Chithokomiro (TED) . Ndipotu, vutoli limapezeka kwambiri mwa anthu omwe ali ndi matenda okhudzana ndi chithokomiro.

Pakhoza kukhala zifukwa zina zingapo:

• Matenda a Graves: Izi zikugwirizananso ndi hyperthyroidism, vuto lomwe chithokomiro chimagwira ntchito mopitirira muyeso. Izi zimachitikanso chifukwa cha matenda omwewo a chitetezo chamthupi omwe atchulidwa pamwambapa.
• Hyperthyroidism: Matendawa amatha kuchitika ngakhale popanda matenda a Graves, pamene chithokomiro chimagwira ntchito mopitirira muyeso.
• Matenda a m'maso: Ngati kachilombo ka bakiteriya kapena kachilombo kachitika mkati mwa maso, kutupako kumatha kukankhira diso patsogolo.
• Kuvulala: Ngati pali kutuluka magazi kumbuyo kwa diso, makamaka chifukwa cha kuvulala kwa diso kapena mutu, magazi amenewo amatha kusonkhana ndikutulutsa diso.
• Ziphuphu: Ngati chotupa (chosaopsa kapena choipa) chikaonekera mkati kapena mozungulira diso, chingayambitsenso kuti diso lituluke patsogolo. Mwachitsanzo, zotupa zokhudzana ndi mitsempha, monga neuroblastoma , kapena ma sarcomas ena ofewa a minofu. Komabe, mitundu iyi ya khansa ndi yosowa.

Kodi mavuto omwe angakhalepo ndi ati? Kodi pali zotsatirapo zilizonse za nthawi yayitali?

Izi zingakuwonekere ngati zoopsa pang'ono, koma zoona zake n'zakuti, kwa anthu ambiri, vutoli silimayambitsa mavuto aakulu kapena zotsatirapo zake kwa nthawi yayitali. Kodi sizolimbikitsa?

Komabe, nthawi zina mavuto ena amatha kuchitika. Mwachitsanzo, kuwona kawiri kapena kutayika kwathunthu kwa masomphenya kumatha kuchitika kwamuyaya. Komanso, monga ndanenera kale, ngati simungathe kuphethira ndipo madontho a m'maso opaka mafuta sakuthandiza, diso lanu likhoza kukhala ndi vuto.Chigawo chapamwamba, cornea, chingawonongekenso. Izi zimatchedwa corneal ulceration. Ndicho chifukwa chake ndikofunikira kupeza chithandizo nthawi yomweyo ngati muli ndi zizindikiro.

Kodi mumapeza bwanji izi? Kodi madokotala amatsimikizira bwanji izi?

Chabwino, ngati muli ndi zizindikiro ngati izi, kodi dokotala angadziwe bwanji ngati izi ndi Proptosis kapena china chake?

Choyamba, dokotala adzakufunsani funso latsatanetsatane lokhudza zizindikiro zanu. Adzakufunsani mwatsatanetsatane za nthawi yomwe mwakhala ndi zizindikirozi, momwe zinayambira, mavuto ena omwe muli nawo, matenda aliwonse omwe mwakhala nawo kale, komanso ngati pali aliyense m'banja mwanu amene wakhalapo ndi matenda ofanana ndi anu.

Mukatero, mudzayesedwa maso. Izi zitha kuphatikizapo zinthu monga:

• Chida chapadera (nyali yodulidwa) chimagwiritsidwa ntchito kukulitsa ndikuwunika mwatsatanetsatane mawonekedwe a diso lanu pamwamba ndi mkati mwa diso lanu. Izi zimatha kuzindikira zinthu monga mabala ndi kuuma kwa cornea.
• Amayesa momwe maso ndi zikope zanu zimayendera, komanso ngati mungathe kuloza maso onse awiri mbali imodzi.
• Amayang'ana maso mosamala kuti awone ngati ali ofiira, ngati pali ululu, ngati pali kutupa kulikonse, komanso ngati pali misozi.

Ndi mayeso ena ati omwe ayenera kuchitidwa?

Pambuyo pofufuza koyamba, dokotala angachitenso mayeso ena kuti adziwe chifukwa chake, monga:

• Exophthalmometry: Izi zingamveke zachilendo pang'ono, koma zimagwiritsa ntchito chipangizo chapadera (exophthalmometer) kuti zione kutalika kwa diso lanu kuchokera pa soketi ya diso mu mamilimita. Izi zingathandize kudziwa kuopsa kwa vutoli.
• Kuyezetsa magazi: Izi zidzayang'ana kuchuluka kwa mahomoni (TSH, T3, T4) kuti ziwone momwe chithokomiro chikugwira ntchito. Chifukwa (Matenda a Maso a Chithokomiro) ndiye chifukwa chachikulu.
• Maphunziro a zithunzi: Kunena zoona, MRI (Magnetic Resonance Imaging) kapena CT scan (Computed Tomography scan) imachitidwa kuti ione bwino ngati pali kutupa, chotupa, chizindikiro cha matenda, kapena kutuluka magazi m'minofu, mitsempha, ndi minofu yamafuta kumbuyo kwa diso.
• Mayeso ena a labu: Nthawi zina chitsanzo cha kutuluka kwa madzi m'maso kapena minofu (culture) chingatengedwe kuti chitsimikizire ngati pali matenda.

Kodi mankhwala ake ndi otani?

Chabwino, tsopano tiyeni tiwone mankhwala a izi. Chithandizo chomwe mudzalandire chidzadalira chomwe chayambitsa kutupa kwa maso anu komanso kuopsa kwa vutoli.

• Misozi yopangira: Izi zitha kugwiritsidwa ntchito kangapo patsiku ngati madontho kapena gel kuti muchepetse kuuma kwa maso ndikuteteza cornea . Izi zitha kugulidwa ku pharmacy.
• Mankhwala opha tizilombo:Ngati zapezeka kuti kutuluka kwa madzi m'maso mwanu kwachitika chifukwa cha matenda a bakiteriya, mudzapatsidwa mankhwala oyenera opha tizilombo toyambitsa matenda (akamwa kapena m'madzi a m'magazi).
• Chithandizo cha matenda omwe amabwera chifukwa cha matendawa: Mwachitsanzo, ngati chithokomiro cha thyroid chikugwira ntchito mopitirira muyeso (hyperthyroidism), mankhwala oletsa chithokomiro amaperekedwa kuti athetse vutoli. Matenda a Graves amachiritsidwa mofanana.
• Mankhwala operekedwa kudzera m'mitsempha (IV): Pa vuto lalikulu la kutupa ndi kuona lomwe limayambitsidwa ndi matenda a maso a chithokomiro (TED), corticosteroids (monga methylprednisolone) imatha kuperekedwa kudzera m'mitsempha (IV pulse therapy) kuti ichepetse kutupa mwachangu. Mankhwala atsopano otchedwa Teprotumumab (Tepezza®) apezekanso kuti ndi othandiza kwambiri mu TED.

Kodi pali njira zina zochiritsira popanda opaleshoni?

Inde, nthawi zina mankhwala ena amatha kuchitidwa popanda opaleshoni, monga:

• Mankhwala ochizira maso awiri: Izi zikuphatikizapo magalasi apadera, monga ma prism, omwe amamangiriridwa ku magalasi anu. Izi zimagwira ntchito powongolera kuwala komwe kumalowa m'diso mbali ina, kukonza maso anu. Maseŵero olimbitsa maso angakulimbikitseninso.
• Mankhwala oletsa chitetezo chamthupi: Mankhwalawa (monga Mycophenolate, Rituximab) angathandize kuchepetsa kuwonongeka komwe chitetezo chamthupi chimachita m'maso, makamaka m'mikhalidwe ngati (TED).
• Corticosteroids: Mankhwala a steroid angaperekedwe ngati mapiritsi akumwa, jakisoni, kapena kudzera m'mitsempha kuti achepetse kutupa kapena kubwezeretsa masomphenya. Komabe, izi zitha kukhala ndi zotsatirapo zoyipa zikagwiritsidwa ntchito kwa nthawi yayitali, kotero ziyenera kumwedwa pokhapokha ngati dokotala akuyang'anira.

Kodi ndikufunika opaleshoni?

Si aliyense amene amafunika opaleshoni. Koma pali zochitika zina zomwe opaleshoni imafunika. Mwachitsanzo:

• Opaleshoni yochepetsa kupsinjika kwa diso: Opaleshoniyi imachitika kuti pakhale malo ambiri mumsewu womwe uli kumbuyo kwa diso . Izi zimathandiza kuti diso libwererenso mkati. Izi zimachitika ngati pali chiopsezo cha masomphenya, kapena ngati diso latuluka kwambiri moti lingawononge cornea.
• Opaleshoni ya Strabismus: Opaleshoni ya minofu ya maso ingathe kuchitidwa kuti maso onse awiri aziloza mbali imodzi.
• Opaleshoni ya zikope: Ngati zikope sizingatseke bwino, opaleshoni imachitika kuti isinthe malo a zikope kuti iteteze cornea .
• Kuchotsa chotupa: Ngati pali chotupa, chiyenera kuchotsedwa opaleshoni.

Kodi chidzachitike n’chiyani kenako? Zitenga nthawi yayitali bwanji kuti munthu achire?

Ngati mwapeza chomwe chimayambitsa zizindikirozi ndikuzichiza mwachangu, zotsatira zake zimakhala zabwino kwambiri. Ngati mwalandira chithandizo choyenera, mutha kupewa mavuto.

"Kodi kumva kwanga kudzabwerera mwakale?" mwina mukufunsa. Inde,Nthawi zambiri, diso limatha kubwerera mwakale. Komabe, ngakhale litalandira chithandizo chabwino, zingatenge nthawi kuti diso libwererenso momwe linalili poyamba. Nthawi zina zingatenge miyezi, nthawi zina zaka. Zimatengera chifukwa, kuopsa kwa vutoli, komanso momwe chithandizocho chimachitikira.

Kodi tingatani kuti vutoli lisaipireipire?

Chabwino, popeza muli ndi vutoli (Proptosis), pali zinthu zofunika zomwe mungachite kuti lisakule kwambiri:

• Yang'anirani kuchuluka kwa mahomoni a chithokomiro chanu: Ngati muli ndi vuto la chithokomiro, makamaka matenda a Graves, tsatirani malangizo a dokotala wanu molondola. Imwani mankhwala anu tsiku ndi tsiku pa nthawi yake, ndipo fufuzani magazi nthawi zonse kuti kuchuluka kwa mahomoni a chithokomiro chanu kukhale koyenera.
• Siyani kusuta fodya kotheratu: Ngati ndinu wosuta fodya, ichi ndi chinthu chabwino kwambiri chomwe mungachite. Kusuta sikungowonjezera vutoli (Matenda a Maso a Chithokomiro), komanso kumachepetsa kwambiri kupambana kwa chithandizo. Kusiya kusuta fodya kudzasintha kwambiri momwe thupi lanu limayankhira ku chithandizocho. Choncho, pangani chisankho chimenecho lero.

Kodi mumakhala bwanji ndi vutoli? Kodi mumakhala bwanji olimba m'maganizo?

Maso anu angasinthe mawonekedwe anu. Izi zitha kukhudza kwambiri kudzidalira kwanu komanso kudzidalira kwanu. Mutha kukhala ndi nkhawa komanso nkhawa kwambiri ndi izi. Mungaganize kuti, "Anthu adzaganiza chiyani?" kapena "Nkhope yanga yasintha." Ngati izi zakhudza masomphenya anu, zinthu zina pa moyo wanu watsiku ndi tsiku komanso maubwenzi anu zitha kusintha mosayembekezereka. Kusintha kumeneku kungakupangitseni kumva kukhumudwa, kuda nkhawa, kapena kuvutika maganizo. Ndizachibadwa, ndipo simuli nokha amene mukukumana ndi izi.

Kumbukirani, simuli nokha paulendowu. Kupempha thandizo si kufooka, ndi mphamvu.

Zinthu ngati izi zingakuthandizeni kuthana ndi mavuto awa:

• Funani thandizo kwa katswiri wa zamaganizo : Ndikofunikira kulankhula ndi munthu monga katswiri wa zamaganizo kapena mlangizi. Angakuthandizeni kupeza njira zothetsera, kuthana ndi, komanso kuthana ndi malingaliro ndi malingaliro anu oipa kudzera mu njira monga Cognitive Behavior Therapy (CBT) .
• Pezani thandizo kwa wantchito wothandiza anthu: Ngati simungathe kuyendetsa galimoto chifukwa cha mavuto a maso kapena muli ndi mavuto ena othandiza, angakuthandizeni kupeza magulu othandizira m'dera lanu kapena zinthu zina pa intaneti. Maguluwa ali ndi anthu ambiri omwe adakumana ndi zokumana nazo zofanana ndi zanu, kotero kulankhula nawo kungakhale kothandiza kwambiri.

Pomaliza, muyenera kunena...

Kutulutsa poizoni m'thupi kungakhale chinthu chokhumudwitsa komanso choopsa kwambiri. Timamvetsa zimenezo. Koma musalole kuti ziwononge moyo wanu. Mukapita kwa dokotala msanga, zimakhala zosavuta kuti apeze chomwe chikuyambitsa vutoli. Kenako mutha kuyamba chithandizo chofunikira, kupewa kuti vutoli lisakule kwambiri, ndikupewa mavuto omwe angakhalepo.

Ndikofunikanso kusamalira thanzi lanu la maganizo. Monga momwe mulili ndi thanzi lanu lakuthupi, muyeneranso kusamalira thanzi lanu la maganizo. Kufunafuna thandizo kuchokera kwa mlangizi wa zaumoyo wamaganizo kungakuthandizeni kuthana ndi mavuto anu ndikuthana ndi vutoli mwamphamvu. Wantchito wothandiza anthu angakutumizireni kumalo komwe mungapeze thandizo lomwe mukufuna.

Choncho, musadandaule ndi chilichonse, musaope kupeza thandizo lomwe mukufuna, ndipo musaope kuvutika nokha. Ndikukufunirani kuti muchire mwachangu!

` proptosis, exophthalmos, maso otupa, matenda a maso a chithokomiro, matenda a Graves, hyperthyroidism, mavuto a maso