Ese ubona imirongo nk'iyi mu maso yawe? Reka tuvuge ku mirongo ya Angioid!

Ese wigeze ujya kwa muganga w'amaso maze ukumva ikintu nk'iki kivuga ngo "Ushobora kubona utu duce duto mu jisho ryawe, tutwita Angioid Streaks"? Cyangwa umaze kumva iri zina? Ushobora kugira ubwoba gato kubyumva. Ariko ntugahangayike. Uyu munsi, turaganira kuri iyi ndwara yitwa Angioid Streaks mu buryo bworoshye kandi bwumvikana.

Ese uzi Angioid Streaks icyo ari cyo?

Mu magambo make, Angioid Streaks ni imiyoboro mito kandi igoye igaragara munsi y'amaso yawe. Isa n'imiyoboro y'amaraso, ariko mu by'ukuri si imiyoboro y'amaraso. Akenshi igaragara iyo muganga w'amaso agusuzumye. Akenshi igaragara mu maso yombi. Hari n'abantu bayita Knapp streaks cyangwa Knapp striae.

Tekereza, imbere mu jisho ryawe hari `Disiki y'amaso` (ni ukuvuga igice cya nyuma cy'umutsi w'amaso mbere yuko uhuzwa n'ubwonko), kandi iyi mirongo isa n'aho izamuka iturutse inyuma. Ibaho iyo agace kitwa `Bruch's membrane` kavutse imbere mu jisho. Iyi `Bruch's membrane` ni igipfundikizo cy'imbere cya `Choroid` (aha niho imitsi y'amaraso izana amaraso n'intungamubiri mu jisho iherereye). Iherereye hagati ya `Retina` na `Sclera`.

Ni ibihe bimenyetso by'iyi ndwara?

Akenshi, nta bimenyetso by'imitsi ya angioid ibaho. Ibi bivuze ko ushobora kutabona impinduka cyangwa kumererwa nabi. Ariko, zimwe mu ngorane zijyanye n'iyi mitsi ya angioid rimwe na rimwe zishobora gutuma umuntu atabona neza. Niyo mpamvu abaganga bahangayikishijwe n'iki kibazo.

Kuki iyi mitsi ya angioid ibaho?

Impamvu nyamukuru ni ukuvuka kw'imitumba mu ruhu rw'umubiri rwa 'Bruch' twavuze mbere. Kuri bamwe, uru ruhu rurushaho gukomera uko igihe kigenda gihita, rukabika ibintu nka calcium, kandi rugahita rucika intege. Ni bwo iyo mitumba imeze nk'imirongo ivuka.

Hari igihe ibi bishobora guterwa n'ibikomere byo mu maso.

Ni ibihe bintu bishobora gutera ibyago?

Hari indwara zimwe na zimwe zishobora gutera indwara ya Angioid Streaks. Kugira ngo bakomeze kuzizirikana, abaganga rimwe na rimwe bakoresha ijambo PEPSI rihinnye. Reka turebe izo ari zo:

• P - Pseudoxanthoma elasticum: Iyi ni indwara ivuka mu muryango. Iterwa no kwishyira mu miyoboro y'imyunyu ngugu mu mubiri. Iyi ndwara ikunze kujyana na Angioid Streaks.
• E - Ehlers-Danlos syndrome: Iyi ni indwara y’uturemangingo ifata ingingo z’umubiri.
• Indwara ya Paget y'amagufwa: Iyi ni indwara ifata amagufwa. Igira ingaruka ku buryo amagufwa mashya avuka kandi agacika.
• S - Indwara ya Sickle cell: Iyi ni indwara umuntu avukana ifata uturemangingo dutukura tw’amaraso. Uturemangingo dutukura tw’amaraso turahinduka kandi dushobora gufatwa n’imitsi.
• I - Idiopathic conditions: Izi ni indwara zitaboneka impamvu yihariye . Izi zishobora kugira ingaruka kuri hemoglobin (igice cy'uturemangingo dutukura tw'amaraso) cyangwa kolajeni (igice cy'ingenzi cy'uturemangingo) mu maraso yawe.

Igikuru ni uko, ntabwo ari ngombwa ko ugira indwara zose PEPSI ivuga kugira ngo ugire Angioid Streaks. Izi ni zo ndwara z'ingenzi zishobora kujyana na zo.

Izindi mpamvu zishobora gutera ibyago

Uretse izi ndwara zikomeye, hari izindi mpamvu nyinshi zishobora kongera ibyago byo kurwara indwara ya Angioid Streaks:

• Gusaza: Impinduka mu rugingo rwa Bruch zishobora kubaho uko umuntu agenda akura.
• Ibikomere byo mu maso: Nkuko twabivuze mbere, ibi bishobora guterwa n'ibintu nk'ibikomere bikomeye ku maso.

Ni izihe ngorane zishobora guterwa na Angioid Streaks?

Nubwo kugira imitsi ya angioid akenshi ntacyo bitwaye, hari igihe bishobora guteza ingorane zigira ingaruka ku kureba kwawe. Izi ni zo zishobora guteza akaga.

Hari ingorane ebyiri z'ingenzi:

1. Gutera imitsi mishya y'amaraso mu maraso: Ibi bibaho iyo imitsi mishya y'amaraso idakora neza ikurira muri retina. Iyi mitsi imeze nk'ibyatsi bibi, kandi ntabwo ari myiza ku jisho. Ishobora kuva amaraso cyangwa ikazana amazi, bigatuma umuntu atabona neza kandi akagenda nabi.

2. Kuva amaraso mu nda: Iyi mitsi mishya y'amaraso idakomeye ishobora gucika no kuva amaraso munsi ya retina. Ibi bishobora no kwangiza amaso.

Iyo ingorane nk'izi zivutse ni bwo gusa amaso yawe atangira kugorama cyangwa akagabanuka.

Ibi bipimwa gute? Ni ibihe bipimo bikorwa?

Akenshi, umuganga w'amaso ashobora kubona iyi mitsi ya angioid mu gihe cyo gusuzuma amaso bisanzwe. Ariko, kugira ngo yemeze ikibazo, agaragaze izindi ndwara, kandi amenye niba hari ingorane, umuganga wawe ashobora gushaka ko ukorerwa ibizamini byinshi. Hari igihe bashobora kugusaba ko ibi bizamini bisubirwamo rimwe na rimwe kugira ngo barebe uko uburwayi bwawe burimo guhinduka.

Ubwoko bw'ibizamini byakozwe

Ibizamini by'ingenzi byo gufata amashusho byakozwe ni ibi bikurikira:

• Isuzuma rya fluorescein angiography:Ibi bikubiyemo gutera irangi ryihariye mu mutsi uri mu kuboko kwawe. Hanyuma, kamera yihariye ifata amafoto mu gihe irangi rinyura mu mitsi iri mu jisho ryawe. Ibi bigufasha kubona neza ibibazo biri mu mitsi yawe y'amaraso, nk'imitsi mishya y'amaraso.
• Isuzuma ry’imiterere y’ijisho (OCT): Ibi ni nko gupima imbere mu jisho. Rikoresha urumuri kugira ngo rifate amashusho y’imbere mu jisho. Rishobora kureba ibintu nk’ubugari bw’imiterere y’ijisho, amazi yiyongera, n’imitsi mishya y’amaraso.
• Isuzuma rya Fundus autofluorescence: Iki kizamini gikoresha ikintu karemano cyitwa lipofuscin kiboneka mu jisho kugira ngo harebwe impinduka n'ibyangiritse ku turemangingo tw'ijisho.

Muganga azagufatira icyemezo cy'uburyo ukeneye bwo kwivuza akurikije amakuru yavuye muri ibyo bipimo.

Ese hari uburyo bwo kuvura indwara ya Angioid Streaks?

Nta buryo bwihariye bwo kuvura indwara ya Angioid Streaks. Ni ukuvuga ko nta muti uhari kuri ubu. Ariko, icy'ingenzi ni ukuvura ingorane ziterwa na zo, no kuvura indwara zose zishobora kuba zifitanye isano nazo (nk'izo ku rutonde rwa PEPSI).

Uburyo bwihariye bwo kuvura ingorane

Niba ufite indwara nk'iyo twavuze yitwa "choroidal neovascularization" (ni ukuvuga kurema imitsi mishya idakenewe), muganga wawe ashobora kukugira inama yo kuvura nk'iyi:

• Gutera amaraso mu mubiri: Ibi bikoresha laser kugira ngo isenye imiyoboro y'amaraso idakenewe.
• Ubuvuzi bushingiye ku mucyo (PDT): Ibi bikubiyemo gutanga umuti wihariye uvura urumuri ku mubiri wawe, hanyuma ugashyira urumuri rwihariye mu jisho ryawe kugira ngo usenye imiyoboro y'amaraso idakenewe.
• Imiti irwanya imitsi yo mu nda (anti-VEGF): Iyi ni yo miti ikoreshwa cyane. Irimo gutera umuti wihariye mu mazi asa n'umusemburo mu jisho witwa vitreous humor. Iyi miti igenzura imikurire y'imitsi mishya y'amaraso. Nanone yitwa imiti igabanya ubukana bwa VEGF. Iyi miti ishobora gukenera gusubirwamo buri kwezi cyangwa uko bikenewe.
• Gukoresha imiti ya PDT n'imiti irwanya VEGF hamwe: Hari igihe ubu buryo bubiri bushobora gukoreshwa hamwe.

Ese hari ingaruka/ingorane zishobora guterwa n'ubuvuzi?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, ubu buvuzi bushobora kugira ingaruka mbi cyangwa ingorane. Ni byiza kubimenya.

• Gupima amaraso hakoreshejwe laser:Nubwo ibi bishobora gutuma umuntu atabona neza mu gihe gito, rimwe na rimwe bishobora kwangiza ingingo nzima, bigatera kuva amaraso mu maso no gutakaza ubushobozi bwo kureba hagati.
• Imiti irwanya VEGF: Ingaruka mbi zikomoka kuri izi nshinge akenshi ziba iz'igihe gito. Zishobora kuba zirimo kubabara amaso, gutukura, gucikagurika, no kuremba. Hari ibyago bike cyane byo kwandura amaso cyane buri nshinge.
• Uburyo bwo kuvura PDT: Hashobora kubaho kwiyongera kw'igihe gito k'ubushyuhe bw'izuba nyuma y'ibi. Hashobora kandi kuba hari ahantu hatagaragara mu maso. Hashobora kubaho ubwivumbure ku miti itera urumuri, kandi ni gake cyane, imitsi mishya idakenewe ishobora kuvuka.

Niba ugiriwe inama yo kwivuza, ni ngombwa cyane kuganira na muganga wawe ku buryo bwimbitse ku byiza, ibibi n'ingaruka mbi zishobora kubaho.

Bigenda bite iyo mfite Angioid Streaks?

Niba ufite imitsi ya angioid gusa, ni ukuvuga ko nta zindi ngorane zibaho, ntabwo ari ikibazo gikomeye. Ariko, niba ufite imvune mu jisho, ugomba kujya kwa muganga w’amaso akavurwa.

Niba ufite ikibazo cy’umubiri gitera imitsi ya angioid, ni ngombwa cyane gukurikiza gahunda yo kuvura ya muganga wawe no kubona ubuvuzi bw’amaso bukenewe.

Ese ibi bishobora kwirindwa? Ingaruka zishobora kugabanuka gute?

Nta buryo bwo kwirinda indwara ziterwa n’indwara zisanzwe. Ariko, ushobora kwirinda indwara ziterwa n’amaso.

Kurinda amaso yawe ni cyo kintu cy'ingenzi cyane hano. Kwambara imyenda irinda amaso bishobora kugabanya ibyago byo:

• Mu gihe ukoresha imashini cyangwa ibintu bishobora gutera imvune mu maso (urugero: gusudira, gukoresha icyuma gisya, gukora imbaho).
• Iyo utwaye moto (ufite agatambaro kabigenewe ku ngofero).
• Iyo urimo gukina imikino igoye gato (urugero: gukina cricket, cyane cyane iyo ukubita inkoni, gukina mu kibuga).
• Iyo ukorera mu busitani, cyane cyane iyo utema amashami no gukuraho ibihuru.

Ni ibihe bihe byiza byo kujya kwa muganga?

Ni byiza kujya kwa muganga w’amaso buri gihe kugira ngo agupime amaso. Niba ufite ikibazo cy’amaso cyangwa ikindi kibazo gishobora kugira ingaruka ku maso yawe, ushobora gukenera kujya kwa muganga wawe kenshi.

Niba uhuye n'ikibazo kimwe muri ibi by'amaso, hita ubonana n'umuganga w'amaso:

• Niba ufite ububabare bw'amaso.
• Niba uhuye n'impinduka mu kureba (urugero: guhindagurika kw'ijisho, kugorama, ahantu hijimye).

Muri iki gihe, jya kwa muganga ako kanya cyangwa ujye mu cyumba cy’ubutabazi bw’ibanze:

• Niba ugize ikibazo mu jisho.
• Niba ubabara cyane cyangwa uva amaraso imbere mu jisho.
• Niba kureba kwawe gushize cyangwa kugahinduka urujijo cyane.

Ibibazo byo kubaza umuganga/umuganga

Iyo umaze kumenya ko ufite indwara ya Angioid Streaks, ushobora kubaza muganga wawe ibibazo nk'ibi:

• Kuki mfite iyi mitsi ya angioid?
• Ni ubuhe bwoko bw'ubuvuzi nkeneye?
• Ingaruka mbi z'ubu buryo bwo kuvura ni izihe?
• Nkwiye kukubona kangahe?
• Ni izihe mpuguke zindi ngomba kubonana nazo (urugero: ku ndwara isanzwe)?
• Ni ibihe bimenyetso bishya cyangwa ibimenyetso by'uko indwara irushaho kuba mbi nkwiye kwitondera?
• Ingeso yanjye izaba imeze ite mu gihe kiri imbere (guhanura)?

Ni irihe tandukaniro riri hagati ya `Lacquer cracks` na `Angioid Streaks`?

Ibi byombi ni ibintu bisa n'utudomo mu jisho iyo usuzumye amaso. Ariko, uko asa n'impamvu zibitera biratandukanye.

• Uduce twa Lacquer: Ibi bikunze kugaragara mu maso y'abantu bafite ikibazo cyo kutabona neza cyane.
• Indwara za angioid: Izi zishobora guterwa na zimwe mu ndwara twavuze mbere, cyangwa se kwangirika kw'ijisho.

Hari igihe, iyo isura y'iyi mirongo idasobanutse neza, muganga ashobora gukenera gukora ibizamini byo gufata amashusho nka OCT kugira ngo atandukane neza hagati yayo yombi.

Amaherezo, ubutumwa bwo kujyana mu rugo

Niba ufite imitsi ya angioid, ushobora no kutabimenya. Akenshi ivumburwa na muganga mu gihe cyo gusuzuma amaso bisanzwe. Kenshi na kenshi, nta kindi wakora uretse kuyireba. Ni ukuvuga gutegereza urebe niba ihinduka.

Ariko, hari igihe umuganga wawe ashobora gutekereza ko ufite ikibazo cy’uburwayi kijyanye n’ibi. Niba ari uko bimeze, ushobora gukenera gukorerwa ibindi bipimo.

Igikuru ni ukudatinya no gutega amatwi witonze ibyo muganga wawe avuga. Menya neza ko ubaza ibibazo ku bipimo uzakora n'ibisubizo bizakubwira. Itsinda ry'abaganga bawe rirahari kugira ngo rigufashe kandi rigufashe gufata ibyemezo bikwiye. Jya usuzuma amaso yawe buri gihe kandi urinde amaso yawe, kandi ushobora kugabanya ibyago byo guhura n'ibibazo byinshi.

Imitsi ya Angioid , Imitsi ya Angioid, Indwara z'amaso, Imitsi y'amaso, Retina, Uturemangingo twa Bruch, Ubuzima bw'amaso