Ese twavuga kuri Birdshot Chorioretinopathy uyu munsi?

Ese wigeze wumva umeze nk'aho urimo kubona ibintu bito by'umukara bireremba imbere y'amaso yawe? Cyangwa wenda kureba kwawe ntigusobanutse neza? Ibi bishobora kuba ibisanzwe, ariko rimwe na rimwe bishobora kuba ikimenyetso cy'ikibazo kiri mu jisho ryawe. Uyu munsi tugiye kuvuga ku kibazo kimwe kidasanzwe cy'amaso gishobora gukemurwa iyo kivuwe neza.

Iki ni iki (Birdshot Chorioretinopathy)?

Mu magambo make, Birdshot Chorioretinopathy, cyangwa BSCR mu magambo ahinnye, ni indwara idakunze kugaragara ifata ijisho. Si indwara idakira , bivuze ko idakira mu gihe gito, ahubwo ni indwara idakira. Iyo idavuwe neza, ishobora gutuma habaho impinduka mu buryo buhoraho mu kureba cyangwa ndetse no gutakaza ubushobozi bwo kureba burundu.

(BSCR) ni indwara ikomeye ikomoka ku itsinda ry'indwara zitwa "Uveitis", zangiza ingingo z'imbere mu jisho. Iterwa ahanini no kubyimba kwa:

• Retina : Iyi ni membrane y’ijisho ryacu ishobora kwakira urumuri. Ni nk'ishusho iri muri kamera. Amashusho tubona yafashwe hano.
• Choroid : Iyi iri munsi ya retina. Iyi ni membrane ihuza retina n'igice cy'umweru cy'ijisho, igatanga amaraso kuri retina, ni ukuvuga ko ari yo igaburira.

Ikiranga iyi ndwara cyane ni ukugaragara kw'utudomo duto, tw'ibara ry'umuhondo, dufite ibara ry'umukara mu gice cy'imbere cya retina no mu gice cyo hejuru cya koroidi. Ibimenyetso bya mbere akenshi birimo ibintu by'umukara bireremba imbere y'amaso (floaters) , kutabona neza , cyangwa byombi. Iyi ndwara ikunze kugira ingaruka ku maso yombi .

Uko igihe kigenda gihita, iyi ndwara ishobora gutera indwara nka cystoid macular edema cyangwa glaucoma . Nubwo nta muti uhari, Birdshot Chorioretinopathy ni indwara ivurwa . Kuyimenya hakiri kare ni ingenzi kugira ngo ubuvuzi bugende neza.

Ni nde urwara indwara ya Birdshot Chorioretinopathy?

Mu by’ukuri, iyi ndwara ishobora kugaragara ku muntu uwo ari we wese. Ariko ikunze kugaragara ku bantu bakuru b’abazungu bari hagati y’imyaka 40 na 60. Ni gake cyane ku bana barwara iyi ndwara.

Ese hari izindi ndwara zisa n'izi (Birdshot Chorioretinopathy)?

Yego, izindi ndwara nyinshi, harimo n'izindi ndwara zo mu itsinda rya Uveitis, zishobora kugira ibimenyetso bisa na Birdshot Chorioretinopathy. Kubwibyo, ni ngombwa cyane kubona isuzuma nyaryo kugira ngo ubashe kuvurwa neza. Zimwe mu ndwara zishobora gusa na BSCR ni izi:

• Lymphoma (ubwoko bwa kanseri)
• Sarcoidosis (indwara itera kubyimba guto mu bice bitandukanye by'umubiri)
• `(Sympathetic ophthalmia)` (Ubwoko budasanzwe bwa uveitis buterwa n'igikomere cyo mu jisho)
• Sifilo (indwara yandurira mu mibonano mpuzabitsina)
• `(Indwara ya histoplasmosis y'amaso iterwa n'indwara y'ibihumyo)` (indwara ifata amaso iterwa n'udukoko tw'imikaya)
• `(Igituntu)` (Igituntu)
• `(Vogt-Koyanagi-Harada syndrome)` (indwara igira ingaruka ku mikorere y'ubwonko, igira ingaruka ku kureba no kumva)

Hariho kandi itsinda ry'indwara ziterwa n'ububyimbirwe zitwa "White dot syndromes", zishobora no kugaragaza ibimenyetso bya BSCR. Izi ndwara zitera "ibisebe" kuri retina na choroid. Ingero zimwe ni izi:

• `(Acute posterior multifocal placoid pigment epitheliopathy (APPMPPE))`
• `(Multifocal choroiditis na panuveitis (MCP))`
• `(Indwara y'udupira twinshi tw'umweru (MEWDS))`
• `(Indwara yo mu nda ya punctate (PIC))`

Kuki ibi byitwa (Birdshot Chorioretinopathy)?

Iyi ni indwara nshya, yavuzwe bwa mbere mu 1949. Mu 1980 ni bwo abaganga babiri b'amaso bayihaye izina "(Birdshot Chorioretinopathy)". Impamvu y'ibi ni uko utudomo dukwirakwiriye muri retina, dufite ibara rya cream na orange . Izina rikomoka ku kuba imiterere y'utu duto isa n'imiterere y'amasasu mato (birdshot) akoreshwa mu kurasa inyoni. Tekereza, hari utudomo mu jisho, nk'amasasu akwirakwira iyo imbunda irashwe.

Ese hari andi mazina y'ibi?

Yego, hari andi mazina menshi akoreshwa kuri iyo ndwara (Birdshot Chorioretinopathy):

• `(Korioretinitis y'inyoni)`
• `(Birdshot retinochoroiditis)`
• `(Birdshot retinochoroidopathie)`
• `(Uburwayi bw'inyoni)`
• `(BSCR)` (izina rigufi)
• `(Posterior uveitis)` (uveitis igaragara inyuma y'ijisho)
• `(Koroidite ya Vitiliginous)`

Birdshot Chorioretinopathy ikunze kugaragara gute?

Iyi ni indwara idakunze kugaragara cyane . Abashakashatsi bemeza ko yibasira abantu bari munsi y’umwe mu bihumbi ijana. Ibi bivuze ko no muri Sri Lanka, hashobora kuba hari abantu barwaye iyi ndwara, ariko umubare ni muto cyane.

Ni iki gitera indwara ya Birdshot Chorioretinopathy?

Abashakashatsi ntibaramenya neza impamvu nyayo y’iyi ndwara, ariko bakeka ko ari indwara iterwa n’ubwiyongere bw’umubiri . Muri make, ubwirinzi bw’umubiri wacu, ari bwo bw’umubiri, bwibasira ingirabuzima fatizo zacu zizima.

Abantu barenga 90% banduye (BSCR) bafite gene ya antibody (molecule itera imbaraga ubudahangarwa bw'umubiri) yitwa `(HLA-A29)` mu mubiri wabo. Iki ni ikintu gituruka ku babyeyi. Ariko, `(HLA-A29)` si ngombwa kugira ngo umuntu agire (Birdshot Chorioretinopathy). Nanone, birashoboka kugira iyi gene ya antibody ariko ntugire iyo ndwara.

Ni ibihe bimenyetso bya Birdshot Chorioretinopathy?

Ibimenyetso by'iyi ndwara bishobora gutandukana bitewe n'umuntu ku wundi. IbiIndwara ikomeza kwiyongera ni indwara igenda irushaho kwiyongera mu gihe cy'amezi cyangwa imyaka.

Ibimenyetso bya mbere bya Birdshot Chorioretinopathy akenshi ni ibi bikurikira:

• Kubona ibintu by'umukara biri kureremba imbere y'amaso (ibirere)
• Kureba nabi

Ubusanzwe iyi ndwara ntabwo itera ububabare bw'amaso cyangwa gutukura . Ariko, ushobora guhura n'ibi bikurikira:

• Ihinduka ry'amaso cyangwa kugabanuka k'ubushobozi bwo kureba.
• Kugabanuka k'ubushobozi bwo kureba impande cyangwa kugorwa no gupima intera.
• Umuvuduko ukabije mu jisho (umuvuduko ukabije w'amaraso mu maso).
• Ubuhumyi bwo mu ijoro (nyctalopia) (kutabona neza nijoro).
• Ibibazo byo kubona amabara (`(ubuhumyi bw'amabara)`), ingorane zo gutandukanya amabara amwe (`(dychromatopsia)`.
• Kumva urumuri rwinshi cyangwa urumuri rwinshi (photophobia).

Hari abantu bashobora kugira impinduka zidasanzwe mu kureba cyangwa ibibazo byo mu bwenge. Urugero:

• Ingaruka z'umufana wo mu gisenge : Iyo ufunze amaso, bigaragara nk'aho umufana wo mu gisenge cyangwa imashini y'umuyaga irimo kuzenguruka.
• Kubona urumuri cyangwa urumuri (photopsia) cyangwa kubona imiterere idahwitse (metamorphopsia) .
• Kureba nabi, birabagirana, nk'aho ureba mu mazi cyangwa mu kirahure cyanduye .

Mu bihe bikomeye, indwara nka cataract cyangwa glaucoma zishobora kugaragara. Ibi bishobora gutuma umuntu atabasha kureba neza ndetse no nyuma yo kuvurwa kubyimba. Birdshot Chorioretinopathy ishobora no gutera ibibazo mu gice cyo hagati cya retina, nko kubyimba kwa cystoid macular na epiretinal membranes.

Ni gute Birdshot Chorioretinopathy ipimwa?

Iyi ndwara rimwe na rimwe ishobora kugorana kuyisuzuma kuko ari indwara idakunze kugaragara kandi uduce twihariye dushobora kutagaragara mu ntangiriro z'iyi ndwara.

Abaganga b'amaso bakunze gusuzuma BSCR binyuze mu isuzuma ry'amaso. Banakora isuzuma ry'amaraso kugira ngo barebe niba ufite antibodi ya HLA-A29.

Abaganga bashobora gukoresha ibizamini bitandukanye kugira ngo bagukurikirane uko igihe kigenda gihita. Ni ngombwa gukomeza kuvugana na muganga wawe kugira ngo ubone ubuvuzi ukeneye.

Ese hari umuti wuzuye wa Birdshot Chorioretinopathy?

Ikibabaje ni uko nta muti wuzuye w’iyi ndwara uhari. Ariko, iyo iyi ndwara igaragaye kandi ikavurwa hakiri kare , ibimenyetso byayo bishobora kugabanuka kandi indwara ikaba yakwirindwa ko ikomeza kwiyongera.

Wibuke: icy'ingenzi ni ugusuzuma indwara hakiri kare no gutangira kuyivura!

Ni nde ushobora kuba mu itsinda ryanjye ry’ubuvuzi?

Ikipe yawe y’ubuvuzi izakugira inama yo kugufasha kuvurwa, ikukurikirane, kandi ihindure imiti yawe bitewe n’uko umeze n’ingaruka mbi. Ikipe yawe ishobora kuba irimo:

• Umuganga w'amaso : Umuganga mukuru uvura amaso.
• Inzobere mu by'imitsi : Kubera ko hari uburyo bumwe na bumwe bugira ingaruka ku mpyiko.
• Inzobere mu by’ubudahangarwa bw’amaso: Umuganga ufite ubumenyi bwihariye mu bibazo by’ubudahangarwa bw’amaso.
• Inzobere mu ndwara za rubagimpande: Umuganga w’inzobere mu ndwara zijyanye no kubyimba mu mubiri, kuko iyi nayo ari indwara yo kubyimba.
• Umuganga w'amagufwa : Kubera ko uburyo bumwe na bumwe bwo kuvura bugira ingaruka ku magufwa.

Indwara ya Birdshot Chorioretinopathy ivurwa ite?

Uburyo bwo kuvura iyi ndwara buterwa n'ubukana bw'indwara yawe n'uko ihinduka uko igihe kigenda gihita. Intego nyamukuru yo kuvura ni ukugabanya kubyimba mu maso no gukumira cyangwa gusubiza hamwe bimwe mu byo wabonaga byatakaye .

Ubusanzwe abaganga babanza gutanga imiti myinshi ya corticosteroids (ubwoko bw'imiti ya steroid) kugira ngo bagabanye kubyimba kw'amaso. Hanyuma, iyo miti igabanywa buhoro buhoro kugira ngo bigabanye ingaruka mbi. Ushobora kubona imiti ya steroid mu buryo bukurikira:

• Ibitonyanga by'amaso
• Imiti yo kunywa
• Agakoresho gato kabagwa mu jisho (intravitreal implant)
• Urushinge
• Guhabwa umutsi mu mitsi (IV - mu mitsi)

Abantu benshi kandi bakeneye gufata imiti igabanya ubukana bw'umubiri igihe kirekire . Iyi miti ibuza ubudahangarwa bw'umubiri wawe kwibasira amaso yawe. Imwe cyangwa nyinshi muri izi zikurikira zishobora gukoreshwa:

• `(Ibikoresho bigabanya alkylating)`
• `(Imiti irwanya ububobere)`
• `(Ibikoresho by'ibinyabuzima)` (imiti y'ibinyabuzima)
• `(Guteranya T-seli/ibibuza calciumurine)`

Ese uburyo bwo kuvura indwara ya Birdshot Chorioretinopathy (Birdshot Chorioretinopathy) bushobora gutera ingaruka mbi?

Yego, gukoresha imiti igabanya ubukana bw'umubiri igihe kirekire bishobora gutera ingaruka mbi zikomeye . Urugero, ibibazo by'igifu (ibisebe, ibisebe) cyangwa ibibazo by'amagufwa (osteoporose) bishobora kubaho. Iyi miti ishobora no kongera ibyago byo kurwara indwara ya cataract cyangwa glaucoma.

Muganga wawe azagukurikirana niba hari ingaruka mbi zose kandi aguhe indi miti nibiba ngombwa. Niba ufata imiti ya steroide ikoreshwa mu kunwa, muganga wawe azagusuzuma niba nta gutakaza amagufwa (osteoporose) ndetse n'ibyago byawe byo kuvunika.

Muganga waweGupima ubucucike bw'amagufwa nabyo bishobora kuba byiza. Imiti (bisphosphonates) ishobora kandi gutangwa kugira ngo hirindwe gutakaza amagufwa.

Ni ubuhe bwoko bw'igenzura ry'igihe kirekire nkeneye (BSCR)?

Menya neza impinduka cyangwa ingorane zose mu buzima bwawe. Muganga wawe azakora ibizamini by'amaraso n'inkari kugira ngo arebe uko impyiko zawe, umwijima, n'umusemburo w'amagufwa bikora. Ushobora kandi gukenera ibizamini by'amaso buri gihe, ibizamini by'amaso, na scan ya optical coherence tomography (OCT).

Ese nshobora kugabanya ibyago byo kurwara Birdshot Chorioretinopathy?

Kugeza ubu nta buryo buzwi bwo kwirinda iyi ndwara. Kenshi na kenshi, bikekwa ko iterwa na gene runaka y’umubiri (antigen) ikomoka ku bagize umuryango.

Gusuzuma amaso buri gihe bishobora gufasha mu kumenya ibimenyetso by'indwara hakiri kare, bityo ushobora kubona ubuvuzi ku gihe bibaye ngombwa. Bwira muganga wawe niba hari umuntu wo mu muryango wawe ufite ibibazo by'amaso.

Ni iki giteganijwe ku bijyanye n'indwara ya Birdshot Chorioretinopathy?

Uko iyi ndwara ihagaze biratandukanye bitewe n'umuntu ku giti cye . Biterwa n'uburemere bw'iyi ndwara n'uko ivurwa neza. Mu bihe byoroheje, kuyivura bishobora gufasha mu kubungabunga cyangwa kunoza icyerekezo cy'amaso.

Ni ryari nkwiye gushaka inama kwa muganga kuri (Birdshot Chorioretinopathy)?

Ni ngombwa gushaka abaganga b'amaso vuba na bwangu basuzuma indwara ya Birdshot Chorioretinopathy. Nubwo waba ubona neza, isuzuma ry'amaso rishobora kugaragaza kubyimba ku rugero rwo hasi.

Bwira muganga wawe ingaruka mbi zose, impinduka mu bimenyetso, cyangwa kureba bivuye ku miti yawe. Ushobora guhabwa undi muti nibiba ngombwa. Muganga wawe azakubwira amahitamo akubereye.

Ubutumwa bwa nyuma bwo kujyana mu rugo

(Birdshot Chorioretinopathy) ni indwara idakunze kugaragara ariko ivurwa . Ntugatinye rero. Icy'ingenzi ni ugusuzuma amaso yawe buri gihe no gukurikiza inama za muganga wawe . Uko igihe kigenda gihita, muganga wawe azakubwira uburyo bwo kurinda amaso yawe no kwirinda ingorane. Hanyuma uzabasha kubona isi neza igihe kirekire. Wite ku maso yawe, kuko ni ingenzi cyane!

` Birdshot Chorioretinopathy, Indwara z'amaso, Kutabona neza, Uveitis, Retina, Indwara z'ubudahangarwa bw'umubiri, Ubuvuzi bw'amaso