Ese biragoye kwerekeza amaso yawe ku ruhande? Iyi ishobora kuba ari indwara y'umukara!

Ese hari igihe wumva udashobora kwimura amaso yawe neza, cyane cyane iyo urebye hejuru? Cyangwa se hari impinduka wabonye mu mikorere y'amaso y'umwana wawe? Nubwo rimwe na rimwe tutita cyane kuri ibi bintu, bishobora guterwa n'indwara zimwe na zimwe z'amaso. Imwe muri izo ndwara zigira ingaruka ku mikorere y'amaso ni "Brown Syndrome", tugiye kuvugaho uyu munsi.

"Indwara y'umukara" ni iki?

Mu magambo make, "Brown Syndrome" ni ikibazo kijyanye n'imitsi n'ingingo bifasha mu kwimura amaso yacu (cyane cyane imitsi ya oblique ikomeye n'imitsi yayo). Ushobora kandi kuyumva yitwa "superior oblique tendon sheath syndrome."

Tekereza kuri ubu buryo: ijisho ryacu rimeze nka kamera. Rigomba kuba rishobora kuzenguruka mu mpande zose. Ibi bifashwa n'imitsi mito ikikije ijisho n'uturemangingo (tendon) tubihuza. Rero, iyo iyi mitsi ya 'superior oblique' n'imitsi yayo idakora neza, biragora ijisho kugenda neza mu mpande zose.

Hari abantu bavukana iyi ndwara. Ibi bivuze ko imitsi yabo ikomeye ishobora kuba migufi cyangwa ifunganye cyane igihe bavuka. Ibi byitwa Syndrome y'umukara wo mu bwoko bwa congenital. Ariko, rimwe na rimwe iyi ndwara ishobora kuvuka nyuma y'ubuzima. Ibi biterwa n'uko imitsi cyangwa imitsi bivugwaho ibyimba cyangwa ikagira ubunini.

Indwara y'umukara ikunze kwibasira ijisho rimwe gusa (ritwa 'unilaterally'). Umuntu ufite iyi ndwara agira ingorane zo kureba imbere no hejuru icyarimwe. Igira ingaruka kandi ku buryo ijisho rishobora kwerekeza hejuru.

Nubwo waba ufite "Brown Syndrome" mu jisho rimwe, ushobora kubona ukoresheje iryo jisho. Ariko, iyo urebye mu rundi ruhande, iryo jisho ntirigenda neza. Rishobora kumva nk'aho ijisho ryafashe , cyangwa nk'aho ridashobora guhindukira mu byerekezo byose bisanzwe.

Inkuru nziza ni uko iyi ndwara, yitwa "Brown syndrome," rimwe na rimwe ishobora kuvurwa n'imiti. Hari abantu bashobora no gukenera kubagwa. Niba ubonye impinduka mu maso yawe cyangwa mu maso yawe, ni byiza guhita ubonana na muganga cyangwa umuganga w'amaso.

Ni nde urebwa cyane n'iki kibazo?

"Indwara y'umukara" ni indwara idakunze kugaragara . Ariko ishobora kuba kuri buri wese. Bivugwa ko ikunze kugaragara ku bagore kurusha ku bagabo.

Ni ibihe bimenyetso bya "Brown Syndrome"?

Umuntu ufite "syndrome y'umukara" ashobora kugira ibimenyetso nk'ibi bikurikira:

• Kugorwa no kureba imbere (ureba izuru) no hejuru: Iki ni cyo kimenyetso nyamukuru. Bishobora kumvikana nk'aho ijisho ryazibye.
• Kutareba neza kw'amaso: Ijisho rimwe rishobora kugaragara nk'aho rihindukiye mu cyerekezo gitandukanye n'irindi, cyane cyane iyo rireba hejuru.
• Ububabare bw'amaso: Hari abantu bashobora kugira ububabare iyo bimura amaso yabo.
• Ijwi "rikubita" cyangwa kumva uhagaze iyo ugiye mu jisho: Hari abantu bavuga ko bumvise ijwi rikubita iyo ugiye mu jisho ryabo, cyangwa bumva ikintu gihagaze imbere.
• Ijisho rimanuka (`Ptosis`): Ijisho ry'ijisho ryafashwe rishobora kuba riri hasi ugereranyije n'irindi jisho.

Hari igihe abantu barwaye "Brown Syndrome" bahindukiza imitwe yabo ku ruhande batabizi. Ibi bibaho kubera ko amaso yabo adakora neza, kandi nk'igisubizo, bahindukiza umutwe wabo iyo bagerageza kureba neza.

Uretse ibi bimenyetso, "Brown Syndrome" ishobora no kugira ingaruka ku kureba kwawe, cyane cyane iyo urebye kure ya kamera aho kureba imbere yawe.

• Kutabona neza: Kubona neza mu jisho ryafashwe n'indwara bishobora kugabanuka.
• Kureba kabiri (diplopia): Kubona ibintu bibiri icyarimwe. Ibi bikunze kubaho kubera ko amaso yombi adashaka kureba neza hamwe.
• Kugabanuka k'uburyo umuntu abona ibintu mu buryo bw'ubujyakuzimu: Bishobora kugorana kumenya intera iri hagati y'ibintu. Urugero, ibi bishobora kuba ikibazo iyo uzamuka cyangwa umanuka ku madarajya cyangwa utwaye imodoka.

Ni iki gitera "Indwara y'umukara"?

"Brown syndrome" ibaho iyo hari ikintu kigize ingaruka ku mitsi n'uturemangingo (tendon) bigenga amaso yacu. Ibintu by'ingenzi bishobora gutera ibi ni ibi bikurikira:

Indwara y'umukara wo mu bwoko bwa Congenital Brown

Ubu ni bwo bwoko bukunze kugaragara bwa “Brown syndrome”. Congenital” bivuze ko iba ihari igihe cyo kuvuka. Rero, umwana ashobora kugira iyi ndwara mu maso ye igihe akivuka. Impuguke ntizirabona impamvu nyayo ibi bibaho. Bishobora guterwa n'impinduka zimwe na zimwe mu mikurire y'ijisho mu gihe cyo gutwita.

Indwara z'ubudahangarwa bw'umubiri

Indwara y’ubwiyongere bw’umubiri ni igihe ubudahangarwa bw’umubiri wacu, ari na bwo buryo buturinda indwara, bwibasira uturemangingo tw’umubiri wacu mu buryo butari bwo. Ntabwo byumvikana neza impamvu ibi bibaho. Zimwe mu ndwara zitera "Brown syndrome" zirimo:

• Lupus
• Indwara ya rubagimpande
• Indwara ya Sjögren
• Indwara y'amaso ya tiroyide cyangwa indwara ya dysthyroid

Izi ndwara zishobora gutera kubyimba kw'ingingo zikikije ijisho, bikabangamira imikorere y'imitsi yo mu bwoko bwa superior oblique.

Indwara n'izindi ndwara z'amaso

Indwara zimwe na zimwe n'ibindi bibazo by'amaso bishobora gutera kubyimba hirya no hino mu maso, bigatera "Brown syndrome." Ingero:

• Indwara za sinus (sinusitis):Indwara zo mu mwenge w'umwuka (sinuses) zikikije izuru zishobora gukwirakwira mu jisho bigatuma umuntu abyimba.
• Cellulitis yo mu bwoko bwa Orbital: Indwara y'udusimba tukikije umuyoboro w'igufwa aho ijisho riherereye.
• Trochleitis: Kubyimba igice gito gisa n'umugongo (trochlea) aho umutsi w'amaguru unyura.
• Tenosynovitis mu mutsi w’amaguru ugororotse: Uku ni ukubyimba k’uruti rutwikira umutsi.

Impanuka (Ihungabana)

Hari igihe "Brown syndrome" ishobora guterwa n'impanuka ku maso cyangwa ku maso.

• Ibikomere by'amaso: Ikintu kimeze nk'igikomere ku jisho. Tekereza, niba umuntu akubiswe umupira mu jisho mu gihe akina cricket, ikintu nk'icyo.
• Kuvunika mu maso: Kuvunika mu maso bishobora kwangiza imitsi yo mu maso. Ibi bishobora kubaho iyo ugize impanuka mu maso mu gihe cy'impanuka y'imodoka.
• Ingorane nyuma yo kubagwa amaso: Iyi ndwara ishobora kubaho nk'ingaruka mbi nyuma yo kubagwa amaso amwe, ariko ni gake cyane.

"Indwara y'umukara" ipimwa ite?

Muganga wawe cyangwa umuganga w'amaso azashobora kumenya niba ufite indwara y'umukara binyuze mu gupima amaso . Bazareba amaso yawe mu gihe ureba imbere ndetse no mu gihe uyazamuye mu mpande zose. By'umwihariko, bazagusaba kureba hejuru, hasi, iburyo, ibumoso, imbere no hanze. Hanyuma bazashobora kureba niba hari imbogamizi ku mikorere y'amaso yawe.

Si ibyo gusa, ahubwo bazasuzuma amaso yawe kugira ngo barebe izindi ndwara z'amaso zishobora gutera ibi bimenyetso. Hari igihe ibikoresho byihariye bishobora gukoreshwa mu gupima ibintu nk'umuvuduko w'amaso n'amaso.

"Indwara y'umukara" ivurwa ite?

Uburyo bwo kuvura "Brown syndrome" buterwa n'icyayiteye n'uburemere bw'ibimenyetso.

Kuvura indwara ya "Brown syndrome" yavutse

Hari abana bavukanye indwara ya Brown syndrome bashobora gukura badahawe umuti . Niba umwana wawe afite indwara ya Brown syndrome, muganga w'amaso azakubwira inshuro ugomba gusuzumwa amaso ye no gukurikirana impinduka mu maso ye. Hari igihe, uko umwana wawe agenda akura, imitsi ishobora kuruhuka gato kandi ikibazo kikagenda.

Kuvura "Brown Syndrome" iterwa no kubyimba

Niba ibimenyetso byawe biterwa no kubyimba (kubyimba) hafi y'ijisho, byaba biterwa n'indwara y'ubwiyongere bw'umubiri, ubwandu, cyangwa impanuka, kuvura impamvu nyamukuru akenshi bizagabanya ibimenyetso bya "Brown syndrome".

Muganga azakubwira uburyo bwo kuvura bukenewe, bitewe n'icyateye kubyimba.

Birashoboka cyane ko uzakenera imiti yo kugabanya kubyimba kw'imitsi yawe ikomeye. Imiti ikoreshwa cyane mu kuvura indwara ya Brown syndrome ni:

• NSAIDs (Imiti Irwanya Ububyimbirwe Itari Iy’Uburibwe): Iyi ni imiti dufata yo kuvura ububabare no kubyimba, nka aspirine, ibuprofen, na naproxen. Nubwo iyi miti ishobora kugurwa muri farumasi, ni ngombwa gushaka inama kwa muganga niba uyikoresha buri gihe mu minsi irenga 10.
• Corticosteroids: Hari igihe muganga wawe ashobora gutera corticosteroid mu mitsi yawe ikomeye. Ibi bishobora kugabanya kubyimba vuba.
• Imiti igabanya ubudahangarwa bw'umubiri: Muganga wawe ashobora kukwandikira iyi miti kugira ngo ahagarike ubudahangarwa bw'umubiri bwawe kwibasira uturemangingo tuzima. Iyi miti ikunze guhabwa abantu bafite indwara ziterwa n'umubiri.

Kubaga "Indwara y'umukara"

Abantu benshi barwaye indwara ya Brown syndrome ntibakeneye kubagwa. Ariko, iyo iyi ndwara igira ingaruka zikomeye ku kureba kwawe, cyangwa niba ubundi buryo bwo kuvura budatuma ibimenyetso byawe birushaho kuba byiza, muganga wawe ashobora kukugira inama yo kubagwa kugira ngo akosore imitsi yawe ikomeye.

Bitewe n'impamvu yateye indwara ya "Brown Syndrome", umuganga wawe azakubwira icyo ukwiye kwitega n'uburyo azakoresha. Urugero:

• Tenotomi cyangwa tenectomy: Uku kubagwa gukorwa kugira ngo woroshye oblique yawe niba ikomeye cyangwa ifunze.
• Kurambura urwego rwo hejuru rw'inyuma: Iyo ari rugufi cyane, ushobora kubagwa kugira ngo ururambure.
• Gukuraho ikibyimba: Hari igihe iki kibazo gishobora guterwa n'ikintu nk'ikibyimba gito. Muri icyo gihe, kizakurwaho.

Ntugatinye kubagwa. Ubusanzwe kubagwa ni igikorwa cyiza, ariko kimwe no kubagwa ukundi kose, hari ingaruka zimwe na zimwe. Muganga wawe azagusobanurira birambuye.

Ese "Brown Syndrome" ishobora kwirindwa?

Kubera ko ari indwara ivukanwa, cyangwa iterwa n'indwara tudashobora kugenzura (nk'indwara ziterwa n'umubiri) n'impanuka, "Brown syndrome" mu by'ukuri iragoye kwirinda .

Ariko, muri rusange, ni ingenzi cyane kwambara indorerwamo z’umutekano no gukoresha ibikoresho byo kwirinda bikwiye igihe ukoresha ibikoresho cyangwa ukora ikintu icyo ari cyo cyose gishobora kwangiza amaso yawe . Ibi bishobora kwirinda "Brown Syndrome" gusa, ndetse n'ibindi bikomere byinshi by'amaso.

Ni ryari nkwiye kwisuzumisha amaso yanjye?

Gusuzuma amaso yawe buri gihe no kureba neza bishobora gufasha umuganga w'amaso yawe kubona ikibazo hakiri kare. Inshuro ugomba gusuzumwa amaso yawe akenshi biterwa n'imyaka yawe:

• Abana bato: Umuganga w'abana azasuzuma amaso y'umwana wawe mu gihe cyo kumusura kenshi - cyane cyane mu myaka ya mbere, hanyuma kabiri mu mwaka.
• Abantu bakuru bari munsi y'imyaka 40: Buri myaka itanu kugeza ku icumi.
• Abantu bakuru bari hagati y'imyaka 40 na 54: Buri myaka ibiri kugeza kuri ine.
• Abantu bakuru barengeje imyaka 55: Buri mwaka kugeza kuri itatu.

Niba wambaye indorerwamo, lenzi zo mu maso, cyangwa izindi mfashanyigisho, ushobora gukenera kwisuzumisha amaso yawe kenshi. Abantu barwaye diyabete nabo bagomba kwisuzumisha amaso yabo kenshi kurusha abari kuri uru rutonde, kuko diyabete ishobora kugira ingaruka ku maso.

Ikintu cyiza cyo gukora ni ukubaza muganga w'amaso inshuro ukeneye gupimwa amaso.

Ni iki wakwitega niba ufite "Brown Syndrome"?

Iyo icyateye "Brown Syndrome" kimaze kuvurwa, ibimenyetso byawe bigomba kugabanuka. Ushobora kwitega gukira neza .

Bamwe mu bana bavukanye indwara ya "Brown Syndrome" bakura nta buvuzi batanze uko bagenda bakura.

Nubwo wabazwe, "Brown syndrome" ubusanzwe ntabwo igira ingaruka z'igihe kirekire ku maso yawe cyangwa kureba kwawe. Rero ntugahangayikishwe cyane na byo.

Ni ryari ngomba kujya kwa muganga?

Jya kwa muganga ukimara kubona impinduka mu maso yawe cyangwa mu maso yawe. Nubwo byaba bisa nkaho ari ibintu bito, bishobora kuba ikimenyetso cy'ikibazo gikomeye.

Niba ufite kimwe muri ibi bimenyetso, jya mu bitaro byihutirwa vuba :

• Gutakaza ubushobozi bwo kureba butunguranye.
• Ububabare bukomeye bw'amaso.
• Niba wumva urimo kubona amatara mashya (`amatara`) cyangwa ibintu bireremba (`amatara`) imbere y'amaso yawe.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Iyo ugiye kwa muganga, ntukibagirwe kubaza ibibazo nk'ibi:

• Ese mfite "Brown Syndrome" cyangwa indi ndwara ya strabismus?
• Ibimenyetso byanjye bizamara igihe kingana iki?
• Ese nkeneye ubuvuzi ubwo aribwo bwose?
• Ni iki gitera "Indwara y'umukara"?
• Ni kangahe ngomba kongera gusuzumwa amaso yanjye?

Uretse ibi bibazo, baza gushidikanya cyangwa ibibazo byose ushobora kuba ufite. Muganga ari hano kugira ngo agufashe.

Ni irihe tandukaniro riri hagati ya "Brown syndrome" na "lazy eye" (amblyopia)?

"Indwara y'umukara" na "ijisho ry'umurabura" (amblyopia - bamwe bayita "ijisho ry'umurabura") byombi ni indwara zikunze kwibasira ijisho rimwe. Ariko itandukaniro riri mu bibera ijisho cyangwa kureba.

"Brown syndrome," nkuko twabiganiriyeho mbere, ni ikibazo cy'imitsi cyangwa imitsi ijyana ijisho. Ibi bituma bigorana guhindukiza ijisho mu mpande zose. Nubwo bishobora kugira ingaruka ku kureba, si indwara y'imbere mu jisho.

Indwara yitwa "ijisho ry'ubunebwe" (`amblyopia`) ivuka mu bwana. Iyo umwana wawe afite 'amblyopia', ubwonko bwe bwiga kwirengagiza ishusho ituruka ku jisho ritari ryimbitse cyangwa ridafite ishusho. Ahubwo, ubwonko bukoresha gusa ishusho iturutse ku jisho rikomeye, bigatuma kureba mu jisho ridafite intege nke birushaho kuba bibi. Mu magambo make, ijisho rimwe ni "rifite ubunebwe" kuko ubwonko budakoresha neza.

Icy'ingenzi ni uko abana bavukanye indwara ya Brown syndrome rimwe na rimwe bashobora kugira ikibazo cyo kubura amaso mu gihe cy'amavuko. Kubwibyo, ni ngombwa kujya kwa muganga cyangwa umuganga w'amaso vuba bishoboka mu gihe ubonye impinduka mu maso y'umwana wawe.

Ni irihe tandukaniro riri hagati ya "Brown Syndrome" na strabismus (amaso afatanye)?

Strabismus ni indwara aho amaso yawe adahuje neza. Mu yandi magambo, ijisho rimwe rihindukiye mu cyerekezo gitandukanye n'irindi. Ibi ni byo twita "amaso ahanamye" mu magambo asanzwe.

"Brown syndrome" mu by'ukuri ni ubwoko bwa strabismus. Uzabibona neza iyo urebye imbere cyangwa hejuru. Bizagaragara nk'aho rimwe mu maso yawe ridakora cyane nk'irindi (cyangwa wenda ntarikora na gato).

Bitewe n'uburyo imitsi n'imitsi y'amaso yawe yangiritse, amaso yawe ashobora kuba atari mu murongo mwiza nubwo waba ureba imbere.

Kubona ikintu nk'aho ijisho rihagaze burundu, cyangwa kumenya ko umwana wawe afite ikibazo cy'ivuka, bishobora gutera ubwoba cyane. Ibyo ni ibisanzwe. Ariko inkuru nziza ni uko, icyaba cyateye "Brown syndrome" cyose, hafi ya byose ni ikibazo cy'igihe gito. Mu by'ukuri, wowe cyangwa umwana wawe mushobora kuba mudakeneye ubundi buvuzi bwihariye uretse kujya kwa muganga w'amaso buri gihe.

Rero, niba ubonye impinduka mu maso yawe cyangwa mu kureba kwawe, ntuzirengagize ahubwo uhite ubonana na muganga cyangwa umuganga w'amaso. Wibuke ko rimwe na rimwe, n'impinduka ntoya zishobora kuba ikimenyetso cya mbere cy'ikibazo gikomeye gikeneye kuvurwa vuba.

Ibintu byo kwibuka muri iyi nkuru (Ubutumwa bwo kujyana mu rugo)

Noneho rero, ubu usobanukiwe neza indwara ya "Brown Syndrome" twavuze. Dore ibintu bike ugomba kuzirikana:

• "Brown syndrome" ni indwara ituma ijisho rigorwa no kugenda neza (cyane cyane imbere no hejuru) bitewe n'ikibazo cy'imitsi cyangwa imitsi ikora ku jisho.
• Ibi bishobora kubaho igihe umuntu avuka, cyangwa bishobora no kuza nyuma bitewe n'indwara zandura, indwara ziterwa n'ubudahangarwa bw'umubiri, cyangwa impanuka.
• Ikimenyetso nyamukuru ni ukumva ufunze cyane iyo urebye hejuru uhindukiza izuru ureba ku ruhande. Kubona kabiri no kubabara amaso bishobora no kubaho.
• Akenshi, iyi ndwara ifata ijisho rimwe gusa.
• Indwara zo mu nda rimwe na rimwe zihita zikira ubwazo uko umwana akura. Izindi mpamvu zishobora kuvurwa (n'imiti cyangwa, gake cyane, kubagwa).
• Niba ufite impungenge cyangwa impinduka mu mikorere y'amaso yawe cyangwa y'umwana wawe, menya neza ko wagiye kwa muganga w'amaso . Kumenya no kuvura hakiri kare ni byo byiza.

Nta cyo gutinya, hari uburyo bwiza bwo kuvura iyi ndwara, kandi akenshi ishobora no gukira burundu!

Indwara y'umukara , Ibibazo byo kugenda kw'amaso, Indwara z'amaso, Kutareba neza kw'amaso, Indwara z'amaso z'abana, Superior Oblique