Ese ufite ishusho y'"ijisho ry'inka" mu maso yawe? Reka twige kuri iyi (Bull's Eye Maculopathy)!

Umeze ute? Uyu munsi tugiye kuvuga ku ndwara y'amaso izwi cyane ariko ifite akamaro kanini. Hari igihe amaso yacu ashobora guhindura uko tubona tutabizi. Ese wigeze wumva imiterere isa n'ikintu kiri ku kibaho cy'icyitegererezo? Ibyo ni byo biba muri iyi ndwara yitwa "Bull's Eye Maculopathy". Izina risa n'aho ritangaje gato, si byo se? Ariko ntugahangayike, reka tubiganireho mu buryo burambuye kandi bworoshye.

"Bull's Eye Maculopathy" ni iki? Mu magambo make cyane...

Ijisho rya Bull Maculopathy ni indwara idakunze kugaragara ituma uturemangingo two mu macula, igice cy'ingenzi cya retina, ducika intege buhoro buhoro, kandi mu by'ukuri, tugasaza.

Tekereza, niba ijisho ryawe rimeze nka kamera, retina imeze nka filimi cyangwa sensor inyuma ya kamera. Amashusho tubona afatwa aho ngaho. Hagati muri retina, hari ahantu hato ariko h'ingenzi cyane hadufasha kubona ibintu neza kandi neza. Ibyo ni byo byitwa macula. Iyi macula idufasha kubona neza utuntu duto, nko iyo dusoma igitabo, tureba isura y'umuntu, cyangwa iyo dushyizeho umugozi muto.

Rero, muri "Bull's Eye Maculopathy", iyo uturemangingo turi muri iyi "macula" twangiritse, iyo umuganga asuzumye imbere mu jisho, abona ishusho y'impeta zahinduye ibara muri iyo "macula". Iri zina ryaryo kuko risa n'impeta ziri ku ntego yo kurasa umuheto (igishushanyo cy'ijisho ry'inka). Iyi ndwara ishobora gutuma umuntu atabona neza.

Iyi ndwara ishobora kuragwa (ni ukuvuga ko yanduzwa ababyeyi bawe binyuze mu turemangingo). Hari igihe abaganga bita iyi ndwara gakondo ya ``Bull's Eye Maculopathy'' ``Benign Concentric Annular Macular Dystrophy (BCAMD)''. Ishobora kandi gukurura bitewe n'izindi ndwara z'amaso cyangwa nk'ingaruka mbi zo gukoresha imiti imwe n'imwe igihe kirekire .

Ikibazo icyo ari cyo cyose cyo kutabona gishobora gutera ubwoba. Ariko muganga wawe ashobora kugufasha kubona icyabiteye no kuguha ubuvuzi n'ubufasha ukeneye kugira ngo uhangane n'iki kibazo.

Ni izihe ngaruka indwara ya Bull's Eye Maculopathy ishobora kugira ku kureba?

Indwara ya Bull's Eye Maculopathy iterwa no kwangirika kw'uturemangingo tudufasha kubona ibintu. Ibi rero bishobora kugira ingaruka ku iyerekwa ryawe ryo hagati ku rugero rutandukanye.

• Hari abantu bashobora kugorwa no kubona neza amakuru arambuye.
• Ushobora kudashobora gutandukanya amabara neza, cyangwa se kureba amabara yawe kukagabanuka.
• Kubona bishobora kugabanuka nijoro.
• Uko icyerekezo cyo hagati kigenda gicika intege , bishobora kugorana gusoma ibitabo, gutwara imodoka, no kubona ibintu imbere.
• Iyi ndwara ishobora gufata ijisho rimwe gusa cyangwa amaso yombi.

Ariko akenshi, abantu barwaye indwara ya Bull's Eye Maculopathy nta kibazo gikomeye bagira mu kureba kwabo kw'inyuma - ni ukuvuga ibyo bashobora kubona mu mfuruka y'ijisho ryabo. Ariko, kubera ko ubusanzwe iyi ari indwara ikomeza kwiyongera, kureba bishobora kwiyongera uko igihe kigenda gihita .

Ni nde ufite ibyago byinshi byo kurwara "Bull's Eye Maculopathy"?

"Ingaruka" ni ikintu cyongera amahirwe yo kurwara indwara. Hari ibintu byinshi bishobora gutera "Bull's Eye Maculopathy":

• Niba hari umuntu mu muryango ufite "Bull's Eye Maculopathy" (amateka y'umurage).
• Kugira izindi ndwara z'amaso nko kwangirika kw'amaso .
• Hari indwara zimwe na zimwe ziterwa n’uturemangingo , urugero nk’indwara ya Batten cyangwa indwara ya Stargardt.
• Gukoresha imiti imwe n'imwe igihe kirekire, cyane cyane ikoreshwa mu kuvura indwara ziterwa n'ubudahangarwa bw'umubiri (indwara ziterwa n'ubudahangarwa bw'umubiri, mu magambo make, ni indwara aho ubudahangarwa bw'umubiri wawe bwibasira uturemangingo twawe twiza).

Iyi ndwara ikunze kugaragara gute?

Uburwayi bwa Bull's Eye Maculopathy mu by'ukuri ni indwara idakunze kugaragara cyane. Urugero, no muri Leta Zunze Ubumwe za Amerika, ni bake cyane barwaye iyi ndwara. Rero, ntugatinye niba ubonye impinduka mu maso yawe.

Ni izihe mpamvu zitera ``Bull's Eye Maculopathy''?

Hari impamvu nyinshi zishobora gutuma ibi bibaho:

1. Ibyerekeye imiterere y'uturemangingo:

Bull's Eye Maculopathy, izwi kandi nka BCAMD, ni indwara ifata umubiri wose. Mu magambo make, niba umwe mu babyeyi afite gene yahindutse kuri iyi ndwara, hari amahirwe 50% ko umwana we azaragwa iyi ndwara. Izi gene ni ibice bya ADN yacu bibika amakuru mu mibiri yacu.

2. Izindi ndwara:

Izindi ndwara z'amaso, nka cone-rod dystrophy cyangwa retinitis pigmentosa, zishobora gutera Bull's Eye Maculopathy. Nk'uko byavuzwe mbere, abantu bafite indwara za genetiki nka Batten disease cyangwa Stargardt disease nabo bashobora kurwara iyi ndwara.

3. Uburozi:

Hari ibintu bimwe na bimwe, cyane cyane imiti imwe n'imwe, bishobora kwangiza uturemangingo turi hagati mu maso yawe (macula). Urugero, gukoresha imiti nka chloroquine cyangwa hydroxychloroquine igihe kirekire, ikoreshwa mu kuvura indwara nka rubagimpande cyangwa lupus, bishobora gutera indwara ya Bull's Eye Maculopathy.

Nanone, abantu bagomba guterwa amaraso kenshi bashobora kurwara indwara yitwa hemochromatosis (ubutare bwinshi). Ibi bishobora no kwangiza macula yawe.

Ni gute umuti `(Hydroxychloroquine)` utera `(Bull's Eye Maculopathy)`?

Impuguke ntizimenya neza uko ibi bibaho. Ariko ubushakashatsi bwerekana ko uyu muti ushobora gufatana n'uturemangingo two muri retina yawe bigatuma utwo turemangingo dukora neza. Ibi bikunze kubaho iyo ufashe doze nyinshi z'uyu muti igihe kirekire. Niyo mpamvu abaganga basaba abantu bafata iyi miti gupimwa amaso buri gihe.

Ni ibihe bimenyetso bya "Bull's Eye Maculopathy"?

Iyi ndwara igira ingaruka cyane cyane ku kureba. Ibimenyetso bishobora kuba birimo:

• Kubona nabi cyangwa mu buryo bw'igihu.
• Kubona utudomo twijimye cyangwa igicucu cyijimye mu bushobozi bwawe bwo kureba.
• Kugorwa no kumenya amabara cyangwa kutabona neza amabara.
• Kubona ibintu nk'imigozi ireremba imbere y'amaso (amaso areremba) cyangwa kubona urumuri rumuritse.
• Kutabona neza cyane .

Wibuke ko utatekereza ko ufite indwara ya Bull's Eye Maculopathy kubera ko ufite kimwe cyangwa bibiri muri ibi bimenyetso. Ibi bishobora no kuba ibimenyetso by'izindi ndwara z'amaso. Kubwibyo, ni ngombwa gushaka inama kwa muganga.

"Bull's Eye Maculopathy" igaragara ite imbere mu jisho?

Iki si ikintu ushobora kumenya wirebeye mu ndorerwamo. Umuganga w'amaso azasuzuma macula yawe na retina akoresheje igikoresho cyihariye cyitwa ophthalmoscope kugira ngo amenye niba ufite cyangwa utabifite.

Ubusanzwe, iyi miterere y'ijisho ry'inka igaragara nk'uruziga, hagati hijimye kandi hari impeta nyinshi z'amabara yoroheje zikikije. Hagati hijimye hagaragaza retina isanzwe. Impeta ziyikikije ntabwo zisanzwe. Izi mpeta zishobora kuba orange yoroheje, umutuku, cyangwa umuhengeri. Ayo mabara atandukanye aterwa no kwangirika cyangwa kwangirika hagati mu kureba (macula).

Ni gute indwara ya Bull's Eye Maculopathy ipimwa?

Muganga wawe ashobora kugukorera ibizamini byinshi by'amaso kugira ngo amenye niba ufite indwara ya Bull's Eye Maculopathy. Bimwe muri byo harimo:

• Ikizamini cyo kureba neza: Iki ni ikizamini cyo kureba uko ubona neza. Uzasabwa gusoma imbonerahamwe y'inyuguti isanzwe ("Imbonerahamwe ya Snellen") cyangwa ecran ifite inyuguti zitandukanye. Izapimwa amaso yawe n'amaso yombi n'ijisho rimwe rifunze ukwaryo.
• Ikizamini cyo mu murima w'amashusho:Ibi bizagenzura aho ureba hagati n'aho ureba impande. Bishobora kandi kukwereka niba hari ahantu hatagaragara. Ushobora gusabwa kureba umurongo w'imirongo, cyangwa ugasabwa gucana amatara cyangwa kwimura amaboko yawe kugira ngo urebe aho ushobora kubona imbere yawe no ku mpande.
• Ikizamini cyo kureba amabara: Urerekanwa ifoto ikozwe mu tudomo tw'amabara dufite umubare uri hagati (ikizamini cy'amabara). Niba udashobora kubona umubare, ushobora kuba ufite ikibazo cyo kutabona amabara. Ushobora kandi gukoresha igikoresho cyitwa anomaloscope kugira ngo urebe uko ubona urumuri n'urumuri rw'amabara.
• Ophthalmoscopy: Ibi bikubiyemo kwagura amaso ukoresheje ibitonyanga by'amaso. Hanyuma, ophthalmoscope ikoreshwa mu gusuzuma cornea yawe, lens, retina, macula, optic nerve, n'imitsi y'amaraso ikikije. Iki kizamini kandi cyitwa fundoscopy.
• Ikizamini cya Optical Coherence Tomography (OCT): Iki ni ikizamini kidasaba ububabare. Gikoresha imiraba y'urumuri kugira ngo gifate amashusho arambuye, afite imiterere itatu (3D) y'ibice bya retina yawe, cyane cyane macula, iri hagati mu kureba kwawe. Iki kizamini gishobora kumenya ibyangiritse n'ibyangiritse mu macula mbere kandi neza kurusha ibindi bizamini.
• Ikizamini cya Fundus autofluorescence imaging (FAF): Ubu ni uburyo bushya bwo gufata amashusho. Bukoresha urumuri rw'ubururu kugira ngo busuzume uturemangingo dufite ibara muri retina yawe. Uturemangingo tumwe na tumwe dufata cyangwa tugakoresha uru mucyo mu buryo butandukanye n'ubw'utundi. Ibi bifasha muganga kureba niba hari icyangiritse cyangwa icyangiritse kuri retina.

Ese indwara ya Bull's Eye Maculopathy ishobora gukira burundu?

Ikibabaje ni uko nta muti wuzuye wabonetse ku ndwara ya "Bull's Eye Maculopathy".

Indwara ya Bull's Eye Maculopathy ivurwa ite?

Ubu nta buryo bwo kuvura bushobora gusubiza amaso inyuma bitewe na "Bull's Eye Maculopathy." Ariko, niba iyo ndwara iterwa n'umuti cyangwa uburozi bwinshi mu mubiri (uburozi), guhagarika imiti cyangwa kugenzura urugero rw'ubutare bishobora gukumira cyangwa kugenzura ko indwara idakomeza kwiyongera.

Kenshi na kenshi, intego y'ibanze yo kuvura ni ugufasha abarwayi kubaho bafite indwara nko kutabona neza no kutabona neza. Muganga wawe ashobora kukugira inama ibi bikurikira:

• Ikoranabuhanga rifasha mu gufasha: Urugero, ibikoresho bikuza amashusho, porojekiteri, cyangwa ibikoresho bisoma ecran.
• Indorerwamo cyangwa indorerwamo z'amaso.
• Kuvura indwara yo kutabona neza cyangwa kuvura indwara z'akazi: Ibi bikwigisha uburyo butandukanye n'amayeri yo gukora imirimo ya buri munsi ufite ikibazo cyo kutabona neza.
• Ibikoresho byo kureba: Ibintu nk'ibikoresho bikura amatara mu ntoki, telesikope, cyangwa lenti ziyungurura urumuri.

Ni iki kizere cy'umuntu ufite "Bull's Eye Maculopathy"?

Ubusanzwe, gutakaza ubushobozi bwo kureba buterwa na Bull's Eye Maculopathy ni ikintu gihoraho kandi gishobora gukomeza uko igihe kigenda gihita . Ariko, nk'uko byavuzwe mbere, niba kwangirika kw'amagufwa y'amaso guterwa n'ibintu bihumanya, kwirinda ibintu bihumanya bishobora gufasha gukumira indwara kurushaho.

Ese hari uburyo bwo kwirinda "Maculopathy y'amaso ya Bull"?

Mu by’ukuri, nta buryo bwihariye bwo gukumira iterambere rya "Bull's Eye Maculopathy".

Ariko, kubera ko imiti imwe n'imwe (urugero, hydroxychloroquine) ishobora gutera iyi ndwara, iyo iyo miti ifashwe igihe kirekire, gusuzumwa amaso buri gihe nk'uko muganga yabigiriye inama bishobora gufasha kumenya ibyangiritse hakiri kare no gukumira ko indwara ikomeza kwiyongera.

Ni ibihe bibazo ngomba kubaza muganga wanjye ku bijyanye n'indwara ya "Bull's Eye Maculopathy"?

Niba ufite "Bull's Eye Maculopathy", ushobora kubaza muganga wawe ibibazo bimwe na bimwe nk'ibi:

• "Muganga, hari imiti nfata ubu ishobora gutuma iyi ndwara irushaho kuba mbi?"
• "Ese hari intungamubiri zishobora kumfasha kunoza imiterere yanjye y'amaso?"
• "Nakora nte imirimo yanjye ya buri munsi kubera iki kibazo cyo kutabona? Ni ubuhe buryo nabona ubufasha muri ibyo?"
• "Namenya nte ko bikiri byiza ko ntwara imodoka?"
• "Ese uku kubura ubumuga bwo kutabona ni ko bizahoraho?"
• "Ni gute bishoboka ko icyerekezo cyanjye kizarushaho kuba kibi?"

Indwara ya Bull's Eye Maculopathy ni indwara idakunze kugaragara. Iyo ubonye impinduka mu kureba kwawe, ntabwo bishoboka ko biterwa n'iyi ndwara. Ariko, ntukirengagize ikibazo icyo ari cyo cyose cyo kureba. Nubwo gutakaza kureba kwawe bishobora gutera ubwoba no guhangayika, hari uburyo bwo kubyihanganira. Muganga wawe ashobora kukwohereza ku bufasha bwo kureba, serivisi z'ubufasha, n'ubuvuzi ukeneye.

Niba ubonye impinduka mu kureba kwawe, kutabona neza, cyangwa ibindi bimenyetso bishya, hita ubonana na muganga. Uko byaba bimeze kose, kuvurwa hakiri kare bishobora kugabanya, guhagarika, ndetse wenda no gusubiza ibibazo byo kutabona neza.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, reka tuvuge muri make bimwe mu byo twaganiriyeho uyu munsi ushobora gusanga ari ingenzi:

• Ijisho rya Bull Maculopathy ni indwara idakunze kugaragara aho igice cyo hagati cy'amaso (macula) mu jisho cyangirika, bigatuma habaho ishusho nk'iy'"ijisho ry'inka".
• Ibi bishobora gutuma icyerekezo cyo hagati gicika intege. Ibi bishobora kugira ingaruka ku bintu nko gusoma ibitabo no kumenya amasura.
• Ibi bishobora guterwa n'ibintu bigize imiterere y'umubiri, izindi ndwara, no gukoresha imiti imwe n'imwe igihe kirekire .
• Nta muti uhamye w'iyi ndwara uraboneka kugeza ubu. Ariko hari uburyo bwo gufasha mu guhangana n'ibimenyetso no koroshya ubuzima.
• Niba ubonye impinduka mu maso yawe, ni ngombwa guhita ubonana na muganga w'amaso. Gusuzuma no kuvurwa vuba bishobora gufasha gukumira ko indwara irushaho gukomera.

Ni inshingano zawe kwita ku maso yawe. Amaso mazima ni urumuri rukomeye mu buzima.

` Ijisho rya Bull Maculopathy, indwara y'amaso, ikigo cyo kureba, macula, gutakaza amaso, isuzuma ry'amaso, hydroxychloroquine