Ese amaso yawe ntagaragara neza hagati? Reka twige ku ndwara ya Central Serous Retinopathy!

Ese wigeze wumva ko kureba kwawe kwahindutse mu buryo butunguranye? Wenda kureba mu jisho rimwe gusa hagati, cyangwa ukabona akadomo k'umukara. Ibintu nk'ibi ntabwo ari ikintu wagakwiye kwirengagiza. Uyu munsi, reka tuganire ku mpamvu imwe ishobora gutera ibi bimenyetso.

Indwara ya Central Serous Retinopathy ni iki?

Mu magambo make, iyi ni indwara aho amazi yiyongera inyuma ya retina, igice cy'ijisho gifite akamaro kanini ku buryo tubona. Tekereza ijisho ryacu nk'icyuma gifata amashusho. Retina ni urwego ruto rumeze nk'urumuri ruri muri kamera, rufata urumuri kandi rufasha ubwonko gusobanura amashusho. Munsi ya retina hari urwego rwuzuye imiyoboro y'amaraso yitwa choroid . Hari igihe amazi ava muri iyi choroid akongera akiyongera inyuma ya retina. Ni bwo iyi ndwara yitwa 'Central Serous Retinopathy' ibaho. Aya mazi ashobora gutuma retina irekura gato kandi ikavamo. Iyo bibaye, ibibazo bitandukanye mu kureba kwacu bitangira kubaho.

Urugero, ibi byitwa kandi `Central Serous Chorioretinopathy`.

Iyi ndwara ntabwo ikunze kugaragara cyane, ariko ishobora kuba kuri buri wese. Ugereranyije, ifata abantu bagera ku 10 kuri buri 100.000. Ariko, iyi mibare ishobora gutandukana bitewe n'igitsina n'ibindi bintu bishobora gutera indwara.

Ni ibihe bimenyetso by'ibi?

Hari abantu bashobora kuba bafite indwara ya Central Serous Retinopathy badafite ibimenyetso. Ibi bivuze ko iyo ndwara ishobora kuba mu jisho nta mpinduka mu kureba. Ariko, iyo ibimenyetso bigaragaye, bishobora kubaho mu jisho rimwe cyangwa mu maso yombi icyarimwe. Reba niba ufite kimwe muri ibi:

• Kubona nabi : Bishobora kugaragara nk'aho umwotsi wanyuze mu byo ureba, cyangwa nk'aho hari agace k'irangi kaguye.
• Akadomo k'umukara hagati mu kureba kwawe : Ushobora kubona akadomo k'umukara, cyangwa igicucu cyijimye, hagati mu byo ureba.
• Kubona nabi: Ibintu byose bisa n'ibirimo kwijima kurusha ibisanzwe, urumuri ruke.
• Ibintu byera bisa n'amabara atandukanye: Ibintu byera bishobora kugaragara nk'umweru gusa, ariko bishobora kugaragara nk'umukara gato, wenda n'umukara wijimye.
• Ibintu bisa n'ibito cyangwa kure: Ibintu bishobora kugaragara nk'ibito kurusha uko bisanzwe bigaragara cyangwa bikagaragara nk'ibiri kure kurusha uko biri mu by'ukuri.
• Imirongo igororotse isa n'aho irambuye: Imirongo igororotse, nk'inkingi z'umuryango n'amadirishya n'imirongo y'amatafari, ishobora kugaragara nk'aho irambuye cyangwa igoramye.

Kuki ibi bibaho?

Mu by’ukuri, abahanga mu bya siyansi ntibaramenya neza impamvu itera indwara ya Central Serous Retinopathy. Ariko hari ikintu kimwe kigaragara.Ihungabana risa nkaho rigira ingaruka zikomeye kuri ibi. Tekereza nawe, iyo dufite stress nyinshi, umubiri wacu ukora imisemburo yitwa cortisol . Iyi cortisol ishobora gutera ububyimbirwe mu bice bitandukanye by'umubiri, kandi nk'uko byavuzwe mbere, amazi ashobora kuva. Rero, abantu bafite stress nyinshi kandi bagorwa no kugenzura iyo stress bari mu kaga gakomeye ko kurwara iyi ndwara.

Nanone, iyi ndwara ishobora kugaragara ku bantu bakoresha imiti irimo imiti ya corticosteroid . Iyi miti ya corticosteroid ikunze gutangwa kugira ngo ivure kubyimba no kugira allergie. Urugero, bamwe mu barwayi ba asima bayihabwa kubera ububabare bw'ingingo. Kubwibyo, niba ukoresha iyo miti, ugomba no kubyitondera.

Ni nde ufite amahirwe menshi yo kubyiteza imbere?

Nubwo umuntu wese ashobora kurwara `Central Serous Retinopathy`, hari abantu bafite ibyago byinshi byo kurwara. Dore abo ari bo:

• Abagabo bari hagati y'imyaka 30 na 50: Bikunze kugaragara cyane ku bagabo bo muri iki kigero.
• Abantu bafite ikibazo cyo kutabona neza (`Myopia` / `kurebera hafi`): Ibi bivuze ko nubwo ibintu biri hafi bishobora kugaragara neza, ibintu biri kure biba bitagaragara neza.
• Abantu bakoresha imiti imwe n'imwe: cyane cyane imiti ya corticosteroids yavuzwe haruguru.

Uretse ibi, hari n'ibindi bintu bishobora gutera ibyago:

• Indwara ziterwa n'ubudahangarwa bw'umubiri : Urugero, abantu bafite indwara nka lupus na rheumatoid arthritis.
• Indwara z'umutima cyangwa umuvuduko ukabije w'amaraso : Abantu bafite ibi nabo bari mu kaga gakomeye.
• Ubwiyongere bwa bagiteri ya Helicobacter pylori: Iyi ni bagiteri ikunze kujyana na gastritis.
• Indwara z'impyiko : Urugero, indwara nka glomerulonefrite.
• Gutwita : Hari abagore bashobora guhura n'iki kibazo mu gihe batwite.
• Ibibazo byo gusinzira: Indwara nko kudasinzira neza no guhumeka nabi mu gihe cyo gusinzira.
• Indi miti: Imiti imwe n'imwe ivura kubyimba izuru n'imiti ikoreshwa mu kuvura indwara z'imibonano mpuzabitsina na byo bishobora kugira ingaruka kuri ibi.

Abaganga babibona bate?

Niba ubonye impinduka mu kureba kwawe, ni ukuvuga ko niba ubonye kimwe cyangwa byinshi mu bimenyetso byavuzwe haruguru, hita ubonana na muganga w’umuryango wawe cyangwa umuganga w’amaso.Ugomba kujya kwa muganga. Muganga azakubaza ibimenyetso byawe kandi agusuzume. Byongeye kandi, bashobora gukora ibizamini byihariye kugira ngo barebe retina yawe:

• Isuzuma rya Fluorescein Angiography (IVF): Ibi bikubiyemo gutera irangi ryihariye mu mutsi uri mu kuboko kwawe. Iri bara rinyura mu mitsi y'amaraso iri mu jisho no muri retina. Hanyuma kamera yihariye ifata amafoto y'imbere mu jisho. Ibi bigufasha kubona neza aho amazi arimo gusohoka.
• Isuzuma ry’imiterere y’amaso (OCT): Ibi ni nk’isuzuma rya 3D ry’imbere mu jisho. Rishobora gupima ubunini bwa retina, kureba niba hari kubyimba, no gusuzuma ko hari aho serous retina yazimye.

Ni ubuhe buryo bwo kuvura ibi?

Akenshi, iyi ndwara yitwa `Central Serous Retinopathy` irakira nta buvuzi mu byumweru cyangwa amezi make. Ibi bivuze ko amazi yakusanyije azashira ubwayo. Kubwibyo, muganga wawe ashobora kukubwira ngo ``witondere utegereze``. Muri icyo gihe, azongera gupima (nk'``OCT```) kugira ngo arebe niba amazi yagabanutse.

Nanone, niba ufata imiti iyo ari yo yose ubona ko ishobora gutera iyi ndwara, muganga wawe azakugira inama yo kuyihagarika. Kugabanya stress ni ingenzi cyane. Muganga wawe azakugira inama kuri ibyo.

Ariko, niba amazi ataragabanuka nyuma y'amezi make, muganga ashobora gufata icyemezo cyo gutangira kuvura. Dore uko ubwo buryo bukoreshwa:

• Imiti: Hari imiti imwe n'imwe, urugero, inshinge zitwa Anti-Vascular Endothelial Growth Factor (Anti-VEGF). Izi zishobora guhagarika gukura kw'imitsi mishya idakenewe mu jisho. Nanone, hari imiti imwe n'imwe igabanya ubukana bw'amazi mu jisho (diuretics) ishobora gutangwa.
• Ubuvuzi bw'izuba (PDT): Ibi bikubiyemo gutera umuti witwa Verteporfin mu mutsi uri mu kuboko kwawe. Iyo umuti umaze kugera mu jisho ryawe, hakoreshwa laser yihariye ikora ubukonje kugira ngo ifunge aho amazi yavuye.
• Ubundi buryo bwo kuvura hakoreshejwe laser: Imiti igabanya ububabare mu maso ndetse rimwe na rimwe na laser ishyushye ishobora gukoreshwa kugira ngo ihagarike amazi ava. Laser ya micropulse ni ubundi bwoko bwa laser. Iyi ikoresha laser ngufi cyane kandi nto.

Niba mfite iyi ndwara, nakwiyitaho nte?

Guhindura imibereho bishobora kugufasha mu kuvura indwara ya Central Serous Retinopathy:

• Gusinzira neza nibura amasaha arindwi buri joro.
• Gabanya ikoreshwa rya kafeyine (icyayi, ikawa), inzoga, na kortikosteroidi. Irinde gukoresha kortikosteroidi utabanje kugirwa inama na muganga.
• Gucunga no kugabanya imihangayiko. Ibi bishobora gukorwa ukoresheje imyitozo ngororamubiri, gutekereza ku bintu bishya, kumarana umwanya n'abo ukunda, cyangwa gusaba inama.

Niba ufite ubumuga bwo kutabona, gerageza ibi bikurikira kugira ngo uhangane nabyo:

• Jya mu itsinda ry’abaterankunga. Muri ubu buryo ushobora guhura n’abantu bari mu mimerere nk’iyawe, gusangira ubunararibonye bwabo, no kumvikana.
• Vugana n'abo ukunda cyangwa umujyanama wawe ku byiyumvo byawe n'uko ubyitwaramo.
• Koresha ibikoresho bigufasha gukora imirimo ya buri munsi mu mutekano.

Ni ryari nkwiye kujya kwa muganga mu gihe numvise impinduka mu byo nerekwa?

Niba ubonye impinduka mu kureba kwawe, ntuzirengagize. Shaka muganga w'umuryango wawe cyangwa inzobere mu by'amaso ako kanya. Iyi ndwara, yitwa Central Serous Retinopathy, rimwe na rimwe igenda irushaho kuba nziza ubwayo, ariko rimwe na rimwe ishobora kwiyongera igatera ubuhumyi cyangwa ubuhumyi burundu. Nanone, rimwe na rimwe ibibazo byo kureba bishobora kuba ikimenyetso cy'indi ndwara ihishe inyuma. Niyo mpamvu ari ngombwa kwihutira gushaka abaganga.

Ni iki nakwitega niba ari uko bimeze?

Kenshi na kenshi, Central Serous Retinopathy iratera imbere iyo amazi yifashe ubwayo. Kureba bisubira ku buryo busanzwe, ndetse rimwe na rimwe bigasubira ku buryo busanzwe. Ariko, hari igihe kwangirika bibaho burundu, kandi impinduka mu kureba zishobora gukomeza.

Icy'ingenzi ni uko nubwo iyi ndwara yavurwa neza ikagenda ikira, ishobora kugaruka. Ishobora kugaruka mu jisho rimwe cyangwa mu rindi. Kubwibyo, uzakenera gukomeza kubonana n'inzobere mu by'amaso buri gihe.

None se, ni ibihe bintu twagombye kwibuka muri iyi nkuru?

Niba ufite ikibazo cyo kutabona, ntukirengagize. Ni byiza kujya kwa muganga w'umuryango wawe cyangwa inzobere mu by'amaso. `Central Serous Retinopathy` si indwara ikunze kugaragara cyane, ariko ni indwara y'amaso ishobora gutuma utabona neza ndetse n'izindi ngaruka mbi. Iyo uyibonye hakiri kare ugatangira kuyivura, ushobora kugabanya kwangirika kw'amaso yawe. Kubwibyo, ni ngombwa cyane kwita ku maso yawe no gushaka inama kwa muganga niba ubonye impinduka, urabyumva?