Ese amaso yawe yabyimbye mu buryo butunguranye kandi amaso yawe akaba adasobanutse neza? Reka twige kuri iyi (Corneal Hydrops)?

Tekereza ubyutse mu gitondo, rimwe mu maso yawe rigahinduka umutuku, rikabyimba, kandi ntubone neza. Cyangwa se, byagenda bite niba ikintu kimeze nk'ikizinga cy'umweru kigaragaye mu jisho ryawe? Yego, niba ikintu nk'iki kibaye, ni ibintu biteye ubwoba cyane kandi biteye impungenge. Uyu munsi tugiye kuvuga ku ndwara ishobora kugira ingaruka ku maso. Iyo ni indwara yitwa `(Corneal Hydrops)`. Ntugahangayike, tuzavuga kuri ibi mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

`(Corneal Hydrops)` ni iki? Kuki ibi bibaho?

Mu magambo make, `(Corneal Hydrops)` ni igice cy'ijisho ryacu gisobanutse, kimeze nk'ikirahure cy'isaha kiri hejuru y'impeta y'umukara (ni ukuvuga igice cy'ibara ry'ijisho), mu buvuzi twita `(cornea)`, kuko iyo `(cornea)` irabyimba. Irabyimba nk'ikirahure cyuzuye amazi. Noneho reka turebe impamvu ibi bibaho. `(cornea)` yacu ifite ibice byinshi. Hari igice cyoroshye cyane, cyoroshye kiri hafi muri cyo, cyitwa `(Descemet's membrane)`. Niba ku mpamvu runaka hari akantu gato muri iyi `(Descemet's membrane)`, nk'agace gato k'igitambaro, amazi ari mu jisho ryacu (aqueous humour) anyura muri iki gice ajya muri `(stroma)`, ari na cyo gice cyo hagati cya `(cornea)`. Tekereza nk'ikironge cy'amazi gikurura amazi. Ni bwo igice cya `(stroma)` cyuzuyemo amazi kikabyimba. Ibi nibyo twita `(Corneal Hydrops)`. Uretse uku kubyimba, hashobora kubaho ububyimbirwe mu jisho, nko gutukura no kubabara. Hanyuma, ikintu kimeze nk'ikizinga cy'umweru, gifite amata gishobora kugaragara kuri '(cornea)' yawe. Ibi bishobora kandi gutuma kureba neza kwawe kugaragara nabi . Iyi ndwara ya '(Corneal Hydrops)' ikunze kubaho mu buryo butunguranye, butunguranye. Ushobora kuba umeze neza uyu munsi kandi iyo uyirebye mu gitondo gikurikiyeho, ijisho ryawe rishobora kubyimba kandi kureba kwawe gushobora guhinduka. Niyo mpamvu abaganga bakoresha ijambo '(acute)' bashaka kuvuga 'gutungurana'. Niyo mpamvu ushobora no kumva '(Acute Corneal Hydrops)' kuri byo. Bisobanura kimwe, byabayeho mu buryo butunguranye. Iyi ndwara ishobora kubaho nk'ingorane ku bantu bafite indwara zihindura imiterere ya cornea, nka '(Keratoconus)'. Twita iri tsinda ry'indwara zihindura imiterere ya cornea '(cornea)' '(ectasias ya cornea)'. Rimwe na rimwe '(Corneal Hydrops)' ishobora koroherwa nta buvuzi. Ariko, ntukagerageze gufata ibyemezo wenyine . Niba ufite ibi bimenyetso, reba muganga w’amaso, inzobere mu by’amaso. Ashobora gusuzuma niba ari `(Corneal Hydrops)` cyangwa ikindi kintu, kandi ashobora no kugena uburyo bwiza bwo kuvura.

Corneal Hydrops ikunze kugaragara gute?

Dukurikije ubushakashatsi, hagati ya 0.2% na 2.8% by'abantu barwaye Keratoconus barwara Corneal Hydrops. Muri Leta Zunze Ubumwe za Amerika, abantu 55 mu 100.000 banduye iyi ndwara babarirwa muri za 55. Ibi bivuze ko Corneal Hydrops atari ikintu gisanzwe, ariko ni ngombwa ko abafite Keratoconus bayimenya. Iyi ndwara ikunze kugaragara ku bagabo kurusha abagore . Akenshi yibasira abakiri bato bari mu myaka ya za 20 na 30.

Ni ibihe bimenyetso bya `(Corneal Hydrops)`?

Hari abantu bashobora kutagaragaza ibimenyetso nubwo baba bafite `(Corneal Hydrops)`. Ariko, abantu benshi bagaragaza ibimenyetso. Dore ibyo ari byo:

• Gutakaza ubushobozi bwo kubona butunguranye: Ijisho ryari rifite ubushobozi bwo kubona neza rihita rihinduka ibara ridashobora kubona neza.
• Akadomo kera k'amata imbere mu jisho: Agace amazi yibumbiramo mu mboni y'ijisho gahinduka umweru.
• Ububabare bw'amaso : Hari abantu bashobora kugira ububabare bukomeye.
• Gutinya imiterere y'amaso: Amaso aba umukara cyane ku buryo atabasha kureba urumuri ngo agire ububabare.
• Ubutukura bw'amaso: Amaso ashobora gutukura.
• Amaso y'amazi: Bishobora kumva nk'aho amarira arimo kuza.
• Kugorwa no gushyiramo lens zo mu bwoko bwa contact lenses: Iyo wambaye lens zo mu bwoko bwa contact lenses, ushobora kugorwa no kuzishyiramo, cyangwa se ukumva utanyuzwe no kuzishyiramo.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, inama nziza naguha ni ukubonana n'umuganga w'amaso udapfushije umwanya .

Kuki iyi `(Corneal Hydrops)` ibaho? Ni izihe mpamvu?

Corneal Hydrops si ikintu gishobora kwanduzwa n'abantu nk'ibicurane. Abaganga bemeza ko hari impamvu nyinshi zibitera:

• Kugabanya cornea yawe: Iyo cornea itangiye kuba ntoya cyane, hari amahirwe menshi ko gucika kw'ijisho mu ruhu rwa Descemet.
• Indwara za cornea : Indwara nka Keratoconus zituma cornea itakaza imiterere yayo isanzwe y’uruziga maze ikaba nk’iy’inyuma. Uku guhinduka kw’isura gushobora no kwangiza uturemangingo twa Descemet.
• Gukoza amaso kenshi:Hari abantu bakunda gukaraba cyangwa gupfuka amaso. Ibi byangiza cyane amaso. Kubikora bishobora gushyira igitutu kuri `(cornea)` no gucika kuri `(membrane ya Descemet)`.

Ni nde uri mu kaga gakomeye ko kurwara `(Corneal Hydrops)`?

Hari abantu bafite amahirwe menshi yo kurwara iyi ndwara kurusha abandi. Reka turebe abo ari bo:

• Abantu bafite indwara zo mu cyiciro cya `(Corneal ectasia)`: Cyane cyane abafite `(Keratoconus)` ni bo bafite ibyago byinshi byo kurwara.
• Abantu bafite dermatitis idakira: Atopy ni indwara aho ubudahangarwa bw'umubiri bukora cyane, cyangwa bugaterwa n'allergie. Abantu bafite iyi ndwara bashobora kandi kuba bafite ibyago byinshi kuko bakunda kwisiga amaso yabo kenshi bitewe n'ibintu nk'amaso asharira .
• Abantu bafite Down syndrome : Abantu bafite Down syndrome nabo bafite ibyago byo kurwara Corneal Hydrops hamwe n'indwara nka Keratoconus.

Ni izihe ngorane zishobora guterwa na `(Corneal Hydrops)`?

Mu gihe cya `(Corneal Hydrops)`, kureba kwawe kuzahungabana rwose. Nanone, niba uku kubyimba (corneal edema) kumara igihe kirekire, ni ukuvuga ko iyo bitavuwe neza, imiyoboro mishya y'amaraso ishobora kwirema imbere mu jisho (neovascularization) . Iyi miyoboro y'amaraso si yo isanzwe iba muri `(cornea)`, kandi ishobora kubangamira cyane kureba. Nanone, inkovu ishobora kuvuka kuri `(cornea)`.

Ni gute Corneal Hydrops ipimwa?

Iyo ugiye kwa muganga w’amaso, abanza kukubaza ibimenyetso byawe n’amateka y’ubuzima bwawe. Hanyuma, azakora isuzuma ryuzuye ry’amaso. Muri iki gipimo, muganga akunze kuba ashobora gusuzuma Corneal Hydrops.

Ni ibihe bizamini biri gukorwa kuri ibi?

Hari igihe, niba muganga akeneye kumenya amakuru arambuye, ashobora kumusaba ibindi bipimo.

• Igishushanyo mbonera cy’imbere mu jisho (Anterior segment optical coherence tomography - AS-OCT): Ibi ni nko gusuzuma imbere mu jisho. Bishobora gusuzuma neza hydrops z’ijisho, gusuzuma ingano y’ibibyimba, no gukurikirana aho gukira kugeze.
• Ultrasound biomicroscopy (UBM): Ibi bisa na ultrasound scan. Bifasha kumenya niba hari agatonyanga mu ruhu rwa Descemet.
• Tomography: Iki kizamini gishobora kubona ishusho isobanutse y'imiterere n'ubunini bw'imboni yawe.
• Ikizamini cya Seidel: Iki kizamini kigenzura niba amazi y'ijisho ari mu jisho asohoka mu mboni.

Ibi bizamini byose ntabwo bibabaza, bityo nta kintu na kimwe cyo gutinya. Muganga azagusobanurira byose.

Ni ubuhe buryo bwo kuvura `(Corneal Hydrops)`?

Corneal Hydrops ivurwa n'imiti ndetse rimwe na rimwe no kubagwa. Bishobora kandi kuba ngombwa kuvura indwara yateye Corneal Hydrops (nka Keratoconus).

Kuvura hakoreshejwe imiti

Iyo uruhu rwa Descemet rucitse kandi kubyimba kukaba kuke, abaganga bakunze gutanga imiti yo mu maso yitwa ibitonyanga by'amaso.

• Umuti wa saline ukomoka kuri hypertonic: Uyu ni umuti ufite umunyu mwinshi. Iyo uwushyize mu jisho, ukuramo amazi arenze urugero muri stroma kandi ugafasha kugabanya kubyimba.
• Ibitonyanga birimo steroid: Ibi bigabanya ububyimbirwe imbere mu jisho.
• Kugabanya umuvuduko w'amaso: Hari igihe umuvuduko w'amaso ushobora kuba mwinshi. Iyo bibaye, ibi bitonyanga bitangwa kugira ngo bigenzurwe.
• Antibiyotike (ibitonyanga): Izi zitangwa iyo bibaye ngombwa kugira ngo hirindwe ko hashobora kwandura.
• Ibitonyanga by'amaso bigabanya ijisho ry'umukara: Ibi bifasha kugabanya ububabare.

Nk’uko muganga abivuga, ni ingenzi cyane gukoresha ibi ``(ibitonyanga)`` mu gihe gikwiye.

Ni ryari kubagwa biba ngombwa?

Niba agace k'umuyoboro wa Descemet ari kanini, kubyimba gukomeye, cyangwa hari ibyago byo gutobora cornea, abaganga bashobora gusaba kubagwa. Ubu buryo bwo kubaga burimo gufunga agace k'umuyoboro no guhagarika amazi kuva. Hari igihe umwuka ushyirwa mu gace k'umuyoboro kugira ngo ugabanye kubyimba vuba. Mu bihe bikomeye, iyo bitavuwe neza, cornea hydrops ishobora gutuma imiyoboro y'amaraso ikora nabi mu jisho. Iyo bibaye bityo, bizakenera kuvurwa.

Ese Corneal Hydrops ishobora kwirindwa?

Niba ufite indwara nka `(Keratoconus)`, vugana na muganga w'amaso ku bijyanye n'ubuvuzi bwitwa `(Crosslinking)`. Ubu buryo bwo kuvura `(Crosslinking)` bushobora guhagarika indwara ya `(Keratoconus)` gukomeza kwiyongera, kandi bushobora no kugabanya ibyago byo kugira ingorane nka `(Corneal Hydrops)`. Ariko, mu bihe bimwe na bimwe, `(Acute Corneal Hydrops`, iza nk'ikibazo cya `(Keratoconus)` n'izindi ndwara za `(corneal)`, ishobora kudashoboka kwirindwa burundu. Niba ufite allergies z'ibihe cyangwa izindi ndwara zitera amaso asharira, gerageza kugabanya kwisiga no kwikubira amaso yawe uko bishoboka kose . Ibi bizagufasha kwirinda `(Corneal Hydrops)` gusa, ahubwo bizagufasha no kwirinda izindi ndwara nyinshi z'amaso.

Bizatwara igihe kingana iki kugira ngo umuntu akire indwara ya `(Corneal Hydrops)`? Ni iki cyizere?

Muganga wawe ashobora kuvura cornea hydrops ikaze. Ariko, ibi akenshi bishobora gusiga inkovu ku cornea. Iyi nkovu ishobora kugira ingaruka zirambye ku kureba kwawe. Ibi bibaye, inkovu ishobora gukenera ubundi buvuzi, ndetse wenda no kubagwa (nk'iterwa ry'inyama). Ni ngombwa gukomeza guhura na muganga wawe mu gihe na nyuma yo gukira. Iki ni cyo gihe muganga wawe ashobora kugena gahunda nziza yo kuvura. Igihe cyo gukira gishobora kuva ku byumweru bike kugeza ku mezi make. Ibi biterwa n'urugero rw'ikibyimba, imiterere y'inyama, n'uko umubiri wawe witwara.

Ni gute nakwita ku maso yanjye?

• Irinde kwisiga amaso yawe uko bishoboka kose. Iki ni cyo kintu cy'ingenzi kurusha ibindi. Niba ufite amaso asharira, koresha ibitonyanga by'amaso nk'uko muganga wawe yabigutegetse.
• Ntucikwe n'itariki zo gupima amaso yawe zatanzwe na muganga wawe. Jya kwisuzumisha amaso yawe ku gihe.
• Niba ufite indwara nka `(Keratoconus)`, kurikiza neza uburyo wahawe bwo kuvura.

Ni ryari nkwiye kujya kwa muganga? Ni ryari hakenewe ubuvuzi bwihutirwa?

Muganga wawe azakubwira igihe ugomba kumusura cyangwa kujya mu cyumba cy’ubutabazi bw’ibanze. Muri rusange, shaka inama z’abaganga ako kanya niba hari kimwe muri ibi bikurikira kibaye:

• Niba kureba kwawe gushize cyangwa kukagabanuka cyane.
• Niba ugize ububabare bw'amaso butunguranye.
• Iyo ibimenyetso by'indwara nk'umuriro bigaragaye.
• Iyo habayeho kuva amaraso mu jisho bitunguranye.

Mu bihe nk'ibi, ni byiza gukora vuba vuba bidatinze.

Ese nshobora gukoresha indorerwamo z'amaso (contact lenses) niba mfite Corneal Hydrops?

Iyo ufite `(Corneal Hydrops)`, kwambara indorerwamo z'amaso bishobora kubabaza ndetse bikanababaza . Iyo umaze kumenya ko ufite iyi ndwara, ushobora kureka kwambara indorerwamo z'amaso. Nyuma yo kuvurwa, ushobora kongera kwambara indorerwamo z'amaso ubyemerewe na muganga. Vugana na muganga wawe kuri ibi hanyuma ufate umwanzuro.

Ni ibisanzwe ko umuntu wese agira ubwoba iyo amaso ye agabanutse mu buryo butunguranye kandi amaso ye akababara. Hari igihe ibi bimenyetso bishobora kuba ibimenyetso by'indwara yitwa `(Corneal Hydrops)`. Kubwibyo, niba ufite ibi bimenyetso, hita ubonana n'umuganga w'amaso. Azashobora gusuzuma icyateye kubyimba kwawe kwa `(cornea)` no kukugira inama yo kuvura.

Amaherezo, ubutumwa bwo kujyana mu rugo

Sawa, twaganiriye cyane kuri `(Corneal Hydrops)` ubu, si byo se? Uzirikane izi ngingo:

• Corneal Hydrops ni ukubyimba gutunguranye kw'imboni. Impamvu nyamukuru ibitera ni ugucika kw'inyuguti yoroshye ya cornea (Descemet's membrane) bigatuma amazi yinjira mu jisho.
• Kutabona neza mu buryo butunguranye, akadomo keza ku mweru w'ijisho, ububabare bw'amaso, no kumva urumuri ni byo bimenyetso by'ingenzi.
• Abantu barwaye indwara nka "Keratoconus" n'abakunda kwisiga amaso yabo kenshi bari mu kaga gakomeye ko kurwara iyi ndwara.
• Niba ufite ibimenyetso nk'ibi, ntugafate ibyemezo wenyine kandi uhite ubonana n'umuganga w'amaso.
• Uburyo bwo kuvura bushobora kuba burimo ibitonyanga, kandi rimwe na rimwe kubagwa bishobora kuba ngombwa.
• Kwirinda kwisiga amaso no gukurikiza inama za muganga ni ingenzi cyane kugira ngo ukire vuba kandi wirinde ibintu nk'ibyo mu gihe kizaza.

Wibuke ko amaso yawe ari ay'agaciro cyane. Rero uyafate neza. Niba ufite ikindi kibazo kuri ibi, ntutindiganye kubaza muganga wawe.