Ese amaso yawe asa n'aho yazimye? Reka tuvuge kuri Enophthalmos!

Ese wigeze ubona ko amaso y'abantu bamwe asa n'aho yashoye mu maso, nk'aho yashoye mu maso? Wenda nawe ubwawe warabyiboneye, cyangwa wenda wabonye umuntu uzi abikora. Mu buvuzi, ibi byitwa enophthalmos . Iri zina rishobora kumvikana nk'irikomeye, ariko ntugahangayike. Reka tubiganireho mu buryo bworoshye, mu buryo ushobora kumva. Kubera ko iyi ndwara ishobora kubaho kubera impamvu nyinshi, kandi hari ibyo ushobora gukora kuri yo.

Enophthalmos ni iki mu by'ukuri?

Mu magambo make, enophthalmos ni igihe ijisho ryawe rimwe cyangwa yombi ryinjira mu jisho, cyangwa ryinjira imbere. Muri iki gihe, "en" isobanura "imbere" naho "ophthalmos" isobanura "ijisho." Urundi ruhande rw'ibi, iyo amaso asohoka, rwitwa exophthalmos cyangwa proptosis . Hari n'abantu babyita "amaso asohoka."

Iyi ndwara y'amaso yaguye, yitwa enophthalmos, ishobora kuvukanwa cyangwa igakwirakwira . Ishobora kandi kugira ingaruka ku jisho rimwe (rimwe) cyangwa ku maso yombi (abiri).

Hari impamvu nyinshi zishobora kubitera. Urugero:

• Kubura amazi mu mubiri ni ukubura amazi mu mubiri.
• Hari indwara zimwe na zimwe, nka Horner's syndrome .
• Ibikomere byo mu maso bikomeretsa - Ibi bishobora guterwa n'ibintu nk'impanuka z'imodoka, kurwana, cyangwa kuvunika kw'inyuma y'umubiri. Ibi byitwa traumatic enophthalmos .
• Indwara zo mu nda nka Sinus Syndrome zitagira uburyaryate.
• Uko umuntu agenda akura (senile enophthalmos), amaso ashobora rimwe na rimwe kugabanuka gato.

Ni nde wibasirwa cyane na Enophthalmos?

Iyi ndwara ikunze kugaragara cyane ku bantu bagize impanuka z'ibinyabiziga (imodoka, amakamyo, moto), cyangwa ku bantu bavunitse imitsi yo mu jisho bitewe no gukubitwa mu maso cyangwa kurwana. Igufwa ryo mu jisho ni ryo rikingira igufwa rikikije ijisho. Mu mibare, iyi ndwara yibasira abagabo kurusha abagore gato.

Ni ibihe bimenyetso bya enophthalmos?

Niba ufite enophthalmos, ibimenyetso bishobora gutandukana bitewe n'impamvu. Ariko hari ibimenyetso bimwe na bimwe ushobora kubona:

• Kubona ibintu bibiri icyarimwe (Diplopia): Kubona ibintu bibiri icyarimwe. Ibi birababaje cyane.
• Ingorane zo kwibanda ku kureba:Bifata igihe kugira ngo bibone neza, cyangwa bishobora kutagaragara na gato.
• Kudahuza kw'imiterere y'isura: Ibi bivuze ko uruhande rumwe rw'isura yawe rudahuye neza n'urundi. Ibi bishobora kubaho iyo amaso yawe yarenze.
• Kugwa kw'ijisho ryo hejuru (Ptosis): Bishobora gutuma usa n'usinziriye.
• Sulcus yimbitse: Umwobo muremure ugaragara hagati y'ijisho ryo hejuru n'ijisho.
• Amaso yumye: Kumva nk'aho amaso yawe adacika intege, adatukura, kandi ntabyimba bihagije.

Hari igihe umuganga ashobora kumenya bimwe muri ibi bimenyetso (amaso yo hejuru agwa, amaso adahuye neza, amaso yaguye) akimara kukubona.

Kuki habaho enophthalmos? Ni izihe mpamvu?

Hari impamvu nyinshi zishobora gutera amaso kugwa, cyangwa enophthalmos. Izi mpamvu zishobora kugabanywamo ibyiciro byinshi by'ingenzi.

1. Impinduka mu bunini bw'aho ijisho ryawe rihagarara (orbit)

Iyo tuvuze "orbit," tuba dushaka kuvuga agace k'amagufwa gakikije ijisho ryawe. Hari igihe agace k'amaso n'ibindi byose biri muri ryo (harimo n'imboni y'ijisho) byose hamwe byitwa "orbit." Rero, iyo ingano y'aka gace k'amaso ihindutse ikarushaho kuba nini, aho ibintu biri imbere bishobora guhinduka. Hari impamvu nyinshi zituma ingano y'agace k'amaso ishobora guhinduka:

• Kuvunika hafi y'ijisho ryawe: Iyi ni yo mpamvu ikunze kugaragara cyane. By'umwihariko, kuvunika kw'amagufwa munsi y'aho ijisho rihagarara (orbital floor fracture). Kuvunika kw'amagufwa mu gice cy'ijisho ni ubwoko bukomeye cyane bw'imvune. Bishobora kandi guterwa no kwangirika k'umusaya n'andi magufwa mu maso.
• Sinus Syndrome Silent Sinus (SSS) cyangwa chronic maxillary sinus atelectasis : Iyi ni indwara aho igice cyo hasi cy'amaso gicika intege kikagwa imbere bitewe n'indwara ya maxillary sinuses, umwobo w'umwuka uherereye mu matama ku mpande zombi z'izuru.
• Izindi ndwara, nka neurofibromatosis, zishobora gutera gutakaza cyangwa gucika intege kw'amagufwa yo mu maso.
• Impinduka mu magufwa bitewe no gusaza: Amagufwa yacu nayo arahinduka uko igihe kigenda gihita.

2. Impinduka mu biri mu gasongero k'ijisho ryawe

Hari igihe amaso yaguye ashobora guterwa n'impinduka mu ngingo z'ibinure n'imitsi iri mu mwobo w'ijisho, aho guterwa n'ibibazo by'amagufwa. Ingero:

• Kubura ibinure n'intege nke z'imitsi bitewe no gusaza: Indwara ebyiri ziterwa n'izi mpinduka zifitanye isano n'izabukuru ndetse zifite amazina atandukanye: Giant Fornix Syndrome (GFS) na senile sunken eye syndrome . GFS ni indwara ikunze gutera conjunctivitis.(indwara y'amaso). Izi ndwara zombi zishobora no gutera ibibazo ku buso bw'ijisho.
• Ibibazo by'imitsi.
• Ingaruka z'igihe kirekire zo kuvura hakoreshejwe imirasire ku mutwe.
• Indwara zihindura imiterere y'ibinure mu mubiri wose, cyane cyane mu maso: Urugero rumwe rw'ibi ni Parry-Romberg syndrome , ifata uruhande rumwe rw'isura gusa. Urundi rugero ni virusi itera SIDA (HIV) .
• Scleroderma: Iyi ni indwara iterwa n’ubwiyongere bw’umubiri aho ingingo zitandukanye zo mu mubiri, nk’uruhu, impyiko, n’igogora, zirushaho kubyimba.
• Ibikomere cyangwa kubagwa ku ruhu rw'ijisho (nubwo igufwa ritavunitse): Hari igihe, nubwo igufwa ritavunitse, imvune cyangwa kubagwa ku ruhu rw'ijisho bishobora gutuma ijisho rigwa.
• Imiti imwe n'imwe ikoreshwa mu kuvura glaucoma: Hari indwara yitwa prostaglandin-associated periorbitopathy (PAP) . Ibi bishobora kudakemuka burundu ndetse no nyuma yo guhagarika imiti.

3. Impinduka mu bunini bw'amaso yawe

Hari igihe, aho amaso aherereye hashobora guhinduka bitewe n'impinduka mu jisho ubwaryo, nko kuba ijisho rirushaho kuba rito.

• Kugabanuka kwa kanseri: Kanseri yakwirakwiriye mu jisho iturutse ahantu nko mu ibere, muri prostate, mu bihaha, mu gifu, mu ruhu, cyangwa mu gahu k'imitsi.
• Kwangirika gukomeye kw'ijisho bitewe n'impanuka (nubwo nta gufwa ryavunitse).
• Indwara ya Congenital fibrosis syndrome: Iyi ni indwara ibaho mu gihe cyo kuvuka. Itera inkovu (fibrosis) mu maso yombi. Kubera ko igira ingaruka ku maso yombi (abiri), iri tandukaniro rishobora kutagaragara mu buryo bwa mbere.

Ni gute wasuzuma indwara ya Enophthalmos? (Isuzuma)

Kenshi na kenshi, cyane cyane iyo ijisho rimwe gusa ari ryo ryagizweho ingaruka na enophthalmos, muganga ashobora gusuzuma ikibazo akimara kukubona. Byongeye kandi, azabaza amateka y'ubuzima bwawe kandi agukorere isuzuma ryuzuye ry'amaso .

Nanone, hari ibikoresho byihariye n'ibizamini abaganga b'amaso bakoresha kugira ngo bapime neza niba ufite enophthalmos cyangwa udafite:

• Exophthalmometry: Iyi niyo ipima aho ijisho ryawe risohoka cyangwa rimanuka riva mu mwobo w'ijisho.
• Gupima Tomografia (CT) hakoreshejwe ikoranabuhanga: Ubu buryo buhuza imirasire ya X na mudasobwa kugira ngo hakorwe amashusho y’ibice by’umubiri n’ingingo z’umubiri mu buryo bwa 3D. Ibi bishobora gutuma umuntu asobanukirwa neza imiterere y’amagufwa n’ingingo ziri mu mwobo w’ijisho.
• Ishusho ya Magnetic Resonance (MRI scan): Ubu buryo bukoresha magnetism, radio waves, na mudasobwa (nta mirasire) kugira ngo hakorwe amashusho arambuye y'ibice by'umubiri n'ingingo. Bushobora gutanga ibisobanuro birambuye by'ingingo zoroshye.

Wibuke ko ushobora kudakenera ibi bipimo byose. Muganga wawe ni we uzagufatira icyemezo cy'ibizamini bikwiye bitewe n'uburwayi bwawe.

Enophthalmos ivurwa ite?

Kuvura enophthalmos mu by'ukuri bivuze kuvura impamvu nyamukuru. Bityo, uburyo bwo kuvura buratandukanye bitewe n'impamvu.

• Gutangiza cyangwa guhagarika imiti: Hari igihe ibi biterwa n'uburwayi, busaba gutangira imiti. Cyangwa, niba ari umuti wa glaucoma, muganga wawe ashobora kukugira inama yo guhagarika cyangwa guhindura uwo muti.
• Kubagwa: Niba biterwa n'ikintu nk'ivunika ry'ijisho, bishobora kuba ngombwa kubagwa kugira ngo gikosorwe. Hari igihe no kubagwa bikorwa kugira ngo hakosorwe ingano y'ijisho cyangwa kugira ngo habeho inkunga y'ijisho.

Ese hari ingorane zijyanye n'ubuvuzi?

Yego, hari igihe ingorane zishobora kubaho nyuma yo kuvurwa kwa enophthalmos. Ntabwo bibaho kuri buri wese, ariko ni byiza kumenya:

• Ibimenyetso birushaho kwiyongera.
• Kubura uburinganire mu maso.
• Gutakaza amaso (bidakunze kubaho cyane).
• Kureba kabiri (Diplopia).
• Kugabanuka cyangwa gutakaza ubushobozi bwo kwimura amaso.

Niyo mpamvu ari ngombwa gushaka abaganga b'inzobere mu kuvura indwara neza.

Ni gute wagabanya ibyago byo kurwara indwara ya enophthalmos?

Ikintu kimwe wakora kugira ngo ugabanye ibyago byo kurwara iyi ndwara ni ukwirinda kuvunika amaso n'amagufwa yo mu maso.

• Koresha ibikoresho by'umutekano: Ambara indorerwamo n'ingofero bikwiye mu gihe ukina siporo cyangwa urimo gukora ibikorwa bishobora guteza akaga.
• Fata witonze: Impanuka z'imodoka ni zo zitera imvune zo mu maso.
• Irinde kurwana: Gukubitwa mu maso bishobora kwangiza umuyoboro w'ijisho.

Ni iki cyizere cyo gukira ku muntu ufite indwara ya enophthalmos?

Icyizere cyo gukira ku muntu urwaye enophthalmos gishingiye ahanini ku mpamvu nyamukuru. Urugero, kuvura indwara yo kuvunika cyangwa indwara yo mu bwoko bwa sinus bucecetse akiri muto akenshi bitanga umusaruro mwiza cyane. Ariko, iyo impamvu igoye cyane, kuvura bishobora kugorana kandi igihe cyo gukira gishobora gutandukana.

Ni ryari ngomba kujya kwa muganga?

Niba ugize impanuka igatera gukubitwa mu maso cyangwa mu maso, ni ngombwa kubonana na muganga. Ni ngombwa kandi kuvugana na muganga niba ubonye impinduka mu kureba kwawe (urugero: kutabona neza, kureba kabiri) cyangwa niba wumva amaso yawe yazimye. Uko ubonye icyabiteye vuba, niko byoroha kuvura.

Ni irihe tandukaniro riri hagati ya Enophthalmos na Hypoglobus?

Enophthalmos ni igihe imboni z'amaso yawe zinjira mu mwobo wazo. Hypoglobus ni igihe imboni z'amaso zawe zimanuka. Byombi bishobora guterwa n'ihungabana na Sinus Syndrome.

Ni irihe tandukaniro riri hagati ya Enophthalmos na Anophthalmos?

Anophthalmos ni ukubura ijisho rimwe cyangwa yombi mu gihe cyo kuvuka. Enophthalmos ni ukwimuka kw'ijisho , bigatuma ricengera imbere. Ibi ni ibintu bibiri bitandukanye rwose.

Ni irihe tandukaniro riri hagati ya Enophthalmos na Pseudoenophthalmos?

Hari igihe, hashobora kubaho ikibazo aho ijisho risa n'aho ryaguye ritarinze kunyura. Ibi byitwa pseudo-enophthalmos ( pseudo bisobanura "ikinyoma"). Urugero, niba ijisho rimwe rifite ubushobozi bwo kureba hafi kurusha irindi, iryo jisho rishobora gusa n'aho ryaguye. Ariko ijisho ntiriguye mu by'ukuri.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Niba ufite amaso yahumye (enophthalmos), muganga wawe ashobora kugufasha kumenya impamvu. Iyi ndwara ishobora guterwa n'ikintu kigaragara, nko kuvunika, cyangwa se ikaba ari ikintu utazi kirimo kubaho, nk'ikibazo cya sinus.

Igikuru ni ukugisha inama kwa muganga mu gihe ugize impanuka mu maso cyangwa mu maso. Nanone, niba ubonye impinduka mu maso yawe, vugana na muganga wawe. Gusuzuma hakiri kare no kuvurwa bishobora gukumira ibibazo byinshi. Ntugahangayike, hari ibisubizo kuri byose!

Enophthalmos, amaso yaguye, indwara z'amaso, indwara z'amaso , amaso, amaso adafite aho ahuriye