Ese wigeze ubona ko hari abantu bafite impeta ebyiri z'umukara mu maso yabo? Cyangwa uhita ubona ko nyuma yo gukomereka cyane mu jisho, amaso yawe ahinduka mu buryo butunguranye kandi ntubashe no kureba urumuri? Impamvu imwe ishobora gutuma ibi bibaho ni indwara yitwa `(Iridodialysis)` tugiye kuvugaho uyu munsi. Ntugahangayike, tuzavuga kuri ibi mu buryo bworoshye kandi mu buryo ushobora gusobanukirwa.
Iyi ""(Iridodialysis"" ni iki"?
Mu magambo make, `(Iridodialysis)` ni igice cy'ibara kiri mu jisho ryacu, ni ukuvuga iris - yego, icyo bamwe muri mwe bafite gifite ubururu, umukara, imvi - ni ukuvuga igice gifatanye n'ijisho, kitari ku gice cyo hasi. Ni nk'ishusho ifatanye n'urukuta rwavuye ku ruhande rumwe.
Ishingiro ry'iris rihujwe n'umubiri wa ciliary . Umubiri wa ciliary umeze nk'uruganda ruto ruri imbere mu jisho . Nirwo rutanga urwenya rw'amazi , amazi yihariye agaburira ijisho kandi agakomeza kugira ishusho yaryo . Si ibyo gusa, ahubwo n'imitsi ya ciliary ifasha indorerwamo y'amaso yacu kureba iyo turebye hafi cyangwa kure nayo iba iri mu mubiri wa ciliary. Rero, iyo iris ivanywe ku rufatiro rwa iris, habaho ikibazo cyitwa `(Iridodialysis)`. Ibi rimwe na rimwe byitwa `(coredialysis)`, ariko hari n'igihe biterwa n'irira ritandukanye mu gihe cyo kubagwa.
Ni nde ushobora guteza imbere iyi `(Iridodialysis)`?
Mu by’ukuri, iyi ndwara yitwa "Iridodialysis" ishobora kuba kuri buri wese, kuko iterwa ahanini n’igikomere cyo mu jisho .
Tekereza kuri ibi:
- Niba urimo gukina cricket maze umupira wihuta ukagukubita mu jisho .
- Bite se niba ikintu - igice cy'icyuma, ibuye - kiguteye mu jisho uri ku kazi kigatera impanuka?
- Iyo umwana muto arimo gukina ijisho rye rigakubitwa n'ikintu kimeze nk'ukuguru kw'ameza.
- Bite se niba inkokora y'inshuti yawe igukubise mu jisho uri gukina ku ishuri?
Ibi bishobora kubaho. Hari igihe iyi ndwara ishobora kubaho iyo umuntu akomeretse mu jisho mu gihe cy'imikino, impanuka z'imodoka, kugwa, cyane cyane ku bantu bakuze. Ishobora kandi kubaho, nubwo bidakunze kubaho, mu gihe cyo kubaga amaso , nko kubaga isura y'amaso .
Ni ibihe biranga `(Iridodialysis)`?
Noneho reka turebe ibimenyetso umuntu ufite ``Iridodialysis`` ashobora kugaragaza. Si buri wese uzahura n'ibi bimenyetso byose, ariko bimwe muri byo bishobora kugaragara:
- Kureba kabiri (diplopia) : Cyane cyane iyo ureba n'ijisho rimwe. Nk'igihe antene ya televiziyo idakora neza.
- Ububabare bukomeye bw'amaso : Hari igihe ububabare bushobora kugorana.
- Kuva amaraso imbere mu jisho (hyphema) : Ibi bishobora guteraIgice cy'ibara gishobora kugaragara nk'icyuzuye amaraso imbere.
- Impinduka mu bunini bw'ishuri : Hari igihe, hashobora kubaho undi munyeshuri usa n'aho atari kumwe n'undi. Nk'umunyeshuri wa kabiri . Iki ni ikimenyetso gikomeye cya `(Iridodialysis)`.
- Indwara y'ijisho itera ihungabana: Kubona bitangira kugaragara nabi bitewe n'uko indorerwamo y'ijisho yangiritse bitewe n'impanuka.
- Kugaragara : Ibi bivuze ko iyo urebye amatara cyangwa urumuri rw'izuba, amaso yawe ahinduka ubururu kandi bikaba bigoye kureba.
- Gutinya imiterere y'izuba : Ibi bivuze ko n'urumuri ruto rugoye ku maso kwihanganira kandi bigatuma afunga.
Ubonye ikimenyetso nk'iki, nta kabuza ugomba kujya kwa muganga.
Kuki iyi `(Iridodialysis)` iba?
Nkuko nabivuze mbere, impamvu nyamukuru ya `(Iridodialysis)` ni imvune y'amaso . Hari ubwoko bubiri bw'ibi:
1. Gukomereka kw'ijisho ritameze neza : Ibi bivuze ko hari ikintu gikubita ijisho cyane, ariko ijisho ntiribashe gucukurwa. Urugero, gukubitwa, umupira, cyangwa kugwa bikubita ijisho ahantu runaka.
2. Gukomeretsa ijisho : Ibi birimo gutobora ijisho. Urugero, gukubitwa n'icyuma, gutobora insinga, cyangwa igice cy'icyuma aho ukorera kikinjira mu jisho gitunguranye.
Urugero, niba wakubise isura yawe ku ntebe y'imbere cyangwa ku igare ry'imodoka mu mpanuka y'imodoka, cyangwa niba hari ikintu kigutera mu jisho utari ufite indorerwamo z'umutekano (urugero, mu iduka rikora ibiti cyangwa iduka rikora ibyuma), hari amahirwe menshi ko wagira `(iridodialysis)` ukagira imvune zikomeye. Twita `(iridodialysis)` iterwa n'impanuka nk'iyi iridodialysis iteye ubwoba .
Hari igihe, gake cyane, ibi bishobora no kuba ikibazo cyo kubagwa amaso.
Ni gute umuganga abimenya?
Niba waragize ikibazo mu jisho kandi ukaba ufite ibimenyetso navuze mbere, ugomba guhita ubonana n'umuganga w'amaso/umuganga w'amaso . Iyo muganga agusuzumye, ashobora kureba niba iris yacitse. Bakoresha ibikoresho byihariye kugira ngo babikore.
Byongeye kandi, ibizamini bikurikira bishobora gukorwa kugira ngo harebwe niba hari ibindi byangiritse ku jisho cyangwa ku nyamaswa z'amahanga:
- Ultrasound y'ijisho ryawe : Ibi bigufasha kubona ibice byoroshye biri mu jisho ryawe.
- Isuzuma rya CT (isuzuma rya tomography ryakoreshejwe) : Rishobora gukoreshwa mu kureba niba hari ibyangiritse ku magufwa akikije ijisho cyangwa niba hari uduce duto mu jisho.
Muganga azakora kandi ikizamini cyitwa gonioscopy . Iki ni ikizamini kidatera ububabare. Kigenzura niba amazi ari mu jisho arimo gusohoka neza.Ese hari amahirwe yo kurwara indwara nka glaucoma ?
Ni ubuhe buryo bwo kuvura `(Iridodialysis)`?
Igishimishije ni uko atari ko indwara zose zo mu irangi ry'amaso zikenera kuvurwa. Hari igihe, iyo irangi rito rigabanutse kandi nta bimenyetso bikomeye bihari (urugero: kureba neza, nta bubabare bugaragara), muganga wawe ashobora kukubwira gutegereza. Ijisho ryawe rishobora kumenyera uko igihe kigenda.
Mu bihe bimwe na bimwe, lentile zidasanzwe zishobora gukoreshwa mu kugabanya isura y'impeta y'umukara ya kabiri no kugabanya ubushobozi bwo kumva urumuri. Izi lentile zishobora gusigwa ibara kugira ngo zihuze n'ibara ry'ijisho ry'amaso kandi zigatwikira agace kabuze.
Ariko, niba iris irekuye cyane, ushobora kandi:
- Iyo ubonye ibintu bibiri n'ijisho rimwe, uba ufite "amaso abiri mu jisho rimwe" .
- Niba udashobora kwihanganira urumuri .
- Niba uhangayikishijwe cyane n'ibintu byo hanze (photophobia) .
- Niba utameze neza n'uko ugaragara (bitewe n'itandukaniro ry'amaso , hari abantu basanga ibi bitakubereye).
...Mu bihe nk'ibi , kubagwa bishobora kuba ngombwa.
Kubaga `(Iridodialysis)`
Hari uburyo butandukanye bwo kubaga kugira ngo wongere ufate iris. Abaganga bagerageza kubungabunga imiterere karemano n'imikorere y'ijisho uko bishoboka kose.
- Hari igihe, iris yakuweho ifatanywa n'umuzi hakoreshejwe imidozi myiza cyane (sutures) .
- Hari ubwo hakorwa igerageza ryo kubikemura hakoreshejwe ikoranabuhanga rya laser .
- Uburyo bushya ni ugushyiramo iris y’ubukorano hamwe n’indorerwamo y’imbere mu jisho (IOL ) . Ibi bikorwa iyo iris yangiritse cyane.
Ariko, akenshi, nyuma y’impanuka y’ijisho, ubu buryo bwo kuvura bwa `(Iridodialysis)` bukorwa gusa kugeza igihe ijisho rikize gato kandi kubyimba kukagabanuka. Kuko atari byiza kubagwa ako kanya nyuma y’imvune.
Iyi lenzi yo mu jisho ni lenzi y’ubukorano igaragara neza ikora nk’iy’umwimerere iri mu jisho ryacu. Iyo urumuri rwinjiye mu jisho, runyura muri iyi lenzi rukagera kuri retina . Izi lenzi z’ubukorano zikoreshwa mu gukuraho indwara ya cataract no kuyishyiramo, ndetse no mu kubaga iridodialysis.
Ese ntushobora kurokoka `(Iridodialysis)`?
Ntibishoboka gukumira burundu `(Iridodialysis)`. Kubera ko ingaruka atari zo twiteze. Ariko, mu kurinda amaso yawe, iyi ngaruka ishobora kugabanuka cyane. Dukurikije amakuru dufite, hafi 90% by'imvune zo mu maso zishobora kwirindwa . Dore bimwe mu bintu ushobora gukora:
- Buri gihe ambara imyenda irinda amaso iyo ukora akazi, cyane cyane iyo ukata, usya, usudira, cyangwa ukoresha imiti. Ntutegereze ko "uyambara" nyuma y'igihe runaka.
- Mu gihe ukina imikino yihuta cyane, urugero nka cricket (cyane cyane iyo ukina umukino wo gukubita no gukubita), squash, cyangwa igare, menya neza ko wambaye indorerwamo z'umutekano cyangwa ingofero ijyanye n'uwo mukino.
- Buri gihe mwambare umukandara wawe w'imodoka igihe utwaye imodoka. Ibi bizagabanya cyane ibyago byo gukomereka ku mutwe no mu maso.
- Witondere mu gihe ukora imirimo yo mu rugo. Urugero, tekereza ku maso yawe mu gihe utema amashami mu busitani cyangwa utera umusumari.
Ni ryari ngomba kujya kwa muganga?
Ibi ni ingenzi cyane. Niba ufite ikibazo cy'ijisho cyangwa imvune iyo ari yo yose, ntukicare utekereza uti "Iki ni ikintu gito gusa." Hari igihe, nubwo icyangiritse ubona inyuma ari gito, gishobora kuba cyangiritse cyane imbere mu jisho. Kubwibyo, menya neza ko wagiye kwa muganga, byaba byiza ugiye kwa muganga w'amaso.
Hanyuma ushobora kubaza muganga ibibazo nk'ibi:
- "Muganga, bizantwara igihe kingana iki kugira ngo ngire gukira?"
- "Ni ryari nshobora kongera gukora imirimo yanjye isanzwe (akazi, akazi k'ishuri)?"
- "Ni ibihe bimenyetso ngomba kukubona ako kanya cyangwa kujya mu cyumba cy’ubutabazi bw’ibanze nindamuka mbonye?" (urugero: gutakaza amaso mu buryo butunguranye, ububabare bukabije).
- "Nkore iki kugira ngo ngire icyo kintu nk'iki kitazongera kubaho?"
- "Ni gute nategura gahunda yanjye itaha yo kwisuzumisha?"
Ntutinye kubaza ibi bibazo. Amaso yawe ni ay'agaciro kanini kuri wewe.
Ni irihe tandukaniro riri hagati ya `(Cyclodialysis)` na `(Iridodialysis)`?
Aya mazina yombi asa gato, bishobora gutera urujijo. Nubwo yombi ari indwara z'amaso, hari itandukaniro rito.
- Iridodialysis ni ugukuraho iris , igice cy'ijisho gifite ibara, aho cyari gisanzwe.
- Ariko cyclodialysis ni inzira yo gutandukanya igice cy'ijisho (igice cy'ijisho gikora amazi agaburira ijisho kandi agafata kuri iris) n'igice cy'ijisho cyera ( sclera ).
Iyo umubiri wa siliari uvuye kuri sclera, urujya n'uruza rw'amazi ruri mu jisho ruraziba, bigatuma rwirundanya mu jisho, bikongera umuvuduko w'amaso bigatera indwara yitwa glaucoma .
Ni irihe tandukaniro riri hagati ya `(Iridonese)` na `(Iridodialysis)`?
Aya mazina yombi asa gato, bityo ashobora kwitiranywa. Yombi afitanye isano n'ijisho ry'amaso, igice cy'ibara ry'ijisho .
- Iridodialysis ni ugukuraho iris.
- Ariko Iridonese ni igihe iris ihinda iyo urimo uzunguza amaso yawe uva ku ruhande ujya ku rundi.Nk'umukara. Aha iris ntigenda, ariko ntigenda buhoro buhoro kandi igaragaza isura inyeganyega. Ibi rimwe na rimwe bishobora guterwa no gukomereka kw'ijisho cyangwa ikibazo ku mboni y'ijisho .
Amaherezo, ibintu byo kwibuka
Rero, `(Iridodialysis)` ni indwara iteje akaga ibaho iyo iris, igice cy'ijisho gifite ibara, kivuye aho cyari kiri mbere. Ibi rimwe na rimwe bishobora gutuma ijisho rigaragara nk'impeta y'umukara ya kabiri, bigatuma bigorana kubona mu mucyo, kandi bishobora kubabaza.
Igikuru ni uko niba ufite ikibazo icyo ari cyo cyose mu jisho, nubwo waba ubona ko ari gito, cyangwa niba ubonye ikintu kidasanzwe nyuma yo kubagwa ijisho (urugero: impinduka mu maso, ububabare, kutabona urumuri, gutukura kw'ijisho), hita ugana muganga w'amaso vuba vuba.
Iyo ubonye indwara hakiri kare ukabona ubuvuzi bukenewe, ushobora kugera ku musaruro mwiza. Akenshi, ushobora no kurokora amaso yawe. Kubwibyo, ni inshingano zawe kwita ku maso yawe. Kuko dufite aya maso abiri gusa kugira ngo turebe iyi si nziza!
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Guhuzagurika mu gupima: Ni irihe tandukaniro riri hagati ya MRI, MRA, n'iyi scan ya MRV?
MRI ni scan rusange ireba ubwonko/ibice byose by'umubiri. MRA (MR Angiography) ni scan ireba gusa 'Imitsi' itwara amaraso meza iva mu mutima. Ariko iyi bita MRV (MR Venography) ni scan yihariye ireba gusa 'Imitsi', imitsi y'amaraso idasukuye igarura ayo maraso yose mu mutima.
💬 Kuki muganga akora ubu buryo bwa MRV scan?
Igikuru ni ukumenya niba hari 'amaraso yangiritse' mu mutsi munini mu bwonko (Cerebral Venous Sinus Thrombosis / CVST)! Niba ufite umutwe udakira kandi utabasha kwihanganira, cyangwa niba amaso yawe atabona neza, abaganga bakoresha iki kizamini kugira ngo bamenye uwo mutsi uvanze n'amaraso (mbere yuko urwara indwara yo gucika kw'imitsi).
💬 Ese uterwa irangi/urushinge mbere y'iki kizamini?
Kenshi na kenshi, yego. Kugira ngo umuntu asobanukirwe neza imitsi, irangi ryitwa 'Gadolinium' (irangi ritandukanye) rishyirwa mu mubiri binyuze mu mutsi uri mu kuboko. Hanyuma, uko irangi rinyura mu mutsi rijya mu bwonko, aho amaraso apfundikiye bigaragara neza mu ibara ry'umukara. (Iri bara riteje akaga ku bantu bafite ibibazo by'impyiko.)
Iridodialysis , gutandukana kw'ijisho, imvune z'amaso, iris ya kabiri, ububabare bw'amaso, kureba kabiri, kubagwa kw'amaso











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