Ese hari igihe wumva indorerwamo zawe zidakomeye bihagije? Cyangwa uhita wumva ko amaso yawe atandukanye gato kandi atari meza nka mbere? Wenda iyi ni indi mpamvu ituma uhora uhindura indorerwamo zawe. Impamvu imwe inyuma y'ibi ni indwara yitwa Keratoconus. Abantu benshi bagira ubwoba iyo bumvise iri zina, ariko niba ubimenye neza kandi ugashaka ubuvuzi bukwiye, ni indwara ishobora kugenzurwa neza cyane. None rero uyu munsi, reka tuvuge kuri byose mu buryo bworoshye.
Mu magambo make, Keratoconus ni iki?
Tekereza ijisho ryacu nk'icyuma gifata amashusho meza. Igice cy'imbere cy'ijisho gisobanutse neza, cyitwa cornea , ni nk'ikirahuri cya kamera. Ibi nibyo byerekeza ku rumuri ruturutse hanze, bigatuma tubona ibintu neza. Ubusanzwe, cornea y'umuntu muzima iba uruziga rwiza, ifite uruziga.
Ubu, mu ndwara yitwa Keratoconus, cornea isanzwe izengurutse igenda igabanuka buhoro buhoro ikagenda ihinduka nk'agasongero. Isa n'agasozi gato. Kubera iyi mpinduka mu miterere, ijisho ntirishobora gushyira urumuri neza. Ibi bivamo kureba nabi no kutabona neza.
Abaganga b'amaso bakunze gusuzuma iyi ndwara ukiri muto, uri mu kigero cy'imyaka 20, 20 cyangwa 30. Ariko rimwe na rimwe bishobora gutangirira mu bwana. Iyi mpinduka mu maso ibaho vuba gato ku bakiri bato.
Ni gute iyi ndwara igira ingaruka ku bushobozi bwawe bwo kureba?
Impinduka mu miterere y'imboni zigira ingaruka ku kureba kwawe mu buryo bubiri bw'ingenzi.
1. Astigmatisme Irregular: Iyo cornea ibyimbye imbere nk'agahu, ubuso bwayo bworoshye kandi buzunguruka nabwo burarambuye. Imeze nk'umugati wakozwe neza urimo gushwanyaguzwa hanyuma imiterere yawo igahinduka. Ibi nibyo byitwa "astigmatisme irregular" mu buvuzi. Ikibazo kiri muri ibi ni uko bigoye gukosora burundu iyi ndwara ukoresheje indorerwamo zisanzwe.
2. Kwiyongera k'ubuhanga bwo kureba hafi: Uko cornea igenda yiyongera imbere, niko igorama ryayo ririyongera. Ibi bituma ijisho rihinduka 'ireba hafi'. Kubera iyo mpamvu, ugomba guhindura indorerwamo zawe kenshi, ukoresheje indorerwamo zikomeye kurushaho.
Ni ibihe bimenyetso bya Keratoconus?
Ibi bimenyetso bishobora kugaragara kimwe kimwe nyuma y'ikindi. Ushobora kandi kuba ufite kimwe cyangwa byinshi muri byo hamwe. Ni ngombwa kubimenya.
| Ibimenyetso | Ibisobanuro byoroshye |
|---|---|
| Kutabona neza buhoro buhoro | Kureba bigabanuka buhoro buhoro mu jisho rimwe cyangwa yombi. Iyi ndwara ikunze kugira ingaruka ku maso yombi. |
| Iyerekwa Ribiri | Iyo urebye mu jisho rimwe irindi rifunze, wumva usa n'aho ubona ibintu bibiri icyarimwe. |
| Kubona impeta zikikije amatara (Halos) | Cyane cyane nijoro, iyo urebye itara ry'imodoka cyangwa amatara y'imodoka, asa n'impeta nziza zikikije. |
| Kudakira urumuri (Photophobia) | Kugorwa no kwerekeza amaso ku zuba ryinshi cyangwa urumuri rwinshi. Kumva nk'aho amaso arimo guhinduka ubururu. |
| Iyerekwa rigoretse | Ibintu nk'imirongo igororotse n'amadirishya bisa nkaho bigoramye kandi birambuye. Ibintu bishobora kugaragara nk'aho bifite imiterere itandukanye n'iy'umwimerere wabyo. |
Kuki ibi bibaho? Impamvu ni izihe?
Mu by’ukuri, impamvu nyayo ya keratoconus ntiramenyekana. Ariko, hari ubushakashatsi bwagaragaje ko ishobora kuba ari imiterere y’umubiri . Ibi bivuze ko niba hari umuntu wo mu muryango wawe ufite iyo ndwara, nawe ufite amahirwe menshi yo kuyirwara.
Igikuru ni uko abantu bafite iyi ndwara bagira akamenyero ko kwisiga amaso kenshi . Ibi bishobora guterwa n'allergie itera kuribwa mu maso. Byagaragaye ko uku kwisiga amaso bishobora gutuma ikibazo kirushaho gukomera. Kubwibyo, ni ngombwa cyane kureka ingeso yo kwisiga amaso.
Izindi ndwara zishobora kuba zifitanye isano na Keratoconus
Keratoconus byagaragaye ko ifitanye isano n'indwara zimwe na zimwe zitera kwisiga amaso kenshi. Dore zimwe muri izo ndwara:
- Indwara z'uruhu nka dermatitis itera indwara ya atopic na dermatitis ifite allergie.
- Rhinitis iterwa n'ubwivumbure.
- Asima.
- Indwara ya Down.
- Indwara ya Ehlers-Danlos.
- Osteogenesis imperfecta.
Ni izihe ngorane ibi bishobora gutera?
Iyo idavuwe neza, keratoconus ishobora guteza ingorane zimwe na zimwe.
| Ingorane | Ubusobanuro |
|---|---|
| Inkovu zo mu cornea | Uko cornea igenda irushaho kugorana, ishobora kugira inkovu. Izi nkovu zishobora kwangiza ubushobozi bwo kureba burundu. |
| Amashanyarazi yo mu bwoko bwa cornea | Ibi bibaho mu buryo butunguranye. Bitewe n'icika ry'imbere mu gice cy'ijisho, amazi ava mu jisho asohoka mu gice cy'ijisho maze agahita abyimba. Ibi bitera gutakaza ubushobozi bwo kureba no kubabara cyane. |
| Impeta za Fleischer | Ibice by'icyuma bikora impeta y'umukara ikikije agace gafite ishusho nk'iy'umuhondo k'inyuma y'uruti rw'umukara. |
| Gutakaza ubushobozi bwo kureba | Ingaruka z'ibi byose ni ukubura amaso, bishobora kuva ku byoroheje kugeza ku bikomeye. |
Umuganga abibona ate?
Iyo ugiye kwa muganga w'amaso, abanza kukubaza ibimenyetso byawe ndetse niba hari umuntu wo mu muryango wawe wigeze kugira ibibazo nk'ibyo. Hanyuma, azakora isuzuma ryuzuye ry'amaso. Ibi bishobora kuba birimo kimwe cyangwa byinshi muri ibi bizamini.
- Ikizamini cyo kureba neza: Iki ni ikizamini cyo gusoma twese tuzi. Gipima ubukana bw'amaso yawe.
- Gusuzuma itara rito: Ibi bikoresha urumuri rwinshi na mikorosikopi kugira ngo bisuzume neza buri gice cy'ijisho ryawe, cyane cyane cornea.
- Keratometry: Iki kizamini gipima imiterere y'ishusho y'inyuma y'umugongo.
- Gupima cornea (tomography na topography): Iki ni cyo kizamini cy'ingenzi kandi gikwiye cyo gusuzuma iyi ndwara. Kimwe n'ikarita y'igihugu cyacu, ibi birema 'ikarita' y'cornea yawe kuri mudasobwa. Bindika amakuru yose ya cornea, nk'uburebure bwayo, ubunini bwayo, n'imiterere yayo. Niba ufite keratoconus, izamenyekana neza n'iki kizamini.
Ni ubuhe buryo bwo kuvura ibi?
Ku bw'amahirwe, hari uburyo butandukanye bwo kuvura keratoconus. Muganga wawe azagena uburyo bwiza bwo kuvura hashingiwe ku buremere bw'indwara yawe.Indorerwamo n'indorerwamo z'amaso
Mu ntangiriro z'iyi ndwara, kureba bishobora kongerwa ku rugero runaka hakoreshejwe indorerwamo zisanzwe cyangwa lenti zoroshye. Ariko, uko indwara ikomeza, biragoye kubona neza ukoresheje indorerwamo bitewe n'indwara yo kutagira ubwenge. Muri icyo gihe, lenti zikomeye zigomba gukoreshwa.
Guhuza imiterere y'inyuma y'inyuma y'inyuma
Ubu ni bwo buryo bw'ingenzi bwo kuvura bukoreshwa muri iki gihe kugira ngo hahagarike cyangwa hagabanuke kwiyongera kwa keratoconus. Ubu si ukubaga. Ibi bikubiyemo gutera inshinge mu jisho umuti witwa Riboflavin (Vitamine B2) hanyuma ukabishyira ku rumuri rwa UV mu gihe cy'iminota 30. Ibi bikomeza imiyoboro ya collagen iri mu mboni, bikabuza mboni kunanuka no kuzamuka imbere.
Ibice by'impeta bishobora guterwa (INTACS)
Ibi ni ibikoresho bito, bisa n'impeta y'igice bikozwe muri pulasitiki. Muganga akora uduce duto mu mboni y'umugongo hanyuma akabishyiramo ibikoresho bimeze nk'impeta. Iyo bishyizwemo, mboni ifite ishusho nk'iy'umugongo iragorama gato, bigatuma umuntu abona neza.
Gutera cornea
Ibi bikorwa iyo indwara ikomeye cyane, cornea yahindutse inkovu, kandi nta bundi buryo bwo kuvura bushobora kugarura ubushobozi bwo kureba. Ibi bikubiyemo gukura cornea yawe yangiritse ugasimbuza cornea nzima y'umuntu wapfuye. Bishobora gufata igihe kirenga umwaka kugira ngo cornea ihore neza nyuma y'uku kubagwa.
Icy'ingenzi: Niba urwaye Keratoconus,Ugomba kuvugana na muganga wawe mbere yo kubagwa hakoreshejwe laser nka LASIK, kuko bene ubwo bubagwa bushobora gutuma iyi ndwara irushaho kuba mbi.
Ni ryari nkwiye kujya kwa muganga? Ni ibihe bihe byo kujya muri ETU?
Jyana na muganga w'amaso igihe cyose ubonye impinduka mu maso yawe. Ntugatinde, cyane cyane niba amaso yawe ahinduka vuba. Niba ufite Keratoconus, ni ngombwa kwisuzumisha buri gihe nk'uko muganga wawe agusaba.
Igihe cyo kujya mu Ishami rishinzwe Ubuvuzi bwihutirwa (ETU):
- Niba ugiye kubona mu buryo butunguranye.
- Niba ubabara amaso cyane.
- Niba uherutse kubagwa amaso none ukaba ufite ibimenyetso by'ubwandu, nko kugira umuriro no kuva amaraso mu jisho.
Ntutinye kumva izina rya Keratoconus. Rishobora kugenzurwa neza iyo rimenyekanye ku gihe kandi rigavurwa neza. Icy'ingenzi ni ukuganira na muganga wawe mu buryo bweruye, ukabaza ibibazo byawe, hanyuma ugahitamo uburyo bwiza bwo kuvura.
Ubutumwa bwo kujyana mu rugo
- Keratoconus ni indwara aho cornea y'ijisho ihindura imiterere yayo ikaba agahu. Akenshi itangira mu bwana.
- Ibimenyetso by'ingenzi ni ukubona nabi, kubona ibintu bibiri, kubona indorerwamo zikikije amatara, no kumva urumuri.
- Gukaraba amaso kenshi bishobora kongera iyi ndwara. Kubwibyo, vura allergie kandi wirinde kurebana mu maso.
- Hari uburyo bwinshi bwo kuvura bwagenze neza, nko gukoresha indorerwamo z'amaso, indorerwamo zidasanzwe, gukoresha cornea crosslinking, no gutera cornea.
- Niba ubonye impinduka mu kureba kwawe, jya kwa muganga w'amaso vuba. Iyo uvuwe neza, ushobora kurinda amaso yawe y'agaciro.

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