Ese imboni y'umwana wawe ni nini cyane? Bishobora kuba biterwa na Megalocornea!

Ese wigeze ureba neza amaso y'umwana wawe? Hari igihe tubona ko cornea, igice cy'urumuri cyinjira mu jisho, ari kinini cyane. Cyangwa wenda warayobewe gato igihe muganga yakubwiye ijambo "Megalocornea". "Megalocornea" ni iki mu by'ukuri? Ntugahangayike, tuzabivugaho mu buryo bworoshye ushobora gusobanukirwa.

`(Megalocornea)` ni iki mu by'ukuri?

Mu magambo make, `(Megalocornea)` ni igihe ururenda rubonerana ruri imbere y'ijisho, igice twita cornea , ari runini kuruta ibisanzwe. Tekereza, niba ijisho ryacu rimeze nka kamera, iyi cornea imeze nk'ikirahure kiri imbere y'indorerwamo y'iyo kamera. Umucyo winjira mu jisho unyuze muri iri. Mu gihe cya `(Megalocornea)`, umurambararo w'iyi cornea (ni ukuvuga intera iri hagati y'uruhande rumwe n'urundi) ni milimetero zirenga 13. Ubusanzwe, ubu bunini ku mwana muto ni buto cyane.

Ikindi kintu kibaho muri ibi ni uko umwanya wuzuye amazi uri hagati y’ijisho ry’umuhondo n’igice cy’ijisho gifite ibara (cyitwa iris), cyitwa icyumba cy’imbere , uba mwinshi kuruta uko bisanzwe.

Igikuru ni uko `(Megalocornea)` ari indwara ya `(congenital)` . Ibi bivuze ko umwana avukana ibi bintu. Akenshi, abaganga babimenya akiri muto. Abantu benshi ntibagira ibibazo bikomeye byo kureba bitewe n'ibi, kandi si indwara ya `(progressive)` irushaho kuba mbi uko igihe kigenda gihita. Ibi bivuze ko akenshi iba isa n'iyo iri. Ibi ni ibinyuranye n'indwara yitwa `(Microcornea)`. Muri `(Microcornea)`, cornea iba nto cyane.

Ariko rimwe na rimwe iyi ndwara ya `(Megalocornea)` ishobora kujyana n'izindi ndwara. Urugero, igaragara ku ndwara z'imitsi nka `(Marfan syndrome)`. Ibi nibibaho, umwana wawe ashobora kuba afite ibyago byo kurwara izindi ndwara z'amaso nka cataract. Niyo mpamvu ari ngombwa cyane kumenya indwara ya `(Megalocornea)` hakiri kare. Hanyuma abaganga bashobora gukurikirana neza amaso y'umwana n'amaso ye.

Abaganga bakoresha andi mazina menshi kuri iyo ndwara:

• Imbere y'inyuma y'ikibuga cy'imbere
• Megalophthalmia y'imbere y'ivuka
• Megalocornea y’umwimerere yihariye
• Macrokoruneya

Ni gute Megalocornea igira ingaruka ku maso?

Akenshi, indwara ya "Megalocornea" igira ingaruka ku maso yombi. Cyane cyane mu buryo bubiri:

1. Umurambararo w'inyuma y'amaso (upimwe uhereye ku ruhande ujya ku rundi) ni munini kuruta ibisanzwe (urenze milimetero 13).

2. Igice cy'imbere cy'ijisho, aho amazi meza atemba (icyumba cy'imbere) kiba cyimbitse kurusha uko bisanzwe.

Izi mpinduka nizo zituma amaso asa n'anini gato urebye inyuma.

Ni nde ugerwaho n'iki kibazo cyane?

Megalocornea ikunze kugaragara mu bahungu . Ibi biterwa nuko abantu barenga 90% barwara megalocornea baterwa n’impinduka mu miterere y’uturemangingo kuri chromosome ya X. Izi ndwara zifitanye isano na X zigira ingaruka ku bahungu kurusha abakobwa.

Iyi ni indwara idasanzwe cyane . Abashakashatsi ntibashobora kuvuga neza umubare w'abantu bayivukana, ariko bizera ko ishobora kuba idasuzumwe neza.

Ni ubuhe bwoko bw'ingenzi bwa `(Megalocornea)`?

Hari ubwoko bubiri bw'ingenzi bwa `(Megalocornea)`:

1. Isolated cyangwa simple megalocornea : Ibi bigira ingaruka ku mboni gusa kandi nta yindi ndwara bifitanye isano.

2. Imbere y'amaso : Ubwo bwoko bufitanye isano n'ikibazo cyihishe inyuma, bityo bushobora kugira ingaruka ku bindi bice by'amaso y'umwana cyangwa ibindi bice by'umubiri.

Ni iki gitera Megalocornea?

Megalocornea iterwa n'impinduka mu ngirabuzimafatizo muri gene ya CHRDL1, ifasha mu kugenzura imikurire y'amaso. Abashakashatsi bemeza ko iyi mpinduka ituma agacupa k'amaso , kari mu gice cy'ijisho, kakura kurusha uko bisanzwe. Iyi ni yo mpamvu nyamukuru ituma cornea iba nini.

Ni ibihe bimenyetso by'indwara ya `(Megalocornea)`?

Inkuru nziza ni uko abantu benshi bavukanye indwara ya Megalocornea nta bimenyetso na bimwe bagaragaza . Bashobora kubaho ubuzima busanzwe.

Ariko bamwe mu bana bashobora kugira ibimenyetso nk'ibi:

• Guhinduka buhoro buhoro mu kureba cyangwa kutabona neza bitewe na astigmatism. (Astigmatism ni indwara aho cornea iba idakora neza nk'uruziga, bigatuma urumuri rudafata ahantu hamwe mu jisho.)
• Kumva urumuri rwinshi (photophobia) - Ibi bivuze ko amaso ahinduka ubururu iyo abonye urumuri rw'izuba cyangwa urumuri rwinshi.
• Kutabona neza (myopia).

Ariko, iyo indwara ya "Megalocornea" ifitanye isano n'izindi ndwara, umwana ashobora kugira ibimenyetso bikomeye nka:

• Indwara zo mu kanwa.
• Coloboma (igice cy'ijisho kidakura neza).
• Lens yimuwe (ectopia lentis) cyangwa phacondonesis.
• Glaucoma (kwangirika k'amaso bitewe no kwiyongera k'umuvuduko w'amaso).
• Impeta ikikije lens y'ijisho (umukandara w'umubiri wa siliari) ni nini kuruta uko bisanzwe.
• Kutabona neza.
• Gucika kw'inyuma y'ijisho.

Icy'ingenzi: Niba umwana wawe afite kimwe muri ibi bimenyetso, hita ubonana na muganga w'amaso. Kubimenya hakiri kare biroroshye kuvura.

Ni gute wamenya `(Megalocornea)`?

Ubusanzwe abaganga bapima indwara ya megalocornea mu bwana bwabo . Abaganga b'amaso barabyemeza bakoresheje isuzuma ry'amaso, ndetse nibiba ngombwa, bagapima imiterere y'uturemangingo.

Ni ingenzi cyane kubisuzuma neza, kuko bishobora gutandukanywa n'izindi ndwara zikomeye, nka glaucoma, kandi ni ingenzi kugira ngo habeho ubuyobozi bukwiye bwo kuvura.

Muganga wawe ashobora kandi gukora ibindi bipimo, nko:

• Ibipimo bya Glaucoma.
• Gonioscopy (isuzuma ry'inguni y'icyumba cy'imbere cy'ijisho).
• Isuzuma ry'imiterere y'ijisho (Optical coherence tomography - OCT) (gufata amashusho y'imiterere y'ijisho).
• Tonometry (gupima umuvuduko w'amaso).
• Isuzuma rya Ultrasound.
• Kubara igipimo cya vitreous kugira ngo upime amazi y'ijisho.

Ese hari umuti wa `(Megalocornea)`?

Ikibabaje ni uko nta muti wa Megalocornea uhari . Ariko ntugahangayike! Ubuvuzi bushobora gufasha kurinda ubushobozi bw'umwana wawe bwo kureba, gucunga izindi ndwara zimukikije, no gukumira ingorane. Gusuzuma hakiri kare ni bwo buryo bwiza bwo kubona umwana wawe ubuvuzi bukwiye akeneye.

Muganga wawe ashobora kukwohereza kwa muganga w’amaso w’abana. Niba umwana wawe afite izindi ndwara zimureba, ushobora gukenera kubonana n’abandi bahanga.

Ni ubuhe buryo bwo kuvura `(Megalocornea)`?

Kenshi na kenshi, megalocornea ntikenera ubuvuzi bwihariye , cyane cyane niba umwana wawe abona neza kandi igitutu cy'imbere mu jisho ari gisanzwe. Muganga w'umwana wawe ashobora kukugira inama yo "gutegereza witonze". Ibi bivuze ko ugomba kugenzura ubuzima bw'amaso y'umwana wawe buri gihe no kureba niba hari impinduka.

Ariko, niba umwana wawe afite ibimenyetso cyangwa izindi ndwara zimubangamiye, ashobora gukenera kuvurwa kugira ngo abishobore. Uburyo bwo kuvura butari ukubaga burimo:

• Imiti, urugero nk'ibitonyanga by'amaso.
• Ibikoresho bifasha mu kureba (indorerwamo z'amaso cyangwa indorerwamo zabugenewe).

Mu bihe bimwe na bimwe, kubagwa bishobora kuba ngombwa:

• Kubaga cataract cyangwa kubaga glaucoma.
• Guca isura y'amaso (Photorefractive keratectomy - PRK) ni uburyo bwo kubaga amaso kugira ngo havurwe indwara yo kutareba hafi cyangwa astigmatism.

Ni iki nkwiye kwitega mu gihe umwana wanjye afite `(Megalocornea)`?

Abana benshi barwaye indwara ya megalocornea bakura bafite ubushobozi bwo kureba neza kandi bagakomeza kubona neza . Abandi bashobora kwihanganira ibimenyetso byabo bakoresheje uburyo bwo kubona cyangwa indorerwamo.

Ariko, ahazaza h'abana bafite iyi ndwara haterwa n'imiterere n'uburemere bw'iyi ndwara. Niba wumva ibimenyetso birimo kwiyongera , ganira na muganga wawe ku buryo bwiza bwo kurinda amaso n'ubuzima bw'umwana wawe.

Ese nshobora kugabanya ibyago by'umwana wanjye byo kurwara Megalocornea?

Mu by'ukuri, nta kintu na kimwe wakora kugira ngo wirinde Megalocornea. Iyi ni indwara iterwa n'uturemangingo. Ariko, ushobora gufata ingamba zo kurinda amaso y'umwana wawe.

Ushobora kwirinda kwangirika kw'ijisho ry'umwana wawe ukoresheje indorerwamo zo mu maso zirinda indwara iyo wowe cyangwa umwana wawe mukoze ibi bikurikira:

• Mu gihe cyo gusukura ukoresheje bleach cyangwa indi miti.
• Mu gihe cy'akazi ko hanze nko guca ubwatsi.
• Mu gihe cy'imirimo yo gusana ikubiyemo gukoresha ibikoresho by'amashanyarazi, inyundo, cyangwa gusiga irangi.
• Mu mikino nka baseball cyangwa hockey.

Niba umwana wawe yambaye indorerwamo z'amaso, kurikiza amabwiriza yo kumusukura no kumusiga imiti yica udukoko witonze kugira ngo wirinde kwandura indwara z'amaso cyangwa iz'amaso. Ntucikwe na muganga w'amaso , kandi kurikiza amabwiriza yo kuvura kugira ngo wirinde ingorane no kubungabunga icyerekezo cy'umwana wawe.

Ni ryari ugomba gushaka inama kwa muganga ku ndwara ya `(Megalocornea)`?

Kumenya hakiri kare indwara ya megalocornea ni ingenzi kugira ngo ivurwe neza. Niba umwana wawe agize ikibazo cy'amaso, ububabare, cyangwa impinduka mu kureba, hamagara muganga wawe vuba.

Muganga wawe ashobora kuguha uburyo bukwiye bwo kuvura kugira ngo umwana wawe aruhuke kandi akomeze kubona neza.

Kwita ku buzima buri gihe ni ingenzi mu kuvura indwara zisanzwe no gukumira ingorane nka cataract cyangwa glaucoma.

Megalocornea ni indwara idakunze kugaragara ituma cornea y'ijisho yaguka. Ariko inkuru nziza ni uko abantu benshi batabona ibimenyetso. Abandi bashobora kurinda amaso yabo bakoresheje indorerwamo zo kuvura no gukumira ingorane. Iyo umwana asuzumwe amaso buri gihe, ashobora kubona isi neza kandi akishimira ubuzima mu buryo bwuzuye!

Ibintu ukeneye kumenya (Ubutumwa bwo kujyana mu rugo)

Noneho rero usobanukiwe neza icyo twavuzeho (Megalocornea). Dore ibintu by'ingenzi ugomba kwibuka:

• Megalocornea ni indwara idakunze kugaragara aho cornea y'ijisho iba nini kurusha uko bisanzwe.
• Ibi bikunze kugira ingaruka ku bahungu cyane.
• Abana benshi ntibagira ibibazo bikomeye byo kureba bitewe n'ibi, kandi ntabwo birushaho kwiyongera uko igihe kigenda gihita.
• Ariko, rimwe na rimwe bishobora kujyana n'izindi ndwara. Kubwibyo, ni ngombwa cyane gusuzuma indwara hakiri kare no kwipimisha amaso buri gihe nk'uko byagaragajwe n'abaganga.
• Kuvurwa ni ngombwa gusa iyo hari ibimenyetso cyangwa izindi ngorane.
• Ntugahangayike, umwana ashobora kubaho ubuzima busanzwe afite icyerekezo cyiza iyo akurikiranwe n'abaganga.

Niba ugifite ikibazo kuri ibi, ntutindiganye kubaza muganga w'umuryango wawe cyangwa inzobere mu by'amaso.

Megalocornea , Kwaguka kw'ijisho, Indwara z'amaso z'abana, Indwara z'amaso avukana, Urusobe rw'ijisho rw'imbere, Ibipimo by'amaso, gene ya CHRDL1