Ese umwana wawe afite ikibazo nk'iki cy'amaso? Reka tuvuge kuri 'Morning Glory Syndrome'

Iyo urebye amaso y'umwana wawe, ese wigeze ubona ko hari ikintu gitandukanye ku jisho rimwe? Wenda imbere mu jisho hasa n'aho adasanzwe, cyangwa umutwe w'umwana uhindukiye ku ruhande rumwe, cyangwa ijisho rimwe rirabyimbye. Ni ibisanzwe ko umubyeyi yumva afite ubwoba gato iyo abonye ibintu nk'ibi. Uyu munsi tugiye kuvuga ku ndwara ishobora kugira ingaruka ku maso, idasanzwe ariko ni ingenzi cyane kubimenya. Iyo ni indwara yitwa 'Morning Glory Syndrome '.

Iyi 'Morning Glory Syndrome' ni iki?

Mu magambo make, 'Morning Glory Syndrome' ni indwara ibaho iyo igice cy'ijisho ryawe kiri imbere mu jisho ryawe, umugongo, kidakura neza. Tekereza, umutsi mukuru ufitanye isano no kureba uri imbere mu jisho ryacu, aho uhurira n'ijisho, ni ukuvuga igice cyitwa umuzi w'imitsi y'amaso, kiri muri ubu burwayi, kiba gifite ishusho y'umuyoboro. Ni nk'aho hari indabyo yitwa 'Morning Glory', kandi iyo umuganga arebye muri '(Retina)' y'ijisho ryawe, bisa nkaho arimo kureba muri iryo ndabyo. Niyo mpamvu ryitwa 'Morning Glory Syndrome'.

Ibi biterwa n'ikibazo mu mikurire y'ijisho umwana akiri mu nda . Akenshi kivurwa hakiri kare cyane, rimwe na rimwe umwana atarageza ku myaka ibiri. Iyi 'Morning Glory Syndrome' (MGS) itera impinduka mu miterere y'ijisho zishobora kugira ingaruka ku kureba kwawe. Yongera kandi ibyago byo kugira ibibazo bitandukanye by'amaso mu buzima bwe bwose. Akenshi yibasira ijisho rimwe gusa, ariko gake cyane ishobora kugira ingaruka ku maso yombi.

Ikindi kintu ni uko rimwe na rimwe hashobora kubaho itandukaniro gusa mu miterere y'iri jisho, ni ukuvuga ko nta bimenyetso na bimwe rigaragara. Muri icyo gihe, abahanga babyita 'Morning Glory Disk Anomaly'. Ariko, niba iri tandukaniro mu miterere riherekejwe n'ibimenyetso, icyo gihe byitwa 'Morning Glory Syndrome'.

Iki kibazo gikunze kugaragara gute?

Indwara ya Morning Glory Syndrome ni indwara idakunze kugaragara . Ku isi yose, bivugwa ko yibasira abana barenga gato 63.000 bari munsi y'imyaka 20. Ikindi kintu gishimishije ni uko ikunze kugaragara ku bakobwa inshuro ebyiri kurusha abahungu. Bivugwa kandi ko idakunze kugaragara ku birabura.

Ni ibihe bimenyetso by'ibi?

Si abantu bose barwaye Morning Glory Syndrome (MGS) bazagira ibimenyetso bimwe. Ariko hari ibimenyetso bimwe na bimwe bisanzwe. Iyi ndwara ifite amahirwe abiri y’ingaruka ku jisho ry’ibumoso kurusha iburyo.

Ibimenyetso bifitanye isano n'amaso:

• InteraMyopia : Ibi bivuze ko nubwo ibintu byegereye bishobora kugaragara neza, ibintu biri kure bisa n'ibidasobanutse neza.
• Ibibazo bigaragara byo kutabona: Ushobora kugira icyuho cyangwa utudomo (scotomas) mu jisho ryawe. Nubwo ari ibisanzwe ko buri wese agira akantu gato k’ubuhumyi muri buri jisho, aka gace k’ubuhumyi gashobora kuba kanini kuruta uko bisanzwe mu jisho ry’umuntu urwaye MGS.
• Strabismus: Ijisho rimwe cyangwa yombi rihindukiye mu byerekezo bitandukanye. Tuvuga "amaso afatanye".
• Ijisho ry'umweru, ifeza, umuhondo, cyangwa imvi (Leukocoria): Hagati mu jisho, ubusanzwe risa n'umukara, rishobora kugaragara nk'irindi bara. Nubibona, ugomba guhita ubonana na muganga.

Ibimenyetso bigaragara hamwe n'izindi ndwara zifitanye isano:

Uretse ibi bimenyetso bifitanye isano n'amaso, hari izindi ndwara zishobora kubaho hamwe na Morning Glory Syndrome (MGS). Izi ndwara zirimo:

• Encephalocele (igice cy'ubwonko gituruka mu gahanga)
• Indwara ya Moyamoya (kugabanuka kw'imitsi ijyana amaraso mu bwonko)
• `Phase syndrome`
• "Neurofibromatosis ubwoko bwa 2 (NF2)"
• Indwara ya Aicardi
• `Chiari malformation type I`
• `Duane syndrome` (rimwe na rimwe yitwa `Okihiro syndrome`)

Aya mazina ashobora kumvikana nk'aho agoye kuri wewe, ariko niba muganga akeka ko afite MGS, azashaka n'izindi ndwara nk'izi.

Impamvu ni iyihe?

Mu by’ukuri, abahanga ntibarasobanukirwa neza uko indwara ya Morning Glory Syndrome (MGS) ikura. Ibi ahanini biterwa nuko ari indwara idakunze kugaragara kandi yavuzwe bwa mbere mu 1969.

Ariko, icyo abahanga bazi ni uko impamvu ya MGS ifitanye isano n'ihungabana mu mikurire y'ijisho mu gihe umwana akiri mu nda . Ibi bivugwa ko bifitanye isano n'imitsi ijyana amaraso mu jisho idakura neza, cyangwa ihungabana mu mikurire y'ijisho n'imitsi y'amaso.

Kimwe mu bimenyetso by'ingenzi bigaragaza ko hari ibibazo by'imitsi y'amaraso, ni uko MGS ishobora kugira ingaruka ku jisho ry'ibumoso inshuro ebyiri. Ubusanzwe, umwana uri mu nda afite utwenge duto hagati y'uruhande rw'ibumoso n'iburyo rw'umutima. Utwo tunyangingo dukunze gufunga mbere gato cyangwa iminsi mike nyuma yo kuvuka.

Ariko, iyo uruhinja rushobora kugira uduce duto tw’amaraso (microemboli), iyo myobo ishobora gutuma amaraso acika ibumoso bw’umutima agana iburyo. Kuva aho, ashobora kugera mu bwonko. Iyo hari ikibazo mu mikurire y’imitsi y’amaraso, agace gashobora kuhaguma, kagahagarika amaraso kandi kakabuza imitsi gukura neza. Ni muri ubwo buryo bw’ibintu byagaragaje ko imikurire y’imitsi y’amaraso ihungabana igira uruhare mu gutera MGS.

Nubwo MGS ishobora kubaho bitewe n’imiterere y’uturemangingo n’imiterere y’uruhererekane rw’abantu, ubushakashatsi ntibwagaragaje ko izi ndwara zitera MGS mu buryo butaziguye. Nubwo hari raporo zagaragaje ko abantu benshi bo mu muryango umwe bandura MGS, ntabwo ari ibintu bisanzwe.

Ni izihe ngorane zishobora kubaho?

Ingorane ikunze kugaragara ya Morning Glory Syndrome (MGS) ni ugucika kw'ijisho ry'umura . Iyi ndwara ishobora kugaragara ku bantu bagera kuri 40% bafite MGS. Iyi ni ikibazo cyihutirwa cy'ubuvuzi .

Izindi ngorane zishobora kuba zirimo:

• Kureba nabi: Kubona nabi cyane.
• Ijisho ry'ubunebwe (Amblyopia): Kubera ko kureba mu jisho rimwe kudakura neza, ubwonko butangira kwirengagiza ibimenyetso biva muri iryo jisho.
• Kugabanya imitsi y'ijisho: Ibi bishobora kugira ingaruka ku kureba.
• Gutandukanya retinal (Retinoschisis) .

Ubimenya ute?

Umuganga w’amaso, cyane cyane inzobere mu ndwara ya retina, ashobora gusuzuma indwara ya Morning Glory Syndrome (MGS) akoresheje uburyo butandukanye, harimo no kubaza ibimenyetso wowe cyangwa umwana wawe mufite ndetse n’ingaruka mufite.

Muganga azasuzuma kandi kureba kwawe (cyangwa kw'umwana wawe), arebe mu jisho ryagize ikibazo, ndetse ashobora no gufata amafoto ya retina. Isuzuma ryakozwe ku buryo bwihariye rya retina naryo rishobora gufasha cyane.

Ibizamini bishobora gufasha mu gusuzuma indwara ni ibi bikurikira:

• Isuzuma ry'amaso: Ibi birimo ibintu nk'isuzuma ry'ubuhanga bwo kureba, isuzuma ry'aho amaso aherereye, n'isuzuma ry'amatara acishwa.
• Isuzuma ry'imiterere y'ijisho (OCT): Ibi bishobora gufata amashusho y'imbere mu jisho mu buryo burambuye.
• Isuzuma rya Fluorescein Angiography: Iyi niyo isuzuma imiterere y'imitsi y'amaraso iri mu jisho.
• Ishusho ya Magnetic Resonance (MRI): Ibi bifasha kubona imiterere ikikije ubwonko n'amaso.

Ese ibi bishobora kuvurwa? Ni ubuhe buryo bwo kuvura?

Indwara ya Morning Glory Syndrome (MGS) ni indwara ibaho iyo imbere mu jisho ryawe idakura neza. Impinduka mu mikurire ntizishobora gukosorwa cyangwa ngo zivurwe, kandi nta muti uhari . Ibyo bivuze ko nta buryo butaziguye bwo kuvura Morning Glory Syndrome.

Ariko ntugire ikibazo. Nubwo nta muti utaziguye wa MGS, ibimenyetso n'ingorane bitera bishobora kuvurwa .

Intego z'ingenzi zo kuvura ni izi zikurikira:

• Gusubiza inyuma ikibazo: Urugero, iyo retina ivanyweho, ishobora gusanwa hakoreshejwe uburyo bwo kubaga.
• Kugabanya ingaruka z'ikibazo: Kwambara agatambaro ko mu maso kugira ngo wirinde ko ijisho rigenda rirushaho kuba ribi.
• Kwirinda ibindi bibazo: Iyo retinal icitse, ni ngombwa kuyikosora vuba kugira ngo hirindwe kwangirika burundu no kutabona neza.

Uburyo bwo kuvura buterwa n'ikibazo cyawe bwite n'ibindi bintu byinshi. Muganga wawe ni we ushobora kukubwira uburyo bwo kuvura bukubereye n'ibyo agusaba.

Ni ubuhe buryo bw'ejo hazaza umuntu ufite iyi ndwara ashobora kwitega?

Indwara ya Morning Glory Syndrome (MGS) ikunze gupimwa mu bwana. Ni indwara ihoraho kandi ibaho ubuzima bwose . Ntishobora gukira, gusubizwa inyuma, cyangwa gusanwa. Ntabwo ishyira ubuzima mu kaga, ariko ishobora kugira ingaruka zikomeye ku kureba. Abantu barenga kimwe cya gatatu barwaye MGS bagira ikibazo cyo gucika kw'amaso.

Bamwe mu bantu barwaye MGS bashobora kuba bafite "amaso asanzwe" (20/20) cyangwa hafi y'asanzwe (hagati ya 20/20 na 20/70). Ariko, benshi ntibabibona . Abenshi mu bantu bafite MGS bari mu cyiciro cy' "abafite amaso make" (20/70 kugeza 20/200) cyangwa "abafite amaso make" (20/200 hamwe n'indorerwamo).

Ku rundi ruhande, abantu barwaye MGS ku ruhande rumwe bagomba gukurikiranirwa hafi ijisho ryabo ritagize icyo ritwaye, kuko iryo jisho naryo rifite ibyago byinshi byo kugira ibibazo bimwe na bimwe. Kubera ko MGS itera kutareba hafi (myopia), hari ibyago byo gucika kw'ijisho, kandi myopia ni ikintu gikomeye gishobora gutera gucika kw'ijisho, haba hari MGS cyangwa hatarimo. Ijisho ritagize icyo ritwaye rishobora no kuba riri mu kaga ko kurwara cataract.

Kubera ko indwara ya MGS ifatwa ikiri nto, ibyemezo byo kuvura akenshi bifatwa n'ababyeyi cyangwa abarezi. Bafite kandi uruhare runini mu kuba maso ku bimenyetso cyangwa imyitwarire ishobora kugaragaza ko umwana afite ikibazo cyo kutabona gifitanye isano na MGS.

Ese ibi bishobora kwirindwa?

Indwara ya Morning Glory Syndrome (MGS) ntabwo ishobora kwirindwa , kandi nta buryo bwo kugabanya ibyago byo kuyirwara.

Ni gute nakwiyitaho/kwita ku mwana wanjye?

Niba wowe cyangwa umwana wawe mufite MGS, ikintu cyiza mwakora ni ugukomeza kureba neza uko mushoboye kose . Inzobere mu by'amaso izabafasha kumenya uko mwabikora. Ni ngombwa cyane gukurikiza amabwiriza yanyu yo kuvura witonze, gukoresha indorerwamo zanditswe cyangwa ubundi buryo bwo kuvura nk'uko byasabwe, no kubonana n'inzobere mu by'amaso kugira ngo imusuzume buri gihe.

Ni ryari ugomba kubonana na muganga vuba?

Niba ufite MGS, uba ufite ibyago byinshi byo kurwara retina. Iki ni ikibazo cyihutirwa cy’ubuvuzi . Kubwibyo, ni ngombwa gushaka ubuvuzi bwihuse niba ufite kimwe muri ibi bimenyetso bikurikira. Guhabwa ubuvuzi bwihuse akenshi bishobora gukumira kwangirika burundu no gusubiza amaso mu jisho ryafashwe.

Ibimenyetso by'ihungabana ry'ijisho ni ibi bikurikira:

• Umucyo utunguranye (Photopsia): Nk'inkuba.
• Uduce tw'umukara tugaragara nk'aho turi hejuru cyangwa utudomo tugaragara inshuro zirenze imwe: (Ni ibisanzwe kubona ibintu bimwe na bimwe biri hejuru y'amaso, ariko iyo byiyongereye mu buryo butunguranye, ugomba kwitondera).
• Kubona nabi: Ibi bishobora kumvikana nk'aho hari umuraba w'umukara cyangwa umwenda uri hafi ukaza ugafunga aho ureba.
• Kutabona neza mu buryo butunguranye.

Niba ubonye kimwe muri ibi bimenyetso, jya kwa muganga vuba .

Ni ibihe bibazo ugomba kubaza muganga?

Ushobora kubaza muganga w'amaso ibi bibazo:

• Indwara ya MGS yanjye (cyangwa iy'umwana wanjye) ingana iki?
• Bizagira izihe ngaruka ku buryo bwo kubona kwanjye (cyangwa ku mwana wanjye)?
• Ni ibihe bintu nakwitaho mu gihe ntekereza ko umwana wanjye afite ikibazo cyo kutabona gifitanye isano na MGS ye?
• Ese hari izindi ndwara zishobora gutera MGS kuri njye (cyangwa ku mwana wanjye)? Ese nkeneye koherezwa ku wundi muganga w’inzobere?

Amaherezo, ibintu byo kwibuka

Iyo umenye ko umwana wawe cyangwa undi muntu witaho afite Morning Glory Syndrome (MGS), indwara idakunze kugaragara aho retina iri inyuma y'ijisho idakura neza, ushobora kumva ubabaye kandi ubabaye. Nta buryo butaziguye bwo kuvura iyi ndwara.

Nubwo MGS idashobora gukira, ibibazo byinshi itera bishobora kuvurwa . Niba umwana wawe afite MGS, vugana na muganga w'amaso. Hari ibintu ushobora gukora kugira ngo ugabanye ingaruka z'iyi ndwara no kuyirinda ko irushaho kuba mbi. Kubungabunga amaso yawe ni cyo kintu cy'ingenzi cyane . Hamwe n'iterambere mu kubaga amaso n'ubundi buryo bwo kuvura muri iki gihe, birashoboka cyane kurusha mbere hose. Rero, ntucike intege. Uramutse uhawe inama n'ubuvuzi bikwiye, iyi ndwara irashobora gukemurwa.

"Indwara ya Morning Glory, MGS, Indwara z'amaso, Retina, Indwara z'amaso z'abana, Ubumuga bwo kutabona, Gutandukanya retina