Ese amaso yawe asa n'aho arimo kubyimba? (Proptosis) Reka tuvuge kuri ibi!

Ese wigeze wumva amaso yawe ari manini cyangwa agaragara? Wenda inshuti cyangwa umuntu wo mu muryango wawe yarabikubwiye. Iyi ni indwara ishobora kugaragara kuri bamwe. Mu by'ukuri tuyita (Proptosis) cyangwa (Exophthalmos) mu buryo bw'ubuvuzi. Nta kintu na kimwe cyo gutinya, niba ubizi, ushobora kubigenzura nk'ikindi kintu cyose.

Proptose ni iki?

Mu magambo make, proptosis ni igihe ijisho ryawe rimwe cyangwa yombi riva aho risanzwe. Tekereza ko amaso yawe, cyangwa ijisho rimwe, risa nkaho riri imbere gato kuruta uko risanzwe. Ibi bishobora gutuma isura yawe isa n'itandukanye gato. Hari igihe bishobora kugaragara nk'aho umuntu akureba amaso ye afunguye cyane atunguwe, kandi bishobora no kuguma uko.

Noneho ko ijisho riri imbere yawe, bishobora kugorana guhumbya. Urabizi, duhumbya kugira ngo amaso yacu akomeze kuba maso kandi arinzwe. Ururenda ruri hejuru y'amaso yacu , rwitwa cornea , rubona ubushuhe rukeneye iyo duhumbya. Iyo tudashobora guhumbya neza, iyo cornea iruma kandi hari amahirwe menshi yo kwangirika.

Ku bantu bamwe, ibi bishobora gutera kutabona neza, cyangwa kutabona neza kabiri - tubyita diplopia - n'ibindi nk'ibyo. Iyi ndwara ikunze kwitwa "kwiyongera kw'amaso" cyangwa "kubyimba kw'amaso."

Ni ibihe bimenyetso by'ibi?

Noneho reka turebe ibindi bimenyetso ushobora kumva no kubona iyo aya maso asohotse.

Iyo amaso yawe abyimbye, umweru w'amaso yawe urushaho kugaragara kurusha uko bisanzwe. Imboni z'amaso yawe nazo zisohoka mu mwobo wazo. Ushobora kubona ko amaso yawe yo hejuru atagaragara cyane, bigatuma asa n'aho amaso yawe afunguye cyane.

Uretse iki kimenyetso cy'ingenzi, hashobora kubaho n'ibindi bimenyetso byinshi:

• Iyo urimo wimura amaso yawe, wumva asa n'aho afashe imbere, nk'udukoko tw'umucanga .
• Amaso yumye, gutukura, cyangwa gucikagurika kenshi. Ibi kandi tubyita (Epiphora) .
• Kubyimba no gutukura kw'amaso.
• Kumva imitsi ifunganye iyo ugerageza kwimura ijisho, ndetse rimwe na rimwe ntushobore kwimura ijisho na gato.
• Kuba umuntu yiyumvamo urumuri bivuze ko bigoye kureba urumuri, kureba urumuri rw'izuba.
• Umutwe.
• Kugira umuriro.

Ni ibihe bimenyetso bisaba ubuvuzi bwihuse?

Niba ufite kimwe muri ibi bimenyetso, ugomba kujya kwa muganga vuba. Wibuke ko ibi ari ibintu bisanzwe, sibyo?

• Umutima utera cyane mu maso.
• Mu buryo butunguranye, wumva amaso yawe agiye gusohoka.
• Kugira ububabare bukabije cyangwa umutuku mu maso.
• Ibi bimenyetso bigaragara mu jisho rimwe gusa.
• Kubura icyerekezo cyangwa kugabanya icyerekezo cyawe buhoro buhoro.
• Kubona ibintu mu buryo butagaragara cyangwa kubona ibintu bibiri icyarimwe (kubona ibintu bibiri icyarimwe).
• Kureba ikintu neza bivuze kugorwa no kwibanda ku kintu.

Kuki amaso yanjye asohoka gutya? Impamvu ni izihe?

Noneho reka turebe impamvu amaso asohoka gutya, n'icyaba gitera ibi.

Akenshi, impamvu nyamukuru ibi biba ari ikibazo kiri mu budahangarwa bw'umubiri wawe. Muri make, abasirikare barinda imibiri yacu indwara bibasira uturemangingo tumwe na tumwe twacu. Muri iki gihe, ubwo budahangarwa bw'umubiri bwibasira uturemangingo tw'umuyoboro wa tiroyide n'uturemangingo turi inyuma y'amaso yawe.

Uku kubyimba kw'amaso ku bantu bafite ibibazo bya tiroyide byitwa Indwara y'amaso ya tiroyide (TED) . Mu by'ukuri, iyi ndwara ikunze kugaragara cyane ku bantu bafite indwara ziterwa na tiroyide.

Hari izindi mpamvu nyinshi zishobora kuba:

• Indwara ya Graves: Ibi bifitanye isano kandi na hyperthyroidism, indwara aho tiroyide ikora cyane. Ibi kandi biterwa n'indwara imwe y'ubudahangarwa bw'umubiri yavuzwe haruguru.
• Hyperthyroidism: Iyi ndwara ishobora kubaho nubwo nta ndwara ya Graves, iyo thyroid gland ikora cyane.
• Indwara z'amaso: Iyo habayeho ubwandu bwa bagiteri cyangwa virusi mu maso, kubyimba bishobora gusunika ijisho imbere.
• Ibikomere: Iyo hari amaraso inyuma y'ijisho, cyane cyane bitewe n'igikomere ku jisho cyangwa ku mutwe, ayo maraso ashobora kwishyira hamwe agasohora ijisho.
• Ibibyimba: Iyo ikibyimba (kidakomeye cyangwa kibi) kigaragaye mu jisho cyangwa hafi yaryo, gishobora no gutuma ijisho ribyimba imbere. Urugero, ibibyimba birimo imitsi, nka neuroblastoma , cyangwa sarcomas zimwe na zimwe zoroshye . Ariko, ubwoko bw'ibitera kanseri ni gake cyane.

Ni izihe ngorane zishobora kubaho? Ese hari ingaruka z'igihe kirekire?

Ibi bishobora kumvikana nk'ibiteye ubwoba gato kuri wewe, ariko ukuri ni uko, ku bantu benshi, iyi ndwara nta ngorane zikomeye cyangwa ingaruka z'igihe kirekire itera. Ese ibyo ntibiguhumuriza?

Ariko, ni gake cyane, hari ibibazo bishobora kubaho. Urugero, kureba kabiri cyangwa gutakaza ubushobozi bwo kubona burundu bishobora kubaho burundu. Nanone, nk'uko nabivuze mbere, niba udashobora guhumeka kandi ibitonyanga byo mu maso bidafasha, ijisho ryawe rishobora kubaIgice cyo hejuru, cornea, nacyo gishobora kwangirika. Ibi byitwa cornea ulceration. Niyo mpamvu ari ngombwa kwihutira kwivuza niba ufite ibimenyetso.

Ubibona ute? Abaganga babyemeza bate?

Niba ufite ibimenyetso nk'ibi, ni gute muganga yamenya niba koko ari Proptosis cyangwa ikindi kintu?

Ubwa mbere, muganga azakubaza ikibazo kirambuye ku bimenyetso byawe. Azakubaza birambuye igihe umaze urwaye ibi bimenyetso, uko byatangiye, ibindi bibazo ufite, indwara zose wagize mbere, ndetse niba hari umuntu wo mu muryango wawe wigeze kugira ibibazo nk'ibyo.

Nyuma yibyo, uzakorerwa isuzuma ry'amaso. Ibi bishobora kuba birimo ibintu nk'ibi:

• Igikoresho cyihariye (itara rito) gikoreshwa mu gukuza no gusuzuma imiterere iri hejuru no imbere mu jisho ryawe mu buryo burambuye. Ibi bishobora kumenya ibintu nk'ibikomere n'umwuma ku mboni.
• Bapima uburyo amaso yawe n'amaso yawe bigenda, ndetse niba ushobora kwerekeza amaso yombi mu cyerekezo kimwe.
• Bareba neza amaso kugira ngo barebe niba atukura, niba hari ububabare, niba hari ububyimba, ndetse niba hari n'amarira.

Ni ibihe bizamini bindi bizakenerwa gukorwa?

Nyuma yo gusuzumwa bwa mbere, muganga ashobora kandi gukora ibindi bipimo kugira ngo amenye neza icyabiteye, urugero:

• Exophthalmometry: Ibi bishobora kumvikana nk'ibidasanzwe, ariko ikoresha igikoresho cyihariye (exophthalmometer) kugira ngo ipime uburebure bw'ijisho ryawe bugeze kure y'aho ijisho riherereye muri milimetero. Ibi bishobora gufasha kumenya uburemere bw'indwara.
• Gupima amaraso: Ibi bizasuzuma urugero rw'imisemburo (TSH, T3, T4) kugira ngo harebwe imikorere y'agahu k'imisemburo ya tiroyide. Kuko (Indwara y'amaso ya tiroyide) ari yo mpamvu nyamukuru.
• Inyigo ku mashusho: Mu by’ukuri, isuzuma rya MRI (Magnetic Resonance Imaging) cyangwa isuzuma rya CT (Computed Tomography scan) rikorwa kugira ngo harebwe neza niba hari kubyimba, ikibyimba, ikimenyetso cy’ubwandu, cyangwa kuva amaraso mu mitsi, imitsi, n’ibinure biri inyuma y’ijisho.
• Ibindi bizamini byo muri laboratwari: Hari igihe umuntu ashobora gufata icyitegererezo cy'amabara cyangwa ingirabuzimafatizo (culture) kugira ngo hemezwe niba hari ubwandu.

Ni ubuhe buryo bwo kuvura?

Noneho reka turebe uburyo bwo kuvura ibi. Uburyo uzavurwa buzaterwa n'impamvu y'amaso yawe abyimbye n'uburemere bw'indwara.

• Amarira y'ubukorano: Aya ashobora gukoreshwa inshuro nyinshi ku munsi nk'ibitonyanga cyangwa gel kugira ngo agabanye imiterere y'amaso yumuke kandi arinde cornea . Aya ashobora kugurwa muri farumasi.
• Antibiyotike:Iyo bigaragaye ko kuva amaraso mu maso kwawe biterwa n’indwara ya bagiteri, uzahabwa imiti igabanya ubukana bw’amaso (mu kanwa cyangwa mu miyoboro ya IV).
• Kuvura indwara zishingiye kuri tiroyide: Urugero, iyo tiroyide ikora cyane (hyperthyroidism), imiti irwanya tiroyide itangwa kugira ngo iyirinde. Indwara ya Graves ivurwa muri ubwo buryo.
• Imiti ikoreshwa mu mitsi (IV): Ku kubyimba gukomeye no kutabona biterwa n'indwara y'amaso ya tiroyide (TED), imiti ya corticosteroids (urugero: methylprednisolone) ishobora gutangwa mu mitsi (IV pulse therapy) kugira ngo igabanye kubyimba vuba. Umuti mushya witwa Teprotumumab (Tepezza®) nawo wagaragaye ko ugira akamaro cyane muri TED.

Ese hari ubundi buryo bwo kuvura butarimo kubagwa?

Yego, hari igihe ubundi buryo bwo kuvura bushobora gukorwa hatabayeho kubagwa, nko:

• Uburyo bwo kuvura amaso abiri: Ubu buryo burimo lense zidasanzwe, nka prism, zifatanye n'indorerwamo zawe. Izi zikora mu kwerekeza urumuri rwinjira mu jisho mu cyerekezo gitandukanye, bigakosora uburyo ubona. Imyitozo ngororamubiri y'amaso ishobora no gutangwa.
• Imiti igabanya ubudahangarwa bw'umubiri: Iyi miti (urugero: Mycophenolate, Rituximab) ishobora gufasha kugabanya ingaruka ubudahangarwa bw'umubiri bugira ku maso, cyane cyane mu bihe nka (TED).
• Corticosteroids: Steroids zishobora gutangwa nk'ibinini byo kunywa, inshinge, cyangwa mu mitsi kugira ngo bigabanye kubyimba cyangwa gusubiza amaso inyuma. Ariko, izi zishobora kugira ingaruka mbi iyo zikoreshejwe igihe kirekire, bityo zigomba gufatwa gusa munsi y'ubuyobozi bwa muganga.

Ese nkeneye kubagwa?

Si buri wese ukeneye kubagwa. Ariko hari igihe kubagwa biba ngombwa. Urugero:

• Kubaga mu gice cy'ijisho: Ubu buryo bwo kubaga bukorwa kugira ngo habeho umwanya munini mu gice kiri inyuma y'ijisho . Ibi bituma ijisho risubira inyuma. Ibi bikorwa iyo hari ikibazo cyo kutabona neza, cyangwa niba ijisho ryaravuye kure cyane ku buryo ryangiza cornea.
• Kubaga Strabismus: Kubaga imitsi y'amaso bishobora gukorwa kugira ngo amaso yombi yerekeze mu cyerekezo kimwe.
• Kubaga amaso: Iyo amaso adashobora gufunga neza, hakorwa igikorwa cyo guhindura aho amaso aherereye kugira ngo habeho kurinda cornea .
• Gukuraho ikibyimba: Iyo hari ikibyimba, kizakenera gukurwaho mu buryo bwo kubaga.

Ni iki kizakurikiraho? Bizatwara igihe kingana iki kugira ngo umuntu akire?

Iyo ubonye icyateye ibi bimenyetso kandi ukabyivuza vuba, ibisubizo biba byiza cyane. Iyo ubonye ubuvuzi bukwiye, ushobora no kwirinda ingorane.

"Ese kumva kwanjye kuzigera kugaruka mu buryo busanzwe?" ushobora kuba urimo kwibaza. Yego,Kenshi na kenshi, ijisho rishobora gusubira mu buzima busanzwe. Ariko, nubwo ryavuwe neza, bishobora gufata igihe kugira ngo ijisho risubire ku ishusho yaryo ya mbere. Hari igihe bishobora gufata amezi, ndetse n'imyaka. Biterwa n'icyateye, uburemere bw'indwara, n'uburyo ubuvuzi bwagenze.

Ni gute twakwirinda ko ibintu birushaho kuba bibi?

Noneho, ko ufite iyi ndwara (Proptosis), hari ibintu by'ingenzi ushobora gukora kugira ngo uyirinde ko irushaho kuba mbi:

• Genzura urugero rw'imiti yawe ya tiroyide: Niba ufite ikibazo cya tiroyide, cyane cyane indwara ya Graves, kurikiza amabwiriza ya muganga wawe neza. Fata imiti yawe ya buri munsi ku gihe, kandi upime amaraso buri gihe kugira ngo urugero rw'imisemburo ya tiroyide yawe rugume mu rugero rusanzwe.
• Reka kunywa itabi burundu: Niba unywa itabi, iki ni cyo kintu cyiza ushobora gukora. Kunywa itabi ntibituma indwara ya Tiroyide irushaho kuba mbi gusa, ahubwo binagabanya cyane uburyo ubuvuzi bugenda neza. Kureka kunywa itabi bizamura cyane uburyo umubiri wawe witwara mu kwivuza. Rero, fata uwo mwanzuro uyu munsi.

Ubaho ute muri iki kibazo? Wakomeza ute gukomera mu mutwe?

Amaso yawe ashobora guhindura uko ugaragara. Ibi bishobora kugira ingaruka zikomeye ku kwigirira icyizere no kwihesha agaciro. Ushobora kumva uhangayitse cyane kandi uhangayikishijwe n'ibi. Ushobora gutekereza uti "Abantu bazatekereza iki?" cyangwa "Isura yanjye yarahindutse." Niba ibi bigira ingaruka ku kuntu ubona ibintu, hari ibintu bimwe na bimwe mu buzima bwawe bwa buri munsi no mu mibanire yawe n'abandi bishobora guhinduka mu buryo butunguranye. Izi mpinduka zishobora gutuma wumva ubabaye, uhangayitse, cyangwa wihebye. Ni ibisanzwe, kandi si wowe wenyine uhura n'ibi bintu.

Wibuke ko utari wenyine muri uru rugendo. Gusaba ubufasha si intege nke, ni imbaraga.

Ibintu nk'ibi bizagufasha guhangana n'ibi bibazo:

• Shaka ubufasha ku baganga b'indwara zo mu mutwe : Ni ngombwa kuvugana n'umuntu nk'umuganga w'indwara zo mu mutwe cyangwa umujyanama. Bashobora kugufasha kubona uburyo bwo guhangana n'ibitekerezo n'amarangamutima yawe, guhangana nabyo, no kubicunga binyuze mu buryo bwo kuvura nka Cognitive Behavior Therapy (CBT) .
• Shaka ubufasha ku mukozi ushinzwe imibereho myiza y'abaturage: Niba udashobora gutwara imodoka kubera ibibazo byo kutabona cyangwa ufite ibindi bibazo bifatika, bashobora kugufasha kubona amatsinda yo gufasha mu gace utuyemo cyangwa ibikoresho byo kuri interineti kuri interineti. Aya matsinda yuzuyemo abantu bahuye n'ibintu bisa nawe, bityo kuvugana nabo bishobora kugufasha cyane.

Amaherezo, ugomba kuvuga...

Gutera indwara ya Proptosis bishobora kuba ikintu kibabaza cyane kandi giteye ubwoba. Turabyumva. Ariko ntureke ngo byangize ubuzima bwawe. Uko ujya kwa muganga vuba, niko bizoroha ko babona impamvu. Hanyuma ushobora gutangira ubuvuzi bukenewe, wirinde ko indwara irushaho gukomera, kandi ukirinda ingorane zishobora kubaho.

Ni ngombwa kandi kwita ku buzima bwawe bwo mu mutwe. Kimwe n'ubuzima bwawe bw'umubiri, ugomba kwita ku buzima bwawe bwo mu mutwe. Gushaka ubufasha ku mujyanama w'ubuzima bwo mu mutwe bishobora kugufasha gucunga amarangamutima yawe no guhangana n'iki kibazo mu buryo buhamye. Umukozi ushinzwe imibereho myiza y'abaturage ashobora kukwerekeza ahantu ushobora kubona ubufasha ukeneye.

Rero, ntugahangayike ikintu icyo ari cyo cyose kandi ntugatinye gushaka ubufasha. Ndakwifurije gukira vuba!

` proptosis, exophthalmos, amaso abyimbye, indwara ya tiroyide, indwara ya Graves, hyperthyroidism, ibibazo by'amaso