Ese amaso yawe ahora ababara? Reka twige ku bijyanye no gushwanyagurika kwa Corneal Recurrent!

Ese wumva ububabare bukabije iyo ufunguye amaso yawe mu gitondo? Ese wumva hari ikintu kiri mu jisho ryawe, nk'aho hari ikintu kirimo kukwibasira? Biragoye kureba urumuri, kandi amarira arasohoka gusa? Ibi bishobora kuba ari ukwangirika kw'urwego rwo hejuru rw'ijisho ryawe, ni ukuvuga cornea, ari na yo ndwara aho igice cyo hejuru cya cornea gikurwaho. Ibi twita Recurrent Corneal Erosion (RCE) . Nubwo izina rigoye gato, iyi ni indwara isanzwe. Ntugahangayike, reka tubiganireho birambuye, mu buryo bworoshye.

Ese koko ikwirakwira ry’inyuma ry’inyuma ry’inyuma (RCE) ni iki?

Mu magambo make, ururenda rubonerana ruri imbere y'ijisho ryawe, nk'ikirahure cy'imodoka, ni cyo twita cornea . Ibi ni byo birinda ibice by'ijisho byoroshye imbere mu jisho kugira ngo bitagerwaho n'isi yo hanze. Ni nk'ikirahure cy'umutekano gishyirwa hejuru y'amaso yacu. Iyi cornea ifite ibice bitanu, cyangwa ibice bitanu. Mu gihe cyo gushonga kwa cornea (RCE), ibice bibiri byo hejuru biragira ingaruka.

Izo gorofa ebyiri ni izi:

• Epithelium: Uru ni urwego rwo hanze rw'inyuma rw'inyuma y ...
• Uruhu rwa Bowman: Uru ruhu rugizwe ahanini na poroteyine yitwa kolajeni . Tekereza nk'umusemburo wifatanya kandi ugafatana, kandi ni ko bikora. Uruhu rwa Bowman rufata uruhago rw'inyuma rw'inyuma n'uruhago ruri munsi, bikabafasha kuguma hamwe.

Noneho, iyo ufite RCE, epithelium ubwayo n'agace ka Bowman ntibifatanye neza kandi ntibifatanye. Ubwo buryo bwo guhuza buragabanuka. Hanyuma urwego rwo hejuru, epithelium ubwayo, rushobora gushwanyuka byoroshye, nk'igishishwa. Iyo bibaye, urwego rwo hasi rushobora gushwanyuka cyane rurasohoka. Ibi ni ibintu bibabaza cyane kuko epithelium yuzuye imitsi.

Iki kibazo cya RCE gikunze kugaragara gute?

RCE ni indwara ikunze kugaragara cyane, ariko biragoye kuvuga neza umubare w'abantu bayirwara. Ubushakashatsi bwakorewe i Londres mu Bwongereza, bwagaragaje ko iyi ndwara igira ingaruka ku baturage bagera kuri 1% muri uwo mujyi buri mwaka. Ariko, uwo mubare ushobora kuba uri munsi y'umubare nyakuri. Ibi biterwa nuko n'udukoko duto dushobora kudakenera ubuvuzi. Amaso yacu yagenewe kwivura vuba cyane. Rero, udukoko duto dushobora gukira mu minota cyangwa amasaha.

Ni ibihe bimenyetso bya RCE?

Niba ufite RCE, ibimenyetso byawe bikunze kugaragara iyo ufunguye amaso yawe bwa mbere mu gitondo . Urugero, mu ijoro, isano iri hagati y'amaso yawe n'igice cyo hejuru cya cornea yawe ishobora gucika intege. Iyo ufunguye amaso yawe mu gitondo, agace gafite intege nke gashobora gutuma igice cyo hejuru cya cornea yawe kiva ku gice cyo hejuru cya cornea yawe. Ibi nibibaho, ushobora kugira ibimenyetso nka:

• Ububabare bukomeye:Ububabare bushobora kumva nk'aho hari ikintu cyafatiwe mu jisho, nk'aho kirimo guterwa icyuma.
• Ubutukura bw'amaso.
• Gutinya foto: Ndetse n'urumuri ruto rushobora kugorana.
• Gucika cyane mu maso (Epiphora).
• Bisa nkaho hari agace k'umukungugu cyangwa ikintu cyafatiwe mu jisho, ariko ushobora kuba utabona ikintu na kimwe mu jisho.

Kuki iki kibazo cya RCE kibaho?

Ibi ni nko gushyira irangi rishya ku rukuta rwamaze gushwanyuka utarusukuye neza. Kubera ko urwego rw'irangi ruri munsi yarwo rudasukuye, kandi kubera inenge ziri muri rwo, irangi rishya ntirifata neza. Nubwo warukoraho gusa, urwego rushya rushobora kuvaho, sibyo? Uko ni ko bimeze. Niba hari intege nke cyangwa ibyangiritse mu mpande zo munsi ya cornea, urwego rwo hejuru ntirufata neza.

Akenshi , impamvu nyamukuru ya RCE ni igikomere cy’ijisho cyabaye mbere . Bishobora kuba ugukubitwa cyangwa gukomeretswa n’ikintu nk’urutoki rwawe, inguni y’urupapuro, cyangwa ikibabi cy’igiti, ishami rito. Tekereza ko uri gukora mu busitani maze ishami rito rikukubita mu jisho. Nubwo byaba bisa nkaho atari ikintu gikomeye icyo gihe, nyuma y’iminsi mike, cyangwa imyaka, ushobora kubyuka ufite ububabare bukomeye iyo ufunguye amaso mu gitondo. Iki gikomere ntikigomba kuba giherutse kuba. Hari abantu bashobora kurwara RCE kubera igikomere cy’ijisho cyabaye mu myaka yashize. RCE iterwa n’ibikomere nk’ibyo akenshi igira ingaruka ku jisho rimwe gusa.

RCE ishobora kandi guterwa n'indwara zimwe na zimwe zo mu maso ndetse n'indwara zidakira zigira ingaruka ku maso. Nubwo izi ndwara zikunze gufata ijisho rimwe gusa, hari abantu bashobora kugira ibimenyetso mu maso yombi.

Ingero z'ibi ni izi:

• Epithelial Basement Membrane Dystrophy (EBMD): Iyi ni intege nke mu bice byo hasi bya cornea.
• Indwara y'amaso yumye: Iyi ndwara ibaho iyo umusaruro w'amarira mu maso ugabanutse.
• Diyabete yo mu bwoko bwa 2.
• Kubyimba no kubyimba kw'amaso y'ijisho (Blepharitis).
• Rosacea yo mu maso: Iki ni ikibazo cy'amaso giterwa n'indwara y'uruhu.

Ni izihe ngorane zishobora guterwa na RCE?

Ingorane ziterwa na RCE ubusanzwe ntabwo zishyira ubuzima mu kaga, ariko zishobora kuba mbi cyane kandi zikomeye.

Ni:

• Ingaruka nyinshi zo kongera kwangirika kwa RCE mu gihe kizaza: Iyo RCE ibaye, amahirwe yo kongera kwangirika kwa cornea aba menshi.
• Umucyo w'ijisho: Iyo ijisho ry'ijisho ryangiritse kenshi na RCE, ubuziranenge bwaryo bushobora kugabanuka. Ibi bigabanya urumuri rwinjira mu jisho, bigatuma bitakugora kubona.
• Ubwiyongere bw'ibyago byo kwandura:Imboni yawe y'amaso ni uruzitiro rurinda. Iyo yangiritse, ibice biri munsi yayo bihura n'udukoko. Ibi bishobora gutera indwara z'amaso zoroshye. Rimwe na rimwe zishobora kuba zikomeye.

Ni gute wamenya uko RCE ihagaze?

Ubusanzwe indwara ya RCE yoroshye kuyisuzuma. Inzobere mu by'amaso cyangwa amaso ashobora kuyikeka akubaza ibimenyetso byawe, amateka y'ubuzima bwawe, ndetse n'ibikomere byo mu maso byabanje.

Hanyuma hakorwa ibizamini bimwe na bimwe kugira ngo byemezwe. Mbere yo gukora ibyo bizamini, ushobora guhabwa umuti ugabanya ububabare.

Ibizamini bishobora gukorwa ni ibi bikurikira:

• Isuzuma ry'itara rito: Muri iki kizamini, muganga wawe asuzuma ijisho ryawe akoresheje mikorosikopi yihariye (itara rito). Muri iki kizamini, irangi ry'ubururu ryitwa fluorescein rishyirwa ku jisho ryawe (ryaba nk'ibitonyanga by'amaso cyangwa hakoreshejwe kaseti yihariye). Ibi bigufasha kubona neza udusebe twose ku mboni.
• Ikizamini cyo gufata: Ibi bikubiyemo gukora ku buso bw'inyuma y'inyuma ukoresheje siponji yo kubaga. Niba ufite RCE, urwego rwo hejuru rw'inyuma rw'inyuma ruzagendana n'isiponji, ntirufatanye neza. Ibi ni ingirakamaro iyo ibindi bizamini bitagaragaje neza ko hari igisebe.

RCE ivurwa ite?

Abaganga bavura RCE intambwe ku yindi. Akenshi batangirana n'ubuvuzi bworoshye kandi bagakomeza kubaga mu buryo bugoye iyo bitabafashije. Ariko, iyo RCE ikomeye, bashobora guhita bakoresha ubundi buryo bugoye.

Ubuyobozi bw'ubuvuzi

Intego nyamukuru ni ugushyiraho ahantu heza ho kwivura ijisho ryawe. Uburyo bwinshi bwo kuvura butangwa n'umuntu ku giti cye. Muganga wawe azaguha amabwiriza yihariye y'icyo wakora.

Uburyo bumwe bwo kuvura bushobora kumara iminsi cyangwa ibyumweru. Bitewe n'uburemere bwa RCE, bumwe bushobora kumara amezi.

Uburyo bwo kuvura bushobora kuba burimo kimwe cyangwa byinshi muri ibi bikurikira:

• Kugabanya ububabare: RCE ni indwara ibabaza. Imiti igabanya ububabare nka NSAIDs (imiti igabanya ububabare idakoresha steroide) ishobora gufasha kugabanya ububabare. Nanone, amavuta yihariye yo kwisiga n'amabara yo kwisiga ashobora gufasha kugabanya ububabare.
• Amavuta yo kwisiga mu maso: Amarira y’ubukorano, ibitonyanga bya saline, gel, cyangwa amavuta yo kwisiga ashobora guhabwa amaso. Abaganga basaba kuyashyiramo nijoro mbere yo kuryama. Ibi bikorwa kugira ngo hirindwe ko RCE yatangira cyangwa ikarushaho kwiyongera iyo ufunguye amaso yawe mu gitondo.
• Umunyu ukabije w'amaraso:Aya mazi yongera uburyo amazi aturuka mu jisho yinjizwa. Ibi bifasha epithelium gufata neza ibice biri munsi yaryo. Abaganga bakugira inama yo kuyakoresha ku manywa, hamwe n'amavuta wisiga nijoro.
• Ibitonyanga cyangwa amavuta yo kwisiga arwanya udukoko: Ibi bitangwa kugira ngo bifashe kuvura indwara zose z'amaso zitera RCE, cyangwa kugira ngo birinde indwara kugeza igihe ijisho rikize.
• Gupfuka cyangwa gushyiramo indorerwamo z'amaso: Ibi byombi bitanga uburinzi bw'inyongera kugeza igihe ijisho rikize. Indorerwamo z'amaso ni indorerwamo zishyirwa ku jisho, nk'indorerwamo z'amaso. Bifasha ijisho kwivura ubwaryo.
• Cycloplegia: Imitsi igenzura amaso yawe ihindura gato imiterere y'amaso yawe. Ibi nibyo bigufasha kubona ibintu mu ntera zitandukanye neza. Cycloplegia ihagarika by'agateganyo imitsi yo mu jisho ryafashwe. Ibi bituma ijisho rigumana imiterere imwe, bigatuma byoroha gukira.
• Ibitonyanga bya serum: Ibi bitonyanga byihariye birimo poroteyine zirinda indwara n'ibindi bintu bifasha ijisho gukira. Bishobora kuba autologous , bivuze ko byakozwe mu maraso yawe bwite, cyangwa bishobora gukorwa mu maraso yatanzwe.
• Imiti yihariye: Iyi ishobora kuba imiti ibuza poroteyine zibangamira gukira kw'ijisho, nka corticosteroids cyangwa doxycycline , cyangwa imiti irimo ibintu bitera gukura bitera gukira.

Uburyo bwo kuvura indwara zo kubaga

Ubuvuzi bwo kubaga burimo gukuraho ibice byangiritse bya epithelium no kureka igakura neza mu buryo bumwe, nta nkovu irimo. Ubusanzwe ubu bukorerwa hakoreshejwe ikinyabutabire cyo mu mubiri, bityo nta bubabare buhari.

Nubwo nyuma y’ubu buryo bwo kuvura, muganga wawe ashobora kuguha imiti nk’uko byavuzwe haruguru. Epithelium ikunze kongera gukura mu minsi mike. Ariko, bishobora gufata ibyumweru cyangwa amezi yo gukomeza kuvurwa kugira ngo epithelium ifatanye neza n’ibice biri munsi yayo.

Uburyo bwo kuvura indwara bushobora kuba burimo kimwe cyangwa byinshi muri ibi bikurikira:

• Gukuraho imyakura: Ibi bikubiyemo gukuraho imyakura yangiritse hakoreshejwe ibikoresho byihariye.
• Gusukura diyama: Umuganga akoresha igikoresho cyihariye kugira ngo akureho uturemangingo tw’inyuma tw’agace k’inyuma k’inyuma k’inyuma, bigatuma agace kose gashobora kongera gukura neza.
• Gupfumura stroma: Muganga akoresha urushinge ruto cyane cyangwa laser kugira ngo akore utwobo duto muri stroma , urwego rw'ijisho ruri munsi y'ururabo rwa Bowman. Iyo utwo twobo dushyizwe ahantu hakwiye, ijisho rikira ubwaryo muri utwo twobo. Ibi bikomeza isano iri hagati y'uduce two hejuru.
• Gushyiramo uturemangingo tw’amaraso mu jisho: Ibi bikora nk'indorerwamo yo kwambara, ariko ikoresha ingirangingo zakuwe muri placenta. Ingobyi ikurwaho hakoreshejwe uburyo bwo kubaga hanyuma igakorerwa ubuvuzi bukomeye bwo koroshya intanga. Muganga ayishyira neza ku gice cy’ijisho cyafashwe. Ingirangingo z’ingobyi zirinda ijisho kandi zigafasha ibice by’inyuma bya cornea kongera gukura.

Ingaruka mbi/ingaruka mbi zo kuvurwa

Ingorane n'ingaruka mbi zo kuvurwa biratandukanye cyane bitewe n'ubuvuzi uhabwa. Muganga wawe ashobora kukubwira neza ingaruka mbi ushobora guhura nazo n'icyo wakora kugira ngo uzigabanye cyangwa uzirinde.

Nzumva meze neza vuba gute nyuma yo kuvurwa?

Igihe cyo gukira nyuma yo kuvurwa giterwa n'ibintu byinshi. Urusobe rw'amaso rushobora kongera gukura no gukira vuba. Ariko, bishobora gufata ibyumweru cyangwa amezi kugira ngo utwo duce turi munsi yatwo ture neza kandi dufatanye neza. Muganga wawe ashobora kukubwira igihe bizatwara kugira ngo uruhuke n'igihe ushobora kwitega kubona impinduka mu bimenyetso byawe, mu kureba, cyangwa mu buryo amaso yawe yumva.

Ni iki nkwiye kwitega mu gihe mfite RCE?

Niba ufite RCE, ikimenyetso nyamukuru ni ububabare . Ibindi bimenyetso birakunze kugaragara, ntibiryoshye, kandi bibangamira imirimo ya buri munsi. Ariko udukoko duto dusanzwe dukira vuba. Abantu benshi bajya kwa muganga iyo udukoko twabo turi hagati cyangwa dukomeye.

Ikibazo nyamukuru uzahura nacyo ni uko ibi bishobora kongera kugaruka . Ibi nibibaho, hari amahirwe menshi y'uko hagira ingaruka ku kureba kwawe.

Kubwibyo, nibyiza kujya kwa muganga w'amaso mu gihe ubonye ibimenyetso bya RCE, cyane cyane iyo ufunguye amaso yawe bwa mbere mu gitondo . Guhabwa ubuvuzi bwihuse bishobora kugabanya kwangirika guterwa na RCE no kugabanya ibyago byo kongera kuyikoresha mu gihe kizaza.

RCE ishobora kumara igihe kingana iki?

Imboni yawe ifite ubushobozi butangaje bwo kwivura. Kwangirika guto gushobora gukira mu masaha make, naho kwangirika gukomeye kurushaho bishobora gufata iminsi mike.

Ariko ibuka ko RCE ibaho gusa iyo amaso yawe adakize neza. Iyo bibaye, uzakenera gukomeza gukoresha imiti y'amaso yawe cyangwa ubundi buryo bwo kuvura nk'uko muganga yabigutegetse mu gihe cy'ibyumweru cyangwa amezi. Bishobora gusa nkaho ari akazi katoroshye kandi katoroshye, ariko ni bwo buryo bwiza bwo kwemeza ko amaso yawe akize neza no gukumira RCE mu gihe kizaza.

Ni iki giteganijwe ku bijyanye n'imiterere ya RCE?

RCE irababaza, ntiryoroshye, ndetse rimwe na rimwe ikaba ikomeye, ariko ntabwo ishyira ubuzima mu kaga. Hari igihe igaruka, ariko kongera kugaruka bishobora kuvurwa. Ku bw'amahirwe, ingorane zigira ingaruka ku kureba kwawe igihe kirekire cyangwa burundu ni gake cyane.

Ese RCE ishobora kwirindwa cyangwa ibyago bikagabanuka?

Ibiyobyabwenge bishobora kubaho mu buryo butunguranye. Ntabwo bishobora kwirindwa burundu, ariko hari ibyo wakora kugira ngo ugabanye ibyago byo kuba byabaho.

Icyo wakora kugira ngo wirinde RCEIgikuru ni ukwirinda imvune z'amaso. Ambara indorerwamo z'amaso, utwikirize amaso, cyangwa indorerwamo z'umutekano igihe cyose amaso yawe ashobora gukomereka. Ibi ni ingenzi cyane cyane iyo ukoresha ibikoresho cyangwa ahantu hari ibyago byo kwangirika mu maso yawe.

Gusiga amarira y’ubukorano, gel, cyangwa amavuta yo kwisiga mu maso mbere yo kuryama bishobora gufasha cyane, cyane cyane iyo ukangutse amaso ababara mu gitondo. Gukomeza ubuso bw’ijisho n’amaso bitose bifasha kwirinda gufatana kw’amaso bishobora gutuma acika.

Nitwara nte?

Niba ubona ko ufite RCE, ni byiza gushaka ubuvuzi hakiri kare . Ibi bizagufasha gucunga ibimenyetso byawe no kugabanya ibyago byo guhura n'ibibazo mu gihe kizaza.

Niba ufite RCE, muganga wawe azagufasha kumenya uburyo bwo kuyifata. Ni ngombwa cyane gukurikiza amabwiriza yabo neza. Iyo ukurikije amabwiriza neza kandi ukanywa imiti cyangwa imiti nk'uko byategetswe, uba ufite amahirwe menshi yo gukira nta ngorane.

Ni ryari ngomba kubonana na muganga cyangwa gushaka inama kwa muganga?

Niba ufite ikibazo cya RCE, ugomba kujya gusura muganga wawe nyuma yo kukubona nk'uko muganga yabigusabye. Ibi bizamufasha gukurikirana uburyo cornea yawe ikira no guhindura uburyo uvurwa nibiba ngombwa. Niba ubonye impinduka mu bimenyetso byawe, mu kureba kwawe, cyangwa mu mikorere y'ubuvuzi bwawe, ugomba kuvugana na we cyangwa kumusura.

Ni ryari nkwiye kujya mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) ?

Ubusanzwe RCE ntabwo ari ikibazo cyihutirwa, ariko ishobora kubabaza kandi ikabangamira cyane imirimo ya buri munsi. Niba ufite ibimenyetso bya RCE, ni byiza guhamagara muganga w’umuryango wawe kugira ngo akuyobore. Ushobora kandi kujya kwa muganga wihutirwa.

Nubwo RCE isanzwe atari ikibazo cyihutirwa, ifite isano n'ibikomere bikomeye by'amaso nko gucika kw'ijisho , ari byo gukomereka no gucika kw'ijisho ry'umugongo.

Niba ushidikanya, shaka ubufasha bwihutirwa vuba. Kubikora bishobora kugira uruhare runini mu kuvurwa, gukira no kubungabunga icyerekezo cyawe.

Niba ufite kimwe muri ibi bimenyetso bikurikira hamwe n'ububabare bw'amaso, ugomba gushaka inama kwa muganga:

• Gukomereka mu jisho ryawe, nko gukomereka, gukomereka, gucika cyangwa gukomereka.
• Gutakaza ubushobozi bwo kureba butunguranye (nubwo byaba ari iby'igihe gito cyangwa bikaba byagira ingaruka ku gice cy'amaso gusa).
• Amaso yawe arashya cyangwa aratukura mu buryo udashobora gusobanura.
• Isesemi no kuruka.
• Umutwe .
• Umuriro.
• Ukumva ikintu nk'aho kiri mu jisho ryawe (waba ubona ikintu cyose gishobora gutera icyo kintu cyangwa utabona).

Amaherezo gato...

Iyo amaso yacu akora neza, ntabwo tuba dutekereza ku rugero tuyakoresha, si byo se? Ariko iyo amaso yacu ababara, kandi tutazi impamvu, bishobora gutera ubwoba cyane. RCE ni indwara ikomeye kandi ibabaza, ariko hari uburyo bwiza bwo kuyivura.

Niba ufite ibimenyetso bya RCE, cyane cyane niba ari bishya, vugana na muganga cyangwa umuganga w'amaso. Uko ubonye isuzuma vuba ugatangira kuvurwa, niko amahirwe yawe yo gukira vuba no gukumira ko iyo ndwara ishobora kongera kugaruka mu gihe kizaza.

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