Ese kureba kwawe kugenda kugaragara buhoro buhoro? Wenda ibi biterwa na Terrien Marginal Degeneration!

Ese hari igihe wumva amaso yawe atandukanye gato kandi adasobanutse neza mu maso yombi? Wenda ni mu jisho rimwe gusa. Akenshi, ntitwita cyane ku bintu nk'ibi, si byo se? Dutekereza tuti: "Ibi ni byo bibaho iyo ugeze mu za bukuru." Ariko, hari indwara zimwe na zimwe z'amaso zidasanzwe zitangirana n'ibimenyetso nk'ibi. Uyu munsi, tugiye kuvuga ku ndwara idakunze kuvugwaho cyane, ariko ikwiye kumenyekana cyane. Iyo ni indwara yitwa Terrien Marginal Degeneration .

Kugabanuka k'umupaka wa Terrien ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Mu magambo make, iyi ni indwara idakunze kugaragara yibasira amaso yacu. Ikibaho muri ibi ni uko igice cya 'cornea', ari cyo gice cy'imbere cy'ijisho ryacu, kigenda gishonga buhoro buhoro. Tekereza nka kamera. Imboni ni cyo gice cy'ingenzi gifasha kuzana urumuri no gukora ishusho isobanutse neza. Ni nk'ikirahure kiri hejuru y'isaha. Rero, iyo iyi mboni itangiye kugabanuka, uko igihe kigenda gihita, ishobora kubangamira ubushobozi bwacu bwo kubona ibintu neza.

Ibi ntibibaho mu ijoro rimwe. Akenshi bikura buhoro buhoro. Niyo mpamvu bamwe batabibona bwa mbere. Ariko, iyo ubimenye hakiri kare, ushobora kubona ubuvuzi bugufasha kurinda cyangwa kugarura icyerekezo cyawe. Ubusanzwe ubuvuzi bukubiyemo indorerwamo , imiti imwe n'imwe, ndetse rimwe na rimwe no kubagwa kugira ngo usanwe cyangwa usimbuzwe cornea yawe.

Ni gute iyi Terian Marginal Degeneration (TMD) ikugiraho ingaruka?

Nkuko twabivuze mbere, muri iyi ndwara, igice cy'imboni y'amaso kiragabanuka. Uko imboni y'amaso igenda ikura, impande zo hanze z'imboni y'amaso zitangira kugabanuka. Ibi byitwa peripheral corneal flattening. Astigmatism ishobora kubaho bitewe n'ibi.

Astigmatism ni iki?

Tekereza, cornea nzima iba ifite uruziga rwiza, nk'umupira. Hanyuma urumuri rureba ahantu hamwe kandi rutanga ishusho isobanutse neza. Ariko muri astigmatisme, imiterere ya cornea irahinduka gato, nk'igi, cyangwa nk'umupira wa rugby. Hanyuma urumuri ntiruba ruri ahantu hamwe, ahubwo ruri ahantu henshi, bityo ibintu ubona bishobora kugaragara nk'ibidasobanutse neza, byarambuye, ndetse rimwe na rimwe bigacikamo kabiri.

Rero, iyi ndwara yo kutabona neza ishobora gutuma utabona neza kandi ushobora kutabona neza ibintu. Terian Marginal Degeneration (TMD) ishobora kugira ingaruka ku jisho rimwe gusa cyangwa ku maso yombi.

Inkuru nziza ni uko, bitandukanye n'izindi ndwara z'amaso, TMD ubusanzwe ntitera ububabare bw'amaso. Ariko, rimwe na rimwe amaso ashobora gutukura akabyimba gato, ari byo bibyimba .

Ni gake cyane, iyo cornea ibaye nto cyane, ishobora gucika cyangwa gutobora . Ibi bishobora kubaho mu buryo butunguranye, cyangwa bikabaho niba ijisho ryawe ryakomeretse cyangwa ryangiritse. Ibi ni ibintu byihutirwa kandi ugomba kwihutira gushaka abaganga.

Ni nde ugerwaho n'iki kibazo cyane?

Iyi ndwara yitwa Terian Marginal Degeneration (TMD) , ikunze kugaragara ku bagabo barengeje imyaka 40. Ariko, ibyo ntibivuze ko abandi batayibona. Ishobora kuba ku muntu uwo ari we wese mu myaka iyo ari yo yose. Byagaragaye kandi ko abantu bafite indwara zimwe na zimwe zo kubyimbirwa , nka rubagimpande na rubagimpande y’abana, bashobora kurwara TMD.

Indwara yo kwangirika kwa Terian Marginal Degeneration (TMD) ikunze kugaragara gute?

Iyi ni indwara idasanzwe cyane. Abashakashatsi ntibarabasha kumenya neza umubare w’abantu bafite iyi ndwara. TMD yasobanuwe bwa mbere mu 1900 na Felix Terrien, umuganga w’amaso w’Umufaransa.

Ese hari ubwoko bw'ingenzi bwa Terian Marginal Degeneration (TMD)?

Abahanga mu bya siyansi bemeza ko hari ubwoko bubiri bw'ingenzi bw'iyi ndwara, ihinduka ry'inyuma ry'umubiri ( TMD ).

1. Ubwoko bwa 1: Ibi bikunze kugaragara ku bantu barengeje imyaka 55. Muri ubu bwoko, indwara igenda buhoro buhoro, nta bimenyetso by'ububyimba (nk'umutuku no kubyimba amaso).

2. Ubwoko bwa 2: Ubu bwoko burangwa no kubyimba . Bukunze kugaragara ku basore bari mu kigero cy'imyaka 20 na 30. Abaganga nabo babonye ubu bwoko ku bantu bafite indwara zikurikira:

• Indwara yo mu bwonko bw'imbere mu gice cyo hasi: Iyi ni indwara y'umutima iterwa n'uruhererekane rw'imitsi y'amaraso.
• Erythema Elevatum Diutinum: Iyi ni indwara y'uruhu igihe kirekire.
• Posterior Polymorphous Dystrophy: Iyi nayo ni indwara idakunze kugaragara mu maso. Itera amazi cyangwa ibindi bintu kwirundanya mu maso.

Ese hari izindi ndwara zisa na Terian Marginal Degeneration (TMD)?

Yego, hari izindi ndwara nyinshi z'amaso zigaragaza ibimenyetso bisa n'ibi bimenyetso bya TMD. Niyo mpamvu ari ngombwa cyane gusuzuma indwara neza. Ni bwo gusa ushobora kubona gahunda ikwiye yo kuvura. Zimwe muri izo ndwara ni izi:

• Acanthamoeba Keratite
• Ectasia ya Korneal (itsinda ry'indwara aho imiterere y'imboni ihinduka kandi astigmatism ikiyongera uko igihe kigenda gihita)
• Igisebe cy'inyuma ( corneal ulcer )
• Keratoconus (aho cornea igaragara mu ishusho y'agace k'umugongo)
• Kugabanuka k'umuyoboro w'amazi (ibi kandi bituma cornea igabanuka)
• Mooren's Ulcer (Iyi ni indwara ibabaza amaso yangiza cornea)
• Rosacea yo mu maso (Ocular rosacea )
• Pellucid Marginal Degeneration (PMD) (Iyi nayo ni indwara idakunze kugaragara y’ijisho ry’umugongo itera gutakaza ubushobozi bwo kureba uko igihe kigenda gihita)
• Sclerokeratitis (kubyimba kwa sclera na cornea)
• Vernal Keratoconjunctivitis (VKC) (ingaruka mbi y'ubwivumbure bw'ijisho ifata igihe kirekire)

Kubera ko ibimenyetso nk'ibi bishobora kuba bisanzwe ku ndwara nyinshi, niba ubonye ikintu gitandukanye, ni byiza cyane kujya kwa muganga w'amaso kugira ngo agusuzume.

Ni iki gitera Terian Marginal Degeneration (TMD)?

Mu by’ukuri, abashakashatsi ntibarabasha kubona impamvu yihariye itera TMD. Ariko, bakeka ko indwara y’ubwiyongere bw’umubiri (aho ubudahangarwa bw’umubiri bwibasira uturemangingo tuzima) cyangwa indwara yo kwangirika (aho ingirabuzima fatizo cyangwa ingingo zigenda zicika intege buhoro buhoro) ishobora kuba ari yo itera. Ariko, ibi ntibirakemezwa.

Ni ibihe bimenyetso bya Terian Marginal Degeneration (TMD)?

Akenshi, abantu bafite ikibazo cyo kwangirika kw'ingingo za temporomandibular (TMD) nta bimenyetso bagira. Icyo ni cyo kibazo. Ariko, rimwe na rimwe, ushobora guhura n'ibintu nk'ibi:

• Astigmatisme itera impinduka buhoro buhoro mu kureba: Ibi bivuze ko kureba buhoro buhoro bigenda birushaho kuba bibi kandi bishobora kumera nk'aho bitakigaragara neza.
• Kubabara gato mu maso bitewe n'ubuso butaringaniye bw'ijisho: Bishobora kumvikana nk'aho hari ikintu cyafashe mu jisho, cyangwa nk'aho hari agace k'umusenyi mu jisho.

Mu bihe bikomeye, impanuka cyangwa imvune bishobora gutuma cornea itoboka (Ipfundo cyangwa Gutobora) . Iki ni ikibazo cyihutirwa cy’ubuvuzi . Ibi bishobora gutuma utabona neza. Kubwibyo, niba ufite ikibazo cy’ijisho, ugomba kwihutira gushaka abaganga.

Indwara ya Terian Marginal Degeneration (TMD) ipimwa ite?

Abaganga bapima TMD binyuze mu isuzuma ryuzuye ry'amaso . Mu gusuzuma neza indwara, bashobora kuyitandukanya n'izindi ndwara zituma cornea igabanuka, kandi bakaguha ubuvuzi bukwiye.

Umuganga w'amaso ashobora gukora ibindi bipimo kugira ngo afate amashusho arambuye y'amaso yawe kandi arebe niba hari impinduka mu maso yawe. Ibi bipimo birimo:

• Tomografia y'Imbere y'Ibice by'Imbere by'Ubushobozi bwo Guhuza Ibice by'Imbere
• Mikorosikopu ya Confocal
• Imiterere y'ubutaka bwa cornea (Ibi bishushanya ikarita y'ubuso bwa cornea)
• Gupima ahantu hatandukanye hifashishijwe ikoranabuhanga rya Scanning Slit Topographic
• Ultrasound Biomicroscopy (UBM)

Ibi bizamini bizafasha muganga gusobanukirwa neza imiterere y'ijisho ryawe.

Ese hari umuti wa Terian Marginal Degeneration (TMD)?

Ikibabaje ni uko nta muti uhari wa TMD. Ariko ntugahangayike. Kuvura bishobora kugufasha kubungabunga amaso yawe no gukumira ingorane. Niyo mpamvu gusuzuma indwara hakiri kare ari ingenzi cyane. Hanyuma muganga wawe ashobora kuguha ubuvuzi ukeneye.

Ni ubuhe buryo bwo kuvura indwara ya Terian Marginal Degeneration (TMD)?

Kenshi na kenshi, nta buryo bwihariye bwo kuvura indwara yo kwangirika kw'ingingo (TMD). Muganga wawe ashobora kukugira inama yo " gutegereza witonze " (ni ukuvuga kureba ibimenyetso no gutegereza kureba niba indwara irushaho kuba mbi) no gupimwa buri gihe kugira ngo umenye uko indwara yawe imeze.

Ariko, niba iyi ndwara ya TMD igira ingaruka ku kureba kwawe, indorerwamo zo mu maso zishobora gukoreshwa nk'ubuvuzi. Urugero:

• Indorerwamo zikozwe muri polycarbonate: Izi zirakomeye kurusha plastiki isanzwe.
• Indorerwamo z’amabara zihamye kandi zikoresha gazi: Izi ni ubwoko bw’indorerwamo z’amabara zigoye gato, zituma umwuka wa ogisijeni unyura mu jisho.
• Lenseri za Scleral:Izi ni lenzi nini kandi zikomeye zo mu maso. Zitwikira cornea yose. Zikosora astigmatism, zirinda ijisho, kandi zinoza kureba.

Niba ufite ububyimbirwe buke, muganga wawe ashobora kukwandikira ibitonyanga by'amaso, amavuta yo kwisiga, cyangwa jeli . Hari igihe na steroid zo mu bwoko bwa topical zishobora gukoreshwa. Ariko, ikoreshwa ryabyo ni rike kuko bishobora kugabanya cyane cornea.

Ese nkeneye kubagwa kubera indwara ya Terian Marginal Degeneration (TMD)?

Mu bihe bikomeye bya TMD, kubagwa bishobora kuba ngombwa kugira ngo ijisho ryawe rikomeze gukora neza, rikomeze cyangwa rigarure imikorere yaryo. Muganga w'amaso ashobora kandi kukugira inama yo kubagwa niba indorerwamo zo gukosora zidafite icyo zifasha.

Niba cornea yawe yangiritse cyane, muganga wawe ashobora kukugira inama yo kuyitera cornea . Ibi bikubiyemo gukoresha ingirabuzimafatizo z'umuntu muzima cyangwa cornea y'ubukorano. Ushobora kuyitera nk'uku:

• Gutera igice cy'ubunini bw'ijisho (Lamellar Keratoplasty): Muri ibi, igice cy'ijisho ryawe ni cyo gisimburwa.
• Gutera Ubunini Busesuye - Gutera Keratoplasty Igera: Muri ibi, cornea yawe yose irasimburwa.

Muganga wawe azakubwira byinshi kuri ubu buryo bwo kubaga.

Ese hari icyo nakora kugira ngo ngire ikibazo cyo kwandura indwara ya Terian Marginal Degeneration (TMD)?

Nta kintu na kimwe wakora kugira ngo wirinde TMD kuko impamvu nyayo itaramenyekana. Ariko, ushobora gufata ingamba zo kurinda amaso yawe no gukumira ko iyo ndwara irushaho kuba mbi .

Kugira ngo wirinde kwangirika kw'ijisho ry'umura, gerageza kwambara imyenda irinda amaso muri ibi bihe:

• Mu gihe cyo gusukura ukoresheje bleach cyangwa indi miti.
• Iyo ukorera hanze, nko gutema ubwatsi.
• Iyo ukina siporo nka baseball na hockey.
• Byaba ari mu gihe cyo gukoresha ibikoresho cyangwa mu gihe cyo gusiga irangi.

Niba wambaye indorerwamo z'amaso (contact lenses), kurikiza amabwiriza yo gusukura no kwisiga imiti yica udukoko mu ndorerwamo zawe witonze kugira ngo wirinde indwara z'amaso cyangwa iz'amaso. Ukurikije gahunda za muganga w'amaso yawe no gukurikiza amabwiriza yo kuvura, ushobora kwirinda ingorane no kurinda amaso yawe y'agaciro.

Ni iki nkwiye kwitega mu gihe mfite indwara ya Terion Marginal Degeneration (TMD)?

Abantu benshi bafite indwara ya Terian Marginal Degeneration (TMD).Irashobora kwitabwaho neza ukoresheje indorerwamo cyangwa lenzi zo mu maso (contact lenses) ndetse no gusuzumwa buri gihe kwa muganga. Niba ufite cornea yoroshye cyane, ganira na muganga wawe ku buryo bwiza bwo kurinda amaso yawe no kuvura ibimenyetso byawe. Ntugahangayike, ushobora kubaho ubuzima busanzwe ufite iyi ndwara.

Ni ryari ugomba gushaka inama kwa muganga ku bijyanye no kwangirika kw'ingingo za temporomandibular (TMD)?

Ni ngombwa kumenya indwara ya Terian Marginal Degeneration (TMD) hakiri kare kugira ngo ubashe kuvurwa neza. Niba ugize ikibazo cy'amaso, ububabare, cyangwa impinduka mu maso , menyesha muganga wawe ako kanya. Muganga wawe ashobora kuguha uburyo bwo kuvura bushobora kugufasha no kubungabunga amaso yawe.

Wibuke ko amaso ari kimwe mu bice by’umubiri bifite akamaro kandi by’ingenzi mu mubiri wacu. Bityo rero, niba ubonye impinduka cyangwa ikibazo mu maso yawe, ni byiza gushaka inama kwa muganga utirengagije.

Amaherezo, ibuka ibi (Ubutumwa bwo kujyana mu rugo)

Kugabanuka k'umurambararo wa Terrien ni indwara idakunze kugaragara ituma impande z'imboni yacu zigabanuka. Iyi mboni ni yo idufasha kubona neza. Abantu benshi ntibabona ibimenyetso. Ku bandi, indorerwamo zo mu maso zishobora kubafasha kurinda amaso yabo no kwirinda ingorane. Jya kwisuzumisha amaso buri gihe. Hanyuma ushobora kubona ubuvuzi ukeneye. Wite ku maso yawe! Kuko dufite amaso abiri gusa yo kubona isi.

Kugabanuka k'umuvuduko w'amaso, indwara z'amaso, cornea, kutabona neza, astigmatism, ubuzima bw'amaso