Kuvhiya2026 Chikunguru 15🔄 Updated: 2026 Chg 15⏱ 8 min

Wakaona chimwe chinhu chakaita semakwinya achiumba mumaziso ako here? (Macular Pucker)

Creator: Dr. Priya Sammani
Published: 2026-07-15T18:52:19.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Dzimwe nguva tinonzwa kutya kana tikaona shanduko diki mumaziso edu, handiti? Kunyanya kana zvinhu zvatanga kuchinja zvishoma. Chimwe chezvirwere zvakadaro chinonzi macular pucker . Asi musazvidya mwoyo, ngatitaurei nezvazvo zviri nyore.

Chii chaizvo ichi (Macular Pucker)?

Funga nezveziso rako sekamera. Kune rusvingo kuseri kwekamera iyi, yatinodaidza kuti retina . Mufananidzo wese waunoona unorekodhwa paretina iyi, sefirimu. Pakati peretina iyi, pane kanzvimbo kadiki kanonzwa kunonzi macula . Tinoona zvinhu zvakajeka, nekukurumidza, tinoverenga bhuku, tinoziva mavara, nekuda kweiyi macula. Zvino, mune iyi mamiriro anonzi ``Macular Pucker``, chinoitika ndechekuti pamusoro pemacula, pane jira recellophane, kana membrane yakatetepa kwazvo, kana ganda diki . Vanachiremba vanodanawo izvi kuti ``Epiretinal Membrane (ERM)`` , uye vamwe vanhu vanoidanawo kuti ``Cellophane Maculopathy``` . Sezvo iyi membrane ichidzikira zvishoma nezvishoma, macula iri pasi payo inotambanuka uye inokwenya, sejira. Ndizvo zvinonzi ``Macular Pucker'' kana kuti 'macular puckering.'' Izvi hazvikonzeri matambudziko makuru ekuona kune wese munhu, asi dzimwe nguva zvinogona kuchinja maonero aunoita zvinhu, zvichiita kuti zviite sezvakakanganisika.

Dambudziko iri rakajairika zvakadii?

Dambudziko iri rinonzi `(Macular Pucker)` rakajairika kupfuura zvaungafunga. Ongororo dzichangoburwa dzakaratidza kuti chikamu chikuru chevanhu mune dzimwe nyika vanogona kuva nedambudziko iri. Njodzi yechirwere ichi inowedzera nekukura. Asi mashoko akanaka ndeekuti havasi vese vane `(Macular Pucker)` vachatadza kuona zvakanaka.

Ndezvipi zviratidzo zveizvi? Ungaziva sei kana uine chirwere ichi?

Chiratidzo chikuru cheizvi ndechekuti kuona kwako kwepakati kunokanganiswa. Zvikuru sei, mitsetse yakatwasuka, senge mahwindo, magonhi, uye mitsetse iri mubhuku, inoita kunge yakatambanudzwa kana kuti yakakwinya. Vanachiremba vanodanawo izvi kuti "metamorphopsia." Fungidzira uri kutarisa pasi rine mataira, uye mitsetse yakatwasuka iri pakati pemataira inoita kunge yakakwinya. Kunyangwe izvi zvichigona kukanganisa maziso ese ari maviri, zvinowanzo kukanganisa ziso rimwe chete. Kunyangwe zviri mumaziso ese ari maviri, ziso rimwe rinogona kunge rakanyanya kuipa kupfuura rimwe. Kuwedzera pakutaridzika kwacho, unogona zvakare kusangana ne:

Hazvina kujeka sezvazvaive kare, zvisinei kuti wasvika padyo sei nezvauri kutarisa.
Dzimwe nguva mufananidzo mumwe chete unogona kuoneka uri miviri (mufananidzo wakapetwa kaviri).
Mufananidzo unoonekwa muziso rimwe unganzwa wakakura kupfuura rimwe ziso.

Chinhu chinonyanya kukosha ndechekuti kurasikirwa nekuona kunokonzerwa ne "Macular Pucker" iyi hakugadziriswe nekupfeka magirazi.

Sei izvi zvichiitika? Ndezvipi zvikonzero?

Zvichitaurwa zviri nyore, kune zvinhu zvakawanda zvinogona kubatsira pakuumbwa kwefirimu paganda remacula. Heano zvimwe zvezvinhu zvikuru:

Maburi kana kubvaruka mu retina.
Kuva nenhoroondo yekubviswa kweretina munguva yakapfuura.
Kuvhiyiwa kwemaziso kwakamboitwa (semuenzaniso, kuvhiyiwa kwekatarakita).
Kukuvadzwa Kwemaziso.
Utachiona hunoitika mukati meziso.
Zvirwere zvemaziso zvinokonzerwa nechirwere cheshuga (chirwere cheshuga-related retina disease / Diabetic Retinopathy)
Zvirwere zvinoputika muziso ( Kuzvimba kwemaziso / Uveitis )

Chimwe chinhu ndechekuti dzimwe nguva `(Macular Pucker)` iyi inogona kuitika pasina chikonzero chakajeka. Inonzi `(Idiopathic Macular Pucker)`, zvinoreva kuti hapana chikonzero chinogona kuwanikwa.

Ichi chirwere chinotapukira here?

Kwete, kwete zvachose. `(Macular Pucker)` hachisi chirwere chinotapuriranwa. Haugoni kuchibata kubva kune mumwe munhu, uye haugone kuchibata kubva kune mumwe munhu.

Ndiani ari panjodzi huru yekuzviwana?

Tatotaura kuti kukwegura chinhu chikuru chinokonzera njodzi. Pamusoro pezvo, njodzi yako yekukura macular pucker inogona kuwedzera kana:

Kana uine "Posterior Vitreous Detachment (PVD)``, uko vitreous humor ( chinhu chakaita sejelly chiri muziso rako) chinoparadzana neretina. Izvi zvinowanzoitika paunokura.
Kana wakambovhiyiwa maziso ne laser , kana kumwe kuvhiyiwa kwemaziso , sekuvhiyiwa kwe cataract.
Kana wakambova ne retina yakatsemuka kana kuti yakabviswa .
Kana uine chirwere chekuzvimba kwemaziso senge uveitis .
Kana uine chirwere cheshuga chinonzi retinopathy .
Kana paine kukuvara kwakanyanya kweziso .

Ndezvipi zvinetso zvinogona kukonzera izvi?

`(Macular Pucker)` inogona kukonzera kurasikirwa nekuona . Izvi zvinoreva kuti kuona kwako kunogona kusviba zvishoma kana kuti kusviba. AsiMikana yekuti upedzisire wava bofu zvachose nekuda kweizvi idiki kwazvo. Saka hapana chekunetseka nacho. Asi kana ukaona shanduko mukuona kwako, zvakanaka kuti uone chiremba.
Chiremba anoona sei izvi?
Paunoshanyira chiremba wemaziso, iye achatanga nekukubvunza nezvezviratidzo zvako uye nhoroondo yezvekurapa kwako. Zvadaro, achaisa madonhwe emaziso akatambanuka mumaziso ako uye oongorora mukati meziso rako. Madonhwe aya anoshandiswa kubvumira chiremba kuona retina yako nemaziso ako zvakajeka.
Miedzo ipi iri kuitwa?
Paunenge uchiongororwa maziso ako, chiremba wako achashandisa chiedza chakakosha uye lenzi yekukudza maziso kuti aone maziso ako. Pamusoro pezvo, vanogona kuita bvunzo dzakadai kuti vabatsire kuona kana uine macular pucker:
Kuedzwa kweMaziso eAmsler Grid: Muedzo uyu, unopiwa bepa diki rine mativi akadhirowewa. Rine mitsetse yakatwasuka neyakatwasuka. Paunotarisa mitsetse iyi, kana ichiita seyakatambanudzwa, yakakwenya, kana kuti mamwe mativi akashaikwa, izvi zvinogona kubatsira kuona kana uine matambudziko ekuona.
Optical Coherence Tomography (OCT) scan: Iyi scan inoitirwa nekamera yakakosha. Inotora mifananidzo yakajeka ye retina yako ne macula, sechikamu chekeke. Zvakafanana nekutarisa muchidimbu chekeke. Iyi OCT scan inogona kukuudza kana paine kukwenya kwe macula, kana macular pucker, uye kuti yakanyanya sei.
Inorapwa sei? Tingaitei?
Havasi vese vane macular puckers vanoda kurapwa. Kana zviratidzo zvako zvisina kuoma uye kuona kwako kusina kukanganiswa zvakanyanya, chiremba wako anogona kukuudza kuti utarise chirwere chacho kwenguva yakati . Izvi zvinoreva kuti uuye kuzoongororwa maziso nguva nenguva. Zvisinei, kana uchida kurapwa, pane nzira dzisiri dzekuvhiya nedzekuvhiya.
Kurapa pasina kuvhiyiwa (kurapa kusingapindi muropa)
Kune macular pucker isingade kuvhiyiwa, unogona kuita zvinotevera kuti hupenyu hwako hwezuva nezuva huve nyore:
Magirazi matsva: Kunyange hazvo magirazi asingakwanise kugadzirisa zvachose kukanganisa kuona kunokonzerwa ne macular pucker, mushonga mutsva unogona kubatsira kuvandudza kuona kwako kwese.
Mwenje wakanaka: Paunenge uchiverenga mabhuku kana kuita basa rakapfava, kuita izvozvo munzvimbo ine chiedza chakawanda, uye kushandisa marambi ekuverenga kunogona kubatsira kuderedza kushushikana kwemaziso.
Zvishandiso zvinokudza:Kana uchinetseka nekuverenga zvakanyorwa zvidiki, unogona kushandisa magirazi ekukudza kana zvimwe zvishandiso.
Kurapa kwekuvhiyiwa
Kana kuona kwako kuchikanganiswa zvakanyanya ne macular pucker, chiremba wako anogona kukurudzira kuvhiyiwa. Kuvhiyiwa uku kunonzi vitrectomy nekubvisa membrane .
Uku kuvhiyiwa kunoitirwa kunze kwechipatara , zvinoreva kuti haufanirwe kugara muchipatara, uye unogona kuenda kumba zuva rimwe chete mushure mekuvhiyiwa.
Kuvhiyiwa uku kunosanganisira kucheka zvidiki-diki muziso, kubvisa huwandu hushoma hwechinhu chakaita sejelly mukati meziso (vitreous humor), uye kubvisa nokungwarira mavanga kana membrane yakaumbwa pamusoro pemacula. Uku kuvhiyiwa kwakaoma zvikuru.
Ndezvipi zvinetso zvinogona kuitika kana munhu avhiyiwa? Ndinofanira kutya here?
Sekunge kune chero kuvhiyiwa kupi zvako, kune dzimwe njodzi dzinosanganisirwa mukuvhiyiwa kwe vitrectomy. Asi timu yako yezvekurapa ichaita zvese zvavanogona kuderedza njodzi idzodzo. Heano mamwe ematambudziko anogona kuitika:
Kubuda ropa .
Utachiona .
Kutsemuka kweretina kana kubviswa kwetsinga .
Kana uine katarakita, inozowedzera kuipa.
Buri riri mu macula (buri re macular) rinoitika (izvi hazviwanzoitiki).
Kuwedzera kwekumanikidzwa muziso, zvinoreva kukura kwe glaucoma .
Asi yeukai, mikana yekuti izvi zviitike yakaderera, uye vanachiremba vachakuzivisai zvakawanda nezveizvi.
Ndichakurumidza sei kupora mushure mekurapwa?
Kana wakavhiyiwa ne vitrectomy, kuona kwako kunogona kunge kusina kujeka kwemazuva mashoma mushure mekuvhiyiwa. Maziso ako anogona kunge achirwadza uye asingafadzi. Izvi zvakajairika. Hauzokwanisi kuenda kubasa kana kuchikoro kwemavhiki angangoita maviri kusvika mana mushure mekuvhiyiwa. Zvakakosha kuzorora maziso ako panguva iyi. Haufanirewo kutyaira mota nekukurumidza mushure mekuvhiyiwa. Zvinogona kutora kusvika kumwedzi mitatu kuti kuona kwako kuve nani uye kuti iwe uwane mabhenefiti akazara ekuvhiyiwa. Saka iva nemoyo murefu.
Pane nzira yekudzivirira izvi kuti zvisaitike here?
Dzimwe nguva, kunyanya kana paine chirwere chemaziso chinonzi idiopathic macular pucker, hapana nzira yakajeka yekudzivirira. Zvisinei, zvinhu zvakaita sekudzivirira chirwere chemaziso chinokonzerwa nechirwere cheshuga ( kureva, kuchengetedza chirwere chako cheshuga) uye kudzivirira kukuvara kwemaziso zvinogona kubatsira kuderedza njodzi yako yekuva nechirwere ichi.
Chii chandinofanira kutarisira kana ndiri mumamiriro ezvinhu aya?
Tatotaura kuti nyaya zhinji dze `(Macular Pucker)` hadzidi kurapwa kwakakosha. Chinongodiwa chete ndechekuongororwa maziso nguva nenguva zvichienderana nehurongwa hwakatarwa nachiremba wako. Zvadaro, chiremba wako anogona kuona kana paine shanduko mukuona kwako uye hutano hwemaziso. Ungave uine matambudziko ekuona nekuda kwe `(Macular Pucker)`, asi usazvidya mwoyo kuti zvichaita kuti upofu zvachose. Mikana yacho mishoma kwazvo.
Kana ndine chirwere ichi, ndingazvitarisira sei?
Kana wangoziva kuti une macular pucker, pane zvinhu zvakawanda zvaunogona kuita kuti udzivirire maziso ako:
Usapotsa mazuva ekuongororwa kwemaziso akapihwa nachiremba.
Ramba uine hutano hwakanaka. Izvi zvinoreva kudya chikafu chinovaka muviri uye kurovedza muviri nguva dzose.
Tevedzera tsika dzakanaka dzekuchengetedza hutano hwemaziso. Semuenzaniso, pfeka magirazi ezuva kana uri muzuva, geza maoko ako zvakanaka usati wabata maziso ako, uye kana ukapfeka magirazi ekuona, ashandise zvakachengeteka sezvakarairwa nachiremba wako.
Kana uchisvuta , edza kurega. Kusvuta hakuna kunaka pamaziso ako. Kana uchida rubatsiro rwekurega, bvunza chiremba.
Ndinofanira kuona chiremba rini?
Kana ukaona shanduko dzinongoerekana dzaitika mukuona kwako , semuenzaniso, kuona kusina kunyatsojeka, kuona makwinya akawanda, kana kutaridzika kwezvinhu zvinoyangarara zvakaita semavanga matema, enda kuna chiremba wemaziso ako nekukasika.
Kana ukangoerekana wanzwa sekunge uri kurasikirwa nekuona, kana kuti ukanzwa kurwadziwa kwakanyanya kwemaziso, enda kuchipatara nekukurumidza, kana muSri Lanka, fonera 1990 Rescue Ambulance Service.
Zvinhu zviviri izvi zvinonzi (Macular Pucker) uye (Age-Related Macular Degeneration - AMD) here?
Ehe, izvi zvirwere zviviri zvakasiyana. Asi zviratidzo zvinogona dzimwe nguva kufanana. Zvese macular pucker uye age-related macular degeneration (AMD) zvirwere zvinokanganisa macula. Mumamiriro ese ari maviri, kuona kwako kweparutivi hakuwanzo kanganiswa, asi kuona kwako kwepakati kunokanganiswa. MuAMD, masero ari mu macula anoshaya simba uye anoparadzwa nekukwegura. Mumacular pucker, pane layer inoumbwa pa macula, zvichiita kuti iite makwinya. Kurapa kwakasiyana.
Saka, macular pucker ne macular hole chinhu chimwe chete here?
Kwete, zvinhu zviviri zvakasiyana. "Macular pucker" kukwenya kwenyama iri mu retina. Asi buri riri mu macula i "buri re macular."Zvinoreva, sezvinoreva zita racho, kuti pane buri diki mu macula. Dzimwe nguva, kuva ne `(Macular Pucker)` kunowedzera njodzi yekuve ne `(Macular Hole)` gare gare, asi haisi vimbiso. Zviratidzo zvinoonekwa zve `(Macular Hole)` zvinowanzova zvakanyanya kupfuura zve `(Macular Pucker)`. Uyewo, `(Macular Hole)` inowanzoda kuvhiyiwa.
Pakupedzisira, zvimwe zvinhu zvakakosha zvekurangarira:
Zvakajairika kuti unzwe kutya uye kunetseka paunotanga kunzwa kuti une chirwere chinonzi `(Macular Pucker)`, uye kuti chinogona kukanganisa kuona kwako. Asi yeuka, zvirwere zvakawanda zve`(Macular Pucker)` hazvidi kurapwa kwakakosha. Chiremba wako achataura newe nezvesarudzo dzako uye achakubatsira kusarudza danho rinotevera rakanakira iwe. Chinhu chakakosha ndechekuongororwa maziso nguva dzose. Chiremba wako wemaziso achakuudza kuti unofanira kuongororwa maziso ako kangani. Usakanganwa kuzivisa chiremba wako nezve shanduko dziri mukuona kwako, kunyangwe diki diki. Nenzira iyoyo, kana paine chimwe chinhu chinoda kuitwa, unogona kurapwa nekukurumidza. Saka, ndinovimba ruzivo urwu rwuchakubatsira. Chengetedza maziso ako!

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Wedzera zvaunofunga

Kuvhiya2026 Chikunguru 15
Wakaona chimwe chinhu chakaita semakwinya achiumba mumaziso ako here? (Macular Pucker)
Dr. Priya SammaniMedical Verification
⏱ 8 min read
📋Table of Contents
1. Chii chaizvo ichi (Macular Pucker)?
2. Dambudziko iri rakajairika zvakadii?
3. Ndezvipi zviratidzo zveizvi? Ungaziva sei kana uine chirwere ichi?
4. Sei izvi zvichiitika? Ndezvipi zvikonzero?
5. Ichi chirwere chinotapukira here?
6. Ndiani ari panjodzi huru yekuzviwana?
7. Ndezvipi zvinetso zvinogona kukonzera izvi?
8. Chiremba anoona sei izvi?
9. Miedzo ipi iri kuitwa?
10. Inorapwa sei? Tingaitei?
11. Kurapa pasina kuvhiyiwa (kurapa kusingapindi muropa)
12. Kurapa kwekuvhiyiwa
13. Ndezvipi zvinetso zvinogona kuitika kana munhu avhiyiwa? Ndinofanira kutya here?
14. Ndichakurumidza sei kupora mushure mekurapwa?
15. Pane nzira yekudzivirira izvi kuti zvisaitike here?
16. Chii chandinofanira kutarisira kana ndiri mumamiriro ezvinhu aya?
17. Kana ndine chirwere ichi, ndingazvitarisira sei?
18. Ndinofanira kuona chiremba rini?
19. Zvinhu zviviri izvi zvinonzi (Macular Pucker) uye (Age-Related Macular Degeneration - AMD) here?
20. Saka, macular pucker ne macular hole chinhu chimwe chete here?
21. Pakupedzisira, zvimwe zvinhu zvakakosha zvekurangarira:
Dzimwe nguva tinonzwa kutya kana tikaona shanduko diki mumaziso edu, handiti? Kunyanya kana zvinhu zvatanga kuchinja zvishoma. Chimwe chezvirwere zvakadaro chinonzi macular pucker . Asi musazvidya mwoyo, ngatitaurei nezvazvo zviri nyore.
Chii chaizvo ichi (Macular Pucker)?
Funga nezveziso rako sekamera. Kune rusvingo kuseri kwekamera iyi, yatinodaidza kuti retina . Mufananidzo wese waunoona unorekodhwa paretina iyi, sefirimu. Pakati peretina iyi, pane kanzvimbo kadiki kanonzwa kunonzi macula . Tinoona zvinhu zvakajeka, nekukurumidza, tinoverenga bhuku, tinoziva mavara, nekuda kweiyi macula. Zvino, mune iyi mamiriro anonzi ``Macular Pucker``, chinoitika ndechekuti pamusoro pemacula, pane jira recellophane, kana membrane yakatetepa kwazvo, kana ganda diki . Vanachiremba vanodanawo izvi kuti ``Epiretinal Membrane (ERM)`` , uye vamwe vanhu vanoidanawo kuti ``Cellophane Maculopathy``` . Sezvo iyi membrane ichidzikira zvishoma nezvishoma, macula iri pasi payo inotambanuka uye inokwenya, sejira. Ndizvo zvinonzi ``Macular Pucker'' kana kuti 'macular puckering.'' Izvi hazvikonzeri matambudziko makuru ekuona kune wese munhu, asi dzimwe nguva zvinogona kuchinja maonero aunoita zvinhu, zvichiita kuti zviite sezvakakanganisika.
Dambudziko iri rakajairika zvakadii?
Dambudziko iri rinonzi `(Macular Pucker)` rakajairika kupfuura zvaungafunga. Ongororo dzichangoburwa dzakaratidza kuti chikamu chikuru chevanhu mune dzimwe nyika vanogona kuva nedambudziko iri. Njodzi yechirwere ichi inowedzera nekukura. Asi mashoko akanaka ndeekuti havasi vese vane `(Macular Pucker)` vachatadza kuona zvakanaka.
Ndezvipi zviratidzo zveizvi? Ungaziva sei kana uine chirwere ichi?
Chiratidzo chikuru cheizvi ndechekuti kuona kwako kwepakati kunokanganiswa. Zvikuru sei, mitsetse yakatwasuka, senge mahwindo, magonhi, uye mitsetse iri mubhuku, inoita kunge yakatambanudzwa kana kuti yakakwinya. Vanachiremba vanodanawo izvi kuti "metamorphopsia." Fungidzira uri kutarisa pasi rine mataira, uye mitsetse yakatwasuka iri pakati pemataira inoita kunge yakakwinya. Kunyangwe izvi zvichigona kukanganisa maziso ese ari maviri, zvinowanzo kukanganisa ziso rimwe chete. Kunyangwe zviri mumaziso ese ari maviri, ziso rimwe rinogona kunge rakanyanya kuipa kupfuura rimwe. Kuwedzera pakutaridzika kwacho, unogona zvakare kusangana ne:
Hazvina kujeka sezvazvaive kare, zvisinei kuti wasvika padyo sei nezvauri kutarisa.
Dzimwe nguva mufananidzo mumwe chete unogona kuoneka uri miviri (mufananidzo wakapetwa kaviri).
Mufananidzo unoonekwa muziso rimwe unganzwa wakakura kupfuura rimwe ziso.
Chinhu chinonyanya kukosha ndechekuti kurasikirwa nekuona kunokonzerwa ne "Macular Pucker" iyi hakugadziriswe nekupfeka magirazi.
Sei izvi zvichiitika? Ndezvipi zvikonzero?
Zvichitaurwa zviri nyore, kune zvinhu zvakawanda zvinogona kubatsira pakuumbwa kwefirimu paganda remacula. Heano zvimwe zvezvinhu zvikuru:
Maburi kana kubvaruka mu retina.
Kuva nenhoroondo yekubviswa kweretina munguva yakapfuura.
Kuvhiyiwa kwemaziso kwakamboitwa (semuenzaniso, kuvhiyiwa kwekatarakita).
Kukuvadzwa Kwemaziso.
Utachiona hunoitika mukati meziso.
Zvirwere zvemaziso zvinokonzerwa nechirwere cheshuga (chirwere cheshuga-related retina disease / Diabetic Retinopathy)
Zvirwere zvinoputika muziso ( Kuzvimba kwemaziso / Uveitis )
Chimwe chinhu ndechekuti dzimwe nguva `(Macular Pucker)` iyi inogona kuitika pasina chikonzero chakajeka. Inonzi `(Idiopathic Macular Pucker)`, zvinoreva kuti hapana chikonzero chinogona kuwanikwa.
Ichi chirwere chinotapukira here?
Kwete, kwete zvachose. `(Macular Pucker)` hachisi chirwere chinotapuriranwa. Haugoni kuchibata kubva kune mumwe munhu, uye haugone kuchibata kubva kune mumwe munhu.
Ndiani ari panjodzi huru yekuzviwana?
Tatotaura kuti kukwegura chinhu chikuru chinokonzera njodzi. Pamusoro pezvo, njodzi yako yekukura macular pucker inogona kuwedzera kana:
Kana uine "Posterior Vitreous Detachment (PVD)``, uko vitreous humor ( chinhu chakaita sejelly chiri muziso rako) chinoparadzana neretina. Izvi zvinowanzoitika paunokura.
Kana wakambovhiyiwa maziso ne laser , kana kumwe kuvhiyiwa kwemaziso , sekuvhiyiwa kwe cataract.
Kana wakambova ne retina yakatsemuka kana kuti yakabviswa .
Kana uine chirwere chekuzvimba kwemaziso senge uveitis .
Kana uine chirwere cheshuga chinonzi retinopathy .
Kana paine kukuvara kwakanyanya kweziso .
Ndezvipi zvinetso zvinogona kukonzera izvi?
`(Macular Pucker)` inogona kukonzera kurasikirwa nekuona . Izvi zvinoreva kuti kuona kwako kunogona kusviba zvishoma kana kuti kusviba. AsiMikana yekuti upedzisire wava bofu zvachose nekuda kweizvi idiki kwazvo. Saka hapana chekunetseka nacho. Asi kana ukaona shanduko mukuona kwako, zvakanaka kuti uone chiremba.
Chiremba anoona sei izvi?
Paunoshanyira chiremba wemaziso, iye achatanga nekukubvunza nezvezviratidzo zvako uye nhoroondo yezvekurapa kwako. Zvadaro, achaisa madonhwe emaziso akatambanuka mumaziso ako uye oongorora mukati meziso rako. Madonhwe aya anoshandiswa kubvumira chiremba kuona retina yako nemaziso ako zvakajeka.
Miedzo ipi iri kuitwa?
Paunenge uchiongororwa maziso ako, chiremba wako achashandisa chiedza chakakosha uye lenzi yekukudza maziso kuti aone maziso ako. Pamusoro pezvo, vanogona kuita bvunzo dzakadai kuti vabatsire kuona kana uine macular pucker:
Kuedzwa kweMaziso eAmsler Grid: Muedzo uyu, unopiwa bepa diki rine mativi akadhirowewa. Rine mitsetse yakatwasuka neyakatwasuka. Paunotarisa mitsetse iyi, kana ichiita seyakatambanudzwa, yakakwenya, kana kuti mamwe mativi akashaikwa, izvi zvinogona kubatsira kuona kana uine matambudziko ekuona.
Optical Coherence Tomography (OCT) scan: Iyi scan inoitirwa nekamera yakakosha. Inotora mifananidzo yakajeka ye retina yako ne macula, sechikamu chekeke. Zvakafanana nekutarisa muchidimbu chekeke. Iyi OCT scan inogona kukuudza kana paine kukwenya kwe macula, kana macular pucker, uye kuti yakanyanya sei.
Inorapwa sei? Tingaitei?
Havasi vese vane macular puckers vanoda kurapwa. Kana zviratidzo zvako zvisina kuoma uye kuona kwako kusina kukanganiswa zvakanyanya, chiremba wako anogona kukuudza kuti utarise chirwere chacho kwenguva yakati . Izvi zvinoreva kuti uuye kuzoongororwa maziso nguva nenguva. Zvisinei, kana uchida kurapwa, pane nzira dzisiri dzekuvhiya nedzekuvhiya.
Kurapa pasina kuvhiyiwa (kurapa kusingapindi muropa)
Kune macular pucker isingade kuvhiyiwa, unogona kuita zvinotevera kuti hupenyu hwako hwezuva nezuva huve nyore:
Magirazi matsva: Kunyange hazvo magirazi asingakwanise kugadzirisa zvachose kukanganisa kuona kunokonzerwa ne macular pucker, mushonga mutsva unogona kubatsira kuvandudza kuona kwako kwese.
Mwenje wakanaka: Paunenge uchiverenga mabhuku kana kuita basa rakapfava, kuita izvozvo munzvimbo ine chiedza chakawanda, uye kushandisa marambi ekuverenga kunogona kubatsira kuderedza kushushikana kwemaziso.
Zvishandiso zvinokudza:Kana uchinetseka nekuverenga zvakanyorwa zvidiki, unogona kushandisa magirazi ekukudza kana zvimwe zvishandiso.
Kurapa kwekuvhiyiwa
Kana kuona kwako kuchikanganiswa zvakanyanya ne macular pucker, chiremba wako anogona kukurudzira kuvhiyiwa. Kuvhiyiwa uku kunonzi vitrectomy nekubvisa membrane .
Uku kuvhiyiwa kunoitirwa kunze kwechipatara , zvinoreva kuti haufanirwe kugara muchipatara, uye unogona kuenda kumba zuva rimwe chete mushure mekuvhiyiwa.
Kuvhiyiwa uku kunosanganisira kucheka zvidiki-diki muziso, kubvisa huwandu hushoma hwechinhu chakaita sejelly mukati meziso (vitreous humor), uye kubvisa nokungwarira mavanga kana membrane yakaumbwa pamusoro pemacula. Uku kuvhiyiwa kwakaoma zvikuru.
Ndezvipi zvinetso zvinogona kuitika kana munhu avhiyiwa? Ndinofanira kutya here?
Sekunge kune chero kuvhiyiwa kupi zvako, kune dzimwe njodzi dzinosanganisirwa mukuvhiyiwa kwe vitrectomy. Asi timu yako yezvekurapa ichaita zvese zvavanogona kuderedza njodzi idzodzo. Heano mamwe ematambudziko anogona kuitika:
Kubuda ropa .
Utachiona .
Kutsemuka kweretina kana kubviswa kwetsinga .
Kana uine katarakita, inozowedzera kuipa.
Buri riri mu macula (buri re macular) rinoitika (izvi hazviwanzoitiki).
Kuwedzera kwekumanikidzwa muziso, zvinoreva kukura kwe glaucoma .
Asi yeukai, mikana yekuti izvi zviitike yakaderera, uye vanachiremba vachakuzivisai zvakawanda nezveizvi.
Ndichakurumidza sei kupora mushure mekurapwa?
Kana wakavhiyiwa ne vitrectomy, kuona kwako kunogona kunge kusina kujeka kwemazuva mashoma mushure mekuvhiyiwa. Maziso ako anogona kunge achirwadza uye asingafadzi. Izvi zvakajairika. Hauzokwanisi kuenda kubasa kana kuchikoro kwemavhiki angangoita maviri kusvika mana mushure mekuvhiyiwa. Zvakakosha kuzorora maziso ako panguva iyi. Haufanirewo kutyaira mota nekukurumidza mushure mekuvhiyiwa. Zvinogona kutora kusvika kumwedzi mitatu kuti kuona kwako kuve nani uye kuti iwe uwane mabhenefiti akazara ekuvhiyiwa. Saka iva nemoyo murefu.
Pane nzira yekudzivirira izvi kuti zvisaitike here?
Dzimwe nguva, kunyanya kana paine chirwere chemaziso chinonzi idiopathic macular pucker, hapana nzira yakajeka yekudzivirira. Zvisinei, zvinhu zvakaita sekudzivirira chirwere chemaziso chinokonzerwa nechirwere cheshuga ( kureva, kuchengetedza chirwere chako cheshuga) uye kudzivirira kukuvara kwemaziso zvinogona kubatsira kuderedza njodzi yako yekuva nechirwere ichi.
Chii chandinofanira kutarisira kana ndiri mumamiriro ezvinhu aya?
Tatotaura kuti nyaya zhinji dze `(Macular Pucker)` hadzidi kurapwa kwakakosha. Chinongodiwa chete ndechekuongororwa maziso nguva nenguva zvichienderana nehurongwa hwakatarwa nachiremba wako. Zvadaro, chiremba wako anogona kuona kana paine shanduko mukuona kwako uye hutano hwemaziso. Ungave uine matambudziko ekuona nekuda kwe `(Macular Pucker)`, asi usazvidya mwoyo kuti zvichaita kuti upofu zvachose. Mikana yacho mishoma kwazvo.
Kana ndine chirwere ichi, ndingazvitarisira sei?
Kana wangoziva kuti une macular pucker, pane zvinhu zvakawanda zvaunogona kuita kuti udzivirire maziso ako:
Usapotsa mazuva ekuongororwa kwemaziso akapihwa nachiremba.
Ramba uine hutano hwakanaka. Izvi zvinoreva kudya chikafu chinovaka muviri uye kurovedza muviri nguva dzose.
Tevedzera tsika dzakanaka dzekuchengetedza hutano hwemaziso. Semuenzaniso, pfeka magirazi ezuva kana uri muzuva, geza maoko ako zvakanaka usati wabata maziso ako, uye kana ukapfeka magirazi ekuona, ashandise zvakachengeteka sezvakarairwa nachiremba wako.
Kana uchisvuta , edza kurega. Kusvuta hakuna kunaka pamaziso ako. Kana uchida rubatsiro rwekurega, bvunza chiremba.
Ndinofanira kuona chiremba rini?
Kana ukaona shanduko dzinongoerekana dzaitika mukuona kwako , semuenzaniso, kuona kusina kunyatsojeka, kuona makwinya akawanda, kana kutaridzika kwezvinhu zvinoyangarara zvakaita semavanga matema, enda kuna chiremba wemaziso ako nekukasika.
Kana ukangoerekana wanzwa sekunge uri kurasikirwa nekuona, kana kuti ukanzwa kurwadziwa kwakanyanya kwemaziso, enda kuchipatara nekukurumidza, kana muSri Lanka, fonera 1990 Rescue Ambulance Service.
Zvinhu zviviri izvi zvinonzi (Macular Pucker) uye (Age-Related Macular Degeneration - AMD) here?
Ehe, izvi zvirwere zviviri zvakasiyana. Asi zviratidzo zvinogona dzimwe nguva kufanana. Zvese macular pucker uye age-related macular degeneration (AMD) zvirwere zvinokanganisa macula. Mumamiriro ese ari maviri, kuona kwako kweparutivi hakuwanzo kanganiswa, asi kuona kwako kwepakati kunokanganiswa. MuAMD, masero ari mu macula anoshaya simba uye anoparadzwa nekukwegura. Mumacular pucker, pane layer inoumbwa pa macula, zvichiita kuti iite makwinya. Kurapa kwakasiyana.
Saka, macular pucker ne macular hole chinhu chimwe chete here?
Kwete, zvinhu zviviri zvakasiyana. "Macular pucker" kukwenya kwenyama iri mu retina. Asi buri riri mu macula i "buri re macular."Zvinoreva, sezvinoreva zita racho, kuti pane buri diki mu macula. Dzimwe nguva, kuva ne `(Macular Pucker)` kunowedzera njodzi yekuve ne `(Macular Hole)` gare gare, asi haisi vimbiso. Zviratidzo zvinoonekwa zve `(Macular Hole)` zvinowanzova zvakanyanya kupfuura zve `(Macular Pucker)`. Uyewo, `(Macular Hole)` inowanzoda kuvhiyiwa.
Pakupedzisira, zvimwe zvinhu zvakakosha zvekurangarira:
Zvakajairika kuti unzwe kutya uye kunetseka paunotanga kunzwa kuti une chirwere chinonzi `(Macular Pucker)`, uye kuti chinogona kukanganisa kuona kwako. Asi yeuka, zvirwere zvakawanda zve`(Macular Pucker)` hazvidi kurapwa kwakakosha. Chiremba wako achataura newe nezvesarudzo dzako uye achakubatsira kusarudza danho rinotevera rakanakira iwe. Chinhu chakakosha ndechekuongororwa maziso nguva dzose. Chiremba wako wemaziso achakuudza kuti unofanira kuongororwa maziso ako kangani. Usakanganwa kuzivisa chiremba wako nezve shanduko dziri mukuona kwako, kunyangwe diki diki. Nenzira iyoyo, kana paine chimwe chinhu chinoda kuitwa, unogona kurapwa nekukurumidza. Saka, ndinovimba ruzivo urwu rwuchakubatsira. Chengetedza maziso ako!
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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