Nhasi totaura nezveBirdshot Chorioretinopathy here?

Wakambonzwa sekunge uri kuona zvinhu zvidiki zvitema zvichiyangarara pamberi pemaziso ako here? Kana kuti pamwe kuona kwako hakuna kunyatsojeka? Izvi zvinogona kunge zviri zvakajairika, asi dzimwe nguva zvinogona kunge zviri chiratidzo chedambudziko riri muziso rako. Nhasi tichataura nezvechimwe chirwere chemaziso chisingawanzoitiki chinogona kudzorwa kana chikarapwa nemazvo.

Chii ichi (Birdshot Chorioretinopathy)?

Zvichitaurwa zviri nyore, Birdshot Chorioretinopathy, kana kuti BSCR muchidimbu, chirwere chisingawanzoitiki chekuzvimba chinoitika mukati meziso. Hachisi chirwere chisingaperi , zvichireva kuti hachiperi munguva pfupi, asi chirwere chinoramba chiripo. Kana chikarapwa zvakanaka, chinogona kutungamira mukuchinja kwekuona zvachose kana kutorasikirwa nekuona zvachose.

(BSCR) chirwere chakakomba chiri muboka rezvirwere zvinonzi "Uveitis", zvinokuvadza nyama dziri mukati meziso. Chinonyanya kusanganisira kuzvimba kwe:

• Retina : Iyi ndiyo membrane inonzwa chiedza iri kumashure kweziso redu. Yakafanana nefirimu iri mukamera. Mifananidzo yatinoona inorekodhwa pano.
• Choroid : Iri riri pasi pe retina. Iri ndiro membrane inobatanidza retina nechikamu chichena cheziso, uye inopa ropa ku retina, kureva kuti, rinoiriritira.

Chinhu chinonyanya kuzivikanwa nechirwere ichi kuoneka kwemavara madiki, akaita sedenderedzwa, ane ruvara rwakaita sekirimu muchikamu chakadzika che retina nepamusoro pechoroid. Zviratidzo zvepakutanga zvinowanzosanganisira zvinhu zvitema zvinoyangarara pamberi pemaziso (floaters) , kuona zvisipo , kana zvese zviri zviviri. Chirwere ichi chinowanzo kanganisa maziso ese ari maviri .

Nekufamba kwenguva, kukuvara uku kunogona kukonzera zvirwere zvakaita se cystoid macular edema kana glaucoma . Kunyangwe pasina mushonga, Birdshot Chorioretinopathy chirwere chinorapika . Kuonekwa nekukurumidza kwakakosha kuti kurapwa kubudirire.

Ndiani anowana Birdshot Chorioretinopathy?

Kutaura zvazviri, chirwere ichi chinogona kuitika kune chero munhu. Asi chinonyanya kuitika kune vanhu vakuru vane makore epakati nepakati, vachena vari pakati pemakore makumi mana nemakumi matanhatu. Hazviwanzoitiki kuti vana vabatwe nechirwere ichi.

Pane zvimwe zvirwere zvakafanana neichi here (Birdshot Chorioretinopathy)?

Ehe, zvimwe zvirwere zvakawanda, kusanganisira zvimwe zvirwere zviri muboka reUveitis, zvinogona kuva nezviratidzo zvakafanana neBirdshot Chorioretinopathy. Saka, zvakakosha kuti uwane kuongororwa kwakarurama kuitira kuti ugone kurapwa kwakakodzera. Zvimwe zvezvirwere zvinogona kufanana neBSCR ndeizvi:

• Lymphoma (rudzi rwekenza)
• Sarcoidosis (chirwere chinokonzera kuzvimba kudiki munzvimbo dzakasiyana dzemuviri)
• `(Sympathetic ophthalmia)` (Rudzi rusingawanzoitiki rweveitis runokonzerwa nekukuvara kweziso)
• Syphilis (chirwere chinotapuriranwa pabonde)
• `(Presumed ocular histoplasmosis syndrome (POHS))` (Chirwere chinokanganisa maziso chinokonzerwa nehutachiona hwefungus)
• `(Chirwere cheTibhii)` (Chirwere cheTibhii)
• `(Vogt-Koyanagi-Harada syndrome)` (chirwere chinokanganisa tsinga, chinokanganisa kuona nekunzwa)

Kunewo boka rezvirwere zvekuzvimba zvinonzi ``White dot syndromes'', izvo zvinogonawo kuratidza zviratidzo zveBSCR. Izvi zvinokonzera ``maronda'' ku retina nechoroid. Mimwe mienzaniso ndeiyi:

• `(Acute posterior multifocal placoid pigment epitheliopathy (APPMPPE))`
• `(Multifocal choroiditis uye panuveitis (MCP))`
• `(Multiple evanescent white dot syndrome (MEWDS))`
• `(Kuongororwa kwechoroidopathy yemukati medumbu (PIC))`

Sei izvi zvichinzi Birdshot Chorioretinopathy?

Ichi chirwere chitsva, chakatanga kutsanangurwa muna 1949. Zvakatoitika muna 1980 apo vanachiremba vaviri vemaziso vakachipa zita rekuti "(Birdshot Chorioretinopathy)". Chikonzero cheizvi ndechekuti mavara acho akapararira mu retina yese, ayo ane ruvara rwekirimu neorenji . Zita racho rinobva pakuti maitiro emavanga aya akafanana nemaitiro emabara madiki (birdshot) anoshandiswa kupfura shiri. Fungidzira, kune mavara mukati meziso, semabara anopararira kana pfuti yapfurwa.

Pane mamwe mazita here eizvi?

Ehe, kune mamwe mazita akati wandei anoshandiswa pachirwere ichi (Birdshot Chorioretinopathy):

• `(Kurwara kweshiri nechorioretinitis)`
• `(Birdshot retinochoroiditis)`
• `(Birdshot retinochoroidopathy)`
• `(Kurwara kweshiri)`
• `(BSCR)` (zita pfupi)
• `(Posterior uveitis)` (uveitis inoitika kuseri kweziso)
• `(Vitiliginous choroiditis)`

Kurwara kweBirdshot Chorioretinopathy kwakajairika zvakadii?

Ichi chirwere chisingawanzoitiki . Vaongorori vanotenda kuti chinobata vanhu vasingasviki mumwe chete pavanhu zana rezviuru. Izvi zvinoreva kuti kunyangwe muSri Lanka, panogona kunge paine vanhu vane chirwere ichi, asi nhamba yacho idiki kwazvo.

Chii chinokonzera Birdshot Chorioretinopathy?

Vaongorori havasati vaziva chikonzero chaicho chechirwere ichi, asi vanofungidzira kuti chirwere chinokonzerwa ne autoimmune . Zvichitaurwa zviri nyore, masoja emuviri wedu, masoja ekudzivirira muviri, anorwisa zvisizvo nhengo dzedu dzine hutano.

Vanhu vanopfuura 90% vanoonekwa vaine chirwere ichi (BSCR) vane gene remaantibody (morekuru rinosimudzira immune system) rinonzi `(HLA-A29)` mumuviri wavo. Ichi chinhu chinotorwa kubva kuvabereki. Zvisinei, `(HLA-A29)` hazvidikanwi kuti chiitike (Birdshot Chorioretinopathy). Zvakare, zvinokwanisika kuva nejini remaantibody iri asi usingaite chirwere ichi.

Ndezvipi zviratidzo zveBirdshot Chorioretinopathy?

Zviratidzo zvechirwere ichi zvinogona kusiyana kubva pamunhu kusvika pamunhu.Chirwere chinoenderera mberi chirwere chinokura zvishoma nezvishoma mukati memwedzi kusvika kumakore.

Zviratidzo zvekutanga zveBirdshot Chorioretinopathy zvinowanzo:

• Kuona zvinhu zvitema zvichiyangarara pamberi pemaziso (zvinofamba)
• Kuona kusina kujeka

Dambudziko iri hariwanzo kukonzera kurwadziwa kwemaziso kana kutsvuka . Zvisinei, unogona kusangana nezvinotevera:

• Kuchinja kwekuona kana kudzikira kwekuona.
• Kusaona zvakanaka kana kuoma kuona daro.
• Kumanikidzwa kwakanyanya mumaziso (hypertension yemaziso).
• Kusaona zvakanaka usiku (nyctalopia) (kusaona zvakanaka usiku).
• Matambudziko ekuona mavara (`(kupofumara kwemavara)`), kuoma kusiyanisa mamwe mavara (`(dyschromatopsia)`.
• Kunzwa chiedza chakajeka kana kupenya kwakanyanya (photophobia).

Vamwe vanhu vanogona kusangana nekuchinja kwemaonero kana matambudziko ekufunga. Semuenzaniso:

• Mhedzisiro yefeni yedenga : Paunovhara maziso ako, zvinoita sekunge feni yedenga kana kuti mhepo yemhepo iri kutenderera.
• Kuona kupenya kwechiedza kana kupenya (photopsia) kana kuona maumbirwo akakanganisika (metamorphopsia) .
• Kuona kusina kujeka, kupenya, sekunge uri kutarisa mumvura kana mugirazi rakasviba .

Muzviitiko zvakakomba, zvirwere zvakaita se cataract kana glaucoma zvinogona kuitika. Izvi zvinogona kukonzera kurasikirwa nekuona zvakanyanya kunyangwe mushure mekurapwa kwekuzvimba. Birdshot Chorioretinopathy inogonawo kukonzera matambudziko pakati pe retina, akadai se cystoid macular edema uye epiretinal membranes.

Birdshot Chorioretinopathy inoonekwa sei?

Chirwere ichi dzimwe nguva chingave chakaoma kuziva nekuti chirwere chisingawanzoitiki uye mavara acho anogona kusaonekwa pakutanga kwechirwere.

Vanachiremba vemaziso vanowanzoongorora BSCR kuburikidza nekuongorora maziso. Vanoongororawo ropa kuti vaone kana une antibody yeHLA-A29.

Vanachiremba vanogona kushandisa bvunzo dzakasiyana-siyana kuti vakuongorore nekufamba kwenguva. Zvakakosha kuti ugare uchitaurirana nachiremba wako kuti uwane rubatsiro rwaunoda.

Pane mushonga wakakwana weBirdshot Chorioretinopathy here?

Zvinosuwisa kuti hapana mushonga wakakwana wechirwere ichi. Zvisinei, kana chirwere chikaonekwa uye chikarapwa nekukurumidza , zviratidzo zvinogona kuderedzwa uye chirwere chinogona kudzivirirwa kuti chisanyanya kuipa.

Yeuka: chinhu chakakosha ndechekuongorora chirwere ichi nekukurumidza uye kutanga kurapwa!

Ndiani anogona kuva muchikwata changu chekurapa?

Chikwata chenyu chekutarisira varwere chichakurudzira kurapwa, kukutarisai, uye kugadzirisa mishonga yenyu zvichienderana nemamiriro enyu ezvinhu uye migumisiro yazvo. Chikwata chenyu chinogona kusanganisira:

• Chiremba wemaziso : Chiremba mukuru anoona nezvemaziso.
• Chiremba wezvirwere zvetsinga : Nekuti mamwe marapirwo anokanganisa itsvo.
• Nyanzvi yekudzivirira maziso: Chiremba ane ruzivo rwakakosha mumatambudziko ekudzivirira maziso.
• Chiremba weRheumatologist: Chiremba anonyanya kubata zvirwere zvine chekuita nekuzvimba mumuviri, nekuti ichi chirwerewo chekuzvimba.
• Chiremba wemapfupa : Nekuti mamwe marapirwo anokanganisa mapfupa.

Birdshot Chorioretinopathy inorapwa sei?

Kurapwa kwechirwere ichi kunoenderana nekuoma kwechirwere chako uye kuti chinochinja sei nekufamba kwenguva. Chinangwa chikuru chekurapa ndechekuderedza kuzvimba mumaziso ako uye kudzivirira kana kudzoreredza mamwe emaziso akange akarasika .

Vanachiremba vanowanzotanga vanyorera mishonga yakawanda ye corticosteroids (rudzi rwemishonga ye steroid) kudzora kuzvimba kwemaziso. Zvadaro, mushonga wacho unoderedzwa zvishoma nezvishoma kuderedza njodzi yemigumisiro yakaipa. Unogona kuwana mishonga ye steroids nenzira dzinotevera:

• Madonhwe eziso
• Mishonga yemuromo
• Kamuchina kadiki kanoiswa muziso nekuvhiyiwa (intravitreal implant)
• Jekiseni
• Kupinzwa mutsinga (IV - netsinga)

Vanhu vazhinji vanofanirwawo kutora mishonga inodzvinyirira masoja kwenguva refu . Mishonga iyi inodzivisa masoja emuviri wako kurwisa maziso ako. Imwe kana kupfuura yeiyi inotevera inogona kushandiswa:

• `(Zvishandiso zveAlkylating)`
• `(Mishonga inoderedza metabolism)`
• `(Zvishandiso zvehupenyu)` (mishonga yehupenyu)
• `(T-cell transduction/calcineurin inhibitors)`

Kurapwa kweBirdshot Chorioretinopathy (Birdshot Chorioretinopathy) kunogona kukonzera migumisiro yakaipa here?

Ehe, kushandisa kwenguva refu mishonga inodzvinyirira muviri kunogona kukonzera migumisiro yakaipa . Semuenzaniso, matambudziko emudumbu (maronda, maronda) kana matambudziko emapfupa (osteoporosis) anogona kuitika. Mishonga iyi inogonawo kuwedzera njodzi yekubatwa nekatarakita kana glaucoma.

Chiremba wako achakutarisa kana paine migumisiro yakaipa uye achakupa mimwe mishonga kana zvichidikanwa. Kana uri kutora mishonga inonwiwa, chiremba wako achakutarisa kana uine mapfupa akarasikirwa (osteoporosis) uye kana uine mukana wekutyoka mapfupa.

Chiremba wakoKuongororwa kwehuwandu hwemapfupa kunogonawo kukurudzirwa. Mishonga (bisphosphonates) inogonawo kunyorerwa kudzivirira kurasikirwa nemapfupa.

Ndedzipi mhando dzekutarisa kwenguva refu dzandinofanira kuita (BSCR)?

Zivai kana paine shanduko kana matambudziko aripo pahutano hwenyu. Chiremba wenyu achaita bvunzo dzeropa neweti kuti aone kuti itsvo dzenyu, chiropa, nemapfupa enyu zviri kushanda zvakanaka sei. Munogonawo kunge muchida kuongororwa maziso nguva nenguva, kuongororwa kwemaziso, uye kuongorora kwe optical coherence tomography (OCT) scans.

Ndingaderedza here njodzi yangu yekubatwa neBirdshot Chorioretinopathy?

Pari zvino hapana nzira inozivikanwa yekudzivirira chirwere ichi. Kazhinji, chinofungidzirwa kuti chinokonzerwa nejini remaantibody (antigen) rinobva kunhengo dzemhuri.

Kuongororwa maziso nguva dzose kunogona kubatsira kuona zviratidzo zvechirwere pakutanga, saka unogona kuwana kurapwa nenguva kana zvichidikanwa. Udza chiremba wako kana paine munhu mumhuri yako ane matambudziko emaziso.

Ndeipi tarisiro yeBirdshot Chorioretinopathy?

Maonero echirwere ichi anosiyana kubva pamunhu kusvika pamunhu . Zvinoenderana nekuoma kwechirwere uye kubudirira kwekurapwa. Muzviitiko zvisina kunyanya kuoma, kurapwa kunogona kubatsira kuchengetedza kana kutovandudza kuona.

Ndirini pandinofanira kutsvaga rubatsiro rwechiremba nezve (Birdshot Chorioretinopathy)?

Zvakakosha kutsvaga kuongororwa nekukasika uye kurapwa kubva kuna chiremba wemaziso weBirdshot Chorioretinopathy. Kunyangwe kana kuona kwako kuchiita sekwakanaka, kuongororwa kweziso kunogona kuona kuzvimba kushoma.

Udza chiremba wako nezve chero migumisiro, shanduko muzviratidzo, kana kuona kubva pamushonga wako. Unogona kupihwa mumwe mushonga kana zvichidikanwa. Chiremba wako achataura newe nezvesarudzo dzakakunakira.

Mharidzo Yekupedzisira Yekuenda Kumba

(Birdshot Chorioretinopathy) chirwere chisingawanzoitiki asi chinorapika . Saka usavhunduka. Chinhu chakakosha ndechekuongororwa maziso ako nguva dzose uye kutevedzera zvinokurudzirwa nachiremba wako . Nekufamba kwenguva, chiremba wako achakuudza maitiro ekuchengetedza kuona kwako uye kudzivirira matambudziko. Ipapo uchakwanisa kuona nyika zvakajeka kwenguva yakareba. Chengetedza maziso ako, nekuti anokosha zvikuru!

` Birdshot Chorioretinopathy, Zvirwere zveMaziso, Kutadza Kuona, Uveitis, Retina, Zvirwere zveAutoimmune, Kurapwa kweMaziso