Ziso rako riri kunzwa kuyerera kweropa kushoma here? Ngatidzidzei nezve (Ocular Ischemic Syndrome) iyi!

Wakamboerekana warasikirwa nekuona here, kana kuti uri kunzwa kurwadziwa kusinganzwisisike, kusingatsananguriki kana kuti kurema muziso rimwe chete kana ese ari maviri? Kana kuti maziso ako anoshanduka kuita bhuruu paunobuda panze here? Dzimwe nguva tinofunga kuti izvi zvinongonetsa maziso, asi panogona kunge paine chimwe chinhu chakakomba chiri shure kwacho. Ndizvo zvinoreva Ocular Ischemic Syndrome. Kunyangwe zita racho ringanzwika serinotyisa zvishoma, ngatitaurei nezvazvo zviri nyore.

Chii chinonzi `(Ocular Ischemic Syndrome)`?

Zvichitaurwa zviri nyore, Ocular Ischemic Syndrome chirwere chemaziso chisingawanzoitiki chinoitika kana maziso edu asingagamuchire ropa rakakwana. Izvi zvinonyanya kukonzerwa nemafuta akaunganidzwa (anonziwo maplaque) mutsinga huru dzeropa dziri mumutsipa wedu anonzi Carotid Artery. Mitsinga iyi yeropa inopawo ropa kumaziso edu. Saka, kana mitsinga iyi yeropa yakavharwa, huwandu hweropa rinoenda kumaziso hunoderera. Izvi zvinogona kukonzera matambudziko ekuona uye kurwadziwa kwemaziso.

Nemamwe mashoko, zvinoreva zita iri, shoko neshoko, ndeizvi:

• "Ocular" zvinoreva kurapa "zvine chekuita nemaziso."
• "Ischemic" kana kuti "Ischemia" chirwere chinodzikira kufamba kweropa nekuda kwe "atherosclerosis" (kutetepa kana kuoma kwetsinga). Chirwere ichi ndicho chinokonzera "Carotid Artery Disease" (Carotid Artery Disease).
• "Syndrome" zvinoreva mamiriro ezvinhu apo zviratidzo zvakawanda zvinoitika pamwe chete.

Saka, zvese izvi zvabatanidzwa, iyi iunganidzwa yezviratidzo zvinokonzerwa nekudzikira kweropa rinoyerera mumaziso. Dambudziko iri, kunyanya, rinogona kuva chiratidzo chekutanga che `(Carotid Artery Disease)`. Dambudziko iri rinonzi `(Carotid Artery Disease)` rinowedzera njodzi yekurohwa nestroke uye kurwara nemoyo . Saka, zvakakosha kuziva izvi.

Sei izvi zvichiitika? Ndezvipi zvinokonzera `(Ocular Ischemic Syndrome)`?

Sezvandambotaura, chikonzero chikuru cheizvi `(Carotid Artery Disease)` (Carotid Artery Disease) . Izvi zvinonziwo `(Carotid Artery Stenosis)`. `(Stenosis)` zvinoreva kutetepa kana kuvharika kwetsinga. Mitsipa miviri iyi yeropa inonzi `(Carotid Arteries)` iri kumativi ese emutsipa wako inotakura ropa rine oxygen yakawanda kuenda kumusoro wako, mumutsipa, muuropi, nemaziso. Saka kana `(Plaque)`, chinhu chine mafuta, chikatanga kuungana mukati metsinga idzi dzeropa (izvi zvinonziwo `(Atheroma)`), kuyerera kweropa kunovharika.

Mitsipa yeropa inonzi `(Ophthalmic Arteries)` inoendesa ropa kumaziso edu inotangira kubva ku`(Carotid Arteries)` idzi. Saka, munhu ane `(Carotid Artery Disease)` haawani ropa rakakwana kumaziso ake. Kushaikwa kweropa ndiko kwakakosha pa`(Ocular Ischemic Syndrome)`.

Kuwedzera kune chikonzero chikuru ichi, kune zvimwe zvikonzero zvisingawanzoonekwi:

• `(Kubviswa kweCarotid Artery)` (chirwere chakafanana nekubviswa kwecarotid artery)
• Vasculitis (kuzvimba kwetsinga dzeropa). Mienzaniso inosanganisira Takayasu's Arteritis, Giant Cell Arteritis (GCA), uye Behcet's Disease.
• `(Kusagadzikana kweMitsipa yeropa)`
• `(Scleroderma)`
• `(Chirwere cheMoyamoya)`

Ndiani ari panjodzi huru?

Ocular Ischemic Syndrome chirwere chisingawanzoitiki , chinobata vanhu vanosvika 8 pamiriyoni.

Chirwere ichi chinowanzobata vanhu vane makore ari pakati pe50 ne80. Varume vane mukana wakapetwa kaviri wekubatwa nacho kupfuura vakadzi .

Kune zvinhu zvakawanda zvinokonzera njodzi zvinokanganisa izvi:

• `(Chirwere chemwoyo)` (Zvirwere zvemwoyo, kureva zvirwere zvine chekuita nemoyo netsinga dzeropa)
• Chirwere chemwoyo (CAD)
• Chirwere cheshuga
• Kukwira kweropa (BP)
• Kufuta, kusvuta, kana zvese zviri zviviri.
• `(Chirwere cheMweyamoya)` (Ichi chirwere chine chekuitawo netsinga dzeropa dzinoendesa ropa kuuropi)
• Kana wakambova nestroke kana transient ischemic attack (TIA) (senge stroke diki).

Ndezvipi zviratidzo zveOcular Ischemic Syndrome?

Zviratidzo zvechirwere ichi hazviwanzoonekwa nguva dzose. Asi kana zviratidzo zvikaonekwa, zvinowanzobata ziso rimwe chete . Chirwere ichi chinonyanya kukanganisa kuona kwako. Tsvaga zviratidzo izvi kana uine chimwe chazvo:

• Kurwadziwa kunorwadza kunobva mukati meziso uye kunouya nekufamba kwenguva.
• Marwadzo emaziso anonzwika kana kumanikidzwa kwemaziso kuchiwedzera.
• Mapuri akavhurika (denderedzwa dema pakati peziso).
• Kunzwa semavanga matema kana shinda dziri kuyerera pamberi pemaziso (Eye Floaters).
• Kurasikirwa zvishoma nezvishoma kana kamwe kamwe kwekuona (Low Vision) kana kurasikirwa kwenguva pfupi kwekuona uye wozodzokazve (Transient Vision Loss).
• Kuomerwa nekutarisa chiedza, kuona zvisipo (Photophobia).
• Kunzwa sekunge uri kuona zvinhu zviviri (Diplopia).

Vanachiremba vanonzwisisa sei izvi chaizvo?

Zviratidzo zveOcular Ischemic Syndrome zvinogona kufanana nezvimwe zvirwere zvakaita sediabetic retinopathy uye Central Retinal Vein Occlusion (CRVO). Saka, zvakakosha kuti uwane chirwere chakarurama .

Vanachiremba vemaziso vanoita bvunzo dzinotevera kuti vaongorore chirwere ichi:

• Kuongororwa kwemaziso: Miedzo yakasiyana-siyana yemaziso inoitwa kuti paonekwe chikonzero chematambudziko ekuona. Semuenzaniso, kuongororwa kwemaziso kwakakura, optical coherence tomography (OCT) scan, electroretinography (bvunzo inoyera mashandiro e retina), uye visual-evoked potentials (bvunzo inoyera mashandiro etsinga dzine chekuita nekuona).
• Fluorescein Angiogram : Iyi iongororo apo dhayi chaiyo inopinzwa mutsinga iri muruoko kuti ione kuti zvinotora nguva yakareba sei kuti ropa riyerere mutsinga dziri mukati meziso uye kana ropa riri kubuda mutsinga dzeropa.

Pamusoro pezvo, chiremba wemwoyo (chiremba anonyanya kubata zvirwere zvemwoyo netsinga dzeropa) anogona kuraira bvunzo dzakadai sedzino kuti aongorore chirwere chetsinga dzeropa:

• `(Carotid Artery Duplex Vascular Ultrasound)` (Kuongororwa kwetsinga dzeropa dziri mumutsipa)
• `(CT Angiogram - CTA)`, `(Carotid Angiogram)` kana `(Magnetic Resonance Angiogram - MRA)` (aya marudzi akasiyana-siyana ekuongorora anotarisa mamiriro etsinga dzeropa mumutsipa).

Ndezvipi zvinorapwa izvi?

Kune matanho akati wandei akabatana anobatanidzwa mukurapa Ocular Ischemic Syndrome. Izvi zvinoda kushandira pamwe kwenyanzvi dzakasiyana-siyana.

Kurapa matambudziko emaziso:

• Mhando dzemajekiseni emaziso: Mishonga inorwisa VEGF kana steroid. Izvi zvinobatsira kuderedza kuzvimba mu retina.
• Madonhwe Eziso Anorapwa: Anoderedza kumanikidzwa kwemaziso uye kuzvimba.
• Zvingave zvakare zvakakosha kurapwa ne laser kuti udzivise kumanikidzwa kwakanyanya kwemaziso.

Kurapa `(Carotid Artery Disease)`:

• Mishonga inobvisa ropa mumuviri, pamwe nemishonga yekudzivirira zvirwere zvakaita sechirwere cheshuga neBP.
• Carotid Angioplasty uye Stenting: Maitiro ekuti tsinga yeropa yakavharika inofuridzwa nechinhu chakaita sebharumu uye stent (chubhu diki yakaita semesh) inoiswa kudzivirira kuti isavharike zvakare.
• Kuvhiyiwa kweCarotid Endarterectomy: Kuvhiyiwa kwekubvisa plaque yakaungana mutsinga yeropa.

Ndezvipi zvinetso zvinogona kukonzera izvi?

Havasi vese vane Ocular Ischemic Syndrome vanozotanga kuona matambudziko makuru ekuona nekukasika. Zvisinei, hafu yevanhu vane chirwere ichi vachazopedzisira varasikirwa nekuona mukati megore . Uyewo, vanhu vanomwe pavanhu gumi vachazopedzisira vava nechirwere chinonzi Neovascular Glaucoma. MuNeovascular Glaucoma, mitsipa mitsva yeropa isingawanzoonekwi inoumbwa muziso, ichivhara kuyerera kwemvura mukati meziso. Izvi zvinogona kukonzera kumanikidzwa kwemaziso kwakanyanya.

Utano hwemunhu ane Ocular Ischemic Syndrome hwakaita sei?

Kutaura zvazviri, chirwere chinonzi `(Carotid Artery Disease)` chinokonzera `(Ocular Ischemic Syndrome)` chinogona kutyisidzira hupenyu . Mushure mekuonekwa kuti une `(Ocular Ischemic Syndrome)`, mukati memakore mashanuVanhu vanosvika vana pavanhu gumi vanofa nechirwere chemwoyo kana sitiroko. Nokudaro, kutsvaga rubatsiro rwechiremba nekukurumidza uye kuchinja mararamiro avo zvinogona kubatsira zvikuru mukuchengetedza hutano hwako.

Zvakakosha: Handisi kuedza kukutyisidzirai neizvi. Asi zvakakosha kuti munzwisise kukomba kwemamiriro ezvinhu aya uye mutore matanho anodiwa.

Ko Ocular Ischemic Syndrome inogona kudzivirirwa here?

Ehe, pane zvinhu zvaunogona kuita kuderedza njodzi yako yekubatwa nechirwere che '(Carotid Artery Disease)' uye kuburikidza nacho '(Ocular Ischemic Syndrome).' Izvi ndezvi:

• Idya chikafu chine hutano hwemwoyo, senge Mediterranean Diet.
• Tsvaga nzira dzakanaka dzekugadzirisa kushushikana.
• Dzora chirwere cheshuga neBP zvakanaka.
• Ramba uine huremu hwakanaka hunokunakira.
• Kana uchisvuta, kumbira rubatsiro kuti urege.
• Ramba uchiita maekisesaizi sezvinobvira uye rovedza muviri.

Ndinofanira kuona chiremba rini?

Kana ukaona chimwe chezviratidzo izvi, taura nachiremba:

• Marwadzo mumaziso.
• Kuchinja kupi zvako mukuona idambudziko.

Uyewo, kana ukaona zviratidzo zvekuoma mitezo (semuenzaniso kunetseka kutaura, kusanzwa kunzwa kune rumwe rutivi rwemuviri, kurereka kwerumwe rutivi rwechiso), enda kuchipatara nekukasika kana kufonera 1990.

Chii chandinofanira kubvunza chiremba wangu?

Paunoenda kunoona chiremba, unogona kubvunza mibvunzo yakaita seiyi:

• Sei ndiine zviratidzo izvi?
• Ndedzipi bvunzo dzandinofanira kuita?
• Ndeipi nzira yekurapa yakandinakira?
• Chii chandinofanira kuita kuti ndivandudze hutano hwemwoyo wangu?
• Ndingaitei kuti ndidzivirire maziso angu?
• Ndinofanira kunetseka nezvematambudziko here?

Chero chirwere chinokanganisa maziso chinonetsa zvikuru. Kana uine Ocular Ischemic Syndrome, kuchinja kwekuona kunogona kuva chiratidzo chekutanga chekuti tsinga dzeropa dzako dzavharika uye ropa rinoyerera mumusoro mako radzikira. Izvi zvinogonawo kuva chiratidzo chezvimwe zvirwere, zvakaita seCarotid Artery Disease. Zvimwe zvirwere zvemaziso zvinogonawo kukonzera zviratidzo izvi.

Saka, zvakakosha kuona chiremba wemaziso ane ruzivo mukuongorora nekurapa zvirwere zvemaziso zvisingawanzoitiki . Ungangodawo kuona chiremba wemwoyo kuti arape "Carotid Artery Disease". Kurapa uku kunoshanda nekuvhura tsinga yeropa yakavharika uye kunatsiridza kuyerera kweropa mumaziso. Unogonawo kuchinja mararamiro ako kuti udzivirire mwoyo wako nekuona.

Chinhu chakakosha kurangarira (Mharidzo Yekuenda Kumba)

• Ocular Ischemic Syndrome chirwere chinokonzerwa nekudzikira kweropa rinoyerera mumaziso, chikonzero chikuru chiri kuvharika kwetsinga dzeropa mumutsipa (Carotid Arteries).
• Kana uine zviratidzo zvakaita sekusaona zvakanaka kana kurwadziwa kwemaziso, iva nechokwadi chekutsvaga rubatsiro rwechiremba.
• Izvi zvinogona kuva chiratidzo che "Carotid Artery Disease", izvo zvinowedzera njodzi yekurwara nemoyo uye sitiroko .
• Kana chirwere ichi chikaonekwa nekukurumidza, kurapwa kwakakodzera, uye kuchinja mararamiro, hutano hunogona kuchengetedzwa.
• Zvakakosha zvikuru kusasvuta, kudya chikafu chine hutano, kurovedza muviri, uye kudzora chirwere cheshuga neBP.

Kana muine mimwe mibvunzo nezvenyaya iyi, musazeza kutaura nachiremba wenyu. Tinokushuvirai kupora nekukurumidza!

` Ocular Ischemic Syndrome, Kuderera kweropa rinoyerera mumaziso, Carotid Artery Disease, Kudzikira kwekuona, Marwadzo emaziso, Carotid Artery Disease, Atherosclerosis