Ma waligaa istaagtay muraayad horteeda oo aad toosh yar ku shiday ishaada? Markaad sidaas sameyso, waxaad ogaan doontaa in goobada yar ee madow ee bartamaha ishaada, oo loo yaqaan isha, ay cidhiidhi gasho marka iftiinku ku iftiimo. Marka iftiinka la saaro, way ballaadhtaa. Tani waa hab caadi ah oo indhaha caafimaadka qaba ku dhaca. Waxa muhiimka ah ayaa ah in marka iftiinku ku iftiimo hal isha, isha labada indhoodba ay isku mar isku ururto. Laakiin mararka qaarkood, hal isha ayaa laga yaabaa inaysan si fiican uga jawaabin iftiinkan. Taasi waa waxa aan ugu yeerno Arday Marcus Gunn ee daawada.
Si fudud haddii loo dhigo, waa maxay Marcus Gunn Pupil (RAPD)?
Hagaag, aan si fudud u dhigno tan. Indhahaaga u arag laba shaqaale oo wada shaqeynaya. Iftiinku waa calaamad ka timaada madaxaaga (tusaale ahaan, maskaxdaada). Marka hal il helo calaamaddan, labada indhoodba waa inay wada shaqeeyaan oo ay burburiyaan labada madax ee madow.
Laakiin marka iftiinku ku dhaco isha ay saameysay qof qaba Marcus Gunn Pupil, ishaasi si fiican uma hesho fariinta waxayna u dirtaa maskaxda. Natiijo ahaan, wareegyada madow ee labada indhood si fiican uma soo noqdaan. Mararka qaarkood, halkii ay ka yaraan lahaayeen, waxay u ekaan karaan inay xoogaa sii weynaadaan.
Waxa muhiimka ah ayaa ah in Marcus Gunn Pupil uusan ahayn cudur laftiisa. Waa calaamad aad muhiim u ah oo muujinaysa in dhibaato ka jirto gudaha ishaada, gaar ahaan retina ama dareemaha indhaha. Sidaa darteed, haddii aad aragto calaamaddan, waa lagama maarmaan in la helo sababta. Dhakhaatiirtu waxay sidoo kale ugu yeeraan Relative Afferent Pupillary Defect (RAPD).
Maxay tani u dhacaysaa? Waa maxay sababaha arrintan keenaya?
Marcus Gunn Pupil waxaa inta badan sababa dhaawac soo gaara retina-gaaga ama neerfaha indhaha, kaas oo fariimaha ka qaada isha una gudbiya maskaxda. Aan eegno xaaladaha caafimaad ee ugu muhiimsan ee saameyn kara arrintan.
| Xaalad | Sharaxaad fudud |
|---|---|
| Cudurka neerfaha indhaha | Caabuq ama caabuq ku dhaca dareemaha indhaha. Tani waa sabab aad u badan oo keenta RAPD. |
| Gulukooma | Dhaawac soo gaara neerfaha indhaha oo ay ugu wacan tahay cadaadiska sii kordhaya ee gudaha isha. Inkasta oo ay badanaa si isku mid ah u saamayso labada indhood, RAPD waxay dhici kartaa marka in ka badan hal il ay saamayso. |
| Kala-goynta isha | Kala-goynta isha waa kala-goynta isha, oo ah xuub gudaha isha ku jira, iyo unugyada taageera. Tani waa xaalad aad u daran. |
| Xididdada xididka isha dhexe ee ischemic | Xidid weyn oo xidhma kaas oo dhiiga u gudbiya isha. |
| atrophy indhaha | Dhaawac joogto ah oo soo gaara neerfaha indhaha sababo jira awgood. |
| Burooyinka indhaha | Cadaadiska neerfaha indhaha ee ay sameeyaan burooyinka kansarka ama kuwa aan kansarka ahayn. |
| Dhaawacyada indhaha | Dhaawac soo gaara neerfaha indhaha ama isha oo ay ugu wacan tahay shil daran, gubasho, ama caabuq. |
Intaa waxaa dheer, muuqaalka Marcus Gunn Pupil si dhif ah ayaa loogu arki karaa kiisaska daran ee amblyopia , ama "isha caajiska ah," iyo cataracts daran.
Sidee ku heli kartaa tan, Dhakhtar?
Tani waa wax aadan guriga ka heli karin. Waxaa jira baaritaan gaar ah oo dhakhtarku sameeyo. Waxaa la yiraahdaa "Tijaabada tooshka wareega." Waxaa sidoo kale loo yaqaan tijaabada Marcus Gunn.
Tan waxaa loo sameeyaa sidan:
1. Dhakhtarku wuxuu ku geyn doonaa qol mugdi ah.
2. Kadib, adigoo isticmaalaya toosh yar, iftiinka ku shid isha kasta dhowr ilbiriqsi.
3. Kadib si dhakhso ah ugu wareeji iftiinka isha kale.
4. Iftiinka sidan oo kale u rog dhowr jeer, adigoo si taxaddar leh u fiirinaya in labada digir ee indhaha madow ay si isku mid ah uga jawaabaan iftiinka, ama in mid ka mid ah uu si ka duwan kan kale u dhaqmo.
Qofka caafimaadka qaba, isha labada indhood waa inay isku soo ururaan mar kasta oo iftiinku ku dhaco. Si kastaba ha ahaatee, marka iftiinka la shido isha ay saameysay ee qofka qaba RAPD, isha si fiican uma yaraato, laakiin waxay sii ahaataa isla cabbirkii ama way sii weynaataa. Tani waxay dhakhtarka u sheegaysaa in dhibaato jirto.
Sidee loo daaweeyaa xaaladdan?
Tani aad bay muhiim u tahay in la fahmo. Ma jirto daaweyn gaar ah oo loogu talagalay Marcus Gunn Pupil. Sababtoo ah maaha cudur. Daawayntu had iyo jeer waxay wax ka qabataa xaaladda hoose ee keentay.
Tusaale ahaan:
- Haddii sababtu ay tahay neuritis-ka indhaha , dhakhtarkaagu wuxuu kuu qori karaa daawooyin sida steroids-ka IV.
- Haddii sababtu ay tahay glaucoma , waxaa la siin doonaa dhibco indhaha ah si loo xakameeyo cadaadiska isha.
- Haddii sababtu ay tahay go'itaanka isha , waxaa laga yaabaa in loo baahdo qalliin laysar ah ama qalliin si loo saxo.
Sidaa darteed, dhakhtarkaaga ayaa marka hore sameyn doona baaritaannada lagama maarmaanka ah si loo ogaado sababta saxda ah ee RAPD. Kadib, wuxuu kuu soo jeedin doonaa daaweynta ugu fiican adiga oo ku saleynaya sababtaas.
Goorma ayay tahay inaad isla markiiba dhakhtar u tagto?
Aragga indhaha waa mid ka mid ah hantidayada ugu qaalisan. Sidaa darteed, ha iska indho tirin isbeddellada ku yimaada indhahaaga. Haddii aad leedahay mid ka mid ah calaamadaha soo socda, hubi inaad la kulanto dhakhtar, gaar ahaan dhakhtarka indhaha.
- Xanuunka indhaha ama raaxo la'aanta.
- Aragti aan caddayn ama u arkidda wax laba ah.
- Dhibaato habeenkii ah .
- Aragista nalalka dhalaalaya (dhalaal) ama kuwa sabeynaya aragtidaada.
- Qayb ka mid ah aragtidaada ayaa noqota mid mugdi ah ama aan la arki karin.
Haddii aad la kulanto mid ka mid ah calaamadahan, ha ku darin inay yihiin "wax yar oo keliya." La tasho dhakhtar sida ugu dhakhsaha badan. Sababtoo ah xaaladahan, marka aad si dhakhso ah u bilowdo daaweynta, fursadahaaga inaad badbaadiso aragga ayaa sii fiicnaanaya.
Fariinta Guriga La Qaadanayo
- Marcus Gunn Pupil (RAPD) ma aha cudur, waa calaamad caafimaad oo muhiim ah oo tilmaamaysa dhibaato ka jirta dareemaha indhaha ama ishaada.
- In kasta oo calaamaddan oo keliya aysan khatar caafimaad keenin, haddana xaaladda hoose ee keenta waxay noqon kartaa mid halis ah oo u baahan daaweyn.
- Dhakhtarkaagu wuxuu xaaladdan ku ogaan karaa baaritaan fudud oo loo yaqaan "tijaabada tooshka wareega."
- Daawaynta looguma talagalin calaamadda Marcus Gunn Pupil, laakiin waa xaalad hoose oo keentay. Tani waxay u baahan kartaa daawo, laysar, ama qalliin.
- Haddii aad aragto wax isbeddel ah oo ku yimaada aragtidaada (xanuun, daal, indho la'aan habeenkii ah), isla markiiba raadso talo caafimaad iyada oo aan dib loo dhigin.
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