Ngamanye amaxesha siziva sisoyika kancinci xa sibona utshintsho oluncinci emehlweni ethu, akunjalo? Ingakumbi xa izinto ziqala ukubonakala zahlukile kancinci. Enye yezi meko ibizwa ngokuba
yi-macular pucker . Kodwa ungakhathazeki, masithethe ngayo ngokulula.
Yintoni kanye kanye le (Macular Pucker)?
Cinga ngeliso lakho njengekhamera. Kukho udonga emva kwale khamera, esiyibiza ngokuba
yi-retina . Yonke imifanekiso oyibonayo irekhodwa kule retina, njengefilimu. Embindini wale retina, kukho indawo encinci ebuthathaka kakhulu ebizwa ngokuba
yi-macula . Sibona izinto ngokucacileyo, ngokukhawuleza, sifunda incwadi, siqaphela oonobumba, ngenxa yale macula. Ngoku, kule meko ibizwa ngokuba yi-"Macular Pucker", okwenzekayo kukuba phezu kwe-macula, kukho umaleko we-cellophane, okanye i-membrane encinci kakhulu, okanye
i-scar tissue . Oogqirha bakwabiza oku ngokuba yi-
"Epiretinal Membrane (ERM)`` , kwaye abanye abantu bakubiza ngokuba yi-
"Cellophane Maculopathy" . Njengoko le membrane incipha kancinci, i-macula engaphantsi nayo iyanwebeka kwaye imibimbi, njengelaphu. Yiloo nto ibizwa ngokuba yi-"Macular Pucker" okanye 'macular puckering.' Oku akubangeli iingxaki ezinkulu zokubona kuye wonke umntu, kodwa ngamanye amaxesha kunokutshintsha indlela obona ngayo izinto, kuzenze zibonakale zigqwethekile.
Ixhaphake kangakanani le meko?
Le meko ibizwa ngokuba yi-`(Macular Pucker)` ixhaphake kakhulu kunokuba unokucinga. Uphando lwakutshanje lufumanise ukuba inani elikhulu labemi kwamanye amazwe linokuba nale meko.
Umngcipheko wale meko uyanda ngokuhamba kweminyaka. Kodwa iindaba ezimnandi zezokuba ayinguye wonke umntu one-`(Macular Pucker)` oya kuba nombono ongasebenzi kakuhle.
Zithini iimpawu zoku? Uyazi njani ukuba unayo?
Uphawu oluphambili lwale nto kukuba
umbono wakho ophakathi uyajikajika. Ngokukodwa, imigca ethe tye, efana neefreyimu zeefestile, iifreyimu zomnyango, kunye nemigca ekwincwadi,
ibonakala inwebekile okanye ishwabene. Oogqirha bakwabiza oku
ngokuthi "i-metamorphopsia." Khawuthelekelele ujonge umgangatho onethayile, kwaye imigca ethe tye phakathi kweethayile ibonakala ishwabene. Nangona oku kunokuchaphazela omabini amehlo, kudla ngokuchaphazela elinye iliso kuphela. Nokuba kukwimehlo omabini, elinye iliso linokuba libi kancinci kunelinye. Ukongeza kwimbonakalo eshwabeneyo, unokufumana oku:
- Akucaci njengoko kwakunjalo ngaphambili, nokuba usondela kangakanani kwinto oyijongileyo.
- Ngamanye amaxesha umfanekiso omnye ungabonakala ufana nomfanekiso emibini (umfanekiso ophindwe kabini).
- Umfanekiso obonwa kwelinye iliso ungavakala ngathi mkhulu kunelinye iliso.
Eyona nto ibalulekileyo kukuba ukulahleka kokubona okubangelwa yi-"Macular Pucker"
akulungiseki ngokunxiba iiglasi. Kutheni oku kusenzeka? Zithini izizathu?
Ngamafutshane, kukho izinto ezininzi ezinokubangela ukwakheka kwefilimu kwi-macula. Nazi ezinye zezinto eziphambili:
- Imingxunya okanye ukukrazuka kwi-retina.
- Ukuba nembali yokuqhekeka kwe-retina kwixesha elidlulileyo.
- Utyando lwangaphambili lwamehlo (umzekelo, utyando lwe-cataract).
- Ukonzakala Kwamehlo.
- Iintsholongwane ezenzeka ngaphakathi kweliso.
- Izifo zamehlo ezibangelwa sisifo seswekile (isifo se-retina esinxulumene nesifo seswekile / i-Diabetic Retinopathy)
- Iimeko zokudumba ezenzeka ngaphakathi kweliso ( Ukudumba kweliso / Uveitis )
Enye into kukuba ngamanye amaxesha le `(Macular Pucker)` inokwenzeka ngaphandle kwesizathu esicacileyo. Ibizwa ngokuba yi `(Idiopathic Macular Pucker)`, oko kuthetha ukuba akukho sizathu sinokufunyanwa.
Ingaba esi sisifo esosulelayo?
Hayi, akunjalo konke konke. `(Macular Pucker)` ayisosifo esosulelayo. Awunakuyifumana komnye umntu, kwaye awunakuyifumana komnye umntu.
Ngubani osengozini enkulu yokuphuhlisa oku?
Sele sitshilo ukuba ukwaluphala yeyona nto iyingozi kakhulu. Ukongeza, umngcipheko wakho wokuba ne-macular pucker unokwanda ukuba:
- Ukuba une- "Posterior Vitreous Detachment (PVD)``, apho i-vitreous humor ( into efana nejeli engaphakathi kweliso lakho) yahlukana ne-retina. Oku kuqhelekile njengoko ukhula.
- Ukuba ukhe wanyangwa nge-laser eye therapy ngaphambili, okanye olunye utyando lwamehlo , njengotyando lwe-cataract.
- Ukuba ukhe waba nokukrazuka okanye ukuqhekeka kwe-retina ngaphambili.
- Ukuba unesifo sokudumba kwamehlo esifana ne -uveitis .
- Ukuba une- diabetesic retinopathy .
- Ukuba bekukho ukwenzakala okukhulu kwamehlo .
Zeziphi iingxaki ezinokubangela oku?
`(Macular Pucker)` inokubangela
ukulahleka kokubona . Oko kuthetha ukuba umbono wakho usenokuba luzizi okanye ube mfiliba kancinci. Kodwa
Amathuba okuba ungaboni ngokupheleleyo ngenxa yoku ancinci kakhulu. Ngoko ke akukho nto inokubangela ixhala. Kodwa ukuba ubona utshintsho ekuboneni kwakho, kungcono ukubona ugqirha. Ugqirha uyibona njani le nto?
Xa undwendwela ugqirha wamehlo, uza kuqala akubuze ngeempawu zakho kunye nembali yakho yezonyango. Emva koko, uza kubeka amaconsi amehlo avulekayo emehlweni akho aze ahlole ingaphakathi leliso lakho. La maconsi asetyenziselwa ukuvumela ugqirha ukuba abone i-retina kunye ne-macula yakho ngokucacileyo. Zeziphi iimvavanyo ezenziwayo?
Ngexesha lovavanyo lwamehlo akho, ugqirha wakho uza kusebenzisa isibane esikhethekileyo kunye nelensi yokukhulisa amehlo ukujonga amehlo akho. Ukongeza, banokwenza uvavanyo olufana nolu ukuze bancede babone ukuba une-macular pucker:- Uvavanyo lwamehlo lwe-Amsler Grid: Kolu vavanyo, unikwa iphepha elincinci elinezikwere ezizotywe kulo. Linemigca ethe tye nethe nkqo. Xa ujonga le migca, ukuba ibonakala yoluliwe, imibimbi, okanye ukuba ezinye izikwere azikho, oku kunokukunceda ubone ukuba unengxaki yokubona na.
- Iskeni ye-Optical Coherence Tomography (OCT): Esi siskeni esenziwe ngekhamera ekhethekileyo. Sithatha imifanekiso ecacileyo ye-retina kunye ne-macula yakho, njengecandelo elinqamlezileyo lekhekhe. Kufana nokujonga kwiqhekeza lekhekhe. Esi skeni se-OCT sinokukuxelela ukuba kukho imibimbi ye-macula, okanye i-macular pucker, kunye nokuba inzima kangakanani.
Inyangwa njani? Singenza ntoni?
Ayizizo zonke ii-macular puckers ezifuna unyango. Ukuba iimpawu zakho azikho qatha kwaye umbono wakho awuchaphazelekanga kakhulu, ugqirha wakho angakuxelela ukuba ujonge imeko okwethutyana . Oku kuthetha ukuza kuhlolwa amehlo rhoqo. Nangona kunjalo, ukuba kufuneka unyango, kukho iindlela ezingezizo ezotyando nezotyando. Unyango ngaphandle kotyando (unyango olungangenisi ntsholongwane)
Kwi-macular pucker engadingi utyando, ungenza ezi zinto zilandelayo ukuze wenze ubomi bakho bemihla ngemihla bube lula:- Iiglasi ezintsha: Nangona iiglasi zingenakukulungisa ngokupheleleyo ukuphazamiseka kokubona okubangelwa yi-macular pucker, unyango olutsha lunokukunceda ukuphucula umbono wakho ngokubanzi.
- Ukukhanya okuhle: Xa ufunda iincwadi okanye usenza umsebenzi othambileyo, ukwenza oko kwindawo ekhanyiswe kakuhle, nokusebenzisa izibane zokufunda kunokunceda ekunciphiseni ukuxinezeleka kwamehlo.
- Izixhobo zokukhulisa:Ukuba unengxaki yokufunda umbhalo omncinci, ungasebenzisa iiglasi zokukhulisa okanye ezinye izixhobo.
Unyango lotyando
Ukuba umbono wakho uchaphazeleka kakhulu yi-macular pucker, ugqirha wakho unokucebisa utyando. Olu tyando lubizwa ngokuba yi-vitrectomy ngokususwa kwe-membrane .- Le yinkqubo yokulaliswa ngaphandle , oko kuthetha ukuba akufuneki uhlale esibhedlele, kwaye ungaya ekhaya ngaloo mini inye emva kotyando.
- Olu tyando lubandakanya ukwenza imingxunya embalwa kakhulu esweni, ukususa inani elincinci lento efana nejeli ngaphakathi kweliso (i-vitreous humor), kunye nokususa ngononophelo izicubu ezibomvu okanye ulwelwesi oluye lwenzeka phezu kwe-macula. Olu lutyando olunobunono kakhulu.
Ziziphi iingxaki ezinokubakho xa utyando? Ngaba kufuneka ndoyike?
Njengakwezinye iindlela zotyando, kukho iingozi ezithile ezibandakanyekayo kwi-vitrectomy. Kodwa iqela lakho lezonyango liya kwenza konke okusemandleni alo ukunciphisa ezo ngozi. Nazi ezinye zeengxaki ezinokubakho:- Ukopha .
- Usulelo .
- Ukukrazuka okanye ukuqhekeka kwe-retina .
- Ukuba une-cataracts, ziya kuba mandundu.
- Kuvela umngxuma kwi-macula (umngxuma we-macular) (oku kunqabile kakhulu).
- Uxinzelelo oluphezulu emehlweni, nto leyo ethetha uphuhliso lwe-glaucoma .
Kodwa khumbula, amathuba okuba ezi zinto zenzeke mancinci kakhulu, kwaye oogqirha baya kukugcina unolwazi olupheleleyo ngale nto. Ndingaphila ngokukhawuleza kangakanani emva konyango?
Ukuba wenze utyando lwe-vitrectomy, umbono wakho usenokuba lufiphale kancinci kangangeentsuku ezimbalwa emva kotyando. Amehlo akho asenokuba buhlungu kwaye angakhululeki. Oku kuqhelekile. Awuyi kukwazi ukuya emsebenzini okanye esikolweni kangangeeveki ezimbini ukuya kwezine emva kotyando. Kubalulekile ukuphumla amehlo akho ngeli xesha. Akufanele uqhube imoto kwangoko emva kotyando. Kungathatha ukuya kwiinyanga ezintathu ukuba umbono wakho uphucuke ngokupheleleyo kwaye ufumane iingenelo ezipheleleyo zotyando. Ngoko ke yiba nomonde. Ngaba ikho indlela yokuthintela oku ukuba kungenzeki?
Ngamanye amaxesha, ingakumbi kwiimeko ze-idiopathic macular pucker, akukho ndlela icacileyo yokuyithintela. Nangona kunjalo, izinto ezifana nokuthintela isifo samehlo esinxulumene nesifo seswekile ( oko kukuthi, ukugcina isifo sakho seswekile silawulwa) kunye nokuphepha ukwenzakala kwamehlo kunokunceda ukunciphisa umngcipheko wokuba nesi sifo. Ndimele ndilindele ntoni ukuba ndikule meko?
Sele sitshilo ukuba uninzi lweemeko ze-`(Macular Pucker)` azifuni unyango olukhethekileyo. Okufuneka ukwenze kukuhlolwa amehlo rhoqo ngokweshedyuli ebekwe ngugqirha wakho. Emva koko, ugqirha wakho angabona ukuba kukho naluphi na utshintsho ekuboneni kwakho nakwimpilo yamehlo. Usenokuba neengxaki zokubona ngenxa ye-`(Macular Pucker)`, kodwa ungakhathazeki ukuba oko kuya kukhokelela ekubeni ungaboni ngokupheleleyo. Amathuba mancinci kakhulu. Ukuba ndinayo le meko, ndingazinyamekela njani?
Nje ukuba wazi ukuba une-macular pucker, kukho izinto ezininzi onokuzenza ukukhusela amehlo akho:- Ungaphoswa yimihla yokuhlolwa kwamehlo enikwe ngugqirha.
- Gcina impilo yakho intle iyonke. Oko kuthetha ukutya ukutya okunesondlo kunye nokuzilolonga rhoqo.
- Landela imikhwa emihle yokunyamekela amehlo. Umzekelo, nxiba iiglasi zelanga xa uselangeni, hlamba izandla zakho kakuhle ngaphambi kokuba uchukumise amehlo akho, kwaye ukuba unxiba iilensi zokunxibelelana, zisebenzise ngokukhuselekileyo njengoko ugqirha wakho eyalele.
- Ukuba uyatshaya , zama ukuyeka. Ukutshaya akulunganga emehlweni akho. Ukuba ufuna uncedo lokuyeka, buza ugqirha.
Ndifanele ndimbone nini ugqirha?
Ukuba ubona naluphi na utshintsho olukhawulezileyo embonweni wakho , umzekelo, ukufiphala kwembono ngequbuliso, ukwanda kokubonakala kwemibimbi, okanye ukubonakala kwezinto ezidadayo ezifana namabala amnyama, bonana nogqirha wakho wamehlo ngokukhawuleza. Ukuba ngequbuliso uziva ngathi ulahlekelwa kukubona, okanye ukuba uva iintlungu ezinkulu zamehlo, yiya kwigumbi likaxakeka ngokukhawuleza, okanye eSri Lanka, tsalela umnxeba kwiNkonzo yeeAmbulensi zoHlaziyo zika-1990.
Ingaba ezi zinto zimbini zibizwa ngokuba yi (Macular Pucker) kunye ne (Age-Related Macular Degeneration - AMD)?
Ewe, ezi ziimeko ezimbini ezahlukeneyo. Kodwa iimpawu ngamanye amaxesha zinokufana. Zombini i-macular pucker kunye ne-age-related macular degeneration (AMD) ziimeko ezichaphazela i-macula. Kuzo zombini iimeko, umbono wakho ojikelezayo awusoloko uchatshazelwa, kodwa umbono wakho ophakathi uyachaphazeleka. Kwi-AMD, iiseli ezikwi-macula ziba buthathaka kwaye ziyatshatyalaliswa ngokuhamba kweminyaka. Kwi-macular pucker, kwakheka umaleko kwi-macula, nto leyo ebangela ukuba ishwabane. Unyango lwahlukile. Ngoko ke, ngaba i-macular pucker kunye ne-macular hole ziyafana?
Hayi, zizinto ezimbini ezahlukeneyo. "I-macular pucker" kukushwabana kwezicubu kwi-retina. Kodwa umngxuma kwi-macula "ngumngxuma we-macular."Kuthetha ukuba, njengoko igama lisitsho, kukho umngxuma omncinci kwi-macula. Ngamanye amaxesha, ukuba ne-`(Macular Pucker)` kwandisa umngcipheko wokuba ne-`(Macular Hole)` kamva, kodwa akusisiqinisekiso. Iimpawu ezibonakalayo ze-`(Macular Hole)` zihlala zinzima kunezo ze-`(Macular Pucker)`. Kwakhona, i-`(Macular Hole)` idla ngokufuna utyando. Okokugqibela, kukho izinto ezibalulekileyo ekufuneka uzikhumbule:
Kuqhelekile ukuba uzive usoyika kwaye ukhathazekile xa uqala ukuva ukuba unesifo esibizwa ngokuba yi-`(Macular Pucker)`, kwaye sinokuchaphazela umbono wakho. Kodwa khumbula, uninzi lweemeko ze-`(Macular Pucker)` azifuni unyango olukhethekileyo. Ugqirha wakho uza kuthetha nawe malunga neendlela onokukhetha kuzo aze akuncede uthathe isigqibo sokuba leliphi inyathelo elilandelayo elifanelekileyo kuwe. Eyona nto ibalulekileyo kukwenza uvavanyo lwamehlo rhoqo. Ugqirha wakho wamehlo uza kukuxelela ukuba kufuneka uhlolwe amehlo akho kangaphi. Ungalibali ukwazisa ugqirha wakho malunga naluphi na utshintsho ekuboneni kwakho, nokuba lolona luncinci. Ngaleyo ndlela, ukuba kukho into ekufuneka yenziwe, ungayifumana unyango ngokukhawuleza. Ke, ndiyathemba ukuba olu lwazi luluncedo kuwe. Nyamekela amehlo akho!
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho