Ngaba ubona imicu efana nale ngaphakathi kwamehlo akho? Masithethe ngemicu ye-Angioid!

Ngaba wakha waya kugqirha wamehlo weva into efana nale, "Ungayibona le migca incinci ngaphakathi kweliso lakho, siyibiza ngokuba yi-Angioid Streaks"? Okanye usandul' ukuliva eli gama? Usenokuba noloyiko lokuva oku. Kodwa ungakhathazeki. Namhlanje, siza kuthetha ngale meko ebizwa ngokuba yi-Angioid Streaks ngendlela elula neqondakalayo.

Ngaba uyazi ukuba zithini ii-Angioid Streaks?

Ngamafutshane, ii-Angioid Streaks zimigca emincinci, erhabaxa ebonakala phantsi kwe-retina yeliso lakho. Zifana nemithambo yegazi, kodwa aziyomithambo yegazi. Zihlala zibonakala xa ugqirha wakho wamehlo ehlola amehlo akho. Zihlala zibonakala emehlweni omabini. Abanye abantu bazibiza ngokuba yi-Knapp streaks okanye i-Knapp striae.

Khawuthelekelele, ngaphakathi kweliso lakho kukho i-'Optic Disc' (oko kukuthi, inxalenye yokugqibela ye-optic nerve ngaphambi kokuba idibane nengqondo), kwaye le migca ibonakala ngathi iphuma apho. Yenziwa xa kuvela isicwili esibizwa ngokuba yi-'Bruch's membrane' ngaphakathi kweliso. Le 'Bruch's membrane' sisigqubuthelo sangaphakathi se-'Choroid' (apha kulapho imithambo yegazi ezisa igazi kunye nezondlo emehlweni ikhoyo). Iphakathi kwe-'Retina' kunye ne-'Sclera'.

Zithini iimpawu zale meko?

Ixesha elininzi, akukho zimpawu ze-angioid streaks. Oku kuthetha ukuba usenokungaluboni naluphi na utshintsho okanye ukungonwabi. Nangona kunjalo, ezinye iingxaki ezinxulumene nale angioid streaks ngamanye amaxesha zinokubangela ukulahleka kombono. Yiyo loo nto oogqirha bexhalabile ngale nto.

Kutheni le nto le miqolo ye-angioid isenzeka?

Isizathu esiphambili kukwakheka kwemifantu kwi-'Bruch's membrane' esithethe ngayo ngaphambili. Kwabanye abantu, le membrane iyanda ngokuhamba kwexesha, ibeke izinto ezifana ne-calcium, kwaye iqhekeka lula. Kulapho ke ezi mifantu zifana nemicu zenzeka khona.

Ngamanye amaxesha, oku kunokubangelwa kukwenzakala kwamehlo.

Zithini izinto ezibangela umngcipheko?

Kukho ezinye iimeko zempilo ezinokubangela i-Angioid Streaks. Ukuze bakhumbule ezi zinto, oogqirha ngamanye amaxesha basebenzisa isifinyezo se- PEPSI . Makhe sibone ukuba zithini:

• I-P - Pseudoxanthoma elasticum: Esi sisifo esizuzwa njengelifa. Sibangelwa kukufumba kweeminerali kwimicu ye-elastic yomzimba. Esi sifo sidla ngokunxulunyaniswa ne-Angioid Streaks.
• I-E - Ehlers-Danlos syndrome: Le yimeko yemfuza echaphazela izicubu zomzimba ezinxibelelanayo.
• Isifo sethambo sika-P - Paget: Esi sisifo esichaphazela amathambo. Sichaphazela indlela amathambo amatsha akhiwa naqhekeka ngayo.
• Isifo seSickle Cell: Esi sisifo esizuzwe njengelifa esichaphazela iiseli ezibomvu zegazi. Iiseli ezibomvu zegazi ziyaphazamiseka kwaye zinokubanjwa kwimithambo yegazi.
• Iimeko ze- Idiopathic : Ezi ziimeko apho kungekho sizathu sithile sifumanekayo . Ezi zinokuchaphazela i-hemoglobin (inxalenye yeeseli zakho ezibomvu zegazi) okanye i-collagen (inxalenye ephambili yezicubu ezinxibelelanayo) egazini lakho.

Into ebalulekileyo kukuba, akufuneki ube nazo zonke izifo ezithethwa yiPEPSI ukuze ube neAngioid Streaks. Ezi zezona zifo ziphambili ezinokunxulunyaniswa nazo.

Ezinye izinto ezinobungozi

Ukongeza kwezi meko zibalulekileyo zonyango, kukho nezinye izinto ezininzi ezinokunyusa umngcipheko wokufumana i-Angioid Streaks:

• Ukwaluphala: Utshintsho kwi-membrane kaBruch lunokwenzeka ngokuhamba kweminyaka.
• Ukulimala kwamehlo: Njengoko besitshilo ngaphambili, oku kunokubangelwa zizinto ezifana nokubethwa kakhulu emehlweni.

Ziziphi iingxaki ezinokubakho ze-Angioid Streaks?

Nangona ukuba nemigca ye-angioid kudla ngokuba yingozi, ngamanye amaxesha inokubangela iingxaki ezichaphazela umbono wakho. Ezi zezona ziyingozi.

Kukho iingxaki ezimbini eziphambili:

1. I-Choroidal neovascularization: Oku kulapho imithambo yegazi emitsha nengaphilanga kakuhle ikhula khona kwi- retina. Ezi zifana nokhula, kwaye azilungelanga iliso. Zinokopha okanye zivuze ulwelo, nto leyo ebangela ukubona okufipheleyo kunye nokuphambuka.

2. Ukopha kwegazi okungaphantsi kwesisu: Le mithambo yegazi ebuthathaka esandul’ ukwakheka inokuqhuma ize yophe igazi phantsi kwe-retina. Oku kungonakalisa nokubona.

Kuphela xa kuvela iingxaki ezinje apho umbono wakho uqala ukugqwetheka okanye ukuncipha.

Ifunyaniswa njani le nto? Zeziphi iimvavanyo ezenziwayo?

Uninzi lwexesha, ugqirha wakho wamehlo unokubona ezi migca ze-angioid ngexesha lovavanyo lwamehlo oluqhelekileyo. Nangona kunjalo, ukuqinisekisa imeko, ukuthintela ezinye iimeko, nokufumanisa ukuba kukho naziphi na iingxaki, ugqirha wakho unokufuna ukuba wenze iimvavanyo ezingaphezulu. Ngamanye amaxesha, banokukucela ukuba olu vavanyo luphindaphindwe ngamanye amaxesha ukuze babone ukuba imeko yakho itshintsha njani.

Iindidi zovavanyo ezenziweyo

Uvavanyo oluphambili lwemifanekiso olwenziweyo zezi:

• I-angiography ye-fluorescein:Oku kuquka ukufaka idayi ekhethekileyo emthanjeni osengalweni yakho. Emva koko, ikhamera ekhethekileyo ithatha imifanekiso njengoko idayi ihamba ngemithambo yegazi engaphakathi kweliso lakho. Oku kukuvumela ukuba ubone ngokucacileyo iingxaki ngemithambo yegazi yakho, njengemithambo yegazi emitsha.
• I-Optical coherence tomography (OCT): Oku kufana nokuskena ngaphakathi kweliso. Isebenzisa imisebe yokukhanya ukuthatha imifanekiso enqamlezileyo yangaphakathi kweliso. Ingajonga izinto ezinje ngobukhulu beengqimba ze-retina, ukwakheka kolwelo, kunye nemithambo yegazi emitsha.
• I-Fundus autofluorescence: Olu vavanyo lusebenzisa into yendalo ebizwa ngokuba yi-lipofuscin efumaneka ngaphakathi kweliso ukuze kubonwe utshintsho kunye nomonakalo kwiiseli eziselisweni.

Ugqirha uya kugqiba ukuba loluphi unyango olufunekayo ngokusekelwe kulwazi olufunyenwe kwezi mvavanyo.

Ngaba kukho unyango lwe-Angioid Streaks?

Akukho nyango lukhethekileyo lwe-Angioid Streaks. Oko kukuthi, okwangoku akukho nyango lokususa loo migca. Nangona kunjalo, eyona nto ibalulekileyo kukunyangela iingxaki ezivela kuyo, kunye nokunyanga naziphi na iimeko zempilo ezinokubakho ezinxulumene nayo (njengezo zikwi-PEPSI list).

Unyango oluthile lweengxaki

Ukuba unemeko efana nale sithethe ngayo ebizwa ngokuba yi-"choroidal neovascularization" (oko kukuthi, ukwakheka kwemithambo yegazi emitsha engafunekiyo), ugqirha wakho unokucebisa unyango olufana nolu:

• I-Photocoagulation: Oku kusebenzisa i-laser ukutshabalalisa imithambo yegazi engafunekiyo.
• Unyango lwe-Photodynamic (PDT): Oku kuquka ukunika umzimba wakho iyeza elikhethekileyo elinovakalelo ekukhanyeni, uze uqondise umqadi wokukhanya okhethekileyo elisweni lakho ukuze kutshatyalaliswe imithambo yegazi engafunekiyo.
• Amayeza e-anti-vascular endothelial growth factor (anti-VEGF): La ngawona asetyenziswa kakhulu. Abandakanya ukufaka iyeza elikhethekileyo kulwelo olufana nejeli ngaphakathi kweliso olubizwa ngokuba yi-vitreous humor. La mayeza alawula ukukhula kwemithambo yegazi emitsha. Akwabizwa ngokuba yi-VEGF inhibitors. La majeza anokufuneka aphindwe rhoqo ngenyanga okanye njengoko kufuneka.
• Ukusebenzisa amayeza e-PDT kunye ne-anti-VEGF kunye: Ngamanye amaxesha ezi ndlela zimbini zonyango zingasetyenziswa kunye.

Ngaba kukho naziphi na iziphumo/iingxaki zonyango?

Njengakwezinye iindlela zonyango, ezi ndlela zonyango zinokuba nemiphumo emibi okanye iingxaki. Kulungile ukwazi loo nto.

• Ukwenziwa kwe-laser photocoagulation:Nangona oku kusenokuvula umbono okwethutyana, ngamanye amaxesha kunokonakalisa izicwili ezisempilweni, okubangela ukopha kwe-retina kunye nokulahleka kombono ophakathi.
• Amayeza okulwa ne-VEGF: Iziphumo ebezingalindelekanga ezivela kwezi naliti zihlala zifutshane. Zingabandakanya iintlungu zamehlo, ukubomvu, ukukrazuka, kunye nokudada. Kukho umngcipheko omncinci kakhulu wokosuleleka kwamehlo ngokutofa ngakunye.
• Unyango lwe-PDT: Kusenokubakho ukwanda kwexeshana kokutshiswa lilanga emva koku. Kusenokubakho nendawo engaboniyo embonweni. Kusenokubakho iimpembelelo ze-allergy kumayeza avuselela ukukhanya, kwaye kunqabile ukuba kubekho imithambo yegazi emitsha nengafunekiyo.

Ukuba ucetyisiwe unyango, kubaluleke kakhulu ukuxoxa kakuhle nogqirha wakho ngezinto ezilungileyo, iingxaki kunye nemiphumo emibi enokubakho.

Kuza kwenzeka ntoni ukuba ndine-Angioid Streaks?

Ukuba unemigca ye-angioid kuphela, oko kukuthi, ukuba akukho ngxaki zimbi, ayiyongozi kangako. Nangona kunjalo, ukuba unesilonda samehlo, ngokuqinisekileyo kuya kufuneka ubone ugqirha wamehlo kwaye ufumane unyango.

Ukuba unengxaki ethile emzimbeni ebangela ukuba imithambo yakho ye-angioid ivele, kubaluleke kakhulu ukulandela isicwangciso sonyango sikagqirha wakho kwaye ufumane unyango lwamehlo oluyimfuneko.

Ingaba oku kungathintelwa? Ingancitshiswa njani ingozi?

Akukho ndlela yokuthintela imivimbo ye-angioid ebangelwa ziimeko zempilo ezifihlakeleyo. Nangona kunjalo, ungazithintela ezo zibangelwa kukwenzakala kwamehlo.

Ukukhusela amehlo akho yeyona nto ibalulekileyo apha. Ukunxiba izixhobo zamehlo ezikhuselayo kunokunceda ukunciphisa umngcipheko we:

• Xa usebenza ngoomatshini okanye izinto ezinokubangela ukwenzakala kwamehlo (umz. ukuwelda, ukusebenzisa i-grinder, ukusebenza ngomthi).
• Xa uqhuba isithuthuthu (unxibe i-visor kwisigcina-ntloko).
• Xa udlala imidlalo enzima kancinci (umz. ukudlala ikhilikithi, ingakumbi xa ubetha ibhethi, ukusika ibhola).
• Xa usebenza egadini, ingakumbi xa usika amasebe kwaye ususa imithi.

Ngawaphi amaxesha afanelekileyo okubonana nogqirha?

Kungcono ukubona ugqirha wamehlo rhoqo ukuze ahlolwe amehlo akho. Ukuba unengxaki yamehlo okanye enye ingxaki enokuthi ichaphazele amehlo akho, kunokufuneka ubonane nogqirha wakho rhoqo.

Ukuba ufumana nayiphi na kwezi ngxaki zamehlo, bonana nogqirha wamehlo ngoko nangoko:

• Ukuba uneentlungu zamehlo.
• Ukuba ubona naluphi na utshintsho embonweni (umz. ukufiphala, ukuphazamiseka, amabala amnyama).

Kwimeko enjalo, bonana nogqirha ngoko nangoko okanye uye kwigumbi likaxakeka:

• Ukuba wenzakele esweni.
• Ukuba ufumana intlungu eqatha okanye ukopha ngaphakathi kweliso.
• Ukuba umbono wakho uyanyamalala ngequbuliso okanye uba lufifi kakhulu.

Imibuzo yokubuza ugqirha/ugqirha

Wakuba wazi ukuba une-Angioid Streaks, ungabuza ugqirha wakho imibuzo efana nale:

• Kutheni ndinezi streaks ze-angioid?
• Luhlobo luni lonyango endiludingayo?
• Zithini iziphumo ebezingalindelekanga zezi ndlela zonyango?
• Ndifanele ndikubone kangaphi?
• Zeziphi ezinye iingcali endifanele ndizibone (umz. xa kukho ingxaki efihlakeleyo)?
• Zeziphi iimpawu ezintsha okanye iimpawu zemeko embi ekufuneka ndizijonge?
• Imeko yam iza kuba njani kwixesha elizayo (uqikelelo)?

Yintoni umahluko phakathi kwe-`Lacquer cracks` kunye ne-`Angioid Streaks`?

Zombini ezi zinto zibonakala ngathi yimicu ngaphakathi kweliso xa uhlola amehlo. Nangona kunjalo, inkangeleko yawo kunye nezizathu zahlukile.

• Imifantu yeLacquer: Ezi zidla ngokubonwa emehlweni abantu abanengxaki yokubona izinto ezikufutshane kakhulu.
• I-Angioid Streaks: Ezi zinokubangelwa zezinye zeemeko esizixubushileyo ngaphambili, okanye kukonakala kweliso.

Ngamanye amaxesha, ukuba ukubonakala kwale migca akucaci, ugqirha unokufuna ukwenza uvavanyo lomfanekiso olufana ne-OCT ukuze ahlukanise ngokuchanekileyo phakathi kwezi zimbini.

Ekugqibeleni, umyalezo wokubuyela ekhaya

Ukuba unemigca ye-angioid, usenokungazi nokuba injalo. Idla ngokufunyanwa ngugqirha ngexesha lovavanyo lwamehlo oluqhelekileyo. Kwiimeko ezininzi, akukho nto unokuyenza ngaphandle kokuyijonga. Oko kukuthi, linda nje ubone ukuba iyatshintsha na.

Nangona kunjalo, ngamanye amaxesha ugqirha wakho usenokucinga ukuba unesifo esithile esinxulumene noku. Ukuba kunjalo, kunokufuneka wenze uvavanyo olongezelelweyo.

Eyona nto ibalulekileyo kukuba ungoyiki kwaye umamele ngononophelo oko kuthethwa ngugqirha wakho. Qiniseka ukuba ubuza imibuzo malunga novavanyo oluza kulwenza kunye nokuba iziphumo ziya kukuxelela ntoni. Iqela lakho lezonyango likhona ukukunceda nokukunceda wenze izigqibo ezifanelekileyo. Fumana uhlolo lwamehlo rhoqo kwaye ukhusele amehlo akho, kwaye unokunciphisa umngcipheko weengxaki ezininzi.

Imigca ye - Angioid, Imigca ye-Angioid, Izifo zamehlo, Imigca yamehlo, i-Retina, i-Bruch's Membrane, Impilo yamehlo