Ingaba umbono wakho awubonakali kakuhle phakathi? Masifunde ngeCentral Serous Retinopathy!

Ngaba wakha waziva ngathi umbono wakho utshintshe ngequbuliso? Mhlawumbi umbono wakho kwelinye iliso ufiphele embindini, okanye ubona ibala elimnyama. Izinto ezinje azifanelekanga ukuba uzityeshele. Namhlanje, masithethe ngomnye unobangela wezi mpawu.

Yintoni iCentral Serous Retinopathy?

Ngamafutshane, le yimeko apho ulwelo luqokelelana emva kwe -retina, inxalenye yeliso ebaluleke kakhulu ekuboneni kwethu. Cinga ngeliso lethu njengekhamera. I-retina lulwalo oluncinci olufana nefilimu ekwikhamera, olubamba ukukhanya kwaye lunceda ingqondo ukuba itolike imifanekiso. Ngaphantsi kwe-retina kukho ulwalo oluzele yimithambo yegazi ebizwa ngokuba yi-choroid . Ngamanye amaxesha, ulwelo luvuza kule choroid kwaye luqokelelana emva kwe-retina. Kulapho ke le meko ebizwa ngokuba yi-'Central Serous Retinopathy' iyenzeka khona. Olu lwelo lunokubangela ukuba i-retina ikhululeke kancinci kwaye ihlukane. Ukuba oko kuyenzeka, iingxaki ezahlukeneyo ngokubona kwethu ziqala ukwenzeka.

Oku kukwabizwa ngokuba yi-'Central Serous Chorioretinopathy', umzekelo.

Le meko ayiqhelekanga kangako, kodwa inokwenzeka nakubani na. Ngokomyinge, ichaphazela abantu abamalunga ne-10 kwi-100,000 nganye. Nangona kunjalo, eli nani linokwahluka ngokuxhomekeke kwisini nakwezinye izinto ezinobungozi.

Zithini iimpawu zoku?

Abanye abantu banokuba ne-Central Serous Retinopathy ngaphandle kweempawu. Oku kuthetha ukuba imeko inokubakho elisweni ngaphandle kotshintsho ekuboneni. Nangona kunjalo, ukuba iimpawu ziyenzeka, zinokwenzeka elisweni elinye okanye omabini ngaxeshanye. Jonga ukuba unayo na enye yezi:

• Umbono ofipheleyo : Kusenokubonakala ngathi umsi udlule kuloo nto uyijongileyo, okanye ngathi kukho ibala lepeyinti eliwileyo.
• Ibala elimnyama phakathi kombono wakho : Usenokubona ibala elimnyama, okanye isithunzi esimnyama, kanye phakathi koko ukujongileyo.
• Umbono ofipheleyo: Yonke into ibonakala imnyama kunesiqhelo, ukukhanya kwayo kuncinci.
• Izinto ezimhlophe zibonakala zahlukile ngombala: Izinto ezimhlophe zisenokungabonakali zimhlophe ngokupheleleyo, kodwa zisenokubonakala zimnyama kancinci, mhlawumbi zimdaka ngebala.
• Izinto zibonakala zincinci okanye zikude: Izinto zinokubonakala zincinci kunokuba zibonakala ziqhele ukubonakala okanye zibonakale zikude kunokuba zinjalo ngokwenene.
• Imigca ethe tye ibonakala inwebekile: Imigca ethe tye, efana neefreyimu zomnyango neefestile kunye nemigca yethayile, ingabonakala inwebekile okanye igobile.

Kutheni oku kusenzeka?

Enyanisweni, izazinzulu azikafumani ukuba yintoni kanye kanye ebangela i-Central Serous Retinopathy. Kodwa kukho into enye ecacileyo.Uxinzelelo lubonakala lunempembelelo enkulu koku. Cinga ngako, xa sixinezelekile kakhulu, imizimba yethu ivelisa ihomoni ebizwa ngokuba yi -cortisol . Le cortisol inokubangela ukudumba kwiindawo ezahlukeneyo zomzimba, kwaye njengoko bekutshiwo ngaphambili, ulwelo lunokuvuza. Ngoko ke, abantu abaxinezelekileyo kakhulu kwaye benengxaki yokulawula olo xinzelelo basengozini enkulu yokuhlaselwa sesi sifo.

Kwakhona, le meko inokwenzeka nakubantu abasebenzisa amayeza anee -corticosteroids . Ezi corticosteroids zihlala zinikwa ukunyanga ukudumba kunye nee-allergies. Umzekelo, abanye abaguli be-asthma banikwa ezi ngenxa yeentlungu zamalungu. Ke ngoko, ukuba usebenzisa amayeza anjalo, kufuneka uqaphele ngaloo nto.

Ngubani onokuthi aphuhlise oku ngakumbi?

Nangona nabani na enokuba ne-'Central Serous Retinopathy', abanye abantu basengozini enkulu kancinci. Nanku abo bangoobani:

• Amadoda aphakathi kweminyaka engama-30 ukuya kwengama-50 ubudala: Ixhaphake kakhulu kumadoda akweli qela leminyaka.
• Abantu abangaboni kakuhle (`Myopia` / `nearsightingness`): Oku kuthetha ukuba nangona izinto ezikufutshane zinokubonakala ngokucacileyo, izinto ezikude azibonakali kakuhle.
• Abantu abasebenzisa amayeza athile: ingakumbi ii-corticosteroids ezikhankanyiweyo apha ngasentla.

Ukongeza koku, kukho nezinye izinto ezibangela umngcipheko:

• Izifo ezizikhusela ngokwazo : Umzekelo, abantu abanezifo ezifana ne-lupus kunye ne-rheumatoid arthritis.
• Isifo sentliziyo okanye uxinzelelo lwegazi oluphezulu : Abantu abanale ngxaki nabo basengozini enkulu.
• Usulelo lwebhaktiriya iHelicobacter pylori: Le yibhaktiriya edla ngokunxulunyaniswa ne-gastritis.
• Izifo zezintso : Umzekelo, iimeko ezifana ne-glomerulonephritis.
• Ukukhulelwa : Abanye abafazi banokufumana le meko ngexesha lokukhulelwa.
• Iingxaki zokulala: Iimeko ezifana nokungalali kakuhle kunye nokuphelelwa ngamandla kokulala.
• Amanye amayeza: Amanye amayeza okuxinana kweempumlo kunye namayeza asetyenziselwa ukungasebenzi kakuhle ngokwesondo nawo anokuchaphazela oku.

Oogqirha bayibona njani le nto?

Ukuba ubona naluphi na utshintsho embonweni wakho, oko kukuthi, ukuba ufumana olunye okanye ngaphezulu kwezi mpawu zikhankanyiweyo apha ngasentla, bona ugqirha wosapho lwakho okanye ingcali yamehlo ngokukhawuleza.Ufanele ubone ugqirha. Ugqirha uza kukubuza ngeempawu zakho aze ahlole amehlo akho. Ukongeza, banokwenza uvavanyo oluthile ukujonga i-retina yakho:

• I-Fluorescein Angiography (IVFA): Oku kuquka ukufaka idayi ekhethekileyo emthanjeni osengalweni yakho. Le dayi ihamba ngemithambo yegazi engaphakathi kweliso iye kwi-retina. Ikhamera ekhethekileyo emva koko ithatha imifanekiso yangaphakathi kweliso. Oku kukuvumela ukuba ubone apho ulwelo luvuza khona ngokucacileyo.
• I-Optical Coherence Tomography (OCT): Oku kufana ne-3D scan yangaphakathi kweliso. Ingalinganisa ubukhulu be-retina, ibone ukuba kukho ukudumba, kwaye ijonge ukuba akukho serous retinal detachment.

Luluphi unyango lwale nto?

Ixesha elininzi, le meko ibizwa ngokuba yi-'Central Serous Retinopathy' iba ngcono ngaphandle konyango kwiiveki okanye kwiinyanga ezimbalwa. Oku kuthetha ukuba ulwelo oluqokeleleneyo luya kuziphelela. Ke ngoko, ugqirha wakho angakuxelela ukuba "ulinde kwaye ulinde". Ngeli xesha, baya kuphinda iimvavanyo (ezifana ne-'OCT``) ukuze babone ukuba ulwelo lunciphile na.

Kwakhona, ukuba usebenzisa nawaphi na amayeza ocinga ukuba anokuba negalelo kule meko, ugqirha wakho uya kukucebisa ukuba uyeke ukuwasebenzisa. Ukunciphisa uxinzelelo kubaluleke kakhulu. Ugqirha wakho uya kukucebisa ngaloo nto.

Nangona kunjalo, ukuba ulwelo aluzange lunciphe emva kweenyanga ezimbalwa, ugqirha unokugqiba ekubeni aqalise unyango. Nazi ezo ndlela zonyango:

• Amayeza: Kukho amayeza athile, umzekelo, inaliti ebizwa ngokuba yi-Anti-Vascular Endothelial Growth Factor (Anti-VEGF). La mayeza anokuthintela ukukhula kwemithambo yegazi emitsha engafunekiyo ngaphakathi kweliso. Kwakhona, ezinye ii-diuretics (ezinceda ekunciphiseni ukugcinwa kolwelo) zinokunikwa.
• Unyango lwePhotodynamic (PDT): Oku kuquka ukufaka iyeza elibizwa ngokuba yiVerteporfin emthanjeni osengalweni yakho. Xa iyeza lisesweni lakho, kusetyenziswa i-laser ekhethekileyo ebandayo ukuvala ukuvuza.
• Ezinye iindlela zonyango lweLaser: Amayeza okubulala amehlo kwaye ngamanye amaxesha i-thermal laser ingasetyenziselwa ukunqanda ukuvuza. I-Micropulse laser lolunye uhlobo lwelaser. Oku kusebenzisa ii-laser pulses ezimfutshane kakhulu nezincinci.

Ukuba ndinayo le meko, ndingazinyamekela njani?

Ukwenza utshintsho oluthile kwindlela ophila ngayo kunokukunceda ulawule i-Central Serous Retinopathy:

• Lala kakuhle ubuncinane iiyure ezisixhenxe ubusuku ngabunye.
• Nciphisa ukusetyenziswa kwe-caffeine (iti, ikofu), utywala, kunye ne-corticosteroids. Kuphephe ukusebenzisa ii-corticosteroids ngaphandle kwengcebiso kagqirha.
• Lawula kwaye unciphise uxinzelelo. Oku kungenziwa ngokuzilolonga, ukucamngca, ukuchitha ixesha nabantu obathandayo, okanye ukufuna ingcebiso.

Ukuba unengxaki yokubona, zama ezi zinto ukuze uhlangabezane nazo:

• Joyina iqela lenkxaso. Ngale ndlela ungadibana nabantu abakwimeko efanayo nawe, wabelane ngamava abo, kwaye uqondane.
• Thetha nabantu obathandayo okanye umcebisi malunga neemvakalelo zakho kunye nendlela ohlangabezana ngayo nale meko.
• Sebenzisa izixhobo ezikuncedayo ukwenza imisebenzi yemihla ngemihla ngokukhuselekileyo.

Ndifanele ndimbone nini ugqirha xa ndibona utshintsho kwindlela endibona ngayo?

Ukuba ubona naluphi na utshintsho ekuboneni kwakho, musa ukulutyeshela. Bona ugqirha wosapho lwakho okanye ingcali yamehlo ngoko nangoko. Le meko, ebizwa ngokuba yiCentral Serous Retinopathy, ngamanye amaxesha iba ngcono ngokwayo, kodwa ngamanye amaxesha inokuba mandundu kwaye ibangele ukulahleka kokubona okungapheliyo okanye ubumfama. Kwakhona, ngamanye amaxesha iingxaki zokubona zinokuba luphawu lwenye imeko engaphantsi. Yiyo loo nto kubalulekile ukufuna unyango ngoko nangoko.

Ndingalindela ntoni ukuba oku kunjalo?

Kwiimeko ezininzi, i-Central Serous Retinopathy iyaphucuka xa ulwelo luhlala lodwa. Umbono ubuyela kwimeko yesiqhelo, kwaye ngamanye amaxesha ubuyela kwimeko yesiqhelo ngokupheleleyo. Nangona kunjalo, ngamanye amaxesha umonakalo uhlala uhleli, kwaye utshintsho lombono lunokuqhubeka.

Into ebalulekileyo kukuba nokuba le meko inyangiwe ngempumelelo kwaye iphucuka, ingabuya. Ingabuya kwiliso elinye okanye kwelinye. Ke ngoko, kuya kufuneka uqhubeke nokubonana rhoqo nogqirha wamehlo.

Ngoko ke, zeziphi izinto esifanele sizikhumbule kweli bali?

Ukuba uneengxaki zokubona, ungazityesheli. Kungcono ukubona ugqirha wosapho lwakho okanye ugqirha wamehlo. I-'Central Serous Retinopathy' ayisiyonto ixhaphakileyo, kodwa sisifo samehlo esinokukhokelela ekulahlekelweni kokubona okungapheliyo kunye nezinye iziphumo ebezingalindelekanga. Ukuba uyichonga kwasekuqaleni kwaye uqale unyango, unganciphisa umonakalo ekuboneni kwakho. Ke ngoko, kubaluleke kakhulu ukukhathalela amehlo akho kwaye ufune iingcebiso zonyango ukuba ubona naluphi na utshintsho, uyaqonda?