Yintoni iFuchs' Dystrophy? Ngaba ichaphazela amehlo akho omabini?

Ngaba nawe uziva ungacacanga xa uvuka kusasa? Ngaba kubonakala ngathi kuya kuba mandundu njengoko imini iqhubeka? Okanye ngaba ngamanye amaxesha ufumana kunzima ukubona izibane xa uqhuba ebusuku? Nangona ezi zinto zinokubonakala ngathi zizinto eziqhelekileyo, zisenokuba sisiqalo sengxaki encinci yamehlo. Olu hlobo lwesifo esiza kuthetha ngaso namhlanje, kwaye yiFuchs ' Dystrophy leyo.

Yintoni iFuchs' Dystrophy?

Ngamafutshane, iFuchs' Dystrophy yimeko echaphazela i-cornea yamehlo akho omabini. Uyazi ukuba yintoni i-cornea? Yi-membrane ecacileyo, efana neglasi egubungela umphambili weliso lakho. Inxalenye enemibala yeliso lakho, i-iris , kunye nomfundi zigqunywe yile cornea. Oku kukwabizwa ngokuba yi-'Fuchs' corneal dystrophy' kunye ne-'Fuchs' endothelial dystrophy'.

Ngoko ke xa une-Fuchs' dystrophy, iiseli ezikwi-cornea yakho, ezibizwa ngokuba yi-cornea endothelium, ziyafa kancinci kancinci. Le endothelium yinxalenye ebaluleke kakhulu. Isebenza njengepompo yamanzi encinci. Inceda ukususa amanzi angeyomfuneko kwi-cornea kwaye igcine icocekile kwaye icocekile.

Khawucinge nje, kwenzeka ntoni xa iiseli ezisebenza kule mpompo zisifa? Amanzi aqala ukuqokelelana ngaphakathi kwi-cornea. Emva koko i-cornea iyadumba, ibe njengesiponji esizaliswe ngamanzi. Yiyo loo nto amehlo eqala ukubonakala efiphele, kwaye ngamanye amaxesha anokubonakala ngathi kukho inkungu phezu kweliso. Kwiimeko ezinzima ngakumbi, ama-blister amancinci amanzi anokwakheka phezu komphezulu we-cornea. La ma-blister anokubangela intlungu kunye nokungonwabi kweliso.

Zithini izigaba zeFuchs' Dystrophy?

Kukho amanqanaba amabini aphambili e-Fuchs' dystrophy.

• Inqanaba lokuqala: Uphawu oluphambili oluza kuba nalo kweli nqanaba kukubona okufipheleyo kusasa . Kufana nesibuko esifipheleyo xa uvuka. Nangona kunjalo, njengoko uqhubeka nemisebenzi yakho yemihla ngemihla, ekuhambeni kweeyure ezimbalwa, oku kufipheleyo kuncipha kancinci kancinci kwaye umbono wakho uya ucaca. Abanye abantu basenokungabi nazo iimpawu ezinkulu kweli nqanaba.
• Inqanaba lokugqibela: Njengoko isifo siqhubeka, ukufiphala okwakusenzeka kusasa kuphela kuqala ukuhlala imini yonke. Ukudumba kwe-cornea kuba yinto engapheliyo. Oku kuthetha ukuba umbono wakho unokuba lufiphale nangaliphi na ixesha emini, ebusuku, okanye kusasa.

Zithini iimpawu zeFuchs' Dystrophy?

Kwinqanaba lokuqala, usenokungabi nazimpawu. Nangona kunjalo, njengoko isifo siqhubeka, usenokubona iimpawu ezifana nezi:

• Ukubona okunciphileyo ebusuku: Oku kufana nokubona ukukhanya kunye nee-halos ezijikeleze izibane zemoto xa uqhuba ebusuku.
• Ubunzima bokubona ngeentsuku zemvula: Xa indawo engqongileyo iba mnyama kancinci, kunzima ukubona izinto ngokucacileyo.
• Ubunzima bokwahlula phakathi kwezinto (ukungabi namandla okwahlulahlula): Umzekelo, kunokuba nzima ukufumana iswitshi emhlophe eludongeni olumhlophe.
• Uvelwano ekukhanyeni okuqaqambileyo: Amehlo aba luhlaza okwesibhakabhaka kangangokuba awakwazi ukujonga ukukhanya kwelanga okanye izibane ezikhanyayo ekhaya.
• Kuvakala ngathi kukho isanti okanye uthuli emehlweni akho. Yimvakalelo nje ecaphukisayo yokuba kukho into ebambeke ngaphakathi.
• Amaqhuqhuva kwi-cornea ayaqhuma aze abangele iintlungu emehlweni. Olu luphawu olunzima kancinci.
• Amanxeba: La manxeba adla ngokuqala avele embindini we-cornea. La manxeba anokuphazamisa umbono ngokusisigxina.

Yintoni ebangela iFuchs' Dystrophy?

Isizathu esiphambili sokufumana isifo se-Fuchs kukuba sisifo esidluliselwa ngemfuza . Oku kuthetha ukuba ukuba umama okanye utata wakho unesifo, nawe unokuba naso. Oku kubizwa ngokuba yi-autosomal dominant inheritance kwisayensi yezonyango. Nangona kunjalo, ngamanye amaxesha umntu unokusifumana ngamanye amaxesha, nokuba akukho mntu kusapho lwakhe onesifo.

Kwakhona, ezinye izinto zinokwenza i-Fuchs' dystrophy ibe mandundu .

• Ukutshaya: Abantu abatshaya icuba banamathuba amaninzi okufumana esi sifo.
• Ukuvezwa lilanga (ukukhanya kwe-UV): Ukuvezwa rhoqo kwimitha ye-ultraviolet ebukhali akulunganga.
• Ukuba neDiabetes Mellitus: Esi sifo sinokuba nzima nakwabantu abanesifo seswekile.

Ngubani osengozini enkulu yokufumana iFuchs' Dystrophy?

Abanye abantu banamathuba amancinci okuba ne-Fuchs' dystrophy kunabanye. Makhe sibone ukuba ngubani lowo.

• Ubudala: Ugqirha unokukwazi ukubona iimpawu zokuqala zesi sifo phakathi kweminyaka engama-30 ukuya kwengama-40. Nangona kunjalo, umbono uhlala uchaphazeleka emva kweminyaka engama-50 .
• Isini: Abafazi banamathuba amaninzi okufumana esi sifo kunamadoda.
• Imbali yosapho: Njengoko bekutshiwo ngaphambili, ukuba kukho umntu kusapho one-Fuchs' dystrophy, nabanye basengozini yokuba nayo.

Oogqirha bayixilonga njani iFuchs' Dystrophy?

Ukuba unale mpawu, into yokuqala omawuyenze kukubona ingcali yokhathalelo lwamehlo . Yona iza kuqala ikubuze ngeempawu zakho, ihlole imbali yakho yezonyango, ize emva koko yenze uvavanyo lwamehlo olucokisekileyo.

Ngethuba lovavanyo lwamehlo, ugqirha unokubona iimpawu ezininzi ezibonisa ukuba une-Fuchs' dystrophy.

• Ungabona ukuba ezinye iileya ze-cornea zijiyile .
• EyakhoUtshintsho kwimbonakalo ye-endothelium lunokubonwa.
• Ungabona amaqhuma amancinci abizwa ngokuba yi-guttae ngaphakathi kwi-cornea. La ngamaphawu eeseli ze-endothelial ezibuthathaka.

Uvavanyo lokuqinisekisa iFuchs' Dystrophy

Ukuqinisekisa ukuxilongwa, ugqirha unokwenza iimvavanyo ezininzi, ezifana nezi:

• I-Microscopy: Ezi zenziwa kusetyenziswa ii-microscopes ezikhethekileyo. Imizekelo ibandakanya uvavanyo lwesibane esiqhekekileyo kunye ne-confocal/specular microscope . Ezi zisivumela ukuba sibone i-cornea kwinqanaba leseli.
• I-Pachymetry: Olu luvavanyo olungenabuhlungu. Lulinganisa ubukhulu be-cornea yakho. Ukuba i-cornea idumbile, ityebile kakhulu, akunjalo?
• I-Optical Coherence Tomography (OCT): Le yindlela yokujonga iliso engenabungozi, engenabuhlungu. Isebenzisa ukukhanya ukuthatha imifanekiso ecacileyo yangaphakathi kweliso lakho, ingakumbi i-cornea.

Ziziphi iindlela zonyango lwe-Fuchs' Dystrophy?

Ngenxa yenkqubela phambili yesayensi yangoku, i-Fuchs' dystrophy inokunyangeka, kodwa ayinakunyangwa . Kwinqanaba lokuqala lesi sifo, ukuba akukho zimpawu zibalulekileyo, ugqirha wakho unokukugcina ujongiwe. Oku kuthetha ukuba unokucelwa ukuba uze kuhlolwa amehlo rhoqo.

Nazi ezinye iindlela zonyango:

• Izithambiso kunye namaconsi amehlo: Ukuba iimpawu zakho azikho qatha, ugqirha wakho unokukunika amayeza okunciphisa ukudumba kwi-cornea kunye nokunceda ekukhupheni ulwelo olugqithisileyo. Ukukhululeka kwezi zinto kudla ngokuba kokwexeshana.
• Isixhobo sokumisa iinwele esiphathwa ngesandla: Musa ukumangaliswa, olu lunyango! Ukunciphisa ukudumba kwasekuseni, ukuvuthela umoya opholileyo ovela kwisixhobo sokumisa iinwele (kude nangononophelo) ebusweni bakho kufunyenwe kunceda ukomisa umswakama ogqithisileyo kwi-cornea. Kufuneka ubuze ugqirha wakho indlela echanekileyo.
• Ukufakelwa kwe-cornea: Xa umbono wakho uqala ukunqongophala kakhulu yi-Fuchs' dystrophy, utyando lolona nyango lubalaseleyo. Usenokukwazi ukwenza inkqubo ye-endothelial keratoplasty (EK) , efaka inxalenye nje ye-cornea. Okanye usenokukwazi ukwenza i-cornea entsha. Utyando lwe-EK ngoku luphumelele kakhulu kuba lubandakanya ukususa kuphela umaleko onesifo we-endothelium kwaye uwutshintshele ngomaleko ophilileyo.
• Ukuhluba iigusha zeDescemet kuphela (i-DSO):Olu lunyango olutsha. Lubandakanya ukukhuhla nje isiqwenga seeseli ezinesifo embindini we-cornea. Oku kuvumela iiseli eziphilileyo ezijikeleze i-cornea ukuba zikhule zize zizalise izikhewu. Oku kusenokungasebenzi kumntu wonke, kwaye kuxhomekeke kugqirha ukuba athathe isigqibo.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha wam malunga neFuchs' Dystrophy?

Kubalulekile ukwakha ubudlelwane obuhle nogqirha wakho wamehlo. Qiniseka ukuba uya kuvavanyo lwamehlo njengoko kucwangcisiwe. Xelela ugqirha wakho ngoko nangoko ukuba ufumanisa naziphi na iimpawu ezintsha okanye ukuba iimpawu zakho ziya zisiba mandundu.

Ungabuza ugqirha imibuzo efana nale:

• Zeziphi iimpawu ekufuneka ndikubone ngokukhawuleza?
• Loluphi unyango olundicebisayo? Zithini izinto ezilungileyo nezingalunganga?
• Ngaba kukho naziphi na iimvavanyo zeklinikhi endinokuthi ndithathe inxaxheba kuzo?
• Ukuba andiboni kakuhle, ngaba kukho naziphi na izinto ezinceda ukubona kancinci ezinokundinceda?

Ngaba iFuchs' Dystrophy ingathintelwa?

Enyanisweni, okwangoku akukho ndlela yokuthintela i-Fuchs' dystrophy. Nangona kunjalo, ukuba uyatshaya, ukuyeka ukutshaya kunokunceda. Ukuba unesifo seswekile, kubalulekile ukusebenzisana nogqirha wakho ukulawula amanqanaba eswekile egazini lakho.

Yintoni endimele ndiyilindele ukuba ndineFuchs' Dystrophy?

Ngokuxhomekeke ekubeni iFuchs' dystrophy inzima kangakanani na, ukuba awufumani unyango olufanelekileyo, usenokuba neentlungu eziqatha, ungaboni kakuhle, mhlawumbi nokuba yimfama .

Kodwa ngonyango olufanelekileyo, imeko yakho ingaphucuka kakhulu. Emva kotyando oluthile (kuquka neeglasi), umbono wakho ungabuyela kwi-20/20, ngokufanayo nomntu ophilileyo, kwiintsuku ezimbalwa. Yiyo loo nto kubalulekile ukusebenzisana nogqirha wakho ukuze ufumane unyango olulungele wena.

Ukuba neempawu zaso nasiphi na isifo samehlo kunokoyikisa, kwaye i-Fuchs' dystrophy ayifani. Ukuba uneempawu ezifana neentlungu zamehlo okanye ukubona okufipheleyo, bona ugqirha ngokukhawuleza. Khumbula, ukuxilongwa kwangoko kunye nonyango kudla ngokukhokelela kwiziphumo ezilungileyo. Abaphandi bahlala bephuhlisa iindlela ezintsha zokulawula nokunyanga i-Fuchs' dystrophy kunye nezinye izifo zamehlo.

Umyalezo Wokuya Ekhaya

Kulungile, ngoko ke ndiyathemba ukuba ngoku uyiqonda ngcono iFuchs' Dystrophy, esithethe ngayo namhlanje.

• Esi sisifo esidluliselwa kwilifa esichaphazela i-cornea yeliso.
• Iimpawu eziphambili kukubona okufipheleyo kusasa , ukubona okufipheleyo imini yonke, ukubona amakhonkco xa ujonge izibane, kunye nentlungu yamehlo.
• Izinto ezinje ngokutshaya, ukukhanya okunamandla kwe-UV, kunye nesifo seswekile zinokwenza isifo sibe sibi ngakumbi .
• Ingcali yamehlo ingakufumanisa oku ize ikunike unyango olufanelekileyo .
• Kukho unyango olufana namayeza kunye notyando olukhethekileyo (ukufakelwa kwe-cornea, i-DSO).
• Kubaluleke kakhulu ukuqaphela nokunyanga esi sifo ngokukhawuleza.

Ukuba unezi mpawu, ungoyiki ukubona ugqirha. Amehlo axabiseke kakhulu, ngoko ke luxanduva lwethu ukuwanyamekela.

I-Fuchs ' Dystrophy, i-Cornea, Isifo Samehlo, Ukubona Okungacacanga, Ukulimala Kwamehlo, Ukufakelwa Kwe-Corneal