Ngaba wakha waziva ngathi umbono wakho awubonakali kakuhle okanye awubonakali kakuhle? Mhlawumbi uvuke kusasa waze wangakwazi ukubona kakuhle kwelinye iliso? Okanye ngaba wakha waziva ngathi kukho ubumnyama phambi kwamehlo akho? Ukuba ukhe wahlangabezana nento efana nale, musa ukuyityeshela lula, kulungile? Namhlanje siza kuthetha ngemeko enokubangela iimpawu ezifana nezi, kwaye kufuneka ulumke kancinci, kodwa ukuba uyazi kwangaphambili, inokukunceda uyilawule. Oko kubizwa ngokuba yi -`(Ischemic Optic Neuropathy)` , okwaziwa ngokuba yi -`(ION)` ngamafutshane.
Ngaba uyazi ukuba yintoni i-`(Ischemic Optic Neuropathy - ION)`?
Ngamafutshane, `(Ischemic Optic Neuropathy)` yimeko apho umthambo ophambili ozisa umbono elisweni lakho, i`(Optic Nerve)` ungafumani igazi elaneleyo, nto leyo ebangela ukulahleka kombono. Khawucinge nje, kwenzeka ntoni ukuba isityalo seentyatyambo emyezweni wethu asifumani manzi aneleyo? Siyafa kancinci kancinci, akunjalo? Yiyo loo nto kunjalo ngale nto. Xa ukuhamba kwegazi kwiindawo ezithile ze`(Optic Nerve)` yakho kuphazanyiswa, ezo ndawo ziyayeka ukusebenza kakuhle, kwaye ekugqibeleni ziqale ukufa. Ukuba oku kuphazamiseka kokuhamba kwegazi kuba nzima okanye kuthathe ixesha elide, i`(Optic Nerve)` inokonakala ngonaphakade.
Le meko idla ngokuvela kwindawo ejikelezayo ngasemva kweliso lakho ebizwa ngokuba yi-"Optic Disk." I-"Optic Disk" kulapho imithambo yegazi kunye ne-"Optic Nerve" zidibana khona neliso. Le meko, ebizwa ngokuba yi-"ION", ayixhaphakanga kakhulu kwaye ichaphazela kakhulu abantu abangaphezu kweminyaka engama-50 ubudala.
Ngaba kukho iintlobo eziphambili ze-`(ION)`?
Ewe, kukho iintlobo ezimbini eziphambili ze-`(Ischemic Optic Neuropathy)`. Masibone ukuba zeziphi:
1. I-Anterior Ischemic Optic Neuropathy (AION) : Olu lolona hlobo luqhelekileyo lwe-ION. Ichaphazela nokuba yi-optic nerve engaphantsi kwe-optic disc okanye i-optic disc ngokwayo.
2. `(Posterior Ischemic Optic Neuropathy - PION)` : Kolu hlobo, isiphumo senzeka kwinxalenye ye`(Optic Nerve)` ebekwe ngasemva kancinci.
Ngoku masithethe ngeentlobo nganye kwezi ngokweenkcukacha ezithe vetshe.
Utshintsho kwi `(AION)`
`(AION)` kwakhona ineentlobo ezimbini:
- I-Arteritic Anterior Ischemic Neuropathy (AAION) : Oku kukudumba kwemithambo yegazi (Arteritis) . Le meko idla ngokuvela kwiimeko ezifana neVasculitis, ezikudumba kwemithambo yegazi.
- `(Nonarteritic Anterior Ischemic Neuropathy - NAION)` : Kule nto, akukho ukudumba kwemithambo yegazi njengoko bekutshiwo ngaphambili. Oku kudla ngokubangelwa kukuba ukuhamba kwegazi ukuya kwi-`(Optic Nerve)` kuthintelwe.
Masifunde kancinci malunga ne-`(PION)`
Njenge-AION, i-PION ineentlobo ezimbini, i-Arteritic kunye ne-Nonarteritic. Oko kukuthi, i-PION ibangelwa yi-arteritis, kwaye i-PION ibangelwa kukuphazamiseka kokuhamba kwegazi ngaphandle kwe-arteritis.
Zithini iimpawu zoku? Ngaba nawe unazo ezi?
Uphawu oluphambili lwe-`(ION)` kukulahlekelwa yimbono. Nangona kunjalo, indlela eyenzeka ngayo inokwahluka ngokuxhomekeke kuhlobo lwe-`(ION)`. Ngokufanayo, nezinye iimpawu ziyahluka ngokuxhomekeke kuhlobo.
Iimpawu ze-`(NAION)`
Ukulahlekelwa ngumbono ngenxa ye-NAION kudla ngokuvela ngequbuliso kwaye kungabi nantlungu. Kudla ngokuvakala njengokufiphala kombono okanye ukulahleka kombono kwinxalenye yentsimi yombono, ingakumbi isiqingatha esisezantsi . Ngamanye amaxesha , ukulahleka kombono wombala (i-dyschromatopsia) nako kunokwenzeka.
Abantu abaninzi baqala ukuqaphela oku kulahlekelwa yimbono xa bevuka kusasa. Kungaba emva kokulala ixesha elide okanye ukulala kancinci.
Amaxesha amaninzi, umbono unokuncipha kancinci kancinci kangangeeveki ezimbini. I-NAION lolona hlobo luqhelekileyo lwe-ION, kwaye idla ngokuchaphazela iliso elinye ngexesha. Nangona kunjalo, malunga ne-15% yabantu abane-NAION kwelinye iliso banokufumana le meko kwelinye iliso kamva.
Iimpawu ze-`(AAION)`
Kwi-`(AAION)` , umbono udla ngokulahleka ngequbuliso. Oko kukuthi, umbono unokuba lufiphale, ungabi mfiliba, unciphe, okanye ulahleke ngokupheleleyo. Kwi-`(AAION)`, unokukhatshwa ziimpawu ezinxulumene ne-`(Arteritis)` ezikhankanyiweyo ngaphambili. Zezi:
- Intloko ebuhlungu: Ingakumbi kumacala omabini ebunzi.
- Ukudumba kwemithambo yegazi kumacala omabini ebunzi: Akukho kubetha kwentliziyo okuvakalayo xa kuchukunyiswa le mithambo.
- Intlungu kwimisipha yomhlathi xa kuhlafunwa ukutya.
- Ukungakhululeki okanye ukwehla kobunzima ngendlela engachazekiyo.
Kwinani elincinci labantu, uhlobo "olungaqhelekanga" lwe-Arteritic ION lunokwenzeka. Oku kuthetha ukuba umbono uyalahleka, kodwa akukho nanye kwezinye iimpawu ze-Arteritis ekhoyo.
Iimpawu ze-`(PION)`
Zombini i-Arteritic PION kunye ne-Nonarteritic PION zibangela ukulahleka kokubona ngequbuliso, okungenabuhlungu. Nangona kunjalo, i-PION inokukhula kancinci kwinqanaba lokuqala. Oku kuthetha ukuba iimpawu ziya zisiba mandundu ngokuhamba kwexesha.
Kutheni le nto `(Ischemic Optic Neuropathy)` isenzeka? Zithini izizathu?
Izizathu ze-`(ION)` zinokwahluka ngokuxhomekeke kuhlobo. Makhe sibone ukuba isebenza njani .
Izizathu ze-`(NAION)`
Iingcali azikaqiniseki ukuba kutheni i-NAION iphuhlisa. Kodwa zicinga ukuba ngokuqhelekileyo yindibaniselwano yezinto.Kucingelwa ukuba oku kubangelwa kukuvaleka kokuhamba kwegazi ukuya kwi-optic nerve. Ezi meko zihlala zichaphazela indlela inkqubo yakho yokujikeleza kwegazi elawula ngayo ukuhamba kwegazi nge-optic nerve. Ukuba nje loo ndlela yokuzilawula isebenza kakuhle, awuyi kuphuhlisa i-NAION. Nangona kunjalo, iziganeko ezithile okanye iingxaki zinokuphazamisa loo ndlela yokuzilawula. Ezi ziquka:
- Utshintsho kwisakhiwo se-`(Optic Disk)` ngaphakathi kweliso: Oku kuthetha ukuba i-`(Optic Disk)` iba ncinci okanye ibe nkulu. Oku kukwabizwa ngokuba yi-"disk esengozini".
- Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
- `(Isifo Seswekile Sohlobo Lwesibini)` (Isifo Seswekile Sohlobo Lwesibini).
- I-atherosclerosis (ukugcinwa kwamafutha kwimithambo yegazi).
- I-Sleep Apnea (i-Sleep Apnea).
- Ukuncipha koxinzelelo lwegazi ngexesha lokulala (`Nocturnal Hypotension`).
- I-anemia (ukuncipha kweeseli ezibomvu zegazi okanye i-hemoglobin egazini).
- Ukutshaya (kuquka nokutshaya i-vaping).
- Iintloko ezibuhlungu.
- Amanye amayeza: Izithinteli zePhosphodiesterase (umzekelo, amayeza asetyenziselwa ukunyanga ukungasebenzi kakuhle kwe-erectile) zinokubangela i-ION. Nangona kunjalo, iingcali azikholelwa ukuba la mayeza odwa abangela i-ION.
Izizathu ze-`(Arteritic ION)` (AAION kunye ne-APION)
Zombini `(AAION)` kunye `(APION)` zinesizathu esifanayo: `(Arteritis)` (arteritis). Le meko yenzeka xa kukho ukudumba kuyo yonke inkqubo yokujikeleza kwegazi. Ezona zizathu zixhaphakileyo zezi:
- `(I-Giant Cell Arteritis - GCA)`
- Ezinye iintlobo ze-`(Vasculitis)` (iimeko zokudumba kwemithambo yegazi).
Izizathu ze-`(Non-arteritic PION - NPION)`
Kukho izizathu ezithile ezichaphazela `(NPION)`. Nazi:
- Iimeko ezichaphazela ukujikeleza kwegazi emehlweni: Uninzi lwazo ziyafana nezo zibangela i-NAION. Umzekelo, isifo seswekile sohlobo lwesibini, uxinzelelo lwegazi oluphezulu, i-atherosclerosis.
- Ukopha: Ukwehla ngequbuliso koxinzelelo lwegazi kunokubangela ukuvaleka kokuhamba kwegazi ngasemva kweliso, nto leyo ebangela i-NPION.
- Utyando: Uxinzelelo lwegazi lunokwehla ngezizathu ezahlukeneyo ngexesha lotyando. Oku kunokukhokelela kwi-PION.
Ngubani osengozini enkulu yokuphuhlisa oku?
Abanye abantu banamathuba amaninzi okufumana le meko (i-Ischemic Optic Neuropathy). Makhe sibone ukuba bangoobani:
- Abantu abaneengxaki zemithambo yegazi: Oku kuthetha ukuba abo baneengxaki ekuthethwe ngazo ngaphambili, ezifana noxinzelelo lwegazi oluphezulu, isifo seswekile, i-cholesterol ephezulu, ukutshaya, kunye ne-sleep apnea, basengozini enkulu.
- Abantu abanezifo zokudumba: Umzekelo, abantu abanezifo ezifana ne-`(Giant Cell Arteritis - GCA)` nabo basengozini enkulu yokuba ne-`(ION)`.
- Abantu abangaphezu kweminyaka engama-50 ubudala.
- KwamadodaBanokukhula kancinci kunabafazi.
Ugqirha uyibona njani le nto?
Ingcali yakho yokhathalelo lwamehlo inokuxilonga i-ION isebenzisa iindlela ezahlukeneyo. Inkqubo yokuxilonga idla ngokuqala ngokukubuza imibuzo malunga neempawu zakho, iziganeko zobomi bakho bamva nje, kunye nembali yakho yezonyango. Iimpendulo zakho ziya kubanceda banciphise uluhlu lwezizathu ezinokubakho ngokuphelisa ezinye iimeko ezinokuthi zifane ne-ION. Emva koko baya kwenza uvavanyo lwamehlo , benika ingqalelo ekhethekileyo kwiindawo zeliso ezijonga idiski ye-optic, ekwindawo engasemva kweliso.
- I-Anterior ION (AION): Zombini i-Arteritic kunye ne-Nonarteritic AION zibangela utshintsho olubonakalayo kwi-optic disc yakho kwasekuqaleni. Olu tshintsho lunceda ugqirha wakho wamehlo ukuba axilonge esi sifo. Xa exilonga i-AAION, baya kujonga ukuba ngaba unazo naziphi na iimpawu ezinxulumene ne-Arteritis.
- `(I-Posterior ION - PION)`: Ezi ntlobo kunzima ukuzibona. Kuba kumanqanaba okuqala, akukho tshintsho lubonakalayo kwi-`(Optic Disk)`.
Zeziphi iimvavanyo ezenziwayo koku?
Kukho iimvavanyo ezahlukeneyo ezinokunceda ekuxilongeni imeko (ION) kunye nazo naziphi na iimeko ezinokubangela loo nto. Ezinye zezi zilula kwaye azidingi mzamo ungako womzimba. Umzekelo:
- Uvavanyo lokubona: Jonga naziphi na iziphene zentsimi yokubona (amabala angaboniyo).
- Ukulinganisa uxinzelelo lwegazi.
- Uvavanyo lwegazi: Jonga iimeko ezifana nesifo seswekile sohlobo lwesibini, i-cholesterol ephezulu, kunye nokungabikho kweevithamini emzimbeni.
- Ukulinganisa uxinzelelo lwangaphakathi kweso.
- I-Fluorescein Angiography: Le dayi isetyenziselwa ukuthatha imifanekiso yemithambo yegazi engaphakathi kweliso.
- I-Optical Coherence Tomography (OCT): Oku kunokuvelisa imifanekiso eneenkcukacha ezithe vetshe ye-optic nerve kunye ne-retina.
Ezinye iimvavanyo zenziwa ngokukodwa ukuze kufunyaniswe okanye kuthintelwe iimeko ezifana ne-"Arteritis" (ezifuna unyango olukhethekileyo ngokukhawuleza). Ezi vavanyo zingabandakanya:
- Uvavanyo lwemifanekiso: I-ultrasound okanye i-magnetic resonance imaging (MRI) yemithambo yegazi phantsi kwesikhumba kumacala omabini ebunzi.
- I-Temporal Artery Biopsy: Kuthathwa iqhekeza elincinci lesicubu kumthambo okwicala lebunzi kwaye livavanywe ukuba alinazo na izifo ezifana ne-GCA.
- Uvavanyo lwegazi ukuze kubonwe utshintsho olunxulumene nokudumba: njengovavanyo lwe-`(Erythrocyte Sedimentation Rate - ESR)` kunye novavanyo lwe-`(C-reactive Protein - CRP)`.
Ugqirha wakho unokucebisa olunye uvavanyo olusekelwe kwiimpawu zakho kunye nembali yempilo yakho. Banokukuxelela okungakumbi malunga novavanyo kunye nesizathu sokuba ulufune.
Zithini iindlela zokunyanga oku? Ngaba kunokunyangwa?
Unyango lwe-ION luyahluka ngokuxhomekeke kwisizathu. Ngamanye amaxesha, ugqirha unokunyanga i-ION ngokuthe ngqo. Ngamanye amaxesha, okufunekayo kukulawula izinto ezibangela umngcipheko kwimithambo yegazi kunye nokunyanga iimpawu.
Unyango lwe-`(Arteritic Ischemic Optic Neuropathy)`
Zombini i-`(Anterior)` kunye ne-`(Posterior Arteritic ION)` kufuneka zinyangwe ngokukhawuleza ngamayeza okulwa nokuvuvukala `(Corticosteroid)` (umz. `(Prednisone)`) okanye amayeza okunciphisa umzimba afana ne-`(Tocilizumab - Actemra®)`. `(Corticosteroid)` idla ngokunikezelwa njengepilisi, kodwa ngamanye amaxesha inikwa ngemithambo yegazi (IV). Idosi yale `(Corticosteroid)` inikwa ekuqaleni ngeedosi eziphezulu ize incitshiswe kancinci kancinci kwiintsuku okanye iiveki ezininzi. Abanye abantu banokufuna ukuthatha eli yeza ngedosi ephantsi ixesha elide ukuthintela iingxaki zokubona ezingapheliyo ezivela kwi-`(ION)`.
Unyango lwe-`(Nonarteritic Ischemic Optic Neuropathy)`
Ngelishwa, akukho nyango luqinisekisiweyo olusebenzayo lwe-`(Nonarteritic ION)`. Ngaphandle kokuba unemeko engaphantsi efana ne-`(Arteritis)`, amayeza e-`(Corticosteroid)` awasoloko ecetyiswa.
Okwangoku, unyango oluphambili lwe-`(Non-arteritic ION)` kukulawula iimpawu kunye nokunyanga okanye ukunciphisa izizathu ezisisiseko kunye nezinto ezibangela oku. Oku kubalulekile kuba `(Non-arteritic ION)` idla ngokuchaphazela iliso elinye ngexesha. Ngoko ke le ndlela inokunciphisa umngcipheko wokulahlekelwa kukubona emehlweni omabini ngenxa ye-`(ION)`.
Ukuba ulahlekelwe kukubona ngenxa ye-ION, ugqirha wakho unokucebisa ukuba usebenzise izixhobo zokuncedisa ezifana nezikhulisi, okanye usebenzise useto lokukhulisa okanye imiyalelo yelizwi/impendulo kwizixhobo zakho. Ezi zinokukunceda ulungise okanye usebenzele iingxaki zokubona.
Yintoni esifanele siyilindele xa le meko isenzeka?
I-ION idla ngokubangela ukulahleka kombono ngequbuliso. Xa ndisithi "ngequbuliso," inokwenzeka kwimizuzu okanye iiyure, kodwa ngamanye amaxesha ingathatha iintsuku. Ezona ntlobo zixhaphakileyo ze-ION zibangela ukubona okufipheleyo okanye okubuthathaka. Ezinye iintlobo zinokubangela ukulahleka kombono ngokupheleleyo. Ngamanye amaxesha, kunokubakho iziqendu ezimfutshane zokubona okufipheleyo ngaphambi kokuba i-ION ibangele ukulahleka kombono ngokupheleleyo.
Ngaba oku kuya kuyenza imbono yam ibe ngcono kwakhona?
`(ION)` ayisongeli ubomi, kodwa inokubangela ukulahleka okukhulu kokubona okunokuphazamisa ubomi bakho.
Kwezinye iimeko, i-ION iyaguquguquka, kodwa idla ngokubangela ukulahleka kokubona okungapheliyo.Nangona kunjalo, abantu abangaboniyo bafunda 'ukuziqhelanisa' nale meko. Emva koko baqala ukusebenzisa ezinye iindawo zombono wabo kwimisebenzi ethile, njengokufunda. Xa oku kusenzeka, kunokubonakala ngathi umbono wabo uphucukile, kodwa into eyenzekayo kukuba baya bephucuka ekusebenzeni nxamnye nokulahlekelwa kwabo umbono.
Ngaba i-Ischemic Optic Neuropathy ingathintelwa?
Awunakukwazi ukuyithintela ngokupheleleyo (i-ION). Kodwa unganciphisa umngcipheko wakho wokuba nayo. Eyona ndlela iphambili yokwenza oku kukuphepha okanye ukulawula iimeko ezinokubangela okanye ezinegalelo kwi-(ION). Ugqirha wakho unokucebisa ukuba utshintshe amayeza akho oxinzelelo lwegazi oluphezulu ukuze uthintele uxinzelelo lwegazi oluphantsi ngexesha lokulala, uqale amayeza okwehlisa i-cholesterol, ulungise amayeza akho eswekile, uyeke ukusebenzisa icuba (kubandakanya ukuvasa), kunye nezinye iindlela zokuthintela ukunciphisa amathuba akho okuphuhlisa (i-ION).
Kwakhona, ukuba kufuneka wenze utyando, iingcali zonyango ziya kuthatha amanyathelo okuthintela `(ION)`. Ukuba ukhe waba ne `(ION)` ngaphambili, okanye ukuba uyazi ukuba unemeko enokubangela oko (njenge `GCA` okanye `vasculitis`), xelela ugqirha wakho otyandayo kunye/okanye i-anesthesiologist ngaphambi kotyando lwakho. Banokucwangcisa ngokufanelekileyo baze benze naluphi na utshintsho olufunekayo.
Uzinyamekela njani ukuba unale meko?
Ukuba sele une-"Nonarteritic ION" ngaphambili kwelinye iliso, kufuneka ulumke kakhulu malunga naluphi na utshintsho okanye ukulahleka kombono kwelinye iliso lakho. Kuba xa sele ivele kwelinye iliso, kukho ithuba elikhulu lokuba ivele kwelinye iliso kamva.
Ukuba une-Arteritic ION, ugqirha wakho wamehlo uza kukuthumela kwingcali, efana neRheumatologist. Ingcali yeRheumatologist inokukunceda ukufumanisa nokunyanga naziphi na izifo zomzimba okanye ukudumba ezinokubangela i-Arteritis yakho. Kubalulekile ukulandela imiyalelo yengcali yakho yamehlo kunye nabanye oogqirha ukuze ulawule imeko yakho. Oku kuya kukunceda uphephe ukudumba kunye nokulahlekelwa ngakumbi kombono okanye iingxaki kwixesha elizayo.
Ufanele uye nini kwingcali yamehlo?
Ugqirha wakho wamehlo uza kucwangcisa utyelelo olulandelelanayo rhoqo ukuze ajonge umbono wakho okanye amehlo akho ukuba kukho naluphi na utshintsho. Kufuneka ugcine la madinga njengoko becebisa. Kwakhona, ukuba ubona naluphi na utshintsho embonweni wakho, kufuneka uqhagamshelane nabo ngokukhawuleza. Banokukuxelela ukuba kufuneka uthethe nabo, ufune uncedo lwezonyango olungxamisekileyo, okanye naluphi na olunye utshintsho oluthile.
Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?
Nakuphi na ukulahlekelwa ngumbono ngequbuliso luphawu olungxamisekileyo olufuna unyango olukhawulezileyo.Kuba, ngamanye amaxesha inokuba luphawu lwemeko esongela ubomi efana ne-`(Stroke)` (imeko efana nokukhubazeka), okanye inokuba yingxaki yamehlo efana ne-`(Retinal Detachment)` (ukuqhekeka kwe-retina - enokunyangeka ukuba inyangwa ngokukhawuleza).
Ngugqirha oqeqeshiweyo kuphela kunye novavanyo olukhethekileyo olunokwazi ukubona ukuba ukulahleka kombono ngequbuliso yingxamiseko ngokwenene. Kwimeko enjalo , imizuzu inokwenza umahluko omkhulu. Yiyo loo nto kungcono ukungayinaki loo nto ukuba awukaze ulahlekelwe kukubona ngequbuliso ngaphambili. Ukuba unemeko ekubeka emngciphekweni wokulahlekelwa kukubona ngequbuliso, okanye ukuba ukhe waba nayo ngaphambili, thetha nogqirha wakho. Banokuchaza xa olu phawu lufuna unyango olungxamisekileyo kwaye xa kuyinto onokuyilindela ngokwemeko yakho.
Imibuzo omele uyibuze ugqirha wakho
Nantsi eminye imibuzo ongathanda ukuyibuza:
- Luhlobo luni lwe-Ischemic Optic Neuropathy endinalo?
- Yintoni enokuba ibangela okanye inegalelo koku?
- Zeziphi iindlela zonyango ozicebisayo?
- Ngaba ukulahleka kombono wam kuya kuhlala kuhleli, okanye kukho ithuba lokuba kuya kuba ngcono?
Ngaba `(Ischemic Optic Neuropathy)` yi`(Stroke)`?
Hayi, kodwa kukho izinto ezifanayo.
`(Ischemia)` kuxa iiseli zingafumani ukuhamba kwegazi okwaneleyo zize ziqale ukufa. `(Ischemic Stroke)` kuxa kwenzeka engqondweni yakho. `(ION)` kuxa kwenzeka `(Optic Nerve)` yakho. Yiyo loo nto zifana kodwa azifani.
Esinye isizathu sokuba zifane kukuba abantu abane-`(ION)` ngamanye amaxesha baneempawu ezingaqhelekanga. Ukuba oku kuyenzeka, kuthetha ukuba usemngciphekweni omkhulu wokufumana i-`(Optic Nerve Ischemia)` kunye nokulahlekelwa yimbono kwiintsuku ezimbalwa ezizayo. Ngoko ke, akufanele uyityeshele ilahleko yombono ngequbuliso. Ukuba oku kuyenzeka, kufuneka ufune uncedo lwezonyango olungxamisekileyo ngoko nangoko.
Okokugqibela, izinto ekufuneka uzikhumbule
Ukulahlekelwa ngumbono ngequbuliso nge-Ischemic Optic Neuropathy kuthetha ukuba i-Optic Nerve yakho ayifumani gazi laneleyo. Ekuhambeni kwexesha, oku kunokukhokelela kumonakalo ongunaphakade kunye nokulahlekelwa ngumbono. Ke ngoko, ukulahlekelwa ngumbono ngequbuliso akuyonto yokungayinaki okanye ukuyilinda.
Ukuba unemeko enokubangela ukulahleka kombono ngequbuliso okanye "i-ION", licebo elihle ukuthetha nengcali yamehlo. Bangakuxelela into omawuyiqaphele nento omawuyenze ukuba ubona utshintsho embonweni wakho. Ukwenza izinto ngokukhawuleza kunokwenza umahluko omkhulu kwaye kukuncede ekukhuseleni kwiingxaki zokubona ezinzulu kunye nokungonwabi. Ngoko ke, nyamekela amehlo akho!
I- Ischemic Optic Neuropathy, i-ION, i-AION, i-PION, ukulahleka kombono, isifo samehlo, i-Optic nerve, ukulahleka kombono ngequbuliso











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