Ngezinye izikhathi sizizwa sesaba kancane uma sibona izinguquko ezincane emehlweni ethu, akunjalo? Ikakhulukazi uma izinto ziqala ukubukeka zihlukile kancane. Esinye isimo esinjalo sibizwa ngokuthi
i-macular pucker . Kodwa ungakhathazeki, ake sixoxe ngakho kalula.
Kuyini ngempela lokhu (i-Macular Pucker)?
Cabanga ngeso lakho njengekhamera. Kukhona udonga ngemuva kwale khamera, esiyibiza ngokuthi
i-retina . Zonke izithombe ozibonayo ziqoshwa kule retina, njengefilimu. Phakathi kwale retina, kukhona indawo encane ezwela kakhulu ebizwa ngokuthi
i-macula . Sibona izinto ngokucacile, ngokushelela, sifunda incwadi, siqaphele izinhlamvu, ngenxa yale macula. Manje, kulesi simo esibizwa ngokuthi ``Macular Pucker``, okwenzekayo ukuthi phezu kwe-macula, kukhona ungqimba lwe-cellophane, noma ulwelwesi oluncane kakhulu, noma
izicubu zesibazi . Odokotela babiza lokhu nangokuthi
``Epiretinal Membrane (ERM)`` , kanti abanye abantu bakubiza nangokuthi
``Cellophane Maculopathy`` . Njengoba lolu lwelwesi luncipha kancane kancane, i-macula engaphansi nayo iyanwebeka futhi imibimbi, njengendwangu. Yilokho okubizwa ngokuthi ``Macular Pucker'' noma 'i-macular puckering.'' Lokhu akubangeli izinkinga ezinkulu zokubona kuwo wonke umuntu, kodwa ngezinye izikhathi kungashintsha indlela obona ngayo izinto, kuzenze zibonakale ziphambene.
Sivame kangakanani lesi simo?
Lesi simo esibizwa ngokuthi `(Macular Pucker)` empeleni sivame kakhulu kunalokho ongakucabanga. Ucwaningo lwamuva nje luthole ukuthi ingxenye enkulu yabantu kwamanye amazwe ingaba nalesi simo.
Ingozi yalesi simo iyanda njengoba iminyaka ikhula. Kodwa izindaba ezinhle ukuthi akuwona wonke umuntu onayo `(Macular Pucker)` ozolahlekelwa umbono.
Ziyini izimpawu zalokhu? Wazi kanjani ukuthi unaso?
Uphawu oluyinhloko lwalokhu ukuthi
umbono wakho ophakathi uyaphambuka. Ngokukhethekile, imigqa eqondile, njengezinhlaka zamafasitela, izinhlaka zeminyango, kanye nemigqa esencwadini,
ibonakala inwetshiwe noma imibimbi. Odokotela babiza lokhu ngokuthi
"i-metamorphopsia." Cabanga ukuthi ubheke phansi enamathayili, futhi imigqa eqondile phakathi kwamathayili ibonakala imibimbi. Nakuba lokhu kungathinta womabili amehlo, ngokuvamile kuthinta iso elilodwa kuphela. Ngisho noma kusemehlweni womabili, iso elilodwa lingase libe libi kancane kunelinye. Ngaphezu kokubukeka okumibimbi, ungase ubhekane nalokhu:
- Akucaci njengoba kwakunjalo ngaphambili, kungakhathaliseki ukuthi usondela kangakanani kulokho okubukayo.
- Ngezinye izikhathi isithombe esisodwa singavela njengezithombe ezimbili (isithombe esiphindwe kabili).
- Isithombe esibonakala kwelinye iso singase sizwakale sikhulu kunelinye iso.
Into ebaluleke kakhulu ukuthi ukulahlekelwa umbono okubangelwa yi-"Macular Pucker"
akulungiseki ngokugqoka izibuko. Kungani lokhu kwenzeka? Yiziphi izizathu?
Kalula nje, kunezinto eziningana ezingaba nomthelela ekwakhekeni kwefilimu ku-macula. Nazi ezinye zezinto eziyinhloko:
- Izimbobo noma ukudabuka ku-retina.
- Ukuba nomlando wokuhlukana kwe-retina esikhathini esidlule.
- Ukuhlinzwa kwamehlo kwangaphambilini (isibonelo, ukuhlinzwa kwe-cataract).
- Ukulimala Kwamehlo.
- Izifo ezenzeka ngaphakathi kweso.
- Izifo zamehlo ezibangelwa isifo sikashukela (Isifo se-retina esihlobene nesifo sikashukela / I-Diabetic Retinopathy)
- Izimo zokuvuvukala ezenzeka ngaphakathi kweso ( Ukuvuvukala kwamehlo / Uveitis )
Enye into ukuthi ngezinye izikhathi lokhu `(Macular Pucker)` kungenzeka ngaphandle kwesizathu esisobala. Kubizwa ngokuthi `(Idiopathic Macular Pucker)`, okusho ukuthi akukho sizathu esingatholakala.
Ingabe lesi yisifo esithathelwanayo?
Cha, akunjalo nhlobo. `(Macular Pucker)` akusona isifo esithelelanayo. Awukwazi ukusithola komunye umuntu, futhi awukwazi ukusithola komunye umuntu.
Ubani osengozini enkulu yokuthuthukisa lokhu?
Sesivele sishilo ukuthi ukuguga kuyisici esikhulu sengozi. Ngaphezu kwalokho, ingozi yakho yokuthola i-macular pucker inganda uma:
- Uma une- "Posterior Vitreous Detachment (PVD)``, lapho i-vitreous humor ( into efana nejeli engaphakathi kweso lakho) ihlukana khona ne-retina. Lokhu kuyinto evamile njengoba ukhula.
- Uma uke welashwa nge-laser eye ngaphambilini, noma olunye ukuhlinzwa kwamehlo , njengokuhlinzwa kwe-cataract.
- Uma uke waba nokudabuka noma ukuqhekeka kwe-retinal ngaphambilini.
- Uma unesifo sokuvuvukala kwamehlo njenge- uveitis .
- Uma une -retinopathy yesifo sikashukela .
- Uma kube nokulimala okukhulu kwamehlo .
Yiziphi izinkinga ezingabangelwa yilokhu?
`(Macular Pucker)` kungabangela
ukulahlekelwa umbono . Lokho kusho ukuthi umbono wakho ungase ufiphale kancane noma ufiphale. Kodwa
Amathuba okuba yimpumputhe ngokuphelele ngenxa yalokhu mancane kakhulu. Ngakho-ke akukho okufanele ukhathazeke ngakho. Kodwa uma ubona ushintsho ekuboneni kwakho, kungcono ukubona udokotela. Udokotela ukubona kanjani lokhu?
Uma uvakashela udokotela wamehlo, uzoqala ngokukubuza ngezimpawu zakho kanye nomlando wezokwelapha. Ngemuva kwalokho, uzofaka amaconsi amehlo avulekayo bese ehlola ingaphakathi leso lakho. Lawa maconsi asetshenziselwa ukuvumela udokotela ukuthi abone i-retina yakho kanye ne-macula ngokucacile. Yiziphi izivivinyo ezenziwayo?
Ngesikhathi sokuhlolwa kwamehlo akho, udokotela wakho uzosebenzisa ukukhanya okukhethekile kanye nelensi yokukhulisa amehlo ukuze abuke amehlo akho. Ngaphezu kwalokho, angenza izivivinyo ezinjengalezi ukusiza ekunqumeni ukuthi une-macular pucker:- Ukuhlolwa Kwamehlo Kwe-Amsler Grid: Kulesi sivivinyo, unikezwa iphepha elincane elinezikwele kulo. Linemigqa evundlile neqondile. Uma ubheka le migqa, uma ibonakala inwetshiwe, imibimbi, noma uma ezinye izikwele zingekho, lokhu kungasiza ekunqumeni ukuthi unezinkinga zokubona yini.
- Ukuskena kwe-Optical Coherence Tomography (OCT): Lokhu ukuskena okwenziwa ngekhamera ekhethekile. Kuthatha izithombe ezicacile ze-retina yakho kanye ne-macula, njengengxenye yekhekhe. Kufana nokubuka ucezu lwekhekhe. Lokhu kuskena kwe-OCT kungakutshela ukuthi kukhona yini ukushwabana kwe-macula, noma i-macular pucker, nokuthi kuyithinte kangakanani.
Iphathwa kanjani? Yini esingayenza?
Akuwona wonke ama-macular puckers adinga ukwelashwa. Uma izimpawu zakho zingembi kakhulu futhi umbono wakho ungathinteki kakhulu, udokotela wakho angakutshela ukuthi ubheke lesi simo isikhashana . Lokhu kusho ukuthi uzohlolwa amehlo njalo. Kodwa-ke, uma kudingeka ukwelashwa, kunezinketho ezimbili ezingadingi ukuhlinzwa kanye nezinketho zokuhlinzwa. Ukwelashwa ngaphandle kokuhlinzwa (ukwelashwa okungangenisi ukuhlinzwa)
Uma une-macular pucker engadingi ukuhlinzwa, ungenza okulandelayo ukuze wenze impilo yakho yansuku zonke ibe lula:- Izibuko Ezintsha: Nakuba izibuko zingenakukulungisa ngokuphelele ukuphazamiseka kokubona okubangelwa yi-macular pucker, umuthi omusha ungasiza ekuthuthukiseni umbono wakho jikelele.
- Ukukhanya okuhle: Uma ufunda izincwadi noma wenza umsebenzi obucayi, ukwenza lokho endaweni ekhanyiswe kahle, nokusebenzisa izibani zokufunda kungasiza ekunciphiseni ukucindezeleka kwamehlo.
- Amadivayisi okukhulisa:Uma unenkinga yokufunda umbhalo omncane, ungasebenzisa izibuko zokukhulisa noma amanye amadivayisi.
Ukwelashwa ngokuhlinzwa
Uma ukubona kwakho kuthinteka kakhulu yi-macular pucker, udokotela wakho angase akuncome ukuhlinzwa. Lokhu kuhlinzwa kubizwa ngokuthi i-vitrectomy ngokususwa kwe-membrane .- Lena inqubo yokulaliswa esibhedlela , okusho ukuthi awudingi ukuhlala esibhedlela, futhi ungaya ekhaya ngosuku olufanayo ngemva kokuhlinzwa.
- Lokhu kuhlinzwa kuhilela ukwenza izimbobo eziningana ezincane kakhulu esweni, ukususa inani elincane lento efana nejeli ngaphakathi kweso (i-vitreous humor), nokususa ngokucophelela izicubu zesibazi noma ulwelwesi oluye lwakheka phezu kwe-macula. Lokhu ukuhlinzwa okubucayi kakhulu.
Yiziphi izinkinga ezingaba khona ngenxa yokuhlinzwa? Ingabe kufanele ngesabe?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile ekususweni kwe-vitrectomy. Kodwa ithimba lakho lezokwelapha lizokwenza konke okusemandleni alo ukunciphisa lezo zingozi. Nazi ezinye zezinkinga ezingaba khona:- Ukopha .
- Ukutheleleka .
- Ukudabuka noma ukuqhekeka kwe-retinal .
- Uma une-cataracts, izokhula ibe yimbi kakhulu.
- Kuvela imbobo ku-macula (imbobo ye-macular) (lokhu akuvamile kakhulu).
- Ukwanda kwengcindezi esweni, okusho ukukhula kwe-glaucoma .
Kodwa khumbula, amathuba okuba lokhu kwenzeke mancane kakhulu, futhi odokotela bazokugcina unolwazi oluhle ngalokhu. Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?
Uma uhlinzwa nge-vitrectomy, umbono wakho ungase ufiphale kancane izinsuku ezimbalwa ngemva kokuhlinzwa. Amehlo akho angase abe buhlungu futhi angakhululeki. Lokhu kuvamile. Ngeke ukwazi ukuya emsebenzini noma esikoleni cishe amasonto amabili kuya kwamane ngemva kokuhlinzwa. Kubalulekile ukuphumula amehlo akho phakathi nalesi sikhathi. Akufanele futhi ushayele ngokushesha ngemva kokuhlinzwa. Kungathatha izinyanga ezintathu ukuthi umbono wakho uthuthuke ngokugcwele futhi uzizwe izinzuzo ezigcwele zokuhlinzwa. Ngakho-ke yiba nesineke. Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungenzeki?
Ngezinye izikhathi, ikakhulukazi ezimweni ze-idiopathic macular pucker, ayikho indlela ecacile yokuyivimbela. Kodwa-ke, izinto ezifana nokuvimbela isifo samehlo esihlobene nesifo sikashukela ( okungukuthi, ukugcina isifo sakho sikashukela silawulwa) nokugwema ukulimala kwamehlo kungasiza ekunciphiseni ingozi yakho yokuthola lesi simo. Yini okufanele ngiyilindele uma ngikulesi simo?
Sesishilo kakade ukuthi amacala amaningi e-`(Macular Pucker)` awadingi ukwelashwa okukhethekile. Okudingeka ukwenze nje ukuhlolwa kwamehlo njalo ngokwesimiso esinqunywe udokotela wakho. Ngemuva kwalokho, udokotela wakho angabona ukuthi kukhona yini izinguquko ekuboneni kwakho nasempilweni yamehlo. Ungase ube nezinkinga zokubona ngenxa ye-`(Macular Pucker)`, kodwa ungakhathazeki ukuthi kuzoholela ekungaboni ngokuphelele. Amathuba mancane kakhulu. Uma nginalesi simo, ngingazinakekela kanjani?
Uma usuyazi ukuthi une-macular pucker, kunezinto eziningana ongazenza ukuze uvikele amehlo akho:- Ungaphuthelwa izinsuku zokuhlolwa kwamehlo ezinikezwe udokotela.
- Gcina impilo enhle iyonke. Lokho kusho ukudla ukudla okunomsoco nokuzivocavoca njalo.
- Landela imikhuba emihle yezempilo yamehlo. Isibonelo, gqoka izibuko zelanga uma uselangeni, geza izandla zakho kahle ngaphambi kokuthinta amehlo akho, futhi uma ugqoka ama-contact lens , wasebenzise ngokuphephile njengoba kuqondiswe udokotela wakho.
- Uma ubhema , zama ukuyeka. Ukubhema akukuhle emehlweni akho. Uma udinga usizo lokuyeka, buza udokotela.
Kufanele ngimbone nini udokotela?
Uma ubona noma yiziphi izinguquko ezingazelelwe embonweni wakho , isibonelo, ukufiphala kombono okungazelelwe, ukwanda kokubonakala kwemibimbi, noma ukubonakala kwezinto ezintantayo njengamabala amnyama, bheka udokotela wakho wamehlo ngokushesha. Uma uzizwa sengathi ulahlekelwa umbono wakho ngokuzumayo, noma uma uzwa ubuhlungu obukhulu bamehlo, iya ekamelweni eliphuthumayo ngokushesha, noma eSri Lanka, shayela i-1990 Rescue Ambulance Service.
Ingabe lezi zinto ezimbili zibizwa ngokuthi (i-Macular Pucker) kanye ne-(i-Age-Related Macular Degeneration - i-AMD)?
Yebo, lezi yizimo ezimbili ezihlukene. Kodwa izimpawu zingase zifane ngezinye izikhathi. Zombili i-macular pucker kanye ne-age-related macular degeneration (AMD) yizimo ezithinta i-macula. Kuzo zombili izimo, umbono wakho ongaphandle awuvamile ukuthintwa, kodwa umbono wakho ophakathi uyathinteka. Ku-AMD, amaseli ku-macula aba buthaka futhi abhujiswa ngokuguga. Ku-macular pucker, kwakheka ungqimba ku-macula, okubangela ukuba ishwabane. Ukwelashwa kuhlukile. Ngakho-ke, ingabe i-macular pucker kanye ne-macular hole ziyinto efanayo?
Cha, ziyizinto ezimbili ezihlukene. I-"macular pucker" iyimibimbi yezicubu ku-retina. Kodwa imbobo ku-macula "iyimbobo ye-macular."Kusho ukuthi, njengoba igama lisho, empeleni kukhona imbobo encane ku-macula. Ngezinye izikhathi, ukuba ne-`(Macular Pucker)` kwandisa ingozi yokuthola i-`(Macular Hole)` kamuva, kodwa akusona isiqinisekiso. Izimpawu ezibonakalayo ze-`(Macular Hole)` zivame ukuba zimbi kakhulu kuneze-`(Macular Pucker)`. Futhi, i-`(Macular Hole)` ivame ukudinga ukuhlinzwa. Okokugcina, ezinye izinto ezibalulekile okufanele uzikhumbule:
Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane lapho uqala ukuzwa ukuthi unesifo esibizwa ngokuthi `(Macular Pucker)`, nokuthi singathinta umbono wakho. Kodwa khumbula, izimo eziningi `(Macular Pucker)` azidingi ukwelashwa okukhethekile. Udokotela wakho uzokhuluma nawe ngezinketho zakho futhi akusize unqume ukuthi yisiphi isinyathelo esilandelayo esingcono kakhulu kuwe. Into ebaluleke kakhulu ukuhlolwa kwamehlo njalo. Udokotela wakho wamehlo uzokutshela ukuthi kufanele uhlolwe kangaki amehlo akho. Ungakhohlwa ukwazisa udokotela wakho nganoma yiziphi izinguquko embonweni wakho, ngisho nezincane kakhulu. Ngaleyo ndlela, uma kukhona okudingeka kwenziwe, ungelashwa ngokushesha. Ngakho-ke, ngithemba ukuthi lolu lwazi luzokusiza. Nakekela amehlo akho!
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