Ingabe umbono wakho ufiphele phakathi? Ake sifunde nge-Central Serous Retinopathy!

Wake wazizwa sengathi umbono wakho ushintshe ngokuzumayo? Mhlawumbe umbono wakho kwelinye iso ufiphele phakathi, noma ubona ibala elimnyama. Izinto ezinjengalezi akuyona into okufanele uyishaye indiva. Namuhla, ake sixoxe ngembangela eyodwa engaba khona yalezi zimpawu.

Kuyini i-Central Serous Retinopathy?

Kalula nje, lesi yisimo lapho uketshezi luqoqana ngemuva kwe -retina, ingxenye yeso ebaluleke kakhulu ekuboneni kwethu. Cabanga ngeso lethu njengekhamera. I-retina iyingqimba encane efana nefilimu ekhamera, ibamba ukukhanya futhi isize ubuchopho ukuhumusha izithombe. Ngaphansi kwe-retina kukhona ungqimba olugcwele imithambo yegazi ebizwa ngokuthi i-choroid . Ngezinye izikhathi, uketshezi luvuza kule choroid futhi luqoqana ngemuva kwe-retina. Yilapho lesi simo esibizwa ngokuthi i-'Central Serous Retinopathy' sivela khona. Lolu ketshezi lungabangela ukuthi i-retina ikhululeke kancane futhi ihlukane. Uma lokho kwenzeka, izinkinga ezahlukahlukene ngokubona kwethu ziqala ukwenzeka.

Lokhu kubizwa nangokuthi 'i-Central Serous Chorioretinopathy', isibonelo.

Lesi simo asivamile kakhulu, kodwa singenzeka kunoma ubani. Ngokwesilinganiso, sithinta abantu abangaba yi-10 kwabayi-100,000. Kodwa-ke, leli nani lingahluka kuye ngobulili kanye nezinye izici eziyingozi.

Ziyini izimpawu zalokhu?

Abanye abantu bangase babe ne-Central Serous Retinopathy ngaphandle kwezimpawu. Lokhu kusho ukuthi lesi simo singaba khona esweni ngaphandle kokushintsha kombono. Kodwa-ke, uma kuvela izimpawu, zingavela esweni elilodwa noma kuwo womabili amehlo ngesikhathi esisodwa. Hlola ukuze ubone ukuthi unazo yini lezi:

• Umbono ofiphele : Kungase kubonakale sengathi intuthu idlule kulokho okubukayo, noma sengathi kuwile ibala lopende.
• Ibala elimnyama phakathi kokubona kwakho : Ungase ubone ibala elimnyama, noma isithunzi esimnyama, phakathi kwalokho okubukayo.
• Umbono ofiphele: Konke kubonakala kumnyama kunokujwayelekile, kunokukhanya okuncane.
• Izinto ezimhlophe zibonakala zihlukile ngombala: Izinto ezimhlophe zingase zingabonakali zimhlophe ngokuphelele, kodwa zingase zibonakale zimnyama kancane, mhlawumbe zibe nsundu ngisho nangokwesibhakabhaka.
• Izinto zibonakala zincane noma zikude kakhulu: Izinto zingase zibonakale zincane kunalokho ezivame ukubonakala noma zibonakale zikude kunalokho ezikhona ngempela.
• Imigqa eqondile ibonakala inwetshiwe: Imigqa eqondile, njengozimele bomnyango namafasitela kanye nemigqa yethayela, ingase ibonakale inwetshiwe noma igobile.

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Kungani lokhu kwenzeka?

Eqinisweni, ososayensi abakakatholi ukuthi yini ngempela ebangela i-Central Serous Retinopathy. Kodwa into eyodwa icacile.Ukucindezeleka kubonakala kunomthelela omkhulu kulokhu. Cabanga ngakho, uma sicindezelekile kakhulu, umzimba wethu ukhiqiza i-hormone ebizwa ngokuthi i-cortisol . Le cortisol ingabangela ukuvuvukala ezingxenyeni ezahlukene zomzimba, futhi njengoba kushiwo ngaphambili, uketshezi lungaphuma. Ngakho-ke, abantu abacindezeleke kakhulu futhi abanobunzima bokulawula lokho kucindezeleka basengozini enkulu yokuthola lesi sifo.

Futhi, lesi simo singavela kubantu abasebenzisa imithi equkethe ama-corticosteroids . Lawa ma-corticosteroids avame ukunikezwa ukwelapha ukuvuvukala kanye nokungezwani komzimba. Isibonelo, abanye abaguli be-asthma banikezwa lawa ngenxa yobuhlungu bamalunga. Ngakho-ke, uma usebenzisa imithi enjalo, kufanele uqaphele nalokho.

Ubani onamathuba amaningi okuthuthukisa lokhu?

Nakuba noma ubani angaba ne-'Central Serous Retinopathy', abanye abantu basengozini enkulu kancane. Nakhu ukuthi bangobani:

• Amadoda aphakathi kweminyaka engama-30 nengama-50: Ivame ukubonakala kakhulu kwabesilisa abakuleli qembu leminyaka.
• Abantu abangaboni kahle (Myopia / nearsightness): Lokhu kusho ukuthi nakuba izinto eziseduze zingabonakala ngokucacile, izinto ezikude azibonakali kahle.
• Abantu abasebenzisa imithi ethile: ikakhulukazi ama-corticosteroids ashiwo ngenhla.

Ngaphezu kwalokhu, kunezinye izici eziyingozi:

• Izifo ezihlasela amasosha omzimba : Isibonelo, abantu abanezifo ezifana ne-lupus kanye ne-rheumatoid arthritis.
• Isifo senhliziyo noma umfutho wegazi ophakeme : Abantu abanalezi zifo nabo basengozini enkulu.
• Ukutheleleka kwebhaktheriya i-Helicobacter pylori: Lokhu kuyibhaktheriya evame ukuhlotshaniswa ne-gastritis.
• Izifo zezinso : Isibonelo, izimo ezifana ne-glomerulonephritis.
• Ukukhulelwa : Abanye besifazane bangase babe nalesi simo ngesikhathi sokukhulelwa.
• Izinkinga zokulala: Izimo ezifana nokungalali kahle kanye nokuphelelwa umoya.
• Eminye imithi: Eminye imithi yokuminyana kwamakhala kanye nemithi esetshenziselwa ukungasebenzi kahle kocansi nayo ingathinta lokhu.

Odokotela bakuthola kanjani lokhu?

Uma ubona noma yiziphi izinguquko embonweni wakho, okungukuthi, uma uhlangabezana nesinye noma ngaphezulu sezimpawu ezishiwo ngenhla, bona udokotela womndeni wakho noma udokotela wamehlo ngokushesha.Kufanele ubonane nodokotela. Udokotela uzokubuza ngezimpawu zakho futhi ahlole amehlo akho. Ngaphezu kwalokho, bangenza izivivinyo ezikhethekile ukuze babheke i-retina yakho:

• I-Fluorescein Angiography (IVFA): Lokhu kuhilela ukufaka idayi ekhethekile emthanjeni osengalweni yakho. Le dayi ihamba ngemithambo yegazi engaphakathi kweso iye ku-retina. Ikhamera ekhethekile ibe isithatha izithombe zengaphakathi leso. Lokhu kukuvumela ukuthi ubone ukuthi uketshezi luvuza kuphi ngokucacile.
• I-Optical Coherence Tomography (OCT): Lokhu kufana nokuskena kwe-3D kwangaphakathi kweso. Kungalinganisa ukujiya kwe-retina, kubone ukuthi kukhona ukuvuvukala, futhi kuhlole ukuhlukaniswa kwe-serous retinal.

Iyini indlela yokwelapha lokhu?

Esikhathini esiningi, lesi simo esibizwa ngokuthi i-'Central Serous Retinopathy' siba ngcono ngaphandle kokwelashwa zingakapheli amasonto noma izinyanga ezimbalwa. Lokhu kusho ukuthi uketshezi oluqongelelekile luzohamba lodwa. Ngakho-ke, udokotela wakho angakutshela ukuthi "qaphela futhi ulinde". Phakathi naleso sikhathi, bazophinda izivivinyo (njenge-'OCT') ukuze babone ukuthi uketshezi selunciphile yini.

Futhi, uma uthatha noma yimiphi imithi ocabanga ukuthi ingase ibe nomthelela kulesi simo, udokotela wakho uzokweluleka ukuthi uyeke ukuyithatha. Ukunciphisa ukucindezeleka kubaluleke kakhulu. Udokotela wakho uzokweluleka nangalokho.

Kodwa-ke, uma uketshezi lunganciphanga ngemva kwezinyanga ezimbalwa, udokotela angase anqume ukuqala ukwelashwa. Nakhu ukuthi yiziphi lezo zindlela zokwelapha:

• Imithi: Kuneminye imithi, isibonelo, imijovo ebizwa ngokuthi i-Anti-Vascular Endothelial Growth Factor (Anti-VEGF). Le mithi ingavimba ukukhula kwemithambo yegazi emisha, engadingeki ngaphakathi kweso. Futhi, eminye imithi yokukhipha uketshezi emzimbeni (esiza ekunciphiseni ukugcinwa koketshezi) inganikezwa.
• Ukwelashwa Nge-Photodynamic (PDT): Lokhu kuhilela ukujova umuthi obizwa ngokuthi i-Verteporfin emthanjeni osengalweni yakho. Uma umuthi ususesweni lakho, kusetshenziswa i-laser ekhethekile ebandayo ukuvala indawo lapho uketshezi luvuza khona.
• Okunye Ukwelashwa Nge-Laser: Imithi yokubulala amehlo futhi ngezinye izikhathi i-laser yokushisa ingasetshenziswa ukuvimba ukuvuza. I-Micropulse laser ingenye uhlobo lwe-laser. Lokhu kusebenzisa ama-laser pulses amafushane kakhulu, amancane.

Uma nginalesi simo, ngingazinakekela kanjani?

Ukwenza izinguquko ezithile endleleni yokuphila kungakusiza ukuphatha i-Central Serous Retinopathy:

• Lala kahle okungenani amahora ayisikhombisa njalo ebusuku.
• Nciphisa ukusetshenziswa kwe-caffeine (itiye, ikhofi), utshwala, kanye ne-corticosteroids. Gwema ukusebenzisa ama-corticosteroids ngaphandle kweseluleko sikadokotela.
• Lawula futhi unciphise ukucindezeleka. Lokhu kungenziwa ngokuzivocavoca umzimba, ukuzindla, ukuchitha isikhathi nabantu obathandayo, noma ukufuna iseluleko.

Uma unenkinga yokubona, zama lezi zinto ukuze ubhekane nalokhu:

• Joyina iqembu lokusekelana. Ngale ndlela ungahlangana nabantu abasesimweni esifanayo nesakho, wabelane ngolwazi lwabo, futhi niqondane.
• Khuluma nabathandekayo bakho noma umeluleki ngemizwa yakho nendlela obhekana ngayo nesimo.
• Sebenzisa izinsiza ezikusiza ukuthi wenze imisebenzi yansuku zonke ngokuphepha.

Kufanele ngimbone nini udokotela uma ngibona ushintsho embonweni wami?

Uma ubona noma yiziphi izinguquko ekuboneni kwakho, ungakuzibi. Bona udokotela womndeni wakho noma uchwepheshe wamehlo ngokushesha. Lesi simo, esibizwa ngokuthi i-Central Serous Retinopathy, ngezinye izikhathi siba ngcono ngokwaso, kodwa ngezinye izikhathi singaba sibi kakhulu futhi sibangele ukulahlekelwa umbono unomphela noma ubumpumputhe. Futhi, ngezinye izikhathi izinkinga zokubona zingaba uphawu lwesinye isimo esingaphansi. Yingakho kubalulekile ukufuna usizo lwezokwelapha ngokushesha.

Yini engingayilindela uma kunjalo?

Ezimweni eziningi, i-Central Serous Retinopathy iyathuthuka lapho uketshezi luhlala lodwa. Ukubona kubuyela esimweni esijwayelekile, futhi ngezinye izikhathi kuvamile ngokuphelele. Kodwa-ke, ngezinye izikhathi umonakalo uhlala unomphela, futhi izinguquko zombono zingase ziqhubeke.

Into ebalulekile ukuthi noma ngabe lesi simo selashwa ngempumelelo futhi siba ngcono, singabuya. Singabuya esweni elifanayo noma kwelinye iso. Ngakho-ke, kuzodingeka uqhubeke nokubonana nodokotela wamehlo njalo.

Ngakho-ke, yiziphi izinto okufanele sizikhumbule kule ndaba?

Uma unezinkinga zokubona, ungazinaki. Kungcono ukubona udokotela womndeni wakho noma udokotela wamehlo. I-'Central Serous Retinopathy' ayisona isifo esivame kakhulu, kodwa yisifo samehlo esingaholela ekulahlekelweni umbono unomphela kanye neminye imiphumela emibi. Uma usibona kusenesikhathi bese uqala ukwelashwa, unganciphisa umonakalo ekuboneni kwakho. Ngakho-ke, kubaluleke kakhulu ukunakekela amehlo akho nokufuna iseluleko sezokwelapha uma ubona noma yiziphi izinguquko, uyaqonda?