Ingabe unenkinga yamehlo efana nale? Ake sixoxe nge-Chorioretinitis!

Wake waphawula ukuthi amehlo akho abomvu ngokuzumayo, umbono wakho uba lufifi kancane, futhi ngezinye izikhathi ubona amachashazi amancane amnyama entanta ngaphakathi kwamehlo akho? Ingabe ukuthola kunzima ukubheka ukukhanya? Lezi zinto azizenzeki nje. Lokhu kungabangelwa ukuvuvukala, noma ukuvuvukala, kwezingxenye ezimbili ezibaluleke kakhulu zeso lakho, i-choroid kanye ne-retina . Kwezokwelapha, lesi simo sibizwa ngokuthi i-chorioretinitis . Lesi kungaba yisimo esibi kakhulu, ngakho-ke kubalulekile ukuqaphela.

Kuyini i-Chorioretinitis?

Kalula nje, i-chorioretinitis ukuvuvukala kwangemuva kweso lakho, i-choroid kanye ne-retina . Empeleni kungenye yezinhlobo ezinkulu zezimo ezibizwa ngokuthi i-uveitis , okuyizifo zangaphakathi kweso.

Cabanga ngeso lakho njengekhamera encane. Le khamera inezingxenye ezahlukene.

• I-choroid iyi-membrane engaphakathi kweso. Iqukethe imithambo yegazi enikeza iso igazi. Itholakala phakathi kwe-retina nengxenye emhlophe yeso (i-sclera). Njengomhlabathi onikeza amanzi nokondla isihlahla, i-choroid yiyo eyondla i-retina. Ngakho-ke uma kunenkinga ngayo, umbono ungonakala.
• I-retina iyi-membrane ezwela kakhulu ngemuva kweso. Izithombe esizibonayo zakhiwa lapha. Kufana nefilimu ekhamera. Yilokho okuthumela izimpawu zokukhanya ebuchosheni, ukuze sibone izinto.

Ngakho-ke, lapho kokubili i-choroid kanye ne-retina kuvuvukala ngesikhathi esisodwa, sibiza leso simo ngokuthi i-chorioretinitis. Lapho lokhu kuvuvukala kuqala ukulimaza iso, kubizwa nangokuthi i-chorioretinopathy . Ingxenye ethi '-pathy' isho umonakalo. Uma unezimpawu ezifana nokungaboni kahle, ubuhlungu bamehlo, kanye nokuzwela ukukhanya, kufanele ubonane nodokotela wamehlo ngokushesha.

Ziyini izimpawu ze-Chorioretinitis?

Lezi zimpawu zingahluka kumuntu nomuntu. Abanye abantu bangase babe nezimpawu eyodwa noma ngaphezulu.

• Ukubona amabala amnyama, izinto ezintantayo, noma ukukhanya phambi kwamehlo akho: Zicabange uhleli nje uthule bese ngokuzumayo ubona ama-spider web amancane noma amabala amnyama ehamba lapha nalaphaya phambi kwamehlo akho. Ngezinye izikhathi ungase ubone ukukhanya okufana nombani.
• Ububomvu bamehlo: Ingxenye emhlophe yeso ingase ibe bomvu.
• Umbono ofiphele: Ungase ungakwazi ukubona izinto ngokucacile, njengokungathi ubheka enkungwini . Ungase uzizwe sengathi izinhlamvu ziyaphambana uma ufunda.
• Ubuhlungu bamehlo: Ubuhlungu bungase buvele ngaphakathi noma eduze kweso.
• Ukwesaba ukukhanya: Ubunzima bokubona ngisho noma ilanga noma izibani zicimile, futhi amehlo angase azizwe sengathi aphenduka abe luhlaza okwesibhakabhaka.
• Ukudabuka ngokweqile: Izinyembezi zingase zivele zigeleze emehlweni njengamanzi.
• Ubunzima bokubona imibala: Eminye imibala ingase ibonakale ihlukile kweminye, noma kungaba nzima ukuyibona imibala.

Uma unezinye zalezi zimpawu, ungazinaki. Bona udokotela wamehlo ngokushesha.

Yiziphi izimbangela ze-chorioretinitis?

Kunezinhlobo ezimbili eziyinhloko zezimbangela zalesi simo: izimbangela ezithathelwanayo kanye nezimbangela ezingathelelani.

I-Chorioretinitis ebangelwa ukutheleleka (Izimbangela ezithelelanayo)

Ezinye zalezi zifo zingaba khona ngesikhathi sokuzalwa (ekuzalweni) noma zitholakale ngesikhathi sokuphila.

• I-Toxoplasmosis: Lena imbangela evame kakhulu ye-chorioretinitis. Iwukutheleleka okubangelwa yi-parasite. Ingadluliselwa ngendle yamakati kanye nenyama nenhlanzi engaphekiwe kahle.
• Isifo Sofuba: Yebo, isifo sofuba esisaziyo sonke singathinta namehlo ngale ndlela.
• I-Cytomegalovirus (CMV): Lokhu ukutheleleka ngegciwane okungathinta abantu abanezivikeli mzimba ezibuthakathaka.
• I-Syphilis: Lesi isifo esidluliselwa ngocansi esingalimaza namehlo.

Ngaphezu kwalokho, amagciwane afana negciwane i-Zika, igciwane i-rubella, igciwane i-varicella-zoster, elibangela i-chickenpox , kanye nezinye izifo ze-fungal zingabangela lokhu.

Izimbangela ezingezona ezithathelwanayo

Ngezinye izikhathi i-chorioretinitis ingenzeka ngaphandle kokutheleleka.

• Ukulimala kwamehlo: Uma okuthile kushaya iso bese kulilimaza, lolu hlobo lokuvuvukala kungenzeka.
• Izifo zokuzivikela komzimba kanye nokuvuvukala: Lezi yizifo lapho amasosha omzimba wethu ehlasela khona amangqamuzana ethu. Izibonelo zifaka phakathi izimo ezifana ne -rheumatoid arthritis , i-sarcoidosis , kanye nesifo sikaBehçet .
• Ezinye izinhlobo zomdlavuza: Lesi simo singabangelwa nawumdlavuza ofana ne -lymphoma , noma umdlavuza osusabalele emehlweni usuka kwenye indawo emzimbeni (isifo esisakazeke kakhulu) .
• Ezinye izimo zofuzo: Akuvamile ukuthi lesi sifo sibangelwe yizimo ezithile zofuzo ezidluliselwa ezizukulwaneni ngezizukulwane.

Yiziphi izinkinga ezingaba khona ze-Chorioretinitis?

Uma lesi sifo singelashwa kahle, ukubona kungancipha futhi kungaba khona ngisho nokungaboni unomphela.Ngakho-ke, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha nje lapho kuvela izimpawu.

I-Chorioretinitis itholakala kanjani?

Uma ubona udokotela wamehlo, uzohlola amehlo akho. Lokhu kuvame ukuhilela ukunweba amehlo akho ngamaconsi amehlo, nokubheka ngemuva kweso lakho. Udokotela angabe esehlola isimo se-retina yakho kanye ne-choroid. Ngezinye izikhathi, bangabona nezinto ezifana nezibazi ezindala (izibazi ze-chorioretinal).

Yiziphi izivivinyo zokuxilonga?

Ngaphezu kokuhlolwa kwamehlo, udokotela angenza nezivivinyo ezifana nalezi:

• Ukuhlolwa kwelebhu ezintweni ezisulwe esweni lakho: Isampula encane ethathwe ngaphakathi kweso lakho ingathunyelwa elebhu ukuthola ukuthi kukhona yini ukutheleleka nokuthi, uma kunjalo, uhlobo luni.
• I-Optical Coherence Tomography (OCT): Lokhu kufana nokuskena kwe-3D kwangaphakathi kweso. Kusebenzisa ukukhanya ukuthatha izithombe ezinqamula izingqimba ezingemuva kweso. Lokhu kungasiza ekunqumeni izinga lokuvuvukala kanye nokuba khona koketshezi oluqongelelekile.
• I-Fluorescein angiography: Lokhu kuhilela ukufaka idayi ekhethekile emthanjeni osengalweni yakho nokuthatha izithombe zemithambo yegazi esesweni lakho. Lokhu kungasiza ekuhloleni izinkinga ngemithambo yegazi yakho.
• I-Indocyanine green (ICG) angiography: Lolu uhlobo lokuhlola olusebenzisa udayi ofanayo nowangaphambilini, kodwa lubheka kakhulu imithambo yegazi ku-choroid, etholakala ngaphansi kwe-retina.

Uma i-chorioretinitis ibangelwa esinye isimo esiyisisekelo, udokotela kungadingeka enze izivivinyo ezengeziwe ukuze axilonge leso simo.

Iphathwa kanjani i-chorioretinitis?

Odokotela bamehlo bavame ukwelapha lesi simo ngokunikeza ama-steroid ukunciphisa ukuvuvukala . Lawa anganikezwa njengamaconsi amehlo, amaphilisi, noma ngezinye izikhathi imijovo. Kodwa-ke, ama-steroid akufanele asetshenziswe isikhathi eside, njengoba angabangela imiphumela emibi.

Ngakho-ke, udokotela wakho wamehlo angasebenzisana nodokotela wamathambo, udokotela ogxile ezinhlungwini zamalunga kanye nezifo ezihlasela amasosha omzimba, ukuze akunikeze imithi yokunciphisa ama-steroid elawula amasosha omzimba wakho.

Uma i-chorioretinitis ibangelwa ukutheleleka, ukwelashwa kusekelwe kugciwane elibangele ukutheleleka.

• Ama-antibiotic uma kuyisifo esibangelwa amagciwane
• Ama-antifungal uma kuyisifo se-fungus
• Ama-antiparasitic uma kukhona ukutheleleka kwe-parasitic
• Uma kukhona ukutheleleka ngegciwaneAma-antiviral

Kubaluleke kakhulu ukuphuza le mithi njengoba nje udokotela wakho ekuyalele, kuze kube yilapho isikhathi esibekiwe siphela. Ungayeki ukuphuza imithi ngoba nje uzizwa ungcono.

Akuvamile kakhulu, ukuhlinzwa okubizwa ngokuthi i-vitrectomy kungadingeka ukuze kususwe uketshezi kanye nemfucumfucu ngaphakathi kweso.

Luhlobo luni lwethemba umuntu one-chorioretinitis angaba nalo?

Uma une-chorioretinitis, futhi uyiphatha kahle, kanye nembangela eyinhloko, umphumela uvame ukuba muhle . Kodwa-ke, kuzodingeka ubonane nodokotela wamehlo njalo ukuze ahlolwe amehlo akho.

Iningi labantu alinazo izinkinga zokubona ezingapheli ngemva kokwelashwa.

Kodwa-ke, uma ingelashwa, i-chorioretinitis ingathinta umbono wakho. Enye inkinga i- chorioretinal atrophy . Lokhu kusho ukuthi izingxenye zeso ezithintekile - i-retina ne-choroid - ziyashwabana futhi ziyeke ukusebenza kahle. Uma ingelashwa, ingaholela ekulahlekelweni umbono ngokuphelele (ubumpumputhe) .

Ingabe i-Chorioretinitis ingavinjelwa?

Nakuba kungenakuvinjelwa ngokuphelele, ungenza okulandelayo ukuze unciphise ingozi yakho:

• Zivikele ezifweni:
• Geza izandla zakho kahle ngensipho njalo.
• Hlala kude nabantu abagulayo.
• Yenza ucansi oluphephile .
• Ukuze ugweme i-toxoplasmosis, gqoka amagilavu ​​​​uma uphatha indle yekati, bese upheka inyama nenhlanzi kahle.
• Bona udokotela wakho wamehlo njalo: Uma unezinye izimo, njengesifo sikashukela, kubalulekile ukuthi uhlolwe amehlo akho.
• Uma ubona noma yiziphi izinguquko ekuboneni kwakho, bonana nodokotela wamehlo ngokushesha: Ungalindi isikhathi sakho esihleliwe sokubonana.
• Nakekela impilo yakho iyonke: yidla ukudla okunempilo, uvivinye umzimba, futhi uphathe noma yiziphi izifo ezingamahlalakhona onazo.

Kufanele ngimbone nini udokotela wami?

Uma usuvele utholakale une-chorioretinitis, udokotela wakho uzokutshela ukuthi yiziphi izinkinga zamehlo ongase ube nazo. Uma unikezwe uhlelo lokwelashwa futhi lubonakala lungasebenzi, khuluma nodokotela wakho ngalo.

Noma nini, kungakhathaliseki ukuthi unesifo samehlo esitholakale ukuthi unaso noma cha, uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo, bona udokotela wamehlo noma uye emnyangweni wezimo eziphuthumayo esibhedlela ngokushesha:

• Uma kwenzeka okuthile esweni.
• Uma ulahlekelwa umbono wakho ngokuzumayo noma umbono wakho uba mubi kakhulu.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela wakho imibuzo efana nale mayelana ne-chorioretinitis:

• Kungani ngithole lesi sifo?
• Yikuphi ukwelashwa okuncomayo?
• Ingabe ikhona imiphumela emibi yalokhu kwelashwa?
• Yiziphi izinkinga okufanele ngiziqaphele?
• Kungenzeka yini ukuthi lesi sifo sizothinta noma ubani emndenini wami? (ikakhulukazi uma kunezimbangela zofuzo)

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Amehlo ethu ayizitho eziyigugu kakhulu. Kuvamile ukuthi amehlo akho adabuke futhi alimale kancane ngezinye izikhathi. Kodwa-ke, uma umbono wakho ungacacile, amehlo akho ebuhlungu, umbono wakho ushintsha, noma ubona into ethile intanta phambi kwamehlo akho njalo, ungakushayi indiva. Kungaba ukuvuvukala kwangaphakathi kweso lakho, njenge-chorioretinitis.

Uma usheshe uxilonge lesi sifo bese uqala ukwelashwa, amathuba akho okugcina amehlo akho ayigugu eba makhulu. Ngakho-ke, ungesabi futhi funa iseluleko sezokwelapha ngokushesha. Kungumthwalo wakho ukunakekela amehlo akho!

I- Chorioretinitis, ukuvuvukala kwamehlo, isifo samehlo, ukukhubazeka kokubona, i-retina, i-choroid