Ingabe ngezinye izikhathi uzizwa sengathi awukwazi ukubona izinto ngokucacile? Noma ingabe ezinye izinto zibonakala zinombala ohlukile, njengokungathi zipinki? Ngisho nemigqa eqondile ingabonakala inwebekile kancane. Uma uke wabhekana nalokhu, ungakuthathi njengento evamile. Lokhu kungaba ngenxa yokuvuvukala endaweni encane kodwa ebaluleke kakhulu ngaphakathi kweso lakho. Yilokho esikhuluma ngakho namuhla.
Kalula nje, iyini i-Cystoid Macular Edema?
Nakuba leli gama lingase lizwakale liyinkimbinkimbi kancane, indaba ilula impela. Ake siyichaze igama negama.
- Ukuvuvukala: Incazelo elula yalokhu ukuvuvukala . Leli igama esilibiza ngokuqongelela koketshezi noma kuphi emzimbeni wethu, okubangela ukuvuvukala.
- I-Macular: Lokhu kubhekisela engxenyeni yeso lethu ebizwa ngokuthi i-macula .
- I-Cystoid: Lokhu kusho ukuthi "enezimbobo ezincane ezifana namabhamuza amanzi."
Manje ake sikuhlanganise konke. I-Cystoid Macular Edema yisimo lapho uketshezi luqongelela khona ku-macula, ingxenye yeso ebukeka njengamabhamuza amancane amanzi kanye nokuvuvukala.
Cabanga ngeso lakho njengekhamera esezingeni eliphezulu. Ifilimu engemuva kwaleyo khamera yi -retina . Isithombe sakho konke esikubonayo sakhiwe kule retina. Kukhona indawo ekhethekile phakathi kwale retina ethatha isithombe esibukhali nesicacile. Yilokho esikubiza ngokuthi i-macula . Yi-macula ekusiza ukuthi ufunde incwadi, uqaphele ubuso, ukhombe iqabunga esihlahleni, futhi ubone imibala ngokucacile.
Ngakho-ke cabanga, kuzokwenzekani uma le macula, eyenza umsebenzi obaluleke kangaka, ivuvukala uketshezi? Yilapho-ke ukubona kwethu okuqondile, okungukuthi, umbono ophakathi, kuphazamiseka.
Uma unalesi simo, yiziphi izimpawu ozibonayo?
Ngezinye izikhathi kungase kungabi nazimpawu ekuqaleni, kodwa njengoba isimo siqhubeka, ungase uqale ukuqaphela izinto ezifana nalezi:
- Umbono ofiphele: Umbono ofiphele, ikakhulukazi phakathi nalokho okubukayo. Kufana nokubuka engilazini yamanzi.
- Izinto zibukeka zigobile: Izinto eziqondile njengezicabha zamafasitela kanye nohlaka lweminyango zingase zibonakale zigobile futhi zigobile.
- Imibala ibonakala ihlukile: Ngezinye izikhathi, ngisho noma ubheka udonga olumhlophe, kungase kuzwakale sengathi kukhona umbala opinki kulo. Imibala ingabonakala ihlukile kunalokho eyikho ngempela.
- Izinto zibonakala zifiphele: Ezinye izinto zingase zibonakale zimnyama futhi zingacacile njengokujwayelekile.
Into ebalulekile ukuthi lezi zimpawu zivame ukuzwakala kuphela engxenyeni ephakathi yombono wakho. Umbono ongaphandle ungase uhlale ujwayelekile, ngakho ungaphuthelwa kalula.
Kungani lesi simo senzeka? Yiziphi izizathu?
Kunezizathu eziningana ezingathinta lokhu. Phakathi kwazo, izizathu eziyinhloko nezivame ukubonakala yilezi:
| Isizathu | Incazelo elula |
|---|---|
| Ngemva kokuhlinzwa kwamehlo | Lesi simo sivame kakhulu ngemva kokuhlinzwa kwe-cataract, ngenxa yokuvuvukala. Singavela futhi ngemva kokuhlinzwa kwe-retina ehlukanisiwe. |
| Isifo sikashukela | Isifo sikashukela silimaza imithambo yegazi ethambile ngaphakathi kweso, okubangela ukuphuma koketshezi. Lolu ketshezi luyanqwabelana e-macula, okubangela ukuvuvukala. |
| Ukuvaleka kwemithambo yegazi esweni | Uma umthambo wegazi ku-retina uvaleka, isimo esibizwa ngokuthi ukuvaleka kwemithambo ye-retinal , ukugeleza kwegazi kungaphazamiseka futhi uketshezi lungavuza. |
| Ukuvuvukala kweso | Lokhu kuvuvukala kungabangelwa nayizimo zokuvuvukala ngaphakathi kweso, njenge-uveitis. |
| Ukulimala kwamehlo | Lesi simo singase senzeke nangemva kwengozi, njengokushaywa kakhulu iso. |
| Eminye imithi | Lesi simo singavela kaningi njengomphumela ongemuhle wemithi ethile yesifo sikashukela nezinto ezifana ne-vitamin B3 (niacin). |
Ubani osengozini enkulu yokuthola lesi simo?
Ingozi yokuthola lesi simo iphakeme ngemva kokuhlinzwa kwe-cataract. Lokhu kuyiqiniso ikakhulukazi uma unezinye izimo zezokwelapha ezifana nesifo sikashukela, ukuvaleka kwemithambo ye-retinal (RVO), noma i-uveitis. Futhi, uma lesi simo sivela esweni elilodwa, kunethuba lokuthi sizokwenzeka nakwelinye iso.
Odokotela bakuthola kanjani lokhu?
Uma uya kudokotela wamehlo, angenza izivivinyo eziningana ukuqinisekisa ukuthi unalesi simo.
1. Ukuhlolwa Kwe-Dilated Retinal: Iso lakho linwetshwe ngamaconsi eso , futhi kusetshenziswa ilensi ekhethekile ukuhlola i-retina kanye ne-macula engaphakathi kweso lakho. Lokhu kuvumela udokotela ukuthi abone ukuvuvukala ngqo.
2. I-Fluorescein Angiography: Lokhu kuhilela ukufaka idayi ekhethekile emthanjeni osesandleni sakho nokuthatha uchungechunge lwezithombe zemithambo yegazi esesweni lakho. Uma kukhona uketshezi oluphuma emithanjeni yegazi noma kuphi, lezi zithombe zizobonakala ngokucacile.
3. I-Optical Coherence Tomography (OCT): Lena yindlela engcono kakhulu nenembile yokuthola lesi simo namuhla. Kufana nokuskena kwe-3D ngaphakathi kweso. Akubuhlungu. Kusebenzisa ukukhanya okukhethekile ukuthatha isithombe esinesinqumo esiphezulu sengxenye evundlile ye-macula. Ingalinganisa konke kusukela enanini lokuvuvukala kuya ekubeni khona kwamabhamuza amanzi, konke kucace kakhulu.
Yiziphi izindlela zokwelapha lokhu?
Into engcono kakhulu ukuthi, kukhona ukwelashwa kwalokhu. Ukwelashwa kuncike esibangweni sesimo sakho. Ngakho udokotela wakho wamehlo uzonquma ukwelashwa okungcono kakhulu kuwe. Bangase bakuthumele kuchwepheshe we-retina.
Ngokwelashwa, umbono wakho ungabuyiselwa esimweni sawo esijwayelekile.
Izindlela zokwelapha eziyinhloko ezisetshenziswayo yilezi:
- Amaconsi Eso: Amaconsi Eso , kungaba ama-steroidal noma angewona ama-steroidal, angase anikezwe ukunciphisa ukuvuvukala nokuvuvukala.
- Imijovo yamehlo: Imithi ifakwa ngqo entweni efana nejeli engaphakathi kweso (i-vitreous). Le mithi ivimba ukwakheka kwemithambo yegazi emisha kanye nokuvuza koketshezi.
- Imithi enciphisa ukucindezeleka kwamehlo: Ngezinye izikhathi imithi enciphisa ukucindezeleka kwamehlo ingasiza ekunciphiseni ukuvuvukala.
- Ukwelashwa nge-laser: Ukwelashwa nge-laser (i-photocoagulation) kungasetshenziswa "ukuvala" noma ukuvala imithambo yegazi evuzayo.
- Ukususwa kwe-Vitrectomy: Kwezinye izimo, into efana nejeli engaphakathi kweso idinga ukususwa ngokuhlinzwa.
Amathuba emiphumela emibi evela ekwelashweni aphansi kakhulu. Kodwa-ke, kunezingozi nganoma yikuphi ukwelashwa kwezokwelapha. Isibonelo, kunengozi yokutheleleka noma ukopha ngesikhathi somjovo. Kodwa-ke, odokotela benza konke okusemandleni abo ukunciphisa lezo zingozi.
Kwenzekani ngemva kokwelashwa?
Ngemva kokwelashwa okuningi, ungenza imisebenzi yakho yansuku zonke njengokujwayelekile. Ngemva kokuthola i-drip noma umjovo, ngokuvamile akubi nankinga yokuya emsebenzini noma esikoleni.
Kodwa-ke, uma kufanele uhlinzwe nge-vitrectomy , kuzothatha isikhathi ukuthi ululame. Kungase kudingeke uthathe ikhefu lesonto kuya kwamasonto amathathu emsebenzini.
Into ebaluleke kakhulu ukuqala ukwelashwa kusenesikhathi. Ukutholwa nokwelashwa kusenesikhathi kungasiza ekubuyiseleni umonakalo wokubona futhi kuvimbele umonakalo owengeziwe. Uma kungelashwa, ukulahlekelwa umbono kungenzeka kancane kancane.
Ingancishiswa kanjani ingozi yalesi simo?
Nakuba kungenakuvinjelwa ngokuphelele, kunezinto eziningana ongazenza ukuze unciphise ingozi.
- Lawula isifo sikashukela kanye nomfutho wegazi ophakeme: Uma unesifo sikashukela noma umfutho wegazi ophakeme, zilawule kahle. Landela imiyalelo kadokotela wakho kahle.
- Thola ukuhlolwa kwamehlo njalo: Hlola amehlo akho kudokotela wamehlo okungenani kanye ngonyaka. Ngale ndlela, noma yiziphi izinkinga zingatholakala kusenesikhathi.
- Gwema ukubhema: Ukubhema kulimaza nemithambo yegazi emehlweni. Ngakho-ke uma ubhema, ukuyeka ukubhema kuyindlela enhle yokusiza amehlo akho.
- Indlela yokuphila enempilo: Yidla ukudla okunempilo futhi uvivinye umzimba njalo.
- Vikela amehlo akho: Gqoka izibuko zokuzivikela uma udlala imidlalo noma wenza umsebenzi oyingozi.
Kufanele ubonane nini nodokotela?
Izifo zamehlo zingaba zimbi kakhulu, ngakho-ke uma ubona ngisho noshintsho oluncane ekuboneni kwakho, ungalushayi indiva.
Uma ubona noma yiziphi izinguquko embonweni wakho, njengokubona okufiphele, ukubona okufiphele, noma ukushintsha kombala, bheka udokotela wamehlo ngokushesha.
Uma ulahlekelwa umbono wakho ngokuzumayo, noma uma ulimele iso okuholela ekubhobozweni kweso, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU). Ukunakekelwa kwezokwelapha okusheshayo kubalulekile ezimweni ezinjalo.
Uma uvakashela udokotela wakho, ungangabazi ukubuza le mibuzo:
- Yiziphi izinto ezibaluleke kakhulu engidinga ukuzazi ngalesi simo?
- Yikuphi ukwelashwa okungcono kakhulu engikunconyelwe?
- Ingabe ikhona imiphumela emibi kulolo hlobo lokwelashwa?
- Yini okufanele ngiyilindele esikhathini esizayo?
- Yiziphi izimpawu okufanele ngikhathazeke ngazo kakhulu?
- Kufanele ngibuye ngokushesha kangakanani ukuze ngiphinde ngihlolwe?
Amehlo ayizitho ezibaluleke kakhulu emzimbeni wethu. Ngakho-ke, ukuwanakekela nokufuna iseluleko sezokwelapha ngisho noma ubona ushintsho oluncane kuzosiza ekuvikeleni umbono wakho wempilo yonke.
Umlayezo Wokuya Nawe Ekhaya
- I-Cystoid macular edema ukuvuvukala kwe-macula, ingxenye yeso ebalulekile ekuboneni.
- Kuvame ukubonakala ngemva kokuhlinzwa kwe-cataract kanye naphakathi kweziguli ezinesifo sikashukela.
- Izimpawu eziyinhloko ukubona okufiphele phakathi, ukubona okufiphele, kanye nokushintsha kombala.
- Uma unezimpawu ezinjengalezi, ungazinaki futhi ubone udokotela wamehlo ngokushesha.
- Ukutholwa kusenesikhathi kanye nokwelashwa kungabuyisela futhi kuvikele ukubona.
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