Ingabe le fungus iyawathinta namehlo akho? Ake sifunde nge-(Presumed Ocular Histoplasmosis Syndrome - POHS)!

Wake wacabanga ukuthi isikhunta esincane enhlabathini singathinta ukubona kwakho? Namuhla sizokhuluma ngento engavamile ukuzwakala ngayo, kodwa okubaluleke kakhulu ukuyazi. Lokhu kubizwa ngokuthi i-Presumed Ocular Histoplasmosis Syndrome , noma i-POHS ngamafuphi. Nakuba kuyigama elide, masiligcine lilula.

Okokuqala, iyini i-Histoplasmosis?

Kalula nje, i-histoplasmosis ukutheleleka kwamaphaphu okubangelwa yi-fungus ebizwa ngokuthi i-Histoplasma capsulatum . Le fungus ivame ukutholakala enhlabathini. Ivame kakhulu enhlabathini equkethe amaconsi amaningi ezinyoni noma amalulwane (okwaziwa nangokuthi amaconsi). Ivame kakhulu ezingxenyeni zase-United States, njengezigodi zoMfula i-Ohio ne-Mississippi. Kodwa-ke, le fungus ingatholakala nakwezinye izingxenye zomhlaba, ikakhulukazi ezindaweni lapho kune-maconsi amaningi ezinyoni noma amalulwane.

Ngakho-ke, iyini i-ocular histoplasmosis syndrome (POHS)?

Lesi simo esibizwa ngokuthi i-POHS sithinta amehlo njengesandiso, noma inkinga, ye-histoplasmosis efanayo ethelela amaphaphu. Okwenzekayo ukuthi isikhunta ngandlela-thile sihamba egazini bese siphelela ngemuva kwamehlo. Yilapho inkinga iqala khona.

I-histoplasmosis yamehlo iwathinta kanjani amehlo?

Esikhathini esiningi, isikhunta `(Histoplasma capsulatum)` asigulisi wonke umuntu uma siphefumula. Kwabanye abantu, singena emzimbeni bese sinyamalala ngaphandle kwezimpawu. Kodwa-ke, ngeshwa, uma lesi khunta singena emehlweni, kungavela izinkinga ezimbili:

• I-Choroidal Neovascularization ukukhula okungavamile kwemithambo yegazi okungathinta ukusebenza kweso. Nakuba lokhu kungase kuzwakale kuyinkimbinkimbi kancane, ngamazwi alula, ukwakheka kwemithambo yegazi emisha ngaphakathi kweso okungadingeki.
• Izibazi zingakheka ngaphakathi kweso.

Kokubili lokhu kungathinta kakhulu umbono wakho.

Ubani osengozini enkulu yokuthola i-POHS?

Ake sibone ukuthi ubani onamathuba amaningi okuthola lesi simo:

• Njengoba kushiwo ngaphambili, labo abahlala ezigodini zoMfula i-Ohio noma i-Mississippi e-United States basengozini enkulu. Kodwa-ke, ngisho naseSri Lanka, kuhle ukuqaphela lokhu kulabo abahlala ezindaweni ezinamazinga aphezulu endle yezinyoni neyamalulwane.
• Kulabo ababamba izinyoni njengezinkukhu, kulabo abasebenza eduze kwezindlwana zezinkukhu. Izinkukhu zifuywa emakhaya amaningi eSri Lanka.
• Abantu abasebenza ngenhlabathi, njengezindawo ezinothuli emapulazini nasezindaweni zokwakha , bangase babe nesikhunta esinjalo.
• Labo abasebenzisa ugwayi noma abanomlando wokuwusebenzisa nabo basengozini enkulu.

Esinye isici esiyingozi ukuba buthaka kwesimiso somzimba sokuzivikela. Kungabangelwa yilokhu:

• Ngenxa yezifo ezithile, isibonelo, isifo samathambo ,Kubantu abanezifo ezifana ne-multiple sclerosis.
• Kwabesifazane abakhulelwe.
• Kwabadala kanye nezingane ezincane.
• Uma usebenzisa imithi ethile, ikakhulukazi leyo ethatha imithi yokucindezela amasosha omzimba.

Kungani i-histoplasmosis ikhula kula mehlo?

Sesishilo ngaphambili, kuqala enhlabathini lapho kukhona khona isikhunta `(Histoplasma capsulatum)`. Cabanga ngakho, uma umba insimu, umba umgodi, noma uhlanza ihhoko lezinkukhu, isikhunta esikuleyo nhlabathi siyavuselelwa bese sengezwa emoyeni. Bese singakwazi ukusiphefumula. Yileyo ndlela amaphaphu atheleleka ngayo. Kodwa, abacwaningi abakakatholi ukuthi sisuka kanjani emaphashini siye ngemuva kwamehlo.

Ziyini izimpawu ze-POHS?

Ezigabeni zokuqala zalesi simo, azikho izimpawu. Yilokho okuyingozi kakhulu. Kodwa-ke, lapho isikhunta `(Histoplasma capsulatum)` sithinta amehlo futhi siqala ukwakha imithambo yegazi emisha ebizwa ngokuthi `(Choroidal Neovascularization),` umbono wakho uqala ukuthinteka.

Ungase uzizwe izinto ezinjengalezi:

• Umehluko ngobukhulu bento efanayo ebonwa ngamehlo amabili. Njengokungathi iso elilodwa liyibona incane kanti elinye likhulu.
• Izindawo ezingaboni emehlweni.
• Ukubona okufiphele noma ukulahlekelwa umbono ngaphandle kobuhlungu.
• Imibala ingase ingabonakali ngendlela efanele (imibala ingase ibonakale iphelile).
• Kukhanya noma kukhanye phambi kwamehlo.
• Imigqa eqondile, njengezimpawu zomgwaqo, imigoqo yamafasitela, kanye nemigqa encwadini, ibonakala inwebekile futhi igobile.

Uma uhlangabezana nesimo esifana nalesi, kufanele nakanjani ubonane nodokotela wamehlo ngokushesha okukhulu .

Uthola kanjani ukuthi une-POHS?

Uma ubona udokotela wamehlo, into yokuqala abayenzayo ukuhlola amehlo akho ngokucophelela, ikakhulukazi ngemuva kweso, ukuze babone ukuthi unanoma yikuphi kwalokhu okulandelayo:

• Izicubu zesibazi
• Ukuvuvukala

Kwenzekani uma kukhona izimpawu ze-histoplasmosis syndrome emehlweni?

Uma unalezi zimpawu, kungadingeka ukuthi uhlolwe amehlo akho ngokuvuleka, okuhlanganisa nokwandisa amehlo akho ngomuthi . Lokhu kukuvumela ukuthi ubone ngokucacile ukuthi yini engaphakathi kweso lakho. Udokotela angabe esebheka:

• Imithambo yegazi engajwayelekile
• Ingabe uketshezi luqongelelene?
• Ukuvuvukala
• Amabala amancane amhlophe

Ngaphezu kwalokho, uzoba ne -fluorescein angiography.Kungase kudingeke futhi ukuthi wenze ukuhlolwa okubizwa ngokuthi i-Fluorescein Angiography. Lokhu kuhilela ukufaka idayi ekhethekile emthanjeni osengalweni yakho. Le dayi ihamba negazi lakho iye emithanjeni yegazi engaphakathi kweso lakho. Ikhamera ekhethekile ibe isithatha izithombe. Lokhu kungasiza ekunqumeni ukuthi unemithambo yegazi emisha engavamile yini (i-Choroidal Neovascularization).

Ingabe wonke umuntu udinga ukwelashwa kwe-POHS?

Cha, akuwona wonke umuntu ozodinga ukwelashwa. Ngaphandle kokuthi isikhunta se-Histoplasma capsulatum sithinte umbono wakho ngandlela thile, ungadinga ukubhekwa njalo kuphela.

Iphathwa kanjani i-histoplasmosis yamehlo?

Lokhu kukhethekile kancane. Imithi yokulwa nesikhunta ayivame ukunikezwa ngalokhu. Ngoba, nakuba kubangelwa isikhunta, akusona isifo sesikhunta esingaphakathi kweso, kodwa ukusabela kuso.

Kunalokho, ukwelashwa kuwukuvimbela ukwakheka kwemithambo yegazi emisha engavamile (i-Choroidal Neovascularization). Kunezindlela ezimbili eziyinhloko zokwenza lokhu:

1. Ukwelashwa kwe-anti-vascular endothelial growth factor (anti-VEGF): Lokhu kuhilela ukufaka into ebizwa ngokuthi i-anti-VEGF ngqo esweni elithintekile. Lo muthi uvimba ukukhula kwemithambo yegazi engavamile. Lokhu kungasiza ekunciphiseni izimpawu. Kodwa-ke, kungathatha imijovo eminingana ukuze kubonakale imiphumela.

2. Ukwelashwa nge-Photodynamic: Kulokhu, umuthi ozwela ukukhanya obizwa ngokuthi i-verteporfin ufakwa emthanjeni osengalweni yakho. Umuthi ubopha emithanjeni yegazi engajwayelekile esweni. Ngemuva kwalokho, kusetshenziswa imisebe ye-laser enamandla aphansi ukuze kusebenze umuthi. Imithambo yegazi engajwayelekile iyabhujiswa.

Into ebaluleke kakhulu ukuthi zombili lezi zindlela zokwelapha kufanele zenziwe ngaphansi kokuqondisa kukadokotela ochwepheshe wamehlo.

Ikusasa liphetheni kulabo abane-POHS? (Imiphumela)

Ukwelashwa kwe-histoplasmosis yamehlo kungavimbela ukulahlekelwa umbono okuqhubekayo. Lokho kuyinto enhle. Kodwa-ke, abanye abantu bangase bangakwazi ukubuyisa ngokuphelele umbono wabo wangaphambilini.

Ingabe i-POHS ingathinta impilo yesikhathi esizayo?

Yebo, ngisho nangemva kokwelashwa okuphumelelayo, izimpawu ze-POHS zingaphinde zibuye. Kodwa-ke, uma ziphinde zibuye, zingase zingabi zimbi njengakuqala. Abantu abanamasosha omzimba abuthakathaka basengozini enkulu yokubuyela emuva kwalolu hlobo.

Ungazivikela kanjani ku-POHS?

Asikwazi ukubona isikhunta (i-Histoplasma capsulatum) uma sisemoyeni. Ngakho-ke kunzima kakhulu ukugwema ukusiphefumula. Kodwa-ke, uma usengozini enkulu ye-histoplasmosis, kungcono ukugwema izinto ezithile.

Gwema lezi zinto:

• Ukuhambahamba ezindaweni ezifana nemihume.Ngoba kungase kube namalulwane lapho, futhi akukho umoya omningi.
• Ukungena ehhokweni lezinkukhu bese uzulazula kulo.
• Ukusebenza ngenhlabathi engase ibe nendle yezinyoni noma yamalulwane.

Yini enye engingayenza ukuze ngihlale ngiphephile?

Uma isikhunta `(Histoplasma capsulatum)` singena emaphashini akho, kungaba nzima ukusivimba ukuthi singasabalali emehlweni akho. Into engcono kakhulu ongayenza ukuhlola amehlo akho njalo. Ngaleyo ndlela, uma kunenkinga emehlweni akho, ungayibona isesesigabeni sokuqala.

Kunjani ukuphila ne-POHS?

Uma unezinkinga zokubona eziqhubekayo, ungase ukwazi ukuthola usizo oluvela ensizeni ebizwa ngokuthi i-low vision rehabilitation . Udokotela wezifo zengqondo uzokufundisa izindlela zokwenza imisebenzi yansuku zonke ngokuphephile. Isibonelo, angakunikeza iseluleko sokuthi unganciphisa kanjani ingozi yokukhubeka noma ukushelela ekhaya.

Khumbula njengesifinyezo (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngithemba ukuthi ungakhumbula amaphuzu abalulekile kulokho esikhulume ngakho.

• I-POHS yisimo esibangelwa yisikhunta esibizwa ngokuthi `(Histoplasma capsulatum)` esithinta amehlo.
• Lesi sikhunta sitholakala kakhulu enhlabathini enenqwaba yezinyoni nama-bat droppings .
• Usengozini enkulu uma usebenza eduze kwezinkukhu, usebenza ngenhlabathi, usebenzisa ugwayi, noma unesimiso somzimba esibuthakathaka .
• Uma uhlangabezana nezimpawu ezifana nokungaboni kahle, ukubona amabala amnyama, noma ukubona imigqa eqondile , bheka udokotela wamehlo ngokushesha.
• Uma welashwa ngesikhathi, ukubona kungavinjelwa ukuthi kube kubi kakhulu.
• Nakuba kunzima ukuzivikela ngokuphelele kuma-POHS, kubaluleke kakhulu ukugwema izimo eziyingozi nokuhlolwa amehlo akho njalo.

Ngakho-ke, nakekela amehlo akho. Ngoba, amehlo ayimpahla eyigugu kakhulu esinayo!

i- histoplasmosis, i-POHS, izifo zamehlo, izifo zesikhunta, ukukhubazeka kokubona, i-choroidal neovascularization, impilo yamehlo