Wake waphawula indawo emnyama, efana nendandatho ezungeze i-iris yeso lomuntu? Mhlawumbe udokotela ukutshelile ngalokhu. Abanye abantu bangase besabe ukuthi lokhu kuzolimaza umbono wabo. Kodwa empeleni lokhu akuyona into elimaza iso. Kodwa-ke, lokhu kungaba uphawu olubalulekile lwesinye isimo esibi esenzeka emzimbeni wethu. Namuhla, ake sixoxe ngalokhu kalula.
Ayini ama-Kayser-Fleischer Rings (ama-KF rings)?
Kalula nje, izindandatho zikaKayser-Fleischer ziyizindandatho ezimnyama ezakheka zizungeze ingxenye enemibala yamehlo ethu, i-iris. Lezi zindandatho zibangelwa ithusi eliningi emizimbeni yethu eliqongelela esweni . Zingabonakala ziluhlaza okotshani, zigolide, noma zinsundu.
Into engcono kakhulu ukuthi lezi zindandatho ngeke zilimaze amehlo akho .
Le ndandatho iqala njenge-arc engxenyeni engenhla yeso. Bese isakazeka kancane kancane ibe yindandatho egcwele. Lawa macala atholakala lapho kuhlangana khona ingxenye emhlophe yeso (i-sclera) kanye nengxenye ecacile ngaphezu kwengxenye enombala yeso (i-cornea).
Into ebaluleke kakhulu ukuthi kubantu baseSri Lanka abanamehlo ansundu amnyama, lawa masongo kaKayser-Fleischer awabonakali kahle. Kubantu abanamehlo anombala okhanyayo, kulula ukuwabona.
Lokhu kuhluke kanjani kwezinye izigaxa zamehlo?
Kunezinye izimo lapho kuvela khona lezi zinhlobo zezindilinga zamehlo. Ngakho-ke, kubaluleke kakhulu ukuhlukanisa nokuqaphela lezi. Ake sibone ukuthi umehluko omkhulu uyini.
| Isici | Izindandatho zeKayser-Fleischer | I-Senile Arcus | Izindandatho zeFleischer |
|---|---|---|---|
| Umbala | Okuluhlaza okotshani, okugolide, okunsundu (imibala emnyama) | Umbala omhlophe-ompunga (umbala okhanyayo) | Umbala ophuzi-onsundu |
| Isizathu | Ukufakwa kwethusi | Ukufakwa kwama-lipids | Ukufakwa kwensimbi |
| Izifo ezihlobene | Isifo sikaWilson, isifo sesibindi | I-cholesterol ephezulu, ukuguga | I-Keratoconus - ukuvela kweso okufana nekhoni |
| Ukuhlonza | Udokotela wamehlo kufanele enze ukuhlolwa kwesibani esiqhekekile. | Kubonakala emehlweni enyama. | Kumelwe ihlolwe nge-microscope ekhethekile (ukuhlolwa kwesibani esiqhekekile). |
Ukuze ahlole la ma-KF rings, udokotela wamehlo usebenzisa i-microscope ekhethekile ebizwa ngokuthi ukuhlolwa kwesibani esincishisiwe . Ngezinye izikhathi, kudingeka ukuhlolwa okujulile okubizwa ngokuthi i-gonioscopy . Lokhu kuhilela ukufiphaza iso nokubeka ilensi ekhethekile phezu kweso.
Iyini imbangela eyinhloko yama-Kayser-Fleischer Rings?
Imbangela eyinhloko nevame kakhulu yalokhu yisifo sikaWilson .
Isifo sikaWilson siyisifo sofuzo esibangela ukuthi umzimba uqoqe ithusi eliningi kunalokho okudingayo. Ngokuvamile, isibindi sethu sisusa ithusi eliningi. Kodwa kumuntu onesifo sikaWilson, leyo nqubo ayisebenzi kahle. Bese, le thusi iqala ukwakheka esibindini, ebuchosheni, emehlweni nakwezinye izitho zomzimba.
- Isifo sesibindi: Ukuqongelela kwethusi kungalimaza isibindi futhi kubangele isifo sesibindi.
- Izinkinga zesimiso sezinzwa kanye nengqondo: Lapho ithusi liqala ukuqongelela ebuchosheni, kuvela izimpawu ezahlukahlukene zezinzwa kanye nezinkinga zengqondo. Isibonelo:
- Izinkinga zokunyakaza njengokuthuthumela ezithweni zomzimba kanye nobunzima bokuhamba
- Ubunzima bokukhuluma
- Ukukhathazeka nokucindezeleka
- Izinguquko ekuziphatheni nasebuntwini
Cabanga nje, kubantu abanezimpawu zezinzwa ngenxa yesifo sikaWilsonLezi zindandatho ze-KF zingabonakala kubantu abangaba ngu-95 kwabayi-100. Lokhu kubonakala kubantu abangaba ngu-50% abanezimpawu zesibindi kuphela.
Ezinye izizathu
Ngaphezu kwesifo sikaWilson, kunezinye izimbangela eziningana zama-KF rings. Lezi futhi yizifo ezihlobene nesibindi.
- I-Primary biliary cholangitis (PBC): Lesi yisifo esingamahlalakhona esilimaza imigudu ye-bile esibindini.
- I-cholestasis yezingane ezisanda kuzalwa: Ukugeleza kwenyongo okuphazamisekile esibindini sezingane ezisanda kuzalwa.
Kuphathwa kanjani lokhu?
Into ebaluleke kakhulu sonke okudingeka siyiqonde lapha ukuthi odokotela abelaphi i-ringworm ngokwayo. Baphatha isimo sezokwelapha esiyisisekelo esibangele i-ringworm.
Ukwelashwa kwesifo sikaWilson
Kunemigomo emibili eyinhloko yokwelashwa.
1. Ukususa ithusi eliningi emzimbeni: Lokhu kubizwa ngokuthi ukwelashwa nge-copper chelation . Lokhu kusho ukuthi kunikezwa imithi ekhethekile (ama-chelating agents) ebopha ithusi emzimbeni bese iyisusa ngomchamo. Izibonelo zalokhu yimithi efana ne-penicillamine ne-trientine.
2. Ukunciphisa ukumuncwa kwethusi ekudleni: Lokhu kwenziwa ngokunikeza izithasiselo ze-zinc . I-zinc ivimbela ukumuncwa kwethusi emathunjini iye emzimbeni.
Ukwelashwa kwezinye izifo zesibindi
Izifo ezifana ne-primary biliary cholangitis (PBC) azikwazi ukwelashwa ngokuphelele. Kodwa-ke, imithi inikezwa ukulawula izimpawu nokuvimbela ukuqhubeka kwesifo. Nge-cholestasis ezinsaneni ezisanda kuzalwa, kunikezwa ubisi olukhethekile lwefomula, imithi yokulwa nokulunywa, futhi ezimweni ezimbi kakhulu, kungadingeka ukuhlinzwa kokufakelwa isibindi .
Asikwazi yini ukuvimbela ukwakheka kwalezi zindandatho zeKayser-Fleischer?
Empeleni ayikho indlela yokuvimbela ngqo ukwakheka kwalezi zindandatho, ngoba izimo ezifana nesifo sikaWilson ezizibangelayo ziwufuzo futhi azinakuvinjelwa.
Kodwa, into engcono kakhulu ongayenza ukuyibona kusenesikhathi .
Uma othile emndenini wakho oseduze, njengomama, ubaba, noma umfowabo, enesifo sikaWilson, kubaluleke kakhulu ukuthi ukhulume nodokotela wakho ngaso bese uhlolwa . Ukutholwa kusenesikhathi kungakusiza ukuthi uqale ukwelashwa ngaphambi kokuba kuvele izimpawu futhi kuvimbele izinkinga ezinkulu.
Ingabe lezi zindandatho zihlala njalo?
Cha, lezi yizindaba ezinhle kakhulu. Amasongo kaKayser-Fleischer awahlali unomphela . Uma isifo esiyisisekelo, isibonelo isifo sikaWilson, selashwa kahle, ithusi eliningi emzimbeni lizosuswa. Khona-ke lawa masongo emehlweni azonyamalala kancane kancane futhi anyamalale ngokuphelele .
Ngakho-ke asikho isidingo sokwesaba ukubona lokhu. Into ebaluleke kakhulu ukukubona njengophawu bese uqala ukwelapha isimo esiyisisekelo ngokushesha okukhulu. Uma udokotela wamehlo ekhuluma ngalokhu ngesikhathi sokuhlolwa kwamehlo akho, uzokudlulisela kuchwepheshe ofanele ukuze uthole ukwelashwa okwengeziwe.
Umlayezo Wokuya Nawe Ekhaya
- Amasongo kaKayser-Fleischer akusona isifo samehlo, kodwa uphawu lwangaphandle lwesifo esiyisisekelo (ikakhulukazi isifo sikaWilson) esibangelwa yithusi eliningi emzimbeni.
- Lezi zindandatho ngeke zilimaze ukubona kwakho.
- Lokhu kuvame ukutholakala okokuqala lapho udokotela wamehlo ehlola amehlo nge-microscope ekhethekile.
- Lezi zindandatho zingasuswa cishe ngokuphelele ngokwelashwa okufanele kwesifo esiyisisekelo.
- Uma othile emndenini wakho enesifo sikaWilson, noma ngabe azikho izimpawu, kubaluleke kakhulu ukubona udokotela bese ukhuluma ngaso.
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