Wake wazizwa ukuthi uma ufunda iphephandaba noma ubheka i-grille yefasitela, imigqa eqondile kuyo ibukeka inwebekile futhi imibimbi? Ngezinye izikhathi ungabhekana nokuhlangenwe nakho okufanayo uma ubheka phansi kwethayela endlini yokugezela. Abantu abaningi bacabanga ukuthi lokhu kuyinkinga ngezibuko zabo. Kodwa lokhu kungabangelwa ushintsho oluncane ngaphakathi kweso olungenakulungiswa ngokushintsha izibuko zabo. Namuhla sikhuluma ngalesi simo esibizwa ngokuthi i-Macular Pucker, abantu abaningi abangakaze bezwe ngaso, kodwa abanye abantu bayasizwa. Ungakhathazeki, sizoxoxa ngakho konke ngamagama alula.
Kuyini i-Macular Pucker?
Ukuze siqonde lokhu, ake siqale sibheke ukuthi amehlo ethu asebenza kanjani. Cabanga ngamehlo ethu njengekhamera yobuchwepheshe obuphezulu. Ngemuva kwale khamera, kunesendlalelo esincane samangqamuzana emizwa azwela ukukhanya asebenza njengefilimu. Lokhu sikubiza ngokuthi i-retina . Izithombe esizibonayo zakhiwe kule retina.
Manje, phakathi kwale retina, kukhona indawo encane lapho amangqamuzana amaningi azwela ukukhanya ehlanganiswa khona ndawonye asisiza sibone izinto ngokucacile, sifunde, futhi sibone ubuso ngendlela ecashile kakhulu. Sikubiza ngokuthi i-macula . Lena yingxenye eyinhloko ebangela umbono wethu ocacile nocacile.
I-Macular pucker yilapho ungqimba oluncane lwezicubu zesibazi, njengeshidi le-cellophane, lwakheka phezu kwe-macula. Lolu ngqimba luyancipha kancane kancane ngokuhamba kwesikhathi. Lube selunwebeka futhi lushwabane kanye ne-macula engaphansi. Kufana nokubeka elinye ishidi phezu kweshidi lombhede kanye neshidi ngaphansi kwemibimbi njengoba lunwebeka. Lokhu kushwabana kubangela ukuthi umbono wethu ocacile, oqondile uphenduke futhi uphazanyiswe. Odokotela babiza lokhu ngokuthi i-epiretinal membrane (ERM) noma i-cellophane maculopathy .
Ezimweni eziningi, lokhu akubangeli umonakalo omkhulu ekuboneni, kodwa kwabanye abantu, kungenza kube nzima ukwenza imisebenzi yansuku zonke.
Ziyini izimpawu zomuntu one-macular pucker?
Uphawu oluyinhloko noluvame kakhulu lwalesi simo ukubona okuphambene. Okusho ukuthi, izinto eziqondile zibonakala sengathi zeluliwe. Kwezokwelapha, lokhu sikubiza ngokuthi i-metamorphopsia . Kungathinta iso elilodwa kuphela, kodwa ngezinye izikhathi kungathinta womabili amehlo. Nakuba kungenzeka kuwo womabili amehlo, ngokuvamile iso elilodwa lithinteka kancane kunelinye.
Ngezansi kunezimpawu ezivame kakhulu zalesi simo.
| Isibonakaliso | Incazelo elula |
|---|---|
| Umbono Ophambene | Imigqa eqondile (imigoqo yamafasitela, ozimele beminyango, imigqa encwadini) ibonakala inwetshiwe, igobile, noma igobile. |
| Umbono Ofiphele | Ukuzizwa sengathi imininingwane emincane ayinakubonwa kahle, kungakhathaliseki ukuthi ubheka eduze kangakanani. Ubunzima bokufunda nokubhala. |
| Umbono Ophindwe Kabili | Uma sibukwa ngeso elilodwa, isithombe sibonakala singesibili. |
| Usayizi wezithombe ubonakala uhlukile. | Isithombe esibonwa yiso elilodwa singase sibonakale sikhulu kunelinye iso. |
Into ebaluleke kakhulu ukuthi ukulahlekelwa umbono okubangelwa yi-macular pucker akukwazi ukulungiswa ngezibuko zamehlo ezivamile. Uma unalezi zimpawu, kubalulekile ukubona udokotela wamehlo.
Kungani lokhu kuqhuzuka kwe-macular kwenzeka? Yiziphi izici eziyingozi?
Lesi simo sivame ukukhula ngokuguga. Into efana nejeli engaphakathi kwamehlo ethu egcina iso lisesimweni esihle ibizwa ngokuthi i-vitreous humor . Njengoba siguga, le jeli iyancipha, iba uketshezi, bese iqala ukuhlukana ne-retina. Lokhu kuvamile. Kodwa ngezinye izikhathi, lapho lokhu kuhlukana kwenzeka, i-retina ingonakala kancane. Njengoba umzimba uzama ukulungisa lo monakalo, izicubu zesilonda zingakheka ku-macula. Lena yimbangela eyinhloko ye-macular pucker.
Ngaphandle kwalokhu, kunezinye izimbangela eziningana kanye nezici eziyingozi.
- Ukudabuka noma ukuqhekeka kwe-retinal .
- Ukulimala okukhulu kwamehlo (ukulimala kwamehlo).
- Ukuhlinzwa kwamehlo: Ikakhulukazi ngemva kwezinto ezifana nokuhlinzwa kwe-cataract.
- Ukutheleleka kwamehlo noma ukuvuvukala, isibonelo i-uveitis .
- Izinkinga zamehlo ezibangelwa isifo sikashukela (i-retinopathy ehlobene nesifo sikashukela).
- Ngemva kokwelashwa ngamehlo nge-laser .
Lesi simo asithelelani. Lokho kusho ukuthi asinakusabalala sisuka komunye umuntu siye komunye.
Udokotela ukuthola kanjani lokhu?
Ngemva kokusitshela ngezimpawu zakho, udokotela wamehlo uzohlola amehlo akho ngokucophelela. Ukuze enze lokhu, uzofaka amaconsi emehlweni akho azovula amehlo akho. Lokhu kuzovumela udokotela ukuthi abone kahle i-retina kanye ne-macula esweni lakho.
Ngaphezu kwalokho, kusetshenziswa izivivinyo eziningana ezikhethekile ukuqinisekisa ngokunembile lesi sifo.
- Ukuhlolwa kwamehlo kwe-Amsler grid: Lokhu kuhilela ukubuka igridi yezikwele. Uma une-macular pucker, izikwele zingase zibe nemidwa, zibe nemibimbi, futhi zingabonakali kancane.
- I-Optical coherence tomography (OCT): Lena yindlela engcono kakhulu nenembile yokuxilonga lesi sifo. Njenge-CT scan, ithatha isithombe esicacile se-retina engaphakathi kweso, ebukeka njenge-cross-section. Lokhu kuskena kungabona ngokucacile ukuthi kukhona ungqimba lwefilimu ku-macula, ukuthi ijiyile kangakanani, nokuthi i-macula imibimbi yini.
Yiziphi izindlela zokwelapha lokhu?
Okokuqala, izindaba ezinhle ukuthi akuwona wonke umuntu one-macular pucker ozodinga ukwelashwa. Uma ukubona kwakho kungathinteki kakhulu, udokotela wakho cishe uzokutshela ukuthi uze uzohlolwa amehlo njalo. Lokhu kusho ukuthi bazoqapha isimo kuphela.
Kodwa-ke, uma ukuphazamiseka kwamehlo akho kuphazamisa imisebenzi yakho yansuku zonke (njengokufunda noma ukushayela), ungase ufune ukwelashwa.
| Indlela yokwelapha | Incazelo |
|---|---|
| Izinketho Ezingezona Ezokuhlinzwa | |
| Izibuko ezintsha | Lokhu ngeke kuphulukise i-macular pucker, kodwa kungasiza ekulungiseni ezinye izinkinga zokubona nokukhulisa umbono wakho jikelele. |
| Ukukhanya okuhle kanye nemishini yokukhulisa | Ukufunda kungenziwa kube lula ngokusebenzisa izibani ezinhle (izibani zokufunda) kanye namadivayisi okukhulisa izinto uma kudingeka. |
| Inketho Yokuhlinzwa | |
| Ukususwa kwe-Vitr nge-Membranectomy | Lena yindlela yokwelapha eyinhloko nephumelela kakhulu yalesi simo. Kuhilela ukwenza imivimbo emincane kakhulu esweni, ukususa into efana nejeli ngaphakathi kweso (i-vitreous), nokususa ngokucophelela ulwelwesi oluncane olubangela imibimbi. Lokhu ngokuvamile kuyinqubo yokulaliswa esibhedlela. |
Ingabe zikhona izingozi zokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane kakhulu ezihilelekile, kodwa odokotela bathatha zonke izinyathelo zokunciphisa lezi zingozi.
- Ukopha
- Izifo
- Ukudabuka noma ukuqhekeka kwe-retinal
- Ukwanda kwesibalo sama-cataract
- Umgodi we-macular
- Ukwanda komfutho wamehlo (i-Glaucoma)
Ukubona kungase kufiphale kancane izinsuku ezimbalwa ngemva kokuhlinzwa. Ungase futhi uzwe ubuhlungu bamehlo nokungakhululeki. Kungathatha izinyanga ezifika kwezi-3 ukuphulukiswa ngokugcwele nokuzwa izinzuzo ezigcwele zokuhlinzwa.
Ungadidanisi lokhu nezinye izifo zamehlo!
Izimpawu ze-macular pucker zingafana nezezinye izifo eziningana zamehlo, ngakho-ke kubalulekile ukuqaphela lo mehluko.
Ingabe i-Macular Pucker kanye ne-Macular Degeneration ziyinto efanayo?
Yebo. Nakuba zombili zithinta i-macula, ziyizimo ezimbili ezihlukene. Ukuguga kwe-macular degeneration yisimo lapho amaseli ku-macula ebhujiswa khona njengoba siguga. I-macular pucker yisimo lapho ungqimba lwezicubu lwakha khona ku-macula. Izimpawu zingase zifane, kodwa izimbangela kanye nokwelashwa kuhlukile.
Ingabe i-Macular Pucker ne-Macular Hole ziyinto efanayo?
Cha. Lezi yizimo ezimbili. I-pucker iyisililo. Imbobo ye-macular iyimbobo yangempela ku-macula. Ngezinye izikhathi i-macular pucker ingabangela ukuthi ulwelwesi lwe-membrane lunwebeke futhi ludale imbobo ku-macula. Imbobo ye-macular ivame ukuba nomthelela omkhulu ekuboneni kune-pucker.
Kufanele ngimbone nini udokotela?
Uma ubona noma yiziphi izinguquko embonweni wakho, ungakuzibi. Qiniseka ukuthi ubona udokotela wakho.
Ikakhulukazi, uma ubona ushintsho oluzumayo embonweni wakho, amabala amnyama azumayo phambi kwamehlo akho, ama-floating board, noma ubuhlungu bamehlo, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
Uma uqala ukuzwa ngalesi simo esisongela ukubona, ungase uzizwe wesaba kancane. Kodwa khumbula, izimo eziningi ze-macular pucker azidingi ukwelashwa. Ngisho noma kunjalo, kunezindlela zokwelapha ezisebenzayo ezitholakalayo. Udokotela wakho uzoxoxa ngezinketho ezikulungele futhi akusize unqume ukuthi yini okufanele uyenze ngokulandelayo. Into ebaluleke kakhulu ukuhlolwa kwamehlo njalo .
Umlayezo Wokuya Nawe Ekhaya
- I-Macular pucker yisimo lapho ungqimba oluncane lwezicubu zesibazi lwakheka khona ku-macula, ingxenye yeso lakho ebangela ukubona okucacile, okubangela ukuba lishwabane.
- Uphawu oluyinhloko lwalokhu ukubukeka okunemicu nokushwabana.
- Akuwona wonke umuntu onalesi simo odinga ukwelashwa. Ngaphandle kokuba umbono uthinteke kakhulu, odokotela bazowuqapha nje.
- Uma umbono ofiphele nophambene uphazamisa imisebenzi yansuku zonke, ukuhlinzwa kungasusa lolu lwelwesi futhi kubuyisele umbono.
- Uma ubona noma yiziphi izinguquko embonweni wakho, ikakhulukazi ezizumayo, bona udokotela ngokushesha.
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