Ingabe ingane yakho encane inalolu hlobo lwenkinga yamehlo? Ake sixoxe nge-'Morning Glory Syndrome'

Uma ubheka amehlo engane yakho encane, wake waphawula ukuthi kukhona okuhlukile ngeso elilodwa? Mhlawumbe ingaphakathi leso libukeka lingavamile, noma ikhanda lengane liphendukele ohlangothini olulodwa, noma iso elilodwa liyavuvukala. Kujwayelekile ukuthi umzali azizwe esaba kancane uma ebona izinto ezinjengalezi. Namuhla sizokhuluma ngesimo esingathinta amehlo, okuyinto engavamile kodwa ebaluleke kakhulu ukwazi ngaso. Leso yisimo esibizwa ngokuthi 'i-Morning Glory Syndrome '.

Iyini le 'Morning Glory Syndrome'?

Kalula nje, i-'Morning Glory Syndrome' yisimo esenzeka lapho ingxenye yeso lakho engaphakathi kweso lakho, umhlane, ingakhuli kahle. Cabanga nje, inzwa eyinhloko ehlobene nokubona ingaphakathi kweso lethu, indawo lapho ixhumana khona neso, okungukuthi, ingxenye ebizwa ngokuthi impande yenzwa ye-optic, ekulesi simo, isesimweni se-funnel. Kufana nokuthi kukhona imbali ebizwa ngokuthi 'Morning Glory', futhi lapho udokotela ebheka '(i-Retina)' yeso lakho, kubukeka sengathi ubheka leyo mbali. Yingakho ibizwe ngokuthi 'Morning Glory Syndrome'.

Lokhu kubangelwa inkinga yokukhula kweso ngesikhathi umntwana esesesibelethweni . Ivame ukutholakala isencane kakhulu, ngezinye izikhathi ngaphambi kokuba ingane ifinyelele eminyakeni emibili ubudala. Le 'Morning Glory Syndrome' (MGS) ibangela izinguquko zesakhiwo ngaphakathi kweso ezingathinta umbono wakho. Iphinde ikhulise ingozi yokuthola izinkinga zamehlo ezahlukahlukene impilo yonke. Ngokuvamile ithinta iso elilodwa kuphela, kodwa akuvamile ukuthi ithinte womabili amehlo.

Enye into ukuthi, ngezinye izikhathi kungase kube nomehluko kuphela ekubukekeni kwaleliso, okungukuthi, ngaphandle kwezimpawu. Kuleso simo, ochwepheshe bakubiza ngokuthi 'i-Morning Glory Disk Anomaly'. Kodwa-ke, uma lo mehluko ekubukekeni uhambisana nezimpawu, khona-ke ubizwa ngokuthi 'i-Morning Glory Syndrome'.

Sivame kangakanani lesi simo?

I-Morning Glory Syndrome iyisimo esingavamile kakhulu . Emhlabeni wonke, kulinganiselwa ukuthi sithinta izingane ezingaphezu kuka-63,000 ezingaphansi kweminyaka engu-20. Elinye iqiniso elithakazelisayo ukuthi sivame kabili emantombazaneni kunasebafaneni. Kuthiwa futhi asivamile kubantu abamnyama.

Ziyini izimpawu zalokhu?

Akuwona wonke umuntu one-Morning Glory Syndrome (MGS) ozoba nezimpawu ezifanayo. Kodwa-ke, kunezimpawu ezithile ezivamile. Lesi simo sinamathuba aphindwe kabili okuthinta iso lesobunxele kunesokudla.

Izimpawu ezihlobene namehlo:

• IbangaI-Myopia : Lokhu kusho ukuthi noma izinto eziseduze zingabonakala kahle, izinto ezikude zibonakala zingacacile.
• Izinkinga zokubona ezisobala: Ungase ube nezikhala noma amabala angaboni (ama-scotomas) ensimini yakho yokubona. Nakuba kuvamile ukuthi wonke umuntu abe nendawo encane yokungaboni esweni ngalinye, le ndawo yokungaboni ingaba nkulu kunejwayelekile esweni elithintekile lomuntu one-MGS.
• I-Strabismus: Iso elilodwa noma womabili aphenduka ngezindlela ezahlukene. Sithi "amehlo aphambeneyo."
• I-cornea emhlophe, yesiliva, ephuzi, noma emhlophe ngokumpunga (i-Leukocoria): Isikhungo seso, esivame ukubonakala simnyama, singase sibonakale sinombala ohlukile. Uma ubona lokhu, kufanele nakanjani ubone udokotela ngokushesha.

Izimpawu ezenzeka nezinye izimo ezihlobene:

Ngaphezu kwalezi zimpawu ezihlobene namehlo, kunezinye izimo zempilo ezingase zenzeke kanye ne-Morning Glory Syndrome (MGS). Lezi zimo zifaka:

• I-Encephalocele (ingxenye yobuchopho ephuma ekhanda)
• Isifo sikaMoyamoya (ukuncipha kwemithambo yegazi ehambisa igazi ebuchosheni)
• `I-PHACE syndrome`
• "I-Neurofibromatosis uhlobo 2 (NF2)"
• I- Aicardi Syndrome
• `Uhlobo lwe-Chiari malformation I`
• `I-Duane syndrome` (ngezinye izikhathi ibizwa ngokuthi `i-Okihiro syndrome`)

La magama angase azwakale eyinkimbinkimbi kuwe, kodwa uma udokotela esola i-MGS, uzofuna nezinye izimo ezinjengalesi.

Iyini imbangela yalokhu?

Eqinisweni, ochwepheshe abakaqondi kahle ukuthi i-Morning Glory Syndrome (MGS) ikhula kanjani. Lokhu kungenxa yokuthi iyisimo esingavamile kakhulu futhi saqala ukuchazwa muva nje ngo-1969.

Kodwa-ke, ochwepheshe abakwaziyo ukuthi imbangela ye-MGS ihlobene nokuphazamiseka okuthile ekukhuleni kweso ngesikhathi umntwana esesesibelethweni . Lokhu kucatshangwa ukuthi kuhlobene nemithambo yegazi enikeza igazi esweni engakhuli kahle, noma ukuphazamiseka ekukhuleni kweso kanye ne-optic nerve.

Obunye bobufakazi obuyinhloko obusikisela ukuthi kunezinkinga zemithambo yegazi ukuthi i-MGS inamathuba aphindwe kabili okuthinta iso lesobunxele. Ngokuvamile, ingane esakhula esibelethweni inezimbobo ezincane phakathi kwezinhlangothi zenhliziyo zesobunxele nesokudla. Lezi zivame ukuvala ngaphambi nje noma ezinsukwini ezimbalwa ngemva kokuzalwa.

Kodwa-ke, uma umbungu uthambekele ekukhuleni kwamahlule amancane egazi (i-microemboli), lawo mathuba angavumela ihlule legazi ukuthi lihambe lisuka ohlangothini lwesobunxele lwenhliziyo liye ohlangothini lwesokudla. Ukusuka lapho, lingahamba liye ebuchosheni. Uma kukhona ukuphazamiseka ekukhuleni kwemithambo yegazi, ihlule lingabhajwa lapho, livimbe ukunikezwa kwegazi futhi livimbele izicubu ekukhuleni kahle. Yilezi zinhlobo zezehlakalo eziye zaphakamisa ukuthi ukuphazamiseka ekukhuleni kwemithambo yegazi kunegalelo ku-MGS.

Nakuba i-MGS ingenzeka ngezimo zofuzo kanye nezofuzo, ucwaningo aluzange lubonise ukuthi lezi zimo zibangela i-MGS ngqo. Nakuba kube nemibiko yamalungu amaningana omndeni ofanayo athola i-MGS, akuvamile kangako.

Yiziphi izinkinga ezingaba khona?

Inkinga evame kakhulu ye-Morning Glory Syndrome (MGS) ukuhlukana kwe-retinal . Lesi simo singaba kubantu abangafika ku-40% abane-MGS. Lesi yisimo esiphuthumayo sezokwelapha .

Ezinye izinkinga zingase zihlanganise:

• Ukubona okuphansi: Ukubona okunciphile kakhulu.
• Iso elivilaphayo (i-Amblyopia): Ngenxa yokuthi umbono weso elilodwa awukhuli kahle, ubuchopho buqala ukunganaki izimpawu ezivela kulelo so.
• Ukuvuselelwa kwemithambo yegazi yeso: Lokhu kungathinta umbono.
• Ukuhlukaniswa kwe-retinal (i-Retinoschisis) .

Ukubona kanjani lokhu?

Udokotela wamehlo, ikakhulukazi uchwepheshe we-retina, angaxilonga i-Morning Glory Syndrome (MGS) esebenzisa izindlela ezihlanganisiwe, okuhlanganisa nokubuza ngezimpawu wena noma ingane yakho enizibonayo kanye nemiphumela eniyitholayo.

Udokotela uzohlola nokubona kwakho (noma kwengane yakho), abheke ngqo iso elithintekile, futhi mhlawumbe athathe izithombe ze-retina. Ezinye izikrini ezikhethekile zokuthwebula izithombe ze-retina nazo zingasiza kakhulu.

Ukuhlolwa okungasiza ekuxilongweni yile:

• Ukuhlolwa kwamehlo: Lokhu kufaka phakathi izinto ezifana nokuhlolwa kokubona, ukuhlolwa kwensimu yokubona, kanye nokuhlolwa kwesibani esiqhekekile.
• I-Optical Coherence Tomography (OCT): Lokhu kungathatha izithombe ezihlanganisa ingxenye yangaphakathi leso.
• I-Fluorescein Angiography: Lokhu kuhlola isimo semithambo yegazi ngaphakathi kweso.
• I-Magnetic Resonance Imaging (MRI): Lokhu kusiza ukubona izakhiwo ezizungeze ubuchopho namehlo.

Ingabe lokhu kungelapheka? Yiziphi izindlela zokwelapha?

I-Morning Glory Syndrome (MGS) yisimo esenzeka lapho ingaphakathi leso lakho lingakhuli kahle. Izinguquko zokukhula azikwazi ukulungiswa noma ukwelashwa, futhi akukho ukwelashwa . Lokho kusho ukuthi akukho ukwelashwa okuqondile kwe-Morning Glory Syndrome.

Kodwa ungakhathazeki. Nakuba kungekho ukwelashwa okuqondile kwe-MGS, izimpawu nezinkinga ezibangelwa yiyo zingelashwa .

Imigomo eyinhloko yokwelashwa yilena elandelayo:

• Ukulungisa inkinga: Isibonelo, uma i-retina ihlukanisiwe, ingalungiswa ngokuhlinzwa.
• Ukunciphisa umthelela wenkinga: Ukugqoka i-eye patch ukuze uvimbele iso elivilaphayo ukuba lingabi libi kakhulu.
• Ukuvimbela izinkinga ezengeziwe: Uma kwenzeka ukuhlukana kwe-retinal, kubalulekile ukulungisa ngokushesha ukuze kuvinjelwe umonakalo ohlala njalo kanye nokulahlekelwa umbono.

Izinketho zokwelapha zincike enkingeni yakho ethile kanye nezinye izici eziningi. Udokotela wakho uyakwazi kangcono ukukutshela ukuthi yiziphi izindlela zokwelapha ezifanele isimo sakho nokuthi yini abayincomayo.

Hlobo luni lwekusasa umuntu onalesi simo angalulindela?

I-Morning Glory Syndrome (MGS) ivame ukutholakala ebuntwaneni. Iyisimo esihlala njalo, esihlala isikhathi eside . Ayikwazi ukwelapheka, ukuguqulwa, noma ukulungiswa. Ayisongeli impilo, kodwa ingathinta kakhulu umbono. Abantu abangaphezu kwengxenye yesithathu abane-MGS babhekana nokuqhekeka kwe-retina.

Abanye abantu abane-MGS bangase babe nombono "ojwayelekile" (20/20) noma umbono ocishe ube ngojwayelekile (phakathi kuka-20/20 no-20/70). Kodwa-ke, abaningi abanawo . Iningi labantu abane-MGS liwela esigabeni "sokubona kancane" (20/70 kuya ku-20/200) noma "abangaboni ngokusemthethweni" (20/200 ngokulungiswa okufana nezibuko).

Ngakolunye uhlangothi, abantu abane-MGS kolunye uhlangothi kufanele baqashwe iso labo elingathintekile, njengoba lelo liso nalo lisengozini enkulu yokuthola izinkinga ezithile. Ngenxa yokuthi i-MGS ibangela ukubona eduze (i-myopia), kunengozi yokuhlukana kwe-retinal, futhi i-myopia iyisici esikhulu sengozi yokuhlukana kwe-retinal, kungakhathaliseki ukuthi i-MGS ikhona noma cha. Iso elingathintekile lingase libe sengozini enkulu yokuthola ama-cataract.

Ngenxa yokuthi i-MGS itholakala isencane, izinqumo zokwelashwa zivame ukwenziwa abazali noma abanakekeli. Banendima ebalulekile ekuqapheleni izimpawu noma ukuziphatha okungase kubonise ukuthi ingane inenkinga yokubona ehlobene ne-MGS.

Ingabe lokhu kungavinjelwa?

I-Morning Glory Syndrome (MGS) ayinakuvinjelwa , futhi ayikho indlela yokunciphisa ingozi yokuthi ivele.

Ngizinakekela kanjani mina/ingane yami?

Uma wena noma ingane yakho ine-MGS, into engcono kakhulu ongayenza ukugcina umbono wakho ngangokunokwenzeka . Udokotela wakho wamehlo uzokuqondisa ukuthi ungakwenza kanjani lokhu. Kubaluleke kakhulu ukulandela imiyalelo yakho yokwelashwa ngokucophelela, sebenzisa izibuko zakho ezinqunyiwe noma ezinye izindlela zokwelapha njengoba kunconywa, bese ubona udokotela wakho ukuze ahlolwe njalo.

Kunini lapho udinga ukubonana nodokotela khona maduze?

Uma une-MGS, usengozini enkulu yokuthola ukuhlukana kwe-retinal. Lesi yisimo esiphuthumayo sezokwelapha . Ngakho-ke, kubalulekile ukufuna ukwelashwa ngokushesha uma unezinye zezimpawu ezilandelayo. Ukwelashwa okusheshayo kuvame ukuvimbela umonakalo ohlala njalo futhi kubuyisele umbono esweni elithintekile.

Izimpawu zokuqhekeka kwe-retinal yilezi:

• Ukukhanya okungazelelwe (Photopsia): Njengombani.
• Amabala amnyama abonakala sengathi ayantanta noma amabala antantayo avela kaningi: (Kuyinto evamile ukubona izinto ezintantayo phambi kwamehlo, kodwa uma zikhula ngokuzumayo, udinga ukunaka).
• Umbono ofiphele: Lokhu kungase kuzwakale sengathi kuza igagasi elimnyama noma ikhethini futhi livimba insimu yakho yokubona.
• Umbono ofiphele ngokuzumayo.

Uma ubona noma yiziphi zalezi zimpawu, hamba esibhedlela ngokushesha .

Yimiphi imibuzo okufanele uyibuze udokotela?

Ungase ufune ukubuza uchwepheshe wakho wamehlo le mibuzo:

• I-MGS yami (noma yengane yami) inzima kangakanani?
• Kuzothinta kanjani umbono wami (noma wengane yami)?
• Yiziphi izinto okufanele ngizibheke uma ngicabanga ukuthi ingane yami inenkinga yokubona ehlobene ne-MGS yayo?
• Ingabe zikhona ezinye izimo zezokwelapha ezingaba nomthelela ku-MGS kimi (noma enganeni yami)? Ingabe ngidinga ukudluliselwa komunye uchwepheshe?

Okokugcina, izinto okufanele uzikhumbule

Uma uthola ukuthi ingane yakho noma umuntu omnakekelayo une-Morning Glory Syndrome (MGS), isimo esingavamile lapho i-retina ngemuva kweso ingakhuli kahle, ungase uzizwe udangele futhi udumele. Akukho ukwelashwa okuqondile kwalesi simo.

Nokho, nakuba i-MGS ingelapheki, izinkinga eziningi ezibangelwa yiyo zingelashwa . Uma ingane yakho ine-MGS, khuluma nodokotela wayo wamehlo. Kunezinto ongazenza ukuze unciphise imiphumela yalesi simo futhi usivimbele ukuthi singabi sibi kakhulu. Ukulondoloza umbono wakho kuyinto ebaluleke kakhulu . Njengoba kunentuthuko ekuhlinzweni kwamehlo nakwezinye izindlela zokwelapha namuhla, kungenzeka kakhulu kunanini ngaphambili. Ngakho-ke, ungalilahli ithemba. Ngeseluleko nokunakekelwa kwezokwelapha okufanele, lesi simo singaphathwa.

'I-Morning Glory Syndrome, i-MGS, Izifo Zamehlo, i-Retina, Izifo Zamehlo Zezingane, Ukukhubazeka Kokubona, Ukuhlukaniswa Kwe-Retinal