Ambiri a ife timadziwa mavuto omwe maso amachititsa maso - glaucoma , cataracts, matenda ouma maso ndi macular degeneration. Zokhudza zochitika izi zikuwoneka zosavuta kupeza. Komabe, Fuch's Dystrophy ndizosavuta kumva maso ndipo anthu omwe amavutika nazo nthawi zambiri amasiya ofesi ya madokotala ndi mafunso ambiri osayankhidwa. Kudziphunzitsa nokha za vutoli kungakhale kovuta.
Ngati inu kapena munthu wina yemwe mumadziŵa atapezeka ndi Fuch's Dystrophy, zotsatirazi zidzakuthandizani kudziŵa zambiri.
Kodi Fuch's Dystrophy ndi chiyani?
Fuch's Dystrophy ndi maonekedwe a maso omwe amachititsa matenda mu cornea, choyimira chooneka ngati dongo kumbali yakutsogolo ya diso lathu. Kornea imapangidwa ndi maselo asanu ndi limodzi omwe ali ndi maselo otsiriza omwe amakhala osanjikiza kumbuyo kwa cornea. Imodzi mwa ntchito za maselo otsirizira ndi kupitiliza kutulutsa madzi kunja kwa cornea, kuigwirizanitsa. Pamene maselowa ayamba kulephera, madzi amadzimangira mu cornea yomwe imayambitsa kupanikizika pa maselo. Kornea imakula ndipo masomphenya amakhala mdima. Mitundu yovuta ya Fuch's Dystrophy, cornea ikhoza kubwezeretsa.
Kodi matenda a Fuch's Dystrophy adzakhudza kwambiri moyo wanga?
Kulemera kwa Fuch's Dystrophy kumasiyana. Odwala ambiri sakudziwa kuti ali ndi vuto pamene ena akhoza kukhumudwa ndi masomphenya ochepa.
Komabe, odwala ambiri amakhala ndi masomphenya abwino kuti azigwira ntchito bwino ndi ntchito za tsiku ndi tsiku.
Kodi Fuch's Dystrophy ingandipangitse ine kukhala wakhungu?
Ndi zamakono zamakono, khungu silikupezekapo kwa odwala omwe ali ndi vuto lalikulu la Fuch's Dystrophy. Ndikofunika kumvetsetsa kuti Fuch's Dystrophy sichimakhudzanso retina , khungu lopanda kuwala kwa cornea kapena mitsempha ya optic, chingwe cha mitsempha chomwe chimagwirizanitsa maso ndi ubongo.
Kornea imapangitsa diso kukhala lamphamvu kwambiri. Mitundu yoopsa ya matendawa, kupatsirana mwakachetechete kapena njira yatsopano yotchedwa DSEK ikhoza kubwezeretsanso pafupi ndi chizoloŵezi choyendetsedwa ndi cornea.
Ndizizindikiro zotani zomwe ndingakumane nazo ndi Fuch's Dystrophy?
Odwala ena amadandaula chifukwa cha masomphenya ovuta m'mawa omwe amawoneka ngati akupitirirabe. Izi ndichifukwa chakuti madzi amadzimangira m'mwamba usiku wonse. Mukamadzuka ndikumapita tsiku lanu, diso limatseguka kwa chilengedwe ndipo madzi amadzimadzika kuchokera ku cornea ndi masomphenya amayamba kukhala bwino. Mukhozanso kuona kuwona mvula kapena maluwa akuzungulira kuwala, kunyezimira, ndi masomphenya anu angawonekere. Odwala ena amadandaula chifukwa cha ululu wa maso kapena kutengeka kwa thupi kunja kwa maso awo.
Kodi mankhwalawa angakhudze moyo wanga wa tsiku ndi tsiku?
Kuchiza kwa Dych's Dystrophy kumayambiriro koyamba ndi kosavuta. Kawirikawiri, zimaphatikizapo kupanga 5% ya sodium chloride yankho kapena mafuta odzola m'maso kuti atulutse madzi. Chloride ya 5% ndi mankhwala a mchere omwe nthawi zambiri amaikidwa awiri kapena anayi patsiku. Odwala ena amapeza zotsatira zabwino pogwiritsa ntchito mafuta odzoza omwe amangowaika usiku.
Kodi chimachitika n'chiyani ngati Fuch's Dystrophy yanga ikuipiraipira?
Odwala ena samayambitsa mtundu wina wa Fuch's Dystrophy.
Komabe, ngati ikufika pa siteji yowopsya kwambiri, mukhoza kukhala ndi matenda opatsirana pogonana . Apa ndi pamene madzimadzi amadzaza bullae kapena mabulter mawonekedwe ndi kupanga masomphenya mofulumira ndipo amatha kutuluka ndi kuyambitsa ululu waukulu wa maso ndi kumverera kwa thupi kunja. Pachifukwa ichi, madokotala ena amaika kansalu kojambula m'maso mwanu ndikupatsanso madontho a diso. Ngati matendawa akufalikira, dokotala wanu angakulimbikitseni kuika kapenanso njira ya DSAEK. DSAEK (Descemet's Efficient Automatic Endothelial Keratoplasty) ndi njira yomwe mbali yokhayo ya cornea imaloŵedwa m'malo ndi maselo abwino a endothelial.
Ndondomeko ya DSAEK ili ndi zovuta zochepa kusiyana ndi kuikidwa kosakanikirana ndipo zotsatirazi zimakhala zabwino kwambiri.
Kodi ana anga adzalandira Fuch's Dystrophy?
Zochitika zina za Fuch's Dystrophy zikuwoneka kuti sizikhala ndi machitidwe obadwa nawo. Komabe, maulendo ambiri ali ndi zomwe zimadziwika ngati autosomal cholowa cholowa chitsanzo. Izi zikutanthauza kuti ngati muli ndi vutoli, ndipo makolo anu ali ndi vutoli, mwana aliyense ali ndi mwayi wokwana Fuch's Dystrophy.
> Chitsime:
> Afshari, Natalie A. MD; Aaron B. Pittard, MD; Adnan Siddiqui, BS; Gordon K. Klintworth, MD, PhD. Phunziro la Fuchs Corneal Endothelial Dystrophy Yotsogolera ku Keratoplasty Yowonongeka, Arch Ophthalmol. 2006.