Mavuto a Glaucomatocyclitic, kapena GCC, ndi chikhalidwe cha glaucoma chomwe vuto la diso limatuluka msanga, kawirikawiri ndi diso limodzi. Nkhwangwa mu kuyesedwa kwa maso imayambitsidwa ndi kutukudzidzika kwadzidzidzi komwe kumapezeka m'diso, lotchedwa uveitis . Uveitis ndi kutupa kwa tsamba loyera mumaso. Chovalacho ndi chotsalira cha mchere chomwe chimaphatikizapo minofu yamtundu, minofu yomwe imayang'ana, ndipo imayenanso kupanga madzi omwe ali kutsogolo kwa diso.
Kuthamanga kwa diso kumathamanga kapena kumenyana kungabwere msanga ndi kutha kuchokera kwa maola angapo mpaka masabata kapena miyezi. Ambiri amatha milungu iwiri. GCC nthawi zambiri imapezeka pakati pa zaka zapakati pa 20 ndi 50 ndipo sizimapezeka mwa anthu okalamba kuposa 60. Mwachibadwa, imapezeka ana.
Zizindikiro
Anthu omwe akukula GCC amadandaula ndi zotsatirazi:
- masomphenya olakwika
- mosavuta
- halos zamitundu
- kupukuta maso
N'zochititsa chidwi kuti odwala omwe ali ndi GCC samangoyamba kudandaula za ululu wosayenerera, kutulutsa kuwala, ndi ululu zomwe zimakhala zizindikiro za uveitis. Ndipotu, nthawi zina vuto limasoweka chifukwa uveitis ndi yofatsa.
Uveitis ndi Kuwonjezeka Kwambiri Maso
M'malo ambiri a uveit, maselo otupa ndi zowonongeka m'kati mwa diso. Matopewa amachititsa kuti madziwa asamadzidwenso komanso amatha kugwira ntchito m'matope, kutulutsa chitoliro cha madzi omwe amapezeka pamaso. Mu GCC, pali kuwonjezereka koyezeka kwa sayansi yamagetsi yotchedwa prostaglandin mu madzi omwe ali kutsogolo kwa diso.
Panthawi yovutitsa, vuto la prostaglandin limatuluka ndipo limayambitsa kutupa m'matumbo omwe amachititsa kuti madziwa asakwane molakwika. Komanso, prostaglandin amachititsa kuti madzi azikhala opangidwa m'maso. Pa nthawi ya kukhululukidwa, pali kuchepa kwakukulu mu msinkhu wa prostaglandin ndi kuchepetsa kupanga kwa madzi.
Kwenikweni, pamene chitoliro chotulutsa madzi sichikuwongolera moyenera ndipo pamakhala opangidwa ndi madzi ambiri, diso silingakhoze kulidula ilo mwamsanga ndipo kupanikizika mkati mwa diso kumawonjezeka.
Zimayambitsa
Asayansi amanena kuti GCC imayambitsa matenda ena, monga CMV ( cytomegalovirus ), kapena herpes zoster virus (kachirombo ka nkhuku). Kafukufuku amasonyeza kuti madzimadzi omwe amachokera kwa ovutika ndi vuto la glaucomatocyclitic ayesa zitsulo zochepa za maginito awo. Palibe ma virus omwe alipo. Mavairasi awa amachititsa kuti zotupa zimayambira.
Kodi GCC ingayambitse ubongo?
Pomwe GCC ikuukira, mphamvu ya diso ikhoza kukwera kwambiri kuti kuwonongeka kumachitika mitsempha ya optic (mitsempha ya ubongo yomwe imagwirizanitsa diso la ubongo ku ubongo) ndi mitsempha ya mitsempha yowonjezera. Ngati kuwonongeka kokwanira kumachitika, masomphenya amatha kuchitika, kawirikawiri akuyamba mbali yeniyeni ya masomphenya anu. Ngati simukutsatiridwa, zikhoza kufalikira ku masomphenya anu apakati.
GCC vs Mphuno Yambiri Yokongoletsera Glaucoma
Ayi. Chimake chodziwikiratu kutseka glaucoma ndi mtundu wa mwadzidzidzi wa chikhalidwe chimene chingayambitse kupweteka kwa diso, koma chimabweretsedwanso ndi maso. Diso la diso ndilo kumene mitsempha yotchedwa trabecular (drain pipe) imapezeka.
Mng'onoting'ono kumene cornea ndi iris amakumana nazo zimakhala zopapatiza kotero kuti madzi sangathe kuthawa. Anthu omwe ali ndi kutseka kwazing'onoting'ono komanso alibe uveitis ndipo amadandaula kwambiri ndi ululu waukulu. Kwa odwala omwe ali ndi GCC, mbaliyo imatseguka.
Chithandizo
Popeza kutupa m'maso ndiko chifukwa chachikulu cha kupanikizika, mphamvu zotsutsa-inflammatories monga steroid zimayikidwa. Komanso, madontho a diso a anti-glaucoma amaperekedwa kuti achepetse kuthamanga kwa diso. Mankhwala ena a glaucoma omwe amatchedwa prostaglandin analogs (omwe amagwiritsidwa ntchito monga chithandizo choyamba m'magulu ambiri a glaucoma) amapewa momwe angathere kwambiri kutupa.
Tsogolo labwino likhoza kutsatiridwa pa mankhwala odana ndi tizilombo kuchokera pamene asayansi amaganiza kuti akhoza kukhala ndi tizilombo toyambitsa matenda.
Zimene Muyenera Kudziwa
GCC kawirikawiri ndi matenda owopsa komanso odziletsa, ngakhale kuti odwala ena amatha kubwereza, kuwonongeka kosatha kumatha kuchitika. Ndibwino kukhala ndi ubale wabwino ndi dokotala wanu wa diso kuti chithandizo chiyambe mwamsanga ngati vuto likubweranso.
> Chitsime:
> Sowka, J., Gurwood, A., ndi Kabat, A. Bukhu la kasamalidwe ka matenda a ocular, Review of Optometry, Edition Yachisanu ndi chimodzi, 15 > June, > 2014.