Pseudoexfoliation (PXF) glaucoma (yomwe imatchedwanso kuti exfoliative glaucoma kapena matenda a exfoliation) ndi mtundu wa glaucoma yotseguka. Magalasi otseguka ndi maso omwe diso limapangitsa kuti diso likhale lopambana kuposa lachibadwa limene limapangitsa kuti mitsempha ya optic iwonongeke, yomwe imagwirizanitsa maso ndi ubongo. Pakapita nthawi, mitsempha ya mitsempha imatha kufa chifukwa cha kusowa kwa masomphenya.
Kupsyinjika kwa diso kumawonjezeka mkati mwa diso chifukwa cha zifukwa zosiyanasiyana koma nthawi zambiri zimatero chifukwa pali madzimadzi ochulukirapo diso kapena fyuluta ya diso, yotchedwa meshwork, imatulutsa.
Zimayambitsa
Mu pseudoexfoliation glaucoma, pali kuwonjezereka kosaneneka kwa mapuloteni mu kayendedwe ka madzi ndipo madzi amamangirira, kuwonjezereka kwa diso. Pamapeto pake, kupanikizika kumeneku kumayambitsa mitsempha ya optic. Anthu ena amapanga matenda a pseudoexfoliative omwe amatha kutulutsa mapuloteni osaneneka, koma zikuwoneka kuti palibe kuwonjezeka kwa kuyang'ana kwa diso. Anthu makumi asanu pa 100 alionse omwe ali ndi matenda a pseudoexfoliative amayamba kukhala ndi exfoliative glaucoma. Anthu onse omwe ali ndi pseudoexfoliative syndrome amaonedwa kuti akudandaula chifukwa cha kuphulika kwa glaucoma. Matenda a pseudoexfoliation kwenikweni ndi chikhalidwe cha machitidwe, kutanthauza kuti puloteni iyi yowonongeka ilipo mthupi lonse. Pali kugwirizana pakati pa pseudoexfoliation ndi matenda a mtima, zilonda, ndi kumva.
Ndani Ali Pangozi?
Pseudoexfoliative glaucoma imapezeka kwambiri kwa anthu achikulire komanso anthu a kumpoto kwa Ulaya monga mayiko a Scandinavia.
Kudziwa
Kawirikawiri, kafukufuku wamaso amafunika kuchitidwa. Panthawi ya kuyesedwa kwa diso, ophunzira anu adzasungunuka. Kawirikawiri, ngati munthu ali ndi pseudoexfoliation, zoyera, zofiira, zowonjezera mapuloteni zimatha kuwona pa khungu la crystalline la diso kumbuyo kwa iris.
Matendawa amatha kupezeka pamalire a wophunzira komanso mbali ya diso (mbali yomwe cornea imapanga ndi iris.)
Ngati dokotala wa diso akuwona izi, iye adzachita ma gonioscopy. Gonioscopy ndi mayesero omwe galasi lapadera logwiritsidwa ntchito ndi manja limayikidwa pamaso. Gonioscopy imagwiritsidwa ntchito kufufuza mbali ya diso pamene matope a trabecular amasinthasintha madzi kuchokera mu diso. Kenaka, adokotala adzayang'ana mkatikati mwa diso ndi kulimbikitsidwa kwakukulu poyang'ana kukula, mtundu, ndi mawonekedwe a mitsempha ya optic. Pambuyo pake, mayeso a masewera olimbitsa thupi adzachitidwa kuti athe kufufuza masomphenya onse, kuyang'ana m'malo ena kumene glaucoma imayamba kukula msanga.
Anthu omwe ali ndi pseudoexfoliation amatha kukhala ndi ubongo kusiyana ndi kale. Zozizira ndizozizira za diso la diso lomwe limapezeka mwa anthu pamene likukula.
Nchifukwa chiyani amatchedwa "Pseudo" Exfoliation Glaucoma?
Matendawa amatchedwa pseudoexfoliative glaucoma chifukwa chenicheni ca glaucoma chimakhala chofanana kwambiri koma ziphuphu pamalopo zimachokera ku ngozi yakale ya ntchito ya magalasi. Kutentha kumayambitsa mbali yakutsogolo ya capsule yomwe imagwira diso la diso kuti lichotse ndi kupanga choyera choyera chofanana ndi chomwe chimapezeka mu matenda a pseudoexfoliation.
Kodi Pseudoexfoliation Glaucoma Imasiyana Bwanji ndi Galaucoma Yowonekera?
Kawirikawiri glaucoma yotseguka imayamba pang'onopang'ono, kawirikawiri kwa zaka zambiri. Chifukwa ndi njira yochepetserako, imatha kupezeka osadziwika kwa kanthawi, chifukwa nthawi zambiri sichisonyeza zizindikiro. Kupatula ngati zojambulidwa nthawi zonse za glaucoma zimachitika nthawi zonse, zimatha kupitilizidwa kwa zaka zambiri.
Pseudoexfoliative glaucoma ndi yosiyana kwambiri ndi kuyang'ana kwa diso kumathamanga mofulumira, zomwe zingapangitse kutayika kwa masomphenya ziyenera kufulumira. Kupanikizika kwa diso kumawonjezeka mofulumira ndipo mkhalidwewo ukufulumira mofulumira. Mankhwala ochiritsira a glaucoma amalephereka ndi pseudoexfoliative glaucoma.
Kawirikawiri zimafunika kuchitidwa opaleshoni poyamba pa matendawa.
Kuchiza
Pseudoexfoliation glaucoma imathandizidwa mofanana ndi glaucoma yotseguka. Choyamba, madokotala ochuluka a maso amayesa madontho a maso opangira mankhwala omwe amalowetsedwa m'maso kuti achepetse mphamvu ya diso kuti ifike pamtunda wotetezeka. Ngati mankhwala sali okwanira, ndiye kuti laser ndi opaleshoni amayesedwa.
> Chitsime:
> Desai, > Manishi > A. > MD > ndi Richard K Lee. Njira Yopangira Opaleshoni ndi Opaleshoni ya Pseudoexfoliation Glaucoma. Clinic Int Ophthalmology, 2008, pp 95-113.