Mavuto Amene Angakhudze Masomphenya Anu
Hepatitis B ndi matenda aakulu omwe amachititsa chiwindi. Komabe, zingakhalenso ndi zotsatira pa maso ndi masomphenya. Vuto la hepatitis B (HBV) ndilo vuto lalikulu la khansa ya chiwindi. Kachilombo kamene kamayambitsa maselo a chiwindi, kenaka chimachititsa kuti chiwindi chilephera. HBV imapatsirana kudzera mu kugonana, kugawana singano, kuika magazi, ndi kuchoka kwa mayi kupita kwa mwana panthawi yobadwa.
Mmodzi akhoza kukhazikitsa chiwindi chopanda matenda chowopsa kuchokera ku mowa mopitirira muyeso kapena kumwa mankhwala. Munthu akadwala ndi HBV amatha kutopa, malungo, kusowa chakudya, kusanza, ndi jaundice. Anthu ambiri samadziwa mavuto a maso ndi mavuto omwe amapezeka ndi matenda a HBV. Zotsatirazi ndi mavuto atatu a HBV omwe angakhudze maso anu.
Retinal Vasculitis
Vasculitis amatanthauza kutupa kwa mitsempha ya magazi. Kutupa uku ndiko chifukwa cha zowonongeka zomwe zatsala kudziko lachilendo ndi kachilombo kapena bakiteriya. Pamene HBV imayambitsa matenda, imasiya zowonongeka m'mitsempha ya magazi. Thupi limapanga chitetezo cha mthupi kuti chichotse kunja kwa thupi. Nthawi zina izi zimachitika m'maso, zimakhudza retina . Kutaya kwa magazi kumachepetsa mawanga oyera kuti athandizidwe mu retina yotchedwa cotton wool mawanga. Mabala a thonje a potsulo amasonyeza malo a ischemia kapena kusowa kwa magazi okwanira ndi mpweya ku maselo a retinal.
Mtundu Wachitatu wa Mitsempha
Matenda a HBV angayambitse khunyu kanthawi kochepa kamene kamayambitsa minofu ya maso. Mitsempha yachitatu, yomwe imatchedwanso oculomotor mitsempha, ndi mitsempha yomwe imachokera mu ubongo ndipo ili ndi njira yayitali mu thupi. Mitsempha imeneyi imayambitsa kayendetsedwe ka maso ndi kusintha kwa kukula kwa ophunzira athu.
Matenda ena atatu amatha kukhala wophunzira ndipo ndi owopsa kwambiri. Ngati nthenda yachitatu ya mitsempha yodwala matenda a mitsempha imakayikira, muyenera kuwona dokotala wa maso nthawi yomweyo komanso mwinamwake wodwala matenda a ubongo, makamaka ngati muwona kusintha kwa kukula kwa wophunzira wanu. Nthenda yachitatu ya mitsempha, ngakhale yosawerengeka, ingayambidwe ndi aneurysm. Kawirikawiri, HBV ikhoza kuyambitsa matenda a mitsempha yachitatu popanda kukhudza wophunzirayo. Izi zimachitika pa matenda a HBV chifukwa cha kusungunuka kwa magulu a chitetezo cha mthupi omwe amachititsa kusowa kwa magazi kupita ku mitsempha yachitatu yomwe imayambitsa ziwalo za mitsempha.
Optic Neuritis ndi Uveitis
Optic neuritis ndi chiwopsezo chachikulu cha kutupa kwa mitsempha yamagetsi, chingwe cha mitsempha chomwe chimagwirizanitsa diso ku ubongo. Uveitis ndi chifuwa chotupa chimene chimakhudza minofu kutsogolo kwa diso. Zinthu zimenezi zimaganiziridwa kuti zimayambitsidwa ndi ma antibodies komanso ma chitetezo a chitetezo cha chitetezo cha mthupi omwe amabwera chifukwa cha matenda a HBV.
N'zochititsa chidwi kuti odwala omwe amachiritsira matenda a chiwindi amatha kukhala ndi zotsatira zoyipa kuchokera kuchipatala chomwecho, mwinanso kumakhudza maso. Mankhwala ena omwe amagwiritsidwa ntchito pochizira matenda a hepatitis amatchedwa Interferon. Interferon ndi mkhalapakati wa mankhwala omwe amabweretsa maselo ena oyera a magazi ku minofu yowonongeka kuti athe kuchepetsa kupatsirana kwa tizilombo.
Interferon ingakhale ndi zotsatira zoyipa monga mutu, kupweteka kwa minofu, kupweteka tsitsi, ndi kutopa. Zingathenso kuyambitsa vuto la maso monga mawonekedwe a retinopathy. Retina ikhoza kukhala ndi mabala a thonje a puloteni, zotengera za magazi zosawonongeka, ndi kuchepa kwa magazi. Odwala omwe amaikidwa pa njira yotchedwa Interferon ayenera kupita kuchipatala cha maso nthawi zambiri akawapatsidwa mankhwalawa. Interferon ingayambitsenso izi:
- Kutaya magazi pang'ono (kusweka kwa mitsempha ya magazi kumbali yoyera ya diso)
- maselo a retina
- Opaleshoni ya opaleshoni
- kuwonjezeka kwa maso
Ngakhale kuti odwala ambiri amachita bwino pamene akutenga Interferon, mavuto a maso a interetoni amasonyeza masabata awiri mpaka miyezi isanu ndi umodzi mutatha mankhwala a Interferon.
Mawu Ochokera
Anthu ambiri amagwirizanitsa Chiwindi cha B ndi chikasu cha maso. Ngakhale atha kukhala ndi chikasu chachilendo ndi matendawa, maso amakhalanso ndi zifukwa zingapo zomwe angathe kuchiritsidwa ndi dokotala wa maso. Ngati mwapezeka ndi matenda a Hepatitis B, ndikofunikira kuti muwone maso anu ndi masomphenya a zizindikiro za vuto. Adziwitse dokotala wanu masomphenya aliwonse omwe mumasintha.
> Chitsime:
> Kodi mawonetseredwe a Ocular a Mchiuno B? Ndemanga ya Optometry, 15 March 15, 2014, pp60-64.