Macular edema ndi kutupa kapena kusungira madzi m'zigawo zina za retina wotchedwa macula . Macula ili kumbuyo kwa diso ndipo imatipatsa ife momveka, masomphenya apakati. Ndi gawo la retina limene timagwiritsa ntchito pamene "tikufuna" masomphenya athu kuti tiwone zolinga. Madzi amatha kumanga mu macula kuchokera ku mitsempha yopanda malire, yomwe imatuluka. Pamene macula edema imapezeka, masomphenya apakati amapotozedwa kapena amachepetsedwa.
Zimayambitsa
Macular edema ikhoza kukhala chizindikiro kapena chizindikiro cha zinthu zina zambiri. Matenda a shuga ndi omwe amachititsa kwambiri macular edema. Macular edema imakhalanso yowonongeka mwa anthu omwe asamalamulire kuthamanga kwa magazi. Matenda ena a maso, monga retinitis pigmentosa ndi uveitis angayambitsenso macular edema. Macular edema ingakhalenso kuphwanya kwa opaleshoni ya maso. Mankhwala ena ochizira glaucoma monga latanoprost (Xalatan) amadziwika kuti amachititsa macular edema.
Kudziwa
Dokotala amayamba kumvetsera zomwe mukudandaula ndikupangitsa mbiri yachipatala, monga matenda a shuga kapena kukhala opaleshoni yaposachedwapa. Pambuyo pake, iwo adzayesa kuwona kwanu mwakulingalira kuti mukuphimba diso limodzi ndi kuwerenga makalata pa tchati cha diso. Kawirikawiri, macular edema amachititsa masomphenya kuti asokonezeke. Madokotala akhoza kukupatseni mayeso otchedwa Amsler Grid kuti awone ngati masomphenya anu asanduka osokonezeka koma apotozedwa. Dontho lapadera la maso lidzaperekedwa kuti likhazikitse ophunzira anu kuti mkati mwa diso liwonekere.
Macular edema nthawi zambiri amatha kuwona mwa kuyang'ana macula yanu ndi kuwala kwa nyenyezi. Komabe, milandu yochenjera kwambiri ndi yovuta kuiwona. Pankhani iyi, OCT idzachitidwa. Chithunzi chochokera ku OCT chingalole madokotala kuwona zigawo zina za retina. Kugwirizana Mogwirizana ndi Tomato ndi mayeso osasokoneza omwe amagwiritsa ntchito kuwala kuti apeze zithunzi zomwe macular edema imawoneka mosavuta.
Nthawi zina madokotala angagwiritsenso ntchito mayeso a jekeseni ya jekeseni kuti magazi athe kuwerengedwa kudzera mu macula.
Chithandizo
Macular edema imachiritsidwa mosiyana malinga ndi chifukwa chenicheni. Mwachitsanzo, ngati matenda a shuga osagonjetsedwa kapena kuthamanga kwa magazi ndi chifukwa chake, mankhwala angayambe kuwongolera zinthuzo poyamba. Komabe, ngati zizindikiro zili zovuta kapena ngati dokotala akuganiza kuti edema ikhoza kuyambitsa masomphenya kapena kuwonongeka, idzachiritsidwa ndi mankhwala kapena jekeseni.
Kawirikawiri, mankhwala osagwiritsa ntchito steroidal anti-inflammatory (NSAID) amalembedwa mwa mawonekedwe a diso. Izi zingafunikire kutengedwa kwa milungu ingapo ndipo nthawi zina miyezi kuti iwononge edema. Madokotala adzapatsanso corticosteroids mawonekedwe a mapiritsi oyamwa kapena mapiritsi a pamlomo. Corticosteroids imatha kupewedwanso mkati kapena pafupi ndi diso.
Gulu lina la mankhwala lotchedwa anti-VEGF (mankhwala osokoneza bongo) limayikidwa mwachindunji m'maso. Kalasi yatsopanoyi yatsopano yogwiritsira ntchito mankhwala osokoneza bongo pofuna kuchepetsa mitsempha yambiri yamagazi yomwe ilipo komanso kuteteza mitsempha yatsopano ya magazi.