Dystrophy Yasefuchs

I-Fuchs dystrophy yisimo lapho i-fluid iqala khona ukwakha endaweni ecacile ebusweni beliso, ebizwa ngokuthi yi-cornea. Lokhu kubangela ukuba i-cornea yakho yenze, futhi kube khona ukukhanya okukhulu, ukubona okuphazamisekile noma okungacaci, nokungakhululeki kwamehlo. I-Fuchs (fewks) dystrophy ngokuvamile ithinta womabili amehlo. Kungabangela ukuba ukubona kwakho kube kubi ngokuhamba kwesikhathi. Lesi sifo sivame ukuqala eminyakeni engu-30 nengu-40, kepha abantu abaningi abane-Fuchs dystrophy ababonisi izimpawu kuze kube yilapho befika eminyakeni engu-50 noma engu-60. Imithi eminye nezinyathelo zokunakekela kwakho ngokwakho zingasiza ekuqedeni izimpawu ze-Fuchs dystrophy. Uma isifo esithuthukile sibangela izinkinga ezinkulu zokubona, ukuhlinzwa kokufakelwa kwe-cornea yindlela engcono kakhulu yokubuyisela ukubona.

Njengoba i-Fuchs dystrophy iqhubeka ibi, izimpawu zivame ukuphazamisa amehlo womabili. Izimpawu zingafaka: Ukubona okuphazamisekile noma okunamafu, ngezinye izikhathi kuchazwa njengokuntuleka kokubona okuqondile. Ukushintsha kokubona phakathi nosuku. Izimpawu zimbi kakhulu ekuseni lapho uvuka bese ziqhubeka ziphucuka phakathi nosuku. Njengoba isifo siqhubeka sibe sibi, ukubona okuphazamisekile kungathatha isikhathi eside ukuphucuka noma kungaphucuki nhlobo. Ukuqabuka, okunganciphisa ukubona kwakho ekukhanyeni okumnyama nokukhanya okukhulu. Ukubona ama-halos ezibani. Ubuhlungu noma ukucasuka okuvela ezibhebheni ezincane ebusweni be-cornea yakho. Uma unezinye zalezi zimpawu, ikakhulukazi uma ziqhubeka zibe zimbi ngokuhamba kwesikhathi, bheka ochwepheshe wokunakekela amehlo. Ochwepheshe wokunakekela amehlo bangakudlulisa kucchwepheshe we-cornea. Uma izimpawu zivele ngokuzumayo, shayela ucele i-aphoyintimenti ephuthumayo. Ezinye izimo zamehlo ezibangela izimpawu ezifanayo ne-Fuchs dystrophy zidinga ukwelashwa ngokushesha.

Uma unezinye zalezi zimpawu, ikakhulukazi uma ziya ziba zimbi ngokuhamba kwesikhathi, bheka udokotela wamehlo. Udokotela wamehlo angakudlulisa kudokotela ochwepheshe we-cornea. Uma izimpawu zivele ngokuzumayo, shayela ucingo ukuze uthole i-aphoyintimenti ephuthumayo. Ezinye izimo zamehlo ezibangela izimpawu ezifanayo ne-Fuchs dystrophy nazo zidinga ukwelashwa ngokushesha.

Amakhemikhali ahlanganisa ingaphakathi le-cornea abizwa ngokuthi amaseli endothelial. Lawo maseli asisiza ekugcineni ibhalansi enempilo yamanzi ngaphakathi kwe-cornea futhi agcine i-cornea ingavuvuki. Ku-Fuchs dystrophy, amaseli endothelial ahlala efa noma asebenzi kahle, okubangela ukwakheka kwamanzi ngaphakathi kwe-cornea. Ukwakheka kwamanzi, okubizwa ngokuthi i-edema, kubangela ukukhuluphala kwe-cornea nokuqina kokubona.

Fuchs dystrophy ivame ukudluliselwa emindenini. Isisombululo se-genetic sesifo siyinhlanganisela. Amalungu omndeni angathinteka ngezinga ezahlukene noma angathinteki nhlobo.

Ziningi izinto ezenza kube lula ukuthi uthole i-Fuchs dystrophy. Zihlanganisa:

• Ubulili. I-Fuchs dystrophy ivame kakhulu kubesifazane kunamadoda.
• I-Genetics. Ukuba nomlando womndeni we-Fuchs dystrophy kukwandisa ingozi yakho.
• Ubudala. Kukhona uhlobo oluqala ngokushesha lwe-Fuchs dystrophy oluqala ebuntwaneni. Imikhakha eminingi iqala eminyakeni engu-30 nengu-40, kepha abantu abaningi abane-Fuchs dystrophy ababonisi izimpawu kuze kube eminyakeni engu-50 noma engu-60.

Isebenzi lezokunakekelwa kwamehlo lizohlola umbono wakho. Ungase futhi ube nezivivinyo ezikusiza ukuthi uthola i-Fuchs dystrophy. Lezo zihloko zingafaka: Ukuhlolwa nokuqapha kwamehlo. Ilungu leqembu lakho lokunakekelwa kwamehlo lizosebenzisa i-microscope ekhethekile yamehlo ebizwa nge-slit lamp ukubuka izicubu ezinobukhulu obukhulu ebizwa nge-guttae ngemuva komphetho wamehlo. Lochwepheshe lokunakekelwa kwamehlo uzohlola khona-ke amehlo akho ukuze abuke ukuvuvukala bese eqapha i-Fuchs dystrophy yakho. Ubukhulu bamehlo. Isebenzi lezokunakekelwa kwamehlo lingase lisebenzise i-test ebizwa nge-corneal pachymetry ukulinganisa ubukhulu bamehlo. I-Corneal tomography. Ukuthatha isithombe esikhethekile samehlo kusiza ochwepheshe lokunakekelwa kwamehlo ukubuka ukuvuvukala emehlweni akho. Le test ibizwa nge-corneal tomography. Inani lamaseli amehlo. Ngezinye izikhathi ochwepheshe lokunakekelwa kwamehlo usebenzisa ithuluzi elikhethekile ukurekhoda inani, isisindo nobukhulu beselula ezihlala ngemuva komphetho wamehlo. Le test ayidingeki. Ukunakekelwa eMayo Clinic Iqembu lethu lochwepheshe abakhathalelayo eMayo Clinic lingakusiza ngezinkinga zakho zempilo ezihlobene ne-Fuchs dystrophy Qala Lapha

Izindlela zokwelapha ezingesiwo ukuhlinzwa zingasiza ekuqedeni izimpawu ze-Fuchs dystrophy. Uma une-disease ephambili, ochwepheshe wokunakekela amehlo angase aphakamise ukuhlinzwa. Imithi nezinye izindlela zokwelapha Imithi yamehlo. Ama-eye drops noma ama-ointments e-saline (5% sodium chloride) angasiza ekuqedeni inani le-fluid e-cornea yakho. Ama-contact lenses abuthakathaka. La asebenza njengokumboza ukuqeda ubuhlungu. Ukuhlinzwa Abantu abenza ukuhlinzwa kwe-Fuchs dystrophy ephambili bangaba noku bona kangcono kakhulu futhi bahlale bengenawo ama-symptom iminyaka eminingi. Izinketho zokwelapha zihlanganisa: Ukuhlinzwa kwe-layer yangaphakathi ye-cornea. Lokhu kubizwa nge-Descemet membrane endothelial keratoplasty, okwaziwa nangokuthi yi-DMEK. Kule nqubo, i-layer yangemuva ye-cornea ithathelwa indawo yi-endothelial cells ezempilo ezivela kumnikelo. Ngokuvamile kwenziwa nge-anesthesia yendawo endaweni yokwelapha kwabaphethwe. Ukuhlinzwa kwe-cornea. Uma unezinye izimo zamehlo noma usuvele wenze ukuhlinzwa kwamehlo, i-DMEK ingase ingabi yindlela. Ochwepheshe wokunakekela amehlo angase aphakamise ukuhlinzwa kwe-cornea eyingxenye ubukhulu. Lokhu kubizwa nge-Descemet-stripping endothelial keratoplasty, okwaziwa nangokuthi yi-DSEK. Ezimweni ezingavamile, ukuhlinzwa kwe-cornea ephelele ubukhulu kungenziwa. Lolu hlobo lokuhlinzwa lubizwa ngokuthi yi-penetrating keratoplasty, okwaziwa nangokuthi yi-PK. Izindlela zokwelapha zesikhathi esizayo Izindlela eziningi ezintsha zokwelapha zihlolwa ezingashintsha indlela i-Fuchs dystrophy ephathwa ngayo esikhathini esizayo. Kusukela ekubonweni kokuguqulwa kwe-genetic okuhlotshaniswa nezimpawu eziningi ze-Fuchs dystrophy, kukhona ukuqonda kangcono kokuthi i-disease ingase ithuthuke kanjani. Lokhu kunikeza amathuba ezindlela zokwelapha ezingesiwo ukuhlinzwa esikhathini esizayo. Izindlela eziningi zokwelapha nge-eye drops zithuthukiswa futhi zingase zifake izifundo ze-clinical esikhathini esizayo. Izindlela ezintsha zokwelapha ngokuhlinzwa nazo zifundwa ukuze kubonwe ukuthi zingasiza yini. Ulwazi Olwengeziwe Ukukhathalelwa kwe-Fuchs dystrophy e-Mayo Clinic Ukuhlinzwa kwe-cornea Cela i-appointment