Macular telangiectasia, dzimwe nguva inonzi idiopathic juxtafoveal macular telangiectasia (uye yakafukidzirwa MacTel), chirwere chinokanganisa chikamu cheziso rinonzi macula, zvichikonzera kuora kana kurasikirwa kwepakati. Iyo macula ndiyo chikamu chetina, chiedza chisinganzwisisiki chinosangana kumashure kweziso. Iyo macula inotibvumira kuti tive nemafungiro akanaka, akajeka, akajeka mukati.
Macular telangiectasia inokonzera zvirwere mukati memidziyo midzi yeropa iyo inokanganisa fovea yepakati, iyo nzvimbo ye macula.
Aina
Kune marudzi maviri eecular telangiectasia, Type 1 uye Type 2.
Ita 1 macular telangiectasia, iyo isina kufanana fomu, kazhinji inobata ziso rimwe chete. Mishonga yeropa mu macula inoputika uye inoita microaneurysms. Microaneurysms zvidiki zvishoma kunze kwe-pouchings zvinoitika mumidziyo yeropa. Fluid inogona kuvaka munzvimbo inonzi macular inokonzera kubwinya uye kurasikirwa kwemaonero.
Nyora 2 macular telangiectasia yakawanda zvikuru. Mishonga yeropa mu macula inowedzera uye inokonzera mvura inokonzera kuvhara uye kuora kunogona kutungamirira pakuona kurasikirwa. Dzimwe nguva mitsara yeropa itsva inokura pasi pe macula, ichibata macular photoreceptors uye ichikonzera kurasikirwa kwemaonero. Rudzi rwechipiri runotanga kuchinja maziso ose uye varume vaviri, kusiyana neChipiri 1, iyo inowanzosangana neziso rimwe chete.
(Rudzi rwema 3 macular telangiectasia ruriko asi haruna zvakanyanya.
Varwere vane Rudzi rwechitatu vanowanzova nemidziyo yakawanda inorwara, zvichiita kuti mishonga yeropa isvike.)
Zviratidzo
Varwere vane chirwere ichi vanogona kuva nacho kwemakore vane zviratidzo zviduku kana zvisipo. Sezvo chirwere chacho chiri kufambira mberi, unogona kuwana zvinotevera:
- zvakashata
- kukanganisa maonero
- kurasikirwa kwepakati pekuona
- kudarika tsamba kana mazwi
Kuziva
Kuongororwa kwetelangeectasia macular kunoitwa nokutanga kuva nekuongorora kweziso rose . Dhigirii weziso rako achaita chikwata cheAmsler Grid kuti aone kana pane dzimwe nzvimbo dzakatsauka mukati mako. Vadzidzi vako vachabvongodzwa nemadonhwe anoona maziso kuitira kuti macula uye retina zvigone kuonekwa. Anogonawo kutora ma digital digital retinal. Chirwere chinonzi jai injection chinonzi "fluorescein angiography" chinogonawo kuitwa kuitira kuona kuti ropa rinopararira sei mukati me retina. Pakupedzisira, chiremba wako achaita optical coherence tomography (OCT), nzira itsva yekutsvaga chimiro uye chimiro chemukati macular.
Zvakakosha kuti tisakanganise chirwere ichi nehutano hwehutano hwemadhora . Kunyange zvazvo zviratidzo zvingave zvakafanana, dzinomuka kubva pane zvakasiyana.
Kurapa
Nokuti macular telangiectasia inofungidzirwa sechinhu chisingawanzwisisiki, pane zvakawanda zvatisingazvinzwisisi zvakakwana. Isu tinoziva kuti vamwe varwere vangangoda kunyatsoongorora uye vangave vasingadi kurapwa zvachose. Kana mishonga yeropa inotanga kuvhara mvura uye ichikonzera kuvhara uye kuora, vanachiremba vangashandisa kurapa kwerasi kuti vabatsire kubvisa kuzvimba uye kuderedza kusangana.
Steroid dzimwe nguva inoshandiswa kuderedza kupisa, uye mishonga mitsva, yakadai se-anti-VEGF (vascular endothelial growth factor) zvinodhaka, zviri kushandiswa kurega kusawanda kwemazimbe ekukura kwemuviri.
The MacTel Project
Ikoko kuongororwa kwezvokurapa kunoendeswa kunonzi MacTel project. Chikonzero chemugadziro uyu ndechekuti mamiriro chaiwo akangokurukurwa chete kwemakore makumi maviri apfuura uye hapachina huwandu huzhinji hutsva huri pamusoro pemamiriro acho ezvinhu. Nokuti iri chirwere chisingawanzozivikanwi, inowanzorasikirwa nechiremba maziso. Zvinotarisirwa kuti basa reMacTel richaratidza chiedza chitsva pamakiriniki ayo, genetics, kuziva, mushonga mutsva uye rubatsiro rwevanhu vane chirwere.
Vanhu mazana mana vakabatanidzwa uye vari kuongororwa gore roga roga, uye hama dzevatori vechikamu dziri kuongororwa zvakare.