Hypertensive retinopathy is complication of having a high blood pressure, or high blood pressure and affects the blood in the retina. Iyo retina ndiyo yakajeka, mifananidzo inofanidza inoenda kumashure kweziso reziso. Iyo retina inoita uye inoshandura chiedza mumishuvo yehutano iyo inofamba nepfungwa yemaziso kune uropi apo tinoshandura mafungiro sekuonekwa.
Apo ropa redu rinoramba rakareba kwenguva refu, mishonga yeropa mumuviri wedu uye kunyanya muziso inogona kuoma kana kuwedzera. Apo midziyo inopinda yakanyanya kuderera kubva pakuwedzera uku, retina haigamuchiri kukwira kweropa zvakakwana uye inorwara nokuti haigamuchiri okisijeni yakakwana uye zvokudya.
Zviratidzo zvehutachiona hwehutachiona dzimwe nguva hunyoro kwazvo asi zvimwe zvakaitika:
- Kupera kwemaonero kana kuoneswa kwemaonero
- Mitsara ine ropa inoputika kunze kweziso ( subconjunctival hemorrhages )
- Chiono chechipiri
Optometrists uye ophthalmologist vanogona kuongorora hutachiona hwehutachiona hwehutachiona nekupedzisa kuongorora kweziso. Chiratidzo uye hutano hwemaziso huchaongororwa neziso zvicharambidzwa zvakare. Madonhwe anokosha akaiswa muziso achiita kuti mudzidzi ave mukuru kuitira kuti zvivako zvemukati ziso. Vanachiremba vemaziso vangashandisa biomicroscope uye zvakasiyana-siyana zvakasiyana-siyana zve ophthalmoscope kuti uone zviri mukati.
Dzimwe nguva kuwedzerwa kuwedzerwa kwakafanana nekushanda kwekushongedza tomography (OCT) kana kuti fluorescein angiography inogona kudiwa kuti uone mamwe mashoko. Iyi miedzo inobvumira vanachiremba kuti vaone kuputika mu retina uye zvichida kuora kwemitsipa yeropa. Kushandurwa kunogona kuratidzira kutapukira kwehutachiona kwakanyanya:
- Kuwedzereka kwemasero: I metrotinal retinal inopera kwazvo.
- Kutarisana nekuputika kana kutengesa: Mishonga inogona kuyambuka mitsipa nenzira isingazivikanwi uye inonyanya kuomanikidza.
- Muchira wechipfu: Rusvingo rwechiropa rweropa runoshanduka uye runoita uye runoita kuti mudziyo utaridzire seyendarira yemhangura
Mimwe migumisiro yakakomba yehutachiona hwehutachiona ndeyekuti:
- Kwose vascular occlusion: Dzimwe nguva nekuda kwekutsvaira kwechirwere chekupedzisira kwebazi re retina mhuka dzinogona kuitika. Iyo mudziyo inosvika occluded uye inogona kuputika.
- Mafungiro akafanana nemapenzi akafanana nemapenzi: Aya ndiwo mafunguro ane mapapiro kana mavara mavari pamusoro we retina
- Cotton-wool mavara: Aya maiva machena, nzvimbo dzisina kufanira dze retina dzisina oxygen.
- Gorosi rakaoma exudates: Ichi chine tsvina yakachena inonzi intraretinal lipid inoshandiswa kubva pakuvhara midziyo ye retinal.
- Optic disc kuvhara: Optic disc kukurira muhutachiona hwehutachiona hunowanzotumidzwa sehutano hwehutachiona uye kurapwa kunofanira kutarisirwa pakarepo.
Zvimwe zvinetso zvezvehutano zvinogona kuitika kune ziso kubva kuhutano hwepfungwa zvinosanganisira:
- anterior ischemic optic neuropathy
- central retinal branch branch occlusion
- marara retinal arteri occlusion
- cranial nerve palsies
- kuwedzera kwechirwere cheshuga retinopathy
- neovascular glaucoma
- macroaneurysms
- ocular ischemic syndrome
Kurapa kwehutachiona hwehutachiona hunotanga nekudzora dhiyabhorosi. Kana kurasikirwa kworatidzika kuchitanga kuitika, retina inorapwa nekujova steroid muziso. Antivascular endothelial kukura mishonga inoshandiswa zvakare. Muenzaniso wemishonga inoshandiswa nevantivascular inosanganisira ranibizumab, pegaptanib, uye bevacizumab. Retinal kuzvimba kune dzimwe nguva inobatwa ne laser.
Chinokonzera kukanganisa kunogona kuitika kune dzimwe nhengo mumuviri pamwe chete. Hypertensive retinopathy inogona kudzivirirwa kana kuderedzwa nokutora ropa kwemishonga nguva dzose, kuwanzoita nguva dzose maitiro ekudzidzira, kuderedza munyu kudya nekurega kusvuta.