Tarihin lamarin ophthalmology: keratoconus

Kwanan nan, lokuta na bayyanar cututtuka na keratoconus-dystrophic, wanda ke faruwa da cigaba da cigaba da karfin gine-ginen gaba da na tsakiya na tsakiya, sun kasance da yawa. Tsarin ya ƙare tare da ƙwanƙwasa ƙwayar maganin da kuma a cikin matakai na ci gaba ba da wuya a gano asali ba. Lokacin da aka kalli "a cikin martaba" sai ya zama fili cewa cornea na samo bayyanar gilashin "gilashi", ƙaho mai kama da shi. Haske yana fargaba sosai saboda mummunan astigmatism da kuma opacity na tarin hanzarin da ke tasowa a kullun da aka samu.

Bugu da ƙari, farkon wannan cutar ba koyaushe ba ne, "bayyanar" bayyanar cututtuka, kuma bayyanar farko ita ce mafi yawan ciwon ci gaba da rashin daidaitattun ka'idar astigmatism tare da ragu a matsakaicin yanayi na gyara mafi kyau tareda ruwan tabarau. Abubuwan halayen shine karuwa a cikin gani mai gani lokacin da aka duba ta ta hanyar diaphragm, wanda ke saɗa haskoki mai haske da kuma fitar da wani ɓangare daga cikin abin da ke dauke da launi mai tsabta wanda ke kusa da sifa. Hanya mafi kyau duka yana sa ya yiwu a sami ruwan tabarau mai wuya, ko da yake a farkon matakan da wannan zai iya kula da ruwan tabarau masu sauki. Ƙara koyo game da wannan cuta a cikin labarin "tarihin cutar a cikin keratoconus ophthalmology."

Wani muhimmin alama na wannan cuta shine bayyanar da cigaba a baya bayan "makaranta" myopia, shekarun da kuma jujjuyawar hankalin idanun biyu ta hanyar karuwa a cikin anisometropia. Ƙwararrakin kullun da ke haɗuwa da ƙarin bukatun don aiki na kayan haɓaka suna da halayyar saboda bayyanar astigmatism da bambancin ra'ayoyin idanu. Ma'anar bayyanar cututtuka sune yiwuwa a yi tsammanin cigaban keratoconus kuma ya zama alamar nuna hotunan ophthalmometry (ko keratometry) da biomicroscopy ƙarƙashin fitila. Tare da samfurin shakatawa, ana kula da hankali da karuwar darajar jarrabawar gwajin, radius na curvature na cornea zuwa 7 da ƙasa da millimeters, karuwa a ikon wutar lantarki zuwa 48 Dpt kuma mafi. Tsarin kwayar halitta tare da yin amfani da wani ɓangare mai mahimmanci yana nuna halin da ake ciki na ƙuƙwalwar ƙwayar bakin ciki, sau da yawa zuwa kasa, wani lokacin ma'ana. Yanke yana da hanzari na gaggawa a fannin kwatancin keratoconus tare da halayyar halayen epithelium, wanda, da fari, yana fama da lahani da rushewa daga harsashin Bowman. Sa'an nan kuma akwai kuskuren da kuma launi na stroma da kwasfa na Descemet tare da samuwar haskakawa ta hankula - ƙwayoyin Vogt. Canje-canje a cikin bayanan martaba na labarin yana haifar da asarar gida na ɗakunan endothelial da kuma shigar da ruwan danshi a cikin canea. A sakamakon haka, yana bayyana girgije daga gida zuwa cikakkiyar launi, wanda ake kira dropsy na cornea ko keratoconus mai tsanani.

Duk da yawancin ra'ayoyin game da tarihin cututtukan da ke cikin kwayoyin halitta, dalilin da ake ci gaba da keratoconus ba shi da kyau. Saboda haka, ba a wanzuwar farfadowa ba. A matakai na farko, an gudanar da aikin dystrophic tallafi tare da nada taufon, derinata, shirye-shiryen ɓarya na gyaran gyare-gyaren gyaran gyaran gyare-gyare ta hanyar ruwan tabarau mai sauƙi da wuya. Ci gaba da keratoconus mai tsanani shine nuni ga keratoplasty na ƙarshen. Kwanan nan, likitoci sun bada shawara a matakin farko na keratoconus don yin aikin haɗuwa, tare da hada kullun laser da ƙananan ƙwayoyin phototherapeutic, yana maida hankali ga kaddarorin "corset" na Bowman shell da kuma cornon. Duk da haka, ko da yake sakamakon farko shine ƙarfafa, waɗannan hanyoyi suna buƙatar tabbatarwa ta lokaci.

"Mawallafan" Phacogenic "

Ta hanyar kwatanta da ilimin likitanci tare da glaucoma na phacogenic, wanda ya taso ne saboda cataracts, kumburi, lysis ko subluxation na ruwan tabarau, wajibi ne don warewa da myopia furanni. A rayuwarmu, muna saduwa da wannan bambancin da tarihin cutar sau da yawa fiye da yadda muke gani. Duk wani masanin ilimin likitancin mutum ya san cewa mutane da ƙananan yara suna iya gani tare da tabarau marasa kyau. Kuma sau da yawa mutanen nan ba su da tsinkaye a matasan su. Dalili na ƙara karuwa yana iya zama hydration, hydration, tarar da ruwan tabarau ta hanyar aiwatar da ci gaba. Musamman mahimmanci canza ikon wutar lantarki, lokacin da wannan tsari yana rinjayar mafi ɓangaren ƙananan yanki - ainihin. Sabili da haka, takaddama na nukiliya ya fara farawa da bayyanar ko ƙarawar cutar. Wasu mutane ma sun yi alfaharin cewa likita ya rubuta karamin littattafan karatu, kuma sun iya karantawa ba tare da gilashin ba. Sauran suna zuwa likita tare da gunaguni na rashin hangen nesa, sau da yawa ido ɗaya. Dikita ya karbi tabarau kuma ya tabbatar wa mutumin cewa babu wani mummunar mummunar mummunar rauni, kawai mutum mai shekaru hamsin da sittin ne ya fito kuma yana cigaba da cike da maganin myopia. Akwai lokuta idan, lokacin saurin canji na gilashi a cikin shekara, rashin cigaba da sauri (ta hanyar 2-4pts!) An gano cuta da kuma maganin ƙwaƙwalwa! Tabbas, tare da zuwan kwarewar ƙwarewar jama'a, yanzu muna fara fuskantar, a karon farko, karuwa a cikin jituwa a cikin mutane har ma mahimmanci fiye da shekaru 35 zuwa 35 wanda ke fama da matsanancin aiki a kusa da iyaka. Amma duk da haka ba haka ba ne. Saboda haka, kowane ci gaba na keratoconus a cikin biyar zuwa na shida da fiye da shekaru goma, musamman ma kamar yadda gilashin kwaikwayo mai kyau ya rage girman kyan gani shine dalilin da za a yi tunanin cigaban cataracts da gudanar da binciken kwayar halitta. Lokacin da tabbatar da ganewar asali na cataract da keratoconus phacogenic, ana nuna saba da shigarwa na bitamin farfasa tare da bayani ga mutum game da haddasa ci gaba na maganin halittu. Yanzu mun san abin da tarihin cutar ya kasance a keratoconus ophthalmology.