Chapakati serous choroidopathy

Central serous choroidopathy ndi matenda omwe amachititsa kuti madzi azikhala pansi pa diso. Ili ndiye gawo lakumbuyo kwa diso lamkati lomwe limatumiza zidziwitso kuubongo. Amadzimadzi amatuluka mumtsinje wamagazi pansi pa diso. Mzerewu umatchedwa choroid.

Zomwe zimayambitsa vutoli sizikudziwika.

Amuna amakhudzidwa nthawi zambiri kuposa akazi, ndipo vutoli limapezeka kwambiri pazaka pafupifupi 45. Komabe, aliyense akhoza kukhudzidwa.

Kupsinjika kumawoneka ngati chiwopsezo. Kafukufuku woyambirira adapeza kuti anthu omwe ali ndiukali, "mtundu wa A" omwe ali ndi nkhawa zambiri atha kukhala ndi serous choroidopathy.

Vutoli limatha kukhalanso ngati vuto la kugwiritsa ntchito mankhwala osokoneza bongo a steroid.

Zizindikiro zimaphatikizapo:

• Kuzimitsa ndi malo akhungu pakati pa masomphenya
• Kupotoza mizere yolunjika ndi diso lomwe lakhudzidwa
• Zinthu zomwe zimawoneka zazing'ono kapena kutali ndi diso lomwe lakhudzidwa

Wopereka chithandizo chamankhwala amatha kuzindikira kuti chapakati serous choroidopathy mwakuchepetsa diso ndikupanga mayeso amaso. Fluorescein angiography imatsimikizira matendawa.

Matendawa amathanso kupezeka ndi mayeso osawoneka bwino omwe amatchedwa ocular coherence tomography (OCT).

Milandu yambiri imatha popanda chithandizo m'miyezi 1 kapena iwiri. Chithandizo cha Laser kapena mankhwala a photodynamic kuti asindikize kutayikaku kungathandize kubwezeretsa masomphenya kwa anthu omwe atuluka kwambiri komanso kutayika kwamaso, kapena kwa iwo omwe akhala ndi matendawa kwanthawi yayitali.

Anthu omwe amagwiritsa ntchito mankhwala a steroid (mwachitsanzo, kuchiza matenda omwe amadzimadzimadzi okhaokha) ayenera kusiya kugwiritsa ntchito mankhwalawa, ngati zingatheke. Osasiya kumwa mankhwalawa musanalankhule ndi omwe akukuthandizani.

Kuchiza ndi madontho a non-steroidal anti-inflammatory (NSAID) amathanso kuthandizira.

Anthu ambiri amachira bwino popanda chithandizo. Komabe, masomphenya nthawi zambiri samakhala bwino monga momwe zimakhalira chisanachitike.

Matendawa amabwerera pafupifupi theka la anthu onse. Ngakhale matendawa akabwerera, amakhala ndi mawonekedwe abwino. Nthawi zambiri, anthu amakhala ndi zipsera zosatha zomwe zimawononga mawonekedwe awo apakati.

Chiwerengero chochepa cha anthu chimakhala ndi zovuta zamankhwala a laser zomwe zimawononga masomphenya awo apakati. Ichi ndichifukwa chake anthu ambiri amaloledwa kuchira popanda chithandizo, ngati zingatheke.

Itanani omwe akukuthandizani ngati masomphenya anu achulukirachulukira.

Palibe njira yodziwika yopewera. Ngakhale pali mgwirizano wowoneka bwino ndi kupsinjika, palibe umboni kuti kuchepetsa kupsinjika kumatha kuthandiza kupewa kapena kuchiza chapakati serous choroidopathy.

Matenda apakati a serous retinopathy

• Diso

Bahadorani S, Maclean K, Wannamaker K, ndi al. Chithandizo cha chapakati serous chorioretinopathy ndi ma NSAID apakhungu. Chipatala Ophthalmol. 2019; 13: 1543-1548. PMID: 31616132 pubmed.ncbi.nlm.nih.gov/31616132/.

Kalevar A, Agarwal A. Chapakati serous chorioretinopathy. Mu: Yanoff M, Duker JS, olemba. Ophthalmology. 5th ed. Philadelphia, PA: Elsevier; 2019: chaputala 6.31.

Lam D, Das S, Liu S, Lee V, Lu L. Chapakati serous chorioretinopathy. Mu: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, olemba. Retina wa Ryan. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2018: mutu 75.

Tamhankar MA. Kutayika kowoneka: zovuta zam'maso za chidwi cha neuro-ophthalmic. Mu: Liu GT, Volpe NJ, Galetta SL, olemba. Liu, Volpe, ndi Neuro-Ophthalmology ya Galetta. Wachitatu ed. Philadelphia, PA: Elsevier; 2019: chaputala 4.