Fuchs matenda

Fuchs (wotchedwa "fooks") dystrophy ndi matenda am'maso momwe maselo olowa mkatikati mwa diso amayamba kufa pang'onopang'ono. Matendawa amakhudza maso onse awiri.

Fuchs dystrophy imatha kubadwa, zomwe zikutanthauza kuti imatha kupitilizidwa kuchokera kwa makolo kupita kwa ana. Ngati mmodzi wa makolo anu ali ndi matendawa, muli ndi mwayi wa 50% wokhala ndi vutoli.

Komabe, vutoli limathanso kupezeka mwa anthu omwe alibe mbiri yodziwika bwino yamatendawa.

Fuchs dystrophy imafala kwambiri mwa azimayi kuposa amuna. Mavuto amawonedwe samawoneka asanakwanitse zaka 50 nthawi zambiri. Komabe, wothandizira zaumoyo amatha kuwona zizindikiro za matendawa kwa anthu omwe akhudzidwa ndi zaka 30 kapena 40.

Fuchs dystrophy imakhudza maselo osanjikiza omwe amayang'ana kumbuyo kwa cornea. Maselowa amathandiza kutulutsa madzimadzi ochulukirapo kuchokera mu cornea. Maselo ochulukirachulukira amatayika, madzimadzi amayamba kukula mu cornea, ndikupangitsa kutupa ndi khungu lamitambo.

Poyamba, madzi amatha kukula pokhapokha atagona, diso likatsekedwa. Matendawa akakulirakulira, matuza ang'onoang'ono amatha kupanga. Zotupa zimakula ndipo pamapeto pake zimatha kusweka. Izi zimapweteka m'maso. Fuchs dystrophy itha kupangitsanso mawonekedwe a cornea kusintha, zomwe zimabweretsa mavuto owonera ambiri.

Zizindikiro zimaphatikizapo:

• Kupweteka kwa diso
• Kuzindikira kwamaso pakuwala ndi kunyezimira
• Maso akuda kapena kusawona bwino, koyambirira m'mawa
• Kuwona ma halos achikuda mozungulira magetsi
• Maso okulirapo tsiku lonse

Wopereka chithandizo amatha kudziwa kuti Fuchs dystrophy ikuyesedwa.

Mayesero ena omwe angachitike ndi awa:

• Pachymetry - imayesa makulidwe a diso
• Kuyesa kwapadera kwa microscope - kumalola woperekayo kuti ayang'ane maselo osanjikiza omwe amayang'ana kumbuyo kwa cornea
• Kuyesa kwowoneka bwino

Madontho kapena mafuta omwe amatulutsa madzimadzi mu cornea amagwiritsidwa ntchito kuthana ndi matenda a Fuchs dystrophy.

Ngati zilonda zopweteka zimayamba pa cornea, magalasi ofewa kapena opareshoni yopanga ziphuphu pazilondazo zitha kuthandiza kuchepetsa ululu.

Chithandizo chokha cha Fuchs dystrophy ndikumuika.

Mpaka posachedwa, mtundu wofala kwambiri wokhoma m'maso umalowa mkati mwa keratoplasty. Pochita izi, kachidutswa kakang'ono kozungulira kamene kamachotsedwa, ndikusiya kutsegula patsogolo pa diso. Chidutswa cha cornea chofananira kuchokera kwa woperekera munthu chimasokedwa kutseguka kutsogolo kwa diso.

Njira yatsopano yotchedwa endothelial keratoplasty (DSEK, DSAEK, kapena DMEK) yakhala njira yosankhika kwa anthu omwe ali ndi Fuchs dystrophy. Pochita izi, zigawo zamkati zokha za cornea ndizomwe zimasinthidwa, m'malo mwa zigawo zonse. Izi zimabweretsa kuchira mwachangu komanso zovuta zochepa. Zokopa nthawi zambiri sizifunikira.

Fuchs dystrophy imakula kwambiri pakapita nthawi. Popanda kumuika, munthu yemwe ali ndi vuto la Fuchs dystrophy amatha kukhala wakhungu kapena kumva kupweteka kwambiri komanso amachepetsa kwambiri masomphenya.

Matenda ofatsa a Fuchs dystrophy nthawi zambiri amawonjezeka pambuyo poti achite opaleshoni yamaso. Dokotala wa cataract adzawunika zoopsa izi ndipo amatha kusintha njira kapena nthawi yochitira opaleshoni yamatenda.

Itanani omwe akukuthandizani ngati muli ndi:

• Kupweteka kwa diso
• Kuzindikira kwa diso kuwala
• Kumverera kuti china chili m'diso lako pomwe kulibe kanthu
• Mavuto amawonedwe monga kuwona ma halos kapena masomphenya amitambo
• Kukulitsa masomphenya

Palibe njira yodziwika yopewera. Kupewa kuchitidwa opaleshoni ya cataract kapena kusamala kwambiri panthawi yochita opaleshoni ya maso kungachedwetse kufunikira koika diso.

Fuchs 'matenda opatsirana; Fuchs 'endothelial matenda am'mimba; Fuchs 'matenda am'mimba

Folberg R. Diso. Mu: Kumar V, Abbas AK, Aster JC, olemba, eds. Maziko a Robbins & Cotran Pathologic of Disease. 10th ed. Philadelphia, PA: Elsevier; 2021: chaputala 29.

Patel SV. Kulowera kumayesero azachipatala mu fuchs endothelial corneal dystrophy: magulu ndi zotsatira zake - Bowman Club Lecture 2019. BMJ Open Ophthalmology. 2019; 4 (1): e000321. PMID: 31414054 pubed.ncbi.nlm.nih.gov/31414054/.

Rosado-Adames N, Afshari NA. Matenda a corneal endothelium. Mu: Yanoff M, Duker JS, olemba. Ophthalmology. 5th ed. Philadelphia, PA: Elsevier; 2019: chaputala 4.21.

Salimoni JF. Cornea. Mu: Salmon JF, mkonzi. Kanski's Clinical Ophthalmology. 9th ed. Philadelphia, PA: Elsevier; 2020: mutu 7.