Cudurka 'choroidopathy' oo dhexdhexaad ah

Cudurka 'choroidopathy Central serous' waa cudur sababa in dheecaanku ku soo ururo qaybta hoose ee isha. Kani waa qaybta dambe ee isha gudaha ee u dirta macluumaadka aragtida maskaxda. Dareeraha ayaa ka soo daadanaya lakabka xididdada dhiigga ee qaybta hoose ee isha. Lakabkaan waxaa loo yaqaan 'choroid'.

Sababta xaaladan lama garanayo.

Ragga ayaa inta badan ku dhaca haweenka, xaaladduna waxay ugu badan tahay qiyaastii da'da 45. Si kastaba ha noqotee, qof walba wuu ku dhici karaa.

Cadaadisku wuxuu umuuqdaa inuu yahay cunsur halis ah. Daraasadihii ugu horreeyay waxay ogaadeen in dadka shakhsiyadda leh "nooca A" ee culeys badani ka muuqdo ay u badan tahay inay ku dhacaan choroidopathy-ka dhexe.

Xaaladda sidoo kale waxay u dhici kartaa sidii cilad-darrada isticmaalka daroogada steroid.

Calaamadaha waxaa ka mid noqon kara:

• Meel indho la 'oo mugdi ku jira oo ku yaal bartamaha aragga
• Kala-qaadashada khadadka toosan ee isha ay dhibaatadu saameysey
• Waxyaabaha u muuqda kuwo ka sii yar ama ka sii fog isha ay saameysay

Bixiyaha xanaanada caafimaadkaaga badanaa wuxuu baari karaa choroidopathy-ga daran asaga oo balaarinaya isha oo sameynaya baaritaanka indhaha. Fluorescein angiography waxay xaqiijineysaa ogaanshaha cudurka.

Xaaladdan waxaa sidoo kale lagu ogaan karaa baaritaan aan faafin oo loo yaqaan 'ocular coherence tomography' (OCT).

Kiisaska badankood waxay daaweeyaan daaweyn la'aan 1 ama 2 bilood gudahood. Daaweynta laser-ka ama daaweynta fotodynamic therapy si loo xiro dheecaanka ayaa laga yaabaa inay gacan ka geysato dib u soo celinta aragtida dadka qaba daadashada daran iyo aragtida luminta, ama kuwa qaba cudurka muddo dheer.

Dadka isticmaala daroogada steroid (tusaale ahaan, si loo daaweeyo cudurada isdifaaca jirka) waa inay joojiyaan isticmaalka daawooyinkan, haddii ay macquul tahay. HA JOOJIN qaadashada daawooyinkan adiga oo aan marka hore la hadlin bixiyahaaga.

Daawaynta dhibcaha non-steroid-anti-inflammatory (NSAID) ayaa sidoo kale kaa caawin kara.

Dadka badankood aragga way ka bogsadaan daaweyn la'aan. Si kastaba ha noqotee, aragu badanaa uma fiicna sidii uu ahaa ka hor intaan xaaladdu dhicin.

Cudurku wuxuu ku soo noqdaa qiyaastii nus dadka oo dhan. Xitaa markuu cudurku soo noqdo, wuxuu leeyahay aragti wanaagsan. Marar dhif ah, dadku waxay yeeshaan nabarro joogto ah oo waxyeeleeya aragtidooda dhexe.

Tiro yar oo dadka ka mid ah ayaa dhibaatooyin kala kulmaya daaweynta laser-ka ee wax u dhimaya araga bartooda. Taasi waa sababta dadka badankiisa loogu oggolaan doono inay ka bogsadaan daaweyn la'aan, haddii ay macquul tahay.

Wac adeeg bixiyahaaga haddii aragtidaadu ka sii darto.

Ma jiro ka hortag la yaqaan. In kasta oo uu jiro xiriir cad oo leh walbahaarka, ma jirto wax caddeyn ah in yareynta buufiska ay gacan ka geysan karto kahortagga ama daweynta choroidopathy-ka dhexe.

Xanuunka 'retinopathy Central'

• Isha

Bahadorani S, Maclean K, Wannamaker K, iyo al. Daaweynta maqaarka 'chorioretinopathy serous' ee leh 'NSAIDs'. Clin Ophthalmol. 2019; 13: 1543-1548. PMID: 31616132 pubmed.ncbi.nlm.nih.gov/31616132/.

Kalevar A, Agarwal A. Xarunta dhexe ee 'chorioretinopathy'. Gudaha: Yanoff M, Duker JS, eds. Indhaha. 5aad. Philadelphia, PA: Elsevier; 2019: cutubka 6.31.

Lam D, Das S, Liu S, Lee V, Lu L. Bartamaha dhexe ee chorioretinopathy. Gudaha: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. Ryan's Retina. 6aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 75.

Tamhankar MA. Lumis aragga: ciladaha isha ee isha iyo xiisaha neuro-indhaha. Gudaha: Liu GT, Volpe NJ, Galetta SL, eds. Liu, Volpe, iyo Galetta Neuro-Ophthalmology. 3aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 4.