Retinitis pigmentosa: symptoms, lapaʻau

I ka lā, he nui na maka maʻi. Kekahi o ia mau mea i loaa ia lakou ma ke ano maoli, oiai kekahi poe i ili mai iā ia, a ua diagnosedʻaneʻane mai ka hanau ana.

He 'atikala e kamailio e pili ana i ka maʻi, a e pili ana i ka lua o ka pūʻulu, a ua kapaia "retinitis pigmentosa". E maopopo mākou i ke kumu hoʻonāukiuki kona helehelena, a kūkākūkā, ina he mea pono ka aoao e pakele o ka pilikia.

He aha ka retinitis pigmentosa

I ka maʻi o ka hereditary retinal pathology, ma a ka photoreceptor a me ka pigment epithelium, ahu iho o ka ulu ana o degenerative loli a meʻekeʻeke e hana e like me ke 'ano o ka iwi keena.

E like me ka rula, retinitis pigmentosa mea ia iho, i manao ai ma ka kakahiaka nui elemakule ka wā i ke keiki ole, a 8 makahiki, a laila, hoʻomaka e 'Imi holomua. Ua Hoʻoweliweli 'o ia i ka hoʻomanawanui makapo i 40-60 makahiki.

Nā kumu o ka maʻi

Ke iniiaiie kumu o ka retinitis pigmentosa mea he mau'ōewe mutations i nā kuleana no ka hoʻololi kemikala a me ke kaʻana like o ka manaʻo nā polokina iloko o fetal ulu.

I ka Ia manawa hōʻike i nāʻaoʻao ka papa kuhikuhi o? Acaeoey o ka maʻi.

1. E pili pū ana i ke kahua hahi. Ma keia hihia, ke pathology ua hele mai ka makuahine i ke keiki, a me ka X chromosome.
2. Autosomal recessive. Pathology ua hoololiia a hiki i ke keiki i ka mea ia manawa, mai na makua elua.
3. Autosomal Hoʻohaku. Pathology ua pū i hiki mai kekahi o na makua o ke keiki.

Aia mau wahi, i hiki ka wā retinitis pigmentosa ua diagnosed i loko o kēia mau nā mea maʻi, he ohana kona maʻi i ole ana mamua. Akā, e like me na mea pohihihi. Nō kāu, ka pathology ua ili a me e loli ai i kekahi mau hanauna o ka 'ohana.

Pakahi aku la ia i kamepiula keiki i hanau ma ka mare blizkokrovnom ma a nui maoli ka pahiki o keʻano o ka'ōewe mutations.

Mea Maluna o ka retinitis pigmentosa

Ke kaumaha ma muli o ka 'ano o ka mai, a me ka loli wahi, hoomaopopo mau ano o ka maʻi.

1. Typical. Ma keia palapala o ka pilikia makapō acuity (nāʻike ākea, a Central) ua waiho waho no ka manawa lōʻihi ma ka maʻamau laulā. Oiai i keia manawa he mea ano he pio kookoo-'ōnaehana a me ka muli o foci o pigment hoʻomāhuahua i loko o kekahi mau wahi o ka fundus.

2. Atypical. Keia palapala i kekahi mauʻano likeʻole:

• Amelanotic retinitis. I loko o kēiaʻano o ka fundus i pigment keena. Eia naʻe, he mea i ka koena o na symptoms o ka maʻi.
• Māhele horseshoe retinitis pigmentosa. Photos ae hōʻike ana i ke alo o retinal pigmented foci kiaʻana i kāna i loko o kekahi i kekahi oihana fundus, a me ka huipūʻana me ka horseshoe shape. Ma keia maʻi, na symptoms i e loa ma kahi'ē paha malama ia loa lohi pele.
• Belotochechny. I loko o kēia palapala o ka fundus malama mau keʻokeʻo mau kiko. Symptoms ma keia mea no ka ia me i retinitis pigmentosa.
• Hulu. Ma keia palapala ana o ka maʻi hoʻomaka me retinal lesions o ke kikowaena hapa o ka mea, me ka hoohuoi ana i ka nenoaiu o kaʻohana. Ke kaʻina ua pu ma ka hooulu ana o ka photophobia a me kokololio mea hōʻemi o kikowaena hihiʻo.

Symptoms o ka maʻi

Wā ua maʻi like retinitis pigmentosa, Hawaii photo maka i loaa i ophthalmoscopy, e hōʻike i ke alo o ka ekolu ano hiʻona:

1. Atrophy o ka retinal pigment epithelium. Ma keia hihia, he ua hou o ka mea uuku arteries a me ke ano o ka mea keʻokeʻo pigment mau kiko.
2. Optic iwi kuamoʻo i noticeably paler.
3. Ma ka periphery o ka fundus, a me ka papa o na aa koko liʻiliʻi hou i ka ai-kapaia "iwi corpuscles."

symptoms

He aha nā loli i pu ma ka retinitis pigmentosa? Symptoms i loaʻa i nā kēia:

• po makapo ( "makapo") mai ana degenerativeʻike manaʻo i loko o ka retina;
• intolerance glare;
• blurred hihiʻo;
• ka ho'ēmiʻana o kaʻike ākea hihiʻo ;
• hihia i loko o kou mau maka hoʻomaʻa i ka pouli, lumi ma hope o ia mai luna, a me ka hope versa;
• po-makapo.

Atypical ano hiki aiiieieoaeuii e pū ma ka photophobia, a ua hoʻemi waihoʻoluʻu hihio.

ʻike, no ka maʻi

ʻike, o ka retinitis pigmentosa paa ophthalmologist. Kēia ia lŘlŘ ma luna o ke kumu o ka anamnesis, ma i ka mea i ike ina paha e like me ka ano ma ka liʻiliʻi loa kekahi o ka pili ana o kona hanauna. Eia hou, i ka study alakaʻi poho o ka photoreceptorʻano aeea hoʻohana electroretinography a me ka pilikia makapō ikea ai.

Ke alo o ke ano o ka retinitis pigmented foci hiki ke 'akomi i aie i ka hana o ka ophthalmoscopy a me ka fundus kiʻi i.

Hoike aku i ke alo o nā mā i loko o ka maka fundus, a me ke alo o ka pigment epithelium atrophy a macular edema i loko o ka'āina ma ka hoʻohana 'ana i ka fluorescence o ka retina angiography (FAG).

Eia hou, i ka ho'ākāka 'ana i nā pōpō hihio, pouli ka hoʻololiʻana a me ka Akä naÿe pā lonoaʻiliʻilikai.

Lapaʻau o retinitis pigmentosa

He mea hiki i ka pakele ana i na maʻi like retinitis pigmentosa? Lapaʻau i ka papahana i kēia lā, Eia naʻe, 'aʻole hiki ke loa pakele o ka pilikia. Ka mea wale nō mea e hiki ke kōkua lapaau - mea e wehe i kekahi o na symptoms o ka maʻi.

Ma ke alo o macular edema ua häʻawi mai ai i ka hiki aku o diuretics, i loaʻa carbonic anhydrase nā mea kūpale.

cataract ua wehe Viaʻoki kino.

Photocoagulation no vascular kauka waiho ae vascular pharmacological konohiki.

Eia hou kekahi, hana wikamina me ka hoʻokoʻikoʻi ma luna o? Eaia o nicotinicʻakika. No hoi, aia no he pokole i ke kaʻina hana o ka mea hōʻemi hiki ke kāne i kāohi i lalo ma ka hoʻoulu i kaʻai ana o ka wikamina A, a e loaʻa i loko o ka likeʻole ma o dietary kumukanawai a hiki.

Eia kekahi, ua aʻo aku ai iā nā mea maʻi e komo kūikawā nā maka aniani mea e ka hoʻokemu poe pāhawewe pāhawewe. Kēia e kōkua hoʻopale ai i ka retina mai ka pōʻino.

Na keia Inc, e kōkua i ka loa kń i ka uku o ka Holomua o na maʻi like retinitis pigmentosa. Lapaʻau hoolaʻi Kids ma keia hihia hiki ke noi i loko o ka palapala o ka pela uluʻai kaʻaeʻana, i hoakaka palena iki nui o ka purine i huiʻia me ka naʻokoko i loko o ka ai wale. Eia hou kekahi, ia mea i makemake loa ia e komo i loko o kouʻai blueberries, e like me ka mea mea he antioxidant maoli, a me ka kumu o ka wikamina A.

aoao o kekahi noho pakele o na pilikia, e like me retinitis pigmentosa - anei i aeea Inc. Kēia iaoia mea a ianoiyuaa a ma lalo oʻeleu kūpono 'ana, akā,ʻepekema, ua olelo mai ia i loko o ka wā e hiki mai ia e hoʻomaka i ka' Imi hana, a hoʻohana 'ia i loko o ka huipūʻana me nā eiiiiiaiou o ka Inc.

I ka rula o kēia 'ano o ka hana, e e like penei. Mai anei i keena me ke olakino'ōewe ma kūikawā keʻena hoʻokolohua, e ulu retinal keena. Next ka mea, e e kanu pūʻia i loko o nā mea maʻi me ka retinitis pigmentosa, e hoʻi i ko lākou mau maka aku. Ma keia hihia, i ka'ōnaehana paleʻea nenoaiu mea i loko o kekahi hihia ole ai ia e hoole i ke kanu pūʻia ana, e like me ka mea ua i mai ke hoʻomanawanui i ka iho anei i keena.

ʻOiai mai ai i ka wahi ma kēia iaoia hoomaka hoʻohana 'ia i loko o ka iapaau ana o ka maʻi o ka maka, nō mamao aku, i keia la i ka anuu, mua i ka hoʻokō' i ka makeʻe pahu hopu i mua ua laweia.

Aoao o ke? Acaeoey o ka maʻi Kāohi

Mai retinitis pigmentosa, ma ka hapanui o na hihia ia lŘlŘ ma ka aaiaoe kiʻekiʻe, e pale aku kona hoike ana, Eia naʻe, eʻaʻole lanakila. Ka mea wale nō mea i hiki e i ka hoʻomanawanui i loko o ia ke kulana home 'ole - like ka nui me hiki, e' ūlōlohi mai ana i ke kaʻina hana kūpono 'pilikia o, aʻauʻa i ka manawa o ka hoouka kaua o ka pouli.

E hana i kēia, ia mea nui, e? Aaeno me ka ophthalmologist mau, e kipa mai ia ia, a, e hoʻolohe i nā mea a pau koi. E i hoole i komo kūikawā aiiay makaaniani, a e hoola i ka retina o ka maka, mai nā palapala waiū i huali malamalama.

No ka poe i aloha mai i ka heluhelu i ka poe, e pono e koho i ka loa e pono Font mea, aole ia i koi maka ke kanana nei.

E hoʻokaʻaʻike ola!