Fuchs endothelial sokuwohloka. Kuyini sokuwohloka Fuchs '

Corneas imelela phambi udonga lwangaphandle yakhelwe ukwenza ukuphepha, fibre optic, futhi vlagoprodutsiruyuschuyu refracting umsebenzi. I-cornea usengozini yokuthola ukulimala kunamanye izingxenye iso engaholela ukonakala yayo.

Kuyini sokuwohloka: uhlobo sokuwohloka

sokuwohloka corneal kuhlanganisa anhlobonhlobo izifo eholela Haze phambi yangaphandle ulwelwesi esweni. Kuye ngalo ungqimba cornea ehlaselwa (ingqikithi ezinhlanu), kukhona izinhlobo eziningana sifo:

• EPITHELIAL ifomu sokuwohloka, kuyinto ukungakwazi ukuvikela amaseli EPITHELIAL noma inombolo yabo alwanele;
• ulwelwesi sokuwohloka, okuyinto kuphakamisa zamagama ayilungile amaprotheni corneal;
• stromal ifomu dystrophies, kuphakama ngenxa yezinguquko kule stroma;
• endothelial sokuwohloka ifomu - lokhu Fuchs sokuwohloka.

Izimbangela sokuwohloka

sokuwohloka Imbangela itholakala umonakalo ka izakhi ezithile zofuzo. Thola ukwephulwa ngeke ewumngcingo-ukuhlaziywa kuphela, ngemva kwalokho kungenzeka ukukhuluma mayelana eyinhloko noma yesibili sokuwohloka.

sokuwohloka Primary kukhona sitholwa njengefa. Lesisifo zamazwe amabili. akhawunti Development izingane noma usakhula, akuyona ephelezelwa ukuvuvukala. ukuzwela umzimba kuyehla kancane, ivame ukuba nemiphumela engaqapheleki yisiguli.

Secondary ukonakala yi emehlweni ukulimala ngemuva izifo ukuhlinzwa, ukuvuvukala noma sokuhlasela kwamasosha omzimba.

ifomu Endothelial lesi sifo

isifo Endothelial ngokuthi Fuchs 'sokuwohloka libhekisela primary, amafomu zofuzo zesifo. Ake sixoxe ngakho poodrobno ngaphezulu.

Kuyini sokuwohloka Fuchs '? It umonakalo ungqimba engaphakathi cornea, okuyinto wenza umsebenzi futha, uzotshala ukuthi uketshezi ukulandelana yayo. uketshezi okweqile e-cornea kuholela turbidity yayo. Ukuthuthukela, Fuchs sokuwohloka kuholela ekubhujisweni kancane kancane amaseli endothelial.

Ngokuhamba kwesikhathi esithile, ukuntuleka cell esikhundleni umsebenzi kwagcizelela asele. Iziguli isifo ekuqaleni-esiteji, lezivakashi ukulahlekelwa umbono ngesikhathi ekuseni. Lokhu kungenxa umswakama ukungakwazi vaporatsii ebusweni cornea ebusuku, okuholela ekuqongeleleni yayo. Vula nezinkophe uvumele umswakama shabalala ngokwemvelo, kuphumele ukuzinza zombuso waphawula emini. Njengoba ukubuyiselwa amaseli endothelial hhayi kungaba ke, kancane kancane afe, ngoba umbono kuyehla. Lapho kwehla ngokushesha ngokuhlolisisa wokusebenza kungenziwa ebekwa ukufakelwa corneal.

Symptomatology endothelial sokuwohloka

ukubonakaliswa Clinical of sokuwohloka Fuchs 'kungenziwa ngezindlela ezihlukene: kusukela asymptomatic ukuba rezey ezinzima nokuguguleka kwenhlabathi ebonakalayo.

Ezigabeni zokuqala lapho:

• angaboni kahle, okuzokwenza ngcono emini;
• lapho ebuka kokufiphala we umthombo wokukhanya;
• khona nomzimba angaphandle ukuzwa emehlweni.

zokugula Progressive inezimpawu ezifana:

• amajaqamba futhi ububomvu;
• photophobia;
• nokuzwela ekukhanyeni;
• ukuvuvukala uma kubanda ulwelwesi olungaphandle iso.

Edematous corneal sokuwohloka: Fuchs sokuwohloka

EPITHELIAL-endothelial sokuwohloka kungaba zamabanga aphansi naphezulu. Secondary ukubukeka kwakhe kuwumphumela yokulimala noma ngemva kokuhlinzwa. Lesi sifo eba kwelinye iso. sokuwohloka Bullous, Fuchs Imbangela sivezwe njengoba yasendlini, zezimboni noma ukuhlukumezeka kuhlinzwa. Futhi umehluko oyinhloko kusukela eyinhloko ukungondleki edematous kuyinto endaweni elilinganiselwe okuvela edema, azungeze okuyinto amaseli enempilo uyakwazi esikhundleni engaphelele. Ukuze uqalise isifo libhekene ingaphazamisi okuncane ezingqimbeni ezijulile cornea nokuvuvukala okuncane. Ukuqhubeka kwesifo kuholela degree kakhudlwana ukuthi uyephuza futhi ufasimbe, maholoholo futhi ukubukeka Bubbles ezincane ku-cornea. Kukhona photophobia okwandisa nobuhlungu.

sitholakele isifo

Fuchs endothelial sokuwohloka kutholakala ukuthi uphethwe yini ophthalmologist. Ngesikhathi yokwamukela, udokotela hhayi kuphela uhlole i-cornea ephethe ilambu umqhewu, kodwa futhi ukuqoqa umlando sifo. Ngaphandle ultrasound pachymetry elibonisa ukujiya corneal ukusiza ukuhlola kungasetshenziswa degree of ukuvuvukala.

microscopy Endothelial ivumela ukubala inani lamaseli endothelial ngayinye square milimitha ndawo.

ukwelashwa sokuwohloka

Esigabeni sokuqala lesi sifo ezihilela ukwelapha ngokwendabuko nge amaconsi futhi iso yokugcoba ekhuthaza nokuqedwa uketshezi cornea. Kodwa ukwelashwa ngoludala siyehla kuphela phansi inqubo nolokubhujiswa cornea. Yokutakula kungenziwa yibhange kuphela ukuhlinzwa. Lapho ulwelwesi EPITHELIAL noma ngenela esetshenziswa laser ukususwa ingxenye pathogenic. Ukulimala izingqimba ezijulile kubabangele ukufakelwa corneal. Ngesinye isikhathi kuyadingeka ukuqedela ukususwa cornea emaphakathi. Obala we-cornea ngemva zokukhwabanisa kuhlinzwa kubuyiselwa, izimpawu bahambe. Kodwa ngezinye izikhathi sokuwohloka Fuchs 'kungenzeka futhi ngemva kweminyaka embalwa, okuyoholela kabusha handling.

izinyathelo

Iziguli ufune usizo lwabezokwelapha kusaqalwa lesi sifo, ukusiza kulula. I eyinkimbinkimbi izinyathelo zokuvimbela kuzomele sifake ukudla okuhle, ngoba amandla amaseli we-cornea kuyinto encike ngqo kwi lokho ogulayo odla. Ukudla kufanele kube okunomsoco nokunomsoco kanye azifaka kuwo imifino nezithelo. Ngokwemvelo kufanele sigweme zonke ukulimala kanye afune usizo lwezokwelapha uma kwenzeka emizweni ezingemnandi esweni kuqala.

Isikhathi sokulala isiguli nge nezici ezithile ukuze lesi sifo kufanele kube okungenani amahora ayisishiyagalombili, okuvumela kahle umzimba futhi aziphumulele, futhi lokhu, kuyobe ukuvimbela izinkinga nge-cornea esweni. Ekukhombeni sokuwohloka akufanele ukugqoka contact lens, okuyinto kungaba kubi kakhulu isimo.

Ngu sokuwohloka cornea kungaholela izici njengoba zenani elikhulu eziyifa kanye ukulimala, umonakalo noma isifo uhlaka umbono. ukwelashwa okufika ngesikhathi ukuze uthole usizo kwezokwelapha kanye kokuhlolwa ngezikhathi zokuvimbela kuzosiza ukuba senze isimo sishube futhi kakhulu isimo umzimba wesiguli.