Retinal akwara occlusion

Mgbachi akwara azụ n’arụ na - egbochi ihe n’otu n’ime obere akwara na - ebu ọbara n’azụ azụ. Retina bụ akwa nke anụ ahụ dị n’azụ anya nke nwere ike ịmata ìhè.

Akwara mgbochi akwara nwere ike imechi mgbe mkpụkọ ọbara ma ọ bụ abụba ga-arapara na akwara. Ihe mgbochi ndị a ga-adịkarịrị ma ọ bụrụ na akwara na-ekwesi ike (atherosclerosis) na anya.

Ihe nkata nwere ike si n’akụkụ ahụ ndị ọzọ pụọ ma gbochie akwara na azụ retina. Zọ kachasị esi egbochi mkpụkọ bụ obi na akwara carotid na olu.

Imirikiti mkpọchi na-eme na ndị nwere ọnọdụ dịka:

• Ọrịa akwara mkpụrụ osisi, nke nnukwu arịa ọbara abụọ dị n'olu dị warara ma ọ bụ gbochie n'ime ya
• Ọrịa shuga
• Nsogbu obi obi (atrial fibrillation)
• Nsogbu obi obi
• Abụba dị elu n'ọbara (hyperlipidemia)
• Ọbara mgbali elu
• Ọgba ogwu n'ime ogwu
• Temporal arteritis (mmebi akwara n'ihi nzaghachi mgbochi)

Ọ bụrụ na egbochiri ngalaba akwara azụ azụ, akụkụ nke retina agaghị enweta ọbara na oxygen zuru oke. Ọ bụrụ na nke a emee, ị nwere ike tufuo akụkụ nke ọhụụ gị.

Mbibi na mberede nke ọhụụ nwere ike ime na:

• All nke otu anya (Central retinal akwara occlusion ma ọ bụ CRAO)
• Akụkụ nke otu anya (njigide akwara alaka azụ ma ọ bụ BRAO)

Ọkpụkpụ akwara azụ azụ azụ nwere ike ịdịru naanị sekọnd ole na ole ma ọ bụ nkeji, ma ọ bụ bụrụ na ọ ga-adịgide.

Ọkpụkpụ ọbara n'ime anya nwere ike ịbụ ihe ịdọ aka ná ntị nke mkpụkọ n'ebe ọzọ. Ihe nkedo n'ime ụbụrụ nwere ike ịkpata ọrịa strok.

Ule iji nyochaa retina nwere ike ịgụnye:

• Nyocha nke retina mgbe ị gbasasịrị nwata akwụkwọ
• Fluorescein angiography
• Mmetụta intraocular
• Nzaghachi nke ụmụ akwụkwọ
• Ntughari
• Retinal foto
• Na-agbawa oriọna
• Ule nke ọhụụ n'akụkụ (nyocha ubi anya)
• Visual acuity

General ule kwesịrị ịgụnye:

• Ọbara mgbali
• Nyocha ọbara, gụnyere cholesterol na triglyceride na ọnụego erythrocyte
• Nnyocha ahụ

Ule iji mata isi iyi nke eriri site n'akụkụ ọzọ nke ahụ:

• Ihe omumu
• Igwe ọkụ
• Nyochaa obi maka ụda ụda obi na-adịghị mma
• Duplex Doppler ultrasound nke akwara carotid

O nweghi ọgwụgwọ a nwaputara n’egbotu ịhụ ụzọ nke gụnyere anya dum, belụsọ na ọ bụ ọrịa ọzọ na - ebute ya.

Enwere ike ịnwale ọtụtụ ọgwụgwọ. Iji nye aka, ọgwụgwọ ndị a ga-enyerịrị n'ime 2 ruo 4 awa mgbe mgbaàmà malitere. Otú ọ dị, ọ dịbeghị mgbe e gosipụtara uru nke ọgwụgwọ ndị a, a naghị eji ha eme ihe.

• Na-eku ume na (inhaling) ngwakọta carbon dioxide-oxygen. Usoro ọgwụgwọ a na - eme ka akwara akwara azu (retina) gbasawanye (gbasawanye).
• Hịa aka nke anya.
• Mwepụ nke mmiri si n'ime anya. Dọkịta na-eji agịga agbapụ obere mmiri mmiri n’ihu anya. Nke a na - eme ka mgbadata anya dị na mberede, nke nwere ike ime mgbe ụfọdụ ka mkpịsị ụkwụ na - abanye na akwara alaka obere obere ebe ọ ga - emebi obere mmebi.
• Ngwurugwu na-egbu egbu, anụ ahụ plasminogen activator (tPA).

Onye nlekọta ahụike kwesịrị ịchọ ihe kpatara mgbochi. Ihe mgbochi nwere ike ịbụ akara nke nsogbu ahụike na-eyi egwu.

Ndi mmadu nwere nkụchi akwara azụ nwere ike ha agaghị enwete ọhụụ ha.

Nsogbu nwere ike ịgụnye:

• Glaucoma (CRAO naanị)
• Nlekọta anya ma ọ bụ zuru ezu nke ọhụụ na anya emetụtara
• Ọrịa strok (n'ihi otu ihe ahụ na-eme ka ọnya akwara azụ, ọ bụghị n'ihi nkwụsị onwe ya)

Kpọọ onye na-eweta ọrụ gị ma ọ bụrụ na inwee nhịahụ na mberede ma ọ bụ nhụhụhụhụhụhụ.

Ihe eji eme ihe iji gbochie ọrịa ọbara ọzọ (vaskụla), dị ka ọrịa akwara obi, nwere ike belata ohere maka idochi akwara azụ. Ndị a gụnyere:

• Iri nri nwere obere abubara
• Na-emega ahụ
• Smokingkwụsị ise siga
• Hapụ ibu ma ọ bụrụ na i buru ibu

Mgbe ụfọdụ, enwere ike iji ihe ndị na-eme ka ọbara ghara ịmachi egbochi akwara ọzọ. A na-eji ọgwụ aspirin ma ọ bụ ọgwụ ndị ọzọ na-egbochi ọgbụgba ma ọ bụrụ na nsogbu ahụ dị na akwara carotid. A na-eji Warfarin ma ọ bụ ihe ndị ọzọ na-enye ọbara dị ike karị ma ọ bụrụ na nsogbu ahụ dị n’obi.

Central retinal akwara occlusion; CRAO; Alaka ikuchi akwara; BRAO; Ọhụụ ọhụụ - ọnya akwara azụ; Ọhụụ ọhụụ - ikpuchi akwara azụ

• Retina

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