Stargardt ee cudurka: description, keena, calaamadaha iyo astaamaha daaweynta

cudurka Stargardt ee waa hab side dhirfinaya in macula ah. Waxaa jira rugta cuduro badan oo ay la mid tahay cudurada this. Waxaa sababa isbedel ah hiddo-oo kala duwan. Sidaa darteed, cudurka iska leh category ee heley dhaxlo.

muujinta ugu weyn ee caafimaad ee cudurka waa hab side in dhibic macula iyo Midabka retinitis xudunta ah ee horumarinta scotoma dhexe ee.

Features cudurka

cudurka Stargardt waa a heley dhif ah laakiin aad u daran. Waxaa muuqato da 'yar oo - 6 ilaa 20 sano oo la soo noqnoqoshada ah 1: 20,000. In qaybaha da'da kale cudurada, sida caadiga ah, ma vstrechvaetsya. Cawaaqib xumada cudurada musiibo. Ayaan meesha ka saarin khasaaraha dhamaystiran oo aragga.

Cudurku wuxuu leeyahay salaysan hidaha. habka Dystrophic saameeyaa gobolka macular isha iyo billaabay in epithelium Midabka ah, taas oo horseedaysa in ay khasaare hortiisa. Geedi socodka waa laba geesood ah.

foomka bahal ah

Waxaa jira kala qeybinta cad ee cudurada afar nooc oo ku xiran degaanka ee deegaamaynta bararka:

habka side lagu ogaan karaa:

• dhexe ee aagga ka durugsan;
• gobolka macular;
• aagga paracentral.

Sidoo kale, waxaa jira nooc ka mid ah isku qasan cudurka ku lug leh caabuq ku kooban qaybta dhexe ee isha iyo ubucda.

Farsamo ee horumarinta cudurka

Sababaha cudurka lagu qeexay dhakhtar Karl Stargardt in qeybtii hore ee qarnigii labaatanaad. In uu sharaf iyo magacaabay cudurka. cudurada la xiriira gobolka macular iyo, sida laga soo xigtay cilmiga ah, waxaa loo wareejiyey gudahood dhaxalka qoyska ka mid ah. Sida caadiga ah loogu talagalay sawir ophthalmoscopic polymorphic, kaasoo magaca "atrophy of choroid ah," "isha dibi ee", "naxaas jabay", iyo qaar kale.

Iyada oo booska kaledii ah sayidkayga cloning hiddo waxaa loo aqoonsaday in uu sababaa pigmentosa retinitis, waa kan ugu cad cad kuna sugan photoreceptors ah. In sayniska waxa loo yaqaan ABCR.

cudurka Eye waa dhaxalkii ay reer autosomal hab adag. Waayo heley lagu gartaa deegaamaynta ah hiddo-qaadheen in koromosoomyada 13q iyo 6ql4.

saleysan hidaha aan ku salaysan jinsiga. Sida laga soo xigtay cilmiga dhawaan geneticist doctor-, nooca adag la isugu gudbiyo cudurka, waxa ay qaadataa wax yar oo sahlan, oo had iyo jeer ma keeni indho la'aan. receptors cell Inta badan sii wadaan in ay u shaqeeyaan. In bukaanka, cudurada ku dhacdaa oo leh calaamado yar. Ku dhaco xajiya shaqeeya iyo suurtagalnimada of wadida gawaari.

Sidee waa cudur Stargardt ee? Sababaha xumaanshaha macular unugyada been la'aanta ah ee tamarta. iin Gene dhirfinaya-soo-saarka ee protein ah haleysan yahay oo ku wareejinaya taagoo ATP dhex macular xuub gacanta qaybta dhexe ee ileyska xasaasiga ku ah. Waxaa diiradda naqshadeynta image iyo midabka.

cudurada symptomatology

Maxay yihiin astaamaha dadka qaba cudurka Stargardt ee? Iyadoo horumarinta cudurada cudurka aan arkay in xubnaha kale ee gudaha. Geedi socodka saameeyaa oo kaliya indhaha. Cudurku wuxuu ku bilaabmaa khasaare ah oo toosan muuqaal ah. calaamadaha Later waxaa sii kordhaya, oo waxaa jira xadgudubyadii cuslaa ee aragtida ah midabka oo dhan view ay arkeen kala duwan ee spectral.

isbedel side of fundus ah waxaa lagu muujiyey in tirooyinka soo socda:

• labada indhoodba ku calaamadsan qaab dhibic wareeg ah midabka,
• waxaa jira goobo wax garad Midabka;
• habka Atrophic fiirsanayo in epithelium Midabka qaybta dambe ee isha.

Hababka noocaas ahi dhici kara in lala dhacdo ee dhibco caddaan-jaalle. Marka cudurku sii socdo in epithelium Midabka isha shaaca ka qaaday raasamaal sii kordhaya ee walax lipofuscin-sida.

Dhammaan bukaanka by cudurada this saameeyeen, ogaado buuxda ama qayb ahaan scotoma dhexe, kaas oo ay leeyihiin qiimayaal kala duwan, ay sabab u tahay jiritaanka nidaamka.

Marka zheltopyatnistoy sanduuqa u qaabeysan ee bukaan aadanaha sii joogi kartaa in heerka caadiga ah, laakiin aragtida dhexe waxaa muuqata hoos.

Inta badan kiisaska dadka soo maray sahanka, waxaa la xusay xadgudub ku ah aragtida ah midabo kala deuteranopia nooca, diskhromazii casaan-cagaaran. Marka geeddi-socodka dystrophic zheltopyatnistom muujinta midabka waxay noqon kartaa si buuxda ay macneheedu tahay.

Dystrophy Stargardt Oo Qaliin isbeddel ku dareen ka duwan inta jeer ee aan ollogga (geedi socodka yada 6 - 10 º la hoos u weyn ee aagga of mawjadaha da'ayeen dhexe iyo maqnaanshaha dhamaystiran oo gobolka hirka sare). syndrome waxaa lagu magacaabaa "hannaankii of Dystrophy koorta."

Calaamadaha waxaa ka mid ah aragtida cawbaar ah wax, dhibco indha la ', blurriness, midabka iyo xad gudub ku ah dhib la qabsashada ay joogaan iftiinka arag darnaayeen.

ogaanshaha cudurka

Natiijada cilmi heer hidde la muujiyey waxaa caddayn in cudurka isha Stargardt goostay xanuunada allelic kaledii ABCR.

Cilad cudurka bilaabmaa daraasad ee gobolka of fundus ah. Sameeyaa ANGIOGRAFI fluorescein of vascular isha iyo baaritaan ee elektarooniga ah. Xaaladdan oo kale, go'aan ka soo baxay heerka uu dhaawac ayaa loo baahan yahay. Tani waxay suuro gelineysaa in la aqoonsado qaar ka mid ah tilmaamayaasha cudurka, oo ay ku jiraan meelo giperflyuorestsiruyuschie iyo fluorescence ee dareemaha iftiinka.

Tan iyo markii uu cudurku waa nooca la iska dhaxlo, sida ugu sax ah go'aaminta cudurka this noqon lahaa at DNA ah, taas oo awood u leh si ay u aqoonsadaan cudurada la iska dhaxlo monomonogennye.

cudurka kala duwan

cudurka Stargardt ee waa in ay kala of koorta oo-ul-leh, ee koorta, iyo Bir-of Dystrophy koorta, Dystrophy foveal horusocod ah, xukuma, Dhalinyarada Retinoschisis, vitelliformnoy Dystrophy macular.

Sidoo kale, cudurka kala duwan lagu muujiyay in kiiska toxemia uurka helay xumaanshaha qiyaasta sabab (gaar ahaan, marka hlorokvinovoy retinopathy).

waxa la wada daawayn karaa cudurka Stargardt ee?

therapy Etiologic kajirin. Waxa ay meesha cudurka Stargardt ee? Daaweynta qof kaabayaal ah oo ku lug leh isku duro isticmaalka parabulbar of taurine iyo antioksidanter sal-dhigida ka dhigan tahay receptacles kordhin (pentoxifylline, nicotinic acid), iyo steroids.

vitamins daaweyn waxay kor u derbiga markabka iyo hagaajiyo wareegga dhiigga. vitamins caadi ahaan loo isticmaalo B, A, C, E.

Waxaa lagu muujiyay haysta daaweynta dabiiciga ah. iyaga ka mid ah waa in aan muujiyo electrophoresis isticmaalka daroogada, iyo kicinta isha by laser.

retina revasulyarizatsiya Applied by badalida la aagga macular macdantaa muruqa.

Markii hore Dhakhaatiirta Indhaha adduunka oo la rumaysan yahay in cudurka oo aan waa la daawayn karaa. The daaweynta ee kor ku caawin wax yar oo kaliya dib u horumarka cudurka, laakiin haddii ay dhacdo lahayn ha looga hortago.

Sida caadiga ah, daaweynta ma khasaarahaa ka dhamaystiran oo aragti aan waxba badbaadin dadka. Loo baahan yahay si ay u horumariyaan habka ah in loo fududeeyo lahaa dib u soo celinta oo ka mid ah dhismayaasha indhaha dhaawacan.

farsamada cusub ee therapy

Ma jiraa haatan hab wax ku ool ah waayo saaridda cudurada sida cudurka Stargardt ee? Sida loo daaweeyo cudur halis ah? Habka ayaa soo jeediyay in 2009 by Dr. Aleksandrom Dmitrievichem Romaschenko, kan madaxa ah oo ah Xarunta indhaha "ON Clinic" (Saint-Petersburg, Marata ul., guriga 69, dhismaha B). Waxay soo hagaagtay xulashada daawaynta cudurka ku salaysan daaweynta unugyada gacanta.

The salaysan daaweynta waa codsi unugyada asliga ah ee qofka buka nudaha adipose. Habka daweynta waxaa la sameeyey by saynisyahano hore xigeenka Filatov. Thanks to technology cusub oo bukaanka ah waxaa la siiyaa fursad ay ku soo celiyo, riyada waxaa laga badiyay iyo bixisaa nolol buuxda.

Dr. AD waxaa ka diiwaan gashan Romashchenko technology Biomedical adag iyo xiranayo hababka soo socda ee daaweynta unugyada asliga ah :

• Habka la isku daro ee ay ka saareen qaab qoyan cudurka;
• hab adag paitogeneticheskogo xarunta daaweynta iyo Dystrophy tapetoretinalnoy.

Mid ka mid ah rugta caafimaadka waa daaweynta?

daawaynta cudurada adag ayaa xarunta ophthalmologic "On Clinic". Xaruntu waxay ku taalaa magaalada ah sida St. Petersburg. Daweeyo cudurka Stargardt noqon karaa oo keliya xarunta, tan iyo markii ay ka mid tahay oo kaliya in Russia, halkaas oo technology sida waxaa laga codsadaa.

Ma therapy unugyada asliga ah waa ammaan ah?

Professionals si kalsooni leh u xaqiijin kartaa in therapy technology horumartay AD Romashchenko, gabi ahaanba waa ammaan. Wixii lagu daaweyn jiray unugyada bukaan-socodka waxaa loo isticmaalaa, taasoo meesha suurtagalnimada ee diidmada ama cawaaqib kale oo xun.

gunaanad

Shtargradta ugu horeysay ee cudurka da'da hore oo si deg deg ah u wadin inuu soo gaartay sixun aragga. Mararka aad dhif u ah, dhaxal nooca xukuma, isha si tartiib ah lagu dhibciyo. Bukaanka waxaa lagula talinayaa inay booqato dhakhtar indhaha ah, fitamiin iyo muraayadaha xiran. habka ugu fiican in la baabi'iyo therapy cudurada ku tixgeliyo by unugyada asliga ah.