Binciken Bincike Yana da Cutar Abune
Maganin Vogt-Koyanagi-Harada (VKH) yana da ciwon zuciya, ido, kunne, da kuma fata. Bincike ya nuna cewa yana iya kasancewa ne saboda wani motsa jiki wanda jikin yake kaiwa jikin kansa mai lafiya wanda ya ƙunshi melanin pigment. Rashin ciwo na VKH ba zai rage tsawon rai ba, amma ƙullun ido da fata zai iya haifar.
Ba'a san yadda sau da yawa Vogt-Koyanagi-Harada ciwo ya auku a ko'ina cikin duniya.
Yana faruwa sau da yawa a cikin mutanen Asiya, Ƙasar Amirka, Latin Amurka, ko Gabas ta Tsakiya. Rahoton da aka wallafa game da ciwo na VKH ya nuna cewa yana faruwa sau da yawa a cikin mata fiye da maza, kuma alamunta na iya farawa a kowane zamani.
Cutar cututtuka
Kafin ciwo na Vogt-Koyanagi-Harada ya fara, mutane sukan fuskanci bayyanar cututtuka irin su ciwon kai, vertigo, tashin zuciya, mai wuya, vomiting , da ƙananan zazzaɓi na kwanaki da yawa. Wadannan bayyanar cututtuka ba ƙayyadadden cututtukan VKH ba ne kuma ana iya bincikar su azaman kamuwa da kwayar cutar hoto ko mura . Abin da ke bambanta ciwo na VKH daga "mura" shine farawar bayyanar ido kamar hangen nesa, zafi, da farinciki ga haske. Yawanci, ƙwayar cuta ta VKH ta ƙunshi nau'i uku: wani lokaci na meningoencephalitis, wani lokaci na gwaji, da kuma lokacin da ake kira convalescent.
A lokacin meningoencephalitis , alamun bayyanar cututtuka irin su tsokawar tsoka, ciwon kai, hasara na amfani da tsoka a gefe daya jiki (hemiparesis ko hemiplegia), ciwon haɗin gwiwa (dysarthria), da wahalar magana ko fahimtar harshen (aphasia).
A cikin lokaci na gwaji , alamun bayyanar cututtuka irin su hangen nesa, zafi, da fushin ido saboda kumburi na iris (iridocyclitis) da uvea (uveitis). Sakamakon jita-jita yana iya haɗa da saurin ji, sauti a cikin kunnen (tinnitus), ko rashin hankali.
A cikin kwanakin kwakwalwa , alamun kwaikwayo irin su haske ko farar fata na launi, gashi, ko gashin ido (poliosis), haske ko fararen fata (vitiligo), da asarar gashi (alopecia).
Fatar launin fata yana farawa da yawa makonni ko watanni bayan hangen nesa da kuma jin bayyanar cututtuka fara.
Sanin asali
Saboda rashin ciwo na Vogt-Koyanagi-Harada yana da mahimmanci, cikakkun ganewar ganewa yana bukatar shawara tare da kwararru. Babu gwaji na musamman don ciwo, saboda haka ganewar asali ya dogara ne akan alamun da ke samuwa tare da sakamakon gwajin. Wani likitan ne zai iya yin amfani da shi don duba kwayar cutar ta kwayar cutar (CSF) don canza dabi'un cutar VKH. Masanin ilimin halitta zaiyi gwajin gwaji na idanu don neman uveitis. Wani likitan binciken mutum zai dauki samfurin fata (biopsy) kimanin wata daya bayan bayyanuwar cututtukan ido ya fara bincika yanayin halayyar VKH, kamar rashin pigment (melanin) a cikin haske ko fararen fata na fata.
Cibiyar Uveitis ta Amirka ta ba da shawarar cewa, 3 daga cikin wa] annan hukunce-hukuncen 4 za a sadu don tabbatar da ganewar cutar ta Vogt-Koyanagi-Harada:
- iridocyclitis a duka idanu, da kuma uveitis
- alamomi na koyoji ko halayyar halayyar a cikin CSF
- fata bayyanar cututtuka na poliosis, vitiligo, ko alopecia
Jiyya
Don rage kumburi a idanu, ana ba da corticosteroids kamar prednisone. Idan wannan ba ya aiki sosai, ana iya amfani da kwayoyi masu maganin immunosuppressant kamar azathioprine (Imuran) ko cyclophosphamide (Cytoxan, Neosar).
Ana nuna alamun cututtukan fata kamar yadda ake bi da hanyar vitiligo, wanda zai iya haɗawa da phototherapy, corticosteroids, ko magunguna.
Sakamakon asirin farko da magani na Vogt-Koyanagi-Harada ciwo zai taimakawa maye gurbin hangen nesa kamar glaucoma da cataracts. Canjin cututtuka na iya zama na har abada, har ma da magani, amma sau da yawa an ji yawanci a yawancin mutane.
> Sources:
Choczaj-Kukula, A. (2005). Vogt-Koyanagi-Harada ciwo. eMedicine, isa ga http://www.emedicine.com/derm/topic739.htm
Karanta, RW (2003). Cibiyar Uveitis ta Amirka: Vogt-Koyanagi-Harada.