{"id":1696,"date":"2019-10-23T16:56:23","date_gmt":"2019-10-23T08:56:23","guid":{"rendered":"http:\/\/www.ppukm.ukm.my\/oftalmologi\/?page_id=1696"},"modified":"2019-10-23T16:56:23","modified_gmt":"2019-10-23T08:56:23","slug":"doktor-kata-saya-ada-leukemia-kenapa-pula-mata-saya-kabur","status":"publish","type":"page","link":"https:\/\/www.ukm.my\/oftalmologifper\/doktor-kata-saya-ada-leukemia-kenapa-pula-mata-saya-kabur\/","title":{"rendered":"Doktor Kata Saya Ada Leukemia. Kenapa Pula Mata Saya Kabur?"},"content":{"rendered":"

Nor Rafeah Tumian1<\/sup>, Mushawiahti Mustapha2<\/sup><\/h4>\n

1<\/sup><\/em>Pakar Perunding Hematologi Klinikal, Jabatan Perubatan, Hospital Canselor Tuanku Muhriz, Pusat Perubatan 集美麻豆<\/em><\/p>\n

2<\/sup><\/em>Pakar Perunding Vitreo-retina, Jabatan Oftalmologi, Hospital Canselor Tuanku Muhriz, Pusat Perubatan 集美麻豆<\/em><\/p>\n

<\/h5>\n

 <\/p>\n

 <\/p>\n

<\/h3>\n

1. Bagaimana kanser darah boleh melibatkan mata?<\/strong><\/em><\/h3>\n

Penglibatan mata boleh mendahului diagnosis leukemia atau boleh berlaku pada waktu yang sama penyakit ini dikesan. Perubahan ini terhasil daripada infiltrasi langsung (\u2018direct infiltration\u2019) sel-sel leukemia ke tisu mata atau secara tidak langsung dari perubahan keseluruhan badan yang berlaku disebabkan oleh leukemia.<\/p>\n

 <\/p>\n

2. Apakah perubahan yang boleh berlaku pada mata dan penglihatan?<\/strong><\/em><\/h3>\n

Infiltrasi secara langsung boleh hadir dalam tiga corak utama:<\/p>\n

    \n
  1. Infiltrasi pada segmen hadapan (anterior) uvea.<\/li>\n
  2. Penyusupan sel kanser boleh menyebabkan perdarahan spontan di dalam mata dan penonjolan bola mata (\u2018proptosis\u2019).<\/li>\n
  3. Penyusupan ke sistem saraf tunjang \/ utama (\u2018central nervous system\u2019) termasuk saraf mata (optic) dan saraf yang mengawal pergerakan bola mata dan saiz anak mata.<\/li>\n<\/ol>\n
    \"\"

    Rajah 1: Infiltrasi menyebabkan pendarahan di dalam mata<\/p><\/div>\n

    \"\"

    Rajah 2: Penonjolan bola mata (\u2018Proptosis\u2019)<\/p><\/div>\n

    Perubahan secara tidak langsung terhasil dari perubahan sel-sel darah yang disebabkan oleh leukemia sendiri seperti kekurangan darah merah (\u2018anemia\u2019), kekurangan sel platlet, ubat kemoterapi dan peningkatan kepekatan darah (\u2018hyperviscosity\u2019). \u00a0Ini boleh hadir sebagai perdarahan retina atau vitreous (gambar), jangkitan kuman dan penyumbatan salur darah.<\/p>\n

    \"\"

    Rajah 3: Pendarahan retina dan vitreous<\/p><\/div>\n

    3. Bagaimanakah perubahan ini dapat dikesan?<\/strong><\/em><\/h3>\n

    Anda perlu dirujuk ke pakar mata (\u2018ophthalmologist\u2019) dan pemeriksaan terperinci akan dilakukan. Ini termasuk:<\/p>\n

    – Ketajaman visual (\u2018visual acuity\u2019).<\/p>\n

    – Medan penglihatan.<\/p>\n

    – Penilaian saraf mata dan bahagian dalam mata dengan menggunakan alat funduskopi.<\/p>\n

    \"\"

    Rajah 4: Ujian ketajaman visual menggunakan Snellen Chart<\/p><\/div>\n

    \"\"

    Rajah 5: Ujian konfrontasi medan penglihatan<\/p><\/div>\n

     <\/p>\n

    4. Bolehkah perubahan pada mata dan penglihatan disebabkan leukemia dirawat?<\/strong><\/em><\/h3>\n

    Rawatan bergantung kepada struktur mata yang terlibat<\/p>\n

      \n
    1. Rawatan spesifik terhadap leukemia \u2013 dengan pemberian kemoterapi bagi membunuh sel-sel leukemia.<\/li>\n
    2. Rawatan suportif \u2013 pembetulan terhadap kekurangan darah merah dan platlet, menurunkan paras darah putih tinggi yang menyumbang terhadap kepekatan darah.<\/li>\n
    3. Rawatan spesifik pada mata \u2013 bergantung kepada struktur mata yang terlibat. Jika pendarahan yang sangat banyak di dalam gel mata (vitreous), doktor mungkin akan mencadangkan pembedahan mata. Jika pendarahan atau tiada gangguan penglihatan, pantauan secara berkala adalah mencukupi. Potensi penglihatan bergantung kepada tahap keterukan penglihatan dan struktur penting yang terlibat.<\/li>\n<\/ol>\n

       <\/p>\n

      Disunting oleh Dr. Muhammad Nur ‘Ariff Rosli.<\/em><\/h5>\n

       \t\t<\/p>\n","protected":false},"excerpt":{"rendered":"

      Nor Rafeah Tumian1, Mushawiahti Mustapha2 1Pakar Perunding Hematologi Klinikal, Jabatan Perubatan, Hospital Canselor Tuanku Muhriz, Pusat Perubatan 集美麻豆 2Pakar Perunding Vitreo-retina, Jabatan Oftalmologi, Hospital Canselor …<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1696","page","type-page","status-publish","hentry"],"yoast_head":"\nDoktor Kata Saya Ada Leukemia. 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