Koj lub qhov muag puas liab thiab mob heev? Tej zaum yuav yog mob scleritis!

Koj puas tau pom tias koj lub qhov muag hloov liab tam sim ntawd thiab zoo li muaj ib tug neeg tab tom chob koj nrog ib tug pliers? Qee zaum qhov mob hnyav heev uas nws ua rau koj sawv thaum hmo ntuj. Koj puas pom tias nws nyuaj rau saib lub teeb? Yog, yog tias koj muaj cov tsos mob no, nws yuav yog ib qho mob hu ua scleritis, uas peb yuav tham txog hnub no. Tsis txhob txhawj, peb yuav tham txog qhov no kom meej.

Hauv lwm lo lus, scleritis yog dab tsi?

Zoo, cia peb xub saib seb Scleritis yog dab tsi. Thaum koj saib koj lub qhov muag, muaj ib feem ntawm lub qhov muag uas zoo li dawb, uas yog qhov peb hu ua sclera . Hais lus nruj me ntsis, sclera no yog ib qho kev tiv thaiv zoo nyob ib puag ncig lub qhov muag. Yog li, yog tias muaj qee qhov o, uas yog, o thiab liab hauv qhov no hu ua sclera, qhov ntawd yog qhov peb hu ua scleritis. Hauv qhov no, tsis yog lub qhov muag tsuas yog liab xwb, tab sis nws kuj tseem tuaj yeem mob heev . Qee zaum qhov mob nce ntxiv txawm tias thaum lub qhov muag raug txav mus los. Qhov tseem ceeb tshaj plaws yog tias yog tias qhov mob no tsis raug kho kom zoo, nws tuaj yeem ua rau lub qhov muag puas tsuaj mus tas li thiab txawm tias tsis pom kev . Yog li ntawd, nws tsis yog lub tswv yim zoo kom tsis quav ntsej nws vim tias lub qhov muag liab.

Cov hom kab mob scleritis tseem ceeb yog dab tsi?

Tam sim no, muaj ob hom kab mob scleritis tseem ceeb. Ib qho yog anterior scleritis , uas tshwm sim rau sab xub ntiag ntawm sclera. Qhov thib ob yog posterior scleritis , uas tshwm sim rau sab nraub qaum ntawm sclera. Ob hom no tau muab faib ua ntau txoj hauv kev sib txawv.

Kab mob Scleritis pem hauv ntej

Qhov no yog hom uas feem ntau pom. Nws kuj muab faib ua peb ntu:

• Kab mob scleritis sib kis: Hauv qhov no, kev o tuaj yeem kis thoob plaws tag nrho sclera. Qhov no yog hom kab mob feem ntau.
• Kab mob Scleritis: Hauv qhov no, ib lub pob me me (nodule) tsim nyob rau hauv ib qho chaw ntawm sclera. Lub pob qee zaum tuaj yeem pom nrog peb lub qhov muag.
• Kab mob Necrotizing scleritis: Qhov no yog hom kab mob txaus ntshai tshaj plaws. Nws ua rau cov nqaij ntawm lub qhov muag puas tsuaj thiab qee zaum ua rau lub qhov muag poob tag nrho . Muaj lwm hom kab mob txaus ntshai hu ua scleromalacia perforans . Nws yuav tsis mob, tab sis qhov muag tuaj yeem tawg. Hom kab mob no tshwm sim hauv kwv yees li 4% ntawm cov neeg uas muaj kab mob scleritis.

Kab mob Scleritis tom qab

Vim tias nws tshwm sim nyob rau tom qab ntawm lub sclera, cov tsos mob qee zaum yuav txawv. Tej zaum yuav muaj mob los ntawm sab hauv lub qhov muag, pom kev tsis meej, thiab lwm yam. Hom no suav txog li 10% ntawm tag nrho cov neeg mob scleritis.

Leej twg yuav muaj feem mob scleritis tshaj?

Kab mob Scleritis feem ntau tshwm sim rau cov neeg hnub nyoog ntawm 47 thiab 60 xyoo. Txawm li cas los xij, nws tuaj yeem tshwm sim rau cov neeg hluas dua lossis laus dua ntawd. Cov poj niam muaj feem yuav mob nws ntau dua li cov txiv neej . Ib qho laj thawj rau qhov no yog tias kab mob scleritis cuam tshuam nrog qee yam mob autoimmune . Txawm li cas los xij, kab mob scleritis los ntawm kev kis kab mob feem ntau tshwm sim rau cov txiv neej.

Qhov teeb meem no feem ntau tshwm sim li cas?

Hauv lub tebchaws zoo li Asmeskas, lawv hais tias muaj li ntawm 10,500 tus neeg mob scleritis tshiab txhua xyoo. Qhov ntawd yog ntawm plaub thiab rau tus neeg mob ib puas txhiab. Tus mob no kuj pom muaj nyob rau hauv Sri Lanka, tab sis nws nyuaj rau muab cov ntaub ntawv tseeb.

Cov tsos mob ntawm scleritis yog dab tsi?

Tam sim no cia peb saib seb cov tsos mob yuav tshwm sim thaum scleritis tshwm sim.

• Liab thiab o ntawm qhov dawb ntawm koj lub qhov muag (sclera) .
• Mob qhov muag heev thiab mob thaum kov . Qhov mob no tuaj yeem mob heev uas nws tuaj yeem ua rau koj sawv thaum hmo ntuj. Qee zaum qhov mob no tuaj yeem kis mus rau lwm qhov ntawm lub ntsej muag.
• Qhov muag dej (kua muag) .
• Nyuaj siab saib lub teeb (photophobia) .

Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob no, koj yuav tsum mus ntsib kws kho qhov muag tam sim ntawd , vim tias qhov no tsis yog qhov xwm txheej zoo rau kev ua si nrog.

Dab tsi ua rau mob scleritis?

Qee zaum, tsis muaj qhov ua rau mob scleritis tshwj xeeb . Cov kws kho mob hu qhov no tias 'idiopathic'. Tab sis feem ntau, mob scleritis tuaj yeem tshwm sim yog tias koj muaj lwm yam mob, tshwj xeeb tshaj yog tus kab mob autoimmune . Qee cov kab mob uas cuam tshuam nrog qhov no suav nrog:

• Mob pob qij txha caj qaum: Qhov no yog ib yam kab mob uas cuam tshuam rau cov pob qij txha ntawm ob sab ntawm koj lub cev. Nws yog tus kab mob ntawm lub cev tiv thaiv kab mob feem ntau cuam tshuam nrog scleritis.
• Cov kab mob ntawm cov nqaij sib txuas , xws li systemic lupus erythematosus . Lupus thiab kev o ntawm lub cev ntev ntev ua rau muaj peev xwm cuam tshuam rau ntau qhov ntawm lub cev, suav nrog cov pob qij txha, daim tawv nqaij, lub ntsws, lub hlwb, lub raum, thiab lub plawv.
• Kab mob plab hnyuv (IBD): Qhov no yog hais txog ib pawg kab mob uas ua rau mob o hauv koj txoj hnyuv.
• Sjögren's syndrome: Tus kab mob autoimmune no txwv tsis pub cov dej noo tawm ntawm cov qog hauv koj lub qhov muag thiab qhov ncauj.
• Scleroderma: Hauv tus kab mob no, cov ntaub so ntswg ib txwm hloov los ntawm cov ntaub so ntswg tuab, tawv.
• Granulomatosis nrog polyangiitis: Tus kab mob no yog tshwm sim los ntawm kev o ntawm koj cov nqaij (granulomatous o) thiab cov hlab ntsha (vasculitis). Qhov no tuaj yeem ua rau puas tsuaj rau cov kab ke hauv lub cev.

Tsis tas li ntawd, scleritis kuj tseem tuaj yeem cuam tshuam nrog:

• Kev kis kab mob: Scleritis kuj tseem tuaj yeem tshwm sim los ntawm qee yam kev kis kab mob. Cov no tuaj yeem yog cov kab mob bacterial , fungal, lossis viral . Cov kab mob fungal feem ntau siv sijhawm ntev dua los kho thiab muaj cov txiaj ntsig tsawg dua li cov kab mob bacterial lossis viral. Scleritis kuj tseem tuaj yeem tshwm sim los ntawm Lyme kab mob .
• Kev raug mob lossis raug mob rau koj lub qhov muag, suav nrog kev phais: Cov kev raug mob no feem ntau kuj tuaj yeem ua rau mob scleritis. Ib qho piv txwv yog ib qho mob hu ua surgically induced necrotizing scleritis (SINS), uas tshwm sim tom qab phais .
• Cov tshuaj siv los kho lossis tiv thaiv cov kab mob pob txha: Cov hom tshuaj no, piv txwv li bisphosphonates , paub tias ua rau muaj kev o ntawm lub qhov muag.

Cov kws kho mob kuaj mob scleritis li cas?

Thaum koj mus ntsib kws kho mob, nws yuav kuaj qhov muag thiab tej zaum yuav kuaj lub teeb kom paub seb qhov no puas yog scleritis.

Yog koj muaj mob posterior scleritis, koj tus kws kho mob yuav hais kom koj ua CT scan (computed tomography - CT scan) lossis ultrasound . Yog koj mob scleritis yog los ntawm kev kis kab mob, koj tus kws kho mob yuav coj ib yam dab tsi los kuaj, xws li kua qaub, los ntawm koj lub qhov muag thiab xa mus rau chav kuaj mob kom kuaj. Tsis tshua muaj, koj tus kws kho mob kuj yuav hais kom koj ua biopsy .

Cov kev kho mob rau scleritis yog dab tsi?

Yog tias koj muaj mob scleritis me me xwb, koj tus kws kho mob yuav pom zoo kom siv cov tshuaj nonsteroidal anti-inflammatory drugs (NSAIDs) . Txawm li cas los xij, feem ntau, koj tus kws kho mob yuav sau ntawv kom siv cov tshuaj corticosteroid xws li prednisone rau lub sijhawm ntev dua (xya txog kaum hnub).

Tseem Ceeb: Tsis txhob siv cov tshuaj no yam tsis tau kev qhia los ntawm kws kho mob. Lawv tuaj yeem ua rau muaj kev phiv.

Yog tias koj muaj mob hnyav zuj zus, cov tshuaj corticosteroids txhaj rau hauv cov hlab ntshaTej zaum yuav tsim nyog.

Yog tias koj muaj scleritis los ntawm kev kis kab mob, koj yuav tsum tau noj tshuaj tua kab mob , tshuaj tua kab mob antifungals , lossis tshuaj tua kab mob .

Hauv cov mob hnyav xws li necrotizing scleritis, koj tus kws kho mob yuav ua haujlwm nrog tus kws kho mob rheumatologist los sau cov tshuaj immunotherapeutic xws li cyclophosphamide , methotrexate , thiab mycophenolate mofetil , lossis cov tshuaj biologic xws li rituximab thiab adalimumab .

Lwm yam kev kho mob, xws li scleral patching lossis grafts, kuj tseem siv tau, ib yam li lwm hom kev hloov nqaij.

Peb yuav tsum xav li cas hauv qhov teeb meem no ntawm scleritis?

Kab mob Scleritis yog ib yam mob uas kho tau thiab kho tau . Yog tias tsis kho, kab mob scleritis tuaj yeem ua rau pom kev tsis meej . Kab mob posterior necrotizing scleritis yog qhov mob hnyav tshaj plaws. Koj tus kws kho mob kuj tseem yuav ua haujlwm nrog koj los kho lwm yam mob autoimmune uas koj muaj.

Koj yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm kev mob scleritis?

Feem ntau, kab mob scleritis tsis tuaj yeem tiv thaiv tau. Tab sis koj tuaj yeem saib xyuas koj ob lub qhov muag zoo .

• Hnav cov khoom tiv thaiv qhov muag thaum koj ua haujlwm lossis ua si qee yam kev sib ntaus sib tua tuaj yeem txo qhov kev pheej hmoo ntawm kev puas tsuaj rau koj lub qhov muag.
• Yog tias koj yuav tsum kov koj ob lub qhov muag, kev ntxuav koj txhais tes tas li tuaj yeem pab txo qhov kev pheej hmoo ntawm kev kis kab mob rau qhov muag. Tsis tas li ntawd, yog tias koj hnav cov iav qhov muag, tsis txhob hnov ​​​​​​qab ntxuav lawv kom huv.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Koj yuav tsum mus ntsib kws kho mob txhua lub sijhawm uas koj mob, liab, lossis o ntawm ib lossis ob lub qhov muag. Qhov no tseem ceeb heev yog tias koj lub cev tiv thaiv kab mob tsis muaj zog lossis muaj mob . Nws yog qhov zoo tshaj plaws los pib kho sai li sai tau.

Qhov txawv ntawm scleritis thiab lwm yam kab mob qhov muag yog dab tsi?

Qhov no yog qhov uas ntau tus neeg tsis meej pem. Cia peb saib qhov sib txawv tseem ceeb.

Qhov txawv ntawm Scleritis thiab Episcleritis

Kab mob Scleritis yog ib yam dab tsi uas cuam tshuam rau koj lub sclera. Episcleritis yog ib yam dab tsi uas cuam tshuam rau koj lub episclera, txheej sab nraud tshaj plaws ntawm sclera.Ib yam dab tsi uas cuam tshuam. Episcleritis feem ntau kho nws tus kheej , thiab nws tsis mob npaum li scleritis.

Qhov txawv ntawm Scleritis thiab Uveitis

Lub uvea yog txheej hauv qab sclera (qhov dawb ntawm lub qhov muag). Kev o ntawm koj lub uvea hu ua uveitis . Ob qho tib si koj lub uvea thiab sclera tuaj yeem o tib lub sijhawm, tab sis lawv yog ob feem sib txawv ntawm koj lub qhov muag.

Qhov txawv ntawm Scleritis thiab Conjunctivitis

Kab mob Scleritis yog ib qho kev kis mob ntawm lub qhov muag sclera. Kab mob Conjunctivitis , uas yog qhov peb hu ua 'kev kis mob ntawm qhov muag,' yog ib qho kev kis mob ntawm koj lub qhov muag conjunctiva. Koj lub qhov muag conjunctiva yog daim nyias nyias uas kab lub sclera thiab sab hauv ntawm koj lub qhov muag. Ob qho tib si mob tuaj yeem ua rau koj lub qhov muag liab. Txawm li cas los xij, kab mob conjunctivitis tsis loj npaum li scleritis, thiab nws tsis mob npaum li scleritis .

Cov lus coj mus tsev los ntawm tsab xov xwm no

Yog li ntawd, koj ob lub qhov muag muaj nqis heev rau koj. Yog li ntawd, nws yog koj lub luag haujlwm los ua kom lawv noj qab haus huv. Yog tias koj ob lub qhov muag liab thiab mob, mus ntsib kws kho qhov muag lossis kws kho mob dav dav tam sim ntawd . Nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav sai sai seb nws puas yog mob zoo li scleritis lossis lwm yam. Qhov zoo tshaj plaws uas yuav tsum ua yog paub thiab pib kho rau txhua yam mob thaum ntxov, txawm tias nws yog ib yam dab tsi uas cuam tshuam rau lub qhov muag lossis lwm yam hauv lub cev.

Kab mob Scleritis, ib feem dawb ntawm lub qhov muag, sclera, qhov muag liab, mob qhov muag, qhov muag o, kab mob autoimmune, Scleritis, qhov muag o