Yu yay rɛd ɛn yu de fil bad bad wan? I kin bi skleritis!

Yu dɔn ɛva notis se yu yay kin tɔn rɛd wantɛm wantɛm ɛn fil lɛk se sɔmbɔdi de chuk yu wit pliers? Sɔntɛnde, di pen kin so bad dat i kin wek yu na nɛt. Yu kin ivin si se i nɔ kin izi fɔ yu fɔ luk di layt? Yɛs, if yu gɛt dɛn sik ya, i kin bi wan sik we dɛn kɔl skleritis, we wi go tɔk bɔt tide. Nɔ wɔri, wi go tɔk bɔt dis ditayli.

Fɔ tɔk am simpul wan, wetin na skleritis?

Okay, lɛ wi fɔs luk wetin na Scleritis. We yu luk yu yay, wan pat de na di yay we de luk wayt, we wi kɔl di sklera . Fɔ tɔk strikt wan, dis sklera na strɔng tin we de kɔba di yay we de protɛkt am. So, if sכm inflameshn de, dat na, swel εn rεd na dis pat we dεn kכl sklera, na dat wi kin kכl sklera. If na so i bi, nɔto jɔs di yay kin rɛd, bɔt i kin mek yu fil pen bad bad wan . Sɔntɛnde, di pen kin bɔku ivin we dɛn de muv di yay go bifo ɛn biɛn. Di tin we impɔtant pas ɔl na dat if dɛn nɔ trit dis sik fayn, i kin mek di yay pwɛl sote go ɛn i kin ivin mek i nɔ ebul fɔ si fayn igen . So, i nɔ fayn fɔ jɔs ignore am bikɔs di yay rɛd.

Wetin na di men kayn skleritis?

Naw, tu men kayn skleritis de. Wan pan dɛn na di anterior scleritis , we kin apin na di fɔs pat pan di sklera. di ɔda wan na di posita skleritis , we kin apin na di bak pat pan di sklera. Dɛn tu kayn ya kin sheb bak difrɛn we.

Sklɛritis we de bifo

Dis na di kayn we we pipul dɛn kin gɛt mɔ. Dɛn sheb am bak to tri pat:

• Difyuz sklera: Insay dis, inflameshn kin spre ɔlsay na di ɔl sklera. Dis na di sɔbtayp we dɛn kin yuz mɔ.
• Nodular scleritis: insay dis, wan sכm sכm sכm sכm (nodule) de fכm na wan ples na di sklera. Sɔntɛnde, wi kin si di lump wit wi yay.
• Necrotizing scleritis: Dis na di kayn we we de mek pɔsin denja pas ɔl. I kin pwɛl di yay tisu ɛn sɔntɛnde i kin mek di wan ol yay lɔs . Wan ɔda kayn denja de fɔ dis we dɛn kɔl scleromalacia perforans . I kin bi se i nɔ de mek pɔsin fil pen, bɔt i kin mek pɔrfyushɔn na di yay. Dis kayn kin apin pan lɛk 4% pan di pipul dɛm wae gɛt skleritis.

Sklɛritis we de afta di bɔdi

Bikɔs i kin apin na di bak pat pan di sklera, sɔmtɛm di sayn dɛm kin difrɛn. pen kin de we de kכmכt frכm insay di yay, blכr vishכn, εtk.

Udat kin gɛt skleritis mɔ?

Skleritis kin kam pan pipul dɛm wae ol bitwin 47 ɛn 60. Bɔt e kin kam pan pipul dɛm wae yɔŋ ɔr pas dat. Uman dɛn kin gɛt am pas man dɛn . Wan rizin fɔ dis na bikɔs skleritis gɛt fɔ du wit sɔm ɔtoimyun kɔndishɔn dɛn . Bɔt, skleritis we kin kam bikɔs ɔf infɛkshɔn kin bɔku pan man dɛn.

Aw kɔmɔn tin dis kin apin?

Insay kɔntri lɛk Amɛrika, dɛn kin se ɛvri ia na lɛk 10,500 nyu wan dɛn we gɛt skleritis kin gɛt dis sik. Dat na bitwin 4 ɛn siks pan ɛvri ɔndrɛd tawzin. Dɛn kin si dis kɔndishɔn bak na Sri Lanka, bɔt i nɔ kin izi fɔ gi di rayt statystik.

Wetin na di sayn dɛm wae de sho se yu gɛt skleritis?

Lɛ wi si naw us sayn dɛm kin apin we skleritis de kam.

• di wayt pat na yu yay (sclera) de rεd εn swεla .
• Shap pen na yu yay ɛn yu kin fil pen we yu tɔch yu . Dis pen kin so bad dat e kin wek yu na nɛt. Sɔmtɛm dis pen kin pas to ɔda pat na di fes.
• Wata yay (kray wata) .
• I nɔ izi fɔ si layt (fotophobia) .

If yu gɛt wan ɔr mɔr pan dɛn sik ya, yu fɔ go to ay dɔktɔ wantɛm wantɛm , bikɔs dis nɔto fayn tin fɔ ple wit.

Wetin kin mek pɔsin gɛt skleritis?

Sɔntɛnde, dɛn nɔ kin fɛn ɛni patikyula kɔz fɔ skleritis. Dɔktɔ dɛn kin kɔl dis ‘idiopathic’. Bɔt bɔku tɛm, skleritis kin kam if yu gɛt ɔda sik, mɔ wan sik we pɔsin kin gɛt we i de fɛt insɛf . Sɔm pan de sik dɛm wae gɛt fɔ du wit dis na:

• Rimatɔyd at at sik: Dis na sik wae de afɛkt di jɔyn dɛm na yu tu say dɛm na yu bɔdi. Na di imyun sistɛm sik we kin gɛt fɔ du wit skleritis.
• Kכnektiv tisu sik dεm , lεk sistεmik lupus εrythematosus . Lupus ɛn di inflamɛns we i kin gɛt kin afɛkt bɔku pat dɛn na di bɔdi, lɛk di jɔyn dɛn, di skin, di lɔng dɛn, di bren, di kidni dɛn, ɛn di at.
• Inflammatory bowel disease (IBD): Dis de tɔk bɔt wan grup fɔ sik dɛn we de mek yu intestinal inflammation we nɔ de dɔn.
• Sjögren’s syndrome: Dis sik wae de mek yu nɔr de fil fayn de mek yu nɔr de pul wata kɔmɔt na di gland dɛm na yu yay ɛn yu mɔt.
• Sklerodama: Insay dis sik, di nכmal tisu de tek tik, had fayv tisu in ples.
• Granulomatosis wit polyangiitis: Dis sik kin kam bikɔs yu tisu dɛn kin inflamɛns (granulomatous inflammation) ɛn blɔd vesel dɛn (vasculitis). Dis kin pwɛl di ɔgan sistɛm dɛn na di bɔdi.

Apat frɔm dat, skleritis kin gɛt fɔ du bak wit:

• Infεkshכn: Skεlεtis kin kam bak fכ sכm infεkshכn dεm. Dɛn tin ya kin bi baktri , fɛns, ɔ vayral . Fɔngal infɛkshɔn kin tek lɔng tɛm fɔ wɛl ɛn nɔ kin gɛt bɛtɛ tin fɔ du pas baktri ɔ vayral infɛkshɔn. Skleritis kin kam bak wit Laym sik .
• Trauma ɔ injury na yu yay, inklud ɔpreshɔn: Dɛn kayn injury ya kin mek yu gɛt skleritis bak. Wan ɛgzampul na wan sik we dɛn kɔl surgically induced necrotizing scleritis (SINS), we kin apin afta dɛn dɔn du di ɔpreshɔn .
• Mεdikeshכn dεm wae dεn kin yuse fכ trit כ prεvεnt bon sik dεm: Dɛn no se dεn kayn mεdikeshכn ya, fכ egzampl bisphosphonates , kin mek di yay inflammatory reactions.

Aw dɔktɔ dɛn kin no if pɔsin gɛt skleritis?

We yu go to dɔktɔ, i go du ay ɛgzam ɛn sɔntɛm slit lamp ɛgzam fɔ no if dis na skleritis.

If yu gɛt posita skleritis, yu dɔktɔ kin ɔda fɔ mek dɛn du CT skan (kɔmpyuta tomografi - CT skan) ɔ fɔ mek dɛn du ɔltra saund . If yu skleritis na infekshɔn, yu dɔktɔ kin tek sɔmtin, lɛk pus, frɔm yu yay ɛn sɛn am to lab fɔ mek dɛn tɛst am. Na smɔl tɛm nɔmɔ, yu dɔktɔ kin ɔda bak fɔ mek dɛn tek am bayɔpsi .

Wetin na di tritmɛnt fɔ skleritis?

If yu gɛt skleritis we nɔ kin rili at, yu dɔktɔ kin tɛl yu fɔ yuz mɛrɛsin dɛn we nɔ de mek yu bɔdi wam (NSAID) . Bɔt bɔku tɛm, yu dɔktɔ go gi yu wan kɔtikosterɔyd we gɛt sistɛm, lɛk prɛdnison, fɔ lɔng tɛm (sɛvin to tɛn dez).

Impɔtant: Nɔ ɛva yuz dɛn mɛrɛsin ya if yu nɔ gɛt dɔktɔ advays. Dɛn kin mek pɔsin gɛt sayd ɛfɛkt.

If yu gɛt flare-up, intravenous kɔtikosterɔydI kin bi se i nid fɔ bi.

If yu gɛt skleritis we infekshɔn dɔn mek, yu go nid antibayɔtik , antifɔngal , ɔ antivayrɔs mɛrɛsin.

If yu gɛt siriɔs kes lɛk nekrotizing skleritis, yu dɔktɔ kin wok wit rεumatɔlɔjis fɔ gi yu imyunotɛrapi drɔgs lɛk sayklofosfamid , mɛtɔtreksɛt , ɛn maykofɛnolayt mɔfɛtil , ɔ bayolojikal ɛjɛn lɛk rituximab ɛn adalimumab .

כda tritmεnt dεm lεk skleral patch כ graft, dεn kin yuz bak, lεk כda kayn tisu transplant dεm.

Wetin wi fɔ ɛkspɛkt pan dis kes fɔ skleritis?

Skleritis na wan sik we dɛn kin trit ɛn we dɛn kin trit . If dɛn nɔ trit am, skleritis kin mek i nɔ ebul fɔ si fayn igen . Posita necrotizing scleritis na di wan we siriɔs pas ɔl. Yu dɔktɔ go wok wit yu bak fɔ trit ɛni ɔda ɔtoimyun kɔndishɔn we yu go gɛt.

Aw yu go ridyus di risk fɔ gɛt skleritis?

Bɔrku tɛm, dɛn nɔr kin ebul fɔ avɔyd skleritis. Bɔt yu kin kia fɔ yu yay fayn fayn wan .

• If yu wɛr di tin dɛn we yu nid fɔ protɛkt yu yay we yu de wok ɔ ple sɔm kɔntakt spɔt dɛn, dat kin mek yu yay nɔ pwɛl.
• If yu fɔ tɔch yu yay, fɔ kip yu an dɛn klin ɔltɛm, dat kin ɛp fɔ mek yu nɔ gɛt bɔku sik dɛn na yu yay. Dɔn bak, if yu wɛr kɔntakt lens, nɔ fɔgɛt fɔ klin am fayn fayn wan.

Ustɛm yu fɔ go to dɔktɔ?

Yu fɔ go to dɔktɔ ɛnitɛm we yu gɛt pen, rɛd, ɔ swel na wan ɔ ɔl tu yu yay. Dis impɔtant mɔ if yu gɛt wikɛd imyun sistɛm ɔ yu gɛt sik . I bɛtɛ fɔ bigin tritmɛnt kwik kwik wan.

Wetin na di difrɛns bitwin skleritis ɛn ɔda sik dɛn na di yay?

Dis na di say we bɔku pipul dɛn kin kɔnfyus. Lɛ wi luk di men tin dɛn we difrɛn.

Difrɛns bitwin Scleritis ɛn Episcleritis

Sklɛriti na sɔntin we kin afɛkt yu sklera. Episcleritis na sɔntin we de afɛkt yu episclera, we na di layt we de na do pas ɔl na di sklera.Sɔntin we de afɛkt. Episcleritis kin wɛl fɔ insɛf , ɛn i nɔ kin pen lɛk skleritis.

Difrɛns bitwin Scleritis ɛn Uveitis

di uvea na di layεr we de כnda di sklera (di wayt pat pan di yay). Inflameshɔn na yu uvea dɛn kɔl am uveitis . Yu uvea ɛn sklera ɔl tu kin inflam di sem tɛm, bɔt na tu difrɛn pat dɛn na yu yay.

Difrɛns bitwin Sklɛriti ɛn Kɔnjɔktiviti

Skleritis na wan infεkshכn we de kכmכt na di sklera. Kɔnjɔktiviti , we wi kɔl ‘ay infɛkshɔn,’ na infɛkshɔn na yu kɔnjɔktiva. yu kɔnjɔktiva na di mɛmbran we de layn di sklera ɛn di insay pat pan yu aybɔl. Dɛn tu tin ya kin mek yu yay rɛd. Bɔt kɔnjɔktiviti nɔ siriɔs lɛk skleritis, ɛn i nɔ de pen lɛk skleritis .

Di mɛsej we pɔsin kin kɛr go na os frɔm dis atikul

So, yu yay rili valyu to yu. So, na yu wok fɔ mek dɛn gɛt wɛlbɔdi. If yu yay rɛd ɛn yu de fil pen, go to dɔktɔ we de mɛn yu yay ɔ dɔktɔ wantɛm wantɛm . E fayn fɔ no kwik kwik wan if na sik lɛk skleritis ɔr ɔda tin. Di bɛst tin fɔ du na fɔ no ɛn bigin fɔ trit ɛni mɛrɛsin kwik, ilɛksɛf na sɔntin we de afɛkt di yay ɔ ɔda tin na di bɔdi.

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