Kodi mumadzukanso m'mawa muli ndi msana wolimba, mukumva ngati mtengo? Ngakhale kuti umakhala bwino tsiku lonse, kodi ululu ndi kuuma kwa msana uku kukuvutitsani? Izi zitha kukhala zoposa kupweteka kwa msana wamba. Timazitcha Ankylosing Spondylitis. Mwachidule, ndi mtundu wa nyamakazi womwe umakhudza msana. Koma kodi mumadziwa kuti matendawa samangokhudza msana wokha? Inde, amathanso kukhudza maso anu mwanjira yoopsa kuposa momwe mukuganizira. Ndicho chimene tikulankhula lero.
Kodi uveitis ndi chiyani?
Vuto lalikulu la ankylosing spondylitis (AS) lomwe lingakhudze maso ndi uveitis . Uku ndi kutupa komwe kumachitika mkati mwa diso, zomwe zikutanthauza kuti limatupa ndikufiira. Diso lathu lili ngati mpira. Lili ndi zigawo zingapo. Kutupa kumeneku kumakhudza kwambiri gawo lapakati la diso. Timatcha ``Uvea''. Koma kumatha kuchitika kulikonse mkati mwa diso. Madokotala amaika m'magulu malinga ndi komwe kutupa kumachitika.
| Mtundu wa uveitis | Malo okhudzidwa ndi kufotokozera |
|---|---|
| Uveitis wa Patsogolo (Iritis) (Anterior uveitis ) | Uwu ndi mtundu wofala kwambiri wa AS. Umakhudza mbali yakutsogolo ya diso, makamaka mbali yakuda ya diso (iris). Ngati sichinachiritsidwe bwino, chingayambitse matenda monga cataracts ndi glaucoma . |
| Uveitis wapakati ( Uveitis wapakati) | Zimakhudza vitreous, chinthu chonga jelly chomwe chili mkati mwa diso, ndi malo ozungulira retina. |
| Uveitis wa Posterior (postterior uveitis ) | Izi zimakhudza kumbuyo kwa diso, komwe ndikofunikira kwambiri pa maso athu ndipo kumatumiza mauthenga ku retina ndi ubongo.Mitsempha ya maso ikhoza kuonongeka. |
| Panuveitis (Total uveitis ) | Uwu ndi mtundu woopsa kwambiri. Kutupa kumeneku kumafalikira mbali zonse za diso. Ngati sikuchiritsidwa mwachangu, kungayambitse khungu . |
Nchifukwa chiyani anthu omwe ali ndi AS amakumana ndi vutoli?
Taganizirani izi: Pafupifupi munthu m'modzi mwa anthu awiri omwe ali ndi AS adzadwala uveitis nthawi ina m'miyoyo yawo. Ndi zofala kwambiri. Nthawi zina, dokotala wanu wa maso angakhale woyamba kuzindikira AS ngati chifukwa cha kupweteka kwanu kwa msana.
Mwachidule, kutupa komweko m'thupi lanu komwe kumayambitsa kupweteka kwa msana wanu kumayambitsanso kutupa kumeneku m'maso mwanu.
Ngakhale kuti chifukwa chenicheni cha izi sichikudziwika, pali zinthu zingapo zomwe akatswiri amakhulupirira. Lingaliro limodzi ndilakuti zimayambira kwinakwake komwe sitiganizira nkomwe: m'mimba mwathu .
Pali tizilombo tating'onoting'ono tambirimbiri m'matumbo mwathu. Ndi ofunikira kwambiri pa thanzi lathu. Chimodzi mwa ntchito zawo zazikulu ndikulamulira chitetezo chathu chamthupi . Tizilombo toyambitsa matenda tikamalephera kugwira ntchito bwino, chitetezo chathu chamthupi chimakhala chofooka. Kenako maselo ena m'thupi (monga T-cells) amayamba kuukira maso athu molakwika. Umu ndi momwe uveitis ingayambire.
Komanso, anthu ambiri omwe ali ndi AS ndi uveitis ali ndi jini yotchedwa HLA-B27 . Anthu omwe ali ndi jini iyi ali pachiwopsezo chachikulu chodwala matenda otupa maso.
Kodi zizindikiro zake ndi ziti? Kodi mumazindikira bwanji?
Ngati muli ndi AS, dziwani bwino zizindikirozi. Zitha kuchitika m'diso limodzi kapena m'maso onse awiri nthawi imodzi.
- Kufiira kwa maso: Maso amasanduka ofiira ngati magazi.
- Kupweteka kwambiri: Kupweteka kwambiri kapena kupweteka kochokera mkati mwa diso.
- Kuona molakwika: Malo ozungulira amaoneka ngati chimbuuzi, osaoneka bwino.
- Kumva kuwala kowala: kusatha kuona kunja padzuwa kapena kuwala kowala, kumva ngati maso akusintha kukhala abuluu.
Anthu ena akhoza kukhala ndi vutoli kamodzi kokha ndipo amachira. Ena akhoza kukhala nalonso zaka zingapo zilizonse. Ndipo kwa ena, vutoli likhoza kukhala vuto la nthawi yayitali ndipo limafuna chithandizo chopitilira.
Ngati muli ndi makhalidwe awa,Musachedwe. Pitani kwa dokotala, makamaka dokotala wa maso, mwamsanga momwe mungathere.
Kodi mankhwala ochizira izi ndi otani?
Cholinga chachikulu cha chithandizo cha uveitis ndikuchepetsa kutupa mkati mwa diso mwachangu, chifukwa kutupa kwambiri kungayambitse kuwonongeka kwakukulu m'diso.
Madontho a Maso
Kawirikawiri, makamaka pa matenda a uveitis a anterior uveitis, dokotala wanu adzakupatsani mitundu iwiri ya madontho a maso:
1. Madontho a m'maso otchedwa steroid: Izi zimachepetsa kutupa.
2. Madontho a m'maso omwe amakulitsa diso lakuda: Izi zimachepetsa ululu ndipo zimaletsa ziwalo za diso kuti zisamamatire pamodzi chifukwa cha kutupa.
Mankhwala ena
Kutengera ndi kuopsa kwa vutoli, mapiritsi a steroid angatengedwe kapena jakisoni angapatsidwe mozungulira diso. Nthawi zina, kapisozi kakang'ono kamene kamatulutsa ma steroid kamayikidwa mkati mwa diso.
Komabe, kugwiritsa ntchito mankhwala a steroid kwa nthawi yayitali kungayambitse mavuto monga glaucoma ndi cataracts, kotero nthawi zambiri sagwiritsidwa ntchito kwa miyezi yoposa itatu.
Tiyeni tiganizire za thanzi la m'mimba?
Monga tafotokozera kale, pali umboni wina wosonyeza kuti kusintha kwa tizilombo toyambitsa matenda m'matumbo kungathandize pa izi. Choncho akatswiri ena amalimbikitsa kuyesa zinthu izi:
- Ma Probiotics: Awa ndi mabakiteriya omwe ndi othandiza m'thupi lathu. Amapezeka muzakudya zowiritsa monga yogurt ndi yogurt. Angathenso kutengedwa ngati chowonjezera.
- Ma Prebiotics: Awa ndi chakudya cha mabakiteriya abwino. Amathandiza mabakiteriya abwino kukula. Amapezeka muzakudya monga nthochi, anyezi, ndi adyo.
Chofunika kwambiri: Musanapange chithandizo chilichonse mwa izi kapena kusintha zakudya, onetsetsani kuti mwalankhula ndi dokotala wanu ndikupempha upangiri. Iye ndiye amene adzasankhe chithandizo chomwe chili choyenera kwa inu.
Uthenga Wopita Nawo Kunyumba
- Matenda a Ankylosing spondylitis (AS) si matenda omwe amakhudza msana wanu wokha, komanso angakhudze kwambiri maso anu.
- Ngati mukumva zizindikiro monga kufiira kwa maso, kupweteka, kusawona bwino, kapena kusamva kuwala, mwina ndi uveitis . Pitani kuchipatala nthawi yomweyo.
- Pali mankhwala othandiza kwambiri a uveitis . Chithandizo chikayamba msanga, kuwonongeka kwa diso kumachepa.
- Musamalandire chithandizo chilichonse chomwe mukufuna. Nthawi zonse lankhulani ndi dokotala wanu ndipo pemphani chithandizo motsogozedwa ndi iye.
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