Kodi diso lanu lili lofiira ndipo mukumva kupweteka kwambiri? Likhoza kukhala scleritis!

Kodi munayamba mwaonapo kuti diso lanu limafiira mwadzidzidzi ndipo likumva ngati wina akukumenyani ndi pliers? Nthawi zina ululu umakhala woopsa kwambiri moti umakudzutsani usiku. Kodi mumavutika kuyang'ana kuwala? Inde, ngati muli ndi zizindikiro izi, zitha kukhala matenda otchedwa scleritis, omwe tikambirana lero. Musadandaule, tikambirana izi mwatsatanetsatane.

Mwachidule, kodi scleritis ndi chiyani?

Chabwino, tiyeni choyamba tiwone chomwe Scleritis ndi. Mukayang'ana diso lanu, pali gawo la diso lomwe limawoneka loyera, lomwe timatcha sclera . Kunena zoona, sclera iyi ndi chophimba champhamvu choteteza diso. Chifukwa chake, ngati pali kutupa, ndiko kuti, kutupa ndi kufiira m'gawoli lotchedwa sclera, ndi chomwe timatcha scleritis. Pankhaniyi, diso silimangokhala lofiira, komanso likhoza kukhala lopweteka kwambiri . Nthawi zina ululu umawonjezeka ngakhale diso litasunthidwa. Chofunika kwambiri ndichakuti ngati vutoli silinachiritsidwe bwino, lingayambitse kuwonongeka kosatha kwa diso komanso kutayika kwa masomphenya . Chifukwa chake, si lingaliro labwino kungonyalanyaza chifukwa diso ndi lofiira.

Kodi mitundu ikuluikulu ya scleritis ndi iti?

Tsopano, pali mitundu iwiri ikuluikulu ya scleritis. Imodzi ndi anterior scleritis , yomwe imapezeka kutsogolo kwa sclera. Ina ndi posterior scleritis , yomwe imapezeka kumbuyo kwa sclera. Mitundu yonseyi imagawidwanso m'njira zosiyanasiyana.

Anterior Scleritis

Uwu ndi mtundu wofala kwambiri. Umagawidwanso m'magawo atatu:

• Matenda a scleritis ofalikira: Pachifukwa ichi, kutupa kumatha kufalikira mu sclera yonse. Iyi ndi mtundu wofala kwambiri.
• Matenda a scleritis a nodular: Pachifukwa ichi, chotupa chaching'ono (nodular) chimapangika pamalo amodzi pa sclera. Chotupacho nthawi zina chimaoneka ndi maso athu.
• Matenda a scleritis oyambitsa matenda a necrotizing: Uwu ndi mtundu woopsa kwambiri. Umawononga minofu ya maso ndipo nthawi zina ungayambitse kutayika kwa diso lonse . Pali mtundu wina woopsa wa matendawa wotchedwa scleromalacia perforans . Ungakhale wopanda ululu, koma mabowo amatha kuchitika m'diso. Mtundu uwu umapezeka mwa anthu pafupifupi 4% omwe ali ndi matenda a scleritis.

Matenda a Posterior Scleritis

Popeza zimachitika kumbuyo kwa sclera, zizindikiro nthawi zina zimatha kusiyana. Pakhoza kukhala ululu wochokera mkati mwa diso, kusawona bwino, ndi zina zotero. Mtundu uwu umakhudza pafupifupi 10% ya odwala onse a scleritis.

Ndani amene ali ndi mwayi waukulu wopeza matenda a scleritis?

Matenda a scleritis amapezeka kwambiri mwa anthu azaka zapakati pa 47 ndi 60. Komabe, amatha kuchitika mwa anthu aang'ono kapena okulirapo kuposa pamenepo. Akazi ndi omwe ali ndi mwayi waukulu wodwala matendawa kuposa amuna . Chifukwa chimodzi cha izi ndichakuti matenda a scleritis amagwirizanitsidwa ndi matenda ena a autoimmune . Komabe, matenda a scleritis omwe amayamba chifukwa cha matenda amapezeka kwambiri mwa amuna.

Kodi vutoli ndi lofala bwanji?

M'dziko ngati America, akuti milandu yatsopano pafupifupi 10,500 ya scleritis imapezedwa chaka chilichonse. Izi ndi pakati pa anayi ndi asanu ndi mmodzi pa zana limodzi. Matendawa amapezekanso ku Sri Lanka, koma n'kovuta kupereka ziwerengero zenizeni.

Kodi zizindikiro za scleritis ndi ziti?

Tiyeni tiwone zizindikiro zomwe zingachitike scleritis ikayamba.

• Kufiira ndi kutupa kwa gawo loyera la diso lanu (sclera) .
• Kupweteka kwambiri m'diso komanso kumva kupweteka kwambiri mukakhudzidwa . Kupweteka kumeneku kungakhale koopsa kwambiri moti kungakuutseni usiku. Nthawi zina ululuwu ukhoza kufalikira ku ziwalo zina za nkhope.
• Maso odzaza ndi madzi (misozi) .
• Kuvuta kuyang'ana kuwala (photophobia) .

Ngati muli ndi chimodzi mwa zizindikiro izi kapena zingapo, muyenera kupita kwa dokotala wa maso nthawi yomweyo , chifukwa izi si zabwino kusewera nazo.

Kodi n’chiyani chimayambitsa matenda a scleritis?

Nthawi zina, palibe chifukwa chenicheni chomwe chingapezeke cha scleritis. Madokotala amatcha izi 'idiopathic'. Koma nthawi zambiri, scleritis imatha kuchitika ngati muli ndi vuto lina lachipatala, makamaka matenda odziyimira pawokha . Matenda ena omwe amagwirizana ndi izi ndi awa:

• Matenda a nyamakazi: Uwu ndi matenda omwe amakhudza ziwalo zonse ziwiri za thupi lanu. Ndi matenda a chitetezo chamthupi omwe nthawi zambiri amagwirizanitsidwa ndi scleritis.
• Matenda a minofu yolumikizana , monga lupus erythematosus . Lupus ndi kutupa kosatha komwe kumayambitsa kungakhudze ziwalo zambiri za thupi, kuphatikizapo mafupa, khungu, mapapo, ubongo, impso, ndi mtima.
• Matenda a m'matumbo otupa (IBD): Izi zikutanthauza gulu la matenda omwe amayambitsa kutupa kosatha m'matumbo anu.
• Matenda a Sjögren: Matendawa a autoimmune amachepetsa kutulutsa chinyezi m'maselo m'maso ndi pakamwa panu.
• Scleroderma: Mu matendawa, minofu yabwinobwino imalowedwa m'malo ndi minofu yokhuthala komanso yolimba ya ulusi.
• Granulomatosis yokhala ndi polyangiitis: Matendawa amayamba chifukwa cha kutupa kwa minofu yanu (granulomatous inflammation) ndi mitsempha yamagazi (vasculitis). Izi zitha kuwononga ziwalo m'thupi.

Kuphatikiza apo, scleritis ingakhalenso yogwirizana ndi:

• Matenda: Matenda a Scleritis amathanso kuyamba chifukwa cha matenda ena. Izi zitha kukhala bakiteriya , bowa, kapena kachilombo . Matenda a bowa nthawi zambiri amatenga nthawi yayitali kuti achire ndipo amakhala ndi zotsatira zochepa kwambiri kuposa matenda a bakiteriya kapena mavairasi. Matenda a Scleritis amathanso kuyamba chifukwa cha matenda a Lyme .
• Kuvulala kapena kuvulala kwa diso lanu, kuphatikizapo opaleshoni: Kuvulala kumeneku nthawi zambiri kungayambitse scleritis. Chitsanzo ndi vuto lotchedwa surgically induced necrotizing scleritis (SINS), lomwe limachitika pambuyo pa opaleshoni .
• Mankhwala ogwiritsidwa ntchito pochiza kapena kupewa matenda a mafupa: Mankhwala amtunduwu, monga bisphosphonates , amadziwika kuti amayambitsa kutupa m'maso.

Kodi madokotala amazindikira bwanji matenda a scleritis?

Mukapita kwa dokotala, adzakuyesani maso ndipo mwina adzakuyesani ndi nyali yodulidwa kuti adziwe ngati izi ndi scleritis.

Ngati muli ndi posterior scleritis, dokotala wanu angakupatseni CT scan (computed tomography - CT scan) kapena ultrasound . Ngati scleritis yanu yayamba chifukwa cha matenda, dokotala wanu angatenge chitsanzo cha chinthu china, monga mafinya, kuchokera m'diso lanu ndikuchitumiza ku labu kuti akachiyese. Nthawi zambiri, dokotala wanu angakupatseni biopsy .

Kodi mankhwala a scleritis ndi ati?

Ngati muli ndi scleritis yofooka kwambiri, dokotala wanu angakulangizeni kugwiritsa ntchito mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) . Komabe, nthawi zambiri, dokotala wanu adzakupatsani mankhwala oletsa kutupa monga prednisone, kwa nthawi yayitali (masiku asanu ndi awiri mpaka khumi).

Chofunika: Musagwiritse ntchito mankhwalawa popanda upangiri wa dokotala. Angayambitse zotsatirapo zoyipa.

Ngati kutupa kukubwereranso, perekani mankhwala a corticosteroid m'mitsempha.Zingakhale zofunikira.

Ngati muli ndi scleritis yomwe imayambitsidwa ndi matenda, muyenera kugwiritsa ntchito maantibayotiki , mankhwala ophera tizilombo toyambitsa matenda , kapena mankhwala ophera tizilombo toyambitsa matenda .

Pa milandu yoopsa monga necrotizing scleritis, dokotala wanu angagwire ntchito ndi katswiri wa nyamakazi kuti akupatseni mankhwala ochizira matenda monga cyclophosphamide , methotrexate , ndi mycophenolate mofetil , kapena mankhwala achilengedwe monga rituximab ndi adalimumab .

Mankhwala ena, monga scleral patching kapena grafts, angagwiritsidwenso ntchito, monganso mitundu ina ya kusinthana minofu.

Kodi tiyenera kuyembekezera chiyani pankhaniyi ya scleritis?

Matenda a scleritis ndi matenda ochiritsika komanso ochiritsika . Ngati sanachiritsidwe, matenda a scleritis amatha kupangitsa kuti munthu asaone bwino . Matenda a scleritis omwe amafalikira m'mbuyo ndiye matenda oopsa kwambiri. Dokotala wanu adzagwiranso ntchito nanu pochiza matenda ena aliwonse omwe amadziteteza ku matenda omwe mungakhale nawo.

Kodi mungachepetse bwanji chiopsezo cha matenda a scleritis?

Nthawi zambiri, scleritis singathe kupewedwa. Koma mutha kusamalira maso anu bwino .

• Kuvala zoteteza maso zofunika mukamagwira ntchito kapena mukuchita masewera enaake olumikizana kungachepetse chiopsezo cha kuwonongeka kwa maso anu.
• Ngati muyenera kukhudza maso anu, kusunga manja anu oyera nthawi zonse kungathandize kuchepetsa chiopsezo cha matenda a maso. Komanso, ngati muvala ma contact lens, musaiwale kuwatsuka bwino.

Kodi muyenera kupita kwa dokotala liti?

Muyenera kuonana ndi dokotala nthawi iliyonse mukakhala ndi ululu, kufiira, kapena kutupa m'diso limodzi kapena onse awiri. Izi ndizofunikira makamaka ngati chitetezo cha mthupi chanu chili chofooka kapena muli ndi vuto la matenda . Ndi bwino kuyamba kulandira chithandizo mwamsanga.

Kodi kusiyana pakati pa scleritis ndi matenda ena a maso ndi kotani?

Apa ndi pomwe anthu ambiri amasokonezeka. Tiyeni tiwone kusiyana kwakukulu.

Kusiyana pakati pa Scleritis ndi Episcleritis

Scleritis ndi chinthu chomwe chimakhudza sclera yanu. Episcleritis ndi chinthu chomwe chimakhudza episclera yanu, gawo lakunja la sclera.Chinthu chomwe chimakhudza. Episcleritis nthawi zambiri imadzichiritsa yokha , ndipo siipweteka kwambiri ngati scleritis.

Kusiyana pakati pa Scleritis ndi Uveitis

Uvea ndi gawo lomwe lili pansi pa sclera (gawo loyera la diso). Kutupa kwa uvea wanu kumatchedwa uveitis . Uvea wanu ndi sclera zonse zimatha kutupa nthawi imodzi, koma ndi magawo awiri osiyana a diso lanu.

Kusiyana pakati pa Scleritis ndi Conjunctivitis

Matenda a scleritis ndi matenda a sclera. Conjunctivitis , yomwe timaitcha kuti 'matenda a maso,' ndi matenda a conjunctiva yanu. Conjunctiva yanu ndi nembanemba yomwe imaphimba sclera ndi mkati mwa diso lanu. Matenda onse awiriwa angapangitse maso anu kufiira. Komabe, conjunctivitis si yoopsa ngati scleritis, ndipo si yopweteka ngati scleritis .

Uthenga wochokera m'nkhaniyi wokhudza kupita kunyumba

Choncho, maso anu ndi amtengo wapatali kwambiri kwa inu. Chifukwa chake, ndi udindo wanu kuwasunga athanzi. Ngati maso anu ndi ofiira komanso opweteka, pitani kwa dokotala wa maso kapena dokotala wamba nthawi yomweyo . Ndikofunikira kwambiri kudziwa mwachangu ngati ndi matenda monga scleritis kapena china chake. Chinthu chabwino kwambiri kuchita ndikuzindikira ndikuyamba chithandizo cha matenda aliwonse msanga, kaya ndi chinthu chomwe chimakhudza maso kapena china chilichonse m'thupi.

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