Ukudumba kwamehlo okunzulu! Nakhu okufuneka ukwazi ngePanuveitis

Ngaba wakha wacinga ukuba ingaphakathi leliso linokuvuvukala kakhulu, okanye lidumbe? Njengokuba sifumana ukwenzakala kwenye indawo emzimbeni wethu, liyadumba. Oku kumalunga nesifo esichaphazela iliso, esibi kancinci, kodwa sinokunyangwa ukuba sinyangwa ngokufanelekileyo. Oku sikubiza ngokuba yiPanuveitis . Ungakhathazeki, masithethe ngale nto ngokulula.

Yintoni kanye kanye iPanuveitis?

Ngamafutshane, i-panuveitis kukudumba, okanye ukudumba, komaleko ophakathi kweliso lakho, obizwa ngokuba yi-uvea . Igama elithi "panuveitis" lithetha ukuba ukudumba kusasazeka ukusuka ngaphambili ukuya ngasemva kwe -uvea yakho, oko kuthetha ukuba kuphelile ngokupheleleyo. Le yimeko engaqhelekanga, kodwa imbi kakhulu, ngoko ke kubalulekile ukuyiqonda nokuyinyanga ngokukhawuleza.

Cinga ngayo njengekhamera encinci. Ineendawo ezahlukeneyo zokwenza isebenze kakuhle. Le ndawo ibizwa ngokuba yi-uvea :

• I-Choroid: Le yinwebu ebalulekileyo enika igazi kunye nokondla iliso.
• Umzimba we-ciliary: Oku kulawula ilensi yeliso kwaye kuvelisa uhlobo oluthile lolwelo ngaphakathi kweliso.
• Iris: Le yinxalenye yeliso echaza umbala wamehlo akho. Yinxalenye echaza ukuba amehlo akho aluhlaza okwesibhakabhaka okanye amdaka. Ikwalawula ukuba bungakanani ukukhanya okungena kweliso.

Ngoku uyaqonda ukuba ezi ndawo zibaluleke kangakanani? Ngoko ke xa kukho ukudumba, oko kukuthi, ukudumba, kwezi ndawo, kunokubangela ukurhawuzelelwa kwamehlo. Ayisiyiyo loo nto kuphela, kodwa oku kudumba kunokusasazeka nakwezinye iindawo ezikufutshane. Umzekelo:

• I-optic nerve: Le yi-optic nerve ethwala imiyalezo esuka elisweni ukuya engqondweni, njengentambo ethumela imifanekiso esuka kwikhamera ukuya kwikhompyutha.
• I-Retina: Le yinwebu ebonakala lula ngaphakathi kweliso. Imifanekiso yenziwe apha.
• I-Vitreous humor: Le yinto efana nejeli enceda ukugcina imo yangaphakathi yeliso.

Zonke ezi ndawo zibalulekile ekuboneni kwethu. Ngoko ke ukuba kukho ukudumba kule ndawo, kunokukhokelela ekuboneni okunciphileyo, kwaye ngamanye amaxesha nokulahlekelwa kukubona. Yiyo loo nto kufuneka sixhalabele imeko ebizwa ngokuba yi-panuveitis .

Zithini iimpawu ze-panuveitis?

Ukuba une -panuveitis , unokufumana ukungakhululeki kwamehlo kunye notshintsho lokubona ngaxeshanye. Xa zombini ezi mpawu zisenzeka kunye, oko kuthetha ukuba ukudumba ngaphakathi kweliso kusasazeka. Ukuba oku kuyenzeka , kubalulekile ukufuna ingcebiso kagqirha ngoko nangoko.

Usenokuba nezi mpawu:

• Umbono ofipheleyo: Ukubona izinto ngokungathi zidlula enkungwini.
• Ukukhanya kwamehlo:Kusenokubonakala ngathi izibane zicime ngequbuliso, okanye ngathi iinkwenkwezi ziyabhabha.
• Ii-Eye floaters: Imvakalelo yamachaphaza amancinci amnyama okanye imisonto ehamba phambi kwamehlo.
• Intlungu yamehlo: Inokuba buhlungu kakhulu.
• Amehlo anamanzi.
• Uvakalelo lokukhanya: Amehlo aba luhlaza okwesibhakabhaka kangangokuba awakwazi ukujonga ukukhanya.
• Ukuncipha kokubona kakuhle: Izinto ebezicacile ngaphambili azicacanga kangako ngoku.

Ezi mpawu zinokuchaphazela iliso elinye kuphela (elicala elinye) okanye omabini amehlo (icala elinye le-panuveitis) . Nangona kunjalo, ukuba ufumana ezi mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Kutheni iPanuveitis isenzeka? Zithini izizathu?

Kukho izizathu ezininzi ezinokubangela i -panuveitis . Ezinye zihlala ixesha elifutshane, ngelixa ezinye zihlala ixesha elide. Ke ngoko, i-panuveitis ngamanye amaxesha inokuba sisifo esingapheliyo.

Izizathu eziphambili zinokuba zezi:

1. Iintsholongwane

Usulelo lwamehlo, olufana nosulelo lweebhaktiriya okanye iintsholongwane, lunokusasazeka ukusuka kumphezulu weliso ukuya kwi-uvea ukuba luba nzima. Umzekelo, ukuba ubhajwa yinto ebukhali elisweni lakho, iibhaktiriya zingangena elisweni ngenxeba. Kwakhona, ukudumba kunokubakho ngenxa yokwenzakala okukhulu kweliso, nokuba akukho sulelelo. Okumangalisayo kukuba, kukho iimeko apho ukwenzakala kwelinye iliso kunokubangela ukudumba emehlweni omabini. Oku kubizwa ngokuba yi-sympathetic ophthalmia .

Ayipheleli apho, kodwa usulelo oluvela kwezinye iindawo emzimbeni wakho lunokusasazeka emehlweni akho ngegazi kwaye lubangele i-panuveitis . Umzekelo:

• I-Syphilis
• I-Toxoplasmosis: Esi sisifo esibangelwa yintsholongwane edla ngokusasazeka ngokutya inyama okanye intlanzi engaphekwanga kakuhle, okanye ngokudibana nendle yeekati.
• Isifo sephepha (TB): Esi sisifo esisabonwa eSri Lanka.

2. Izifo ezihlasela umzimba ngokwawo / Izifo ezihlasela umzimba ngokwawo

Eli libali elintsonkothileyo. Ngamafutshane, imizimba yethu inenkqubo yokuzikhusela. Yiyo esikhusela kwizifo. Kodwa ngamanye amaxesha le nkqubo ihamba gwenxa ize iqale ukuhlasela iiseli zethu ezilungileyo. Kwezi ntlobo zezifo, ukudumba kunokwenzeka emzimbeni wonke, kwaye kunokuchaphazela namehlo.

Eminye imizekelo yile:

• I-Sarcoidosis
• Isifo seVogt-Koyangi-Harada
• Isifo sikaBehçet

3. Amatyala apho kungafumaneki sizathu sichanekileyo (i-Idiopathic panuveitis)

Ngamanye amaxesha oogqirhaIsizathu esichanekileyo se -panuveitis asaziwa. Emva koko sibizwa ngokuba yi-idiopathic panuveitis . Oku kusebenza njengesifo sokuzikhusela komzimba esikhankanyiweyo apha ngasentla, kodwa akunakuthiwa sisifo esichanekileyo.

4. Amayeza athile

Amanye amayeza owasebenzisayo kwezinye iimeko (umzekelo, amanye amayeza omhlaza, i-bisphosphonates yokulahlekelwa ngamathambo) nawo anokubangela i-panuveitis .

5. Umhlaza emehlweni

Oku kunqabile kakhulu, kodwa umhlaza owenzeka ngaphakathi kweliso (umz., i-intraocular melanoma , i-intraocular lymphoma , i-retinoblastoma , i-orbital carcinoma ) nawo unokubangela ukudumba kulo lonke iliso.

Uyabona, zininzi izizathu. Yiyo loo nto kubalulekile ukubona ugqirha kwangoko xa iimpawu zibonakala uze ufumane unobangela ochanekileyo.

Zithini iingxaki zale meko? Oko kukuthi, kwenzeka ntoni xa iba mandundu?

Ukuba ukudumba kuba nzima okanye kuthathe ixesha elide, kunokubangela umonakalo ongunaphakade kwiindawo zeliso lakho. Oku kunokukhokelela ekulahlekelweni kokubona okungapheliyo. Umntu one- panuveitis usemngciphekweni omkhulu wokufumana ezinye izifo zamehlo. Ezinye zezi ziquka:

• I-band keratopathy: I-calcium deposit kwi-cornea yeliso.
• IiCataracts: Ukufiphala kwelensi yeliso.
• I-Cystoid macular edema: Ukwakheka kolwelo kwi-macula, inxalenye ye-retina yeliso.
• Iglaucoma: Ukonakala komthambo we-optic ngenxa yoxinzelelo oluphezulu elisweni.
• I-Posterior synechiae: Ukunamathela kwe-iris kwilensi yeliso elinye.
• Ukuqhekeka kwe-retina: Ukuqhekeka kwe-retina .

Uninzi lwezi ngxaki zinokuchaphazela kakhulu umbono, yiyo loo nto kubalulekile ukunyanga i-panuveitis ngokukhawuleza.

Oogqirha bayixilonga njani le sifo? (Ukuxilongwa)

Ukuze aqiniseke ukuba une -panuveitis , ugqirha wamehlo uza kukubuza ngeempawu zakho aze emva koko enze uvavanyo olucokisekileyo lwamehlo. Baza kusebenzisa isixhobo esikhethekileyo esibizwa ngokuba yi-slit lamp exam , esinokubandakanya iilensi ezongezelelweyo, ukujonga ngasemva kweliso lakho.

Ugqirha uza kujonga ngokusondeleyo iindawo ezahlukeneyo zeliso lakho ukuze abone ukuba kukho ukudumba. Ukuba bafumana ubungqina bokudumba kuzo zontathu iindawo ze -uvea, ngaphambili, embindini, nangasemva, baya kufumanisa i-panuveitis.Ndigqiba kwelokuba ikho.

Uvavanyo olongezelelweyo

Wakuba ufunyenwe une-panuveitis , into elandelayo ebalulekileyo kukufumana unobangela. Ukufumana unobangela kunokuba nzima kancinci, ingakumbi ukuba awuzange wenzeke ingozi okanye usulelo lwamehlo kutshanje.

Ugqirha wakho uza kukubuza ngembali yakho epheleleyo yezonyango, kuquka naziphi na iimeko zempilo zangaphambili. Basenokubuza nangeempawu ezibonakala zingahambelani namehlo akho, okanye banokuyalela uvavanyo ukuze lubancede baqonde izizathu ezinokubakho baze bafumanise ukuba yintoni ingxaki.

Nazi ezinye iimvavanyo ezongezelelweyo ongathanda ukuzenza:

• Uvavanyo lwegazi: Jonga ukuba kukho usulelo, ii-antibodies, okanye ezinye iimpawu.
• Iiskeni zamehlo ezikhethekileyo: Umzekelo , i-ultrasound biomicroscopy okanye i-optical coherence tomography (OCT) .
• Uvavanyo lwemithambo yegazi elisesweni: Uvavanyo olubizwa ngokuba yi-fluorescein angiography okanye i-indocyanine green angiography luhlola imeko yemithambo yegazi engaphakathi kweliso.
• Iiskeni zamanye amalungu omzimba: Umzekelo , ii-X-ray okanye ii-CT scans .

Zonke ezi mvavanyo zenziwa ukuze kufunyanwe unobangela ochanekileyo kwaye kuqalwe unyango olufanelekileyo.

Iphathwa njani iPanuveitis?

Unyango oluphambili lwe -panuveitis luhlobo lwamayeza abizwa ngokuba yi -corticosteroids . La mayeza anciphisa ukudumba kwaye anceda ekukhuseleni umbono wakho. Akwanciphisa ukungakhululeki kwakho. Le yinto yokuqala ekufuneka ugxile kuyo xa unyanga i-panuveitis .

Ugqirha wakho angakunika iipilisi ze-steroid , amaconsi e-steroid emehlweni, okanye inaliti ye-steroid esweni lakho. Unganikwa nomxube wezi zinto, kuxhomekeke kwimeko yakho. Abanye abantu banokufuna ukuthatha la mayeza ixesha elide.

Ukongeza, imeko ebangela i-panuveitis yakho nayo kufuneka inyangwe. Umzekelo:

• Kwisifo: Ii-antibiotics okanye ii-antivirals .
• Ukuba kukho ingxaki ngenkqubo yomzimba yokuzikhusela: Ii-Immunosuppressants okanye ii-DMARD (ii-Disease-Modifying Antirheumatic Drugs) .
• Unobangela womhlaza ongaqhelekanga ngu: Ezinye iindlela zonyango zomhlaza ezinxulumene noko.

Indlela olu nyango oluchaphazela ngayo umntu ngamnye inokwahluka. Ngoko ke kubalulekile ukuxelela ugqirha wakho ukuba unjani na kwaye ukuba uneziphumo ebezingalindelekanga. Ngaleyo ndlela, banokulungisa amayeza ukuze asebenzele wena.

Ukongeza, iingxaki ezonakalisile umbono wakho ngenxa ye -panuveitis zisenokufuna unyango olongezelelweyo. Emva kokuba i-panuveitis inyangiwe, ugqirha wakho unokucebisa utyando lwamehlo kwezinye iingxaki.

Yintoni endimele ndiyilindele ukuba ndine-panuveitis?

I-Panuveitis yimeko enokunyangeka. Kodwa unyango kufuneka luqalwe ngokukhawuleza , njengoko eminye yemiphumo emibi ebangelwe yiyo ingenakukwazi ukubuyiselwa umva. Ukuba imeko yakho iphucuka kangakanani kuxhomekeke kubunzulu bemeko kunye nokuba ukhawuleza kangakanani na ukulufuna unyango.

Ukuba unesifo esinganyangekiyo esibangela i-panuveitis , esi sifo singaphinda sibuye emva konyango. Oku kungadinga unyango oluphindaphindwayo. Abanye abantu banokufuna ukuthatha amayeza ixesha elide.

Zeziphi izinto endinokuzenza ukuze ndizive ngcono?

Eyona nto ibalulekileyo onokuyenza kukufumana unyango kwangethuba. Wakuba uqalile unyango, kubalulekile ukuthetha nogqirha wakho rhoqo malunga nendlela oqhuba ngayo. Ngale ndlela, banokulungisa isicwangciso sakho sonyango ukuba kuyimfuneko.

Ngelixa usachacha, ezi zinto zinokukunceda:

• Ukusebenzisa ii-compress ezifudumeleyo kwiliso okanye emehlweni avaliweyo.
• Ukunxiba iiglasi zelanga ukukhusela amehlo akho ekukhanyeni okuqaqambileyo.
• Sebenzisa ii-NSAID (i-Nonsteroidal Anti-inflammatory Drugs) (umz., iintlungu ezifana ne-ibuprofen) ukuba ugqirha wakho ucebisa ukuba zinciphise iintlungu kunye nokudumba.

I-Panuveitis yimeko embi kakhulu, esongela ukubona. Ayikhululeki kwaye iyoyikisa. Yiyo loo nto oogqirha beyinyanga ngokukhawuleza nge-corticosteroids ukunciphisa ukudumba.

Ngonyango, uza kuqala ukuziva ungcono kungekudala, kwaye usenokuphila ngokupheleleyo. Kodwa oku akupheleli nje kuye wonke umntu. Kusenokufuneka ulawule isifo esihlala ixesha elide okanye ezinye iingxaki.

Ukuba uhambo lwakho lwempilo lunokuba lude kancinci, kuya kufuneka ujongane nezinto ezininzi ongazaziyo. Nokuba unesifo esinganyangekiyo, unengxaki yokubona, okanye zombini, usenokungaqinisekanga ngekamva lakho.

Nokuba kwenzeka ntoni na, iqela lakho lezonyango liya kuba nawe inyathelo ngalinye, likunika iingcebiso, iindlela zonyango, kunye nezixhobo ozidingayo ukuze unyamekele impilo yakho iyonke kunye nokuphila kakuhle.

Umyalezo Wokuya Ekhaya

Kulungile, ke le yiPanuveitis ebesithetha ngayo.Masizikhumbuze ngezinto ezibaluleke kakhulu malunga:

• I-Panuveitis kukudumba okukhulu ngaphakathi kweliso, ingakumbi i-uvea. Ingachaphazela zombini umphambili nomva weliso.
• Iimpawu zingabandakanya ukubona okufipheleyo, iintlungu zamehlo, ukungakwazi ukubona ukukhanya, kunye nokubona izinto zihamba phambi kwamehlo .
• Izizathu zingabandakanya usulelo, izifo zokuzikhusela komzimba, ukwenzakala kwamehlo, amayeza athile, kwaye kunqabile, umhlaza .
• Ukuba oku akuqatshelwa kwaye kunganyangwa ngokukhawuleza, kunokukhokelela kwiingxaki ezinkulu ezinokukhokelela ekulahlekelweni kokubona okungapheliyo. I-Glaucoma kunye ne-cataracts zezinye zazo.
• Unyango oluphambili zii-corticosteroids, kwaye unobangela oyintloko uyanyangwa.
• Eyona nto ibalulekileyo kukubona ugqirha wamehlo kwangoko xa uqaphela iimpawu uze uqale unyango. Unyango olukhawulezileyo yeyona ndlela yokukhusela umbono wakho.

Ngoko ke, ukuba wena okanye umntu omaziyo unezinye zezi mpawu, nceda ungazithathi lula. Funa ingcebiso kagqirha ngoko nangoko. Amehlo axabiseke kakhulu, kwaye luxanduva lwethu ukuwanyamekela.

I-Panuveitis , ukudumba kwamehlo, isifo samehlo, i-uvea, ukubona okufipheleyo, iintlungu zamehlo, ii-corticosteroids