Ingaba iliso lakho libomvu kwaye libuhlungu kakhulu? Isenokuba yi-scleritis!

Ngaba wakha waqaphela ukuba iliso lakho lijika libe bomvu ngequbuliso lize live ngathi kukho umntu okuhlaba ngepliers? Ngamanye amaxesha iintlungu ziba zimbi kangangokuba zikuvuse ebusuku. Ngaba ukufumanisa kunzima nokujonga ukukhanya? Ewe, ukuba unezi mpawu, isenokuba yimeko ebizwa ngokuba yi-scleritis, esiza kuthetha ngayo namhlanje. Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha.

Ngamafutshane, yintoni i-scleritis?

Kulungile, masiqale sijonge ukuba yintoni iScleritis. Xa ujonga iliso lakho, kukho inxalenye yeliso ebonakala imhlophe, nto leyo esiyibiza ngokuba yiSclera . Ngokwenyani, le sclera sisigqubuthelo esiqinileyo esikhuselayo esijikeleze iliso. Ngoko ke, ukuba kukho ukudumba, oko kukuthi, ukudumba nokubomvu kule ndawo ebizwa ngokuba yiSclera, yiloo nto siyibiza ngokuba yiScleritis. Kule meko, iliso alibi bomvu kuphela, kodwa linokuba buhlungu kakhulu . Ngamanye amaxesha iintlungu ziyanda nokuba iliso lishukunyiswa lisiya phambili nangasemva. Eyona nto ibalulekileyo kukuba ukuba le meko ayinyangwanga kakuhle, inokubangela umonakalo ongunaphakade kwiliso kwaye ide ilahlekelwe kukubona . Ke ngoko, ayisiyongcinga ilungileyo ukuyityeshela kuba iliso libomvu.

Ziziphi iintlobo eziphambili ze-scleritis?

Ngoku, kukho iintlobo ezimbini eziphambili ze-scleritis. Enye yi -anterior scleritis , eyenzeka kwinxalenye engaphambili ye-sclera. Enye yi -posterior scleritis , eyenzeka kwinxalenye engasemva ye-sclera. Zombini ezi ntlobo zahlulwe ngeendlela ezahlukeneyo.

I-Anterior Scleritis

Olu lolona hlobo luqhelekileyo. Lwahlulwe lwaba ziinxalenye ezintathu:

• I-Diffuse scleritis: Kule meko, ukudumba kunokusasazeka kulo lonke i-sclera. Olu lolona hlobo luxhaphakileyo.
• I-Nodular scleritis: Kule meko, kuvela iqhuma elincinci (iqhuma) kwindawo enye kwi-sclera. Eli qhuma ngamanye amaxesha linokubonakala ngamehlo ethu.
• I-Necrotizing scleritis: Olu lolona hlobo luyingozi kakhulu. Lutshabalalisa izicubu zamehlo kwaye ngamanye amaxesha lunokukhokelela ekulahlekelweni lilo lonke iliso . Kukho olunye uhlobo oluyingozi lwale nto ibizwa ngokuba yi-scleromalacia perforans . Isenokuba ayibuhlungu, kodwa ukugqobhoka kunokwenzeka esweni. Olu hlobo lwenzeka malunga ne-4% yabantu abanesifo se-scleritis.

Isifo se-Posterior Scleritis

Ngenxa yokuba yenzeka ngasemva kwe-sclera, iimpawu ngamanye amaxesha ziyahluka. Kunokubakho iintlungu ezivela ngaphakathi kweliso, umbono ofipheleyo, njl. Olu hlobo lubandakanya malunga ne-10% yazo zonke izigulana ezine-scleritis.

Ngubani onokuthi abe nesifo se-scleritis?

I-Scleritis ixhaphake kakhulu kubantu abaphakathi kweminyaka engama-47 ukuya kuma-60. Nangona kunjalo, inokwenzeka nakubantu abancinci okanye abadala kunoko. Abafazi banamathuba amaninzi okuba nayo kunamadoda . Esinye isizathu soku kukuba i-scleritis inxulunyaniswa neemeko ezithile zokuzikhusela komzimba . Nangona kunjalo, i-scleritis ebangelwa zizifo ixhaphake kakhulu kumadoda.

Ixhaphake kangakanani le meko?

Kwilizwe elifana neMelika, kuthiwa malunga ne-10,500 yamatyala amatsha e-scleritis afunyanwa minyaka le. Oko kuphakathi kwe-4 kunye ne-6 kwi-1000 lamawaka. Le meko ikwabonakala naseSri Lanka, kodwa kunzima ukunika iinkcukacha-manani ezichanekileyo.

Ziziphi iimpawu ze-scleritis?

Masibone ngoku ukuba zeziphi iimpawu ezinokubakho xa kuvela isifo se-scleritis.

• Ubomvu kunye nokudumba kwenxalenye emhlophe yeliso lakho (i-sclera) .
• Intlungu ebukhali elisweni kunye nokuziva ubuhlungu xa uchukunyiswa . Le ntlungu inokuba nkulu kangangokuba inokukuvusa ebusuku. Ngamanye amaxesha le ntlungu inokusasazeka kwezinye iindawo zobuso.
• Amehlo anamanzi (iinyembezi) .
• Ubunzima bokujonga ukukhanya (photophobia) .

Ukuba unenye okanye ngaphezulu kwezi mpawu, kuya kufuneka ubone ugqirha wamehlo ngokukhawuleza , kuba le ayisiyonto ilungileyo yokudlala ngayo.

Yintoni ebangela i-scleritis?

Ngamanye amaxesha, akukho sizathu sithile sifumanekayo se-scleritis. Oogqirha bayibiza le nto ngokuthi 'yi-idiopathic'. Kodwa rhoqo, i-scleritis inokukhula ukuba unenye imeko yezonyango, ingakumbi isifo sokuzikhusela komzimba . Ezinye zezifo ezinxulumene noku ziquka:

• Isifo samathambo esibizwa ngokuba yi-rheumatoid arthritis: Esi sisifo esichaphazela amalungu kumacala omabini omzimba wakho. Sisifo senkqubo yomzimba yokuzikhusela esidla ngokunxulunyaniswa ne-scleritis.
• Izifo zezicubu ezidityanisiweyo , ezifana ne -systemic lupus erythematosus . I-Lupus kunye nokuvuvukala okungapheliyo okubangelwa yiyo kunokuchaphazela iindawo ezininzi zomzimba, kubandakanya amalungu, ulusu, imiphunga, ubuchopho, izintso kunye nentliziyo.
• Isifo samathumbu esidumbileyo (IBD): Oku kubhekisa kwiqela lezifo ezibangela ukuvuvukala okungapheliyo emathunjini akho.
• Isifo sikaSjögren: Esi sifo sokuzikhusela komzimba sithintela ukukhutshwa komswakama kwiindlala emehlweni nasemlonyeni.
• I-Scleroderma: Kwesi sifo, izicwili eziqhelekileyo zithathelwa indawo zizicwili eziqinileyo neziqinileyo.
• I-Granulomatosis ene-polyangiitis: Esi sifo sibangelwa kukudumba kwezicubu zakho (i-granulomatous inflammation) kunye nemithambo yegazi (i-vasculitis). Oku kungonakalisa iinkqubo zamalungu omzimba.

Ukongeza, i-scleritis inokudibaniswa ne:

• Izifo: I-Scleritis inokubangelwa zizifo ezithile. Ezi zinokuba yintsholongwane , ifungus, okanye i-viral . Izifo zefungus zihlala zithatha ixesha elide ukuphola kwaye azinazo iziphumo ezibi kakhulu kunezifo zebhaktiriya okanye i-viral. I-Scleritis inokubangelwa sisifo seLyme .
• Ukulimala okanye ukwenzakala kweliso lakho, kuquka notyando: Olu hlobo lokulimala lunokubangela i-scleritis. Umzekelo yimeko ebizwa ngokuba yi-surgeryly induced necrotizing scleritis (SINS), eyenzeka emva kotyando .
• Amayeza asetyenziselwa ukunyanga okanye ukuthintela izifo zamathambo: Olu hlobo lwamayeza, umzekelo i-bisphosphonates , lwaziwa ngokubangela ukuvuvukala emehlweni.

Oogqirha baxilonga njani i-scleritis?

Xa ubona ugqirha, uza kwenza uvavanyo lwamehlo kwaye mhlawumbi enze uvavanyo lwesibane esiqhekekileyo ukuze kubonwe ukuba esi sifo sisifo se-scleritis.

Ukuba une-posterior scleritis, ugqirha wakho unokuyalela i -CT scan (i-computed tomography - i-CT scan) okanye i-ultrasound . Ukuba i-scleritis yakho ibangelwa lusulelo, ugqirha wakho unokuthatha isampuli yento ethile, efana nobovu, esweni lakho aze ayithumele kwilebhu ukuze ivavanywe. Kunqabile kakhulu, ugqirha wakho unokuyalela i-biopsy .

Ziziphi iindlela zonyango lwe-scleritis?

Ukuba une-scleritis ebuthathaka kakhulu, ugqirha wakho unokucebisa ukuba usebenzise amayeza okulwa nokuvuvukala angengowe-steroidal (NSAIDs) . Nangona kunjalo, kwiimeko ezininzi, ugqirha wakho uya kukunika i -corticosteroid esebenzayo, efana ne -prednisone, ixesha elide (iintsuku ezisixhenxe ukuya kwezilishumi).

Kubalulekile: Ungaze uwasebenzise la mayeza ngaphandle kwengcebiso kagqirha. Anokubangela iziphumo ebezingalindelekanga.

Ukuba une-flare-up, i-corticosteroids efakwa kwi-intravenousKusenokuba yimfuneko.

Ukuba une-scleritis ebangelwa lusulelo, kuya kufuneka ufune amayeza okubulala iintsholongwane , amayeza okulwa nentsholongwane , okanye amayeza okulwa nentsholongwane .

Kwiimeko ezinzima ezifana ne-necrotizing scleritis, ugqirha wakho angasebenzisana nengcali ye-rheumatologist ukukunika amayeza onyango olufana ne -cyclophosphamide , i-methotrexate , kunye ne -mycophenolate mofetil , okanye ii-biologic agents ezifana ne -rituximab kunye ne -adalimumab .

Ezinye iindlela zonyango, ezifana ne -scleral patching okanye i-grafts, nazo zingasetyenziswa, njengoko kunjalo nangezinye iintlobo zokufakelwa kwezicubu.

Yintoni esifanele siyilindele kule meko ye-scleritis?

I-Scleritis yimeko enokunyangwa kwaye inganyangeka . Ukuba ayinyangwa, i-scleritis inokukhokelela ekulahlekelweni kokubona . I-Scleritis ye-Posterior necrotizing yeyona imbi kakhulu. Ugqirha wakho uya kusebenza nawe ukunyanga naziphi na ezinye izifo zokuzikhusela komzimba onokuba nazo.

Ungayinciphisa njani ingozi yokuba ne-scleritis?

Kwiimeko ezininzi, i-scleritis ayinakuthintelwa. Kodwa ungawanyamekela kakuhle amehlo akho .

• Ukunxiba isikhuselo samehlo esifunekayo ngelixa usebenza okanye udlala imidlalo ethile yokuthintana kunokunciphisa umngcipheko wokonakala kwamehlo akho.
• Ukuba kufuneka uchukumise amehlo akho, ukugcina izandla zakho zicocekile rhoqo kunokunceda ukunciphisa umngcipheko wokosuleleka kwamehlo. Kwakhona, ukuba unxiba iilensi zokunxibelelana, ungalibali ukuzicoca kakuhle.

Ufanele uye nini kugqirha?

Ufanele ubonane nogqirha nanini na xa unentlungu , ububomvu, okanye ukudumba kwelinye okanye omabini amehlo akho. Oku kubaluleke kakhulu ukuba unenkqubo yomzimba yokuzikhusela ebuthathaka okanye imeko yempilo . Kungcono ukuqala unyango ngokukhawuleza.

Yintoni umahluko phakathi kwe-scleritis nezinye izifo zamehlo?

Kulapho abantu abaninzi badideka khona. Makhe sijonge umahluko ophambili.

Umahluko phakathi kweScleritis kunye ne-Episcleritis

I-Scleritis yinto echaphazela i-sclera yakho. I-Episcleritis yinto echaphazela i-episclera yakho, umaleko ongaphandle we-sclera.Into echaphazelayo. I-Episcleritis idla ngokuziphilisa yodwa , kwaye ayibuhlungu njenge-scleritis.

Umahluko phakathi kweScleritis kunye ne-Uveitis

I-uvea lulwandla oluphantsi kwe-sclera (inxalenye emhlophe yeliso). Ukudumba kwe-uvea yakho kubizwa ngokuba yi-uveitis . Zombini i-uvea yakho kunye ne-sclera zinokudumba ngaxeshanye, kodwa ziinxalenye ezimbini ezahlukeneyo zeliso lakho.

Umahluko phakathi kweScleritis kunye neConjunctivitis

I-Scleritis sisifo se-sclera. I-Conjunctivitis , esikubiza ngokuba 'sisifo samehlo,' sisifo se-conjunctiva yakho. I-conjunctiva yakho yi-membrane ejikeleze i-sclera kunye nangaphakathi kwebhola yeliso lakho. Zombini ezi meko zinokubangela ukuba amehlo akho abe bomvu. Nangona kunjalo, i-conjunctivitis ayibi yingozi njenge-scleritis, kwaye ayibuhlungu njenge-scleritis .

Umyalezo oza kugoduka nawo kweli nqaku

Ngoko ke, amehlo akho axabiseke kakhulu kuwe. Ngoko ke, luxanduva lwakho ukuwagcina esempilweni. Ukuba amehlo akho abomvu kwaye abuhlungu, bonana nogqirha wamehlo okanye ugqirha jikelele ngokukhawuleza . Kubaluleke kakhulu ukufumanisa ngokukhawuleza ukuba ingaba yimeko efana ne-scleritis okanye enye into. Eyona nto ingcono onokuyenza kukubona nokuqala unyango lwaso nasiphi na isifo kwangethuba, nokuba yinto echaphazela amehlo okanye enye into emzimbeni.

I- Scleritis, inxalenye emhlophe yeliso, i-sclera, ukubomvu kwamehlo, iintlungu zamehlo, ukudumba kwamehlo, isifo sokuzikhusela komzimba, i-Scleritis, ukudumba kwamehlo