Uma une-Ankylosing Spondylitis (AS), uhlobo lwe-arthritis oluthinta umgogodla, cishe uyazi kahle kakhulu ngobuhlungu bomhlane kanye nokuqina kwasekuseni. Kungathinta impilo yakho ngempela. Kodwa bewazi ukuthi le nkinga yomhlane ingathinta namehlo akho? Yebo, kuyiqiniso. Ngezinye izikhathi lesi simo singabangela ukuvuvukala ngaphakathi kwamehlo. Lokhu sikubiza ngokuthi i-uveitis . Uma kungelashwa kahle, kungalimaza umbono wakho futhi, kwezinye izimo ezimbi kakhulu, kuholele nasekungabonini. Yingakho kubaluleke kakhulu ukuqaphela lokhu.
Kuyini i-Uveitis ?
Kalula nje, i-uveitis yigama elijwayelekile lezifo eziningana zokuvuvukala ezenzeka ngaphakathi kweso. Ithola igama layo ngoba ithinta kakhulu i-uvea, ungqimba oluphakathi lweso. Kodwa-ke, empeleni ingenzeka noma kuphi ngaphakathi kweso.
Odokotela bavame ukuhlukanisa lesi simo se-uveitis ngokususelwa ekutheni senzeka kuphi esweni. Ake sibheke ukuthi lokho kusebenza kanjani.
| Uhlobo lwe-uveitis | Ingxenye ethintekile kanye nencazelo |
|---|---|
| I-Anterior Uveitis (Kubizwa nangokuthi i-Iritis) | Lokhu kwenzeka ngaphambili kweso . Okusho ukuthi, endaweni ye-iris, enikeza iso umbala walo. Lolu hlobo luvame kakhulu kubantu abane-Ankylosing Spondylitis. Uma lungelashwa kahle, lungabangela izimo ezifana ne-cataracts, i-glaucoma, kanye ne-retinal edema. |
| I -Uveitis Ephakathi | Lokhu kwenzeka entweni efana nejeli ebizwa ngokuthi i-vitreous ngaphakathi kweso. Le ngxenye ixhunywe ongqimbeni lwamaseli azwela ukukhanya ngaphakathi kweso, i-retina. |
| I-Uveitis yangemuva (Kubizwa nangokuthi i-Choroiditis) | Lokhu kuhlasela ingemuva leso . Kungathinta i-retina kanye ne-optic nerve exhumanisa iso nobuchopho. |
| I-Panuveitis | Lolu uhlobo olubi kakhulu. Njengoba igama lisho, luthinta zonke izingxenye zeso . Uma lungelashwa ngokushesha, kunengozi enkulu yokuba yimpumputhe. |
Kungani abantu abane-AS bethuthukisa lokhu?
Kulinganiselwa ukuthi cishe umuntu oyedwa kwababili abane-ankylosing spondylitis uzoba ne-uveitis ngesikhathi esithile empilweni yakhe, okwenza kube yinkinga evamile kakhulu ye-AS.
Cabanga nje, ngezinye izikhathi udokotela wakho wamehlo angaba ngowokuqala ukukuxilonga ukuthi une-AS. Lokho kungenxa yokuthi inqubo efanayo yokuvuvukala emzimbeni wakho ebangela ubuhlungu emhlane wakho ibangela nokuvuvukala emehlweni akho nakwezinye izingxenye zomzimba wakho.
Abanye ochwepheshe bakholelwa ukuthi lokhu kuvuvukala kuqala lapho ungakulindele khona - emathunjini akho. Izigidigidi zezilokazane ezincane ezibizwa ngokuthi ama-microbes zihlala emathunjini ethu. Lawa ma-microbes enza imisebenzi eminingi ebalulekile emizimbeni yethu. Omunye wemisebenzi yawo eyinhloko ukulawula amasosha omzimba ethu. Uma lawa ma-microbes engalingani, amasosha omzimba ethu ayathinteka.
Ngale ndlela, kukhona umbono wokuthi i-uveitis ingaqala lapho amabhaktheriya asemathunjini enikeza isignali engalungile kumaseli e-T amasosha omzimba wethu ukuthi "ahambe ayohlasela amehlo." Kodwa indaba ayipheli lapho. Abantu abaningi abane-AS kanye ne-anterior uveitis bane-gene ebizwa ngokuthi i-HLA-B27 . Ukuba nalesi gene kwandisa kakhulu ingozi yokuvuvukala kwamehlo.
Ziyini izimpawu zalokhu?
Qaphela amehlo akho kahle. Lezi zimpawu zingavela ngokuzumayo kwelinye noma kuwo womabili amehlo. Uma uzibona, kufanele ukhathazeke nakanjani.
- Ububomvu bamehlo: Amehlo aphenduka abe bomvu njengegazi.
- Ubuhlungu: Ubuhlungu obukhulu obuvela ngaphakathi kweso.
- Umbono ofiphele: Ukungaboni kahle, ukubonakala njengenkungu.
- Ukuzwela ukukhanya okukhulu: Ubunzima bokubona ekukhanyeni kwelanga noma ekukhanyeni kwangaphandle, amehlo aphenduka abe luhlaza okwesibhakabhaka.
Uma ubona lezi zimpawu, ungazinaki ucabanga ukuthi, "Kungukulimala kwamehlo nje." Lokhu akuyona ukulimala kwamehlo okuvamile. Kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu bese uhlolwa amehlo akho.
Ngezinye izikhathi i-uveitis iyenzeka kanye futhi ingaphinde ivele. Kwabanye, ingenzeka kanye eminyakeni embalwa. Kwabanye, kungaba yisimo esingamahlalakhona esidinga ukwelashwa isikhathi eside.
Iphathwa kanjani?
Umgomo oyinhloko wokwelashwa kwe-uveitis ukulawula ukuvuvukala ngokushesha okukhulu , ngoba lapho ukuvuvukala kuba kukhulu, kulapho umonakalo omkhulu emehlweni.
Nge-anterior uveitis, odokotela bavame ukunikeza izinhlobo ezimbili zamaconsi amehlo:
1. Amaconsi amehlo e-steroid: Lawa anciphisa ukuvuvukala.
2. Amaconsi amehlo avulekayo: Lawa anciphisa ubuhlungu ngaphakathi kweso futhi anikeze iso ukuphumula.
Kwezinye izinhlobo ze-uveitis, kungadingeka ukuthi uthathe amaphilisi e-steroid noma ujove eduze kweso. Kwezinye izimo ezimbi kakhulu, odokotela bangase bafake i-capsule encane equkethe ama-steroid esweni.
Kubaluleke kakhulu: Ama-steroid ayimithi enamandla. Angabangela imiphumela emibi njenge-glaucoma kanye ne-cataracts. Ngakho-ke , ungalokothi uwasebenzise noma uwayeke ngaphandle kweseluleko sikadokotela wakho. Ama-steroids ngokuvamile awanikezwa isikhathi esingaphezu kwezinyanga ezintathu. Njengoba udokotela wakho ehlisa umthamo kancane kancane, ungase uqalwe umuthi ohlukile.
Zikhona yini ezinye izindlela?
Abanye ochwepheshe bakholelwa ukuthi ukugcina inani elinempilo lamabhaktheriya awusizo emathunjini kungasiza ekulawuleni i-uveitis. Ungase uthande ukuxoxa ngalokhu nodokotela wakho.
- Ama-probiotic: Lawa angamagciwane awusizo. Atholakala ekudleni okubilisiwe njenge-yogurt kanye ne-yogurt. Angathathwa futhi njengezithasiselo.
- Ama-prebiotic: Lawa ama-fiber asekelwe ezitshalweni. Ondla amabhaktheriya amahle asemathunjini ethu, awaqinise. Atholakala ekudleni okufana nobhanana no-anyanisi.
Kukhona futhi izithasiselo ezingasiza empilweni yamathumbu, njenge-butyrate. Futhi, ukudla ukudla okusekelwe ezitshalweni (imifino, izithelo, namakhambi) kungasiza.
Kodwa khumbula, konke lokhu kufanele kwenziwe kuphela ngemva kokukhuluma nodokotela wakho okwelaphayo nokuthola imvume. Uzonquma ukwelashwa okukulungele.
Umlayezo Wokuya Nawe Ekhaya
- I-Ankylosing Spondylitis (AS) akuyona nje isifo esithinta umgogodla wakho, kodwa ingathinta namehlo akho.
- Lesi simo sokuvuvukala kwamehlo sibizwa ngokuthi i-Uveitis .
- Hlala uqaphele izimpawu ezifana nokubomvu kwamehlo, ubuhlungu, ukubona okufiphele, kanye nokuzwela ukukhanya.
- Uma ubona noma yiziphi zalezi zimpawu, bona udokotela ngokushesha. Ukwelashwa okusheshayo kungasindisa umbono wakho.
- Landela ukwelashwa udokotela wakho akunikeza khona kanye njengoba ekutshela. Qaphela kakhulu uma usebenzisa imithi efana nama-steroid.
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