Ukuvuvukala kwamehlo okukhulu! Nakhu okudingeka ukwazi nge-Panuveitis

Wake wacabanga ukuthi ingaphakathi leso lingavuvukala kakhulu, noma livuvuke? Njengoba nje lapho sithola ukulimala kwenye indawo emzimbeni wethu, liyavuvukala. Lokhu kumayelana nesifo esithinta iso, esibi kakhulu, kodwa esingelapheka uma selashwa kahle. Lokhu sikubiza ngokuthi i -Panuveitis . Ungakhathazeki, ake sixoxe ngalokhu kalula.

Iyini ngempela i-Panuveitis?

Kalula nje, i-panuveitis ukuvuvukala, noma ukuvuvukala, kwengqimba ephakathi ngaphakathi kweso lakho, okubizwa ngokuthi i-uvea . Igama elithi "panuveitis" lisho ukuthi ukuvuvukala sekusakazeke kusukela ngaphambili kuya ngemuva kwe -uvea yakho, okusho ukuthi sekuphelile ngokuphelele. Lesi yisimo esingavamile, kodwa esibucayi, ngakho-ke kubalulekile ukuqaphela nokuselapha ngokushesha.

Cabanga ngayo njengekhamera encane. Inezingxenye ezahlukene ukuze isebenze kahle. Le ngxenye ibizwa ngokuthi i-uvea :

• I-Choroid: Lolu ulwelwesi olubalulekile olunikeza igazi nokondla iso.
• Umzimba we-ciliary: Lokhu kulawula ilensi yeso futhi kukhiqiza nohlobo loketshezi ngaphakathi kweso.
• I-Iris: Lena yingxenye yeso enquma umbala wamehlo akho. Yingxenye enquma ukuthi amehlo akho aluhlaza okwesibhakabhaka noma ansundu. Iphinde ilawule ukuthi kungakanani ukukhanya okungena esweni.

Manje usuyaqonda ukuthi lezi zingxenye zibaluleke kangakanani? Ngakho-ke uma kukhona ukuvuvukala, okungukuthi, ukuvuvukala, kulezi zingxenye, kungabangela ukucasuka kwamehlo. Akukhona lokho kuphela, kodwa lokhu kuvuvukala kungasakazekela nakwezinye izingxenye eziseduze. Isibonelo:

• I-optic nerve: Lena yi-nerve ethwala imiyalezo esuka esweni iye ebuchosheni, njengekhebula elithumela izithombe kusuka kwikhamera kuya kwikhompyutha.
• I-Retina: Lolu ulwelwesi oluzwela ukukhanya ngaphakathi kweso. Izithombe zakhiwe lapha.
• I-Vitreous humor: Lokhu kuyisithako esifana nejeli esiza ukugcina isimo sangaphakathi kweso.

Zonke lezi zingxenye zibalulekile ekuboneni kwethu. Ngakho-ke uma kukhona ukuvuvukala kule ngxenye, kungaholela ekuboneni okunciphile, futhi ngezinye izikhathi ngisho nasekulahlekelweni umbono. Yingakho kudingeka sikhathazeke ngesimo esibizwa ngokuthi i-panuveitis .

Ziyini izimpawu ze-panuveitis?

Uma une -panuveitis , ungase uzwe kokubili ukungakhululeki kwamehlo kanye nokushintsha kokubona ngesikhathi esisodwa. Uma zombili lezi zimpawu zenzeka kanyekanye, kusho ukuthi ukuvuvukala ngaphakathi kweso sekusakazekile. Uma lokhu kwenzeka , kubalulekile ukufuna iseluleko sezokwelapha ngokushesha.

Ungase ube nalezi zimpawu:

• Umbono ofiphele: Ukubona izinto sengathi zidlula enkungwini.
• Ukukhanya kwamehlo:Kungase kubonakale sengathi izibani zicime ngokuzumayo, noma sengathi izinkanyezi ziyandiza.
• Ama-eye floaters: Umuzwa wamachashazi amancane amnyama noma imicu ehamba phambi kwamehlo.
• Ubuhlungu bamehlo: Bungaba bukhulu kakhulu.
• Amehlo anamanzi.
• Ukuzwela kokukhanya: Amehlo aba luhlaza okwesibhakabhaka kangangokuthi awakwazi ukubheka ukukhanya.
• Ukuncipha kokubona kahle: Izinto ezazicacile kakhulu ngaphambili azikacaci kahle manje.

Lezi zimpawu zingathinta iso elilodwa kuphela (eliyi-unilateral) noma womabili amehlo (i-bilateral panuveitis) . Kodwa-ke, uma uhlangabezana nalezi zimpawu, kufanele nakanjani ubonane nodokotela.

Kungani i-Panuveitis ivele? Ziyini izimbangela?

Kunezimbangela eziningana ezingaba khona ze -panuveitis . Ezinye ziyenzeka okwesikhashana, kanti ezinye zihlala isikhathi eside. Ngakho-ke, i-panuveitis ngezinye izikhathi ingaba yisifo esingamahlalakhona.

Izizathu eziyinhloko zingaba:

1. Ukutheleleka

Ukutheleleka kwamehlo, njengokutheleleka kwamagciwane noma amagciwane, kungasakazeka kusuka ebusweni beso kuya ku-uvea uma kuba kubi kakhulu. Isibonelo, uma into ebukhali inamathela esweni lakho, amagciwane angangena esweni ngenxeba. Futhi, ukuvuvukala kungenzeka ngenxa yokulimala okukhulu kwamehlo, ngisho nangaphandle kokutheleleka. Ngokumangazayo, kunezimo lapho ukulimala kwelinye iso kungabangela ukuvuvukala kuwo womabili amehlo. Lokhu kubizwa ngokuthi i-sympathetic ophthalmia .

Akukhona lokho kuphela, kodwa ukutheleleka kwezinye izindawo emzimbeni wakho kungasakazekela emehlweni akho ngegazi futhi kubangele i-panuveitis . Isibonelo:

• I-Syphilis
• I-Toxoplasmosis: Lesi yisifo esibangelwa yi-parasite evame ukudluliselwa ngokudla inyama noma inhlanzi engaphekiwe kahle, noma ngokuxhumana nendle yamakati.
• Isifo Sofuba (TB): Lesi yisifo esisabonakala eSri Lanka.

2. Izifo ezihlasela amasosha omzimba / Izifo ezivuvukalayo

Lena indaba eyinkimbinkimbi kancane. Kalula nje, imizimba yethu inesimiso somzimba sokuzivikela. Yiso esisivikela ezifweni. Kodwa ngezinye izikhathi lesi simiso siyaphambuka bese siqala ukuhlasela amangqamuzana ethu amahle. Kulezi zinhlobo zezifo, ukuvuvukala kungenzeka kuwo wonke umzimba, futhi kungathinta namehlo.

Ezinye izibonelo yilezi:

• I-Sarcoidosis
• I-Vogt-Koyangi-Harada syndrome
• Isifo sikaBehçet

3. Amacala lapho kungatholakali khona imbangela eqondile (i-Idiopathic panuveitis)

Ngezinye izikhathi odokotelaImbangela eqondile ye -panuveitis ayaziwa. Ibizwa ngokuthi i-idiopathic panuveitis . Lokhu kusebenza futhi njengesifo sokuzivikela komzimba okukhulunywe ngaso ngenhla, kodwa akunakushiwo ukuthi yisifo esiqondile.

4. Imithi ethile

Eminye imithi oyithathayo yezinye izimo (isibonelo, eminye imithi yomdlavuza, ama-bisphosphonates okulahlekelwa amathambo) ingabangela ne -panuveitis .

5. Umdlavuza esweni

Lokhu akuvamile kakhulu, kodwa umdlavuza owenzeka ngaphakathi kweso (isib., i-intraocular melanoma , i-intraocular lymphoma , i-retinoblastoma , i-orbital carcinoma ) nawo ungabangela ukuvuvukala kulo lonke iso.

Uyabona, kungaba nezizathu eziningi. Yingakho kubalulekile ukubona udokotela ngokushesha nje lapho kuvela izimpawu bese uthola imbangela eqondile.

Yiziphi izinkinga zalesi simo? Okusho ukuthi, kwenzekani uma siba sibi kakhulu?

Uma ukuvuvukala kuba kubi kakhulu noma kuqhubeka isikhathi eside, kungabangela umonakalo ongapheli ezingxenyeni zeso lakho. Lokhu kungaholela ekulahlekelweni umbono unomphela. Umuntu one- panuveitis usengozini enkulu yokuthola ezinye izifo zamehlo. Ezinye zalezi zifo zifaka:

• I-Band keratopathy: Ukufakwa kwe-calcium ku-cornea yeso.
• Ama-cataract: Ukufiphala kwelensi yeso.
• I-Cystoid macular edema: Ukwakheka koketshezi ku-macula, ingxenye ye-retina yeso.
• I-Glaucoma: Ukulimala kwe -optic nerve ngenxa yokucindezela okukhulu esweni.
• I-posterior synechiae: Ukunamathela kwe-iris kulensi yeso elilodwa.
• Ukuhlukaniswa kwe-retinal: Ukuhlukaniswa kwe-retinal .

Eziningi zalezi zinkinga zingathinta kakhulu umbono, yingakho kubalulekile ukwelapha i-panuveitis ngokushesha okukhulu.

Odokotela basithola kanjani lesi sifo? (Ukuxilongwa)

Ukuze athole ukuthi une -panuveitis , udokotela wamehlo uzokubuza ngezimpawu zakho bese ekwenza ukuhlolwa kwamehlo okujulile. Bazosebenzisa ithuluzi elikhethekile elibizwa ngokuthi ukuhlolwa kwesibani esinqunyiwe , okungase kufake amalensi engeziwe, ukuze babheke ngemuva kweso lakho.

Udokotela uzobheka ngokucophelela izingxenye ezahlukene zeso lakho ukuze abone ukuvuvukala. Uma bethola ubufakazi bokuvuvukala kuzo zonke izingxenye ezintathu ze -uvea, ngaphambili, phakathi, nangemuva, bazoxilonga i-panuveitis.Nginquma ukuthi ikhona.

Ukuhlolwa okwengeziwe

Uma usuthole ukuthi une-panuveitis , into elandelayo ebaluleke kakhulu ukuthola imbangela. Ukuthola imbangela kungaba nzima kancane, ikakhulukazi uma ungakaze ube nokulimala kwamehlo noma ukutheleleka muva nje.

Udokotela wakho uzokubuza ngomlando wakho wezokwelapha ophelele, okuhlanganisa nanoma yiziphi izimo zezokwelapha zangaphambilini. Bangase futhi bakubuze ngezimpawu ezibonakala zingahlobene namehlo akho, noma bangase bakucele ukuthi bahlolwe ukuze banciphise izimbangela ezingaba khona futhi banqume ukuthi inkinga iyini.

Nazi ezinye izivivinyo ezengeziwe ongase ufune ukuzenza:

• Ukuhlolwa kwegazi: Hlola izifo, ama-antibodies, noma ezinye izimpawu.
• Ukuskena kwamehlo okukhethekile: Isibonelo , i-ultrasound biomicroscopy noma i-optical coherence tomography (OCT) .
• Ukuhlolwa kwemithambo yegazi esweni: Ukuhlolwa okubizwa ngokuthi i-fluorescein angiography noma i-indocyanine green angiography kuhlola isimo semithambo yegazi engaphakathi kweso.
• Ukuskena kwezinye izingxenye zomzimba: Isibonelo , ama-X-ray noma ama-CT scan .

Zonke lezi zivivinyo zenziwa ukuthola imbangela eqondile bese kuqala ukwelashwa okufanele.

Iphathwa kanjani i-Panuveitis?

Ukwelashwa okuyinhloko kwe -panuveitis uhlobo lomuthi obizwa ngokuthi ama-corticosteroids . Lokhu kunciphisa ukuvuvukala futhi kusize ekuvikeleni umbono wakho. Kunciphisa nokungakhululeki kwakho. Lena yinto yokuqala okufanele ugxile kuyo lapho welapha i-panuveitis .

Udokotela wakho angakunika amaphilisi e-steroid , amaconsi amehlo e-steroid , noma umjovo we-steroid esweni lakho. Ungase futhi unikezwe inhlanganisela yalokhu, kuye ngesimo sakho. Abanye abantu kungadingeka bathathe le mithi isikhathi eside.

Ngaphezu kwalokho, isimo esiyisisekelo esibangele i-panuveitis yakho kufanele selashwe. Isibonelo:

• Ngokutheleleka: Ama-antibiotic noma ama-antiviral .
• Uma kunenkinga ngesimiso somzimba sokuzivikela: Ama-Immunosuppressants noma ama-DMARD (Izidakamizwa Zokulwa Nezifo Eziguqula Ubuhlungu) .
• Imbangela yomdlavuza ongavamile yile: Ezinye izindlela zokwelapha umdlavuza ezihlobene.

Indlela lokhu kwelashwa okuthinta ngayo umuntu ngamunye ingahluka. Ngakho-ke kubalulekile ukutshela udokotela wakho ukuthi unjani nokuthi unemiphumela emibi yini. Ngaleyo ndlela, bangakwazi ukulungisa umuthi ukuze usebenze kahle kuwe.

Ngaphezu kwalokho, izinkinga ezonakele umbono wakho ngenxa ye -panuveitis zingadinga ukwelashwa okwengeziwe. Ngemva kokwelashwa kwe-panuveitis , udokotela wakho angase futhi ancome ukuhlinzwa kwamehlo kwezinye izinkinga.

Yini okufanele ngiyilindele uma ngine-panuveitis?

I-Panuveitis yisimo esingelapheka. Kodwa ukwelashwa kufanele kuqalwe ngokushesha okukhulu , njengoba eminye yemiphumela emibi ebangelwe yiyo ingenakukwazi ukuhlehliswa. Ukuthi isimo sakho sithuthuka kangakanani kuncike ebunzimeni besimo nokuthi ufuna ukwelashwa ngokushesha kangakanani.

Uma unesifo esingamahlalakhona esibangela i-panuveitis , lesi simo singase sibuye ngemva kokwelashwa. Lokhu kungadinga ukwelashwa okuphindaphindiwe. Abanye abantu kungadingeka bathathe imithi isikhathi eside.

Yiziphi izinto engingayenza ukuze ngizizwe ngingcono?

Into ebaluleke kakhulu ongazenzela yona ukuthola ukwelashwa kusenesikhathi. Uma usuqalile ukwelashwa, kubalulekile ukukhuluma nodokotela wakho njalo mayelana nendlela ozizwa ngayo. Ngaleyo ndlela, bangakwazi ukulungisa uhlelo lwakho lokwelashwa uma kudingeka.

Ngesikhathi usalulama, lezi zinto zingakusiza futhi:

• Ukusebenzisa ama-compress afudumele esweni noma emehlweni avaliwe.
• Ukugqoka izibuko zelanga ukuvikela amehlo akho ekukhanyeni okukhulu.
• Sebenzisa ama-NSAID (Izidakamizwa Ezingavimbeli Ukuvuvukala) (isib., iziqeda ubuhlungu njenge-ibuprofen) uma udokotela wakho ekuncoma ukuthi kuncishiswe ubuhlungu nokuvuvukala.

I-Panuveitis yisimo esibi kakhulu, esisongela ukubona. Ayikhululeki futhi iyesabisa. Yingakho odokotela beyelapha ngokushesha ngama-corticosteroids ukuze banciphise ukuvuvukala.

Ngokwelashwa, uzoqala ukuzizwa ungcono maduze, futhi ungase ululame ngokuphelele. Kodwa lokhu akusona ukuphela kwendaba yawo wonke umuntu. Kungase kudingeke ubhekane nokugula kwesikhathi eside noma ezinye izinkinga.

Uma uhambo lwakho lwempilo lungase lube lude kancane, kuzodingeka ubhekane nezinto eziningi ongazazi. Kungakhathaliseki ukuthi unesifo esingamahlalakhona, unenkinga yokubona, noma kokubili, ungase uzizwe ungaqiniseki ngekusasa lakho.

Kungakhathaliseki ukuthi kwenzekani, ithimba lakho lezokwelapha lizoba nawe isinyathelo ngasinye, likunikeze iseluleko, izinketho zokwelapha, kanye nezinsiza ozidingayo ukuze unakekele impilo yakho yonke kanye nenhlalakahle yakho.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ngakho-ke lena yi -Panuveitis esasikhuluma ngayo.Ake sizikhumbuze izinto ezibaluleke kakhulu mayelana nalokhu:

• I-Panuveitis ukuvuvukala okukhulu kwengaphakathi leso, ikakhulukazi i-uvea. Kungathinta kokubili ingaphambili nengemuva leso.
• Izimpawu zingase zihlanganise ukubona okufiphele, ubuhlungu bamehlo, ukungakwazi ukubona ukukhanya, nokubona izinto zintanta phambi kwamehlo .
• Izimbangela zingabandakanya ukutheleleka, izifo ezibangelwa amasosha omzimba, ukulimala kwamehlo, imithi ethile, kanye nomdlavuza ongavamile .
• Uma lokhu kungaqashelwa futhi kungelashwa ngokushesha, kungaholela ezinkingeni ezinkulu ezingaholela ekulahlekelweni umbono unomphela. I-Glaucoma kanye ne-cataracts zimbalwa nje zazo.
• Ukwelashwa okuyinhloko yi-corticosteroids, kanti imbangela eyinhloko nayo iyelashwa.
• Into ebaluleke kakhulu ukubona udokotela wamehlo ngokushesha nje lapho ubona izimpawu bese uqala ukwelashwa. Ukwelashwa okusheshayo kuyindlela kuphela yokuvikela umbono wakho.

Ngakho-ke, uma wena noma othile omaziyo enanoma yiziphi zalezi zimpawu, sicela ungakuzibi. Funa iseluleko sezokwelapha ngokushesha. Amehlo ayigugu kakhulu, futhi kungumthwalo wethu wemfanelo ukuwanakekela.

I-Panuveitis , ukuvuvukala kwamehlo, isifo samehlo, i-uvea, ukubona okufiphele, ubuhlungu bamehlo, ama-corticosteroids