Ingabe iso lakho libomvu futhi libuhlungu kakhulu? Kungaba yi-scleritis!

Wake waphawula ukuthi iso lakho liphenduka libe bomvu ngokuzumayo bese uzizwa sengathi othile ukubhoboza nge-pliers? Ngezinye izikhathi ubuhlungu bukhulu kangangokuthi bukuvusa ebusuku. Ingabe ukuthola kunzima ngisho nokubheka ukukhanya? Yebo, uma unalezi zimpawu, kungaba yisimo esibizwa ngokuthi i-scleritis, esizokhuluma ngaso namuhla. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe.

Kalula nje, kuyini i-scleritis?

Kulungile, ake siqale sibheke ukuthi iyini i-Scleritis. Uma ubheka iso lakho, kukhona ingxenye yeso ebukeka imhlophe, okuyilokho esikubiza ngokuthi i-sclera . Empeleni, le sclera iyisivikelo esiqinile esimboza iso. Ngakho-ke, uma kukhona ukuvuvukala okuthile, okungukuthi, ukuvuvukala nokubomvu kule ngxenye ebizwa ngokuthi i-sclera, yilokho esikubiza ngokuthi i-scleritis. Kulesi simo, iso aligcini nje ngokuba bomvu, kodwa futhi lingaba buhlungu kakhulu . Ngezinye izikhathi ubuhlungu buyanda ngisho nalapho iso lihanjiswa phambili naphambili. Into ebaluleke kakhulu ukuthi uma lesi simo singelashwa kahle, singabangela umonakalo ongapheli esweni ngisho nokulahlekelwa umbono . Ngakho-ke, akuwona umqondo omuhle ukumane ungasinaki ngoba iso libomvu.

Yiziphi izinhlobo eziyinhloko ze-scleritis?

Manje, kunezinhlobo ezimbili eziyinhloko ze-scleritis. Eyokuqala yi -anterior scleritis , eyenzeka engxenyeni engaphambili ye-sclera. Enye yi -posterior scleritis , eyenzeka engxenyeni engemuva ye-sclera. Zombili lezi zinhlobo ziphinde zahlukaniswa ngezindlela ezahlukene.

I-Anterior Scleritis

Lolu uhlobo oluvame kakhulu. Luphinde luhlukaniswe izingxenye ezintathu:

• I-Diffuse scleritis: Kulokhu, ukuvuvukala kungasakazeka kulo lonke i-sclera. Lolu uhlobo oluvame kakhulu.
• I-Nodular scleritis: Kulokhu, kwakheka iqhubu elincane (iqhubu) endaweni eyodwa ku-sclera. Iqhubu lingabonakala ngezinye izikhathi ngamehlo ethu.
• I-Necrotizing scleritis: Lolu uhlobo oluyingozi kakhulu. Lubhubhisa izicubu zamehlo futhi ngezinye izikhathi lungaholela ekulahlekelweni yiso lonke . Kukhona olunye uhlobo oluyingozi lwalokhu olubizwa ngokuthi i-scleromalacia perforans . Lungase lungabi buhlungu, kodwa ukubhoboka kungenzeka esweni. Lolu hlobo lwenzeka kubantu abangaba ngu-4% abathola i-scleritis.

I-Posterior Scleritis

Ngenxa yokuthi kwenzeka ngemuva kwe-sclera, izimpawu ngezinye izikhathi zingahluka. Kungase kube nobuhlungu obuvela ngaphakathi kweso, umbono ofiphele, njll. Lolu hlobo lubalelwa cishe ku-10% wabo bonke abanesifo se-scleritis.

Ubani okungenzeka kakhulu ukuthi athole isifo se-scleritis?

I-Scleritis ivame kakhulu kubantu abaneminyaka ephakathi kuka-47 no-60. Kodwa-ke, ingenzeka kubantu abancane noma abadala kunalokho. Abesifazane banamathuba amaningi okuba nayo kunabesilisa . Esinye isizathu salokhu ukuthi i-scleritis ihlotshaniswa nezimo ezithile zokuzivikela komzimba . Kodwa-ke, i-scleritis ebangelwa ukutheleleka ivame kakhulu kwabesilisa.

Sivame kangakanani lesi simo?

Ezweni elifana neMelika, kuthiwa kutholakala amacala amasha angaba ngu-10,500 e-scleritis minyaka yonke. Lokho kuphakathi kwamane nayisithupha kwamakhulu ayikhulu ezinkulungwane. Lesi simo siyabonakala naseSri Lanka, kodwa kunzima ukunikeza izibalo eziqondile.

Ziyini izimpawu ze-scleritis?

Ake sibone ukuthi yiziphi izimpawu ezingase zivele lapho kuvela i-scleritis.

• Ubomvu nokuvuvukala kwengxenye emhlophe yeso lakho (i-sclera) .
• Ubuhlungu obukhulu esweni kanye nomuzwa wobuhlungu lapho uthintekile . Lobuhlungu bungaba bukhulu kangangokuthi bungavusa ebusuku. Ngezinye izikhathi lobu buhlungu bungasakazekela kwezinye izingxenye zobuso.
• Amehlo anamanzi (izinyembezi) .
• Ubunzima bokubheka ukukhanya (i-photophobia) .

Uma unesinye noma ngaphezulu salezi zimpawu, kufanele ubonane nodokotela wamehlo ngokushesha , ngoba lesi akusona isimo esihle sokudlala ngaso.

Yini ebangela i-scleritis?

Ngezinye izikhathi, akukho sizathu esithile esingatholakala se-scleritis. Odokotela bakubiza lokhu ngokuthi 'i-idiopathic'. Kodwa kaningi, i-scleritis ingavela uma unesinye isimo sezokwelapha, ikakhulukazi isifo sokuzivikela komzimba . Ezinye zezifo ezihambisana nalokhu zifaka:

• I-rheumatoid arthritis: Lesi yisifo esithinta amalunga ezinhlangothini zombili zomzimba wakho. Yisifo samasosha omzimba esivame ukuhlotshaniswa ne-scleritis.
• Izifo zezicubu ezixhumeneyo , njenge- systemic lupus erythematosus . I-Lupus kanye nokuvuvukala okungapheli okubangelwa yiyo kungathinta izingxenye eziningi zomzimba, okuhlanganisa amalunga, isikhumba, amaphaphu, ubuchopho, izinso kanye nenhliziyo.
• Isifo samathumbu esivuvukalayo (IBD): Lokhu kubhekisela eqenjini lezifo ezibangela ukuvuvukala okungapheli emathunjini akho.
• I-Sjögren's syndrome: Lesi sifo sokuzivikela komzimba sinciphisa ukukhishwa komswakama okuvela ezindlaleni emehlweni nasemlonyeni wakho.
• I-Scleroderma: Kulesi sifo, izicubu ezivamile zithathelwa indawo yizicubu eziqinile neziqinile.
• I-granulomatosis ene-polyangiitis: Lesi sifo sibangelwa ukuvuvukala kwezicubu zakho (ukuvuvukala kwe-granulomatous) kanye nemithambo yegazi (i-vasculitis). Lokhu kungalimaza izinhlelo zezitho zomzimba.

Ngaphezu kwalokho, i-scleritis ingahlotshaniswa nalokhu okulandelayo:

• Ukutheleleka: I-Scleritis ingabangelwa nayizifo ezithile. Lokhu kungaba yibhaktheriya , isikhunta, noma igciwane . Ukutheleleka kwesikhunta kuvame ukuthatha isikhathi eside ukuphulukiswa futhi kube nemiphumela emincane kakhulu kunezifo ezibangelwa amagciwane noma amagciwane. I-Scleritis ingabangelwa nesifo se-Lyme .
• Ukulimala noma ukulimala esweni lakho, okuhlanganisa nokuhlinzwa: Lezi zinhlobo zokulimala zingadala ne-scleritis. Isibonelo yisimo esibizwa ngokuthi i-surgeryly induced necrotizing scleritis (SINS), esenzeka ngemva kokuhlinzwa .
• Imithi esetshenziselwa ukwelapha noma ukuvimbela izifo zamathambo: Lezi zinhlobo zemithi, isibonelo ama-bisphosphonates , zaziwa ngokubangela ukusabela kokuvuvukala emehlweni.

Odokotela baxilonga kanjani i-scleritis?

Uma ubona udokotela, uzokwenza ukuhlolwa kwamehlo futhi mhlawumbe akwenze ukuhlolwa kwesibani esinqunyiwe ukuze kutholakale ukuthi lokhu kuyisifo se-scleritis.

Uma une-posterior scleritis, udokotela wakho angase akucele ukuthi uhlolwe nge -CT scan (computed tomography - CT scan) noma nge-ultrasound . Uma i-scleritis yakho ibangelwa ukutheleleka, udokotela wakho angase athathe isampula yento ethile, njengobomvu, esweni lakho ayithumele elebhu ukuze ihlolwe. Akuvamile kakhulu, udokotela wakho angase akucele ukuthi kwenziwe i-biopsy .

Yiziphi izindlela zokwelapha i-scleritis?

Uma une-scleritis encane kakhulu, udokotela wakho angase akuncome ukusebenzisa imithi yokulwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) . Kodwa-ke, ezimweni eziningi, udokotela wakho uzokunikeza i -corticosteroid ehlelekile, njenge- prednisone, isikhathi eside (izinsuku eziyisikhombisa kuya kweziyishumi).

Okubalulekile: Ungalokothi usebenzise le mithi ngaphandle kweseluleko sikadokotela. Ingabangela imiphumela emibi.

Uma ukuvuvukala kuphinde kwanda, faka i-corticosteroids ngemithambo yegaziKungase kudingeke.

Uma une-scleritis ebangelwa ukutheleleka, uzodinga ama-antibiotic , ama-antifungal , noma imithi yokulwa namagciwane .

Ezimweni ezimbi kakhulu njenge-necrotizing scleritis, udokotela wakho angasebenzisana nodokotela wamathambo ukuze akunikeze imithi yokwelapha izifo ezifana ne -cyclophosphamide , i-methotrexate , kanye ne -mycophenolate mofetil , noma ama-biologic agents afana ne -rituximab kanye ne -adalimumab .

Ezinye izindlela zokwelapha, njenge- scleral patching noma i-graft, nazo zingasetshenziswa, njengoba kunjalo nangezinye izinhlobo zokufakelwa kwezicubu.

Yini okufanele siyilindele kulesi simo se-scleritis?

I-Scleritis yisimo esingelapheka futhi esingelapheka . Uma ingelashwa, i-scleritis ingaholela ekulahlekelweni umbono . I-Scleritis enesifo sangemuva iyona eyingozi kakhulu. Udokotela wakho uzosebenza nawe ukwelapha noma yiziphi ezinye izimo zokuzivikela komzimba ongase ube nazo.

Ungayinciphisa kanjani ingozi yokuthola i-scleritis?

Ezimweni eziningi, i-scleritis ayinakuvinjelwa. Kodwa ungawanakekela kahle amehlo akho .

• Ukugqoka isivikelo samehlo esidingekayo ngenkathi usebenza noma udlala imidlalo ethile yokuthintana kunganciphisa ingozi yokulimala kwamehlo akho.
• Uma kufanele uthinte amehlo akho, ukugcina izandla zakho zihlanzekile njalo kungasiza ekunciphiseni ingozi yokutheleleka kwamehlo. Futhi, uma ugqoka ama-contact lens, ungakhohlwa ukuwahlanza kahle.

Kufanele ubonane nini nodokotela?

Kufanele ubonane nodokotela noma nini lapho uzwa ubuhlungu, ukubomvu, noma ukuvuvukala kwelinye noma womabili amehlo akho. Lokhu kubaluleke kakhulu uma unesimiso somzimba esibuthakathaka noma isimo sempilo . Kungcono ukuqala ukwelashwa ngokushesha okukhulu.

Uyini umehluko phakathi kwe-scleritis nezinye izifo zamehlo?

Yilapho abantu abaningi bedideka khona. Ake sibheke umehluko omkhulu.

Umehluko phakathi kwe-Scleritis ne-Episcleritis

I-Scleritis yinto ethinta i-sclera yakho. I-Episcleritis yinto ethinta i-episclera yakho, ungqimba olungaphandle lwe-sclera.Into ethintayo. I-Episcleritis ivame ukuphola yodwa , futhi ayibuhlungu njenge-scleritis.

Umehluko phakathi kwe-Scleritis ne-Uveitis

I-uvea ungqimba olungaphansi kwe-sclera (ingxenye emhlophe yeso). Ukuvuvukala kwe-uvea yakho kubizwa ngokuthi i-uveitis . Kokubili i-uvea yakho ne-sclera kungavuvukala ngesikhathi esisodwa, kodwa kuyizingxenye ezimbili ezihlukene zeso lakho.

Umehluko phakathi kwe-Scleritis ne-Conjunctivitis

I-Scleritis ukutheleleka kwe-sclera. I-Conjunctivitis , okuyikho esikubiza ngokuthi 'ukutheleleka kwamehlo,' ukutheleleka kwe-conjunctiva yakho. I-conjunctiva yakho iyi-membrane emboze i-sclera kanye nengaphakathi lebhola leso lakho. Zombili lezi zimo zingabangela amehlo akho abe bomvu. Kodwa-ke, i-conjunctivitis ayiyona into embi njenge-scleritis, futhi ayibuhlungu njenge-scleritis .

Umyalezo okufanele uwuthathe ekhaya ovela kulesi sihloko

Ngakho-ke, amehlo akho ayigugu kakhulu kuwe. Ngakho-ke, kungumthwalo wakho ukuwagcina ephilile. Uma amehlo akho ebomvu futhi ebuhlungu, bheka udokotela wamehlo noma udokotela ojwayelekile ngokushesha . Kubaluleke kakhulu ukuthola ngokushesha ukuthi ngabe kuyisimo esifana ne-scleritis noma okunye. Into engcono kakhulu ongayenza ukuqaphela nokuqala ukwelashwa kwanoma yisiphi isimo sezokwelapha kusenesikhathi, kungakhathaliseki ukuthi kuyinto ethinta amehlo noma okunye emzimbeni.

I- Scleritis, ingxenye emhlophe yeso, i-sclera, ukubomvu kwamehlo, ubuhlungu bamehlo, ukuvuvukala kwamehlo, isifo sokuzivikela komzimba, i-Scleritis, ukuvuvukala kwamehlo