I-Scleritis: yintoni, iimpawu, izizathu kunye nonyango

Umxholo

• Iimpawu zescleritis
• Uxilongo lwenziwa njani
• Izizathu eziphambili
• Unyango lwenziwa njani

I-Scleritis sisifo esibonakala ngokudumba kwe-sclera, esisisiqwenga somzimba esigquma inwebu emhlophe yamehlo, esikhokelela ekubonakaleni kweempawu ezinjengokubomvu kwiliso, iintlungu xa uhambisa amehlo kunye nokwehla kwamandla okujonga ezinye iimeko. I-Scleritis inokufikelela kwiliso elinye okanye omabini amehlo kwaye ixhaphake kakhulu kwabasetyhini abancinci nabaphakathi, okuhlala kubangelwa ziingxaki zezifo ezifana ne-rheumatoid arthritis, lupus, iqhenqa kunye nesifo sephepha.

I-Scleritis iyanyangeka, ngakumbi ukuba unyango luqale kwangoko kwesi sifo. Yiyo loo nto kubalulekile ukuba ubonane nodokotela wamehlo kwakamsinya nje xa kuvela iimpawu ezibonisa ukuba une-scleritis, ukuze kunyangwe olona nyango lufanelekileyo.Ukunyanga, amayeza anje ngee-antibiotics okanye ii-immunosuppressants anokusetyenziswa, ukongeza kwezinye iimeko zikwenziwa notyando.

Iimpawu zescleritis

Iimpawu eziphambili ezinxulumene ne-scleritis zibomvu kwiliso kunye nentlungu xa uhambisa amehlo anokuba namandla kangangokuba aphazamise ukulala kunye nokutya. Ezinye iimpawu zescleritis zezi:

• Ukudumba kwiliso;
• Guqula ukusuka kumhlophe ukuya kwiithoni ezityheli elisweni;
• Ukubonakala kwesigaxa esibuhlungu, esingenakushukuma konke konke;
• Ukwehla kombono;
• Ukugqobhoza kweliso lakho, kungumqondiso womxhuzulane.

Nangona kunjalo, xa i-scleritis ichaphazela ngasemva kweliso, iimpawu zesi sifo zisenokungabonakali ngokukhawuleza, nto leyo eyonakalisa unyango kunye nothintelo lweengxaki.

Uxilongo lwenziwa njani

Ukuxilongwa kwenziwa ngokuvavanya iimpawu kunye nokwakheka kwamehlo ngugqirha wamehlo, onokuthi acebise iimvavanyo ezinje nge-instillation ye-anesthetic, slit lamp biomicroscopy kunye novavanyo lwe-phenylephrine ye-10%.

Xa inganyangwa kakuhle, i-scleritis inokubangela iingxaki ezifana ne-glaucoma, i-retinal detachment, ukudumba kwe-optic nerve, utshintsho kwi-cornea, i-cataract, ukulahleka kombono kunye nokungaboni.

Izizathu eziphambili

I-Scleritis ivela ikakhulu njengengxaki yezifo ezinjenge-rheumatoid arthritis, i-gout, i-Wegener's granulomatosis, i-polychondritis ephindaphindiweyo, i-lupus, i-arthritis esebenzayo, i-polyarthritis nodosa, i-ankylosing spondylitis, iqhenqa, i-syphilis, i-Churg-Strauss syndrome kwaye, kwiimeko ezinqabileyo, isifo sephepha kunye ne-arterial hypertension . Ukongeza, esi sifo sinokuvela emva kotyando lwamehlo, iingozi okanye ubukho bemizimba yangaphandle kwiso okanye usulelo lwasekhaya olubangelwa zii-microorganisms.

Unyango lwenziwa njani

Unyango lwe-scleritis lwenziwa phantsi kwesikhokelo se-ophthalmologist esibonisa ukusetyenziswa kwamayeza ngokwesizathu se-scleritis, kunye nokusetyenziswa kwee-antibiotics okanye i-immunosuppressants, umzekelo, kunokucetyiswa.

Kwiimeko zobunzima obufana nekati kunye ne-glaucoma ezingenakulawulwa ngamayeza kuphela, ugqirha unokucebisa ukuba utyando. Ukongeza, ezinye izifo ezinokuthi zibangele i-scleritis, enjenge-lupus kunye nesifo sephepha, kufuneka inyangwe kwaye ilawulwe ukukhuthaza ukuphiliswa kwamehlo kunye nokuthintela ingxaki ekuphindeni ivele.

Nangona kunjalo, kubalulekile ukukhumbula ukuba iimeko ze-necrotizing anterior scleritis ngokudumba kunye ne-posterior scleritis zezona zinzima kakhulu, zinamathuba amakhulu okulahleka kombono.