I-Scleritis: kuyini, izimpawu, izimbangela kanye nokwelashwa

-Delile

• Izimpawu zescleritis
• Ukuxilongwa kwenziwa kanjani
• Izimbangela eziyinhloko
• Yelashwa kanjani

I-Scleritis isifo esibonakala ngokuvuvukala kwe-sclera, okuyisendlalelo esincanyana sezicubu ezihlanganisa ingxenye emhlophe yeso, okuholela ekubonakaleni kwezimpawu ezinjengokubomvu esweni, ubuhlungu lapho uhambisa amehlo nokwehla kwamandla okubuka amanye amacala. I-Scleritis ingafinyelela iso elilodwa noma womabili futhi ivame kakhulu kwabesifazane abasebasha nabaphakathi nendawo, imvamisa okuvela ezinkingeni zezifo ezifana ne-rheumatoid arthritis, lupus, uchoko nesifo sofuba.

I-Scleritis iyelapheka, ikakhulukazi uma ukwelashwa kuqala ekuqaleni kwesifo. Ngakho-ke, kubalulekile ukuthi uthintane nodokotela wezifo zamehlo ngokushesha lapho kuvela izimpawu nezimpawu ezibonisa ukuthi une-scleritis, ukuze kuqale ukwelashwa okufanele kakhulu.Ukwelapha, imithi efana nama-antibiotic noma ama-immunosuppressants ingasetshenziswa, ngaphezu kweminye amacala abuye ahlinzwe.

Izimpawu zescleritis

Izimpawu eziyinhloko ezihlobene ne-scleritis ukubomvu iso kanye nobuhlungu lapho uhambisa amehlo angaqina kakhulu ukuphazamisa ukulala nokudla. Ezinye izimpawu ze-scleritis yilezi:

• Ukuvuvukala esweni;
• Shintsha kusuka kumathoni amhlophe aphuzi esweni;
• Ukubukeka kwesigaxa esibuhlungu, esingahle singanyakazi nhlobo;
• Ukwehla kombono;
• Ukugcotshwa kwenhlamvu yeso, ekubeni uphawu lwamandla adonsela phansi.

Kodwa-ke, lapho i-scleritis ithinta ngemuva kweso, izimpawu zesifo zingase zingabonakali ngokushesha, okuphazamisa ukwelashwa kwaso nokuvimbela izinkinga.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwenziwa ngokuhlola izimpawu nokwakheka kweso ngudokotela wezifo zamehlo, ongancoma nokuhlolwa okufana nokufakwa ngaphakathi kwe-anesthetic, slit lamp biomicroscopy kanye ne-10% phenylephrine test.

Uma ingalashwa kahle, i-scleritis ingadala izinkinga ezifana ne-glaucoma, i-retinal detachment, ukuvuvukala kwemizwa ye-optic, izinguquko ku-cornea, i-cataract, ukulahleka kombono okuqhubekayo kanye nokungaboni.

Izimbangela eziyinhloko

I-Scleritis ivela ikakhulukazi njengenkinga yezifo ezifana ne-rheumatoid arthritis, i-gout, i-Wegener's granulomatosis, i-polychondritis ephindaphindayo, i-lupus, i-arthritis esebenzayo, i-polyarthritis nodosa, i-ankylosing spondylitis, uchoko, ugcunsula, i-Churg-Strauss syndrome futhi, ezimweni ezingavamile, isifo sofuba kanye nomfutho wegazi ophakeme . Ngaphezu kwalokho, lesi sifo singavela ngemuva kokuhlinzwa kwamehlo, izingozi noma ukutholakala kwezidumbu zangaphandle esweni noma ezifweni zendawo ezibangelwa amagciwane amancane.

Yelashwa kanjani

Ukwelashwa kwe-scleritis kwenziwa ngaphansi kokuqondiswa ngudokotela wezifo zamehlo obonisa ukusetshenziswa kwemithi ngokuya ngesizathu se-scleritis, kanye nokusetshenziswa kwama-antibiotic noma ama-immunosuppressants, ngokwesibonelo, kunganconywa.

Ezimweni zezinkinga ezifana ne-cataract ne-glaucoma ezingalawulwa ngemithi kuphela, udokotela angancoma nokuthi ahlinzwe. Ngaphezu kwalokho, ezinye izifo okungenzeka ukuthi zibangele i-scleritis, njenge-lupus nesifo sofuba, kufanele zilashwe futhi zilawulwe ukukhuthaza ukwelashwa kweso futhi kuvimbele inkinga ukuthi ingaphinde ivele.

Kodwa-ke, kubalulekile ukukhumbula ukuthi amacala we-necrotizing anterior scleritis ngokuvuvukala kanye ne-posterior scleritis yiyona ebucayi kakhulu, enethuba elikhulu kakhulu lokulahleka kombono.