Scleritis iko kuputika kwekatsva , mutsvuku wekunze wekiso. The sclera yakachena muvara uye yakaitwa ne collagen. Mishonga yeropa inofamba ichienda mberi uye pamusoro pezvakawanda uye inogona kubatanidzwa mu scleritis.
Overview
Zvirwere zvinogona kuparadza ziso, zvichikonzera kurwadziwa kukuru nekurasikirwa kwechiratidzo kune vamwe vanhu. Kunyange zvazvo scleritis inogona kuwirirana nekutambudzika kana kutapukirwa, zvinopfuura hafu ye scleritis matambudziko zvinosanganiswa nehutachiona hwehutachiona hunonzi rheumatoid arthritis , ankylosing spondylitis, systemic lupus erythematosus, polyarteritis nodosa, hegener's granulomatosis, herpes zoster virus, gout, uye syphilis.
Scleritis inofungidzirwa kuva chiratidzo chekuvhiringidza kunogona kuve kune imwe nzvimbo mumuviri. Inowanzoitika kakawanda pakati pemakore makumi matatu nemakumi matanhatu emakore, uye kazhinji inobata vakadzi vakawanda kupfuura varume.
Zviratidzo
Zvirwere zvinowanzoitika mune rimwe ziso, asi zvinogona kukanganisa maziso pamwe chete. Zvimwe zviratidzo zve scleritis zvinorwadza uye zvitsvuku mumutsvuku weziso iro dzimwe nguva rinova rakaoma. Dzimwe zviratidzo zvinogona kusanganisira zvinotevera:
- Kutambura kweziso kunogona kusanganisira musoro uye chiso
- Tenderness
- Chiedza chekunzwisisa
- Kurira
- Chiratidzo chakasvibiswa kana chechidiki
- Kuchena kweziso (zvichienderana nemidziyo yeropa inoputika iyo inogona kuita kuti nzvimbo yacho ive yakajeka mutsvuku uye inotora bluish hue.)
Aina
Kune miviri miviri mikuru ye scleritis: anterior uye posterior . Scleritis inorongwa zvichienderana nechikamu chei ziso chinoshandiswa.
Anterior Scleritis
Anterior scleritis inogona kuwedzera kugoverwa mumhando mitatu inotevera:
Diffuse Scleritis : Nyaya yakakurumbira ye scleritis, inosanganisira hafu yeplera.
Nodular Scleritis : Small, tender nodules form pa sclera, iyo inomiririra kuputika kukuru.
Necrotizing Scleritis : Iyo inonziwo scleromalacia perforans , rudzi urwu runogona kuva rwakakomba uye runogona kukonzera kurasikirwa kwemaonero. Rudzi urwu runowanzobatanidzwa ne systemic autoimmune disorders.
Posterior scleritis
Posterior scleritis inogona kuva chimiro chakaipisisa chechirwere uye dzimwe nguva zvakaoma kufungidzira. Inotsanangurwa sechinoshanduka muhupamhi hwehupamhi hwemamiriro ekunze kwenyika, kuwedzerwa kwemajasi ekupedzisira eziso (choroid uye sclera), uye retrobulbar edema. Posterior scleritis ndiyo inonzi rarest ye scleritis, inosanganisira chikamu chese ziso. Izvi zvinogona kuita kuti ziso riwedzere kunetseka nematambudziko emusana, retinal detachment uye yekuvhara kona glaucoma .
Zvinokonzera
Zvimwe zvinokonzera scleritis idiopathic, kana kuitika nokuda kwechikonzero chisingazivikanwi. Vanachiremba havambowani chikonzero chaicho. Zvirwere zvinoratidzika sezviwanzo zvinowanzobatanidzwa nekuputika kunoitika mumuviri kubva mumamiriro ekudzivirira. Kazhinji, inokonzerwa nehutachiona uye kushushikana.
Kuziva
Vanachiremba vanoongorora hutachiona nekuongorora nhoroondo yako yezvechiremba. Iwe uchapiwa kuongororwa kuti uone kutarisa kwako kuonekwa uye kuvharirwa kwepisocular . Chiremba wako achaongorora maziso ako kuburikidza achishandisa mwenje unopinza biomicroscope . Uyewo, maziso ako achanyatsotsvaga kuti aongorore mukati memeso ako. Chiremba wako angashandisa mamwe madonhwe eziso kuti abatsire kusiyanisa pakati pe scleritis ne episcleritis, mamiriro ezvinhu anogonawo kubatanidza nehutachiona hwemotokari asi inosanganisira zviputi nemidziyo muzvinyama pakati peganda uye conjunctiva.
Kurapa
Kana isina kusiyiwa, scleritis inogona kutungamirira kukurashikirwa kwechiono. Zvirwere zvinowanzobatwa nemishonga inorwisa anti-inflammatory medication, yakadai se ibuprofen kana simba remishonga risina-steroidal anti-inflammatory drugs. Oral steroid inowanzotarisirwa sechirwere chakajeka che steroid muzvivara zvayo. Immunosuppressive drugs zvinoshandiswa dzimwe nguva. Scleritis haina kazhinji inopindura zvakanaka kumusoro weziso inodonha mishonga, zvisinei, saka vamwe vanachiremba vanoronga topical steroid uye nonsteroidal anti-inflammatories. Kurapa kwezvinetso zvinosangana ne scleritis, zvakadai se glaucoma, zvinogonawo kudiwa.
Nokuti zviitiko zvakawanda zve scleritis zvinosanganiswa nehutachiona hwehutachiona hwehutachiona, kurapwa kunonyanya kutarisana nekurapa chirwere ichocho kuti chigadzire kufambira mberi kwe scleritis.
Kudzivirira
Nemhaka yokuti scleritis ndiyo mamiriro ezvinhu anowanzotangira nekuda kwechimwe chirwere chinoputika muziso, ruzhinji rwevanhu vane hutano haufaniri kunetseka pamusoro pekuwedzera scleritis. Zvisinei, kana iwe uchitambura nezvinetso zve autoimmune, pane zvinhu zvishomanana vanachiremba vanokurudzira kuti vadzivise scleritis:
- Teerera kutsika yemamiriro ezvinhu iwe unogona kuva nako iyo inogona kukugadzirisa iwe pakugadzira scleritis. Chengetedza chiremba wako kushanyira uye kutora mishonga yako. Kunyangwe iwe unganzwa zvakanaka, iwe unogona kunge uine kuvhuvhuta uchikurumidza kunyarara.
- Gara kunze kwemhepo nemhepo. Kunyangwe ichi ichi chinowanzowanikwa mune episcleritis, mamwe maitiro e scleritis ave achibva kubva kunze kwekunze kwemazuva akadai sekugara mhepo uye zuva.
- Idya utano uye tora multivitamin. Magazini emishonga akazvidza nyaya dze scleritis iyo yaifungidzirwa kuti inokonzerwa nokushayikwa kwevamwe mavitamini, iyo vitamini B12, C, uye D.
Sources:
- Watson P. Zvirwere zve sclera uye episclera. Mu: Tasman W, Jaeger EA, eds. Duane's Ophthalmology . 2013 ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2012: vol 4, chitsauko 23
- Catania, Louis. Chikamu Chekutanga cheNzvimbo yeAnterior, 2nd Edition. Copyright 1995 by Appleton & Lange.