Glaucoma Ndiyo Inokwanisika Kusingagumi Kushanda kwePrednisone
Prednisone imishonga inowanzoshandiswa kurapa zvirwere zvinoputira (IBD) nemamwe mamiriro ekudzivirira . Kunyange zvazvo prednisone inogona kuva yakabudirira, ihwowo steroid, uye izvi zvinoreva kuti inouya nehurukuro yemigumisiro . Zvizhinji zvinokonzerwa nemasikirwo ezvinyorwa zvishoma zvishoma zvichanyanya kuderera apo kuyerwa kwacho kuchiderera, asi zvimwe zvipingamupinyi zvinogona kuitika zvachose, kusanganisira glaucoma.
Mvura yakakwirira kana kushandiswa kwemazuva akawanda kwe prednisone kunogona kukonzera glaucoma, chirwere chakakomba cheziso. Glaucoma inogona kunge isina kurwadziwa, asi inogona kutungamirira kumashure ekurasikirwa nekuona kana kupofumadza. Izvi zvinotyisa kufunga nezvazvo, kunyanya nokuti vanhu vazhinji vane IBD vave vachirapwa ne prednisone, asi kuedza kwe glaucoma kunokurumidza uye kunorwadza . Inoda kuitwa gore negore kune ani naani ane IBD, pasinei nezera, pamwe chete nekuongorora kweziso rose. Kana iwe chiremba weziso rako asiri kuedza kuongorora glaucoma, iva nechokwadi chekukumbira mumwe, kunyange kana akatsigira iwe uri muduku zvikuru kuti uve ne glaucoma. Vanhu vanotora prednisone vanofanirawo kutaurira vanachiremba kana chero nhengo dzemhuri dzine nhoroondo ye glaucoma.
Overview
Glaucoma ndiyo inovaka kukanganiswa kwemvura, inonzi intraocular pressure, mukati meziso. Iko kukura kwekumanikidzwa kunogona kukuvadza mutsara we optic. Nzira yemaziso inoratidzika-zvisinganyatsooneki kumashure kweziso rinoumbwa nehutachiona hunobatanidza retina kuuropi.
Iko tsvina inokosha inokosha pakuona, sezvo inotumira mifananidzo kuuropi.
Glaucoma inowanikwa mushure mekukuvadza kweropa re optic. Kukwirira kwepisocular inogona kuita kuti chiratidzo chiwedzere uye pakupedzisira chinotungamirira kupofu mumakore mashomanana. Vamwe vanhu vangave vakawedzerwa kukurumidza kweziso, asi hapana kuora kwevist nerve, uye vangasambogadzira glaucoma.
Zvisinei, kukwirira kwepracococular inoratidza kuti kuwedzera kwekugadzirisa glaucoma.
Aina
Kune mhando dzakawanda dze glaucoma, kusanganisira yechipiri (kusangana kwechimwe chimiro kana nemimwe mishonga yakadai seforenisone), yakazaruka-angle, angle-yekuvhara, kuberekwa (ikozvino pakuberekwa) uye kuderera-kutenderera kana kushandiswa-kusangana kudzvinyirira).
- Open-angle glaucoma . Ichi ndicho chimiro chakajairika che glaucoma uye dzimwe nguva chinonzi wid-angle glaucoma. Mune chimiro chechirwere ichi, kuputika kweropa rinotarisa kuburikidza neziso rinoputika (trabecular meshwork) rinoitika zvishoma nezvishoma. Iyo inonaya ichibva yavaka mukati mukati meziso, kuwedzera kuoma.
- Secondary glaucoma. Iko rudzi rwe glaucoma haruzivikanwi kupfuura rusununguko rwakawanda muhuwandu hwevanhu, asi runowanzoonekwa kune vanhu vane IBD vari kutora prednisone kana mamwe corticosteroids. Zvinogonawo kuitika sechinhu chinokonzera chimwe chiitiko chakadai sokuvhiyiwa, hutachiona hwepamusoro, mavhumbu eziso, uveitis kana chirwere cheshuga. Secondary glaucoma inogona kuva yekona yakazaruka-angle kana yekuvhara-rudzi.
- Angle -vhavhara glaucoma . Mune rudzi urwu rwe glaucoma, chikamu chemiti inonzi iris inogadzirisa maridhi kubva pakusiya ziso kuburikidza nematanda emhando. Fluid inowedzera kamwe kamwe, ichikonzera kuwedzera kukurumidza mukudzvinyirira kweziso, kurwadziwa kwakanyanya uye kuora mwoyo, kuonekwa kwakasviba uye kubwinya kweziso. Kana isingatariswi nokukurumidza, bofu rinogona kuitika mumazuva mashomanana.
At-Risk Demographic
Vanhu vari pangozi yakanyanya ye glaucoma vanosanganisira:
- Vanhu vachitora corticosteroids
- VaAfrica vokuAmerica vanopfuura makore makumi mana
- Vanhu vakwegura kupfuura makore makumi matanhatu, kunyanya chiSpanish
- Vanhu vane nhoroondo yemhuri ye glaucoma
- Vanhu vane maonero mashoma, kuwedzerwa kweropa, chirwere chemoyo, retinal simba, maziso emeso uye kuora kweziso sezvakaita chronic uveitis uye iritis
Zviratidzo
Muzviitiko zvizhinji, glaucoma inogona kuvapo pasina zviratidzo. Nenguva iyo zviratidzo zvakadai sokurasikirwa kwemhirizhonga kana kuratidzwa kwemaonero kunoitika, chirwere ichi chave chafambira mberi zvikuru. Ziso rinoongorora rimwe nerimwe kusvika kumakore maviri rinogona kubatsira pakuona glaucoma kare.
Vaya vanotora corticosteroids vanofanira kutaura nemutarisiri wavo wehutano nezvehuwandu hwekuona ziso rekuongorora.
Kuziva
Glaucoma inoratidzwa nehuviri huri nyore uye hunorwadza. Chiyero chekutanga chekuwedzera. Chiremba anoisa madonhwe mumaziso anowedzera vadzidzi. Apo vadzidzi vakakura, chiremba anogona kushandisa chiedza kuti aone retina kumashure kweziso ndokutsvaga zviratidzo zve glaucoma kana zvimwe zvinetso. Kana maziso achinjeka, maonero akajeka. Vamwe vanachiremba vemaziso vanogona kushandisa maitiro matsva, akadai semifananidzo ye retinal, iyo inotora mufananidzo wakajeka weziso kunze kwekudiwa kwekuwedzera.
Chipiri chetatu tonometry. Munguva yekutanga tetometry test (pneumotonometry), "mhepo" inoputika "the cornea nekanyoronyoro kemhepo kunotarisana neziso. Kana iyi miedzo ichiratidza kusakanganiswa kumwe rumwe rudzi rwekuedzwa kwe tonometry kunogona kuitwa.
Mishonga
Donhwe reziso rinoshandiswa kuderedza huwandu hwehutachiona muziso kana kuwedzera hunobuda mumeso. Madonhwe aya anofanira kushandiswa kanoverengeka pazuva uye migumisiro inosanganisira misoro, kupinza, kupisa uye kubwinya.
Kuvhiyiwa kwema Laser kunogona kushandiswa kubvisa kuvharwa kana kuwedzera kubuda kwemvura kubva muziso. Mu trabeculoplasty, meshwork yakashandurwa inobudiswa; mune iridotomy, outflow inowedzera nekuita gomba mu iris; uye mu cyclophotocoagulation, ziso rinobatwa kuti kuderedza kushandiswa kwemvura. Zvimwe zvinokonzerwa nekuvhiyiwa kwemaseri zvinogona kusanganisira kuvhiringidza. Iyo nzira inogona kudiwa kuti idzoke zvakare.
Mu microsurgery, muzaruriro unogadzirwa muziso kuti ubatsire kudarika kwemvura. Iko kurapwa kunowanzoshandiswa chete mushure mokunge dzimwe mishonga isingabudiriri. Zvikanganiso zvinogona kusanganisira kuvhiringidza, cataract uye cornea zvinetso.
Sources:
Huscher D, Thiele K, Gromnica-Ihle E, et al. "Maitiro-ane chokuita nemaitiro e glucocorticoid-induced side effects." Ann Rheum Dis 2009 Jul; 68: 1119-1124. 25 Jan 2016.
National Eye Institute. "Chokwadi Pamusoro peGlaucoma." National Institutes of Health 2011. 25 Jan 2016.
Rutgeerts PJ. "Ongororo yenyaya: kuperevedzwa kwerticticosteroid therapy muCrohn's disease." Aliment Pharmacol Ther 2001 Oct; 15: 1515-1525. 25 Jan 2016.