Scleritis: ndi chiyani, zizindikiro, zoyambitsa ndi chithandizo

Zamkati

• Zizindikiro za scleritis
• Momwe matendawa amapangidwira
• Zoyambitsa zazikulu
• Momwe mankhwalawa amachitikira

Scleritis ndi matenda omwe amadziwika ndi kutukusira kwa sclera, komwe ndi khungu lochepa kwambiri lomwe limakwirira gawo loyera la diso, zomwe zimabweretsa kuwonekera kwa zizindikilo monga kufiira kwa diso, kupweteka poyendetsa maso ndikuchepetsa mphamvu nthawi zina. Scleritis imatha kufikira diso limodzi kapena awiri ndipo imakonda kwambiri azimayi achichepere komanso azaka zapakati, nthawi zambiri chifukwa cha zovuta zamatenda monga nyamakazi, lupus, khate ndi chifuwa chachikulu.

Scleritis imachiritsidwa, makamaka ngati mankhwala ayambitsidwa koyambirira kwa matendawa. Chifukwa chake, ndikofunikira kukaonana ndi dokotala wa maso akangowonekera zizindikilo zomwe zikuwonetsa matenda a scleritis, kuti athe kulandira chithandizo choyenera kwambiri.Kuchiza, mankhwala monga maantibayotiki kapena ma immunosuppressants atha kugwiritsidwa ntchito, kuphatikiza mwa ena milandu akuchitidwanso opaleshoni.

Zizindikiro za scleritis

Zizindikiro zazikulu zokhudzana ndi scleritis ndikufiira kwa diso ndi kupweteka poyendetsa maso omwe amatha kukhala olimba kwambiri kusokoneza tulo ndi njala. Zizindikiro zina za scleritis ndi izi:

• Kutupa m'maso;
• Sinthani nyimbo zoyera kukhala zachikaso m'maso;
• Kuwonekera kwa chotupa chowawa, chomwe sichingasunthe konse;
• Kuchepetsa masomphenya;
• Kuwonongeka kwa diso, kukhala chizindikiro cha mphamvu yokoka.

Komabe, pamene scleritis imakhudza kumbuyo kwa diso, zizindikilo za matendawa sizingadziwike nthawi yomweyo, zomwe zimawononga chithandizo chake komanso kupewa zovuta.

Momwe matendawa amapangidwira

Matendawa amapangidwa pofufuza momwe diso limakhalira ndi katswiri wa ophthalmologist, yemwe angalimbikitsenso mayeso monga kupaka mankhwala ozunguza bongo, kutulutsa nyali biomicroscopy ndi 10% ya phenylephrine test.

Scleritis ikapanda kuchiritsidwa moyenera imatha kuyambitsa zovuta monga glaucoma, kupindika kwa m'maso, kutupa kwa mitsempha yamawonedwe, kusintha kwa diso, khungu, kuperewera kwamaso ndi khungu.

Zoyambitsa zazikulu

Scleritis imayamba makamaka ngati vuto la matenda monga nyamakazi, gout, Wegener's granulomatosis, polychondritis, lupus, nyamakazi yowonongeka, polyarthritis nodosa, ankylosing spondylitis, khate, syphilis, Churg-Strauss syndrome ndipo, nthawi zambiri, chifuwa chachikulu . Kuphatikiza apo, matendawa amatha kuchitika atachita opareshoni m'maso, ngozi kapena kupezeka kwa matupi akunja m'maso kapena matenda am'deralo omwe amayambitsidwa ndi tizilombo tating'onoting'ono.

Momwe mankhwalawa amachitikira

Chithandizo cha scleritis chimachitika motsogozedwa ndi a ophthalmologist yemwe akuwonetsa kugwiritsa ntchito mankhwala molingana ndi zomwe zimayambitsa scleritis, komanso kugwiritsa ntchito maantibayotiki kapena ma immunosuppressants, mwachitsanzo, atha kulimbikitsidwa.

Pakakhala zovuta monga khungu ndi glaucoma zomwe sizingathe kuwongoleredwa ndi mankhwala okha, adotolo amathanso kulangiza kuti achite opaleshoni. Kuphatikiza apo, matenda ena omwe mwina adayambitsa scleritis, monga lupus ndi chifuwa chachikulu, amayenera kuthandizidwa ndikuwongolera kuti athandize kuchiritsa kwa diso ndikupewa kuti vutolo lisadzapezekenso.

Komabe, ndikofunikira kukumbukira kuti zochitika za necrotizing anterior scleritis ndi kutupa ndi posterior scleritis ndizovuta kwambiri, ndizotheka kwambiri kutaya masomphenya.