uveitis

Incazelo jikelele yalesi sifo

Lokhu ukuvuvukala kwendlela ye-uveal^[3]… Le nqubo yokuvuvukala yenzeka kaningi futhi ibalelwa kuma-35-60% wamacala wokuvuvukala kwamehlo naphakathi kwazo zonke izifo zamehlo - kuze kufike ku-10%.

Umqondo “uvea»Kuhunyushwe kusuka esiGrekini njenge "Amagilebhisi"… Futhi empeleni, ukubonakala kwe-choroid evuthayo kufana nomvini. Nge-uveitis, i-iris, i-choroid, umzimba we-ciliary, noma zonke izitsha ngokujwayelekile zingavutha.

I-Uveitis ingadala ukonakala okukhulu kwe-acuity ebonakalayo kuze kufike ekulahlekelweni kwayo ngokuphelele.

Izinhlobo ze-uveitis

I-Uveitis kungenzeka ukuthi iyavuza kahle, ngokungapheli nangokuphindelela ngezikhathi ezithile.

Ngokuya nge-foci yokuvuvukala, lesi sifo sihlukaniswe saba:

• ukuvuvukala kwangaphakathi - uhlobo oluvame kakhulu lwe-uveitis, lufaka phakathi iridocyclitis futhi ukonga… I-Anterior uveitis ithinta umzimba we-ciliary kanye ne-iris
• maphakathi - ukuvuvukala kwezingxenye zomngcele we-retina surface;
• i-posterior uveitis akuvamile, futhi i-optic nerve noma i-retina iyavuvukala. Ukugula okunjalo akuphenduli kahle ekwelashweni;
• diffuses or iphenathi - zonke izingxenye zesendlalelo semithambo ziyavuvukala.

Ngokuya ngohlobo lokuqina kwenqubo yokuvuvukala, i-uveitis ingaba i-hemorrhagic, purulent, exubekile, i-fibrinous ne-syrupy.

Izimbangela ze-uveitis

Ukutheleleka, isikhunta, izimuncagazi, ukungezwani komzimba, ukulimala, ukungalingani kwamahomoni kungaphazamisa ukukhula kwe-uveitis.

Izimbangela ze-uveitis esithathelwanayo kungaba yi-toxoplasmosis, i-cytomegalovirus, ukutheleleka kwe-staphylococcal, isifo sofuba, ugcunsula, igciwane le-herpes, i-sepsis, i-tonsillitis, amazinyo akhathazayo.

Ukusabela okweqile emithini nasekudleni kungaba yinto ebangela i-uveitis yemvelaphi yokungezwani komzimba.

I-post-traumatic uveitis ibangela izinto zangaphandle zingene esweni futhi zishise amehlo.

Ukungalingani kwehormonal (ukuya esikhathini, isifo sikashukela nokunye) kungadala uveitis. Kwezinye izimo, i-uveitis ingaba umngane wezifo ezizimele: i-lupus, i-vitiligo, i-sarcoidosis. Ukuthambekela kofuzo nakho kudlala indima ebalulekile.

Ezinganeni, i-uveitis ivame ukuba nesifo esithathelwanayo, kubantu asebekhulile, i-pathology iyakhula ngokumelene nesizinda se-oncological nezinye izifo, kanye nokuncishiswa komzimba.

Izimpawu ze-Uveitis

Izimpawu ze-uveitis zingahluka ngokuya ngezimbangela, ukugxila kokuvuvukala kanye nesimo jikelele sohlelo lomzimba:

1. 1 nge i-posterior uveitis kukhona ukwehla kwe-acuity ebukwayo, ukubhoboza, ukuhlanekezelwa kwezinto, ukuvela kwezimpukane phambi kwamehlo kungenzeka. Izimpawu aziveli ngokushesha futhi zimnene;
2. 2 i-uveitis yangaphakathi kuboniswa ububomvu obukhulu bezinhlamvu zamehlo, isifo esivelisiwe sobuhlungu, umuzwa wesisindo esweni, ukukhishwa futhi, kwezinye izimo, i-photophobia. Kulokhu, abafundi bayancipha futhi ingcindezi ye-intraocular ingakhula;
3. Inkomba engu-3 i-uveitis yangaphakathi ukuvuvukala kwamehlo womabili, ukufiphala nokwehla kwamehlo;
4. 4 iridocyclochoroiditis ingahle iqhambuke ngemuva kwesizinda sepsis;
5. 5 iphenathi ihlanganisa izimpawu zesifo sangasese sangaphakathi nangaphandle.

Izinkinga ze-uveitis

Ngokwelashwa okungalungile noma okungakafiki, i-uveitis ingaholela ekubhekaneni nolwelwesi lwamehlo, i-retina detachment, i-angle-closure glaucoma, kwehle ukubonwa okubonakalayo, kuze kuphele ubumpumputhe, kanye ne-infarction ye-retinal.

Ngesisekelo se-uveitis engalashwa, i-retinal dystrophy, ukulimala kwe-optic nerve, ukukhula komfundi, izinguquko ekwakhekeni kwelensi, i-atrophy ye-choroid ne-edema yekhanda le-optic nerve.

Ukwelashwa kwe-uveitis emithini ejwayelekile

Ukuvimbela ukuthuthukiswa kwezinkinga ezingenakulungiseka, ukwelashwa kwe-uveitis kufanele kwenziwe kuphela ngudokotela wezifo zamehlo. Ukuzelapha ngokwakho kwe-uveitis akwamukelekile. Ngemuva kokuthola nokuthola imbangela yalesi sifo, udokotela ubeka ukwelashwa okuhlose ukuvimbela izinkinga ezingaholela ekulahlekelweni kombono.

Ama-Uevites wemvelaphi ethathelanayo aphathwa endaweni ngamaconsi elwa namagciwane futhi alwa nokuvuvukala, ama-gel namafutha okugcoba, futhi ngokuhleleka ngosizo lwamathebulethi nemijovo. Uma kunesidingo, isiguli sinqunyelwe ama-antibiotic kanye ne-cytostatics.

Iphuzu eliyinhloko ekwelapheni i-uveitis ukusetshenziswa kwezidakamizwa ze-steroid. Uma ingcindezi ye-intraocular yanda, kunconywa i-hirudotherapy. Izinqubo ze-Physiotherapeutic ezifana ne-electrophoresis ne-phonophoresis zinikeza imiphumela emihle ekwelapheni i-uveitis.

I-uveitis yesibili idinga ukwelashwa kwalesi sifo. Ama-immunomodulators asetshenziswa ngempumelelo ekwelapheni i-uveitis; zingasetshenziswa ngokuhlangana ne-corticosteroids, ngaleyo ndlela zinciphise umthelela wazo olimazayo emzimbeni.

Kwezinye izimo, ukuhlinzekwa kuboniswa ngendlela yokujova kwe-intravitreal, i-vitrectomy ne-phacoemulsification.

I-Uveitis idinga ukwelashwa okuhlala isikhathi eside futhi okuhlelekile, ngoba lesi sifo sithambekele ekuphindeni sibuye. I-Anterior uveitis ingalapheka emavikini angu-4-6, kuyilapho i-posterior uveitis ingathatha izinyanga ezimbalwa ukuyelapha.

Qaphela!

Abaphathi abanacala nganoma yimuphi umzamo wokusebenzisa imininingwane oyinikiwe, futhi akuqinisekisi ukuthi ngeke ikulimaze wena uqobo. Izinto zokwakha azinakusetshenziselwa ukunquma ukwelashwa nokwenza ukuxilongwa. Njalo thintana nodokotela wakho onguchwepheshe!