I-Glaucomatocyclitic Crisis, okanye i-GCC, yimeko efana ne-glaucoma apho ukunyamezela kweso kwenyuka ngokukhawuleza, ngokuqhelekileyo kwiso linye nje. I-spike kwixinzelelo lamehlo ibangelwa ukugqabhuka ngokukhawuleza okuvela kwiso, kubizwa ngokuthi uveitis . I-Uveitis kukuvuvukala kwiphepha elivakalayo kwiso. I-uvea yinqwelomoya yezitye-ezityebileyo ezibandakanya i-ciliary muscle, i-muscle elawula ukugxila, kwaye ikwajongene nokuvelisa umkhuhlane kwindawo yangaphambili yelihlo.
Uxinzelelo lwamehlo okanye uhlaselo luya kufika ngokukhawuleza kwaye lugcine ukususela kwiiyure ezimbalwa kwiiveki okanye kwiinyanga. Uninzi lweziganeko zedlulileyo malunga neveki ezimbini. I-GCC idla ngokuhlala phakathi kweminyaka engama-20 ukuya kwe-50 kwaye ayifumaneki kubantu abadala kunama-60. Ngokuqhelekileyo, itholakala kubantwana.
Iimpawu
Abantu abaphuhlisa i-GCC bayakhalaza oku kulandelayo:
- Umbono obolileyo
- khathaza
- halos ezinemibala
- ebomvu kwamehlo
Kuyathakazelisa ukuba izigulane ezine-GCC azivame ukukhalaza ngeentlungu zentliziyo, ukuvakala kwengqondo, kunye neentlungu eziqhelekileyo iimpawu ze-uveitis. Enyanisweni, maxa wambi imeko ilahlekile ngenxa yokuba u-uveitis unobumnene.
Uveitis kunye noNgezelelo lweNdlebe
Kwiimeko ezininzi ze-uveitis, iiseli ezivuthayo kunye neefomfri kwifom yangaphambili yelihlo. Le nkunkuma iyanciphisa umbane kwaye iphinde ibandakanyeke kwiimfestile ezitshatyalaliswayo, umbhobho wokukhenkcela kwamehlo omlenze efumaneka kwinqanaba lelihlo. Kwi-GCC, kukho ukwanda okwenyukayo kwezinto eziphilayo ezibizwa ngokuba yi-prostaglandin kwimizi ehamba phambili kweso.
Ngexesha lokuhlaselwa, i-prostaglandin ingxubevange ikhuphuka kwaye ibangele ukuvuvukala kwimihlobiso engxenyeni eyenza ukuba i-fluid ikhuphe ngokungafanelekanga. Kwakhona, i-prostaglandin ibangela ukwanda kwendlela yokuvelisa amanzi ejongeni. Ngexesha lokuxolelwa, kukho ukuncipha okuphawulwe kwinqanaba le-prostaglandin kunye nokunciphisa ukuveliswa kwamanzi.
Ngokwenene, xa umbhobho wokukhenkceza ungagcini kakuhle kwaye kukho ukuveliswa kwamanzi, iliso alinakulihlutha ngokukhawuleza kwaye uxinzelelo ngaphakathi kwiso landa.
Izizathu
Iingcali zenzululwazi ziphakamisa ukuba i-GCC ibangelwa uhlobo oluthile lwegciwane, njenge-CMV ( cytomegalovirus ), okanye i-herpes zoster virus (intsholongwane yenkukhu yenkukhu). Uphando lubonisa ukuba i-fluid ezithathwe kwizigulane ezijongene neengxaki ze-glaucomatocyclitic ziye zavavanya zichanekileyo kwiinqununu ezincinci zee-virus. Akukho zixhobo eziphilayo ezifunyenweyo. Ezi zintsholongwane zenza ukuphendula okuvuthayo kuqale.
Ngaba i-GCC ingabangela ukuPhuphuka?
Xa ukuhlaselwa kwe-GCC kuvela, ingcinezelo yamehlo ingakhuphuka kakhulu kangangokuthi umonakalo uvela kwi-nertic optic (i-cable ye-nerve edibanisa isohlo kwintliziyo) kunye nocingo lwe-fibre nerve. Ukuba kukho umonakalo okwaneleyo, ukulahleka kombono kunokwenzeka, ngokuqhelekileyo kuqale kwinqanaba lombono wombono wakho. Ukuba ushiywe ungakhange uphathwe, ungasasazeka kumbono wakho ophakathi.
I-GCC vs I-Acle Narrow Closing Glaucoma
Ayikho i-glaucoma yokuvala i-angle ecacileyo yinto enokungazelelwe yimeko ebenokubangela ukunyuka ngokukhawuleza kwixinzelelo lwamehlo, kodwa kuziswa ngokunciphisa i-angle yeso. I-angle yelihlo yilapho i-meshwork ye-trabecular (ipayipi ye-drain) ifumaneka.
I-angle apho i-cornea ne-iris idibene nayo iyaqineka kangangokuba umbane awukwazi ukusinda. Abantu abanokuvalwa kwendlela yokuvala i-angle ye-angle kwaye abanalo u-uveitis kwaye banokukhalaza kakhulu intlungu. Kwizigulane ezineGCC, i-angle nayo ivulekile.
Unyango
Ekubeni ukuvuvukala kwiso kuyisisiseko sokunyuka kwengcinezelo, ezinamandla ezinxamnye nezifo ezinjenge-steroids ziyalelwe. Kwakhona, ama-drops eye-glacioma amaconsi amacwecwe anikezelwa ukunciphisa uxinzelelo lwamehlo. Iqela elithile lamachiza e-glaucoma okuthiwa i-prostaglandin analogs (esetyenziswa rhoqo njengonyango lokuqala kumagulane angapheliyo i-glaucoma) igwenywe njengoko inokuthi iyanciphise ukuvuvukala.
Ixesha elizayo unyango olunokuthi lujoliswe kumachiza antsholongwane ye-virus ukusuka ekubeni oososayensi bacinga ukuba kunokuba ne-virtual etiology.
Oko Okufanele Uyazi
I-GCC ihlala isifo esinobuhlungu kunye nesithintelo, nangona kwezinye izigulane zihlala ziphindaphindiweyo, umonakalo ongenagxobhozo we-glaucomatous ungenzeka. Kungcono ukuba nolwalamano oluhle kunye nogqirha kwamehlo akho ukuze unyango luqaliswe ngokukhawuleza ukuba imeko iqhubeka kwakhona.
> Umthombo:
> Sowka, J., Gurwood, A., kunye neKatat, A. Incwadi yesifundo solawulo lwezilwanyana, Ukuphononongwa kwe-Optometry, Udidi lwe-Sixteen Edition, 15 > Juni, 2014.