I-Scleromalacia perforans yimeko enzulu yamehlo engabangela ukulahlekelwa kombono. I-Scleromalacia perforans, eyaziwa nangokuthi i-necrotizing scleritis, yindlela ephezulu kakhulu ye-scleritis, ngamanye amaxesha iholele ekulahlekeni kweso. Iimeko zihlala zihambelana nesifo sesistim kunye nokubandakanyeka kwamalungu amaninzi.
I-Scleromalacia perforans ibonakaliswe ngokucutha kancinci kwe-sclera yelihlo kwaye ingahlulwa ngezigaba ezimbini, ngokuvuvukala ngaphandle kokuvuvukala.
Olu hlobo lwe-scleritis luvame ukudibanisa nesifo se-rheumatoid esinamandla.
Kwaziwa nangokuthi : I-Necrotizing scleritis
Yintoni i-Scleritis?
I-scleritis yukuvuvukala kwe-sclera, isembozo sangaphandle samhlophe kweso. Imikhumbi yegazi ihamba ngaphaya kwe-sclera kwaye ingabandakanyeka kwi-scleritis. I-scleritis ingonakalisa iliso, ibangele ubuhlungu obukhulu kunye nokulahleka kombono kwabanye abantu. Nangona i-scleritis ingadibana nokuxhatshazwa okanye ukusuleleka, amaxesha amaninzi ama-scleritis anxulumene nesifo esisisiseko se- rheumatoid arthritis , i-spondylitis e-ankylosing, i-systemic lupus erythematosus, i-polyarteritis nodosa, i-granulomatosis ye-Wegener, i-herpes yoster virus, igciwane kunye ne-syphilis. Le miqathango ibangela ukuvuvukala ngokubanzi kuwo wonke umzimba.
Iintlobo
I-anterior scleritis , uhlobo oluqhelekileyo, luchaphazela isabelo sangaphambili se-sclera. Kukho iintlobo ezintathu ze-scleritis yangaphambili:
- Ukusabalalisa i-scleritis yinto eqhelekileyo kwaye iyaphathwa kalula. Olu hlobo lubonisa ubomvu ngokubanzi kunye nokuvuvukala kwicandelo langaphambili le-sclera.
- I-nodular scleritis ine-nodules okanye i-bumps edlalwa yintsipho kumgca, ebusweni belihlo.
- I-Necrotizing scleritis (ebizwa ngokuba yi-scleromalcia perforans) yindlela ephezulu kakhulu ye-scleritis yangaphambili.
I-posterior scleritis iyona ifomu engavumelekanga. Ichaphazela isahlulo sangasemva kweso kwaye kaninzi ayinxulumene nesifo esiyinkqubo yesistim. Le fomu inokubangela iingxaki ezifana ne-retinal detachment kunye ne-glaucoma yokuvala i-angle.
I-Scleromalcia perforans i-akhawunti ye-4% kuphela ye-scleritis. Abantu abahluphekayo kwi-scleromalcia perforans baneentlungu ezinzima. Intlungu ingaba yinto enkulu kunokuba iso libonakala.
Izimpawu kunye neMpawu
- obomvu
- i-chemosis (ukuvuvukala okuhlangeneyo)
- ukukhukhuka kwejwabu
- proptosis (iliso eliphuma ngaphandle)
- Umbono wehla
Ukongezelela, oogqirha banokubona:
- iifolda ze-choroidal
- phezulu
- ukuvuvukala kwe-optic
- ukuvumba kwama macular
- i-retinal detachment
Iingxaki
- Ukulahleka kombono
- Inani elikhulu njenge-astigmatism
- Anterior uveitis
- Cataract
- Glaucoma
- Globe perforation
Inkxalabo enkulu kakhulu ye-scleromalcia perforans yintsipho yehlabathi. Xa kwenzeka le nto, unokwazi ukubona ngeplera, inxalenye emhlophe yeso, kwaye ubone izicubu ngaphantsi. Xa oko kwenzeka, i-graft scleral iya kugqitywa ngokugqithisileyo kwi-sclera. Uhlobo lweetyhuse ezisetyenziselwa ukuxhunyelelwa lunokuthi lube zizicubu. Kule meko, isigulane kufuneka sithathe iziyobisi ukuze ikhusele umzimba wayo wokukhusela ukukhutshwa kweethambo.
Unyango lwonyango lwe-scleritis xa lufika kule ngxaki lunzima. Oogqirha abaninzi baya kuzama i-steroids kunye ne-non-steroidal anti-inflammatory drugs, kodwa ababonakala bengasebenzi kakuhle. Izidakamizwa ezizodwa ze-immuno-modulatory zibonise isithembiso esithile.