Uveitis ichaphazela abanye abantu abane-IBD kwaye banokukhokelela ekulahlekelweni kombono
Sibanzi
Isifo sesibindi sokuvuvukala (IBD) asichaphazeli kuphela indlela yokutya , kodwa idibene neemeko kwezinye iindawo ezithile zomzimba . Amehlo abukeka njengendawo engalindelekanga ukuba ithinteke, kodwa ngokwenene kukho iimeko ezininzi zamehlo ezixhaphake kakhulu kubantu abane-IBD. I-Uveitis yimeko yesiso esingaqhelekanga ehambelana ne-IBD.
Ukuba ungakhange uxoxwe, unokukhokelela ekulahlekelweni kombono.
Abantu abane-IBD abafunanga kuphela ukunakekelwa rhoqo kwi-gastroenterologist, kodwa ukunyamekela rhoqo kwideskithi yamehlo kuyadingeka. I-Uveitis kunye nezinye iimeko zamehlo ezinxulumene ne-IBD aziqhelekanga kodwa kubalulekile ukuba zifumaniswe kwaye zonyango ngokukhawuleza ukuba ziyakhula. Abantu abane-IBD abaneentlungu zesohlo ngokukhawuleza okanye ezinye iimpawu kwiso kufuneka babone ugqirha wezilwanyana ngokukhawuleza baze babize i-gastroenterologist.
Uveitis ukuvuvukala kwinqanaba eliphakathi kweso - i-avea. I-uvea iqukethe iris (inxalenye yebala), i-ciliary body (izicubu ezijikeleze i-lens yelanga), kunye ne-choroid (imithwalo yegazi kunye nezicubu phakathi komhlophe welihlo kunye ne-retina). Uveitis ingaba yimeko engapheliyo. Iintlobo ze-uveitis ziquka:
- Ngaphakathi: Ukuvuvukala kufumaneka kwi-iris
- Ukusabalalisa: Ukuvuvukala kwi-avea
- Phakathi: Ukuvuvukala kumzimba weciliary
- I-Posterior: Ukuvuvukala kwe-choroid
Iimpawu
Xa uhambelana ne-IBD, ukuqala kwe-uveitis kungabonakali, kwaye i-uveitis ingaba khona phambi kokuba i-IBD ifumaneke. Iimpawu ze-uveitis zihluke ngokuxhomekeka kohlobo:
- Ngaphakathi: Ukuqonda ukukhanya, intlungu, iso elibomvu kunye nokulahleka kombono
- Ukusabalalisa: Ukubonakalisa ukukhanya, intlungu, iliso elibomvu, ukulahleka kombono, umbono ophazamisekileyo, kunye neendawo zokuhamba
- Ephakathi: Ngokuqhelekileyo ayibuhlungu, imbono ephosakeleyo, iindawo zokuhamba
- I-Posterior: Ngokuqhelekileyo ayibuhlungu, imbono ephosakeleyo, iindawo zokuhamba
Izizathu
I-Uveitis idibene nezifo ezinokuvuthayo ezininzi kubandakanya i- rheumatoid arthritis , i- sarcoidosis , i-lupus, ne-IBD. I-Uveitis nayo ingabangela ibhaktheriya okanye isikhunta; ukulimala kwiso; okanye ukuvezwa kwezinye iikhemikhali ezinobuthi. Kwezinye iimeko, akukho sizathu esicacileyo esinokufunyanwa kuphuhliso lwe-uveitis. Kukho kwakhona inxalenye yezofuzo kwi-uveitis, njengoko i-gene ebizwa ngokuba yi- HLA-B27 ifumaneka ukuba inxulumene neninzi yeengxaki ze-uveitis kubantu abane-IBD.
Ukukhula
Kwindawo ethile phakathi kwe-.5 ne-9 ekhulwini labantu abane-IBD baya kuphuhlisa i-uveitis. I-Uveitis iphindwe izikhathi ezine eziqhelekileyo kubasetyhini kunamadoda, kwaye malunga neepesenti ezingama-75 zalabo abaphuhlisa i-uveitis banalo uhlobo lwe-arthritis. Bobabini amehlo bachaphazelekayo kwaye imeko ihlala ingapheliyo.
Unyango
I-uveitis engeyiyo yonyango kukuvuvukala kweso, kwaye unyango luquka rhoqo i-steroid ukunciphisa ukuvuvukala. Ifom ye-steroid (ukuwa kwejoni, ipilisi, okanye injoyi) iya kuxhomekeka kuhlobo lwe-uveitis.
Uveitis phambi kwiso (ingaphakathi) inokuphathwa ngamaconsi esiso steroid. Amanye amaconsi asehlo anganikwa kwakhona ukunyanga iintlungu. I-uveitis engaphantsi ayinakuphulukiswa ngamaconsi asehlo, kwaye i-steroid kwifilisi okanye ifom ye-injection isetyenziswa rhoqo. I-Steroids kwifomu yepilisi ineempembelelo ezichaphazelekayo ezihlukeneyo , kwaye zenziwa kuphela kwiimeko ezingapheliyo okanye ezinganyangekiyo kwezinye iindlela.
Unyango olutsha lwe-uveitis olungapheli luquka ukufaka i-instile emva kweso elinikezela i- corticosteroids ngokuqhubekayo kwixesha eli-2 1/2 leminyaka. Olu unyango lungabangela i- cataracts okanye i- glaucoma .
Kwiimeko apho imeko yokuvuvukala efana ne-IBD okanye i-arthritis ikhona, ukunyangwa kwimeko ephakamileyo iphinda ikhuthazwe.
Ngaphantsi
Amehlo akho abalulekile, kwaye uyazi ukuba i-IBD ingaba nefuthe kubo. Ukubona ugqirha wakho weziliso rhoqo kubaluleke kakhulu. Ungakulibala ukwenza ugqirha wakho wazi ngesifo sakho seCrohn okanye i-ulcerative colitis. Abantu abane-IBD baya kufuneka banakekele ukuhlala phezulu kwezempilo kweso. Naluphi na into engaqhelekanga ngamehlo akho okanye kwamehlo akho kufuneka axelelwe oogqirha bakho ngokukhawuleza. Ngaloo ndlela, unako ukuhlala phezulu kwi-IBD kunye ne-eyesight yakho ngenjongo yokunyanga naziphi na iingxaki ngokukhawuleza ngaphambi kokuba zibe ziingxaki ezinkulu.
Imithombo:
Lyons, JL, Rosenbaum, JT. "I-Uveitis enxulumene nesifo sesibindi sokuvuvukala xa kuthelekiswa ne-uveitis ehambisana ne-spondyloarthropathy." I-Arch Ophthalmol 1997; 115: 161. 10 Okthoba 2014.
I-Orchard TR, Chua CN, Ahmad T, Cheng H, Welsh KI, Jewell DP. I-uveitis kunye ne-erythema nodosum kwizifo ezigulisa izibilini: iimpawu zeklinikhi kunye nendima yamaGLA e-HLA. "I- Gastroenterology Septemba 2002, 123: 714-718.
Paiva, ES, Macaluso, DC, Edwards, A, Rosenbaum, JT. "Ubungqina be-uveitis kwizigulane ezine-storiatic arthritis." Ann Rheum Dis 2000; 59:67. 10 Okthoba 2014.