Le meko engaqhelekanga yamehlo inokubambisana ne-IBD
Isifo sesibindi sokuvuvukala (IBD) sikhumbuza imeko echaphazela i- digestive tract , kodwa isifo sikaCrohn kunye nesifo sesilonda sinokuchaphazela nezinye iindawo zomzimba. I-IBD idibaniswa neengxaki ezingaphandle kwamathumbu, ngamanye amaxesha abizwa ngokuba yimibonakaliso eyongezelelweyo yamathumbu. Ezinye zezinto eziqhelekileyo ezibonakalisiweyo zamathumbu ziimeko zesikhumba, ezinye iifom ze-arthritis kunye neemeko zamehlo.
Isifo sesiso akuyona inkxalabo yokuqala ongayicinga ngayo xa kuziwa kwi-IBD. Kodwa enyanisweni, kukho iimeko ezininzi zamehlo eziqhelekileyo kubantu abafumene i-IBD. Kwezinye iimeko, ukuxilongwa kwe-IBD kunokuza emva kweengxaki amehlo afunyanwa. Elinye iso lesiso edibene ne-IBD yi-episcleritis. I-episcleritis yimeko yesohlo engaqhelekanga ehambelana ne-IBD eya kuzinzimela ngokwazo kwaye ngokubonga ayikhokelela ekulahlekelweni kombono. Nangona kunjalo, kunokubangela ukuba amehlo abomvu aze athukuthele, enokubangela ingxaki kunye nokuchaphazela umgangatho wobomi bomntu.
Sibanzi
I-episcleritis ivuvukala kwi-episclera yelihlo. I-episclera yimizimba elala phezu kwe- sclera (umhlophe welihlo). Iimpawu ziqala ngokukhawuleza kwaye zi nokuba kwelinye iliso okanye zombini amehlo.
Uninzi lweziganeko (malunga neepesenti ezingama-70) ze-episcleritis zenzeka kubasetyhini, kwaye imeko iqhelekile kubantu abadala nabasemgangathweni.
Nakuphi na ukuvela kwi-2 ukuya kwe-5 ekhulwini labantu abane-IBD baya kuphuhlisa i-episcleritis. Ngokuqhelekileyo i-episcleritis iya kuxazulula xa i-IBD ephantsi ilawulwa.
Iimpawu
Iimpawu ze-episcleritis zingaquka:
- Olubomvu okanye obomvu kumhlophe welihlo
- Ukuthukuthela
- Iimodyuli kwi-episclera
- Ubuhlungu (kodwa oku akunjalo)
- Ukunisela
Izizathu
Kwiimeko ezininzi, imbangela ye-episcleritis ayiyazi. Kwezinye iimeko, i-episcleritis icinga ukuba yiphumo lokuphendula ngomzimba. Kudibaniswa nezifo eziliqela kunye nezifo ezifana nezi:
- Irheumatoid arthritis
- Sjogren syndrome
- Syphilis
- Isifo sofuba
Unyango
Kwiimeko ezininzi, i-episcleritis yimeko yokuzikhupha kwaye iya kuzincoma yona ngaphandle kwonyango. Uninzi unyango lunikezelwa ukunceda ukunciphisa ukuphazamiseka kwiimpawu. Iinyembezi zokuzibandakanya zinokuba luncedo, kwaye zingasetyenziswa de i-episcleritis isisombululo. Kulabo bafumana intlungu okanye ingxaki, iimahla ezinama-non-steroidal anti-inflammatory (NSAID) zingasetyenziselwa iiveki ezimbalwa. Ukuba amanyathelo angasentla anganiki naluphi na uncedo, i-NSAID yomlomo inganyulwa ukuba incede ngeempawu. Kwiimeko apho kukho iigununu, umlomo we-steroid ngomlomo ungasetyenziswa, kodwa oku kunqabile.
I-episcleritis ehambelana nemimiselo engagqibekanga efana ne-IBD, unyango lunomxholo we-static steroid. I-headical steroids yandisa ingozi kwezinye iimeko zamehlo ezifana nokusuleleka, i-cataract kunye ne- glaucoma ukuze ukusetyenziswa kwazo kubenokufutshane njengoko kunokwenzeka. Ukunyangwa kwesimo esizenzekelayo siyakucetyiswa kwakhona.
Ngaphantsi
Ngamanye amaxesha kunokwenzeka ukuba abantu abangenayo nayiphi na imeko okanye izimo ezixhatshazwa ngumzimba baya kuphuhlisa i-episcleritis. Ukuba kunjalo, kunokubakho isizathu sokuqhagamshelana nodokotela wezonyango zangaphakathi kwaye ubone ukuba kukho ubungqina obaneleyo bokuvavanya ingxaki engundoqo ehambelana ne-episcleritis.
Kuba abantu abane-IBD, bayaziwa ukuba le mibini mibandela ingahamba kunye. Ukubona ugqirha weziliso rhoqo kunye nokunyamekela amehlo ukukhusela nayiphi na intsholongwane okanye ukulimala kubalulekile kubantu abane-IBD.
Imithombo:
I-Petrelli EA, uMcKinley M, iTroncale FJ. "Imbonakalo ye-i-slide yesifo sesibindi." Ann Ophthalmol Apr 1982; 14: 356-360.
Ilitye JH, Dana MR. "Episcleritis." Ngomhla ka- 6 Jan 2010.
Vorvick L, Zieve D. "Episcleritis." ADAM 15 Julayi 2008.