Uveitis, Scleritis, kunye ne-Eye Eye Syndrome
Uninzi lwabantu bacinga ukuba i-arthritis yodwa isifo esihlangeneyo. Kuxhomekeke kuhlobo lwesifo se-arthritis , kunokubakho imiphumo ye- systemic yesifo, iingxaki, kunye nezimo ezinzima .
Ngokomzekelo, iimeko zesiganeko sokuvutha ezibandakanya i- rheumatoid arthritis , i- systemic lupus erythematosus , isifo se-Sjogren , i- spondyloarthropathies , i- vasculitis , isifo se-Behcet kunye ne- dermatomyositis , inokudibana neengxaki zamehlo.
I-Eye Anatomy
Iliso liyinkqubo eyinkimbinkimbi. Inxalenye yangaphambili yeli liquka i-cornea kunye ne-lens. Zomibini zizakhiwo ze-avascular (ngaphandle kwemithambo yegazi) ngokuqhelekileyo. Kukho igumbi elingaphandle elizaliswe ngamanzi amaninzi (amanzi amanzi). I-uveer yangaphakathi iquka iris kunye nomzimba we-ciliary. Ingxenye engezantsi ye-uvea ibizwa ngokuba yi-choroid, isiscudiyo esine-vascularrized ehlala emva kwe-retina. Naliphi na isabelo se-uvea sinokutsha, kunye nezicubu ezijikelezayo.
Isimbozo sangaphandle semhlophe saso sibizwa ngokuba yi-sclera. I-sclera kunye ne-cornea badibana ukuze benze i-legmbus phambi kweso. I-retina yincinci engaphakathi kweso-inxalenye yokwandiswa kwengqondo kwaye inokukwazi ukuphendula kwimpawu ezibonakalayo.
Qaphela iimpawu
Ukuba ufumana umbono ongaqhelekanga, kufuneka uqhagamshelane nodokotela wakho, ngokukhethekileyo wakho we-rheumatologist. Uya kunikwa ukuthunyelwa ekuboneni i-ophthalmologist.
Iimpawu kunye neempawu onokuzifumana zixhomekeke kwinxalenye yeso elithintekayo okanye ngandlela-thile. Kwezinye iimeko, ukulibaziseka unyango kunokubangela ukuba ungaboni, ngoko wuthathe ngokungqongqo kwaye uhlolwe iimpawu zakho.
I-Eye Eye Syndrome
I-Keratoconjunctivitis sicca ibizwa ngokuqhelekileyo njenge-eye eye syndrome.
Ingxaki yamehlo eqhelekileyo enxulumene ne-rheumatoid arthritis, enomdla phakathi kwama-15-25 ekhulwini. Njengoko ungalindela, injongo ephambili yokunyanga kwamehlo omlomo omeleyo kukuzalisa iinyembezi kwaye igcine ifilimu yokulila.
Uveitis
Njengoko igama layo lichazwa, uveitis ukuvuvukala kwe-uvea edala ukukhukhumeza nokucaphukisa. Interior uveitis, uhlobo oluqhelekileyo lwe-uveitis, ludibene nokuvuvukala kwinqanaba langaphambili liso. Ekubeni iris ihlala yinto ebandakanyekayo, ngamanye amaxesha kuthiwa iritis.
I-uveitis yangasemva ichaphazela inxalenye yecala ye-uvea, ngokubanzi iquka i-choroid. Xa i-choroid kuphela ibandakanyeka, ibizwa ngokuba yi-choroiditis. Xa i-retina ibandakanyeka, ibizwa ngokuba yi-chorioretinitis. Kanti olunye uhlobo lwe-uveitis yi-pars planitis ebangelwa ukuvuvukala kwendawo engcitshisiweyo (pars plana) ehlala phakathi kwe-iris kunye ne-choroid.
Iimpawu ze-uveitis zingabandakanyeka umboniso, intlungu yamehlo, amabala amnyama ahambayo, uvakalelo ekukhanyeni, kunye nokubomvu kweso. I-uterior uveitis ihamba ngeentsuku ezimbalwa ukuya kwiiveki, unyango. I-uveitis yangasemva inokuhlala kwinyanga ukususela kwiminyaka kwaye ingabangela umonakalo ongunaphakade, nangona unyango. I- corticosteroids yomlomo okanye i-steroid isohliswa kwamehlo ngokuqhelekileyo isetyenziselwa ukunyanga i-uveitis.
Amanye amanani: malunga neepesenti ezingama-80 ze-uveitis ezenzeka kubantwana zidibene ne -arthritis yabantwana . Phantse ama-50 ekhulwini labantu abahlakulela i-uveitis yangaphakathi bayakhawulela i- HLA-B27 . Phantse iipesenti ezingama-80 zabantu abane-HLA-B27-ehlobene ne-uveitis yangaphambili nayo ine-spondyloarthropathies.
Scleritis
I-scleritis ibangelwa ukuvuvukala kwe-sclera. Kukho izigaba ezihlanu ze-scleritis: i-disperse anterior, nodular, necrotizing, scleromalacia perforans, kunye ne-posterior. Iliso elibuhlungu, elibomvu luphawu lwesifo se-anterior, nodular, okanye se-scleritis. Nge-scleromalacia perforans, intlungu inokuhluka kwaye i-nodule ephawulekayo (enjengeengqungquthela ze-rheumatoid) ikhula kwi-sclera.
Ubuhlungu buyahlukahluka nge-posterior scleritis. Umbono ogqityiweyo, ukugqithwa kweso, ukuqonda ukukhanya, kunye neebomvu ezibomvu kwicala elimhlophe lelihlo liyakwenzeka.
Abantu abane-scleritis bangahlakulela ezinye iingxaki zamehlo, ezifana ne-uveitis, i-glaucoma, i-edema ye-nerm, ne-retinal okanye i-choroidal distortion. I-scleritis eyingozi ingabangela ukucuthwa kwe-cornea enokubangela ukuba yimfama.
Iimeko ezihambelana ne-scleritis ziquka i-granulomatosis kunye ne-polyangiitis (ingaba isantya kuqala) kunye ne-rheumatoid arthritis (ngokuqhelekileyo ngexesha elide, i-RA ene-seropositive). I-rheumatoid arthritis ibandakanya i-18 ukuya kwi-33 ekhulwini yamatyala e-scleritis.
Unyango lwe-scleritis ungaqala ngeziyobisi ezingekho komzimba ezichasayo kunye nenkqubela kumlomo we-prednisone, i-steroid isohlo, okanye i-injection steroid zendawo. I-scleritis ihlala iqhubeka, ihlala iminyaka.
Imithombo:
Ukubonakaliswa kwe-Ocular yezifo eziZimali. WaseMerika ugqirha. Patel SJ et al. Septemba 15, 2002.
http://www.aafp.org/afp/2002/0915/p991.html
> Scleritis. MedlinePlus. 9/3/2012.
http://www.nlm.nih.gov/medlineplus/ency/article/001003.htm
> I-Eye neRheumatic Diseases. Isahluko 44. UJames T. Rosenbaum. I-Kelly's Bookbook yeRheumatology. I-ninth edition. Elsevier Saunders.
> Uveitis. MedlinePlus. 9/3/2012.
> http://www.nlm.nih.gov/medlineplus/ency/article/001005.htm