Gawo lakunja la disoli liri ndi magawo atatu - nembanemba, iris ndi ciliary (ciliary) thupi. Kuwotcha kwawo kumatchedwa (mwachisawawa) poslow uveitis , mosagwedezeka ndi phokoso. Matenda awiri omalizira ndi osowa kwambiri, chifukwa cha magazi ambiri omwe amapezeka nthawi imodzi.
Iridocyclitis - matendawa ndi chiyani?
Dzina lina la ndondomekoyi ndiloperewera. Matenda a m'maso Iridocyclitis ndi kuphatikiza kwa kutupa kwa iris ndi thupi lachiliary. Nthawi zina, choyamba, mbali imodzi yokha ya mbali ya diso ya diso imakhudzidwa, koma chifukwa cha kugwirizana kwachibadwa kwa atomiki, yachiwiri nthawi zonse imakhudzidwa. Matendawa amapezeka pa msinkhu uliwonse, makamaka kuyambira zaka 20 mpaka 40.
Yoyamba Iridocyclitis
Izi zimaphatikizapo matenda omwe amadziwika ndi zizindikiro zake. Ngakhale subacute iridocyclitis ili ndi zizindikiro, zomwe zimapangitsa kuti matendawa asamawoneke ndikuwonekeratu kumayambiriro koyamba. Mtundu uwu wa matendawa umadziwika ndi chithunzi chotere:
- ululu waukulu m'maso ndi pafupi ndi kachisi;
- kusemphana nthawi zonse;
- chithunzi ;
- wofiira wa mapuloteni;
- kuwonongeka kwa maonekedwe ;
- kupuma kwa iris;
- wophunzira wamng'ono;
- kuonekera kwowonjezera mitsempha ya mitsempha;
- kusintha mtundu ndi mtundu wa iris.
Chronicydocyclitis
Nthawi zambiri (pafupifupi 70 peresenti ya milandu), matenda omwe ali mu funsowo amalowa pang'onopang'ono. Nthawi zambiri iridocyclitis ikuphatikiza ndi symptomatology yofatsa, chifukwa cha zomwe odwala sayenera kukambirana ndi ophthalmologist panthawi yake. Polimbana ndi njira yaulesi ndi matenda opanda vutoli, mavuto aakulu amayamba, mwachitsanzo, kusanganikirana kwa malo angapo a mwana (synechia) kapena matenda ake onse.
Ndi koopsa kunyalanyaza matenda a iridocyclitis - mankhwala pakapita nthawi matendawa samathandiza nthawi zonse. Zotsatira zake, zimachititsa amblyopia yosalala ndi kupunduka kwa thupi kapena matenda a mwanayo. Nthaŵi zina kumabweretsa kuwonongeka kosasinthika ku gawo lonse lakunja la diso lotayirira komanso kusokonezeka kwa masomphenya.
Iridocyclitis - zimayambitsa
Zomwe zili kunja ndi zowonjezera zingayambitse matenda. Kaŵirikaŵiri matenda oopsa amapezeka ndi iridocyclitis, omwe amapezeka chifukwa cha kuwonongeka kwa diso. Izi zimaphatikizapo kusokoneza, ntchito za ophthalmic, kuvulala ndi zofanana. Zina mwa zinthu zomwe zimayambitsa iridocyclitis sizomwe zimayambitsa:
- zizindikiro za mafupa;
- mabakiteriya, mavairasi ndi ma protozoal;
- zizindikiro za fungal;
- foci ya kutupa kosatha m'kamwa ndi nasopharynx;
- kusokonezeka mu njira zamagetsi;
- matenda a endocrine;
- machitidwe osadziwika;
- keratitis ;
- njira zodzipangira.
Iridocyclitis - zizindikiro
Mafotokozedwe ndi zizindikiro za chithunzi cha kuchipatala zimadalira chifukwa chake, mkhalidwe wa chitetezo cha m'deralo ndi chachikulu. Zizindikiro za iridocyclitis zimagwirizana ndi mawonekedwe a matenda. Sankhani mitundu yotsatira ya matenda:
- serous;
- chithunzi;
- purulent;
- tizilombo toyambitsa matenda.
Serous iridocyclitis
Matendawa amatha mosavuta kuposa ena, ali ndi maulosi abwino kwambiri. Matenda a iridocyclitis a serous mawonekedwe amadziwika ndi kusonkhanitsa mu chipinda chamkati cha diso la serum exudate (turbid liquid). Izi zikuphatikiza ndi zizindikiro zotsatirazi:
- wophunzira wosokonezeka;
- kulalira ;
- kuwopa kuunika;
- kupweteka m'maso;
- edema ndi wofiira wa iris;
- kufalikira pang'ono kwa mitsempha ya mitsempha;
- kusinthasintha kwa kupanikizika kwa m'mimba;
- Kuwonongeka kwa maonekedwe ("chophimba");
- wophunzira wamng'ono.
Ngati matenda omwe ali ndi serous iridocyclitis akafika nthawi yake, chithandizo chidzafulumira komanso chosavuta. Matenda amtundu uwu amachititsa bwino kuchipatala kumayambiriro koyamba ndipo samayambitsa mavuto ambiri. Chifukwa cha matendawa, fibrinous anterior uveitis nthawi zambiri imagwirizanitsidwa. Zikatero, chiopsezo cha retina ndi chitukuko cha secondary glaucoma ndi chapamwamba.
Firinasi iridocyclitis
Matenda amtunduwu amadziwikanso ndi kusungunuka kwa exudate m'chipinda chamkati cha diso, koma mmalo mwa whey muli ndi mapuloteni omwe amapanga pamene magazi amagawanika. Zokongoletsera-plastiki iridocyclitis nthawi zonse zimayamba mwachidwi ndipo zimatsatiridwa ndi zizindikiro zonse zomwe zimayesedwa. Kuonjezerapo, zizindikiro zotsatirazi zikutchulidwa:
- mawonekedwe a vitreous humor;
- kumverera kwa kupweteka mu diso;
- kusanganikirana kwa madera ena a wophunzira;
- kusintha mu mawonekedwe ndi mthunzi wa iris;
- blepharospasm;
- kuchepetsa kupanikizika kwa m'mimba .
Matendawa nthawi zina amachititsa mavuto aakulu komanso osasinthika. Synechia ikhoza kuphimba nkhope yonse ya wophunzirayo, yomwe idzatsogolere matenda ake (occlusion). Nkofunika kuti musalole iridocyclitis yotere - chithandizo cha mtundu wovuta wa matenda ndi wovuta ndipo nthawi zambiri sichigwira ntchito. Ziri zosatheka kubwezeretsa masomphenya pambuyo pa matenda a ophunzira.
Purulent iridocyclitis
Kusiyana kwa mtundu wa anterior uveitis kumayambira kutsogolo kwa matenda opatsirana ndi bakiteriya. Diso la purulent iridocyclitis la diso limayamba chifukwa cha angina, mapirrhea, furunculosis ndi zilonda zina zam'thupi. Matendawa amapita molimba, amakula mofulumira. Pakangotha maola angapo, pulogalamu ya purulent exudate imapezeka mu chipinda chamkati cha diso, ndipo zizindikiro zake za iridocyclitis zimaonekera:
- kuwonongeka kwakukulu kwa maonekedwe;
- kutupa ndi kufiira kwa conjunctiva;
- ululu wosapweteka pa diso lovulala ndikukwera kuchokera kumbali yoyenera;
- wophunzira wosokonezeka;
- kusintha mtundu wa iris kukhala wopota kapena wobiriwira (kumadalira mtundu wa diso);
- chithunzithunzi cha mapuloteni;
- mapangidwe a synechia pamphepete mwa wophunzira;
- kuchepetsa kupanikizika kwa m'mimba.
Viral iridocyclitis
Mtundu wa matendawa umakhala wovuta kwambiri, koma umakhala ndi zovuta zopweteka kuposa mitundu ina ya matenda. Pafupifupi 90 peresenti ya matenda amayamba kukhala ndi imfine iridocyclitis, imabwera chifukwa cha kubwereka kwa tizilombo m'madera oyandikana nawo (pamaso, mphuno, mmero). Zizindikiro zenizeni za mtundu uwu wa anterior uveitis:
- redness sclera;
- Kusokonezeka kwa serous kapena fibrinous exudate m'chipinda chamkati cha diso;
- masomphenya omveka;
- kulalira;
- kusakanikirana kokha kwa ophunzira omwe ali m'mphepete mwa kapule wa disolo;
- kuwonjezeka kwa intraocular.
Iridocyclitis - Kudziwa
Onetsetsani kuti matendawa amatha kokha katswiri wodziŵa bwino matenda a ophthalmologist. Ndikofunika kudziwa kuti ndi mtundu wanji komanso chifukwa chake iridocyclitis wayamba - mankhwalawa ayenera kulingana ndi mtundu wa anterior uveitis ndi causative agent. Choyamba, dokotala amachititsa kufufuza kwina kwa diso lowonongeka, amasonkhanitsa an anamnesis, amachititsa palulo ya apulo. Zitatha izi zikuchitika:
- zojambulajambula;
- kuchuluka kwa mphamvu ya m'mimba ndi tonometry;
- chithunzi chowoneka;
- kufufuza kwa ultrasound.
Kuti mudziwe chomwe chimapangitsa kuti diso likhale lachilendo kapena lachilendo la iridocyclitis, zotsatirazi ndizo:
- coagulogram;
- kafukufuku wambiri ndi sayansi ya magazi, mkodzo;
- mayesero a rheumatic;
- enzyme immunoassay (ELISA);
- mapuloteni othandizira mapulogalamu (PCR diagnostics);
- mayesero opatsirana;
- kuphunzira za mlingo wa maselo otchedwa immunoglobulins m'magazi ndi misozi yamadzimadzi.
Nthawi zina zimalimbikitsidwa kupanga mafilimu, mapepala a paranasal. Kuti afotokoze za matendawa, katswiri wamagetsi angatanthauze akatswiri odziwika bwino:
- kwa stomatologist;
- rheumatologist;
- otolaryngologist;
- phitisi;
- dermatovenereologist;
- wotsutsa.
Iridocyclitis - mankhwala kunyumba
Thandizo la matenda omwe amalingaliridwa akuchitika kuchipatala. Dokotala wodziwa yekha angathe kusankha momwe angachitire iridocyclitis, pogwiritsa ntchito zotsatira za kafukufuku wa masukulu ndi ma laboratory. Kuyesera kuyimitsa njira yotupa kungayambitse kusintha kwakukulu ku mawonekedwe osatha ndi zovuta zomwe siziwopsyeza zowoneka bwino, komanso kukhalapo kwa diso:
- chowongolera;
- wophunzira;
- chorioretinitis;
- wachiwiri glaucoma;
- kusokoneza thupi la vitreous;
- gulu la retina;
- chosowa;
- endo- ndi panophthalmitis;
- kupweteka kwa diso;
- khungu.
Iridocyclitis - mankhwala, kukonzekera
Njira yothetsera matenda a matendawa ikuphatikizapo njira zosayembekezereka komanso zowonongeka. Choyamba, mankhwala osokoneza bongo amagwiritsidwa ntchito kuti asiye kutupa, kuchotsa matenda opweteka ndikuletsa kupanga ma synechia. Pa tsiku loyamba la mankhwala, madontho a diso amalembedwa kuti iridocyclitis, kuchepetsa ophunzira (mydriatica):
- Kupanga;
- Atropine;
- Midratsil;
- Adrenaline;
- Zokambirana komanso zofanana.
Pofuna kulimbikitsa zotsatira za mankhwalawa ndi kuletsa kuwonongeka kwa mankhwala, madontho odana ndi kutupa amawonjezeredwa mu iridocyclitis ndi analgesic properties:
- Chidutswa;
- Indomethacin;
- Naklof ndi ena.
Ngati kutupa ndi koopsa kwambiri ndipo kumapweteka kwambiri, ndipo mankhwala omwe alipo kale sathandiza, zotsatirazi zikuchitidwa:
- subconjunctival injections ya steroids ( dexamethasone );
- jekeseni wa antibiotic ndi zochitika zambiri (Ciprofloxacin);
- pyloric ndi orbital blockades (Novokain).
Kuchepetsa zizindikiro za matenda kumathandiza:
- antihistamines (Suprastin, Claritin);
- mankhwala omwe amachepetsa kuperewera kwa capillaries (Dicycin, Etamsilate);
- mankhwala opweteka (Ibuprofen, Ketanov).
Pambuyo pa chithandizo chodzidzimutsa cha iridocyclitis, mankhwala okonzedweratu akupangidwa. Cholinga chake ndicho kuthetseratu chitukuko cha matenda, kubwezeretsedwa kwa ntchito za thupi lachilendo ndi iris, kuwonetsekera kwa masomphenya komanso kupewa zovuta. Chiwembucho chimasankhidwa ndi ophthalmologist payekha ndipo chingaphatikizepo kukonzekera ndi njira:
- mankhwala;
- maantibayotiki;
- chithandizo;
- mafoni;
- chithunzi;
- proteolytics;
- zotsutsa;
- antiallergic;
- chithunzi;
- multivitamins;
- electrophoresis;
- mphamvu yamaginito;
- laser;
- plasmapheresis;
- chiwonetsero;
- kupititsa patsogolo.
Iridocyclitis - mankhwala ochiritsira, mankhwala
Ophthalmologists amaletsa njira iliyonse yodziletsa ndi anterior uveitis. Ndizoopsa kwambiri kuchita njira ina, ngati purulent kapena fibrinous yovuta iridocyclitis ikupita - mankhwala ndi mankhwala osagwiritsa ntchito mankhwala nthawi zonse amachititsa kutupa kwakukulu komanso mavuto aakulu. Kawirikawiri, "amateur" amatha kutuluka kwa matendawa kukhala mawonekedwe achizolowezi chosatha. Ndikofunika kuti mwamsanga mufunsane ndi dokotala ndipo panthawi yake yodziwa iridocyclitis - chithandizo chapakhomo chimangowonjezera kuwonjezereka kwa chikhalidwe.