Icandelo elingaphambili le-eyeball linamalungu amathathu-i-membrane ye-vascular, iris kunye ne-ciliary (ciliary) umzimba. Ukuvuvukala kwabo kubizwa (ngokulandelelana) u- uveitis ongaphaya, u-iritis and cyclite. Iimbalo ezimbini zokugqibela zizinqabile kakhulu kwiindawo ezizimeleyo, ngenxa yokunikezelwa kwegazi ngokuqhelekileyo zenzeka ngokuxeshanye.
Iridocyclitis - yintoni esi sifo?
Elinye igama le nkqubo yileveitisitis. Isifo sejoni Iridocyclitis yintlangano yokuvuvukala kwe-iris kunye nomzimba weciliary. Ngamanye amaxesha, okokuqala, enye inxalenye yecandelo langaphambili le-eyeball eye lichaphazelekayo, kodwa ngenxa yokuqhagamshelana kwe-anatomiki yokuvala, okwesibini ibandakanyeka. Esi sifo sifumaneka kwiyiphi na ubudala, ikakhulukazi ukususela kwiminyaka eyi-20 ukuya kwe-40.
I-Acrid Iridocyclitis
Olu hlobo lwe-pathology luhamba kunye neempawu ezichaziweyo kunye ezithile. Nangona i-iribacoclitis ine-features ephawulekayo, eyenza isifo sifumaneke lula kwaye sifunde kwiindlela zokuqala. Le fomu yesifo ibonakaliswe ngeso sikrini seklinikhi:
- intlungu ebuhlungu kwiso kwaye kufuphi netempile;
- ukukhala;
- photophobia ;
- ubomvu weprotheni;
- ukuwohloka kwezinto ezibonakalayo ;
- ukuvuvukala kwe-iris;
- ukunciphisa umfundi;
- Ukwandiswa kwemithambo yegazi;
- utshintshe umzekelo kunye nombala we-iris.
Chronicydocyclitis
Ngokuqhelekileyo (malunga nama-70% amatyala), isifo esibuzwayo siya kufutshane. I iridocyclitis engapheliyo ihlala ihamba kunye nezibonakaliso ezinobunzima, ngenxa yezigulane ezingayilungisi i-ophthalmologist ngexesha elifanelekileyo. Ngokuchasene nemvelaphi yenkqubo yokukhubazeka yokugula kunye nokungabikho kolwaphilo, iingxaki ezinzima zikhula, umzekelo, ukuhlanganiswa kweendawo ezininzi zomfundi (synechia) okanye isifo sakhe esipheleleyo.
Kuyingozi ukungaziboni i-iridocyclitis - unyango olungapheliyo kwisigaba esiphantsi kwesi sifo asinakunceda ngaso sonke isikhathi. Ngenxa yoko, ivelisa i-amblyopia engabonakaliyo kunye nokukhubazeka nokunyanzeliswa kwengqondo okanye ukusuleleka komfundi. Ngamanye amaxesha kukhokelela kumonakalo ongenakucinganiswa kwiqendu elipheleleyo langaphambili lelihlo elikhanyayo kunye nokulahlekelwa ngokupheleleyo kwemibono.
Iridocyclitis - izizathu
Izinto zangaphandle nangaphakathi zingabhubhisa izifo ezichazwe. Ngokuqhelekileyo i-traumatic i-iridocyclitis ephazamisayo, eyenzeka ngenxa yomonakalo owenziwe ngamehlo. Ezi zibandakanya ukunyanzeliswa, ukunyangwa kwezifo, ukulimala kunye nemiphumo efanayo. Ezinye izinto ezenza i Iridocyclitis zingabangela izizathu ezingenzizo:
- imeko ze-rumatoid;
- izifo zengqakuthela, i-viral kunye neprotozoal;
- izilonda zefungal;
- i-foci yokutshabalalisa okungapheliyo emlonyeni womlomo kunye nasopharynx;
- ukuphazamiseka kwiinkqubo zeempawu;
- izifo ze-endocrine;
- i-pathologies yesistimu yemvelaphi engaziwayo;
- keratitis ;
- zenzekelayo.
Iridocyclitis - iimpawu
Inkcazo kunye neempawu zesithombeni sekliniki yokuvuvukala kuxhomekeke kwimbangela yayo, imeko yendawo yokuzikhusela. Impawu ze iridocyclitis zihambelana nendlela yokugula. Ukwahlula ezi zilandelayo izifo zokugula:
- serous;
- fibrinous;
- i-purulent;
- nentsholongwane.
Serous iridocyclitis
Olu hlobo lwesifo luye lwaba lula ngakumbi kunabanye, lunobungqina obuhle kakhulu. Ukugula kwe-iridocyclitis yesimo se-serous kubonakaliswe ngokuqokelela kwimbumbi yangaphakathi kweso le-serum exudate (i-liquid liquid). Oku kuhambelana neempawu ezilandelayo:
- umfundi ophazamisayo;
- ukulila ;
- ukwesaba ukukhanya okukhanyayo;
- ukubandezeleka kwiso;
- i-edema kunye nokubomvu kwe-iris;
- ukunyuka kweemithambo yegazi;
- ukunyuka kweengcinezelo ze-intraocular;
- ukungonakaliswa kwezinto ezibonakalayo ("isigqubuthelo");
- ukunciphisa umfundi.
Ukuba i-serous iridocyclitis ifumaneka ngexesha elifanelekileyo, unyango luya kukhawuleza kwaye lulula. Olu hlobo lwesifo luphendula kakuhle kunyango kumaziko okuqala kwaye alufaneki ukuba lunzima. Ngokuqhubela phambili kwe-pathology, i-fibrinous anterior uveitis idla ngokudibeneyo. Kwiimeko ezinjalo, umngcipheko wokulimala kwi-retina kunye nophuhliso lwe-glaucoma yesibini luphezulu.
Fibrinous iridocyclitis
Olu hlobo lwesifo lubonakaliswe ngokuqokelela kwe-exudate kwikamelo elingaphandle kweso, kodwa esikhundleni se whey iqulethe iprotheni eyenza xa igazi ligalela. I-fibrinous-plasma iridocyclitis iqala rhoqo kwaye ihamba nayo yonke impawu ezibonakalisiweyo. Ukongeza, ezi zilandelayo zibonakaliswe:
- ukuvuleka kwe-vitreous humor;
- ukuvakalelwa kwiso;
- ukuhlanganiswa kwezinye iindawo zomfundi;
- utshintshe kwindawo kunye nomthunzi we-iris;
- blepharospasm;
- uxinzelelo lwe-intraocular .
Le fomu yesifo ngezinye izihlandlo ibangela ukuba kube nemiphumo enzima kwaye ingenakuguquka. I-Synechia inokukhawulela ngokukhawuleza yonke indawo yomfundi, oko kuya kubakho ukusuleleka kosulelo olupheleleyo (occlusion). Kubalulekile ukuba ungavumeli ukuba i-iridocyclitis enjalo yonyango lweyoluhlobo oluyinkimbinkimbi lukhuni kwaye kaninzi alusebenzi. Kukunzima ukubuyisela umbono emva kokusuleleka komfundi.
I-iridocyclitis
Ukuchazwa okuchazwayo kwe-uveitis yangaphakathi kuvela kwimvelaphi yentsholongwane kunye nosulelo lwebhaktheriya. I-iridocyclitis ye-purulent yeliso ivela ngenxa ye-angina ende, i-pyorrhea, i-furunculosis kunye nezinye izilonda ezincinci. Le ndlela yokukhubazeka iqhubeka nzima, iqhubela phambili ngokukhawuleza. Kwiiyure ezimbalwa, inani elikhulu le-purudent exudate liqokelela ekamelweni langaphambili le-eyeball, kwaye iimpawu ezithile ze-iridocyclitis ziyavela:
- ukuphazamiseka okukhulu kwezinto ezibonakalayo;
- ukuvuvukala nokubomvu kwesiqulatho;
- intlungu engenakulibaleka kwiso elenzakele kunye nentloko ukusuka kwicala elifanelekileyo;
- umfundi ophazamisayo;
- utshintshe kumbala we-iris ukuya kwi-rusty okanye eluhlaza (kuxhomekeke kumbala weso);
- i-hyperemia yeeprotheni;
- ukubunjwa kwe-synechia ngaphantsi komfundi;
- uxinzelelo lwe-intraocular.
Viral iridocyclitis
Uhlobo oluthile lweengxaki zokugula, kodwa luhamba kunye neentlungu ezingaphantsi kunezinye iindlela zokugula. Phantse i-90% yamatyala ahlakulela i-iridocyclitis ye-herpetic, ivela ngokuphindaphinda kwintsholongwane yentsholongwane kwiindawo ezikufuphi (ebusweni, empumlweni, emqaleni). Izimpawu ezicacileyo zolu hlobo lwe-uveitis yangaphakathi:
- i-sclera ebomvu;
- ukudibanisa kwe-serous okanye i-fibrinous exudate kwikamelo elingaphandle kweso;
- Umbono obolileyo;
- ukulila;
- ukudibanisa omnye komfundi osempileni ene capsule ye-lens;
- uxinzelelo lwe-intraocular.
Iridocyclitis - I-Diagnosis
Qinisekisa ukuba isifo esicetywayo sinokuphela kwesifo se-ophthalmologist emva kokuhlolwa okubanzi. Kubalulekile ukufumana ukuba yeyiphi ifomu kunye nokuba kutheni i-iridocyclitis iqalile - unyango lufanele luhambelane nohlobo lwe-uveitis yangaphakathi kunye ne-agent ye-causative. Okokuqala, ugqirha wenza uvavanyo lwangaphandle lweso elonakalisiweyo, uqokelela i-anamnesis, wenza i-apple. Emva koko kuqhutywa:
- biomicroscopy;
- ukulinganiswa koxinzelelo lwe-intraocular nge tonometry;
- hlola i-acuity check;
- vavanyo lwe ultrasound.
Ukucacisa imbangela ye-iridocyclitis engapheliyo okanye eyingozi kwiso, oku kulandelayo kumiselwe:
- coagulogram;
- ukuhlalutya kwegazi kunye nomjikelo;
- vavanyo lwe rheumatic;
- i-enzyme immunoassay (ELISA);
- impendulo ye-polymer chain (i-PCR diagnostics);
- vavanyo;
- ukufundisisa kwinqanaba le-serum immunoglobulins egazini kunye nokukhawuleka kwamanzi.
Ngamanye amaxesha kunyanzeliswa ukongeza ukwenza i-radiography yemiphunga, i-sinanas sinus. Ukucacisa ukuxilongwa, i-ophthalmologist ingabhekisela kwiingcali ezizodwa:
- kwi-stomatologist;
- rheumatologist;
- otolaryngologist;
- phthisiatrician;
- dermatovenereologist;
- i-allergenist.
Iridocyclitis - unyango ekhaya
Ulwaphulo lwesifo esicatshulwayo senziwa esibhedlele. Kuphela ugqirha ofanelekileyo unokugqiba indlela yokuphatha i-iridocyclitis, ngokusekelwe kwiziphumo zeengcali kunye nee-laboratory. Imizamo yokuzimela yokumisa inkqubo yokuvuvukala ingabangela ukuguquka kwentsholongwane kwisimo esingapheliyo kunye neengxaki ezinzima ezingasongeli nje ubugcisa obubonakalayo, kodwa nokuba khona kweso:
- cataract;
- ukufunyanwa kwabafundi;
- chorioretinitis;
- glaucoma yesibini;
- ukuguqulwa komzimba we-vitreous;
- i-detectment ye-retina;
- ikhefu;
- ukuphela kunye ne-panophthalmitis;
- i-atrophy ye-eyeball;
- yimfama.
Iridocyclitis - unyango, amalungiselelo
Indlela yokwenza unyango lwesi sifo ibandakanya ukungenelela kunye nokucwangciswa okucwangcisiweyo. Okokuqala, izidakamizwa zisetyenziselwa ukuyeka inkqubo yokuvuvukala, ukususa intlungu yesifo kunye nokuthintela ukwakha i-synechia. Ngosuku lokuqala lwenyango, amaconsi amacandelo anqunyelwe i-iridocyclitis, ukuphucula umfundi (mydriatica):
- Irifrin;
- Atropine;
- Midratsil;
- Adrenaline;
- Idibene kunye nezifaniso.
Ukomeleza umphumo walezi yobisi kunye nokumisa inkqubo ye-pathological, amaconsi aphikisayo asebenziswa ngokwengeziwe kwi-iridocyclitis enezixhobo ezinobunzima:
- Diclof;
- Indomethacin;
- Naklof nabanye.
Ukuba ukuvuvukala kunzima kwaye kuhambelana nentlungu engenakuxoxwa, kwaye unyango ngeendlela zangaphambili aluncedi, oku kulandelayo kwenziwa:
- ii-steroid ( dexamethasone );
- iilject ze antibiotics ezininzi zenzo (Ciprofloxacin);
- i-pyloric and blockades (Novokain).
Ukunciphisa iimpawu zentsholongwane kunceda:
- antihistamines (Suprastin, Claritin);
- iziyobisi ezinciphisa ukunyameleka kwama-capillaries (iDicycin, Etamsilate);
- imithi yesifo (Ibuprofen, Ketanov).
Emva kwonyango olungxamisekileyo lwe-iridocyclitis, unyango olucwangcisiweyo luphuhlisiwe. Kujoliswe ekupheliseni imbangela yokuphuhliswa kwezilwanyana, ukubuyiswa kwemisebenzi yomzimba we-ciliary kunye ne-iris, ukujongwa kombono kunye nokukhusela iingxaki. Iskimu sikhethwe yi-ophthalmologist ngokwalo kwaye singabandakanya amalungiselelo kunye nenkqubo:
- untiviral;
- i antibiotics;
- i-corticosteroids;
- immunomodulators;
- i-antifungal;
- proteolytics zendawo;
- i-antiseptics;
- antiallergic;
- immunosuppressors;
- multivitamini;
- electrophoresis;
- yonyango;
- iyeza laser;
- plasmapheresis;
- i-hemosorption;
- ukungenelela.
Iridocyclitis - izilwanyana zabantu, unyango
I-Ophthalmologists inqanda ngokusemthethweni nayiphi na indlela yokuzithiba nge-uveitis yangaphakathi. Kuyingozi kakhulu ukubandakanyeka kolunye unyango, ukuba i-purulent okanye i-fibrinous acute iridocyclitis iyaqhubeka-unyango kunye neendlela ezingekho kweziyobisi zihlala zikhokelela ekunyameni okukhulu kunye neengxaki ezinzulu. Ngokuqhelekileyo, "umtsalane" uphela ekuphumeni kwesi sifo kwifomu engapheliyo. Kubalulekile ukuthetha ngokukhawuleza ugqirha kwaye ukufumana i-iridocyclitis - unyango lwekhaya kuphela kugalelo ekunyongeni imeko.