Ingxenye yangaphambili ye-eyeball iqukethe izingxenye ezintathu - i-ambulance ye-vascular, iris kanye ne-ciliary (ciliary) umzimba. Ukuvuvukala kwabo kubizwa (ngokulandelana) i- uveitis ye- posterior, i-irite ne-cyclite. Amagciwane amabili okugcina ayengavamile kakhulu ekuzihlukaniseni, ngenxa yokunikezwa kwegazi ngokuvamile avame ukwenzeka kanyekanye.
Iridocyclitis - siyini lesi sifo?
Elinye igama le nqubo yi-uveitis yangaphakathi. Isifo se-Eye Iridocyclitis iyinhlanganisela yokuvuvukala kwe-iris nomzimba we-ciliary. Ngezinye izikhathi, okokuqala, ingxenye eyodwa kuphela yengxenye yangaphambili ye-eyeball ishintshiwe, kodwa ngenxa yokuxhumeka kwe-anatomical esondelene, okwesibini kuhilelekile njalo. Lesi sifo sitholakale kunanoma isiphi ubudala, ikakhulukazi kusukela eminyakeni engu-20 kuya kweyengu-40.
I-Iridocyclitis enamandla
Lokhu okuhlukile kwenkambo yokukhubazeka kuhambisana nezimpawu ezicacisiwe neziqondile. Ngisho ne-subacute iridocyclitis inezici zesici, okwenza lesi sifo sibe lula ukubona futhi sihlolwe ekuqaleni kwezinyathelo zokuqhubeka. Leli fomu lesifo libhekwa nesithombe esinjalo somtholampilo:
- ubuhlungu obukhulu emehlweni naseduze kwethempeli;
- ukukhala okuqhubekayo;
- i-photophobia ;
- ubomvu weprotheni;
- ukuwohloka kwezinto ezibonakalayo ;
- ukuvuvukala kwe-iris;
- Ukunciphisa umfundi;
- Ukwandiswa okubonakalayo kwemithambo yegazi;
- shintsha iphethini nombala we-iris.
Iridocyclitis engapheli
Ngokuvamile (amacala angaba ngu-70%), lesi sifo esibuzwa sihamba ngendlela encane. I-iridocyclitis engapheliyo ephindaphindiwe ihambisana ne-symptomatology emnene, ngenxa yalokho iziguli ezingabhekisisani ne-ophthalmologist ngesikhathi esifanele. Ngokumelene nesimo esibucayi sokugula kanye nokuntuleka kokwelashwa, izinkinga ezinkulu zikhula, isibonelo, ukuhlanganiswa kwezindawo eziningana zomfundi (synechia) noma ukutheleleka okuphelele.
Kuyingozi ukungazinaki i-iridocyclitis engelahleki - ukwelashwa ezinkathini ezisheshayo zesifo akusizi ngaso sonke isikhathi. Ngenxa yalokho, ihlakulela i-amblyopia engavamile ngokucindezeleka nokukhubazeka noma ukutheleleka komfundi. Ngesinye isikhathi kuholela ekulimaleni okungenakuguquka kuyo yonke ingxenye yangaphambili yeso elivuthayo nokulahlekelwa ngokuphelele kombono.
Iridocyclitis - izimbangela
Izinto ezingaphandle nezingaphakathi zingadala isifo esichazwe. Ngokuvamile i-iridocyclitis i-traumatic etholakalayo, eyenzeka ngenxa yokulimala komshini kweso. Lezi zihlanganisa ukuphikisana, imisebenzi ye-ophthalmic, ukulimala nemiphumela efanayo. Ezinye izimbangela ezibangela i-iridocyclitis yizimbangela ezingezona umshini:
- izimo ze-rhumum;
- amagciwane, ama-viral kanye nama-protozoal;
- izilonda ze-fungal;
- foci yokuvuvukala okungapheli emgodini womlomo nasopharynx;
- ukuphazanyiswa kwezinqubo zemithi;
- izifo ze-endocrine;
- i-pathologies yesistimu yemvelaphi engaziwa;
- i-keratitis ;
- izinqubo ezizenzakalelayo.
Iridocyclitis - izimpawu
Ukuchaza kanye nezici zesithombeni se-clinical of inflammation kuxhomeke ekubambeni kwayo, isimo segciwane lesandulela ngculazi lendawo. Izimpawu ze-iridocyclitis zihambisana nendlela yokwelapha. Hlunga izinhlobo ezilandelayo zokugula:
- i-serous;
- i-fibrinous;
- i-purulent;
- i-viral.
Serous iridocyclitis
Loluhlobo lwe-pathology luhamba kalula kunabanye, lunokubikezela okuhle kakhulu. Ukugula kwe-iridocyclitis yesimo se-serous kubonakala ngokuqoqwa ekamelweni elingaphakathi kweso le-serum exudate (liquid turbid). Lokhu kuhambisana nezimpawu ezilandelayo:
- umfundi ophukile;
- ukulila ;
- ukwesaba ukukhanya okukhazimulayo;
- ukusika ubuhlungu emehlweni;
- i-edema nokubomvu kwe-iris;
- Ukwanda kancane kwemithambo yegazi;
- ukuguquguquka kokucindezela kwe-intraocular;
- ukuwohloka kwezinto ezibonakalayo ("iveli");
- ukunciphisa umfundi.
Uma ngabe i-serous iridocyclitis uma ihlolwe ngesikhathi esifanele, ukwelashwa kuzoshesha futhi kulula. Lolu hlobo lwesifo luyasebenza kahle ekwelashweni ezinyathelweni zokuqala futhi luvame ukungabangela izinkinga. Ngokuqhubeka kwe-pathology, u-fibrinous anterior uveitis ngokuvamile uhlotshaniswa. Ezimweni ezinjalo, ingozi yokulimala i-retina nokuthuthukiswa kwe-glaucoma yesibili iphezulu.
I-iridocyclitis e-Fibrinous
Lolu hlobo lwesifo lubonakala nokuqoqwa kwe-exudate ekamelweni elingaphakathi leso, kodwa kunesondo eliqukethe iphrotheni elenzayo lapho igazi lihlanganisa. I-fibrin-plastiki iridocyclitis iqala njalo futhi ihambisana nazo zonke izimpawu eziveziwe. Ngaphezu kwalokho, lezi zimpawu zilandelayo:
- ukukhanya kwe-vitreous amahlaya;
- ukuzwa ukuqhuma esweni;
- ukuhlanganiswa kwezindawo ezithile zomfundi;
- shintsha esimweni nasemthunzini we-iris;
- blepharospasm;
- ukuncipha kwengcindezi ye-intraocular .
Leli fomu lesi sifo ngezinye izikhathi libangela imiphumela enzima futhi engaphenduki. I-synechia ingakwazi ukumboza ngokushesha yonke indawo yomfundi, okuzoholela ekuthelelekeni kwayo okuphelele (ukuvela). Kubalulekile ukungavumeli i-iridocyclitis enjalo - ukwelashwa kwezinhlobo eziyinkimbinkimbi zesifo kunzima futhi ngokuvamile kungasebenzi. Kulula ukubuyisela umbono emva kokutheleleka komfundi.
I-iridocyclitis ene-Purulent
Ukuhlukahluka okuchazwayo kwe-uveitis ye-anterior iqala ngokumelene nesizinda sokutheleleka nge-infection yebhaktheriya. Leyo i-purdent iridocyclitis yamehlo ivela ngenxa ye-angina ende, i-pyorrhea, i-furunculosis nezinye izilonda ezincane ze-microbial. Leli fomu le-pathology liqhubeka kanzima, liqhubekela phambili ngokushesha. Kungakapheli amahora ambalwa, inani elikhulu le-exudate e-purulent liqoqa ekamelweni langaphakathi le-eyeball, futhi izimpawu ezithile ze-iridocyclitis zivela:
- ukuwohloka okukhulu kwezinto ezibonakalayo;
- ukuvuvukala nokubomvu kwe-conjunctiva;
- ubuhlungu obungenakubekezelelwa kweso elimele kanye nenhloko ukusuka ohlangothini olufanele;
- umfundi ophukile;
- shintsha umbala we-iris ukuya emanzini noma ohlaza okwesibhakabhaka (kuxhomeke kumbala weso);
- i-hyperemia yamaprotheni;
- ukwakheka kwe-synechia emaphethelweni womfundi;
- ukuncipha kwengcindezi ye-intraocular.
Viral iridocyclitis
Uhlobo oluthiwa lwezidakamizwa zokugula luhlukumeza, kodwa luhambisana nezinzwa ezibuhlungu kakhulu kunezinye izinhlobo zokukhubazeka. Amacala angu-90% ahlakulela i-iridocyclitis ye-herpetic, ivela ngokuphindaphindiwe kokutheleleka kwegciwane ezindaweni eziseduze (ebusweni, ekhaleni, emphinjeni). Izimpawu ezicacile zaloluhlobo lwe-uveitis yangaphakathi:
- i-redness sclera;
- ukuxubana kwe-serous noma i-fibrinous exudate ekamelweni elingaphakathi leso;
- umbono ongenalutho;
- ukulila;
- ukuhlanganiswa okukodwa kwezingxenye zabafundi abane-capsule yelensi;
- ukwanda kwengcindezi ye-intraocular.
Iridocyclitis - Ukuxilongwa
Qinisekisa ukuthi izifo ezitshengiswayo zikhona kuphela ophthalmologist ofanelekayo emva kokuhlolwa okuphelele. Kubalulekile ukuthola ukuthi yiluphi uhlobo nokuthi kungani i-iridocyclitis iqalile - ukwelashwa kufanele kuhambisane nohlobo lwe-uveitis yangaphakathi kanye ne-agent causative yayo. Okokuqala, udokotela uqhuba ukuhlolwa kwangaphandle kweso elonakalisiwe, uqoqa i-anamnesis, wenza i-apple ye-palpation. Ngemva kwalokho kuyenziwa:
- i-biomicroscopy;
- ukulinganisa kwengcindezi ye-intraocular ne-tonometry;
- isheke se-acuity;
- ukuhlolwa kwe-ultrasound.
Ukuze unqume imbangela ye-iridocyclitis engapheli noma ejulile iso, okulandelayo kunqunywe:
- i-coagulogram;
- ukuhlaziywa okuvamile kanye nokwenyama kwegazi, umchamo;
- ukuhlolwa kwe-rheumatic;
- i-enzyme immunoassay (i-ELISA);
- ukuphendula kwe-polymer chain (ukuxilongwa kwe-PCR);
- ukuhlolwa kwe-allergenic;
- ukutadisha izinga le-serum immunoglobulins egazini nasezintweni eziluhlaza.
Ngezinye izikhathi kunconywa ngokungeziwe ukuthi kwenziwe i-radiography yamaphaphu, amasinasi e-paranasal. Ukuze kucaciswe ukuxilongwa, i-ophthalmologist ingabhekisela ochwepheshe abakhethekile:
- ku-stomatologist;
- i-rheumatologist;
- i-otolaryngologist;
- i-phthisiatrician;
- i-dermatovenereologist;
- i-allergenist.
Iridocyclitis - ukwelashwa ekhaya
Ukwelapha kokugula okucatshangelwayo kwenziwa esibhedlela. Udokotela oqeqeshiwe kuphela onganquma indlela yokuphatha i-iridocyclitis, ngokusekelwe emiphumeleni yocwaningo lwezinsimbi kanye nelabhoratri. Imizamo yokuzimela yokumisa inqubo yokuvuvukala ingabangela ukuguqulwa kwamathambo kwifomu elingapheli kanye nezinkinga ezinzima ezingasongeli nje ubuciko obubonakalayo, kodwa futhi nokuba khona kweso:
- i-cataract;
- ukufundwa komfundi;
- i-chorioretinitis;
- i-glaucoma yesibili;
- ukuguqulwa komzimba we-vitreous;
- inqola ye-retina;
- i-abscess;
- ukuphela- kanye ne-panophthalmitis;
- i-atrophy ye-eyeball;
- ubumpumputhe.
Iridocyclitis - ukwelashwa, amalungiselelo
Indlela yokwelashwa kwalesi sifo ihlanganisa ukungenelela okuphuthumayo nokuhlelekile. Okokuqala, izidakamizwa zisetshenziselwa ukumisa inqubo yokuvuvukala, ukususa isifo sobuhlungu nokuvimbela ukwakheka kwe-synechia. Ngosuku lokuqala lokwelashwa, amaconsi e-eye anqunyelwe i-iridocyclitis, ehlanza umfundi (mydriatica):
- Irifrin;
- Atropine;
- Midratsil;
- Adrenaline;
- Ukuhamba kanye nokufana.
Ukuqinisa umphumela walezi zidakamizwa nokuyeka inqubo ye-pathological, amaconsi okulwa nokuvuvukala asetshenziswe ngaphezu kwe-iridocyclitis enezakhiwo ze-analgesic:
- I-Diclof;
- Indomethacin;
- Naklof nabanye.
Uma ukuvuvukala kunzima kakhulu futhi kuhambisana nobuhlungu obungenakubekezelelwa, futhi ukwelashwa ngezindlela zangaphambilini akusizi, okulandelayo kwenziwa:
- ukujova okuncane okukodwa kwe-steroids ( dexamethasone );
- imijovo yama-antibiotic enezinyathelo eziningi (Ciprofloxacin);
- i-pyloric ne-orbital blockades (i-Novokain).
Ukunciphisa izimpawu ze-pathology kusiza:
- antihistamines (Suprastin, Claritin);
- izidakamizwa ezinciphisa ukuguqulwa kwama-capillaries (Dicycin, Etamsilate);
- imithi yobuhlungu (Ibuprofen, Ketanov).
Ngemuva kokwelashwa okuphuthumayo kwe-iridocyclitis, ukwelashwa okuhleliwe kwenziwa. Inhloso yokuqeda imbangela yentuthuko ye-pathology, ukubuyiselwa kwemisebenzi yomzimba we-ciliary kanye ne-iris, ukujwayelekile kwemibono nokuvimbela izinkinga. Lolu hlelo lukhethwe yi-ophthalmologist ngayinye futhi lungabandakanya amalungiselelo nezinqubo ezinjalo:
- i-antiviral;
- ama-antibiotics;
- i-corticosteroids;
- ama-immunomodulators;
- i-antifungal;
- i-proteolytics yendawo;
- i-antiseptics;
- i-antiallergic;
- immunosuppressors;
- multivitamini;
- i-electrophoresis;
- ukwelashwa magnetic;
- i-laser therapy;
- i-plasmapheresis;
- i-hemosorption;
- ukungenelela kokuhlinzwa.
Iridocyclitis - izifo zabantu, ukwelashwa
Ama-ophthalmologists avimbela ngokuyinhloko noma iyiphi indlela yokuzithiba nge-uveitis yangaphakathi. Kuyingozi kakhulu ukubandakanyeka ekwelapheni okunye, uma i-purulent noma i-fibrinous ejulile iridocyclitis iqhubeka - ukwelashwa ngezindlela ezingezona izidakamizwa njalo kuholela ekuvukeni okukhulu nokucindezeleka okukhulu. Ngokuvamile, "i-amateur" iphela ekugezeni kwesifo ibe ifomu elingapheli. Kubalulekile ukuthi uthintane nodokotela ngokushesha futhi uhlole ngesikhathi esifanele i-iridocyclitis - ukwelashwa ekhaya kuphela kunomthelela ekwandeni kwesimo.