Scleritis

ʻO ka sclera ka paia keʻokeʻo o waho o ka maka. Aia ʻo Scleritis ke pehu a wela paha kēia wahi.

Hoʻopili pinepine ʻia ʻo Scleritis i nā maʻi autoimmune. Kūpono kēia mau maʻi i ka wā e hoʻouka a hōʻoki ka ʻōnaehana pale kino i ke kino i ka hewa. ʻO Rheumatoid arthritis a me systemic lupus erythematosus kekahi mau laʻana o nā maʻi autoimmune. I kekahi manawa ʻaʻole maopopo ke kumu.

Kū pinepine ʻo Scleritis i ka poʻe ma waena o nā makahiki 30 a 60. He kākaʻikahi kēia i nā keiki.

ʻO nā ʻōuli o ka scleritis:

• ʻIke makapō
• ʻEhaʻeha maka a palupalu - koʻikoʻi
• Nā pākuʻi ʻulaʻula ma ka ʻāpana keʻokeʻo o ka maka
• ʻIke i ka mālamalama - ʻeha loa
• Haehae o ka maka

ʻAʻole kū kekahi ʻano o kēia maʻi i ka ʻeha o ka maka a me ka ʻulaʻula.

E hana kāu mea mālama ola i nā hōʻike aʻe:

• Hōʻike maka
• ʻO nā hoʻāʻo kino a me nā hoʻāʻo ʻana i ke koko e nānā i nā kūlana e hoʻoili i ka pilikia

He mea nui ia i kāu mea nāna e hoʻolako inā hoʻoholo kāu mau hōʻailona ma muli o ka scleritis. Hiki i nā ʻōuli like ke lilo i ʻano haʻahaʻa o ke kuni, e like me ka episcleritis.

Hiki i nā mālama ʻana no ka scleritis ke:

• Kulu ka maka o Corticosteroid i mea e hōʻemi ai i ka mumū
• Nā lāʻau Corticosteroid
• ʻO nā lāʻau hou, nonsteroid anti-inflammatory (NSAIDs) i kekahi mau hihia
• ʻO kekahi mau lāʻau anticancer (immune-suppressants) no nā hihia koʻikoʻi

Inā kumu ʻia ka scleritis e kahi maʻi paʻa, pono ʻia ka mālama ʻana i kēlā maʻi.

I ka hapanui o nā hihia, hele ke ʻano me ka lāʻau. Akā e hoʻi paha ia.

He koʻikoʻi paha ka maʻi e loaʻa ai ka scleritis. Eia nō naʻe, ʻaʻole paha e ʻike ʻia i ka manawa mua i loaʻa iā ʻoe ka pilikia. E pili ka hopena i ka maʻi kikoʻī.

Komo pū nā pilikia:

• Hoʻi o scleritis
• Nā hopena o ka hopena lōʻihi o ka lāʻau
• Perforation o ka eyeball, hiki i ka ʻike maka inā haʻalele ʻia ke ʻano

Kāhea i kāu mea hāʻawi a ophthalmologist inā loaʻa iā ʻoe nā ʻōuli o scleritis.

ʻAʻole hiki ke pale ʻia ka hapa nui o nā hihia.

ʻO ka poʻe me nā maʻi autoimmune, pono paha e loaʻa i nā loiloi maʻamau me kahi ophthalmologist kamaʻāina i ke ʻano.

Hoʻopilikia - sclera

• Maka

Cioffi GA, Liebmann JM. Nā maʻi o ka ʻōnaehana ʻike. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 395.

ʻO Denniston AK, Rhodes B, Gayed M, Carruthers D, Gordon C, Murray PI. Maʻi Rheumatic. I: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. ʻO Ryan's Retina. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 83.

Freund KB, Sarraf D, Mieler WF, Yannuzzzi LA. Hoʻonā. I: Freund KB, Sarraf D, Mieler WF, Yannuzzi LA, eds. ʻO Retina Atlas. ʻElua ed. Piladelapia, PA: Elsevier; 2017: chap 4.

ʻO Patel SS, Goldstein DA. Episkleritis a me scleritis. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 4.11.

Salemona JF. Episclera a me sclera. I: Salmon JF, ed. ʻO Ophthalmology Clinical Clinical. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 9.