Uveitis

ʻO Uveitis ka pehu a me ka mumū o ka uvea. ʻO ka uvea ka papa waena o ka paia o ka maka. Hāʻawi ka uvea i ke koko no ka iris ma mua o ka maka a me ka retina ma ka hope o ka maka.

Hiki ke kumu ʻia ʻo Uveitis e nā maʻi autoimmune. Kūpono kēia mau maʻi i ka wā e hoʻouka a hōʻoki ka ʻōnaehana pale kino i ke kino i ka hewa. Eia kekahi laʻana:

• Spondylitis Ankylosing
• Maʻi maʻi Behcet
• ʻO Psoriasis
• Pākuʻi reactive
• Rheumatoid arthritis
• ʻO Sarcoidosis
• Ulcerative colitis

Hiki ke kumu ʻia ʻo Uveitis e nā maʻi e like me:

• AIDS
• Cytomegalovirus (CMV) retinitis
• ʻO ka maʻi herpes zoster
• Histoplasmosis
• Maʻi ʻo Kawasaki
• Syphilis
• Toxoplasmosis
• Maʻi puʻu

ʻO ka hōʻike ʻana i nā toxins a ʻeha paha hiki ke hana i ka uveitis. I nā manawa he nui, ʻike ʻole ʻia ke kumu.

ʻO ka manawa pinepine ka palena o ka mumū i kahi ʻāpana o ka uvea. ʻO ke ʻano maʻamau o ka uveitis e pili ana i ka mumū o ka iris, ma ka ʻaoʻao mua o ka maka. I kēia hihia, kapa ʻia kēia ʻano he iritis. I ka hapanui o nā hihia, kū i ka poʻe olakino. Hoʻokahi paha maka i ka maʻi. ʻO ka mea maʻamau i ka poʻe ʻōpio a me ka poʻe waena.

Hoʻopili ka posterior uveitis i ka ʻaoʻao hope o ka maka. Pili pū ia i ka choroid. ʻO kēia ka papa o nā kīʻaha koko a me nā mea hoʻopili i ka papa waena o ka maka. Kapa ʻia kēia ʻano uveitis ʻo choroiditis. Inā pili pū ka retina, kapa ʻia ʻo chorioretinitis.

ʻO kekahi ʻano o ka uveitis ka pars planitis. Kū ka wela ma kahi i kapa ʻia ʻo pars plana, aia ma waena o ka iris a me ka choroid. Kū pinepine ka Pars planitis i nā kāne ʻōpio. ʻAʻole pili ia i kekahi maʻi ʻē aʻe. Eia naʻe, pili paha ia i ka maʻi Crohn a me ka sclerosis mau paha.

Hiki i ka Uveitis ke hoʻopili i kekahi o nā maka ʻelua paha. Pili nā ʻōuli i ka ʻāpana o ka uvea e hoʻā ʻia. E hoʻomohala koke nā ʻōuli a hiki ke hoʻopili ʻia:

• ʻIke makapō
• Nā wahi pouli, lana i ka hihiʻo
• ʻEhaʻeha maka
• ʻUlaʻula o ka maka
• ʻIke i ka mālam

E lawe ka mea mālama ola i ka mōʻaukala olakino piha a hana i kahi hōʻike maka. Hana ʻia nā hoʻokolohua lab e hōʻole i ka maʻi a i ʻole kahi ʻōnaehana pale nawaliwali.

Inā ʻoi aku ʻoe i ka makahiki 25 a loaʻa iā pars planitis, e hōʻike ana kāu mea hāʻawi i kahi lolo a me ka iwi MRI. E hoʻopau ana kēia i nā sclerosis he nui.

ʻO Iritis a me irido-cyclitis (anterior uveitis) he akahai pinepine. Hoʻopili paha ka mālama ʻana:

• Nā aniani ʻeleʻele
• Nā kulu maka e hoʻolahalaha i ka haumana e hōʻoluʻolu i ka ʻeha
• Kulu ka maka Steroid

Mālama pinepine ʻia ʻo Pars planitis me nā kulu maka steroid. ʻO nā lāʻau ʻē aʻe, e like me nā steroid i lawe ʻia e ka waha, hiki ke hoʻohana ʻia e kōkua i ke kāohi ʻana i ka ʻōnaehana pale.

Hoʻolālā ka mālama hope uveitis i ke kumu kumu. ʻAneʻane pili mau i nā steroid i lawe ʻia e ka waha.

Inā hoʻokumu ʻia ka uveitis e kahi maʻi ākea (ʻōnaehana), hāʻawi ʻia ʻoe i nā lāʻau ʻaloʻalo. Hāʻawi ʻia iā ʻoe i nā lāʻau anti-inflammatory ikaika i kapa ʻia ʻo corticosteroids. I kekahi manawa hoʻohana ʻia kekahi ʻano o nā lāʻau hoʻopōkō-suppressant e mālama i ka uveitis nui.

Me ka lapaʻau kūpono, hala ka hapa nui o nā hoʻouka ʻana o ka uveitis mua i kekahi mau lā i kahi mau pule. Eia naʻe, hoʻi pinepine ka pilikia.

ʻO hope loa ka hope uveitis mai nā mahina a i nā makahiki. Hiki ke kumu o ka hōʻino mau ʻana o ka hihi, ʻoiai me ka lāʻau.

Komo pū nā pilikia:

• Kālepaʻa
• Loli i loko o ka retina
• Glaucoma
• Haumana kūpono ʻole
• Wehe retina
• Lilo hihio

Nā ʻōuli e pono ai ka mālama olakino wikiwiki:

• ʻEhaʻeha maka
• ʻImi hōʻemi

Inā loaʻa iā ʻoe kahi maʻi ākea (ʻōnaehana) ākea a maʻi paha, mālama ʻana i ke ʻano e pale aku paha iā uveitis.

Iritis; Pars planitis; Choroiditis; Chorioretinitis; ʻO mua uveitis; Posterior uveitis; Iridocyclitis

• Maka
• Hōʻike kahua ʻike maka

Pūnaewele ʻAmelika Hui Pū ʻIa Ophthalmology. Iapaau ana o uveitis. eyewiki.aao.org/Treatment_of_Uveitis. Hoʻohou i Kēkēmapa 16, 2019. Loaʻa iā Kepakemapa 15, 2020.

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 Durand ML. Nā kumu hopena o uveitis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 115.

ʻO Gery I, ʻo Chan C-C. Nā mīkini o uveitis. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 7.2.

Heluhelu iā RW. ʻO ke ala nui i ka mea hoʻomanawanui uveitis a me nā hoʻolālā hoʻomaʻamaʻa. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 7.3.