ʻO Ankylosing Spondylitis a me ka hoʻowali ʻana o ka maka: ka mea āu e ʻike ai

Anter

• No ke aha e ulu ai ka mumū o ka maka (uveitis)
• Nā ʻōuli o uveitis
• Pehea e ʻike ʻia ai ka maʻi uveitis?
• Pehea e mālama ai i ka uveitis?
• Outlook
• Pehea e pale ai i kou mau maka

Hōʻike Overview

ʻO Ankylosing spondylitis (AS) kahi maʻi hōʻeha. Kuhi ia i ka ʻeha, ka pehu ʻana, a me ka ʻoʻoleʻa i nā hono. Hoʻopili nui ia i kou iwi kuamoʻo, nā pūhaka, a me nā wahi e hoʻopili ai nā ligament a me nā iwi i kou mau iwi. Hiki i ka Advanced AS ke hoʻokumu i ka iwi hou i ka iwi kuamoʻo a alakaʻi i ka iwi kuamoʻo.

ʻOiai ʻo AS ka mumū e maʻa mau i ka iwi kuamoʻo a me nā hono nui, hiki paha i nā wahi ʻē aʻe o ke kino, e like me nā maka. Ma kahi o 40 pākēneka o ka poʻe me AS e hoʻomōhala ana i ka mumū o ka maka. ʻIke ʻia kēia ʻano he uveitis.

Hoʻopili pinepine ʻo Uveitis i ka iris, ke apo kala a puni kāu haumāna. Ma muli o ka iris ma ka hapa waena o kou maka, ua kapa ʻia ʻo uveitis ma mua he uveitis mua. ʻO ka liʻiliʻi pinepine, hiki i ka uveitis ke hoʻopili i ka hope a i ʻole nā ​​wahi ʻē aʻe o kou maka, i kapa ʻia ʻo hope uveitis.

E hoʻomau i ka heluhelu ʻana e aʻo ai i ke kumu o ka hala ʻana o uveitis, pehea e ʻike ai, kāu mau koho lapaʻau, a me nā mea hou aʻe.

No ke aha e ulu ai ka mumū o ka maka (uveitis)

ʻO AS kahi maʻi ʻōnaehana, ʻo ia hoʻi ka hopena i nā wahi he nui o ke kino a hoʻopalahalaha ka palaho.

He kumu paha ka ʻāpana HLA-B27. ʻO kēia gen ka mea maʻamau i ka hapanui o ka poʻe i loaʻa iā AS a i ʻole uveitis. ʻO nā kūlana ʻē aʻe e kaʻana like i ka ʻāpana me ka maʻi bowel inflammatory a me ka arthritis reactive.

ʻO Uveitis paha ka hōʻailona mua he ʻano ʻōnaehana kāu e like me AS. Hiki i ka Uveitis ke kū kaʻawale i kahi kūlana hōʻeha ʻē aʻe.

Nā ʻōuli o uveitis

Hoʻopili pinepine ʻo Uveitis i hoʻokahi maka i ka manawa, ʻoiai hiki ke ulu i nā maka ʻelua. Hiki koke paha ia a lilo i mea wikiwiki, a i ʻole hiki ke ulu lohi a hoʻonui i nā pule he nui.

ʻO ka hōʻailona maopopo loa o ka uveitis ka ʻulaʻula i mua o ka maka.

ʻO nā ʻōuli ʻē aʻe e like me:

• pehu ka maka
• ʻeha ka maka
• ʻike i ka mālamalama
• ʻike hihi a ʻōpua paha
• nā wahi ʻeleʻele i kāu hihiʻo (ʻike ʻia ʻo floaters)
• hoʻoliʻiliʻi ʻike

Pehea e ʻike ʻia ai ka maʻi uveitis?

ʻO ka hapa nui o nā hihia o ka uveitis e ʻike ʻia e ka loiloi i kāu mōʻaukala olakino a me ka hoʻokolohua maka maka.

Hoʻokomo pinepine kahi hoʻokolohua maka i kēia mau mea:

• hoʻāʻo o ka pakuhi maka e hoʻoholo inā ua hōʻole kāu ʻike
• hoʻokolohua fundoscopic, a i ʻole ophthalmoscopy, e nānā i ka hope o ka maka
• hoʻāʻo hoʻāʻo ocular e ana i ke kaomi o ka maka
• kahi hoʻāʻo kukui e nānā i ka hapa nui o ka maka, me nā kīʻaha koko

Inā manaʻo ʻia kahi ʻano ʻōnaehana e like me AS, hiki i kāu kauka ke kauoha i nā hoʻokolohua kiʻi, e like me X-ray a i ʻole MRI, e ʻike i kou mau hono a me nā iwi.

I kekahi mau hihia, kauoha paha kāu kauka i kahi hoʻokolohua koko e nānā no ka ʻāpana HLA-B27. ʻO ka hopena hōʻoia maikaʻi ʻaʻole ia he manaʻo he AS kāu, akā. He nui ka poʻe i loaʻa ka HLA-B27 gene a ʻaʻole hoʻomohala i kahi kūlana hōʻeha.

Inā ʻaʻole maopopo ke kumu o kou loaʻa ʻana i ka uveitis, kauoha paha kāu kauka i nā hoʻokolohua koko hou aku e hoʻoholo inā loaʻa ka maʻi maʻi iā ʻoe.

Pehea e mālama ai i ka uveitis?

ʻO ka papa hana lapaʻau no ka uveitis pili i ka AS he ʻelua. ʻO ka pahuhopu koke ka hōʻemi ʻana i ka mumū o ka maka a me nā hopena. He mea nui nō hoʻi e mālama iā AS āpau.

ʻO ka lālani mua o ka mālama ʻana no ka uveitis he anti-inflammatory eyedrops, a i ʻole nā ​​eyedrops i loaʻa i ka corticosteroid. Inā ʻaʻole e holo pono kēlā mau mea, pono paha nā pila corticosteroid a i ʻole nā ​​injection. Inā hilinaʻi ʻoe i nā corticosteroids, hiki i kāu kauka ke hoʻohui i kahi lāʻau immunosuppressant e ʻae ai i ka hoʻopili ʻana o ka steroid.

Pono paha ka uveitis nui i kahi kaʻina hana e lawe i kekahi o nā gel-like i loko o ka maka, i ʻike ʻia ʻo ka vitreous.

Ke ʻoki e hoʻokomo i loko o ka maka i kahi hāmeʻa e hoʻokuʻu i ka lāʻau corticosteroid ma kahi o kahi wā lōʻihi e koi ʻia inā loaʻa iā ʻoe ka uveitis maʻi e pane ʻole i nā ʻano lāʻau ʻē aʻe.

Inā loaʻa iā ʻoe ka AS, he mea nui ka mālama ʻana i kāu mau hōʻailona e hōʻemi i ka makaʻu o ka hoʻomohala ʻana i nā pilikia e like me ka uveitis. Hoʻolālā nā mea lapaʻau ʻo AS e hōʻemi i ka ʻeha hui a me ka hu.

He ʻokoʻa nā mālama ʻana, akā nā koho maʻamau nā:

• nonsteroidal anti-inflammatory drug (NSAIDs), e like me ka ibuprofen (Advil)
• nā lāʻau biologic, e like me ka interleukin-17 mea kāohi a i ʻole Tumrois factor blocker
• hoʻōla kino
• wela a me ke anuanu lapaʻau
• nā loli nohona, e like me ka loaʻa ʻana o ka hoʻoikaika kino mau, ka hoʻāʻo ʻana i kahi papa anti-inflammatory, a me ka haʻalele ʻana i ka puhipaka

Outlook

ʻAʻole maikaʻi ʻo Uveitis i ka maikaʻi. ʻAʻole ia he kūlana āu e nānā ʻole ai. ʻAʻole hoʻomaʻemaʻe ʻo Uveitis i ka manawa a i ʻole me nā kulu maka over-the-counter. Koi ʻia ka loiloi a me ka mālama ʻana e ka ophthalmologist a i ʻole optometrist.

Lawe maikaʻi ʻia nā hihia uveitis he nui me nā lāʻau a me ka mālama mau ʻana o ka maka. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lapaʻau, ʻo ka hoʻohaʻahaʻa ia i kou makaʻi no nā pilikia lōʻihi.

Hiki i nā pilikia ke hoʻopili:

• cataract
• ʻili mākala, ka mea e hoʻonāukiuki ai i nā haumāna
• glaucoma, ka mea e hoʻonui ai i ke kaomi i ka maka a hiki i ke kumu o ka nalo ʻana o ka hihi
• hoʻemi i ka hihiʻo mai nā waihona calcium ma ke kola
• pehu o ka retina, i kumu e nalo ai ka hihi

He paʻakikī paha ka mālama ʻana i ka Uveitis, keu hoʻi ma muli o ka AS a i ʻole kekahi ʻano ʻūpē ʻē aʻe.

No ka mea he nui nā mea i pili, hiki i ka paʻakikī ke wānana i ka lōʻihi o ka hala ʻana o uveitis. ʻO ka uveitis nui a i ʻole ka uveitis o ke kua o ka maka i ʻoi aku ka lōʻihi o ka hoʻōla. E hoʻi paha ke ʻano ma hope o ka mālama ʻana.

E mālama pono i nā ʻōlelo aʻoaʻo a kāu kauka. E hōʻike koke ʻoe i kāu kauka inā hōʻeha a hoʻi hou paha kāu mau ʻōuli.

Pehea e pale ai i kou mau maka

He mea nui mau ka pale ʻana i kou mau maka mai nā kukuna UVA a me UVB a me nā pōʻino o ke kaiapuni. Inā loaʻa iā ʻoe ka uveitis, eia nō naʻe, ʻoi aku ka lua o ka mea pono e hoʻomālamalama i kou mau maka.

Paipai ka National Eye Institute i kēia mau ʻōlelo aʻoaʻo ākea no ka mālama pono ʻana i kou mau maka:

• E kiʻi i kahi hōʻike maka maka makahiki.
• E komo i nā aniani aniani e pale ai i kou mau maka mai nā kukuna UVA a me UVB.
• Inā maʻalahi ʻoe i ka mālamalama, komo i nā aniani aniani i loko o ka hale a i ʻole e hoʻomālamalama i nā kukui.
• E nānā aku mai kāu kamepiula, kelepona paʻalima, a i ʻole kīwī no ma ka liʻiliʻi he 20 kekona i kēlā me kēia 20 minuke e kōkua ai i ka pale ʻana i ka eyestrain.
• E komo i nā maka aniani pale inā hana ʻoe me nā mea weliweli a i ʻole i kahi kūkulu.
• E komo i nā maka aniani pale i ka pāʻani ʻana i nā haʻuki a i ʻole ka hana ʻana i ka hana hale.
• E haʻalele i ka puhipaka ʻana, ʻoiai e hōʻeleu ana i ka puhi ʻana i ka nerve ma ka maka a me nā kūlana maka ʻē aʻe.

Nā ʻōlelo aʻoaʻo no ka poʻe komo ka maka aniani:

• E holoi pinepine i kou mau lima a ma mua o ka hoʻokomo ʻana i nā aniani pili.
• Mai komo i nā aniani hoʻopili ke puhi i kou mau maka.
• Hōʻalo i ka hamo ʻana i kou mau maka a hoʻopā paha i kou mau lima i kou mau maka.
• Hoʻomaʻemaʻe pinepine i kāu mau aniani hoʻopili.