Scleritis

Anter

• He aha nā ʻano o ka scleritis?
• He aha nā hōʻailona o ka scleritis?
• He aha ke kumu o ka scleritis?
• He aha nā mea pilikia no ka scleritis?
• Pehea e ʻike ʻia ai ka scleritis?
• Pehea e mālama ʻia ai ka scleritis?
• He aha ke kuanaʻike no ka poʻe me ka scleritis?

He aha ka scleritis?

ʻO ka sclera ka pale o waho o ka maka o ka maka pale, ʻo ia nō hoʻi ka ʻāpana keʻokeʻo o ka maka. Pili ia i nā mākala e kōkua i ka neʻe o ka maka. Ma kahi o 83 pākēneka o ka maka o ka sclera.

ʻO Scleritis kahi maʻi kahi e wela nui ai a ʻulaʻula ai ka sclera. Hiki ke ʻeha loa. Manaʻo ʻia ʻo Scleritis ka hopena o ka hopena o ke kino o ke kino. Aia ke ʻano o ka scleritis i kahi o ka mumū. Manaʻo ka hapa nui o ka poʻe i ka ʻehaʻeha me ke ʻano, akā aia kekahi ʻē aʻe.

Pono ka mālama mua ʻana me ka lāʻau e pale i ka scleritis mai ka holomua. ʻO nā hihia koʻikoʻi, mālama ʻole ʻia hiki ke alakaʻi ʻia i ka nalo ʻana o ka hihi.

He aha nā ʻano o ka scleritis?

Hoʻohana nā kauka i ka mea i kapa ʻia ʻo Watson a me Hayreh classification e hoʻokaʻawale i nā ʻano scleritis. Hoʻokumu ʻia ka hoʻohālikelike inā pili ka maʻi i ka mua (mua) a i hope paha (hope) o ka sclera. Loaʻa paha nā ʻano o mua i kahi maʻi maʻi ma ke ʻano he kumu o kā lākou kumu.

ʻO nā subtypes o ka scleritis mua kahi:

• scleritis mua: ka ʻano maʻamau o ka scleritis
• nodular anterior scleritis: ka lua o nā ʻano maʻamau
• ʻo ka necrotizing anterior scleritis me ka mumū: ke ʻano koʻikoʻi loa o ka scleritis mua
• ʻo ka necrotizing anterior scleritis me ka ʻole o ka mumū: ke ʻano rarest o ka scleritis mua
• scleritis hope: ʻoi aku ka paʻakikī e ʻike a ʻike no ka mea he loli nā hōʻailona, ​​e like me nā mea e mimike i nā maʻi ʻē aʻe

He aha nā hōʻailona o ka scleritis?

Loaʻa i kēlā me kēia ʻano scleritis nā ʻōuli like, a hiki ke hōʻino inā ʻaʻole mālama ʻia ke ʻano. ʻO kaʻeha maka maka ʻino e pane maikaʻi ʻole i nā painkillers ke ʻano nui o ka scleritis. ʻO ka neʻe ʻana o ka maka i mea e ʻeha ai ka ʻeha. E pāhola paha ka ʻeha ma ke alo holoʻokoʻa, ma ka ʻaoʻao hoʻi o ka maka i hoʻopilikia ʻia.

Hiki i nā ʻōuli ʻē aʻe ke:

• haehae nui ʻana, a i ʻole lacrimation
• hoʻoliʻiliʻi ʻike
• ʻike hihi
• ʻike i ka mālamalama, a i ʻole photophobia
• ʻulaʻula o ka sclera, a keʻokeʻo ʻāpana o kou maka

ʻAʻole ʻike ʻia nā ʻōuli o ka scleritis o hope no ka mea ʻaʻole ia e kumu i ka ʻehaʻeha e like me nā ʻano ʻē aʻe. ʻO nā hōʻailona me:

• ʻeha poʻo poʻo hohonu
• ʻeha i hoʻokumu ʻia e ka neʻe ʻana o ka maka
• hoʻonāukiuki maka
• hihio pālua

ʻIke liʻiliʻi kekahi poʻe i ka ʻeha ʻole mai ka scleritis. Ma muli paha o lākou:

• he hihia milder
• scleromalacia perforans, kahi mea paʻakikī loa o ka holomua rheumatoid arthritis (RA)
• kahi mōʻaukala o ka hoʻohana ʻana i nā lāʻau immunosuppressive (pale lākou i ka hana i ka ʻōnaehana pale) ma mua o ka hoʻomaka ʻana o nā ʻōuli

He aha ke kumu o ka scleritis?

Aia kekahi mau manaʻo e pili ana i nā pūnaewele T o ka ʻōnaehana pale maʻi ka scleritis. ʻO ka ʻōnaehana pale pūnaewele kahi pūnaewele o nā meaola, nāʻaʻaʻa, a me nā pūnaewele e holo pū ana e hana pū e hoʻopau i nā bacteria a me nā mea ʻino mai ke kumu o ka maʻi. Hana nā pūnaewele T e luku i nā pathogens e hiki mai ana, ʻo ia nā meaola e hiki ke kumu i ka maʻi a i ʻole nā ​​maʻi. I ka scleritis, manaʻoʻiʻo lākou e hoʻomaka i ka hoʻouka kaua ʻana i nā hunaola scleral ponoʻī o ka maka. ʻAʻole maopopo i nā kauka ke kumu o kēia.

He aha nā mea pilikia no ka scleritis?

Hiki i ka Scleritis i kēlā me kēia makahiki. Hoʻolālā paha nā wahine ma mua o nā kāne. ʻAʻohe lāhui kikoʻī a wahi paha o ka honua kahi e maʻamau ai kēia kūlana.

Loaʻa iā ʻoe ka manawa hoʻonui o ka hoʻomōhala ʻana i ka scleritis inā loaʻa iā ʻoe:

• ʻO ka maʻi ʻo Wegener (Wegener's granulomatosis), kahi maʻi maʻamau ʻole e pili ana i ka mumū o nā kīʻaha koko
• rheumatoid arthritis (RA), ʻo ia kahi maʻi autoimmune e hoʻoulu ai i nā hono
• maʻi maʻi ʻōpū (IBD), ke kumu o nā ʻōpū o ka digestive ma muli o ka mumū o ka ʻōpū
• ʻO Sjogren's Syndrome, kahi maʻi pale ʻole i ʻike ʻia no ka hoʻomoe ʻana i nā maka maloʻo a me ka waha
• lupus, kahi maʻi pale e hoʻonā ai i ka ʻili
• nā maʻi o ka maka (pili paha a pili ʻole paha i ka maʻi autoimmune)
• poino i nā mākia maka mai kahi ulia

Pehea e ʻike ʻia ai ka scleritis?

E nānā kāu kauka i kahi mōʻaukala kikoʻī kikoʻī a hana i kahi hoʻokolokolo a me nā loiloi o ka hale hana e ʻike ai i ka scleritis.

E nīnau paha kāu kauka e pili ana i kāu mōʻaukala o nā ʻano ʻōnaehana, e like paha me RA, Wegener's granulomatosis, a i ʻole IBD. E nīnau paha lākou inā ua loaʻa iā ʻoe ka mōʻaukala o ka trauma a i ʻole ke ʻoki ʻana i kou maka.

ʻO nā kūlana ʻē aʻe i loaʻa nā hōʻailona e like me ka scleritis:

• episcleritis, ʻo ia kahi mumū o nā moku superficial i ka papa o waho loa o ka maka (episclera)
• blepharitis, kahi pehu o ka uhi maka o waho
• virus conjunctivitis, ʻo ia ka mumū o ka maka i hoʻokumu ʻia e ka maʻi virus
• bacterial conjunctivitis, kahi pehu o ka maka i hoʻokumu ʻia e ka bacteria

Hiki i nā hoʻāʻo aʻe ke kōkua i kāu kauka e hana i kahi hōʻailona:

• ultrasonography e nānā no nā loli e hana ʻia ma a i ʻole ka sclera paha
• helu piha i ke koko e nānā i nā hōʻailona o ka maʻi a me ka hana ʻōnaehana pale
• kahi biopsy o kāu sclera, e pili ana i ka hemo ʻana i nā kiko o ka sclera i hiki ai ke hoʻokolokolo ma lalo o kahi microscope

Pehea e mālama ʻia ai ka scleritis?

Mālama ka mālama ʻana i ka scleritis i ka hakakā ʻana i ka mumū ma mua o ka hopena o ka hopena mau loa. ʻO kaʻeha mai ka scleritis e pili pū kekahi me ka mumū, no laila e hōʻemi ana i ka pehu ʻana e hoʻoliʻiliʻi i nā ʻōuli.

Hāpai ka lapaʻau i kahi ala stepladder. Inā holo ʻole ka hana mua i ka lāʻau, a laila hoʻohana i ka lua.

ʻO nā lāʻau i hoʻohana ʻia e mālama ai i ka scleritis me kēia mau mea:

• Hoʻohana pinepine ʻia nā lāʻau anti-inflammatory Nonsteroidal (NSAIDs) i ka nodular anterior scleritis. Hoʻoikaika ka hōʻemi ʻana i ka mumū i ka ʻeha o ka scleritis.
• Hiki ke hoʻohana ʻia nā huaola Corticosteroid (e like me prednisone) inā ʻaʻole e hōʻemi nā NSAID i ka mumū.
• ʻO nā glucocorticoids oral ka mea i koho ʻia no ka scleritis hope.
• ʻO nā lāʻau Immunosuppressive me ka glucocorticoids waha i makemake ʻia no ka mea weliweli loa, ʻo ia ka scrotitis necrotizing.
• Hiki ke hoʻohana ʻia nā lāʻau antibiotic e pale a mālama paha i nā maʻi o ka sclera.
• Hoʻohana pinepine ʻia nā lāʻau anttifungal i nā maʻi i hoʻokumu ʻia e Sjogren's Syndrome.

Pono paha ke ʻoki no nā hihia koʻikoʻi o ka scleritis. Hoʻopili ke kaʻina hana i ka hoʻoponopono ʻana o nā pūnaewele i ka sclera e hoʻomaikaʻi ai i ka hana muscle a pale i ka nalo ʻana o ka ʻike.

Kūpono paha ka lāʻau Sclera ma ka mālama ʻana i nā kumu kumu. ʻO kahi laʻana, inā loaʻa iā ʻoe kahi maʻi autoimmune, a laila mālama maikaʻi iā ia e kōkua i ka pale ʻana i nā hihia scleritis hou.

He aha ke kuanaʻike no ka poʻe me ka scleritis?

Hiki i ka Scleritis ke hoʻopōʻino i ka maka o ka maka, me kahi hapa e hoʻopau i ka nalo o ka hihi. Ke hiki mai ka nalo ʻana o ka hihi, ʻo ia ka hopena o ka scrotitis necrotizing. Aia kahi pilikia e hoʻi mai ka scleritis me ka mālama ʻia.

ʻO Scleritis kahi maʻi maka koʻikoʻi e pono ai ka mālama koke ʻana, ke ʻike ʻia nā ʻōuli. ʻOiai inā hoʻomaikaʻi kāu mau hōʻailona, ​​he mea nui e ukali me kahi ophthalmologist i nā manawa maʻamau e ʻike ʻaʻole hoʻi ia. ʻO ka mālama ʻana i nā kūlana autoimmune e hiki ai ke scleritis he mea nui i ka pale ʻana i nā pilikia e hiki mai ana me ka sclera.