Lesi simo se-Eye esivamile singathintana ne-IBD
Isifo sesifo sofuba (IBD) sikhumbuza isimo esithinta ipheshana lokugaya , kodwa isifo sikaCrohn nesifo sofuba singasithinta nezinye izingxenye eziningi zomzimba. I-IBD ihlotshaniswa nezinkinga ezingaphandle kwamathumbu, okuthiwa ngezinye izikhathi ngokuthi ukubonakaliswa kwamathumbu engeziwe. Ezinye zezibonakaliso ezingavamile ezingaphezulu kwamathumbu kukhona izimo zesikhumba, ezinye izinhlobo ze-arthritis, nezimo zamehlo.
Isifo seso akuyona inkinga yokuqala ongayicabangela uma kuziwa ku-IBD. Kodwa eqinisweni, kunezimo eziningana zamehlo ezivame kakhulu kubantu abathintekayo abane-IBD. Kwezinye izimo, ukuxilongwa kwe-IBD kungase kuvele ngemuva kwenkinga amehlo afunyanwa. Isifo esisodwa esihlotshaniswa ne-IBD yi-episcleritis. I-Episcleritis yisimo sengqondo esingavamile esihlotshaniswa ne-IBD esiyozixazulula ngokwakho futhi ngokubonga singakhohlisi ekulahlekelweni kombono. Noma kunjalo, kungabangela amehlo ukuba abe abomvu futhi athukuthele, okungaba nzima futhi kuthinte izinga lomuntu lomuntu.
Sibutsetelo
I-episcleritis ukuvuvukala e-episclera yeso. I-episclera yizicubu eziphezu kwesikhala (i-white of the eye). Izimpawu ziqala ngokuzumayo futhi zingase zibe kwelinye iso noma zombili amehlo.
Amacala amaningi (cishe amaphesenti angu-70) e-episcleritis akhona kwabesifazane, futhi isimo sivame kakhulu kubantu abasha nabaphakathi.
Noma yikuphi amaphesenti amabili kuya ku-5 abantu abane-IBD bazokwakha i-episcleritis. Ngokuvamile i-episcleritis izoxazulula lapho i-IBD engaphansi ilawulwa.
Izimpawu
Izimpawu ze-episcleritis zingabandakanya:
- Olubomvu noma obomvu emhlophe kweso
- Ukuthukuthela
- Ama-neodules e-episcelera
- Ubuhlungu (kodwa lokhu akuvamile)
- Ukunisela
Izimbangela
Ezimweni eziningi, imbangela ye-episcleritis ayaziwa. Kwezinye izimo, i-episcleritis icatshangwa ukuthi iyimbangela yokuphendula ngomzimba. Iphinde ihlotshaniswe nezifo eziningana nezifo ezifana nalokhu:
- I-rheumatoid arthritis
- I-Sjogren syndrome
- I-Syphilis
- Isifo sofuba
Ukwelapha
Ezimweni eziningi, i-episcleritis yinkinga yokuzivimbela futhi iyozixazulula yona ngaphandle kokwelashwa. Ukwelapha kuvame ukunikezwa ukusiza ukunciphisa ukungaboni kahle izimpawu. Izinyembezi zokufakelwa zingaba usizo, futhi zingasetshenziswa kuze kube yilapho i-episcleritis ixazulula. Kulabo abanobuhlungu obukhulu noma obuhlungu, amaconsi e-eye aqukethe okungezona-steroidal anti-inflammatory (NSAID) angasetshenziswa amasonto ambalwa. Uma izinyathelo zezingqikithi zinganikeli noma yikuphi ukukhulula, i-NSAID yomlomo ingahle ibekwe ukuze isize ngezimpawu. Ezimweni lapho kunama-nodules, i-steroid yomlomo ingahle isetshenziswe, kodwa lokhu akuvamile.
Nge-episcleritis ehambisana nezimo ezizenzakalelayo ezifana ne-IBD, ukwelashwa kunesifo se-steroid esiphezulu. I-steroid ye-topical yandisa ingozi yezinye izimo zeso ezifana nokutheleleka, i-cataracts kanye ne- glaucoma ngakho ukusetshenziswa kwabo kufanele kube okufutshane ngangokunokwenzeka. Ukwelashwa kwesimo esizimele sokuzenzakalela sinconywa futhi.
Okubalulekile
Ngezinye izikhathi kungase kube yinto yokuthi abantu abangenawo amanye ama-autoimmune noma izimo ezikhulunywe ngomzimba omzimba bazokwakha i-episcleritis. Uma kunjalo, kungase kube nesizathu sokuxhumana nodokotela wangaphakathi wezokwelapha bese ubona ukuthi kukhona ubufakazi obanele bokuhlola inkinga engaphansi ehambisana ne-episcleritis.
Kubantu abane-IBD, kwaziwa ukuthi lezi zimo ezimbili zingahamba ndawonye. Ukubona udokotela weso njalo njalo nokunakekela amehlo ukugwema noma yikuphi ukutheleleka noma ukulimala kubalulekile kubantu abane-IBD.
Imithombo:
Petrelli EA, McKinley M, iTroncale FJ. "Izibonakaliso ze-ocula zesifo sofuba sesibindi." Ann Ophthalmol Apr 1982; 14: 356-360.
Stone JH, Dana MR. "Episcleritis." UpToDate 6 Jan 2010.
U-Vorvick L, uZieve D. "I-Episcleritis." ADAM 15 Jul 2008.