Sibutsetelo
I-Episcleritis iyisifo esibuhlungu sokuvuvukala kwe-episclera, izicubu ezincane phakathi kwe-conjunctiva ne-sclera emhlophe. I-episclera yakha inethiwekhi encane yemithambo yegazi. I-Episcleritis ivame ukubukeka kabi nakakhulu kunalokho. Nakuba amacala amaningi e-episcleritis ahamba eyedwa uma eshiywe yodwa isikhathi eside, cishe ingxenye eyodwa kwezintathu zamacala axhumene nezinkinga ezivuthayo zokuvuvukala zivela kwenye indawo emzimbeni.
Izimpawu
I-episcleritis ngezinye izikhathi ikhiqiza isigaba sokubomvu kwelinye noma kokubili amehlo. Abanye abantu bangase bahlakulele umcengezi omhlophe wezicubu phakathi nendawo ebomvu, eyaziwa njenge-episcleritis nodular. Abantu abaningi abane-episcleritis banezinye izinhlungu ezihambisanayo noma abazizwa kahle, kodwa abanye abanakho. Ezinye izimpawu ezingase zenzeke nge-episcleritis kukhona ukuzwela ekukhanyeni (photophobia) nokuphuma kwamanzi emehlweni.
Izimbangela
Ezimweni eziningi ze-episcleritis, odokotela bakuthola kunzima ukuthola isizathu esicacile. Ngezimo ezimbi kakhulu ze-episcleritis, izimo ezinjengezifo ezivuthayo , isifo sikaCrohn kanye nesifo sofuba esiswini ngokuvamile ziba yizigebengu. I-arthritis ye-rheumatoid , i-psoriatic arthritis, i-polyarteritis nodosa, i-sarcoid, i-lupus ne-ankylosing spondylitis nayo yaziwa ngokubonisa ukuvuvukala njenge-episcleritis.
Izinhlobo ze-Episcleritis
Kunezinhlobo ezimbili ze-episcleritis: zilula futhi ziyi-nodular.
- Episcleritis elula:
- Uhlobo oluvame kakhulu, i-episcleritis elula ibangela ukuvuvukala okuphindaphindiwe. Ukuphelela ngalunye kuvame ukuhlala ezinsukwini ezingu-7 ukuya kwezingu-10, nakuba iziqephu ezinde zingase zenzeke uma isimo sihlotshaniswa nesinye isimo sesistimu.
- Episcleritis engavamile:
- I-episcleritis engavamile yenza ukuhlaselwa okubuhlungu kakhudlwana kokuvuvukala. Abantu abaningi abane-episcleritis nodular bane-systemic ehambisana nayo.
Ukwelapha
I-Episcleritis ingase ihambe yodwa phakathi kwamasonto amathathu uma ingashiywa ingasaphathwa. Odokotela abaningi baphatha ama-episclertis ukuze bavuselele ngokushesha. Ukwelashwa kwe-episcleritis kuvame ukufaka lokhu okulandelayo:
- I-corticosteroids yamaconsi amehlo amaconsi amehlo anikezwa izikhathi eziningana ngosuku
- Iso lokugcoba ngeso lengqondo liyahla njengezinyembezi zokufakelwa
- I-cold ishaya izikhathi ezintathu kuya kwezi-4 ngosuku
- Imithi engeyona imithi elwa nokuvuvukala eyinikezwa ngomlomo inqunywe ezimweni ezimbi kakhulu
Okufanele Ukwazi
Kwezinye izimo ze-episcleritis, i- scleritis ingase ikhule, ukuvuvukala kwe- sclera okungabangela ubuhlungu obukhulu nokulahlekelwa umbono. Xhumana nodokotela wakho uma unezimpawu ze-episcleritis ezihlala isikhathi esingaphezu kwamasonto amabili noma uma ulahlekelwe umbono.
Episcleritis vs. Scleritis
I-episcleritis ivela emathangeni amancane phakathi kwe-conjunctiva ne-sclera emhlophe. I-episclera yakha inethiwekhi encane yemithambo yegazi. I-sclera iyimbozo enzima, emhlophe yangaphandle ye-eyeball. Nakuba i-episcleritis impela iyimbangela yokukhathazeka, i-scleritis ivame ukubhekwa njengesimo esibi kakhulu futhi ngokuvamile ibuhlungu kakhulu futhi ithambile ukuthinta. I-scleritis ingaba yisifo esiyimpumputhe futhi ngokuvamile sihlotshaniswa nokukhathazeka okuzenzakalelayo okufana nesifo se-rheumatoid arthritis.
Optometrists kanye nama-ophthalmologists baqeqeshelwe ukuhlukanisa phakathi kwe-episcleritis ne-scleritis. I-Becuase scleritis ngezinye izikhathi ihlobene nezimo ze-autoimmune zesimiso, isimo sakho sizophathwa njengomdokotela oyinhloko wokunakekelwa, udokotela we-rheumatologist noma udokotela wangaphakathi wezokwelapha.
Umthombo: Catania, Louis J. Primary Care Segment Anterior, Edition Second. Appleton & Lange, 1995.