I-Glaucomatocyclitic Crisis, noma i-GCC, isimo esifana ne-glaucoma lapho ukucindezeleka kweso kuphakama ngokushesha, ngokuvamile ngeso elilodwa nje. I-spike ekucindezelekeni kweso ibangelwa ukuvuvukala kokuzumayo okuvele kungazelelwe okwenzeka esweni, okuthiwe u-uveitis . I-Uveitis ukuvuvukala kwesigcawu se-uveal esweni. I-uvea iyinhlaya ecebile yetshezi yegazi ehlanganisa imisipha ye-ciliary, umsila olawula ukugxila, futhi unesibopho sokukhiqiza uketshezi engxenyeni engaphambili yeso.
Ukucindezeleka kwamehlo noma ukuhlaselwa kungafika ngokushesha futhi kugcine kusuka emahoreni ambalwa kuya emavikini noma izinyanga. Amacala amaningi agcina amasonto amabili. I-GCC ivame ukuvela phakathi kweminyaka engama-20 no-50 futhi ayitholakali kubantu abaneminyaka engaphezu kwengu-60. Ngokungajwayelekile, itholakala ezinganeni.
Izimpawu
Abantu abakha i-GCC bakhononda ngalokhu okulandelayo:
- umbono ongenalutho
- ukunganaki kahle
- halos ezinemibala
- ukubomvu kweso
Kuyathakazelisa ukuthi iziguli ezinama-GCC azivame ukukhononda ngobuhlungu obukhulu, ukuzwela okukhulu, nobuhlungu okuyizimpawu ezivamile ze-uveitis. Empeleni, ngezinye izikhathi isimo asilahleki ngoba i-uveitis inomusa kakhulu.
Uveitis Nokunyuka Kokucindezeleka Kwamehlo
Ezimweni eziningi ze-uveitis, amangqamuzana okuvuvukala kanye nama-debris amafomu ekamelweni langaphambili leso. Lezi zinhlayiya ziqinisa uketshezi futhi ziphinde ziboshwe emanzini asebenzayo, i-pipe yokukhipha kwetshezi yeso elitholakala engxenyeni yeso. Ku-GCC, kunokwanda okulinganiselwe kwe-biochemical ebizwa ngokuthi i-prostaglandin emthonjeni ohlangothini olungaphambili lweso.
Ngesikhathi sokuhlaselwa, ukuhlushwa kwe-prostaglandin kuphakama futhi kubangele ukuvuvukala emithini yokugcoba okwenza ukuthi i-fluid ikhule ngokungalungile. Futhi, i-prostaglandin yenza ukwanda komkhiqizo oketshezi iso. Ngezikhathi zokuxolelwa, kunciphisa okuphawulekayo ezingeni le-prostaglandin futhi kunciphise ukukhiqizwa kwamanzi.
Empeleni, lapho ipayipi yokudonsa ingasondeli kahle futhi kunokwenziwa uketshezi oluthe xaxa, iso alikwazi ukulihlunga ngokushesha futhi ukucindezela ngaphakathi kweso kuyanda.
Izimbangela
Ososayensi batusa ukuthi i-GCC ibangelwa uhlobo oluthile lwegciwane, njenge-CMV ( cytomegalovirus ), noma i-herpes zoster virus (igciwane lesandulela ngculazi). Ucwaningo lubonisa ukuthi uketshezi oluthathwa ezigulini ezibhekene nenkinga ye-glaucomatocyclitic ziye zahlolisisa iziqephu ezincane zama-genomic zalawo ma virus. Azikho amagciwane aphilayo atholakale. Lezi amagciwane zenza ukusabela okuvuthayo ukuqala.
Ingabe i-GCC ingabangela ukuphulukisa?
Uma ukuhlaselwa kwe-GCC kuqhubeka, ukucindezeleka kwamehlo kungakhuphuka kakhulu kangangokuthi umonakalo uvela emgodini we-optic (i-cable yezinzwa ezixhuma iso leso ebuchosheni) kanye nocingo lwezinzwa zezinzwa. Uma kwenzeka umonakalo okwanele, ukulahleka kombono kungenzeka, ngokuvamile kuvela engxenyeni yombono wombono wakho. Uma ishiywe ingalashwa, ingasakazeka embonweni wakho ophakathi.
I-GCC vs i-Gleucoma Yokuvala I-Angle Ekhazimulayo
Cha. I-glaucoma yokuvala i-angle ephawulekayo ibuye ibe uhlobo oluthile lwe-condition olungaholela ekukhuphukeni kweso kweso, kodwa lulethwa ukugxila kweso. I-angle yeso yilapho i-meshwork engathandeki (ipayipi yokudonsa) itholakala.
I-angle lapho i-cornea ne-iris ehlangana khona iba mncane kangangokuthi amanzi akwazi ukuphunyuka. Abantu abanokuvalwa kwe-angle okunamandla futhi abanayo i-uveitis futhi bakhononda kakhulu ubuhlungu obuningi. Ezigulini ezine-GCC, i-angle iphinde ivuleke.
Ukwelapha
Njengoba ukuvuvukala emehlweni kuyimbangela yokukhushulwa kwengcindezi, ukuvimbela okunamandla okunjengama-steroid kunqunywe. Futhi, amaconsi e-anti-glaucoma ehlosiwe anikezwa ukunciphisa ukucindezeleka kweso. Iklasi elithile lamayeza e-glaucoma okuthiwa i-prostaglandin analogs (ngokuvamile esetshenziselwa ukwelashwa kokuqala emagulini amaningi angama-glaucoma angapheli) agwenywe ngoba ayengakwazi ukwandisa ukuvuvukala.
Imithi yokwelashwa yesikhathi esizayo igxile emithini elwa namagciwane kusukela ososayensi bacabanga ukuthi kungenzeka ukuthi ibe ne-etiology egazini.
Okufanele Ukwazi
I-GCC ivame ukuba yisifo esibucayi nesinemikhawulo, nakuba kwezinye iziguli ezinokuphindaphindiwe okuphindaphindiwe, ukulimala okungapheli kwe-glaucomatous kungenzeka. Kungcono ukuba nobuhlobo obuhle nodokotela wakho wezilanga ukuze ukwelashwa kungaqaliswa ngokushesha uma isimo sisaqala.
> Umthombo:
> Sowka, J., Gurwood, A., naseKatat, A. Incwadi yokuphathwa kwezifo zezifo, Ukubuyekezwa kwe-Optometry, Umagazini Weshumi Nesithupha, 15 > June, > 2014.