I-Uveitis ithinta abanye abantu abane-IBD futhi bangaholela ekulahlekelweni kombono
Sibutsetelo
Isifo sesifo sofuba (IBD) asithinti nje kuphela umgudu wokugaya , kodwa futhi sihlobene nezimo kwezinye izingxenye eziningana zomzimba . Amehlo abukeka njengendawo engalindelekile ukuthi ingathinteka, kodwa eqinisweni kunezimo eziningi zamehlo ezivame kakhulu kubantu abane-IBD. I-Uveitis yisimo sengqondo esingejwayelekile esivumelana ne-IBD.
Uma kungalashwa, kungaholela ekulahlekelweni kombono.
Abantu abane-IBD abadingi nje ukunakekelwa okuvamile kusukela ku-gastroenterologist, kodwa ukunakekelwa okuvamile kusuka kudokotela wezilingo kuyadingeka. I-Uveitis nezinye izimo zamehlo ezihlobene ne-IBD azivamile kepha kubalulekile ukuthi zitholakale futhi ziphathwe ngokushesha uma zikhula. Abantu abane-IBD abanezinhlungu zesohlo ngokungazelelwe noma ezinye izimpawu ezisesweni kufanele babone udokotela wezilwane ngokushesha bese bebiza i-gastroenterologist yabo.
Uveitis ukuvuvukala emgqeni wangaphakathi weso - i-uvea. I-uvea iqukethe i- iris (ingxenye enhlobonhlobo yeso), umzimba we-ciliary (izicubu ezizungezile i-lens ye-eye), kanye ne-choroid (imithwalo yegazi kanye nezicubu phakathi kwezimhlophe zeso ne-retina). Uveitis kungaba isimo esingapheli. Izinhlobo ze-uveitis zihlanganisa:
- I-Anterior: Ukuvuvukala ku-iris
- Ukusabalalisa: Ukuvuvukala kulo lonke i-uvea
- Okuphakathi: Ukuvuvukala kumzimba we-ciliary
- I-posterior: Ukuvuvukala kwe-choroid
Izimpawu
Uma kuhlotshaniswa ne-IBD, ukuqala kwe-uveitis kungase kungabonakali, futhi u-uveitis ungase ube khona ngaphambi kokuba i-IBD itholakale. Izimpawu ze-uveitis zihlukile kuye ngokuthi uhlobo:
- I-Anterior: Ukuzwela ukukhanya, ubuhlungu, iso elibomvu nokulahlekelwa kombono
- Ukusabalalisa: Ukuzwela ukukhanya, ubuhlungu, iso elibomvu, ukulahleka kombono othile, umbono obonakalayo, nezintambo
- Okuphakathi: Ngokuvamile akubuhlungu, umbono obonakalayo, izintambo
- I-Posterior: Ngokuvamile ayibuhlungu, umbono obonakele, izintambo
Izimbangela
I-Uveitis ihlotshaniswa nezifo eziningana zokuvuvukala kubandakanya isifo samathambo , i- sarcoidosis , i-lupus, ne-IBD. I-uveitis ingabuye ibangelwa ibhaktheriya noma isikhunta; ukulimala iso; noma ukutholakala kwamakhemikhali athile anobuthi. Kwezinye izimo, akukho isizathu esicacile esingatholakala ekuthuthukiseni u-uveitis. Kungase kube nesakhi sofuzo ku-uveitis, njengoba isakhi esithile esibizwa ngokuthi i- HLA-B27 sitholakale sihlotshaniswa nesigamu samacala we-uveitis kubantu abane-IBD.
Ukuvama
Kwesinye isikhathi phakathi kwamaphesenti angu-5 no-9 abantu abane-IBD bazophinde bahlakulele u-uveitis. I-Uveitis iphindwe izikhathi ezingu-4 kubesifazane kunamadoda, kanti cishe amaphesenti angama-75 alabo abakha u-uveitis banesifo samathambo. Bobabili amehlo abathintekile futhi isimo siba nesifo esingapheli.
Ukwelapha
Ukungivimba okungenasifo kuyinto ukuvuvukala iso, futhi ukwelashwa ngokuvamile kuhlanganisa steroid ukunciphisa ukuthi ukuvuvukala. Ifomu le-steroid (ukwehla kwamehlo, iphilisi, noma umjovo) kuzoxhomeka kohlobo lwe-uveitis.
I-uveitis phambi kwehlo (i-anterior) ingase iphathwe ngamaconsi e-steroid iso. Amanye amaconsi ejoka anganikwa futhi ukuphatha ubuhlungu. Ubuhlungu be-uveitis obungenakuphulukiswa ngamaconsi eso, futhi i-steroid ephilisi noma ifomu lokujola ngokuvamile lisetshenziswa. I-Steroids efilini ifomu inezinhlobonhlobo zemiphumela emibi , futhi ngokuvamile ihlinzeka kuphela ezimweni ezingenasifo noma ezingamelana nezinye izifo.
Ukwelapha okusha kwe-uveitis okungapheli kuhilela ukungenisa i-eye efakwe iso elinikezela i- corticosteroids ngokuqhubekayo phakathi nenkathi yeminyaka engu-2 1/2. Le ukwelashwa kungabangela i- cataracts noma i- glaucoma .
Ezimweni lapho isimo sokuvuvukala njenge-IBD noma i-arthritis sikhona, ukuphatha isimo esibucayi siphakanyiswa.
Okubalulekile
Amehlo akho abalulekile, futhi uyazi ukuthi i-IBD ingaba nomthelela kubo. Ukubona udokotela wakho wezilanga njalo kubalulekile. Ungakhohlwa ukwenza udokotela wakho azi ngesifo sakho se-Crohn noma i-ulcerative colitis. Abantu abane-IBD bazodinga ukunakekelwa ukuhlala phezulu kwezempilo kweso. Noma yini engavamile ngamehlo akho noma kwamehlo akho kufanele kubikwe odokotela bakho ngokushesha. Ngale ndlela, ungahlala phezulu kwe-IBD yakho ne-eyesight yakho ngenhloso yokwelapha izinkinga ngokushesha ngaphambi kokuba zibe izinkinga ezinkulu.
Imithombo:
Lyons, JL, Rosenbaum, JT. "I-Uveitis ehlobene nesifo sofuba esifubeni uma kuqhathaniswa ne-uveitis ehambisana nokuphazamiseka kwe-spondyloarthropathy." I-Arch Ophthalmol 1997; 115: 161. 10 Okthoba 2014.
I-Orchard TR, Chua CN, Ahmad T, Cheng H, Welsh KI, Jewell DP. I-uveitis ne-erythema nodosum ezifweni zesifo sofuba: izici zomtholampilo kanye nendima yama-GLA wegciwane. "I- Gastroenterology Sept 2002; 123: 714-718. 10 Okthoba 2014.
Paiva, ES, Macaluso, DC, Edwards, A, Rosenbaum, JT. "Ukufaniswa kwe-uveitis kwiziguli ezine-arthritis ye-psoriatic." I-Ann Rheum Dis 2000; 59:67. 10 Okthoba 2014.