Uveitis

Uveitis ke ho ruruha le ho ruruha ha mouoane. Boea ke karolo e bohareng ea lerako la leihlo. Leqhoa le fana ka mali bakeng sa iris ka pel'a leihlo le retina ka morao ho leihlo.

Uveitis e ka bakoa ke mathata a ikemetseng. Maloetse ana a etsahala ha sesole sa 'mele se hlasela le ho senya lisele tsa' mele tse phetseng hantle ka phoso. Mehlala ke:

• Ankylosing spondylitis
• Lefu la Behcet
• Psoriasis
• Ho itšireletsa mafung
• Ramatiki ea ramatiki
• Sarcoidosis
• Ho ruruha ha lefu la ulcerative

Uveitis e ka boela ea bakoa ke tšoaetso e kang:

• AIDS
• Cytomegalovirus (CMV) retinitis
• Tšoaetso ea Herpes zoster
• Histoplasmosis
• Lefu la Kawasaki
• Syphilis
• Toxoplasmosis
• Lefuba

Ho pepesehela chefo kapa kotsi ho ka baka uveitis. Maemong a mangata, sesosa ha se tsejoe.

Hangata ho ruruha ho lekanyelitsoe karolong e le 'ngoe feela ea mouoane. Mofuta o tloaelehileng haholo oa uveitis o kenyelletsa ho ruruha ha iris, karolong e ka pele ea leihlo. Tabeng ena, boemo bo bitsoa iritis. Maemong a mangata, e etsahala ho batho ba phetseng hantle. Boloetse bona bo ka ama leihlo le le leng feela. E atile haholo bathong ba bacha le ba lilemong tse mahareng.

Posterior uveitis e ama karolo e ka morao ea leihlo. E kenyelletsa haholo choroid. Ena ke mokato oa methapo ea mali le lisele tse hokahanyang lera le bohareng. Mofuta ona oa uveitis o bitsoa choroiditis. Haeba retina le eona ea ameha, e bitsoa chorioretinitis.

Mofuta o mong oa uveitis ke pars planitis. Ho ruruha ho etsahala sebakeng se bitsoang pars plana, se lipakeng tsa iris le choroid. Pars planitis hangata e hlaha ho bahlankana. Hangata ha e amane le lefu le leng. Leha ho le joalo, e kanna ea amahanngoa le lefu la Crohn mme mohlomong le multiple sclerosis.

Uveitis e ka ama leihlo le le leng kapa a mabeli. Matšoao a ipapisitse le karolo e itseng ea mouoane e ruruhileng. Matšoao a ka hlaha ka potlako mme a kenyeletsa:

• Pono e lerootho
• Lefifi, matheba a phaphametseng ponong
• Bohloko ba mahlo
• Bofubelu ba leihlo
• Ho ba le kutlo ho khanya

Mofani oa tlhokomelo ea bophelo o tla nka nalane e felletseng ea bongaka mme a etse tlhahlobo ea mahlo. Liteko tsa Lab li ka etsoa ho thibela tšoaetso kapa sesole sa 'mele se fokolang.

Haeba u se u fetile lilemo tse 25 'me u na le li-pars planitis, mofani oa hau o tla fana ka maikutlo a boko le mokokotlo oa MRI Sena se tla thibela multiple sclerosis.

Iritis le irido-cyclitis (anterior uveitis) hangata e bonolo. Kalafo e ka kenyelletsa:

• Likhalase tse lefifi
• Marotholi a mahlo a hlapollang seithuti ho imolla bohloko
• Marotholi a mahlo a steroid

Pars planitis hangata e phekoloa ka marotholi a mahlo a steroid. Meriana e meng, ho kenyeletsoa li-steroid tse nkiloeng ka molomo, e ka sebelisoa ho thusa ho hatella sesole sa 'mele.

Kalafo ea posterior uveitis e latela sesosa sa sesosa. Hangata e kenyelletsa li-steroid tse nkiloeng ka molomo.

Haeba uveitis e bakoa ke tšoaetso ea 'mele (systemic), o ka fuoa lithibela-mafu. U ka fuoa meriana e matla e thibelang ho ruruha e bitsoang corticosteroids. Ka linako tse ling ho sebelisoa mefuta e meng ea lithethefatsi tse thibelang boitshireletso ba mmele ho phekola uveitis e matla.

Ka kalafo e nepahetseng, litlhaselo tse ngata tsa anterior uveitis lia fela matsatsing a 'maloa ho isa ho libeke. Leha ho le joalo, bothata bo lula bo khutla.

Posterior uveitis e ka nka likhoeli ho isa ho lilemo. E ka baka tšenyo ea pono e sa feleng, leha e le kalafo.

Mathata a ka kenyelletsa:

• Likotsi
• Mokelikeli ka har'a retina
• Glaucoma
• Seithuti se sa tloaelehang
• Sehlopha sa Retinal
• Ho lahleheloa ke pono

Matšoao a hlokang tlhokomelo ea meriana e potlakileng ke:

• Bohloko ba mahlo
• Pono e fokotsehileng

Haeba u na le ts'oaetso ea 'mele (systemic) kapa lefu, ho phekola boemo ho ka thibela uveitis.

Ho ruruha; Pars planitis; Choroiditis; Chorioretinitis; Anterior uveitis; Posterior uveitis; Iridocyclitis

• Leihlo
• Teko ea tšimo ea pono

Webosaete ea American Academy of Ophthalmology. Kalafo ea uveitis. eyewiki.aao.org/Kalafo_ya_Uveitis. E ntlafalitsoe ka la 16 Tšitoe 2019. E fihlile ka Loetse 15, 2020.

Cioffi GA, Liebmann JM. Maloetse a tsamaiso ea pono. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 395.

Mollo oa Durand ML. Lisosa tse tšoaetsanoang tsa uveitis. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 115.

E thabisa I, Chan CC. Mekhoa ea uveitis. Ka: Yanoff M, Duker JS, bahlophisi. Ophthalmology. La 5th. Philadelphia, PA: Elsevier; 2019: khaolo ea 7.2.

Bala RW. Mokhoa o akaretsang oa maano a mokuli le kalafo. Ka: Yanoff M, Duker JS, bahlophisi. Ophthalmology. La 5th. Philadelphia, PA: Elsevier; 2019: khaolo ea 7.3.