Chikamu chemukati cheziso reziso chinoumbwa nezvikamu zvitatu - mutsara wevascular, iris uye ciliary (ciliary) muviri. Kuvhiringidzika kwavo kunonzi (mukuronga) posterior uveitis , irite uye cyclite. Izvozvo zvekupedzisira zvirwere zvinokonzera zvakanyanya zvakanyanya muga woga, nekuda kweropa rose rinowanzoitika panguva imwe chete.
Iridocyclitis - chirwere ichi chii?
Imwe zita rekugadzirisa uku nderokuti anterior uveitis. Chirwere chemaziso Iridocyclitis inosangana nekuputika kwe iris uye ciliary body. Dzimwe nguva, kutanga, chikamu chimwe chete cheputi pekutanga cheziso reziso chinoshungurudzwa, asi nekuda kwekubatana kwemaatomical, iyo yechipiri inowanzobatanidzwa. Chirwere chacho chinowanikwa kune imwe nguva, kunyanya kubva pamakore makumi maviri kusvika makumi mana.
Acute Iridocyclitis
Izvi zvakasiyana-siyana zvehutano hwehutano zvinoperekedzerwa nezviratidzo uye zvakananga. Kunyange subacute iridocyclitis ine maitiro, zvichiita kuti chirwere chacho chive nyore kuona uye kuongororwa mumatanho ekutanga ekufambira mberi. Ichi chimiro chechirwere chinoratidzwa nechipatara chakadai:
- kurwadziwa kukuru muziso uye pedo netembere;
- kutsoropodza nguva dzose;
- photophobia ;
- kubwinya kweproteti;
- kuora kwemaonero anooneka ;
- kuzvimba kweiyo;
- kuderedza komudzidzi;
- kuonekwa kuwedzera kwemidziyo yeropa;
- shandura chimiro uye mararamiro eIris.
Chronic Chronic iridocyclitis
Kazhinji (inenge 70% yezviitiko), chirwere chiri mubvunzo chinopinda zvishoma. Kugara kwenguva refu iridocyclitis kunoperekedzwa nezviratidzo zvishoma, nekuda kwezvinoitwa nevarwere vasingatauri nhengo ye ophthalmologist panguva yakakodzera. Mukurwisana nemamiriro ezvinhu asina njere ekurapa uye kusakwanisa kurapwa, zvinetso zvakakomba zvinokura, somuenzaniso, kukanganiswa kwezvikamu zvakawanda zvevadzidzi (synechia) kana kuti zvirwere zvakakwana.
Zvine ngozi kusava nehanya nekusingaperi iridocyclitis - kurapwa muzvikamu zvishoma zvechirwere hazvibatsiri nguva dzose. Somugumisiro, unovandudza amblyopia nehutachiona uye hutachiona hwechirwere kana utachiona hwedzidzi. Iko dzimwe nguva kunotungamirira kukuvhiringidzika kusingagadziriswi kwese chikamu chekare cheziso rakatsamwa uye kurasikirwa zvachose kwemaonero.
Iridocyclitis - zvikonzero
Izvo zviri mukati uye mukati zvinogona kukanganisa zvinorondedzwa zvirwere. Kazhinji inorwara inoshungurudza iridocyclitis, iyo inoitika nekuda kwekugadziriswa kwemagetsi kuziso reziso. Izvi zvinosanganisira kushungurudzwa, maitiro ophthalmic, kukuvadzwa uye zvakafanana. Zvimwe zvinokonzera iridocyclitis hazvisi izvo zvinokonzera:
- rheumatoid conditions;
- mabhakitiriya, utachiona uye protozoal zvirwere;
- fungal lesions;
- foci wekusingaperi kusuruvara mumuromo mutsva uye nasopharynx;
- kushungurudzika mumagadzirirwo emagetsi;
- endocrine zvirwere;
- systemic pathologies dzisina kuzivikanwa;
- keratitis ;
- autoimmune processes.
Iridocyclitis - zviratidzo
Tsanangudzo uye zvikamu zvekliniki yemufananidzo wekuputika zvinoenderana nechinokonzera, nyika yegunharaunda uye yehutachiona. Zviratidzo zve iridocyclitis zvinoenderana nemhando yehutano. Sarudza mhando dzinotevera dzekurwara:
- serous;
- fibrinous;
- purulent;
- viral.
Serous iridocyclitis
Urwu hwehutano hunowedzera nyore nyore kune vamwe, hunove hunofanotaura zvakanakisisa. Kurwara kwe iridocyclitis yesimba yakagadziriswa inoratidzirwa nekuunganidzirwa mukamuri yekare mukati meziso re serum exudate (turbid liquid). Izvi zvinowirirana nezviratidzo zvinotevera:
- mudzidzi akashata;
- kuchema ;
- kutya kwechiedza chinopenya;
- kuchema kurwadziwa muziso;
- edema uye redness ye iris;
- kuwedzera kuderera kwemidziyo yeropa;
- kuchinja kwemukati mukati mekudzivirira mukati;
- kuora kwemaonero anooneka ("veil");
- kuderera kwevadzidzi.
Kana nguva yakatarwa inonzi serous iridocyclitis, kurapwa kuchakurumidzira uye kuri nyore. Iro rudzi rwechirwere runopindura zvakanaka kurapwa mumatangi okutanga uye haruwanzokonzera zvinetso. Nekuwedzera kwehutachiona, fibrinous anterior uveitis inowanzobatanidzwa. Mumamiriro ezvinhu akadaro, njodzi yekukuvadza retina uye kukura kwechipiri glaucoma yakakwirira.
Fibrinous iridocyclitis
Urwu urwere hunoratidzwawo nehuwandu hwekunyengera mukamuri yekare mune ziso, asi panzvimbo ye whey iri rine protein inoumba apo ropa rinobatanidza. Fibrinous-plastiki iridocyclitis inotanga nguva dzose uye inofambidzana nezvose zvinoratidza zviratidzo. Mukuwedzera, zviratidzo zvinotevera zvinowanikwa:
- kusvibiswa kwe vitreous humor;
- kunzwa kunzwa kuputika muziso;
- kusanganiswa kweimwe nzvimbo dzevadzidzi;
- kuchinja mumumvuri uye mumvuri we iris;
- blepharospasm;
- kuderedza kubatwa kwepisocular .
Ichi chimiro chechirwere dzimwe nguva chinokonzera migumisiro yakaoma uye isingadzorwiki. Synechia inogona kukurumidza kuvhara uso wose wevadzidzi, izvo zvinotungamirira kuhutachiona hwakakwana (occlusion). Zvakakosha kusabvumira iridocyclitis yakadai - kurapwa kwechirwere chakaoma chechirwere kwakaoma uye kazhinji hachina kukwana. Zvinenge zvisingabviri kudzorera chiratidzo mushure mekudzivirira kwevadzidzi.
Purulent iridocyclitis
Iyo yakatsanangurwa yakasiyana ye anterior uveitis inokurwisana nechekuita kwehutachiona nehutachiona hwehutachiona. Iyo purulent iridocyclitis yeziso inomuka sechikonzero chengina yakareba kwenguva refu, pyorrhea, furunculosis nezvimwe zvipembenene zvitsva. Iyi maitiro ehutano inowedzera zvakaoma, inofambira nokukurumidza. Mumaawa mashomanana, yakawanda ye purulent exudate inowanzopinda muimba yekare yeziso, uye zviratidzo zvakananga zve iridocyclitis zvinooneka:
- kunyanya kuora kwemaonero anooneka;
- kuzvimba uye kubwinya kwe conjunctiva;
- kurwadziwa kusingagumi muziso rakakuvadzwa uye musoro kubva kurutivi rwakakodzera;
- mudzidzi akashata;
- kuchinja mumucheka we-iris kusvika kumasese kana kuti maguru (kunobva mavara eziso);
- chinyorwa chemapuroteni;
- kuumbwa kwe synechia pamucheto wevadzidzi;
- kuderedza kubatwa kwepisocular.
Viral iridocyclitis
Chirwere chinoratidzirwa chechirwere chinokanganisa zvakanyanya, asi chinosangana nekunzwa kunorwadza kudarika mamwe maitiro ekurwara. Zvinenge makumi mapfumbamwe zvemazana zvinokonzera hutachiona iridocyclitis, inobva mukudzoka kwehutachiwana hwehutachiwana munzvimbo dziri pedyo (pachiso, mumhino, pamutsipa). Zviratidzo zvakananga zvemufananidzo uyu we anterior uveitis:
- redness sclera;
- kusanganisa kwe serous kana fibrinous exudate mukamuri remukati yeziso;
- chiratidzo chisina kunaka;
- kuchema;
- kubatana kusina kukodzera kwevadzidzi vari kumativi ose ane capsule ye lens;
- yakawedzera intraocular pressure.
Iridocyclitis - Kuziva
Iva nechokwadi chokuti chirwere chinonzi chirwere chinogona kungoita ophthalmologist chaiyo mushure mekuongorora kwakakwana. Zvakakosha kuziva kuti ndeyomupi uye nei iridocyclitis yatanga - kurapwa kunofananidzwa nemhando ye anterior uveitis uye iyo causative agent. Chokutanga, chiremba anoitisa kunze kwekuona kweziso rakakonzerwa, anounganidza an anamnesis, anoita sarpation ye apulo. Mushure mezvo izvi zvinoitwa:
- biomicroscopy;
- chiyero chemukati wekudzivirira mukati ne tonometry;
- kuona acuity check;
- ultrasound kuongorora.
Kuti uone chinokonzera chisingaperi kana chirwere iridocyclitis cheziso, zvinotevera zvinorayirwa:
- coagulogram;
- huwandu uye hupenyu hwehupenyu hwehupenyu, urini;
- rheumatic tests;
- enzyme immunoassay (ELISA);
- polymer chain reaction (PCR diagnostics);
- allergic tests;
- chidzidzo chemuzinga we serum immunoglobulins muropa uye kubvisa mvura.
Dzimwe nguva inowedzera kukurudzirwa kuti iite radiography yemapapu, sinanas paranasal. Kuti ajekese kuongororwa, an ophthalmologist anogona kutarisa kune vanyori vashoma:
- kumukadzi wemasimba;
- rheumatologist;
- otolaryngologist;
- phthisiatrician;
- dermatovenereologist;
- allergist.
Iridocyclitis - kurapwa kumba
Chirwere chechirwere chinorwara chinoitwa muchipatara. Chiremba anokwanisa chete anokwanisa kusarudza nzira yekurapa iridocyclitis, zvichienderana nemigumisiro yekubatsira uye kuongororwa kwema laboratori. Kuedza kuzvimiririra kuvhara kubvumira kunogona kukonzera kuchinja kwehutano kuhupenyu husingagumi uye matambudziko akaoma anotyisa kwete kungoonekwa chete, asiwo kuve kweziso:
- cataract;
- pupil occlusion;
- chorioretinitis;
- secondary glaucoma;
- kududzirwa kwemuviri wakasimba;
- detachment of the retina;
- an abscess;
- endo- uye panophthalmitis;
- atrophy ye eyeball;
- bofu.
Iridocyclitis - kurapwa, kugadzirira
Nzira yekurapa kwechirwere ichi inosanganisira kupindira kwekukurumidzira uye kurongwa. Chokutanga, zvinodhaka zvinoshandiswa kumira kupisa, kubvisa marwadzo ekurwadziwa uye kudzivirira kuumbwa kwe synechia. Muzuva rokutanga remishonga, madonhwe eziso anorayirwa kuti iridocyclitis, kuderedza mwana (mydriatica):
- Irifrin;
- Atropine;
- Midratsil;
- Adrenaline;
- Yakagadzirwa uye yakafanana.
Kuti kusimbise migumisiro yemishonga iyi uye kumira mararamiro emaronda, madonhwe anopisa-kupisa anowedzera kushandiswa mu iridocyclitis ne analgesic properties:
- Diclof;
- Indomethacin;
- Naklof nevamwe.
Kana kutuka kwakanyanya kwazvo uye kunosangana nemarwadzo asingagoneki, uye kurapwa nemaitiro apfuura hakubatsiri, zvinotevera zvinoitwa:
- subconjunctival injections ye steroid ( dexamethasone );
- majekisi emishonga inorwisa mabhakitiriya ane maitiro akawanda (Chikrofloxacin);
- pyloric uye orbital blockades (Novokain).
Kuti kuderedza zviratidzo zvehutano kubatsira:
- antihistamines (Suprastin, Claritin);
- zvinodhaka zvinoderedza kupora kwemapilisiri (Dicycin, Etamsilate);
- mishonga inorwadza (Ibuprofen, Ketanov).
Mushure mokurapa kwekukurumidza kwe iridocyclitis, chirongwa chakarongwa chinogadzirwa. Inotarisirwa kubvisa chinokonzera kukura kwehutachiona, kudzorerwa kwemabasa e ciliary body uye iris, kumira kwemaonero nekudzivirira kwezvinetso. Chirongwa chinosarudzwa ne ophthalmologist pachavo uye chinogona kusanganisira zvirongwa zvakadaro uye nzira:
- antiviral;
- antibiotics;
- corticosteroids;
- immunomodulators;
- antifungal;
- local proteolytics;
- antiseptics;
- antiallergic;
- immunosuppressors;
- multivitamins;
- electrophoresis;
- magnetic treatment;
- laser therapy;
- plasmapheresis;
- hemosorption;
- chirurgical intervention.
Iridocyclitis - mishonga yevanhu, kurapwa
Ophthalmologists rinorambidza nzira ipi zvayo yekuzvidzora ne anterior uveitis. Icho chinonyanya kukanganisa kuita mune imwe nzira yekurapa, kana purulent kana fibrinous zvakanyanya iridocyclitis ichifambira mberi - kurapwa nevasina zvinodhaka nguva dzose zvinotungamirira kuwedzera kuvhiringidza uye zvinetso zvakakomba. Kazhinji, "nyanzvi" inopera mukuyerera kwechirwere ichiita sechimiro chisingaperi. Zvakakosha kuti tibvunze chiremba uye panguva yakakodzera kuongororwa iridocyclitis - mishonga yemusha inobatsira kuwedzera kuipa kwemamiriro acho.