Uveitis yini? Izimpawu, Izimbangela, & Ukwelashwa

Uveitis iwukuvuvukala kwe-uvea, ingxenye ephakathi yamehlo akho enezithombo zegazi futhi inikeza ukudla kwi-retina yakho. Cabanga ngayo njengesistimu 'yokuphehla' yemvelo yamehlo akho ecasukayo futhi ebomvu, okungathinta ukubona kwakho nokuthula kwakho.

Lesi simo sithinta abantu abangu-2 kuya ku-5 ngabangu-10,000 unyaka ngamunye, okwenza kube yinto engavamile kodwa ebaluleke ngokwanele ukudinga ukunakekelwa ngokushesha kwezokwelapha. Nakuba igama lingase lizwakale liyesabekisa, ukuqonda ukuthi kwenzekani emehlweni akho kungakusiza ukuthi uqaphele izimpawu ngokushesha futhi uthole ukunakekelwa okudingayo.

Uveitis yini?

Uveitis kwenzeka lapho i-uvea ivuvukala, ibangele ubomvu, ubuhlungu, nezinkinga zokubona. I-uvea inezingxenye ezintathu eziyinhloko: i-iris (ingxenye elimele amehlo akho), umzimba we-ciliary (osiza amehlo akho ukuba agxile), ne-choroid (enakekela i-retina).

Uma ukuvuvukala kuqala kunoma iyiphi yalezi zindawo, kuya kuphazamisa ukugeleza okujwayelekile kokudla futhi kungaphazamisa ikhono lamehlo akho lokusebenza kahle. Isistimu yakho yokukhulula, evame ukukuvimbela, ihlasela ngephutha izicubu zemehlo eziphilile noma iphendule ekuthelelekeni noma ekulimala.

Lesi simo singathinta iliso elilodwa noma womabili, futhi singase siqale ngokuzumayo noma kancane kancane ngokuhamba kwesikhathi. Ukwelashwa kwasekuqaleni kubalulekile ngoba uveitis engaphathwe ingabangela ukuphazamiseka okukhulu okungathinta ukubona kwakho unomphela.

Ziyini Izinhlobo ze-Uveitis?

Odokotela bahlukanisa uveitis ngokusekelwe ezingxenyeni ze-uvea ezivuvukile. Ukuqonda uhlobo kusiza ekutholeni indlela engcono kakhulu yokwelapha isimo sakho esithile.

I-uveitis yangaphambili ithonya ingxenye yangaphambili yamehlo akho, kufaka phakathi i-iris nomzimba we-ciliary. Lolu uhlobo oluvamile kakhulu, olumelela cishe u-75% lazo zonke izimo ze-uveitis. Ungase uqaphele ubuhlungu beliso, ukukhanya okukhulu, nokubona okuphazamisekile okuvela emahoreni noma ezinsukwini.

I-uveitis ephakathi ihilela ingxenye ephakathi yamehlo, ikakhulukazi i-vitreous (isigaxa esifana nejeli esigcwalisa iso lakho). Lo mkhuba uvamise ukubangela ama-floaters - lawo maqabunga amancane noma izakhiwo ezifana ne-cobweb ezihamba phambili embonweni wakho. Ukutheleleka kuvame ukuthuthuka kancane kunokuthi i-uveitis yangaphambili.

I-uveitis yangemuva ithonya ingxenye yangemuva yamehlo akho, kufaka phakathi i-choroid ne-retina. Lo mkhuba ungaba nzima kakhulu ngoba uthinta ngokuqondile i-retina, ebalulekile ukubona kahle. Ungase uhlangabezane nokwehluleka ukubona, ama-floaters, noma ukuhluleka ukubona ekukhanyeni okuncane.

I-Panuveitis ihilela ukutheleleka kuzo zonke izingxenye ze-uvea. Lolu hlobo oluphelele lungabangela ukuxubana kwezimpawu ezivela kwezinye izinhlobo futhi kuvame ukudinga ukwelashwa okunamandla ukuvimbela izinkinga zokubona.

Ziyini izimpawu ze-Uveitis?

Ukuqaphela izimpawu ze-uveitis ngokushesha kungenza umehluko omkhulu ekuvikeleni ukubona kwakho. Izibonakaliso zingase zihluke kuye ngokuthi yiliphi ingxenye yamehlo akho elithintekayo, kepha ezinye izimpawu zivame kakhulu kunokunye.

Ubuhlungu lwamehlo kuvame ukuba yiyodwa yezimpawu zokuqala ozoqaphela, ikakhulukazi nge-uveitis yangaphambili. Lokhu akuyona nje into encane - kungaba ubuhlungu obukhulu, obuhlungu obukhulu obukhulu lapho uhambisa iso lakho noma lapho kukhanya kukuthinta. Ubuhlungu bungase buzwakale njengengcindezi ekwakheka ngaphakathi kweso lakho.

Ukukhanya okukhulu, okuthiwa yi-photophobia, kungenza ukukhanya okuvamile kwangaphakathi kube lukhulu kakhulu. Ungase uzithole ukhanyisa, ugweme izindawo ezinkulu, noma udinga ukugqoka izibuko zangaphakathi. Lokhu kwenzeka ngoba ukutheleleka kwenza iso lakho libe nomphumela omkhulu ekukhanyeni.

Ukushintsha kokubona kungafaka phakathi ukungacaci, ukunciphisa ubukhali, noma ukuhluleka ukugxila. Nge-uveitis yangemuva, ungase uqaphele amabala aphithizelayo noma izindawo lapho ukubona kwakho kubonakala kuqina khona. Lezi zinguquko zingase zithuthuke kancane noma zivele ngokuzumayo.

Nawa ama-sintoma aphambili okumelwe uwabukele:

• Ukuqabuqa kwamehlo, ikakhulukazi eduze kwelensi yamehlo
• Amachaphaza noma imigqa ehambahambayo embonweni wakho
• Ukunciphisa kombono noma ukulahlekelwa kombono
• Izinhlungu zikhanda, ikakhulukazi eduze kweliso elithintekayo
• Ukuthumba noma ukukhishwa okukhulu kwamehlo
• I-pupil encane engaphenduli kahle ekukhanyeni

Abanye abantu abane-uveitis ephakathi noma emuva bangase bangabi nazinhlungu nhlobo, kungakho ukuhlolwa njalo kwamehlo kubalulekile. Ukuvuvukala kungalimaza umbono wakho ngokuthula ngaphandle kwezimpawu ezicacile.

Kufanele Ubone Udokotela Nini?

Kufanele uxhumane nodokotela wamehlo ngokushesha uma uhlangabezana nobuhlungu obukhulu amehlo, ukushintsha okukhulu kombono, noma ukukhanya okukhulu. Lezi zimpawu zingabonisa ukuvuvukala okukhulu okudinga ukwelashwa okusheshayo ukuvimbela ukulimala okungapheli.

Ungalindi ukubona ukuthi izimpawu ziyathuthuka yini zodwa. I-Uveitis ingaba mbi ngokushesha, futhi ukwelashwa okulile kukhuphula ingozi yezinhlungu. Uma unomlando wezimo ze-autoimmune noma izinkinga zamehlo ngaphambili, qaphela kakhulu ngezimpawu ezintsha zamehlo.

Funani ukunakekelwa okusheshayo uma uhlangabezana nokulahleka kombono okungazelelwe, okuqatha, ubuhlungu obukhulu amehlo obungaphenduli ekuthambiseni ubuhlungu okungenayo iresiphi, noma uma ubona ukukhanya okuqhumayo noma isithunzi esinjengesihlalo phezu kombono wakho. Lokhu kungabonisa izinkinga ezinzima ezidinga ukunakekelwa okusheshayo.

Yini Ebanga I-Uveitis?

Imbangela eqondile ye-uveitis ivame ukungaziwa, okuyikho odokotela abakubiza ngokuthi "i-uveitis idiopathic." Noma kunjalo, izinto eziningi zingabangela le mpendulo yokuqala emehlweni akho, nokuqonda lokhu kungasiza ekwelapheni nasekuvimbeni.

Isimo se-autoimmune siphakathi kwezizathu ezivame ukubonakala. Uma isimiso sakho sokugcina sihlasele ngephutha inyama enempilo, singahlose i-uvea yamehlo akho njengoba kungahlasela izintambo e-arthritis noma isikhumba e-psoriasis.

Nazi izigaba eziyinhloko zezizathu:

• Izifo ze-Autoimmune: Ukuvuvukala kwamajozi, i-ankylosing spondylitis, isifo esivuvukalayo sesisu, i-multiple sclerosis, ne-Behçet's disease
• Ukutheleleka: I-Toxoplasmosis, i-herpes simplex, i-cytomegalovirus, i-syphilis, i-tuberculosis, ne-Lyme disease
• Ukulimala kwamehlo: Ukulimala okuqondile, ukulimala okuthungayo, noma ukuphazamiseka okuvela ekuhlinzweni kwamehlo
• Imithi ethile: Amanye ama-antibiotic, imithi yokulwa nokuvuvukala, noma ukwelashwa kwezinye izimo
• Ezinye izimo zokuvuvukala: I-Sarcoidosis, i-Vogt-Koyanagi-Harada disease, noma i-sympathetic ophthalmia

Ngezinye izikhathi i-uveitis ivela njengengxenye yesimptome esikhulu sokuvuvukala esithinta izinhlelo eziningi zomzimba. Udokotela wakho angase adinge ukucwaninga ezinye izimpawu noma enze ukuhlolwa okuengeziwe ukuze athole noma yiziphi izimo ezingaphansi ezingase zifake isandla ekukhubekiseni kwamehlo akho.

Ezinganeni, i-juvenile idiopathic arthritis iyimbangela ebaluleke kakhulu okufanele uyicabangele, njengoba i-uveitis ingase ibe khona ngokuthula ngaphandle kwezimpawu ezibonakalayo. Kungakho izingane ezinezinye izinhlobo ze-arthritis zidinga ukuhlolwa kwamehlo njalo.

Iyini Izingozi Zokuthola I-Uveitis?

Izici ezithile zingandisa amathuba akho okuthola i-uveitis, nakuba ukuba nezingozi akusho ukuthi uzoyithola ngokuqinisekile le simo. Ukuqonda lokhu kungakusiza uhlale uxakekile ngezimpawu futhi ukhulume ngokuphenya nodokotela wakho uma kudingeka.

Ubudala buthatha indima ezinhlwini ezahlukene ze-uveitis. I-Anterior uveitis ivame ukubathinta abantu abaneminyaka engama-20 kuya kwengu-50, kuyilapho i-intermediate uveitis ivame ukuvela kubantu abadala abasebasha. I-Posterior uveitis ingase ibe khona kunoma iyiphi iminyaka kodwa ivame kakhulu kubantu abadala.

Izici zezofuzo zingathinta ingozi yakho, ikakhulu uma uthwala ama-jini athile afana ne-HLA-B27. Abantu abanamaphawu alofuzo anjalo banesilinganiso esiphezulu sokukhula kwe-anterior uveitis, ikakhulu uma banezimo ezinjenge-ankylosing spondylitis noma isifo sokuvuvukala sezisu.

Ukuba nesimo sokuzimela komzimba kukwandisa kakhulu ingozi yakho. Uma uqaphelwe i-rheumatoid arthritis, i-lupus, i-multiple sclerosis, noma izimo ezifanayo, isimiso sakho sokuvikela umzimba sesikusezingeni eliphezulu elingathinta amehlo akho.

Ukutheleleka kwamehlo noma ukulimala kwangaphambili ngezinye izikhathi kungabangela i-uveitis ezinyangeni noma ngisho neminyaka kamuva. Impendulo yamehlo akho ekutholakaleni kokuqala ingaqhubeka isikhathi eside kunokulindelekile, okubangela ukuvuvukala okuqhubekayo.

Indawo yomhlaba ingathinta izimbangela ezithile zokutheleleka kwe-uveitis. Isibonelo, i-histoplasmosis ivame kakhulu ezindaweni ezithile zase-United States, kuyilapho ingozi ye-toxoplasmosis ihlukahluka ngokusekelwe ezintweni zasekhaya nasesimweni sempilo.

Ziyini Izingozi Ezingaba khona ze-Uveitis?

Nakuba i-uveitis iyakwazi ukwelashwa, ukuyishiya ingalashwa noma ingalawulwa kahle kungabangela ubunzima obukhulu obungathinta ukubona kwakho unomphela. Ukuqonda le miphumela emibi kubalulekile ukuthi kungani ukwelashwa okusheshayo kubalulekile kangaka.

Ukuvuvukala kwe-uveitis kungalimaza izakhiwo zezinto ezinemininingwane yamehlo ngokuhamba kwesikhathi, okubangela ubunzima obuhlukahlukene obuqala kusuka kokuncane kuya kokusongela ukubona. Ubunzima obuningi bukhula kancane kancane, kodwa abanye bangase baqale ngokushesha ngokuvuvukala okukhulu.

Nawa ubunzima obukhulu okufanele ube nalo ulwazi ngalo:

• Glaucoma: Ukhuphuka kokucindezela ngaphakathi kwamehlo akho okungalimaza i-optic nerve futhi kubangele ukulahleka kobono
• Cataracts: Ukumnyama kwelensi yemvelo yamehlo akho, okwenza ukubona kuhlane kuqede noma kudimile
• Macular edema: Ukukhula engxenyeni ephakathi kwe-retina yakho, okuthinta ukubona imininingwane
• Retinal detachment: I-retina ihlukana nemuva kwamehlo akho, ibangele ukulahleka kobono ngokuzuma
• Vitreous hemorrhage: Ukopha e-gel-like substance ngaphakathi kwamehlo akho
• Optic nerve damage: Ukuvuvukala okuthinta inzwa ethatha ulwazi lokubona ebuchosheni bakho

Ezinye izinkinga, njenge-cataracts ne-glaucoma, zingaphathwa ngempumelelo uma zitholakala ekuqaleni. Kodwa-ke, ezinye njengokuhlukana kwe-retina noma ukonakala okukhulu kwe-optic nerve kungabangela ukulahleka kobono okungapheliyo ngisho noma kunokwelashwa.

Izindaba ezinhle ukuthi ngokwelashwa okufanele nokubhekwa njalo, abantu abaningi abane-uveitis bangavimbela izinkinga ezinzima. Udokotela wakho wamehlo uzobheka izimpawu zokuqala zalezi zinkinga ngesikhathi sokuvakasha okulandelayo futhi alungise ukwelashwa kwakho njengoba kudingeka.

Uphenyo lwe-Uveitis luyini?

Ukuphenya i-uveitis kudinga ukuhlolwa okuphelele kwamehlo yi-ophthalmologist noma i-optometrist. Inqubo ihlanganisa izinyathelo eziningana ukuze kunqunywe uhlobo, ubukhulu, nezizathu ezingaba khona zokuvuvukala kwamehlo akho.

Udokotela wakho uzoqala ngomlando wezokwelapha ophelele, ebuza ngezimpawu zakho, ukuthi zaqala nini, nanoma yiziphi ezinye izimo zezempilo onazo. Uzothanda ukwazi ngezifo zakamuva, ukulimala, imithi, nomlando womndeni wezifo ezizimele.

Ukuhlolwa kwamehlo kuhlanganisa ukuhlolwa okukhethekile. Udokotela wakho uzosebenzisa i-slit lamp microscope ukuhlola ngaphakathi kwamehlo akho ngokuningiliziwe, efuna izimpawu zokuvuvukala, amaseli ahlala e-fluid, nanoma yikuphi ukonakala kwemizimba yamehlo.

Ngesikhathi sokuxilongwa, abafundi bakho bayokhanyiswa ngamaconsi amehlo ukuze udokotela wakho akwazi ukubona ngemuva kweliso lakho ngokucacile. Lokhu kuyabavumela ukuthi bahlole i-retina yakho, inzwa yamehlo, nemiphunga yegazi ukuze bafune izimpawu zokuvuvukala noma izinhlungu.

Kungenzeka ukuthi kudingeka kube khona nezinye izivivinyo kuye ngesimo sakho. Lezi zingafaka ukulinganisa ukucindezela kweliso, ukuthwebula izithombe ngaphakathi kweliso lakho, noma izivivinyo zokuthwebula izithombe ezikhethekile njenge-optical coherence tomography (OCT) ukuze uthole izithombe ezinemininingwane ye-retina yakho.

Uma udokotela wakho engabaza ukuthi kukhona isimo somzimba esingaphansi, angase ayekele izivivinyo zegazi, i-X-rays yesifuba, noma ezinye izifundo ukuze afune izifo zokuziphatha komzimba, ukutheleleka, noma izimo zokuvuvukala ezingase zibangele i-uveitis yakho.

Iyini Ukwelashwa kwe-Uveitis?

Ukuphathwa kwe-uveitis kugxile ekunciphiseni ukuvuvukala, ukulawula ubuhlungu, nokuvimbela izinhlungu ezingase zithinte umbono wakho. Indlela ethile ixhomeke ohlotsheni nobunzima be-uveitis yakho, kanye nanoma yiziphi izimbangela ezingaphansi.

Imithi ye-corticosteroid ngokuvamile iyindlela yokuqala yokwelapha ngoba inciphisa ukuvuvukala emehlweni ngokuphumelelayo. Lezi zinganikwa njengeconsi lamehlo, ukugadwa eduze noma ngaphakathi kweliso, noma imithi yomlomo, kuye ngokuthi iyiphi ingxenye yeliso lakho ethintekile.

Nge-anterior uveitis, amaconsi amehlo ane-corticosteroids avame ukwanele. Ngokuvamile uzosebenzisa la maconsi izikhathi eziningi ngosuku ekuqaleni, bese kancane kancane unciphise ubukhulu njengoba ukuvuvukala kuphucuka. Udokotela wakho uzolandelela intuthuko yakho eduze.

I-uveitis ebuhlungu kakhulu noma engemuva ingase idinge ukwelashwa okuqinile. Lokhu kungafaka ukugadwa kwe-steroid eduze kweliso, izinto ezifakwa eziyekethisa imithi ngaphakathi kweliso, noma i-corticosteroids yomlomo yokuvuvukala okubanzi.

Nazi izinketho zokwelapha eziyinhloko udokotela wakho angase azincoma:

• Amaconcotho wamehlo ane-corticosteroid: Avame kakhulu ekwelapheni i-uveitis yangaphambili, asebenziswa izikhathi eziningi ngosuku
• Amaconcotho amehlo avulela: Asisiza ekunciphiseni ubuhlungu futhi avikele ezingxabanweni ngokugcina i-pupil ivulekile
• Ukuhlungwa kwama-steroid: Kulethwa eduze noma ngaphakathi kwamehlo ukuze kuphathwe ukuvuvukala okukhulu
• Ama-corticosteroids ngomlomo: Ukwelapha okusebenza emzimbeni wonke kwe-uveitis ebanzi noma eqatha
• Imithi yokucindezela amasosha omzimba: Yezimo ezingapheli noma lapho ama-steroids engafaneleki
• Imithi ye-Biologic: Ukwelapha okusha okuqondene nezindlela ezithile zokuvuvukala

Uma ukutheleleka okusemqoka kubangela i-uveitis yakho, ukwelashwa okuqondile kokulwa nezifo ezibangelwa ama-microbes kuzothwezwa ukuze kulungiswe imbangela yangempela. Ngokufanayo, uma isimo sesistimu yokuzikhusela esemzimbeni sihilelekile, ukwelapha leso simo kuvame ukusisiza ukulawula ukuvuvukala kwamehlo.

Abanye abantu badinga ukwelashwa isikhathi eside ukuvimbela i-uveitis ukuba ingabuyeli. Udokotela wakho uzohlangana nawe ukuthola uhlelo lokwelapha oluphumelelayo kakhulu olunezimpawu ezingaphansi, alungise imithi njengoba kudingeka ngokususelwa ekuphenduleni kwakho.

Ungayilawula Kanjani I-Uveitis Ekhaya?

Nakuba ukwelashwa kwezokwelapha kubalulekile kwe-uveitis, kunezinto eziningana ongenza zona ekhaya ukuze usekele ukuphulukisa kwakho futhi uzizwe ukhululekile ngesikhathi sokwelashwa. Lezi zinyathelo zisebenza kanye, hhayi esikhundleni, kwemithi yakho eyalwe yi-doctor.

Ukuvikela amehlo akho ekukhanyeni okukhulu kunganciphisa kakhulu ukungakhululeki. Gqoka izibuko ze-sunglasses uma ungaphandle, ngisho nasezinsukwini ezinamvula, futhi cabanga ngokuzisebenzisa ngaphakathi uma ukukhanya okuvamile kuzwakala kukhulu kakhulu. Ukulungisa ukukhanya kwesikrini nokusebenzisa ukukhanya okufudumele ekhaya kungasiza futhi.

Ukuthatha imithi yakho ngqo njengoba kuyalwe kubalulekile ekulawuleni ukuvuvukala. Beka izikhumbuzo zamaconcotho amehlo, njengoba isimiso singaba njalo ekuqaleni. Ungayeki noma unciphise imithi ngaphandle kokukhuluma nodokotela wakho, ngisho noma uzizwa kangcono.

Phumula amehlo uma ezwa ecindezelekile noma ekhathele. Thatha ikhefu ekufundeni, emsebenzini wekhompyutha, noma kwezinye izinto eziseduze. Uma uhlushwa ubuhlungu, ukucindezela okubandayo okumnene emehlweni avaliwe imizuzu engu-10-15 kungakunika impumuzo ethile.

Nazi izinyathelo ezisebenzayo zokusekela ukwelashwa kwakho:

• Gcina izandla zakho zicocekile uma usebenzisa amaconsi wamehlo ukuvimbela ukutheleleka
• Gwema ukuqhekeza noma ukuthinta iso lakho elithintekayo
• Hlala uthambile futhi udle ukudla okulwa nokuvuvukala njengezimila eziluhlaza nemifino kanye nenhlanzi
• Thola ubuthongo obanele ukuze usekele ukululama kwesistimu yakho yokuthola amandla
• Lawula ukucindezeleka ngezindlela zokuphumula noma ukuzivocavoca okumnene
• Gcina iziqukatho zokulandelela ngisho noma uzizwa kangcono

Qaphela izimpawu zokuthi isimo sakho singaba sibi, njengokwanda kobuhlungu, ukushintsha kokubona, noma izimpawu ezintsha. Xhumana nodokotela wakho ngokushesha uma uqaphela noma yikuphi ukushintsha okukhathazayo, njengoba ukungenelela kwangaphambi kwesikhathi kungavimbela izinkinga.

Abanye abantu bathola ukuthi imisebenzi ethile noma izindawo zivusa izimpawu zabo. Gcina ilog yemiphumela yakho nemisebenzi ukuze ubone izindlela ongazihlanganyela ngazo nodokotela wakho.

Kufanele Uzilungiselele Kanjani Ukuya Kudokotela?

Ukuba ulungile ngokwemihlangano yakho kungasiza udokotela wakho ukuba enze ukuxilongwa okuchane kanye nokuthuthukisa uhlelo lokwelapha oluhle kakhulu lwe-uveitis yakho. Ukuqoqa ulwazi kusengaphambili kuwonga isikhathi futhi kuqinisekisa ukuthi imininingwane ebalulekile ayilibalwa.

Bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini, zingakanani, nokuthi yini ezenza zibe ngcono noma zimbi. Yiba uchwepheshe ngokushintsha kokubona, amazinga obuhlungu, nokuthi izimpawu zithinta kanjani imisebenzi yakho yansuku zonke.

Hlanganisa uhlu oluphelele lwemithi yakho, kufaka phakathi imithi yokwelapha, imithi yokuthengwa ngaphandle kwelayisensi, izithasiselo, namaconsi wamehlo. Faka imithamo nokuthi uke wawasebenzisa isikhathi esingakanani, njengoba eminye imithi ingase ibe nomthelela ezinkingeni zamehlo.

Butha ulwazi mayelana nomlando wakho wezokwelapha, ikakhulu izimo zokungasebenzi kahle komzimba, izinkinga zamehlo wangaphambili, ukutheleleka kwamuva, noma ukulimala. Umlando womndeni wezifo zamehlo noma izimo zokungasebenzi kahle komzimba kubalulekile ukukhuluma ngawo.

Nawa amaphuzu okufanele uwalethile ekuqokweni kwakho:

• Uhlu lwazo zonke izimpawu ezikhona ngezinsuku nobunzima bazo
• Uhlu oluphelele lwemithi ngezinga lemithi
• Umbhalo wezokwelapha kuhlanganise nezinkinga zamehlo wangaphambili
• Amakhadi yomshuwalense kanye nokuhlonza
• Amarekhodi okuhlolwa kwamehlo wangaphambili uma kungenzeka
• Uhlu lwemibuzo ofuna ukuyibuza

Lungisa imibuzo mayelana nesimo sakho, izinketho zokwelashwa, nokuthi yini okufanele uyilindele. Buza ngemiphumela emibi engenzeka yokwelashwa, isikhathi esingakanani ukwelashwa kungathatha, kanye nezimpawu ezifanele zikukhuthaze ukuba uqokele ihhovisi.

Hlela ukuba abafundi bakho banwebe ngesikhathi sokuhlolwa, okusho ukuthi umbono wakho uzoba ukhulu amahora ambalwa ngemva kwalokho. Hlela ukuthi othile akuhambise ekhaya, noma uhlele ukusebenzisa ukuhamba komphakathi noma izinsizakalo zokuhamba.

Ingabe i-Uveitis ingathintelwa?

Nakuba ungakwazi ukuvimbela zonke izimo ze-uveitis, ikakhulukazi lezo ezihlobene nezimo zokungasebenzi kahle komzimba noma izici zezinto eziphilayo, kunezinyathelo ongazithatha ukuze unciphise ingozi yakho futhi uvikele ukubuyela kwakhona uma uke waba ne-uveitis ngaphambili.

Ukuvikela amehlo akho ekulimaleni kuyinye yezinyathelo ezibaluleke kakhulu zokuvimbela. Gqoka izibuko zokuphepha ezifanele ngesikhathi semidlalo, imisebenzi yokuthuthukiswa kwekhaya, noma imisebenzi yomsebenzi engabangela ukulimala kwamehlo. Ngisho nokulimala okuncane ngezinye izikhathi kungabangela ukusabela kokuvuvukala.

Uma unesimo sokungasebenzi kahle komzimba, ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo ukuze lilawulwe kahle kungasiza ekuqedeni ingozi yakho yokuthuthukisa i-uveitis. Lokhu kuhlanganisa ukuthatha imithi ebekiwe njalo nokuya ekuhlolweni okuvamile.

Ukuphathwa kwesikhathi sokuqala kwezifo zamehlo kungavimbela ezinye izimo ze-uveitis ebangelwa ukutheleleka. Ungaziphathi kalula izimpawu ezinjengobomvu obuhlala isikhathi eside, ukopha, noma ubuhlungu, futhi gwema ukwabelana ngezimonyo zamehlo noma ama-contact lenses nabanye.

Kubantu abake baba ne-uveitis ngaphambili, ukuqaphela izimpawu zokuqala nokuthola ukwelashwa okusheshayo kungavimbela ukukhula okukhulu. Abanye abantu baphawula ukuguquka okuncane kokubona noma ukungakhululeki okuncane ngaphambi kokuba kube khona ukubuyela okugcwele.

Ukuhlolwa kwamehlo okuvamile kubaluleke kakhulu uma unezingozi ze-uveitis. Abantwana abane-arthritis yentsha badinga ukuhlolwa kwamehlo njalo ngisho noma bengenawo ama-symptom, njengoba i-uveitis ingakhula ngokuthula kuleli qembu.

Nakuba ukucindezeleka akubangeli i-uveitis ngokuqondile, ukuphatha ukucindezeleka ngokukhetha impilo enempilo kungasiza ekuqinisweni komsebenzi wakho wokulwa nezifo futhi kungenzeka kunciphisa ukuvuvukala emzimbeni wakho wonke.

Iyini i-Takeaway Key Mayelana ne-Uveitis?

I-Uveitis iyisimo esinzima kodwa esiphatheka kalula esidinga ukunakekelwa ngokushesha kwezokwelapha ukuvikela ukubona kwakho. Nakuba ukuvuvukala kungakhathaza, ukuqonda ukuthi kwenzekani emehlweni akho nokulandela uhlelo lwakho lokwelashwa kungaletha imiphumela emihle kubantu abaningi.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa okusheshayo kwenza umehluko omkhulu. Uma uhlangabezana nobuhlungu bamehlo, ukuguquka kokubona, noma ukukhanya okukhulu, ungalindi ukubona ukuthi izimpawu ziyathuthuka ngokwazo. Isenzo esisheshayo singavimbela izinkinga futhi sivikele ukubona kwakho.

Abantu abaningi abane-uveitis baqhubeka begcina ukubona okuhle ngokwelashwa okufanele nokunakekelwa okulandelayo. Ngisho noma udinga ukuphathwa isikhathi eside, izindlela ezintsha zokwelapha nezindlela zokubeka iliso zikwenze kube lula kakhulu ukulawula ukuvuvukala nokuvimbela ukulahlekelwa kokubona.

Ukusebenzisana eduze neqembu lakho lokunakekelwa kwamehlo, ukuthatha imithi njengoba kulotshiwe, nokuya ezivivinyweni zokulandelela njalo yizindlela zakho ezinhle kakhulu zokuphatha uveitis ngempumelelo. Ngokunakekelwa okuhle, abantu abaningi bangalindela ukugcina ikhwalithi yempilo yabo nomsebenzi wobukhazikhazi.

Imibuzo Evame Ukubuzwa Mayelana Ne-Uveitis

Ingabe uveitis ingabangela ubuthakathaka obungapheli?

Uveitis ingabangela ukulahleka kobukhazikhazi uma ishiywe ingaphathwa noma uma kukhula izinkinga, kodwa ubuthakathaka obungapheli akunakwenzeka uma isimo siphathwa kahle. Abantu abaningi bagcina ukubona okuhle ngokwelashwa okufanele. Okubalulekile ukutholakala kwesikhathi esisheshayo nokuphathwa okuqhubekayo ukuvimbela izinkinga ezinjengoglaucoma, cataracts, noma ukonakala kwe-retina okungathinta ukubona isikhathi eside.

Uveitis ithatha isikhathi esingakanani ukuphulukisa?

Isikhathi sokuphola se-uveitis sihluka kuye ngohlobo nobunzima bokuvuvukala. I-uveitis ebukhali yangaphambili ivame ukuthuthuka phakathi namasonto ambalwa ngokwelashwa, kuyilapho izinhlobo ezingapheli zingadinga izinyanga zokuphathwa. Abanye abantu bahlangabezana nezehlakalo eziphindaphindayo ezidinga ukwelashwa okuqhubekayo. Udokotela wakho uzolandelela intuthuko yakho futhi alungise imithi kuye ngokuthi ukuvuvukala kuphendula kangcono kangakanani.

Ingabe uveitis iyadluliseka?

Uveitis ngokwayo ayidluliseki futhi ayikwazi ukudluliselwa komunye umuntu. Noma kunjalo, uma uveitis yakho ibangelwa ukutheleleka okungaphansi, ukutheleleka ngokwakho kungaba yinto edluliseka kuye ngokuthi yiluphi uhlobo oluthile oluhilelekile. Izimo eziningi ze-uveitis zihambisana nezimo zokuziphatha komzimba noma izimbangela ezingaziwa kunokutheleleka, ngakho-ke ngokuvamile asikho izingozi zokusabalalisa isimo kwabanye.

Ngingagqoka ama-contact lenses uma ngine-uveitis?

Kufanele ugweme ukugqoka ama-contact lenses ngesikhathi sokuvuvukala okuqhubekayo kwe-uveitis, njengoba angenza ukucasuka kube kubi futhi mhlawumbe aphazamise ukufunwa kwemithi. Uma udokotela wakho eqinisekisa ukuthi ukuvuvukala kuphelile futhi iso lakho liphelile, ungase ukwazi ukuqala kabusha ukugqoka ama-contact lenses. Khuluma njalo nodokotela wakho wamehlo ngaphambi kokubuyisela ama-contacts, njengoba izimo zabantu zihlukahlukene.

Ngingadingeka yini ukuthatha ama-eye drops e-steroid kuze kube phakade?

Abantu abaningi abadingi ama-eye drops e-steroid isikhathi eside. Ngokuqondene ne-uveitis ebukhali, uzovame ukusebenzisa ama-drops njalo ekuqaleni, bese kancane kancane unciphise ubukhulu njengoba ukuvuvukala kuphucuka. Abanye abantu abane-uveitis eqhubekayo bangadinga ukwelashwa isikhathi eside, kodwa udokotela wakho uzohlale ezama ukusebenzisa umthamo omncane onamandla isikhathi esifushane esidingekayo ukuze unciphise imiphumela emibi ngenkathi ulawula ukuvuvukala.