Qaybta dambe ee indhaha ah waxay ka kooban tahay saddex qeybood - xuubka xiidmaha, iris iyo jidhka (ciliary) jirka. Bararkooda waxaa loogu yeeraa (sida loola socdo) uveitis-ka , irite iyo cyclite. Labada nooc ee ugu dambeeyey ayaa ah kuwo aad u yaryar oo kaladuwan, sababtoo ah bixinta dhiigga guud waxay inta badan isku dhacaan.
Iridocyclitis - waa maxay cudurkaan?
Magaca kale ee geeddi-socodkani waa calaamadaha ugu dambeeya. Cudurka Eye Iridocyclitis waa isku-dhafnaan ka yimaada irid-yada iyo jidhka. Mararka qaarkood, marka hore, qeyb ka mid ah qeybta hore ee daboolka indhaha ah ayaa la saameeyaa, laakin sababtoo ah xiriirka anatomical ee dhow, kan labaadna marwalba wuu ku lug leeyahay. Cudurka ayaa laga helaa da 'kasta, ugu badnaan 20 ilaa 40 sano.
Xanuun Iridocyclitis
Kala duwanaanta noocyadan pathology ayaa la socota calaamado cayiman oo gaar ah. Xataa iridocyclitis subacute waxay leedahay sifooyin caan ah, samaynta cudurku si sahlan oo loo ogaado oo looga baaro marxaladaha hore ee horumarka. Noocaan cudurkan waxaa lagu gartaa sawirka daaweynta noocan oo kale ah:
- xanuunka daran ee isha iyo macbudka u dhow;
- lacagtin joogto ah;
- photophobia ;
- guduudashada borotiinka;
- xumida muuqaalka muuqaalka ;
- bararka irid;
- ciriiriga ardayga;
- balaarinta muuqaalka ee xididdada dhiigga;
- bedel qaabka iyo midabka iris.
Iridocyclitis joogto ah
Badanaa (qiyaastii 70% kiisaska), cudurkan su'aashu wuxuu gashaa qaab gaabis ah. Iridocyclitis joogto ah ayaa la socota calaamado sahlan, sababtoo ah waxa bukaannadu wax ka qaban waayaan dhakhtarka indhaha. Ka hortagga asalka jilicsan ee pathology iyo daweyn la'aanta, dhibaatooyin daran ayaa soo kordha, tusaale ahaan, meelo badan oo ka mid ah ardayda (synechia) ama infekshankeeda buuxa.
Waa halis in la iska indha tiriyo iridocyclitis-da - daaweynta marxaladaha dambe ee cudurka ma badana caawimaad. Natiijo ahaan, waxay horumarineysaa baqdinta aan cagajiidka lahayn ee leh qaabdhismeedka iyo barta jeermiska ama infakshanka ardayga. Mararka qaarkood waxay keenaysaa dhaawac aan laga bogsan karin qaybta dambe ee indhaha oo isha lagu daboolo iyo aragti gaabis ah.
Iridocyclitis - sababa
Waxyaalaha dibadda iyo kan gudaha ah waxay kicin karaan cudurka la tilmaamay. Caadi ahaan iridocyclitis-da oo loo yaqaan "traumatic iridocyclitis", taas oo ka timaadda dhaawaca farsamada ee indhaha. Kuwaas waxaa ka mid ah khalkhalka, hawlaha ophthmmic, dhaawacyada iyo saameyn la mid ah. Waxyaabaha kale ee keena iridocyclitis waa farsamo aan macquul ahayn:
- xaaladaha rheumatoidka;
- bakteeriyada, fayraska iyo caabuqyada protozoal;
- dhaawacyo fangas ah;
- xakamaynta caabuqa joogtada ah ee ku yimaada afka afka iyo naasofarynx;
- Dhibaatooyinka nidaamyada dheef-shiid kiimikaad;
- cudurrada indhaha;
- nidaamka nidaamsan ee asalka aan la aqoon;
- keratitis ;
- geeddi-socodka gaadiidka.
Iridocyclitis - calaamadaha
Muujinta iyo sifooyinka sawirka sawirka ee caabuqa waxay ku xiran tahay sababaheeda, xaaladda xasaasiga ah ee degaanka iyo guud ahaan. Calaamadaha iridocyclitis waxay u dhigmaan qaabka loo yaqaan "pathology". U kala saar noocyada cudurada soo socda:
- xajmiga;
- fibrinous;
- nadiif;
- viral.
Cudurka iridocyclitis
Noocyada noocan ah ayaa si sahal ah uga gudbi kara kuwa kale, waxay leeyihiin saadaalinta ugu wanaagsan. Xanuunka iridocyclitis ee qaabka xajmiga ah waxaa lagu gartaa isku ururinta gudaha qolka dambe ee indhaha ee serum exudate (dareeraha turbid). Tani waxaa weheliya calaamadaha soo socda:
- arday ciriiri ah;
- lacrimation ;
- cabsida iftiinka dhalaalaya;
- jarida xanuunka isha;
- bararka iyo casaanka iridaha;
- xoojin yaraanta xididdada dhiigga;
- isbeddelka cadaadiska indhaha;
- Xaalad xumo muuqata ("weil");
- cidhiidhiga ardayga.
Haddii iridocyclitis-ka loo yaqaan 'iridocyclitis-ka', waa daaweyn degdeg ah oo fudud. Cudurkan noocan ah ayaa si fiican uga jawaab celiya daaweynta marxaladaha hore iyo dhibaatooyin aad u dhif ah. Iyada oo ay sii socdaan baaritaanka neefsiga, fayrasta qanjidhada ee fibrinous ayaa badanaa lala xiriiriyaa. Xaaladahaas oo kale, khatarta dhaawaca xagga dambe ee taranka iyo horumarinta glaucoma ee labaad ayaa sarreeya.
Iridocyclitis-fibrinous
Cudurka noocan ah waxaa sidoo kale lagu gartaa soo-ururinta qolka hore ee indhaha, laakiin halkii laga cuni lahaa waxa ku jira borotiinka oo qaabeeya marka dhiiggu coagulates. Iridocyclitis-fibrinous-plastic caagocyclitis marwalba wuu bilaabmaa si deg-deg ah waxana la socdaa dhammaan calaamadaha la muujiyey. Waxaa intaa dheer, calaamadaha soo socda ayaa la xusay:
- foorjirnimada qosolka casriga ah;
- dareemida indhaha isha;
- naqshadeynta meelo ka mid ah ardayga;
- isbedel qaabka iyo hooska iris;
- blepharospasm;
- cadaadiska indhahana hoos u dhacay.
Noocaan cudurkan mararka qaar wuxuu cirib-tiraa cawaaqib daran oo aan dib loo noqon karin. Synechia waxay si dhakhso ah u dabooli kartaa dhammaan dusha ardayga, taas oo horseedi doonta infakshanka buuxa (occlusion). Waxaa muhiim ah in aan u ogolaanin iridocyclitis - sida daaweynta cudurka nooca adag uu yahay mid adag oo inta badan aan waxtar lahayn. Waa wax aan suura gal ahayn in dib loo soo celiyo aragtida ka dib infekshanka ardayga.
Iridocyclitis bukaanka ah
Noocyada lagu sharraxay ee uteritis-ka ayaa ka hor imaanaya asalka cudurka ee leh infekshanka bakteeriyada. In iridocyclitis daahirsan ee indhaha u soo baxdo taas oo sabab u ah xannuunka dheer ee angina, pyorrhea, furunculosis iyo dhaawacyada kale ee microbial. Noocaan noocan ah ee pathology ayaa si tartiib ah u socdaa, si dhakhso ah ayuu u socdaa. Dhowr saacadood gudahood, qadar ballaaran oo dheecaan leh ayaa lagu ururiyaa qolka hore ee indhaha, calaamadaha gaarka ah ee iridocyclitis ayaa ka muuqda:
- Xaalad xumo muuqata oo muuqata;
- barar iyo casaan-galka isku-xirnaanta;
- xanuunka aan loo adkeysan karin ee indhaha iyo madaxa dhaawacu ka soo gaaray dhinaca ku habboon;
- arday ciriiri ah;
- isbeddelka midabka irid-ga ee rusty ama cagaaran (waxay kuxirantahay midabka indhaha);
- hyperemia ee borotiinada;
- sameynta isku xirnaanshaha marxaladda ardayga;
- cadaadiska indhahana hoos u dhacay.
Viral iridocyclitis
Nooca la soo bandhigay ee cudurrada debout ee xooggan, laakiin waxaa weheliya dareen xanuun badan oo ka duwan noocyada kale ee pathology. Qiyaastii 90% kiisaska waxay kobciyaan iridocyclitis fayruska, waxay ka timaadaa soo noqoshada infekshanka fayraska ah ee meelaha ku dhow (wejiga, sanka, cunaha). Astaamaha gaarka ah ee nooca nooca ah ee uteritis:
- xajinta cas;
- ciriiri ka timaadda xajmiga duufan ama fibrinous ee qolka dambe ee isha;
- aragtida cakiran;
- lacrimation;
- hal naq ah oo ka mid ah ardaygu wuxuu ku dhejiyaa khariidadda muraayadda;
- korodhka cadaadiska indhaha.
Iridocyclitis - diagnagn
Xaqiiji in cudurkan la sheegey uu noqon karo kalkaaliye caafimaad oo aqoon leh oo keli ah kadib baaritaan dhamaystiran. Waa lagama maarmaan in la ogaado qaabka iyo sababta iridocyclitis ay u bilaabantay - daaweynta waa inay u dhigantaa nooca uveitis iyo wakiilka keena. Marka hore, dhakhtarku wuxuu sameeyaa baaritaan dibadeed ee isha waxyeellada leh, wuxuu soo uruuriyaa anamnesiis, wuxuu xajiyaa tufaaxa tufaaxa. Ka dib markaa waxaa la fuliyaa:
- biomicroscopy;
- cabbiraadda cadaadiska indhaha ee leh xisaabtanka;
- jumlada muuqaalka muuqaalka;
- baaritaanka ultrasound.
Si loo go'aamiyo sababta keena iridocyclitis joogto ah ama mid daran, waa soo socda:
- coagulogram;
- baadhitaan guud iyo baaritaanka dhiigga, kaadida;
- baaritaanada rheumatic;
- enzyme immunoassay (ELISA);
- fal-celinta silsilad-celinta polymer (PCR-ga ogaanshaha);
- baarista xasaasiyadda;
- Daraasad ah heerka heerka immunoglobulinska ee dhiigga iyo dheecaanka ilmada.
Mararka qaarkood waxaa weliba lagu taliyaa in lagu sameeyo shaxanka sambabada, sinaha paranasal. Si loo caddeeyo cilad-sheegidda, dhakhtarka indhoolajiyuhu wuxuu tilmaamayaa khubaro takhasus leh oo khaas ah:
- u diristaha duurjoogta;
- cilmi-baarista cilmi-baarista;
- otolaryngologist;
- phthisiatrician;
- dermatovenereologist;
- xasaasiyad
Iridocyclitis - daaweynta guriga
Daaweynta cudurka la tixgeliyaa waxaa lagu sameeyaa isbitaal. Kaliya dhakhtar ayaa u go'aamin kara sida loo daaweeyo iridocyclitis, oo ku saleysan natiijooyinka barashada qalabka iyo shaybaarada. Iskudhin madax-bannaan oo lagu joojinayo geedi-socodka bararka ayaa keeni karta isbeddel ku salaysan cudurka dabiiciga ah iyo dhibaatooyin halis ah oo halis gelin kara aragti la'aanta oo kaliya, laakiin sidoo kale jiritaanka isha:
- cataract;
- maqnaanshaha ardayga;
- chorioretinitis;
- glaucoma secondary;
- isbeddelka jirka jirka;
- xakameynta raajada;
- caarada;
- endo- iyo panophthalmitis;
- atrophy ee indhaha;
- indho la'aan.
Iridocyclitis - daaweynta, diyaarinta
Habka daaweynta cudurka waxaa ka mid ah waxqabadyo deg-deg ah iyo kuwo la qorsheeyey. Marka hore, daroogooyinka waxaa loo isticmaalaa in la joojiyo geedi-socodka bararka, ka saar xanuunka xanuunka iyo ka hortagga qaabaynta synechia. Maalinta ugu horeysa ee daaweynta, dhibcaha indhaha ayaa loo qoondeeyey iridocyclitis, kicinta ardayda (mydriatica):
- Irifrin;
- Atrobin;
- Midratsil;
- Adrenaline;
- Cyclomed iyo analogues.
Si loo xoojiyo saameynta daawooyinkan iyo in la joojiyo geedi socodka neefsiga, dhibcaha ka hortagga barraanka ayaa lagu daraa iridocyclitis oo leh qalabka xanuunka leh:
- Diclof;
- Indomethacin;
- Naklof iyo kuwo kale.
Haddii caabuqu uu aad u daran yahay, waxaana la socdaa xanuun aan loo dulqaadan karin, daaweyntana leh habab hore uma caawineyso, kuwan soo socda ayaa la sameeyaa:
- subconjunctival cirbadeynta steroids ( dexamethasone );
- irbadaha antibiyootikada oo leh ficil fara badan (Ciprofloxacin);
- baayacmushtarka iyo xannibaadda maskaxda (Novokain).
Si loo yareeyo astaamaha cudurka maskaxda:
- antihistamines (Suprastin, Claritin);
- daawooyinka yareeya suuska kilyaha (Dicycin, Etamsilate);
- daawada xanuunka (Ibuprofen, Ketanov).
Kadib markii daaweynta degdegga ah ee iridocyclitis, daaweynta qorshaysan ayaa la soo saaray. Waxaa loola jeedaa in la baabi'iyo sababta keentay horumarinta quudinta neefsiga, dib u soo celinta shaqooyinka jidhka iyo iridaha, caadigeynta aragga iyo ka hortagga dhibaatooyinka. Nidaamka waxaa soo xushay shakhsiyaadka cudurrada indhoolojiga ah shakhsi ahaaneed waxayna ku jiri karaan diyaargarasyo iyo hababkan:
- antiviral;
- antibiotics;
- Corticosteroids;
- immunomodulators;
- antifungal;
- proteoltics gudaha;
- antiseptics;
- antiallergic;
- difaaca jirka;
- multivitamins;
- electrophoresis;
- daaweynta macdanta;
- daaweynta laser;
- plasmapheresis;
- hemosorption;
- faragelinta qalliinka.
Iridocyclitis - daaweynta dadka, daaweynta
Dhakhaatiirta indhoolayaasha ayaa si cad u mamnuucaya hab kasta oo is-xakameyn ah oo loo yaqaan 'uveitis'. Waxay si gaar ah halis u tahay in lagu sameeyo daaweyn kale, haddii dheecaankiisa ama fibrinous iridocyclitis uu sii socdo - daaweynta hababka daroogada ah had iyo jeer waxa uu keenaa kor u kaca infakshanka iyo dhibaatooyinka halista ah. Badanaa, "hiwaayadda" waxay ku dhammaanaysaa socodka cudurka ku dhaca qaabka soo noqnoqda ee soo noqnoqda. Waa muhiim inaad si deg deg ah ula tashato takhtar iyo ogeysiis waqti gaaban iridocyclitis - daaweynta guriga oo keliya ayaa ka qaybqaata sii xumeynta xaaladda.