Endocrine ophthalmopathy

Ngenhlanhla, amacala lesi sifo ngempela ezingavamile, kodwa endocrine ophthalmopathy libhekisela kulabo izifo okuyinto ziyabonakala ngokugcwele ubuso lesiguli. Siyini ngempela lesi sifo futhi indlela yokuphatha kulo? ophthalmopathy endocrine iphathelene izifo sokuhlasela kwamasosha omzimba. Kuyinto isifo izicubu orbit futhi imisipha iso. Lesi sifo sibangelwa yini ukuphazamiseka ohlelweni somzimba sokuzivikela, okuholela ukuvuvukala kwemisipha izicubu ongama, ukuphazamiseka ukugeleza kwegazi izitsha kanye nezinhlaka kwezintambo zesivikelo sesifuba imisipha, okuholela ukukhula okungavamile ezicutshini. Endocrine ophthalmopathy ngokuvamile kwenzeka futhi indlala yegilo ngenxa isifo sokuhlasela kwamasosha omzimba. Ngo ekwelapheni yegilo kwenzeka ukuthethelelwa we isifo.

Abantu ababa ophthalmopathy iyagula, zikhona izimpawu ezinjalo isici:

- ghosting, izithombe esilufifi, ikakhulukazi uma kubhekwa emaceleni naphezulu;

- photophobia, ukungakhululeki kokuthola isihlabathi emehlweni akho;

- Amehlo akhalayo, kanye nomuzwa ingcindezi emehlweni, ikakhulukazi sezulu kunomoya;

- protrusion okungesona esingokwemvelo zamehlo, noma ngenye indlela - exophthalmos.

Ifomu edematous lesi sifo neziguli ukuvuvukala conjunctiva nezinkophe. Njalo kulesi sifo futhi corneal ezibangelwa ukungaphenduki embhedeni amacala. Naphezu kweqiniso lokuthi endocrine ophthalmopathy kubhekwe ngempela ukugula okungathí sina, ukwelashwa okuphumelelayo ikhona.

Lapho benquma ukuthi yini sitholakele udokotela ukuba khona sinquma izinhlobo eziningi zezidakamizwa. Endocrine ophthalmopathy, okuyinto ukwelashwa kuhlanganisa hhayi kuphela reception ejenti antiinflammatory (ezithathwe ngomlomo), futhi isisu (ukunciphisa edema) kudinga ethola stimulators kwamanyuroni. Kanye imithi kadokotela nokudla, lapho nomkhawulo engayitholi lesiguli kasawoti nasoketshezini.

Ukwelashwa endocrine ophthalmopathy yakhiwa kokuthola imithi ethile eqeda ukuvuvukala ezifana prednisolone (Dekortin, Prednol, metipred), Dexamethasone (Deksazon, Fortekortin, Daxin, Kortideks, Novometazon) Triamtsinola atsitponid (Kenakort, Kenalog, Vetalog).

Endocrine ophthalmopathy kudinga yokwamukela omunye izidakamizwa isisu ezifana Acetazolamide (Diakarb, Fonurit) Furosemide (Akvatriks, Uriks, Urid, Difureks, Floriks, Kinex, Furon, Lasix), spironolactone (Spironaksan, Urakton, Veroshpiron, Spiriks, uSpiro, aldactone, Furo-Aldopur, Aldopur, Spironobene, Lazilakton, Spironol) Hydrochlorothiazide (Hypothiazid, Dihlotiazid, Dizalunil, Apo-Hydro).

I ivuselela njalo ebekiwe kakhulu omunye conduction enjalo kwamanyuroni: Neostigmine (Sintostigmin, Miostin, Vagostigmin, Eustigmin, Metastigmin, Neoezerin, Stigmosan).

Lapho ekhetha ekwelapheni lesi sifo kufanele kubhekwe ukuthi kokuqhubeka kule isifo ukuvuvukala, ngokuvamile othambekele ukuthethelelwa nokuguqulwa. Futhi kuthinta ukukhetha sokwelashwa kobukhulu umsebenzi isifo. Esimeni ngokulinganisela ezinzima futhi endocrine ophthalmopathy uvame esetshenziswa indlela, eyaqinisekisa nokuphepha yayo kanye kusebenta - ukwelashwa nge methylprednisolone. Ukwelashwa Kwenziwa izinsuku ezinhlanu, kulandelwa Yiqiniso wesibili kungenzeka, amasonto amabili ngemuva owokuqala.

Enye indlela yokwelashwa kuyinto radiotherapy endaweni komzila wokuzungeza, okuyinto evame kuhlanganiswe ukuphathwa glucocorticoid. Kuphela ezimweni ezinzima kakhulu, isifo ingasetshenziswa kokungenela kuhlinzwa ukuba decompress emzileni. Cishe 2% amacala lesi sifo libhekene ezinzima kakhulu, ekugcineni inkulumo imiphumela asalile, okuyinto zivame kakhulu otholakala esigabeni sokungasebenzi.