Scleromalacia perforans ndi vuto lalikulu lomwe lingabweretse kuwonongeka kwa masomphenya. Scleromalacia perforans, yomwe imatchedwanso necrotizing scleritis, ndiyo njira yoopsa kwambiri ya scleritis, nthawi zina imatsogolera ku imfa ya diso. Matendawa nthawi zambiri amagwirizanitsidwa ndi matenda a systemic ndi kugwirizana kwa ziwalo zambiri.
Scleromalacia perforans imadziwika ndi kupopera koopsa kwa diso ndipo akhoza kugawidwa mu mitundu iwiri, ndi kutupa komanso popanda kutupa.
Mtundu uwu wa scleritis nthawi zambiri umagwirizanitsidwa ndi matenda aakulu a nyamakazi.
Komanso: Necrotizing scleritis
Kodi Scleritis Ndi Chiyani?
Scleritis ndi kutupa kwa sclera, chovala choyera chakunja kwa diso. Mitsinje yamagazi ikuyenda mozungulira komanso pamwamba pa sclera ndipo imatha kutenga nawo mbali mu scleritis. Ma scleritis akhoza kuwononga diso, kuchititsa ululu waukulu ndi kutaya masomphenya kwa anthu ena. Ngakhale scleritis ingawonongeke ndi matenda kapena matenda, nthawi zambiri matenda a scleritis amagwirizanitsidwa ndi matenda omwe amachititsa matenda monga rhumum , nyamakazi , anthlosing spondylitis, systemic lupus erythematosus, polyarteritis nodosa, granulomatosis ya Wegener, herpes zoster virus, gout, ndi syphilis. Izi zimapangitsa kutupa kwakukulu m'thupi lonse.
Mitundu
Anterior scleritis , mtundu wofala kwambiri, umakhudza mbali yapambali ya sclera. Pali mitundu itatu ya anterior scleritis:
- Kutaya scleritis ndilofala kwambiri ndipo ndi losavuta kuchiritsidwa. Mtundu uwu umakhala wofiira wambiri ndi kutupa mbali ya kutsogolo kwa sclera.
- Nodular scleritis imakhala ndi mitsempha kapena mitsempha yomwe nthawi zambiri imakhala yovuta kukhudza, pamwamba pa diso.
- Necrotizing scleritis (yomwe imatchedwanso scleromalcia perforans) ndiyo mtundu woopsa kwambiri wa anterior scleritis.
Posterior scleritis ndi mawonekedwe osawoneka kwambiri. Zimakhudza gawo lakumbuyo la diso ndipo nthawi zambiri siligwirizana ndi vuto loyambitsa matenda. Fomu iyi ingayambitse mavuto monga retinal detachment ndi angle-closure glaucoma.
Scleromalcia perforans amawerengera 4 peresenti ya scleritis. Anthu omwe amavutika ndi scleromalcia perforans amakhala ndi ululu waukulu. Ululu ukhoza kukhala wamkulu kuposa momwe diso likuwonekera.
Zizindikiro ndi Zizindikiro
- zofiira
- chemosis (kukhudzana ndi kutupa)
- eyelid kutupa
- proptosis (diso likuwulukira panja)
- kuchepa kwa masomphenya
Komanso, madokotala angaone kuti:
- choroidal folds
- mapiri a retina
- optic disc kutupa
- macular kutupa
- maselo a retina
Mavuto
- Masomphenya ataya
- Ambiri a astigmatism
- Anterior uveitis
- Cataract
- Glaucoma
- Padziko lonse lapansi
Kuvutitsa kwakukulu kwa scleromalcia perforans ndiko kupotoza kwa diso lonse. Izi zikachitika, mukhoza kuona kupyolera mu thola, mbali yoyera ya diso, ndikuwona minofu pansi pake. Izi zikamadzachitika, zojambulazo zidzagwiritsidwa ntchito opaleshoni. Mtundu wa minofu yogwiritsidwa ntchito pazitsulo zingakhale zida zopereka. Pachifukwa ichi, wodwalayo ayenera kugwiritsa ntchito mankhwala osokoneza bongo kuti athetse chitetezo cha mthupi lake kuti asatayidwe.
Kuchiza mankhwala a scleritis ukafika pakadali pano ndi kovuta. Madokotala ambiri amayesa steroids ndi mankhwala osagwiritsa ntchito mankhwala oletsa kutupa, koma amawoneka kuti sakugwira ntchito bwino. Mankhwala osokoneza bongo amasonyeza kuti walonjeza.