Njira 5 Lupus Zimakhudza Maso

Lupus ndi matenda aakulu omwe amachititsa khungu, mitsempha ya magazi, ziwalo, mtima, impso, ndi dongosolo lamanjenje. Lupus ingasokonezenso maso. Kawirikawiri, chitetezo cha mthupi chimamenyana ndi anthu othawa kwawo monga achilombo kapena mabakiteriya. Komabe, anthu omwe ali ndi lupus ali ndi chitetezo cha m'thupi chomwe chimagwira ntchito mosavuta mwa kupha ziwalo zathanzi. Anthu omwe ali ndi lupus nthawi zambiri amakhala ndi ziphuphu zoopsa kwambiri. Panthawi yamoto, kutupa ndi kutupa kumachitika m'thupi, kutulutsa kutopa, kupweteka, ndi kuwonongeka kwa minofu. Maso amakhalanso ndi cholinga cha matendawa. M'munsimu pali mavuto asanu omwe maso amodzi amawoneka ndi lupus.

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Dry Eye Disease (Keratoconjunctivitis Sicca)

Maso owuma amawoneka kuti amapezeka nthawi zambiri ndi zikhalidwe zosadziwika. Komabe, anthu omwe ali ndi lupus akhoza kukhala ndi vuto lodziwika bwino lomwe limatchedwa " dry eye" . Matenda a maso owuma ndi ofunika kwambiri pamene zizindikiro zowumitsa maso zimakhala zovuta kwambiri, nthawi zambiri zimakhala zokhala ndi mchenga, maso ndi mchenga m'maso komanso kuyabwa ndi kuyaka. Mawu ozoloŵera a misonzi amachepa kwambiri, amakhudza thanzi lonse la kunja kwa diso, monga cornea ndi conjunctiva.

Ngati khungu la maso limawoneka pamodzi ndi nyamakazi komanso kamwa kowuma, imatchedwa Sjogren's Syndrome. Sjogren's Syndrome amavomereza kwambiri anthu omwe akudwala matenda a nyamakazi komanso lupus.

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Matenda a Khungu

Maso amatha kukwiyanso anthu omwe akuvutika ndi zochitika zina. Anthu omwe ali ndi lupus amatha kukhala ndi vuto la khungu lotchedwa discoid lupus erythematosus, lomwe limawoneka ngati kuthamanga kwakukulu pamwamba pa maso. Chiphuphuchi chimapangidwa ndi scaly, zilonda zamkati zozungulira. Nthaŵi zambiri chiphuphu chimapezeka m'madera omwe amalandira dzuwa. Kusuta utsi wa fodya, ngakhale utsi wa dzanja lachiwiri, ukhozanso kuthandizira pa chikhalidwe. Nthawi zina vutoli limapezeka popanda lupus, koma pafupifupi 10 peresenti ya anthu amene ali ndi discoid lupus erythematosus adzakhala ndi systemic lupus erythematosus. Zilondazo nthawi zambiri zimachita bwino pakamwa mankhwala ochizira steroid.

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Matenda a Retinal

Kuthamanga kwa m'mitsempha ya m'mitsempha ndi vuto la lupus momwe magazi amathandizira kuchepetsa kapena kuchepa. Izi zikachitika, retina imadzikonza yokha pakupanga mitsempha yatsopano ya magazi, njira yotchedwa neovascularization. Mwatsoka, mitsempha yatsopanoyi imakhala yofooka ndi yofooka. Magazi ndi madzimadzi amayamba kutuluka mwa iwo, kuchititsa kutupa mu retina. Pamene vasulitis imaphatikizapo macula , masomphenya apakati akhoza kuchepa kapena kutayika. Vasculitis ingasokonezenso mitsempha ya optic ndi minofu ya maso.

Madokotala a maso amatha kuona "mabala a thonje" mu retina. Mawanga a thonje a kakoti ndi aang'ono, malo oyera a retina omwe amatupa chifukwa cha kusowa kwa magazi ndi mpweya wabwino kuderalo. Kuwonetseratu mwachindunji mawanga a thonje a thonje kumapereka dokotala lingaliro la momwe matenda angapitirire mu thupi lonse.

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Matenda Osokoneza

Lupus ikhozanso kuyambitsa scleritis . The sclera ndi chovala choyera, cholimba cha diso. Scleritis imachititsa kuti sclera ikhale yotentha komanso yopweteka. Chifukwa cha kutupa, sclera imakhala yochepa kwambiri, kumapanga malo ofooka kwambiri omwe angathe kupweteka kapena kuonjezera chiwopsezo chachikulu ngati vuto la maso likuchitika mtsogolomu. Kwa anthu ambiri, scleritis makamaka imachititsa ululu, kutengeka kowala, masomphenya osasunthika, ndi kufiira kapena zofiira zamdima pa sclera. Matenda a scleritis amatha kuchiritsidwa ndi pakamwa komanso pamatenda a steroids komanso mankhwala osagwiritsidwa ntchito poletsa kupweteka. Ngati mutayamba kuzindikira zizindikiro zomwe zimatanthauza scleritis, kambiranani ndi dokotala wanu maso nthawi yomweyo.

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Matenda a Mitsempha

Ngakhale kuti si zachilendo, anthu ena okhala ndi lupus amapanga optic neuritis . Optic neuritis ndi kutukusira kwa chophimba kuzungulira mitsempha ya optic. Diso limodzi lokha limakhudzidwa, koma masomphenya ozama akhoza kuchitika. Nthendayi yothamanga yokhudzana ndi lupus nthawi zambiri imachititsa kuti mitsempha ya optic iwonongeke.

Opaleshoni yothamanga imatha kuchitika ndi lupus. Opaleshoni yamakono imapezeka pamene mitsempha ya magazi ikupereka mitsempha ya optic imatsekedwa, kuchititsa mkhalidwe wofanana ndi kupweteka m'maso. Izi ndizovuta kwambiri zomwe zimafuna chithandizo mwamsanga. Dandauzani dokotala wanu maso nthawi yomweyo ngati mukuganiza kuti muli ndi vutoli.

_Chitsime:

_{RR Sivaraj, OM Durrani, AK Denniston, P Murray ndi Caroline Gordon. Maonekedwe Ocular a Lupus Erythematosus, pp 1757-1762.}