Endocrine ophthalmopathy

Mwamwayi, milandu matenda n'zochepa kwambiri, koma endocrine ophthalmopathy amatanthauza matenda amene mokwanira zimaonekera nkhope wodwalayo. Kodi matenda ndi mmene tiyenera kuchitira izo? Endocrine ophthalmopathy anafotokoza kuti matenda autoimmune. Ndi matenda a zimakhala wa mpita ndi minofu diso. Matendawa amayamba ndi matenda mu chitetezo cha m'thupi, zomwe zimabweretsa kutupa kwa minofu ndi subcutaneous minofu, kusokonezeka kwa magazi mu zotengera ndi nyumba ulusi minofu, imbaenda kukula nthenda ya minofu connective. Endocrine ophthalmopathy zambiri amapezeka ndi chithokomiro England chifukwa matenda ndi autoimmune. Mu kuchitira chithokomiro amapezeka chikhululukiro cha matenda.

Anthu amene akudwala ophthalmopathy, pali zizindikiro ngati khalidwe:

- ghosting, amaona zithunzi, makamaka pamene ankaona m'mbali ndipo oposa;

- photophobia, kusapeza kupeza mchenga m'maso anu;

- madzi maso, ndi kumverera kwa kuthamanga m'maso, makamaka nyengo mphepo;

- zobwera protrusion wa eyeballs, kapena ayi - exophthalmos.

Mawonekedwe edematous wa matenda odwala ndi kutupa kwa conjunctiva ndi zikope. Pafupipafupi ku matenda ndi corneal ulcerations milandu. Ngakhale kuti endocrine ophthalmopathy ankaona ndithu matenda aakulu, mankhwala ochiza lilili.

Pamene kukhazikitsa matenda a dokotala kupezeka n'kukulemberani angapo mankhwala. Endocrine ophthalmopathy, amene mankhwala akuphatikizapo osati kokha phwando antiinflammatory wothandizila (anatengedwa pakamwa), ndipo okodzetsa (kuchepetsa edema) Pamafunika kulandira stimulators neuromuscular. Pamodzi ndi mankhwala akuchipatala ndi zakudya, limene kuchepetsa kudya mchere ndi madzi wodwalayo.

Chithandizo endocrine ophthalmopathy limapangidwa kulandira mankhwala odana ndi yotupa monga prednisolone (Dekortin, Prednol, metipred), Dexamethasone (Deksazon, Fortekortin, Daxin, Kortideks, Novometazon) Triamtsinola atsitponid (Kenakort, Kenalog, Vetalog).

Endocrine ophthalmopathy amafuna phwando wina wa mankhwala diuretic monga Acetazolamide (Diakarb, Fonurit) Furosemide (Akvatriks, Uriks, Urid, Difureks, Floriks, Kinex, Furon, Lasix), spironolactone (Spironaksan, Urakton, Veroshpiron, Spiriks, Spiro, aldactone, Furo-Aldopur, Aldopur, Spironobene, Lazilakton, Spironol) Hydrochlorothiazide (Hypothiazid, Dihlotiazid, Dizalunil, Apo-hydro).

Kwambiri kawirikawiri Kwalamulidwa stimulant wotereyo neuromuscular conduction: Neostigmine (Sintostigmin, Miostin, Vagostigmin, Eustigmin, Metastigmin, Neoezerin, Stigmosan).

Posankha chithandizo cha matenda ayenera kuonedwa kuti wotuluka ku matenda ndi yotupa ndondomeko, nthawi zambiri amakonda kukhululukidwa lachibadwa. Komanso amakhudza kusankha chithandizo kwakukulu ndi ntchito matenda. Mu chochitika cha kwambiri ndi zolimbitsa endocrine ophthalmopathy nthawi zambiri ntchito njira, amene anatsimikizira chitetezo chake ndi efficacy - mankhwala ndi methylprednisolone. Chithandizo ikuchitika masiku asanu, kenako njira yachiwiri zotheka, masabata awiri pambuyo woyamba.

njira ina mankhwala radiotherapy m'dera la kanjira, amene nthawi zonse anali kuphatikiza ndi glucocorticoid chithandizo. Only mu Zikavuta kwambiri, matenda angagwiritsidwe ntchito alowererepo opaleshoni kuti decompress kanjira. Pafupifupi 2% milandu matenda amakhala ndi aakulu kwambiri, mapeto akuti zotsatira yotsalira, amene zambiri zopezeka mu gawo kulalikira.