Endocrine ophthalmopathy

Ka lehlohonolo, maemo a ho lefu la ba sa tloaelehang haholo, empa endocrine ophthalmopathy bua ka mafu tseo tse ka botlalo bonahatsoa sefahleho sa mokuli. ke eng lefu lena le kamoo ho ka tšoara eona? Endocrine ophthalmopathy amana mafu autoimmune. Ke lefu le tsa lisele tsa orbit le mesifa ea leihlo. Lefu lena le e bakiloe ke ho hloka taolo ho sesole sa 'mele, e leng e etsa hore ho ruruha la mesifa le subcutaneous dinama tse nyenyane tse, ho qhala la phallo ea mali ka methapo ea le dibopeho tsa likhoele le mesifa, e leng e etsa hore kgolo ya e sa tloaelehang ea dinama tse nyenyane tse connective. Endocrine ophthalmopathy hangata e le hlaha 'me le thyroid tsoelesa e loketseng ho lefu la autoimmune. Ka ho phekola thyroid le hlaha ho leballa motho ea lefu.

Batho ba neng ba kula ophthalmopathy, ho na le matšoao a joalo bath:

- ghosting, thothofatsang litšoantšo, haholo-holo ha ba ne ba nka lehlakoreng ebe hodimo;

- photophobia, boemong bo sa thabiseng ho lehlabathe mahlong a hao;

- metsi mahlo, 'me boikutlo ba khatello ea ka mahlo, haholo-holo ka boemo ba leholimo phefo tota;

- e seng ea tlhaho protrusion tsa thaka tsa ka, kapa ka litsela tse ling - exophthalmos.

Foromo edematous ya lefu ka fetisetsa bakuli ba ho ruruha ya conjunctiva le dintshi. Khafetsa lefu lena le corneal ulcerations Maemong a. Ho sa tsotellehe 'nete ea hore endocrine ophthalmopathy nkoa haholo e le ho kula haholo, kalafo e atlehang bakeng sa eona teng.

Ha ho theha le phumano ya ngaka teng alakisi maloa tsa lithethefatsi. Endocrine ophthalmopathy, eo kalafo e akarelletsa se feela mokete oa antiinflammatory mahlahana (nkiloeng ka molomo), 'me diuretics (ho fokotsa edema) hloka hore fumana stimulators neuromuscular. Hammoho le meriana e balletsweng ke le lijo, eaba fokotsa ho noa ea letsoai le metsi a mangata le mokuli.

Phekolo endocrine ophthalmopathy kenyelletsa ditokiseletso fumana lithethefatsi-ba khahlanong le a hlabang tse kang prednisolone (Dekortin, Prednol, metipred), Dexamethasone (Deksazon, Fortekortin, Daxin, Kortideks, Novometazon) Triamtsinola atsitponid (Kenakort, Kenalog, Vetalog).

Endocrine ophthalmopathy hloka baeti ba fihlelang ho ba e mong oa lithethefatsi diuretic kang 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-haeterojene).

Ka ho fetisisa hangata e beuweng stimulant e mong joalo neuromuscular conduction: Neostigmine (Sintostigmin, Miostin, Vagostigmin, Eustigmin, Metastigmin, Neoezerin, Stigmosan).

Ha a khetha kalafo ea lefu lena lokela ho hopola hore ba tsoela pele ho lefu lena ho ruruha, 'me hangata le tsekamelo ea ho bolelang ho leballa motho ho itlelang feela. Hape ama khetho ea phekolo le ho tiea tsa mosebetsi lefu. Ka ketsahalo ea matla le e leka-lekaneng endocrine ophthalmopathy e hangata ka ho fetisisa sebelisoa mokhoa, eo o ile a tiisa polokeho lona le bohlokwa ba tsamaiso - phekolo le methylprednisolone. Kalafo o etsoang tsoa bakeng sa matsatsi a mahlano, lateloa ke tsela ea bobeli ho khoneha, libeke tse peli ka mor'a hore pele.

mokhoa o mong oa phekolo ke radiotherapy ka sebaka sa tshebetso sa orbit, e leng hangata ho kopantswe le glucocorticoid kalafo. Feela maemong a matla haholo, le maloetse ka sebelisoa ho kenella ho buoa ho decompress le orbit. Hoo e ka bang 2% ea linyeoe le lefu lena e tšoauoa ka sa matla haholo, qetellong ho hlahisa maikutlo litla barrel, tse hangata e fumanoang ka mohato sa kopanele tšebeletsong.