Kwemakemikari anobudiswa ophthalmopathy

Sezvineiwo, zviitiko chirwere chaizvo zvisingawanzoitiki, asi kwemakemikari anobudiswa ophthalmopathy zvinoreva avo nezvirwere izvo zvinoratidzwa zvizere chiso murwere. Chii chinonzi chirwere ichi uye sei kurapa nayo? Kwemakemikari anobudiswa ophthalmopathy chokuita autoimmune zvirwere. It chirwere munyama ari muchadenga uye ziso netsandanyama. The chirwere anokonzerwa kukanganisika mumuviri zvirwere, iyo inotungamirira kuzvimba tsandanyama uye subcutaneous rinenge nokuvhiringidzirwa ropa riyerere nemidziyo uye zvivako zviri tsandanyama fibers, iyo inotungamirira zvemamiriro ikure connective tishu. Kwemakemikari anobudiswa ophthalmopathy rinowanzoberekera uye thyroid shwanu nokuda ane autoimmune chirwere. In pakurapa thyroid kunoitika kuregererwa kubva chirwere.

Vanhu vanova kurwara ophthalmopathy, pane tsika zviratidzo zvakadai:

- ghosting, Blurred mifananidzo, kunyanya kana vaiona padivi uye uchikwira;

- photophobia, kusagadzikana kuwana jecha pameso enyu;

- dzemvura zhinji meso, uye kunzwa kumanikidza mumaziso, kunyanya mu vhuvhuta ekunze;

- tyisa protrusion of eyeballs, kana zvimwe - exophthalmos.

The edematous chimiro chirwere pavarwere vane kuzvimba conjunctiva uye anopenya. Kakawanda muna chirwere ichi uye corneal ulcerations nyaya. Pasinei chokwadi kuti kwemakemikari anobudiswa ophthalmopathy vaiona chaizvo chirwere chakakomba, inoshanda mishonga nokuti ariko.

Pavanosarudza nechirwere ari kupinda chiremba prescribes dzinoverengeka zvinodhaka. Kwemakemikari anobudiswa ophthalmopathy, izvo kurapwa kunosanganisira kwete chete mabiko antiinflammatory yomuchipatara (zvakatorwa nomuromo), uye diuretics (kuderedza edema) zvinoda kugamuchira neuromuscular stimulators. Pamwe mishonga waakaudzwa uye zvokudya, panguva iyo kutirambidza murwere yaunodya yomunyu uye zvinwiwa.

Treatment kwemakemikari anobudiswa ophthalmopathy unotora kugamuchira zvinodhaka Anti-anogumbura akadai prednisolone (Dekortin, Prednol, metipred), Dexamethasone (Deksazon, Fortekortin, Daxin, Kortideks, Novometazon) Triamtsinola atsitponid (Kenakort, Kenalog, Vetalog).

Kwemakemikari anobudiswa ophthalmopathy zvinoda negashiro mumwe diuretic mishonga akadai 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).

Inonyanyoshandiswa ushandiswe rinodhaka chete yakadaro neuromuscular conduction: Neostigmine (Sintostigmin, Miostin, Vagostigmin, Eustigmin, Metastigmin, Neoezerin, Stigmosan).

Kana uchisarudza kurapa chirwere ichi dzinofanira kuzokurukurwa kuti aibuda mune chirwere ichi kushoma, kazhinji asingatani vaingoerekana kanganwiro. Uyewo kunokanganisa kusarudza kurapwa uye kukuvadza basa chirwere. In Chiitiko chakakomba uye mwero kwemakemikari anobudiswa ophthalmopathy chinonyanya inowanzoshandiswa nzira, iyo akasimbisa kwayo vakachengeteka uye efficacy - marapirwo pamwe methylprednisolone. Treatment rinoitwa kwemazuva mashanu, zvichiteverwa kechipiri kosi zvichibvira, mavhiki maviri pashure yokutanga.

Chimwe nzira kurapwa kuri radiotherapy munzvimbo yacho muchadenga, iro rinonyanya kubatanidzwa glucocorticoid kurapwa. Chete kwazvo nguva chirwere chinogona kushandiswa kuvhiya kupindira kuti decompress ari muchadenga. Anenge 2% nyaya maperembudzi dzinoratidzwa kwazvo, magumo mashoko residual zvinokonzerwa, izvo anowanzodanwa rinowanikwa akaneta chokutambudzika.