ʻO ka maʻi uveitis kahi maʻi e ulu ai ka mumū o ka'ōpū o ka maka (uveal tract). ʻO ka pēpenaʻokoʻa ka hapalua waena o ka maka, ma lalo o ka sclera a hāʻawi i kahi nohona, ka hoʻololi a me kaʻaiʻana o ka retina. Aia nā iwiʻekolu i kēia pūʻulu:ʻo ka iris, ka ciliary a me ka choroid (ʻo ka choroid).
ʻAʻole hiki i ka hopena kūpono i ka hopena, ke hiki ke hopena i nā hopena maikaʻi: ka palakalaka, ke kulanui kiʻekiʻe, ka hoʻonui i ka lepe i ka haumāna, ka edema a me ka hoʻopiʻi houʻana, ka opacity o ka maka maka, me ka makapō. ʻO ia ke kumu nui o kaʻikeʻana i nā hōʻailona o kēia maʻi i mea eʻimi ai i ke kōkua maʻi i ka manawa.
Nā kumu o ka uveitis
I kekahi mau kumu,ʻaʻole maopopo ka kumu o kēia maʻi. Manaʻoʻia he mea hiki i kekahi microorganism e hiki ai ke hoʻoneʻe, hiki ke hoʻonā i ka mumū o ka'ōpū o ka maka.
ʻO ka hapanui pinepine, ua pili ka uveitis me ka maʻi me nā maʻi'ōpiopio herpes, nā maʻi o ka maʻi, kaxoplasmosis, syphilis, staphylococci, streptococci, chlamydia (chlamydial uveitis).
Ma ka wā kamaliʻi,ʻo ka hihia o ka uveitis he pinepine i nāʻeha o ka hoʻohaʻahaʻa. Eia kekahi, hiki ke pili i ka uveitis me ka hana pūnaewele inflammatory i loko o ke kino me ka arthritoma rhumatoid (rheumatoid uveitis), sarcoidosis, maʻi Bechterew, Reiter's Syndrome, ulitisrative colitis, a me nā mea'ē aʻe.
Hoʻomoʻa pinepineʻia ka papahana inflammatory i ka papa uveal i kahi predisposition genetic, he emi iho o ka palekana, he mea maʻi.
Ka hoʻolahaʻana o ka uveitis
Wahi a keʻano papahana:
- ka nui o ka uveitis (hiki ke emi i ka 3 mau mahina);
- ka uveitis mau loa (ʻoi aku ma mua o 3 mau mahina);
- ka uveitis hou (hiki i ka exacerbation ke hana ma hope o ka manawa o ka nele o ka wela me ka meaʻole).
Ma ka localization:
- ka mua o ka uveitis (iridocyclitis) - e lilo ke kino irisa a me ka lāʻau ciliary i ke ahi;
- ka hope o ka uveitis (choroiditis, chorioretinitis) - ka pākiko, ka retina a me ke aʻalolo opic;
- ka lolo uveitis - ke kuniʻana o ke kino ciliary, a me nāʻaoʻao o ka choroid, vitreous a retina;
- ʻO Panovitis -ʻo ka membrane o ka maka ka mea i puhiʻia i ke ahi.
Loaʻa i ka uveitis a me ka hoʻokalahalaʻana, a ma muli o ke kiʻiʻokoʻa o ke kaʻina inflammatory - granulomatous a non granulomatous.
Nā hōʻailona o ka uveitis e pili ana i ka localization
ʻO nā hōʻailona nui o ka mua o ka uveitis:
- photophobia;
- eha i nā maka;
- ʻulaʻula;
- ka hopena o kaʻike ;
- ka nui o nā haunaele nui;
- ke kuʻulua o ka haumana.
ʻO nā hōʻailona i hōʻikeʻia nei he mea pili loa ia i keʻano o kēiaʻano maʻi. ʻO ka mua o ka uveitis ma ka nui o nā mea i loaʻaʻole kahi hōʻailona hōʻailona, koe wale no kaʻike o nā "nalu" i mua o nā maka a me kahi pale hou.
ʻO nā hōʻailona o ka uveitis hope loa:
- keʻano o nā "nalu" i mua o nā maka;
- "Fog", "shroud" i mua o nā maka;
- hanana'ikeʻike o nā mea;
- ka emi iki o kaʻike.
I ka mea e kau ai, ua hōʻikeʻia nā'ōuli o ka uveitis hope loa. No ka mea,ʻaʻole kēiaʻano maʻi e like me kaʻulaʻula o nā maka a me kaʻeha.
ʻO keʻano lolopa o ka uveitis e hōʻikeʻia ana e nā hōʻike i lalo:
- ka hōʻailona kūlike o nā makaʻelua;
- keʻano o nā "nalu" a me nā "kiko" i mua o nā maka;
- ka hopena o ka'āpana kiʻi;
- ka strabismus
'Aʻaleʻa ka panoveitis. ʻO kēiaʻano maʻi e hoʻohui i nā hōʻailona o ka mua, ka wāwae a me ka hope o ka uveitis.
ʻO ka hōʻoia o uveitis
No ka mea e pono pono ke nānā i ka nānāʻana i nā maka me ka lama a me ka ophthalmoscope, ke ana o ka pāʻokoʻa. No ka wehe a hōʻoiaʻiʻo paha i ka heleʻana o kahi maʻi maʻi,ʻo nāʻano likeʻole o ka noiʻi (e like me keʻano o ka ho'āʻoʻana i ke koko) e mālamaʻia.