Qhov Tseem Ceeb Qhov txawv - Scleritis vs Episcleritis
Qhov sib txawv tseem ceeb ntawm Scleritis thiab Episcleritis yog Scleritis, uas feem ntau tshwm sim hauv kev koom nrog cov kab mob autoimmune, yog kab mob inflammatory uas cuam tshuam rau cov xim dawb ntawm lub qhov muag (sclera) whereas Episcleritis yog ib qho benign, nws tus kheej txwv. Cov kab mob inflammatory cuam tshuam rau episclera (Episclera nyob nruab nrab ntawm txheej txheej sab nraud ntawm lub qhov muag thiab lub sclera). Muaj tsawg zaus, episcleritis yuav tshwm sim los ntawm scleritis.
Dab tsi yog Scleritis?
Scleritis lossis o ntawm sclera yog ib qho mob hnyav uas feem ntau cuam tshuam nrog ntau yam kab mob autoimmune cuam tshuam rau lub cev. Nws cuam tshuam rau kev tiv thaiv cov ntaub so ntswg npog ntawm lub qhov muag, yog li, Yog tias tsis kho, nws tuaj yeem ua rau lub qhov muag perforation (Scleromalacia). Feem ntau cov tsos mob ntawm tus kab mob scleritis muaj xws li liab ntawm lub sclera thiab conjunctiva, mob qhov muag loj, photophobia (qhov nyuaj rau saib lub teeb) thiab kua muag. Nws tuaj yeem ua rau txo qis qhov pom kev pom thiab qhov muag tsis pom. Scleritis tuaj yeem tshwm sim los ntawm kev kis kab mob thiab. Nws tuaj yeem kuaj pom los ntawm kev tshuaj xyuas sclera nyob rau nruab hnub. Lwm yam ntawm kev tshuaj xyuas qhov muag xws li kev kuaj pom kev pom thiab kev kuaj xyuas lub teeb yuav zoo li qub.
Scleritis tuaj yeem sib txawv ntawm episcleritis los ntawm kev siv phenylephrine los yog neo-synephrine qhov muag te, uas ua rau blanching (collapsing ntawm cov hlab ntsha ua rau txo qis liab) ntawm cov hlab ntsha hauv episcleritis, tab sis tsis nyob rau hauv scleritis. Hauv cov mob hnyav heev ntawm scleritis, qhov muag phais yuav tsum tau ua los kho cov pob txha puas lawm. Rau cov mob hnyav tsawg, cov tshuaj uas tsis yog-steroidal anti-inflammatory, xws li ibuprofen, yog muab los txo qhov mob. Scleritis kuj tuaj yeem kho nrog qhov ncauj corticosteroids (xws li prednisolone) lossis siv cov tshuaj steroid-muaj qhov muag. Qee zaum, cov tshuaj tua kab mob tuaj yeem raug sau tseg. Hauv cov neeg mob hnyav dua, cov tshuaj khomob (xws li cov tshuaj tiv thaiv kab mob tiv thaiv kab mob xws li cyclophosphamide lossis azathioprine) tuaj yeem siv rau hauv kev kho mob.
Episcleritis yog dab tsi?
Episcleritis yog ib yam mob uas tshwm sim, thiab nws yog demarcated los ntawm qhov pib mob me ntsis qhov muag thiab liab. Txawm hais tias feem ntau tsis muaj qhov tshwm sim, nws tuaj yeem cuam tshuam nrog cov kab mob autoimmune lossis kab mob vasculitis. Qhov liab ntawm lub qhov muag nyob rau hauv episcleritis yog vim engorgement ntawm cov hlab ntsha loj episcleral, uas khiav nyob rau hauv ib tug radial kev taw qhia ntawm lub limbus (nplooj ntawm lub cornea thiab conjunctiva). Feem ntau, tsis muaj uveitis (Kev mob ntawm sab hauv yog lub qhov muag), los yog thickening ntawm sclera. Ib qho xim xiav ntawm lub sclera qhia txog scleritis, tsis yog episcleritis. Qhov no yog vim hais tias nyob rau hauv scleritis cov ntaub so ntswg ntxaum koom nrog, thiab, yog li ntawd, cov ntsiab lus sab hauv ntawm lub qhov muag raug nthuav tawm. Feem ntau, kev kho mob tsis tsim nyog rau episcleritis vim nws yog ib qho kev txwv tus kheej. Cov kua muag cuav tuaj yeem siv los pab ua kom khaus qhov muag thiab tsis xis nyob. Txawm li cas los xij, cov mob hnyav dua tuaj yeem kho nrog cov tshuaj pleev corticosteroids (qhov muag tee) lossis cov tshuaj tiv thaiv qhov ncauj uas tsis yog-steroidal. Zuag qhia tag nrho yog qhov zoo hauv episcleritis.
Qhov txawv ntawm Scleritis thiab Episcleritis yog dab tsi?
Definition of Scleritis thiab Episcleritis
Scleritis: Scleritis yog hu ua qhov mob ntawm sclera.
Episcleritis: Episcleritis yog hu ua o ntawm episclera.
Yam ntxwv ntawm Scleritis thiab Episcleritis
Scleritis: Scleritis yog ib qho kev sib koom ua ke ntawm cov kab mob autoimmune.
Episcleritis: Episcleritis yog ib qho kev sib koom ua ke ntawm cov kab mob autoimmune tsawg, thiab feem ntau tsis pom qhov ua rau.
Symptoms
Scleritis: Hauv scleritis liab thiab mob ntau dua.
Episcleritis: Hauv episcleritis radial qauv ntawm cov hlab ntsha ua qhov tseem ceeb thiab cov tsos mob tsis tshua hnyav.
Signs
Scleritis: Scleritis ua rau cov xim xiav ntawm lub qhov muag.
Episcleritis: Episcleritis tsis ua kom muaj xim xiav ntawm lub qhov muag.
Kev tshawb nrhiav
Scleritis: Phenylephrine los yog neo-synephrine qhov muag tee tsis ua rau blanching hauv scleritis.
Episcleritis: Phenylephrine lossis neo-synephrine qhov muag tee ua rau blanching hauv episcleritis.
Kev nyuaj siab
Scleritis: Scleritis tuaj yeem ua rau dig muag.
Episcleritis: Episcleritis tsis ua rau qhov muag tsis pom lossis koom nrog cov txheej txheej tob.
Kev kho mob
Scleritis: Scleritis xav tau kev kho mob nrog cov tshuaj uas tsis yog-steroid anti-inflammatory thiab steroids.
Episcleritis: Episcleritis yog ib qho mob ntawm tus kheej thiab feem ntau tsis tas yuav kho.
Kev Tshawb Fawb
Scleritis: Scleritis tuaj yeem muaj qhov tshwm sim tsis zoo.
Episcleritis: Nrog rau kev mob episcleritis feem ntau zoo.
Image Courtesy: "Scleritis" los ntawm Kribz - Tus kheej ua haujlwm. (CC BY-SA 3.0) ntawm Wikimedia Commons "Episcleritiseye" los ntawm Asagan - Coj daim duab kuv tus kheej. (CC BY-SA 3.0) via Commons
