Menene cutar Vogt-Koyanagi-Harada

Wadatacce

• Me ke haddasawa
• Matsaloli da ka iya faruwa
• Yadda ake yin maganin

Vogt-Koyanagi-Harada Syndrome cuta ce wacce ba kasafai ake samunta ba wanda ke shafar kyallen takarda wanda ke ɗauke da melanocytes, kamar su idanu, tsarin jijiyoyi na tsakiya, kunne da fata, wanda ke haifar da kumburi a tantanin ido, yawanci ana alakanta shi da cututtukan fata da na ji.

Wannan cututtukan yana faruwa ne galibi a tsakanin samari tsakanin shekaru 20 zuwa 40, tare da mata waɗanda cutar ta fi shafa. Jiyya ya ƙunshi gudanarwar corticosteroids da immunomodulators.

Me ke haddasawa

Har yanzu ba a san dalilin cutar ba, amma an yi imanin cewa cuta ce ta autoimmune, wanda a ciki akwai ta'adi a saman melanocytes, yana inganta haɓaka mai kumburi tare da rinjaye na T lymphocytes.

Matsaloli da ka iya faruwa

Alamun wannan ciwo sun dogara ne da matakin da kuke ciki:

Prodromal mataki

A wannan matakin, alamomin tsarin da suka yi kama da mura-kamar bayyanar cututtuka sun bayyana, tare da alamun cututtukan jijiyoyin da ke wuce kawai 'yan kwanaki. Mafi yawan alamun cututtukan sune zazzabi, ciwon kai, sankarau, tashin zuciya, jiri, jin zafi a idanuwa, tinnitus, raunin tsoka gabaɗaya, raunin jiki a wani ɓangare na jiki, wahalar bayyana kalmomin daidai ko fahimtar harshe, photophobia, hawaye, fata da fatar kan mutum. motsin rai.

Matakin Uveitis

A wannan matakin, alamun gani sun mamaye, kamar ƙonewar ido, rage gani da ƙarshe ɓarin ido. Wasu mutane na iya fuskantar jin alamun alamun kamar tinnitus, zafi da rashin jin daɗi a cikin kunnuwa.

Tsarin lokaci

A wannan marhalar, an bayyana alamun gani da na cututtukan fata, kamar su vitiligo, depigmentation na gashin ido, girare, wanda zai iya wucewa daga watanni zuwa shekaru. Vitiligo yana da saurin rarrabawa bisa kai, fuska da akwati, kuma zai iya zama na dindindin.

Sake dawowa mataki

A wannan matakin mutane na iya samun ciwan kumburi na ido da ido, ido, glaucoma, neovascularization na choroidal da ƙananan fibrosis.

Yadda ake yin maganin

Jiyya ya ƙunshi gudanarwar manyan allurai na corticosteroids kamar su prednisone ko prednisolone, musamman a cikin mawuyacin lokaci na cutar, na aƙalla watanni 6. Wannan jiyya na iya haifar da juriya da cutar hanta kuma a cikin waɗannan halayen yana yiwuwa a zaɓi don amfani da betamethasone ko dexamethasone.

A cikin mutanen da tasirin tasirin corticosteroids ke yin amfani da su a cikin ƙananan ƙwayoyi marasa ƙarfi wanda ba za a iya ci gaba ba, ana iya amfani da ƙwayoyin cuta kamar cyclosporine A, methotrexate, azathioprine, tacrolimus ko adalimumab, waɗanda aka yi amfani da su da kyakkyawan sakamako.

A cikin yanayin juriya ga corticosteroids kuma a cikin mutanen da suma ba sa karɓar maganin rigakafi, ana iya amfani da rigakafin rigakafi na intravenous.