Viral conjunctivitis: Izimpawu nokwelashwa kwezingane kanye nabantu abadala

Kulesi sihloko sibheka ngokuningiliziwe conjunctivitis viral kakhulu. Izimpawu kanye nokwelashwa yalesi sifo sina atawutadishelwa yithi. Ngokuvamile kubhekiselwa kuye ngokuthi conjunctivitis ukuvuvukala ulwelwesi lwamafinyila we iso, ngokuvamile kubangela ukusabela iguliswa noma ukungenwa amagciwane (ngokuvamile ezibangelwa amagciwane kanye ezibangelwa amagciwane ngaphansi).

Abantu abadala enteroviral ogulayo, adenovirus (imfiva pharyngoconjunctival), i-herpes, chlamydial, igciwane, nomzimba, chronic conjunctivitis oyingozi. Izingane adenovirus futhi ifomu webhaktheriya lesi sifo kwenzeka njalo.

zinhlobo

• Keratoconjunctivitis ngokuthi inhlanganisela ukuvuvukala ocular nge mucosal isifo i-cornea (keratitis).
• Blepharoconjunctivitis ngokuthi inhlanganisela ezivamile conjunctivitis nge blepharitis (suppuration ubudala).
• Episcleritis - yisishiso kuyoshaya kuyafana ukuvuvukala kwamehlo, kodwa ngaphandle ezidwengula kokukhwehlela.
• Konyunktivohalazis kutholakala ukuthi uphethwe yini nguDkt Hughes ngo-1942. Njengomthetho, lokhu zokugula kuyinto evamile kubantu asebekhulile. Kuthinta kokubili lowo ongcwelisayo kanye nezinye iso. Izimpawu emazingeni ahlukahlukeneko wendlela sifo zihlukile: ngabe ayitholakali noma kukhona ubuhlungu eqinile, ukuluma kwamehlo, epiphora eba, kukhona izilonda, a syndrome ka "izinyembezi" futhi ukopha subconjunctival.

Kanjani conjunctivitis viral? Izimpawu kanye nokwelashwa nodokotela wakhe ehlola manje. Ngokwesibonelo, pathophysiology konyunktivohalazisa okwamanje. Ukwelashwa kwe-isifo kuncike ukuziyisa phambili izimpawu. Uma umuntu serene, kungadingeki. Kwezinye izimo, iziguli iphathwa amafutha si, amalungiselelo inkohliso izinyembezi, antihistamine, corticosteroids, instillation, nokunye.

Kufanele kuqashelwe ukuthi uma yokwelapha akusebenzi, ukuba angenele odokotela abahlinzayo: bona excised emphethweni conjunctival wembatha isilonda kuhlinzwa absorbable suture impahla. Izimo zethu zihluke kakhulu muva Aesculapius Ngaqala nokusebenzisa i ulwelwesi fluid. UDkt Brod Baker kanye nozakwabo ethulwa icala basemtholampilo isicelo ingcina fibrin, isetshenziselwa lithathelwe ngemva excising le conjunctiva onqenqemeni konyunktivohalazisa.

Etiology futhi pathogenesis

Wonke umuntu uyazi ukuthi conjunctivitis - isifo ezibangelwa amagciwane. Tadisha zinhlobo yayo:

• Adenoviral conjunctivitis umuntu agule ngenxa igciwane ukuthi kungenziwa wacosha nge amaconsi sisemoyeni. Lesi sifo livela ngesimo ubhubhane nokuqubuka, ngokuvamile ezikoleni kanye izinkulisa (izingane amaqembu).
• conjunctivitis olunamandla ogulayo, abangenwe tubercle imbewu eletha-Wicks, pneumococci, Wand-Moraksa Aksenfeld, gonococci, staphylococci, streptococci. Ngokuvamile kwenzeka ukutheleleka exogenous we conjunctiva, kungadala ngokuzenzakalela ukutheleleka. Ungalokothi uphuze izinto lapha okweqile noma overcooling i umzimba, myopia, microtraumas conjunctiva, astigmatism ngembobo izifo ezithathelwanayo. Phela, conjunctivitis Koch-Wamasonto (ubhubhane acute) is badabula singcoliswe izandla othwala izinto elinegciwane. Lesi sifo livela ngesimo ubhubhane nokuqubuka ehlobo phakathi izingane abahlala emazweni ashisayo. Kuyaziwa ukuthi conjunctivitis ezibangela gonococci (blennoreyny) livela izinsana ngesikhathi ukudlula ikhanda ngokusebenzisa omama lokuzalwa canal nge isipatsholo ezaziwayo.
• Okungalapheki conjunctivitis abantu bagule, uma ukwethula ukuphazamiseka umzimba, amavithamini, noma izilonda ezingamahlalakhona ametropia emiseleni lacrimal. Lesi sifo futhi ibonakala lapho conjunctiva yizici kuyacasula - intuthu, uthuli, ezingcolisa chemical sisemoyeni.
• Ngokuthi iguliswa conjunctivitis ukuvuvukala conjunctiva, iso owabonakaliswa ububomvu, ukulunywa, nezinkophe puffiness, photophobia, lacrimation.

izimpawu

Okuningi ezithakazelisayo kuka conjunctivitis viral? Izimpawu kanye nokwelashwa kwezingane kanye nabantu abadala, kufanele siyinake incwadi kakhulu. Ngokuvamile, abantu abaphethwe yilesi sifo, odokotela ukugcina hyperemia futhi edema we conjunctiva, ukuvuvukala Isivalo, ububomvu we abamhlophe samehlo, Ukubhidliza, photophobia.

Uma kuwukuthi conjunctivitis nomzimba, iziguli ukuzwa amehlo esiqine silume, banalo ukuvuvukala kancane Isivalo, izinhlaka umbono uzoqala ubuhlungu. Ifomu ezingamahlalakhona azigcina kuphela ukucasulwa ubala futhi ukulunywa.

Ake sibone, ukuthi yini viral izimpawu conjunctivitis kanye nokwelashwa. Izithombe kwezitho ethintekile abonisa ngokucacile ukuthi lesi sifo kuyingozi kakhulu. Ngokuvamile, conjunctivitis viral bathambekele kwenzeke lapho elingenhla ipheshana zokuphefumula utheleleke nge-herpes. Lesi sifo angase futhi ukuthuthukisa ubuhlungu emphinjeni noma abandayo elula. Umuntu ngamunye ehlukile izimpawu. Lokhu ehilelekile luncike amasosha omzimba, degree ukutheleleka kanye nobudala.

Kumele kuqashelwe ukuthi lezi ngokuvamile ziyasho ukuthi avele conjunctivitis kwelinye iso bese ukutheleleka lithuthela uhlaka emehlweni yesibili. Ezingosini kukhona esintinyelayo, izitsha ububomvu, photophobia kungenzeka, conjunctiva ozuza umbala obomvu (it is abavusa).

Ngokuvamile, abantu abadala kufanele ukufunda conjunctivitis ezibangelwa amagciwane. Izimpawu kanye nokwelashwa yalesi sifo ngo izingane kungabangela izinkinga eziningi. Ngokwesibonelo, endabeni conjunctivitis adenoviral lokuqala kuthinta elingenhla ipheshana zokuphefumula. izinga lokushisa emzimbeni wesiguli liphume, evuvukele lymph node prootic (landile izingane). Odokotela bathi olungaphelele ubovu ukuxoshwa kanye blepharospasm ngokulinganisela. Ngezinye izikhathi lesi sifo kuhambisana amafilimu kanye follicle (ngokuvamile izingane).

izifo ezibangelwa amagciwane kwamehlo

conjunctivitis Amagcikwane avele ngenxa pyogenic (ukudala ubomvu) amagciwane. Uphawu lokuqala kuyinto aphuzi grey, opaque, viscous iso khulula. Kungenxa Nezinkophe zaso angase aqale ukunamathelana ndawonye, ikakhulukazi ngemva elele. Yiqiniso, lokhu akulona uphawu ebaluleke kakhulu conjunctivitis.

Odokotela usitshele ukuthi amagciwane ezifana Moraxella noma Chlamidia trachomatis, kungabangela ukuvuvukala nonexudative kodwa ophikelelayo ngaphandle ezinzima hyperemia conjunctival. Kwezinye abantu, lolu hlobo sifo kubonakala kuphela umuzwa khona e iso nomzimba angaphandle.

Izimpawu ezilandelayo, esiwuphawu conjunctivitis webhaktheriya ibizwa ngokuthi amehlo omile futhi ezilimele isikhumba nxazonke. izifo Pyogenic (acute) nabo babe imbangela ubuhlungu. Amagcikwane kanye conjunctivitis viral, ekuqaleni ukulimaza iso elilodwa, bese sahamba kalula neyesibili. Izimpawu zivamise ukwenzeka emva kokutheleleka kuphela ngosuku lwesithathu.

nezinye conjunctivitis

Sasilawula umbuzo yini conjunctivitis ezibangelwa amagciwane. Izimpawu kanye Treatment Abadala ngokuvamile musa ngihluphe abanye abantu. Bewazi yini ukuthi kukhona conjunctivitis, okuyinto avele ngenxa yokuchayeka ezinobuthi futhi ezinobuthi esweni womuntu? Kumila kule izimpawu uma kukhona ubuhlungu futhi yokucasuka amehlo lapho ezihambayo phezulu noma phansi. Ukulunywa futhi ocucuzayo, njengoba umthetho, is hhayi waphawula. Lena eqenjini elithile conjunctivitis, okuyinto kuhambisana sebuhlungwini obunzima.

conjunctivitis olunamandla kuhambisana ubomvu noma ocucuzayo lwamafinyila, kanye ngaphatheka kabi komuntu amehlo. Blennoreynaya uhlobo lesi sifo iqala osenyameni serous-wegazi, ngemva kwezinsuku ezintathu noma ezine isiguli umxhwele ubovu mass. Kube kungadala izilonda corneal, lingene.

Lesi sifo kuhambisana Koch-Wicks nokopha amancane amaningi conjunctiva we sclera, okuyinto siyakhukhumala bese uthatha uhlobo awalethe esingunxantathu ngaphakathi kwemingcele ZaseLaki optic.

Ukugula Moraksa-Aksenfeld kuyahluka subacute futhi Yiqiniso ezingamahlalakhona. Ivame ukuba isebenze iso inqunywe emagumbini omabili.

By endleleni, uma iziguli esingelapheki conjunctivitis esekhala esivuthayo, ukulunywa, iso ukukhathala, umuzwa "isihlabathi ngaphansi nezinkophe."

Ucwaningo lwamuva nje ukusho ukuthi abantu onamehlo aluhlaza basengozini enkulu yokuba conjunctivitis: banalo isikhathi eside kungehlisa umbono, ngoba amehlo abo azwela kakhulu ukukhanya.

izizathu

Manje siyathola ukuthi kungani abantu babe conjunctivitis ezibangelwa amagciwane. Izimpawu kanye Ukwelashwa (isithombe okusesihlokweni esithi, lokhu kahle wabonisa) ayibukeki limnandi. Ngakho ngokuvamile lesi sifo libhekene bemvelo ezibangelwa amagciwane. Ngamanye izizathu lapha izenzo njengemithi yokungezwani komzimba nokuthile, ama-bacterium, ezomile iso syndrome, futhi ezintweni ezihlukahlukene.

Kufanele kuqashelwe ukuthi conjunctivitis amagciwane viral abanaso kakhulu. Athuthela usuka komunye umuntu uya komunye, uma kungagcinwa imithetho yokuhlanzeka. Ngokuvamile, lezi iziguli kangcono zingeniswe esibhedlela noma ukungena ngokuhlukaniswa, noma ingaqala Bonke labo ehlala.

ukwelashwa

Sithole ukuthi kanjani esithathelwanayo conjunctivitis ezibangelwa amagciwane. Izimpawu kanye nokwelashwa uma kunesidingo, xhumana nodokotela wakho. Kodwa ngeke sizama namuhla ukuba sihlole leli phuzu elibalulekile. Ngokuvamile, imbangela isifo zembula nzima impela. Odokotela batusa zonke iziguli ukuba zigeze izandla njalo nokugcwalisa nezinye izidingo inhlanzeko yomuntu siqu ukuze singathwesi ukuthelela abanye. Ngokuvamile ophthalmologist ukhombe yokwelapha ezanele.

1. conjunctivitis okunobuthi. Izimpawu kanye Ukwelashwa khumbula kunzima, kodwa kudingekile. Odokotela batusa kuqala ukuthi iziguli zisebenzisa ukulibopha efudumele futhi sehla a izinyembezi inkohliso. Ukuze ekwelapheni lesi sifo ebekiwe ukwakhiwa amehlo kabani Ukwakheka yayihlanganisa isakhi sokuzakhela uhlobo interferon "Alpha 2". Ikakhulukazi owaziwa izindlela ezisetshenziswa emzabalazweni nalesi sifo, yilezi: "Oftalmoferon", "Aktipol", "Poludan". Odokotela batusa amaphilisi "Acyclovir" kuze kube kahlanu ngelanga futhi ekuseni ukuhlanza amehlo nge aqueous emulsion furatsilina. Uma isiguli wanamathela yesibili isifo esibangelwe igciwane, noma kudingeka conjunctiva zokuvimbela ezilimele, amathonsi enqunyiwe, njengengxenye okuyizinto antibiotic, "Signitsef" "Ciprofloxacin".
2. Uma conjunctivitis kubangelwa igciwane herpes (i-herpes), udokotela uqoka iconsi "Oftalmoferon" kanye nemikhiqizo equkethe acyclovir. Kulokhu, kunesidingo esiphuthumayo ukuya kudokotela-ophthalmologist, ngoba ukubambezeleka okusongelayo enkingeni esabekayo: ungalahlekelwa ngokuphelele phambi kwakhe.
3. conjunctivitis Amagcikwane ngokuvamile akudingi ukwelashwa, njengoba nje kuvamile namanje ngokwabo. Nokho, lehla noma iso yokugcoba equkethe imithi elwa namagciwane, ungakwazi ukusheshisa le nqubo. Elwa namagciwane (ihlelwe ngokulandelana kwezihloko) iqondiswa kuphela ngaphansi isifo nge ezinkulu ubovu osenyameni kanye lapho azikho izimpawu ejwayelekile ka adenovirus ukutheleleka (ukubukeka follicle phezu conjunctiva noma ivuvukele zamanzi).
4. conjunctivitis Allergic avele abantu, lapho zihlatshwa i allergen lapho umzimba ine ukuzwela anda. Ukuze ekwelapheni izifo yohlobo antihistamine esetshenziswa njengoba iso amaconsi noma amaphilisi. Le mithi dambisa ukulunywa, kodwa ezibangela ukuvuvukala Isivalo kanye neso ububomvu. Ziyakwazi ngokushesha futhi kancane izinyembezi. Futhi uma usebenzisa antihistamine izidakamizwa avele side effects: ikhanda, evutha ukuzwa futhi ubuhlungu kancane emehlweni, ukuqwasha. Kodwa ukungakhululeki zingancishiswa ngokusebenzisa yokufakelwa izinyembezi amathonsi. Ezimweni ezinzima, udokotela angase akunikeze nonsteroidal ejenti eqeda ukuvuvukala. Ezinye iziguli ne conjunctivitis okuqhubekayo iguliswa nazo ebekiwe eyedrops steroid. Ngaphezu kwalokho, ukwelapha lesi sifo ebekiwe amalungiselelo okuxubile izinyembezi yokufakelwa, diphenhydramine, interferon "Alpha 2".

Yiqiniso, akekho umuntu othanda ukuba conjunctivitis ezibangelwa amagciwane. Kuka ukwelapha lesi sifo, thina cishe wafuna imininingwane ngangokunokwenzeka. Kuyadingeka ukuba ukhumbule ukuthi uma kwenzeka into ethile, kanti indoda wagula nalesi sifo ezingemnandi, amehlo akufanele sathinteka izandla. Kubalulekile ukugcina sinemikhuba emihle yenhlanzeko, kubalulekile ukusebenzisa ithawula lakhe siqu kuphela futhi ugeze izandla zakho kahle, ukuze singathwesi ngegciwane amanye amalungu omndeni. Ngokuvamile, conjunctivitis viral aphethwe phakathi namasonto amathathu. Kungenzeka ukuthi le nqubo zokuphulukisa ingahlala ngaphezu kwenyanga.

izingane conjunctivitis

Ngakho, siqhubeka sitadisha okwengeziwe conjunctivitis ezibangelwa amagciwane. Izimpawu kanye nokwelashwa abadala ababa nalesi sifo, esisanda kuxoxa ngazo, futhi manje sibheke isifo ebuntwaneni. Kuvame kakhulu phakathi izingane futhi esibonakala ngokuqina ukuvuvukala conjunctiva esweni. Ngokuvamile, yisiphi isifo kuhlale kulula ukuvimbela kuka ukubukela ukuhlupheka kwengane yakhe, behlupha athole ukwelashwa akhathazayo nokuvakasha engapheli kodokotela.

Ebuntwaneni olunamandla conjunctivitis viral ngokujwayelekile ohambisana nesifanekiso overcooling ingane, kanye komzimba noma umkhuhlane. Ukuthi lesi sifo aliveli, udinga ukuqapha ukuhlanzeka umntwana embhedeni, amathoyizi kanye ekamelweni lakhe, ukuze bagcine sinemikhuba emihle yenhlanzeko. Izingane ezisencane kufanele njalo ugeza amapeni izingane ezindala kumele bafundziswe njalo Ukuzinakekela isikhumba. igumbi izingane kufanele senza njalo, futhi umoya kumele humidified amadivayisi ezikhethekile.

Ukuze avele viral conjunctivitis ezinganeni, okuyinto izimpawu kubuhlungu ngempela, kudingeka unikeze obandayo ukudla okugcwele enezivikelo eziqinile. Abadala kudingeka ukuqapha nokuhlanzeka imikhiqizo osebenzisa ingane. By the way, ingane kufanele ibe ithawula siqu, khona-ke kumelwe bahambe amahora okungenani amabili ngosuku. Abazali kufanele wazi ukuthi lapho ehamba ingane yabo akathinti nezingane okungenampilo.

Ngokuvamile, uketshezi izinyembezi kanye zamehlo isithiyo sina ngoba amagciwane kanye nezifo emehlweni. Kodwa ngisho alinamandla okuzisiza lapho ingane amasosha omzimba buthakathaka.

Izimpawu lomncane

conjunctivitis okunobuthi yiso omdala noma izinyane kulula ukubona, njengoba izimpawu ukuvuvukala ocular we conjunctiva ayafana yini. Nokho, izingane kule isifo usabela ngokushesha kakhudlwana: banayo ubuthakathaka, ukungahlaliseki, aqala ukukhala noma isinyathelo up. Umbhali wayevame ukunezela lokhu isifo lihlotshaniswa komzimba, ekungenweni amagciwane.

izimpawu eziyisisekelo conjunctivitis ezinganeni: ingane ekhononda of umuzwa isihlabathi emehlweni colic, kukhona edwengula, ubovu ocucuzayo, ngemva nezinkophe elele ethe njo. Izingane eziningi ulale kubi iphango.

conjunctivitis okunobuthi e abadala elinesimo Ukuwohloka umbono (izinto abe ongaqondakali, esilufifi). Ezinganeni, isikole yobudala livela emehlweni ukungakhululeki, evutha lokujabulela khona nomzimba angaphandle.

Futhi njengoba abazali elichaza zezingane viral conjunctivitis, izimpawu kanye zokwelapha? Izibuyekezo yalesi sifo zihluke kakhulu nomunye. Nokho, iningi labantu abadala uthi kuqala udinga ukusheshe udokotela-ophthalmologist, ngubani enza thola cishile ukuthi yini eyabangela abantu yisishiso emehlweni umntwana, futhi linqume ukwelashwa okuphumelelayo.

Mhlawumbe ububomvu okubangelwa ukhophe kancane, singena amehlo akho noma ezinye izinhlayiya ezincane, futhi mhlawumbe kwakukhona ukusabela iguliswa noma iyiphi umfutho. Ukuvuvukala ingaqala kahle ngenxa ngesizathu esizwakalayo - intraocular anda noma ingcindezi intracranial.

Indlela bangcwabe amehlo womntwana?

Uma conjunctivitis uvele ingane akakabi libe nonyaka owodwa ubudala, landfill kufanele baphathe kuphela pipette nge ekupheleni oyindilinga. Izingane ezibekwe phezu flat ngaphandle umcamelo, kodwa ikhanda lakhe ubani ubamba. ijwabu leso Lower kudingeka donsa bese uphonsa amaconsi ambalwa. Ngakho kungenzeka ukwelapha conjunctivitis ezibangelwa amagciwane. I amathonsi ngokwabo okuye kwasakazwa eminyakeni iso, futhi insalela kufanele ofakwe gauze ngendwangu oyinyumba. izingane ezindadlana ukufundisa kangcono ngokwakho ukwenza le nqubo ngoba abanye ungathandi uthinte kwamehlo abo.

Kumelwe ukhumbule ukuthi ngaphambi kokusebenzisa amathonsi chilled kudingeka zishise esandleni. Futhi akuvumelekile ukusetshenziswa kwezidakamizwa yaphangalala, ngaphandle kokuphawula, noma uma isikhathi eside igcinwe ecacile.

Sithemba ukuthi lesi sihloko kuzokusiza ufunde indlela kweso nezimpawu kanye nezindlela zokwelapha conjunctivitis ezibangelwa amagciwane.