Viral keratitis: Izimpawu kanye Ukwelashwa

izifo Ophthalmological baphathe esindayo futhi okhathazayo cishe ngaso sonke isikhathi. Phela, amehlo akho - lokhu ingenye izinzwa ezibaluleke kakhulu. Futhi ukwehluleka kwabo kungase kuholele ekulahlekeni mbono. Phakathi zonke izifo amehlo kukhona keratitis evame kakhulu - ukuvuvukala cornea. Abakwazi kubangelwe izizathu ezahlukene futhi ngaphandle ukwelashwa kuholela sengozini yokuthola izifo. Okuvame kakhulu keratitis viral, okuyinto ibangelwa igciwane lohlobo. Lesi sifo ikakhulukazi kwenzeka ezinganeni kanye intsha, ngakho-ke kubalulekile ukuqala ukwelashwa ngesikhathi ukulondoloza umbono ingane.

izinhlobo keratitis

I-cornea yiso - kuyinto igobolondo layo esobala. It kuncike isimo acuity ezibukwayo. Ngakho-ke, ukunciphisa obala yayo ngenxa ukuvuvukala njalo kuholela ukuwohloka okuqonda sibonwa. isimo esinjalo kwabangela keratitis - Izifo eziphatha cornea. Ngokuvamile banayo imvelo ezithathelwanayo: zibangelwa amagciwane, chlamydia, isikhunta noma izilokazane eziphila ngezinye.

Ngokuvamile ngaphezulu keratitis kuhlukumeze impela, lapho ukuvuvukala eba ngenxa iziyaluyalu ubuqotho corneal. Ngalokhu-ke kungabangela umonakalo mechanical, nokuchayeka kumakhemikhali, amazinga okushisa aphakeme. Futhi ifomu lokugcina keratitis iguliswa. Senzeka yezinkathi ezithile ethimulisayo, rhinitis, noma njengoba izinkinga zokwenza conjunctivitis izidakamizwa olubangelwa.

Kusukela izilonda ezivamile imvelo esithathelanayo cornea, kubalulekile ukwazi umehluko phakathi viral kusukela keratitis virus. Ungakwazi ukuhlukanisa phakathi kwawo ngokubukeka kwabo. Ifomu webhaktheriya kubangelwa ikakhulu cocci noma Pseudomonas aeruginosa. Kubonakala ikakhulu ngemva ukulimala noma Blepharoconjunctivitis ezingamahlalakhona. Sici Its sici Ukwakheka kwezitho izilonda ezigcwele ubomvu.

Keratitis ingaqala njengoba inkinga in iziguli isifo sofuba, ugcunsula, ugqoke contact lens lokho kungase kubangele silwanyana ezifana Acanthamoeba. Kulaba keratitis ifomu-non-esithathelanayo basakaza kubangelwa thuthuva umzimba, ezifana sifo, noma isifo sikashukela, noma buyaqina kwetintfo izifo sokuhlasela kwamasosha omzimba ezifana-rheumatoid arthritis.

keratitis viral

Photo iso, ehlaselwe isifo, ebonisa ukuthi ngesikhathi sakhe nzima, kodwa ingozi yezinkinga kuphezulu. Le ndlela keratitis kubangelwa igciwane lohlobo. Kuyinto ngokuvamile kuvela izifo jikelele ezithathelwanayo. keratitis okunobuthi kuthinta ikakhulukazi izingane nentsha, kanye nabantu amasosha omzimba kwehlisa.

Virus ewela i-cornea sisemoyeni noma xhumana-yasendlini indlela. Ezinganeni, ngokuvamile kutholakala ukuthi uphethwe yini eyinhloko keratitis ezibangelwa amagciwane. Senzeka ifomu oyingozi. Kodwa igciwane ingaqhubeka emzimbeni ifomu esicashile futhi ivuswe ngaphansi kwezimo ezithile. Kulokhu, lesi simo ngokuthi keratitis yesibili. Leli fomu has a Yiqiniso ezingamahlalakhona futhi kunzima kakhulu ngayo.

Kukhona izinhlobo eziningana keratitis viral: Spot, metagerpetichesky, isihlahla-like, vesicular, okwenyanga disc-, nabanye.

• Ifomu umuthi keratitis ezingabalulekile. It libhekene ukubukeka Bubbles ezincane aseleyo ngemva kokuvula amaphethini cornea e emagatsheni ezihlahla.
• keratitis Metagerpetichesky - kunzima ukunqoba izingqimba ezijulile cornea. Kwakheka lingene ezijulile, ngokuvamile ezithinta vasculature esweni.
• keratitis Discoid kubangela ukuvuvukala ezinzima. Khona-ke eba INGENA ISINYENYELA oyindilinga. Kwesinye isikhathi lokhu zaboleaniya ifomu waphawula ingaphazamisi corneal kwehle acuity ezibukwayo.

Common keratitis viral

Kwezindawo ezathinteka kakhulu ivela kaningi kakhulu keratitis okwenzeka kubangelwa herpes ukutheleleka. I-Herpes kubhekisela esenzakalweni esiyisimangaliso zokuhlunga neurotropic igciwane. It is ngokuvamile udle njengoba ingane ngenxa uhlelo ababuthakathaka mzimba. Akunakwenzeka ukwelapha ngokuphelele i-herpes, ke ngezikhathi kuba esebenzisa isihluku ngaphansi kwethonya izici ingqondo. Futhi omunye izinhlobo ukubonakaliswa yayo kuyinto keratitis ezibangelwa amagciwane.

Igciwane le-herpes impela eningi, kodwa ezinye zazo ezibangela izifo inkinga enjalo ngokuvamile eba keratitis. Ngaphezu herpes simplex, inkukhu Pox futhi ezimise okwama-tile.

Kukhona izinhlobo eziningana isifo: keratitis eyinhloko kwenzeka uma ukungenwa yigciwane herpes. ngokuvamile Lokhu kwenzeka ezinganeni ezincane. Eyesibili ifomu - ke keratitis postpervichny, lapho 'babelele' ngamuphi igciwane icushiwe ngaphansi kwethonya izici ingqondo. Ngaphezu kwalokho, keratitis herpetic kungenzeka phezulu uma abathintekayo kuphela ingxenye engaphandle ye-cornea, noma elimnyama, lapho igciwane lingena zonke zamatshe iso.

Ngaphezu zamagciwane herpes keratitis kungadalwa adenovirus. Kuphindze kutfutfukise likhono lapho ezinjalo ebuntwaneni ezivamile izifo njengoba umkhuhlane, SARS, mumps, isimungumungwana ne-rubella. Ifomu olunzima kuba keratitis adenovirus epidemiological, okuyinto asakazwa contact. Isici esivelele sesimiso zonke keratitis kubangelwa adenoviruses, wukuthi ngokuvamile zithonye amehlo, kwenzeka ifomu acute, kodwa zinyamalale benganakwa ngemva yokutakula ngaphandle kokudala nokuncipha acuity ezibukwayo.

izimbangela

Viral iso keratitis eba avame ngaphakathi umongo izifo ezibangelwa amagciwane, futhi ukungabi khona ukwelapha conjunctivitis. umonakalo corneal singenzeka njengoba kwetintfo Umkhuhlane, SARS, isimungumungwana, mumps, isimungumungwana ne-rubella noma herpes zoster. Kodwa ukuze igciwane hhayi kuphela hit cornea, kodwa futhi wazinza khona, okubangela ukuvuvukala, kudinga trigger ezithile. Kungaba:

• hypothermia;
• kwehle amasosha omzimba;
• izimo njalo ezicindezelayo;
• umonakalo mechanical kuya-cornea;
• beriberi;
• iziyaluyalu umzimba;
• ezomile iso syndrome;
• egqoke contact lens.

keratitis okunobuthi: Izimpawu

ukubonakaliswa Clinical of izilonda corneal kuyinto ngempela nobuntu futhi beqonda nezibi. Ngokuvamile keratitis viral kuthinte iso elilodwa. Zonke izinhlobo izifo unezimpawu ezifanayo:

• obomvu ulwelwesi lwamafinyila esweni;
• nezinkophe evuvukele;
• amehlo nozwelo ukukhanya bese uthinta;
• ubuhlungu, isiguli sibe umuzwa wokuthi ungaphakathi Iso nomzimba angaphandle;
• waphawula Ukubhidliza kokukhwehlela lwamafinyila;
• cornea iba esinamafu;
• surface zalo zivele Bubbles esobala lapho ngemva ukuvulwa losalela emuva Izilonda;
• acuity ezibukwayo encishisiwe.

sitholakele isifo

Ngesikhathi izimpawu zokuqala izilonda corneal ngokushesha kufanele kudokotela. I ophthalmologist ungakwazi ukuxilonga ngesisekelo izimpawu zangaphandle, kodwa usengaphansi kokujeziswa izindlela ezengeziwe of luhlolo. Okokuqala, sitadisha acuity ezibukwayo futhi isikhala okubonakalayo emngceleni. Ngempela eyenziwa keratometry futhi biomicroscopy kunqunywa ukuzwela corneal. instillation Fluorescein test ulwazi, elibonisa imingcele ukusuka endaweni yenhlekelele. Ngaphezu kwalokho, amasampula egazi ayabanjwa, okuyinto bahlolelwa amasosha amagciwane, kanye smear ka-PCR ne-cornea.

Ukwelashwa keratitis viral

Uma izimpawu yokulimala corneal kumele uxhumane isikhungo sokwelapha. udokotela kuphela kungacacisa ukuthi izimpawu keratitis viral, futhi ukwabela ukwelashwa okufanele. Izifo ezihlala ziphathwa esibhedlela. Ukwelashwa kufanele kube olunzulu. Izinjongo zako ezisemqoka ezisetshenzisiwe: ukubhujiswa kwayo igciwane, eqinisa izivikeli mzimba lesiguli kanye nokuvulwa izicubu corneal.

Njengoba yokwelapha namagciwane isetshenziswa "Acyclovir" e, uphonsa "interferon", wamafutha oxolinic noma ijeli "Zirgan". Angasebenza-gamma globulin imijovo. Ukuze ususe izimpawu zendawo: ukuvuvukala, ubuhlungu nokuvuvukala, esimisiwe 'Analgin "," Indomethacin "," Atropine ". Kuyadingeka ukusetshenziswa Vitamin amalungiselelo futhi evuselela biogenic.

Sisebenza ukuze athole ukwelashwa komzimba: electrophoresis, diathermy, imisinga diadynamic. Izilonda asetshenziswa krioapplikatsii noma laser photocoagulation.

Lapho ukwehluleka ukwelashwa ngoludala futhi izilonda olubanzi cornea kungenzeka ukuhlinzwa Kunconywa. It is nokususa izicubu abathintekayo, engena keratoplasty, futhi ezimweni ezimbi kakhulu kunazo - ukufakelwa corneal.

zokuvimbela

Uma ukwelapha viral keratitis iso awukaqali ngesikhathi, noma isiguli engalandeli izincomo likadokotela, kungaholela eziyingozi. Ngaphezu ukunciphisa ububi besimo sokuguquka, kungaba ubumpumputhe, ukufiphala kwamehlo ale nkinga, ithumba. Ngakho-ke kuyadingeka ukuba benze konke ukuvimbela ukuthuthukiswa isifo. Ukuvimbela keratitis, yini edingekayo ukuze ugweme ukulimala emehlweni, ukuze babanakekele futhi ningathinti ngezandla ezingcolile. Ngaphezu kwalokho, sekuyisikhathi kubaluleke kakhulu ukuba aphathe bonke abantu izifo kanye ukuqinisa amasosha omzimba.