Atamwa keratitis: Zizindikiro ndi Chithandizo

matenda Ophthalmological nthawi kunyamula katundu ndi worrisome. Ndipotu, maso anu - ichi ndi chimodzi mwa ziwalo zofunika kwambiri. Ndipo kulephera kwawo akhoza kutayika kwa masomphenya. Ena mwa matenda onse ophthalmic ndi sizachilendo keratitis - kutukusira kwa diso ndi. Iwo akhoza chifukwa cha zifukwa zosiyana ndi chithandizo mwamsanga kumam'phunzitsa mavuto aakulu. Ambiri tizilombo keratitis, amene amayamba ndi matenda enaake. matenda makamaka amapezeka ndi ana, choncho n'kofunika kuyamba chithandizo nthawi kupulumutsa masomphenya mwana.

mitundu ya keratitis

The diso ndi diso - ndi chigoba chake chimaonekera. Izo zimatengera boma la acuity zithunzi. Choncho, kuchepetsa chilungamo chake chifukwa ndondomeko yotupa kaŵirikaŵiri chimachititsa kuwonongeka kwa maganizo zithunzi. Chotero chikhalidwe kumayambika keratitis - matenda okhudza diso. Nthawi zambiri iwo uthunthu opatsirana: amayamba ndi tizilombo toyambitsa matenda,, chlamydia, bowa kapena tizilombo toyambitsa matenda.

Nthawi zambiri zoopsa keratitis, mmene kutupa akufotokozera chifukwa matenda a mtima wosagawanika corneal. Mwa ichi kungawononge makina, kukhudzana ndi mankhwala, kutentha. Ndipo mawonekedwe lotsiriza la keratitis ndi matupi awo sagwirizana. Kumachitika mu nyengo Chimfine, rhinitis, kapena ngati vuto la mankhwala chifukwa chovutika conjunctivitis.

Popeza zotupa ambiri ndi matenda chikhalidwe cha diso, ndi kofunika kudziwa kusiyana atamwa keratitis bakiteriya. Mungathe kusiyanitsa pakati pa iwo ndi maonekedwe awo. Mawonekedwe bakiteriya chifukwa makamaka cocci kapena Pseudomonas aeruginosa. Zikuoneka makamaka pambuyo choipa kapena aakulu Blepharoconjunctivitis. Mbali zake khalidwe ndi mapangidwe zilonda wodzazidwa ndi mafinya.

Keratitis angathe monga vuto odwala ndi TB, chindoko, atavala magalasi kukhudzana zingayambitse ndi bakiteriya monga Acanthamoeba. Wa si opatsirana mawonekedwe anagawira keratitis chifukwa cha zipolowe kagayidwe kachakudya, monga gout, kapena shuga, kapena umakula vuto la matenda autoimmune monga nyamakazi.

keratitis tizilombo

Photo diso, ndi matenda a, limasonyeza kuti nthawi yake kovuta kwambiri, koma chiopsezo cha matenda oyamba ndi mkulu. mawonekedwe keratitis chifukwa cha matenda enaake. Ndi zambiri akauka pa matenda ambiri opatsirana. Atamwa keratitis amakhudza makamaka ana ndi achinyamata komanso anthu ndi chitetezo chokwanira adatchithisira.

Virus imagwera pa diso airborne kapena kukhudzana-banja njira. Ana, zambiri matenda tizilombo keratitis chachikulu. Kumachitika mu mawonekedwe pachimake. Koma HIV akhoza kukhala mu thupi mu uthunthu zobisika ndipo adamulowetsa pa zochitika zina. Pankhaniyi, chikhalidwe wotchedwa keratitis sekondale. Izi mawonekedwe ali Inde aakulu ndi zovuta kuti iwo akuchitireni.

Pali njira zosiyanasiyana za keratitis tizilombo: malo, metagerpetichesky, mtengo-ngati, vesicular, chimbale woboola pakati, ndi ena.

• Mawonekedwe mtengo zachiphamaso keratitis. Iwo amakhala ndi maonekedwe a thovu ang'ono amene pambuyo kutsegula diso Pantchito mu nthambi za mitengo.
• Metagerpetichesky keratitis - n'kovuta kugonjetsa zigawo zozama za diso la. Anapanga infiltrates kwambiri, kawirikawiri okhudza vasculature diso.
• Discoid keratitis amachititsa kutupa kwambiri. Ndiye akufotokozera adzalowerera anamaliza. Nthawi zina zaboleaniya mawonekedwe anati corneal clouding ndi utachepa zithunzi acuity.

keratitis Common tizilombo

Itapita chovuta limapezeka kaŵirikaŵiri zikuchitika keratitis chifukwa cha nsungu matenda. Herpes amatanthauza zosefera neurotropic HIV. Ndi ambiri amangoti ingested mwana chifukwa dongosolo chofooka m'thupi. N'zosatheka kwathunthu kuchiza nsungu, izo nthawi zonse zimakhala kukula mchikakamizo cha zinthu n'zothandiza. Ndipo mmodzi wa mitundu ya mawonetseredwe ake ndi keratitis tizilombo.

The nsungu HIV si kwambiri, koma ena a iwo chifukwa matenda Vuto nthawi zambiri akufotokozera keratitis. Kuwonjezera nsungu simplex, nthomba ndi matailosi.

Pali njira zosiyanasiyana za matenda: keratitis chachikulu kumachitika pamene matenda ndi nsungu HIV. Nthawi zambiri kumachitika ana. Mawonekedwe chachiwiri - izo postpervichny keratitis, pamene "kugona" Kachiromboka adamulowetsa mchikakamizo cha zinthu n'zothandiza. Komanso, herpetic keratitis akhale pamwamba pamene anakhudzidwa yekha gawo lakunja la diso, kapena kwambiri, pamene HIV likulowerera zigawo zonse za maso.

Kuwonjezera mavairasi nsungu keratitis bwino zimayamba ndi adenovirus. Komanso kuyambika ngati wamba ubwana matenda monga chimfine, SARS, mumps, chikuku ndi chikuku. Mawonekedwe aakulu izo ndi adenovirus AIDS keratitis, amene amafalitsa kukhudzana. Nkhani ina keratitis onse amene adenoviruses, ndi iwo kawirikawiri bwanji maso onse, zidzachitika mawonekedwe pachimake, koma iwo kutha popanda kufufuza pambuyo kuchira popanda kuchititsa kuchepetsa acuity zithunzi.

zimayambitsa

Atamwa diso keratitis akufotokozera zambiri mogwirizana ndi matenda tizilombo, ndipo sitili pa mankhwala a conjunctivitis. kuwonongeka Corneal angayambe monga vuto wa fuluwenza, SARS, chikuku, mumps, chikuku, chikuku kapena nsungu zoster. Koma kuti kachilombo osati anagunda diso, koma anakakhalanso kumeneko, kuchititsa kutupa, amafuna akapsa ena. Zimakhala:

• hypothermia;
• utachepa chitetezo chokwanira;
• pafupipafupi mavuto;
• kuwonongeka mawotchi diso la;
• beriberi;
• matenda kagayidwe kachakudya;
• youma diso syndrome;
• kuvala magalasi kukhudzana.

Atamwa keratitis: Zizindikiro

Matenda mawonetseredwe a zotupa corneal si khalidwe ndipo anaona kudwala kwambiri. Kawirikawiri keratitis tizilombo bwanji diso limodzi. Mitundu yonse ya matenda ndi zizindikiro zofanana:

• wofiira mucous nembanemba wa diso;
• kutupa zikope;
• maso tcheru kuwala kukhudza;
• kumva ululu, wodwala amakhala kumverera kuti ali diso la thupi yachilendo;
• ananena womwetula ndi kumaliseche mucous;
• cha diso amakhala mitambo;
• padziko amapezeka thovu mandala amene pambuyo kutsegula limasalira zilonda;
• zithunzi acuity yafupika.

matenda a matenda

Zizindikiro loyamba zotupa corneal ayenera yomweyo dokotala. The maso angathe oterewa pamaziko a zizindikiro zakunja koma nkhani ndi njira zina za bwino. Choyamba, tiyenera kuphunzira acuity zithunzi ndi danga zithunzi malire. Kwenikweni anagwira keratometry ndi biomicroscopy anatsimikiza corneal tilinazo. Fluorescein instillation nkhani mayeso amene amanena za malire a malo akhudzidwa. Komanso, zitsanzo magazi atengedwa, amene anayesedwa kwa chitetezo mavairasi, komanso kuipitsa mbiri ya PCR ndi diso la.

Mankhwalawa keratitis tizilombo

Ngati zizindikiro za kuvulala corneal lankhulani malo zachipatala. Only dokotala angathe kudziwa zizindikiro ndi keratitis tizilombo, ndipo perekani mankhwalawa koyenera. matenda asonyezedwa m'chipatala. Therapy akhale mabuku. Zolinga zikuluzikulu ndi: kuwonongedwa kwa HIV, kulimbikitsa chitetezo cha m'thupi wodwala ndi kusintha minofu corneal.

Ngati mankhwala mavairasi oyambitsa ntchito "Acyclovir" mu, kusiya "interferon", oxolinic mafuta kapena gel osakaniza "Zirgan". Mwina ntchito Popanga madzi a gamma globulin jekeseni. Kuchotsa zizindikiro m'dera: kutupa, ululu ndi kutupa, anasankha "Analgin", "Indomethacin", "atropine". Amafuna ntchito yokonzekera vitamini ndi ogalamutsa biogenic.

Kugwiritsa monga mankhwala thupi: electrophoresis, diathermy, diadynamic mafunde. Zilonda ntchito krioapplikatsii kapena laser photocoagulation.

Pamene kulephera kwa chithandizo ndiwofatsa ndi zotupa kwambiri diso mwina wodwala opaleshoni. Iwo kuchipala kwa zimakhala anakhudzidwa, ozama keratoplasty, ndi Zikavuta kwambiri - corneal kupatsidwa zina.

kupewa

Ngati mankhwala a tizilombo keratitis diso osati anayamba mu nthawi, kapena wodwala satsatira kuwapempha dokotala, kungachititse mavuto aakulu. Kuwonjezera kuchepetsa zovuta, zingakhale khungu, khungu, maso, abscess. Choncho m'pofunika kuchita zonse kuteteza chitukuko cha matenda. Pofuna kupewa keratitis, ndikofunikira kupewa choipa m'maso, kusamalira iwo, ndipo musakhudze ndi manja akuda. Komanso, n'kofunika kwambiri nthawi pa matenda onse ndi kulimbikitsa chitetezo cha m'thupi.