Viral conjunctivitis: zizindikiro ndi chithandizo kwa ana ndi akulu

M'nkhani ino tikambirana mwatsatanetsatane conjunctivitis ambiri tizilombo. Zizindikiro ndi mankhwala a matenda aakulu adzakhala kuphunzira ndi ife. Amatchedwa conjunctivitis kutupa nembanemba mucous kwa diso, womwe nthawi zambiri amachititsa sayanjana kapena matenda (zambiri tizilombo toyambitsa zochepa).

Achikulire amene ali enteroviral odwala, adenovirus (pharyngoconjunctival malungo), nsungu, chlamydial, bakiteriya, matupi awo sagwirizana, aakulu ndi pachimake conjunctivitis. Ana adenovirus ndi mawonekedwe toyambitsa matendawa amapezeka pafupipafupi.

mitundu

• Keratoconjunctivitis otchedwa kuphatikiza ocular kutupa ndi matenda mucosal diso (keratitis).
• Blepharoconjunctivitis otchedwa ochiritsira mitundu conjunctivitis ndi blepharitis (suppuration zaka).
• Episcleritis - kutukusira woitanira mofanana kutupa cha maso, koma popanda akugwera ndi kumaliseche.
• Konyunktivohalazis anali woyamba anapezeka ndi Dr. Hughes mu 1942. Monga ulamuliro, kudwala izi si zachilendo kwa anthu achikulire. Zingamvekere onse, ndi diso ena. Zizindikiro pamisinkhu yosiyanasiyana matenda zosiyana: iwo ali litapezeka pali ululu amphamvu, diso kuyabwa, epiphora akufotokozera, pali zilonda, ndi matenda a "msozi" ndi subconjunctival kukha magazi.

Kodi conjunctivitis tizilombo? Zizindikiro ndi mankhwala a madokotala ake kudziyesa tsopano. Mwachitsanzo, pathophysiology konyunktivohalazisa panopa osadziwika. Chithandizo cha matenda zimadalira mukadwala zizindikiro. Ngati munthu ali wopambana si lamulo. Nthawi zina odwala kutumikiridwa angakhale angelo moisturizing, kukonzekera yabodza misozi, mankhwala, corticosteroids, instillation, ndi zina zotero.

Tikumbukenso kuti ngati mankhwala achire sachiza, kuthandizapo madokotala: iwo excised makutu conjunctival ndi kuvala bala opaleshoni absorbable suture zakuthupi. Ndithu posachedwapa Aesculapius ndinayamba ntchito Kakhungu amniotic. Dr. Brod Baker ndi anzake anapereka matenda nkhani ya ntchito ndi zomatira Ulimbo, ntchito anatengera pambuyo excising ndi conjunctiva m'mphepete konyunktivohalazisa.

Etiology ndi pathogenesis

Aliyense akudziwa kuti conjunctivitis - matenda enaake. Kuphunzira mitundu yake:

• Adenoviral conjunctivitis munthu kuyamba kudwala chifukwa cha HIV kuti akhoza anatola ndi m'malovu airborne. Matendawa amapezeka mu mawonekedwe a kubuka mliri, kawirikawiri mu masukulu ndi kindergartens (ana magulu).
• conjunctivitis pachimake odwala, ali ndi tubercle Bacillus-Wicks, pneumococci, Wand-Moraksa Aksenfeld, gonococci, staphylococci, streptococci. Zimachitikira exogenous matenda a conjunctiva, mulole chifukwa galimoto kachilomboka. Zinanso ziti pano kutenthedwa kapena overcooling wa chamoyo ndi, myopia, microtraumas conjunctiva, astigmatism ported matenda opatsirana. Zodabwitsa ndizakuti, conjunctivitis Koch-Masabata (mliri pachimake) ndi anadutsa manja bii chonyamulira ndi zinthu kachilombo. matenda limeneli limapezeka mu mawonekedwe a kubuka mliri m'chilimwe mwa ana amene amakhala m'mayiko otentha. Amadziwika kuti conjunctivitis amene amayambitsa gonococci (blennoreyny) amapezeka akhanda pa ndime ya mutu mwa amayi kubadwa ngalande ndi chinzonono.
• Matenda conjunctivitis anthu amadwala, ngati iwoŵa matenda kagayidwe, kuperewera kwa mavitamini, kapena zotupa aakulu ametropia m'ngalande lacrimal. matendawa amapezeka pamene conjunctiva kuli kopweteka zinthu - utsi, fumbi, mankhwala airborne Mankhwala oipitsa.
• Otchedwa matupi awo sagwirizana conjunctivitis kutupa conjunctiva ndi diso anaonetsa redness, kuyabwa, zikope puffiness, photophobia, lacrimation.

zizindikiro

Chidwi kwambiri kuposa conjunctivitis tizilombo? Zizindikiro ndi mankhwala a ana ndi akulu, tiyenera kulabadira kwambiri. Childs, anthu akuvutika ndi matenda, madokotala kusunga hyperemia ndi edema wa conjunctiva ndi, kutupa zikope za, redness a azungu cha maso, pom'ng'amba, photophobia.

Ngati ndi matupi awo sagwirizana conjunctivitis, odwala kuona amphamvu maso kuyabwa, iwo ndi chotupa pang'ono zikope, ndi ziwalo masomphenya amayamba wavulala. Mawonekedwe aakulu akuzisunga yekha kuyabwa ndi kuyabwa.

Tiyeni tiwone, kodi tizilombo conjunctivitis zizindikiro ndi mankhwala. Photos ziwalo akhudzidwa akusonyeza kuti matenda ndi yaikulu kwambiri. Ambiri, conjunctivitis tizilombo amakonda kulankhula pamene chapamwamba thirakiti kupuma ali ndi kachilombo nsungu. Matendawa Komanso ululu pakhosi kapena chimfine yosavuta. Munthu aliyense ali ndi zizindikiro mosiyana. nuance Izi amadalira chitetezo chokwanira, digiri kachilombo ndi zaka.

Tikumbukenso kuti awa kaŵirikaŵiri amawonekera conjunctivitis diso limodzi kenako matenda chimatsatira limba chachiwiri pamaso. Mu ngodya pali obaya, ziwiya redness, photophobia kumachitika, conjunctiva amapeza zofiira kwambiri (ndi kuvutika).

Ambiri, akulu kuphunzira conjunctivitis tizilombo. Zizindikiro ndi mankhwala a matenda ana zingachititse m'mavuto. Mwachitsanzo, mu nkhani ya conjunctivitis adenoviral woyamba amakhudza thirakiti chapamwamba kupuma. Wodwalayo thupi kutentha limatuluka, kutupa lymph mfundo prootic (wamba ana). Madokotala amanena zochepa mafinya ndi blepharospasm zolimbitsa. Nthawi zina matenda limodzi ndi mafilimu ndi follicles (zambiri ana).

matenda mabakiteriya maso

conjunctivitis bakiteriya kuoneka chifukwa pyogenic (kulenga mafinya) mabakiteriya. The chizindikiro choyamba ndi chikasu imvi, opaque, viscous diso kumaliseche. Ndi chifukwa zikope zawo mwina kukakamirana pamodzi, makamaka akugona. Ndithudi, izi si chizindikiro chofunika kwambiri conjunctivitis.

Madokotala amatiuza kuti mabakiteriya monga Moraxella kapena Chlamidia trachomatis, angachititse nonexudative koma kulimbikira kutupa popanda aakulu conjunctival hyperemia. Mu anthu ena, mtundu uwu matenda akuwonetseredwa yekha tanthauzo la kukhalapo mu diso la thupi lina.

Zizindikiro zotsatirazi, zimasiyanitsa bakiteriya conjunctivitis amatchedwa maso youma ndi kuonongeka khungu lozungulira izo. matenda Pyogenic (pachimake) angakhalenso chifukwa cha ululu. Bakiteriya komanso conjunctivitis tizilombo, poyamba kuwononga diso limodzi, kenako mosavuta anasamukira ku wachiwiri. Zizindikiro zambiri zimachitika pambuyo matenda kokha pa tsiku lachitatu.

conjunctivitis ena

Ife anachitira funso zimene tizilombo conjunctivitis. Zizindikiro ndi Chithandizo mu Akuluakulu zambiri sindikufuna vuto. Kodi mukudziwa kuti pali conjunctivitis, wosawoneka chifukwa cha kukhudzana ndi poizoni ndi poizoni diso la munthu? M'munsi mwa zizindikiro choncho ndi ululu ndi mkwiyo pamaso diso pamene kusuntha oposa kapena downwards. Kuyabwa ndi kumaliseche, monga ulamuliro, si anati. Izi ndi gulu lapadera la conjunctivitis, amene anatsagana ndi ululu.

Pachimake conjunctivitis limodzi ndi mafinya kapena kumaliseche mucous, komanso amakhala wakwiya maso. Blennoreynaya mtundu wa matenda ukangoyamba kumaliseche serous-wamagazi, ndipo pakutha masiku atatu kapena anayi wodwala ali ndi chidwi purulent misa. Pali zingachititse zilonda corneal, infiltrates.

Matendawa limodzi ndi Koch-Wicks kukha magazi angapo kakang'ono conjunctiva wa sclera, amene amawonjezereka natenga mawonekedwe a okwera triangular mmalire a chamawonedwe fissure.

Matenda Moraksa-Aksenfeld losiyana subacute ndi zochita aakulu. Nthawi zambiri isanafalikire mu diso anatumbula ngodya.

Mwa njira, ngati odwala aakulu conjunctivitis amadandaula moto, kuyabwa, diso kutopa, kudzikayikira "mchenga pansi zikope za."

maphunziro Recent amanena kuti anthu ndi maso a buluu ali pangozi yaikulu ya kudwala conjunctivitis: ali ndi nthawi yaitali ndichepe masomphenya, chifukwa maso awo ndi zambiri womvera kuwala.

zifukwa

Tsopano ife tikupeza chifukwa anthu ndi conjunctivitis tizilombo. Zizindikiro ndi Chithandizo (chithunzi zili m'nkhani, ichi mwangwiro anasonyeza) sizikuwoneka zabwino kwambiri. Nthawi zambiri matenda amakhala ndi chikhalidwe tizilombo. Mu zifukwa zina pano amachita ziwengo, mabakiteriya youma syndrome diso, ndi zikuchitika zosiyanasiyana.

Tikumbukenso kuti bakiteriya ndi tizilombo conjunctivitis ndi opatsirana kwambiri. Iwo amapita munthu wina ndi mzake, ngati si kumvera malamulo a ukhondo. Ambiri, odwalawo bwino m'chipatala kapena kulowa kwaokha, kapena angathe onse amene ali nawo.

chithandizo

Ife tinapeza mmene opatsirana conjunctivitis tizilombo. Zizindikiro ndi mankhwala ngati ndi kotheka, funsani dokotala. Koma tidzayesetsa lero kuti tione mfundo yofunika kwambiri imeneyi. Kawirikawiri, chifukwa cha matenda amatiuza kovuta. Madokotala amalangiza odwala onse kusamba m'manja nthawi zonse ndi kukwaniritsa zofunika zina za ukhondo kuti kupatsira ena. Kawirikawiri maso anaika mankhwala okwanira.

1. Atamwa conjunctivitis. Zizindikiro ndi Chithandizo kumbukirani n'zovuta, koma zimene ndi zofunika. Madokotala woyamba amalangiza odwala ntchito compresses ofunda ndi akutsikira misozi yabodza. Zochizira matenda Kwalamulidwa formulations ophthalmic amene zikuchokera zinaphatikizapo zophatikizananso mtundu interferon "Alpha 2". Makamaka njira ntchito kulimbana ndi matenda odziwika bwino, akuti: "Oftalmoferon", "Aktipol", "Poludan". Madokotala mankhwala mukumwa mapiritsi "Acyclovir" mpaka kasanu pa tsiku ndipo m'mawa kuyeretsa maso ndi amadzimadzi emulsion furatsilina. Ngati wodwala munakhala matenda sekondale bakiteriya, kapena akusowa njira kuonongeka conjunctiva, madontho zotchulidwa monga mbali ya ndiwo mankhwala, "Signitsef" "Ciprofloxacin".
2. Ngati conjunctivitis amayamba ndi nsungu HIV (nsungu), dokotala chimaika dontho "Oftalmoferon" ndi mankhwala okhala acyclovir. Pankhaniyi, Akufunika kupita dokotala-maso, chifukwa akuchedwa likuoneka vuto loopsa: mukhoza kwathunthu kuiwala wake.
3. Bakiteriya conjunctivitis zambiri sikutanthauza chithandizo, ngati ali okha. Komabe, akutsikira kapena diso mafuta munali mankhwala akhoza imathandizira pa ntchito imeneyi. Antibacterials (timitu) kutumikiridwa yekha pansi matenda ndi mvula mafinya komanso pamene palibe zizindikiro ankaikira adenovirus matenda (maonekedwe a follicles pa conjunctiva kapena kutupa lymph mfundo).
4. conjunctivitis matupi awo sagwirizana kuwonekera anthu tikamva ndi allergen kwa thupi ali kochulukira tilinazo. Zochizira matenda a mtundu ntchito mankhwala ngati madontho diso kapena miyala. Mankhwalawa kuthetsa kuyabwa, koma chifukwa kutupa kwa zikope ndi diso redness. Iwo mofulumira ndi zochepa youma diso. Ndipo pamene ntchito mankhwala a antihistamine kuoneka mavuto: mutu, moto kutengeka ndi ululu pang'ono maso tulo. Koma kusapeza kuchepetsedwa ndi ntchito kuichotsa madontho yokumba. Mu milandu yovuta, dokotala angakupatseni nonsteroidal wothandizila odana ndi yotupa. Ena odwala kupitirirabe conjunctivitis matupi awo sagwirizana amagwiritsidwa Kwalamulidwa eyedrops steroid. Komanso, zochizira matenda Kwalamulidwa kukonzekera wosanganiza wa misozi yokumba, ndi diphenhydramine, interferon "Alpha 2".

Ndithudi, palibe amakonda conjunctivitis tizilombo. Kuposa kuchiza matenda, ife mwina anayang'ana mwatsatanetsatane mmene ndingathere. M'pofunika kumbukirani kuti ngati zinachitika chinachake, ndipo munthuyo anadwala ndi matenda opweteka, maso sayenera kukhudzidwa ndi manja. Nkofunika kusunga bwino munthu ukhondo, m'pofunika ntchito kokha chopukutira zake ndi kusamba manja anu bwinobwino, kuti kupatsira ena m'banja. Nthawi zambiri, conjunctivitis tizilombo umachitika mwa masabata atatu. N'zotheka kuti lipole ukhoza kuposa mwezi umodzi.

ana conjunctivitis

Choncho, tiyenera kupitiriza kuphunzira zina tizilombo conjunctivitis. Zizindikiro ndi mankhwala a akulu amene amayamba matenda, takambirana, ndipo tsopano tione matenda mwana. Sizachilendo mwa ana ndipo amakhala ndi kutukusira kwa conjunctiva diso. Ambiri, matenda aliwonse ndi nthawi kosavuta kupewa kuposa kuonera mavuto a mwana wake, mumandizunza iye chithandizo bothersome ndi maulendo wosatha kwa madokotala.

Childhood pachimake tizilombo conjunctivitis amaonera overcooling mwanayo, komanso chifuwa kapena chimfine. Kuti matenda sizimawoneka, muyenera kuwunika ukhondo wa mwana bedi, zidole ndi chipinda chake, kusunga bwino munthu ukhondo. Ana aang'ono ayenera kawirikawiri kusamba zolembera, ndi ana okulirapo ayenera kuphunzitsidwa zonse kudziletsa kusamalira khungu. ana chipinda ayenera kuiulutsa pafupipafupi, ndi mpweya ayenera humidified ndi zipangizo zapadera.

Pofuna kuoneka tizilombo conjunctivitis ana, omwe ndi zizindikiro zosasangalatsa kwambiri, muyenera kupereka kukula thupi zonse ndi mipanda yolimba kwambiri chakudya. Akulu ayenera kuwunika ukhondo wa mankhwala amagwiritsa mwanayo. Mwa njira, mwanayo ayenera kukhala chopukutira munthu, iye ayenera kuyenda maola osachepera awiri pa tsiku. Makolo ayenera kuona kuti pamene kuyenda mwana wawo sakhala funsani ndi ana zosafunikira.

Ambiri, madzimadzi kuichotsa ndi zikope ndi chotchinga kwambiri tizilombo toyambitsa matenda, matenda a maso. Koma ngakhale iwo alibe mphamvu pamene mwana chitetezo chokwanira imafoola.

Zizindikiro za wamng'ono

Atamwa conjunctivitis ndi diso la munthu wamkulu kapena mwana zosavuta kuzindikira, monga zizindikiro za ocular kutupa conjunctiva uli wofanana. Komabe, ana pa matenda anatani mofulumira: ali ndi kufooka, m'chikaiko chowakaikitsa, iwo amayamba kulira kapena zinthu mmwamba. Nthawi zambiri matenda amagwirizana ndi chifuwa, tizilombo toyambitsa matenda.

Zizindikiro zoyambirira za conjunctivitis ana: mwana anadandaula za kumverera mchenga m'maso ndi colic, pali akugwera, mafinya, pambuyo akugona zikope glued. ana ambiri akukulirabe kugona ndi njala.

Atamwa conjunctivitis akuluakulu amakhala ndi kuwonongeka kwa masomphenya (zinthu kukhala samveka, amaona). Mu ana, sukulu amapezeka mu maso cha ululu, kuwotchedwa Timatha pamaso pa thupi lina.

Ndipo ngati makolo mufotokozere ana tizilombo conjunctivitis, zizindikiro ndi mankhwala? Reviews za matenda ndi wosiyana kwambiri ndi mzake. Komabe, ambiri a akulu anena kuti choyamba muyenera kuthamangira kwa dokotala-maso, amene adzapeza zimene zinachititsa kutupa mu maso a mwanayo, mankhwala mankhwala.

Mwina redness anachititsa eyelash pang'ono, afika ku maso anu kapena particles ina ing'onoing'ono, ndipo mwina panali matupi awo sagwirizana anachita nzothandiza iliyonse. Kutupa angathe bwino chifukwa chakuti pali vuto lalikulu - kuchuluka intraocular kapena chipsyinjo intracranial.

Kodi m'manda maso a mwana?

Ngati conjunctivitis anaonekera mwana amene si chaka chimodzi, akhala akutayirapo dothi ayenera kunyamula pipette ndi mapeto anamaliza. Ana anayikidwa pa lathyathyathya pamwamba popanda pilo, koma m'mutu wake aliyense kugwira. M'munsi chikope ayenera kukokera ndi akuponya madontho ochepa. Choncho n'zotheka kuchiza conjunctivitis tizilombo. Madontho okha amafalitsidwa pa diso, ndi ubweya ayenera akhathamiritsa gauze wosabala nsalu. Achikulire ana bwino sudziphunzitsa wekha kuchita njirayi chifukwa ena sindimakonda kukhudza maso awo.

Muyenera kukumbukira kuti musanagwiritse ntchito madontho chilled ayenera konzekera mu dzanja. Komanso analetsa mankhwala anatsirizika, popanda chodetsa, kapena ngati iwo ali nthawi yaitali akusungidwa bwino.

Tikukhulupirira kuti nkhaniyi ikuthandizani mwaphunzira yomweyo kuzindikira ndi kuchitira conjunctivitis tizilombo.