Amanye amagciwane avusa ukuvuvukala okuqinile kwe-cornea iso. Enye yalezi zifo yi-herpes, okuvame ukuba imbangela ye-keratitis. Lesi yisifo esiyingozi esingabangela ukukhubazeka okungabonakali okungabonakali neminye imiphumela emibi.
Amafomu e-keratitis emilonyeni
Izifo ezichazweyo zihlukaniswa ngamaqembu amaningana ngokusho kwendawo yokuvuvukala nokuqina kwayo. I-keratitis ye-Herpetic yeso ikhona emafomu alandelayo:
- okuyisisekelo;
- i-stromal;
- izibalo;
- i-discoid.
I-keratitis yamakhemikhali ayisisekelo
Lolu hlobo lokutheleleka luvela ikakhulu ebuntwaneni (kusukela ezinyangeni eziyisithupha kuya eminyakeni emihlanu). I-keratitis ye-epithelial epithelial eyinhloko iqala ngesimo esibucayi ngendlela ye-blepharoconjunctivitis. Amajwabuyo kuphela namabhungane omzimba kuphela abathintekayo ngaphandle kokusabalalisa e-cornea yeso. I-keratitis ye-herpetic iselashwa kalula, kaningi ngokuzenzekelayo. Ukuphulukiswa kwezilonda kwenzeka ngokushesha futhi kungenasici.
I-stromal keratitis
Lolu hlobo lwesifo segciwane lesandulela ngculaza lwenzeka ngenxa yokusebenza okungenele kwamasosha omzimba nokusabalala kokutheleleka. Ngezinye izikhathi imbangela i-epithelial keratitis engavamile, ikakhulukazi uma ukwelashwa kwayo kubonakala kungasebenzi. Ifomu elimnyama lokuvuvukala kwe-cornea lenza ezinye izinhlobo zempilo:
- ifakwe ekhadini;
- i-discoid;
- i-ulcerative;
- i-bullous;
- okuphakathi.
I-keratitis ye-Metaperpetic
Lolu hlobo lwesifo luyisilinganiso esibi kakhulu somonakalo okhwehlelayo. Kubonakala sengathi i-keratitis ejulile ehlala iso, ngokuvamile igeleza ku-keratoiridocyclitis. Uhlobo oluchazwe lwe-pathology luhambisana nesithombe esitholakala emtholampilo nokuthuthuka okusheshayo. Le keratitis eyakhelayo idala izilonda eziningi ze-stroma, ekwazi ukukhulisa nokusabalala. Uhlobo olulethwe yilesi sifo kunzima ukuluphatha, ikakhulukazi uma kukhona ukukhubazeka okubonwayo okubonayo nokuthuthukiswa okusheshayo kokutheleleka.
I-discoid keratitis
Leli fomu lesi sifo liholela ekwandeni kwe-cornea nokwakhiwa kokugxila kwesibindi. I-Disc herniated keratitis ihlangene ne-ingrowth e-stroma yemithanjeni ejulile yegazi, elandelwa ukwehla kwezicubu ezimele. Le nqubo isheshe ibe yindabuko, ithola izinkinga. Ngokuvamile kukhona ukuwohloka okubukhali kwamehlo.
I-keratitis ye-Herpetic - izimpawu
Ukuvuvukala kwamagciwane okuqala kwe-cornea iso kungadlulela cishe ngaphandle kwempawu. Ukubonakaliswa okuwukuphela komkhuhlane, i-malaise ne- conjunctivitis . Uma i-keratitis enempilo engelapheki, ingadlulela esigabeni sokuqala. Kulesi simo, i-cornea ihlanganiswe ne-viral vesicles ephawulekayo, ephuma futhi ishiye isilonda nokukhukhula. Bahamba kancane kancane futhi bephuza, okubukeka njengephethini legatsha ku-iris nomfundi (i-herpetic dendritic keratitis).
Ezinye izimpawu zefomu le-post-primary lesi sifo:
- ukukhala okungalawuleki;
- ukwesaba ukukhanya okukhazimulayo;
- ukubomvu kwamaprotheni;
- inzwa yokuba khona kwezinto ezingaphandle kwelinye iso;
- blepharospasm;
- ukuwohloka kobuciko noma umbono obonakele;
- isifo sobuhlungu;
- ukuphuza esikhunjeni samajwabu amehlo kanye namaqabunga;
- i-conjunctivitis e-purulent;
- ukwanda kwamanqamu omzimba oseduze (ngemuva kwezindlebe, ngaphansi komhlathi);
- i-cataract;
- i-uveitis ;
- i-glaucoma yesibili;
- ukuxhaswa ngaphakathi kweso.
I-keratitis ye-Herpetic - ukuxilongwa
Ukuqinisekisa ukusola kwezifo ze-ophthalmologists ezivame ukutholakala nezikhathi ezithile kanye nokutholakala kwezibonakaliso ezithile. Ucwaningo olwengeziwe luyadingeka uma i-keratitis eyinkimbinkimbi iso isolakala noma ngabe uhlobo lwegciwane le-herpes kufanele lucaciswe. Izindlela ezilandelayo zisetshenziselwa ukuxilongwa:
- i-biomicroscopy ye-cornea;
- ukuhlolwa kobuzwe;
- i-keratometry;
- i-enzyme immunoassay;
- i-pachymetry;
- ukuhlolwa kokukhwa;
- i-polymerase chain reaction;
- i-corneal biopsy;
- i-microscopy ye-intravital encane;
- ukulinganisa kwengcindezi ye-intraocular.
Keratitis ye-Herpetic - ukwelashwa
Ukwelashwa kwe-pathology okucatshangelwayo kuncike ekujuleni kwayo. Uhlobo oluphambili lwe-epithelial lesi sifo luvuthwa yi-virus ephilayo, ngakho-ke kulolu cwaningo kuphakanyiswa ukusebenzisa imithi ephikisayo. Okunye kwesifo kuyisimo sengculaza esingalungile. Ukumisa kudinga indlela ephelele ngokusebenza okunamandla okuvuvukala.
Kuyingozi nakakhulu ukuphatha ukwelashwa okungenangqondo okungapheli keratitis yokwelashwa kwamehlo ezinjalo kungase kuhileleke ngisho nokungenelela kokuhlinzeka. Ezimweni eziningi, lo msebenzi ukhawulelwe enkambisweni yokuphulukisa esheshayo futhi elula. Ngomonakalo ojulile ku-cornea nokukhishwa kwezingcuba eziqhubekayo, kuphakanyiswa ukutshala.
Isidakamizwa esinama-keratitis omzimba
Isisekelo sokwelashwa kwezifo ezichazwe yizimo zomsakazo kanye nezendawo (amaconsi, amafutha) ama-immunomodulator nemithi yokulwa negciwane:
- I-Acyclovir ;
- Trifluridine;
- I-Ganciclovir;
- Idoxiouridine;
- Reeferon;
- I-Zovirax;
- I-Interferon;
- Virolex nabanye.
Imithi ye-horticone ye-corticosteroid inqunywe uma i-keratitis eqhubekayo eyinkimbinkimbi iyatholakala - i-Combinil, i-Dexamethasone ne-analogues. Ukwengezwa kunconyiwe:
- amavithamini, ikakhulukazi iqembu B;
- i-antiseptics;
- ama-immunostimulants ;
- ama-antibiotics;
- izidakamizwa ezingekho-steroidal anti-inflammatory;
- imithi yama-antihistamine;
- i-mydriatica;
- izidakamizwa ezibuyiselayo.
Keratitis ye-Herpetic - ukwelashwa ngamakhambi abantu
Ukwelashwa okuzimele, ikakhulukazi ngezindlela ezihlukile, kuyingozi kakhulu, ngakho-ke ama-ophthalmologists avuma ukusetshenziswa kwanoma yimiphi imithi yokwelapha ehlukile. Ngokuvamile udokotela angavumela izikhambi ezithile zomuntu njengezokwelapha ezisizayo, kodwa kuphela uma kutholakala i-keratitis yamakhemikhali engavamile. Ukuhlukunyezwa kufanele kwenziwe ngaphansi kokuqondiswa okuqinile kukadokotela kanye nemvume yakhe.
Isixazululo somphakathi se-keratitis
Izithako:
- amaqabunga aphansi angamanzi ase-aloe (engaphezu kweminyaka emithathu ubudala) - 2 ama-pcs;
- umama - 1 okusanhlamvu ubungako bokusanhlamvu kakolweni;
- Amafutha e-sea florthorn - 30-40 ml.
Ukulungiselela, sebenzisa :
- Shiya lesi sitshalo, ugeze ubeke efrijini izinsuku ezingu-8, ngaphambi kokufakwa ephepheni lesikhumba.
- Ngemuva kwalesi sikhathi, cindezela ijusi kusuka kuzinto eziluhlaza bese uyihlunga.
- I-liquid eyalandela ixubene nomama esitsheni seglasi.
- Izinyanga ezimbili ukufaka amehlo ngale nhlanganisela - i-1 yehlisa 1 isikhathi ngosuku.
- Kusukela evikini lesishiyagalolunye lemithi yokwelapha, sebenzisa ijusi elihlanzekile le-aloe.
- Ngaphambi kobuhlungu ne-photophobia, ngcwaba amafutha omuncu we-sea buckthorn emehlweni (1 ukwehla njalo ngehora).
Ukuphindaphindiwe kwe-keratitis emilonyeni - ukwelashwa kwemithi
Igciwane elibangela ukuthi lesi sifo sinikezwe njalo emzimbeni, ngokulimala kwemisebenzi yokuzivikela, kusebenza. I-keratitis ye-Herpetic ephindaphindiwe kunzima ukuyiphatha, ngakho awukwazi ukuyisebenzisa. Ukulwa nokutheleleka kwenziwa ngezindlela ezimbili, ezakhiwe yi-ophthalmologist ngamunye ngesiguli ngasinye ngokuhambisana nobukhulu bokuvuvukala nokujula kwe-cornea lesion.
Ukwelashwa kwe-keratitis eyimpilo ngenkathi kuthuthukiswa kuhlanganisa ukusetshenziswa kwemithi elandelayo:
- i-antiviral;
- ama-antibiotics;
- izidakamizwa ezibuyisela;
- ama-immunosuppressors (i-corticosteroids);
- ukufaka esikhundleni sokuphuza amanzi.
Kuwo wonke ukwelapha, udokotela angashintsha imithi yokuvimbela ukujwayela kokutheleleka emithini esetshenziswayo. Ngemuva kwezinyanga ezintathu, yonke inkambo izobuyiselwa, ngisho noma izimpawu ze-keratitis zingekho. Lokhu kuyadingeka ukuvimbela ukubuyela emuva okulandelayo. Ukwelashwa okusekelayo ngendlela yokusebenzisa amavithamini nezinyembezi zokufakelwa kunqunywe isikhathi eside, hhayi ngaphansi konyaka owodwa.
Iyini i-keratitis eyingozi?
Ukuphulukiswa okuqhubekayo kanye nokwelapha okungalungile kuqhubekisela phambili ukuqhuma kwesifo esithathelwanayo nokulimala ku-cornea. Ngezinhlobo ezingenasici futhi ezincane zokwelapha, lokhu kuholela ezinkingeni ezincane ezithinta izinkinga ezingathinti imisebenzi yamehlo. Ingozi iyinkimbinkimbi, i-keratitis ejulile, i-keratitis ye-herpetic, imiphumela engayinakwenzeka:
- ikhwalithi yombono wehlile;
- umphimbo;
- ukwakheka kwama-maculae kanye nezilonda ezinqamulelayo kwi-cornea;
- i-glaucoma.