Ezinye iintsholongwane zivusa ukuvuvukala okukhulu kwe-cornea yelihlo. Esinye salezi zifo sisifo se-herpes, esisoloko siba sisisusa se-keratitis. Le yintsholongwane enobungozi engabangela ukukhubazeka okungabonakaliyo kunye neminye imiphumo emibi.
Iifom zeraticitis
Izifo ezichazweyo zihlelwa ngamaqela amaninzi ngokubhekiselele kwendawo yokuvuvukala kunye nokuqina kwayo. I-keratitis ye-Herpetic yelihlo ikhona kwezi fom zilandelayo:
- eziphambili;
- ukuxhamla;
- ulawulo lweempawu;
- i-discoid.
I-keratitis yeprayimari
Olu hlobo lentsholongwane lwenzeka ikakhulu ebuntwaneni (ukususela kwiinyanga ezintandathu ukuya kwiminyaka emihlanu). I-keratitis ye-epithelial epitallial i-epithelial eppelial ihamba ngendlela eflekileyo ngendlela ye-blepharoconjunctivitis. Kuphela iipilisi kunye neembumba ezinamaqabunga zichaphazeleka ngaphandle kokusasaza kwi-cornea yelihlo. I-keratitis ye-herpetic iyaphiliswa ngokukhawuleza, ngokukhawuleza. Ukuphilisa izilonda kwenzeka ngokukhawuleza kwaye kungenakonakala.
Stromal keratitis
Olu hlobo lwesifo sesandulela ngculaza lwenzeka ngenxa yokungasebenzi ngokwaneleyo kwenkqubo yokuzivikela komzimba kunye nokusabalalisa intsholongwane. Ngamanye amaxesha imbangela i-epithelial keratitis engqalileyo, ingakumbi ukuba unyango lwayo lubonakaliswe lucala. Ifom ehambayo yokuvuvukala kwe-cornea ibangela ezinye iintlobo zesifo:
- enemibala;
- i-discoid;
- isilonda;
- yenkomo;
- phakathi.
Keratitis yeMetaperpetic
Olu hlobo lwesifo luyingozi enkulu yomonakalo. Ibonakala njenge-keratitis enzulu ejongeni, ihlala ijikeleza i-keratoiridocyclitis. Uhlobo oluthile lwe-pathology luhamba kunye nekliniki ekhankanywe ngokukhawuleza kunye nokuqhubela phambili ngokukhawuleza. I-keratitis ye-herpetic idala izilonda ezininzi ze-stroma corneal, ezilungele ukwandiswa nokusabalala. Olu hlobo lwesifo eso kunzima ukunyanga, ingakumbi ukuba kukho ukuphazamiseka okubonakalayo kunye nophuhliso olukhawulezayo lwentsholongwane.
I-krayatitis engafuniyo
Olu hlobo lwesifo lukhokelela ekuqiniseni kwe-cornea kunye nokwakhiwa kwengqwalasela yokuvuvukala kwiziko layo. I-disc ye-keratitis edibeneyo ihlangene ne-ingrowth kwi-stroma yemithambo yegazi elandeleleneyo, ilandelwa ukutshatyalaliswa kwezicubu ezinobungozi. Le nkqubo ngokukhawuleza iba yinto engapheliyo, inzuzo kunye neengxaki. Ngokuqhelekileyo kukho ukuchithwa okubukhali kwemisebenzi yamehlo.
I-keratitis ye-Herpetic - iimpawu
Ukuvutha kwesibindi sokuqala kwe-virus ye-cornea yelihlo kunokudlula phantse ngaphandle kwempawu. Imbonakalo kuphela yindlovu, i-malaise kunye ne- conjunctivitis . Ukuba i-keratitis enobuhlungu ayiphilwanga ngokukhawuleza, idlula kwisithuba esilandelayo. Kule meko, i-cornea ihlanganiswe neziqhamo ze-viral vesicles, eziqhekezayo zishiye emva kwesilonda kunye nokukhukhula. Ziyaphilisa kwaye ziphule, ezibukeka njengeprojekthi yecala kwi-iris kunye nomfundi (i-herpetic dendritic keratitis).
Ezinye iimpawu zefom yangasese yepilisi:
- ukulila okungalawulwayo;
- ukwesaba ukukhanya okukhanyayo;
- obomvu beeprotheni;
- uvakalelo lwento yangaphandle kwiso;
- blepharospasm;
- ukuwohloka kobuqhetseba okanye umbono obonakalayo;
- isifo sesifo;
- ukugqithisa kwesikhumba seentloko zeenyawo kunye namaqhwa;
- conjunctivitis;
- ukwanda kwimizimba ye-lymph nodes (emva kweendlebe, phantsi komhlathi);
- cataract;
- uveitis ;
- glaucoma yesibini;
- ukuxhaswa ngaphakathi kweso.
I-keratitis ye-Herpetic - ukuxilongwa
Ukuqinisekisa ukusola ukuba izifo ze-ophthalmologists zihlala zanele kwaye zikhona iimpawu ezithile. Izifundo ezongezelelweyo ziyadingeka ukuba i-keratitis enzima yeso isohlwayo okanye ingaba intsholongwane yegciwane lesifo se-herpes kufuneka ihlulwe. Ezi ndlela zilandelayo zisetyenziselwa ukuxilonga:
- i-biomicroscopy ye-cornea;
- vavanyo;
- i keratometri;
- i-enzyme immunoassay;
- pachymetry;
- uviwo lokutshiza;
- i-polymerase chain reaction;
- biopsy;
- i-microscopy ye-intravital yangaphakathi;
- ukulinganiswa koxinzelelo lwe-intraocular.
I-keratitis ye-Herpetic - unyango
Ulwaphulo lwe-pathology oluxutywayo luxhomekeke ekubunjweni kwalo. Uhlobo oluphambili lwe-epithelial yesifo luyichukunyiswa yi-virus ephilayo, ngoko ke kululeka ukuba usebenzise imishanguzo yokulwa nomzimba. Esinye isifo sisisombululo samandla omzimba. Ukumisa kufuna i-intanethi epheleleyo ngefuthe elichasileyo elichasayo.
Kubi kakhulu ukunyanga i-keratitis yengqondo engapheliyo yonyango lweziliso kwiimeko ezinjalo kunokubandakanya ukungenelela okutyathwayo. Kwiimeko ezininzi, usebenzo lukhawulelwe kwinkqubo ephuthumayo nelula. Ngomonakalo obunzulu kwi-cornea kunye nokuqhekeka kwee-tissue eziqhubela phambili, ngokucetyiswa kukucetyiswa.
Iyezabisi nge keratitis
Isiseko sonyango sesifo esichaziweyo sisistim kunye nendawo (amaconsi, amafutha) ama-immunomodulators kunye namayeza antiviral:
- Acyclovir ;
- Trifluridine;
- Ganciclovir;
- Idoxiouridine;
- Reaferon;
- Zovirax;
- Interferon;
- Virolex nabanye.
Izidakamizwa ze-horticone ze-corticosteroid zimiselwe ukuba i-keratitis ehamba phambili ihambelana ne-keratitis efunyenweyo-i-Combinil, i-Dexamethasone kunye ne-analogues. Ukongezwa kwakhona:
- iivithamini, ngakumbi iqela B;
- i-antiseptics;
- i-immunostimulants ;
- i antibiotics;
- iziyobisi ezingekho-steroidal ezichasayo;
- antihistamine amayeza;
- mydriatica;
- iziyobisi.
I-keratitis ye-Herpetic - unyango kunye nezilwanyana zomntu
Ulwaphulo oluzimeleyo, ngokukodwa ngeendlela ezingezinye, luyingozi kakhulu, ngoko ke i-ophthalmologists iyakwenqabela ukusetshenziswa kwanoma yimuphi umyalelo wonyango. Ngokuqhelekileyo unogqirha angavumela izilwanyana ezithile njengomntu oncedisayo, kodwa kuphela xa kutholakala i-keratitis ye-herpetic kecala. Ukunyanzelisa kufanele kwenziwe phantsi kolawulo oluqinileyo logqirha kunye nemvume yakhe.
Isilungiso samadoda ekeratitis
Izithako:
- amaqabunga aphantsi aloe (ngaphezu kweminyaka engama-3 ubudala) - 2 ii-pcs;
- umqolo - 1 okusanhlamvu ubungakanani bengqolowa yengqolowa;
- i-oil buckthorn oil - 30-40 ml.
Ukulungiselela, sebenzisa :
- Shiya isityalo esinqunyiwe, uhlambe uze ufake efrijini iintsuku ezili-8, ngaphambi kokufakwa kwiphepha lesikhumba.
- Emva kolu xesha, fudula ijusi ukusuka kwintlobo eluhlaza kwaye uyihluze.
- Umbane obangelwayo uxutywe kunye nomama kwisitya seglasi.
- Kwiinyanga ezi-2 ukufaka amehlo ngale mxube - i-1 ye-1 yexesha eli-1 ngosuku.
- Ukususela ngeveki ye-9 yonyango, sebenzisa ijusi e-pure eloe.
- Ngaphambi kwentlungu kunye ne-photophobia, ngcwaba ioli ye-buckthorn yeoli kwamehlo (i-1 ihla nganye iiyure).
Ukuphindaphinda kwe-keratitis ye-herpetic - unyango lwenkqubo
Intsholongwane ephazamisa isifo esinikezelweyo sisemzimbeni rhoqo, ngokunyanzeliswa kwemisebenzi yokhuseleko, kusebenze. I-keratitis ephindaphindiweyo inzima ukunyanga, ngoko awukwazi ukuyisebenzisa. Ukulwa nokusuleleka kwezifo kuqhutyelwa kwizigaba ezi-2, eziphuhliswa yi-ophthalmologist ngamnye kwisigulane ngasinye ngokuhambelana nokuqina kwesibindi kunye nobukhulu be-cornea lesion.
Unyango lwekeratitis esichengeni ngexesha lokuxhatshazwa kubandakanya ukusetyenziswa kwamachiza alandelayo:
- untiviral;
- i antibiotics;
- iziyobisi;
- i-immunosuppressors (i-corticosteroids);
- ukutshintshwa kweengcambu zokurhoxisa.
Kulo lonke unyango, ugqirha unokutshintsha amayeza okukhusela ukulungiswa kosulelo kwizilwanyana ezisetyenziswayo. Emva kweenyanga ezintathu, ikhosi yonke iya kufuneka iphindwe kwakhona, nangona iimpawu zekeratitis zingekho. Oku kuyimfuneko ukunqanda ukubuyela kwakhona emva koko. Unyango oluxhasayo ngeendlela zokusetyenziswa kwamavithamini kunye neenyembezi zokufakelwa zibekwe ixesha elide, kungeku-1 ngonyaka.
Yintoni eyingozi keratitis?
Ukunyanzeliswa okuqhubekayo kunye nokunyanga okungekho kakuhle kuqhube ukuqhubela phambili kokuvuvukala kunye nokulimala kwi-cornea. Ngeendlela ezingenangqiqo kunye nezobuhlungu, oku kubangela iingxaki ezincinci ezinokuthi zingathinteli imisebenzi yamehlo. Ingozi iyinkimbinkimbi, i-keratitis enzulu, i-keratitis ye-herpetic, imiphumo yinto engayinakuyenza:
- ukunciphisa umgangatho wombono;
- umqala;
- ukwakheka kwe-maculae kunye nezilonda ezinobunzima kwi-cornea;
- glaucoma.