Nemavhairasi keratitis: Zviratidzo neMarapirwo

Ophthalmological zvirwere zvinenge nguva kutakura inorema uye worrisome. Pashure pezvose, maziso enyu - ichi ndechimwe chezvinhu zvinokosha pfungwa. Uye kukundikana kwavo kwaigona kuguma kurasikirwa zvaakaratidzwa. Pakati ophthalmic zvirwere zvose dzinowanzotaurwa chaizvo keratitis - kuzvimba cornea. Ivo zvinogona kukonzerwa siyana zvikonzero uye pasina mangwanani kurapwa zvinoisa zvakakomba matambudziko. Rakajairika nemavhairasi keratitis, izvo zviri kukonzerwa akabatwa chirwere. Hosha kunyanya rinowanikwa mune vana nevechidiki, saka zvakakosha kuti kutanga kurapwa panguva kuponesa mwana chiratidzo.

mhando keratitis

The cornea iziso - iri kwayo segirazi nevamwe. It zvinoenderana mamiriro kutarisana acuity. Naizvozvo, nokuderedza pachena yayo nokuda kushoma runowanzotungamirira Kuipa kuona maonero. ezvinhu akadaro kunouya keratitis - zvirwere kukanganisa cornea. Kazhinji kacho vane chirwere hunhu: zvinokonzerwa nemabhakitiriya, nemavhairasi, chlamydia, notumwe tupukanana kana.

Kazhinji dzechimwe keratitis, sezvamakaropafadzwa kuzvimba hwapedyo nokuda kusagadzikana corneal kuvimbika. By ichi chinogona kukonzera zvokuimba kukuvara kugarotamba mishonga, yakakwirira tembiricha. Uye vokupedzisira chimiro keratitis ndiyo sema. It unowanikwa pamwaka nouswa, rhinitis, kana somunhu kuomesa kwakaita conjunctivitis zvinodhaka Kutemeswa.

Sezvo rakajairika maronda vari kutapuriranwa yezvakaita cornea, zvinokosha kuziva musiyano pakati nemavhairasi kubva kwemabhakitiriya keratitis. Unogona kusiyanisa pakati pavo chitarisiko chavo. The kwemabhakitiriya chimiro kunokonzerwa zvikurukuru cocci kana Pseudomonas aeruginosa. Rinooneka ainyanya pashure pakukuvara kana mune chirwere Blepharoconjunctivitis. Its maitiro chinhu ndiyo paumbwe maronda akazara pus.

Keratitis anogona kuva ari kuomesa pavarwere neTB, njovhera, apo akapfeka kuonana lenses zvinogona kukonzera microorganism akadai Acanthamoeba. Of asiri kutapuriranwa chimiro vakagovera keratitis anokonzerwa metabolic vachivavhiringidza, zvakadai gout, kana chirwere cheshuga, kana achikura somunhu kuomesa kwakaita autoimmune zvirwere zvakadai dzinonzi rheumatoid arthritis.

nemavhairasi keratitis

Photo ziso, sei chirwere, anoratidza kuti panguva yake zvakanaka nesimba, asi ngozi yematambudziko zvakakwirira. chimiro ichi keratitis kwakakonzerwa akabatwa chirwere. Zviri anowanzodanwa unovapo pakati zvavo zvinotapukira. Nemavhairasi keratitis inobata kunyanya vana uye kuyaruka, uyewo vanhu vane ashaye kutapata.

Virus weveta cornea kuenda neherikoputa kana kuonana-mhuri nzira. In vana vaduku, anowanzodanwa akaonekwa chepuraimari nemavhairasi keratitis. It kunoitika nenzira rikwanise muchimiro. Asi utachiona vanogona kuramba mumuviri ari Isimba rakadini rinogona kubudiswa chimiro uye kusashanda zvadai. Panyaya iyi, mamiriro ezvinhu anonzi keratitis yechipiri. chimiro ichi ane chirwere kosi uye rakaoma zvikuru kubatwa.

Pane zvakawanda siyana zvinokonzerwa nemavhairasi keratitis: Spot, metagerpetichesky, muti-zvakadai, vesicular, Disc-zvakaumbwa, uye vamwe.

• Muti fomu iri zvachero keratitis. It kunoratidzwa chitarisiko dzakasara pashure kuzarura cornea mapatani mapazi muti matema duku.
• Metagerpetichesky keratitis - zvakaoma kukunda yakadzika akaturikidzana ari cornea. Kuvakwa zvakadzama infiltrates, kazhinji kukanganisa vasculature ziso.
• Discoid keratitis kunokonzera kwazvo kuzvimba. Zvadaro nezvechinhu chimwe woita nda. Dzimwe nguva izvi fomu zaboleaniya vakachengeta corneal dzisavhiringidza uye ungaderedza kutarisana acuity.

Common nemavhairasi keratitis

Chakaomesesa raparadza kunoitika kakawanda yokuvamba keratitis kunokonzerwa herpes hweHIV. Herpes zvinoreva neurotropic utachiwana mupise. It anowanzodanwa anwa semwana nokuda munhu simba rokuzvidzivirira. Hazvibviri kurapa herpes chose, izvozvo panguva nenguva inosvika zvinowedzerwa pasi pokudzora afunge zvinokonzera. Uye mumwe siyana rokuratidzwa ayo akabatwa keratitis.

The herpes Utachiona chaizvo chaizvo, asi vamwe vavo kukonzera zvirwere kuomesa kwakadaro uko kazhinji anovandudza keratitis. Kuwedzera herpes simplex, huku pox uye ndiye shingles.

Kune akawanda siyana chirwere: chikuru keratitis kunoitika apo hweHIV pamwe herpes utachiwana. Izvi zvinowanzoda kunoitika muvana vaduku. The chimiro chechipiri - nayo postpervichny keratitis, apo "akarara" Utachiona iri kusashanda pasi pokudzora afunge zvinokonzera. Uyezve, herpetic keratitis angava pamusoro kana kukanganiswa chete chokunze mugove cornea, kana kwakadzika, kana utachiona chinopinda akaturikidzana dzose ziso.

Kuwedzera mavhairasi herpes keratitis zvinogona kukonzerwa adenovirus. Zvinoitawo anovandudza kana vanhuwo vaduku vakadai kurwara sezvo dzihwa, SARS, mumps, gwirikwiti uye rubella. Wakakura zvikuru chimiro chiri adenovirus epidemiological keratitis, izvo dzinoparadzirwa kuonana. A Zvinoitwa keratitis zvose kukonzerwa adenoviruses, ndiko kuti kazhinji kukanganisa maziso maviri, zvaitika rikwanise chimiro, asi ivo inonyangarika pasina zvikasawanirwa pashure kupora pasina kukonzera zvinoderedza kutarisana acuity.

zvinokonzera

Nemavhairasi ziso keratitis hwapedyo zvikuru kazhinji mukati pezvishuvo nemavhairasi zvirwere, uye pasina dambudziko conjunctivitis. Corneal kukuvara kunogona kuitika ave kuomesa kwakaita yokuSpain, SARS, gwirikwiti, mumps, gwirikwiti, rubella kana herpes zoster. Asi kuti utachiwana kwete chete yarova cornea, asi akagara ikoko, kuchikonzera kuzvimba, zvinoda vamwe ude. Zvinogona kuva:

• hypothermia;
• ungaderedza kutapata;
• kakawanda anoshungurudza ezvinhu;
• zvokuimba kuvadza cornea;
• beriberi;
• metabolic zvirwere;
• yakaoma ziso chirwere;
• akapfeka kuonana lenses.

Nemavhairasi keratitis: Zviratidzo

Clinical kuratidzwa corneal maronda maitire chaizvo uye vachinzwisisa achirwara zvakakomba. Kazhinji nemavhairasi keratitis kukanganisa ziso rimwe. Ose zvirwere vane zviratidzo zvakafanana:

• tsvuku mucous Kamudzira ziso;
• zvimba kukotsira;
• Meso nehanya chiedza uye nokubata;
• kunzwa marwadzo, murwere anosangana manzwiro riri muziso muviri vatorwa;
• akaona kubvambura uye mucous buditsa;
• ari cornea anova ramakore;
• pamusoro wayo pechiso kuonekwa segirazi matema iyo pashure buri vakasiya ari shure maronda;
• chinooneka acuity ipfupi.

chirwere chirwere

Nezviratidzo corneal maronda wokutanga hwobva kubvunza chiremba. The ophthalmologist anogona rokuongorora pamusoro maererano nechitarisiko zviratidzo, asi vachiri pasi dzimwe nzira bvunzo. Chokutanga, tinofanira kudzidza kuona acuity uye kuona nzvimbo wenyika. Hako akatakura keratometry uye biomicroscopy vakatsunga corneal nehanya. Fluorescein instillation zvakwo bvunzo, izvo zvinoratidza miganhu njodzi yacho. Uyezve, mimwe ropa dzakundwa, izvo akaedzwa kuti antibodies kuti nemavhairasi, uyewo zodzera kuna PCR chete cornea.

Nokurapa nemavhairasi keratitis

Kana zviratidzo corneal kukuvara taurai kuchipatara jeri. Chete chiremba anogona kuona zviratidzo uye nemavhairasi keratitis, uye kupa yakakodzera kurapwa. zvirwere vakadaro kurapwa muchipatara. Zvipatara inofanira nzwisisika. Its chikuru zvitarisirwa ndiwo: kuparadzwa utachiona, achisimbisa murwere zvirwere kuzoita corneal tishu uye.

Zvaaiva antiviral kurapa rinoshandiswa "Acyclovir" mu, inodonha "interferon", oxolinic mafuta kana gel "Zirgan". Dai kushandisa gamma globulin majekiseni. Kubvisa vemo zviratidzo: kuzvimba, marwadzo uye kuzvimba, vakagadzwa "Analgin", "Indomethacin", "Atropine". Kunodiwa kushandiswa vhitamini kugadzirira uye biogenic muviri.

Zvinobudirira sezvo panyama kurapa: electrophoresis, diathermy, diadynamic dzenzvimbo. Nemaronda anoshandiswa krioapplikatsii kana Laser photocoagulation.

Kana kukundikana kuchinja kurapwa uye kwakakura maronda ari cornea anogona inokurudzirwa kuvhiyiwa. Zvinonzi tichibvisa iri sei nyama, rakapinza keratoplasty, uye zvikuru kwazvo kacho - corneal transplantation.

dziviriro

Kana pakurapa nemavhairasi keratitis ziso harina zvakatanga munguva, kana murwere haasi kutevedzera chiremba dzokurumbidza, zvinogona kuguma zvakakomba matambudziko. Kuwedzera kuderedza kwokuomerwa, zvinogona upofu, yemaziso, tsanga, pute. Naizvozvo zvakafanira kuti kuita zvose kudzivirira kukura chirwere. Kudzivirira keratitis, zvakakodzera kudzivisa kukuvara meso, kuti avachengete uye regai kubata nayo nemaoko akasviba. Uyezve, zvinokosha chaizvo nguva kurapa zvirwere zvose uye kusimbisa zvirwere.