Herpetic keratitis - sei kudzivirira zvinetso zvinokuvadza?

Mimwe mavhamusi anokonzera kuputika kwakasimba kwekonoa yeziso. Chimwe chezvirwere izvi ishepe, iyo inowanzova chikonzero che keratitis. Iyi ihutano hutachiona hunogona kukonzera kusagadziriswa kwekuona kusakanganiswa uye zvimwe zvinetso zvakaipa.

Mafomu echepere keratitis

Iyo inorondedzwa zvirwere inotsanangurwa muzvikwata zvakasiyana-siyana maererano nekunzvimbo yekuputika uye kuoma kwayo. Herpetic keratitis yemaziso iripo pane mafomu anotevera:

• primary;
• stromal;
• metaherpetic;
• discoid.

Primary herpetic keratitis

Urwu hwehutachiona hunoitika kunyanya muhuduku (kubva pamwedzi mitanhatu kusvika kumakore mashanu). Primary epithelial herpetic keratitis inowedzera nenzira ine unyoro nenzira ye blepharoconjunctivitis. Iko maziso emawere uye muchembera zvinokanganisa zvinoparadzirwa pasina kupararira kune cornea yeziso. Hemheta keratitis inorapwa nyore nyore, kazhinji pakarepo. Kuporesa kwezvipembenene kunoitika nokukurumidza uye pasina kupera.

Stromal keratitis

Urwu hutachiona hwehutachiona hunoitika nekuda kwekushaya kukwana basa remajoni ehurumende uye kupararira kwehutachiona. Dzimwe nguva chinokonzera chirwere chepithelial pasina keratitis, kunyanya kana chirwere chacho chakaratidza kuti hachina kubudirira. Nzira yekuvhiringidza kwekornea inokonzera mamwe marudzi ezvirwere:

• kadhi-akaumbwa;
• discoid;
• ulcerative;
• bullous;
• interstitial.

Metaperpetic keratitis

Urwu urwere hwehutachiwana hutachiona hwakanyanya hwekugadzirisa kukanganisa. Iyo inoratidzika seyakadzoka yakadzika keratitis yeziso, kazhinji ichiyerera ku keratoiridocyclitis. Rudzi rwakarondedzerwa rwehutano runofambidzana nechirevo chechirongwa chechipatara uye kufambira mberi nokukurumidza. Izvi zvinokonzera keratitis inokonzera masonda akawanda e-corneal stroma, anowedzera kuwedzera nekupararira. Chirwere chinoratidzwa chechirwere chakaoma kurapa, kunyanya kana pane kuwirirana kwekuona kuora mwoyo uye kukurumidza kukura kwehutachiona.

Discoid keratitis

Ichi chimiro chechirwere chinoita kuti kuwedzere kwe-cornea uye kuumbwa kwechinangwa chekuputika mukati maro. Disc herniated keratitis yakabatana ne ingrowth mu stroma yemidzitiro yakadzika yeropa, inoteverwa nekucheka kwezvinhu zvakakuvadzwa. Izvi zvinokurumidza kuve zvisingaperi, zvinowanikwa nezvinetso. Kazhinji pane kuora kwakanyanya kwemaziso eziso.

Herpetic keratitis - zviratidzo

Kunyanya kuvhara mazai kwekonoa eziso kunogona kupfuurira kusina zviratidzo. Zviratidzo chete ndeye fivha, malaise uye conjunctivitis . Kana keratitis yakadaro isiri kurapwa, inopinda mumushure -kutanga wekutanga. Muchiitiko ichi, iyo cornea yakafukidzwa nehutachiona hweviral vesicles, iyo inoputika uye inobva shure kwechirwere uye kuputika kwevhu. Vanononoka kuporesa uye kupora, izvo zvinoratidzika semhando yebazi pane iris uye vadzidzi (herpetic dendritic keratitis).

Zvimwe zviratidzo zvepamusoro-shanduko chechirwere ichi:

• kuzvidzora kutuka ;
• kutya kwechiedza chinopenya;
• kubwinya kwepuroteni;
• kunzwa kwekuvapo kwechinhu chekunze muziso;
• blepharospasm;
• kuora kwehutano kana kuonekwa kwakasvibiswa;
• kurwadziwa kwemarwadzo;
• kuputika paganda remaziso uye maziso ane maziso;
• acute purulent conjunctivitis;
• kuwedzera mumakiromine nhengo (shure kwe nzeve, pasi pejaya);
• cataract;
• uveitis ;
• secondary glaucoma;
• kudyidzana mukati meziso.

Herpetic keratitis - kuongororwa

Kusimbisa kukanganisa kwezvakatsanangurwa nehutano ophthalmologists kazhinji zvakakwana uye kuvapo kwezviratidzo zvakananga. Zvimwe zvidzidzo zvinotarisirwa kana zvakaoma keratitis zveziso zvofungidzirwa kana kuti chirwere chemaronda ake chinokonzerwa. Nzira dzinotevera dzinoshandiswa pakuongororwa:

• biomicroscopy ye cornea;
• senitivity test;
• keratometry;
• enzyme immunoassay;
• pachymetry;
• kuongorora kupera;
• polymerase chain reaction;
• corneal biopsy;
• kuvhiringidza microscopy yekuvhara muviri;
• chiyero chemukati wekupora.

Herpetic keratitis - kurapa

Kurapa kwehutano huri pasi pekufungisisa kunoenderana nehupenyu hwahwo. Iyo yakanyanya epithelial rudzi rwechirwere ichivhiringidzirwa nehutachiona hupenyu, saka munyaya iyi zvinokurudzirwa kushandisa anti-herpetic mishonga. Zvose zvakasara chirwere ichi chisingaoneki. Kuchengetedza kunoda nzira yakakwana neine simba rinopesana nekuputika.

Zvakaipa kubata chirwere chisina kumira chinokanganisa keratitis cheziso - kurapwa mumamiriro ezvinhu akadaro kunosanganisira kunyange kupindira kwokuvhiya. Muzviitiko zvakawanda, kushanda kunogumira kune imwe nguva inokurumidza uye iri nyore. Nekukuvadza kwakadzika kune cornea uye kupfuurira kupfurikidza kwekunyanya kwemasukisi, kuburikidza nekugadzirwa kunokurudzirwa.

Iyo mishonga ine hepetic keratitis

Nheyo yehutano hwehutsanangurirwa zvirwere ndeye systemic uye kwese (madonhe, mafuta) masunomodulator uye mishonga yekurapa:

• Acyclovir ;
• Trifluridine;
• Ganciclovir;
• Idoxiouridine;
• Reeferon;
• Zovirax;
• Interferon;
• Virolex nevamwe.

Corticosteroid hormone mishonga inorayirwa kana kunetseka kunopfurikidza kunokonzera keratitis kunowanikwa - Combinil, Dexamethasone uye zvakafanana. Kuwedzerwa kukurudzirwa:

• mavitamini, kunyanya boka B;
• antiseptics;
• immunostimulants ;
• antibiotics;
• kwete-steroidal anti-inflammatory drugs;
• antihistamine mishonga;
• mydriatica;
• zvinodhaka zvinodhaka.

Herpetic keratitis - kurapwa nemishonga yevanhu

Hurongwa hwekuzvimirira, kunyanya mune dzimwe nzira, inotyisa zvikuru, saka ophthalmologists dzinorambidza kushandiswa kwemishonga chero ipi zvayo yekurapa kumwe. Kazhinji chiremba anogona kubvumira dzimwe mishonga dzevanhu sechirwere chekubatsira, asi kana bedzi kusina kunzwisisika pasina chimiro chekeratitis chiri kuonekwa. Kushandiswa kunofanira kuitwa pasi pekutarisa kwakasimba kwachiremba uye nemvumo yake.

Mhinduro yevanhu ye keratitis

Zvisungo:

• kuderedza mashizha emuviri weAloe (anopfuura makore matatu) - 2 pcs;;
• mummy - 1 zviyo zviyero zvezviyo zvegorosi;
• gungwa buckthorn mafuta - 30-40 ml.

Kugadzirira, shandisa :

1. Siya simiti yakatemwa, oshambidza uye uise mufiriji kwemazuva masere, isati yaputirwa mupepenti pepa.
2. Mushure mekunge nguva iyi, tambanudza kunze kwejusi kubva pane zvakasvibiswa uye fungisisa iyo.
3. Mvura inoguma yakasanganiswa nemai mumugero wegirazi.
4. Kwemwedzi miviri kuti uise maziso nemusanganiswa uyu - 1 dhonhora 1 nguva pazuva.
5. Kubva muvhiki yechitanhatu yerapi, shandisa jena rakachena.
6. Muchipo chekutambudzika uye photophobia, kuvhara gungwa buckthorn mafuta mumeso (1 dhiawa imwe neimwe).

Kudzokorora kwehepetic keratitis - kurapa regimen

Utachiona hunokonzera chirwere ichi chinenge chiri mumuviri nguva dzose, nekuderera kwemabasa ekuchengetedza muviri, inoshandiswa. Hempetic recurrent keratitis yakaoma kubata, saka haugone kuzviita iwe pachako. Kurwisana nehutachiona kunoitwa muzvikamu zviviri, izvo zvakagadzirwa neophthalmologist mumwechete kune murwere mumwe nomumwe maererano nekuoma kwekuvhiringidzika uye nekudzika kwerachionea.

Kurapa kwehepetic keratitis panguva yekuwedzera kunosanganisira kushandiswa kwemishonga inotevera:

• antiviral;
• antibiotics;
• zvinodhaka zvinodhaka;
• immunosuppressors (corticosteroids);
• kushandiswa kwekusvimha misodzi.

Mukurapa kwose, chiremba anogona kuchinja mishonga yekudzivirira kugadziriswa kwechirwere kumishonga inoshandiswa. Mushure mekunge mwedzi mitatu, iyo yose iyo ichafanira kudzokororwa, kunyange kana zviratidzo zve keratitis zvisipo. Izvi zvakakosha kuti kudzivisa kunonokazvezve. Kutsigirwa mushonga nenzira yekushandiswa kwevhithamini nemisodzi yezvipimo inorayirwa kwenguva yakareba, kwete pasi pegore rimwe.

Chii chakaipa keratitis?

Kuwedzera kwekuwedzera uye kurapa kusina kunaka kunokonzera kufambira mberi kwechirwere chepachirwere uye kukanganisa kornea. Nemhando yepamusoro uye ine unyoro hwehutachiona, izvi zvinotungamirira kune zvinetso zviduku zvinokonzera zvisingaiti mabasa emaziso. Ngozi yakaoma, yakadzika keratitis, kereatitis yake, iyo migumisiro inogona kusakanganiswa:

• kuderera kwehutano hwehuono;
• nehuro;
• kuumbwa kwe maculae uye scarring ulcers pane cornea;
• glaucoma.