Herpetic keratitis: inkcazelo, iifomu, oonobangela, iimpawu kunye nonyango

iinkqubo ukudumba kwi inwebu unokubangwa yi keratitis zemveli kunye zithe zadala. Kwimeko yokuqala, ukukhokela zabo zophuhliso zangaphakathi iinkqubo. Zithe zadala keratitis kwabangelwa yimiba yangaphandle. Chonga izinto ezakhokelela kuphuhliso sifo, kwaye ukuseka ukuxilongwa kufuneka zamehlo.

Inkcazelo ngxaki

Herpetic keratitis - sisifo esosulelayo esichaphazela inwebu. Oku kunokubangelwa enye yezi ntlobo-5 iintsholongwane herpes. ukwanda kakhulu HSV-1. Olu simplex Uhlobo virus herpes 1 antibodies kulo lufumaneka 90% yabemi. Ichaphazela njenge umthetho, inxalenye engentla lomzimba. Kakhulu lugwayimbo umntu.

Kodwa ke unobangela herpes keratitis ingaba nazo:

- herpes simplex Uhlobo virus 2;

- herpes zoster (ibangela ngamaxolo kunye irhashalala);

- Epstein-Barr virus;

- cytomegalovirus.

Kodwa kaninzi ushaya iliso HSV-1.

Herpetic keratitis luphawulwa nento yokuba inwebu yamehlo kuba lisibekele. Ngenxa ngokoyiswa iliso bomntu mbi kakhulu, loo nto ingenza ukungaboni.

iimpawu

Le ntsholongwane zingachaphazela zombini abadala kunye nabantwana abo abakho emi-5. Iimpawu eziphambili imbonakalo yalo:

- amehlo alilayo;

- blepharospasm (chaza apho iimvalo zivaliwe spasm ngokuzenzekelayo);

- photophobia.

Kodwa oku uluhlu olupheleleyo iimpawu, nto leyo ukumisela keratitis herpetic. Iimpawu zesi sifo ukuze zibandakanya:

- anozizi amehlo;

- imvakalelo lokufumana umzimba wasemzini;

- uvutha;

- buhlungu iso.

Ngexesha usuleleko ephambili kuvela namadyungudyungu kwi ijwabu kunye conjunctiva. Laphola ngaphandle loloyiko. Le inwebu ke sisilonda esidumbileyoesingaphakathi iphambili kukuba kwiimeko ezininzi kushunyayelwe.

Ekuvuseleleni intsholongwane ebangela keratitis nezolo herpetic. Imbali esi sifo, iindidi sifo zibalulekile izicwangciso afunyaniswe isifo kwaye afumane unyango olungaphezulu. Le ntsholongwane ebhekiswe uzingisayo ganglia oluvo. Xa ekuvuseleleni oko ithuthelwe kwalapho, ngoko kukho usulelo lweliso lakho.

Isifo

Kuxhomekeka umfanekiso lwezonyango, chonga iintlobo ezininzi izilonda. isifo Classic herpetic livela eyayizalwa izilonda kwi inwebu. Oku njalo-ebizwa keratitis epithelial herpetic. Oku kuchaphazela kuphela umaleko olungaphandle inwebu, esakhiwa tyaba iiseli epithelial.

Iingcali ukuchonga umthi kunye uhlobo kuzo izifo. Uxilongo isekelwe basabela ukudumba kangakanani ngokubanzi. Kubalulekile nendlela eyonakeleyo inyama kwenwebu.

Oogqirha kwafunyaniswa ukuba "umthi-herpetic keratitis" kwiimeko apho nangezilonda kwi inwebu efanayo emasebeni omthi. A kancinane zimbi kunjalo, ukuba ugqirha uthi ntoni ngokoyiswa eendawo. Oku kuthetha ukuba inwebu yonakele ngaphezulu kakhulu. Le ndawo epithelium zitshatyalaliswe ebalulekileyo, nemilo zabo ufana oganogram kumazwekazi kwi amakhadi.

Stromal keratitis kuthiwa discoid. Kule sifo alichatshazelwa zangaphandle le inwebu, kwaye umphezulu ayo aphakathi - stroma. Uhlobo kakhulu eyingozi necrotizing stromal keratitis. Abanolu hlobo esi sifo komtshiso iyakhula ngokukhawuleza. Oku kunokubangela ukutshatyalaliswa yethishyu kwenwebu. Ekugqibeleni, oku kukhokelela kubumfama.

Iifom zokuqala ezimbini keratitis herpetic (umthi kunye geographical) kunye nonyango eyaneleyo ekupheleni bachache ngokupheleleyo.

ekuxilongweni

Ukuthintela uphuhliso iingxaki kuyimfuneko kwi ngumqondiso wokuqala esi sifo zoqhagamshelwano zamehlo. Uyakwazi ukwenza afunyaniswe isifo kwaye khetha unyango kakhulu efanelekileyo.

Ugqirha ayivavanyi imeko yesigulane, lijonga ezibonisa sifo. Kwakhona umlinganiselo xi intraocular. Ukuze ukujonga ubungakanani umonakalo kuyimfuneko ukuba athontsize linye fluorescein. Le reagent ekhethekileyo ukuze sibonwe phantsi kweultraviolet light. Ingasetyenziswa ahlole indlela keratitis herpetic ezonakeleyo kumphezulu kwenwebu.

Kwakhona isifo kubonisa kakuhle ukuba zeziphi layers ntsholongwane wambetha. Kuxhomekeka oku kuya kumiselwa liSebe amaqhinga zonyango.

uphando laboratory

Kwiimeko ezininzi, umfanekiso lwezonyango keratitis zomlomo wakhe. Kodwa ke kukho iimeko apho nkqu ngoncedo iimvavanyo ekhethekileyo ukufumana ukuxilongwa. Emva koko kufuneka uphando elebhu. Kuyimfuneko kwakhona xa herpes intsholongwane simplex izilonda kubelekwa.

Ukwenza olu vavanyo athathe ilaphu ukusuka inwebu. Kodwa le sifundo inovakalelo ephantsi. Ngakumbi ulwazi luhlola DNA. Noko ke, iimviwo luyabiza, ngoko ke isetyenziswa kunqabile kakhulu. Iimvavanyo ze-serological bayafundisa kwi sisilonda esidumbileyoesingaphakathi zaseprayimari: bona bawubonakalalisayo omzimba kwanda. Kodwa kuphuthiswa xa ekuvuseleleni ntsholongwane.

Ezibangela isifo

Herpetic keratitis iliso esosulelayo. Xa sisilonda esidumbileyoesingaphakathi ephambili zentsholongwane herpes simplex kwiimeko ezininzi ayenzi kuvela naziphi na iimpawu. Ngamanye amaxesha ungathi ugagane namadyungudyungu ezithile ehlabathini imilebe.

Xa emzimbeni, intsholongwane ihlala ihleli kwiiseli ze-luvo trigeminal. It sikwimo afihlakeleyo. Kodwa ngamanye amaxesha uyakwazi iphinde isebenze. Kulo mzekelo, i pathogen uqalisa ukwanda ngamandla. Virus ungakwazi ukuya nezihlunu ubuso kunye namehlo.

Herpetic keratitis ngokuqhelekileyo ubonakala nje emva kokuba ekuvuseleleni ntsholongwane. Xa phezu inwebu ye iliso, intsholongwane uyaqhubeka phinda.

Kodwa ke ukutshatyalaliswa inwebu liqala ngenxa indlela kwamajoni omzimba. Emva koko, unoxanduva lokuphuhlisa yokusabela arhabaxa. omzimba lingaqonda Ubatshabalalise iintsholongwane zeethishu ukuba bosulelekile. Ngamanye amaxesha umonakalo ukusuka impendulo omzimba babomelele ngakumbi yintshukumo intsholongwane ngokwayo.

Yeyiphi ikhokelela ekuvuseleleni ntsholongwane?

Phantse ama-90% abantu abathwali intsholongwane herpes simplex. Kodwa asingabo bonke kuvela keratitis herpetic. Abaphandi bakholelwa ukuba usulelo ukuze aphuhlise phantsi kwempembelelo yeemeko ezithile kunye neemeko ezichaphazela umzimba.

Kangangexesha elide, oogqirha babekholelwa ukuba le ntsholongwane luvuliwe kwi imvelaphi ka ntshikilelo. Kodwa iqela labantu uphando umohlwayileyo le vekeleke xona. Ngoko ke, oogqirha abakwazi ukuthetha kakuhle yintoni unobangela woku hlobo keratitis.

Kodwa ndafumanisa ukuba ezithandwa kakhulu kwesi sifo abantu abaye babandezeleka iintlobo zotyando amehlo. Oku kunokuba ukulungiswa laser umbono, cataract, glaucoma, abohlukeneyo kwenwebu.

Amaqhinga zonyango

unyango Kufuneka kungenziwa kuphela emva kokuba uhlolo zamehlo. Kufuneka uqinisekise uxilongo "herpetic keratitis amehlo." Unyango kwakhona ikhetha ingcali.

Ukuba herpes achaphazelekayo kuphela iinkophe, ngoko kuya kuba yanele nje ukuba ukusebenzisa ipilisi "acyclovir" okanye "Valacyclovir." Kufuneka sisele iintsuku ezi-5. Kuba unyango lwe keratitis epithelial kufuneka uthenge gel iliso, equlethe 0,15% gantsilovira okanye amachaphaza nge-1% trifluridine. Wamafutha "acyclovir" nazo zabelwe. Kuyimfuneko ukuba babeke phezu ijwabu asezantsi izihlandlo ezi-5 ubuncinane ngemini.

Unyango kuyaqhutywa de ukuphiliswa ngokupheleleyo. kuphela "acyclovir" tablet ngokwaneleyo ukuba kwezinye iimeko. Ukuba olu nyango kuphumelele, ngoko sebenzisa amathontsi ne interferon.

keratitis Stromal esiphatha xaka. Kwiintsuku ezimbini zokuqala babelwa tablets "acyclovir" (2 g ngosuku) okanye "Valaciclovir" (1 g ngemihla). Kulo ithamo kufuneka usele kwiiveki ezi-2. Ukuba kwiintsuku zokuqala ezimbini ikhosi sifo akayi inkqubela, sincoma ngakumbi ukusetyenziswa nethontsi 0.1% dexamethasone. Okokuqala baphose ka-8 ngosuku, kodwa ngokuthe ngcembe ukunciphisa amaza ukusetyenziswa yonke imihla 3-6 1 drop. unyango olunjalo kufuneka iqhubeke kangangeenyanga eziliqela.