Mavairasi ena amachititsa kuti kutupa kwa diso kukhale koopsa kwambiri. Chimodzi mwa matendawa ndi herpes, omwe nthawi zambiri amakhala chifukwa cha keratitis. Ichi ndi matenda owopsa omwe angayambitse kuwonongeka kosawonongeka ndi zotsatira zina zoipa.
Mafomu a kachetitis
Nthendayi yomwe imayimilidwa imagawidwa m'magulu angapo malingana ndi momwe zimakhalira kutentha komanso kuuma kwake. Khungu la khungu la diso lilipo m'mafomu otsatirawa:
- choyamba;
- chosokoneza;
- metaherpetic;
- discoid.
Chithandizo chachikulu cha keratitis
Matendawa amapezeka makamaka ali mwana (kuyambira miyezi isanu ndi umodzi kupita ku zaka zisanu). Matenda oyambirira a kachetitis amayamba kwambiri mu mawonekedwe a blepharoconjunctivitis. Nkhope zokha ndi majekeseni zimakhudzidwa popanda kufalikira ku khungu la diso. Kereatitis yamachiritso imachiritsidwa mosavuta, nthawi zambiri. Machiritso a zilonda amapezeka mwamsanga komanso mopanda chilema.
Stromal keratitis
Matendawa amapezeka chifukwa cholephera kugwira ntchito za chitetezo cha mthupi komanso kufala kwa matenda. Nthawi zina vutoli limakhala lopweteketsa kwambiri keratitis, makamaka ngati mankhwala ake asapindule. Mtundu wa kutupa kwa cornea umayambitsa mitundu ina ya matenda:
- choyimira khadi;
- chithunzi;
- ululu;
- chowopsa;
- zamkati.
Metaperpetic keratitis
Mtundu uwu wa matenda ndi kuwonongeka kwakukulu kwa nyamakazi. Amadziwika ngati keratitis yozama kwambiri m'diso, nthaŵi zambiri imadutsa mu keratoiridocyclitis. Mtundu wodwala wa matendawa umaphatikizidwa ndi chithunzi chodziwika bwino chachipatala komanso chachangu. Kereatitis yamakono imayambitsa zilonda zam'mimba za stroma, zomwe zimatha kukulitsa ndi kufalikira. Mtundu wodwala wa matendawa ndi wovuta kuchiza, makamaka ngati pali zovuta zowonongeka komanso kutuluka mwamsanga kwa matenda.
Kusokoneza keratitis
Mtundu uwu wa matendawa umayambitsa kuphulika kwa cornea ndi kupanga mapangidwe a kutupa pakati pake. Mankhwalawa amadziwika ndi keratitis pamodzi ndi ingrowth mu stroma ya mitsempha yambiri yamagazi, kenako imakhala ndi chilonda cha zida zowonongeka. Izi zimachitika mwamsanga, zimakhala ndi mavuto. Kaŵirikaŵiri pali kuwonongeka kwakukulu kwa ntchito za diso.
Kachilombo keratitis - zizindikiro
Kutentha kwa tizilombo toyambitsa matenda a cornea ya diso kungadutse pafupifupi popanda zizindikiro. Mawonetseredwe okha ndi fever, malaise ndi conjunctivitis . Ngati keratitis yamtunduwu sichichiritsidwa mosakayikira, imadutsa pamalo oyamba. Pachifukwa ichi, cornea ili ndi mavairasi, omwe amamera ndi kutuluka kwa zilonda. Iwo amachiza pang'onopang'ono komanso amawonda, omwe amawoneka ngati nthambi ya iris ndi wophunzira (herpetic dendritic keratitis).
Zizindikiro zina za matendawa:
- kulakwa kosalamulirika;
- kuwopa kuunika;
- kufiira kwa mapuloteni;
- kumverera kwa kukhalapo kwa chinthu chachilendo mu diso;
- blepharospasm;
- kuwonongeka kwa chiwonongeko kapena masomphenya;
- matenda opweteka;
- Kuthamanga pa khungu la maso ndi maso amphuno;
- chowopsa purulent conjunctivitis;
- Kuwonjezeka kwa maselo am'thupi (kumbuyo kwa makutu, pansi pa nsagwada);
- chowongolera;
- chisokonezo ;
- wachiwiri glaucoma;
- kukhumbitsa mkati mwa diso.
Herpetic keratitis - matenda
Kutsimikizira kukayikira kwa odwala matenda ophthalmologists nthawi zambiri amakhala okwanira komanso kukhalapo kwa zizindikiro zenizeni. Maphunziro owonjezereka amafunidwa ngati keratitis yovuta ya disoyo ikukayikiridwa kapena ngati vuto la kachilombo ka herpes liyenera kufotokozedwa. Njira zotsatirazi zimagwiritsidwa ntchito kuti zipeze:
- zojambulajambula za cornea;
- mayeso;
- keratometry;
- malingaliro;
- pachymetry;
- kufufuza zowononga;
- polymasi chain;
- chithunzi;
- chisamaliro choyambitsa matenda osokoneza bongo;
- chiwerengero cha kupanikizika kwa m'mimba.
Kachilombo keratitis - mankhwala
Thandizo la matenda omwe akugwiritsidwa ntchito likudalira mawonekedwe ake. Mtundu waukulu wa matendawa umayambitsidwa ndi tizilombo toyambitsa matenda, motero m'pofunika kugwiritsa ntchito mankhwala osokoneza bongo. Matenda onsewa ndi osamva thupi. Kuyimitsa kumafuna njira yowonjezera ndi mphamvu yotsutsa yotupa.
Ndizovuta kwambiri kuchiza matenda ovuta a keratitis omwe amachititsa kuti diso - chithandizo muzochitika zoterechi chikhoza kuphatikizapo opaleshoni. Nthaŵi zambiri, opaleshoniyo imangokhala njira yowonongeka komanso yosavuta. Ndi kuwonongeka kwakukulu kwa cornea ndi kuphulika kochepa kwa matenda, kupyolera mwa kuika kumalimbikitsa.
Mankhwalawa ndi kachetake keratitis
Maziko a chithandizo cha matendawa ndi systemic ndi m'malo (madontho, mafuta onunkhira) ma immunomodulators ndi mankhwala ochepetsa kachilombo ka HIV:
- Acyclovir ;
- Trifluridine;
- Ganciclovir;
- Idoxiouridine;
- Reaferon;
- Zovirax;
- Interferon;
- Virolex ndi ena.
Mankhwala amtundu wa corticosteroid amalembedwa ngati zovuta zowopsya za keratitis zimapezeka - Combinil, Dexamethasone ndi zina. Kuwonjezera apo akulimbikitsidwa:
- mavitamini, makamaka gulu B;
- zotsutsa;
- chithunzi ;
- maantibayotiki;
- mankhwala osakanikirana ndi otsekemera;
- antihistamine mankhwala;
- mydriatica;
- mankhwala obwezeretsa.
Herpetic keratitis - mankhwala ndi mankhwala ochiritsira
Mankhwala odziimira okha, makamaka m'njira zina, ndi owopsa kwambiri, motero ophthalmologists amaletsa kugwiritsa ntchito mankhwala alionse ochiritsira. Kawirikawiri dokotala amalola mankhwala ena ochizira ngati othandizira, koma kokha ngati mosavuta pokhapokha kachetitis imapezeka. Kuponderezedwa kuyenera kuchitika poyang'aniridwa mosamala ndi dokotala komanso ndi chilolezo chake.
Njira ya mankhwala ya keratitis
Zosakaniza:
- m'munsi mwa masamba aloe (zaka zoposa zitatu) - 2 pcs;;
- Mayi - 1 mbewu kukula kwa mbewu ya tirigu;
- mafuta a buckthorn - 30-40 ml.
Kukonzekera, gwiritsani ntchito :
- Siyani chomeracho, chotsani ndikuyiika mufiriji kwa masiku 8, chisanadze chophimba pepala.
- Pambuyo panthawiyi, fanizani madzi kuchokera ku zowonjezera ndikusungunula.
- Madzi omwe amachokerawo amasakanikirana ndi mayi mumkaka wa galasi.
- Kwa miyezi iwiri kuti muwone maso ndi osakaniza - 1 dontho 1 nthawi patsiku.
- Kuchokera pa sabata la 9 la mankhwala, mugwiritseni ntchito madzi abwino a aloe.
- Pamaso pa ululu ndi photophobia, pikani mafuta a m'nyanja ya buckthorn m'maso (1 dontho pa ora lililonse).
Kubwereranso kwa kachetitis kake - mankhwala ochiritsira
Vuto lomwe limayambitsa matendawa ali m'thupi nthawi zonse, ndipo kuwonongeka kwa ntchito za chitetezo, zimatsegulidwa. Kachilombo ka kachetechete kawirikawiri ndi kovuta kuchitira, kotero simungathe kuzichita nokha. Kulimbana ndi matendawa kumachitika mu magawo awiri, omwe amapangidwa ndi ophthalmologist payekha pa wodwala aliyense malinga ndi kuuma kwa kutupa ndi kuya kwa khungu la cornea.
Chithandizo cha kachetechete kake pamene mukuchulukitsa chimaphatikizapo kugwiritsa ntchito mankhwala otsatirawa:
- mankhwala;
- maantibayotiki;
- mankhwala owongolera;
- makondomu (corticosteroids);
- kumalowetsa misozi yamadzimadzi.
Pa mankhwala onse, dokotala akhoza kusintha mankhwala kuti asatengere kachilombo ka mankhwala osokoneza bongo. Pambuyo pa miyezi itatu, njira yonseyo iyenera kubwerezedwa, ngakhale zizindikiro za keratitis zilibe. Izi ndizofunika kuti mutha kuyambiranso kubwereza. Mankhwala othandizira pogwiritsa ntchito mavitamini ndi misonzi yopangira mazira amaperekedwa kwa nthawi yaitali, osachepera 1 chaka.
Kodi keratitis yoopsa ndi iti?
Kuchulukitsa kowonjezereka ndi mankhwala osayenerera kumapangitsa kuti kutupa kwa matenda opatsirana ndi kuwonongeka kwa cornea kuwonjezeke. Chifukwa chokhala ndi ziwalo zochepa komanso zochepa, izi zimabweretsa mavuto aakulu omwe samakhudza ntchito za maso. Ngozi ndi yovuta, keratitis yozama, kereatitis yamtundu, zotsatira zake zomwe zingathe kusasinthika:
- kuchepa kwa masomphenya;
- mmero;
- mapangidwe a maculae ndi zilonda zofiira pa cornea;
- glaucoma.