Viral keratitis: Cov tsos mob thiab kev kho mob

Ophthalmological kab mob yuav luag ib txwm nqa hnyav thiab worrisome. Tom qab tag nrho, koj ob lub qhov muag - qhov no yog ib tug ntawm cov tseem ceeb tshaj plaws tsis totaub. Thiab lawv tsis ua hauj lwm yuav ua rau poob ntawm lub zeem muag. Ntawm tag nrho ophthalmic kab mob yog heev keratitis - o ntawm lub cornea. Lawv yuav tsum tau tshwm sim los ntawm txawv yog vim li cas thiab tsis muaj kho thaum ntxov ua rau loj teeb meem. Feem ntau tus kab mob keratitis, uas yog tshwm sim los ntawm ib tug kab mob. Tus kab mob feem ntau tshwm sim nyob rau hauv cov me nyuam thiab cov tub ntxhais hluas, ces nws yog ib qho tseem ceeb rau pib kho nyob rau hauv lub sij hawm mus cawm tus me nyuam tsis pom kev.

hom keratitis

Lub cornea yog lub qhov muag - yog nws pob tshab plhaub. Nws nyob rau lub xeev ntawm nrig txog kev pom pom tseeb tseeb. Yog li ntawd, txo nws transparency vim lub inflammatory txheej txheem nquag ua rau deterioration ntawm nrig txog kev pom xaav. Xws li ib tug mob yog txhais keratitis - kab mob rau lub cornea. Ntau zaus tshaj tsis lawv muaj kab xwm: yog tshwm sim los ntawm cov kab mob, kab mob, chlamydia, fungi los yog cab.

Feem ntau ntau puas keratitis, nyob rau o muaj vim mob ntawm corneal ntseeg. Los ntawm no nws yuav ua rau cov neeg kho tshuab kev puas tsuaj, raug tshuaj lom, kev kub muaj peevxwm. Thiab lub xeem daim ntawv ntawm keratitis yog tsis haum. Nws tshwm sim nyob rau hauv raws caij nyoog hay fever, txhaws ntswg, los yog raws li ib tug mob tshuaj hob conjunctivitis.

Txij li thaum feem ntau txhab yog kab xwm ntawm cov cornea, nws yog tsim nyog los paub qhov txawv ntawm tus kab mob los ntawm cov kab mob keratitis. Koj muaj peev xwm paub qhov txawv nruab nrab ntawm lawv los ntawm lawv cov tsos. Cov kab mob daim ntawv no yog tshwm sim los feem ntau cocci los yog Pseudomonas aeruginosa. Nws zoo nkaus li mas tom qab raug mob los yog nyob rau hauv mob Blepharoconjunctivitis. Nws cov yam ntxwv feature yog lub tsim ntawm qhov ncauj tawm lawm ua tus sau nrog kua paug.

Keratitis muaj peev xwm tsim raws li ib tug yam tab kaum rau cov neeg mob nrog tus kab mob ntsws, syphilis, thaum hnav hu lo ntsiab muag nws yuav ua xws li ib tug microorganism li Acanthamoeba. Ntawm qhov uas tsis yog-kis daim ntawv faib keratitis tshwm sim los ntawm metabolic teeb, xws li gout, los yog mob ntshav qab zib, los yog muaj raws li ib tug mob autoimmune kab mob xws li mob caj dab rheumatoid.

kab keratitis

Diam duab lub qhov muag, cuam tshuam los ntawm tus kab mob no, qhia tau hais tias thaum lub sij hawm nws zoo nkauj heev, tab sis qhov uas yuav muaj teeb meem yog high school. Qhov no daim ntawv ntawm keratitis tshwm sim los ntawm ib tug kab mob. Nws yog feem ntau tshwm sim nyob rau hauv cov kev kis kab mob. Viral keratitis muaj feem xyuam rau feem ntau cov me nyuam thiab cov tub ntxhais hluas, zoo li cov neeg uas muaj nws txo qis kev tiv thaiv.

Tus kab mob no ntog rau hauv cornea plav los yog hu rau-tsev neeg txoj kev. Nyob rau hauv cov me nyuam yaus, feem ntau thiaj paub hais tias thawj kab keratitis. Nws tshwm sim nyob rau hauv ib tug mob daim ntawv. Tab sis tus kab mob no yuav nyob twj ywm nyob rau hauv lub cev nyob rau hauv ib tug latent daim ntawv thiab yog tshuab txais nyob rau hauv tej yam tshwm sim. Nyob rau hauv cov ntaub ntawv no, tus mob no yog hu ua theem nrab keratitis. Qhov no daim ntawv muaj ib tug mob kawg thiab yog heev nyuaj yuav tsum tau kho.

Muaj ntau ntau yam ntaub ntawv ntawm tus kab mob keratitis: Spot, metagerpetichesky, tsob ntoo zoo li, vesicular, disc-zoo li tus, thiab lwm tus neeg.

• Tsob ntoo daim ntawv no yog dag keratitis. Nws yog tsiag ntawv los ntawm cov tsos ntawm me me npuas uas yog sab laug tom qab qhib lub cornea qauv nyob rau hauv tsob ntoo ceg.
• Metagerpetichesky keratitis - nws yog ib qho nyuaj rau defeat lub sib sib zog nqus khaubncaws sab nraud povtseg ntawm cov cornea. Tsim sib sib zog nqus infiltrates, feem ntau rau cov vasculature ntawm lub qhov muag.
• Discoid keratitis ua mob loj heev o. Ces muaj ib tug sib npaug infiltrate. Tej zaum daim ntawv no zaboleaniya cai corneal clouding thiab tsis pom tau qhov sib pom tseeb tseeb.

Common kis keratitis

Lub hardest hit tshwm sim feem ntau heev tshwm sim keratitis tshwm sim los ntawm herpes kab mob. Herpes yog hais txog ib tug neurotropic tus kab mob no filtering. Nws yog feem ntau noj raws li ib tug me nyuam vim muaj ib tug tsis muaj zog tiv thaiv kab mob. Nws yog tsis yooj yim sua rau kiag li kho tau herpes, nws tsis tseg yuav aggravated nyob rau hauv tus ntawm provoking yam. Thiab ib tug ntawm cov ntaub ntawv ntawm nws cov manifestation yog ib yam kab keratitis.

Lub herpes kab mob no yog ib tug heev heev, tab sis ib txhia ntawm lawv ua rau cov kab mob xws yam tab kaum uas feem ntau muaj keratitis. Nyob rau hauv tas li ntawd mus herpes simplex, chicken pox thiab yog hlwv.

Muaj ntau ntau yam ntaub ntawv ntawm tus kab mob: thawj keratitis tshwm sim thaum kab mob nrog rau cov herpes kab mob no. Qhov no feem ntau yog tshwm sim nyob rau hauv cov me nyuam yaus. Qhov thib ob daim ntawv - nws postpervichny keratitis, thaum "tsaug zog lawm" tus kab mob no yog tshuab txais nyob rau hauv tus ntawm provoking yam. Tsis tas li ntawd, herpetic keratitis tej zaum yuav nto thaum cuam tshuam tsuas yog tus txheej feem ntawm lub cornea, los yog sib sib zog nqus, thaum tus kab mob no penetrates tag nrho cov khaubncaws sab nraud povtseg ntawm lub qhov muag.

Nyob rau hauv tas li ntawd mus rau cov kab mob herpes keratitis yuav tshwm sim los ntawm adenovirus. Nws kuj muaj thaum tej chaw thaum yau mob raws li mob khaub thuas, SARS, mumps, qhua pias thiab rubella. Qhov loj tshaj plaws daim ntawv nws yog ib qho adenovirus epidemiological keratitis, uas yog kis los ntawm kev sib chwv. Ib tug feature ntawm tag nrho cov keratitis tshwm sim los ntawm adenoviruses, yog hais tias lawv feem ntau cuam tshuam rau ob lub qhov muag, tshwm sim nyob rau hauv ib tug mob daim ntawv no, tab sis lawv ploj tsis muaj ib tug kab tom qab rov qab tsis tas yuav ua ib tug txo nyob rau hauv nrig txog kev pom pom tseeb tseeb.

ua rau

Viral qhov muag keratitis muaj feem ntau nyob rau hauv lub ntsiab lus teb ntawm tus kab mob cov kab mob, thiab nyob rau hauv lub qhaj ntawv ntawm kev kho mob ntawm conjunctivitis. Corneal puas yuav tshwm sim raws li ib tug mob npaws, SARS, qhua pias, kab mob ua qog, qhua pias, rubella los yog herpes zoster. Tab sis nyob rau hauv kev txiav txim rau tus kab mob no tsis tau tsuas yog ntaus lub cornea, tab sis kuj tswm cia muaj, yuav ua mob, yuav tsum tau tej yam chiv keeb tuaj. Nws yuav ua tau:

• hypothermia;
• tsis tiv thaiv;
• nquag stressful lub sijhawm;
• txhua yam kev puas tsuaj rau lub cornea;
• beriberi;
• metabolic mob;
• qhuav qhov muag syndrome;
• hnav hu lo ntsiab muag.

Viral keratitis: Cov tsos mob

Soj ntsuam ces corneal txhab yog heev yam ntxwv thiab ntaus nqi mob tiag. Feem ntau tus kab mob keratitis cuam tshuam ib lub qhov muag. Txhua yam ntawm cov kab mob muaj xws li cov nram no:

• liab txheej membrane ntawm lub qhov muag;
• o muag daj;
• ob lub qhov muag sensitive mus rau lub teeb thiab kov;
• xav tias tus mob, tus neeg mob muaj kev ib tug xav hais tias yog nyob rau hauv lub qhov muag ntawm ib tug txawv teb chaws lub cev;
• cai tearing thiab qog ua kua paug;
• lub cornea yuav pos huab;
• rau nws saum npoo tshwm sim tshab npuas uas tom qab qhib poob qab tawm;
• nrig txog kev pom acuity txo.

mob ntawm tus kab mob no

Thaum thawj cov cim qhia ntawm corneal txhab yuav tsum tam sim ntawd sab laj ib tug kws kho mob. Lub ophthalmologist yuav kuaj nyob rau hauv lub hauv paus ntawm lwm yam tshwm sim, tab sis tseem yuav ntxiv txoj kev xeem. Ua ntej ntawm tag nrho cov, peb kawm nrig txog kev pom acuity thiab pom tau qhov sib qhov chaw ntawm lub ciam teb. Tas nqa keratometry thiab biomicroscopy txiav txim corneal rhiab heev. Fluorescein instillation tuav xeem, uas qhia tau hais tias ib thaj tsam ntawm lub cheeb tsam cov. Nyob rau hauv tas li ntawd, cov ntshav kuaj yog npaum li cas, uas yog kuaj cov tshuaj rau cov kab mob, raws li tau zoo raws li ib tug smear ntawm PCR nrog lub cornea.

Cov kev kho mob ntawm tus kab mob keratitis

Yog hais tias tej yam tshwm sim ntawm corneal raug mob yuav tsum hu rau ib tug kho mob. Tsuas yog ib tug kws kho mob yuav txiav txim seb cov tsos mob thiab kab mob keratitis, thiab cob rau qhov tsim nyog kho mob. Tej kab mob yog kho nyob rau hauv ib tug lub tsev kho mob. Therapy yuav tsum kev. Nws lub ntsiab hom phiaj yog: kev puas tsuaj ntawm tus kab mob no, ntxiv dag zog rau tus neeg mob lub cev thiab rov qab los ntawm corneal cov ntaub so ntswg.

Raws li ib tug antiviral txoj kev kho yog siv "Acyclovir" nyob rau hauv, poob "interferon", oxolinic tshuaj pleev los yog gel "Zirgan". Thov gamma globulin tshuaj. Yuav kom tshem tawm cov lub zos cov tsos mob: o, mob thiab o, taw "Analgin", "Indomethacin", "Atropine". Yuav tsum tau siv ntawm vitamin npaj thiab biogenic stimulants.

Zoo li lub cev txoj kev kho: electrophoresis, diathermy, diadynamic currents. Ulcers yog siv krioapplikatsii los yog laser photocoagulation.

Thaum ua hauj lwm ntawm conservative kev kho mob thiab nws kim heev txhab ntawm lub cornea tej zaum yuav pom zoo phais. Nws yog scraping lub cuam tshuam ntaub so ntswg, ces keratoplasty, thiab nyob rau hauv qhov loj tshaj plaws mob - corneal hloov.

kev tiv thaiv

Yog hais tias cov kev kho mob ntawm tus kab mob keratitis qhov muag yog tsis pib nyob rau hauv lub sij hawm, los yog tus neeg mob tsis ua raws li tus kws kho mob pom zoo, yuav ua nyob rau hauv loj heev teeb meem. Nyob rau hauv tas li ntawd mus kom txhob muaj cov heev ntawm, nws yuav ua tau dig muag, glaucoma, cataracts, rwj. Yog li ntawd nws yog tsim nyog los ua puas tsav puas yam los mus tiv thaiv cov kev loj hlob ntawm tus kab mob. Yuav kom tiv thaiv keratitis, yog tsim nyog yuav tsum tsis txhob raug mob rau lub qhov muag, saib xyuas ntawm lawv thiab tsis txhob kov nws nrog qias neeg txhais tes. Nyob rau hauv tas li ntawd, nws yog ib qho tseem ceeb heev lub sij hawm los kho tag nrho cov kab mob thiab ntxiv dag zog rau lub cev.