Mphepete mwa Diso
Herpes zoster ophthalmicus (HZO) ndi matenda aakulu, owopsyeza masomphenya omwe amakhudza maso ndi khungu lozungulira diso. HZO imayambanso kubwezeretsa varicella-zoster virus, kachilombo komwe kamayambitsa nkhuku kwa ana. Pambuyo pa kachilomboka, kachilomboka kamakhalabe kosalala m'mitsempha ndipo imatha kubwezeretsanso, zomwe zimachititsa kuti anthu omwe ali ndi ziwalo zolimbitsa thupi azifooka.
HZO imayambitsidwa pamene kachilombo kamatulutsidwa m'mitsempha yomwe imapereka malo a diso.
The varicella-zoster virus sichiyenera kusokonezeka ndi herpes simplex 1, kachilombo kena kamene kakayambitsa maso ake. Herpes simplex 1 ndi kachilombo komwe kamayambitsa zilonda zam'mimba pamilomo ndi pakamwa. Nthawi zina zimayambitsa matenda a cornea otchedwa herpes simplex keratitis.
Zizindikiro
Ngati muli ndi HZO, mumakhala ndi mphuno kumbali kapena nkhope yanu yomwe ikuwoneka ngati nkhuku. Gulu la mabulterti ang'onoang'ono angapangidwe pafupi ndi maso anu. Mpaka sabata imodzi isanakwane, mukhoza kumva kudwala, kutopa, komanso mwina kutentha thupi kwambiri. Nthawi zina, mumamva ululu m'madera okhudzidwa masiku angapo musanawonekere.
Ngati diso lanu limakhala ndi HIV, zizindikiro zotsatirazi zingakhale:
- Ululu waukulu mkati ndi kuzungulira diso
- Diso lofiira
- Kutupa kwa chikopa
- Kuzindikira kuwala
Zimayambitsa
HZO imayambitsidwa ndi tizilombo toyambitsa matenda omwe amachititsa nkhuku ndi nkhwangwa.
Anthu omwe ali ndi nkhuku kapena atapezeka ku kachilombo ka nkhuku akhoza kukhala ndi HZO.
Kwa anthu 25% omwe ali ndi herpes zoster adzakhazikitsa HZO. Palibe njira yothetsera vutoli, koma zimakhala zochitika kawirikawiri kwa anthu achikulire ndi omwe ali ndi chitetezo cha m'thupi. Kuchita masewera olimbitsa thupi, kuchepetsa kupanikizika kwa thupi ndi kukhala ndi chitetezo chabwino cha chitetezo cha m'thupi kungachepetse mwayi wanu wokhudzidwa.
Kudziwa
Ngakhale pali mayeso ena azachipatala omwe angachitidwe kuti atsimikizire chikhalidwechi, madokotala ambiri angathe kudziwa HZO malinga ndi maonekedwe ndi zizindikiro. Pamene matenda opatsirana msanga angakhale ovuta kwambiri, kamodzi kamene kamatuluka mthupi, nthawi zambiri matendawa amamveka bwino chifukwa cha kuphulika kumeneku kumayang'ana pakati pa thupi, kumbali imodzi yokha.
Chizindikiro chimodzi choyambirira ndi chodziwika cha nkhani yotsatira ya HZO ndi chizindikiro cha Hutchinson. Chizindikiro cha Hutchinson chimatanthawuza chithunzithunzi kapena chotupa chomwe chimaphulika pamphuno pa mphuno.
Chithandizo
Ngati mukuzindikira zizindikiro, onetsetsani kuti mupite kuchipatala ndikupeza kuti mwamsanga. Ngati mwapezeka ndi HZO, dokotala wanu amapereka mankhwala oletsa tizilombo toyambitsa matenda pofuna kuchepetsa kupatsirana kwa kachilombo ka HIV, ndi kuchepetsa ululu ndi zizindikiro zomwe zikuchitika. Dontho la diso la steroid lingathenso kulamulidwa kuti lichepetse kutupa. Mudzauzidwanso kuti malo okhudzidwawo azitsuka komanso kuti asatuluke zilonda kuti asatenge kachilombo kapena matenda a bakiteriya.
Kuti muchepetse kupweteka, mungaphunzitsidwe kugwiritsa ntchito malo ozizira kumadera okhudzidwa. Nthawi zina mankhwala owonjezera amathandizira ululu. Si zachilendo kuti HZO aziloledwa kuchipatala.
Zotsatira:
Gupta, Deepak. "Herpes Zoster (Shingles) Kubwezeretsanso kwa Varicella-zoster Virus." Malamulo Otsogolera, December 2006.
Sowka, Joseph W, Andrew S Gurwood ndi Alan G Kabat. "The Handbook of Ocular Disease Management," yonjezerani kuti muyambe kukambirana za Optometry. April 2010.