Wodwala Wachilombo Wachilombo
Mliri Keratoconjunctivitis (EKC) ndi matenda opatsirana maso, omwe amatchedwa kuti viral conjunctivitis. EKC ndi kutupa kwa cornea ndi conjunctiva. (Mu diso la pinki kapena conjunctivitis, conjunctiva yokha ndi yotentha.) Ndi yopatsirana kwambiri ndipo ikhoza kukhalapo kwa mwezi wonse. EKC amapezeka makamaka m'madera oyanjana ndi anthu, monga masukulu, zipatala, ndi malo ofesi.
Chifukwa cha Mliri Keratoconjunctivitis
EKC imayambitsidwa ndi kachilombo kotchedwa adenovirus. Adenovirus imayambitsanso mavuto monga pharyngoconjunctival fever . Ngakhale kuti kafukufuku wina amasonyeza kuti amatha kupatsirana ndi madontho a mpweya ndi mabedi osambira, njira yomwe imawonekera kwambiri ndikumagwirizana ndi misonzi kapena madzi ena omwe ali ndi maso. Madokotala owona ali ophunzira kwambiri za EKC chifukwa, mwatsoka, ofesi ya dokotala wa diso ingakhale malo amodzi omwe angakumane nawo ndi adenovirus. Kuphulika kwambiri kungayambidwe kumbuyo kwa zida zojambulidwa zosawonongeka.
Zizindikiro
Anthu omwe ali ndi EKC nthawi zambiri amadandaula chifukwa cha kupweteka kwa maso, kukhumudwa, kukhumudwa, kuzindikirika komanso kupweteka kwambiri. Anthu ena omwe ali ndi kachilomboka amanena kuti amamva ngati mchenga kapena thupi lachilendo lili m'diso. Zonse ndi maso a khungu zimatha kutupa, zofiira komanso zokwiya. Matenda a tizilombo nthawi zambiri amakhala ndi diso limodzi choyamba, kenaka amatha kuwona diso lina.
Anthu omwe ali ndi EKC ayenera kuti sanawonetsere masomphenya kwa masiku angapo. Zizindikiro zimakhala pafupifupi milungu iwiri.
Kuzindikira Mliri Keratoconjunctivitis
Madokotala amadziŵa EKC mwa kumvetsera mwatcheru madandaulo a wodwalayo ndi mbiri ya thanzi la maso. Matendawa amavomerezedwa ndi madotolo a maso - wodwalayo nthawi zambiri amadandaula za zizindikiro zowonjezera ndipo patapita masiku angapo amayamba kukhala ndi vutoli.
Chiwombankhanga chimalowa mkati mwawoneka ngati malo oyera pa cornea omwe amachepetsa nthawi. Anthu ena amakhalanso ndi ma lymph nodevu patsogolo pa makutu. Madokotala amagwiritsa ntchito microscope yotchedwa nyali yowonongeka kuti ayambe kutsogolo kwa diso. Nthawi zina odwala amakhala ndi ntchentche yomwe imatchedwa pseudomembrane pamatenda omwe ali pansi pa khungu lakuya pa conjunctiva. Ngakhale kuti nthawi zambiri matendawa amapezeka mwa kufufuza wodwalayo, madokotala tsopano ali ndi mayeso atsopano omwe amachititsa kuti adenovirus azindikire bwinobwino. Mayesowa amatchedwa RPS Adeno Detector ndipo akhoza kupereka zotsatira zolondola zogonana m'maminiti 10. Ichi ndi chitukuko chofunikira pa chisamaliro cha maso chifukwa maantibayotiki, omwe sagwiritse ntchito kuchiritsa EKC, nthawi zambiri amalephera kutero chifukwa cha vutoli.
Kuchiza kwa Mliri Keratoconjunctivitis
Popeza mankhwala oletsa tizilombo toyambitsa matenda sagwiritsidwa ntchito mochizira EKC, chithandizo chimayang'ana kuthetsa zizindikiro zosayenera. M'madera ochepa, madokotala amapereka makina ozizira, misozi yambiri , ndi vasoconstrictors. Pa milandu yovuta kwambiri, madontho a maso a steroid amalembedwa ndipo amatha kupitirira masabata awiri kapena 4 kapena kupitirira. Ngati pseudomembranes ikukula, madokotala akhoza kuwachotsa malingana ndi kuuma.
Madokotala ena amaona kuti kuchepetsa kuchuluka kwa kachilombo kamene kali pamaso nthawi yomweyo kudzafupikitsa kwambiri matendawo ndikupangitsa wodwala kumva bwino kwambiri. Betadine, (povidone-iodine) mankhwala ophera tizilombo toyambitsa matenda omwe amagwiritsidwa ntchito ndi madokotala ndi zipatala kuti azidyera gawo la thupi lisanachitike, amagwiritsidwa ntchito pazinthu izi. Komabe, ntchitoyo iyenera kuchitidwa mosamala kwambiri momwe ingathetsere ma tiso a maso. Kampani inayake yotchedwa Foresight Biotherapeutics ikukulitsa mankhwala okonzekera malonda omwe ali ndi 0,4% ya povidone-iodine ndi dexamethasone, steroid yopatsa EKC.v Makampani a zinyama akufufuzanso za mankhwala a EKC ndi cidofovir, mankhwala osokoneza bongo.
Kafukufuku wothandizira EKC akupitirira.
Mawu Ochokera
Mliri wa keratoconjunctivitis (EKC) ndi matenda opatsirana kwambiri a mbali ya kutsogolo kwa diso. Matenda owopsa akhoza kufalikira mosavuta mwakumana ndi misonzi kapena kutuluka m'maso mwa munthu wodwala matenda. Munthu akhoza kutenga kachilomboko pogwira malo owonongeka kapena chinthu ndi nkhuku kukhudza maso awo. Zizindikiro zingakhale zodetsa nkhawa, kuphatikizapo kufiira, kuyabwa, kukwiyitsa ndi kuvuta koma nthawi zambiri kumathetsa pakatha masabata awiri. Ngati mukukula EKC, ndikofunika kuti mukhale aukhondo (kusamba m'manja nthawi zambiri) kuti mutha kufalitsa matendawa kwa anthu ena.
Chitsime:
EyeWiki, "Mliri Keratoconunctivitis. American Academy of Ophthalmology, 27 April 2016.