Conjunctivitis, yomwe imadziwikanso kuti diso la pinki, ndiko kutupa kapena matenda a conjunctiva, nembanemba yowonekera yomwe imaphimba mbali yoyera ya diso ndi maso a mkati. Mitundu ina (mabakiteriya, mavairasi) ndi opatsirana kwambiri. Zina zimayambitsidwa ndi zovuta kapena zowonongeka ndi mankhwala owopsa. Zizindikiro zingakhale zolimbika ndipo zimaphatikizapo kufiira, kuyabwa, kuvundula, kukhuta, ndi zina zambiri.
Popeza pali zifukwa zambiri zosiyana siyana za conjunctivitis, ndikofunika kuwona dokotala kuti adziwe mankhwala oyenera, omwe angaphatikizepo madontho a maso, mankhwala a pamlomo, mafuta odzola, kapena chilichonse koma chitonthozo.
Zizindikiro
Zizindikiro za diso la pinki zimayambitsa pamene chitetezo cha mthupi chimayankha matenda kapena kukwiya ndi kutupa . Izi zimaphatikizapo kutengeka kwa mitsempha ya mthupi kuti maselo akuluakulu apachilombo apite ku malo a chovulala. Ngati pali matenda, kusungunuka kwa maselo oyera a manda akufa ndi mabakiteriya (kapena mavairasi) angapangitse kupanga mapulaneti.
Anthu omwe ali ndi conjunctivitis akhoza kukhala ndi zizindikiro zina zotsatirazi kapena zina, malingana ndi mtundu womwe ali nawo:
- Kutuluka kwa pinki kamodzi kapena maso onse
- Chikondi cha diso lakukhudzidwa
- Maso owopsa kapena oyaka
- Kudula kwambiri
- Kutupa maso a maso
- Masomphenya obisika
- Kuwonjezeka kwowonjezera kuwala
- Kutuluka kwa diso komwe kungapangitse kutumphuka usiku
Zimayambitsa
Diso la pinki ndilofala kwambiri ndi zifukwa zambiri zotheka. Zitha kuphwanyidwa mu mitundu itatu yayikulu: matenda opatsirana conjunctivitis, odwala conjunctivitis, ndi mankhwala conjunctivitis.
Infectious conjunctivitis: Mavairasi kapena mabakiteriya akutsatira izi. Mtundu wambiri wa tizilombo, womwe umakhala wofalikira kwambiri, ndi mliri keratoconjunctivitis (EKC) -mene anthu ambiri akukamba pamene akutchula diso la pinki.
Mabakiteriya monga Staphollococcus ndi Streptococcus, omwe amatha kupatsirana pogwira maso anu ndi manja osayera kapena kugawana maso, nthawi zambiri amakhala okhudzana ndi matenda opatsirana pogonana. Mtundu woopsa ( ophthalmia neonatorum ) ukhozanso kugwiridwa ndi makanda pamene akudutsa mumtsinje wobadwa.
Allergic conjunctivitis: Njira iliyonse yowonongeka ikhoza kuyambitsa conjunctivitis, kuphatikizapo chiwopsezo cha nyengo, chifuwa cha zakudya , kapena matenda otsekemera a m'maso (kawirikawiri amachitidwa ndi kupukuta kwa maso). Mtundu umodzi wapadera, wotchedwa giant papillary conjunctivitis (GPC) , umayamba chifukwa cha kukhalapo kwa thupi lakunja m'diso, monga ma lens.
Mankhwala a conjunctivitis: Amadziwika kuti poizoni conjunctivitis, izi zingayambitsidwe ndi zinthu zilizonse zomwe zimakwiyitsa kapena kuvulaza diso, monga utsi, utsi, chiwonongeko cha asidi, kapena mathithi oposa chlorinated.
Kudziwa
Ngati muli ndi diso la pinki, adokotala adzafuna kudziwa ngati chiwopsezocho chimawopsa, chowopsa, kapena chakupha. Kuti achite zimenezi, iye akufuna kuwona ngati:
- Mmodzi kapena onse awiri akukhudza (monga matenda nthawi zambiri amakhudza diso limodzi)
- Pali kuwonongeka kooneka (komwe kumasonyezanso kuti ndi matenda)
- Kutuluka kwa magazi ndi kofiira kapena kochepa (monga izi zingathandize kusiyanitsa kachilombo ka HIV kapena matenda a bakiteriya)
- Pali magazi m'maso (wamba ndi matenda opatsirana)
- Pali zilonda zam'mimba zotupa (chizindikiro chodziwika cha matenda)
- Pali zizindikiro zowononga (monga ming'oma kapena togic rhinitis)
Malingana ndi mtundu wa zizindikiro ndi zoopsa, dokotala wanu angafune kuyesa magazi kapena zikhalidwe kuti azindikire zomwe zimayambitsa matenda, ngati alipo. Mayesero ena angaphatikizepo kufufuza mofulumira kwa adenovirus kuti atsimikizire EKC kapena utoto wa diso la fluorescein kuyang'ana abrasions kapena umboni wa chilonda kapena zilonda (monga momwe zingachitikire ndi kachilombo ka herpes simplex ).
Chithandizo
Chithandizo cha diso la pinki chimadalira chifukwa choyambitsa.
Nthawi zina, zizindikiro zimatha kuthetsa paokha. Nthawi zina, angafunike madontho a m'maso kapena mankhwala ochiritsira kuti athe kuchiza matenda opatsirana.
Zina mwa njira zothandizira:
- Bacterial conjunctivitis: Milandu yosavuta nthawi zambiri imatha kuchiritsidwa ndi madontho a maso a antibiotic kapena mafuta opangira mavitamini. Nthawi zina, mankhwala ophera tizilombo amatha kuperekedwa. Zizindikiro zimatha kuthetsa masiku atatu kapena anayi. Matenda ambiri ophthalmia neonatorum amapewa lero chifukwa cha kachitidwe kowonjezera ma antibayotiki m'maso mwa ana atangobereka.
- Viral conjunctivitis: Monga momwe ziliri ndi matenda ambiri a tizilombo, kuphatikizapo chimfine, matendawa amafunikira kuyendetsa. Izi zikhoza kutenga paliponse kuchokera masabata awiri kapena atatu. Ngati pali ululu waukulu kapena zovuta, madontho a maso a steroid angagwiritsidwe ntchito popereka mpumulo. Mankhwala osokoneza bongo amatha kuperekedwa nthawi zina.
- Allergic conjunctivitis: Kuchotsa matendawa ndi mankhwala abwino kwambiri. Pankhani ya giant papillary conjunctivitis, izi zingaphatikizepo kuchotsa makalenseni anu kwa milungu iwiri kapena itatu ndikusintha kuchokera ku lenses lolimba kupita ku zofewa. Kuzizira kozizira, misonzi yopangira, komanso mankhwala osakanikirana ndi mankhwala osakanikirana angathandize kuchepetsa ululu ndi kusokonezeka. Antihistamines ndi / kapena madontho a m'maso otchedwa steroid angaperekedwe.
- Mankhwala a conjunctivitis: Chithandizo chimaphatikizapo kuthamanga maso ndi madzi kapena kusamba kwa saline. Mavuto aakulu angafunike tizilombo toyambitsa matenda. Kuvulala kwakukulu kwa mankhwala, makamaka kuphulika kwa alkali, amaonedwa kuti ndi ochiza matenda ndipo amachiritsidwa mofanana ndi kuvulazidwa kotentha .
Mawu Ochokera
Ngati mwana wanu atapezeka kuti ali ndi matenda opatsirana pogonana, ndi bwino kumuletsa mwana kusukulu mpaka zizindikiro zatsimikizika. Yesetsani kupeŵa kufala kwa kachilombo kwa anthu ena a m'banja mwa kulimbikitsa kusamba m'manja, kukhumudwitsa maso, ndikupewa kugawa zinthu.
Njira zochitetezera zomwezo zimagwiranso ntchito ngati muli ndi kachilombo ka HIV. Kuonjezera apo, ngati matenda anu ali ndi bakiteriya, musamabwerere kuntchito mpaka mutakhala ndi mankhwala osachepera 24 ndi mankhwala opatsirana. Ngati vutoli liri ndi kachilombo, mungafunikire kufuula kapena kugwira ntchito kuchokera kunyumba mpaka zizindikiro zitatsimikiziridwa.
Ngati mutabwerera kuntchito mwamsanga, yesetsani kuti musakhudze diso lanu, popeza izi zingathe kusinthitsa kutaya kwa makibodi, zitseko, ndi zinthu zina zomwe anzanu angakhudze. Peŵani kuvala chigamba cha diso, chifukwa izi zingalimbikitse kukula kwa bakiteriya. M'malo mwake, bweretsani mankhwala osokoneza bongo kuti asamangidwe komanso musagwirane chanza ndi anzanu kapena makasitomala.
Conjunctivitis kawirikawiri ndi kachilombo koyang'anitsitsa maso, koma ikhoza kukhala vuto lalikulu ngati sichikuchitidwa. Ngakhale kuti mitundu yambiri ya pinki imatha kuchiritsidwa ndi dokotala kapena adokotala, matenda aakulu (kapena omwe sakulephera kuchitapo kanthu) ayenera kuwonedwa ndi ophthalmologist .
> Zotsatira:
> Zolinga za Kuletsa ndi Kuteteza Matenda. Conjunctivitis (Diso Loyera). Atlanta, Georgia; zasinthidwa pa October 2, 2017.
> Goodman, D .; Rogers, J ;; ndi Livingston, E. Conjunctivitis. JAMA. 2013; 309 (20): 2176. DOI: 10.1001 / jama.2013.4432.
> Jefferis, J ;; Perera, R .; Everitt, H ;; et al. Kachilombo koyambitsa matenda conjunctivitis kuchipatala chachikulu: Ndani amafunikira mankhwala opha tizilombo? Kusanthula meta ya deta ya munthu wodwala. Brite J Gen Prac. 2011; 61 (590), e542-e548. DOI: 10.3399 / bjgp11X593811.
> Keen, M. ndi Thompson, M. Chithandizo cha Acute Conjunctivitis ku United States ndi Umboni Wokhudza Kugwiritsa Ntchito Mankhwala Osokoneza Matenda: Kodi Pali Vuto Lokhalitsa Pakati Kapena Matenda Okhazikika? Ophthalmology. 2017; 124 (8): 1096-1098. DOI: 10.1016 / j.oph.201.2015.05.029.