Conjunctivitis , omwe amadziwikanso ngati diso la pinki, imakhudza pafupifupi anthu mamiliyoni asanu ndi limodzi chaka chilichonse ku United States. Ndikofunika kumvetsetsa zifukwa zosiyanasiyana komanso zoopsa za conjunctivitis kuti mudziwe momwe mungasamalire bwino zizindikiro zanu komanso kupewa kutsekemera.
Zonsezi, conjunctivitis imagwera m'magulu awiri akuluakulu: opatsirana komanso osapatsirana.
Matenda a conjunctivitis amayamba chifukwa cha mabakiteriya, mavairasi, kapena bowa nthawi zina zomwe zimayambitsa matendawa zimaphatikizapo chifuwa, mankhwala osokoneza bongo, ndi matupi achilendo.
Zifukwa za Viral Conjunctivitis
Mavairasi amachititsa 80 peresenti ya matenda onse a conjunctivitis ndi 90 peresenti ya mavoti omwe amachititsidwa ndi adenovirus ndi asanu peresenti ndi kachilombo ka herpes simplex. Zizindikiro zofala kwambiri ndizofiira maso ndi madzi.
Mavairasi ena wamba ndi awa:
- Vuto la Coxsackie
- Enterovirus
- Epstein Barr HIV
- Vuto la Rubella
- Vuto la Rubeola (chikuku)
- Vuto la Herpes simplex
- Varicella-zoster (kachilombo ka nkhuku pox-shingles)
Chithandizo sikofunikira kwambiri kwa matendawa monga momwe amadziwira okha. Komabe, pali zosiyana ziwiri zomwe zimafuna kutumizidwa kwa ophthalmologist.
Matenda a Herpes
Sizingatheke kuti matenda a herpes monga herpes simplex ndi varicella-zoster amatha kupweteka kwambiri koma nthawi zina amachititsa zilonda zam'mimba kapena zilonda za cornea zomwe zingakhudze masomphenya anu.
Pali mayesero omwe wothandizira zaumoyo wanu angathe kuchita kuti apeze ngati muli ndi matenda a herpes.
Mliri keratoconjunctivitis
Njira imodzi yosawerengeka ya tizilombo toyambitsa matenda conjunctivitis, mliri keratoconjunctivitis (EKC) , imayambitsidwa ndi serotypes yeniyeni ya adenovirus. EKC imatulutsa zonse cornea ndi conjunctiva, zomwe zingabweretse kusintha kwa masomphenya anu.
Kuphatikiza pa madzi akumwa, mungamve ngati pali thupi lakunja m'diso lanu.
Zifukwa za Bacterial Conjunctivitis
Mabakiteriya amayambitsa conjunctivitis ndi ochepa kwambiri. Kutaya kwa mavokosi kumakhala kwakukulu komanso kosafunika kusiyana ndi madzi omwe nthawi zambiri amawoneka ndi matendawa. Bakiteriya conjunctivitis ayenera kuchiritsidwa ndi ma antibayotiki oyenerera ngati angathe kuthetsa kufalikira kwa matenda.
Zomwe Zimayambitsa
- Staphylococcus aureus
- Streptococcus pneumoniae
- Haemophilus influenzae
- Moraxella catarrhalis
S. aureus ndi mabakiteriya ambiri omwe amapezeka mwa akuluakulu pamene ana amakhala odwala kachilombo ka HIV. Nthaŵi zambiri mabakiteriyawa amachiritsidwa mosavuta.
Chimodzi chokha ndi S. aureus (MRSA) yosagonjetsedwa ndi methicillin . Matenda a MRSA adzafuna kufunsa odwala ndi mankhwala ndi mankhwala enaake.
Zifukwa Zambiri
Pali mabakiteriya awiri opatsa mabakiteriya omwe amachititsa chidwi kwambiri. Ngakhale kuti si zachilendo, akhoza kuonjezera chiopsezo chotayika. Kuwunika kwa ophthalmology akulangizidwa.
Chlamydia trachomatis ndi Neisseria gonorrhoeae ndi mabakiteriya omwe amayambitsa matenda opatsirana pogonana omwe mumadziŵa kwambiri monga chlamydia ndi gonorrhea.
Ngakhale kuti nthawi zambiri sitikuganiza za matendawa monga kulowa mmaso, zimachitika. Mwachitsanzo, wina akhoza kuthyola maso awo atakhudza madzi amadzimadzi kapena chinsinsi.
Anthu omwe ali pachiopsezo chachikulu cha matendawa ndi ana obadwa kumene . Ngati amayi ali ndi kachilomboka nthawi yobereka, mabakiteriya amatuluka ngati mwana atuluka mumtsinje. Chifukwa chlamydia ndi gonorrhea sizimayambitsa zizindikiro nthawi zonse, mayi akhoza kapena sakudziwa kuti ali ndi kachilomboka. Ndi chifukwa chake kuti muyezo wa chisamaliro pa kubereka ndikochitira ana onse obadwa kumene ndi mafuta oletsa antibiotic.
Allergic Conjunctivitis
Anthu omwe ali ndi matenda a mphepo, mphumu, ndi eczema ali pangozi yowonjezereka yowonjezera conjunctivitis .
Chimene chimasiyanitsa mgwirizano wa conjunctivitis ku mitundu yofalitsa ndi kuyabwa. Monga viral conjunctivitis, kutuluka kwa thupi kumakhala ngati madzi.
Mafupa am'nyengo ya nyengo amatha 90 peresenti ya zovuta zonse zotenga conjunctivitis. Matenda otsala angayambidwe ndi zozizwitsa zina zomwe zimawopsa kapena matenda oopsa. Nthawi zambiri, kutukuka komwe kumayambitsa matendawa kumayambira ku cornea, zomwe zimachititsa kuti atopic keratoconjunctivitis (AKC) . Mofanana ndi keratitis iliyonse, pali chiopsezo chowonjezereka cha kuwona kwa masomphenya ngati AKC sichitsatiridwa.
Zowonjezera Zina
Mitundu ina ya conjunctivitis nthawi zambiri imakhala yaifupi ndipo ikhoza kuyambitsidwa ndi zotsatirazi.
Zochitika Zachilengedwe
Ngati mankhwala alowa m'diso lanu, akhoza kukhumudwitsa ndi kuphulika. Madzi a chitsulo chokhala ndi chlorinated ndi chitsanzo chofala.
N'kuthekanso kuti mankhwala owopsa amatha kulowa m'diso lako. Mothi wothirira angachotse wolakwirayo koma ukhozanso kuyambitsa kupukuta maso. Kufiira pambuyo pa ulimi wothirira kumakhala bwino mkati mwa tsiku.
Mabungwe Achilendo
Thupi lachilendo m'diso, ngakhale khosi, lingayambitse kupukutika kwa maso ndi kutupa kwa tsiku limodzi itachotsedwa. Mothi wothirira kuchotsa thupi lawo lachilendo akhoza kuwonjezera kukhumudwa.
Zambiri zokhudzana ndi pamene thupi lachilendo likuwonetsetsa zachilengedwe. Apa ndi pamene chimphona chachikulu chotchedwa papillary conjunctivitis (GPC) chimayamba. GPC imachitika pamene khungu lakale limagwedeza mobwerezabwereza ku thupi linalake ngati lensera kapena kupaleshoni yopaleshoni. Chitetezo cha mthupi chimayambitsa zomwe zimayambitsa kutupa kwanuko.
Osati kokha anthu omwe ali ndi GPC amakhala ndi madzi owoneka bwino, nthawi zambiri amafotokoza kutengeka mtima. Chikopacho chimafalikira ndipo chimapanga zochepa zazing'ono m'munsi mwa chikopa chomwe chimathandiza kukhazikitsa matenda.
GPC imatha kuchitika ngati zinyalala zasonkhanitsa pa lens yanu yothandizira. Nthawi zambiri zimagwiritsidwa ntchito powerenga makina opangisa kwambiri kusiyana ndi ovuta. Komabe, si zachilendo, kumakhudza mmodzi yekha pa asanu peresenti ya ogwiritsira ntchito ochepa.
Zochitika Zamoyo
Simungathe kulamulira ngati wina pafupi ndi inu atenga conjunctivitis koma mutha kuchita zochepetsera zoopsa zanu.
Lenses Lumikizanani
Kuvala makalenseni amatha kuwonjezera chiopsezo chanu cha conjunctivitis m'njira zingapo. Njira yothetsera vutoli yothetsera vutoli imatha kutenga kachilombo ka bakiteriya kapena yankho lokha lingakhale lopweteketsa maso. Lens yolumikiza yokha silingakwanike bwino kapena kuika kungamange pa lenses pambuyo pa nthawi yayitali kapena ntchito yosamba.
Ngati mumagwiritsa ntchito makalenseni, onetsetsani kuti mumawayeretsa bwino ndikuwona dokotala wamaso ngati simukugwiritsanso ntchito.
Maso Ouma
Anthu omwe ali ndi matenda owuma amatha kukhala ndi diso la pinki. Mungaganizire pogwiritsa ntchito madontho a diso kapena kuyesa dokotala ndi diso kuti muwone ngati mankhwala ena amasonyeza.
Ukhondo
Kusayera kosavuta kumapangitsa kuti mutha kufalitsa matenda kuchokera ku diso limodzi kupita ku lina kapena mukhoza kufalitsa kuchokera kwa munthu mmodzi. Kusamba m'manja nthawi zonse ndikofunika. Pewani kugwirana kapena kupukuta maso anu ndi kugawana chirichonse chomwe chingagwirizane ndi maso anu, mwachitsanzo, makalenseni, mawonekedwe a maso, magalasi, maso, kapena tilu.
> Zotsatira:
> Azari AA, Barney NP. Conjunctivitis: Kusanthula Mwachidziwitso kwa Kusanthula ndi Chithandizo. JAMA. 2013 Oct 23; 310 (16): 1721-1729. lembani: 10.1001 / jama.2013.280318.
> Conjunctivitis (Diso Loyera). Maofesi a Kuletsa ndi Kuteteza Matenda. https://www.cdc.gov/conjunctivitis/clinical.html. Idasinthidwa pa October 16, 2017.
> Jacobs DS. Conjunctivitis. Mu: Sullivan DJ (Ed), UpToDate (Internet) , Waltham, MA. Idasinthidwa February 2018.
> O'Callaghan RJ. Tizilombo toyambitsa matenda a Staphylococcus aureus. Tizilombo toyambitsa matenda. 2018 Jan 10; 7 (1). pii: E9. do: 10.3390 / tizilombo toyambitsa matenda7010009.
> Suchecki JK, Donshik P, Ehlers WH. Mavuto a Lens Contact. Kliniki ya Ophthalmol ya Kumpoto Am. 2003 Sep 01, 16 (3): 471-484. lembani: 10.1016 / S0896-1549 (03) 00056-7.