Zonse Zonse Zili Zozizwitsa

Kwa ife omwe tikudwala, kupweteka kwa maso kungakhale kovuta kwambiri. Sikuti kokha kupweteka kwa maso kumatitengera ife misala, kungakhalenso kofooketsa kwa ena. Kwa anthu ena, kupweteka kwa mthupi kumakhala koopsa kwambiri kwa masomphenya. Nthendayi imakhala ndi diso nthawi zambiri, chifukwa ngati mphuno, diso limakhala ndi mitsempha yomwe imatha kuwonekera m'mlengalenga komanso zomwe zingayambitse matenda.

Zizindikiro za Maso Amaso

Pamene tiganizira za kupweteka kwa maso timayamba kuganiza zachabechabe, maso okhumudwa. Komabe, malingana ndi mtundu wa matenda, zizindikiro zina zingakhalensopo. M'maganizo, kupweteka kwa maso kwambiri kumatchulidwa kuti "kuthamangitsidwa conjunctivitis." Chojambulidwa ndi memphane yomwe imayang'ana diso ndi kuyang'ana maso a mkati. Pali mitundu inayi yoyamba yothetsera conjunctivitis ndipo aliyense ali ndi zizindikiro zosiyana.

  1. Zosatha komanso Nyengo Zowonongeka Conjunctivitis - Kukhalitsa kosatha ndi nyengo ndi njira yofala kwambiri ya maso. Mafupa am'nyengo (SAC) amachitika nthawi zina za chaka pamene mpweya uli pamwamba pa mungu kapena nkhungu. Anthu amene amadwala matendawa ndi osavuta kuona pamene akukuta maso awo mwamphamvu ndipo maso awo amawoneka kutupa. Mazira osatha a conjunctivitis (PAC) amayamba kuchitika chaka chonse. Madokotala amadziwa odwala awa chifukwa amakhala ndi mdima m'maso mwao, omwe amatchedwa osowa. Chomwe chimakhudza maso nthawi zambiri chimakhudza mphuno, kotero anthu omwe amadwala matendawa amakhalanso ndi mphuno, minofu yamphongo komanso amatha kupepuka kwambiri. Mitundu iyi ya chifuwa nthawi zambiri imayambitsidwa ndi nkhungu, fumbi lamtundu, pet dander kapena zina zotere zomwe zimapezeka pakhomo. Anthu okhala ndi mtundu uwu wa chifuwa amadandaula chifukwa cha kuyabwa, kutsekemera kwa maso, kufiira, kutayirira, kuyera kapena madzi omveka bwino, ndi kuwotcha.
  1. Vernal keratoconjunctivitis (VKC) - Vernal keratoconjunctivitis iyenso imachitika chaka chonse. Mitundu imeneyi imatha kukhudza cornea, yomangidwa ngati dome yomwe ili kumbali ya kutsogolo kwa diso, komanso ma membranes mu conjunctiva. VKC imapezeka makamaka mwa anyamata ndi anyamata nthawi zambiri pakati pa zaka 7 mpaka 21. Zimakhala zofala m'madera otentha a dziko ndipo zingakhale zovuta kwambiri. Anthu omwe amavutika ndi vernal keratoconjunctivitis amakhalanso ndi mphumu ndi khungu, monga chizungu. Zizindikiro zingakhale monga kuyabwa, kuvulaza, kuphulika, kutayika koyera, Ptosis (chikhalidwe chomwe chikopa chachikulu chikhoza kugwera pansi kuposa chizoloŵezi), mabotolo a cobblestone pansi pa chikopa chotchedwa papillae, ndi kutulutsa kuwala. VKC ikhoza kuyambitsanso njira yapadera yotchedwa Horner-Trantas Dots, yomwe ili pangТono kakang'ono ka maselo opweteka pambali pa nthambi, minofu yomwe ili pamphepete mwa cornea. Monga tanenera kale, VKC ingasokonezenso cornea. Chinthu chimodzi chofunika kwambiri kwa anthu omwe ali ndi VKC ndi chitukuko cha zilonda zam'mimba pa cornea. Thupi limayamba kuteteza zilonda zam'mimba pogwiritsa ntchito makoswe omwe amapezeka pansi pa chikopa komanso kuchokera ku chitetezo cha mthupi. VKC ikhoza kuika munthu pangozi yotaya masomphenya ngati sakuchiritsidwa bwino.

  1. Atopic keratoconjunctivitis (AKC) - Mankhwala a keratoconjunctivitis ndi oopsa kwambiri omwe angaphatikizepo khungu la maso komanso makina a mkati. AKC kawirikawiri imakhudza achinyamata, kuyambira kumayambiriro kwa zaka makumi khumi ndi makumi awiri, ndipo akhoza kupitiriza kwa zaka zambiri. Ambiri a anthu omwe ali ndi AKC ali ndi dermatitis ya atopic , aergic rhinitis ndi / kapena asthma . AKC yoopsa ingayambitse mavuto ena monga kuphweteka, matenda a maso ndi khungu. Zizindikiro za AKC zimaphatikizapo kuyabwa kwakukulu, kutulutsa kuwala, kuthamanga, kukhudzidwa kwa khungu, maso a khungu pamaso, ndi papillae yaikulu (maphuphu omwe ali pansi pa maso). AKC ingasokonezenso cornea. Anthu omwe ali ndi AKC akhoza kupanga mitsempha yatsopano ya magazi mu cornea. Ndiponso, magulu ang'onoang'ono a maselo oyera a m'magazi akhoza kukula mu cornea. Palinso ubale pakati pa AKC ndi chikhalidwe chotchedwa keratoconus. Keratoconus ndi mkhalidwe umene cornea umakhala wotsika kwambiri ndipo pamapeto pake ungawononge masomphenya olakwika kwambiri. Kornea imakhalanso yopyapyala kwambiri, ndipo imachititsa kusintha kwakukulu m'masomphenya, kupweteka ndi kupotoka kwa cornea. Ngakhale kuti keratoconus imalingalira kuti imachokera, ena amakhulupirira kuti keratoconus kwenikweni imayambitsidwa ndi "kupukuta kwa diso" komwe kumayenderana ndi mitundu yoopsa ya kupweteka kwa maso.
  1. Giant papillary conjunctivitis (GPC) - Giant papillary conjunctivitis nthawi zambiri imagwirizanitsidwa ndi kuvala malisitomala. Amaganiziridwa kuti ndi zovuta zokhudzana ndi mapuloteni amene amapezeka misozi. Kawirikawiri, mwina sangakhale vuto. Komabe, mapuloteni akakhala osowa nthawi zambiri, mapuloteniwa amatha kumanga pamwamba pa makalenseni. Ngati nthawi zambiri imawonekera kwa mapuloteniwa, zizindikiro zomwe zimakhala zofanana ndi chifuwa zimayamba kuonekera. Mpukutu waukulu kwambiri umayamba kupanga pansi pa nsonga ya pamwamba. Mapilisiwa amachititsa ngati zala zazing'ono ndipo amayamba kugwira kapena kugwirana ndi lens yolumikizana, zomwe zimapangitsa kuti majekeseni asunthidwe kwambiri kuposa momwe amachitira. Njira imodzi yomwe optometrists amagwiritsira ntchito kuchepetsa kusintha kwa GPC ndikulumikiza odwala tsiku lililonse, osayanjanitsika malonda omwe angakhoze kuvala tsiku limodzi ndikuponyedwa kutali. Amalandira lens latsopano, latsopano tsiku lililonse. Zizindikiro za GPC zimaphatikizapo kuyabwa, kutuluka kwa ntchentche, masomphenya osasokonezeka, osasangalatsa kapena osuntha makompyuta, komanso zowawa za thupi.

Kusanthula kwa Osowa Maso

Chisamaliro chapadera ndi madokotala odziwa zachipatala amadziwika bwino pozindikira ndi kuchiza chifuwa. Komabe, pamene matenda akuyang'anitsitsa maso amayamba kuwonjezeka kwambiri, nthawi zambiri ndibwino kupanga optometrist kapena ophthalmologist. Madokotala owona ali ndi mankhwala abwino pa zida zawo zolimbitsa thupi ndipo ali okonzekera bwino kuthana ndi vuto la conjunctivitis. Komanso, ali ndi zipangizo zamaphunziro komanso maphunziro omwe amawalola kuti ayang'ane diso kuti athetse mavuto aakulu omwe nthawi zina angakhudze diso ndi kuopseza masomphenya.

Kuchiza kwa Maso Osowa

Kuchiza kwa kutentha kwa maso kumakhala kosiyanasiyana. Gawo loyamba ndi lofunika kwambiri pa dongosolo la chithandizo cha zowononga ndi kuchotsa chiwopsezo choyambitsa matendawa. Choyambitsa ndi antigen yomwe thupi lanu lasintha. Yesetsani kukhala m'nyumba ngati mungu uli pamwamba pa dera limene mumakhala. Komanso, pewani kupita panja nthawi zina za nthawi yomwe mungu umatha kukhala wamtali, monga m'mawa m'mawa ndi madzulo. Kuti muchepetse kutentha kwapakhomo pakhomo, sungani mawindo otsekedwa ndipo mugwiritse ntchito fyuluta yabwino pa air conditioner.

Pofuna kuchepetsa zovuta zowopsa zomwe zingakhale m'nyumba, yesetsani kuchepetsa kukhudzidwa kwanu ndi nthata zakugona m'chipinda chanu. Sambani zogona nthawi zambiri m'madzi otentha. Ganizirani kugula nsonga zapadera za mtolo umene umasunga nthata. Sambani musanagone kuti mutsuke mungu ndi antigens ena omwe angasonkhanitse khungu lanu kapena tsitsi patsiku.

Pamene kutentha kwa maso kumakhala kofunika kwambiri, madontho a diso kapena mankhwala am'kamwa angakhale osankha. Malangizo amodzi omwe madokotala akuyang'ana asanayambe kulongosola mankhwala opatsirana ndi kulangiza odwala matendawa kuti apange chilled, over-the-counter, misozi mowirikiza patsiku. Izi zimapangitsa kuti thupi lanu likhale lokonzekanso komanso liwononge maso anu ndi kuchepetsa nambala ya antigen yomwe ikupezeka misozi yanu. Misozi yowonongeka ikufanana ndi kugwiritsira ntchito compress ozizira m'diso lako koma imalowa molunjika m'diso lako. Izi zimayambitsa mitsempha ya mthupi ndipo zimakondwera pa diso losakwiya, losangalatsa.

Pamene kupweteka kwa diso kumakhala koopsa kwambiri, diso la mankhwala limadumphira ndi mankhwala am'thupi angasonyezedwe. Mankhwala apamwamba a antihistamine madontho a diso amapezeka omwe amachititsa kuchepetsa matendawa nthawi zambiri ndi dontho limodzi patsiku. Malingana ndi momwe wodwala akumvera chisoni kapena akumva kutupa kwakukulu m'maso, madokotala ena nthawi zina amapereka corticosteroid madontho a maso. Ngakhale madonthowa atatha kutupa mwamsanga, ayenera kugwiritsidwa ntchito mosamala kwambiri ndipo muyenera kuyang'aniridwa ndi dokotala wa maso. Corticosteroids ikhoza kuyambitsa glaucoma ndi nthenda kwa odwala ena. Nthawi zina antihistamines amalembedwa ndipo amapezeka pa-counter ndi mankhwala. Pa zowawa kwambiri ndi anthu omwe angathenso kuvutika ndi mphumu, ma leukotriene modifiers amalembedwa. Izi ndi mankhwala omwe amaletsa mankhwala a leukotriene. Leukotrienes ndi mankhwala omwe amatulutsidwa ndi thupi lathu pamene tilumikizana ndi zovuta zowopsa.

Kuchokera: Ocular Zosakaniza: Kupenda. Kuthamanga Kwambiri. Ernie Bowling, OD, MS, Tuscaloosa, Ala ., Magazini: February 2011