Conjunctivitis Amagcikwane ezinganeni: ukwelashwa kanye nezimpawu

Conjunctivitis eyaziwa ngokuthi ukuvuvukala nolwelwesi lwamafinyila kwamehlo - conjunctiva, okuyinto abangela izifo eziningi, amagciwane kanye nomzimba. Ake baqonde indlela ukuze sibonakalise conjunctivitis webhaktheriya ezinganeni. Ukwelashwa nayo izofakwa wachaza ngokuningiliziwe kulesi sihloko.

Imisebenzi kanye nezici of nokwakheka conjunctiva

Conjunctiva - izicubu elincanyana lwamafinyila ohlanganisa amehlo phambi ahlukaniswe kanye ebusweni engaphakathi kokubili nezinkophe, ukwakha lwaleli eyinqaba ephaketheni yasenhla nemithombo yasenzansi. A semali yensimbi emisipheni ezizungeze amehlo ukukhiqiza uketshezi lacrimal kanye ikakhulukazi amaprotheni compounds - mucin. Bebonke bakha okuqinile zokuzivikela futhi amafutha slezoobraznuyu imvelo enikeza ikhono okubonakalayo yeso ehlanganisa nokuya nomaphi.

Naphezu mncane isihlobo, conjunctiva kuyinto multilayer izicubu organic eziyinkimbinkimbi, oludlula phakathi epithelium cornea. Ezitsheni eyelashes nezinkophe conjunctiva igazi okwenziwa ukuthengisela, inethiwekhi ye-lymph yakha zokuzivikela ungqimba lymph izicubu izinyembezi nokuqeda ocular ezinzwa emgodleni ukunikeza sensitivity high. Ngakho, isakhiwo evamile futhi umsebenzi zonke izingxenye kwezicubu conjunctival akuxhomekile nje kuphela esimweni isimo iso, kodwa futhi acuity ezibukwayo. Ngakho-ke, kuyingoti conjunctivitis virus. Izimpawu kanye nokwelashwa kwezingane adinga ukunakekelwa okukhethekile.

I conjunctiva kuyinto isithiyo sokuqala lokuvikela iso futhi ingxenye ezingavikelekile kakhulu zalo umthelela ahlukahlukene ezizihluphayo zangaphandle, amagciwane kanye nomzimba.

Ngaphezu kwalokho, hhayi kuphela umsele nasolacrimal kwehlisa uketshezi lacrimal ubamba uthuli emoyeni namagciwane entrained kodwa futhi ukusebenzisa inqubo reverse, lapho lesi sifo, amagciwane noma abangelwa ifike isethi iguliswa obulimaza yeso kanye conjunctiva ngaphakathi. Kukhona conjunctivitis webhaktheriya (isithombe kwezingane zokubonisa lesi sifo ungabona ku-athikili yethu).

Kuyasiza ukwazi ukuthi ngesikhathi kubhubhane ezithile zonyaka viral noma xhumana ne onesifo izifo eziyingozi viral (isib nesimungumungwane rubella) imaski zokuzivikela kungasizi, kusukela igciwane ukungena ngokukhululeka emzimbeni umsele nasolacrimal ngokunembile ngemehlo.

Izimpawu ze-conjunctivitis

Ngakho, kusobala ukuthi conjunctivitis webhaktheriya ezinganeni? Ukwelashwa kuyakhethwa kuncike izimpawu.

Encwadini evamile conjunctiva iso enempilo ahlinzeke umswakama owanele, nenkululeko movement in the ephaketheni izinyembezi, ubeka isithiyo esobala zokuzivikela, hhayi ukunciphisa ikhono ezibukwayo futhi svetovosprinimayuschuyu esweni.

Esimweni lapho amehlo iqala ukulunywa, evutha, Ukubhidliza ngokweqile, phezu corneal siyavela anezikhala imithambo yegazi osuke usuvulekile, wazizwa inclusions angaphandle futhi kubuhlungu eye movement, ukuvuvukala nezinkophe noma isikhumba emhlabeni iso, omunye singaphetha kuyoshaya e ocular egumbini ukuvuvukala . Conjunctivitis iyona isifo ezivamile esithinta ulwelwesi lwamafinyila esweni.

Esingayenza ngaphandle kokuthi siphathe webhaktheriya conjunctivitis e ingane? Lokhu kuzoxoxwa ngakho ngezansi.

izinhlobo conjunctivitis

Kuya ngemvelo futhi umthombo ukutheleleka, kukhona izinhlobo ezintathu conjunctivitis, edinga izindlela ezingafani ezisetshenziswa kakhulu sitholakele, ukwelashwa kanye nokuvinjelwa.

1. conjunctivitis Amagcikwane - ezibangelwa amagciwane ahlukahlukene ezifana staphylococci, i-chlamydia njll Bayakhothama phezu mucosa esweni njengoba isimo nge kwenhlanzeko okunganele, umonakalo mechanical noma buthakathaka imisebenzi mzimba we conjunctiva nangalowo microflora pathogenic umzimba phakathi kokudlulisela yezifo ezithathelwanayo. Uma ngithola conjunctivitis webhaktheriya ezinganeni, ukwelashwa kufanele okuhloswe ngazo ukubhujiswa nezilwanyana ezincane pathogenic.

2. conjunctivitis okunobuthi - kuthinta conjunctiva ku ngemuva izifo adenoviral futhi enteroviral, umkhuhlane, i-herpes, rubella, upokisi. Ngokuvamile uhlobo viral ukuvuvukala kuhambisana rhinitis, pharyngitis noma ifomu parallel ogelezayo conjunctivitis virus.

3. Umzimba ongezwani nezinto conjunctivitis esihambisana cishe zonke izinhlobo komzimba nezinto zamakhemikhali, ukudla, kanye nomzimba ongizalayo ukuvuvukala concomitant e rhinitis iguliswa, dermatitis kanye somoya.

conjunctivitis Amagcikwane ezinganeni. izizathu

Conjunctivitis ezinganeni isifo ovamile kakhulu, futhi eminyakeni engu-5 ubudala uxilongwe e-30% amacala pathologies ocular. Lokhu kungenxa izici of umzimba wengane futhi amasosha omzimba, okuyinto ngenkuthalo kwakhiwa hhayi ngempumelelo ivikela umzimba emiphumeleni izici ezingezinhle. Okunye futhi okubaluleke ngokufanayo ngqo amaqembu zezingane nezimo zokuphila.

ingozi High yokuthola ngegciwane igobolondo iso lwamafinyila wengane, esesikhundleni ezinenani elincane enamathiselwe ezempilo izindlela eziyisisekelo zokukhuculula imfucumfucu, umsebenzi zezingane ngesikhathi bayashintshana ekufukameleni, lapho ingane egulayo uyaqhubeka ukuxhumana nontanga yabo futhi ube umthombo ukutheleleka olwengeziwe, izici psychophysical ukuphila kwezingane ezincane - zonke Lokho kwenza okuvela njalo ukuvuvukala ezithathelwanayo, kuhlanganise iso. Ngakho kukhona conjunctivitis webhaktheriya ezinganeni.

Ngo izinsana, ke unendima conjunctivitis ekhethekile kubangelwa edabula ezindleleni unina sokuzalwa sika nge ucansi ingelashwa izifo ngocansi - isipatsholo noma i-chlamydia. Lokhu conjunctivitis kwenzeka ezinsukwini ezimbalwa ngemva kokuzalwa futhi kungase kube nemiphumela engathi sína, kuhlanganise ubumpumputhe futhi ukulahlekelwa amehlo, uma isikhathi akusho ubambe ukwelashwa okufanele.

Njengoba bekhula Inkomba pathologies amehlo ezinganeni iqala bayeke maqondana izifo ezingaba ngu yezokubona, ezifana myopia, hyperopia, astigmatism.

Ukuxilongwa conjunctivitis webhaktheriya ezinganeni

Kakhulu ethandwa namuhla bajabulela izindlela ukuxilongwa, nokwelashwa kwezifo ezihlukahlukene ezinganeni ezivela wezingane owaziwa Evgeniya Olegovicha Komarovskogo. esikoleni sakhe, okuyinto has a TV futhi inguqulo ephrintiwe ubhekwa ezilalelini nabo bonke abazali wemfanelo. Simple, enembile, ngendlela eyimfihlo lokunikeza ulwazi kanye nasekuphumeleleni edumile imikhuba udokotela ukusiza ukuqwashisa ezingeni kwamasiko sabantu, kufundiswe ngayo esizukulwaneni esisha.

I izindlela ezintsha zesayensi zokufunda incazelo zezinkinga zempilo ezivame kakhulu izingane futhi ukutholakala nezixazululo ezihlongozwayo ukunikeza abazali ithuba lokufunda zonke izici imibiko eziyinkimbinkimbi yezokwelapha futhi ukuhlola isidingo wenziwa ochwepheshe.

Distribution, umsebenzi kanye izinkathi acute conjunctivitis webhaktheriya ezinganeni kunzima ukulungisa ngokunembile, kusukela ukuvama izinqubo, kalula isihlobo ezimweni eziningi balahle ukuvuvukala, isipiliyoni omuhle zokwelapha odlule - lezi zici kubangele ukuvakashelwa ezingavamile ukuba udokotela.

Sifo kuxhomeke endleleni ububonisa conjunctivitis webhaktheriya ezinganeni. Izimpawu kungaba nhlobonhlobo.

Xilonga conjunctivitis webhaktheriya ngokuvamile kungenzeka futhi ngaphandle amakhono afanele, njengoba singasebenzi ethize, futhi umehluko ezinkulu ezivela kwezinye zilwane khona mucopurulent noma ubovu exudates emaphethelweni Isivalo noma njalo bomile soma phezu kwamehlo. izimpawu concomitant nakho kungase ububomvu amajwabu amehlo futhi cornea, isikhumba edema, Ukubhidliza anda, ukulunywa.

Izingane esekhala umuzwa esivuthayo emehlweni, ngokuvamile ziqala amehlo bezihlikihla ngezandla zakhe, abe ucobekile, asemikhumbini. Mhlawumbe ukwanda okuncane nje kwamazinga okushisa umzimba. Lezi zimpawu kusaqalwa ukuvuvukala ukunikeza amasignali abazali unake akuvumela ukuba ngokushesha futhi ngokuzimela ukuze anqande ukusakazeka kwezifo ezithathelwanayo.

Uma ezinye izimpawu elibuhlungu izimpawu nobuntu webhaktheriya zinhlobo conjunctivitis is hhayi waphawula, kubalulekile ukuhlaziya zonke izimo lapho ingane ukwazi abavusa.

Ngokwesibonelo, ngokuvakashela imicimbi yomphakathi, ukudla amasha, izinwele isilwane, amathoyizi ezingcolile, ukuwasha powder, ebhukuda pool, ukuthatha ukuhambahamba ngishaywe umoya, yini eyabangela ukuba lo hypothermia noma ukuthola isamba esikhulu uthuli emehlweni - lezi zici kuzosiza ukusungula ukubonakala izimpawu zokuba conjunctivitis iguliswa noma ezibangelwa amagciwane.

Endabeni izimpawu eziyingozi kakhulu (ubuhlungu emehlweni, photophobia, angaboni kahle, ukubukeka Bubbles nezinkophe) yezikhalazo wezingane noma udokotela womkhaya kuzovumela ukwelashwa ngokushesha futhi sigweme imiphumela engelapheki. Ukuze izinhlangano zikwazi ukusungula udokotela uphethwe i olunembile uthola zonke izimo kungenzeka futhi phakathi izimpawu isifo, uhlola izinhlaka umbono, isikhumba kanye nolwelwesi lwamafinyila, uma kunesidingo, unikeza isiqondiso onguchwepheshe - kudokotela wezifo zamehlo.

Swabbing le conjunctiva ngoba cytologic luhlolo kanye biomicroscopy ivumela ukwenza isiphetho ocacile acoshe amalungiselelo adingekayo ukuze ukwelashwa.

Kukhona futhi amasu ocwaningo oluthile - ngokwesibonelo, izindlela kanye Gram Giemsa ukuthi nge awokuthi isabele ukuvuvukala komunye izinhlobonhlobo conjunctivitis. Ngakho, wembula neutrophilia e scrapings mucosal kubonisa bemvelo webhaktheriya ukuvuvukala, lymphocytosis uqinisekise ngokucacile ubunjalo conjunctivitis viral, futhi eosinophilic inclusions - iguliswa.

Ngakho, ingane kutholakala ukuthi uphethwe yini conjunctivitis virus. Ukwelashwa ezinganeni Komarovsky weluleka ukuba afeze ngaphansi kokuqondisa ochwepheshe.

Okunhlobonhlobo conjunctivitis webhaktheriya

ukuhlola kwamuva kubonisa ukuthi ukwakheka ulwelwesi lwamafinyila we microflora iso kwenzeka ngemva kokuzalwa kodwa hhayi phakathi ukudlula emgudwini wokuzala, njengoba kwakucatshangwa phambilini. Futhi isici microflora bacterium evamile ekhona iso kwenani elithile nezilwanyana ezincane pathogenic ezifana Staphylococcus futhi diphtheroids.

Naphezu kweqiniso lokuthi uketshezi lachrymal yakhiwa izingxenye eziningi zokuzivikela (immunoglobulin, ayisiza, lysozyme, lactoferrin), Staphylococcus epidermidis ingashintshwa ngempumelelo ukuze lo mgoqo futhi stably ekhona mucosa we conjunctiva. Umphumela conjunctivitis virus. Ukwelashwa ezinganeni Komorowski uncoma ukusebenzisa antibiotic.

ukwelashwa

Isicelo izidakamizwa elwa namagciwane spectrum ezibanzi - ciprofloxacin, erythromycin, gentamicin - ezimweni eziningi kunikeza imiphumela okusheshayo omuhle. Nokho, kuvela njalo komzimba nezinto nasezinhluphekweni zakulezi anenkani ukucabanga kanjalo kuphakamisa imibuzo ukuze eqonde kakhulu Ukukhetha elibangela ukuvuvukala conjunctival, kanye ukukhethwa izidakamizwa phezu spectrum emincane senzo. Ngakho sina kungaba conjunctivitis webhaktheriya ezinganeni. Ukwelapha kubangela wokubuyekezwa okuvumelekile.

Idiphtheria kanye conjunctivitis gonococcal zinhlobo zidinga ukwelashwa ethize wendawo. Manje ukusabalala wonke isiba antibiotic, fluoroquinolones, okuyinto okuye kwenziwa kuye kwabonisa ukuthi zisebenzile ekulweni webhaktheriya conjunctivitis zinhlobo ngaphandle streptococcal futhi Pneumococcal. Kuyaphawuleka ukuthi kwandisa ngokushesha futhi ukuzinza eziningi amagciwane le mithi. Lokho kuyinto eziyinkimbinkimbi ezifana e sitholakele "conjunctivitis webhaktheriya ezinganeni" impatho. Amaconsi therapy livame ukusetshenziswa, ngaphezulu ngalolo ngezansi.

Ukusebenzisa amathonsi

uhlelo oluyimpumelelo nokucindezela ukuvuvukala ubhekwa ukusetshenziswa ahlangene we polymyxin-B ngesimo amathonsi namafutha. Amaconsi aqokwa nge esingaba amahora 2-3, 2-3 lehla wamafutha esweni ngalinye - 3-4 izikhathi ngosuku, futhi asetshenziselwa babuyele ngokugcwele ingane, okusho phezu kusukela ezinsukwini 5-7 ukuze 10-14.

Lapho benquma ukuthi yini exciter ukutheleleka Pneumococcal esimisiwe isixazululo egeza boric acid, njengoba lezi amagciwane ande e i medium ane-alikhali, ngakho microflora amehlo acidification sokumisa ukuthuthukiswa amagciwane sokugembula. Ngo uhlobo oluthile bacilli kukhona 0.25% -0,5% zinc sulfate izixazululo ezisetshenziswa izikhathi 4-6 ngosuku. Lona ukuxilongwa "conjunctivitis webhaktheriya ezinganeni" impatho.

ukuphathwa ngempumelelo conjunctivitis okungalapheki ukusetshenziswa combinatorial ka steroid nemithi elwa namagciwane. Kodwa uma ucabangela izinga yezinkinga emva ukusetshenziswa kwezidakamizwa ezinjalo, ebekiwe kubo kuphela ukuvuvukala kabi Yiqiniso, futhi esimweni conjunctivitis acute kungukuthi isicelo. Kunoma yikuphi, uma zingakapheli izinsuku 2-3, isithombe basemtholampilo ukusetshenziswa kwezidakamizwa akusho bazoshintsha, ukwelapha kufanele inqanyulwe bese ubheka ezihleli izimbangela nemiphumela engemihle.

conjunctivitis Amagcikwane ngenxa nezinye izimo suppurative ukonakala, ezifana otitis abezindaba, namathansela, pyoderma ngaphandle ukwelashwa ngezihloko ezihlukene, Yiqiniso, lokhu kudinga ukwelapha izifo sokucasuka asebenzayo ifomu conjunctivitis, futhi ngokuvamile ubabonisa nge ekupheleni kwaso.

Amathiphi kusuka Dr. Komarovsky

Uma uphethwe "webhaktheriya conjunctivitis" Izimpawu kanye Ukwelashwa oxhumene ezinganeni.

Ngesikhathi kuqala izimpawu conjunctivitis ingane kumele behlukene nezinye izingane senqabe vakashela izikhungo zemfundo zezingane. Ngemva ukwabela kudokotela wezifo zamehlo noma ukwelashwa wezingane njengoba ibambelela ukwakhiwa nezindlela zokusebenzisa izidakamizwa. Awukwazi ukuphoqelela amabhandeshi iso noma ezisonga nje kwenza nkomba ibhanyabhanyaza evamile, bese egeza we lwamafinyila ulwelwesi izinyembezi nokususwa purulent ezifakwa ezicutshini zomzimba ezizungeze amehlo.

Uhlambulule chamomile akhiphe Calendula, izixazululo boric acid noma furatsilina wenziwa izikhathi 5-8 emini, elahlukile ukotini esweni ngalinye, amadiski ngobuningi ofakwe. Sula emehlweni kusukwa elingaphandle ngaphakathi. Ukuvuza izixazululo efiselekayo ukwenza pipette oyindilinga ngaphandle kokuthinta ekhulwini noma i-cornea ukuba agweme amagciwane ngokufaka pipette.

Futhi ngaphandle contact kufanele kube ngaphansi ijwabu leso engezansi walala wamafutha eyabelwe ukwelashwa. conjunctivitis Amagcikwane ebekiwe amathonsi nge chloramphenicol, sulfacetamide, tetracycline wamafutha noma eritromitsinovaya.

Njengoba cishe zonke izinhlobo conjunctivitis webhaktheriya ephelezelwa sifo iso ezomile, isikhumba esomile ezizungeze amehlo, lelo okuthi lapho ama-antimicrobial asetshenziswa iyakhula kuphela, ukuze silondoloze esitebeleni nomswakama mucosa amehlo avuvukele izinyembezi esikhundleni ewusizo ukusebenzisa izidakamizwa ezinjalo "Sisteyn" futhi "Vidisik". Ngakho ungakwazi ukunqoba conjunctivitis webhaktheriya e ingane iminyaka 6. Ukwelashwa Yiqiniso, kufanele wavumelana wezingane.

Ukuvimbela conjunctivitis ezinganeni

Ukubhekwa kokuvinjelwa eziphumelela kakhulu isifo ezingemnandi kungokwaphakade accustoming izingane inhlanzeko yomuntu siqu. Njalo izandla izingane, ekwelapheni amathoyizi kanye evele ingaphakathi for magciwane, ukudla namasiko kanye incazelo yokuthi ukubaluleka pre-ukucutshungulwa izithelo nemifino, Cutlery ngezikhathi zokudla ngeke usizo ukuqeda ekuphindeni njalo ukutheleleka iso.

Izingane ezindadlana ufunde ewusizo iso self-safaka futhi sisebenzise amafutha, njengoba izingane singayivumeli noma iliphi ithonya ezindaweni ubuhlungu, ikakhulukazi amehlo, ngakho iqhaza yangasese wengane ekwelapheni ukusheshisa le nqubo zokuphulukisa. Kuyadingeka ukuba anake nemisebenti lehlose ngcono jikelele izivikeli mzimba: uhamba, ukuvivinya umzimba, ukudla ukudla okunomsoco, Vitamin zinsiza nge buthakathaka amasosha omzimba, tempering nezinqubo.

Omama abakhulelwe kudingeke aqhube ucwaningo ngaphambi kokubeletha izifo urogenital, futhi, uma kunesidingo, ukwelashwa ukwelashwa isinqandakuvunda emgudwini wokuzala, banakekele ukuhlolwa nokwelashwa olukhethekile amehlo ingane ngokushesha emva kokuzalwa.