Raws li koj paub, muaj ntau yam kab mob ntawm lub cev ntawm lub zeem muag. Qhov muag pathologies yog nyob ntawm tus kws kho mob ophthalmologist. Raws li cov neeg feem coob, o ntawm lub cev ntawm lub zeem muag yog txuam nrog kev nkag mus ntawm tus kab mob. Txawm li cas los xij, qhov no tsis yog ib txwm muaj. Qee cov kab mob qhov muag yog endogenous nyob rau hauv cov xwm. Ib qho piv txwv yog filamentous keratitis. Qhov no pathology tshwm sim vim lub cornea qhuav. Feem ntau, tus kab mob no muaj kev kawm ntev thiab xav tau kev saib xyuas qhov muag tas li.
Keratitis - yog dab tsi?
Lub cev ntawm kev pom kev muaj cov qauv anatomical complex. Lub cornea ntawm lub qhov muag yog lub plhaub convex, uas yog ib qho ntawm cov xov xwm refractive. Ntxiv nrog rau qhov tseeb tias cov qauv no ntawm lub cev ntawm lub zeem muag ua lub teeb rays, nws muaj kev tiv thaiv kev ua haujlwm. Lub cornea ntawm lub qhov muag yog ib hom lo ntsiab muag, ua tsaug rau tus neeg tuaj yeem pom cov khoom nyob ib puag ncig raws li xav tau. Tsis tas li ntawd, nws tiv thaiv cov txheej txheem sab hauv ntawm lub cev ntawm lub zeem muag los ntawm kev kis kab mob. Kev mob ntawm lub pob txha yog hu ua keratitis. Muaj ntau hom kab mob no. Kev faib tawm ntawm keratitis yog nyob ntawm etiological yam.
Ib yampathology yog qhuav o ntawm cornea. Hauv lwm txoj kev, nws yog hu ua filamentous keratitis. Lub ntsiab lus ntawm tus kab mob yog tias lub cornea tsis txaus moistened nrog kua muag kua muag, ua rau "qhuav qhov muag" syndrome. Cov kev tshwm sim ntawm daim ntawv no ntawm keratitis muaj xws li mob thiab mob, txawv teb chaws lub cev sensation thiab photophobia. Nrog rau kev loj hlob ntawm tus kab mob ua rau deterioration ntawm tsis pom kev. Kev kho mob ntawm pathology muaj nyob rau hauv tas li moistening ntawm lub pob kws.
Kev faib tawm thiab kab mob ntawm cov kab mob qhuav qhuav
Nyob ntawm cov yam ntxwv etiological, qhov mob qhuav ntawm lub pob ntseg tau muab faib ua 2 hom. Thawj keratitis tshwm sim vim qhov ua rau endogenous. Ntawm lawv yog cov kab mob tiv thaiv kab mob thiab endocrine. Secondary qhuav keratitis tshwm sim los ntawm kev puas tsuaj rau lub cev ntawm lub zeem muag. Piv txwv yog tshuaj kub nyhiab thiab qhov muag raug mob.
Kev xav kua muag tsuas yog thaum tus neeg quaj tsis muaj tseeb. Qhov tseeb, qhov muag tsis tu ncua moisturized. Lacrimal kua yog tsim los ntawm cov qog tshwj xeeb thiab muaj 3 txheej. Sab nraum - nws yog sawv cev los ntawm lipids uas pab txo qhov kev sib txhuam ntawm lub pob kws ntawm lub conjunctiva. Cov txheej tom ntej ntawm cov kua lacrimal muaj cov organic tebchaw thiab electrolytes uas saturate cov qauv ntawm lub qhov muag nrog oxygen thiab muaj cov tshuaj tua kab mob. Cov khoom kawg yog mucin. Nws muaj cov protein ntau thiab tiv thaiv lub cornea los ntawm kev nkag mus ntawm txawv teb chaws lub cev.
Cov tshuaj hormones hloov pauv thiab txo qis ntawm lub cev tiv thaiv ua rau muaj kev hloov pauv hauv cov muaj pes tsawg leeglacrimal kua. Yog li ntawd, cov yeeb yaj kiab tiv thaiv yuav tsis ruaj khov thiab feem ntau puas. Cov txheej txheem ntawm kev txhim kho ntawm keratitis theem nrab yog txo lossis tso tseg cov kua dej lacrimal. Qhov no yog ua kom yooj yim los ntawm kev puas tsuaj rau lub pob txha epithelium los ntawm lub cev lossis tshuaj lom neeg. Tsis tas li, cov laj thawj zoo li no tuaj yeem tiv thaiv kev thauj cov kua muag mus rau hauv cov kab noj hniav.
Ua rau keratitis
Qhov ua rau filamentous keratitis tau muab faib ua 2 pawg loj. Thawj yog endogenous yam uas tiv thaiv kev tsim ntawm kua muag los yog hloov nws cov muaj pes tsawg leeg. Cov no suav nrog:
- Autoimmune pathologies.
- kab mob siab.
- Kev tiv thaiv kab mob hnyav.
- Cov kab mob endocrine.
- Hnub nyoog ntsig txog atrophy ntawm cov qog lacrimal.
Cov pab pawg tom ntej ua rau mob keratitis thib ob. Nws yog sawv cev los ntawm exogenous yam. Ntawm lawv yog cov kab mob thiab kab mob ntawm lub qhov muag, kev phais mob (extirpation ntawm lacrimal qog, laser raug), noj tshuaj hormonal, hlawv thiab nkag mus rau txawv teb chaws lub cev.
Ntawm cov kab mob endogenous ntawm kev loj hlob ntawm keratitis, Sjögren tus kab mob yog qhov tseem ceeb tshaj plaws. Tus kab mob no hais txog autoimmune pathologies thiab yog nrog los ntawm kev puas tsuaj rau cov qog exocrine. Ntxiv nrog rau keratitis, tus kab mob ua rau cov qaub ncaug tsis zoo thiab cov kab mob hauv lub cev. Ntawm cov pathologies ntawm daim siab, kab mob siab ntev thiab biliary cirrhosis yog qhov txawv. Tsis tas li ntawd, keratitis feem ntau raug kuaj pom hauv cov poj niam thaum cev xeeb tub lossis postmenopause. Nws yuav tsum ua nrog kev hloov hormonal.kab mob.
Ntxiv rau cov npe exogenous yam, nquag raug rau hauv chav nrog kiv cua lossis cua txias, zaum ntawm lub khoos phis tawj, kev saib xyuas tsis raug ntawm cov lo ntsiab muag thiab kev siv cov khoom zoo nkauj tsis zoo ua rau filamentous keratitis.
daim duab kho mob hauv pob txha kab mob
Daim duab kho mob ntawm tus kab mob no yog ua los ntawm: qhov muag qhuav thiab qhov mob ntawm pob txha. Yuav ua li cas filamentous keratitis manifest nws tus kheej? Cov tsos mob ntawm tus kab mob yog raws li nram no:
- Stinging in ob lub qhov muag, aggravated by concentration.
- khaus khaus thiab txawv teb chaws lub cev. Cov neeg mob feem ntau yws yws txog qhov zoo li lawv muaj xuab zeb lossis hmoov av hauv lawv lub qhov muag.
- Kev tsis xis nyob hauv lub teeb ci.
- Cov tshuaj tiv thaiv kab mob - qhov muag liab thiab txhaj tshuaj vascular.
- Kev qaug zog sai ntawm lub cev tsis pom kev thaum saib yeeb yaj kiab lossis ua haujlwm hauv computer.
- Me me tso kua muag thaum quaj, thiab tom qab - lawv qhov tsis tuaj.
Nyob rau hauv thawj theem ntawm keratitis, reddening ntawm conjunctiva thiab cornea tshwm sim thiab mucous exudate tshwm, zoo li xov. Nrog rau kev loj hlob ntawm tus kab mob, me me grey foci ntawm clouding nyob rau hauv lub qhov muag tau sau tseg. Tom qab ntawd, cov cheeb tsam ntawm hyperkeratosis tshwm nyob rau ntawm lub cornea. Tom qab ntawd, keratinization ntawm epithelium tshwm sim, ua rau pom kev tsis pom kev.
Txoj kev kuaj mob keratitis
txhawm rau paub meej tias muaj cov kab mob qhuav qhuav, tsis yog qhov muag pom xwbkev tshawb fawb, tab sis kuj muaj kev sib tham ntawm cov kws kho mob tshwj xeeb xws li endocrinologist thiab rheumatologist. Tus kws kho mob ophthalmologist ua cov khoom sampling thiab microscopy ntawm mucous secretion. Nyob rau tib lub sijhawm, desquamation thiab hyperkeratosis ntawm epithelium raug kuaj pom. Tsis tas li ntawd, ib qho kev sim instillation siv fluorescein yog ua. Tus neeg saib xyuas qhov sib txawv yuav pab txhim kho qhov zoo ntawm microscopy. Txhawm rau ntsuas kev ua haujlwm ntawm lub caj pas lacrimal, kuaj Norn thiab Schirmer.
Hauv Sjögren tus kab mob, ntxiv rau kev puas tsuaj ntawm pob txha, cov tsos mob xws li qhov ncauj qhuav thiab qhov ntswg qhov ntswg, tawm hws tsis zoo. Tsis tas li ntawd, nrog autoimmune pathologies, arthralgia, nqaij spasm thiab kev hloov ntawm daim tawv nqaij tau sau tseg.
Filamentous keratitis: kho tus kab mob
Kev kho tus kab mob yuav tsum yog txhawm rau tshem tawm qhov tshwm sim etiological. Qhov no yuav pab tshem tawm cov tshuaj hormonal thiab autoimmune filamentous keratitis. Cov tshuaj nyob rau hauv cov xwm txheej zoo li no yog kws kho mob rheumatologist lossis endocrinologist. Sjogren's syndrome thiab lwm yam txheej txheem autoimmune yuav tsum tau kho hormonal. Cov tshuaj "Hydrocortisone" thiab "Methylprednisolone" yog siv.
kev kho mob yog txhawm rau tiv thaiv kev kis tus kab mob. Rau lub hom phiaj no, moisturizing tee thiab tshuaj pleev rau ob lub qhov muag yog sau. Tsis tas li ntawd, cov tshuaj uas muaj tshuaj tua kab mob yuav tsum tau tiv thaiv kom tsis txhob kis kab mob ntawm lub pob kws. Yog hais tias tus kab mob no zuj zus lawm, kev kho mob phais yog ua. Nws muaj nyob rau hauv cov yas ntawm cov kwj dej lacrimal. Rau qhov no, collagen lossis conjunctival ntaub so ntswg yog siv.
Product "Artificial tear" - eye drops
Kom tsis txhob qhuav ntawm lub pob kws, nws yuav tsum tau hloov cov kua muag kua muag nrog nws cov analogues. Qhov no tuaj yeem ua tiav nrog cov dej noo noo, uas yuav tsum tau siv tas li. Cov tshuaj tseem ceeb ntawm pab pawg no yog cov tshuaj "Artificial tear". Qhov muag tee, uas yog nws cov analogues, yog cov tshuaj "Optiv", "Vizin", "Lakrisin". Cov tshuaj no txhawb kev tsim kho ntawm pob txha pob txha epithelium, thiab hloov cov kua muag lub cev.
Txoj kev tiv thaiv kab mob qhuav
Ntau zaus, keratitis qhuav tsis tshua kho tau. Qhov no yog vim ob qho tib si rau autoimmune xwm ntawm tus kab mob thiab rau qhov muag raug mob ua rau sclerosis ntawm lub epithelium. Txhawm rau kom ua tiav lub sijhawm ntev ntawm tus kab mob, kev saib xyuas tas li los ntawm tus kws kho mob ophthalmologist yuav tsum tau ua. Nws yog ib qho ua tau kom tsis txhob exacerbations los ntawm kev ua raws li cov lus pom zoo ntawm tus kws kho mob. Cov no suav nrog: kev noj zaub mov kom raug, kev siv cov tshuaj tiv thaiv moisturizing thiab siv cov tee dej. Tsis tas li ntawd, qhov muag kab mob, cov hmoov av thiab lub cev txawv teb chaws yuav tsum zam.
