Keratoconjunctivitis, kev kho mob uas yuav tau tham hauv tsab xov xwm no, yog cov kab mob loj heev uas cuam tshuam rau lub qhov muag thiab lub qhov muag. Tus kab mob no tshwm sim, vim hais tias lub conjunctiva muaj ib tug heev reactivity - nws instantly reacts rau sab nraud stimuli thiab cov yam ntxwv ntawm lub hwj chim.
Vim li cas tus kab mob no tshwm sim? Cov tsos mob yog dab tsi? Yuav kho li cas? Nws tsim nyog sim teb cov lus nug no thiab ntau lwm yam lus nug tam sim no.
Yog vim li cas
Ua ntej yuav pib xav txog cov hauv paus ntsiab lus ntawm kev kho mob keratoconjunctivitis, nws yuav tsum tau tham txog cov laj thawj vim li cas nws tshwm sim.
Lawv muaj ntau yam. Kev mob tshwm sim tuaj yeem tshwm sim los ntawm kev ua haujlwm ntawm cov kab mob parasitic, fungi, kab mob thiab kab mob. Qee lub sij hawm tus mob no yuav tsum tau coj los ua cov tsos mob ntawm kev ua xua.
Keratoconjunctivitis feem ntau tshwm sim vim siv mus ntevcorticosteroids los yog vitamins. Nws cov tsos kuj tuaj yeem ua rau muaj kev cuam tshuam ntawm lub cev txawv teb chaws ntawm lub cornea lossis conjunctiva.
Kuj ib txwm yog hnav looj tsom iav tsis raug lossis tsis ntxuav kom zoo.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias keratoconjunctivitis tuaj yeem ua tus tsos mob ntawm lwm tus kab mob. Raws li txoj cai, cov no yog rubella, mob npaws, mob caj dab rheumatoid, lupus erythematosus thiab Sjögren's syndrome.
Cov khoom ua rau muaj ntshauv, kev tu cev tsis zoo, helminthiasis thiab zaub mov tsis haum.
Nyob ntawm kab mob
Tag nrho, 10 hom kab mob no txawv:
- Herpetic. Qhov ua rau mob yog tus kab mob herpes. Cov tsos mob zoo ib yam li cov tsos mob ntawm tus mob diffuse conjunctivitis lossis herpetic keratitis.
- Hydrogen sulfide. daim ntawv tshwj xeeb. Yog vim li cas rau qhov tshwm sim yog lub sij hawm ntev ntawm hydrogen sulfide ntawm lub qhov muag.
- Tuberculosis-allergic. Nws yog fraught nrog cov tsos ntawm kev tsis sib haum xeeb ntawm lub qhov muag. tshwm sim vim kev ua ntawm cov kab mob tuberculosis.
- Kab mob sib kis. Muaj qhov tshwm sim ntawm kev nkag mus rau hauv lub pob txha los yog lub hnab ntim ntawm cov kab mob ntawm cov kab mob pathogenic. Daim foos no kis tau.
- Adenoviral. Kev kho mob ntawm hom keratoconjunctivitis no yuav tsum tau pib sai li sai tau. Tom qab tag nrho, tus kab mob tshwm sim vim kev ua haujlwm ntawm adenovirus. Thiab nws kuj kis tau.
- Qhia. Hom kab mob no yog tus cwj pwm los ntawm kev tsim cov xov los ntawm degenerated epithelial hlwb. Lawv yogtuaj yeem ncav cuag qhov ntev ntawm 5 hli, thiab dai dawb los ntawm lub cornea. Qhov ua rau ntawm tus kab mob yog nws qhuav thiab hypofunction ntawm cov qog lacrimal.
- Chlamydia. Kev mob ntawm hom no tshwm sim vim muaj nyob rau hauv lub cev ntawm ntau tus chlamydia. Tej zaum yuav yog ib qho cim qhia tias muaj tus kab mob genitourinary.
- Atopic. Qhov no yog ib qho kab mob ntev uas ua rau lub caij txias. Nws yog tus cwj pwm los ntawm cov plaques dawb nyob rau saum npoo ntawm lub qhov muag.
- Caij nplooj ntoos hlav. Qhov no yog ib qho mob ntev. Lub aggravation, raws li lub npe implies, tshwm sim nyob rau hauv lub caij nplooj ntoos hlav. Qee zaum - thaum lub caij nplooj zeeg. Tsis tas li ntawd tus cwj pwm los ntawm qhov muaj cov plaques dawb.
- Tygeson's keratoconjunctivitis. Nws tshwm sim los ntawm kev ua xua lossis kab mob. Nws yog tus cwj pwm los ntawm tus kab mob chiselled, yuav luag tsis pom ntawm qhov pib.
Symptomatics
Cov cim qhia dav dav uas tuaj yeem siv los txiav txim qhov muaj keratoconjunctivitis, kev kho mob uas yuav tham tom qab, suav nrog:
- Burning.
- Ib yam.
- Cov qauv xoob ntawm cov kab mob thiab nws qhov liab.
- Nyob zoo lacrimation.
- Puffiness.
- Redness of the cornea.
- photophobia.
- Kev tawm ntawm mucopurulent xwm.
- Hemorrhages nyob rau hauv lub conjunctiva.
- Txhob xav tias muaj lub cev txawv teb chaws hauv qhov muag.
Nyob rau hauv tsawg zaus, ntau yam ntawm pathological keeb kwm (papillae, follicles) yog tsim. Thaum pib, qhov mob tsuas yog nyob rau hauv lub conjunctiva, thiab tom qab 5-15 hnubtxuas mus rau lub cornea.
Lwm cov paib
Yog tias tus kab mob tau tshwm sim vim muaj chlamydia hauv lub cev, subepithelial peripheral infiltrates tseem yuav ntxiv rau cov tsos mob. Cov no yog cov qog ntshav thiab ntshav.
Yog ib tug neeg mob muaj tus kab mob sib kis, ces nws tseem yuav muaj qhov pom kev pom ntawm lub pob txha, zoo li cov nyiaj npib hauv qhov tsos.
Nyob rau hauv cov ntaub ntawv ntawm atopic thiab caij nplooj ntoos hlav hom mob, cov plaques dawb yuav tshwm nyob rau hauv lub limbus. Cov kab mob ua xua ua rau mob hnyav thiab kub hnyiab. Tab sis nrog kev mob qhuav, filamentous keratitis yuav luag txhua zaus pom thiab, raws li txoj cai, qhov muag qhuav.
Keratoconjunctivitis
Kev kho tus kab mob no yog siv cov tshuaj uas tuaj yeem hloov cov kua muag. Cov viscous analogues yuav tsum raug xaiv, uas npog lub ntsej muag ntev ntev.
Qee zaum, cov kws kho mob tau sau tshuaj pleev. Nws yuav tsum tau siv ua ntej pw. Thaum siv cov tshuaj pleev, nws yuav ua tau kom tsis txhob khaus thaum sawv ntxov, tom qab sawv. Koj tuaj yeem siv qhov muag lubricants.
Nws kuj tseem ceeb rau kev ua kom ib puag ncig zoo. Ib tug neeg yuav tsum tsis txhob nyob hauv ib chav uas muaj huab cua qhuav, nrog rau qhov uas nws haus luam yeeb lossis haus luam yeeb.
Koj tus kws kho mob kuj tuaj yeem sau tshuaj tshuaj cyclosporine lossis occlusion ntawm nasolacrimal puncta. Sov compresses thiab tshuaj tua kab mob xws li Doxycycline thiab Bacitracin pab.
tuberculosis-allergic keratoconjunctivitis
Txoj kev kho ua haujlwm li casntawm tus kab mob no, nws tseem ceeb heev los qhia. Kev kho mob rau cov neeg laus keratoconjunctivitis ntawm hom no yog desensitizing, restorative, antibacterial.
Mydriatic cov neeg sawv cev rau kev siv tshuaj pleev, PAS hauv tee, nrog rau streptomycin thiab cortisone pab tau zoo. Feem ntau, tus kws kho mob tau hais kom noj 10% tshuaj calcium chloride sab hauv. Nws yuav tsum tau noj tom qab noj mov, 1 tablespoon peb zaug hauv ib hnub.
Nws kuj tseem siv tau los siv cov roj ntses thiab cov vitamins ntau. PAS ua ke nrog ftivazid thiab streptomycin.
Kev kho mob tsuas yog ua ke nrog tus kws kho mob xwb.
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Thaum muaj kab mob ntawm daim ntawv no, kev kho mob muaj teeb meem heev. Tham txog cov tsos mob thiab kev kho mob ntawm hom kab mob keratoconjunctivitis, nws yuav tsum tau muab sau tseg tias tseem tsis muaj cov tshuaj uas muaj kev xaiv rau adenoviruses. Qhov no yog vim li cas kev kho mob nyuaj.
Raws li txoj cai, siv tshuaj dav dav. Cov no yog interferons (ophthalmoferon thiab lokferon) thiab nws cov inducers, kev teeb tsa 6-8 zaug hauv ib hnub. Yog tias theem mob hnyav, koj tseem yuav tsum haus cov tshuaj tiv thaiv kab mob thiab noj tshuaj tiv thaiv kab mob, piv txwv li, Spersallerg lossis Allergoftal.
Hauv daim ntawv subacute siv tee "Lekrolin" thiab "Alomid". Yog tias cov yeeb yaj kiab tau tsim, koj yuav tsum tau noj corticosteroids - Maxidex, Dexapos thiab Oftan-Dexamethasone. Nrog kev puas tsuaj rau lub pob txha, Coperegel, Vitasik, Korpozin, Taufon pab.
Viralkeratoconjunctivitis Y
Nws tsis tuaj yeem tsis quav ntsej tus kab mob ntawm daim ntawv no. Kev kho mob ntawm tus kab mob keratoconjunctivitis yog tsom rau kev tshem tawm qhov ua rau nws tshwm sim. Yog li ntawd, tus kws kho mob muab tshuaj tua kab mob thiab broad-spectrum drops. Tsuas yog cov tshuaj no tuaj yeem cuam tshuam ntau tus kab mob uas paub txog science.
Yog tias tus neeg mob tau kuaj pom tias muaj tus kab mob hnyav uas tseem tab tom loj tuaj, cov tshuaj tiv thaiv kab mob parenteral raug muab tshuaj.
Nyob rau tib lub sijhawm, koj yuav tsum siv cov tshuaj uas tuaj yeem tiv thaiv cov kab mob microflora ntawm cov hnyuv thiab lwm yam kabmob. Vim hais tias nrog kev kho mob zoo li no, tawm tsam keeb kwm yav dhau los ntawm kev hloov pauv hauv nws, qhov kev pheej hmoo ntawm kev tsim kab mob fungal thiab dysbacteriosis pib loj hlob.
Raws li txoj cai, kev tshem tawm cov tsos mob thiab kev kho mob keratoconjunctivitis hauv cov neeg laus yog nqa tawm nrog tee ntawm "Tobrex" thiab "Sofradex". Kuj tseem siv tau "Acyclovir". Cov tshuaj no tiv thaiv kev kis kab mob mus ntev.
caij nplooj ntoos hlav keratoconjunctivitis
Raws li txoj cai, tus kab mob no tshwm sim ntawm cov tub hluas 4-10 xyoo. Kev kho mob ntawm vernal keratoconjunctivitis feem ntau yuav txo qis cov teebmeem ntawm ultraviolet hluav taws xob ntawm lub qhov muag. Yog li ntawd, nws raug pom zoo kom hnav looj tsom iav dub thiab tsis txhob sab nraum thaum nruab hnub nrig.
Qhia txog kev siv tshuaj tiv thaiv kab mob, nrog rau mast cell stabilizers. Sodium cromoglycate nyob rau hauv daim ntawv ntawm tee thiab Olopatadine yog zoo heev. Tab sis qhov no yuav tsum tau ua systematically. Kev siv cov tshuaj no mus ntev yuav pab kom tsis txhob mob hnyav.
Txhawm rau txo qhov khaus, koj yuav tsum tau siv 3% sodium bicarbonate tov. Koj tuaj yeem ua cov tshuaj pleev ib ce los ntawm cov tshuaj boric acid.
YHerpetic keratoconjunctivitis
Kev kho tus kab mob no yog tsom rau kev tiv thaiv tus kab mob uas ua rau nws. Yog li ntawd, yuav tsum noj tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv kab mob.
Raws li txoj cai, Vidarabine, Riodoxol, Acyclovir, thiab lwm yam.
Txhawm rau ua cov follicle, koj yuav tsum siv cov xim ntsuab ci ntsa iab. Nyob rau hauv daim tawv muag qis, nco ntsoov nteg ib qho tshuaj pleev antiherpetic. Piv txwv li, Acyclovir, Virolex lossis Florenal.
Yog tias thaj chaw ib ncig ntawm lub qhov muag raug cuam tshuam, ces koj yuav tsum pib noj tshuaj xws li Polyoxidonium, Cycloferon thiab V altrex.
Tab sis cov no yog cov tshuaj muaj zog. Yuav ua li cas kho keratoconjunctivitis hauv cov menyuam yaus? Cov menyuam mos hauv qhov no yog cov tshuaj interferons. Feem ntau lawv tau kho nrog tee. Ib qho kev xaiv nrov yog Ophthalmoferon. Nws yog instilled 5-6 zaug ib hnub twg rau 3 hnub, ib txwm tom qab ntxuav lub qhov muag nrog chamomile decoction.
YChlamydial keratoconjunctivitis
Hauv qhov no, kev siv tshuaj tua kab mob kuj tau qhia. Kev tshem tawm cov tsos mob thiab kev kho mob ntawm hom keratoconjunctivitis no yog ua los ntawm kev siv tetracyclines, macrolides thiab fluoroquinolones.
Kev kho mob tshwj xeeb suav nrog kev siv cov tee qhov muag (rr-ciprofloxacin thiab rr-ofloxacin),anti-inflammatory (rr-dexamethasone thiab rr-indomethacin) thiab tshuaj pleev rau daim tawv muag.
Kev kho tus kab mob no tsis yooj yim. Nws yog ua tiav. Qhov ntawd yog, lawv ua cov kev kho mob ib txhij tawm tsam txhua tus kab mob uas tau txheeb xyuas thaum kuaj.
Cov Lus Qhia Txog Kev Kho Mob General
Txhua tus kws kho mob yuav hais tias kev kho mob keratoconjunctivitis qhuav ntawm tib neeg yuav txawv ntawm kev kho mob txhawm rau tshem tawm cov kab mob tib yam nkaus xwb, tab sis tsuas yog sib txawv.
Tab sis muaj cov lus qhia dav dav los xav txog.
Allergic keratoconjunctivitis yuav tsum tau kho tam sim ntawd, vim qhov teeb meem hauv qhov no tshwm sim sai. Ua ntej tshaj plaws, nws yuav tsum tau tshem tawm cov irritant, los yog txwv kev sib cuag nrog nws. Koj kuj yuav tsum tau noj cov vitamins thiab tshuaj tiv thaiv kab mob kom ntxiv dag zog rau kev tiv thaiv tag nrho.
Yog tias daim ntawv ntawm cov chav kawm tsis nyuaj hauv cov kab mob kis, ces siv tau Pyrogenal, Reaferon thiab Poludan.
Nws tseem tsim nyog paub tias cov tshuaj tsis zoo glucocorticosteroids tshem tawm cov tsos mob ntawm qhov mob, tab sis tsis muaj zog tiv thaiv adenovirus. Lawv tsuas txo cov tsos mob. Yog li ntawd, vim kev kho tsis raug, tus kab mob no sai sai.
Nrog hom qhuav, ntxiv rau kev siv cov kua muag dag, koj tuaj yeem siv cov roj vaseline thiab "Lacrisin" - qhov no yuav pab rov qab cov duab ntuj ntawm lub qhov muag.
Thiab, ntawm chav kawm, nyob rau hauv txhua rooj plaub, koj yuav tsum tau noj cov vitamin complexes. Qhov twg - yuav haiskws kho mob. Tab sis koj tsis tuaj yeem ua yam tsis muaj lawv, vim keratoconjunctivitis ntawm txhua yam muaj kev cuam tshuam tsis zoo rau lub cev. Thiab yog tias lub cev tsis muaj zog, tom qab ntawd rov qab los, qhov rov tshwm sim tuaj yeem tshwm sim sai sai.
Feem ntau, kev kho tus kab mob no yuav tsum tau pib ntxov li sai tau. Kev kho raws sij hawm yuav pab kom tsis txhob muaj teeb meem xws li qhov muag tsis pom kev, otitis media, caws pliav ntawm mucosa, thiab kab mob puas tsuaj. Tab sis qhov phem tshaj plaws, thaum keratoconjunctivitis ua ntev.
