Kab mob Ophthalmic yuav luag ib txwm nyuaj thiab ua rau muaj kev txhawj xeeb. Tom qab tag nrho, qhov muag yog ib qho tseem ceeb tshaj plaws ntawm lub cev. Thiab lawv txoj kev swb tuaj yeem ua rau tsis pom kev. Ntawm tag nrho cov kab mob ophthalmic, keratitis, o ntawm lub pob kws, yog qhov ntau heev. Lawv tuaj yeem tshwm sim los ntawm ntau yam laj thawj thiab tsis muaj kev kho mob raws sijhawm ua rau muaj teeb meem loj. Feem ntau cov kab mob keratitis yog tshwm sim los ntawm kev kis kab mob. Tus kab mob no feem ntau tshwm sim hauv cov menyuam yaus thiab cov tub ntxhais hluas, yog li nws tseem ceeb heev uas yuav tsum pib kho kom raws sijhawm kom txuag tau tus menyuam qhov tsis pom kev.
Type of keratitis
Lub pob txha ntawm lub qhov muag yog nws lub plhaub pob tshab. Visual acuity nyob ntawm nws tus mob. Yog li ntawd, qhov txo qis hauv nws cov pob tshab vim yog cov txheej txheem inflammatory feem ntau ua rau qhov tsis zoo ntawm qhov pom kev pom. Tus mob no yog provoked los ntawm keratitis - kab mob uas cuam tshuam rau lub cornea. Feem ntau lawv kis tau tus kab mob: tshwm sim los ntawm cov kab mob, kab mob, chlamydia, fungi los yog parasites.
Tseem muaj mob keratitis, uas mob tshwm sim vim kev ua txhaum ntawm kev ncaj nceespob kws. Qhov no tuaj yeem tshwm sim los ntawm kev puas tsuaj, raug tshuaj lom neeg, kub kub. Thiab daim ntawv kawg ntawm keratitis yog ua xua. Nws tshwm sim nrog rau lub caij nyoog quav nyab, rhinitis, los yog ib qho teeb meem ntawm kev siv tshuaj yeeb-tshuaj tiv thaiv kab mob.
Txij li thaum feem ntau yog cov kab mob ntawm lub pob txha ntawm cov kab mob sib kis, nws yuav tsum paub qhov txawv ntawm kab mob thiab kab mob keratitis. Koj tuaj yeem paub qhov txawv ntawm lawv los ntawm cov cim sab nraud. Cov kab mob feem ntau tshwm sim los ntawm cocci los yog Pseudomonas aeruginosa. Nws tshwm sim tsuas yog tom qab raug mob lossis nrog mob blepharoconjunctivitis. Nws cov yam ntxwv tshwj xeeb yog tsim cov kab mob uas muaj cov kua qaub.
Keratitis tuaj yeem tsim muaj teeb meem hauv cov neeg mob tuberculosis, syphilis, thaum hnav cov tsom iav nws tuaj yeem tshwm sim los ntawm cov kab mob xws li acanthamoeba. Ntawm cov ntaub ntawv tsis muaj kab mob, keratitis yog tshwm sim, tshwm sim los ntawm cov kab mob metabolic, xws li gout lossis ntshav qab zib, los yog tsim muaj teeb meem ntawm cov kab mob autoimmune, xws li mob caj dab rheumatoid.
YViral keratitis
Daim duab ntawm ob lub qhov muag cuam tshuam los ntawm tus kab mob no qhia tau hais tias nws muaj kev kawm hnyav heev, thiab kev pheej hmoo ntawm cov teeb meem nyuaj heev. Daim ntawv no ntawm keratitis yog tshwm sim los ntawm kev kis kab mob. Feem ntau nws tshwm sim nrog cov kab mob sib kis. Viral keratitis feem ntau cuam tshuam rau menyuam yaus thiab cov tub ntxhais hluas, nrog rau cov neeg uas muaj kev tiv thaiv qis.
Tus kab mob kis tau rau ntawm lub qhov muag ntawm lub qhov muag los ntawm cov tee dej los ntawm huab cua lossis kev sib cuag hauv tsev. NtawmCov menyuam yaus feem ntau raug kuaj pom muaj tus kab mob keratitis thawj. Nws ntws hauv daim ntawv mob. Tab sis tus kab mob tuaj yeem nyob hauv lub cev hauv daim ntawv latent thiab, nyob rau hauv qee qhov xwm txheej, tau qhib. Hauv qhov no, tus kab mob hu ua Secondary keratitis. Daim ntawv no mob ntev thiab kho tau nyuaj heev.
Muaj ntau hom kab mob keratitis: punctate, metaherpetic, dendritic, vesicular, discoid thiab lwm yam.
- Daim ntawv tsob ntoo yog superficial keratitis. Nws yog tus cwj pwm los ntawm qhov tshwm sim ntawm cov npuas me me, uas, tom qab qhib, tawm cov qauv hauv daim ntawv ntawm cov ceg ntoo ntawm lub cornea.
- Metagerpetic keratitis yog ib qho mob hnyav ntawm cov khaubncaws sab nraud povtseg ntawm lub cornea. Sib sib zog nqus infiltrates daim ntawv, feem ntau cuam tshuam rau vascular ib feem ntawm lub qhov muag.
- Discoid keratitis ua rau mob hnyav heev. Tom qab ntawd ib puag ncig infiltrate tsim. Qee lub sij hawm nrog rau daim ntawv no ntawm tus kab mob no, clouding ntawm lub cornea thiab ib tug txo nyob rau hauv qhov muag acuity yog pom.
Common kab mob keratitis
mob hnyav tshaj plaws yog keratitis feem ntau tshwm sim los ntawm tus kab mob herpes. Herpes yog tus kab mob lim dej neurotropic. Feem ntau, nws nkag mus rau tib neeg lub cev thaum yau vim tsis muaj zog tiv thaiv kab mob. Nws yog tsis yooj yim sua kom kho tau tus kab mob herpes, nws tsis tu ncua nyob rau hauv kev cuam tshuam ntawm provoking yam. Thiab ib qho ntawm cov qauv ntawm nws qhov tshwm sim yog kab mob keratitis.
Muaj ntau tus kab mob herpes, tab sis qee qhov ntawm lawv ua rau cov kab mob zoo li no, qhov teeb meem uaskeratitis feem ntau tshwm sim. Ntxiv rau qhov yooj yim herpes, cov no yog kab mob khaub thuas thiab kab mob.
Muaj ntau hom kab mob no: thawj keratitis tshwm sim thaum kis tus kab mob herpes. Feem ntau qhov no tshwm sim hauv cov menyuam yaus. Daim ntawv thib ob yog post-primary keratitis, thaum tus kab mob dormant tau qhib los ntawm kev cuam tshuam ntawm qhov tshwm sim. Tsis tas li ntawd, herpetic keratitis tuaj yeem ua rau sab nrauv, thaum tsuas yog sab nrauv ntawm lub pob txha raug cuam tshuam, lossis tob, thaum tus kab mob nkag mus rau txhua txheej ntawm daim nyias nyias ntawm lub qhov muag.
Ntxiv rau cov kab mob herpes, keratitis tuaj yeem tshwm sim los ntawm adenovirus. Nws kuj tshwm sim hauv cov kab mob me me xws li mob khaub thuas, SARS, mumps, qhua pias, thiab rubella. Nws daim ntawv loj tshaj plaws yog adenovirus epidemiological keratitis, uas kis tau los ntawm kev sib cuag. Ib qho tshwj xeeb ntawm txhua tus kab mob keratitis tshwm sim los ntawm adenoviruses yog tias lawv feem ntau cuam tshuam rau ob lub qhov muag, ua rau hauv daim ntawv mob hnyav, tab sis ploj mus yam tsis muaj kab tom qab rov qab los, yam tsis ua rau qhov pom kev pom.
Yog vim li cas thiaj pom
Viral keratitis ntawm lub qhov muag feem ntau tshwm sim tawm tsam keeb kwm ntawm cov kab mob sib kis, nrog rau thaum tsis muaj kev kho mob rau cov kab mob conjunctivitis. Cov pob txha puas tuaj yeem tshwm sim raws li qhov teeb meem ntawm tus mob khaub thuas, SARS, kab mob qhua pias, mumps, qhua pias, rubella, lossis shingles. Tab sis nyob rau hauv thiaj li yuav kom tus kab mob tsis tau tsuas yog mus rau lub cornea, tab sis kuj mus rau hauv paus nyob rau hauv, ua o, tej yam provoking yam yuav tsum tau. Cov no tuaj yeem yog:
- hypothermia;
- txo qis kev tiv thaiv;
- ntau zaus ntxhov siab;
- kev puas tsuaj rau lub pob txha;
- avitaminosis;
- ua txhaum ntawm cov txheej txheem metabolic;
- qhov muag qhuav;
- hnav cov tsom iav.
Viral keratitis: Cov tsos mob
Kev kho mob tshwm sim ntawm cov kab mob ntawm lub cornea yog cov yam ntxwv zoo heev thiab pom tau los ntawm cov neeg mob nyuaj. Viral keratitis feem ntau cuam tshuam rau ib lub qhov muag. Txhua hom kab mob muaj kwv yees li cov tsos mob zoo ib yam:
- reddens mucous membrane ntawm qhov muag;
- daim tawv muag o;
- qhov muag rhiab rau lub teeb thiab kov;
- mob tau, tus neeg mob zoo li muaj lub cev txawv teb chaws hauv qhov muag;
- muaj kua muag thiab tawm mucous;
- pob pob kws;
- pob tshab npuas tshwm rau ntawm nws qhov chaw, uas, tom qab qhib, tawm tom qab mob;
- Kev pom kev pom kev poob qis.
Kev kuaj kab mob
Thaum thawj cov tsos mob ntawm kev puas tsuaj rau lub cornea tshwm, koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Tus kws kho mob ophthalmologist tuaj yeem kuaj xyuas raws li cov cim qhia sab nraud, tab sis tseem siv cov kev kuaj mob ntxiv. Ua ntej ntawm tag nrho cov, pom acuity thiab ciam teb ntawm qhov chaw pom tau raug tshuaj xyuas. Yuav tsum tau nqa tawm keratometry thiab biomicroscopy, txiav txim siab los ntawm rhiab heev ntawm lub pob kws. Cov ntaub ntawv fluorescein instillation test, uas qhia txog cov ciam teb ntawm cov cuam tshuamthaj chaw. Tsis tas li ntawd, kev kuaj ntshav raug kuaj, uas kuaj xyuas cov tshuaj tiv thaiv kab mob rau cov kab mob, nrog rau PCR smear los ntawm lub pob kws.
Kev kho tus kab mob keratitis
Yog tias muaj cov tsos mob ntawm kev puas tsuaj rau lub pob txha, koj yuav tsum hu rau lub chaw kho mob. Tsuas yog tus kws kho mob thiaj li tuaj yeem txiav txim siab cov tsos mob ntawm tus kab mob keratitis, thiab sau cov kev kho mob uas tsim nyog. Cov kab mob zoo li no raug kho hauv tsev kho mob. Kev kho mob yuav tsum ua kom tiav. Nws lub luag haujlwm tseem ceeb yog: kev puas tsuaj ntawm tus kab mob, ntxiv dag zog rau tus neeg mob lub cev tiv thaiv kab mob thiab kho cov pob txha pob txha.
Raws li kev kho tshuaj tiv thaiv kab mob, "Acyclovir" yog siv qhov ncauj, tee ntawm "Interferon", oxolinic ointment lossis gel "Zirgan". Kev txhaj tshuaj Gamma globulin tuaj yeem siv tau. Txhawm rau txo cov tsos mob hauv zos: edema, mob thiab mob, Analgin, Indomethacin, Atropine tau sau tseg. Nco ntsoov siv cov tshuaj vitamin npaj thiab cov stimulants biogenic.
Cov txheej txheem kho lub cev kuj tseem ua tau zoo: electrophoresis, diathermy, diadynamic tam sim no. Rau qhov txhab, siv cov cryoapplications lossis laser coagulation.
Kev kho phais yuav raug pom zoo yog tias kev kho mob tsis zoo thiab yog tias lub pob ntseg raug puas tsuaj ntau. Scraping ntawm cov ntaub so ntswg cuam tshuam, nkag mus rau keratoplasty, thiab nyob rau hauv cov mob hnyav tshaj plaws, kev hloov lub pob txha tau ua tiav.
Kev Tiv Thaiv
Yog tias kev kho tus kab mob keratitis ntawm qhov muag tsis tau pibraws sij hawm, los yog tus neeg mob tsis ua raws li cov lus pom zoo ntawm tus kws kho mob, muaj teeb meem loj. Ntxiv nrog rau kev txo qhov pom kev pom, nws tuaj yeem ua rau dig muag, glaucoma, cataracts, abscesses. Yog li ntawd, txhua yam yuav tsum tau ua los tiv thaiv kev loj hlob ntawm tus kab mob. Txhawm rau tiv thaiv kab mob keratitis, koj yuav tsum tsis txhob raug mob ntawm lub qhov muag, saib xyuas lawv thiab tsis txhob kov lawv ntawm tes qias neeg. Tsis tas li ntawd, nws tseem ceeb heev los kho txhua yam kab mob sib kis hauv lub sijhawm thiab ntxiv dag zog rau lub cev tiv thaiv kab mob.
