Keratitis ntawm lub qhov muag yog ib qho mob ntawm lub pob kws, tshwm sim li lacrimation, photophobia, blepharospasm. Tej zaum yuav kis tau los yog raug mob. Muaj ntau yam teeb meem ntawm keratitis, uas tshwm sim raws li qhov ua rau pom kev poob qis uas tshwm sim los ntawm pob txha pob txha.
Ntxhais kab mob
Keratitis ntawm lub qhov muag, daim duab uas qhia meej txog qhov peculiarity ntawm tus kab mob, yog tus cwj pwm los ntawm qhov muaj qhov mob ntawm lub pob kws, uas tuaj yeem yog kab mob los yog kab mob. Fungal keratitis yog tsawg heev. Qhov no yog ib yam kab mob loj heev uas yuav tsum tau muab kev kho mob uas muaj peev xwm thiab raws sijhawm. Yog hais tias tus neeg mob tig mus rau tus kws kho mob lig, ces lub pob ntseg suppuration thiab tuag ntawm lub cev tsis pom kev yuav tshwm sim.
Keratitis ntawm lub qhov muag, daim duab uas tso cai rau koj los txiav txim seb hom kab mob zoo li cas, kev kho mob zoo li kev ua txhaum ntawm pob txha pob txha. Cov txheej txheem inflammatory yog nyob ntawm ib qho infiltrate uas muaj ntau lub hlwb. Lub luag haujlwm tseem ceeb hauv kev kuaj mob yog ua los ntawm qhov tob ntawm nws qhov chaw. Superficial infiltrates daws sai heevntawm lawv tus kheej, tab sis qhov tob tob tso tawm qhov caws pliav thiab huab cua hnyav.
Dab tsi yog hom kab mob keratitis
Ntau tus mob ntau yam kab mob qhov muag. Ib qho ntawm cov kab mob qhov muag uas nyuaj tshaj plaws thiab txaus ntshai yog keratitis, uas tuaj yeem tshwm sim hauv ntau hom, xws li:
- acanthamoeba;
- fungal;
- viral.
Hom kab mob filamentous tshwm sim vim kev ua haujlwm tsis txaus ntawm cov qog lacrimal. Nws tsuas yog tsim tawm tsam keeb kwm ntawm qhov muag qhuav syndrome. Lub cornea thiab conjunctivitis qhuav tawm, ua rau cov txheej txheem inflammatory-dystrophic, thiab qhov muag acuity txo. Nyob rau hauv tshwj xeeb tshaj yog mob hnyav, tej zaum yuav muaj prolapse ntawm daim nyias nyias ntawm lub qhov muag.
Fungal keratitis ntawm qhov muag tshwm sim thaum parasitizing ntau hom fungi. Acanthamoeba hom kab mob tshwm sim thaum muaj amoebae hauv lub cev. Kev kis kab mob tuaj yeem tshwm sim thaum ua luam dej hauv cov dej tshiab hauv cov lo ntsiab muag, ntxuav lawv nrog dej thiab lwm yam kua dej uas tsis yog rau cov txheej txheem no. Daim foos no yog tus yam ntxwv los ntawm kev ntws qeeb.
Viral keratitis ntawm lub qhov muag tsim tawm tsam keeb kwm ntawm tus kab mob kis, tshwj xeeb, xws li mumps, qhua pias, kab mob qhua pias thiab ntau lwm yam kab mob. Daim ntawv no yog tus cwj pwm los ntawm kev tsim cov pob liab liab uas zoo li npuas, o thiab liab ntawm lub qhov muag. Lub cornea ua pos huab thiab ulcers yuav tsim rau nws. Qhov tseeb, tus kab mob no tshwm sim hauv cov menyuam yaus thiab cov tub ntxhais hluas.
Yog vim li castshwm sim
Qhov muag kab mob keratitis, nyob ntawm qhov ua rau, tuaj yeem raug mob thiab kis tau. Hom kev puas tsuaj tshwm sim los ntawm kev puas tsuaj rau lub cornea los ntawm txawv teb chaws lub cev, loj hlob plaub muag tsis raug. Ib hom kab mob tshwm sim thaum cov kab mob nkag mus rau hauv daim nyias nyias ntawm lub qhov muag.
Ntxiv rau, kuj tseem yuav muaj ntau yam ua rau cov txheej txheem pathological, tshwj xeeb, xws li:
- Ntev hnav lub ntsej muag tiv thaiv thiab saib xyuas tsis raug;
- tsis muaj cov vitamins hauv lub cev;
- cov txheej txheem mob;
- ua txhaum ntawm cov txheej txheem metabolic;
- muaj kab mob hauv lub cev;
- kab mob autoimmune;
- kab mob sib kis;
- qhov muag khaus.
Keratitis ntawm lub qhov muag ntawm lub qhov muag kuj tuaj yeem tshwm sim thaum muaj kev ua xua. Hauv cov neeg uas muaj kev tsis haum tshuaj, ntau yam kab mob ntawm lub cev ntawm lub zeem muag tuaj yeem tshwm sim. Qhov ua rau ntawm cov txheej txheem pathological nyob rau hauv cov ntaub ntawv no yog raug rau allergens.
Ntau heev yog herpetic keratitis ntawm lub qhov muag, uas tshwm sim los ntawm kev nkag mus ntawm tus kab mob herpes simplex mus rau hauv lub cev, uas tseem nyob rau hauv nws mus rau lub neej. Rau lub sijhawm ntev, nws yuav tsis tshwm sim nws tus kheej txhua qhov thiab pib qhib tsuas yog thaum raug cuam tshuam los ntawm qhov tshwm sim, tshwj xeeb, thaum lub cev tsis muaj zog. Nws yog txaus kom hloov tus kab mob herpes ntawm daim di ncauj tom qab hypothermia, raws li nws yuav kis mus raupob qhov muag.
Cov tsos mob thiab cov tsos mob
Txawm hais tias yog hom kab mob twg, cov tsos mob ntawm keratitis ntawm qhov muag muaj qee qhov zoo sib xws. Ua ntej ntawm tag nrho cov, tus kab mob manifests nws tus kheej nyob rau hauv daim ntawv ntawm mob hnyav. Cov qib ntawm lawv qhov hnyav feem ntau nyob ntawm qhov hnyav thiab daim ntawv ntawm cov txheej txheem pathological. Ntawm cov cim qhia, photophobia yuav tsum paub qhov txawv, thiab tus neeg mob kuj xav tias muaj lub cev txawv teb chaws hauv qhov muag.
Blepharospasm kuj tseem tuaj yeem pom, uas daim tawv muag kaw lawv tus kheej. Qhov no tshwm sim los ntawm kev khaus ntawm cov receptors ntawm lub paj hlwb trigeminal. Nyob rau hauv lub xub ntiag ntawm keratitis, qhov muag tsis pom kev yuav tsum tshwm sim. Daim duab muaj fuzzy npoo thiab zoo li qhov muag plooj. Kev mob taub hau kuj tuaj yeem koom nrog, uas tau tshaj tawm nyob rau sab ntawm lub qhov muag mob.
Tej zaum yuav muaj pob thiab tso kua paug. Nrog rau cov txheej txheem sluggish thiab mob ntev, cov vascular network tshwm nyob rau hauv lub cornea ntawm lub qhov muag. Kab mob keratitis yog ib yam kab mob loj heev, vim nws tuaj yeem ua rau muaj kev tsis taus ib ntus lossis txawm qhov muag tsis pom. Ntxiv rau cov cim qhia dav dav, thaum lub sijhawm kuaj, kuaj pom cov khoom nkag mus thiab cov mucopurulent provoked los ntawm conjunctivitis.
Cov kab mob no tau nce sai heev, thiab tom qab lub cev qhuav dej ntawm cov infiltrate, cov ntaub ntawv rwj. Qhov tsis xws luag ntawm lub pob kws muaj ob feem, ib qho uas kho tau sai heev, tawm ntawm nti, thiab lwm qhov nce ntxiv, npog thaj chaw tshiab.
Hom kev pom zoo tshaj plaws yog suav tias yogkab mob keratitis ntawm lub qhov muag, uas ua rau ib tug tseem ceeb txo nyob rau hauv lub rhiab heev ntawm lub cornea. Nws cuam tshuam rau txheej txheej, qhov twg npuas tsim, uas, tawg, tig mus rau hauv yaig, zoo li cov ceg ntoo hauv lawv cov duab.
Cov ntaub ntawv tsis kis kab mob ntawm keratitis tsis muaj tsos mob, yog li lawv tau tshawb pom los ntawm kev sib tsoo. Lawv raug txiav txim los ntawm tus yam ntxwv o nyob rau hauv nruab nrab ntawm lub pob kws, nrog rau qhov muaj ntawm o thiab yaig. Ib qho purulent infiltrate yog tsim nyob rau ntawm qhov chaw ntawm qhov raug mob hauv 2-4 hnub, vim muaj kev sib ntxiv ntawm tus kab mob.
Thaum thawj cov tsos mob tshwm sim, koj yuav tsum tau mus ntsib kws kho mob kom kuaj xyuas thiab, yog tias tsim nyog, kev kho mob tom ntej.
Diagnostics
Tus kws kho mob tuaj yeem kuaj xyuas "keratitis ntawm lub qhov muag" tsuas yog tom qab pom tus neeg mob. Cov neeg zoo li no feem ntau hnav tsom iav tsaus lossis npog lawv lub qhov muag nrog ib lub phuam, vim tias lub cev ntawm qhov muag pom kev mob heev rau teeb pom kev zoo.
Ua ntej tshaj plaws, tus kws kho mob yuav tsum ua kom tiav cov ntaub ntawv kho mob kom muaj lub tswv yim ntawm cov kab mob. Tom qab ntawd, nws ua ib qho kev ntsuam xyuas sab nraud thiab palpates, yog tias ua tau, qhov chaw tsis txaus ntseeg. Tsis tas li ntawd, ib txoj hauv kev kuaj mob yog ophthalmoscopy, thaum lub sijhawm kuaj xyuas qhov muag thiab adnexa. Qib ntawm fundus reflexes raug soj ntsuam.
Yog tias xav tias muaj kab mob endogenous, tus neeg mob yuav tsum tau kuaj xyuas seb puas muaj cov kab mob sib kis. Kuj pom yog tusmicroscopy ntawm qhov muag scrapings thiab kev txiav txim siab ntawm tus neeg sawv cev ntawm tus kab mob. Tso cai rau koj los ntsuas lub xeev ntawm cov qauv ntawm lub anterior chamber ntawm lub qhov muag biomicroscopy.
Tom qab ua qhov kev kuaj mob zoo, tus kws kho mob tau sau ntawv kho mob, suav nrog cov yam ntxwv ntawm cov kab mob thiab daim ntawv ntawm cov txheej txheem pathological.
Kev kho mob
Kev kho mob ntawm qhov muag keratitis yog txhawm rau tshem tawm cov tsos mob uas twb muaj lawm thiab ua rau cov txheej txheem pathological. Yog li ntawd, txoj kev kho yuav tsum tau ua nyob rau hauv ib tug complex yam. Yog hais tias tus kab mob yog ntiav thiab mus tsis muaj teeb meem, ces kev kho mob yog nqa tawm nyob rau hauv lub outpatient. Mob keratitis ntawm qhov muag yog kho tshwj xeeb hauv tsev kho mob.
Cov kab mob ntawm cov txheej txheem pathological txhais tau hais tias noj tshuaj tua kab mob sab nraud. Nws tuaj yeem yog erythromycin lossis tetracycline ointment. Hauv cov xwm txheej tshwj xeeb tshaj plaws, kev daws teeb meem ntawm "Monomycin", "Kanamycin", "Neomycin" tuaj yeem raug txhaj rau hauv qab ntawm lub conjunctiva. Cov tshuaj tua kab mob tuaj yeem muab tshuaj los ntawm qhov ncauj lossis intramuscularly rau hauv lub cev. Yog hais tias keratitis muaj ib tug fungal daim ntawv, ces cov tshuaj tiv thaiv kab mob.
Tus kws kho qhov muag pom kev tuaj yeem sau tshuaj tua kab mob, tshuaj tua kab mob lossis tshuaj tiv thaiv kab mob, xws li Floxal, Torbex, Oftawix, Naklof. Yog tias qhov kev ncaj ncees ntawm lub epithelium tsis raug ua txhaum, ces cov tshuaj hormonal tuaj yeem raug sau ntxiv, tshwj xeeb, xws li Maxidex lossis Desmetasone.
Ntau zaus, thaum tus kab mob no, adhesions tuaj yeem tsim, yog li cov tshuaj tau sau tseg uas ua raumenyuam kawm ntawv dilation. Yog tias muaj mob hnyav, tus kws kho mob tuaj yeem sau tshuaj ntxuav cov kua muag nrog tshuaj tua kab mob tshwj xeeb.
Nco ntsoov siv cov kev kho lub cev, tshwj xeeb, xws li:
- phonophoresis;
- magnetic therapy;
- electrophoresis.
Qee zaum tus kws kho mob yuav pom zoo kom siv cov tshuaj stimulants biogenic. Nrog cov kab mob herpetic, kev kho mob ntawm keratitis ntawm lub qhov muag yog ua los ntawm kev siv Zovirax ointment thiab tshuaj Acyclovir. Kev noj cov vitamin complexes yog qhia rau txhua yam ntawm cov txheej txheem pathological. Hauv cov mob hnyav tshaj plaws, kev cuam tshuam kev phais yog qhia. Ntawm cov txheej txheem nrov tshaj plaws, cryotherapy, keratoplasty, thiab laser coagulation yuav tsum tau muab cais tawm. Nws yog ib qho tseem ceeb heev uas yuav tsum noj kom raug thiab ua raws li cov zaub mov tshwj xeeb uas koj tus kws kho mob tau sau tseg.
Kev siv pej xeem tshuaj
Kev kho mob keratitis nrog cov tshuaj pej xeem tuaj yeem ua ke nrog cov kev kho mob ib txwm muaj. Hiav txwv buckthorn roj yuav pab tshem tawm photophobia thiab mob. Hauv thawj hnub ntawm kev kis tus kab mob, 1-2 tee yuav tsum tau instilled txhua teev, thiab tom qab ntawd txhua 3 teev. Kev siv cov roj hiav txwv buckthorn yog tshwj xeeb tshaj yog muaj txiaj ntsig hauv kev mob keratitis.
Ntau zaus, kev kho mob keratitis los ntawm kev siv tshuaj pleev tshwj xeeb. Yeej lawv tau ua 2-3 zaug hauv ib hnub rau 1 teev. Ua ntej, qhov chaw rau compress yuav tsum tau so. Lotions tuaj yeem ua nrog av nplaum. Ua li no, ntawm daim ntaub so ntswg koj yuav tsum tau thov ib txheej ntawm av nplaum nrog ib tug tuab ntawm txog2-3 cm kom nws tsis tawg. Qhov sib tov yuav tsum yog tuab heev thiab ntom, tsis muaj lumps.
Tib neeg txaus siab rau qhov muag nyom, uas hu ua eyebright. Nrog ib tug decoction, ntxuav lub qhov muag nrog 3-4 tee los yog ua ib tug compress. Txhawm rau ua qhov no, noj 1 tsp. flowering eyebright rau 1 tbsp. dej, coj mus rau ib tug boil, thiab ces insist rau 2-3 teev. Tsis tas li ntawd, kev noj cov tshuaj no sab hauv yog qhia.
Txoj kev ntws ntawm cov menyuam yaus
Cov tsos mob thiab kev kho mob ntawm qhov muag keratitis hauv cov menyuam yaus tuaj yeem sib txawv, vim tias tus kab mob tuaj yeem tshwm sim vim muaj kab mob los yog kab mob. Daim ntawv herpetic tshwm sim feem ntau hauv cov menyuam yaus hnub nyoog qis dua 5 xyoos thaum sib cuag nrog tus kab mob herpes, vim tus menyuam lub cev tsis muaj kev tiv thaiv tshwj xeeb. Tus kab mob no tshwm sim los ntawm qhov mob tshwm sim, liab liab, ua pob khaus ntawm daim tawv nqaij thiab cov mucous daim nyias nyias, o, thiab lacrimation.
Kab mob keratitis yog tus cwj pwm los ntawm qhov muaj cov kab mob purulent ntawm lub pob kws. Tus neeg sawv cev ua rau yog coccal flora, uas tshwm sim thaum lub cev txawv teb chaws nkag mus rau hauv lub qhov muag lossis nyob rau hauv rooj plaub ntawm microtrauma. Nyob rau hauv nruab nrab ntawm lub cornea, ib tug grey infiltrate yog tsim, uas dhau sij hawm kis tau ib tug yellowish tint, yam ntxwv ntawm purulent paug. Cov txheej txheem pathological tuaj yeem txhim kho sai heev thiab xaus nrog kev tsim cov pos hauv lub qhov muag tom qab perforation ntawm lub cornea. Hauv cov menyuam yaus, daim ntawv no tsis tshua muaj.
Nws yog ib qho tsim nyog yuav tsum tau ua qhov kev ntsuam xyuas thiab kev kho mob tom qab. Nws yog ib qho tseem ceeb heev uas yuav tsum ua kom tiav raws sijhawmKev kho mob dav dav kom tsis txhob muaj teeb meem.
Txoj kev ntawm cov kab mob hauv cov tsiaj
Feem ntau keratitis tuaj yeem tshwm sim hauv qhov muag ntawm tus dev. Ntawm cov laj thawj tseem ceeb ntawm kev tsim tus kab mob no tuaj yeem txheeb xyuas tau xws li:
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Pab pawg muaj kev pheej hmoo rau tus kab mob no suav nrog kev sib tsoo, Pekingese, pugs, bulldogs. Tsis tas li ntawd, miv feem ntau tuaj yeem raug tus kab mob no, tshwj xeeb tshaj yog Persian thiab Askiv.
Ntawm thawj cov cim qhia ntawm qhov pib ntawm tus kab mob yog photophobia, lacrimation, clouding ntawm lub cornea thiab muaj paug tawm ntawm lub qhov muag. Cov txheej txheem pathological tuaj yeem kis mus rau txheej txheej thiab cov ntaub so ntswg tob. Yog tias koj tsis qhia koj tus tsiaj mus rau tus kws kho tsiaj kom raws sijhawm, tus kab mob tuaj yeem ua rau muaj teeb meem loj heev, tshwj xeeb, xws li daim tawv muag tuab, pob txha pob txha, thiab lwm yam. Kev kho tus kab mob yuav tsum tau ua los ntawm tus kws kho tsiaj uas tsim nyog. Hauv tsev, koj tuaj yeem ntxuav koj ob lub qhov muag nrog kev daws ntawm boric acid, instill antibacterial drops, piv txwv li, xws li Levomycetin. Tsis tas li ntawd, Tetracycline antibacterial ointment tuaj yeem muab tso rau hauv lub hnab ntim khoom.
Txoj kev mob tshwm sim
Keratitis tuaj yeem tso cov caws pliav ntawm lub qhov muag, qhov pomuas cuam tshuam rau theem ntawm qhov pom kev acuity. Tias yog vim li cas koj yuav tsum mus ntsib kws kho qhov muag kom sai li sai tau, tam sim ntawd tom qab thawj cov tsos mob tshwm sim. Cov teeb meem loj yog nyob ntawm qhov xwm txheej ntawm cov txheej txheem inflammatory, thaj tsam ntawm nws thaj chaw, nrog rau muaj cov kab mob sib kis.
ntsuas kev tiv thaiv
Txhawm rau zam qhov tshwm sim ntawm kev kis kab mob thiab ua kom muaj kev noj qab haus huv ntawm lub cev ntawm lub zeem muag, nws yog qhov yuav tsum tau ua raws li kev tiv thaiv, uas suav nrog:
- kev tiv thaiv kev raug mob;
- hloov pauv lub sijhawm tiv thaiv lo ntsiab muag;
- kho mob ntawm qhov muag thiab kab mob kis;
- zam kev sib cuag nrog cov neeg mob kis kab mob.
Ntxiv rau, nws tsim nyog nco ntsoov tias kev mus ntsib kws kho mob raws sij hawm txo qis kev pheej hmoo ntawm cov teeb meem.
