fungal keratitis (keratomycosis) yog dab tsi? Qhov no yog cov txheej txheem inflammatory uas tshwm sim nyob rau hauv lub cornea ntawm lub qhov muag vim qhov tsis zoo los ntawm fungi - parasites. Tshaj tawm hauv lub qhov muag qauv, xws li kev kis kab mob tuaj yeem ua rau muaj kev hloov pauv uas tsis tuaj yeem hloov pauv. Fungal keratitis tuaj yeem ua rau pom kev tsis pom kev thiab, thaum mob hnyav, qhov muag tsis pom kev yog tsis tau mus nrhiav kev kho mob sai.
Risk group
Cov pab pawg muaj kev pheej hmoo suav nrog cov neeg tsis muaj zog tiv thaiv kab mob, nrog rau cov neeg mob uas nyuam qhuav tau noj tshuaj tua kab mob. Tseem raug tus kab mob no yog cov nyob hauv zos, zos, thiab nyiam ua teb.
Tus kab mob no tuaj yeem tshwm sim thaum twg los tau. Txawm li cas los xij, nws yog qhov tsawg heev rau cov menyuam mos los tsim cov kab mob fungal keratitis.
Cov qauv thiab theem ntawm tus kab mob
Daim ntawv ntawm pathology ncaj qha nyob ntawm seb qhov mob ntawm qhov muag. Cov kab mob fungal keratitis (duab nthuav tawm hauv kab lus) tau muab faib ua qhov tob thiab tob.
Ntog cuam tshuam tsuas yog cov khaubncaws sab nraud povtseg ntawm lub cornea ntawm lub qhov muag thiab tawm tsis pom cov kab hauv qab. Cov txheej txheem o nrog sib sib zog nqus keratitisNws txuas mus rau cov txheej sab hauv ntawm lub pob kws, uas ua rau tsim cov nti, uas tom qab ntawd txo qhov pom kev pom.
Kev tshwm sim
Fungal keratitis - nws yog dab tsi, txhua tus neeg uas muaj kev pheej hmoo yuav tsum paub. Txog 70 hom fungi tuaj yeem ua rau nws txoj kev loj hlob. Lawv qhov chaw nyob yog rotting zaub mov, nroj tsuag thiab av. Cov kab mob ua rau ntawm keratomycosis yog pwm, zoo li cov poov xab thiab cov poov xab fungi, actinomycetes.
Cov kab mob no yog ib feem ntawm cov kab mob microflora ntawm txhua yam kab mob, txawm li cas los xij, lawv cov kab mob tshwm sim hauv cov ntaub so ntswg qhov muag tuaj yeem ua rau muaj qhov tshwm sim ntawm keratitis vim yog vim li cas hauv qab no:
- lub cev tsis pom kev raug mob los ntawm cov khoom qias neeg, pob ntseg pob kws, nyom, ceg;
- Ib lub cev txawv teb chaws nkag rau hauv qhov muag;
- siv lo ntsiab muag tsis raug (siv tom qab hnub tas sij hawm, cov tshuaj muaj paug);
- surgery;
- mob tshwm sim los ntawm herpes;
- conjunctivitis;
- AIDS lossis HIV, lawv tuaj yeem ua rau kab mob.
Cov tsos mob thiab cov tsos mob ntawm fungal keratitis
Pathology txhim kho qeeb qeeb. Hauv qee kis, nws tuaj yeem yog asymptomatic. Thaum xub thawj, nws yuav zoo li tias muaj cov khoom txawv teb chaws nyob rau hauv lub qhov muag, thiab tsuas yog tom qab lub sijhawm ntev yuav pom thawj cov tsos mob ntawm tus kab mob, uas muaj cov xim zoo nkauj.
KCov cim qhia ntawm fungal keratitis suav nrog:
- mob siab uas yuav tshwm sim qee zaus lossis tas li;
- nce lacrimation;
- qhov muag liab;
- photophobia;
- kub hnyiab tau hnov hauv lub cev ntawm lub zeem muag;
- pob qhov muag;
- fester;
- Npaj uas txwv tsis pub koj qhib qhov muag.
Cov tsos mob yuav tshwm sim li ob peb hnub lossis ib lub lim tiam. Yog tias tsawg kawg yog ib qho ntawm cov cim tshwm sim, nws yuav tsum tau mus ntsib kws kho qhov muag kom sai li sai tau.
Yog tias qhov kev kuaj mob thiab kev kho mob tsis tau ua tiav raws sijhawm, pos yuav tshwm sim ntawm lub qhov muag, uas ua rau tsis pom kev ua tiav vim muaj kab mob fungal keratitis. Cov ntsia hlau (daim duab hauv qab no) kuj raug cuam tshuam los ntawm cov kab mob fungal. Kev tu cev tsis zoo tuaj yeem ua rau tus kab mob no.
Diagnosis
Txawm tias qhov tseeb tias keratomycosis muaj cov tsos mob tshwm sim, qee zaum nws tuaj yeem nyuaj rau kev kuaj mob. Tus kab mob no feem ntau tsis meej pem nrog lwm hom kab mob ophthalmic, uas tuaj yeem cuam tshuam qhov kev kuaj mob kom raug.
Muaj cov mob thaum cov kab mob fungal keratitis nrog cov kab mob keratitis, uas, nyob rau hauv lem, yog nyob rau hauv lub necrotic theem, thiab cov kab mob uas tsim kev puas tsuaj yuav kis tau sai heev nyob rau hauv cov ntaub so ntswg uas oxidation txheej txheem tsis pronounced.
Thaum lub sijhawm kuaj, tus kws kho qhov muag tuaj yeem kuaj pom qhov greyish ntawm lub pob kws. Fungal keratitis kuj yog tus cwj pwm los ntawm tsacov ntug. Thaum lub sij hawm, kev puas tsuaj nce. Qhov tshwm sim ntawm qhov no yuav yog cov txheej txheem necrotic uas yuav pib tshwm sim hauv lub cornea ntawm lub qhov muag. Cov tshuaj tiv thaiv tib yam tuaj yeem tshwm sim nrog kev kuaj mob tsis raug thiab yog siv cov tshuaj corticosteroids.
Txhawm rau txiav txim siab tus kab mob thiab nws qhov rhiab heev rau qee yam tshuaj, tus kws kho qhov muag yuav tsum tau txiav txim siab los ntawm kev tsom mus rau qhov twg cov kab mob tshwm sim.
Kev kho mob
Kev kho yuav ntev thiab nyuaj. Nws feem ntau muaj cov tshuaj uas kws kho mob tau sau tseg thiab cov tshuaj ib txwm siv.
Thaum tsis muaj qhov xav tau los ntawm cov tshuaj siv, nrog rau kev hem thawj ntawm pob txha perforation, yuav tsum tau phais.
Drug therapy
Nystatin feem ntau yog tshuaj rau kev kho cov kab mob fungal keratitis. Cov tshuaj tua kab mob no muaj nyob rau hauv daim ntawv ntawm cov tshuaj pleev los yog tee. Nws yog txhaj rau hauv conjunctiva ntawm lub qhov muag tsuas yog nyob rau qee kis. Tsis tas li, tus kws kho mob tuaj yeem sau tshuaj "Amphotericin" lossis sulfa tshuaj.
tshuaj ntsuab
tshuaj ntsuab suav nrog kev siv cov khoom uas yuav npaj hauv tsev siv cov nroj tsuag tshuaj:
- Decoction ntawm qab zib clover. Txhawm rau npaj lub decoction, noj 25 g ntawm paj thiab ncuav ib khob dej. Tom qab ntawd nws yog boiled tshaj tsawg tshav kub rau 45 feeb. Cov kua yog tso cai rau txias rau chav tsev kub, ces lim, ib daim yog moistened nyob rau hauv nws.paj rwb ntaub, thiab lub resulting compress yog siv rau lub qhov muag mob rau 30 feeb. Cov txheej txheem no yuav tsum tau rov ua dua 2 zaug hauv ib hnub thaum sawv ntxov thiab ua ntej yuav mus pw. Kev kho mob yog 2 lub lis piam.
- Eyebright kuj yog ib qho kev kho mob zoo rau keratomycosis. Nws kuj yog siv los npaj ib decoction, uas yog tom qab ntawd siv rau kev ntxuav, thov compresses thiab lotions, nrog rau kev noj. Koj tuaj yeem npaj qhov muag tee los ntawm cov tshuaj ntsuab no: 1 teaspoon ntawm raw cov ntaub ntawv yog poured rau hauv ob khob dej, lub broth yog boiled tshaj tsawg tshav kub rau ob peb feeb, thiab ces tshem tawm rau 3 teev nyob rau hauv ib qhov chaw tsaus. Qhov no infusion yog instilled nyob rau hauv ob lub qhov muag thaum hmo ntuj, ob peb tee nyob rau hauv txhua lub qhov muag. Nws yuav tsum tau muab cia rau hauv lub tub yees nyob rau hauv ib lub thawv uas tsis kis lub teeb. Txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau nws koj yuav tsum siv ib tablespoon ntawm cov plaub hau thiab ncuav dej (1.5 liv). Lub broth yog muab tso rau ntawm hluav taws, coj mus rau ib tug boil, thiab ces tshem tawm rau 2 teev nyob rau hauv ib qhov chaw tsaus. Lub qhov muag yog ntxuav nrog ib tug sov decoction los yog ib tug compress (yuav tsum tau sab laug nyob rau hauv pem hauv ntej ntawm lub qhov muag rau 25 feeb). Yuav kom ua tiav cov txiaj ntsig zoo tshaj plaws, nws yog qhov yuav tsum tau siv txoj kev kho mob nyuaj;
- Decoction ntawm calendula. Txhawm rau npaj xws li kev kho mob, 10 g ntawm calendula yog noj, ncuav nrog boiling dej, tom qab uas cov tshuaj yog muab tso rau ntawm hluav taws thiab boiled rau tsib feeb. Cov dej haus yog infused rau 3 teev, ces lim thiab siv ntxuav ob lub qhov muag ib hnub twg;
- Chamomile chaw muag tshuaj. Ib qho txhais tau tias ntxuav lub qhov muag thiab tshuaj pleev yog npaj los ntawm nws: 2 tablespoons ntawm paj yog poured nrog boiling dej.(ib nrab ib liter yuav txaus). Lub decoction yog infused rau 2 teev, ces paj rwb ntaub yog moistened nyob rau hauv cov khoom tiav thiab thov mus rau lub qhov muag mob rau 30 feeb 2 zaug ib hnub twg;
- Nqaij npua yog siv los pab. Nws yog ntxiv rau boiled, tsis yog dej txias (10 ml). Cov khoom uas tshwm sim yog instilled rau hauv lub qhov muag thaum sawv ntxov thiab thaum pw tsaug zog, 2 tee yog txaus. Thawj cov txheej txheem tuaj yeem nrog qhov kub hnyiab me ntsis. Txoj kev kho no kuj zoo rau qhov muag qhov muag (2 zaug ib hnub).
Kev Tiv Thaiv
Kev tiv thaiv yog yooj yim thiab tuaj yeem ua tau los ntawm leej twg los tiv thaiv kab mob fungal. Cov no suav nrog:
- kev huv ntawm lub cev qhov muag. Tsis txhob ua av hauv koj ob lub qhov muag;
- ntawm cov tsos mob me me uas qhia txog pathology ntawm lub cev ntawm lub zeem muag, nws yuav tsum tau nrhiav kev pab los ntawm tus kws tshaj lij sai li sai tau;
- khoom noj khoom haus yuav tsum sib npaug;
- yuav tsum ua raws li kev tswj hwm, kev tawm dag zog kom muaj zog tiv thaiv kab mob.
Koj yuav tsum tsis txhob noj tshuaj rau tus kheej, kom tsis txhob ua rau tus mob hnyav dua. Ntxiv mus, nws yog tsis yooj yim sua kom nws tus kheej tsim ib qho kev kuaj mob nrog kev loj hlob ntawm fungal keratitis.
