Qee tus kab mob ua rau muaj kev mob ntawm lub qhov muag ntawm lub qhov muag. Ib qho ntawm cov kab mob no yog herpes, uas feem ntau yog qhov ua rau ntawm keratitis. Qhov no yog ib qho kev pheej hmoo siab uas tsim kev puas tsuaj ntawm qhov muag tsis pom thiab lwm yam tsis zoo.
Cov ntaub ntawv ntawm herpetic keratitis
Tus kab mob uas tau piav qhia yog cais ua ntau pawg raws li qhov chaw nyob ntawm tus mob thiab nws qhov hnyav. Herpetic keratitis ntawm lub qhov muag muaj nyob hauv cov ntaub ntawv hauv qab no:
- thawj;
- stromal;
- metaherpetic;
- discoid.
Thawj tus herpetic keratitis
Hom kab mob no tshwm sim thaum tseem yog me nyuam yaus (txij li 6 hlis mus txog 5 xyoos). Thawj tus mob epithelial herpetic keratitis tau nce hauv daim ntawv me me hauv daim ntawv ntawm txoj hnyuv quav hnyuv. Tsuas yog ob lub qhov muag daj thiab cov kaus poom kua qoob loo uas cuam tshuam tsis kis mus rau lub qhov muag ntawm lub qhov muag. Tus herpetic keratitis yog yooj yim kho, feem ntau nthawv. Zoo ntawm qhov chaw mob tshwm sim sai sai thiab tsis muaj caws pliav.
Stromal keratitis
Hom kab mob kis no tshwm sim vim kev ua tsis zoo ntawm lub cev thiab kev kis tus kab mob. Qee lub sij hawm qhov ua rau yog epithelial superficial keratitis, tshwj xeeb tshaj yog yog hais tias nws txoj kev kho tau ua pov thawj. Lub stromal daim ntawv ntawm tus mob ntawm lub cornea provokes lwm hom mob:
- daim npav sab hauv;
- discoid;
- riam phom;
- bullous;
- interstitial.
Metaperpetic keratitis
Hom kab mob no yog qhov muaj kev puas tsuaj hnyav heev. Nws yog ib yam uas ua rau tus kab mob sib sib zog nqus keratitis ntawm lub qhov muag, feem ntau ntws mus rau keratoiridocyclitis. Qhov piav qhia txog ntawm cov mob pathology yog nrog los ntawm ib daim duab qhia meej thiab mob ceev ceev. Qhov mob herpetic keratitis ua rau ntau lub qhov mob ntawm cov hlab ntaws ntsws, nws txawj ntse thiab kis mus rau. Cov lus qhia txog tus kab mob no yog ib qho nyuaj rau kev kho, tshwj xeeb tshaj yog yog tias muaj kev sib luag ntawm qhov muag tsis taus thiab kev loj hlob sai heev ntawm tus kab mob.
Discoid keratitis
Daim ntawv no ntawm tus kab mob no ua rau lub thickening ntawm cornea thiab tsim kev kub siab ntawm tus mob hauv nws qhov chaw. Disc herniated keratitis ua ke nrog kev poob siab hauv lub plhaw ntawm cov hlab ntsha tob, tom qab los ntawm caws pliav cov ntaub so ntswg. Txoj kev sai sai no yuav mob ntev mus, nrog cov teeb meem. Feem ntau muaj kev puas tsuaj ntawm lub qhov muag.
Tshuaj herpetic keratitis - cov tsos mob
Tus kab mob qog lub hauv paus ntawm lub qhov muag ntawm lub qhov muag tuaj yeem dhau tsis muaj cov tsos mob. Qhov tsuas yog tshwm sim yog kub cev, mob siab thiab conjunctivitis . Yog tias zoo li no herpetic keratitis tsis kho kom zoo, nws kis tau mus rau tom qab thawj theem. Nyob rau hauv cov ntaub ntawv no, lub cornea yog them nrog tus cwj pwm vesicles, uas tawg thiab tawm tom qab ulceration thiab yaig. Lawv maj mam kho thiab caws pliav, uas zoo li tus qauv qauv ntawm cov menyuam thiab cov menyuam kawm ntawv (herpetic dendritic keratitis).
Lwm cov tsos mob ntawm tus kab mob tom qab thawj tus kab mob:
- uncontrolled lacrimation ;
- ntshai ntawm qhov kaj ci;
- liab liab ntawm cov nqaijrog;
- kev xav ntawm lub xub ntiag nyob hauv lub qhov muag;
- blepharospasm;
- deterioration ntawm qhov tseeb lossis qhov muag tsis pom kev;
- mob Syndrome;
- tawm pob tawv nqaij ntawm daim tawv muag ntawm lub qhov muag daj thiab qhov muag muag;
- mob purulent conjunctivitis;
- ib qho kev nce hauv cov qog ua kua (proximal lymph nodes) (qab pob ntseg, hauv qab lub puab tsaig);
- cataract;
- uveitis ;
- secondary glaucoma;
- suppuration hauv lub qhov muag.
Tshuaj herpetic keratitis - mob
Kom paub meej tias qhov kev liam ntawm tus kab mob uas tau piav qhia mas feem ntau muaj txaus thiab muaj cov tsos mob tshwm sim. Cov kev tshawb fawb ntxiv yuav tsum tau yog tias muaj teeb meem ntawm keratitis ntawm lub qhov muag los yog seb puas yog ib hom kab mob herpes yuav tsum tau txhais. Cov hauv qab no yog siv rau kev kuaj mob:
- biomicroscopy ntawm lub pob kws;
- rhiab kev sim;
- keratometry;
- enzyme immunoassay;
- pachymetry;
- kev soj ntsuam ntawm kev sib sau;
- polymerase chain reaction;
- tus mob nqaij hlav plhaw;
- confocal intravital microscopy;
- ntsuas ntawm qhov muag siab.
Herpetic keratitis - kev kho mob
Txoj kev kho tus mob pathology hauv kev saib xyuas yog nyob ntawm nws cov duab. Thawj hom epithelial ntawm tus kab mob yog provoked los ntawm ib tug kab mob nyob, yog li nyob rau hauv cov ntaub ntawv no nws yog advisable siv tshuaj herpetic. Tus so ntawm tus kab mob yog ib qho kev tiv thaiv kab mob tsis zoo. Tiv thaiv nws yuav tsum muaj kev qhia ntawv nrog rau kev mob siab heev.
Nws tuaj yeem kho mob nyhav dhau los ntawm qhov muag - kev kho nyob rau hauv xws li tej zaum yuav muaj kev cuam tshuam rau kev phais mob. Feem ntau, qhov kev lag luam no tsuas yog siv rau txoj kev sai thiab yooj yim. Nrog kev sib sib zog nqus rau lub qhov muag thiab cov caws pliav ntawm cov nqaij, ib txoj hauv kev hloov los ntawm kev hloov.
Cov tshuaj nrog herpetic keratitis
Lub hauv paus ntawm kev kho mob ntawm cov kab mob piav qhia yog kev mob thiab lub zos (tshuaj, tshuaj pleev) immunomodulators thiab tshuaj tua kab mob:
- Acyclovir ;
- Trifluridine;
- Ganciclovir;
- Idoxiouridine;
- Reaferon;
- Zovirax;
- Tshuaj Hlwb;
- Virolex thiab lwm tus.
Corticosteroid hormone cov tshuaj yog cov tshuaj yog hais tias muaj cov kab mob hnyav hnyav hnyav - Combinil, Dexamethasone thiab analogues. Ntxiv ntawm kev pom zoo:
- vitamins, tshwj xeeb tshaj yog cov pab pawg B;
- antiseptics;
- immunostimulants ;
- tshuaj tua kab mob;
- non-steroidal anti-inflammatory drugs;
- tshuaj antihistamine;
- mydriatica;
- kho cov tshuaj.
Herpetic keratitis - kev kho mob nrog kev kho neeg pej xeem
Kev kho kev ywj pheej, tshwj xeeb tshaj yog nyob rau hauv lwm txoj kev, yog qhov tsis tshua muaj neeg txaus ntshai, yog li ntawd cov kws kho mob txwv tsis pub siv cov tshuaj ntawm lwm cov tshuaj. Tsis tshua muaj peev xwm ib tus kws kho mob pub qee qhov kev kho neeg pej xeem ua ib qho kev pab kho mob, tab sis tsuas yog yog tias tsis muaj teeb meem loj los ntawm herpetic keratitis. Kev tswj tus kheej yuav tsum tau ua raws li kev saib xyuas nruj ntawm tus kws kho mob thiab nrog nws tso cai.
Pej xeem kev kho mob rau keratitis
Cov khoom xyaw:
- qis fleshy nplooj ntawm aloe (tshaj li 3 xyoos) - 2 pcs .;
- mummy - 1 lis qhov luaj li cas ntawm cov qoob loo ntawm cov nplej;
- hiav txwv buckthorn roj - 30-40 ml.
Npaj, siv :
- Tawm hauv cov nroj txiav, ntxuav thiab muab tso rau hauv lub tub yees rau 8 hnub, pre-qhwv nyob rau hauv parchment daim ntawv.
- Tom qab lub sij hawm no, nyem tawm cov kua txiv los ntawm cov khoom raw thiab lim nws.
- Cov kua ua kua xyaw nrog cov mummy hauv lub khob ntim.
- Rau 2 lub hlis mus rau instill lub qhov muag nrog no sib tov - 1 poob 1 lub sij hawm ib hnub.
- Los ntawm 9 lub lim tiam ntawm txoj kev kho, siv cov kua txiv pwm kua txob.
- Thaum muaj mob thiab photophobia, ntses dej hiav txwv buckthorn roj rau hauv qhov muag (1 poob txhua teev).
Recurrences ntawm herpetic keratitis - kev kho mob regimen
Tus kab mob uas ua rau tus kab mob uas nthuav tawm yog nyob rau hauv lub cev tas li, nrog rau lub deterioration ntawm lub functions ntawm kev tiv thaiv, nws yog qhib kom ua huaj. Herpetic recurrent keratitis yog ib qho nyuaj rau kev kho, yog li koj tsis tuaj yeem siv koj tus kheej. Kev sib ntaus tawm tsam kab mob yog ua tiav nyob rau hauv 2 theem, uas yog tsim los ntawm tus kws kho mob ib leeg zuj zus rau txhua tus neeg mob raws li qhov hnyav ntawm qhov mob thiab qhov tob ntawm lub qhov ntsej muag pob.
Kev kho mob ntawm herpetic keratitis thaum lub sij hawm kev sib zog muaj xws li siv cov tshuaj nram qab no:
- tshuaj tua kab mob;
- tshuaj tua kab mob;
- kho cov tshuaj;
- immunosuppressors (corticosteroids);
- hloov ntawm lub kua muag.
Thoob plaws hauv kev kho mob, tus kws kho mob tuaj yeem hloov tshuaj los tiv thaiv kev mob ntawm cov tshuaj siv. Tom qab 3 lub hlis, tag nrho cov kev kawm yuav tau rov ua dua, txawm tias cov tsos mob ntawm keratitis tsis tuaj. Qhov no yog qhov yuav tsum tau tiv thaiv kom tsis txhob rov huam mob dua. Kev txhawb nqa kev kho mob nyob rau hauv daim ntawv ntawm kev siv cov vitamins thiab khoom neeg tsim kua muag yog muab rau ntev, tsis pub tsawg tshaj 1 xyoos.
Qhov txaus ntshai keratitis yog dabtsi?
Tiav zuj zus thiab kev kho tsis yog qhov tsim kho qhov kev mob ntawm cov kab mob thiab kev puas tsuaj rau lub pob kws. Nrog cov ntaub ntawv ntawm cov kab mob tsis zoo thiab cov mob me me, qhov no ua rau cov teeb meem me me uas tsis cuam tshuam rau lub luag haujlwm ntawm lub qhov muag. Kev puas tsuaj yog qhov nyuaj, sib sib zog nqus keratitis, herpetic keratitis, qhov tshwm sim uas yuav ua tsis tau li cas:
- poob qhov tsis pom kev zoo;
- lub caj pas;
- tsim muaj tshuaj ntsuab thiab cirrhosis rau ntawm lub qhov muag;
- glaucoma.