Herpetic keratitis: maonekedwe, mitundu, zimayambitsa, zizindikiro ndi mankhwala

njira yotupa mu diso mwina chifukwa cha amkati ndi exogenous keratitis. Mbali yoyamba, kuyambitsa chitukuko mkati njira. Exogenous keratitis chikwiyire ndi zinthu zina. Dziwani zimene zimayambitsa zomwe zinachititsa kuti chitukuko cha matenda, ndipo kukhazikitsa matenda zolondola ayenera maso.

Kufotokozera za vuto

Herpetic keratitis - matenda opatsirana zokhudza diso. Iwo akhoza chifukwa cha mitundu 5 nsungu mavairasi. Ambiri kufalikira ndi HSV-1. Izi nsungu simplex HIV mtundu 1 chitetezo kwa akupezeka 90% ya anthu. Zingamvekere monga ulamuliro, kumtunda kwa thupi. Akhudzidwa kwambiri munthu.

Koma chifukwa cha nsungu keratitis akhoza kukhala ndi:

- nsungu simplex HIV mtundu 2;

- nsungu zoster (amachititsa matailosi ndi katsabola);

- Epstein-Barr HIV;

- cytomegalovirus.

Koma nthawi zambiri timam'konda diso HSV-1.

Herpetic keratitis yodziwika ndi chakuti nembanemba cha maso kukhala mitambo. Chifukwa cha kugonjetsedwa kwa diso laumunthu ndi woipa kwambiri, ngakhale kuyambitsa khungu.

zizindikiro

HIV zingakhudze akulu ndi ana omwe sali ngakhale zaka 5. Zizindikiro chachikulu cha maonekedwe ake:

- madzi maso;

- blepharospasm (boma limene zikope atsekedwa musanaganizire kuphipha);

- photophobia.

Koma uwu si mndandanda wa zinthu, zomwe angathe kudziwa herpetic keratitis. Zizindikiro za matenda ingakhale monga iyi:

- redness maso;

- kumverera chotenga thupi yachilendo;

- waukali;

- ululu diso.

Pa matenda chachikulu angaoneke matuza pa chikope ndi conjunctiva. Iwo amachiza popanda amamuyambitsa timabala. The diso ndi chotupa chachikulu nthawi zambiri mumachitika.

Reactivation wa HIV kamayambitsa kobwereza herpetic keratitis. Mbiri ya matenda, mitundu ya matenda ndi zofunika kwa matenda ndi mankhwala njira zina. HIV zobisika amalimbikira ganglia imalandira. Pamene reactivation ndi kusamutsidwa kwa molekezera mitsempha, ndiye pali nthenda mwana wa m'diso la.

mitundu ya matenda

Malinga ndi chithunzi matenda, kudziwa mitundu yosiyanasiyana ya zotupa. Classic herpetic matenda limapezeka nthambi zilonda pa diso la. Izi otchedwa zaminyewa herpetic keratitis. Zingamvekere okha wosanjikiza kunja kwa diso, amene tichipeza lathyathyathya maselo zaminyewa.

Akatswiri kudziwa mtengo ndi mtundu dera limene matenda. Matendawa zachokera mmene ambiri yotupa anachita. Nkofunika ndi mmene lowonongeka minofu corneal.

Madokotala anandipeza "mtengo-herpetic keratitis" milandu kumene zilonda pa diso ofanana ndi nthambi za mitengo. A pang'ono kwambiri ndicho, ngati adokotala anena za kugonjetsedwa lawolawo. Izi zikutanthauza kuti diso lawonongeka kwambiri. M'dera la epithelium anawononga kwambiri, ndi mawonekedwe awo akufanana ndi chifaniziro zojambula za m'maiko pa makadi.

Stromal keratitis amatchedwa discoid. Mu matenda si bwanji kunja wosanjikiza wa diso, ndipo pamwamba pake mkati - stroma. Mtundu woopsa kwambiri necrotizing stromal keratitis. Ndi mtundu wa matenda a kutupa kusiyana mofulumira. Zingayambitse kuwonongedwa kwa minofu corneal. Ndithudi, zimenezi kungachititse kuti khungu.

Woyamba mitundu iwiri herpetic keratitis (mtengo komanso malo) ndi chithandizo chokwanira Kutha kuchira.

diagnostics

Pofuna kupewa chitukuko cha matenda oyamba ndi zofunika poyamba chizindikiro cha matenda kukhudzana ndi maso. Iye akhoza kupanga matenda ndi kusankha chithandizo choyenera kwambiri.

dokotala amaweruza alili, akuyang'ana pa kuwonekera kwa matenda. Komanso amaona kuthamanga intraocular. Pofuna kudziwa kukula kwa vutolo m'pofunika adzagwa mu diso fluorescein. Izi ndi reagent wapadera kuti Tingaone pansi kuwala. Thiabendazole angagwiritsidwe ntchito kuonanso mmene herpetic keratitis kuonongeka corneal pamwamba.

Komanso matenda limasonyeza zomwe zigawo HIV zinasokonekera. Malinga izi kudzayesedwa machenjerero a chithandizo.

kafukufuku zasayansi

Nthawi zambiri chithunzi matenda keratitis kulitchula. Koma pali zochitika komwe ngakhale mothandizidwa ndi mayesero wapadera osati kutenga matenda zolondola. Ndiye muyenera kufufuza zasayansi. M'pofunikanso pamene nsungu HIV simplex zotupa akhanda.

Kuchita mayeso amenewa akhoza kutenga swabs kwa diso ndi. Koma phunziro limeneli ndi otsika tilinazo. More nkhani ndi DNA kuyezetsa. Komabe, mtengo ndithu bwinobwino choncho ntchito kwambiri kawirikawiri. mayesero Serological ndi nkhani mu chotupa chachikulu: amasonyeza chitetezo ndi kuonjezera. Koma iwo amakhala opanda ntchito pamene reactivation wa HIV.

Zimayambitsa matenda

Herpetic keratitis diso Amapatsirana. Mu chotupa chachikulu cha nsungu simplex HIV nthawi zambiri sizimawoneka zizindikiro zilizonse. Nthawi zina mukhoza kuona matuza lililonse padziko milomo.

Kamodzi mu thupi, HIV nthawi amakhalabe maselo a mitsempha trigeminal. Ndi mu mkhalidwe zobisika. Koma nthawi akhoza ayambirenso. Pankhaniyi, tizilomboto akuyamba mwachangu zikuchulukirachulukira. Mavairasi amatha kuyenda kwa zimakhala za nkhope ndi maso.

Herpetic keratitis zambiri amapezeka basi pambuyo pa reactivation wa HIV. Kamodzi pa diso kwa diso, ndi kachilombo akupitiriza kuchulukana.

Koma chiwonongeko cha minofu akuyamba chifukwa zimene chitetezo cha m'thupi. Ndipotu, iye ndi amene chitukuko cha zochita yotupa. maselo mthupi mukhoza kuzindikira ndi kuwononga mavairasi minofu kuti iwo ali ndi kachilombo. Nthawi zina kuwonongeka pa zimene m'thupi ndi wamphamvu kwambiri kuposa zochita za HIV yokha.

Imbaenda ku reactivation wa HIV?

Pafupifupi 90% ya anthu onyamula nsungu simplex HIV. Koma si onse kuoneka herpetic keratitis. Ochita kafukufuku amakhulupirira kuti matenda angathe mchikakamizo cha zinthu zina ndi zinthu zimene zimakhudza thupi.

Kwa nthawi yaitali, madokotala ankakhulupirira kuti Kachiromboka adamulowetsa pa maziko a maganizo. Koma gulu la anthu kafukufuku anatsutsa kopanda ichi. Choncho, madokotala sangakhoze kunena chimodzimodzi chimene chifukwa cha mawonekedwe keratitis.

Koma azindikira kuti atengeke matenda ndi anthu amene anavutika zosiyanasiyana opaleshoni diso. Iyi ndi laser masomphenya kudzudzulidwa, mathithi, khungu, corneal kupatsidwa zina.

njira za chithandizo

mankhwala Pakufunika angathe kuperekedwa pokhapokha anayendera maso ndi. Iwo ayenera kutsimikizira ndi matenda "herpetic keratitis diso." Chithandizo komanso amasankha katswiri.

Ngati nsungu anakhudzidwa okha zikope, ndiye izo zidzakhala kokwanira ntchito mapiritsi "Acyclovir" kapena "Valacyclovir." Iwo ayenera kumwa kwa masiku 5. Zochizira keratitis zaminyewa kugula diso gel osakaniza, munali 0,15% gantsilovira kapena madontho ndi 1% trifluridine. Mafuta "Acyclovir" angathe kupatsidwa. M'pofunika kugonera m'munsi chikope nthawi osachepera 5 tsiku.

Chithandizocho mpaka machiritso wathunthu. okha "Acyclovir" piritsi yokwanira kutenga zina. Ngati mankhwala ndi operewera, ndiye ntchito madontho ndi interferon.

keratitis Stromal kuchitira zovuta. Mu masiku awiri oyamba amapatsidwa mapiritsi "Acyclovir" (2 ga patsiku) kapena "Valaciclovir" (1 g tsiku). Mu mankhwalawa ayenera kumwa masabata 2. Ngati masiku awiri kumene matenda sadzakhala patsogolo, mopitirira kulengeza ntchito dontho la 0,1% dexamethasone. Choyamba amagwa nthawi 8 tsiku, koma pang'onopang'ono kuchepetsa pafupipafupi ntchito iliyonse masiku 3-6 1 dontho. mankhwala ayenera kupitiriza kwa miyezi ingapo.