Herpetic keratitis: tsananguro, nezvimiro, zvinokonzera, zviratidzo uye kurapwa

Anogumbura pezvakaitwa ari cornea anogona kukonzerwa endogenous uye exogenous keratitis. Muchiitiko chokutanga, kuti kutungamirira kwavo kukura dzakawanda kwendangariro. Exogenous keratitis wakatsamwisa nezvinenge zvaitika. Ziva zvinokonzera zvakazoita kuti kukura chirwere, uye kuti asimbise kuongororwa zvakarurama anofanira ophthalmologist.

Description of dambudziko

Herpetic keratitis - ane zvirwere kunokanganisa cornea. Inogona kukonzerwa mumwe 5 mhando herpes wanda. Most kupararira ndiye HSV-1. Izvi herpes simplex utachiona mhando 1 antibodies pauri dzinowanikwa 90% vemo. Zvinokanganisawo somunhu mutemo, yokumusoro chikamu muviri. Most sei munhu.

Asi mhaka herpes keratitis kunogona zvakare:

- herpes simplex utachiona mhando 2;

- herpes zoster (Chinokonzera shingles uye chibhokisi);

- Epstein-Barr utachiwana;

- cytomegalovirus.

Asi kazhinji chichiruma ziso HSV-1.

Herpetic keratitis dzinoratidzwa nokuti membranes kwemaziso kuva Cloudy. Somugumisiro pokukundwa Ziso remunhu zvakatoipa, unogona kukonzera upofu.

zviratidzo

Utachiona kunogona vakuru nevana vane kunyange makore 5 kwete. The chikuru zviratidzo zvayo chitarisiko vari:

- mvura-mvura meso;

- blepharospasm (state umo namafungiro dzakavharika involuntary spasm);

- photophobia.

Asi ichi hachisi mazita rakakwana features, izvo zvinogona kuona herpetic keratitis. Zviratidzo zviri chirwere zvingasanganisira:

- akatsvuka meso;

- kunzwa yokuenda vatorwa muviri;

- uchipfuta;

- marwadzo muziso.

Munguva chikuru chirwere kuonekwe Maronda akasiyana pamusoro fungiro uye conjunctiva. It anoporesa pasina scarring. The cornea ndiro rinonyanya lesion iri kakawanda zvinongoramba.

Reactivation kweutachiwana kunokonzera idzokororo herpetic keratitis. Nhoroondo chirwere, siyana chirwere zvinokosha mberi chirwere uye kurapwa matungamirire. The Isimba rakadini rinogona kubudiswa utachiwana hunoramba kutsinga dzinouya ganglia. Kana reactivation zviri zvifambiswe kuti tsinga harinzwi ipapo pane chirwere yeziso.

marudzi chirwere

Zvichienderana kunotoda mufananidzo, kudoma marudzi vanoverengeka maronda. Classic herpetic chirwere anooneka branching nemaronda pamusoro cornea. Izvi zvinonzi epithelial herpetic keratitis. Zvinokanganisawo chete chokunze rukoko pamusoro cornea randinogara sandarara epithelial masero.

Nyanzvi kuona muti uye nzvimbo Chirwere. Chirwere hunobva sei kwakapararira anogumbura kuita. Zvakakosha uye sei chaizvo ukama corneal tishu.

Doctors chirwere "muti-herpetic keratitis" muzviitiko apo nemaronda pamusoro cornea akafanana mapazi emiti kuti. A shoma kuipa zvakadaro, kana chiremba anoti pamusoro nenzvimbo kukundwa. Izvi zvinoreva kuti cornea wakaremara zvakatoipisisa. Nzvimbo wakaparadzwa epithelium chinokosha, uye avo chimiro chakafanana schematic cherudo makondinendi neSvondo.

Stromal keratitis anonzi discoid. In chirwere ichi haina kukanganiswa chokunze rukoko pamusoro cornea, uye ayo mukati pamusoro - stroma. Zvikuru ngozi mhando iri necrotizing stromal keratitis. With ichi mhando hosha chokutsva iri kukura nokukurumidza. Kunogona kukonzera kuparadzwa corneal tishu. Pakupedzisira, izvi zvingaita kuti upofu.

The mhando vokutanga vaviri herpetic keratitis (muti uye nenzvimbo) pamwe zvakakwana kurapwa zvakakwana kupora magumo.

Diagnostics

Kudzivirira kukura yematambudziko kunodikanwa panguva chiratidzo chirwere kuonana ane ophthalmologist wokutanga. Iye anogona kuongororwa uye sarudza kwazvo zvakakodzera kurapwa.

Chiremba Anoongororawo murwere ezvinhu, anotarira zvinoratidza chirwere. Rinotaurawo anoyera intraocular kumanikidzwa. Kuti tizive rwakadini kukuvara zvakafanira kuchadonha kupinda fluorescein ziso. Ichi reagent chaiyo kuti kunogona kuonekwawo pasi ultraviolet chiedza. Inogona kushandiswa kuongorora sei keratitis herpetic zvakakuvadza corneal penyika.

Uyewo chirwere kunoratidza chaizvo izvo akaturikidzana utachiwana akarova. Zvichienderana ichi vachange pakutsvaga mazano kurapwa.

tsvakurudzo rabhoritari

Kazhinji, ari kurapwa mufananidzo keratitis kududzwa. Asi pane mamiriro ezvinhu apo kunyange nokubatsira dzinokosha nemiedzo here kuongororwa zvakarurama. Zvadaro ungafanira pakutsvakurudza murabhoritari. Zvinokoshawo kana utachiona herpes simplex maronda vachangoberekwa.

Kuti aite muedzo uyu anogona kutora swabs kubva cornea. Asi kudzidza ndiko yakaderera nehanya. More zvakwo ndiyo DNA kunovhenekwa. Zvisinei, zviri kuongororwa zvinodhura chaizvo, saka rinoshandiswa chaizvo kashoma. Serological miedzo dzinodzidzisa iri rinonyanya lesion: vanoratidza antibodies vawedzere. Asi vava maturo kana reactivation kweutachiwana.

Zvinokonzera chirwere

Herpetic keratitis ziso riri chinotapukira. In chinonyanya lesion kuti herpes simplex utachiona kakawanda hariwaniki chero zviratidzo. Dzimwe nguva unogona kuona mifananidzo Maronda akasiyana-siyana miromo.

Kamwe mumuviri, utachiona nguva dzose inoramba iri mumasero trigeminal etsinga. Zviri vari Isimba rakadini rinogona kubudiswa ezvinhu. Asi nguva nenguva kunogona kuita. Panyaya iyi, nayo utachiona anotanga nokushingaira kuwanda. Nemavhairasi vanogona kuenda munyama chiso uye maziso.

Herpetic keratitis Kazhinji anooneka chete mushure reactivation kweutachiwana. Kamwe pazuva cornea weziso, utachiona inoramba kuwanda.

Asi kuparadzwa zvinyama inotanga nokuda maitiro zvirwere. Mushure zvose, iye ndiye anokonzera kukura anogumbura siyana. masero Immune anogona kuziva uye kuparadza nemavhairasi zvinyama kuti utachiona. Dzimwe kukuvara kubva masoja mhinduro akasimba zvikuru kupfuura zviito utachiona pachayo.

Inotungamira kuti reactivation kweutachiwana?

Vanenge 90% vanhu vari vatakuri herpes simplex utachiwana. Asi kwete kuonekwa herpetic keratitis. Vaongorori vanodavira kuti chirwere anogona kuva pasi pokudzora zvimwe zvinhu uye zvinhu chokuita muviri.

Kwenguva refu, vanachiremba vaitenda kuti utachiwana iri kusashanda pamusoro yaitwa mupfungwa. Asi boka revanhu Ongororo akaramba kubvuma ichi. Naizvozvo, vanachiremba havagoni kutaura chaizvo chii chinokonzera chimiro ichi keratitis.

Asi akawana kuti zvikuru kubatwa nechirwere ichi ndivo vanhu vakatambura zvakasiyana-siyana kuvhiya ziso. Izvi zvinogona kuva Laser chiratidzo kururamiswa, cataract, yemaziso, corneal transplantation.

nzira kurapwa

Zvinodiwa mushonga unogona kupiwa chete pashure rokuongorora ane ophthalmologist. Zvinofanira asimbise chirwere "herpetic keratitis ziso." Treatment zvakare anosarudza nyanzvi.

Kana herpes sei chete namafungiro, ipapo zvichava zvakakwana chete kushandisa piritsi "Acyclovir" kana "Valacyclovir." Vanofanira kumwa 5 mazuva. Nokuti pakurapa epithelial keratitis vanofanira kutenga ziso gel, rine 0,15% gantsilovira kana anosiya ne 1% trifluridine. Mafuta "Acyclovir" rinogonawo basa. Zvakakosha kuisa pamusoro rezasi fungiro kanenge 5 kanomwe pazuva.

Treatment iri mberi kusvikira kuporesa zvakakwana. chete "Acyclovir" Hwendefa iri zvakakwana kutora mune zvimwe zviitiko. Kana kurapwa iri basa, ipapo shandisa madonhwe pamwe interferon.

Stromal keratitis kurapa kuoma. Mumazuva maviri okutanga basa mahwendefa "Acyclovir" (2 g pa zuva) kana "Valaciclovir" (1 g daily). In dose ichi vanofanira kunwa kusvika 2 weeks. Kana mazuva maviri kosi wokutanga chirwere haangavi mberi, mberi kutokurudzira kushandisa kuderera 0.1% dexamethasone. First ukoshi kuna 8 kanomwe pazuva, asi zvishoma nezvishoma kuderedza kakawanda kushandiswa ose 3-6 mazuva 1 donhwe. kurapwa kwakadaro kunofanira kuramba kwemwedzi inoverengeka.