Umkhuhlane we-Pharyngoconjunctival yisimo esibonakala ngumkhuhlane, umkhuhlane, kanye ne-follicular conjunctivitis . I-Pharyngoconjunctival fever, eyaziwa nangokuthi i-PCF, ivame ukubonwa ezinganeni zesikole ngoba zisendaweni eseduze.
Ubani Osesengozini?
Isimo esibangelwa igciwane, i-pharyngoconjunctival fever inomthelela kakhulu, ikakhulukazi ezinsukwini ezimbalwa zokuqala.
Ngemuva kwezinsuku ezingu-10 noma ezingu-15 ukukhulumisana kuseduze. Isikhathi sokugcoba igciwane izinsuku ezingu-5-12 kanti abantu abahlukunyezwayo bangaba nomkhuhlane kuze kube yizinsuku eziyishumi. Abantwana abaneminyaka engama-5 no-18 banesifo esikhulu. Izingane eziya emakamu ehlobo zivame ukudlula, futhi zanda kakhulu phakathi nonyaka wokushona nezikhathi zokuwa ezikoleni. Kuvame ukusabalaliswa yizingane zokubhukuda emanzini okubhukuda omphakathi.
Izimpawu Ezivamile
Abantu abane-PCF bavame ukukhononda ngokukhathala nokucasula isisu. Abanye bangase babe ne-pharyngitis. I-pharyngitis ukuvuvukala komphimbo obonakala ubomvu futhi uhlanganiswa nama-bumps okuthiwa i-follicles. Zingase zenze i-lymph nodes evuvukale esifundeni sezintanyeni. Ama-lymph nodes ngokuvamile atholakala ngokuthintana futhi ngokuvamile ayenesisindo futhi ahlushwa.
Izimpawu Zamehlo
Amehlo avame ukuzwela kakhulu ku-PCF. Izikhalo zamehlo nezimpawu ngokuvamile zivele zingakapheli amahora angu-48.
Izimpawu ezilandelayo zivame kakhulu:
- itching
- ukushisa
- ukuzwela okukhulu
- ukudubula
- ukukhishwa
- ukuzwela okulula
- ijwabu leso elivuvukile
- ubomvu
Abantu abakha i-PCF bakhula ngokubomvu kweso eliqala engxenyeni ephansi ebomvu ngaphakathi kwamaphambuki futhi ibuyele emhlabeni wonke. Lokhu kunikeza i-conjunctiva (izicubu ezicacile ezingena ngaphakathi kwezinkophezelo futhi ezisekugcineni kwengxenye emhlophe yeso) ukubonakala kwe-gelatinous, ukuvuvukala.
Futhi, ama-bumps amancane acacile okuthiwa ama-follicles azoba khona ku-conjunctiva. Nakuba kwenzeka emehlweni womabili, iso elivame ukubonakala libi nakakhulu.
Njengoba lesi sifo sithuthuka, i-cornea, isakhiwo esicacile se-dome-like on the front of the eye, sishiswa. Izilonda ezincane ezimhlophe ezibizwa ngokuthi i-subepithelial zingena zivame ukukhula. Lawa angenele ama-immune cells complexes athuthuka ekuphenduleni igciwane. I-subepithelial ingena ngaphakathi ingase ihlale isikhathi esithile futhi ngokuvamile ingathinti umbono ngaphandle kokuba ivele phakathi kwe-cornea. Kulesi simo, abantu bayomkhononda ngombono okhanyelayo noma okhanyayo nxazonke.
Enye inkinga ye-PCF yukuthuthukiswa kwezingcingo. I-pseudomembrane yi-membrane yamanga eyenziwe ngamathambo okuvuvukala kanye nama-mucous okuvame ukufakwe ku-conjunctiva ngaphansi kwejwabu leso eliphezulu. Ama-pseudomembranes enza abantu abane-PCF bengakhululekile kakhulu. Uma bekhona, odokotela ngokuvamile batusa ukuwasusa ngokusebenzisa i-anesthetic and forceps.
Ukwelapha
Ukuphathwa kwe-pharyngoconjunctival fever kuhloswe ukunciphisa izimpawu ngoba kubhekwa njengesifo sokuzivimbela. Ukuzikhawulela kusho ukuthi lesi sifo sidabula umjikelezo bese sinyamalalala ekugcineni. Ngenxa yalokho, odokotela bayazi ukuthi abantu abane-PCF bazogcina bezwa ngcono kangcono ngakho ukwelashwa kuklanyelwe ukusiza ukuphatha izimpawu.
Umgomo omkhulu wokwelapha ukwenza isiguli sibe nomuzwa omuhle.
Izinketho eziningi zokwelashwa zihilela ukusebenzisa izinyembezi zokufakelwa . Iziguli ziyalwa ukuthi zisebenzise amaconsi izikhathi 4-8 ngosuku ngamasonto ambalwa. Ukucindezeleka kwamazinyo kuye kwaboniswa ukunciphisa izimpawu. I-Optometrists kanye ne-ophthalmologists iphinde iphakamise ukuwa kwe-vasoconstrictor / antihistamine ngokuvamile echazwe njengokwehla "okuphuma ngokubomvu". I-vasoconstrictor ene-antihistamine izosiza ekunciphiseni ukuvutha okunamandla ukuthi abanye abantu abane-feryngoconjunctival fever bavame ukukhula. Imithi imiselwe futhi iziguli ezithile.
Ngesinye isikhathi, iziguli zingase zibe engozini yokuthuthukisa ukungenwa kwe-bacterial superinfection. Kulesi simo, amahlumela e-antibiotic iso angadingeka ukuze agweme ukuwohloka kwezimpawu.
Izwi elivela
Kuye ngesilinganiso sokuvuvukala okubandakanyekile futhi ukuba khona kwe-subepithelial kungena kanye namapseudomembranes, i-steroids ingabekwa ngokucophelela. I-Steroids iyasiza kepha kufanele isetshenziswe ngokucophelela futhi ifakwe isikhathi eside. I-Steroids ayinconywa esifundeni sokuqala ngoba empeleni ingathuthukisa ukuphindaphinda kwegciwane lesandulela ngculaza. Futhi, i-steroid iyaziwa ukuthi iyingozi kakhulu ngaphansi kwezimo ezinjenge- eyepetic eye infection ( infect eye eyetic infection) engase ilingane ne-pharyngoconjunctival fever. Imithi yokuvimbela imithi iyaphenywa nge-pharyngoconjunctival fever kodwa ayinqunyelwe ngokuvamile ngalesi sikhathi.