Amathumba E-Eye
I-Herpes zoster ophthalmicus (HZO) iyisifo esibucayi, esasongela umbono esithinta iso nesikhumba esizungezile iso. I-HZO ibangelwa ukuvuselelwa kwegciwane le-varicella-zoster, igciwane elifanayo elibangela inkukhuphala ezinganeni. Ngemuva kokutheleleka, igciwane lihlala lihle kakhulu emithanjeni futhi lingakwazi ukuvuselela, okuholela ekutheni kube nezikhwama kubantu abanamasosha omzimba obuthakathaka.
I-HZO ibangelwa uma igciwane liphinde lisetshenziswe emithanjeni enikeza indawo yeso.
I-varicella-zoster virus akufanele idideke ne-herpes simplex 1, enye igciwane elibangela i- herpes ye- eye. I-Herpes simplex 1 iyigciwane elifanayo elidala izilonda ezibandayo ezindebeni nasemlonyeni. Ngezinye izikhathi kubangela ukutheleleka kwe- cornea okuthiwa i-herpes simplex keratitis.
Izimpawu
Uma unayo i-HZO, cishe uzoba nokushona komunye uhlangothi lwesbuso sakho noma ebunzini elibukeka njengenkukhu yenkukhu. Iqembu lama-blisters amancane lingakhula eduze kwamehlo akho. Kuze kube ngesonto elilodwa ngaphambi kokuba kuvele ukuqhuma, ungase uzizwe ugula ukukhathala, i-malaise, mhlawumbe nomkhuhlane ophansi. Kwezinye izimo, ungase uzwe ubuhlungu ezindaweni ezithintekile ezinsukwini ezimbalwa ngaphambi kokuba amabhalansi avele.
Uma iso lakho litheleleka ngeHZO, izimpawu ezilandelayo zingase zenzeke:
- Ubuhlungu obukhulu ngaphakathi naseduze kweso
- Ukubomvu kweso
- Ukuvuvukala kwejwabu leso
- Ukuzwela okukhanya
Izimbangela
I-HZO ibangelwa igciwane elifanayo elibangela ukukhukhuka nezinkukhu.
Abantu abaye banesifo senkukhu noma abaye bahlushwa igciwane lesikhukhuphuki bangase bahlakulele iHZO.
Kuze kube ngu-25% wabantu abane-herpes zoster bazothuthukisa uHZO. Ayikho indlela yokuvimbela lesi simo, kodwa ijwayele ukuvela kaningi kubantu abadala kanye nalabo abanesisindo somzimba sokuzivikela. Ukuzivocavoca, ukunciphisa ukucindezeleka nokulondoloza isimiso esihle sokuzivikela omzimba kunganciphisa ithuba lakho lokuthinteka.
Ukuxilongwa
Nakuba kunezinye izivivinyo zezokwelapha ezingenziwa ukuze kuqinisekiswe isimo, odokotela abaningi bangakwazi ukuthola i-HZO ngokusekelwe ekubukeni nasezimpawu. Nakuba ukuxilongwa kwangaphambi kwesikhathi kungase kube nzima kakhulu, uma kubonakala ukuthi izibhansela zivela, ukuxilongwa ngokuvamile kuvamile ngenxa yokuthi ukugqashuka kuhlonipha umjikelezo oqondile womzimba, okuthinta uhlangothi olulodwa lwesbuso.
Esinye isibonakaliso sokuqala nesibonakaliso senkinga ezayo yeHZO yisignali kaHutchinson. Uphawu lukaHutchinson lubhekisela ku-blister noma i-lesion evuleka esiphambanweni sempumu.
Ukwelapha
Uma uqaphela izimpawu, qiniseka ukuthi uvakashele udokotela wakho futhi utholakale ngokushesha ngangokunokwenzeka. Uma uthola ukuthi unesifo se-HZO, udokotela wakho uzokhipha imishanguzo ye-antiviral ngomzamo wokunciphisa ukuphindaphinda kwegciwane, futhi unciphise ubuhlungu kanye nempawu ezilandelayo. Ukudonsa kwe-steroid iso kungase kunqunywe ukunciphisa ukuvuvukala. Uyophinde ufundiswe ukugcina izindawo ezithintekile zihlanzekile futhi ugweme ukukhipha izilonda ukuze uvimbele ukuswela noma ukutheleleka kwebhaktheriya.
Ukuze unciphise ubuhlungu, ungase ufundiswe ukusebenzisa ukucindezela okupholile ezindaweni ezithintekile. Ngezinye izikhathi imithi yokwelapha iwusizo ubuhlungu. Akuyona into engavamile ukuthi amacala kaHZO angeniswe esibhedlela.
Imithombo:
Gupta, Deepak. "I-Herpes Zoster (ama-Shingles) Ukuvuselelwa kabusha kweViricella-zoster Virus." Ukuphathwa kwe-Optometric, Disemba 2006.
Sowka, Joseph W, Andrew S Gurwood no-Alan G Kabat. "I-Handbook of Ocular Disease Management," yengezelela ukubuyekezwa kwe-Optometry. April 2010.