Isifo Sokutheleleka Kwamaphilisi Egciwane Eliyingozi
I-Keratoconjunctivitis ye-Epidemic (EKC) isifo sofuba esithathelwanayo, esivame ukubizwa ngokuthi i-conjunctivitis yegciwane. I-EKC ukuvuvukala kwe- cornea ne-conjunctiva. (I- pink iso noma i-conjunctivitis, kuphela i-conjunctiva evulekile.) Inomthelela omkhulu futhi ingahlala isikhathi eside nje inyanga. I-EKC ivela ikakhulu ezindaweni zokuxhumana nabantu, ezifana nezikole, izibhedlela kanye nezindawo zehhovisi.
Umbangela we-Epidemic Keratoconjunctivitis
I-EKC ibangelwa igciwane elibizwa nge-adenovirus. I-Adenovirus nayo ibangela izimo ezifanayo ezifana ne- pharyngoconjunctival fever . Nakuba ucwaningo oluthile lubonisa ukuthi lungadluliselwa ngamaconsi emoyeni kanye namachibi okubhukuda, indlela evame kakhulu ukuthi iqala ngokuxhumana ngokuqondile nezinyembezi noma ezinye izikhukhula ezivela kwamehlo anegciwane. Odokotela bamehlo bafundiswa kahle nge-EKC ngoba, ngeshwa, ihhovisi lesidokotela yamehlo lingaba enye yezindawo ezivame kakhulu ukuhlangana no-adenovirus. Ukuqubuka okuningi kungalandelwa emuva ekusebenziseni izinsimbi zokuxilonga ezingafanelekile.
Izimpawu
Abantu abane-EKC bavame ukukhononda ngokuvela ngokuzumayo kokubomvu kweso, ukucasuka, ukukhathazeka, ukuzwela ukukhanya nokuqothula ngokweqile. Abanye abantu abane-infection bathi bazizwa njengesihlabathi noma umzimba wangaphandle osesweni. Kokubili iso nejwabu leso lingagubha, libomvu futhi licasuliwe. Ukutheleleka kwesandulela ngculazi kuvame ukubandakanya iso elilodwa kuqala, bese kugcina lithinta elinye iso.
Abantu abane-EKC bangase babe nombono omkhulu wezinsuku ezimbalwa. Izimpawu ngokuvamile zihlala cishe amasonto amabili.
Ukuxilongwa kwe-Keratoconjunctivitis ye-Epidemic
Odokotela baxilonga i-EKC ngokulalela eduze izikhalazo zesiguli nomlando wezempilo kweso. Ukutheleleka kuvame ukubonwa odokotela bamehlo - isiguli sivame ukukhononda ngezibonakaliso ezithathelwanayo bese kuthi emva kwezinsuku ezimbalwa kuthuthukiswe ukungena komzimba.
I-subepithelial engenayo ingabonakala njengendawo emhlophe e-cornea enganciphisa okwesikhashana umbono. Abanye abantu bangase babe ne-lymph nodes phambi kwezindlebe. Odokotela basebenzisa i-microscope ebizwa ngokuthi isibani se-slit biomicroscopic ukuhlola ingxenye yangaphambili yeso. Ngezinye izikhathi iziguli zakha i-membrane ye-mucus-ebizwa ngokuthi i- pseudomembrane ezicubu ngaphansi kwejwabu leso elingaphansi kwe-conjunctiva. Nakuba ukuxilongwa kuvame ukwenziwa ngokuhlola isiguli, odokotela manje banesimo esisha esiphuthumayo esiveza ukutholakala kahle kwe-adenovirus. Lokhu kuhlolwa kubizwa ngokuthi i-RPS Adeno Detector futhi kungaba nokuletha imiphumela efanele yokuhlonza ngemizuzu engu-10. Lokhu kuyintuthuko ebalulekile ekunakekelweni kwamehlo ngoba ama-antibiotiki, angasebenzi ngendlela yokwelapha i-EKC, avame ukushiwo ngaphezulu kwalesi simo.
Ukwelashwa Kwesifo Se-Keratoconjunctivitis
Njengoba imishanguzo ye-antibiotic ayiphumeli ekwelapheni i-EKC, ukwelashwa kugxile ekunciphiseni izimpawu ezingadingeki. Ezimweni ezinzima, odokotela banquma ukucindezeleka okubandayo, izinyembezi zokuzikhandla, kanye ne-vasoconstrictors. Ezimweni ezimbi kakhulu, amaconsi e-steroid iso anqunyelwe futhi aphethwe ngaphezu kwamasonto amabili kuya kwangu-4 noma ngaphezulu. Uma izidakamizwa zithuthuka, odokotela bangase basuse kuzo kuye ngokuqina.
Abanye odokotela banomuzwa wokuthi ukunciphisa inani legciwane elikhona esweni kweso kuzolinciphisa inkinga yesifo bese kwenza isiguli sizizwe kangcono kangcono. I-Betadine, i-povidone-iodine) i-disinfectant evamile esetshenziswa odokotela nezibhedlela ukuze inzalo yingxenye yomzimba ngaphambi kwenqubo, isetshenziselwa le njongo. Kodwa-ke, isicelo kufanele senziwe ngokucophelela njengoba singasusa ama thambo. Inkampani ebizwa ngokuthi i-Foresight Biotherapeutics ikhiqiza imithi elungiselelwe ngokuhweba equkethe i-0.4% i-povidone iodine ne-dexamethasone, i-steroid yokwelapha i-EKC.v Izinkampani ze-Biomedical nazo ziphenya ukwelashwa kwe-EKC nge-cidofovir, i-anti-anti-drug.
Ucwaningo lokuphathwa kwe-EKC luqhubeka.
Izwi elivela
I-keratoconjunctivitis yengozi (EKC) isifo esithathelwanayo kakhulu esingaphambi kweso. Ukutheleleka okubuhlungu kungasakazwa kalula ngokuhlangana nezinyembezi noma ukukhishwa emehlweni omuntu onegciwane. Umuntu angabamba ukutheleleka ngokuthinta indawo engcolile noma into nokukhukhumeza amehlo akhe. Izimpawu zingabangela ukukhathazeka, kuhlanganise nokubomvu, ukucheka, ukucasula nokuqothula kodwa kuvame ukuxazulula cishe amasonto amabili. Uma uthuthukisa i-EKC, kubalulekile ukwenza ukuhlanzeka okuhle (ukugeza izandla njalo) ukuze ugweme ukusakaza ukutheleleka kwabanye abantu.
Umthombo:
I-EyeWiki, "I-Keratoconunctivitis Ye-Epidemic. I-American Academy of Ophthalmology, ngo-27 Ephreli 2016.