I-pseudomembrane yi-ambulance yamanga emehlweni lapho ngezinye izikhathi iqala ngezifo nezifo. Ngokuvamile ihlanganisa i-conjunctiva, noma ingxenye emhlophe yamehlo, futhi ingahle ingakhululekile. Lezi zingqimba zezingqimba zibonakala ziyizicubu zangempela kodwa ngokuvamile zihlanganisa ama-mucus, fibrin, amabhaktheriya noma amasosha omzimba omzimba. Ukususa i-pseudomembrane kungaletha induduzo nokuphulukiswa ngokushesha.
Izimbangela
Isizathu esivame kakhulu se-pseudomembranes yisifo esiwumshayabhuqe keratoconjunctivitis, noma i-EKC Inhlekelele Keratoconjunctivitis (EKC) isifo sofuba esithathelwanayo, ngokuvamile esibizwa ngokuthi i-conjunctivitis yegciwane. I-EKC ukuvuvukala kwe- cornea ne-conjunctiva. Itheleleke kakhulu futhi ingahlala isikhathi eside njengenyanga. I-EKC ivela ikakhulu ezindaweni zokuxhumana nabantu, ezifana nezikole, izibhedlela kanye nezindawo zehhovisi. 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. I-pseudomembranes ekhula lapho othile ene-EKC cishe ibukeka njengezicubu zangempela.
Nokho, zakhiwa ikakhulukazi nge-mucus ne-fibrin. Ukukhipha ama-pseudomembrane kubantu abahlukunyezwa yi-EKC ngokuvamile kunciphisa izimpawu nokuphulukisa ngesivinini.
Ezinye izimbangela ze-pseudomembrane ukwakheka yizi:
- Ezinye izifo zeso lesandulela ngculazi njenge-simplepe herpex
- Ukutheleleka kwamagciwane. Amabhaktheriya avamile angabangela izidakamizwa yi-Corynebacterium diphtheriae, staphylococci, streptococci, H. influenzae ne-N.gonorrhoea.
- Ukuchayeka kwamakhemikhali njengokungcola kuma-acids, ammonia, i-lime, i-nitrate yesiliva
Ukususwa
Ukususa ama-pseudomembranes kuboniswe ngokunciphisa kakhulu izimpawu futhi kuncishiswe inkambo evamile ye-conjunctivitis yegciwane. Udokotela uzofaka ezinye zezinyosi ze-anesthetic ukuze ziphazamise amehlo. Ngomfakisicelo wekotini noma i-forceps ye-stainless steelps, udokotela uzosusa le pseudomembrane. Ngemuva kwalokho, odokotela abaningi banikeza inhlanganisela yehlanganisela yama-antibiotic-steroid ekunciphiseni ukuvuvukala nokuvimbela ukutheleleka.
Ingabe Ziyaxolisa?
Cha, ama-pseudomembranes awasakazeki. Kodwa-ke, amagciwane adala amapseudombranes ukuba athuthukise njengengculazi keratoconjunctivitis noma feryngoconjunctival fever ngokuvamile ithinteka kakhulu.
Uma ucabanga ukuthi ungaba ne-virjun conjunctivitis, okokuqala funda udokotela wakho wezilanga ukuze uthole ukwelashwa okufanele. Futhi, landela le miyalo:
- Geza njalo izandla zakho ngamanzi afudumele nesepha.
- Gwema ukuxhumana okungasese okungenani amasonto amabili futhi usebenzise amathawula abo, ama-washcloths, nemilenze. Geza njalo izinsimbi zokulala emasontweni ambalwa alandelayo.
- Yazi ukuthi izimpawu zizoba zimbi nakakhulu ngesonto lokuqala ngaphambi kokuba zibe ngcono futhi kungathatha inyanga noma isikhathi eside ukuze umbono uphinde ululame.
- Gcina wonke ama-aphoyintimenti wakho nodokotela wakho we-eye. Izinhlobo ezithile ze-conjunctivitis ye-viral ziye zaziwa ukuthi zizohlala izinyanga eziyisithupha. Izimpawu ezibucayi, ezingakhululekile zizoxazulula ngaphakathi kwamasonto ambalwa. Noma kunjalo, ukungena okuncane kungabonakala ku-cornea, isakhiwo esicacile, esifana nesimo sezulu esihlokweni sangaphambili kweso, futhi kubangele ukuthi kunciphise noma kubonwe umbono. I-steroid ivame ukushiwo isikhathi esingeziwe lapho kufika khona ukungena.