Kuyinto eyodwa ukuthi ngezikhathi ezithile unamehlo abomvu. Yenye into yokuba nesibindi, isimo esibangelwa ukutheleleka noma ukuvuvukala kwebhubhane elibonakalayo elihlanganisa i-eyeball noma ijwabu leso langaphakathi. Ngokuvamile okubhekwa njenge-pink iso, i-conjunctivitis ibonakala ngokubomvu, ukuhlambalaza, ukuvutha, ukuqhaqhazela, nokungcola okungabangela ukugoqa eduze kweso.
Ngenxa yokuthi ingaba nesifo esithathelwanayo futhi unezinkinga, kubalulekile ukuqaphela izimpawu zayo, izimpawu, ukuhlolwa, futhi uma kudingeka, uthole ukwelashwa.
Izimpawu Ezivamile
Uma abanye abantu bezwa igama elithi "iso elibomvu," bavame ukuthatha lona ukuthi lisho ifomu lesandulela ngculaza elibizwa ngokuthi yi- epidemic keratoconjunctivitis (EKC) . I-EKC ihlotshaniswa negciwane elibandayo futhi lingadlula esikoleni, ukunakekelwa kwansuku zonke, noma ihhovisi njengalabo abakhulelwe ukugwinya, ukunyakaza nokudlulisa igciwane kuontanga.
Kodwa-ke, amanye amabhaktheriya namagciwane angabangela ukuguqulwa kwamagciwane, njengama-canergy noma amakhemikhali amakhemikhali.
Izimpawu ze-EKC zihambisana nalabo abavamile kuzo zonke izinhlobo ze-conjunctivitis, kufaka phakathi:
- Ukuziqhaqhaza kwe-pink komunye oyedwa noma kokubili amehlo
- Umzwelo wesohlo elithintekayo
- Amehlo amahloni noma avuthayo (ama-pruritus ocular)
- Ukuqeda ngokweqile (epiphora)
- Amajwabu amaqabunga
- Umbono ophundlekile
- Ukuzwela okukhulu ekukhanyeni (photophobia)
- Ukuphuma okuvela esweni okungenza i-crust ebusuku
Ngenkathi i-EKC ivame ukulinganiselwa ngenhla, ezinye izinhlobo zingabandakanya lezi nezimpawu ezengeziwe.
Ngesizathu
Iso elimnyama lingasakaza noma lingenasifo. Uma usola ukuthi unayo, udokotela angakwazi ukuhlola izimpawu zakho ukuze anqume kokubili imbangela kanye nekhambi lokuthola ukwelashwa okufanele.
I-Conjunctivitis ingahlukaniswa ngokubanzi ngamaqembu amathathu: i-conjunctivitis engathintekayo, i-conjunctivitis ye-allergen, ne-conjunctivitis yamakhemikhali.
Ngenkathi bonke bevame ukubonakala ngezimpawu zobomvu, ukunganaki, nokudwengula, kungase kube nokuhlukahluka okucashile okuhlukanisa okunye okulandelayo.
I-Viral Conjunctivitis
I-conjunctivitis ye-viral ihlotshaniswa nezifo ezingaphezulu zokuphefumula nemifudlana. Ngokuvamile kuthinta iso elilodwa kuphela kodwa lingathinta kokubili uma uphonsa amehlo akho.
I-conjunctivitis yama-viral ingabangela ukukhulelwa kwamanzi okungenzeka kube okucacile, okunamathelayo, noma okuncane. Ngenxa yokuthi isondelene kakhulu nezifo zokuphefumula, iso elibomvu lingase lihambisane nokukhwehlela, ukukloloda, ukugcoba emanzini, nomphimbo obuhlungu. Ama-lymph nodes avuvukile nawo avamile.
Ngokujwayelekile, uma une-virjun conjunctivitis, okwesithathu kuya kwezinsuku eziyisihlanu zokutheleleka kuyoba kubi kakhulu. Emva kwalokho, amehlo azoqala ukuthuthukisa eyedwa.
Ngaphandle kwe-EKC, ezinye izimbangela zegciwane zihlanganisa i- herpes simplex virus (HSV) , engathinta izingane futhi ibangele ukutheleleka okuvamile kubantu abadala. Nakuba kungavamile kakhulu kune-EKC, kungaba yinkinga kakhulu uma ihamba ngaphezu kwezingxenye zangaphandle, ezingenasici ze-cornea.
I-Conjunctivitis yeBactterial
Ngokungafani ne-viral eye ye-pink iso, i-conjunctivitis ye-bacteria iyoba nomthelela ekubambeni amehlo futhi ikhiqize ukukhishwa okuluhlaza okwesibhakabhaka nokuphuzi.
Phakathi kwezinhlobo zebhaktheriya ezihilelekile, iStaphylococcus, Streptococcus, Corynebacterium, Haemophilus, Pseudomonas, kanye ne- Moraxella yizinto ezivame kakhulu.
Ngenxa yokuthi ukukhishwa kwe-purulent (pus) kungase kuqhubekele, i-crust ezungeze amehlo ngokuvamile iyoba yimbi futhi ingase "ihlanganise" amajwabu amehlo avuliwe ekuseni. Ama-lymph nodes avuvukile ajwayelekile kodwa angase abe nezifo ezinzima ze- gonorrheal .
I-gonorrhea noma i- chlamydia ibuye ibe nesimo se-conjunctivitis eyaziwa ngokuthi i- ophthalmia neonatorum lapho ibhethri idluliselwa khona kwamehlo asanda kuzalwa njengoba idlula emgodini wokuzalwa womama. Nakuba iningi lalezi zifo ligwenywa ngenxa yokusetshenziswa okujwayelekile kwama-antibiotic emva kokubeletha, ukutheleleka okungalashwa kungabangela ubuhlungu beso, ukuvuvukala, kanye nokukhishwa kwesikhumba ngaphakathi kwenyanga yokuqala yokuphila.
I-allergenic Conjunctivitis
I-allergenctivitis ye-allergen ingabangelwa noma yikuphi okubangelwa yizifo ezibangelwa ukungezwani, kuhlanganise nalabo abahlotshaniswa nezidakamizwa zonyaka noma ukudla kokudla .
I-allergenictivitis ye-allergen iyobathinta kokubili amehlo futhi ingase ihambisane nezibonakaliso zokungezwani ezivamile ezifana nemifantu, ukuchithwa, noma i- rhinitis ye-allergen (ukukhipha, ukuminyanisa, amehlo avuvukile). Nakuba ukudwengula ngokweqile kuvamile, ukuphuma kweso akuncane kangako. Ezimweni ezimbi, ukuqhuma kungaphumelela ku-conjunctiva uqobo.
Olunye uhlobo lwe-conjunctivitis, olubizwa ngokuthi i- giant papillary conjunctivitis (GPC) , lubangelwa uma into ephikisanayo engaphandle (njengama-lens oxhumana nabo noma ama-eye sutures) idala ukuthuthukiswa kwamapulethi afana ne-eyelid yangaphakathi
I-Chemical Conjunctivitis
I-conjunctivitis yamakhemikhali, eyaziwa nangokuthi i-conjunctivitis ene-toxic, ibonakala ngokubomvu okukhulu, ukuqhaqhazela nobuhlungu obubhekene nomusi, imfucuza, noma iziphuzo. Amacala amancane, afana nalawo ahilela i-chlorine noma umusi, avame ukuthuthukisa phakathi nosuku.
Ukuvezwa kwamakhemikhali anzima kungathatha isikhathi eside ukuxazulula. Ukulimala okunjengalezi kungabangela ukukhiqizwa kwe-eye mucus (i-immune response response for the eye) noma kubangele ukuthi amaprotheni ahlanganiswe aphule ukuze enze umgoqo wokuzivikela phezu kwe-cornea. Ukulahleka kombono kungase kube okwesikhashana noma kunomphela kuncike ekubaleni kokulimala kwe-corneal.
Izinkinga
Amacala amaningi e-conjunctivitis aphansi futhi angabangeli ukulimala kweso kunoma yiluphi uhlobo. Ezimweni ezingavamile, izinkinga zingase zithuthuke okungaba yingozi futhi ngisho nokusongela impilo.
Phakathi kwezinye zezinkinga ezivame ukubonakala ze-conjunctivitis:
- Gweba i-epithelial keratitis: Lokhu kubonakala ngokutheleleka kwe-cornea (keratitis) ehambisana nokubunjwa kwezimbobo ezincane ku-conjunctiva. Ukuphindaphinda ukutheleleka kwe-herpes kuyimbangela evamile. Ngaphandle kobuhlungu bamehlo, ukukhanya komzwelo okwedlulele kungase kwenzeke njengoba i-perforations encane ibangela ukukhanya ukusabalalisa ngokwejwayelekile. Ngenkathi idabukisayo, izimpawu zivame ukuxazulula phakathi kwamasonto ambalwa nokusetshenziswa kwama-antiviral e-topical.
- I-ophthalmia neonatorum: Lokhu kuvame ukugwema namuhla ngenxa yokuhlolwa kweso njalo kwezifo ezithathelwana ngocansi kumama kanye nokusetshenziswa kwama-antibiotic ezinganeni ezisanda kuzalwa. Amantombazane asele angaphathwa kabi ayengozini yokulahlekelwa umbono nokuphuphuthekisa. Ngaphezu kwalokho, nxazonke ezingamaphesenti angu-20 ezinsana ezine-chlamydial conjunctivitis zizokhipha isifo se-pneumonia , inkinga yokuphila engozini emantwaneni.
Nini Ukubona Udokotela
Njengoba izinhlobo ezithile zeso elibomvu zithathelwana, kufanele ubone udokotela uma izimpawu zakho zihambisana nezilonda zelapho ezivuvukalayo noma yiziphi izimpawu zokutheleleka kokuphefumula . Lokhu kuyiqiniso ikakhulukazi ezinganeni ezifunda esikoleni ezibhekene nezigameko ezivamile zamagciwane omphakathi.
Ngisho noma kungekho ezinye izimpawu ezingaphezu kwamandla, kufanele usabone udokotela noma ophthalmologist uma iso lakho elibomvu liqhubeka isikhathi eside kunamaviki amabili.
Ngakolunye uhlangothi, kufanele ushayele udokotela wakho ngokushesha uma ubona noma iyiphi yalezi zimpawu ezilandelayo:
- Umkhuhlane omkhulu (ngaphezu kuka-100.4 degrees)
- Ukukhishwa okuphuzi noma okuluhlaza okwesibhakabhaka emehlweni
- Ubuhlungu obukhulu lapho ubheka ukukhanya okukhulu
- Umbono ophundlekile, umbono ombini , ukulahleka kombono, noma ubona ama-halos akhanyayo azungeze izinto
Lezi zibonakaliso zesifo esithathelwanayo esingasidinga ukwelashwa okunamandla.
> Imithombo:
> Azher, T .; I-Yin, i-X .; Tajfirouz, D. et al. "I-Herpes simplex keratitis: izinselele ekuxilongweni nasekuphathweni kwemithi." I- Clin Ophthalmol. 2017; 11: 185-91. I-DOI: 10.2147 / OPTH.S80475.
> Amasevisi Okulawula Nokuvimbela Izifo. "Conjunctivitis (I-Pink Eye)." E-Atlanta, eGeorgia; ibuyekezwe ngo-Okthoba 2, 2017.
> Goodman, D .; Rogers, J .; no-Livingston, E. "Conjunctivitis." I- JAMA. 2013; 309 (20): 2176. I-DOI: 10.1001 / jama.2013.4432.
> Palafox S .; UJasper, uS .; Tauber, A. et al. "Ophthalmia Neonatorum." J Clinic Ukuhlolwa Ophthalmol . 2011; 2: 119. I-DOI: 10.4172 / 2155-9570.1000119 .