Ngenxa yokuthi izimbangela ze-pink (i-conjunctivitis) zihlukahlukene-zibangelwa yizinto zonke ezivela ekutheleleni kwamagciwane kanye ne-bacterial kuya ekuvezeni imithi kanye nokukhishwa kwamakhemikhali-ukwelashwa kufanele kufane nesimo esiyimbangela. I-conjunctivitis emnene, ngenkathi ingakhululekile, ingase ixazulule yodwa. Ezinye izidakamizwa zingadinga ama-antibiotics ukuthi aphathe ukutheleleka kwebhaktheriya, i-steroids yezobuchopho ukunciphisa ukuvuvukala, kanye nemithi yokwelapha (ukucindezeleka okunjalo okubandayo kanye nezinyembezi zokufakelwa) ukusiza ekunciphiseni ubuhlungu nokungahambi kahle.
Izifo zasekhaya
I- conjunctivitis emnene izobangela ukubomvu kokukodwa noma kokubili kwamehlo kanye nokukhwabanisa, ukuvutha, ukuqothula ngokweqile, nokuzwa kwesikhutha noma kunini uma ubhaqhaza. Kungakhathaliseki ukuthi yisiphi isizathu esiyinhloko, amacala amancane angase angadingi ukwelashwa futhi azovame ukuthuthukisa eyedwa phakathi kwamasonto ambalwa.
Ngesikhathi ulinde, amakhambi asekhaya angasetshenziselwa ukunciphisa ukungakhululeki. Zingasetshenziswa futhi ngezidakamizwa ezinemithi enqunyelwe ezinye izinhlobo ze-pink eye.
Amathiphu Wokuziqhenya
Ukwelashwa ekhaya kwe-conjunctivitis kuzogxila ekunciphiseni ukungakhululeki, ukuphilisa okusekelayo, nokuvimbela ukusakazwa okuqhubekayo kokutheleleka.
Abantu abaningi bathola ukukhululeka ngokusetshenziswa kwe- compress epholile noma efudumele. Uma iso lakho elibomvu libangelwa ukungezwani komzimba, ukucindezeleka okupholile kungasiza ekunciphiseni ukushisa nokushisa. Uma kunesizathu segciwane noma ibhaktheriya, i-compress efudumele inganciphisa ukubomvu nokuvuvukala. (Ukuze ugweme ukusakazwa kokutheleleka kusuka kwelinye iso kuya kwesilandelayo, sebenzisa ukucindezela okuhlukile kweso ngalinye nesethi entsha yokucindezela ukwelashwa ngalunye.)
Ungafaki ama-herbal, aromatherapeutic, noma amanye ama-infusions ku-compress, njengoba lokhu kungase kushaye, kunokuba kunciphise, izimpawu. Futhi, gwema noma yikuphi amaconsi eso angavunyelwe ukuhlolwa kwesifo esasetshenziswa yi-Food and Drug Administration.
Uma ugqoka amalensi oxhumana nawo , kungcono ukuwasusa kuze kube yilapho izimo zakho zixazululwa ngokugcwele.
Uma sezikhona futhi ungasenwe yisifo esithathelwanayo, kufanele uphonsa noma yikuphi oxhumana nabo abalahlayo abagqoke ukuvimbela ukuphindwa kabusha. Noma yikuphi othintana nabo abangenakho ukulahlwa kufanele bavikeleke nge-intanethi ebusuku ngaphambi kokusebenzisa kabusha. (Yiba kabili uqiniseke ukuthi uhlola usuku lokuphelelwa yisikhathi kwesisombululo se-disinfecting ukuqinisekisa ukuhlanzwa okuphumelelayo.)
Ukuvimbela Ikhaya
Uma imbangela yamehlo e-pink isifo esithathelwanayo, njengesiyaluyalu se-keratoconjunctivitis (EKC) ezikhungweni zezinsuku kanye nezikole, wena nomndeni wakho kudingeka nithathe izinyathelo zokugwema ukusabalalisa okuqhubekayo kokutheleleka (noma ukutheleleka kabusha). Lokhu kuhlanganisa:
- Ukugeza izandla njalo ngamanzi ashisayo nesepha
- Gwema ukuthinta amehlo
- Ungabelani ngamathawula, pillowcases, namahekhi
- Ungabelani ama-makeup noma amaconsi eso
- Ukugeza ama-pillowcases nokulala njalo
Ukwelashwa kwe-Over-the-Counter (OTC)
Izinyembezi zokufakelwa , ezitholakalayo phezu kwe-counter, zinganikeza ukuphumula ngokukhulisa ukugcoba kwamehlo nokunciphisa ezinye izinzwa ezithinta i-pink eye.
Kunezinhlobonhlobo eziningi ezihlukene, ezinye zazo ziqukethe lipids ukulinganisa izinyembezi zangempela (ezifana neRefresh Optic Advance noSoothe kusuka eBausch & Lomb) kanye nezinye ezilondolozayo-mahhala ukunciphisa ingozi yokungezwani (njengeTheraTears ne-Alcon Systane).
Kukhona futhi ukufakela okunamandla okwedlulele (njenge-Refresh Celluvisc noma i-Systane Ultra), engasiza ekunciphiseni ukukhishwa kwegazi ngokugqoka iso isikhathi eside. Ngaphansi kwehla, bangaphinde baqobe uthuli, impova, nezinye izifo.
Uma ukungezwani komzimba kuyimbangela ebangela iso lakho elimhlophe, i- antihistamine engaphezu kwe-counter-the-counter efana neClaritin (loratadine), i-Zyrtec (cetirizine), noma i-Allegra (fexofenadine) ingasiza ekunciphiseni ubuhlungu. Ama-drop eye e-antihistamine nawo aphumelelayo ekuhlinzekeni ukukhululeka okusheshayo.
Imigomo
Izinhlobo ezithile ze-conjunctivitis zingase zizuze kakhulu emithi yokwelashwa, kuyilapho abanye beyidinga.
I-Conjunctivitis yeBactterial
I-conjunctivitis yebhaktheriya ivame ukugcina amasonto amabili kuya kweyodwa futhi ngokuvamile izozixazulula yedwa. Uma izimpawu zingaphumeleli emva kwezinsuku ezinhlanu, udokotela wakho angase ancoma ama-drops eye iso (ikakhulukazi imithi elwa ne-spectrum ekwazi ukuphatha izinhlobo eziningi zebhaktheriya).
Uma lesi simo sinzima, izihluthulelo ze- fluoroquinolone zesisha esisha entsha zingabekwa. Ama-antibiotic omlomo ngokuvamile agcinelwe izifo ezinzima, njengalezo ezibangelwa i- gonorrhea noma i- chlamydia .
Imishanguzo ejwayelekile kakhulu yokulwa namagciwane ihlanganisa:
- Isixazululo se-Azithromycin 1.0%
- I-Ciprofloxacin 0.3% amaconsi noma amafutha
- I-Erythromycin i-0.5% yamafutha
- I-Gentamicin 0.3% amaconsi
- Levofloxacin amaconsi angu-0.5%
- I-Ofloxacin 0.3% amaconsi
- I-Tobramycin 0.3% amaconsi
Ngenkathi amahlumela e-corticosteroid angase abekiwe, ukusetshenziswa kwabo kuqhubeka kungavumelani. Ngenkathi esebenza ngokuphumelelayo ekunciphiseni ukuvuvukala, banganciphisa inqubo yokuphulukisa futhi bangase "baqede" isibhande sokuhlanganiswa uma besetshenziswe ngokweqile.
I-Viral Conjunctivitis
I-conjunctivitis ye-viral uhlobo olujwayele kakhulu kubazali abanezingane ezineminyaka esikoleni. I-keratoconjunctivitis (i-EKC) ye-Epidemic ibangelwa i-adenovirus ehlobene kakhulu nomkhuhlane ovamile. Njengoba engekho izidakamizwa ezivimbela i-antiviral ezikwazi ukwelapha i-EKC, ukutheleleka kuvele kudingeke ukuthi kuqhutshwe inkambo ngendlela efanayo.
Esikhathini esingavamile ukuthi izinkinga zenzeke, i-antiviral ye-topical efana ne-cidofovir ingabekwa. Ngisho noma kunjalo, lezi zivame ukugcinwa kubantu abanamasosha omzimba ahlotshisiwe, njengalabo abanesandulela ngculaza .
I- virus ye-herpes simplex (i-HSV) iyimbangela engavamile ye-conjunctivitis kodwa ngokusobala iyinkinga enkulu, njengoba kungenzeka ukuthi iphinde ibuye. Ukwelashwa kungase kuhileleke indlela yokubuka nokulinda uma isimo sinomusa. Amacala ahlukumezekayo, lapho kutholakala khona umonakalo omkhulu, angaphathwa nge-antiviral ye-topical (njengejelisi le-ganciclovir, amaconsi e-trifluridine, noma amafutha we-vidarabine) noma i-antiviral yomlomo (njenge-acyclovir).
I-allergenic Conjunctivitis
Amaningi amaningi e-conjunctivitis aphikisayo aphathwa ngokuhambisana ne-OTC antihistamines, ama-sprays e-nasal, amaconsi e-eye, kanye nezidakamizwa ezingezona ukuvuvukala (ama-NSAID).
Uma izimpawu ziphikelela noma ziphindaphindiwe, iziqinisi zesisindo se-mast , njenge-Alomide (lodoxamide) noma i-Alocril (nedocromil), ziyatholakala kumaconsi ejoka lokugoma. Ezimweni ze- atopic keratoconjunctivitis , lapho ingozi yokubonwa kwemibono iphakeme, ukusetshenziswa okuhlangene kwe-topical mast cell stabilizer futhi i-corticosteroid yomlomo noma ye-topical ivame ukusebenza.
Ezimweni ze- gijun papillary conjunctivitis , lapho ukutholakala okungavamile kwama-lens nezinye izinto zangaphandle kungabangela ama-bumps afimple-like in the ijwabu leso elingaphakathi, ukwelashwa ngokuvamile kuhilela ukukhipha into yangaphandle. Amagciwane asezingeni eliphansi noma i-corticosteroids yama-topical angasetshenziswa ezimweni lapho into yangaphandle (njenge-sutures noma i-eye prosthetic) ingasuswa kalula kalula. Ukushintsha kusuka kuma- lensi kanzima kuya kuma-lens athambile kungavimbela ukuphindaphindiwe.
I-Ophthalmia Neonatorum
I-ophthalmia neonatorum , eyaziwa nangokuthi i-conjunctivitis ye-neonatal, ibangelwa uma isifo sofuba noma isifo se-chlamydial sidluliselwa emehlweni omntwana njengoba sidlula emgodini wokuzalwa.
Ukuze ugweme lokhu, omama abaxilongwa ngesikhathi sokuzalwa banganikezwa isigaba saseCesareya ukunciphisa ingozi yokudluliselwa. Kungakhathaliseki ukuthi i-mode yokudiliva, ingane izonikezwa amaconsi e-antibiotic lapho ebeletha (noma i-tetracycline noma i-erythromycin) kanye nesilinganiso esisodwa se-ceftriaxone uma umama engazange aphulukise i-gonorrhea.
Uma ingane iqala izimpawu ze-gonococcal conjunctivitis, ukugeza kwamehlo ngehora ngehora kuyodingeka kuze kube yilapho ukukhishwa kukhishwa, kusekelwa izinhlelo zokusebenza ezine zamahora we-acitracin. Inkambo yezinsuku eziyisikhombisa yama-antibiotic ohlelweni nayo izobekwa. I-Ceftriaxone, i-ciprofloxacin, ne-penicillin yizinketho eziphumelelayo.
Ukuze uthole i- chlamydial conjunctivitis , i-tetracycline ye-topical noma i-erythromycin amafutha angasetshenziswa izikhathi ezine nsuku zonke amasonto amathathu, kanye ne-systemic erythromycin ukunciphisa ingozi ye-pneumonia.
Ifomu elingajwayelekile kakhulu le-conjunctivitis ye-neonatal, elibangelwa igciwane le-herpes simplex , lizophathwa nge-acyclovir elilethwa ngaphakathi okungenani izinsuku eziyi-14 ukuvimbela ukutheleleka okubanzi, okuhlelekile.
Ukunakekelwa Okuphuthumayo
I-conjunctivitis yamakhemikhali ibangelwa ukuvezwa kwentuthu, imfucumfucu, uketshezi, nezinye izisetshenziswa ezinobuthi. Amafomu amancane, afana nalawo abangelwa umusi noma i-chlorine, ngokuvamile azixazulula eyedwa phakathi nosuku.
Kodwa-ke, ukuchayeka okukhulu, okufana nalabo abangelwa i-asidi (njenge-pool noma ibhethri acid) noma i-alkali (efana ne-ammonia noma i-drain cleaner), kufanele ihlanjululwe kahle ngamanzi ngenkathi kutholakala ukunakekelwa okuphuthumayo. Lokhu kuyiqiniso ikakhulukazi ngokushisa kwama-alkali, okungaphezu kuka-asidi, okungalimaza kakhulu iso, ngokuvamile kungakapheli imizuzwana.
> 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.
> Bilkhu, P .; Wolffsohn, J .; kanye ne-Naroo, S. "Ukuphumelela kwezokwelapha okungezona i-nonpharmacologic ye-conjunctivitis ye-allergen esiphuthumayo." I- Ophthalmology. 2014; 121 (1): 72-78. I-DOI: 10.1016 / j.ophtha.2013.08.087.
> 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 .