Nakuba iso elibomvu livame ukubhekisela ku- conjunctivitis , kunezinye izimo ezingase zenze ukuba iso libomvu. Ukuhlola ngokucophelela ngokomzimba kanye nokusetshenziswa kwezivivinyo ezifanele zomthamo kungasiza ukuhlukanisa phakathi kwe-conjunctivitis nemibandela engaphezulu yemvelo.
Ukuhlolwa Kwemvelo
I-conjunctivitis ivame ukutholakala ngokuhlolwa okulula ngokomzimba.
Inombolo Yezame Ezithintekayo
I-conjunctivitis ye-bacterial iqala ukuqala kwelinye iso kepha ngokuvamile isakazeka kwelinye iso. I-conjunctivitis ye-viral, noma kunjalo, ivame ukuthinta iso elilodwa kuphela.
Ukukhishwa Kwamehlo
I-Conjunctivitis ivame ukudala ukuphuma kweso. Uma imbangela ibhaktheriya, lokho kukhishwa kuvame ukuqina futhi kuhlanzekile, okungukuthi, okuphuzi noma okuluhlaza. Kuvame ukubangela ukubola okungenza kube nzima ukuvula iso ekuseni.
I-conjunctivitis ye-viral, ngakolunye uhlangothi, ijwayele ukuba nomswakama wamanzi amancane. Ngenkathi lokhu kukhishwa kungaba okunamathelayo, akunakwenzeka ukuba ucindezele iso.
I-Hemorrhage ye-Subconjunctival
Iso elimnyama lithola umbala walo kusuka emithanjeni yegazi evuthayo. I- hemorrhage engezansi iqala uma omunye walezi zimpawu zegazi ephuka. Esikhundleni semigqa emincane ebomvu engxenyeni emhlophe yeso lakho, uzobona isiqephu esibomvu sokubomvu.
Nakuba kungabonakala ngokubukeka, akuyona eyingozi futhi kuvame ukubuyisa ngesonto noma amabili.
Lezi zinsiza zivame kakhulu nge-conjunctivitis yegciwane.
Ukuvuvukala kwama-Lymph Nodes
Ukuhlolwa okusemzimbeni okulungile akugcini kuphela emehlweni. Ama-lymph nodes ezungeze indlebe nentamo ngezinye izikhathi angase avuvuke futhi abe nesineke nge-viral, kodwa hhayi nge-bacterial, conjunctivitis.
Izivivinyo ezikhethekile
Kuye ngomlando wakho nezimpawu zakho, umhlinzeki wakho wezempilo angakhetha ukwenza ukuhlolwa okungeziwe phakathi nokuhlolwa kwakho ngokomzimba.
I-Eversion ye-ijwabu leso
I-pink ingabonakala uma umzimba wangaphandle ungena ehlohlweni lakho. Kuze kube yilapho umzimba wesinye isizwe ususiwe, cishe uzoba nesenzo sokuvuvukala. Umhlinzeki wakho wezempilo uzodinga ukuthi afake ijwabu leso elingenhla ngaphakathi ukuze aqiniseke ukuthi akukho into enamathele phakathi kwejwabu leso kanye ne-eyeball yakho engabangela ukucasuka.
Inqubo ingase izwakale iyabuhlungu kodwa ayikho. Kwezinye izimo, amaconsi e-eye anesthetic angasetshenziselwa ukwenze ukhululeke kakhulu ngesikhathi sokuhlolwa.
I-Fluorescein Eye Stain
Idayi elimnyama eline-orange e-soluble ebizwa ngokuthi i-fluorescein ingafakwa ebusweni lakho ukuze ibheke ukucasuka nokulimala okungabonakali ekuhlolweni kwesimiso. Idayi idonsa i-cornea futhi ikhanyise ezindaweni lapho amangqamuzana e-epithelial angenasici avulekile noma akhishwe ngenye indlela.
Izindawo ezikhanyisa ngombala zingaba uphawu lwe- abrasion corneal noma zingabonisa iphethini le-dendritic ngokuvamile elibonwa ne- herpes simplex iso lesifo . Idayi ingenza kube lula ukuthola umzimba wangaphandle ngaphakathi kweso.
I-fluorescein ifakwa esweni lakho ngokuthi ukhazimule emgqeni wephepha eliqoshiwe noma ngokusebenzisa amaconsi eso. Umhlinzeki wakho wezempilo uyobe ebuka iso lakho ngaphansi kokukhanya kwe-cobalt eluhlaza okwesibhakabhaka. Konke, ukuhlolwa kuthatha amaminithi ambalwa ukwenza.
Ekuqaleni, abamhlophe beso lakho bayothatha umbala ophuzi kodwa izinyembezi zemvelo ziphuma ku-fluorescein ngaphezu kwemizuzu kuya emahoreni. Noma iyiphi i-fluorescein ethinta isikhumba ezungeze iso ingaphaza isikhumba sakho usuku noma ezimbili.
Ukuhlolwa kweLamp Lamp
Isivivinyo somzimba esibheke ngokwengeziwe singenziwa ngokusebenzisa isibani sokuqhafaza . Lokhu ngokuyinhloko i-microscope ekhanyisa ibhande elincane elikhanyayo elangeni lakho. Umhlinzeki wakho wezempilo uzosebenzisa amalensi ahlukene ukuze ahlole amakamelo angaphambili kanye namagumbi angemuva iso lakho.
Lezi zixhobo zivame ukutholakala ehhovisi le-ophthalmologist kodwa amanye amahhovisi okunakekelwa okuyinhloko, imitholampilo yokunakekelwa okuphuthumayo, kanye nomnyango ophuthumayo ungase futhi ube nokukhanya kwesibani sokubamba.
Izivivinyo ze-Lab
Ukuhlola i-Lab kungathuthukisa ukunemba kokuxilongwa futhi kungasiza ekuqondiseni ukwelashwa okuphumelelayo. Phela, i-conjunctivitis yebhaktheriya ingadinga ama-antibiotics, kepha ukutheleleka kwegciwane kungukulinganisela futhi kuphulukise ngokwabo. Lokho kusho ukuthi abahlinzeki abaningi bezempilo bavame ukwelashwa ngokususelwa ekuhlolweni kwabo emtholampilo kuphela.
Amasiko
Isimo segolide sokuhlola noma yikuphi ukutheleleka yisiko. Akuzona nje kuphela ukuthi amabhaktheriya e-causative azokhonjiswa, kepha angabuye ahlolwe ngokumelene nama-antibiotic ahlukene ukuze abonise ukuthi yiziphi eziphumelela kakhulu.
Ukuze i-conjunctivitis, isampula yezinyembezi noma enye ukuphuma komzimba kungenziwa iqoqwe nge-swab futhi ithunyelwe ebhokisithri. Inkinga ngamasiko ukuthi kungathatha izinsuku ukuthola imiphumela. Lokho kuyinde kakhulu ukulinda ukwelashwa.
Ngaphandle kokuba ube nezifo eziphikisanayo noma eziphindaphindiwe, amasiko ajwayele ukusetshenziselwa ukuxilonga i-conjunctivitis.
Ukuhlolwa kwe-PCR
I-Polymerase chain reaction (PCR) yindlela ephakeme kakhulu esebenzisa i-DNA esampula ukubona ukuthi ngabe kukhona yini ukutheleleka. Ngokungafani nesiko lendabuko, ayikwazi ukuhlola ukutholakala kwama-antibiotic.
Uma kuziwa ku-conjunctivitis, i-PCR ingasetshenziselwa ukubukela kokubili amabhaktheriya namagciwane. Amabhaktheriya avame kakhulu ahlolwe yi- chlamydia ne-gonorrhea . I-Adenovirus, elandisa ngamaphesenti angama-70 azo zonke izigameko ze-conjunctivitis, kanti i-herpes simplex yilezi zingciwane ezinama-PCR. Imiphumela izitholakala zingakapheli amahora angu-24.
Ukuhlolwa kwe-Adenovirus okusheshayo
Ngenkathi i-PCR ingasheshisa inqubo, ayikavumeli abahlinzeki bezempilo ukuba baxilongwe ngesikhathi sokuvakasha kwakho. Lokhu kungasho ukubambezeleka kokwelashwa.
Isivivinyo sokunakekelwa okusheshayo manje siyatholakala. It iskrini wonke serotypes adenovirus futhi ingasebenza ehhovisi lakho umhlinzeki wezempilo. Emaminithini ayishumi, uzokwazi ukuthi unegciwane. Kulesi simo, awudingi ama-antibiotic futhi ungagcina ngezindleko zokwelapha. Ngeshwa, akuwona wonke amahhovisi anikeza ukuhlolwa.
Uma kunikezwa, ukuhlolwa kulula. Udokotela wakho uzokunika i-eye ekhethekile ye-eye, welula ijwabu leso elingaphansi kancane, bese ufaka induku yokuhlola kumuntu wakho wejwabu leso elingaphakathi, usibambe ngobumnene ukuze uqoqe isampula.
Ukuhlonza okuhlukile
Iziguli eziningi ezine-pink zinezimo ezinobungozi noma ezilinganiselwe futhi azidingi ukuthunyelwa ku-ophthalmologist. I-Conjunctivitis ingabangelwa amagciwane kanye nama-virus kodwa ezinye izimbangela ezinjenge-allergies, ukuvezwa kwamakhemikhali, kanye nokuhlukunyezwa nazo zivamile.
Izimpawu ze-flag ezibomvu okufanele zenze ukuhlola okuqhubekayo kufaka phakathi umkhuhlane, ubuhlungu obukhulu beso, noma umbono okhubazekile. Lokhu kufanele kuvuselele ukuhlolwa kwesimo se-ophthalmologist.
> Imithombo:
> Conjunctivitis (I-Pink Eye). Amasevisi Okulawula Nokuvimbela Izifo. https://www.cdc.gov/conjunctivitis/clinical.html. Kubuyekezwe ngo-Okthoba 16, 2017.
> Jacobs DS. Conjunctivitis. Ku: Sullivan DJ, ed. I-UpToDate (Inthanethi) , i-Waltham, MA. Kubuyekezwe ngo-February 2018.
> Prokopich CL, uHrynchak P, u-Elliott DB, iGlanagan JG. Ukuhlolwa kweMpilo ye-Ocular. Ku: Elliott DB, ed. Izinqubo Zomtholampilo Ekunakekelweni Kwamehlo Okuyinhloko . I-4th ed. Philadelphia, PA: Elsevier; 2014: Isahluko 7.
> Holtz KK, Townsend KR, Furst JW, et al. Ukuhlolwa kwe-AdenoPlus Point-of-Care Test yokuhlola ukuxilongwa kwe-Adenoviral Conjunctivitis kanye nomthelela walo ekuPhakameni kwama-Antibiotic. I-Mayo Clinic Proc: IQO. 2017 Sept; 1 (2): 170-175. i-doi: 0.1016 / j.mayocpiqo.2017.06.001.
> Wood M. Conjunctivitis: Ukuxilongwa Nokuphathwa. I-Eye Eye Health Community. 1999; 12 (30): 19-20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1706007/.