Herpetic keratitis: hōʻike, ano, kumu, symptoms a me ka lapaʻau

Hoʻoʻino keʻano o ka hanaʻana i loko o ka cornea i ke kauoha e endogenous a me ka exogenous keratitis. Ma ka hihia mua, e alakai i ko lakou ulu ana na keʻano o ka hanaʻana. Exogenous keratitis hoonaukiuki ana mawaho aʻe. E kuhikuhi i na kumu i alakai aku ai i ke kūpono 'ana o ka maʻi, a me ka hookupaa aku i ka pololeiʻike pono ophthalmologist.

Description o ka pilikia

Herpetic keratitis - he infectious maʻi e loli ai i ka cornea. Ua hiki e kena ae la e kekahi o ka 5ʻano o ka herpes nā mea hoʻomaʻi. Hapanui E lulu aku hoi o HSV-1. Kēia herpes simplex mea hoʻomaʻi type 1 nā mea'aʻaʻa i ka mea i loaʻa i loko o 90% o ka heluna kanaka. Ua loli ai i like me ka rula, ka luna o ke kino. Loli ana kanaka.

Akā, i ke kumu o ka herpes keratitis hiki e kekahi:

- herpes simplex mea hoʻomaʻi type 2;

- herpes zoster (ka mea, ke kumu a me ka shingles chickenpox);

- Epstein-Barr mea hoʻomaʻi;

- cytomegalovirus.

Akā, ka hapanui o pinepine ka mea, pepehi i ka maka o HSV-1.

Herpetic keratitis wehewehe aku ma ka mea i na membranes o na maka i kia. E like me ka hopena o ke pio ana o ka maka kanaka mea nuiʻino, ka mea hiki i i ka makapō.

symptoms

Ka mea hoʻomaʻi mea e loli i nā mākua a me nā keiki i mea ole he 5 makahiki. Ke iniiaiie symptoms o kona helehelena i:

- lua mau maka;

- blepharospasm (moku'āina ma a na lihilihi i paa involuntary spasm);

- photophobia.

Akā, i kēia mea,ʻaʻole he i ka papa inoa o nā hiʻona, a hiki hooholo herpetic keratitis. Symptoms o ka maʻi i loaʻa:

- redness o ka maka;

- i ka manao o ka noho he haole kino;

- aa ana;

-ʻeha i loko o ka maka.

Ma iniiaiie maʻiʻaʻai eʻikea ia ma ke blisters ma ka lihilihi a me ka conjunctiva. Ua hoola mai oia me ka scarring. Ke cornea o ka iniiaiie lesion mea i loko o ka hapanui hihia untouched.

Reactivation o ka mea hoʻomaʻi ke kumu recurrent herpetic keratitis. I ka moolelo o ka maʻi,ʻano o ka maʻi, he nui no ka houʻike, a me ka lapaʻau papa kōnane. Ke latent mea hoʻomaʻi pilikia i loko o sensory ganglia. I ka reactivation ka mea, ua kaʻi aku i ke aʻalolo a hāʻule pahū wale, alaila, he mea he maʻiʻaʻai ana i ka'ōnohi a poʻopoʻo.

ano o ka maʻi

Ke kaumaha ma muli o ka lapaʻau kiʻi, hōʻike kekahi mauʻano o lesions. Classic herpetic maʻi akaka ai manamana ai ulcers ma ka cornea. Kēia no laila,-kapa epithelial herpetic keratitis. Ka mea, e loli wale i ka pā, ahu iho o ka cornea, a he o palahalaha epithelial keena.

Poe akamai i kuhikuhi i laau, a Geographicʻano o ka maʻi. ʻike, ua nānā 'ana i ka laha hoʻoʻino naoh. He nui a peheaʻinoʻino wale corneal'aʻaʻa.

Kauka diagnosed "laau-herpetic keratitis" ma ka hihia ma ka ulcers ma ka cornea like i ka laau lala. A uuku loa o ka hihia, ina ke kauka i olelo mai e pili ana i ka Leeuwerikplein pio. Kēia 'o ia hoʻi i ka cornea ua poino hou seriously. Ka wahi o ka lukuia epithelium nui, a me kā lākou mau helehelena kohu i kekahi kiʻikuhi e hoohalike ai o na âinapuni ma luna o ka pepa.

Stromal keratitis ua kapaia discoid. Ma keia maʻi ua i loli mawaho, ahu iho o ka cornea, a me kona loko ili - stroma. Ka noho pilikia loa type ua necrotizing stromal keratitis. Me kēiaʻano o ka maʻi i ka li nui ua ulu hikiwawe loa. Ua hiki i ka make ana o corneal'aʻaʻa i. Ultimately, ua hiki ke alakai i ka makapo.

Ka mua mau ano o herpetic keratitis (laau a me ka Leeuwerikplein) me kūpono lapaʻau piha ke ola pau.

lapaʻau '

E pale aku i ka ulu ana o complications mea e pono ma ka hoailona mua o ka maʻi Hoʻokaʻaʻike i ophthalmologist. He hiki e i kaʻike, a koho i ka iapaau ana loa kūpono.

Ke Kauka assesses ke ahonui i ka wa, nana i hoike ana mai o ka maʻi. Ua pū ana i ka intraocular puʻe. E hoʻoholo i ka nui o ke poho mea pono e drip i loko o fluorescein maka. He He kūikawā mea kemikala ana e ike hiki ma lalo o ultraviolet malamalama. Ua hiki ke hoʻohana i ka loiloi i pehea herpetic keratitis poino corneal ili.

Iʻike, hōʻike pololei aku a papa mea hoʻomaʻi i hahau. Ke kaumaha ma muli o kēia, e e hooponoponoia ia mea, ma na nā kaʻa mokulele o ka lapaau.

keʻena hoʻokolohua noiʻi

Ma ka hapanui o na hihia, ka lapaʻau kiʻi keratitis hai. Akā, he mau wahi, i hiki ai a hiki i ke kōkua o kūikawā e ho'āʻo ai i loaʻa pololeiʻike. A laila 'oe e pono ke keʻena hoʻokolohua noiʻi. Ua mea no hoi e pono ai ka wā o ka mea hoʻomaʻi herpes simplex lesions nā pēpē.

E hana i kēia hōʻike e lawe swabs mai ka cornea. Akā, i kēia like o ka haʻahaʻa pā lonoaʻili. More informative ka DNA ikea ai. Naʻe, ka mea i loa ai pipiʻi ninaninau, no laila ka mea, ua hoʻohana 'ia loa kākaʻikahi. Serological e ho'āʻo ai i informative i loko o ka iniiaiie lesion: ka mea, e hōʻike i nā nā mea'aʻaʻa mahuahua. Akā, e lilo lapuwale ka wā o ka reactivation o ka mea hoʻomaʻi.

Nā kumu o ka maʻi

Herpetic keratitis maka ka lele. Ma ka iniiaiie lesion o herpes simplex mea hoʻomaʻi i loko o ka hapanui hihia ka mea, aole ia e hōʻike i kekahi symptoms. I kekahi manawa 'oe e' ike typical blisters puni na lehelehe.

Noho ma ke kino, ka mea hoʻomaʻi mau koe i loko o na keena o ka trigeminal nā aʻalolo. Ua mea i loko o ka latent moku'āina. Akā, mai ka manawa i ka manawa hiki ke reactivated. Ma keia hihia, ke pathogen hoʻomaka i ka 'Imi proliferate. Nā mea hoʻomaʻi ke hele aku i na nā'aʻaʻa o ka maka a me ka maka.

Herpetic keratitis IeAUPIIe, IAa IO mea akaka pono ma hope o ka reactivation o ka mea hoʻomaʻi. Noho ma ka cornea o ka maka, i ka mea hoʻomaʻi mau e hoonui.

Akā, i ka make ana o ka'aʻaʻa hoʻomaka aie i ka naoh o ka'ōnaehana paleʻea nenoaiu. Ma hope o nā mea a pau, ua mea kuleana no ka hooulu ana o ka hoʻoʻino reactions. 'ōnaehana paleʻea keena ke ike a me ka luku aku nā mea hoʻomaʻi'aʻaʻa i ka mea, i iho mailoko o. I kekahi manawa, i ka poino mai ka'ōnaehana paleʻea muli o ka nui ka ikaika ma mua o ka hana ana o ka mea hoʻomaʻi wale.

A hiki aku i ka reactivation o ka mea hoʻomaʻi?

Kokoke 90% o ka poʻe i nā moku halihali mokulele o ka herpes simplex mea hoʻomaʻi. Akā,ʻaʻole i hōʻike herpetic keratitis. Noiʻi manaʻo i hoʻomōhala i ka maʻiʻaʻai ma lalo o ka aoao o kekahi aʻe a me ka rula i aloha ia i ke kino.

No ka lōʻihi manawa, kauka i manaoio aku i ka mea hoʻomaʻi ua ho'ā 'ia ma luna o ke kāʻei kua o ka stress. Akā, he pūʻulu o kanaka anamanaʻo hōʻoleʻia kāna i kēia mea mahuʻi. Nolaila, kauka hiki ole ke olelo pono ka mea i ke kumu o keia palapala o ka keratitis.

Akā, e loaʻa ana i ka nui susceptible a hiki i keia mai e na kanaka ka poe i waiho wale aku no i kaʻano o ka makaʻoki kino. Kēia hiki e ke kukuna hihio? Iaea, cataract, glaucoma, corneal transplantation.

nā kaʻa mokulele o ka lapaʻau

Pono Inc hiki ke lawelawe ma hope o ka nana ana o ka ophthalmologist wale. Ka mea, e hoʻokūpaʻa i kaʻike, "herpetic keratitis maka." Lapaau kekahi Nāna e koho i ke akamai.

Inā na herpes loli wale na lihilihi, a laila ia e e lawa pono e hoʻohana i ka Akala a "Acyclovir" a me "Valacyclovir." Ka mea, e inu no ka 5 lā e pono ai. No ka iapaau ana o epithelial keratitis Pono e kuai i maka tuko pīlali, i loaʻa ka 0,15% gantsilovira paha kulu me ka 1% trifluridine. Hamo Cuticura "Acyclovir" hiki e hāʻawi no hoi. He pono e waiho ma ka lalo lihilihi i ka liʻiliʻi 5 manawa o ka lā.

Lapaʻau ua hoomau a piha ho'ōla. wale "Acyclovir" papa Ua lawa e lawe ma kekahi hihia. Inā keia lapaʻau mea ineffective, laila, e hoʻohana i ka paka me ka interferon.

Stromal keratitis pono huikau. Ma ka mea mua elua lā i ia papa "Acyclovir" (2 g. No ka lā) a me "Valaciclovir" (1 g. Kela la i keia). Ma keia mahele lāʻau e inu i 2 pule pono ka mea. Inā ka mua mau lā o ka papa i ka maʻi e holomua, no hoi waiho aku i ka hoʻohana 'ana o kekahi kulu o 0,1% dexamethasone. Mua ka mea, hoʻokuʻu i 8 manawa i ka lā, akā, i nā emi i ke alapine (frequency) o i kela 3-6 lā i 1 kulu. Oia lapaʻau E hoʻomau no kekahi mau mahina.