Bakiteriya conjunctivitis ana: chithandizo ndi zizindikiro

Conjunctivitis kudziwika monga kutupa kwa nembanemba mucous cha maso - conjunctiva amene amayambitsa matenda osiyanasiyana, mavairasi ndi allergens. Tiyeni kumvetsa kusonyeza conjunctivitis bakiteriya ana. Chithandizo adzamva anafotokoza m'nkhani ino.

Nchito ndi mbali ya kapangidwe ka conjunctiva ndi

Conjunctiva - ndi woonda mucous minofu yomwe imaphimba maso kutsogolo tasiyana pamwamba lamkati la zikope onse, kupanga chapamwamba ndipo m'munsi Chipilala achilendo mthumba. A wambirimbiri chitsulo zimakhala ndi kuzungulira maso kubala lacrimal madzimadzi ndi mankhwala makamaka mapuloteni - mucin. Pamodzi kupanga olimba kumatenda ndi moisturizing chilengedwe slezoobraznuyu kuti amatipatsa kuthekera zithunzi diso ndi kuyenda.

Ngakhale kuchepa thupi wachibale, conjunctiva ndi zovuta multilayer organic minofu wakupambana mu epithelium wa diso. Nsupa nsidze ndi zikope conjunctiva anagwira magazi okwanira, maukonde ziwiya lymphatic ndipamene zoteteza wosanjikiza lymphoid minofu kuichotsa ndi ocular mitsempha m'chimake kupereka mkulu tilinazo. Choncho, kapangidwe yachibadwa nchito zigawo zikuluzikulu zonse za zimakhala conjunctival kumadalira osati kokha pa dziko la diso, komanso zithunzi acuity. Choncho, ndi ngozi bakiteriya conjunctivitis. Zizindikiro ndi mankhwala a ana amafunika chisamaliro chapadera.

The conjunctiva ndi woyamba zoteteza chotchinga cha maso ndi gawo pachiopsezo amadza chifukwa cha osiyanasiyana akunja irritants, mabakiteriya ndi allergens.

Komanso, osati ngalande nasolacrimal adatchithisira lacrimal madzimadzi zimatenga dothi mpweya ndi mabakiteriya entrained komanso kuthamanga ndondomeko n'zosiyana, pamene matenda, tizilombo kapena tizilombo toyambitsa matenda kuuka kwa matupi awo sagwirizana akonzedwa limakhumudwitsa diso ndi conjunctiva mkati. Pali bakiteriya conjunctivitis (chithunzi cha ana kuwonekera kwa matenda munakwanisa kuona nkhani).

Ndi zothandiza kudziwa kuti pa miliri nyengo ya tizilombo kapena kukhudzana ndi matenda matenda oopsa tizilombo (mwachitsanzo, chikuku kapena chikuku) chigoba zoteteza si kuthandiza, popeza HIV momasuka kudutsa mu thupi la ngalande nasolacrimal ndendende kudzera maso.

zizindikiro za conjunctivitis

Choncho, mmene zimaonekera bakiteriya conjunctivitis ana? Chithandizo amusankha malingana zizindikiro.

Mu yachibadwa thanzi diso conjunctiva kupereka chinyezi chokwanira kuti ufulu kuyenda mu thumba misozi, umachititsa mandala chotchinga choteteza osati kuchepetsa zithunzi ndi svetovosprinimayuschuyu luso la diso.

Ngati kumene maso akuyamba kuyabwa, moto, pom'ng'amba kwambiri, padziko corneal ukuonekera mauna Mitsempha dilated, anamva inclusions ena ndi zopweteka diso kayendedwe, kutupa zikope kapena khungu padziko diso limodzi tinganene anakafika mu ocular m'chipinda chotetezeka yotupa . Conjunctivitis ndi matenda ambiri amene amakhudza Kakhungu mucous diso.

Kuposa kuchiza bakiteriya conjunctivitis mwana? Tikambirana pansipa.

mitundu ya conjunctivitis

Malinga ndi gwero la matenda, pali mitundu itatu ya conjunctivitis omwe amafunika mosiyana kwambiri ndi matenda, mankhwala ndi kupewa.

1. bakiteriya conjunctivitis - ndi bakiteriya zosiyanasiyana monga staphylococci, chlamydia etc. Iwo kugwa pa mucosa diso ngati chilengedwe ndi ukhondo osakwanira, kuwononga makina kapena kufooka mwa ntchito m'thupi la conjunctiva ndi wa microflora tizilombo wa chamoyo pa kusintha kwa matenda opatsirana. Ngati ndili conjunctivitis bakiteriya ana, mankhwala ayenera umalimbana kuwonongedwa kwa tizilombo toyambitsa matenda.

2. Atamwa conjunctivitis - amakhudza conjunctiva pa maziko a matenda adenoviral ndi enteroviral, fuluwenza, nsungu, chikuku, katsabola. Kawirikawiri mtundu wa tizilombo kutupa limodzi ndi rhinitis, pharyngitis kapena kufanana madzi mawonekedwe a conjunctivitis bakiteriya.

3. matupi awo sagwirizana conjunctivitis silipita pafupifupi mitundu yonse ya thupi lawo siligwirizana ndi mankhwala, chakudya, ndi allergens kwachilengedwenso ndi concomitant kutupa mu matupi awo sagwirizana rhinitis, dermatitis ndi mphumu.

Bakiteriya conjunctivitis ana. zifukwa

Conjunctivitis ana ndi matenda wamba kwambiri, ndi zaka 5 zaka amapezeka mu 30% ya milandu pathologies ocular. Izi ndi chifukwa peculiarities wa thupi la mwanayo ndi chitetezo cha m'thupi, umene mwachangu zinapangidwa si bwino amateteza thupi ku zotsatira za zinthu chowawa. Mofanana kwambiri ndi kulunjika a magulu ana ndi moyo.

Mkulu chiopsezo chotenga matenda diso mucous mwana chipolopolo, yomwe ili ndi phindu lochepa Ufumuyo mfundo za umoyo ndi ukhondo zofunika, ntchito ana pa nthawi makulitsidwe, pamene mwana akudwala akupitiriza kulankhula ndi anzawo kukhala gwero la matenda zina, mbali psychophysical ya moyo wa ana - onse Imathandiza kuti yatsoka pafupipafupi kutupa matenda, kuphatikizapo diso. Kotero pali bakiteriya conjunctivitis ana.

Pa ana akhanda, izo ali ndi wapadera conjunctivitis malo chifukwa cha kudutsa njira amayi ndi Popanda kuchitapo kanthu matenda opatsirana - chinzonono kapena mauka. conjunctivitis Izi zimachitika pambuyo pa masiku angapo pambuyo pa kubadwa ndipo mwina mavuto aakulu, kuphatikizapo khungu ndi imfa ya maso, ngati nthawi sationanso mankhwala oyenera.

Ndi zaka index ophthalmic pathologies ana amayamba kuloza kwa matenda osiyana refractive, monga myopia, hyperopia, astigmatism.

Matenda a conjunctivitis bakiteriya ana

Anthu ambiri lerolino amasangalala njira matenda, chithandizo ndi chisamaliro cha matenda osiyanasiyana ana ku odziwika dokotala Evgeniya Olegovicha Komarovskogo. sukulu wake, amene ali TV ndi Baibulo kusindikizidwa chimagwiritsidwa anazindikira omvera ndi makolo onse udindo. Simple, mwachilengedwe, njira chinsinsi cha kupereka mauthenga ndi mphamvu ya makhalidwe wotchuka dokotala kuthandiza kukweza kuzindikira ndi mlingo chikhalidwe cha anthu, kuphunzitsa achinyamata.

Njira sayansi malongosoledwe a mavuto ambiri thanzi la ana ndi kupezeka njira akufuna makolo mwayi wophunzira mbali zonse za malipoti zovuta zachipatala komanso kuona kufunika mungachitepo kuti akatswiri.

Kugawa ntchito ndi nthawi ya bakiteriya conjunctivitis pachimake ana n'kovuta molondola kukonza, kuyambira pafupipafupi njira, omasuka wachibale nthawi zambiri kuti tichotse kutupa, chochitika zabwino za mankhwala yapita - mfundozi chifukwa ulendo kawirikawiri kwa dokotala.

Matendawa zimadalira mmene amasonyezera conjunctivitis bakiteriya ana. Zizindikiro akhoza zosiyanasiyana.

Matenda conjunctivitis bakiteriya zambiri zotheka ndi opanda luso n'koyenera, chifukwa si enieni, ndi kusiyana chachikulu mitundu ina ndi kukhalapo kwa mucopurulent kapena purulent exudates m'mbali mwa zikope kapena pafupipafupi adzauma crusts pa maso. Zizindikiro Concomitant angakhalenso redness wa zikope ndi diso, khungu edema, kuchuluka womwetula, kuyabwa.

Ana amadandaula woyaka kumverera mu maso, amayamba maso akusisita ndi manja ake, kukhala lethargic, adzangokumvera. Mwina pang'ono kuwonjezeka thupi kutentha. Zizindikiro zimenezi mu magawo oyambirira a kutupa kupereka chizindikiro makolo tcheru ndipo amakulolani mofulumira ndi paokha kuti kufala kwa matenda.

Ngati zizindikiro zina zosasangalatsa zizindikiro khalidwe la mitundu ya bakiteriya conjunctivitis si anati, m'pofunika kupenda zinthu zonse zimene mwana akhoza kuvutika.

Mwachitsanzo, kuyendera zochitika anthu, chakudya, tsitsi nyama, zidole zauve, kusamba ufa, kusambira mu dziwe, kutenga nthawi yaitali amayenda, anapangitsa hypothermia kapena kutenga wambirimbiri fumbi maso - mfundozi zithandiza kukhazikitsa maonekedwe a zizindikiro za matupi awo sagwirizana kapena tizilombo conjunctivitis.

Pankhani ya zizindikiro zowopsa kwambiri (ululu maso, photophobia, amaona masomphenya, maonekedwe a thovu pa zikope za) Kudandaula dokotala kapena dokotala banja adzalola chithandizo mwamsanga ndi kupewa mavuto sizingasinthe. Pofuna kukhazikitsa molondola matenda dokotala wapeza zinthu zonse zitheka ndi njira zizindikiro matenda, imaunika ziwalo masomphenya, khungu ndipo zimagwira ntchito zosiyanasiyana mucous, ngati n'koyenera, amapereka malangizo kwa katswiri - ndi maso.

Swabbing ndi conjunctiva kwa cytologic kuona ndi biomicroscopy amalola kuti omaliza lomveka ndi kukatenga kukonzekera zofunika kuchipatalako.

Palinso njira kafukufuku mwachindunji - mwachitsanzo, njira ndi galamu Giemsa kuti ndi Mwina mkulu mutenge kutupa kwa mmodzi wa mitundu ya conjunctivitis. Choncho, kuwululidwa neutrophilia ku scrapings mucosal limasonyeza chikhalidwe bakiteriya kutupa, lymphocytosis bwino kutsimikizira chikhalidwe cha conjunctivitis ndi tizilombo, ndipo eosinophilic inclusions - matupi awo sagwirizana.

Choncho, mwana matenda conjunctivitis bakiteriya. Chithandizo ana Komarovsky limalangiza kuchita kuyang'aniridwa ndi akatswiri.

Zosiyanasiyana conjunctivitis bakiteriya

maphunziro posachedwapa akusonyeza kuti mapangidwe nembanemba mucous wa diso microflora zikadzatha kubadwa koma osati pa ndime ya ngalande kubadwa, monga mmene ankaganizira poyamba. Komanso khalidwe la mabakiteriya yachibadwa microflora alipo diso la nambala inayake ya tizilombo toyambitsa matenda monga Staphylococcus ndi diphtheroids.

Ngakhale kuti madzimadzi lachrymal wapangidwa ndi zigawo zambiri zoteteza (immunoglobulins, lysozyme, lactoferrin), Staphylococcus epidermidis bwinobwino ndinazolowera muthane ndi vuto limeneli ndi stably alipo mucosa wa conjunctiva lapansi. Chifukwa ndi bakiteriya conjunctivitis. Chithandizo ana Komorowski akuonetsa ntchito mankhwala.

chithandizo

Ntchito mankhwala antibacterial yotakata sipekitiramu - ciprofloxacin, mankhwalawa, gentamicin - nthawi zambiri amapereka zotsatira mofulumira positive. Komabe zimenezi, kawirikawiri thupi lawo siligwirizana ndi tizilombo ta kugonjetsedwa ndi mankhwala amenewa ndi mkangano kwa yokwanira bwino kusankha chamoyo kuchititsa conjunctival kutupa, ndi kusankha mankhwala pa sipekitiramu yopapatiza kanthu. Choncho akuluakulu mwina bakiteriya conjunctivitis ana. Mankhwalawa amachititsa ndemanga zabwino.

Diphtheria ndi gonococcal conjunctivitis mitundu amafuna mankhwala enieni m'deralo. Kufala lonse tsopano kukhala mankhwala fluoroquinolones, amene atsimikizira kukhala othandiza kulimbana bakiteriya conjunctivitis mitundu ina kuposa streptococcal ndi pneumococcal. Dziwani kuti Komanso kumawonjezera mofulumira ndi mtendere wa chiwerengero cha tizilombo mankhwala awa. Kuti ndi zovuta zoterozo mu matenda a "conjunctivitis bakiteriya ana" mankhwala. Madontho mu mankhwala amagwiritsidwa ntchito kwambiri pa pansipa.

Kugwiritsa madontho

dongosolo zothandiza ndi yimitsira kutupa imatengedwa kuti ndi ntchito ophatikizana a polymyxin-B mu mawonekedwe a madontho ndi zodzola. Madontho amaikidwa ndi imeneyi ya maola 2-3, 2-3 akutsikira aliyense mafuta diso - nthawi 3-4 tsiku ndi ntchito kuchira zonse za mwanayo, mwachitsanzo pa masiku 5-7 kwa 10-14.

Pamene kukhazikitsa exciter pneumococcal matenda yoikidwiratu kutsuka njira asidi boric, monga mabakiteriya izi kuchulukana mu sing'anga ndi zamchere, kotero microflora maso acidification suspend chitukuko cha tizilombo pathological. Mu mitundu ina ya oyambitsa ndi 0,25% -0,5% njira nthaka sulphate amene chagwiritsidwa nthawi 4-6 tsiku. Ichi ndi matenda "bakiteriya conjunctivitis ana" mankhwala.

mankhwala a conjunctivitis aakulu ntchito combinatorial steroid ndi mankhwala. Koma kupatsidwa mlingo mkulu wa zosokonezeka pambuyo ntchito mankhwala amenewa, Kwalamulidwa iwo okha kutupa aakulu kumene, ndi nkhani ya conjunctivitis pachimake si ntchito. Mulimonsemo, ngati mkati mwa masiku 2-3, chithunzi matenda a ntchito mankhwala sasintha bwino, mankhwala ayenera anasiya ndi kuyang'ana zinthu zomwe zayambitsa mavuto.

Bakiteriya conjunctivitis chifukwa zinthu zina suppurative septic, monga TV otitis, zilonda zapakhosi, pyoderma kupatula mankhwala apakhungu, zimafuna chithandizo cha matenda chikwiyire yogwira mawonekedwe conjunctivitis, ndipo ambiri chimafikira ndi mapeto ake.

Nsonga kwa Dr. Komarovsky

Ngati matenda "bakiteriya conjunctivitis" Zizindikiro ndi Chithandizo cholukanalukana ana.

Poyamba zizindikiro za conjunctivitis mwana ayenera olekanitsidwa ana ena amakana kukaona ana a sukulu. Pambuyo kupatsa ndi maso kapena chithandizo dokotala monga n'kogwirizana formulations ndi njira mankhwala osokoneza bongo. Inu simungakhoze kukakamiza nsalu diso kapena anakulunga Bola kumathandiza kuphethira wabwinobwino, kenako kutsuka kwa mucous misozi Kakhungu ndi kuchotsa madipoziti purulent ku zimakhala ndi kuzungulira maso.

Rinsing chamomile Tingafinye, calendula, njira asidi boric kapena furatsilina anachita nthawi 5-8 masana, osiyana aliyense thonje diso, mochuluka ankawaviika mbale. Pukutani maso kuchokera m'mphepete lakunja kwa mkati. Kukapanda kuleka njira wolakalakika wakupatsa anamaliza pipette popanda wokhudza zaka diso kupewa matenda kulowa pipette.

Komanso popanda kukhudzana akhale pansi m'munsi chikope anagona mafuta anatumizidwa chithandizo. Bakiteriya conjunctivitis Kwalamulidwa madontho ndi chloramphenicol, sulfacetamide, tetracycline mafuta kapena eritromitsinovaya.

Popeza pafupifupi mitundu yonse ya conjunctivitis bakiteriya limodzi ndi vuto la diso lowuma, khungu youma kuzungulira maso, imene antimicrobials ntchito kokha nakweza mawu ake, kukhalabe khola chinyezi mucosa chofuna maso misozi imalowetsamo zothandiza kugwiritsa ntchito mankhwala "Sisteyn" ndi "Vidisik". Kotero inu mukhoza kupambana conjunctivitis bakiteriya mwana zaka 6. Chithandizo, kumene, ayenera kuti anagwirizana ndi dokotala wa.

Kupewa conjunctivitis ana

Kupewa zothandiza kwambiri matenda zosasangalatsa wakhululuka accustoming ana ukhondo. Pafupipafupi m'manja beseni ana, mankhwala a zidole komanso kali mkati chifukwa disinfection, chakudya chikhalidwe ndi malongosoledwe kufunika chisanadze processing zipatso ndi ndiwo zamasamba, mafoloko ndi mipeni pa chakudya Chingakuthandizeni lichotse zisadzachitikenso pafupipafupi matenda diso.

Ana okulirapo kuphunzira zothandiza kudziletsa anaika diso ndi ntchito mafuta ngati ana wosalolera wa asatengere pa malo Chowawa, makamaka maso, kotero nawo mseri kwa mwanayo mankhwala imathandizira lipole. M'pofunika kuganizira ntchito umalimbana kusintha ambiri a chitetezo cha m'thupi: amayenda thupi, zakudya moyenera, vitamini supplementation ndi chifooke chitetezo chokwanira, tempering njira.

amayi oyembekezera ayenera kuchita kafukufuku pamaso yobereka pa matenda urogenital, ndipo ngati n'koyenera, kukumana mankhwala ndi chithandizo antiseptic wa ngalande kubadwa, kusamalira loyang'anira ndi chithandizo chapadera cha maso a mwana yomweyo pambuyo pa kubadwa.