Herpes pa diso: chithandizo, zimayambitsa, mankhwala

N'chifukwa chiyani nsungu kuzungulira maso? Chifukwa matenda zafotokozedwa pansipa. Tionanso azipereka zizindikiro za ophthalmic ndi mankhwala kuchiza matenda.

zambiri

Herpes (pa maso chikope kudwala izi zimachitika infrequently) ndi matenda enaake. Iwo amakhala ndi kuphulika kwa vesicles (m'magulu) mu nembanemba wa mucous ndi khungu.

Dzina la akuti pansi kulingalira ndi lochokera Greek. Ikumasuliridwa Russian, amatanthauza "zokwawa" kapena "mofulumira matenda khungu."

pathography

The nsungu HIV akuwonetseredwa mu maso ake ali sikawirikawiri monga Mwachitsanzo, pa milomo, mu akalowa mphuno kapena pa kumaliseche. Pankhaniyi, matenda amenewa amapezeka zovuta.

Kuwonjezera mbali awa a thupi, nsungu HIV akhoza kupatsira chapakati mantha dongosolo, kuchititsa chitukuko cha bongo ndi encephalitis. Komanso matendawa imvera ziwalo.

mitundu ya mavairasi

Herpes diso zayamba anafotokoza kuti mtundu woyamba. Komanso nsungu simplex HIV zingakhudze milomo, mphuno ndi zina khungu.

Mu mtundu wachiwiri wa matenda amenewa amakhudza dera maliseche.

Komanso kusiyanitsa ndi varicella zoster HIV (mtundu 3). Matailosi kumaonekera mu thupi la munthu. Monga matenda kuleredwa ngati pox nkhuku, izo zimawonedwa onse pa thupi.

Epstein-Barr HIV limabweretsa mtundu wachinayi. Iye amachititsa matenda opatsirana, monga mononucleosis.

Cytomegalovirus - matenda a mtundu wachisanu.

zimayambitsa

N'chifukwa chiyani zilonda ozizira pa diso (chithandizo cha matenda Adzaperekedwa pansipa)? Nkhani imeneyi ndi zambiri mtsutso. Dzina iliyonse chifukwa mmodzi mwa totupa zosasangalatsa sizingatheke. Ichi ndi chifukwa chakuti nsungu angayambe chifukwa zifukwa zosiyanasiyana.

Akatswiri amanena kuti nkhani HIV alipo mu thupi la anthu onse. Ndipo nthawi chitetezo munthu zimatsutsana ndi matenda. HIV ali kwa mucous nembanemba cha maso, ntchito kwambiri kawirikawiri. Ichi ndi chifukwa chakuti ziwalo zithunzi amatha paokha kubala interferon, ndiko kuti, mapuloteni tochoka ndi maselo minofu poyankha nkhondo ya tizilombo toyambitsa matenda.

Tiyenera kuona kuti zimakhala diso kudziteteza otchedwa immunoglobulins, zomwe zili mu madzimadzi misozi. Herpes pa maso, zizindikiro zomwe zafotokozedwa pansipa zikhoza siziwoneka kwa nthawi yaitali ndi "tulo" mu ganglia lapansi.

Ngati pazifukwa chitetezo munthu wina ali kwambiri wofooka, ndi nsungu HIV ayamba mwakhama kulimbikitsa ndi kuonekera mu mawonekedwe a ophthalmic.

Choncho, mukhoza bwinobwino kudziŵika kuti chachikulu ndi chifukwa chachikulu cha matenda amenewa adatchithisira chitetezo chokwanira. Mogwirizana ndi pamwamba, funso n'lakuti chifukwa chake chitetezo cha m'thupi la munthu wopereka zolephera zimenezi? Madokotala amanena kuti kuchepa mu chitetezo cha m'thupi kumachitika poyankha zinthu zotsatirazi:

• nthenda;
• hypothermia;
• nkhawa;
• Nthawi yaitali padzuwa;
• kupeza kuvulala diso;
• kumwa mankhwala ena (mwachitsanzo, immunosuppressants kapena mankhwala cytotoxic);
• pa mimba.

Ngati wina mwa mfundozi zimathandiza kuti kuchepa chitetezo chokwanira, ndi "matalala" mpaka pano "n'kudzuka" ndi nsungu HIV, kenako walowa pamwamba pa khungu kapena mucosa mu mawonekedwe a vesicles m'magulumagulu.

Tikumbukenso kuti zosinthika uyu wa nthendayo imatchedwa amkati. Palinso njira exogenous. Pakuti ndi khalidwe la matenda mwachindunji kudzera matuza nsungu. Monga amadziwika, iwo muli madzi amene ali woipa mkulu zikuphatikizapo mavairasi. Kamodzi pa khungu kapena Kakhungu mucous cha maso, pali akanthawi kuipitsidwa.

njira iyi makamaka khalidwe la ana aang'ono, amene amakhala mu kukhudzana ndi mzake.

Zizindikiro za matendawa

ndi zizindikiro nsungu pa maso chiyani? Zizindikiro za matenda kuli kovuta kuti muzindikire. Ngakhale zina sakumvetsa ndi ziwengo kapena matenda amene ali ndi chiyambi bakiteriya (mwachitsanzo, conjunctivitis, blepharitis kapena keratitis bakiteriya).

Tikumbukenso kuti zonse zizichitika pathological Komabe ophthalmoherpes, limodzi ndi mbali zotsatirazi:

• maso m'ma redness;
• photophobia;
• kupweteka;
• kuphwanya sharpness ndi kupotoza masomphenya;
• lacrimation.

Sitingathe kunena kuti zizindikiro m'dera la matenda tizilombo akhoza wodzilemekeza ndiponso nawo, kuphatikizapo mutu, anaonjezera lymph mfundo, kunyansidwa ndi malungo.

zizindikiro zenizeni

Choncho mmene matenda nsungu pa diso kuchitiridwa ayenera kuchitidwa kokha ndi dokotala wodziwa? Mu matenda, pali zizindikiro zenizeni. Zikuphatikizapo zotsatirazi:

• kosati kuyabwa ndi kuyatsa khungu pa zikope ndi kuzungulira maso;
• kwa thovu wodzazidwa ndi madzi, amene amaphulika ndipo ulcerate.

mitundu oftalmogerpesa

Akuti matenda yodziwika ndi nambala yaikulu mawonetseredwe. Pankhaniyi, zizindikiro za zisadzachitikenso angakhale osiyana kwambiri.

Akatswiri kusiyanitsa mitundu zotsatirazi nsungu ocular (malingana ndi kugonjetsedwa kwa zimakhala zithunzi limba)

• Herpetic conjunctivitis. Matenda amenewa amakhudza conjunctiva, i.e. epithelium woonda filimu lomwe lili mkati mwa zikope ndi diso. Monga ulamuliro, kugonjetsedwa imeneyi limodzi ndi redness a Maso onse.
• Keratitis. matenda yodziwika ndi zotupa wa diso, amene amaoneka vesicles tizilombo.
• Blepharitis, conjunctivitis. Mosiyana conjunctivitis herpetic, conjunctival chotupa anawonjezera kuti ndondomeko yotupa ndi mapangidwe thovu pa zikope ndi mzere kuuza. The totupa akhoza kuoneka ngakhale padziko lamkati la zikope za. Kawirikawiri, pamene pali amphamvu maso madzi ndi zowawa lakuthwa mu diso.
• Keratoiridotsiklit - kutukusira kwa diso, amene anatsagana ndi zotupa mtima mu limba zithunzi. Izi mawonekedwe a matenda ndi ovuta kwambiri. Zovuta kuchiza. Choncho keratoiridotsiklit anabwereza mobwerezabwereza.

matenda a matenda

Kodi kuchiza zilonda ozizira pa diso? Chithandizo cha matenda adzasankhidwa ndi maso ndi. Komabe, choyamba tiyenera molondola matenda a. Ichi ndi chifukwa chakuti zizindikiro za chikhalidwe pathological kawirikawiri kusokonezedwa ndi zizindikiro za kuvutika ena.

Kwa matenda a ocular nsungu wodwala ayenera kuonana diso katswiri. dokotala ayenera kuyendera mtima pogwiritsa ntchito nyali kudula. phunziro limeneli limasonyeza ulceration ndi matenda ena a diso ndi kutupa kwa mitsempha ocular.

Komanso zinthu n'kupuma ikuchitika kuchipala maselo pa khungu akhudzidwa kapena mucosa. Kenako iwo anali kuphunzira ndi wamamamayikirosikopu fulorosenti.

Njira ina ndi matenda mu funso ndi puloteni immunoassay. Timatha kuzindikira kukhalapo kwa chitetezo anthu ku HIV.

Zonse mwa njira zimenezi ndi matenda akugwiritsidwa kokha mu zotupa Mitsempha ndi diso. Koma zotupa herpetic wa Kakhungu mucous wa limba zithunzi ndi khungu chikope, izo mowonekera komanso popanda anayendera.

Herpes pa zikope za amakhala ndi totupa (zambiri zambiri) mu mawonekedwe a thovu ting'onoting'ono wodzazidwa ndi lymph, mwachitsanzo madzi kuti amakhala mitambo pa nthawi. matuza awa kwambiri anthabuse itch. Ngati inu chipeso ndi zotupa, adayala kwambiri.

Ophthalmoherpes: chithandizo

Kodi ndimachita nsungu ocular? Malinga ndi malipoti a akatswiri, mtundu uwu wa mankhwala a matenda chimadalira pa mawonekedwe ake. Ngati HIV wakulowererani yekha minofu chabe, mankhwala ntchito, akuvutika kusapeza mu ziwalo zithunzi, komanso kubisa ntchito nsungu.

Mu msika mankhwala ukufanizidwa ndi mitundu 4 mankhwala amene amagwiritsidwa ntchito pofuna kuchiza ophthalmic zovuta. Zikuphatikizapo zotsatirazi:

• immunomodulatory wothandizila;
• antivirals (mwachitsanzo, "Zovirax mafuta");
• Immunopreparat yeniyeni (mwachitsanzo, nsungu katemera);
• symptomatic wothandizira, kuphatikizapo decongestants, ululu relievers, mavitamini ndi zina zotero. d.

Kukachitika kuti HIV kupweteka zimakhala chozama diso, odwala opaleshoni. Izi mitundu ntchito, monga coagulation, keratoplasty ndi ena, amalola kupeza kapena kuchotsa zinkakhala m'dera.

wothandizila mavairasi oyambitsa

Kodi kuthetsa zilonda ozizira pa diso? Chithandizo cha matenda kawirikawiri amathera wothandizila mavairasi oyambitsa. Chifukwa chaichi, wapadera woboola pakati mankhwala, amene si amakonda limakhumudwitsa Kakhungu mucous ziwalo zithunzi.

Pofuna kubisa ntchito kwambiri mwa nsungu HIV, madokotala kulengeza ntchito madontho diso, ndi zodzola. Komanso zokhudza zonse kukhudzana zambiri Kwalamulidwa kwa odwala mavairasi oyambitsa jekeseni ndi mapilitsi.

Kodi mankhwala zimathandiza kwambiri pa matenda a ophthalmic? Akatswiri kudziwa mankhwala zotsatirazi:

• "Acyclovir". Kuwaona medicament ocular ntchito mu mawonekedwe a mapiritsi m'kamwa, komanso mafuta apakhungu.
• "Valacyclovir." Zochizira ngati ocular nsungu mankhwala ntchito mu mawonekedwe a mapiritsi.
• "Zovirax" - diso mafuta mavairasi oyambitsa, amene kwambiri polimbana nsungu simplex mavairasi. Pambuyo ntchito yake yogwira mankhwala mankhwala yomweyo chosakanikirana zimakhala periocular ndi corneal epithelium. Chifukwa, mu madzimadzi intraocular aumbike kuti ndende ya mankhwala amene ali wofunikila yogwira HIV yimitsira.
• "Oftan-IMU", "idoxuridine '- ndalama amenewa n'cholinga zochizira ophthalmic. Iwo inakhazikitsa mu mawonekedwe a m'malovu amene ali ndi analogue a thymine. Ankaona mankhwala sapereka HIV kuti zikupitiriza ndipo ziletsa ntchito zake. Kuchitila bwino ndi dontho ayenera anaika ola lililonse. Komabe, ndi ntchito kwa nthawi yaitali, iwo kungawononge corneal.
• "Triflyuorotimidin" - dontho ofanana "Oftan-IMU". Komabe, tisaiwale kuti iwo ndi zotsatira zochepa poizoni.
• "Riodoksol", "Tebrofen", "bonafton" - onse mankhwala awa ali mu mawonekedwe a mafuta. Iwo akhoza kugwiritsidwa ntchito pakhungu chikope, komanso adagona mkati diso.
• "Vidarabine" ndi gel osakaniza polimbana oftalmogerpesa. Amanena kuti conjunctiva ndi nthawi 5 tsiku.

M'maso "Oftalmoferon" mawu

Amene mavairasi oyambitsa mankhwala othandiza kwambiri pamene ocular nsungu? Akatswiri amanena kuti dontho ili "Oftalmoferon". mtengo wawo uli pafupi 300 rubles, chifukwa kugula chida ngati mungathe pafupifupi aliyense.

Ankaona mankhwala lili ndi diphenhydramine ndipo interferon alfa-2a. Izo zifika ku pulasitiki mabotolo-droppers, amene anayikidwa mu makatoni.

madontho mavairasi oyambitsa ku akugwera "Oftalmoferon" ndi sipekitiramu yotakata kanthu. Komanso odana ndi yotupa katundu, ngati chiphunzitso zinaonetsedwa pa chionetserocho immunomodulatory, antimicrobial, mankhwala ochititsa m'dera ndi zotsatira regenerative.

Ngati kuwerenga aliyense anawona mankhwala Kwalamulidwa kwa odwala? Malinga ndi malangizo, izo ntchito:

• adenovirus, nsungu keratitis ;
• hemorrhagic, adenovirus ndi nsungu conjunctivitis;
• geperticheskom stromal keratitis popanda ulceration ndi corneal ulceration;
• herpetic uveitis;
• nsungu ndi adenovirus keratokonyunktivitah;
• herpetic keratouveitis (ndi wopanda ulceration).

Pankhani contraindications, ndiye kuti chikutanthauza ali pafupifupi kwina. Ntchito madontho amenewa n'zosatheka ngati muli hypersensitive kwa zigawo zake.

Kodi ntchito mankhwala "Oftalmoferon"? Mlingo wa mankhwalawa ayenera kukhala wotsimikiza ndi maso wamba. Mu siteji pachimake, iwo anaika diso akhudzidwa 1-2 akutsikira nthawi 7-8 tsiku. Pamene ndondomeko yotupa akuyamba atazikocheza, chiwerengero cha instillations yafupika 2-3 pa tsiku.

The njira ya mankhwala ndi mankhwala anatsimikiza ndi dokotala. Monga ulamuliro, kugwiritsa ntchito mankhwala mpaka, mpaka zizindikiro zikawoneka kwathunthu.

Kupewa nsungu ocular

Zovuta chachikulu cha zochita zodzitetezera pa oftalmogerpese ayenera kuganizira njira pakamwa kufala kwa HIV. Motero, munthu chofunika kupereka ojambula pafupi ndi wodwala, musati ntchito ndi ziwiya chomwecho, matawulo ndi zodzoladzola, ndipo amatsatira malamulo a ukhondo pamaso pa mitundu ina ya nsungu.

Ndi kwa akazi apakati amene ali ndi kachilombo nsungu maliseche, iwo mankhwala mankhwala makamaka, kenako pansi ndondomeko tima ya ngalande kubadwa, kupewa matenda a mwana nthawi ndimeyi wake kupyolera mwa iwo.

Ngati nsungu limapezeka nthawi zambiri, izo ikuchitika kudzera wapadera katemera antiherpetic njira. Komanso wodwala kutumikiridwa mankhwala immunomodulatory moyang'aniridwa pafupi zachipatala.

Popewa zotheka chitukuko cha odwala tizilombo angathe ayenera kuonetsetsa kuti asinthe zakudya zanu. Komanso nyengo ya chimfine ayenera kutenga kukonzekera multivitamin. Komanso, wodwalayo limasonyeza Maphunziro ndi tempering njira zomwe zingathandize chitetezo cha m'thupi, choncho kupewa kuoneka totupa.