Conjunctivitis ezinjeni

I-Conjunctivitis ingase ibe ne-genetically predisposed. Uma unenja ye-brachycephalic (njenge-bulldog, i-Pekingese, noma i-pug), maningi amathuba okuba i-conjunctivitis. Izinja ezine-ptosis yohlobo, okungukuthi ijwabu leso eliphansi, nazo zidinga ukunakwa okukhethekile. Lezi zihlanganisa ama-Basset Hounds, Spaniels, Newfoundlands, St. Bernards, Great Danes, Chow Chows kanye nezinye izinhlobo zeqembu le-Molossian. Kodwa-ke, noma ngabe inja yakho ingeyona eyezinhlobo ezingenhla, kunengozi yokuthi ingase ihlakulele isifo samehlo.

Izimbangela zokubukeka

Okokuqala, kubalulekile ukuqonda ukuthi i-conjunctivitis ezinjeni ngokuvamile iyinqubo yesibili. Ngokungafani, isibonelo, amakati, lapho imbangela evamile yalesi sifo izifo ezibangelwa amagciwane kanye namagciwane, ezinjeni, le nqubo yokuvuvukala ivela ngenxa yokucasulwa ezinye izici eziyinhloko. Lokhu kufaka phakathi ukukhishwa kwejwabu leso esivele kushiwo ngenhla, kanye nokuguqulwa kwayo kanye ne-eversion - lezi yizici zesici se-anatomy yeso ezinhlotsheni eziningi zezinja. Uma isilwane sakho singezaleli qembu lezinja, ukuhlolwa kokuvimbela ophthalmologist wezilwane kukho konke ukuphila ngeke kube okungaphezu kwamandla. Ukuhlolwa kokuvimbela kuyadingeka futhi lapho uthola umngane wolunye lwalezi zinhlobo, ngoba kwezinye izimo ukwelashwa kokuhlinzwa kuyadingeka ukuze kuthuthukiswe izinga lokuphila nokunethezeka kwenja, futhi lokhu kuyisici esibalulekile lapho ukhetha isilwane esifuywayo.

Ezinye izimbangela zihlanganisa i-trichiasis (izinkophe noma izinwele ezikumajwabu amehlo angezansi zihlukumezekile), i-districhiasis (umugqa okabili wezinkophe phezulu, phansi noma womabili amajwabu amehlo), i-ectopic eyelash (okungukuthi, i-elash ekhula ema-engeli angakwesokudla kuya kwesobunxele). i-cornea ye-uXNUMXbuXNUMXbiso futhi iyalilimaza ngakho konke ukunyakaza kwamajwabu amehlo). ). Ukuhlukumezeka okungapheli kuholela ekuvuvukeni okungapheli, okungakhululeki enja, kodwa kungase kungabonakali kumnikazi. Lokhu kuyinkinga yokuzalwa, futhi kutholakala ekuhlolweni kwangaphakathi yi-ophthalmologist futhi kudinga ukungenelela kokuhlinzwa.

Ngaphezu kwalokho, noma yikuphi okunye ukulimala kwamehlo nakho kuholela ekuthuthukiseni i-conjunctivitis nezinye izifo ezinzima ukuthi, uma zingelashwa ngesikhathi noma ngokungalungile, zingaholela ekulahlekelweni kombono namehlo.

Inkinga ejwayeleke kakhulu i-KCC, i-keratoconjunctivitis sicca ebangelwa ukuntula izinyembezi (ngaphezulu ngalokhu kamuva).

Izimpawu ze-conjunctivitis ezinjeni

Izimpawu ezivame kakhulu zihlanganisa i-hyperemia (ubomvu) yolwelwesi lwamafinyila lweso kanye nokuvuvukala kwayo, i-blepharospasm (inja ihlahlela amehlo). Esigabeni esibucayi kakhulu, abanikazi bangase babone ukukhishwa noma ukuphuma esweni lenja, okungaba uhlobo oluhlukile - i-purulent noma i-mucous. Kubalulekile ukukhumbula ukuthi akukho ukukhishwa okuvela esikhwameni se-conjunctival kuyinto evamile, futhi kuphela ukuhlolwa kwe-ophthalmologist kanye nokuhlolwa okukhethekile kuzosiza ukucacisa ubunjalo bayo kanye nesizathu esiqondile sokubukeka.

Esinye sezibonakaliso ezivamile ze-conjunctivitis yi-epiphora - i-lacrimation engapheli. Njengoba lesi simo siqhubeka isikhathi eside ngaphandle kwe-dynamics, kunzima ukuqonda isidingo sokuvakashela uchwepheshe okhethekile, noma kunjalo, ukuxilongwa nokulungiswa kwale nkinga yeso kuzoholela ekuqedeni ukungaphatheki kahle kanye nokuthuthukiswa okuphawulekayo ku izinga lempilo yesilwane sakho.

Ezinye izimpawu ezisobala kakhulu ze-conjunctivitis zihlanganisa ukulunywa, inja ingase inwaye amehlo ngezidladla zayo, kuyilapho isenza sibe sibi nakakhulu inkambo yesifo, njengoba ingalimaza amehlo futhi ibangele ukutheleleka kwesibili, futhi lokhu kuzokwandisa inkambo yesifo.

Futhi kwezinye izimo kukhona i-photophobia kanye nempandla yesikhumba eduze kwamehlo.

Zonke lezi zimpawu ezingenhla zingase iso elilodwa noma womabili, zingaba yinhlanganisela ehlukene noma zibonakale ngamandla ahlukene. Zonke izimpawu azizona i-pathognomonic, okungukuthi, eziqondile zesifo esisodwa, okungukuthi i-conjunctivitis. Indima ebalulekile ekuxilongweni idlalwa ukutholakala kwemishini ekhethekile, ngaphandle kwalokho ukuhlolwa kokusebenza kwamehlo akunakwenzeka, kanye nokuhlolwa kwe-ophthalmological.

Izinhlobo zezifo

Lesi sifo singahlukaniswa kuye ngokuthi imbangela yesigameko - isibonelo, i-traumatic, i-allergic, i-KKK (i-keratoconjunctivitis eyomile), noma ngokusho kohlobo lokuphuma: i-serous, i-mucous, i-purulent.

Ngezansi sizobheka kabanzi izinhlobo zalesi sifo.

I-Allergic conjunctivitis ezinjeni

Ngokuphambene nenkolelo evamile, ukungezwani komzimba akuyona imbangela evame kakhulu ye-conjunctivitis ezinjeni, ngakho-ke, ngaphambi kokona ekudleni okujwayelekile okomile noma ukuphatha okuthandayo, kufanelekile ukuqeda izimbangela ezingase ziholele ekuthuthukisweni kwe-conjunctivitis.

Noma kunjalo, umhlangano ne-conjunctivitis ye-allergic kungenzeka, ngakho-ke sizokucabangela ngendlela ehlukile. Izimpawu zizoba yisici sanoma yiluphi olunye uhlobo lwe-conjunctivitis, noma kunjalo, isikhathi sonyaka sokuqalisa kabusha kwazo singavezwa. I-allergen ingaba kokubili izingxenye zokudla nezemvelo. Ukuze wenze ukuxilongwa kokugcina ngokuhambisana nesithombe somtholampilo, kuyadingeka ukwenza ukuhlolwa kwe-cytological of scrapings conjunctival. Ukuba khona kwamaseli eosinophil kuqinisekisa ukuxilongwa kwe-conjunctivitis eguliswa yinja futhi kudinga ukwelashwa okuqondile.

I-Follicular conjunctivitis ezinjeni

Kuyinto evamile ezinjaneni ezincane zezinhlobo ezinkulu (ezingaphansi kwezinyanga ezingu-18). Isici esihlukile salolu hlobo ukuba khona kwama-follicles, okungabonakala ngokuhlolisisa iso lenja. Zingatholakala ku-conjunctiva noma ijwabu leso lesithathu. Kuwuhlobo olungaqondile lwe-conjunctivitis, izimbangela eziqondile zokuthuthukiswa kwayo azicaci, njengoba kungekho datha eqinisekisayo efakazela enye yezinguqulo. Noma kunjalo, indima ye-antigenic stimulation engapheli (imvelo ye-allergic yesifo) noma i-ejenti yomshini ebangela ukucasuka kwe-conjunctiva (imvelo ebuhlungu) ayishiywanga ngaphandle. Ukwelashwa kuhilela ukukhishwa kwama-antigen angaba khona kanye/noma izinto ezicasulayo ngomshini kanye nokwelashwa okuyizimpawu.

i-catarrhal conjunctivitis

Esigabeni sanamuhla se-ophthalmological, umuntu angakwazi ukuthola incazelo ye-"mucous", noma kunjalo, emithonjeni emidala yayibizwa ngokuthi i-catarrhal. Nokho, okubaluleke ngaphezu kwencazelo yilokho okusemuva kwayo. Ngokuvamile, kuyisici se-pathology engapheli njenge-dry eye syndrome, noma i-keratoconjunctivitis sicca (KCS). Le pathology ihlotshaniswa nokukhiqizwa okunganele kwemfihlo ye-lacrimal; Ukuhlolwa kukaSchirmer kwenzelwa ukuxilongwa. Uma kuqinisekisiwe, ukwelashwa kwempilo yonke kunqunyelwe - amaconsi iso ukuze kufakwe umswakama.

I-conjunctivitis ye-purulent

I-Purulent conjunctivitis iwuhlobo lwe-conjunctivitis olubonakala ngokukhishwa kwe-purulent kusuka esikhwameni se-conjunctival. Ngeshwa, le ncazelo ngokwayo ayibonakali imbangela yokuthuthukiswa kwayo nganoma iyiphi indlela, futhi, ngokufanele, inikeza ulwazi oluncane kakhulu lokusiza inja, ngakho-ke (naphezu kokuthi le ncazelo isakazekile ekuphileni kwansuku zonke) kunalokho. engenamsebenzi, ngoba ingabangelwa izizathu ezihlukahlukene ezichazwe ngenhla. Futhi, njengoba usuvele uqonda, indlela yokubikezela kanye nokwelashwa incike kumbangela ye-conjunctivitis. Ngokuvamile, ukwelashwa okuyimpumputhe kwezimpawu ze-conjunctivitis kuholela ekuthuthukiseni ukuphindaphinda, ngoba imbangela ayizange iqedwe.

Ukwelashwa kwe-conjunctivitis ezinjeni

“Ukwelashwa kanjani?” ngumbuzo wonke umnikazi awubuzayo. Yiqiniso, njengoba usuqonde kakade, ukwelashwa kwe-conjunctivitis enja kuncike ku-etiology (izizathu zokuthuthukiswa kwayo). Kubalulekile ukuqonda ukuthi sikhona yini isidingo sokwelashwa ngokuhlinzwa. Futhi, izinja zinqunyelwe amaconsi esweni e-conjunctivitis, kodwa kufanele zisetshenziswe ngokuqinile ngokuvumelana nencwadi kadokotela. Ukwelashwa okungalungile kungafihla ukubonakaliswa okudingekayo noma kubhebhethekise inkambo yesifo. Isibonelo, isixazululo setiye esithandwa abaningi kakhulu sokugeza somile kakhulu futhi asifaneleki ngokuphelele ukwelapha i-conjunctivitis enja.

Ngaphambi kokuqala ukwelashwa, kuyadingeka ukwenza ukuxilongwa - isibonelo, ukuhlolwa kwe-fluorescein ukuthola noma ukukhipha ukuguguleka kanye nezilonda ku-cornea, okungenzeka kungabonakali. Kulokhu, awukwazi ukusebenzisa amaconsi ngokungezwa kwe-steroids.

Uma i-conjunctivitis ye-allergen itholakala, i-allergen kufanele isuswe uma ibonakala futhi kungenzeka. Futhi sebenzisa izidakamizwa ezimisa ukuthuthukiswa kokungezwani komzimba: ama-antihistamines (ukufeza umphumela, kufanele athathwe kusenesikhathi ngaphambi kokuqala kwezimpawu, ngokuya ngobunzima besizini bokungezwani komzimba), ama-corticosteroids (anenombolo yohlangothi olubi kakhulu. imiphumela, idinga ukuhlolwa kwesilwane kanye nokulawulwa komelaphi wezilwane, ayilungele ukusetshenziswa ngokuqhubekayo), i-cyclosporine (umphumela uyanqwabelana, kodwa ulungele ukusetshenziswa kwesikhathi eside).

Zonke izidakamizwa, imithamo kanye nobude besikhathi sokusetshenziswa kucatshangelwa esimweni ngasinye ngabanye, kucatshangelwa zonke izici zenja, kanye nobukhulu nobude benkambo yesifo.

Ukwelashwa kwe-conjunctivitis emidlwaneni

I-Conjunctivitis emdlwaneni ayiyona into engavamile. Ukwelashwa emidlwaneni akunayo imininingwane ehlobene nezinja ezikhulile, kodwa iminyaka ibalulekile ekuxilongeni nasekuboneni imbangela yalesi sifo: isibonelo, izinja ezincane zivame ukuba ne-follicular conjunctivitis; Ukuphazamiseka kokukhula kwe-eyelashes nakho kuvame kakhulu esemncane, njengoba kuyisifo sokuzalwa.

Imiphumela nezibikezelo

Ngokwelashwa okufika ngesikhathi kanye nokuqaliswa kwazo zonke izincomo, ukubikezelwa kuhle kakhulu. Kodwa-ke, okuningi kuncike kumsuka wokuthuthukiswa kwe-conjunctivitis - kwezinye izimo kuba okungapheli futhi kubangela ukungakhululeki futhi kubi nakakhulu izinga lempilo yesilwane esifuywayo, futhi kwezinye izimo, ukungasebenzi noma ukwelashwa okungalungile kugcwele ukulahlekelwa kwamehlo.

Izindlela zokuvimbela

Ukuvimbela kulula kakhulu: gwema ukucasuka kolwelwesi lwamafinyila lweso (isihlabathi, ama-aerosols, njll.) futhi ungakhohlwa ngokuvakasha kokuvimbela kudokotela wamehlo uma inja yakho ingeyohlobo oluthambekele ku-conjunctivitis. Akunzima kakhulu ukugcina amehlo esilwane sakho esifuywayo enempilo, akunjalo?

I-athikili ayikona ukubizela esenzweni!

Ukuze uthole ukucwaninga okuningiliziwe kwenkinga, sincoma ukuthi uxhumane nochwepheshe.

Buza udokotela wezilwane

Okthoba 20 2020

Kubuyekezwe: February 13, 2021