Herpes pa diso

Matenda a tizilombo otchedwa herpes angapezeke komanso akuphatikizidwa, malinga ndi chiwerengero, matendawa aakulu amachititsa anthu oposa 80%. Monga lamulo, ngati chitetezo cha panthaŵi yake chobwezeretsa ndi kuwonjezereka, matendawa sakhala osokoneza munthuyo. Koma herpes pa diso akhoza kukhala ndi zotsatira zoyipa, chifukwa chitukuko cha njira yotupa sichiwononge kokha mucous membrane, komanso cornea.

Zilonda pamaso - zizindikiro

Chithunzi cha kachipatala cha vuto la tizilombo toyambitsa matenda chimadalira mtundu wa ophthalmic herpes. Kulemba ndi mitundu yayikulu:

• utsi wa mawere kapena herpes zoster;
• herpetic conjunctivitis: follicular, catarrhal, vesicular-ulcerative;
• chotupa chachikulu cha necrotic cha retina;
• keratitis;
• iridocyclitis.

Mphepete mwa diso la mawonekedwe oyambirira amakhudza khungu la khungu, nthawi zambiri chapamwamba, ndi dera pafupi ndi diso. Zizindikiro:

• ululu pambali pa nkhope yomwe matendawa amapita;
• chithunzithunzi cha khungu, mawonekedwe a vesicles pa izo ndi zakuda zowoneka bwino. Patapita nthawi, iwo amatha, kusiya ziphuphu ndi kutentha kwa nthaka;
• kutentha kwa thupi;
• mutu, malaise;
• kuyaka, kuyabwa kwa epidermis yoonongeka.

Conjunctivitis siyimveka bwino mofanana ndi mtundu wakale wa kachilombo ka HIV. Zizindikilo zimakhala ndi maso ofiira, kusungunuka kwapopu, kuphulika kwafupipafupi pafupi ndi maso.

Chotupa cha nthenda ya retina chimapezeka mwa anthu omwe ali ndi mphamvu yowonongeka. Zizindikiro zake:

• zinthu zotupa mumzinda wa periphery ndi pakati;
• chithunzithunzi;
• kulowerera mu vitreous body;
• gulu la retina;
• kupanga mapangidwe.

Monga lamulo, mtundu uwu wa matenda umayambitsa khungu.

Herpes keratitis ali ndi subtypes osiyanasiyana omwe ali ndi chithunzi chodziwika bwino:

• kuchepa kwa mphamvu ya cornea ya diso;
• mphutsi mu mawonekedwe a vesicles pamtengo wa thumba la mitsempha;
• kulowerera;
• zilonda za stroma ya cornea;
• Zomwe zimapweteka kwambiri pamene kutuluka kwa mphuno, kutha kwa zomwe zili mkati.

Iridocyclitis imayamba chifukwa cha kusowa kwa mankhwala a keratitis kapena keratoveitis. Zizindikiro zawo ndi:

• kupweteka;
• kuwonjezereka kwa intraocular;
• kusintha kapena mawonekedwe a wophunzira;
• Kuwonetsa chithunzi cha iris, kudzikuza;
• kulumikizana pafupi ndi disolo;
• maonekedwe a mitsempha yotsekemera pa corneal endothelium.

Herpes pamphuno ndi maso mucosa - mankhwala

Ngati khungu ndi ziwalo zowonongeka zimawonongeka, mankhwalawa akugwiritsira ntchito mafuta a Acyclovir (3%) ma sabata awiri kawiri pa tsiku. Panthaŵi imodzimodziyo, m'pofunika kuti muumitse mitsuko nthawi zonse pogwiritsa ntchito ayodini kapena mankhwala a diamondi.

Ndi matenda opatsirana mofulumira, pamene herpes ndi pansi pa diso amazindikira, mankhwala amathandizidwa ndi kutenga Valaciclovir kawiri pa tsiku kwa 50 mg. Kuphatikiza apo, iyenera kuikidwa mu thumba lokulumikizira la Oftan-IMU. Kumverera kowawa kwambiri kumayimitsidwa mothandizidwa ndi novocain blockades, komanso physiotherapeutic njira zokhudzidwa (UFO, UHF).

Herpes pa diso - mankhwala a conjunctivitis, kuwonongeka kwa cornea, retina

Mitundu yovuta ya matendawa yokhudza ndondomeko ya katatu Mitsempha ndi mkati mwa thupi zimafuna njira yowonjezera:

1. Kukonzekera kwa antiviral nsonga zamakono (Acyclovir 3%).
2. Antihistamines - Opanatol, cromoglycate sodium.
3. Antiseptics - Okomistin, Miramistin.
4. Mankhwala oletsa antibacterial - Oftakviks, Floksal , Tobrex .
5. Anti-inflammatory akutsikira maso kuchokera ku herpes - Naklof, Indocollir, Diclof.

Njira yonse ya mankhwala imatenga pafupifupi masabata atatu ndipo iyenera kuchitidwa motsogoleredwa ndi katswiri wa ophthalmologist.