I-Herpes esweni

Isifo segciwane okuthiwa i-herpes singababili sitholakale futhi sitholile, ngokusho kwezibalo, lesi sifo esingapheli sithinta abantu abangaphezu kuka-80%. Njengomthetho, uma ukuvinjelwa okufika ngesikhathi sokubuyiselwa futhi ukukhuphuka, lesi sifo cishe asimkhathazi lowo muntu. Kodwa i-herpes esweni lingabhekana nemiphumela emibi, ngoba ukuthuthukiswa kwenqubo yokuvuvukala akulimazi nje kuphela izimbungulu ezinamaqanda, kodwa futhi ne-cornea.

I-Herpes emehlweni - izimpawu

Isithombe se-clinical of lesion viral sincike kuhlobo lwe-herpes ophthalmic. Ukuhlukaniswa ngezinhlobo eziyinhloko:

• i-dermatitis yamajwabu amehlo noma i-herpes zoster;
• conjunctivitis ye-herpetic: follicular, catarrhal, vesicular-ulcerative;
• i-lesion ye-necrotic ephawulekayo ye-retina;
• i-keratitis;
• iridocyclitis.

I-Herpes esweni lesifomu sokuqala sithinta isikhumba sejwabu leso, ngokuvamile esiphezulu, nendawo eseduze neshiya. Izimpawu:

• ubuhlungu endaweni ebusweni lapho lesi sifo siqhubeka khona;
• i-hypermia yesikhumba, ukubonakala kwama-vesicle kuso okuqukethwe okukhulu okubonakalayo. Ngokuhamba kwesikhathi, baqhuma, bashiya ukukhwabanisa nokukhukhula kwamanzi;
• ukushisa komzimba okwandisiwe;
• ikhanda, i-malaise;
• ukushisa, ukushaywa kwe-epidermis eyonakalisiwe.

I-Conjunctivitis ayiqhubeki ngokucacile njengehlobo oludlule lwegciwane lesandulela ngculazi. Izimpawu zihlanganisa amehlo abomvu, ukukhushulwa kwe-mucus, ukwanda okungajwayelekile eduze kwamajwabu amehlo.

I-lesion ye-neecrotic ye-retina ikhona kubantu abane-immunodeficiency enkulu. Izimpawu zalo:

• izakhi zokuvuvukala esifundeni se-periphery nesiphakathi;
• i-exudate;
• ukungena emzimbeni we-vitreous;
• inqola ye-retina;
• ukwakheka kwezinsimbi.

Njengomthetho, leli fomu lokugula liholela ebubungwini.

I-Herpes keratitis ine-subtypes ehlukahlukene ngesithombe somtholampilo ovamile:

• ukwehlisa ubuzwe be-cornea yeso;
• iqhuma ngesimo se-vesicles eceleni kwesiqu somuthi;
• ukungena;
• isilonda se-stroma ye-cornea;
• ukuzwa okubuhlungu lapho kuqhuma amabhubhu, ukuphela kokuqukethwe kwabo.

Iridocyclitis iqala ngenxa yokuntuleka kokwelashwa keratitis noma keratoveitis. Izimpawu zabo ziyi:

• ukusika;
• ukunyuka kwe-intraocular;
• ukuguqula noma ukuma kwesimo somfundi;
• ukuphunga kwesimo se-iris, ukukhukhumeza;
• ukunamathela eduze kwe-lens;
• ukubonakala kwamagqabha e-sebaceous kwi-endothelium ye-corneal.

I-Herpes phezu kwejwabu leso kanye ne-mucosa ye-iso - ukwelashwa

Uma kuphela isikhumba namangqamuzana angaphakathi awonakele, ukwelapha kufaka isicelo samafutha e-Acyclovir (ama-3%) amaviki angu-2 izikhathi ezingu-2 ngosuku. Ngesikhathi esifanayo, kuyadingeka ukuba uhlale usomile izimbiza ngokusebenzisa i-iodine noma i-diamond green solution.

Ngokutheleleka okusheshayo, lapho i-herpes nangaphansi kwamehlo kutholakala, ukwelashwa kufakwa ngokuthatha i-Valaciclovir kabili ngosuku nge-50 mg. Ngaphezu kwalokho, kufanele ifakwe esikhwameni se-conjunctival se-Oftan-IMU. Ukuzwela okubuhlungu kakhulu kumiswa ngosizo lwe-novocain blockades, kanye nezindlela ze-physiotherapeutic zethonya (UFO, UHF).

I-Herpes esweni - ukwelashwa kwe-conjunctivitis, umonakalo ku-cornea, i-retina

Izinhlobo eziyinkimbinkimbi zesifo esithinta inqubo ye-trigeminal izingxenye zomzimba nezangaphakathi zomzimba zidinga indlela ehlanganisiwe:

1. Amalungiselelo enziwe ngama-antiviral (Acyclovir 3%).
2. Ama-antihistamine - i-Opanatol, i-cromoglycate sodium.
3. Ama-Antiseptics - Okomistin, i-Miramistin.
4. Izidakamizwa ze-antibacterial - Oftakviks, Floksal , Tobrex .
5. Ukulwa nokuvuvukala kwehla emehlweni e-herpes - Naklof, Indocollir, Diclof.

Yonke inkambo yokwelashwa ithatha okungenani amasonto amathathu futhi kufanele yenziwe ngaphansi kokuqondiswa njalo kwe-ophthalmologist.