Conjunctivitis kwegciwane kubantwana: unyango kunye neempawu

Conjunctivitis eyaziwa ngokuba ukudumba kwiinwebu amehlo - conjunctiva, ezibangela izifo ezahlukeneyo, iintsholongwane kunye nomzimba. Masiqonde ukuba sibonise indlela conjunctivitis yintsholongwane ebantwaneni. Unyango nazo ziya ichazwe ngokwenkcukacha kweli nqaku.

Imisebenzi kunye neempawu isakhiwo conjunctiva

Conjunctiva - a izihlunu uxakaxa obhityileyo nolwenzelwa amehlo ngaphambili eyahlukileyo umphezulu elingaphakathi zombini iinkophe, akha inqaba yamandulo bokuhlala epokothweni eliphezulu nengasezantsi. A eninzi yentsimbi emzimbeni kufutshane namehlo ukuvelisa ulwelo lacrimal kunye khompawundi ethile protein - mucin. Bebonke bakha indawo eqinileyo slezoobraznuyu zokuzikhusela amafutha nebonelela amandla olubonakalayo lweliso lakho kunye nokuhamba.

Nangona mncane isalamane, conjunctiva i izihlunu entsonkothileyo multilayer organic, apho kuya epithelium ngendlela inwebu. Kwizikhongozelo amashiya iinkophe conjunctiva ubonelelo kuthwalelwa igazi, uthungelwano izitya emithanjeni enza zokhuselo umaleko lymphoid inyama iinyembezi kwaye ocular nemithambo esingxotyeni ukunika uvakalelo oluphezulu. Ngenxa yoko, isakhiwo kwesiqhelo umsebenzi onke amacandelo ancedisana conjunctival kuxhomekeke kuphela kwi imeko iliso, kodwa acuity olubonakalayo. Ngoko ke, oko conjunctivitis yingozi virus. Iimpawu kunye nonyango yabantwana zifuna ingqalelo ekhethekileyo.

Le conjunctiva na umqobo wokuqala zokuzikhusela zabasebenzi abagcina iliso kunye nxalenye asesichengeni impembelelo ezahlukeneyo etyabulayo yangaphandle, iintsholongwane kunye nomzimba.

Ngaphezu koko, hayi kuphela lomsele nasolacrimal bazifinyeza ulwelo lacrimal sitsala uthuli emoyeni neentsholongwane entrained kodwa usebenzise inkqubo umva, xa usuleleko, iintsholongwane okanye kwamagciwane kuvuka nokujoliswe komzimba ukubacaphukisa yeso kunye conjunctiva phezu ngaphakathi. Kukho conjunctivitis yebhaktiriya (ifoto abantwana mpawu kwesi sifo ungabona kwinqaku lethu).

Kuluncedo ukwazi ukuba ngexesha kubhubhane of wentsholongwane egazini okanye ngokudibana izifo sisifo yingozi viral (umz, imasisi okanye rubella) imaski yokhuselo swi nga pfuna, ekubeni intsholongwane ingena lula ukuya umzimba emjelweni nasolacrimal ngqo nge emehlweni.

iimpawu conjunctivitis

conjunctivitis ziibhakteriya Ngoko ke, kubonakala njani ebantwaneni? Unyango kukhethiwe kuxhomekeka iimpawu.

Xa iliso esempilweni eqhelekileyo conjunctiva ukunika ukufuma ngokwaneleyo, inkululeko intshukumo epokothweni ukukrazuka, ubeka isithintelo transparent zokuzikhusela, kungekhona ukunciphisa isakhono ebonwayo svetovosprinimayuschuyu iso.

Kwimeko apho amehlo iqala sokudlathuka kweenwele, ukutsha, ukukrazula kakhulu, phezu kwenwebu kuvela imithambo yegazi inimba umnatha, waziva inclusions angaphandle kunye nentshukumo eye kabuhlungu, ukudumba Neenkophe okanye inwebu iliso, omnye sinokugqiba esukela ocular owakhiwe arhabaxa . Conjunctivitis yeyona sifo ixhaphakileyo esichaphazela inwebu kwiinwebu esweni.

Ngaphezu ukuze aphathe bacteria conjunctivitis na umntwana? Oku kuza kuxoxwa ngezantsi.

iintlobo conjunctivitis

Kuxhomekeka kwisimo kunye nomthombo losulelo, kukho iintlobo ezintathu conjunctivitis, ezo zifuna iindlela ezahlukeneyo kakhulu uxilongo, unyango kunye nothintelo.

1. conjunctivitis Yebacteria - ebangelwa ziibhaktheriya ezahlukeneyo ezifana staphylococci, chlamydia njl Baya kuwa phezu isifo lwalo njengoko imeko kunye nococeko asanelanga, umonakalo okanye buthathaka imisebenzi omzimba le conjunctiva kunye microflora yayintsholongwane eyosulela yento ephilayo ngexesha ukutshintshwa nezifo ezosulelayo. Ukuba unayo conjunctivitis kwegciwane kubantwana, unyango kufuneka sineenjongo ezingatshabalalisa ezincinane izifo.

2. conjunctivitis Viral - kuchaphazela conjunctiva kwisiqalo lwezifo adenoviral kunye enteroviral, umkhuhlane, i-herpes, rubella, irhashalala. Amaxesha amaninzi uhlobo egazini ukudumba ihamba nokuthimliswa, pharyngitis okanye uhlobo parallel zihlambo conjunctivitis yebhaktiriya.

3. conjunctivitis zokwalana ihamba phantse zonke iintlobo kukwalisa zeekhemikhali, ukutya, kwaye zamavumba zebhayoloji na ukudumba ebonakalayo nokuthimliswa komzimba, dermatitis kunye nesifuba.

conjunctivitis kwegciwane ebantwaneni. izizathu

Conjunctivitis kubantwana sisifo eliqhelekileyo, yaye iminyaka ukuya ku-5 ubudala abafunyenwe ngo-30% amatyala ezimbi ocular. Oku kungenxa awohluke omzimba womntwana kwaye inkqubo yomzimba yokuzikhusela, nto leyo ngononophelo ibunjiwe hayi kakuhle sikhusela umzimba kwimiphumo yeemeko ezibi. Enye into ebalulekileyo ingakumbi amaqela abantwana kunye neemeko zokuphila.

basengozini enkulu yokufumana i-HIV iqokobhe iliso umntwana uxakaxa, nto leyo eye ixabiso elincinane edityaniswe nemigangatho yempilo nococeko olusisiseko, umsebenzi zabantwana ngexesha okuthatha, xa umntwana egulayo iyaqhubeka ukunxibelelana kunye noontanga babo kwaye abe ngumthombo losulelo ngakumbi, iimpawu psychophysical lobomi abantwana abaselula - yonke Oku kunegalelo bekusenzeka rhoqo ukudumba ezosulelayo, kuquka iliso. Ngoko kukho conjunctivitis yintsholongwane ebantwaneni.

Xa kubelekwa, singene indawo conjunctivitis ekhethekileyo ezibangelwa bedlula iindlela unina wokuzalwa kunye nezifo ezosulela ngesondo alunyangwanga - ukuvuza ngaphantsi okanye chlamydia. Le conjunctivitis kwenzeka kwiintsuku nje ezimbalwa emva kokuzalwa kwaye inokuba nemiphumela emibi, kuquka ubumfama kunye nelahleko amehlo, ukuba ngaba kuthi ixesha unyango olufanelekileyo.

Ngentupha yobudala ezimbi lwamehlo ebantwaneni uqala ukuba bayeke malunga neengxaki ezahlukeneyo zokunganyangeki, ezifana ukubona, hyperopia, astigmatism.

Uxilongo lwe conjunctivitis kwegciwane kubantwana

Luxhaphakile namhlanje axhamla iindlela sifo, unyango kunye nokhathalelo lwezifo ezahlukeneyo abantwana ezaziwayo-kakuhle udokotela evgeniya Olegovicha Komarovskogo. esikolweni, nto leyo eye TV kunye inguqulelo eprintiweyo waziwa kubaphulaphuli kunye bonke abazali uxanduva. Simple, enobuchwepheshe, indlela eyimfihlo yokudlulisela inkcazelo kunye nokusebenza kweendlela igqirha edumileyo kunceda ekwandiseni ulwazi kunye nomgangatho yenkcubeko yabemi, ngokufundisa abaselula.

Indlela yezenzululwazi ingcaciso iingxaki zempilo ziqhelekileyo yabantwana kunye nokufumaneka sisombululo siphakanyiswayo ukunika abazali ithuba lokufunda kuzo zonke iinkalo iingxelo zonyango ezimbaxa nokuvavanya imfuno yokuba abanaluncedo kwiingcali.

Distribution, umsebenzi kunye namaxesha conjunctivitis etsolo kwegciwane kubantwana kunzima ukulungisa ngokuchanekileyo, ukususela amaza iinkqubo, esi kalula kwiimeko ezininzi bahlukane ukudumba, amava ezintle unyango ezidlulileyo - ezi zinto zibangela utyelelo enqabileyo ukuya kugqirha.

Uxilongo kuxhomekeke njani ubonisa conjunctivitis yintsholongwane ebantwaneni. Iimpawu zinokohluka.

Nokuxilonga conjunctivitis bacteria ngokuqhelekileyo kunokwenzeka ngaphandle nobuchule efanelekileyo, ekubeni ngqo, kwaye umahluko enkulu kwezinye iintlobo kuba phambi mucopurulent okanye ubovu exudates macala kungqameko iinkophe okanye watsha soma rhoqo phezu kwamehlo. Iimpawu ebonakalayo usenokuba anozizi iinkophe kunye inwebu, isikhumba nokudumba, ukwanda ukukrazula, ukurhawuzelela.

Abantwana ezikhala yakhawuleza elivuthayo emehlweni, badla ngokuqala amehlo ngokukhuhla ngezandla zakhe, abe ecubhukile, ukukhalaza. Mhlawumbi ukwanda okungephi lobushushu emzimbeni. Ezi mpawu kwi zigaba zokuqala ukudumba anike imiqondiso abazali ingqalelo ze uvumele wena ukhethe ngokukhawuleza ngokuzimeleyo ukuthintela ukosuleleka yintsholongwane.

Ukuba ezinye iimpawu engasi imiqondiso uphawu kweentlobo conjunctivitis ziibhakteriya akukho waphawula, kuyimfuneko ukuba ukuhlalutya zonke iimeko apho umntwana unako ukufumana kunokutshiseka.

Umzekelo, ukutyelela iziganeko zoluntu, ukutya entsha, iinwele zezilwanyana, iithoyi zimdaka, ukuhlamba umgubo, kuqubha echibini, uhamba-hambe, kwabangela ukuba emzimbeni okanye ukufumana isixa esikhulu uthuli emehlweni - ezi zinto ziya kunceda ukuseka inkangeleko ye iimpawu conjunctivitis uyalisa okanye egazini.

Kwimeko impawu eziyingozi ngakumbi (iintlungu emehlweni, photophobia, ukungaboni, imbonakalo amaqamza kwi iinkophe) isibheno udokotela okanye ugqirha uza kuvumela unyango ngokukhawuleza kwaye uphephe imiphumo vuhlayiseki. Ukuze amise ugqirha ukuxilongwa ifumana zonke iimeko kunokwenzeka kwaye ikhondo impawu sifo, uvavanya amalungu yombono, ulusu kunye imifinya yangaphakathi, ukuba kuyimfuneko, sinika umkhombandlela ukuya ingcali - zamehlo.

Swabbing le conjunctiva lokubhalela uviwo cytologic kunye biomicroscopy ivumela ukuba enze isigqibo nangokungenamathandabuzo achole amalungiselelo ayimfuneko ukwenzela unyango.

Kukho izixhobo zophando oluthile - umzekelo, iindlela kunye Igram Giemsa ukuba okuba eliphezulu uza kwabela ukudumba ukuya kwenye iintlobo conjunctivitis. Ngenxa yoko, wachaza neutrophilia e scrapings mucosal kubonisa uhlobo esihlobene nangokurhala, lymphocytosis iqinisekisa ngokucacileyo uhlobo conjunctivitis wentsholongwane egazini, kwaye inclusions eosinophilic - komzimba.

Ngoko ke, umntwana kwafunyaniswa conjunctivitis yebhaktiriya. Unyango kubantwana Komarovsky icebisa ukuba enze phantsi kweliso labezempilo.

Ezahlukahlukeneyo conjunctivitis ziibhakteriya

Amaphononongo akutsha nje abonisa ukuba lokusekwa inwebu kwiinwebu le microflora Iliso kwenzeka emva kokuzalwa kodwa hayi ngexesha sicatshulwa lomsele wokuzalwa, njengoko ndacinga ngaphambili. Kwakhona uphawu iintsholongwane microflora eziqhelekileyo ezikhoyo entunjeni inani elithile ezincinane yayintsholongwane eyosulela ezifana Staphylococcus kunye diphtheroids.

Ngaphandle kwento yokuba ulwelo lachrymal ubunjwe amacandelo amaninzi yokhuselo (immunoglobulins, lysozyme, lactoferrin), Staphylococcus epidermidis ngempumelelo apha naphaya ku lwisana umqobo kwaye stably abakhoyo isifo le conjunctiva. Isiphumo yi conjunctivitis yebhaktiriya. Unyango kubantwana Komorowski uncoma ukusebenzisa antibiotics.

unyango

Ukusetyenziswa kweziyobisi antibacterial spectrum ezibanzi - ciprofloxacin, erythromycin, gentamicin - kwiimeko ezininzi inika iziphumo olukhawulezayo emihle. Noko ke, bekusenzeka rhoqo negazi kunye ezimelene nemithi elwa ingxabano onjalo ukuba ephilayo lokukhetha ngqo ngakumbi ibangela ukudumba conjunctival, kunye nokukhethwa kweziyobisi kwindawo nemxinwa amanyathelo. Ngoko ke kakhulu kunokuba conjunctivitis yintsholongwane ebantwaneni. Unyango kubangela ncomo ezintle.

Ukubola komqala kunye conjunctivitis gonococcal iintlobo zifuna unyango ethile yasekuhlaleni. Sandile ngokubanzi ngoku ekubeni nemithi, fluoroquinolones, ezithe ukuwuphumeza kakuhle ekulweni iintlobo conjunctivitis yebhaktiriya ngaphandle streptococcal kunye Pneumococcal. Kubalulekile ukuphawula ukuba kwandisa ngokukhawuleza kwaye uzinzo ezininzi iintsholongwane ukuya kula machiza. Eso ezintsonkothileyo kwi lokufunyaniswa "conjunctivitis kwegciwane kubantwana" unyango. Amathontsi e kunyango isoloko isetyenziswa, ngakumbi ngaloo ngezantsi.

Ukusebenzisa amathontsi

inkqubo esebenzayo ngokuba kwezithandani of ukudumba kucingelwa ukuba ukusetyenziswa emanyeneyo polymyxin-B ngohlobo kuncipha kunye namafutha aqholiweyo. Amathontsi baqeshwa kudluliswe iiyure 2-3, 2-3 lihla uneoli amehlo nganye - amaxesha 3-4 ngemini, kwaye zisetyenziswa kwabuyelwa ngokupheleleyo umntwana, okt ngaphezu ukusuka kwiintsuku 5-7 ukuya 10-14.

Xa ukumisela exciter Pneumococcal amisiweyo isisombululo kokuhlanjwa boric acid, njengoko ezi zanda ngendlela obrak medium, ngoko microflora amehlo Ukuba muncu ukuxhoma uphuhliso iintsholongwane zophendlo lwezifo. Kwiintlobo ezithile bacilli ezi 0.25% -0,5% izisombululo nezinki sulfate apho isicelo amaxesha 4-6 ngosuku. Le uxilongo "conjunctivitis kwegciwane kubantwana" unyango.

unyango lwe- conjunctivitis ezingapheliyo kukusetyenziswa combinatorial ngayo steroid kunye ntsholongwane. Kodwa unikwe umyinge eliphezulu yeengxaki emva ukusetyenziswa kweziyobisi ezinjalo, ukuba kumiselwe kuphela ukudumba kakhulu kule khosi, kwaye kwimeko conjunctivitis ludlule nje isicelo. Kuyo nayiphi na imeko, ukuba kwiintsuku 2-3, umfanekiso bezonyango ukusetyenziswa kweziyobisi ayitshintshi kuba ngcono, unyango kufuneka lwayekiswa yaye ukhangele ezibangela oonobangela neziphumo ezibi.

conjunctivitis iintsholongwane ngenxa kwezinye iimeko suppurative yokubolisa, ezifana otitis eendaba, tonsils, pyoderma ngaphandle unyango esematheni, Kakade ke, kufuna unyango lweNTSHOLONGWANE Bamqumbisa uhlobo esebenzayo conjunctivitis, yaye olu hlobo xhaxhe kunye ekupheleni kwayo.

Amacebiso Dr. Komarovsky

Ukuba uphethwe "bacteria conjunctivitis" Iimpawu kunye noNyango amaqhina oqhagamshelwano ebantwaneni.

Xa yokuqala iimpawu conjunctivitis umntwana kufuneka zibekwe zodwa kwezinye abantwana abavumi kutyelela amaziko emfundo yabantwana. Emva bokunikeza zamehlo okanye unyango wabantwana njengokuba ibambelela nemixube kunye neendlela zokusebenzisa iziyobisi. Awukwazi kubeka phezu amabhandeji iliso okanye azithe elide njengoko nqanda odanyazayo eziqhelekileyo, uze ukuhlanjwa iinyembezi inwebu yangaphakathi kunye nokususwa needipozithi ubovu evela kwinyama ngeenxa zonke amehlo.

Ngamanzi chamomile luthathe, calendula, izisombululo boric acid okanye furatsilina benza amaxesha 5-8 emini, ahlukeneyo yomqhaphu iliso nganye, adume ngazo ngokugqithiseleyo simanzi. Sula amehlo ukusuka ekupheleni olungaphandle ngaphakathi. izisombululo ithontsi enqwenelekayo ukwenza umbala ahanjiswa ingakhange irwece kwenkulungwane okanye inwebu ukunqanda usulelo nghena sokukhetha umbala.

Kwakhona ngaphandle contact kufuneka ibe phantsi ijwabu asezantsi abeke ngamafutha eyabelwe unyango. conjunctivitis bacteria emiselweyo phantsi amathontsi kunye chloramphenicol, sulfacetamide, linamafutha tetracycline okanye eritromitsinovaya.

Ekubeni phantse zonke iintlobo conjunctivitis ziibhakteriya kukhatshwa onaso lweliso owomileyo, isikhumba owomileyo ngeenxa amehlo, apho, xa antimicrobials kusetyenziswa ziyanyuswa kuphela, ukuze sihlale sizinzile ukufuma isifo amehlo asha iinyembezi njengamalalela luncedo ukuba ukusebenzisa loo amachiza "Sisteyn" yaye "Vidisik". Ngoko unokoyisa conjunctivitis kwegciwane umntwana kwiminyaka emi-6. Unyango, Kakade ke, kufuneka kuvunyelwane kunye udokotela.

Uthintelo conjunctivitis ebantwaneni

Uthintelo isebenzayo izifo krakra kukuba abantwana accustoming ngokusisigxina kakhulu neemeko zobuqu. Rhoqo ukuhlamba iintsana ngesandla, unyango zokudlala kunye nomphezulu ngaphakathi ngenxa kwamagciwane, inkcubeko ukutya kunye ingcaciso ngokubaluleka pre-processing of iziqhamo kunye nemifuno, amacephe ngexesha nokutya kuya kunceda ukuphelisa okuphinde rhoqo yosulelo amehlo.

abantwana abadala ukufunda iliso self-wabethelela luncedo kwaye asebenzise ngamafutha aqholiweyo, ngokwabantwana singabunyamezeli nayiphi na impembelelo kwiindawo buhlungu, ingakumbi emehlweni, ngoko ke inxaxheba yabucala umntwana kwi unyango yokukhawulezisa inkqubo impiliso. Kuyimfuneko ukuba siziqaphele nemisebenzi ejoliswe ekuphuculeni jikelele amajoni omzimba: walks, umthambo, ukutya okunezondlo, vitamin nokongezwa kunye buthathaka sifo, tempering iinkqubo.

Oomama abakhulelweyo kufuneka iqhube uphando phambi kokuba unikezelo lwezifo enzala, kwaye, ukuba kuyimfuneko, unokuvuma unyango kunye nonyango kubola lomsele wokuzalwa, ukuthatha unonophelo uhlolo kunye nonyango eyodwa amehlo umntwana ngoko nangoko emva kokuzalwa.