Herpes phezu iso: unyango, oonobangela, iziyobisi

Kutheni kukho herpes emhlabeni ngamehlo? Izizathu zale sifo kuxoxwa ngezantsi. siya kunika iimpawu lwamehlo kunye iziyobisi ukunyanga esi sifo.

ulwazi jikelele

Herpes (phezu kwamehlo ijwabu le ngezifo kwenzeka kungafane) sisifo wentsholongwane egazini. Lubonakala yi kuqhambuko vesicles (ngokwamaqela) kwi inwebu yangaphakathi kunye nesikhumba.

Igama elithi ethathelwa ingqalelo into yokuba imvelaphi yamaGrike. Yaguqulelwa Russian, lithetha "izinambuzane" okanye "ekusasazeni ngokukhawuleza isifo solusu."

pathography

I-herpes virus kubonakala emehlweni akhe ayikho nje eqhelekileyo, umzekelo, emilebeni, xa ingaphakathi empumlweni okanye zangasese. Kulo mzekelo, isifo okunjalo kwenzeka nzima kakhulu.

Ukongeza kwezi amalungu omzimba, intsholongwane herpes ezinokosulela inkqubo luvo, ebangela uphuhliso meningitis kunye kobuchopho. Kwakhona lo kugula kuxhomekeke nezibilini.

iintlobo iintsholongwane

Herpes kuye kwavela amehlo inxulumene uhlobo lokuqala. Kwakhona, i-herpes simplex virus zingachaphazela imilebe, impumlo kunye nezinye iindawo ulusu.

Xa Uhlobo lwesibini sifo enjalo kuchaphazela zangasese.

Kwakhona ukwahlula intsholongwane varicella zoster (uhlobo 3). Tile esizibonakalisa emzimbeni womntu. Njengokuba isifo sabantwana efana chicken pox, kokuba zonke phezu komzimba.

Epstein-Barr intsholongwane bobabo Uhlobo lwesine. Ulontshulisela sifo ezosulelayo, ezifana mononucleosis.

Cytomegalovirus - isifo lohlobo yesihlanu.

oonobangela

Kutheni kukho isibetho ebandayo iliso (unyango esi sifo siya thaca ngezantsi)? Le ngxelo eninzi mpikiswano. Xela naluphi na olunye isizathu ezinjalo kwamaqhakuvana krakra akwenzeki. Oku kungenxa yokuba herpes lunokwenzeka ngenxa eziliqela ezahlukeneyo.

Iingcali zithi intsholongwane wesifundo abekho emzimbeni kwabantu bonke. Kwaye ixesha inkqubo yomzimba yokuzikhusela oluchasene kwesi sifo. Le ntsholongwane wafika yangaphakathi inwebu ye iliso, isicelo kunqabile kakhulu. Oku kubangelwa yinto yokuba amalungu ezibonwayo bayakwazi ngokuzimeleyo ukuvelisa interferon, oko kukuthi, iiprotheni secreted yi iiseli zomzimba ukuphendula kuhlaselo lwemimandla iintsholongwane eziyingozi.

Kufuneka kwakhona uqaphele ukuba kwinyama iliso akhuselwe ebizwa ngokuba yi-immunoglobulins, leyo ziqulethwe kulwelo ukukrazuka. Herpes phezu kwamehlo, iimpawu ezo zichazwe ngezantsi zingabonakali ixesha elide yaye "ukulala" kwi ganglia.

Ukuba ngenxa yezizathu okanye inkqubo omnye umntu omzimba buthathaka kakhulu, intsholongwane herpes iqala ukomeleza afakele ukuzibonakalisa ngohlobo lwamehlo.

Ngenxa yoko, oko ngokukhuselekileyo makuqatshelwe ukuba engundoqo kunye sizathu sokuba esi sifo umbuzo uvikivwa nezifo. Ngokuphathelele koku kungasentla, nanku umbuzo ukuba kutheni amajoni omzimba zomntu onika nolo silelo? Oogqirha bathi ukuba ukuhla zokuzikhusela zomzimba kwenzeka ukuphendula le meko zilandelayo:

• isifo esosulelayo;
• emzimbeni;
• uxinzelelo;
• ithuba elide ukuze ilanga;
• ufumana kulimala kwamehlo;
• ukuthatha amachiza ezithile (umz, immunosuppressants okanye iziyobisi cytotoxic);
• ngexesha lokukhulelwa.

Ukuba enye yezi meko igalelo ukuhla sifo, i "aleleyo" de lo mzuzu "uvumbulula" intsholongwane herpes, uze emva koko ungena ngaphezulu elufeleni okanye isifo ngokohlobo vesicles ebe.

Kufuneka kuqatshelwe ukuba olu uhlobo lwe esi sifo kuthiwa iqala. Kukwakho ndlela zithe zadala. Kuba uphawu losuleleko ngqo nge kumadyunguza herpes. Njengoko yaziwa, bona i engamanzi kungomlinganiselo ephakamileyo ibandakanya iintsholongwane. Xa esikhumbeni okanye inwebu kwiinwebu kwamehlo, kukho called kokomzuzwana.

Le lendlela uphawu ingakumbi abantwana abancinane, ngubani na rhoqo ukunxibelelana nabanye.

Iimpawu zesi sifo

Ziintoni iimpawu herpes kwi ngamehlo? Iimpawu zesi sifo kunzima ukuba uqaphele. Nangona kwezinye iimeko edidekile kunye nezidlo okanye isifo othe imvelaphi yebhaktiriya (umzekelo, conjunctivitis, blepharitis okanye keratitis bacteria).

Kufuneka kuqatshelwe ukuba zonke ezi meko lwezidumbu, Noko ke, njengoko ophthalmoherpes, sikhatshwa mpawu zilandelayo:

• amehlo kwekhulu awabi;
• photophobia;
• buhlungu;
• olwaphula kabukhali kunye uhlaba umbono;
• lacrimation.

Asikwazi athi iimpawu asekuhlaleni lwesifo egazini zingahlonyelelwa yaye kwabelwane, kubandakanywa intloko ebuhlungu, iindawo ezandisiweyo nkovu, isicaphucaphu kunye nomkhuhlane.

uneempawu ezithile

Ngoko ukubona indlela herpes kwi iliso lokuphathwa kufuneka wenziwe kuphela ligqwetha ngugqirha onamava? Kule sifo, kukho iimpawu ezithile. Ezi ziquka oku kulandelayo:

• ukurhawuzelela obungathethekiyo kunye kokutsha ulusu phezu iinkophe kwaye ngeenxa amehlo;
• ngokuba amaqamza ezaliswe ulwelo, leyo iintsuba, ulcerate.

iifom oftalmogerpesa

Ingqalelo isifo waphawulwa ngezinto eziliqela enkulu ukwenza izinto. Kulo mzekelo, iimpawu ukuphinda inokuba nomahluko kakhulu.

Iingcali umahluko phakathi kwezi ntlobo zilandelayo herpes ocular (ngokuxhomekeke ngokoyiswa ancedisana liqumrhu ebonwayo)

• Herpetic conjunctivitis. Sisifo enjalo kuchaphazela conjunctiva, ngamanye epithelium obhityileyo umboniso nolwenzelwa ngaphakathi iinkophe kunye yeso. Ngokuqhelekileyo, le ukoyiswa sikhatshwa anozizi emehlweni abantu bonke.
• Keratitis. Esi sifo luphawulwa izitshanguba le inwebu, leyo kuvela vesicles wentsholongwane egazini.
• Blepharitis, conjunctivitis. Ngokungafaniyo conjunctivitis herpetic, sisilonda esidumbileyoesingaphakathi conjunctival idityaniswe inkqubo kwiintetho ezikralayo, kwaye ukuyilwa amaqamza phezu iinkophe kunye nomgca Eziniyeni. Yabangxamayo angavela nkqu phezu engaphakathi iinkophe. Ngokuqhelekileyo, xa kukho eyomeleleyo amehlo alilayo iintlungu ezibukhali emehlweni.
• Keratoiridotsiklit - kukukrala inwebu, nto leyo sikhatshwa amanxeba nemithambo kwi organ olubonakalayo. Olu hlobo esi sifo yeyona kakhulu. Kunzima kakhulu ukuba ukunyanga. Ngaloo ndlela keratoiridotsiklit yena kwakhona kwaye ninzi.

lokufunyaniswa kwesifo

Indlela ukuba aphilise isibetho ebandayo iliso? Unyango lwesi sifo kufuneka kutyunjwa zamehlo. Noko ke, kufuneka uqale ukuhlola ngokuchanekileyo esi sifo. Oku kungenxa yokuba iimpawu imeko zophendlo lwezifo idla zabhidaniseka iimpawu nokunye ukukhubazeka.

Kuba lokufunyaniswa herpes isigulane ocular kufuneka ubuze ugqirha wamehlo. Ugqirha unyanzelekile ukuba ahlole isigulane usebenzisa isibane noqhoqhoqho. Olu phando lubonisa zizilonda kunye nezinye izitshanguba le inwebu kunye nokudumba iimpahla ocular.

Kwakhona kwiimeko zokubhala ikhutshwa sisusa iiseli ukusuka ulusu okanye isifo abachaphazelekayo. Kamva ke wahlolwa microscopy ezibengezelayo.

Enye indlela ukufumanisa isifo uchaphazelekayo i immunoassay enzyme. It ikuvumela ukuba ukuchonga ubukho omzimba oluntu le ntsholongwane.

Zonke ezi ndlela loxilongo zisetyenziswa kuphela izitshanguba kwemithambo yegazi kunye inwebu. Ke amanxeba herpetic le inwebu kwiinwebu welungu ebonwayo ulusu ijwabu, oko ngokubonakalayo kwaye ngaphandle zihlolwe.

Herpes kwi iinkophe iphawulwa nerhashalala (idla yesininzi) ngokohlobo amaqamza amancinci ezaliswe nkovu, okt ulwelo uba namafu ngokuhamba kwexesha. Ezi namadyungudyungu ubuhlungu kakhulu kunene, nangenjinana. Ukuba ahla irhashalala, bamana bezandlala kakhulu.

Ophthalmoherpes: unyango

Ndifanele sibaphathe njani herpes ocular? Ngokutsho iingxelo ziingcali, olu hlobo lonyango kwesi sifo ixhomekeke ukuma kwayo. Ukuba intsholongwane yosulele izihlunu kuphela phezulu, ichiza esetyenzisiweyo, zikwenze kabi kwi amalungu nokubona, kwakunye umsebenzi herpes Nyanzela.

Kwimarike amayeza zibonakala ngeentlobo 4 amayeza ezisetyenziselwa ukunyanga isakhiwo lwamehlo. Ezi ziquka oku kulandelayo:

• arhente immunomodulatory;
• antivirals (umz: "Zovirax Ioli");
• Immunopreparat ezithile (umz, i-herpes ugonyo);
• arhente lingaze, kuquka ukuxinana, okuphelisa iintlungu, iivithamini kunye njalo njalo. d.

Kwimeko yokuba intsholongwane buhlungu zomzimba iliso enzulu, izigulane ndenziwa utyando. Ezi ntlobo zemisebenzi, ezifana coagulation, keratoplasty kunye namanye, ukuvumela ukuba ukufumana okanye susa kummandla ochaphazelekayo.

arhente antiviral

Indlela ukuphelisa izilonda ebandayo iliso? Unyango lwesi sifo akholisa ukuchitha arhente antiviral. Ukulungiselela le njongo, iimveliso ezikhethekileyo ezimilise, nto leyo abafane kabi lona inwebu kwiinwebu amalungu ezibonwayo.

Ukuze ukucinezela umsebenzi ngokugqithisileyo intsholongwane herpes, oogqirha bacebisa ukusetyenziswa wamehlo kunye namafutha aqholiweyo. Kwakhona yokuvela systemic ngokufuthi emiselweyo kwizigulana isitofu antiviral kunye iipilisi.

Ziziphi Imithi sisebenzayo unyango lwamehlo? Iingcali ukubona iziyobisi zilandelayo:

• "Acyclovir". Xa kujongwa medicament ocular ezisetyenziswa ngohlobo amacwecwe zomlomo, kwakunye isithambiso engundaba.
• "Valacyclovir." Kuba unyango loo herpes iziyobisi ocular isetyenziswa ngohlobo iipilisi.
• "Zovirax" - an antiviral iliso amafutha, nesebenza kakuhle kakhulu nxamnye iintsholongwane herpes simplex. Emva ukusetyenziswa kwayo iziyobisi iziyobisi esebenzayo nangoko wendele tissue periocular kunye epithelium kwenwebu. Ngenxa yoko, kweli ulwelo intraocular ukhandwa ukuba xi lweziyobisi efunekayo ukuze ntsholongwane ingcinezelo esebenzayo.
• "Oftan-IMU", "idoxuridine '- ezo mali eyenzelwe ngokukodwa unyango lwamehlo. Bona ekhutshwe ngohlobo amathontsi eziqulathe-analogue of thymine. iyeza kujongwa ayiniki intsholongwane ukwanda kwaye zinqanda umsebenzi wayo. Eyona engcono kunye nokwehla kufuneka wabethelela iyure yonke. Noko ke, ezinomsebenzi elide, zinokubangela umonakalo kwenwebu.
• "Triflyuorotimidin" - ukuhla efanayo "Oftan-IMU". Nakuba kunjalo, kufanele kuqatshelwe ukuba neziphumo ayinabungozi.
• "Riodoksol", "Tebrofen", "bonafton" - zonke ezi machiza ngohlobo linamafutha aqholiweyo. Inokusebenziseka nolusu ijwabu, kwakunye nesabasilaleleyo ngaphakathi iliso.
• "Vidarabine" i gel phumelela oftalmogerpesa. Lisetyenziswa kwi conjunctiva kukuphinda-5 ngemini.

Wamehlo "Oftalmoferon": mazwi

Yeyiphi ichiza antiviral kakhulu ngempumelelo herpes xa ocular? Iingcali athi wokuhla "Oftalmoferon". ixabiso yabo malunga 300 engange, kutheni ukuthenga isixhobo okunjalo phantse wonke umntu.

amayeza kujongwa iqulethe diphenhydramine kunye interferon alfa-2a. Ifike zeplastiki iibhotile-iidropha, ezo zingafakwa kwiibhokisi kwikhadibhodi.

amachaphaza Antiviral ukusuka nihlinza "Oftalmoferon 'abe spectrum ezibanzi amanyathelo. Ngaphezu koko iipropati anti-ukudumba, loo uqulungqo imiboniso immunomodulatory, elwa, angeva zintlungu kunye neziphumo okungenisa.

Ukuba nayiphi na ukufunda kubonwa amayeza emiselweyo kwizigulana? Ngokutsho imiyalelo, isetyenziselwa:

• adenovirus, herpes keratitis ;
• ukopha, adenovirus kunye herpes conjunctivitis;
• geperticheskom stromal keratitis ngaphandle zizilonda kunye zizilonda kwenwebu;
• uveitis herpetic;
• herpes kunye adenovirus keratokonyunktivitah;
• herpetic keratouveitis (kwaye ngaphandle zizilonda).

Ngokuphathelele Izimo, ngoko oko kuthetha ukuba phantse bengekho. Sebenzisa ezi amathontsi ayinakwenzeka kuphela xa ngaba hypersensitive amacandelo yayo.

Indlela ukusebenzisa amayeza "Oftalmoferon"? Esithathwa iyeza kufuneka imiselwe zamehlo yasekuhlaleni. Kwinqanaba etsolo, oko owafaka iliso ochaphazelekayo 1-2 lehla amaxesha 7-8 ngosuku. Yakuba inkqubo yokukrala liqalisa zimi, inani instillations zancitshiswa amaxesha 2-3 ngosuku.

Ikhosi konyango nalo eli chiza umiselwa ngugqirha. Njengoko umthetho, ukusetyenziswa iyeza Zaqhuba njalo ke lada, kude iimpawu unyamalale ngokupheleleyo.

Prevention of herpes ocular

Eyona nesakhiwo esikhulu amanyathelo othintelo kwi oftalmogerpese kufuneka zijolise ngeendlela ukuba ziphazamise ukosuleleka yintsholongwane. Ngaloo ndlela, umntu kufuneka ukunikezela abafowunelwa olusondeleyo isigulane, musa ulisebenzise impahla efanayo, iitawuli nezinto zokuthambisa, kwaye ngenyameko ulandele imigaqo yococeko buqu phambi ezinye iintlobo herpes.

Ngokumalunga abasetyhini abakhulelweyo abosulelekileyo kunye herpes obuni, ukuba amisele unyango oluthile, uze phantsi ukuba inkqubo ebanzi lomsele wokuzalwa, ukuthintela usulelo usana ngexesha sicatshulwa yayo kubo.

Ukuba herpes lwenzeka rhoqo, kuliwa kusetyenziswa ugonyo ekhethekileyo isisombululo antiherpetic. Kwakhona, isigulana ilawulwa iziyobisi immunomodulatory phantsi kweliso zonyango abasenyongweni.

Ukuthintela uphuhliso izigulane wentsholongwane egazini enokubakho kunokwenzeka kufuneka uqiniseke ukuba ukunyenyisa ekudleni kwakho. Ukongeza, ngexesha njengomkhuhlane kufuneka bathathe amalungiselelo afikelelekayo. Kwakhona, isigulana ubonisa Uqeqesho neenkqubo tempering eziya kuphucula amajoni omzimba, yaye ngoko ukunqanda ukuvela irhashalala.