I-Adenoviral conjunctivitis: iimpawu kunye nokonyango. Kunokuphatha i-conjunctivitis

Izifo zentsholongwane ezithathelwanayo zixhaphaze kwaye zixhaphake. Ezi ntsholongwane zinokuthi zenzeke ngezinga elilinganayo kubantwana nakubantu abadala. Ngokuqhelekileyo, iqela le-SARS lichaphazela iimbrane ezinamaqabunga. Ezi ziquka i-nasopharynx, i-toni, i-conjunctiva. Ngamanye amaxesha izifo zintsholongwane zentsholongwane zenzeka nge-syndrome yesisu kunye nesisu se-intestinal dyspepsia. Izifo zeqela zifana nomfanekiso wesithomo. Nangona kunjalo, isifo ngasinye sinezixhobo zayo. Ngokomzekelo, nge-infection ye-adenovirus, umzila ophezulu wokuphefumula kunye ne-conjunctiva yamehlo ichaphazelekayo. Kwiimeko ezininzi, le ntsholongwane ikhula kubantwana. Kuzo zonke i-adenoviral conjunctivitis iza kuqala. Iimpawu kunye unyango lwentsholongwane luhluke kancinci kwezinye i-SARS. Ngaba kufuneka wazi indlela yokujongana nesi sifo, kungekhona oogqirha kuphela, kodwa nabafundisi bezontathu, kunye nabazali. Emva koko, unyango olufanelekileyo ngexesha kunye neendlela zokukhusela kunceda ukuphepha ukusasazeka kosulelo.

Iyintoni i-adenoviral conjunctivitis?

I-Conjunctivitis isilonda esivuthayo somlenze we-mucous we-inside surface yeelekile. Esi sifo sihlala sihamba neepathologies ze-catarrhal. Ukongezelela, kukho izifo zokuphefumula, apho ukuvuvukala kweentloko zezaziso kuza kuqala. I-Adenoviral conjunctivitis yimiqathango yezifo. Iimpawu kunye nokunyangwa kwesi sifo zihluke kakhulu kwiintsholongwane ezibangelwa zizibhaktheriya. Imiboniso eyintloko yeklinikhi yokukhubazeka ikwazisola nokubuyiselwa kwamehlo. Ukongeza, i-adenovirus isifo sibonakalisa kunye nezinye iimpawu. Kunokuba unyango lwe-conjunctivitis, kuxhomekeka kwi-etiology yesifo. Ukuba i-ARVI ibangela, unyango lwe-anti-virus luyalelwe. Ngoko ke, ungasebenzisi i-antibacterial eye ehla xa usuphawu lokuqala lokuvuvukala. Ixesha elide lokudibanisa i-adenoviral liphathwa njani kuxhomekeke kwimeko yomzimba womzimba. Kwiimeko ezininzi, iimpawu ze-SARS zidlulileyo iintsuku ezingama-5-10.

Izizathu ze-Etiological of the disease

Esi sifo kubangelwa yi-virus kwi-ARVI iqela. I-agent causative yafunyanwa phakathi kwekhulu lama-20. Kuyaziwa ukuba i-adenovirus inamandla okumelana nokushisa okuphantsi kunye neentsholongwane ezininzi. Oku kubangelwa ubukho bekhefu ekhethekileyo - i-capsid, ekhusela intsholongwane kumonakalo. Ngaphakathi i-DNA ephindwe kabini, equlethe ulwazi lwezofuzo malunga ne-microorganism. Intsholongwane iqulethe izinto ezi-3 zobugwenxa. Phakathi kwazo:

1. I-Antigen A. Lo mncedisi uyinto ephikisayo ye-pathogenic. Isiphumo salo siphumo ngenxa yokunciphisa i-phagocytosis, oko kukuthi, inkqubo yokubanjwa kwee-microorganisms ngamaseli omzimba womzimba.
2. I-Antigen V. Ubangela ukuxiliswa komzimba.
3. I-Antigen C. Le nto ye-pathogenic iqokelelwa phezu kwamaseli egazi - i-erythrocytes.

I-Adenovirus ifa phantsi kwefuthe lokushisa okuphezulu (ekubileni). Kwakhona kunyanzelekile kwiinkampani ezixhatshazwayo.

I-Pathogenesis ye-adenoviral conjunctivitis

Xa i-pathogen ingena emzimbeni, utshintsho oluvuthayo kwiphepha eliphezulu lokuphefumula lukhula, iimpawu zokuxhatshazwa, kunye ne-adenoviral conjunctivitis. Iimpawu kunye nokunyangwa kosuleleko kufana nezinye izifo zokuphefumula. Inkqubo yesifo ibangelwa isakhiwo se-antigenic yesifo. Isango lokungenwa kwintsholongwane yile membrane yamathambo yeendinyana zomzimba, i-pharynx kunye ne-conjunctiva. Kukho apho i-adenovirus inanda. Njengomphumo we-agent agent, i-memcane ye-mucous iyavutha. Ukongeza, i-adenovirus ingangena kwii-lymph nodes namathumbu. Ngenxa yesi sizathu, umfanekiso wekliniki unokungafani. Nangona kunjalo, ukuphuhliswa kwe-adenoviral conjunctivitis kubonakala kwesi sifo. Ukuba ufika kwi-membrane ye-mucous yeelesi kunye ne-sclera, kukho ukunyuka kokubonakala kweembrane zeseli. Ngenxa yoko, i-edema kunye neziganeko ezidlulayo zikhula. Ngenxa yobukho be-antigen C kwisakhiwo se-agent causative, intshabalalo ye-erythrocyte ingenzeka. Oku kubonakaliswe ngongeniso lwe-sclera, i-hemorrhages. I-Adenoviral conjunctivitis ikhula ngesantya esifanayo kubemi besifazane nakwabantu. Abantwana bahlala begula ngokuphindaphindiweyo kunabantu abadala. Usulelo lusasazwa ngamaconsi. Umthombo ngumntu ogulayo.

Umfanekiso weklinikhi kunye ne-adenoviral conjunctivitis

Ukuze kuhlukaniswe isifo esivela kwezinye iintlobo ze-ARVI, kubalulekile ukwazi iinkqubo zekliniki ezibonisa ukutheleleka kwe-adenoviral. I-Conjunctivitis ingenzeka kwezinye iibanda. Nangona kunjalo, ukuvuvukala kwimbumba yamathambo yamehlo kuthathwa njengento ebonakalayo kwi-adenovirus. I-Conjunctivitis ibonakaliswe yimpawu ezilandelayo:

1. Ubomvu bamaso, ukuvuvukala kwicala lesilonda.
2. Ukutshisa nokutshisa.
3. Lachrymation.
4. I-Blepharospasm - inkophe ephezulu kwicala elichaphazelekayo ishiyiwe.
5. Photophobia.
6. Ukubonakala kwenkunkuma ye-serous kwi-conjunctiva. Xa unyango olungalindelekanga, utyholongwane lwebhaktheriya luqhotyoshelweyo. Kule meko, i-exudate iyaba yi-purulent.
7. Ukuvalelwa kwamanye amazwe kwiso.

Kufanelekile ukukhumbula ukuba uphuhliso lwe-conjunctivitis luphambi kwexesha lokuqala lesi sifo, eligcina iintsuku ezingama-5-7. Ngeli xesha, isifo sokuxhatshazwa sisifo (ukukhulelwa komkhuhlane, ukulahleka kwesidlo, ubuthathaka), iimpawu ze-rhinitis kunye ne-pharyngitis. Ngamanye amaxesha kukho ukwanda kwimilo yeclonical ne-dyspepsia.

Iifom zokliniki ze-adenoviral conjunctivitis

Ekuqaleni, inkqubo yokuvuvukala ichazwe kwelinye iliso. Ukuba ingathathwa ngokukhawuleza, emva kweentsuku ezimbini ukuya kwiintsuku ezintathu, i-conjunctivitis ye-adenoviral bilater iqhubeka. Kude kube nini isifo sifuma kuxhomekeke kwindlela ngokukhawuleza unyango luqalisiwe ngayo. Xa ujoyina isifo se-bhakteria, i-conjunctivitis ingavela kwiiveki ezi-2. Ukuba unyango luqaliswa ngexesha, iimpawu zingenzeka ezinsukwini ezi-5. Ngokuxhomekeke kwifomu yekliniki, kukho:

1. I-Catarrhal adenoviral conjunctivitis. Ubonakaliswa yimpawu ezingabalulekanga zokuvuvukala (ukulungelelanisa ngokukhawuleza) kunye nokugqithiswa okungenakuchazwa. Iingxaki kwiimeko ezininzi azigcinwa.
2. I-adjunvirtivitis yeziganeko ze-adenoviral. Eyona nto ibonakala ngokubonakala kweemfucuza ezincinci kumgangatho wangaphakathi wejwabu leso. Kwezinye iimeko, iifollicle zikhulu, zihlanganisa zonke i-mucosa zeso. Ummandla wekhulu wenkulungwane i-hypermic, i-injection of sclera iyaqaphela.
3. I-Adenoviral glandular conjunctivitis. Into ehlukile yale fomu yindlela yokwakheka kwe-fibrin engqambileyo egubungela umlenze womlenze welihlo. Ngokuqhelekileyo zisuswa nge swab ye gauze. Kwiimeko ezibuhlungu, iifilimu zifakwe ngokugqithiseleyo kwi-membrane. Kule meko, lesi sifo sihluke kwenye yeefom ye-diphtheria.

Inkqubo yokukhubazeka kubantu abadala kunye nabantwana: ukungafani

Kwimeko ezininzi i-adenoviral conjunctivitis kubantu abadala ibonakaliswa yinkambo elula. Ngokuqhelekileyo idibene ne-pharyngitis kunye ne-rhinitis. Inxication syndrome ayibonakali kakhulu, ubushushu bomzimba bufikelela kuma-37-38 degrees. Ngokwamaxesha okuba kwenzeka, indawo yokuqala ibanjwe ifom ye-catarrhal ye-conjunctivitis. Ngenxa yokukhuseleka komzimba, kunokuba ne-lymphadenopathy kunye nezifo zesisu.

I-Adenoviral conjunctivitis kubantwana iqhelekile kunabantu abadala. Ukuqhambuka kwesulelo kungenzeka kumaqela (ezinqoleni, izikolo zokubhoda). Iimpawu kwizingane eziphakathi kweminyaka azifaniyo nabantu abadala. Ngonyango olufike ngexesha, ukubuyiswa kwenzeka emva kweentsuku ezingama-5-7. Isiqalo sesi sifo kubantwana abancinci sisithintelo soqheliso lwebhaktheriya, ukushisa komzimba ophezulu, ukulandelelana nokulandelana komzimba.

Ukuxilongwa kwe-adenoviral conjunctivitis

Ukuchonga i-adenoviral conjunctivitis, uviwo lwempumlo, luhluke kwamehlo, lwenziwa, i- smear evela kwi-pharynx ithathwa . Kwakhona ukuxilongwa kubaluleke kakhulu kwi-anamnesis yesifo. Iziganeko eziqhelekileyo zentsholongwane ye-adenovirus zi: ukuxhatshazwa kunye neziganeko zengqondo eziphambi kwe-conjunctivitis. Ngokuqhelekileyo iimpawu zikhula emva kweentsuku ezimbalwa emva kokudibana nesigulane. Ukongezelela kwiphando oluxhamlayo, ukuxilongwa kwe-serological kwenziwa: ukuxhasa ukulungiswa, ukungena kwe-haemagglutination, i-ELISA.

I-Adenoviral conjunctivitis: iimpawu kunye nokunyangwa kwezilwanyana

Ulwaphulo lwe-Etiological of the disease yiyeza Ziquka amayeza "Remantadin", "Anaferon", "Arbidol", njl. Njll Kunokuba uphathe umququzelelo obangelwa yi-adenovirus infection? Isilwanyana "i-Ophthalmoferon" sithathwa njengesilwanyana esikhethekileyo sokuvuvukala kwe-eye mucosa. Ukongeza, unyango luxhomekeka kwiimpawu zesifo. Loo mqondiso, njengophotho olusuka kwiso, sisona sizathu sokumisela iziyobisi ezinxamnye ne-antibacterial. Ezi ziquka amafutha anamayeza "Erythromycin", "Gentamicin". Ukuba isibonakaliso sesi sifo kukubonakala kweefilimu kwi-membrane yeliso, unyango lwengingqi lucetyiswa. Ukurhoxiswa kususwe ngoncedo lweetampu ze-gauze ezimanzi kumanzi afudumele abilayo. Iiseltimenti ze-antimicrobial zisetyenziselwa. Umzekelo, iliso lehla "Albucid", "Tziprolet".

Iingxaki ze-adenoviral conjunctivitis

Iingxaki ze-conjunctivitis ezibangelwa yi-adenovirus isifo. Ngokuqhelekileyo zivela kubantu abanesistim somzimba esibuthathaka, ngesimo sefilimu yesifo. Iingxaki zibandakanya: i-keratitis, i- conjunctivitis ye-bacterial, i- otitis, izikrakra kwi-membrane ye-mucous yeso.

Ukuthintela usulelo lwe-adenovirus

Amanyathelo okukhusela aquka ukuhlukaniswa kwezigulane ezivela kwikomiti, amanyathelo okulwa neengqungquthela (ukuphuphuma kwamagumbi, ukucoceka kwendle). Emva kokuqhagamshelana nabantu abanentsholongwane, kucetyiswa ukuba bathathe i-immunostimulating drugs. Ziquka amayeza "IRS-19", "i-Anaferon". Kukwacetyiswa kwakhona ukuba ugcobe iindinyana zomnxeba ngeoli oxolin ngexesha lokugqitywa kwe-ARVI.