Nokuti zvikonzero zvinokonzera pink (conjunctivitis) zvakasiyana siyana-zvinokonzerwa nezvinhu zvose kubva kuhutachiwana hwehutachiona uye hwebhakitiriya kune utachiona uye kusvibiswa kwemakemikari-kurapwa kunofanirwa kuenzaniswa nechikonzero chinokonzera. Mild conjunctivitis, asi isinganzwisisiki, inogona kugadzirisa pachayo. Mimwe mamiriro ezvinhu angada kuti mishonga inorwisa mabhakitiriya inoporesa kutapukirwa kwebhakitiriya, sodhiyosi yepamusoro ekuderedza kuputika, uye kutsigira maitiro (zvakadai sekudziya kwechando uye misodzi yemafungiro) kubatsira kuderedza marwadzo uye kusagadzikana.
Mishonga yeMusha
Kuchena conjunctivitis kunowanzokonzera kubwinya mune rimwe kana maziso ose pamwe chete nekucheka, kupisa, kunyanya kudengenyeka, nekunzwa kwepfungwa paunenge uchibwinya. Pasinei nokuti chinokonzera chii, mamiriro maduku haafaniri kudiwa kurapwa uye kazhinji anovandudza ari oga mukati memavhiki mashoma.
Paunenge wakamirira, mishonga yemusha inogona kushandiswa kugadzirisa kusafara. Inogonawo kushandiswa mukurapa nemishonga inotarisirwa kune mamwe maziso echiso.
Self-Care Tips
Mushonga wemusha we conjunctivitis ungangotarisa kuderedza kusagadzikana, kutsigira kuporesa, uye kudzivirira kupararira kwekuwedzera kwehutachiona.
Vanhu vazhinji vanowana zororo nemashandisirwo emvura yakadzikama kana inotonhora. Kana ziso rako rekiki rinokonzerwa nehuwandu hwemhepo, kukonzera kunononoka kunogona kubatsira kubvisa kunhuwa nekupisa. Kana iine hutachiona kana hutachiona hunokonzera, compress inodziya inogona kuderedza kubwinya nekudzivirira. (Kuti urege kupararira kwehutachiona kubva kune rimwe ziso kuenda kune inotevera, shandisa maitiro akazvimiririra eziso rimwe nerimwe rinoshandiswa rezvinotsigirwa pakushandiswa kwega rega.)
Usawedzera mishonga yemvura, aromatherapeutic, kana zvimwe zvinokonzera kugadzikana kune compress, sezvo izvi zvinogona kupisa, panzvimbo yekuderedza, zviratidzo. Uyewo, dzivisa chero madonhwe eziso asingagamuchirwi kuti ophthalmic inoshandiswa neKudya uye Drug Administration.
Kana iwe ukapfeka majekensi , zvakanaka kuti uabvise kusvikira zviratidzo zvako zvanyatsogadziriswa.
Kana vachinge varipo uye iwe usingachagadziriswi, iwe unofanira kukandira kunze chero shamwari dzese dzaunogona kuvhara nadzo dzawakapfeka kuti urege kudzorerazve. Chero ani naani asingasviki anogona kuve asina kuvharidzirwa usiku humwe usati watanga zvakare. (Ingova kaviri nechokwadi chekutarisisa zuva rokupera kwemaitiro ekurapa majekiseni ekuvhenekera kushanda zvakanaka.)
Home Prevention
Kana icho chinokonzera pink chinotapukira, chakadai nehosha inouraya keratoconjunctivitis (EKC) inopera mumasikati uye zvikoro, iwe nemhuri yako unoda kutora matanho kuitira kuti usapararira kupararira kwehutachiona (kana kutizve hutachiona). Izvi zvinosanganisira:
- Kushambidza maoko ako nguva dzose nemvura inopisa nesipo
- Kudzivisa kubata maziso
- Kwete kugovera matairi, pillowcases, uye mahekerchiefs
- Kwete kugovana mazamu kana madonhwe emeso
- Kushambidza pillowcases nekuvata nguva dzose
Over-the-Counter (OTC) Kurapa
Misodzi yemajoka , inowanikwa pamusoro pekambani, inogona kupa ruremekedzo nokuwedzera kuisa maziso uye kuderedza zvimwe zvekunzwisisa zvinogona kutenderera neziso rinopenya.
Kune misiyano yakasiyana-siyana, imwe yadzo ine lipid inofanana nemisodzi chaiye (yakadai seRefresh Optic Advance uye Soothe kubva kuBausch & Lomb) nezvimwe zvinodzivirira-kusununguka kuderedza dambudziko rekurwisana (zvakadai seTheraTears neAlcon Systane).
Iko kunewo maumbirwo anowedzera kushanda (kufanana neRefresh Celluvisc kana Systane Ultra), izvo zvingabatsira kuderedza kubhururuka kwekono nekuvhara ziso nguva refu. Pamusoro penzvimbo dzakaderera, vanogonawo kusunga guruva, maruva, nezvimwe zvinokonzera.
Kana zvinokonzerwa nezvinokonzerwa nechikonzero chinokonzerwa neziso rako rinonzi pink, an-anti- antihistamine yakafanana neClaritin (loratadine), Zyrtec (cetirizine), kana Allegra (fexofenadine) inogona kubatsira kuderedza kunaka. Antihistamine madonhwe eziso anoshandawo mukupa rubatsiro rwakasimba.
Zvinyorwa
Mimwe mhando ye conjunctivitis inogona kubatsirwa zvikuru nemishonga yemishonga, asi vamwe vanoida.
Bacterial Conjunctivitis
Bhakterial conjunctivitis inowanzotora kwevhiki rimwe chete kusvika kune maviri uye inowanzogadzirisa pachayo. Kana zviratidzo izvi zvisingakwanisi kuvandudza mushure memazuva mashanu, chiremba wako anogona kukurudzira mabhakitiriya eziso remadonzvo (kazhinji maitiro anorwisa mabhakitiriya anokwanisa kubata mabhakitiriya akawanda).
Kana mamiriro acho akaoma, mutsva-rudzi rwechipiri fluoroquinolone madonhwe eziso angarongedzerwa. Mishonga inorwisa mabhakitiriya inowanzochengeterwa zvirwere zvakanyanya, zvakadai sezviya zvinokonzerwa negonorrhea kana chlamydia .
Mishonga inowanzozivikanwa inorwisa mabhakitiriya inosanganisira:
- Azithromycin 1.0% solution
- Ciprofloxacin 0.3% madonhwe kana mafuta
- Erythromycin 0.5% mafuta
- Gentamicin 0.3% madonhwe
- Levofloxacin madonhi 0.5%
- Ofloxacin 0.3% madonhwe
- Tobramycin 0.3% madonhwe
Kunyange zvazvo corticosteroid madonhwe eziso angarehwa, kushandiswa kwavo kunoramba kuchikakavadzana. Kunyange zvazvo zvichibudirira mukudzikisa kuputika, vanogona chaizvo kuderedza kuporesa uye vanogona "kunyungudutsa" kambani yakagadzikana kana ikashandiswa.
Viral Conjunctivitis
Viral conjunctivitis ndiyo iyo inowanzozivikanwa nevabereki vane chikoro chevana vane makore. Chirwere chekeratoconjunctivitis (EKC) chinokonzerwa neadenovirus inowanzobatanidzwa nehuwandu hwehutu. Sezvo pasina hutachiona hwehutachiona hunokwanisa kuporesa EKC, chirwere ichi chinongoda kumira nzira yacho nenzira imwechete iyo inotonhora.
Muchiitiko chisingawanzoiti kuti zvinetso zvingaita, mishonga yemagetsi inonzi cidofovir inogona kurongerwa. Kunyange zvakadaro, izvi zvinowanzochengeterwa vanhu vane maitiro ekudzivirira zvirwere, sezvakaita avo vane hutachiona hwakakosha .
Iro herpes simplex virus (HSV) inonyanya kukosha chikonzero chekubatanidza asi chinopokana nechinetso chinonyanya kuoma, sezvo zvingaita kuti vadzoke zvakare. Kurapa kunogona kusanganisira nzira yekurinda-uye-kumirira kana mamiriro acho ari munyoro. Matambudziko akakura, umo kukanganisa kunokwanisika kunogona kuitika, kunogona kurapwa pamwe nehutachiona hwehutachiona (zvakadai se ganciclovir gel, trifluridine madonhwe emeso, kana marashi evidarabine) kana muromo wemishonga yemagetsi (yakadai seacyclovir).
Allergic Conjunctivitis
Kazhinji zviitiko zveorganic conjunctivitis zvinorapwa nenzira yakakodzera neOTC antihistamines, masaya sprays, madonhwe emeso, uye nonsteroidal anti-inflammatory drugs (NSAIDs).
Kana zviratidzo zvinoramba zvichiripo kana kuti zvinowanzoitika, mast cell stabilizers , yakadai saAlomide (lodoxamide) kana Alocril (nedocromil), inowanika mumishonga yemadonhwe emaziso. Muzviitiko zve atopic keratoconjunctivitis , umo ngozi yekurasikirwa kwemaono yakakwirira, kushandiswa pamwe chete kwetemikisi mast cell stabilizer uye muromo kana mutsara corticosteroid inowanzobudirira.
Nezviitiko zve giant papillary conjunctivitis , umo kusagadzikana kwenguva refu kune majekisi nemamwe zvinhu zvekunze kunogona kuita kuti pimple-like bumps mujeri remukati, kurapwa kunowanzobvisa kubviswa kwechinhu chekunze. Mast cell stabilizers kana sopical corticosteroids inogona kushandiswa munyaya iyo chinhu chekune dzimwe nyika (sutures kana kuti hutachiona hweziso) hachibviri nyore kubviswa. Kushanduka kubva kune lenzi yakaoma kusvika kune-lens soft kunogonawo kudzivirira kudzokorora.
Ophthalmia Neonatorum
Ophthalmia neonatorum , inonziwo neonatal conjunctivitis, inokonzerwa apo gonorrheal kana chlamydial hutachiona hunoendeswa kumaziso echeche kana ichipfuura nomugero wekuzvarwa.
Kuzvidzivirira izvi, vanaamai vanoongororwa panguva yekuzvarwa vangapiwa chikamu cheCesarea kuderedza dambudziko rekutapurirwa. Pasinei nemararamiro ekutaura, mwana achapiwa mishonga yemaziso ekuberekwa (zvichida tetracycline kana erythromycin) uye chirwere chimwe chete cheecftriaxone kana amai vasingateereri gonorrhea.
Kana mwana wacho achiwedzera zviratidzo zvegonococcal conjunctivitis, hora yeawa yega yega yega inoshandiswa kusvikira iyo yakasunungurwa ichibviswa, inotsigirwa neawa mana yekushandiswa kwebhakitracin mafuta. Rimwe remazuva manomwe emasikirasiyo aizogadziriswa. Ceftriaxone, ciprofloxacin, uye penicillin zvinoshandiswa zvakanaka.
Chekuita chlamydial conjunctivitis , teteketeti tetracycline kana erythromycin marashi ingashandiswa kanomwe zuva rimwe nerimwe kwemavhiki matatu, pamwe ne systemic erythromycin kuderedza dambudziko repneumonia.
Chimwe chimiro chisingawanzozivikanwi neonatal conjunctivitis, chinokonzerwa nehutachiona hwemaperembudzi , inogona kurapwa ne acyclovir inoponeswa intravenously kwemazuva gumi nemasere kudzivirira kupararira, utachiona hwehutachiona.
Emergency Care
Kemikari conjunctivitis inokonzerwa nekusvibiswa neutsi, futi, zvinodhaka, nezvimwe zvinokonzera tsvina. Mhando dzakajeka, dzakadai sedzo dzinokonzerwa neutsi kana chlorine, kazhinji vanozvigadzirisa pachavo mukati mezuva.
Kunyange zvakadaro, kuwedzera kwakanyanya, kwakadai seiyo inokonzerwa neacid (yakadai sedziva kana bhatiririya) kana kuti alkali (yakafanana neammonia kana kuti yakanatsa yakachena), inofanira kunyatsoputirwa nemvura panguva yekuchengetedzwa kwekutsvaga. Izvi zvinonyanya kuitika nea alkali zvinopisa izvo, kunyanya kupfuura asidi, zvinogona kukuvadza zvakanyanya maziso, kazhinji mumaminitsi mashoma.
> Sources:
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> Bilkhu, P .; Wolffsohn, J .; uye Naroo, S. "Kubudirira kwezvipatara zvinonzi nonpharmacologic kwenguva yakawandisa zvinokonzerwa neorgenic conjunctivitis." Ophthalmology. 2014; 121 (1): 72-78. DOI: 10.1016 / j.ophta.2013.08.087.
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