Kunyange zvazvo ziso rinowanzova rinowanzoreva kujunjuntivitis , kune mamwe mamiriro ezvinhu anogonawo kuita kuti ziso rive rakatsvuka. Kuongorora kwakanyatsogadzikana uye kushandiswa kwemakirini akaenzana emurairi kunogona kubatsira kusiyanisa pakati conjunctivitis nemamwe mamiriro ezvinhu akaoma.
Kuongorora Kwepanyama
Conjunctivitis inonyanya kuongororwa nekuongororwa kwakaitwa mumuviri.
Nhamba Yemaziso Akabatwa
Bhakterial conjunctivitis inotanga kutanga muziso rimwe asi rinowanzopararira pane rimwe ziso. Viral conjunctivitis, zvisinei, zvinowanzokonzera ziso rimwe chete.
Eye Discharge
Conjunctivitis kazhinji inokonzera kubuda kubva muziso. Kana chikonzero chacho chiri bhakitiriya, kubudiswa uku kunowanzo kuoma uye kuchena, kureva, tsvuku kana ruvara. Iko kunowanzoita kukonzera izvo zvinogona kuita kuti zvive nyore kuvhura ziso mangwanani.
Viral conjunctivitis, kune rumwe rutivi, inowanzove yakanyorova mvura yakasununguka. Kunyange zvazvo kubudiswa uku kunogona kumira, hazviiti kumanikidzira ziso rakavharwa.
Subconjunctival Hemorrhage
Ziso rose rinotora ruvara rwayo kubva mumidziyo yeropa inopisa. Rimwe rinokonzera kupisa ropa rinowedzera apo imwe yemidziyo yeropa inopera. Panzvimbo pemitsetse tsvuku tsvuku mumuchena weziso rako, uchaona chigamba chakajeka chekundu.
Kunyange zvazvo inogona kuonekwa muchimiro, haisi ngozi uye kazhinji inodzoka muvhiki kana maviri.
Izvozvo zvinokonzera kupisa zvinowanzoonekwa neviral conjunctivitis.
Kudzora Lymph Nodes
Kuongorora kwakakodzera mumuviri hakusi kwemaziso chete. Lymph nodes dzakapoteredza nzeve nemutsipa dzimwe nguva zvinogona kuvhuvhuta uye zvinyorova nehutachiona, asi kwete mabhakitiriya, conjunctivitis.
Miedzo inokosha
Zvichienderana nehupenyu hwako uye zviratidzo, mushandi wako wehutano angasarudza kuwedzera kuongororwa panguva yekuongorora kwako muviri.
Eversion of the eyelid
Ziso rose rinogona kuitika kana muviri wekunze uchipinda muziso rako. Kusvikira muviri iwoyo wekune dzimwe nyika wabviswa, iwe unogona kunge une kuputika kwemaitiro. Muchengeti wako wehutano angada kuisa firipi yako yepamusoro mukati kuti uone kuti pane chimwe chinhu chakakanganiswa pakati pemajeri ako uye neziso rako rinogona kukonzera kutsamwa.
Iyo nzira inogona kunge inorwadza asi haina. Mune zvimwe zviitiko, anesthetic eye madonhwe anogona kushandiswa kukuita kuti uwedzere kufara panguva yekuongorora.
Fluorescein Eye Stain
Rima machena machena-yakasvibiswa dhayi inonzi fluorescein inogona kuiswa muziso rako kutsvaga kutsamwa uye kukuvadza izvo zvisingagoni kuonekwa pane chiitiko chekuongorora. Dhayi inotonhora cornea uye inovhenekera kune dzimwe nzvimbo uko masero epithelial masero akasununguka kana kuti akabviswa.
Nharaunda dzinovhenekera nedhesi dzinogona kuva chiratidzo chekorne abrasion kana kuratidza dendritic pattern inowanzoonekwa neye herpes simplex maziso ekuona . Dhayi inogona kuita kuti zvive nyore kuwana mutumbi kunze kweziso.
Fluorescein inowanikwa muziso rako nekuita iwe kubwinya pamapepa epepa rakagadzirwa kana kuishandisa madonhwe eziso. Mupiki wako wehutano achazoona ziso rako pasi pe cobalt bluu chiedza. Zvose, muedzo unotora maminetsi mashoma kuti uite.
Pakutanga, vatsvene vemaziso ako vanotora ruvara rwejena asi misodzi yemasikirwo inosuka kunze kwe fluorescein kwemaminitsi kusvika maawa. Chero chinonzi fluorescein chinogunzva ganda rakakomberedza ziso rinogona kupisa ganda rako kwezuva kana maviri.
Slit Lampu Kuongorora
Chimwe chekuongorora chemaziso chinogona kuitwa kuburikidza nekushanda kwechiedza . Izvi zvinosanganisira microscope inopenya danda rakaisvonaka rechiedza muziso rako. Mushandi wako wehutano achashandisa lenzi dzakasiyana kuti aongorore makamuri epamberi pamwe nemakamuri ekupedzisira eziso rako.
Iyi midziyo inowanzowanikwa muhofisi ye ophthalmologist asi mamwe mahofisi ekuchengetedza kwepamusoro, makiriniki ekukurumidzira, uye dhipatimendi rekukurumidza inogonawo kuva nekwaniso kwechiedza chekatsotsi.
Dhiyabhorosi Miedzo
Kuongorora mabhuku kunogona kuvandudza kukwana kwehutano uye kunogona kubatsira kutungamirira kurapa kwakanyatsoshanda. Mushure mezvose, bhakitiriya conjunctivitis inogona kuda maantibioti, asi zvirwere zvehutachiona zvinozvidavirira uye zvinoporesa pachavo. Izvozvo zvakati, vazhinji vanopa utano hwehutano vanowanzotora zvichienderana nekliniki yavo yekuongorora chete.
Culture
Nzira yegoridhe yekuongororwa chero hutachiona hutsika. Hazviiti chete kuti mabhakitiriya anokonzera kukonzerwa, asi anokwanisa kuongororwa nemishonga yakasiyana-siyana inorwisa mabhakitiriya kuratidza kuti ndeapi ayo anoshanda.
Kujunjuntivitis, sampu yemisodzi kana chimwe chekubuda kwemavara kunogona kuunganidzwa nes swab uye kutumirwa ku laboratory. Dambudziko nemitambo ndeyokuti rinogona kutora mazuva kuti zviwane zvigumisiro. Izvozvo zvakanyanya kurega kumirira kurapwa.
Kunze kwekunge uine zvirwere zvinopesana kana zvekare, tsika dzinowanzoshandiswa kuongororwa conjunctivitis.
PCR Kuedza
Polymerase chain reaction (PCR) inyanzvi inoshandiswa iyo inoshandisa DNA kubva muenzanisi kuona kana utachiona huripo. Kusiyana netsika, haikwanisi kutarisa kushandiswa kwemishonga inorwisa mabhakitiriya.
Kana zvasvika kune conjunctivitis, PCR inogona kushandiswa kuvhara zvose mabhakitiriya nemavirusi. Bhakitiriya yakajairika yakaongororwa ndeye chlamydia uye gonorrhea . Adenovirus, iyo inokwana makumi 70 kubva muzana yezvose conjunctivitis cases, uye herpes simplex mavairusi anewo maPCR anoedzwa. Migumisiro inowanzowanikwa mukati maawa makumi maviri nemaviri.
Rapid Adenovirus Screening
Kunyange zvazvo PCR inogona kukurumidza kushanda, haisi kubvumira vatsigiri vezvehutano kuti vaongorore panguva yekushanya kwako. Izvozvo zvinogona kureva kunonoka pakurapwa.
Chiratidzo chekurumidza-che-kutarisira ikozvino chawanikwa. Iyo inowedzera kune yese serotypes yeadenovirus uye inogona kushanda muhofisi yako yehutano wehutano. Maminitsi gumi, iwe uchaziva kana une chirwere. Muchiitiko ichi, haudi mishonga inorwisa mabhakitiriya uye unogona kuchengetedza pamari yekurapa. Zvinosuruvarisa, kwete mahofisi ose anopa muedzo.
Kana ikapiwa, muedzo wacho uri nyore. Chiremba wako achakupa kutuka kweziso rinokosha, tambanudza maofidi ako pasi pasi, ipapo isai tsvimbo yekuedza kumeso ako emukati macho, nekunyora zvishoma kuti uwane shanduro.
Kusiyanisa Kuziva
Vazhinji varwere vane ziso rinonzi pink vanoita sevanorwara kana kuti vanozvimiririra uye havadi kutumira kune an ophthalmologist. Conjunctivitis inogona kukonzerwa nebhakitiriya uye mavairasi asi zvimwe zvinokonzera kufanana nemakemikari, kukonzerwa nemakemikari, uye kushungurudzika zvinowanzoonekwawo.
Dombo mureza zviratidzo zvinofanirwa kukurudzira kupfuurira kuongorora zvinosanganisira fever, kurwadziwa kweziso zvakakomba, kana kutadza kuona. Izvi zvinofanira kuita kuti kuve nekukurumidza kuongororwa nean ophthalmologist.
> Sources:
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> Jacobs DS. Conjunctivitis. Mu: Sullivan DJ, ed. UpToDate (Indaneti) , Waltham, MA. Yakavandudzwa February 2018.
> Prokopich CL, Hrynchak P, Elliott DB, Glanagan JG. Ocular Health Assessment. Muna: Elliott DB, ed. Nzira dzeKliniki mu Primary Primary Care . 4th ed. Philadelphia, PA: Elsevier; 2014: Chitsauko 7.
> Holtz KK, Townsend KR, Furst JW, et al. Kuongororwa kweAdenoPlus Point-of-Care Test yekutarisisa Adenoviral Conjunctivitis uye Migumisiro Yayo paAnterbiotic Stewardship. Mayo Clinic Proc: IQO. 2017 Sept; 1 (2): 170-175. doi: 0.1016 / j.mayocpiqo.2017.06.001.
> Wood M. Conjunctivitis: Diagnosis uye Management. Community Eye Health. 1999; 12 (30): 19-20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1706007/.