I-mucosa emincane kakhulu emboza amashiya, kanye nezinkophe zangaphakathi, ibizwa ngokuthi yi-conjunctiva. Ijwabu leso elingaphezulu, liwugqinsi, njengomcamelo omncane. Inezindlala ezingezelelekile ze-lacrimal, inhloso yazo ukuvikela iso ukuba lingangeni. Ngaphezu kwalokho, umsebenzi wokuzivikela wenziwa ngukuqhumula - ukuhlanza imizimba emincane yabafokazi.
I-Conjunctivitis emakati, njengabantu, ukuvuvukala kwe-conjunctiva. Ngokuya esithombeni somtholampilo, lesi sifo sihlukaniswa nezinhlobo, ngasinye sazo sinezimpawu ezithile. Ngaphezu kwalokho, kunezinto ezahlukahlukene ezingavusa ukuthuthuka kwalesi sifo. Izenzo zokwelapha zibangelwa uhlobo lokugula kanye nenkambo yalo.
Izimbangela ze-conjunctivitis emakati
I-Conjunctivitis iba nokuvuvukala kolwelwesi olungabonakali lwe-sclera yeso lamehlo kanye nengaphakathi lejwabu leso, i-conjunctiva. Lesi sifo sicasula ukucasuka kwangaphandle nangaphakathi. Esimweni sokuqala, ukuvuvukala kwasendaweni kuqala, ku-conjunctivitis yesibili iba uphawu lokutheleleka ngegciwane, igciwane kanye namagciwane, i-helminthiases.
Izichasisi ezilandelayo ziba umfutho ekwandeni kwalesi sifo:
- Ama-Allergener. Amakati ngamuntu ngamunye ahlukaniswa ngokungabekezeleli impova, izakhi zokuhlanza, nemithi. Ukuqothuka okungaguquki kuyacasula i-conjunctiva.
- Amanxeba, imizimba yangaphandle. Izimpumputhe, uboya buhlikihla i-mucosa, kulimaze ngomshini izicubu. Izindawo ezilimele ziphenduka izikhungo zokusabalala kwe-microflora ye-pathogenic.
- Amagciwane, amagciwane, isikhunta. Imithambo yegazi ingena kuyi-conjunctiva, ngakho-ke amagciwane ahamba nokugeleza kwegazi kuye kolwelwesi lwe-mucous lamehlo. Isikhunta singena imvelo yangaphandle ngokusebenzisa ama-microcracks.
- Amakhemikhali. I-conjunctiva iyavutha ngemuva kokuhlwitha amakhemikhali asendlini, futhi ukuxhumana ngqo nabo kuholela ekushisweni kwezicubu.
- Kubanda. Ngokuphikisana nesizinda sokwehla komzimba, ukuvuvukala okuvela kuphephisi lokuphefumula elingenhla kusakazekela ezithweni zamehlo.
- Amaphara. I-Conjunctivitis iqala njengomphumela wokusabela komzimba emikhiqizweni yedoti yama-helminth nama-ectoparasites.
- I-Ultraviolet. Imisebe ye-UV ivusa ukushiswa kwe-conjunctiva ne-cornea.
Lapho amasosha omzimba ephelelwa amandla, ukuvuvukala kudlula kusuka ezicutshini zesikhumba zomakhelwane. I-Conjunctivitis ye-etiology esithathelwanayo idluliselwa kwezinye izilwane; ubunzima be-pathogen abayingozi kubantu.
I-catarrhal ese-acute
Leli fomu libonakaliswa ukuvuvukala kwamehlo, i-lacrimation ngokweqile, eguqulwa ibe yi-viscous ne-fluid fluid (i-exudate). Ukuqunjelwa kuqongelela ekhoneni leso, kudaleke inkungu, futhi ngemuva kokulala isikhathi eside kungagxilisa amehlo ezinkombeni zekati ngokusoma ngaphandle. Uma ungekho ukwelashwa, inkambo ebuhlungu iguqulwa ibe inkambo engapheli.
Ku-catarrhal conjunctivitis engapheli, inani elincane lokuphuma likhishwa ngokuhlelekile emehlweni. Kubonwa kaningi ekhoneni elivele selomile. Ukulimala okuphawulwayo nokuvuvukala kuyaphawulwa.
Ngenxa yokuqhekeka isikhathi eside, izinkophe ziyavutha, kwesinye isikhathi izinwele ziqala ukuphuma endaweni yeso.
I-Purulent
Nge-conjunctivitis enjalo, amehlo amabili avame ukuthinteka ngasikhathi sinye. Ngaphezu kwesithombe sokwelashwa kwendabuko, ngokuvuvukala kokuhlanjululwa kwe-conjunctiva, isifiso sekati siyancipha, ukuqina okubabayo, nobuhlungu kuholela ekunciphiseni imvamisa yokushaywa. Izinga lokushisa libuye liqale ukugxuma, kunokuvuvukala okuqinile komgodi wamehlo nokukhishwa okusobala okukhanyayo ngephunga elingathandeki, ubomvu obonisiwe we-conjunctiva futhi iso uqobo liyaphawulwa.
I-Follicular
Lolu uhlobo olubi kakhulu lwe-conjunctivitis emakati. Ngefomu eseceleni, kuboniswa lezi zimpawu ezilandelayo: iso ngokwalo liyancipha, i-purulent exudate igeleza kusuka kunoma yiluphi uhlangothi futhi inqwabelana ku-ijwabu leso elingaphansi, futhi hhayi nje ekhoneni, izinkophe ziyavuvukala, i-conjunctiva enzima kanye ne-eye hyperemia iyabonakala, kukhuphuka kobuhlungu kanye nokuqina kwemisipha emisebeni yezinkophe. .
Lesi sifo sitholakala ngokuhambisana nezimpawu zomtholampilo ezishiwo. Kwezinye izimo, udokotela wezilwane ubeka ucwaningo lwelabhorethri olususiwe esweni ukuze anqume ngokunembile i-pathogen futhi andise ukusebenza kahle kokwelashwa kokulwa nomuthi.
Ukwazi ngokuqinisekile ukuthi ikati lakho noma ikati lakho line-conjunctivitis, futhi hhayi esinye isifo, funda lo mbhalo wokuthi kungani amehlo abo enamanzi noma ehle kakhulu.
Amagciwane, amagciwane kanye nesikhunta
Enye yezimbangela ezivame kakhulu ze-conjunctivitis. Amehlo angahlulela kalula isimo sempilo yesilwane. Cishe noma yisiphi isifo segciwane noma isifo esibangelwa ukuvuvukala kwe-conjunctiva. Ngezifo zokukhunta, i-pathogen ihlala ku-mucosa uqobo bese iyayithinta. Ukwelapha isifo esidalwa yisikhunta kunzima kakhulu.
Ukusabela komzimba
Ukwenziwa kwe-conjunctivitis ye-allergic nayo kubonwa kaningi. Kulesi simo ngezilwane ezifuywayo, njengabantu, nge-allergies, kuboniswa izimpawu ezifanayo.
Ukusabela okwenziwa yi-allergic kubonakala ngendlela yekhala egelezayo, ukuthimula, ukulunywa, ukuklebheka ku-larynx noma ezindlebeni, kanye nokugqekeza. Ububomvu, ukuvuvukala nokulunywa kwe-conjunctiva kuyaphawulwa. Ungaqeda lolu hlobo lwalesi sifo kuphela ngemuva kokuqeda izimpawu zokungezwani nekati.
Kulokhu, uzodinga ukunquma okucasulayo bese ukuwuqeda ngokuphelele, futhi isilwane sizodinga ukwelashwa.
Ukulimala ngomshini
Ngisho nomonakalo omncane ungadala ukutheleleka. Ukuvikela lesi simo, izindlala zithola izinyembezi eziningi. Ngenxa yalokhu, "ukuhlushwa" kwamagciwane kuyancipha, noma kunjalo, ukuzisusa ngokuphelele ngale ndlela ngeke kusebenze. Ngokuhamba kwesikhathi, amanye ama-bacterium angama-pathogenic angathola inxeba.
Ngenxa yalokhu, ikati liba nokuvuvukala kwe-conjunctival.
Noma yikuphi ukulimala kwamehlo, kungaba isilonda esweni noma esweni uqobo, kuyingozi. Kukhona ubungozi bokulahleka kombono kuwo womabili amacala nowesibili.
Amakhemikhali
Esimweni esifanayo, ukuthuthukiswa kwe-catarrhal conjunctivitis kwikati kubonwa ngokufakwa komsi wamakhemikhali kulwelwesi lwama-mucous. Ukushiswa kwe-conjunctival kuyingozi kakhulu ngoba kungenza isilwane singaboni uma singaphenduli ngokushesha.
Ngenxa yelukuluku layo lemvelo, ikati, selibonile ukuthi isitsha esithile esinamakhemikhali sivulekile, sizoqala ukusikhipha. Uma kukhulunywa ngokufundwa kwe-powder chemistry, kungenzeka "kokuthola" ukuvuvukala kwe-conjunctiva kukhuphuka.
Kulokhu, i-ejenti yokuhlaselwa kwalesi sifo izoba izinhlayiya ezincane zomuthi, isebenze njengomzimba ongaziwa emehlweni, okuholela kumonakalo kwi-mucosa.
I-Irradiation
Ukulimaza amehlo esilwane kuyakwazi ukusebenzisa i-x-ray kanye ne-radioactive, kanye nemisebe ye-ultraviolet. Amakati kufanele avikelwe kunoma yiluphi uhlobo.
Abanikazi bezindawo zokudla ezisebenzisa izibani ze-ultraviolet kufanele bazi ukuthi ukudalulwa okunjalo kuyingozi kuzo zombili izilwane nakubantu.
Ngaphezu kwalokho, udinga ukuqaphela futhi unamantombazane, uvame ukuthola amadivaysi akhethekile we-ultraviolet ukuze afeze i-polymerization ye-gel polish ekhaya. Ngenkathi leyunithi isebenza, kukhishwa ukukhanya okukhanyayo okuheha isilwane.
Ngokubona isikhathi eside ukukhanya, izinkinga zokuhlangana zizovela ngokushesha okukhulu.
Qiniseka ukuthi ufunda i-athikili mayelana nezinye izifo zamehlo emakati, ukuze ungadideki i-conjunctivitis nganoma yini.
Amaphara
Ukuthuthukiswa kwe-conjunctivitis kuqala ngaphansi kwethonya lamathumbu, ama-parasites angaphandle noma i-protozoa ethile "evele izimpande" emehlweni. Imvamisa lokhu kubangelwa ukuwohloka kokusebenza kwamasosha omzimba kanye nokwakheka kokungezwani nezinto ezinobuthi ezikhishwe ngama-helminth ngesikhathi sokuphila komzimba.
Ukugeza
Ekuqaleni, amehlo akhululwa kuma-mucous kanye nama-purring secretion, ukugcwala kususwe. Lokhu kuzosiza ukuwasha nge-decoction nge-calendula noma i-chamomile noma kufanele usebenzise i-furatsilin ngendlela yesisombululo (1 ithebhulethi ithulisiwe ingilazi yamanzi). IVata ivusa ukucasuka kwe-mucosa, ngakho-ke kungcono ukusebenzisa i-bandage. Iso ngalinye ligezwa nge-swab ehlukile.
Isixazululo ngaphambi kwenqubo silethwa ekushiseni komzimba. Ukusebenzisa i-potassium permanganate ne-boric acid kuyingozi. Lokhu kuzodala ukushisa uma umthamo ungalungile noma uma izinhlayiya zento zingancibiliki ngokuphelele.
Izithambo zamehlo
Ngesikhathi sokuqala, izidakamizwa zokusetshenziswa kwangaphandle zinqunyelwe. Amafutha aqukethe i-antibiotic afakwa ngemuva kwejwabu leso eliphansi izikhathi ezi-4 phakathi nosuku.
Umuthi usetshenziswa usebenzisa induku yengilazi enensipho eyindilinga, ngaphambi kokuqhubeka nenqubo, udinga ukuyibamba emanzini ashisayo.
Amakhambi aphumelela kakhulu avela kuleli qembu:
Amaconsi
Amaconsi wamehlo ekwelashweni kwe-conjunctivitis asetshenziswa izikhathi ezi-8 phakathi nosuku. Ukusetshenziswa okunqunyiwe:
- I-Colbiocin
- UMaxitropa
- Eubitala
- U-Iris
- I-Albucid
- I-Dexamethasone
- Moxifloxacin.
Kokubili ukugcotshwa kwamafutha namaconsi kufakwa emehlweni amabili, noma ngabe inqubo yokuvuvukala yenzeka koyedwa. Ngaphambi kokuqhubeka nenqubo, kufanele ususe ama-secretion kanye nama-crlings ngokuphulukisa amehlo nge-liquid antiseptic.
Ukuphathwa kwe-Intramuscular of antibiotics
Uma kutholakala uhlobo olunzima lwe-conjunctivitis, ama-antibiotic anqunyelwe ukufakwa emisipha. Ukuphathwa okunjalo kubekelwe ukuvuvukala kwe-purulent, parenchymal kanye ne-follicular ye-conjunctiva. Njengoba imishanguzo inemizwa engemihle, ilawulwa ngaphansi kokuqashwa kukadokotela wezilwane.
Njengomthetho, ukwelashwa kumiselwe:
- I-Doxycycline
- Ceftriaxone
- I-Ciprovet (ciprofloxacin).
Ama-antihistamines
Ukwemukelwa kwama-antihistamines kunqunyelwe ekwelapheni uhlobo lwe-aljgic lwe-conjunctivitis.
Amakati anikezwa imithi efanayo neyabantu, ngakho udokotela wezilwane kufanele anqume umthamo ngqo.
Imvamisa, izilwane ezifuywayo zinikezwa incwadi yokwamukela:
Le mishanguzo ikhethwa ngudokotela wezilwane onakekela izivivinyo zaselebhu kanye nobunzima balesi sifo, ukuzelapha kulimaza impilo yesilwane.
Lapho isiteji esibuhlungu sisuswa, kunconywa ukwelashwa kolwelwesi lwe-mucous nge-solcoseryl eye iso.
Umuthi uthanda ukusheshiswa kwezinqubo zokululama ku-conjunctiva ngemuva kwesifo. Uma ungekho umphumela ovela ekwelashweni, ukuxilongwa kuyaphindwa futhi uhlelo lokwelashwa lushintshiwe.
UMnu Cat weluleka: izindlela zokuthibela
Ukuvuvukala kwe-Conjunctival kungukugula okuvamile. Uyakwazi ukushaya ikati elincanyana nesilwane esidala. Ngalesi sizathu, umnikazi ngamunye kufanele ahambisane nezidingo ezithile ukuvimbela ukuvela kwezifo:
- Susa okusalungiswa nezinguquko zokushisa. Ikakhulu uma uthenge isilwane.
- Gcina amasosha omzimba evikela umzimba.
- Ngokuvakashela umtholampilo wezilwane ukuhlelela ukuhlolwa okujwayelekile.
- Susa izifo ezivelayo.
- Gomela ngasikhathi sonke isilwane.
- Gcina amakhemikhali wasendlini angangeni emakati.
- Khawulela ukuthintana kwezilwane zasekhaya namakati adukayo.
- Uqhamuka emgwaqweni, ugeze izandla zakho ngokucophelela ngaphambi kokubingelela isilwane sakho.
Ukuvuvukala kwe-Conjunctival emakati kuyisifo esithathelanayo esibi esidinga ukunakwa. Lesi sifo akumele sifunde kuphela ukubona nokwelapha, kepha futhi nokuvikela. Umgomo oyinhloko wokwelashwa okufika ngesikhathi ukuvikela ukukhula kobumpumputhe ezilwaneni.
Ukuchazwa kwezifo
Ingxenye yeso emakati ikhuphuke nge-membrane emile ye-mucous (conjunctiva), egcina izinga elifanele lomswakama ebusweni bobubanzi besohlo ngokusabalalisa izinyembezi.
Noma yikuphi ukucasulwa (ngaphandle noma ngaphakathi) kungalimaza i-conjunctiva ebucayi (ngenxa yokuqongelela okukhulu kwemithambo yegazi nokuphela kwezinzwa) futhi kuholele ekukhuleni kokuvuvukala, okubizwa ngokuthi yi-conjunctivitis.
Izinhlobo ze-conjunctivitis
Kunezinhlobo eziningi kanye nezindlela zesifo:
- i-conjunctivitis eyinhloko (inegciwane ngqo esweni),
- I-conjunctivitis yesibili (ikhula ngemuva kwesinye isifo, njengesixakaxaka, ngenxa yokuguqulwa kokuvuvukala kusuka ezicutshini eziseduze, ngokwesibonelo, nokulimala kwemishini),
- i-acute conjunctivitis (inqubo enamandla yokwenza kusebenze izimbali zamagciwane kanye nezimpawu zomtholampilo),
- i-conjunctivitis engapheli (inqubo ende nevilaphayo).
I-acute catarrhal conjunctivitis
Lokhu kuyi-conjunctivitis ebunjiwe ngokubomvu kolwelwesi lwe-mucous, ukuvuvukala kanye nokuguqula ijwabu leso lekati. Ngenxa yokuqothuka okwandayo, izindlela ezimanzi zakha ebusweni besilwane. Ikati lizwa izinhlungu, livame ukugeza futhi lihlambe indawo yeso ngezihlakala zalo. Inqubo ingathinta iso elilodwa noma womabili.
Le ndlela ye-conjunctivitis ithathwa njengengayilimazi kakhulu futhi itholakala kalula ngamaconsi okulwa nokuvuvukala.
I-purulent conjunctivitis
Kubonakaliswa ukwakheka ngokweqile kwe-turus e-greenus pus kanye ne-crusts emakhoneni wamehlo. Uma kungekho ukwelashwa, inqubo iyaqina, kuvela iphunga elingathandeki, izinkophe zekati ziyavuvukala futhi zinamathele ndawonye, izinwele ezizungeze izinkophe ziyaphuma.
Nge-purulent conjunctivitis, amakati avame ukuba nobuthakathaka, umkhuhlane kanye ne-Photophobia. Lesi sifo sidinga ukwelashwa ngemithi elwa namagciwane.
I-Follicular conjunctivitis
Uhlobo olunzima kakhulu lwe-feline Conjunctivitis. Ngayo, kunokuvuvukala kwama-follicle we-lymphatic akwi-conjunctiva, kanye nokuvela kwekhulu lesithathu.
Inqubo ye-pathological iba kancane, kuphume ukungabaluleki kokukhubazeka. Lapho uhlola ulwelwesi lwe-mucous lwamehlo ebusweni bangaphakathi bejwabu leso, amaqoqo ezinhlamvu ezibomvu ezimnyama ayabonakala.
Lolu uhlobo lokulimala oluyingozi oludinga ukwelashwa okungathi sína ngaphansi kokuqashwa ngudokotela wezilwane. Ukungenelela kokuhlinzwa kwesinye isikhathi kuboniswa - ukususwa kwekhulu lesithathu.
I-Parenchymal conjunctivitis
Lokhu kugula kubonakaliswa ukuvuvukala okunzima kwamajwabu amehlo, ukufihla okuchichimayo kwe-serous-mucous noma i-purud exudate, ukwesaba ukukhanya. I-conjunctiva iba bomvu kakhulu futhi iphuma ngale kwe-palpebral fissure.
Ukuphuma kwe-purulent komile kancane kancane, futhi lapho sisuswa, ukopha kungavela. Uma lesi sifo singaqalwa ukwelashwa ngesikhathi, i-kitten ingahle ibonwe.
I-Allergic conjunctivitis
Uma kwenzeka kuvela ukubonakala kwekati ekhefini, okuthiwa "izindlela ezibucayi" zakha izinwele ngaphansi kwamehlo. Ngenxa yokuqothuka okungapheli, ulwelwesi lwama-mucous alucasuki, luphenduka lube bomvu futhi luvutha amalangabi.
Isibalo sesilwane sibukeka kahle, ikati livame ukugezwa, bese “izindlela ezixegayo” zithola umbala obomvu ngokuhamba kwesikhathi. Lesi sithombe sivame ukubonwa kuzinhlobo ezimfishane ezibhekene namakati ezinemibala emhlophe (Persian, exotic, Scottish).
Izimbangela ze-conjunctivitis emakati
Izizathu zihlukahlukene kakhulu:
- ukulimala kwemishini nokulimala, ukungcola,
- Amakhemikhali asekhaya anephunga elinamandla (amapende, ama-aerosols, ama-deodorants),
- izifo ezithathelwanayo zamakati (i-virin rhinotracheitis, calicivirosis, chlamydia),
- Ukungena kwezibungu zokuhlanza ezinhlamvwini zamehlo,
- Ukudla okomile okungakhethwe kahle (uma kukhona ukungabekezelelani kwemikhiqizo ethile),
- I-eyelid trichiasis - ukukhula kwe-eyelashes ngaphakathi kweso lekati.
Izimpawu
Izimpawu ezejwayelekile ze-conjunctivitis emakati yilezi:
- i-photophobia (kukhanya kosuku, isilwane sicasha emthunzini, ngoba sizwa izinhlungu lapho amehlo eshukumisa),
- ukuvuvukala nokubomvu kolwelwesi lwe-mucous,
- ukukhotha okuthuthukile kwama-paws angaphambili kanye nokugeza ubuso
- ukwehla kwesifiso sokudla.
Ngokwakheka okukhulu kwe-exudate, izinkophe ziyanamathela, lokhu kuyabonakala ikakhulukazi nge-virjon ye-conjunctivitis emakati.
Kubalulekile! Cishee-60% yamacala okutheleleka kwe-conjunctivitis, izimpawu zivele iso elilodwa, futhi ngemuva kwezinsuku ezimbalwa iso lesibili lihilelekile kule nqubo.
Ezitheni ezinamehlo anqabile (kufinyelela ezinsukwini eziyi-10 ubudala) i-conjunctivitis nayo akuyona into engjwayelekile. Kakhulu ukutheleleka kuvela kumama futhi kuwuphawu lwe-rhinotracheitis ethelelekile. Kubonakaliswa ukuvuvukala kwamajwabu amehlo, ukukhululeka kwe-purulent ngokwakhiwa kwama-crusts.
Yiziphi izimpawu okufanele ngibone udokotela ngokushesha
Uma isenzo sekati sishintsha kakhulu, ukukhononda ngokweqile kwesigaxa kanye nama-paws kuyabonakala, ngenkathi isifiso sincipha, kufanelekile ukuxhumana nodokotela wezilwane ukuthola izeluleko. Udinga futhi ukuqapha amandla okushisa esilwane kabili ngosuku.
Uma kungenakwenzeka ukuvakashela udokotela wezilwane ngosuku olulandelayo, kunconywa ukuthi unikeze usizo lokuqala esilwaneni. Kuyadingeka ukusula indawo yeso nge-antiseptic (isixazululo seFuracilin noma i-Chlorhexidine ehlutshiwe).
Ukuzikhethela amaconsi kwamehlo (ikakhulukazi kusuka kwithuluzi losizo lokuqala lomuntu) akunasidingo, ngoba kungamangalisa inqubo kuphela.
Ukuxilongwa kwe-conjunctivitis emakati
I-algorithm yokuxilonga ye-conjunctivitis emakati ifaka izinyathelo ezilandelayo:
- Ukuhlolwa kwesilwane, inhlolokhono yomnikazi mayelana nalo lonke ushintsho ekuziphatheni kwekati.
- Isampula yegazi yokuhlaziywa okujwayelekile nokwelashwa (lokhu kuyadingeka ukukhomba ubungako benkqubo yokuvuvukala).
- Ukuthatha ama-swabs kusuka ku-conjunctiva ukwenza ukuhlolwa kweLabhoratri yi-PCR (i-polymerase chain reaction). Lokhu kuzosiza ekuboneni uhlobo lomsuka wokutheleleka (igciwane, igciwane noma igulile).
- Uma kunesidingo, kungadingeka ukuthi uhlwanyele ukuphuma kwe-microflora ngokuzimisela kokuzwela emithini elwa namagciwane, okuzoqhubeka nokwenza lula ukukhetha kwemithi.
- Emitholampilo enezinto zesimanje, banganikela ukuyohlola ikati besebenzisa i-biomicroscopy (besebenzisa idivaysi ekhethekile yamehlo - isibani se-slit). Inqubo ikuvumela ukuthi uhlole izinkophe, i-conjunctiva, i-cornea, igumbi elingaphandle, i-iris futhi kancane i-lens ngemizuzu engu-5-7.
Ungayiphatha kanjani i-conjunctivitis emakati
Ukwehlisa lesi simo, kubalulekile ukunikeza isilwane ukuthula egumbini elinokukhanya okufiphele, futhi uhlambe amehlo ngesisombululo se-antiseptic.
Ukwelashwa kwe-acute catarrhal conjunctivitis kufaka ukusetshenziswa kwamaconsi e-ophthalmic anezakhi ze-antibacterial. Ukucubungula kwenziwa kabili ngosuku, enkambweni yezinsuku ezingama-5-7.
Ngokuvuvukala kwamehlo ngokuphuma kwe-purulent, amathonsi kanye namafutha okugcoba ngama-anti-spectrum wokubulala amagciwane anqunyelwe. Uma ikati linokuvuvukala nokuqina okukhulu, ungafaka amaconsi ama-2 we-2% we-Novocaine solution ngaphansi kwejwabu elingezansi, lokhu kuzodambisa isimo.
Uhlobo lwe-conjunctivitis lwe-allergic aludingi ukwelashwa ngaso sonke isikhathi. Uma imbangela yalesi sifo iqedwa ngesikhathi (shintsha ukudla, ungasebenzisi i-aerosols ngephunga le-pungent, njll.), Ikati lizolulama lodwa. Ngaphandle kwalokho, ukusetshenziswa kwama-antihistamines enzelwe abantu kuyakhonjiswa (ngokwesibonelo, uSuprastin, uZyrtec, uLoratadine). Umthamo kanye nenkambo yokwelashwa kufanele kunqunywe udokotela wezilwane.
Ekwelashweni kwe-virjonis conjunctivitis emakati, kusetshenziswa izidakamizwa eziningi: i-hyperimmune serum Vitafel, i-Globfel, i-anti-spectrum elwa namagciwane i-Ceftriaxone, i-Amoxicillin noma i-Enrofloxacin, amavithamini kanye nokwehla kwamehlo neLevomycetin.
I-follicular conjunctivitis yamakati iphathwa kuphela endaweni yezempilo, ngoba kuzodingeka ukuhlanza kwekhulu lesithathu nge-anesthesia (i-retrobulbar blockade ifaka ukwethulwa kweNovocain esikhaleni esingemuva kwamehlo).
Amaconsi ekati alwa nokuvuvukala anqunywe udokotela, kucatshangelwa ukuthi lesi sifo siqatha kangakanani.
Kubalulekile! Ekwelapheni ama-kittens namakati akhulelwe, ukusetshenziswa kwama-antibiotic afana ne-tetracycline ne-ciprovet ku-contraindicated.
Ukusetshenziswa kwamaconsi
Amaconsi e-Ophthalmic ekwelapheni i-conjunctivitis emakati manje amelwe kakhulu emakhemisi wezilwane nasezitolo zezilwane. Ukwenziwa kwamalungiselelo kuqukethe i-antibiotic (kumthamo ofanele wesilwane esincane) noma ezinye izinto ezilwa nokuvuvukala.
Amaconsi asendaweni yonke amakati, izinja, izinduku, onogwaja.
Sibutsetelo izidakamizwa bezilwane ngesimo amaconsi iso:
Isihloko | Ukwakheka okusebenzayo | Izinhlobo zokwelashwa | Contraindication |
---|---|---|---|
Amabha (i-AgroVetProtection) | I-Chloramphenicol 0.25%, furatsilin 0.02% | I-1 yehla izikhathi ezingama-3-4 ngosuku, inkambo amaviki angu-1-2 | Uma kukhona ukungabekezelelani ngakunye ezingxenyeni zomuthi |
U-Iris (AgroVetProtection | I-Gentamicin 4% | I-1 iso elweni ngalinye izikhathi 4 ngosuku, amasonto 1-1.5 | Uma kukhona ukungabekezelelani ngakunye ezingxenyeni zomuthi |
Anandin (Mediter) | IGlucoaminopropyl Acridone 2% | 2 kwehla izikhathi ezi-2 ngosuku, izinsuku ezi-5 | Uma kukhona ukungabekezelelani ngakunye ezingxenyeni zomuthi |
I-Tsiprovet (AgroVetZashchita) | I-Ciprofloxacin 0.45% | I-1 yehla izikhathi ezingama-3-4 ngosuku, inkambo amaviki angu-1-2 | Ungasebenzisi kittens kanye imidlwane ngaphansi kweminyaka engu-7 ubudala |
I-Desacid (bee-lar) | IGentamicin, iRoyal Jelly, i-Amber Acid | Amaconsi amabili esweni ngalinye izikhathi ezintathu ngosuku izinsuku ezingama-7 | Uma kukhona ukungabekezelelani ngakunye ezingxenyeni zomuthi |
ILacrican (I-Vet ephezulu) | I-Polysept 0.02%, i-anestezin 0.002%, menthol 0.005% | I-1-2 yehla izikhathi ezingama-2-3 ngosuku, inkambo amaviki 1-1.5 | Akufunwanga |
I-Ophthalmosan (ApiSan) | I-Chlorhexidine ne-presinic acid | 2 kwehla izikhathi ezingama-1-3 ngosuku, inkambo ngeviki e-1 | Uma kukhona ukungabekezeleli okwandayo ezingxenyeni zomuthi |
I-Decta-2 (ApiSan) | I-Gentamicin, i-Dexamethasone | I-2 yehla izikhathi ezingama-2-3 ngosuku, izinsuku eziyi-5- 10 | Ukungabekezelelani komuntu ngamunye, izilonda zokuguguleka komzimba, i-glaucoma |
Kubalulekile!I-Albucid -umuthi womuntu osetshenziselwa amakatiayemukeleki. Leli thuluzi libangelaikati linomuzwa ovuthayo ovuthayo ngenxahypersensitivityithuthukiswe kakhulu kunabantu. Ngakho-ke, akunakwenzeka ukwelapha i-conjunctivitis emakati enalesi sidakamizwa, inqubo izokwanda kuphela.
Ku-ophthalmology yezilwane, kunezimo ezivame kakhulu zokuchaza izidakamizwa zesintu ezibhekwa njengezifanelekele ekwelapheni amehlo amakati. La maconsi yile:
- I-Chloramphenicol (ukwakheka kuyafana namaconsi wezilwane eBars),
- I-Tsiprolet (analog Tsiprovet),
- I-Phloxal (ayikho i-analogues yezilwane),
- UTobrex (akekho uzakwabo wezilwane).
Ukusetshenziswa kwale mishanguzo kuvunyelwe uma kunqunywe ngudokotela wezilwane.
Ungasifaka kanjani isidakamizwa emehlweni wekati nge-conjunctivitis:
- Lungisa isilwane (bopha ithawula noma indwangu eminyene).
- Izidabuli zesithupha nezithupha zivula izinkophe zekati.
- Yehla 1-2 ekhoneni elingaphandle lamehlo.
- Khulisa kancane amehlo akho ukuze usatshalaliswe kangcono komkhiqizo.
Ukusetshenziswa kwamafutha okugcoba
Izithambiso ze-Ophthalmic zithathwa njengezisebenza kakhulu ku-ophthalmology, ngoba zihlala isikhathi eside emgodini we-conjunctival futhi zinomphumela owandisa. Kodwa-ke, ekusetshenzisweni kwezilwane e-Russian Federation, kuphela i-tetracycline ointment ekugxilweni kwe-1% isetshenziselwa ukwelapha amakati i-conjunctivitis (ngokusho kwedatha ka-2020).
Ezitolo zezilwane banganikeza i-Optimmun yezidakamizwa, kodwa ngokwemiyalo yomenzi, ukugcotshwa kwamafutha kuhloselwe izinja, ngakho-ke ukuqokwa kwayo kufanele kuqinisekiswe ngudokotela wezilwane.
Ungayifaka kanjani i-oyile ekati:
- Beka isilwane, lungisa ama-paws.
- Vula iso ngokucophelela bese ubeka amafutha okugcoba ngemuva kwejwabu leso.
- Vala izinkophe bese uthambisa izicubu ngobumnene.
- Ukucwaninga iso lesibili.
Inqubo kumele yenziwe ngokucophelela ukuze ungacindezeli iminwe esibukweni samehlo.
Ukusetshenziswa kwamafutha e-tetracycline ku-conjunctivitis yamakati kusho ukusetshenziswa kwayo izikhathi ezingama-2-3 ngosuku izinsuku ezingama-5-7.
Ukwelashwa oku-systemic kwe-conjunctivitis
Esimweni sokutheleleka okungathi sína (i-purulent, phlegmonous, follicular conjunctivitis) noma lapho kutholwa i-ejenti yegciwane, odokotela bezilwane bafaka imithi elwa namagciwane kanye namathebulethi kuhlelo lokwelashwa.
Inhloso yesidakamizwa esithile sinqunywa isimo sokuphila kwesilwane, ukuthuthukiswa kwezifo ezihambelana nobucayi besifo.
Izidakamizwa ezinqunyelwe kakhulu ezinezithako ezisebenzayo ezilandelayo: I-Ciprofloxacin (Ciprovet 5%), i-Enrofloxacin (Baytril 2.5%), Amoxicillin (Betamox), Azithromycin. Ezimweni ezimbi kakhulu, kunqunywa i-Gentamicin ne-Tetracycline (izidakamizwa ezidala nemiphumela emibi).
Ukwelashwa oku-systemic kukhethwa ngakunye isilwane ngasinye ngemuva kokuhlolwa okunzulu. Ukuzilapha kuleli cala akwamukeleki.
Isimo sezulu
I-Feline conjunctivitis ukugula okungathi sína futhi kungaba ngumphumela wegciwane noma okunye ukutheleleka. Ngaphandle kokungenelela kwezokwelapha, lesi sifo siba esingamahlalakhona futhi singadala ushintsho lwe-pathological ekwakhekeni kweso, okuholele ebumpumputhe. Ngakho-ke, kubaluleke kakhulu ukuhlinzeka ngosizo lwesikhathi esifanele esilwaneni esigulayo futhi silondoloze ukubukeka okubonakalayo. Ukwelashwa kusenesikhathi kuqalwa, kulapho kunethuba elikhulu lokuqagela okuhle.
Ukuvimbela I-Conjunctivitis
Ukuze ukubukeka kwekati kuhlale kucace futhi namehlo abe bukhali, kumele kubhekwe imithetho embalwa elula:
- goma isilwane minyaka yonke ngokumelene nezifo ezibangelwa amagciwane kanye ne-chlamydia,
- hlambulula amehlo nezindlebe masonto onke ngokuhlanzwa kwezilwane noma izimbumbulu zamakhambi,
- phatha ikati njalo ngenyanga ngezifo zangaphandle,
- Gwema ukuxhumana nezinto ezinephunga futhi ungafafazi i-aerosols eduze kwesilwane,
- zihlukanise namakati adukayo.
Amehlo wekati ayisitho esisengozini enkulu, esivame kakhulu ukuvuvukala njalo. Ngakho-ke, umnikazi okhathalelayo kufanele aqonde ukuthi impumelelo ekwelapheni i-conjunctivitis incike ekulandelaneni okunekhono kwezenzo nasekuqalisweni okuqinile kwemiyalo kadokotela wezilwane.
Yini i-conjunctivitis?
I-conjunctiva yilonda elicwengekileyo kakhulu le-mucous elimboza i-eyeball kusuka ngaphandle kanye namajwabu amehlo angaphakathi. Ngaphezu kwalokho, esweni elingaphezulu, ubukhulu balo bukhulu, lifana nomcamelo omncane. Inezindlala ezingezelelekile ezivimbela i-cornea ukuthi ingomile futhi isuse nemizimba yangaphandle kuyo.
I-Conjunctivitis kulezi zilwane emithini yezilwane isho inqubo yokuvuvukala ku-conjunctiva, emugqa futhi ivikele isitho sombono. Ukuthi isilwane esigula kangakanani lesi sifo sibukeka kanjani esithombeni.
Izinhlobo ze-conjunctivitis, izimbangela nezimpawu
Lesi sifo emakati sinegciwane, amagciwane, isikhunta, ikhathalogi, i-allergic futhi i-follicular. Ihlukaniswe ngezinhlobo ngokuya ngomthombo wesilonda. Uhlobo ngalunye lwe-conjunctivitis lubonakala ngesithombe esithile sasemtholampilo. Ukuze unqume imbangela yokuvuvukala kwe-conjunctiva, udinga ukwazi ukuthi yileso naleso fomu esivele sikhona esiveza lesi sifo.
Ukuvuvukala kwegciwane (ukuhlanzeka) kwamehlo
Ukuthuthukiswa kwe-purulent conjunctivitis emakati nasemakhitheni kucasulwa ngamagciwane ahlukahlukene. Lesi akusona isifo esingenangozi kakhulu. Ungayibona ngezimpawu ezilandelayo:
- ukwabiwa kwe-purulent exudate kusuka esithweni esithintekile - ubomvu buvela emakhoneni wamehlo, ezinweleni esifundeni se-infraorbital, emajwabuzini,
- ukonakala kwemisebe,
- ukuvuvukala ulwelwesi lwama-mucous.
Ekuguleni kakhulu, izinga lokushisa lomzimba liyenyuka. Ngokuthuthuka kwayo, ukugeleza kwe-purulent kugcwele, kuthola i-hue ephuzi noma eluhlaza. Ukuvuvukala okungama-purulent kwe-conjunctiva kungakhula kube yikeratitis, okungaholela ekuphepheni ngokuphelele kwesilwane.
Ifomu lamagciwane
Amagciwane ahlukahlukene abangela lolu hlobo lwe-conjunctivitis. Lolu hlobo lwesifo lungenzeka ngendlela efile noma engalapheki. Esimweni sokuqala, amehlo wesilwane asilimele futhi asikhihla, izinyembezi zigobhoza kakhulu, izinkophe ziyagcwala, uzihlikihla ngaso sonke isikhathi, uzama ukwehlisa izinhlungu. Ngokuphikisana nesizinda se-pathology, isifiso sesilwane singadamba futhi izinkinga zokugaya ukudla zingaqala.
Imininingwane yezimbangela ezivame kakhulu zokuthuthukiswa kwalesi sifo kwifomu legciwane yethulwe etafuleni:
Izimbangela zesifo | Izici | Izimpawu (ngaphezu kwe-conjunctiva evuthayo) |
Uhlobo lokutheleleka nge-Herpesvirus 1 | Kuthinta i-nasal cavity, pharynx kanye namehlo. Idluliselwa ngamaconsi ahamba emoyeni futhi ngokuxhumana. |
|
I-calcivirosis | Kuthinta ipheshana lokuphefumula elingaphezulu. |
|
I-Virit peritonitis | Kuyisifo esingalapheki esiyingozi kakhulu. | Esigabeni sokuqala, kuboniswa ngokuvuvukala kwezicubu zemithambo yamehlo. Lesi sifo singathinta noma yisiphi isitho somzimba wekati. |
Ukutheleleka kwesikhunta kwe-Conjunctival
Izimbangela zokutheleleka kwesikhunta kwe-conjunctiva yalezi zilwane ezifuywayo kungukuthi isikhunta se-pathogenic. Lolu hlobo lwe-conjunctivitis luphawu lwezifo ezingamahlalakhona ezinjenge-actinomycosis, i-expressionomycosis, i-aspergillosis. Lolu uhlobo oluyinkimbinkimbi lwalesi sifo, ukwelashwa kwalo kudinga umzamo omkhulu nesikhathi. Isifuyo esigulayo siyalimala, sivuvukele futhi sinamanzi, iso elithintekile linamanzi kakhulu, liba olubulalayo futhi libulalise, liphelelwe inzalo ngokudla.
Izinhlobo nezimpawu ze-conjunctivitis
Kungakhathalekile ukuthi yiziphi izinto ezidonsayo, lesi sifo siqala ngendlela efanayo. Ikati liba nokuphumula: lifihle ukukhanya, limboze futhi lihlikihle amehlo akhe. Ekuhlolweni, ukuvuvukala kwejwabu leso, ubomvu be-sclera, ukwanda kwe-lacrimation, ukuphuma komzimba kucacile.
Izimpawu ezilandelayo zincike kubukhali nohlobo lwe-conjunctivitis.:
- Catarrhal. Lolu hlobo lubhekwa njengolungenabungozi kunabanye, ukuvuvukala kuqala ngenxa yokusabalala kwe-streptococci ne-staphylococci ku-conjunctival sac. Ngokwelashwa okufanele, lesi sifo silinganiselwe kuzimpawu zokuqala futhi selashwa kungakapheli isonto.
- I-Purulent. Leli fomu livela ngenxa yokuphathwa ngokungafanele noma ngokunganaki kwe-catarrhal conjunctivitis. Ukuphuma kwamehlo kuba mnene, kube ngamafu, kube luhlaza okotshani. Ijwabu limbozwe ngogwebu, isikhumba simanzi eduze kwamehlo bese sikhanyiswa, izinwele ziphuma. Isilwane siba nokungakhathali, sidla okubi kakhulu, singavuli izinkophe. Ngaphandle kokwelashwa, umbono wekati uyawa, izinkinga ziqala: i-panophthalmitis, keratitis
- I-Follicular. Ukuvuvukala kuya kufinyelela kuma-follicle we-lymphatic wekhulu lesithathu. Ikati lihlala likhala, licwilisa. Ifilimu elinamafu limboza amehlo, i-purulent exudate igqamile. I-follicles efukanyisiwe ibukeka njengamashubhu abomvu, ijwabu leso liyavela. Ezimweni ezinzima, isilwane sithuthukisa i-Photophobia, asikhiphi ngaphandle kwamakhona amnyama ezindlini.
- I-Parenchymal. Inqubo yokuvuvukala ithinta izicubu ze-conjunctiva kanye ne-subconjunctival, i-pus iqoqana ngaphansi kwe-epithelium. Izicubu ze-Mucous ziyaqina, zimbozwe ngama-abscesses, umbala ushintsha usuka obomvu ogqamile ube nsundu. I-exudate iyoma, yakha uqweqwe, lapho isusiwe, kuqalisa ukopha. Uma ingalashwa, ifomu le-parenchymal liphela lingaboni.
- Allergic. Lolu hlobo luhambisana ne-profuse lacrimation, ngenxa yokuthi i-conjunctiva icasukile. Ukubonakaliswa okwengeziwe kuxhomeke ekujuleni kokuvuvukala: kusuka ekuqongeleleni okuncane kokubumbana emakhoneni wamehlo kuya kuma-secretions aminyene nokuhlangana kwegazi.
Ekhosini ebabayo, lesi sifo siqala kungazelelwe, kube nezimpawu ezishiwo. I-conjunctivitis engaphendulwanga iba engapheli.Izimpawu zemitholampilo ziyasulwa, ngaphansi kwezimo ezingezinhle ziphinde zanda, kunzima ngokwengeziwe ukubhekana nalesi sifo.
Izindlela zokwelapha isifo
Usizo lokuqala ukuhlanza amehlo ama-mucus, cr crus, pus. Ukuze wenze lokhu, sebenzisa i-decoction ye-calendula, chamomile noma isisombululo se-furatsilina: ithebhulethi engilazini yamanzi. Imicu yekotoni icasula ulwelwesi lwama-mucous, ngakho-ke bathatha i-bandage, ngeso ngalinye udinga i-swab ehlukile. Uketshezi lokugeza lulethwa ekushiseni komzimba. I-Manganese, i-boric acid ayiphephile ukuyisebenzisa. Isilwane siyoshiswa uma umthamo ungalungile noma okusanhlamvu okungahlanganisi ngokuphelele.
Ngemuva kwalokho isilwane siyiswa emtholampilo wezilwane. Udokotela unquma imbangela nohlobo lokuvuvukala olususelwa kwinhlolovo, ukuhlolwa kwangaphandle kanye nohlobo lokuphuma emzimbeni. Ngenxa yezizathu ezingacacile, kwenziwa izivivinyo zaselebhu. Ukuhlaziywa kwe-cytological kokuklwebheka kwe-conjunctival kwembula i-ejenti ye-causative. Ukuhlolwa kwegciwane kwe-smear kuthola amagciwane angama-pathogenic, kunquma ukuzwela kwawo kumithi elwa namagciwane. Ngaphezu kwalokho, kuyahlolwa ukuhlolwa kwegazi okune-biochemical and clinical.
Lapho amagciwane, ama-helminths ekhonjwa, ukwelashwa kuhloselwe ukuwaqeda. Ngokuhambisana, kuzokwakhiwa uhlelo lokwelapha ukuvuvukala kwamehlo.
Esigabeni sokuqala, ama-ejenti angaphandle anqunyelwe:
Ukwelashwa kokuvuvukala kwamehlo ezinkomeni ekhaya
Ezimweni eziningi, ukwelapha lesi sifo kuvunyelwe ekhaya. Kodwa-ke, lokhu akusho ukuthi ungazitholela imithi. Kubalulekile ukuthi ungagcini nje ngokuqeda izimpawu - ubomvu, ukuvuvukala kanye nokwanda kwe-lacrimation, kodwa futhi nokususa i-pathology eyisisekelo eholele kule nkinga. Udokotela wezilwane kufanele ahlole futhi anikeze umuthi.
Izidakamizwa zezilwane
Ukususa ngokushesha lesi sifo, kufanele ususe imbangela yaso, ngaphandle kwalokho yonke imizamo izoba ngeze. Uma iso lesilwane selivuthiwe ngenxa yokungezwani komzimba, unikezwa ama-antihistamines, uma lokhu kwenzeka ngenxa yomonakalo wesitho sokubonwa ngamagciwane agciwane, izidakamizwa ezilwa namagciwane ngeke zisatshalaliswe. Le nkinga iyasuswa, njengomthetho, usebenzisa amaconsi namafutha okugcoba. Ithebula linikeza imininingwane ngezidakamizwa ezisetshenziselwa ukumisa inqubo yokuvuvukala ku-conjunctiva:
Ukulungiselela | Imodi yesicelo | |
Sula usizo | Amehlo edayimane | Iso elithintekile ligezwa kaningana ngosuku. |
Izikhumba | I-Tetracycline ne-erythromycin ointment, iLevomycetin, iSofradex | Inani elincane lemali lidonswa ijwabu leso kabili ngosuku. |
Amaconsi | I-Dexamethasone, i-Conjunctivin, imigoqo ye-Lacrimin Aseptic, i-Tsiprovet, i-Barrier | Isixazululo sifakwa emzimbeni wesitho esikhanyisiwe. Lapho unquma umthamo nesikhathi sokusetshenziswa, kufanele ulandele izincomo zabakhiqizi noma ulandele imiyalo kadokotela wezilwane. |
Amakhambi esintu
Uma le nkinga ibalulekile futhi kungekho zinkambiso ezingathi sína ezibangela ukwenzeka kwayo, ungaphendukela kosizo lwamakhambi abantu. Kwezinye izimo, bavunyelwe ukusetshenziswa ngokuhambisana nokwelashwa kwezidakamizwa. Kodwa-ke, ngaphambi kokusebenzisa, kumele kuvunyelwane nodokotela wezilwane, ngaphandle kwalokho ikati lingalimala kakhulu. Ungaselapha lesi sifo ngosizo lwama-decoctions amakhambi. Imininingwane yokulungiswa kanye nokusetshenziswa kwezindlela zokwelapha abantu ekwelashweni kwe-conjunctivitis emakati yethulwe etafuleni:
Izithako eziyinhloko | Ukupheka | Ukusebenza |
I-Chamomile | 1 tsp Amakhambi owomile athululela ama-200 ml wamanzi abilayo. Bilisa isisombululo phezu kokushisa okuphansi imizuzu engu-7-16. Ngemuva kokupholisa, gcizelela ihora eli-1, bese uhlikihla ngezendlalelo eziningana ze-gauze ehlanzekile. | Faka ku-2-3 amaconsi entweni egulayo kaningana ngosuku, faka i-compress noma hlambulula amehlo. |
Dill | Cindezela ujusi kusuka kumakhambi amasha ahlanziwe. | Yenza ama-lotions wezokwelapha. |
Aloe | Cwilisa ujusi emgqeni wesitshalo ohlanzekile osanda kugezwa. Ifafaze ngamanzi abilisiwe engxenyeni ye-1: 10. | Faka ama-2-3 amaconsi ekhambi izikhathi eziningana ngosuku esweni elithintekile, cindezela noma hlamba amehlo. |
Dogrose | Gaya 1 tbsp. l izithelo zesihlahla. Hlanganisa isisindo esidingekayo nengilazi engu-1 yamanzi. Bilisa le ngxube imizuzu engu-10, bese uyifaka isigamu sehora, ipholile futhi uyixineke. | Ngecezu ze-gauze oyinyumba oswakanyiswe ngethuluzi, susa kokukhipha i-purulent kanye ne-mucus. |
I-Plantain | 10 g yembewu yezitshalo ixubene no-200 ml wamanzi abilayo. Thela le ngxube imizuzu engama-30, bese upholile bese uxaka. | Sula isitho esinegciwane ngethala lekotini elinyiswe uketshezi lomuthi. |
Amafutha e-almond | Akudingeki | Faka ama-2-3 ehla kulwelwesi lwesikhumba. |