Zilonda zam'mimba ndi matenda
Kornea ndi minyewa yoyera kutsogolo kwa diso. Zilonda zam'mimba ndi zilonda zotseguka kunja kwa diso. Nthawi zambiri zimayambitsidwa ndi matenda. Poyamba, zilonda zam'mimba zimawoneka ngati conjunctivitis, kapena diso la pinki.
Zilonda zam'mimba zimayamba chifukwa cha matenda a bakiteriya, mavairasi, bowa, kapena tiziromboti.
- Acanthamoeba keratitis imapezeka mwa ogwiritsa ntchito mandala. Zitha kuchitika mwa anthu omwe amapanga njira zawo zokometsera.
- Fungal keratitis imatha kuchitika pambuyo povulala kwam'mimba komwe kumakhudzana ndi chomera. Zitha kukhalanso mwa anthu omwe ali ndi chitetezo cha mthupi.
- Herpes simplex keratitis ndi matenda opatsirana kwambiri. Zingayambitse kuukira mobwerezabwereza komwe kumayambitsidwa ndi kupsinjika, kuwala kwa dzuwa, kapena vuto lililonse lomwe limachepetsa chitetezo chamthupi.
Zilonda zam'mimba kapena matenda amtunduwu amathanso kuyambitsidwa ndi:
- Zikope zomwe sizimatsekeka konse, monga ndi Bell palsy
- Matupi akunja m'diso
- Mikwingwirima (kumva kuwawa) pamaso
- Maso owuma kwambiri
- Matenda owopsa a diso
- Matenda osiyanasiyana otupa
Kuvala magalasi olumikizirana, makamaka mawonekedwe ofewa omwe atsala usiku umodzi, atha kuyambitsa zilonda zam'mimba.
Zizindikiro za matenda kapena zilonda zam'mimba ndi monga:
- Maso osawona bwino
- Diso lomwe limawoneka lofiira kapena magazi
- Kuyabwa ndi kumaliseche
- Kuzindikira kuwala (photophobia)
- Maso opweteka kwambiri komanso amadzi
- Patch yoyera pa cornea
Wothandizira zaumoyo wanu akhoza kuchita izi:
- Mayeso a zidutswa za chilonda
- Fluorescein banga la cornea
- Keratometry (kuyeza kokhotakhota kwa cornea)
- Kuyankha kwapapillary reflex
- Mayeso obweza
- Kudula nyali
- Kuyesa kwa diso lowuma
- Kuwona bwino
Kuyezetsa magazi kuti muwone ngati ali ndi vuto lotupa kumafunikanso.
Chithandizo cha zilonda zam'mimba ndi matenda zimadalira chifukwa. Chithandizo chiyenera kuyambitsidwa posachedwa kuti zipewe ziphuphu za diso.
Ngati chifukwa chake sichikudziwika, mungapatsidwe madontho a maantibayotiki omwe amalimbana ndi mitundu yambiri ya mabakiteriya.
Chifukwa chenichenicho chikadziwika, mutha kupatsidwa madontho omwe amachiza mabakiteriya, herpes, ma virus ena, kapena bowa. Zilonda zamphamvu nthawi zina zimafuna kumuika.
Madontho amaso a Corticosteroid atha kugwiritsidwa ntchito pochepetsa kutupa ndi kutupa munthawi zina.
Wothandizira anu angakulimbikitseni kuti:
- Pewani zodzoladzola m'maso.
- MUSAMVALA magalasi olumikizira, ngakhale mutagona.
- Tengani mankhwala opweteka.
- Valani magalasi oteteza.
Anthu ambiri amachira kwathunthu ndipo amangosintha pang'ono m'masomphenya. Komabe, zilonda zam'mimba kapena matenda zimatha kuwononga nthawi yayitali ndikusintha masomphenya.
Zilonda zam'mimba osachiritsidwa zimatha kubweretsa ku:
- Kutayika kwa diso (kawirikawiri)
- Kutaya kwambiri kwamaso
- Zipsera pa cornea
Itanani omwe akukuthandizani ngati:
- Muli ndi zizindikiro za zilonda zam'mimba kapena matenda.
- Mwapezeka kuti muli ndi vutoli ndipo zizindikilo zanu zimaipiraipira mukalandira chithandizo.
- Masomphenya anu amakhudzidwa.
- Mumakhala ndi ululu wamaso womwe ukuwopsa kapena ukukula.
- Makope anu kapena khungu lozungulira maso anu limatupa kapena kukhala lofiira.
- Mukumva mutu kuphatikiza pazizindikiro zina.
Zinthu zomwe mungachite kuti muteteze vutoli ndi monga:
- Sambani m'manja mukamagwiritsa ntchito magalasi anu.
- Pewani kuvala magalasi olumikizirana usiku.
- Pezani chithandizo mwachangu cha matenda amaso kuti muchepetse zilonda.
Bakiteriya keratitis; Fungal keratitis; Acanthamoeba keratitis; Herpes simplex keratitis
- Diso
Austin A, Lietman T, Rose-Nussbaumer J. Zosintha pakuwongolera matenda opatsirana a keratitis. Ophthalmology. 2017; 124 (11): 1678-1689. (Adasankhidwa) PMID: 28942073 pubed.ncbi.nlm.nih.gov/28942073/.
Aronson JK. Lumikizanani ndi magalasi ndi mayankho. Mu: Aronson JK, mkonzi. Zotsatira zoyipa za Meyler za Mankhwala Osokoneza bongo. Wolemba 16. Waltham, MA: Elsevier BV ;; 2016: 580-581.
Azar DT, Hallak J, Barnes SD, Giri P, Pavan-Langston D. Microbial keratitis. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 113.
Cioffi GA, Liebmann JM. Matenda a mawonekedwe owoneka. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 395.
Efron N. Corneal kudetsa. Mu: Efron N, mkonzi. Lumikizanani ndi Zovuta za Lens. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 18.
Guluma K, Lee JE. Ophthalmology. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 61.