Kab mob conjunctivitis nyob rau hauv cov me nyuam: kev kho mob thiab cov tsos mob

Conjunctivitis hais txog qhov mob ntawm cov mucous membrane ntawm lub qhov muag - lub conjunctiva, uas ua rau ntau yam kab mob, kab mob thiab cov phaj nyaj. Wb to taub yuav ua li cas qhia kab mob conjunctivitis nyob rau hauv cov me nyuam. Kev kho kuj yuav piav qhia rau hauv cov ntsiab lus hauv tsab xov xwm no.

Zog thiab cov nta ntawm cov qauv ntawm lub conjunctiva

Conjunctiva yog ib qho nqaij ntshiv uas npog cov sab nrauv ntawm lub qhov muag thiab sab hauv sab hauv ob lub qhov muag daj, ua tus thawj hnab tshos rau sab qaum thiab sab. Ntau cov qog nyob rau hauv cov ntaub so ntswg ncig ntawm lub qhov muag ua ib lub kua dej kua thiab ib qho tshwj xeeb protein compound - mucin. Ua ke lawv tsim ib qho kev tiv thaiv zoo thiab muaj kev phom sij xws li qhov muag, muab qhov muag ntsia pom kev muaj peev xwm thiab kev khiav haujlwm.

Dua li ntawm qhov txheeb ze ntawm lub cev, qhov conjunctiva yog ib qho tawv nqaij multilayered cov organic uas xa mus rau hauv qhov chaw mob ntsws epithelium. Cov kav dej ntawm cov tawv muag thiab cov plaub muag muaj ntshav txaus rau lub conjunctiva, lub network ntawm lymphatic hlav ua ib txheej ntawm cov kab mob tiv thaiv cov kua qog, cov kua muag thiab qhov muag ntawm qhov muag muab lub plhaub nrog lub siab. Yog li, tsis tsuas yog lub xeev ntawm ob lub qhov muag, tab sis kuj pom kev pom tseeb nyob ntawm seb ib txwm muaj pes tsawg leeg thiab ua haujlwm ntawm tag nrho cov khoom ntawm cov ntaub so ntswg conjunctive. Yog li, kab mob bacterial conjunctivitis yog qhov txaus ntshai. Cov tsos mob thiab kev kho hauv cov me nyuam yuav tsum tau ua tib zoo saib xyuas.

Tus kab mob conjunctiva yog thawj tiv thaiv qhov muag thiab qhov feem ntau yooj yim heev rau cov teebmeem ntawm ntau sab nraud, cov kab mob thiab cov phaj nyaj.

Tsis tas li xwb, cov kwj deg nasolacrimal tsis tsuas yog ntes cov teardrop uas ua rau plua plav thiab cov kab mob ua rau hauv cov huab cua, tab sis kuj ua rau cov txheej txheem rov qab, thaum kis kab mob, cov kab mob los yog kev ua xua hluav taws xob mus rau hauv lub qhov muag ntawm lub qhov muag thiab ua rau cov neeg tsis sib haum xeeb. Muaj kab mob bacterial conjunctivitis (cov duab hauv cov menyuam yaus tshwm sim ntawm tus kab mob no koj pom hauv peb tsab xov xwm).

Nws yog ib qho tseem ceeb kom paub tias thaum lub caij cov khaub thuas kis kab mob los yog tiv tauj nrog cov neeg mob uas muaj kab mob txaus ntshai (piv txwv, measles lossis rubella), lub npog tiv thaiv tsis pab, vim hais tias cov kab mob tsis yeem nkag mus hauv lub cev los ntawm cov kauj nasolacrimal los ntawm qhov muag.

Cov tsos mob ntawm conjunctivitis

Yog li, kab mob bacterial conjunctivitis tau ua tshwm hauv cov menyuam yaus li cas? Kev kho yog xaiv raws li cov tsos mob.

Nyob rau hauv ib qho kev noj qab haus huv hauv lub cev, lub conjunctiva muab lub qhov muag nrog txaus noo noo, kev ywj pheej ntawm txav rau hauv cov kua txob tsim kua muag, txo nws hwj ib qho thaiv kev tiv thaiv uas tsis txo qhov muag pom thiab pom lub peev xwm ntawm lub qhov muag.

Thaum lub qhov muag pib khaus, hlawv, nce zuj zus, nyob rau ntawm lub pobtej tawm ntawm cov kabmob ntawm cov hlab ntsha, cov kabmob txawv txav thiab mob nqaij ntshiv thaum lub qhov muag, qhov muag lossis tawv nqaij ncig lub qhov muag, nws muaj peev xwm yuav xaus rau cov txheej txheem inflammatory dua hauv cov leeg . Conjunctivitis yog tus kab mob feem ntau uas cuam tshuam rau qhov muag qhov muag.

Tshaj los kho cov kab mob conjunctivitis nyob rau hauv ib tug me nyuam? Lo lus nug no yuav raug suav ua ntej.

Hom mob conjunctivitis

Nyob ntawm seb qhov twg thiab qhov chaw muaj kab mob, muaj peb hom kab mob conjunctivitis, uas yuav tsum tau muaj kev sib txawv kiag li rau kev kuaj mob, kev kho mob thiab kev tiv thaiv.

1. Kab mob bacterial conjunctivitis - tshwm sim los ntawm ntau yam kab mob, xws li staphylococci, chlamydia, thiab cov zoo li no. Lawv poob rau ntawm lub qhov muag ntawm ob sab nraud ntawm sab nraud ib puag ncig nrog kev tu cev, kev ua kom raug mob los yog lub zog ntawm lub cev tsis muaj zog, thiab los ntawm cov kab mob pathogenic microflora ntawm lub cev thaum lub sij hawm xa cov kab mob sib kis. Yog tias kab mob bacterial conjunctivitis tshwm sim hauv cov menyuam yaus, kev kho yuav tsum tau qhia rau kev puas tsuaj ntawm cov kab mob pathogenic.

2. Viral conjunctivitis - cuam tshuam qhov conjunctiva tiv thaiv adenovirus thiab enteroviral mob, influenza, herpes, rubella, chicken pox. Feem ntau cov kab mob kis ntawm tus mob yog los ntawm rhinitis, pharyngitis los yog kab mob sib luag ntawm cov kab mob conjunctivitis.

3. Cov kev tsis haum conjunctivitis nrog zoo tag nrho cov ntaub ntawm kev tsis haum tshuaj tshuaj, khoom noj khoom haus, thiab lom allergens yog concomitant o nyob rau hauv kev tsis haum rhinitis, dermatitis thiab mob hawb pob.

Kab mob bacterial conjunctivitis hauv cov me nyuam. Ua rau

Conjunctivitis nyob rau hauv cov menyuam yaus yog ib hom mob uas tshwm sim heev thiab muaj hnub nyoog txog 5 xyoos yog kuaj tau 30% ntawm tag nrho cov qhov muag qhov muag. Qhov no yog vim yog tus me nyuam lub cev thiab lub cev tsis muaj zog, uas yog lub hauv paus tsim thiab tsis muaj txiaj ntsig zoo tiv thaiv lub cev los ntawm cov teeb meem ntawm qhov tsis zoo. Tseem ceeb yog qhov tseem ceeb ntawm cov menyuam yaus pawg neeg thiab tej yam ntawm lub neej.

Qhov kev kis kab mob siab tshaj plaws ntawm tus mos qhov muag, uas ntxiv qhov tseem ceeb rau kev tu cev thiab cov txheej txheem kev noj qab haus huv, kev ua ntawm cov me nyuam thaum lub sij hawm tsim kom ntev, thaum tus me nyuam pheej txuas lus nrog cov phooj ywg thiab ua qhov chaw sib kis mob ntxiv, kev xav ntawm lub neej ntawm cov me nyuam yaus - Muab kev koom tes rau cov xwm txheej tshwm sim ntawm tus mob inflammation, nrog rau lub qhov muag. Yog li ntawd muaj cov kab mob bacterial conjunctivitis hauv cov menyuam yaus.

Hauv cov me nyuam yug tshiab, nws yog nyob ntawm tus kab mob conjunctivitis uas ua dhau los ntawm leej niam cov me nyuam yug los nrog cov kab mob venereal tsis zoo - gonorrhea los yog chlamydia. Xws li tus mob conjunctivitis tau tshwm sim hauv ob peb hnub tom qab yug tus me nyuam thiab muaj peev xwm muaj kev rau txim loj, xws li dig muag thiab qhov muag tsis pom, yog tias tsis muaj kev kho rau lub sijhawm.

Nrog lub hnub nyoog, qhov kev qhia ntawm cov kev mob hauv cov menyuam yaus pib hloov mus rau ntau yam kev mob ntsws, xws li tus myopia, hypermetropia, astigmatism.

Kev kuaj mob ntawm cov kab mob bacterial conjunctivitis hauv cov me nyuam

Niaj hnub no, txoj kev kuaj mob, kho thiab tu cev ntawm ntau yam kab mob nyob rau hauv cov me nyuam los ntawm tus kws kho mob paub zoo Evgeny Olegovich Komarovsky hnub no muaj hnub nyoog zoo heev. Nws lub tsev kawm ntawv, uas muaj lub vis dis aus thiab luam tawm, tau txais kev pom zoo los ntawm cov neeg tuaj saib thiab txhua tus niam txiv lub luag haujlwm. Ib qho yooj yim, to taub, tsis pub leej twg paub txog cov ntaub ntawv qhia thiab cov txiaj ntsig ntawm cov kws kho mob ntaws tau pab txhawb kom muaj qhov kev paub thiab kev coj noj coj ua ntawm cov pejxeem tu cov hluas.

Ib txoj kev qhia los piav txog cov teeb meem feem ntau nrog me nyuam txoj kev noj qab haus huv thiab muaj cov tswv yim tsim los pub rau cov niam txiv kom paub txog txhua yam ntawm cov ntaub ntawv kho mob thiab xyuas seb yuav xav tau kev pab ntawm cov kws kho mob tshwj xeeb.

Kev faib, kev ua si thiab lub sij hawm ntawm kev mob ntawm cov kab mob bacterial conjunctivitis hauv cov menyuam yaus tsis yooj yim rau cov ntaub ntawv teev tseg, vim hais tias qhov ntau zaus ntawm cov txheej txheem, qhov yooj yim sib txheeb ntawm feem ntau yuav raug tshem tawm ntawm kev mob, qhov kev zoo ntawm kev kho mob yav dhau los - cov hauv paus ntawm no ua rau tsis txaus siab rau cov kws kho mob.

Kev kuaj xyuas yog nyob ntawm seb cov kab mob bacterial conjunctivitis tau ua rau menyuam yaus. Cov tsos mob yuav txawv.

Kev kuaj tus kab mob bacterial conjunctivitis feem ntau yog tsis muaj kev tsim nyog, txij li thaum nws tsis yog qhov tshwj xeeb thiab qhov sib txawv ntawm lwm hom yog qhov muaj cov mucopurulent lossis purulent secretions ntawm cov qhov muag ntawm lub qhov muag los yog nquag qhuav crusts rau ntawm qhov muag. Cov cim tseem ceeb kuj tuaj yeem yog qhov muag daj thiab lub qhov muag ntawm lub qhov muag, qhov tawv nqaij, ua rau lub siab dua, khaus.

Cov me nyuam tsis txaus siab hlawv qhov muag, feem ntau lawv ntsia lawv ob lub qhov muag nrog lawv ob txhais tes, ua neeg nyob, quaj. Tej zaum yuav muaj me ntsis nce hauv lub cev kub. Cov cim no tau tshwm sim rau thaum ntxov ntawm kev loj hlob ntawm kev mob o qhia rau cov niam txiv uas tuaj yeem pom zoo thiab cia koj sai sai thiab ywj pheej ntawm kev kis tus kab mob.

Yog tias, nrog rau lwm cov kev mob tshwm sim, cov yam ntxwv ntawm cov kab mob sib txawv ntawm cov kab mob conjunctivitis tsis muaj cai, txhua qhov xwm txheej uas tus me nyuam tau txais kev mob yuav tsum tau soj ntsuam.

Piv txwv, mus saib cov xwm txheej loj, cov khoom noj tshiab, cov tsiaj txhu, cov khoom ua si tsis huv, dej ua luam dej hauv pas dej, cov taug kev ntev ntev uas ua rau hypothermia los yog lub plav ntawm cov plua plav hauv qhov muag - cov teeb meem no yuav pab ua kom muaj cov tsos mob ntawm cov ua xua lossis viral conjunctivitis.

Yog hais tias muaj kev mob tshwm sim ntau dua (mob hauv qhov muag, qhov muag tsis pom, qhov muag plooj, qhov muag ntawm cov hlab ntsej muag), kev rov hais dua rau tus kws kho mob lossis tsev neeg tus kws kho mob yuav cia kev kho mob sai thiab tsis txhob rov qab tsis zoo. Yog xav paub tseeb tias tus kws kho mob pom tseeb tseeb, tus kws kho mob pom tau tias txhua yam kev mob tshwm sim thiab mob tshwm sim ntawm tus kab mob, ua qhov kev ntsuam xyuas ntawm ob lub qhov muag, tawv nqaij thiab mucous membrane, yog tias tsim nyog, muab kev taw qhia rau ib tus kws kho mob tshwj xeeb - kws kho mob.

Ua ib qho smear los ntawm ib tus kab mob sib kis tau los ntawm kev soj ntsuam ib qho kev soj ntsuam thiab biomicroscopy ua rau nws muaj peev xwm los txiav txim siab tsis meej thiab xaiv cov tshuaj tsim nyog rau kev kho mob.

Muaj qee txoj kev tshawb fawb - piv txwv li, txoj kev Gram thiab Giemsa, uas muaj feem ntau yuav ua rau muaj mob rau ib hom kab mob conjunctivitis. Yog li, qhov kev kuaj hauv neutrophilia hauv qhov mucosal scraping cov ntsiab lus rau cov kab mob ntawm tus mob, cov kab mob qog tsis pom zoo qhov tseeb ntawm tus kab mob kis ntawm conjunctivitis, thiab eosinophilic inclusions yog kev ua xua.

Yog li, tus menyuam muaj kab mob bacterial conjunctivitis. Kev kho mob hauv cov menyuam Komarovsky ntuas kom ua raws li kev saib xyuas ntawm cov kws tshwj xeeb.

Ntau yam kab mob bacterial conjunctivitis

Cov kev tshawb fawb tsis ntev los no qhia tau hais tias tsim tawm ntawm microflora ntawm mucous membrane ntawm lub qhov muag tshwm sim tom qab yug me nyuam, thiab tsis thaum lub sij hawm tso cai ntawm cov me nyuam yug me nyuam, raws li tau xav yav tas los. Ntxiv nrog rau cov kab mob hauv tus cwj pwm rau cov tshuaj microflora, muaj qee yam kab mob pathogenic microorganisms, xws li staphylococci thiab diphtheria, nyob hauv lub qhov muag.

Txawm tias muaj tseeb hais tias cov lachrymal kua no yog muaj li ntawm heev heev tiv thaiv Cheebtsam (immunoglobulins, lysozyme, lactoferrin), Staphylococcus epidermidis ntse nruj heev heev rau kov yeej no barrier thiab stably tam sim no nyob rau hauv lub mucosa ntawm lub conjunctiva. Yog li, muaj kab mob bacterial conjunctivitis. Komarovsky pom zoo rau kev kho mob nrog cov menyuam yaus nrog tshuaj tua kab mob.

Kev Kho Mob

Kev siv cov antibacterials ntawm dav spectrum of action - ciprofloxacin, erythromycin, gentamicin - feem ntau muab cov kev ua tau zoo sai. Txawm li cas los xij, feem ntau tshwm sim los ntawm kev txhaum fab hnyav thiab cov kab mob uas tiv taus cov tshuaj tua kab mob no yog ib qho kev sib cav rau cov kab ntau ntawm cov kab mob uas ua rau mob ntsws thiab xaiv cov tshuaj yeeb dej tshuaj. Li ntawd, loj tuaj yeem yog kab mob bacterial conjunctivitis hauv tus menyuam. Cov kev kuaj mob kho yog qhov zoo.

Diphtheria thiab gonococcal conjunctivitis yuav tsum tau kho qhov chaw hauv zos. Antibiotics-fluoroquinolones, uas tau ua pov thawj zoo nyob rau hauv kev sib ntaus sib tua kab mob ntawm cov kab mob conjunctivitis, tshwj tsis yog cov kab mob tho thiab pneumococcal, yog tam sim no ua thoob plaws. Nws yuav tsum tau muab sau tseg tias qhov ruaj ntseg ntawm ntau cov kab mob rau cov tshuaj no kuj nce zuj zus ntxiv. Qhov no yog ib txoj kev kho mob nyuaj rau kev kuaj kab mob bacterial conjunctivitis hauv cov me nyuam. Tso rau hauv kev kho yog siv ntau zaus, ntau ntxiv txog qhov no tom qab.

Daim ntawv thov ntawm dauv

Ib qho kev ua haujlwm zoo rau kev ua kom muaj tus mob yog qhov sib xyaw ua ke ntawm polymyxin-B rau hauv daim ntawv ntawm cov tshuaj thiab cov tshuaj pleev. Cov dlej yog cov kws qhuab ntuag ntawm 2-3 teev rua 2-3 dos rua huv txhua lub qhov muag, tshuaj pleev xim 3-4 zaug ib hnub twg, hab raug siv rua thaum txug qhov miv nyuas kev rov zoo, kws yog, ntawm 5-7 rau 10-14 nub.

Thaum kis kab mob pneumococcus yog tsim los ntawm pathogen, yaug nrog cov kua tshuaj boric acid, vim hais tias cov kab mob no nyob hauv thaj chaw alkaline, acidification ntawm microflora ntawm lub qhov muag yuav nres qhov kev loj hlob ntawm cov kab mob pathological. Ib co 0.25% -0.5% zinc sulfate ntsiab yog siv rau qee hom bacilli, uas tau thov 4-6 zaug thaum nruab hnub. Qhov no yog qhov kev ntsuam xyuas ntawm "kab mob bacterial conjunctivitis hauv cov menyuam yaus".

Ib txoj hauv kev zoo los kho cov ntaub ntawv ntawm cov kab mob conjunctivitis yog sib txuas hauv kev siv cov tshuaj steroid thiab tshuaj tua kab mob. Tab sis muab cov feem pua ntawm cov teeb meem tom qab kev siv cov tshuaj xws li, lawv tsuas yog hais rau thaum muaj mob loj, thiab thaum mob conjunctivitis tsis tau thov. Nyob rau hauv txhua rooj plaub, yog tias tsis pub dhau 2-3 hnub cov duab khomob tsis kho kom zoo dua los ntawm kev siv cov tshuaj, txoj kev kho mob yuav tsum tau nres thiab qhov yuav ua rau qhov tsis zoo yuav tsum tau ua.

Cov kab mob bacterial conjunctivitis los ntawm lwm yam kabmob purulent-septic disease xws li otitis, tonsillitis, pyoderma, dua li cov kev kho mob hauv zos, yeej yuav tsum tau kho cov kab mob uas ua rau muaj hom kab mob conjunctivitis, thiab feem ntau mus nrog rau qhov kawg.

Lub tswv yim los ntawm Dr. Komarovsky

Yog tias tus mob yog "kab mob bacterial conjunctivitis", cov tsos mob thiab kev kho hauv cov menyuam yaus yog sib cuam tshuam.

Thaum tus thawj cim ntawm conjunctivitis tus me nyuam yuav tsum tau cais los ntawm lwm cov me nyuam tsis kam mus xyuas cov me nyuam cov tsev kawm ntawv. Tom qab lub sijhawm teem ntawm tus kws kho mob lossis kws kho menyuam yaus rau qhov kev kho mob feem ntau yeej ua raws li kev tsim thiab kev siv cov tshuaj. Koj tsis tuaj yeem thov lub qhov muag ntawm lub qhov muag los yog cov ntuag ntev ntev, vim qhov no tiv thaiv kom tsis txhob ntsais muag, uas txhais tau hais tias ntxuav lub kaus hniav membrane nrog ib tug kua muag thiab tshem tawm purulent deposits ntawm cov ntaub so ntswg nyob ib ncig ntawm lub qhov muag.

Qhov ntxuav ntawm lub qhov muag nrog chamomile, calendula, boric acid los yog furacilin ntsiab yog kwv yees 5-8 zaug thaum nruab hnub, txawv rau txhua lub qhov muag nrog wadded, hnyav ncawv hnyav. So tawm ntawm sab ntug ntawm lub qhov muag mus rau sab hauv. Cov tshuaj tiv thaiv tau zoo dua yog siv nrog cov kab sib npaug, tsis txhob kov qhov muag lossis lub qhov muag ntawm lub qhov muag, kom tsis txhob kis tau tus kab mob mus rau hauv lub kav raj.

Tsis tas li, yog tias tsis muaj kev sib cuag, cov tshuaj pleev pleev kws kho mob yuav tsum tau muab tso rau hauv qab qhov muag. Nrog cov kab mob bacterial conjunctivitis, duav nrog levomycetin, albucid, tetracycline lossis erythromycin ointment.

Txij li thaum zoo tag nrho txhua hom ntawm cov kab mob conjunctivitis nrog lub syndrome ntawm qhuav qhov muag, qhuav ntawm daim tawv nyob ib ncig ntawm lub qhov muag, uas, thaum siv antimicrobials xwb amplified, kom muaj ib tug ruaj khov av noo mucosa kub lug ob lub qhov muag kua muag hloov pab thov xws tshuaj "Sisteyn" thiab "Vidisik". Yog li ntawd, koj tuaj yeem tua cov kab mob bacterial conjunctivitis hauv tus menyuam muaj 6 xyoo. Kev kho mob, tau kawg, yuav tsum tau pom zoo nrog tus kws kho menyuam yaus.

Kev tiv thaiv ntawm tus kab mob conjunctivitis hauv cov me nyuam

Qhov kev tiv thaiv zoo tshaj plaws ntawm ib tus kab mob tsis kaj siab yog qhov qhia tas li ntawm cov me nyuam rau kev tu cev. Kev ntxuav tes rau cov mos ab, kev kho mob ntawm cov khoom ua si thiab sab hauv rau qhov dej tshuaj tua kab mob, zaub mov noj, piav txog qhov tseem ceeb ntawm kev kho mob ua ntej txiv hmab txiv ntoo thiab zaub, cov nqaij ntim thaum lub sij hawm noj mov yuav pab txo kom tsis txhob rov mob dua qhov muag.

Cov me nyuam loj kawm pab tau nws tus kheej-instilled qhov muag thiab siv cov tshuaj pleev, raws li cov me nyuam saib tsis tau tej cawv rau cov mob chaw, tshwj xeeb tshaj yog lub qhov muag, li ntawd, lub private koom tes los ntawm cov me nyuam nyob rau hauv cov kev kho mob leeb zoo txheej txheem. Nws yog tsim nyog yuav tsum tau attentive rau cov kev ua ub aimed ntawm cov kev txhim kho ntawm lub cev: mus taug kev, muaj zog, kuas kev noj haus, vitamin supplementation nrog lub weakening ntawm kev tiv thaiv, tempering cov txheej txheem.

Tos niam yuav tsum ua ib daim ntawv ntsuam ua ntej tus me nyuam rau urogenital kab mob, thiab, yog tias tsim nyog, yauv kho mob nrog antiseptic kev kho mob ntawm cov me nyuam yug kwj dej, saib xyuas ntawm kev soj ntsuam thiab tshwj xeeb kev kho mob ntawm tus me nyuam ob lub qhov muag tam sim ntawd tom qab yug tus me nyuam.