Chirwere conjunctivitis muvana: kurapwa uye zviratidzo

Conjunctivitis aizivikanwa kuzvimba mucous membranes kwemaziso - conjunctiva, anokonzera siyana zvirwere, utachiona uye allergens. Ngatitaurei kunzwisisa sei kuratidza kwemabhakitiriya conjunctivitis vana. Treatment zvicharehwawo zvakajeka muna ino.

Mabasa uye zvaidiwa nemamiriro conjunctiva

Conjunctiva - nhete mucous zvinyama anofukidza meso mberi vakaparadzana uye romukati pose vose anopenya, achiumba okumusoro Arch yaingowanikwa muhomwe. A yakawanda simbi munyama akapoteredza maziso kubereka lacrimal mvura uye zvikurukuru mapuroteni yeimwe - mucin. Pamwe chete vanoumba yakasimba wokudzivirira uye moisturizing slezoobraznuyu ezvinhu anotipa kutarisana kugona yeziso uye kufamba.

Pasinei hama mutete, conjunctiva chinhu chisinganzwisisiki multilayer makemikari zvinyama, izvo zvinoenda epithelium kuti cornea. Pangagara eyelashes uye kukotsira conjunctiva akatakura ropa romugove, iro richikurukura nhengo dzinobudisa midziyo anoumba rwokudzivirira rukoko lymphoid zvinyama misodzi uye ocular tsinga mumuhara zvinopa dzakakwirira nehanya. Nokudaro, zvakajairika marongerwo uye kushanda yenhengo dzose conjunctival munyama hakubvi chete pamusoro mamiriro ziso, asi kuona acuity. Saka, kune ngozi kwemabhakitiriya conjunctivitis. Zviratidzo uye mabatiro vana inoda vainyatsotarisirwa.

The conjunctiva chinhu chokutanga inodzivirira chinodzivirira kuti ziso uye pangozi zvikuru chikamu matambudziko akasiyana zvokunze irritants, mabhakitiriya uye allergens.

Mukuwedzera, nasolacrimal Canal kwete chete lowers misodzi fluid tibatsirwe guruva uye utachiona vakavharirwa mudenga, asi atanga neizvi muitiro, kana utachiona, nemavhairasi kana sema utachiona kuchimuka penzvimbo yeziso uye kutsvinyira conjunctiva mukati. Pane kwemabhakitiriya conjunctivitis (mufananidzo vana kuratidzirwa chirwere ichi munokwanisa kuona nyaya yedu).

Zvinobatsira kuziva kuti munguva nemwaka matenda nemavhairasi kana kuonana hosha ngozi kutapukirwa noutachiona (semuenzaniso, gwirikwiti kana rubella) unodzivirira chifukidzo asingadi kubatsira, sezvo utachiona vakasununguka kupinda mukati mumuviri nasolacrimal Canal chaiyo kuburikidza nemaziso.

Zviratidzo conjunctivitis

Saka, sei pachena kwemabhakitiriya conjunctivitis vana? Treatment anosarudzwa zvichienderana zviratidzo.

In zvisingatomboiti utano ziso conjunctiva zvinopa mwando zvakakwana, rusununguko rwokufamba mu misodzi muhomwe, unoisa segirazi unodzivirira chinodzivirira, kwete kuti kuderedza rinoonekwa uye svetovosprinimayuschuyu mano ziso.

Kana maziso kutanga kuvaviwa, nokutsva, kunyanya kubvambura, pamusoro pemvura cornea hunobuda midziyo pajira riya dilated ropa, akanzwa vatorwa inclusions uye marwadzo kana uchifamba maziso, kuzvimba anopenya uye ganda akapoteredza meso, rinogona akapedzisa pamusoro kunopfuurira muziso rakatenderera anogumbura pezvakaitwa . Conjunctivitis ndicho chirwere kunokanganisa mucous Kamudzira ziso.

Pane kuti kurapa zvirwere zvinokonzerwa conjunctivitis ari mwana? Izvi ichakurukurwa pazasi.

mhando conjunctivitis

Zvichienderana uye kunobva chirwere, pane mhando nhatu conjunctivitis, izvo zvinoda nzira yakasiyana chaizvo nechirwere, kurapwa uye ekudzivirira.

1. Chirwere conjunctivitis - zvinokonzerwa nemabhakitiriya siyana dzakadai staphylococci, chlamydia etc. Ivo kuwira pamusoro mucosa weziso sezvo Mamiriro ezvinhu kukwana utsanana, zvokuimba kukuvara kana kunetesa masoja mashandiro ari conjunctiva uye pathogenic microflora pamusoro muviri panguva kutapurirana zvirwere. Kana ndine utachiona conjunctivitis nevana, kurapwa vanofanira zvainanga kuparadzwa pathogenic tusingaoneki.

2. Uwandu conjunctivitis - rinokanganisa conjunctiva pamusoro pakanyorwa adenoviral uye enteroviral zvirwere, yokuSpain, herpes, rubella, chibhokisi. Kazhinji nemavhairasi mhando kuzvimba iri achiperekedzwa rhinitis, pharyngitis kana zvakafanana inoyerera chimiro kwemabhakitiriya conjunctivitis.

3. sema conjunctivitis kuita zvinenge marudzi ose neutachiona makemikari, zvokudya, uye utachiona allergens riri concomitant kuzvimba mu sema rhinitis, dermatitis uye asima.

Chirwere conjunctivitis muvana. zvikonzero

Conjunctivitis mune vana chirwere zvakajairika chaizvo, uye kusvika 5 makore vari panoonekwa muna 30% kuti zviitiko ocular pathologies. Izvi nokuda peculiarities muviri wemwana uye zvirwere, iyo achishingaira kuumbwa uye anodzivirira muviri kubva zvinokonzerwa rwakashata zvinhu kwete zvinobudirira. Zvinokoshawo ndezvokuti ndiye specificity vemapoka magariro nevana.

High mukana wokusvika ane chirwere chiri mucous mwana retsono goko, ine zvishoma ukoshi kuda utano uye zvinokosha zvoutsanana mitemo, vana mumwaka incubation nguva, apo mwana vanorwara anoramba kukurukura nevezera ravo uye kuva kunobva mamwe noutachiona, psychophysical zvinoitwa muupenyu hwevana vaduku - zvose Zvinoita kuti kakawanda panowanikwa zvinotapuriranwa kuzvimba, kusanganisira ziso. Saka hapana kwemabhakitiriya conjunctivitis vana.

Vachangoberekwa, izvozvo ane nzvimbo inokosha nzvimbo conjunctivitis anokonzerwa achipfuura kuberekwa ramai nzira vane untreated zvounzenza zvirwere zvenjovhera - mwandabvu kana chlamydia. conjunctivitis ichi kunoitika mumazuva mashomanana pashure pokuberekwa uye angave migumisiro, kusanganisira upofu uye kurasikirwa meso, kana nguva asinganyimi yakakodzera kurapwa.

With zera, mwero zvirwere ziso muvana anotanga kufamba nenzira dzakasiyana refractive zvirwere zvakadai myopia, hyperopia, astigmatism.

Chirwere kwemabhakitiriya conjunctivitis muvana

Very nevakawanda nhasi ndivo nzira nechirwere, kurapwa uye kutarisirwa zvirwere zvakasiyana-siyana mune vana kubva rinozivikanwa wevana Eugene O. Komarovsky. chikoro chake, iro rine TV uye rakadhindwa shanduro richizivikanwa muvateereri uye vabereki vose mhosva. Simple, nzwisisa, nzira zvakavanzika yokukurukura mashoko uye kubudirira dzokudzidzisa chiremba akakurumbira kubatsira kusimudza ruzivo netsika pamwero chavagari, tichidzidzisa chizvarwa chevechiduku.

The nesayenzi yokusvika tsanangudzo vakawanda utano zvevana uye Kuwanikwa aronga zvinogadzirisa kupa vabereki mukana wokudzidza zvose zvinobatanidzwa zvakaoma dzokurapa mishumo uye kuongorora kudikanwa pekuhwa- nda nyanzvi.

Distribution, basa uye nguva chakasimba kwemabhakitiriya conjunctivitis mune vana zvakaoma zvakarurama kugadzirisa, sezvo kakawanda kwemasayendisiti, ari hama nyore kakawanda ndeyokubvisa kuzvimba, zvakanaka ruzivo dzokutambura mishonga - izvi inokonzera isingawanzowanikwi kushanyira chiremba.

Chirwere zvinoenderana sei kunooneka kwemabhakitiriya conjunctivitis vana. Zviratidzo zvinogona zvakasiyana.

Rokuongorora kwemabhakitiriya conjunctivitis kazhinji zvichiita uye pasina zvakakodzera unyanzvi, sezvo hazvina chaicho, uye makuru musiyano nemamwe kwemarudzi kuvapo mucopurulent kana purulent exudates kunhivi micheto namafungiro kana kakawanda ikaomesa crusts pamusoro pameso. Kuperekedza zvingaratidza kuva akatsvuka namafungiro uye cornea weziso, kuzvimba ganda, kunyanya kubvambura, kuvaviwa.

Vana vanotsutsumwa pamusoro unopfuta manzwiro mumaziso, vanowanzotanga vachidzipukuta maziso nemaoko ake, kuva lethargic, kugunun'una. Zvichida zvishomanana kuwedzera tembiricha muviri. Zviratidzo izvi mukutanga zvokukura kuzvimba kupa zviratidzo vabereki ngaiteerere uye vachikubvumira nokukurumidza uye pasina kumisa kupararira chirwere.

Kana zvimwe zvisingafadzi zviratidzo ari maitiro zviratidzo kwemabhakitiriya conjunctivitis marudzi haina kuchengetwa, zvinokosha kuongorora zvose ezvinhu umo mwana anogona kuti uchazvimba.

Somuenzaniso, kushanyira paruzhinji zviitiko, zvokudya zvitsva, bvudzi mhuka, matoyi tsvina, kugeza upfu, kushambira mudziva, achitora nguva anofamba, akagarisa hypothermia kana kuwana yakawanda guruva mumaziso - izvi zvinhu kuchabatsira kuti pave chimiro zviratidzo sema kana nemavhairasi conjunctivitis.

Kana zviratidzo ngozi zvikuru (marwadzo mumaziso, photophobia, madzerere, chimiro matema pamusoro namafungiro) kuteterera kuna chiremba kana chiremba mhuri kuchaita nokukurumidza kurapwa uye torega kusingarapiki nemigumisiro. Kuti asimbise kuongororwa zvakarurama chiremba anowana zvose zvinobvira ezvinhu uye zviratidzo nehosha, inoongorora nhengo nechaanoona, ganda uye mucous membranes, kana zvichikodzera, rinopa nhungamiro nyanzvi - imwe ophthalmologist.

Swabbing kuti conjunctiva kuti cytologic kuzviongorora uye biomicroscopy rinobvumira kuita inonzwisisika mhedziso uye kunhonga zvakafanira gadziriro kurapwa.

Panewo dzakananga tsvakurudzo mitoo - somuenzaniso, nzira uye giremu Giemsa kuti dzakakwirira mukana kuvapa kuzvimba mumwe akasiyana conjunctivitis. Saka, akazivisa neutrophilia mu mucosal scrapings rinoratidza kwemabhakitiriya hunhu kuzvimba, lymphocytosis zvinoratidza zvakajeka yezvakaita nemavhairasi conjunctivitis, uye eosinophilic inclusions - sema.

Saka, mwana akaonekwa kwemabhakitiriya conjunctivitis. Treatment muvana Komarovsky rinorayira kuti tiite pasi pokudzora unyanzvi.

Variety kwemabhakitiriya conjunctivitis

Ongororo Recent dzinoratidza kuti paumbwe mucous Kamudzira weziso microflora kunoitika pashure aberekwa asi kwete panguva ndima yokuberekwa canal, sepakutanga akafunga. Uyewo manyorerwo kwomuzvarirwo microflora utachiona chipo muziso imwe nhamba pathogenic tusingaoneki akadai anonzi Staphylococcus uye diphtheroids.

Pasinei nokuti lachrymal Urume rinoumbwa vakawanda anodzivirira zvinoriumba (immunoglobulins, lysozyme, lactoferrin), anonzi Staphylococcus epidermidis akabudirira kujairana kukunda ichi mechidziro stably aripo ari mucosa pamusoro conjunctiva. Zvinoguma kwemabhakitiriya conjunctivitis. Treatment muvana Komorowski anokurudzira kushandisa mishonga inorwisa mabhakitiriya.

mabatiro

Kushandisa zvinodhaka antibacterial chakarondedzera - ciprofloxacin, erythromycin, gentamicin - kazhinji kacho anopa akurumidze nemigumisiro yakanaka. Zvisinei, mashoko kakawanda panowanikwa neutachiona uye utachiona nemishonga inouraya mabhakitiriya yakadaro nharo kwenguva kunyatsoenderana kusarudzwa muviri anokonzera conjunctival kuzvimba, uye kusarudzwa zvinodhaka pamusoro rakamanikana chakarondedzera chiito. Saka chakakomba kungava kwemabhakitiriya conjunctivitis vana. Marapirwo kunokonzera wongororo zvakanaka.

Diphtheria uye gonococcal conjunctivitis marudzi zvinoda chaizvo omunharaunda kurapa. The yakafara kupararira zvino vachiva nemishonga, fluoroquinolones, zvakaizadza rikaratidzwa kuti vabudirire kurwisa utachiona conjunctivitis kunze streptococcal uye pneumococcal marudzi. Zvinokosha kucherechedza kuti kunowedzerawo nokukurumidza uye kutsiga wandei utachiona zvinodhaka izvi. Ndiyo kunzwisisa kwakadaro nechirwere kuti "kwemabhakitiriya conjunctivitis mu vana" kurapwa. Madonhwe ari kurapa inowanzoshandiswa, zvakawanda pamusoro pazasi.

kushandisa madonhwe

Anobudirira maitiro nokuti kudzvinyirira pamusoro kuzvimba ichaongororwa kuti kushandiswa kwose polymyxin-B ari muchimiro madonhwe nezvizoro. Madonhwe vanogadzwa pamwe kwamaawa 2-3, 2-3 anosiya mune rimwe ziso mafuta - 3-4 kanomwe pazuva, uye anoshandiswa zvizere kuzoita mwana, kureva pamusoro kubva 5-7 kusvika 10-14 mazuva.

Pavanosarudza exciter pneumococcal chirwere yakatarwa Washing mhinduro kubva boric acid, sezvo utachiona izvi zviwande nenzira alkaline unosvikirwa, saka microflora meso acidification dzinowanza kumisa kugadzira pathological mabhakitiriya. In mamwe bacilli vari 0.25% -0,5% zingi sulfate zvinogadzirisa ayo anechekuita 4-6 kanomwe pazuva. Ndicho chirwere "kwemabhakitiriya conjunctivitis mu vana" kurapwa.

Zvinobudirira mabatiro echirwere conjunctivitis ndiko kushandiswa combinatorial pamusoro steroid uye mishonga inorwisa mabhakitiriya. Asi kupiwa mukuru mwero yematambudziko pashure kushandiswa kwezvinodhaka dzakadaro, ushandiswe navo chete chakakomba kuzvimba kosi, uye panyaya rikwanise conjunctivitis hadzina kuiswa. Chero zvazvingava, kana mukati memazuva 2-3, ari kurapwa mufananidzo kushandisa zvinodhaka haachinji nani, mishonga anofanira dzakavharwa uye tsvaka zvinokonzera nemigumisiro.

Chirwere conjunctivitis nokuda vamwe purulent-septic zvirwere zvakadai otitis, tonsillitis, pyoderma, kunze kukamura uchishandisa mishonga Chokwadi, zvinoda kurapwa kutapukirwa wakatsamwisa kwakadai conjunctivitis, uye kazhinji anoenda pamwe kwayo nemagumo.

Tips kubva Dr. Komarovsky

Kana nechirwere "kwemabhakitiriya conjunctivitis" Zviratidzo neMarapirwo interconnected muvana.

Pakutanga zviratidzo conjunctivitis mwana anofanira kure nevamwe vana vanoramba kushanyira zvikoro nevana rokudzidzisa. Pashure mabasa ane ophthalmologist kana chiremba kurapwa sezvo kunyatsotevera vanoomerera Formulations uye nzira kushandisa zvinodhaka. Haukwanisi kumanikidza ziso mabhandeji kana Achiputira bedzi rinovatadzisa inowanzotorwa achibwaira, uye ipapo kugeza pamusoro mucous Kamudzira misodzi uye kubviswa purulent deposits kubva munyama akapoteredza maziso.

Rinsing chamomil mushoma, calendula, zvingaitwa kuti boric asidhi kana furatsilina rinoitwa 5-8 nguva masikati, zvakasiyana nerimwe ziso donje, zvikuru zvakakangwa disks. Pukuta meso achibva kuruvanze kumucheto kusvikira mukati. Donhwe zvingaitwa chinodiwa kuti woita pipette isingatsiki remakore kana cornea kudzivisa chirwere kupinda pipette.

Uyewo pasina kuonana inofanira kuva pasi rezasi fungiro kuisa mafuta basa kurapwa. Chirwere conjunctivitis ushandiswe madonhwe pamwe chloramphenicol, sulfacetamide, tetracycline mafuta kana eritromitsinovaya.

Sezvo zvinenge marudzi ose kwemabhakitiriya conjunctivitis pamwe yakaoma ziso chirwere, ganda rakaoma kumativi maziso, iyo, kana kushandiswa tupukanana chete yakakura, kuti tirambe yakatsiga mwando pamusoro mucous Kamudzira maziso anorwadza zvinobatsira kushandisa misodzi Sevamiririri, akadai zvinodhaka, "Sisteyn" uye "Vidisik". Saka unogona kukunda kwemabhakitiriya conjunctivitis ari mwana 6 makore. Treatment Chokwadi, unofanira kusangana pamwe wevana.

Kudzivirira conjunctivitis muvana

Inobudirira zvikuru kudzivirira kusingafadzi chirwere zvachose accustoming vana utsanana. Kakawanda ruoko Washing vacheche, kurapwa matoyi uye mukati hukawanika nokuda disinfection, zvokudya tsika ane tsanangudzo kukosha pre-kubudiswa michero uye miriwo, Forogo, Banga Nechipunu panguva kudya kuchabatsira kubvisa mashoko kakawanda dzokororo ziso hweHIV.

Vana vakura kudzidza chinobatsira self kwakarovererwa ziso uye kushandisa mafuta, sevana chinonyanyisa chero simba pamusoro inorwadza nzvimbo, kunyanya maziso, saka private Kupinda mwana ari kurapwa mhanyisa apore. Zvakakosha kuti iteerere mabasa zvainanga mukuru kuvandudzika ari rokuzvidzivirira: anofamba, muviri, pakati nepakati zvokudya, vhitamini supplementation pamwe kwakaderera kutapata, tempering maitirwo acho.

Vanaamai pamuviri vanofanira kuitisa ongororo pamberi wakurukura kuti urogenital utachiona, uye, kana zvakakodzera, vanosangana kurapwa pamwe akambozvishandisa kuuraya utachiona kurapwa kwacho canal, ndinovachengeta rokuongorora uye vavashandire kwemaziso mwana pakarepo pashure pokuberekwa.