Yonke into omele uyazi Ngeeherpes zamehlo

Umxholo

• Iimpawu zamehlo iherpes
• Iherpes yamehlo kunye nokudibana
• Iindidi zamehlo iherpes
• Unobangela wale meko
• Ziqhele kangakanani iherpes zamehlo?
• Ukuchonga i-herpes yamehlo
• Unyango
• Unyango lwe-Epithelial keratitis
• Unyango lwe-Stromal keratitis
• Ukufumana kwakhona kwi-herpes yamehlo
• Ukuphinda imeko
• Imbonakalo

I-herpes yamehlo, ekwabizwa ngokuba yi-ocular herpes, yimeko yamehlo abangelwa yintsholongwane ye-herpes simplex (HSV).

Uhlobo oluqhelekileyo lweeherpes zamehlo lubizwa ngokuba yi-epithelial keratitis. Ichaphazela i-cornea, eyinxalenye ecacileyo ngaphambili yeliso lakho.

Ngendlela yayo emnene, i-herpes yamehlo ibangela:

• intlungu
• ukudumba
• bomvu
• Ukukrazuka komphezulu womhlaba

I-HSV yamanqanaba aphakathi embindi we-cornea- eyaziwa njenge stroma- inokubangela umonakalo omkhulu, ekhokelela ekuphulukaneni nombono kunye nokungaboni.

Ngapha koko, iliso leherpes sesona sizathu siphambili sobumfama esinxulunyaniswa nomonakalo we-cornea e-United States kunye nomthombo oqhelekileyo wobumfama obusulelayo kwihlabathi laseNtshona.

Zombini i-herpes ezinobunzima kunye nobunzima zamehlo zinokunyangwa ngamayeza antiviral, nangona kunjalo.

Ngonyango olukhawulezileyo, i-HSV inokugcinwa iphantsi kolawulo kunye nomonakalo kwi-cornea encitshisiweyo.

Iimpawu zamehlo iherpes

Iimpawu ezibonakalayo zamehlo e-herpes zibandakanya:

• iintlungu zamehlo
• uvakalelo ekukhanyeni
• ukungaboni kakuhle
• ukukrazula
• Ukukhutshwa kweencindi
• iliso elibomvu
• iinkophe ezivuthayo (i-blepharitis)
• Iintlungu ezibomvu, ezibomvu ezinamaqhuqhuva kwijwabu leso eliphezulu kunye nelinye icala lebunzi

Kwiimeko ezininzi, i-herpes ichaphazela iso linye kuphela.

Iherpes yamehlo kunye nokudibana

Unokuphosakela i-herpes yamehlo ngenxa ye-conjunctivitis, eyaziwa njengeyona iliso lipinki. Zombini iimeko zinokubangelwa yintsholongwane, nangona i-conjunctivitis inokubangelwa ngu:

• Ukungabikho komzimba
• iintsholongwane
• imichiza

Ugqirha unokwenza uxilongo oluchanekileyo usebenzisa isampuli yenkcubeko. Ukuba une-herpes yamehlo, inkcubeko iya kuvavanya uhlobo lwe-1 HSV (HSV-1). Ukufumana isigulo esichanekileyo kunokukunceda ufumane unyango olufanelekileyo.

Iindidi zamehlo iherpes

Uhlobo oluqhelekileyo lweeherpes zamehlo yi-epithelial keratitis. Kulolu hlobo, intsholongwane iyasebenza kubume obuncinci be-cornea, eyaziwa ngokuba yi-epithelium.

Njengoko sele kukhankanyiwe, i-HSV inokuchaphazela ubume obunzulu be-cornea, eyaziwa njenge stroma. Olu hlobo lweherpes lwamehlo lwaziwa njenge stromal keratitis.

I-Stromal keratitis ibaluleke kakhulu kune-epithelial keratitis kuba ekuhambeni kwexesha kunye nokuqhambuka okuphindaphindiweyo, kunokonakalisa i-cornea yakho ngokwaneleyo ukuze ibangele ubumfama.

Unobangela wale meko

Iherpes yamehlo ibangelwa kukudluliselwa kwe-HSV emehlweni nakwiinkophe. Kuqikelelwa ukuba ukuya kuthi ga kwiipesenti ezingama-90 zabantu abadala baye bavezwa kwi-HSV-1 nge-50 yobudala.

Xa kuziwa kwi-herpes yamehlo, i-HSV-1 ichaphazela la malungu esiso:

• iinkophe
• i-cornea (idome ecacileyo ngaphambili kwiso lakho)
• I-retina (iphepha lokujonga ukukhanya kweeseli ngasemva kweliso lakho)
• i-conjunctiva (iphepha elincinci leethambo eligubungela indawo emhlophe yamehlo akho nangaphakathi kweenkophe zakho)

Ngokungafaniyo neherpes yesini sangasese (ihlala inxulunyaniswa ne-HSV-2), iliso leherpes alidluliswanga ngesondo.

Endaweni yoko, kwenzeka kakhulu emva kwelinye ilungu lomzimba- ngokwesiqhelo umlomo wakho, ngohlobo lwezilonda ezibandayo- sele ichaphazele i-HSV ngaphambili.

Nje ukuba uhlala ne-HSV, ayinakupheliswa ngokupheleleyo emzimbeni wakho. Intsholongwane inokulala okwethutyana, emva koko iphinde isebenze amaxesha ngamaxesha. Ke, iliso leherpes linokuba sisiphumo sokutsha (ukuphinda kusebenze) kosulelo lwangaphambili.

Umngcipheko wokudlulisela intsholongwane komnye umntu ukusuka kwiliso elichaphazelekayo liphantsi, nangona kunjalo. Amayeza antiviral anceda ukunciphisa umonakalo ngexesha lokuqhambuka.

Ziqhele kangakanani iherpes zamehlo?

Uqikelelo luyahluka, kodwa malunga nama-24,000 amatyala amatsha e-herpes esifo afunyanwa minyaka le e-United States, ngokwe-American Academy of Ophthalmology.

I-herpes yamehlo ihlala ixhaphake emadodeni kunabafazi.

Ukuchonga i-herpes yamehlo

Ukuba unempawu zamehlo e-herpes, jonga ugqirha wamehlo okanye ugqirha wamehlo. Bobabini ngoogqirha abagxile kwimpilo yamehlo. Unyango lwakwangoko lunokuyiphucula imbonakalo yakho.

Ukuchonga i-herpes yamehlo, ugqirha wakho uya kukubuza imibuzo eneenkcukacha malunga neempawu zakho, kubandakanya xa baqala kunye nokuba ukhe waziva iimpawu ezifanayo kwixesha elidlulileyo.

Ugqirha wakho uya kwenza uvavanyo olunzulu lwamehlo ukuvavanya umbono wakho, ubuntununtunu bokukhanya, kunye nokuhamba kwamehlo.

Baza kubeka amathontsi wamehlo emehlweni akho ukuze bandise (bandise) i-iris, nayo. Oku kunceda ugqirha wakho abone imeko ye-retina ngasemva kweliso lakho.

Ugqirha wakho unokwenza uvavanyo lwebala le-fluorescein. Ngexesha lovavanyo, ugqirha wakho uya kusebenzisa iliso ukwehla ukubeka idayi e-orenji emnyama, ebizwa ngokuba yifluorescein, kumphezulu weliso lakho.

Ugqirha wakho uya kujonga indlela idayi ebeka ngayo iliso lakho ukubanceda ukuba babone naziphi na iingxaki kwi-cornea yakho, njengokonakala kwindawo echaphazelekayo yi-HSV.

Ugqirha wakho angathatha isampuli yeeseli ebusweni bakho ukujonga i-HSV ukuba isifo asicacanga. Uvavanyo lwegazi lokujonga izilwa-buhlungu ezivela kukuvezwa kwangaphambili kwe-HSV akuncedi nganto ekuchongeni isifo kuba uninzi lwabantu luye lwabhencwa kwi-HSV ngaxa lithile ebomini.

Unyango

Ukuba ugqirha wakho ufumanisa ukuba une-herpes yamehlo, uya kuqala kwangoko ukuthatha amayeza amayeza antiviral.

Unyango luyahluka ngandlela thile kuxhomekeka ekubeni une-epithelial keratitis (uhlobo olomeleleyo) okanye i-stromal keratitis (eyona fomu yonakalisayo).

Unyango lwe-Epithelial keratitis

I-HSV kumaleko angaphezulu kwe-cornea ihlala ixhomekeka ngokwayo kwiiveki ezimbalwa.

Ukuba uthatha ngokukhawuleza amayeza antiviral, anokunceda ukunciphisa ukonakala kwe-cornea kunye nelahleko yombono. Ugqirha wakho uza kuncoma i-antiviral eye eye okanye ioyile okanye amayeza omlomo.

Unyango oluqhelekileyo lunyango lwe-acyclovir (Zovirax). I-Acyclovir inokuba lukhetho olulungileyo lonyango kuba ayizi kunye nezinye zeempembelelo ezinokubakho zamehlo, njengamehlo anamanzi okanye ukurhawuzelela.

Ugqirha wakho unokubamba ngobunono ubuso be-cornea yakho nge-swab yomqhaphu emva kokufaka amathontsi abuthathaka ukususa iiseli ezigulayo. Le nkqubo yaziwa ngokuba kukususwa.

Unyango lwe-Stromal keratitis

Olu hlobo lwe-HSV luhlasela iindawo ezingaphakathi ezinzulu ze-cornea, ebizwa ngokuba yistroma. I-Stromal keratitis inokubangela ukonakala kwe-corneal kunye nelahleko yombono.

Ukongeza kunyango lwe-antiviral, ukuthatha i-steroid (anti-inflammatory) wamehlo kunceda ukunciphisa ukudumba kwistroma.

Ukufumana kwakhona kwi-herpes yamehlo

Ukuba uphatha i-herpes yamehlo ngamehlo, kusenokufuneka uwafake rhoqo rhoqo emva kweeyure ezi-2, kuxhomekeke kunyango amiselweyo ugqirha wakho. Uya kudinga ukuqhubeka nokufaka amathontsi ukuya kuthi ga kwiiveki ezi-2.

Ngomlomo we-acyclovir, uya kuthatha iipilisi izihlandlo ezihlanu ngosuku.

Kuya kufuneka ubone ukuphucuka kwiintsuku ezi-2 ukuya kwezi-5. Iimpawu kufuneka zihambe ngaphakathi kwe-2 ukuya kwiiveki ezi-3.

Ukuphinda imeko

Emva kokuphuma okokuqala kwamehlo i-herpes, malunga neepesenti ezingama-20 zabantu baya kuba nesifo esongeziweyo kunyaka olandelayo. Emva kokuphindaphinda, ugqirha unokucebisa ukuba uthathe amayeza antiviral yonke imihla.

Kungenxa yokuba uqhambuko oluninzi lonakalisa i-cornea yakho. Iingxaki zibandakanya:

• izilonda (izilonda)
• Ukuphazamiseka komphezulu womhlaba
• Ukugqobeka kwenwebu

Ukuba i-cornea yonakaliswe ngokwaneleyo ukuba ibangele ukulahleka kombono obalulekileyo, unokufuna ukufakelwa kwe-corneal (keratoplasty).

Imbonakalo

Nangona i-herpes yamehlo inganyangeki, unokunciphisa umonakalo kwamehlo akho ngexesha lokuqhambuka.

Kwimpawu zokuqala zeempawu, tsalela umnxeba ugqirha wakho. Ngokukhawuleza xa uphatha i-herpes yamehlo akho, amathuba amancinci aya kubakho umonakalo omkhulu kwi-cornea yakho.