Isifo se-Parinaud oculoglandular

I-Parinaud oculoglandular syndrome iyinkinga yamehlo efana ne-conjunctivitis ("iso elibomvana"). Imvamisa kuthinta iso elilodwa kuphela. Kwenzeka ngama-lymph node avuvukile nokugula okunomkhuhlane.

Qaphela: I-Parinaud syndrome (ebizwa nangokuthi upgaze paresis) yisifo esihlukile lapho unenkinga yokubheka phezulu. Lokhu kungabangelwa isimila sobuchopho, futhi kudinga ukuhlolwa ngokushesha ngumhlinzeki wakho wokunakekelwa kwezempilo.

I-Parinaud oculoglandular syndrome (POS) ibangelwa ukutheleleka ngamagciwane, igciwane, ukhunta, noma amagciwane.

Izimbangela ezivame kakhulu isifo se-cat scratch kanye ne-tularemia (rabbit fever). Amagciwane abangela noma yisiphi isimo angatheleleka esweni. Amagciwane angangena ngqo esweni (emunweni noma kwenye into), noma amaconsi omoya athwala amabhaktheriya angahlala esweni.

Ezinye izifo ezithathelwanayo zingasabalala ngendlela efanayo, noma zigeleze egazini ziye esweni.

Izimpawu zifaka:

• Iso elibomvu, elicasukile nelibuhlungu (libukeka njenge "iso elibomvana")
• Imfiva
• Ukuzizwa okuvamile
• Ukudabuka okwengeziwe (kungenzeka)
• Ukuvuvukala kwezindlala ze-lymph eziseduze (imvamisa phambi kwendlebe)

Ukuhlolwa kukhombisa:

• Imfiva nezinye izimpawu zokugula
• Iso elibomvu, elithenda, elishayo
• Ama-lymph node ama-tender angaba khona phambi kwendlebe
• Kungahle kube nokuhluma (izigaxana ezihlangene) ngaphakathi kwejwabu leso noma kumhlophe kweso

Ukuhlolwa kwegazi kuzokwenziwa ukuhlola ukutheleleka. Isibalo samangqamuzana amhlophe egazi singase sibe phezulu noma siphansi, kuya ngesizathu sokutheleleka.

Ukuhlolwa kwegazi ukuhlola amazinga e-antibody kuyindlela esemqoka esetshenziselwa ukuxilonga izifo eziningi ezibanga i-POS. Ezinye izivivinyo zingafaka:

• I-biopsy ye-lymph node
• Isiko laselebhu loketshezi lwamehlo, izicubu ze-lymph node, noma igazi

Ngokuya ngesizathu sokutheleleka, ama-antibiotic angasiza. Ukuhlinzwa kungadingeka ezimweni ezingavamile ukuhlanza izicubu ezinegciwane.

Umbono uncike embangela yokutheleleka. Ngokuvamile, uma ukuxilongwa kwenziwa kusenesikhathi futhi ukwelashwa kuqala ngokushesha, umphumela we-POS ungaba muhle kakhulu.

Izinkinga ezinkulu azivamile.

Amaqhuqhuva esihlanganisi kwesinye isikhathi angakha izilonda (izilonda) ngesikhathi sokuphulukiswa. Ukutheleleka kungadlulela ezicutshini eziseduze noma egazini.

Kufanele ushayele umhlinzeki wakho uma uhlakulela iso elibomvu, elicasukile nelibuhlungu.

Ukugeza izandla njalo kunganciphisa amathuba okuthola i-POS. Gwema ukuklinyelwa ikati, ngisho ikati eliphilile. Ungagwema i-tularemia ngokungathintani nonogwaja basendle, izingwejeje, noma imikhaza.

Isifo sokuklwebha ikati; Isifo se-Oculoglandular

• I-lymph node evuvukile

IGruzensky WD. Isifo se-Parinaud oculoglandular. Ku: Mannis MJ, Holland EJ, ama-eds. I-Cornea. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2017: isahluko 45.

UPecora N, uMilner DA. Ubuchwepheshe obusha bokuxilongwa kokutheleleka, Ku: Kradin RL, ed. I-Pathology Yokuxilonga Yezifo Ezithathelwanayo. Okwesibili. IPhiladelphia, PA: Elsevier; 2018: isahluko 6.

URubenstein JB, uSpektor T. Conjunctivitis: othelelanayo futhi ongathatheleli. Ku: Yanoff M, Duker JS, ama-eds. I-Ophthalmology. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2019: isahluko 4.6.

I-Salmon JF. Isihlanganisi. Ku: Salmon JF, ed. IKanski’s Clinical Ophthalmology. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 6.