Konke Okufanele Ukwazi Nge-Herpes Herpes

-Delile

• Izimpawu zamehlo we-herpes
• I-herpes yamehlo ne-conjunctivitis
• Izinhlobo zamehlo we-herpes
• Izimbangela zalesi simo
• Kuvame kangakanani i-herpes yamehlo?
• Ukuhlonza i-herpes yamehlo
• Ukwelashwa
• Ukwelashwa kwe-epithelial keratitis
• Ukwelashwa kwe-Stromal keratitis
• Ukululama kusuka ku-herpes yamehlo
• Ukuphindeka kwesimo
• Umbono

I-Herpes herpes, eyaziwa nangokuthi i-ocular herpes, yisimo seso esibangelwa igciwane le-herpes simplex (HSV).

Uhlobo oluvame kakhulu lwe-herpes yamehlo lubizwa ngokuthi i-epithelial keratitis. Ithinta i-cornea, okuyingxenye ecacile engaphambili yeso lakho.

Ngendlela yayo emnene, iso le-herpes libangela:

• ubuhlungu
• ukuvuvukala
• ububomvu
• ukudabuka kobuso be-cornea

I-HSV yezingqimba eziphakathi nendawo ezijulile ze-cornea - eyaziwa njenge-stroma - ingadala ukulimala okukhulu, okuholele ekulahlekelweni kombono nokungaboni.

Eqinisweni, i-herpes yamehlo iyimbangela ejwayelekile kakhulu yobumpumputhe ehambisana nokulimala kwe-cornea e-United States kanye nomthombo ovame kakhulu wobumpofu obuthathelanayo emhlabeni waseNtshonalanga.

Kokubili i-herpes yamehlo emnene futhi enzima ingelashwa ngemithi elwa namagciwane, noma kunjalo.

Futhi ngokwelashwa okusheshayo, i-HSV ingagcinwa ilawulwa futhi kulimale i-cornea encishisiwe.

Izimpawu zamehlo we-herpes

Izimpawu ezijwayelekile zamehlo we-herpes zifaka:

• ubuhlungu beso
• ukuzwela ekukhanyeni
• ukungaboni kahle
• ukudwengula
• ukukhishwa kwe-mucus
• iso elibomvu
• izinkophe ezivuthayo (i-blepharitis)
• ukuqhuma okubuhlungu, okubomvu okuvuvukala ijwabu leso eliphezulu nohlangothi olulodwa ebunzini

Ezimweni eziningi, i-herpes ithinta iso elilodwa kuphela.

I-herpes yamehlo ne-conjunctivitis

Ungaphutha i-herpes yamehlo nge-conjunctivitis, eyaziwa kakhulu njengeso elibomvana. Zombili lezi zimo zingabangelwa igciwane, noma i-conjunctivitis nayo ingabangelwa:

• komzimba
• amagciwane
• amakhemikhali

Udokotela angenza ukuxilongwa okulungile esebenzisa isampula lesiko. Uma une-herpes yamehlo, isiko lizohlola ukutholakala kohlobo 1 HSV (HSV-1). Ukuthola ukuxilongwa okulungile kungakusiza ukuthi uthole ukwelashwa okufanele.

Izinhlobo zamehlo we-herpes

Uhlobo oluvame kakhulu lwe-herpes yamehlo yi-epithelial keratitis. Kulolu hlobo, igciwane lisebenza engxenyeni encane engaphezulu ye-cornea, eyaziwa njenge-epithelium.

Njengoba kushiwo, i-HSV nayo ingathinta izingqimba ezijulile ze-cornea, eyaziwa njenge-stroma. Lolu hlobo lwe-herpes yamehlo lwaziwa njenge-stromal keratitis.

I-Stromal keratitis ibucayi kakhulu kune-epithelial keratitis ngoba ngokuhamba kwesikhathi nokuqubuka okuphindaphindiwe, kungalimaza i-cornea yakho ngokwanele ukudala ubumpumputhe.

Izimbangela zalesi simo

I-herpes yamehlo idalwa ukudluliswa kwe-HSV emehlweni nasezinkophe. Kulinganiselwa ukuthi abantu abadala abafinyelela kumaphesenti angama-90 badalulwe ku-HSV-1 ngeminyaka engama-50.

Uma kukhulunywa ngeso le-herpes, i-HSV-1 ithinta lezi zingxenye zeso:

• izinkophe
• i-cornea (idome ecacile ngaphambili kweso lakho)
• i-retina (ishidi elizwa ukukhanya kwamaseli ngemuva kweso lakho)
• i-conjunctiva (ishidi elincanyana lezicubu elimboze ingxenye emhlophe yeso lakho nengaphakathi lamajwabu amehlo akho)

Ngokungafani ne-herpes yezitho zobulili (evame ukuhlotshaniswa ne-HSV-2), i-herpes yamehlo ayidluliswa ngocansi.

Esikhundleni salokho, kwenzeka kakhulu ngemuva kwesinye isitho somzimba - imilebe yakho, esimweni sezilonda ezibandayo - sesivele sithintekile yi-HSV esikhathini esedlule.

Uma usuphila ne-HSV, ayikwazi ukuqedwa ngokuphelele emzimbeni wakho. Igciwane lingahlala lilele isikhashana, bese livuseleleka ngezikhathi ezithile. Ngakho-ke, i-herpes yamehlo ingaba ngumphumela we-flare-up (ukuvuselelwa kabusha) kwesifo sangaphambilini.

Ingozi yokudlulisela igciwane komunye umuntu kusuka esweni elithintekile liphansi, noma kunjalo. Imithi elwa namagciwane isiza ukunciphisa ukulimala ngesikhathi sokuqubuka.

Kuvame kangakanani i-herpes yamehlo?

Izilinganiso ziyahlukahluka, kepha cishe kutholakala amacala amasha angama-24,000 we-eye herpes minyaka yonke e-United States, ngokusho kwe-American Academy of Ophthalmology.

I-herpes yamehlo ivame ukuba yinto evame kakhulu emadodeni kunabesifazane.

Ukuhlonza i-herpes yamehlo

Uma unezimpawu ze-herpes yamehlo, bheka i-ophthalmologist noma udokotela wamehlo. Laba bobabili bangodokotela abagxile kwezempilo yamehlo. Ukwelashwa kusenesikhathi kungathuthukisa umbono wakho.

Ukuxilonga i-herpes yamehlo, udokotela wakho uzokubuza imibuzo eningiliziwe mayelana nezimpawu zakho, kufaka phakathi ukuthi ziqale nini nokuthi uke wazizwa yini izimpawu ezifanayo esikhathini esedlule.

Udokotela wakho uzokwenza ukuhlolwa kwamehlo ngokuphelele ukuze ahlole umbono wakho, ukuzwela ekukhanyeni nasekuhambeni kwamehlo.

Bazokubeka amaconsi wamehlo emehlweni akho ukunwebeka (ukunweba) i-iris, futhi. Lokho kusiza udokotela wakho ukubona isimo se-retina ngemuva kweso lakho.

Udokotela wakho angenza ukuhlolwa kwebala le-fluorescein eye. Ngesikhathi sokuhlolwa, udokotela wakho uzosebenzisa ukwehla kweso ukubeka udayi omnyama we-orange, obizwa nge-fluorescein, engxenyeni engaphandle yeso lakho.

Udokotela wakho uzobheka indlela idayi engcolisa ngayo iso lakho ukubasiza ukuthi babone noma yiziphi izinkinga nge-cornea yakho, njengokukhwabanisa endaweni ethintwe yi-HSV.

Udokotela wakho angathatha isampula lamaseli ebusweni bakho ukuze ahlole i-HSV uma ukuxilongwa kungacaci. Ukuhlolwa kwegazi ukuhlola ama-antibodies kusuka ekuchayekeni kwe-HSV kwangaphambilini akusizi kakhulu ukuxilongwa ngoba iningi labantu liye lavezwa yi-HSV esikhathini esithile sokuphila.

Ukwelashwa

Uma udokotela wakho enquma ukuthi une-herpes yamehlo, uzoqala ngokushesha ukuthatha imishanguzo kadokotela yokulwa namagciwane.

Ukwelashwa kwehluka ngandlela thize ngokuthi une-epithelial keratitis (ifomu elibi) noma i-stromal keratitis (ifomu elimaza kakhulu).

Ukwelashwa kwe-epithelial keratitis

I-HSV engxenyeni engaphezulu ye-cornea ivame ukuzihlalela yodwa kungakapheli amasonto ambalwa.

Uma uthatha ngokushesha imithi elwa namagciwane, ingasiza ukunciphisa ukulimala kwe-cornea nokulahleka kombono. Udokotela wakho uzoncoma ama-eye antiviral eye noma amafutha noma izidakamizwa zomlomo ezilwa namagciwane.

Ukwelashwa okuvamile umuthi womlomo i-acyclovir (Zovirax). I-Acyclovir ingaba yindlela enhle yokwelashwa ngoba ayizi neminye imiphumela emibi engaba khona yamaconsi wamehlo, njengamehlo anamanzi noma ukulunywa.

Udokotela wakho angaphinde agudle ngobumnene ubuso be-cornea yakho nge-swab kakotini ngemuva kokufaka amaconsi okindayo ukususa amaseli agulayo. Le nqubo yaziwa njengokuncipha.

Ukwelashwa kwe-Stromal keratitis

Lolu hlobo lwe-HSV luhlasela izingqimba eziphakathi nendawo ezijulile ze-cornea, ebizwa nge-stroma. I-Stromal keratitis kungenzeka iholele ekuqhekekeni kwe-corneal nasekulahlekelweni kombono.

Ngaphezu kokwelashwa ngama-antiviral, ukuthatha ama-steroid (anti-inflammatory) amaconsi wamehlo kusiza ukunciphisa ukuvuvukala ku-stroma.

Ukululama kusuka ku-herpes yamehlo

Uma welapha i-herpes yamehlo ngamaconsi wamehlo, kungadingeka ukuthi uwafake kaningi njengamahora ama-2, kuya ngemithi oyinikezwa udokotela. Uzodinga ukuqhubeka nokufaka amaconsi kuze kube amasonto ama-2.

Nge-acyclovir yomlomo, uzophuza amaphilisi kahlanu ngosuku.

Kufanele ubone ukuthuthuka ezinsukwini ezimbili kuya kwezi-5. Izimpawu kufanele zihambe kungakapheli amasonto amabili kuya kwamathathu.

Ukuphindeka kwesimo

Ngemuva kokuqubuka kokuqala kwe-herpes yamehlo, cishe abantu abangamaphesenti angama-20 bazobuye babe nokuqubuka okwengeziwe ngonyaka olandelayo. Ngemuva kokuphindeka kaningi, udokotela wakho angancoma ukuthatha imishanguzo yokulwa namagciwane nsuku zonke.

Lokhu kungenxa yokuthi ukuqubuka okuningi kulimaza i-cornea yakho. Izinkinga zifaka:

• izilonda (izilonda)
• ukuphazamiseka kobuso be-corneal
• ukugcotshwa kwe-cornea

Uma i-cornea yonakele ngokwanele ukudala ukulahleka kombono omkhulu, ungadinga ukufakelwa kwe-corneal (keratoplasty).

Umbono

Yize i-herpes yamehlo ingalapheki, unganciphisa ukulimala kwamehlo akho ngesikhathi sokuqubuka.

Esibonakalisweni sokuqala sezimpawu, shayela udokotela wakho. Ngokushesha lapho welapha i-herpes yamehlo akho, mancane amathuba okuthi kube nomonakalo omkhulu ku-cornea yakho.