Adenoviral conjunctivitis: Mgbaàmà na Ọgwụgwọ. Than na-emeso conjunctivitis

Infectious malitere ịrịa ọrịa na-ukwuu na-efe efe ma na-agbasa. Ndị a pathologies na otu ugboro nwere ike ime ma na ụmụ na okenye. N'ọnọdụ ka ukwuu, SARS otu na-emetụta ndị mucous membranes. A na-agụnye nasopharynx, tonsils, conjunctiva. Mgbe ụfọdụ malitere ịrịa ọrịa ime na syndrome nke gastric na nsia dyspepsia. SARS ọrịa dị iche iche ndị yiri na-adakarị picture. O sina dị, onye ọ bụla nke pathologies nwere e ji mara atụmatụ. Ka ihe atụ, na-emetụta elu akụkụ okuku ume na tract na conjunctiva nke anya na adenovirus ọrịa. N'ọnọdụ ka ukwuu, a daa ọrịa n'akparamagwa ụmụ. Dị nnọọ na ha na akpa ebe-esikarị adenoviral conjunctivitis. Mgbaàmà na ọgwụgwọ nke na-efe efe si dị iche na ndị ọzọ SARS ubé. Mara otú ihe banyere ọrịa, nwere bụghị naanị dọkịta, kamakwa ụlọ akwụkwọ ọta akara ndị nkụzi na nne na nna. Mgbe niile, na-adọ ọgwụgwọ na mgbochi iji nyere aka gbochie mgbasa nke ọrịa.

Gịnị bụ nnukwu adenoviral conjunctivitis?

Conjunctivitis - bụ mbufụt nke mucous akpụkpọ ahụ nke dị n'ime elu nke eyelids. Ọrịa a na-esokwa oyi ọrịa. Ọzọkwa, e nwere akụkụ okuku ume na ọrịa, mbufụt nke mbubere nke na-abịa ahụ pụta ìhè. N'ihi na ndị dị otú ahụ enweghị nchịkwa ọnọdụ gụnyere adenoviral conjunctivitis. Mgbaàmà na ọgwụgwọ nke ọrịa a na-dịtụ iche na-efe efe mere site bacteria. Isi adakarị ngosipụta nke ọrịa - na ọ na-ewute na nācha ọbara-ọbara nke anya. Ke adianade do, adenoviral ọrịa na-egosi na a ọnụ ọgụgụ nke mgbaàmà ndị ọzọ. The na-emeso conjunctivitis, na-adabere na etiology nke ọrịa. Ọ bụrụ na ihe kpatara ya bụ SARS, nye iwu ka ihe antiviral ọgwụ. Ya mere na-adịghị eji antibacterial anya tụlee ke akpa ihe ịrịba ama nke mbufụt. Olee otú ogologo na-emeso adenoviral conjunctivitis na-adabere na ala nke dịghịzi usoro. N'ọnọdụ ka ukwuu nke SARS mgbaàmà akwụsị n'ime 5-10 ụbọchị.

Etiological ihe nke ọrịa

The ọrịa e mere site a virus si ìgwè nke SARS. The causative gị n'ụlọnga, a chọpụtara na ufọt ufọt narị afọ nke 20. Ọ maara na adenovirus bụ ukwuu eguzogide ala okpomọkụ na ọtụtụ disinfectants. Nke a bụ n'ihi na ọnụnọ nke a pụrụ iche shei - na capsid, na virus na-echebe megide mebiri. Inside e a abụọ-tọrọ atọ DNA, nke nwere mkpụrụ ndụ ihe nketa ọmụma nke a microorganism. The virus dere 3 awakpo akpata. N'etiti ha:

1. A ezu-gwara antigen a pathogenic akpata. Mmetụta ya nke ọma bụ n'ihi na mgbochi nke phagocytosis, ie microorganisms kpọọ usoro mkpụrụ ndụ nke dịghịzi usoro.
2. Antigen B. eme igbu egbu.
3. Antigen C. Nke a nje na-anakọtara n'elu nke mkpụrụ ndụ ọbara - mkpụrụ ndụ ọbara uhie.

Adenovirus anwụ n'okpuru elu okpomọkụ (n'okpuru reflux). Ọ bụkwa chebaara ụfọdụ nje.

Pathogenesis nke adenoviral conjunctivitis

Na penetration nke nje na ahụ ịzụlite mkpali mgbanwe elu airway, mgbaàmà nke igbu egbu na adenoviral conjunctivitis. Mgbaàmà na ọgwụgwọ nke ọrịa ndị yiri ndị ọzọ akụkụ okuku ume na ọrịa. Usoro mmepe nke ọrịa mere site virus antigenic Ọdịdị. Ụzọ mbata ụzọ ámá ọrịa - bụ na mucous akpụkpọ ahụ nke gọzie gị amaokwu, akpịrị na conjunctiva. Ọ bụ n'ebe ahụ ka adenovirus replicates. Dị ka a n'ihi nke usu nje ire ọkụ ka mucous membranes. Ọzọkwa, adenovirus nwere ike tinye Lymph na gootu. N'ihi nke a, ndị na-adakarị picture nwere ike dị iche iche. Otú ọ dị, na-ahụkarị nke a na ọrịa bụ na mmepe nke adenoviral conjunctivitis. Mgbe na kọntaktị na mucosa nke mbubere na sclera, mụbara permeability nke cell membranes emee. N'ihi ya, edema na exudative phenomena. N'ihi ọnụnọ na Ọdịdị nke nje antigen C nwere ike ime erythrocyte mbibi. Nke a na-egosipụta site injection scleral hemorrhages. Adenoviral conjunctivitis na-mepụtara na otu ugboro dị ka na nke nwanyi bi, ma n'etiti ndị mmadụ. Children na-ata ahụhụ karịa ndị okenye. Ofufe Ọrịa na-ebute site ná site airborne ụmụ irighiri mmiri. The isi iyi bụ nje onye.

The adakarị picture na adenoviral conjunctivitis

Ịmata ihe dị iche na ọrịa ndị ọzọ na ụdị nke nnukwu akụkụ okuku ume malitere ịrịa ọrịa, ọ dị mkpa ịmata na-adakarị atụmatụ na ya mara na adenoviral ọrịa. Conjunctivitis nwere ike ime ndị ọzọ oyi metụtara pathologies. Otú ọ dị, mbufụt nke mucous membranes nke anya a na-ewere ihe na-ahụkarị nke adenovirus ọrịa. Conjunctivitis egosipụta site ndị na-esonụ mgbaàmà:

1. Eye nācha ọbara-ọbara, ọzịza na otụk n'akụkụ.
2. Itching na-enwu.
3. Lacrimation.
4. Blepharospasm - elu nkuchianaya na otụk n'akụkụ omitted.
5. Photophobia.
6. Ọdịdị nke serous orùrù na conjunctiva. Mgbe isonyere emee nnwụchu ọgwụgwọ nke nje na-efe efe. Na nke a, na exudate aghọ purulent.
7. Foreign ahụ sensashion na anya.

Ọ bụ uru na-echeta na conjunctivitis bu ụzọ mbụ oge nke ọrịa, nke dịruru maka 5-7 ụbọchị. N'oge a ọ na-enwe mmenaanya syndrome (fever, ọnwụ nke agụụ, adịghị ike), ihe ịrịba ama nke rhinitis na pharyngitis. Mgbe ụfọdụ, e nwere ihe na-abawanye na cervical Lymph, na dyspepsia.

Clinical forms of adenoviral conjunctivitis

Ná mmalite, ọrịa mkpali usoro hụrụ onye anya. Ọ bụrụ na nri jikoro na-e, mgbe ahụ maka 2-3 ụbọchị ịzụlite bilateral adenoviral conjunctivitis. Olee otú ogologo ka ọrịa na-adabere na otú ngwa ngwa ọgwụgwọ a na malitere. Ọ bụrụ na a ọrịa nje bụ conjunctivitis onu nwere ike ime ruo izu 2. Ọ bụrụ na usoro ọgwụgwọ ebido na oge, mgbaàmà nwere ike ịga 5 ụbọchị. Dabere na-adakarị ụdị nke tọhapụ:

1. Catarrhal adenoviral conjunctivitis. Ọ e ji ole na ole ihe ịrịba ama nke mbufụt (nācha ọbara-ọbara, agafeghị oke) na unexpressed exudation. Nsogbu ọtụtụ mgbe na-adịghị hụrụ.
2. Adenoviral follicular conjunctivitis. Ji ọdịdị obere ọkụ ọkụ ke n'ime elu nke narị afọ. Mgbe ụfọdụ, ndị follicles bụ nnukwu, ekpuchi dum mucous akpụkpọ ahụ nke anya. N'elu hyperemia narị afọ, e nwere ihe ogwu ogbugba nke sclera.
3. Filmy adenoviral conjunctivitis. A akụkụ pụrụ iche nke ụdị agụmakwụkwọ na-atụle ga mkpa fibrin machie ekpuchi mucous akpụkpọ ahụ nke anya. Na-emekarị ha nwere ike mfe wepụrụ eji a fere fere swab. Na oké ikpe, na film tightly soldered na mucosa. Na nke a, ọrịa a na-ọdịiche dị na a ụdị diphtheria.

daa ọrịa ndị okenye na ụmụaka: iche

N'ọnọdụ ka ukwuu, adenoviral conjunctivitis okenye ji a nta ugbu a. Ọtụtụ mgbe ọ na-achọkwa na pharyngitis na rhinitis. Igbu egbu syndrome na-bụghị ọtụtụ pụta ìhè, na ahu okpomọkụ esịmde 37-38 degrees. Frequency nke omume kwubara mbụ catarrhal ụdị conjunctivitis. Na a ebelatawo ọgụ ike ime lymphadenopathy, na eriri afọ ọrịa.

Adenoviral conjunctivitis na ụmụ bụ karịa okenye. The ìgwè (tupu ụlọ akwụkwọ, iji banye n'ụlọ akwụkwọ) e nwere ike ịbụ ihe ntiwapụ. Mgbaàmà na n'etiti-agadi ụmụaka adịghị si dị iche na ndị okenye. Na-adọ ọgwụgwọ naghachi n'ime 5-7 ụbọchị. A feature nke ọrịa na-eto eto ụmụ bụ ugboro ugboro a ọrịa nje, oké ahụ ọkụ, follicular na filmy ụdị mbufụt.

Diagnosis nke adenoviral conjunctivitis

Iji mata adenovirus conjunctivitis, mụụrụ a ọmụmụ nke orùrù si anya, imi, na-ewe a swab si akpịrị. Ọzọkwa maka nchoputa dị ezigbo mkpa n'akụkọ ihe mere eme nke ọrịa. The e ji mara atụmatụ nke adenovirus ọrịa bụ: mmenaanya na catarrhal phenomena, nke ebu conjunctivitis. Ọtụtụ mgbe, ihe mgbaàmà tolite n'ime ụbọchị ole na ole mgbe ikpughe. Ke adianade virological ule a rụrụ serological nchoputa: zuo ezu fixation, anọ hemagglutination, ELISA.

Adenoviral conjunctivitis: Mgbaàmà na ọgwụgwọ nke ọrịa

Etiological ọgwụgwọ nke na-efe efe bụ antiviral ọgwụ ọjọọ. A na-agụnye ọgwụ "Rimantadine", "Anaferon", "Arbidol" na na. D. Olee na-emeso conjunctivitis mere site adenovirus ọrịa? The ọgwụ nke oke tụlee "Oftalmoferon" atụle mbufụt nke mucous membranes nke anya. Ọzọkwa, ihe omume na-adabere na ihe mgbaàmà. Ndị dị otú ahụ a mma ka purulent orùrù si anya, bụ ihe mere nzube nke antibacterial ọgwụ ọjọọ. Ndị a gụnyere ointments nwere "Erythromycin" ọgwụ, "gentamicin." Ọ bụrụ na ndị mgbaàmà bụ ọdịdị nke fim na mucosal akpụkpọ ahụ anya, obodo ọgwụgwọ a na-atụ aro. Ịwakpo wepụrụ iji fere fere swabs gwara lukewarm mmiri. Mgbe nke ahụ gasịrị na-eji antimicrobials. Ka ihe atụ, anya tụlee "sulfacetamide", "Tsiprolet".

Nsogbu nke adenoviral conjunctivitis

Nsogbu conjunctivitis mere site adenovirus ọrịa, bụ obere. Ọtụtụ mgbe ha ime na ndị na-ebelatawo dịghịzi usoro, na membranous ụdị ọrịa ahụ. Nsogbu ndị ahụ gụnyere: keratitis, nje conjunctivitis, otitis, scars na mucous akpụkpọ ahụ nke anya.

Prevention of adenovirus ọrịa

Mgbochi na-agụnye iche nke ọrịa si mkpokọta akara jikoro (ventilashion nke ụlọ, sanitization). Mgbe na kọntaktị na mmadụ oria ẹkenọde atụ aro immunostimulatory preparations. A na-agụnye ọgwụ "IRS-19", "Anaferon". Ọ na-atụ aro ịtụ gọzie gị amaokwu oxolinic ude n'oge SARS outbreaks.