Parinaud oculoglandular maʻi

ʻO ka Parinaud oculoglandular syndrome kahi pilikia o ka maka e like me ka conjunctivitis ("maka ʻākala"). Hoʻohui pinepine ia i ka maka hoʻokahi wale nō. Kū ʻia ia me nā lymph nū pehu a me kahi maʻi me kahi kuni.

Kaha: Parinaud Syndrome (i kapa ʻia ʻo upgaze paresis) kahi maʻi ʻokoʻa kahi e loaʻa ai ka pilikia i ka nānā ʻana i luna. Hiki ke kumu ʻia kēia e ka tumo lolo, a koi ʻia i kahi loiloi koke e kāu kauka olakino.

Hoʻokumu ʻia ʻo Parinaud oculoglandular Syndrome (POS) e ka maʻi me nā koʻohune, kahi maʻi, fungus, a i ʻole parasite.

ʻO nā kumu maʻamau ka maʻi ʻōpoki pōpoki a me ka tularemia (kuni kuni). Hiki i nā bacteria ke kumu i nā ʻano like ʻole ke hoʻopili i ka maka. Hiki i ke koʻohune ke komo pololei i ka maka (ma ka manamana lima a i ʻole kekahi mea ʻē aʻe), a i ʻole nā ​​kulu ea e hāpai i nā bacteria e pae i ka maka.

Hoʻolahalaha paha nā maʻi maʻi ʻē aʻe i ke ala like, a i ʻole ma o ke kahe o ke koko i ka maka.

ʻO nā hōʻailona me:

• ʻO ka maka ʻulaʻula, huhū, a ʻeha hoʻi (ke nānā aku e like me ka "maka ʻākala")
• Fiva
• Manaʻo maʻi laulā
• Hoʻonui ʻia ka haehae (hiki)
• ʻO ka pehu ʻana o nā momona lymph kokoke (ma mua o ka pepeiao)

Hōʻike kahi hōʻike:

• ʻO ka fiva a me nā hōʻailona ʻē aʻe o ka maʻi
• Maka ʻulaʻula, palupalu
• Hiki ke loaʻa nā lymph node ma mua o ka pepeiao
• Loaʻa paha nā ulu (conjunctival nodules) ma loko o ka maka o ka maka o ka maka

E hana ʻia nā hoʻokolohua koko e nānā no ka maʻi. He kiʻekiʻe a haʻahaʻa paha ka helu o ke keʻokeʻo koko keʻokeʻo, e pili ana i ke kumu o ka maʻi.

ʻO kahi hōʻoia koko e nānā i nā pae antibody ke ala nui i hoʻohana ʻia e ʻike pono i nā maʻi he nui i loaʻa iā POS. Hiki i nā hoʻokolohua ʻē aʻe ke:

• ʻO Biopsy o ka lymph node
• ʻO ka moʻomeheu Laboratory o nā wai o ka maka, nā kiko o ka lymph node, a i ʻole ke koko

Kaukaʻi ʻia i ke kumu o ka maʻi, hiki ke kōkua i nā lāʻau ʻaloʻalo. Pono paha ka ʻoki ʻana i nā hihia kakaikahi e hoʻomaʻemaʻe i nā aʻa i loaʻa i ka maʻi.

Aia ka nānā i ke kumu o ka maʻi. Ma ke ʻano laulā, inā e hoʻomaka ke kuhi a hoʻomaka koke ka lāʻau, hiki ke maikaʻi loa ka hopena o POS.

ʻAʻohe laha nā pilikia koʻikoʻi.

Hiki i nā nodule conjunctival ke hana i nā ʻeha (ulcer) i ka wā o ka hoʻōla. Hiki ke pālahalaha ʻia ka maʻi i nā pūnaewele kokoke a i ʻole i ke kahe o ke koko.

Pono ʻoe e kāhea i kāu mea hāʻawi inā hoʻomōhala ʻoe i kahi maka ʻulaʻula, huhū a ʻeha.

Hiki i ka holoi lima pinepine ʻana ke hōʻemi i ka likelike o ka loaʻa ʻana iā POS. Hōʻalo i ka wili ʻia ʻana e ka pōpoki, a he pōpoki olakino hoʻi. Hiki iā ʻoe ke hōʻalo i ka tularemia ma ka launa ʻole ʻana me nā lāpaki hihiu, nā squirrels, a me nā ticks.

Maʻi maʻi popoki; ʻO Oculoglandular maʻi

• Pihi lymph pehu

ʻO Gruzensky WD. Parinaud oculoglandular maʻi. I: Mannis MJ, Hōlani EJ, eds. Kornea. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 45.

ʻO Pecora N, ʻo Milner DA. ʻO nā ʻenehana hou no ka ʻike ʻana i ka maʻi, In: Kradin RL, ed. Nā Palapala Kānāwai Diagnostic o ka maʻi Infectious. ʻElua ed. Piladelapia, PA: Elsevier; 2018: chap 6.

Rubenstein JB, Spektor T. Conjunctivitis: maʻi lele a me ka maʻi ʻole. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 4.6.

Salemona JF. Konjunctiva. I: Salmon JF, ed. ʻO Ophthalmology Clinical Clinical. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 6.