ʻO nā mea āpau āu e ʻike ai e pili ana i ka herpes maka

Anter

• Nā ʻōuli o ka herpes maka
• ʻO ka herpes maka vs. conjunctivitis
• Nā ʻano herpes maka
• Nā kumu o kēia ʻano
• Pehea ka maʻamau o ka herpes maka?
• ʻIke i ka herpes maka
• Lapaʻau
• ʻO ka mālama ʻana i ka keratitis Epithelial
• Hoʻoikaika keratitis stromal
• Loaʻa hou mai ka herpes maka
• Ke kū hou ʻana o ke ʻano
• Outlook

ʻO ka herpes maka, ʻo ka herpes simpular virus kekahi i ʻike ʻia, ʻo ia kahi ʻano o ka maka i hoʻokumu ʻia e ka maʻi herpes simplex virus (HSV).

ʻO ka ʻano maʻamau o ka herpes maka i kapa ʻia ʻo epithelial keratitis. Hoʻopili ia i ke kornea, ʻo ia ka ʻaoʻao mua maopopo o kou maka.

I kona ʻano akahai, herpes maka ke kumu:

• ʻeha
• pehu
• ʻulaʻula
• weluwelu o ka ʻili kihi

ʻO ka HSV o nā papa waena hohonu o ke kihi - ʻike ʻia ʻo stroma - hiki ke hana i nā hōʻino nui, e alakaʻi ana i ka nalo ʻana o ka hihiʻo a me ka makapō.

ʻO ka ʻoiaʻiʻo, ʻo ka herpes maka ke kumu pinepine o ka makapō e pili pū ana me ka hōʻino ʻia o nā kornea maʻAmelika Hui Pū ʻIa a me ke kumu pinepine o ka makapō makapō i ka Honua Komohana.

Hiki ke mālama ʻia i ka herpes maka ʻoluʻolu a koʻikoʻi hoʻi me ka lāʻau antiviral.

A me ka mālama koke ʻana, hiki ke mālama ʻia ka HSV ma lalo o ka kaohi a me ka hōʻino ʻana i ke kole i hoʻoliʻiliʻi.

Nā ʻōuli o ka herpes maka

ʻO nā hōʻailona maʻamau o ka herpes maka e:

• ʻeha ka maka
• ʻike i ka mālamalama
• ʻike hihi
• haehae
• hoʻokuʻu mucus
• maka ʻulaʻula
• hoʻoipoipo i nā lihilihi (blepharitis)
• ʻeha, ʻulaʻula ʻulaʻula ma ka lihilihi luna a me kekahi ʻaoʻao o ka lae

I nā manawa he nui, pili ka herpes i hoʻokahi maka wale nō.

ʻO ka herpes maka vs. conjunctivitis

Kuhihewa ʻoe i ka herpes maka no ka conjunctivitis, ka mea i ʻike pinepine ʻia e like me ka maka a pink. Hoʻokumu ʻia nā kūlana ʻelua e kahi virus, ʻoiai ʻo ka conjunctivitis hiki ke kumu ʻia e:

• nā mea pākuʻi
• koʻohune
• kemika

Hiki i ke kauka ke hana i ka ʻike pololei ma ka hoʻohana ʻana i kahi laʻana moʻomeheu. Inā loaʻa iā ʻoe ka herpes maka, e hoʻāʻo ka moʻomeheu no ka type 1 HSV (HSV-1). ʻO ka loaʻa ʻana o kahi hōʻailona pololei hiki ke kōkua iā ʻoe e loaʻa i ka lāʻau kūpono.

Nā ʻano herpes maka

ʻO ka ʻano maʻamau o ka herpes maka ka epathelial keratitis. I kēia ʻano, hana ka virus i ka papa lahilahi o waho o ke kole, i ʻike ʻia ʻo ka epithelium.

E like me ka mea i ʻōlelo ʻia, hiki i ka HSV ke hoʻopili i nā papa hohonu o ke kola, i ʻike ʻia ʻo stroma. ʻIke ʻia kēia ʻano herpes maka me he keratitis stromal.

ʻOi aku ka koʻikoʻi o ka keratitis Stromal ma mua o ka keratitis epithelial no ka mea i ka hala ʻana o ka manawa a me nā laha pinepine ʻana, hiki iā ia ke hōʻino i kāu kōkō e hiki ai i ka makapō.

Nā kumu o kēia ʻano

Hoʻokumu ʻia ka herpes maka e ka HSV i nā maka a me nā ʻōmaka. Ua koho ʻia a hiki i ka 90 pākēneka o nā mākua i hōʻike ʻia i ka HSV-1 e ka makahiki 50.

Ke hiki mai i ka herpes maka, HSV-1 e hoʻopili i kēia mau ʻāpana o ka maka.

• ʻōmaka maka
• kornea (ka dome maopopo ma mua o kou maka)
• retina (ka mālamalama ʻike maka o nā hunaola i ka hope o kou maka)
• conjunctiva (ka pepa lahilahi o nā mea i uhi i ka ʻāpana keʻokeʻo o kou maka a me ka loko o kou mau lihilihi)

ʻAʻole like me ka herpes genital (pili pinepine ʻia me HSV-2), ʻaʻole hoʻoili kolohe ʻia ka herpes maka.

Akā, hana pinepine ia ma hope o kekahi ʻāpana o ke kino - maʻamau kou waha, i ke ʻano o nā ʻeha anu - ua loli ʻia e HSV i ka wā ma mua.

Ke noho nei ʻoe me HSV, ʻaʻole hiki ke hoʻopau loa ʻia mai kou kino. Hiki ke hiamoe ka maʻi virus i kekahi manawa, a laila hoʻoulu hou i kēlā me kēia manawa. No laila, hiki i ka herpes maka ka hopena o kahi flare-up (reactivation) o kahi maʻi i hala.

ʻO ka makaʻu o ka lawe ʻana i ka maʻi i kekahi kanaka ʻē aʻe mai ka maka i hoʻopilikia ʻia he haʻahaʻa. Kōkua nā lāʻau anttiviral i ka hōʻemi ʻana i ka pōʻino i ka wā o ka maʻi.

Pehea ka maʻamau o ka herpes maka?

Kūlike ʻole nā ​​kuhi, akā ma kahi o 24,000 mau hihia hou o ka herpes maka i ʻike ʻia i kēlā me kēia makahiki i United States, e like me ka American Academy of Ophthalmology.

ʻOi aku ka maʻamau o ka herpes maka i nā kāne ma mua o ka wahine.

ʻIke i ka herpes maka

Inā loaʻa iā ʻoe nā ʻōuli o ka herpes maka, e ʻike i ka ophthalmologist a i ʻole kahi optometrist. ʻO kēia nā kauka ʻelua i loea i ka olakino maka. Hiki i ka hoʻomaʻamaʻa mua ke hoʻomaikaʻi i kāu kuana.

No ke kuhi ʻana i ka herpes maka, e nīnau aku kāu kauka iā ʻoe i nā nīnau kikoʻī e pili ana i kāu mau hōʻailona, ​​e like me ka wā i hoʻomaka ai a inā paha ua ʻike ʻoe i nā hōʻailona like i ka wā i hala.

E hana ana kāu kauka i kahi hoʻokolohua maka piha e loiloi i kāu ʻike, ʻike i ka mālam, a me nā neʻe o ka maka.

E hoʻokau lākou i nā kulu maka i kou mau maka e hoʻomāhuahua (widen) i ka iris, pū kekahi. Kōkua kēlā i kāu kauka e ʻike i ke ʻano o ka retina ma ka hope o kou maka.

E hana paha kāu kauka i kahi hōʻike stain maka fluorescein. I ka wā o ka hoʻāʻo ʻana, e hoʻohana kāu kauka i kahi kulu maka e waiho ai i ka ʻalani ʻalani ʻeleʻele, i kapa ʻia ʻo fluorescein, ma luna o ka maka o kou maka.

E nānā kāu kauka i ke ʻano o ka kala ʻana o ka maka i kou maka e kōkua ai iā lākou e ʻike i nā pilikia me kāu kōkō, e like me ka scarring ma kahi e hoʻopili ʻia e ka HSV.

Lawe paha kāu kauka i kahi laʻana o nā hunaola mai ka maka o kou maka e nānā iā HSV inā ʻaʻole maopopo ka ʻike. ʻO kahi ho'āʻo koko e nānā i nā mea ʻino mai ka wā ma mua i ka HSV ʻaʻole kōkua nui no ka hōʻoia no ka mea ua hōʻike ka hapa nui o ka poʻe iā HSV i kekahi manawa o ke ola.

Lapaʻau

Inā hoʻoholo kāu kauka he herpes maka kou, e hoʻomaka koke ʻoe i ka lawe ʻana i ka lāʻau antiviral i kuhikuhi ʻia.

ʻOkoʻa ka lapaʻau ʻana ma muli o ka loaʻa ʻana iā ʻoe o ka keratitis epithelial (ke ʻano milder) a i ʻole ke keratitis stromal (ke ʻano ʻoi aku ka hōʻino).

ʻO ka mālama ʻana i ka keratitis Epithelial

ʻO ka HSV ma ka papa o ke kola e maʻa mau iā ia iho i loko o kekahi mau pule.

Inā ʻoe e lawe koke i ka lāʻau antiviral, hiki iā ia ke kōkua i ka hōʻemi ʻana i ka hōʻino ʻana o ke kornea a me ka nalo ʻana o ka hihi. Paipai kāu kauka i nā kulu maka antiviral a i ʻole ka hamo a i ʻole nā ​​lāʻau antiviral waha.

ʻO kahi lāʻau maʻamau ka lāʻau oral acyclovir (Zovirax). He koho lapaʻau maikaʻi paha ka Acyclovir no ka mea ʻaʻole ia i hele mai me kekahi o nā hopena hopena o nā kulu maka, e like me nā maka wai a ʻili paha.

Hiki i kāu kauka ke kāwele mālie i ka ʻili o kāu kōpena me kahi kapa pulupulu ma hope o ka hoʻopili ʻana i nā kulu numbing e hoʻoneʻe i nā hunaola maʻi. ʻIke ʻia kēia kaʻina hana he debridement.

Hoʻoikaika keratitis stromal

Hoʻouka kēia ʻano HSV i nā papa waena hohonu o ke kō, i kapa ʻia ʻo stroma. ʻO ka keratitis Stromal ka hopena o ka scorning corneal a me ka nalo ʻana o ka hihiʻo.

Ma waho aʻe o ka antiviral therapy, ʻo ka lawe ʻana i ka steroid (anti-inflammatory) maka kulu e kōkua i ka hoʻēmi ʻana i ka pehu i ka stroma.

Loaʻa hou mai ka herpes maka

Inā ʻoe e mālama ana i kou herpes maka me nā kulu o ka maka, pono paha ʻoe e hoʻokomo iā lākou i nā manawa a pau i kēlā me kēia 2 mau hola, e like me ka lāʻau a ke kauka i kuhikuhi ai. Pono ʻoe e hoʻomau i ka hoʻopili ʻana i nā kulu a hiki i 2 mau pule.

Me ka acyclovir waha, e lawe ʻoe i nā pila i ʻelima mau manawa i kēlā me kēia lā.

E ʻike ʻoe i ka hoʻomaikaʻi i 2 a 5 mau lā. Pono e hala nā ʻōuli ma waena o 2 a 3 mau pule.

Ke kū hou ʻana o ke ʻano

Ma hope o ka mua o ka herpes maka, ma kahi o 20 pākēneka o ka poʻe e loaʻa hou i ka maʻi i ka makahiki e hiki mai ana. Ma hope o nā piʻi pinepine ʻana, hiki i kāu kauka ke koi aku e lawe i ka lāʻau antiviral i kēlā me kēia lā.

ʻO kēia no ka hōʻino ʻana o nā maʻi he nui i kāu korona. Komo pū nā pilikia:

• ʻeha (ulcer)
• numbing o ka ʻili palaoa
• perforation o ke kōkea

Inā hōʻino ʻia ke kōkō e kumu i ka nalowale ʻana o ka hihi, pono paha ʻoe i kahi transplant corneal (keratoplasty).

Outlook

ʻOiai ʻaʻole hiki ke hoʻōla i ka herpes maka, hiki iā ʻoe ke hōʻemi i ka hōʻino o kāu maka i ka wā o ka maʻi.

I ka hōʻailona mua o nā hōʻailona, ​​e kāhea i kāu kauka. ʻO ka wikiwiki o kou mālama ʻana i ka herpes o kou maka, ʻo ka liʻiliʻi o ka loaʻa ʻana o ka pōʻino nui i kāu kōpena.