Iingxowa zeso
I-Herpes zoster ophthalmicus (HZO) yintsholongwane ebalulekileyo, ebungozi-esongelayo ebangela iso kunye nesikhumba ejikeleze iso. I-HZO ibangelwa ukusetyenziswa kwakhona kwegciwane le-varicella-zoster, enye intsholongwane leyo ebangela inkukhu kubantwana. Emva kokusuleleka, intsholongwane ihlala ihlale ihlale ihlale ilele kwaye ikwazi ukuvuselela, kubangele ukuba i-shingles kubantu abanamajoni omzimba obuthathaka.
I-HZO ibangelwa xa i-virus iyasetyenziswa kwakhona kwiimbilini ezinika indawo yamehlo.
I-virus ye-varicella-zoster ayiyi kudideka kunye ne-herpes simplex 1, enye intsholongwane ebangela i- herpes yamehlo. I-Herpes simplex 1 yintsholongwane efanayo eyenza izilonda ezibandayo emlonyeni nasemlonyeni. Ngamanye amaxesha kubangela ukuba usulelo lwe- cornea lubizwa ngokuba yi-herpes simplex keratitis.
Iimpawu
Ukuba unayo i-HZO, uya kuba ne-rash kwicala elinye lobuso bakho okanye ebunzini elibukeka njengenkukhu yenkukhu. Iqela lamabhalane amancinci lingahlakulela ngaphaya kwamehlo akho. Ukufikelela kwiveki enye ngaphambi kokuba kuvele ukugqithisa, unokuziva ugule ngokukhathala, i-malaise, kwaye mhlawumbi umkhuhlane ophantsi. Kwezinye iimeko, unokuva intlungu kwiindawo ezichaphazelekayo iintsuku ezimbalwa ngaphambi kokuba kubonakale amabhalane.
Ukuba iso lakho litheleleka nge-HZO, le mpawu ilandelayo iyakhula:
- Iintlungu ezinzulu kwaye zijikeleze iliso
- Ubomvu bamehlo
- Ukukhukhuma kwejwabu leso
- Ukukhanya kokukhanya
Izizathu
I-HZO ibangelwa yintsholongwane efanayo eyenza inkukhu kunye neziqhwala.
Abantu ababenomkhuhlane we-inkukhu okanye baye bavezwa kwintsholongwane yenkukhu bangakhuthaza iHZO.
Ukufikelela kuma-25% abantu abane-herpes zoster baya kuphuhlisa i-HZO. Akukho ndlela yokukhusela loo mqathango, kodwa iyanzeka ngokuphindaphindiweyo kubantu abadala kunye nalawo anesistim somzimba esichengileyo. Ukuzivocavoca, ukunciphisa uxinzelelo kunye nokugcina umzimba omzimba unokunciphisa ithuba lakho lokuchaphazeleka.
Ukuxilongwa
Nangona kukho iimvavanyo zonyango ezingenziwa ukwenzela ukuqinisekisa imeko, oogqirha abaninzi banokuxilonga i-HZO ngokusekelwe ekubonakaleni kunye neempawu. Nangona ukuxilongwa kwangaphambili kunokuba nzima kakhulu, xa kuvela i-blister, ukuxilongwa kudla ngokuthe tye ngenxa yendlela ukugqabhuka kuhlonipha ngayo umgama omzimba womzimba, ochaphazela icala elilodwa lobuso.
Esinye isibonakaliso sokuqala kunye esicacileyo senkundla yeHZO ingumqondiso waseHutchinson. Uphawu lukaHutchinson lubhekisela kwi-blister okanye isihlunu esiphumela kwisipu sempumlo.
Unyango
Ukuba uqaphela impawu, qiniseka ukutyelela ugqirha wakho kwaye ufumane unyango ngokukhawuleza. Ukuba ufumene i-HZO, ugqirha wakho uya kunika imishanguzo ye-anti-virus kwisilingo sokunciphisa ukuphindaphinda kwintsholongwane, nokunciphisa iintlungu neempawu ezilandelayo. Uhla lwe-eye steroid lungabuyekwa ukuba lunciphise ukuvuvukala. Uya kukwaziswa kwakhona ukuba uhlale uhlambulukile kwiindawo ezichaphazelekayo kwaye ukhuphe ukukhangela izilonda ukwenzela ukukhusela ukutshatyalaliswa okanye ukusuleleka kwintsholongwane.
Ukunciphisa intlungu, unokuyalelwa ukuba ufake izicelo ezipholileyo kwiindawo ezichaphazelekayo. Ngamanye amaxesha amayeza athile anokunceda intlungu. Akuqhelekanga ukuba iimeko zeHZO zivunyelwe esibhedlele.
Imithombo:
Gupta, Deepak. "I-Herpes Zoster (i-Shingles) Ukusetyenziswa kwakhona kweViricella-zoster Virus." Ulawulo lwe-Optometric, ngoDisemba 2006.
Sowka, Joseph W, Andrew S Gurwood kunye no-Alan G Kabat. "I-Handbook ye-Ocular Disease Management," yongezelela ukuhlaziywa kwe-Optometry. Epreli 2010.