I-pseudomembrane iyimbrane yamanga kwiso apho ngamanye amaxesha ikhula ngexesha lokusuleleka kunye nokuvutha. Ngokuqhelekileyo ihlanganisa i-conjunctiva, okanye inxalenye emhlophe yamehlo, kwaye ingonwabi kakhulu. Uluhlu lwembrane lubonakala luyizimba zangempela kodwa luvame ukuqulunqwa nge-mucus, fibrin, ibhaktheriya okanye amaseli omzimba omzimba. Ukususa i-pseudomembrane kunokuthuthuzela nokuphulukisa ngokukhawuleza.
Izizathu
Isizathu esona siqhelo se-pseudomembranes sisifo se-keratoconjunctivitis, okanye i-EKC Epidemic Keratoconjunctivitis (EKC) isifo sosuleleko olusulelayo, oludla ngokubhekiswa njenge-virtual conjunctivitis. I-EKC ukuvuvukala kwe- cornea kunye ne-conjunctiva. Iyaneneka kakhulu kwaye inokuhlala ixesha elide ngenyanga. I-EKC iqhubela phambili kwiindawo zokuqhagamshelana nabantu abasondeleyo, njengezikolo, izibhedlele kunye neendawo zeofisi. I-EKC ibangelwa yi-virus ebizwa nge-adenovirus.
I-Adenovirus ibangela izimo ezifanayo ezifana ne- pharyngoconjunctival fever . Nangona uphando oluthile lubonisa ukuba lunokudluliselwa ngamaconsi emoyeni kunye namachibi okubhukuda, indlela eqhelekileyo iqhutyelwa kukuxhamla ngokuthe ngqo kunye neinyembezi okanye ezinye izifo zamanzi ezigciwane. Oogqirha bamajoni bafundiswe kakuhle nge-EKC kuba, ngelishwa, iofisi yezilwanyana yamehlo ingaba enye yeendawo eziqhelekileyo zokudibanisa ne-adenovirus. Iipseudomembranes ezikhulayo xa umntu one-EKC ziphantse zibukeka njengezicubu zangempela.
Nangona kunjalo, ziqulunqwe ikakhulukazi nge-mucus kunye ne-fibrin. Ukususa iipseudomembrane kubantu abahluphekayo kwi-EKC ngokuqhelekileyo banciphisa iimpawu kunye nokuphulukiswa ngokukhawuleza.
Ezinye izizathu zokuqulunqwa kwamathambo zi:
- Ezinye izifo zentsholongwane yezilwanyana ezifana ne-simplex herpex
- Usulelo lwebhaktheriya. Iibhaktheriya eziqhelekileyo ezinokubangela i-pseudomembranes yiCorynebacterium diphtheria, staphylococci, streptococci, H. influenzae kunye ne-N.gonorrhoea.
- Ukuchithwa kweMikhali njengokwenyuka kwi-acids, i-ammonia, i-lime, i-nitrate yesilivere
Ukususwa
Ukususa i-pseudomembranes kubonise ukunciphisa ngokuphawulekayo iimpawu nokunciphisa inkqubo eqhelekileyo ye-virjun conjunctivitis. Ugqirha uya kubangela ukuba iliso elithile lonyango liyehla ukuze liphazamise iliso. Ngomfaki wekotoni okanye i-steelpress forceps, ugqirha uya kususa i-pseudomembrane. Emva koko, oogqirha banomyalelo wokudibanisa i-antibiotic-steroid ijongana neyesiso ekunciphiseni ukuvutha nokukhusela intsholongwane.
Ngaba Abaxhatshazelisayo?
Hayi, iipseudomembrane azixhatshazwayo. Nangona kunjalo, iintsholongwane ezibangela ukuba i-pseudomembranes ziphuhlise njenge-keratoconjunctivitis okanye i-pharyngoconjunctival fever inokusasazeka kakhulu.
Ukuba ucinga ukuba unayo i-virjun conjunctivitis, qaleni ubone ugqirha weziliso unyango olufanelekileyo. Kwakhona, landela le miyalelo:
- Njalo hlamba izandla zakho rhoqo ngamanzi afudumele kunye nesepha.
- Gwema ukudibanisa osondeleyo ubuncinane ubuncinane kwiiveki ezimbini kwaye usebenzise amathuwa, iimpahla zokuhlamba, kunye nemilenze. Njalo uhlambe iilesi zebhedi rhoqo kwiiveki ezimbalwa ezizayo.
- Yazi ukuba iimpawu ziya kuba zibi kakhulu kwiveki yokuqala ngaphambi kokuphucula kwaye kungathatha inyanga okanye ixesha elide ukuba umbono uphinde uphinde uzuze.
- Gcina zonke iindawo zakho zokuqeshwa kunye nodokotela wakho weziliso. Ezinye iindidi ze-conjunctivitis ziye zaziwa ukuba zihlala zinyanga ezintandathu. Iimpawu ezinzima, ezingenakunqwenelekayo ziya kusombulula kwiiveki ezimbalwa. Nangona kunjalo, amancinci angenele angabonakala kwi-cornea, esicacileyo, isakhiwo esifana nesidanga engxenyeni yangaphambili yelihlo, kwaye kubangela umbono ophantsi okanye ophazamisayo. I-Steroids idlalwa ngokukhawuleza ixesha elide xa kungena ukungena.