Mob rau lub qhov txhab thiab cov mob sib kis

Tus mob pob tsuas yog cov nqaij ntshiab nyob pem taub hau ntawm lub qhov muag. Ib lub qhov txhab ntawm lub qhov txhab mob yog qhov mob qhib rau sab hauv txheej ntawm lub qhov muag. Nws yog feem ntau tshwm sim los ntawm kev kis tus kab mob. Thaum xub thawj, mob lub qhov txhab ua pob txha yuav zoo li ua pob txha muag, lossis qhov muag liab.

Mob rau lub qhov txhab feem ntau yog tshwm sim los ntawm tus kab mob, kab mob, hu ua fungi, lossis cab.

• Acanthamoeba keratitis tshwm sim hauv cov neeg siv tsom iav. Nws yog qhov tshwm sim ntau dua rau cov neeg uas ua lawv tus kheej hauv tsev cov kev daws teeb meem.
• Fungal keratitis tuaj yeem tshwm sim tom qab mob caj dab mob uas cuam tshuam nrog cov khoom ntoo. Nws kuj tseem tuaj yeem tshwm sim hauv cov neeg uas muaj kev tiv thaiv kab mob.
• Tus mob herpes simplex keratitis yog ib hom mob hnyav heev. Nws yuav ua rau rov ua ntau qhov kev tawm tsam uas yog los ntawm kev ntxhov siab, kis ntawm lub hnub ci, lossis ib qho xwm txheej uas ua rau lub cev tiv thaiv kab mob tsawg dua.

Mob rau lub qhov muag txhaws lossis mob tuaj yeem yog qhov tshwm sim los ntawm:

• Cov plaub muag uas tsis kaw rau txhua txoj kev, xws li muaj Bell palsy
• Lub cev txawv teb chaws hauv lub qhov muag
• Khawb kos (txhuam me me) rau sab qhov muag
• Pheej qhov muag qhuav
• Qhov muag ua xua hnyav
• Ntau yam mob sib kis

Looj tsom iav qhov muag, tshwj xeeb tshaj yog cov neeg sib chwv uas tawm hauv ib hmos, yuav ua rau mob caj dab.

Cov tsos mob ntawm tus mob los yog mob rau ntawm lub qhov muag xws li:

• Plooj lossis plooj plooj
• Qhov muag uas tshwm liab lossis los ntshav
• Khaus thiab tawm
• Hnov mus rau lub teeb (photophobia)
• Mob heev thiab watery ob lub qhov muag
• Daim npog dawb rau ntawm lub qhov muag

Koj tus kws kho mob yuav ua cov kev sim nram no:

• Kev kuaj ntawm seem ntawm lub rwj
• Fluorescein stain ntawm lub qhov muag
• Keratometry (ntsuas qhov nkhaus ntawm lub qhov muag)
• Tub ntxhais kawm lus teb
• Ntsig txog kev xeem
• Soj ntsuam me-teeb lub teeb
• Kev ntsuam xyuas rau qhov muag qhuav
• Kev pom tseeb tseeb

Yuav tsum tau kuaj ntshav ntxiv txhawm rau kuaj saib puas muaj kev cuam tshuam dab tsi.

Kev kho mob rau cov pob txha qhov txhab thiab mob txhab yog nyob ntawm qhov mob. Txoj kev kho yuav tsum tau pib kho sai li sai tau kom tsis txhob muaj qhov khaus ntawm lub ntsej muag.

Yog tias qhov tseeb tsis paub meej, koj tuaj yeem raug tso tshuaj tiv thaiv kab mob uas ua haujlwm tiv thaiv ntau hom kab mob.

Thaum paub tseeb qhov tseeb, koj tuaj yeem raug tso kua tshuaj uas kho cov kab mob, mob pob txuv, lwm yam kab mob, lossis siv pwm. Mob viav vias qee zaum yuav tsum tau txais kev hloov kho pob kws.

Corticosteroid qhov muag dauv yuav raug siv los txo qhov o thiab mob nyob hauv qee yam mob.

Koj tus kws kho mob tseem yuav kom koj:

• Zam qhov muag pleev.
• TSIS TXHOB coj tsom iav qhov muag txhua lub sijhawm, tshwj xeeb yog thaum pw tsaug zog.
• Noj tshuaj mob.
• Coj iav tiv thaiv.

Coob leej ntau tus neeg kom rov zoo li qub thiab tsuas muaj kev hloov pauv tsis pom kev hauv lub zeem muag. Txawm li cas los xij, mob lub qhov txhab lossis mob voos yuav ua rau kev puas tsuaj mus ntev thiab cuam tshuam lub zeem muag.

Yog tsis kho qhov mob rau lub qhov txhab thiab mob yuav ua rau:

• Poob qhov muag (muaj tsawg)
• Kev tsis pom kev loj
• Cov caws pliav rau ntawm lub qhov muag

Hu rau koj tus kws khomob yog:

• Koj muaj cov tsos mob ntawm lub pob txha caj pas lossis ib qho mob sib kis.
• Koj tau kuaj mob tus mob no thiab koj cov tsos mob hnyav dua tom qab kho tas.
• Koj lub zeem muag cuam tshuam.
• Koj muaj mob qhov muag uas mob hnyav lossis mob heev.
• Koj cov tawv muag lossis daim tawv ncig ntawm koj lub qhov muag yuav o lossis liab.
• Koj muaj mob taub hau ntxiv rau koj lwm cov tsos mob.

Yam koj tuaj yeem ua los tiv thaiv tus mob muaj xws li:

• Ntxuav koj ob txhais tes kom zoo thaum tuav koj lub iav ntsiab muag.
• Zam tsis txhob coj cov iav ntsiab muag hmo ntuj.
• Tau txais kev kho mob kom ceev ceev qhov muag kom tiv thaiv qhov mob txhab.

Cov kab mob keratitis; Kev mob ntsws keratitis; Acanthamoeba keratitis; Tus mob herpes yooj yim keratitis

• Qhov muag

Austin A, Lietman T, Rose-Nussbaumer J. Hloov kho ntawm kev tswj tus mob keratitis. OphthalmologyCov. 2017; 124 (11): 1678-1689. PMID: 28942073 pubmed.ncbi.nlm.nih.gov/28942073/.

Aronson JK. Hu rau lo ntsiab muag thiab cov kev daws teeb meem. Hauv: Aronson JK, ed. Meyler Qhov tshwm sim los ntawm Cov TshuajCov. 16th ed. Waltham, MA: Elsevier B.V .; 2016: 580-581.

Azar DT, Hallak J, Barnes SD, Giri P, Pavan-Langston D. Microbial keratitis. Hauv: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, thiab Bennett's Cov Ntsiab Cai thiab Kev Coj Ua ntawm Kab Mob KisCov. 9le ed. Philadelphia, PA: Elsevier; 2020: cha 113.

Cioffi GA, Liebmann JM. Cov kab mob ntawm cov kab mob pom. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 395.

Efron N. Corneal staining. Hauv: Efron N, ed. Hu Rau Cov Teeb MeemCov. 4 tug ed. Philadelphia, PA: Elsevier; 2019: chap 18.

Guluma K, Lee JE. Ophthalmology. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 61.