Fungal keratitis kws ua hauj lwm hu ua cov txheej txheem mob hauv lub qhov muag ntawm lub qhov muag, uas tshwm sim los ntawm kev ua ntawm cov kab mob. Zoo li lwm yam kab mob ntawm tus kab mob ophthalmologic, nws nce mus tsis txaus siab thiab ua rau muaj kev xav tsis meej.
Manifestations ntawm fungal keratitis
Thaum kuaj lub pob kws siv lub nplais teeb, cov cim nram qab no muaj nyob hauv cov neeg mob uas muaj cov kab mob kernatitis:
- hypopion;
- tsis xws ntawm cov epithelium;
- conjunctival txhaj;
- teb ntawm lub chamber anterior;
- kis mob stromal qhov quav.
Rau tus kab mob yog tsiag ntawv los ntawm muaj ib qho infiltrate nrog tsa pinnate margins thiab grey-xim av pigmentation. Cov kev ntxhib los mos ntawm purulent tawm, raws li ib txoj cai, yog tsis ncaj. Qee cov neeg mob tau muaj txheej xaum qhuav hauv cov hlab ntsha thiab cov hlab ntsws.
Kev kho mob ntawm fungal keratitis yog yuav tsum tau txhaj thiab muaj cov tsos mob nram no:
- mob hauv qhov muag;
- kev xav ntawm lub xub ntiag ntawm ib lub teb chaws;
- lacrimation ;
- qhov tsos ntawm cov kua qaub los ntawm ob lub qhov muag;
- kev puas tsuaj rau lub sam xeeb txog ntawm epithelium;
- liab liab;
- photophobia .
Kev kho mob ntawm fungus nyob rau hauv lub qhov muag
Fungi yog cov kab mob nyob hauv. Yuav ua kom lawv muaj kev tshwj xeeb ntawm cov yeeb tshuaj. Hauv kev txiav txim rau txoj kev kho kom zoo, nws yog qhov tsim nyog yuav tsum tau txiav txim siab seb qhov muag tau zuaj dab tsi.
- Polyenes yog zoo tawm tsam poov thiab filamentous microorganisms.
- Natamycin yog ib qho tshuaj tua kab mob nrog ntau qhov kev ua. Txog hnub no, qhov no tsuas yog siv tshuaj rau cov tshuaj pleev khu xwb, sib ntaus nrog cov nqaij ntshiv ntawm lub qhov muag.
- Amphotericin B yog ib qho tseem ceeb nyob rau hauv kev kho mob ntawm keratitis tshwm sim los ntawm poov fungi.
- Azols yog siv los kho cov kab mob ntau tshaj plaws. Lawv nres lub synthesis ntawm ergogsterol thiab muaj peev xwm ntawm kev rhuav tshem cov phab ntsa ntawm microorganisms.
Nws tseem yuav tau mus txuas ntxiv nrog kev kho tag nrho cov tshuaj noj rau tsawg kawg kaum ob lub lis piam.