Conjunctivitis i nā ʻīlio

Hiki ke hoʻomaka mua ʻia ka conjunctivitis. Inā loaʻa iā ʻoe kahi ʻīlio brachycephalic (e like me ka bulldog, Pekingese, a i ʻole pug), ʻoi aku ka nui o ka ulu ʻana o ka conjunctivitis. ʻO nā ʻīlio me ka ptosis pua, ʻo ia hoʻi ka hāʻule ʻana o ka lihilihi haʻahaʻa, pono pū kekahi e nānā pono. ʻO kēia nā Basset Hounds, Spaniels, Newfoundlands, St. Bernards, Great Danes, Chow Chows a me nā ʻano ʻē aʻe o ka hui Molossian. Eia nō naʻe, ʻoiai inā ʻaʻole pili kāu ʻīlio i nā ʻano o luna, aia ka pilikia e hoʻomohala ʻo ia i ka pathology maka.

Nā kumu o ka helehelena

ʻO ka mea mua, he mea nui e hoʻomaopopo i ka conjunctivitis i loko o nā ʻīlio he mea maʻamau ke kaʻina hana lua. ʻAʻole like, no ka laʻana, nā pōpoki, kahi kumu maʻamau o kēia maʻi he maʻi viral a me nā maʻi bacterial, i nā ʻīlio, loaʻa kēia kaʻina inflammatory ma muli o ka hoʻonāukiuki ʻana e kekahi mau kumu kumu. Hoʻopili kēia i ka haʻalele ʻana o ka lihilihi i ʻōlelo ʻia ma luna, a me kona hoʻohuli ʻana a me ka hoʻololi ʻana - he mau hiʻohiʻona kēia o ke anatomy o ka maka no nā ʻano ʻīlio he nui. Inā pili kāu pipi i kēia pūʻulu ʻīlio, ʻaʻole e hoʻonui ʻia nā hoʻokolohua pale e ka ophthalmologist holoholona i ke ola a pau. Pono nō hoʻi kahi hoʻokolokolo pale i ka loaʻa ʻana o kahi hoaaloha o kekahi o kēia mau ʻano, no ka mea, i kekahi mau hihia, pono ke hoʻomaʻamaʻa ʻana e hoʻomaikaʻi i ka maikaʻi o ke ola a me ka hōʻoluʻolu o ka ʻīlio, a he mea nui kēia i ke koho ʻana i kahi holoholona.

ʻO nā kumu ʻē aʻe e pili ana i ka trichiasis (ua ʻeha nā maka a i ʻole ka lauoho ma ka lihilihi haʻahaʻa), districhiasis (kahi lālani ʻelua o nā maka ma luna, lalo a i ʻole nā ​​​​lau ʻelua ʻelua), kahi ectopic eyelash (ʻo ia hoʻi, he hulu maka e ulu ana ma nā kihi ʻākau i ka maka. cornea o uXNUMXbuXNUMXbka maka a hōʻeha iā ia me kēlā me kēia neʻe ʻana o nā lihilihi). ). ʻO ka trauma mau ke alakaʻi i ka mumū mau, he mea hōʻoluʻolu ʻole i ka ʻīlio, akā ʻaʻole ʻike ʻia e ka mea nona. He anomaly congenital kēia, ʻike ʻia ma ka hoʻokolokolo kūloko e ka ophthalmologist a koi ʻia ka hana ʻoki.

Eia kekahi, ʻo nā ʻeha ʻē aʻe o ka maka e alakaʻi i ka ulu ʻana o ka conjunctivitis a me nā maʻi koʻikoʻi ʻē aʻe, inā ʻaʻole mālama ʻia i ka manawa a i ʻole pololei, hiki ke alakaʻi i ka nalowale o ka ʻike a me nā maka.

ʻO kahi pilikia maʻamau ʻo KCC, keratoconjunctivitis sicca ma muli o ka nele o ka waimaka (e pili ana i kēia ma hope).

Nā hōʻailona o ka conjunctivitis i nā ʻīlio

ʻO nā hōʻike maʻamau, ʻo ia ka hyperemia (ʻulaʻula) o ka mucous membrane o ka maka a me kona pehu ʻana, blepharospasm (huli ka ʻīlio i kona mau maka). I ka wā ʻoi aku ka nui, ʻike paha nā mea nona ka hoʻokuʻu ʻana a i ʻole ka hoʻokuʻu ʻana mai ka maka o ka ʻīlio, hiki ke ʻano ʻokoʻa - purulent a mucous paha. He mea nui e hoʻomanaʻo ʻaʻole maʻamau ka hoʻokuʻu ʻana mai ka ʻeke conjunctival, a ʻo ka nānā wale ʻana e ka ophthalmologist a me nā hoʻokolohua kūikawā e kōkua i ka hoʻoholo ʻana i kona ʻano a me ke kumu kūpono o ka helehelena.

ʻO kekahi o nā hōʻailona maʻamau o ka conjunctivitis he epiphora - ka lacrimation mau. Ma muli o ka hele ʻana o kēia ʻano me ka ʻole o ka dynamics no ka manawa lōʻihi, paʻakikī ke hoʻomaopopo i ka pono o ke kipa ʻana i kahi loea kūikawā, akā naʻe, ʻo ka ʻike a me ka hoʻoponopono ʻana o kēia pilikia maka e alakaʻi i ka hoʻopau ʻana i ka ʻeha a me ka hoʻomaikaʻi nui ʻana i ka maikaʻi o ke ola o kāu pipi.

ʻO nā hōʻailona ʻē aʻe o ka conjunctivitis, ʻo ia ka ʻili, hiki i ka ʻīlio ke ʻoni i kona mau maka me kona mau wāwae, ʻoiai e hoʻomāhuahua ana ka hele ʻana o ka maʻi, no ka mea, hiki iā ia ke hōʻeha i nā maka a hiki i ka maʻi lua, a ʻo ia ka mea e hoʻonui ai i ke ala o ka maʻi.

I kekahi mau hihia, aia ka photophobia a me ka ʻōhule o ka ʻili a puni nā maka.

Hiki i nā hōʻailona a pau ma luna o ka maka hoʻokahi a i ʻole nā ​​​​mea ʻelua, hiki i nā hui like ʻole a ʻike ʻia me ka ikaika ʻokoʻa. ʻAʻole pathognomonic nā hōʻailona āpau, ʻo ia hoʻi, kikoʻī no ka maʻi hoʻokahi, ʻo ia ka conjunctivitis. ʻO kahi hana koʻikoʻi i ka maʻi maʻi e hoʻokani ʻia e ka loaʻa ʻana o nā mea hana kūikawā, me ka ʻole o ka loiloi o ka hana o ka maka i hiki ʻole, a me nā hoʻokolohua ophthalmological.

Nā ʻano maʻi

Hiki ke hoʻokaʻawale ʻia ka maʻi ma muli o ke kumu o ka hanana - no ka laʻana, traumatic, allergic, KKK (keratoconjunctivitis maloʻo), a i ʻole e like me ke ʻano o ke kahe ʻana: serous, mucous, purulent.

Ma lalo iho nei e nānā pono kākou i nā ʻano o kēia maʻi.

Allergic conjunctivitis i nā ʻīlio

Kū'ē i ka manaʻo nui, ʻaʻole nā ​​allergies ke kumu maʻamau o ka conjunctivitis i nā ʻīlio, no laila, ma mua o ka hana hewa ʻana i ka meaʻai maloʻo maʻamau a i ʻole nā ​​​​mea punahele punahele, pono e hoʻopau i nā kumu i ʻoi aku ka nui o ke alakaʻi ʻana i ka ulu ʻana o ka conjunctivitis.

Eia nō naʻe, hiki ke hālāwai me ka conjunctivitis maʻi, no laila e noʻonoʻo mākou ma kahi ʻano ʻokoʻa. E ʻike ʻia nā hōʻailona o nā ʻano conjunctivitis ʻē aʻe, akā naʻe, hiki ke hōʻike ʻia ke kau o kā lākou hoʻomaka hou ʻana. Hiki i ka allergen ke lilo i mea ʻai a me nā ʻāpana kaiapuni. No ka hana ʻana i kahi hōʻailona hope e hui pū me ke kiʻi lapaʻau, pono ia e hana i kahi hoʻokolokolo cytological o nā ʻōpala conjunctival. ʻO ka heleʻana o nā pūnaewele eosinophil e hōʻoia i ka hōʻailona o ka conjunctivitis maʻi i loko o ka'īlio a koi aku i ka lāʻau lapaʻau kūikawā.

ʻO ka conjunctivitis follicular i nā ʻīlio

He mea maʻamau ia no nā ʻīlio ʻōpio o nā ʻano nui (ma lalo o 18 mau mahina). ʻO kahi hiʻohiʻona ʻokoʻa o kēia ʻano, ʻo ia ka hiki ʻana o nā follicles, hiki ke ʻike ʻia me ka nānā pono ʻana i ka maka o ka ʻīlio. Hiki ke loaʻa iā lākou ma ka conjunctiva a i ʻole ma ke kolu o ka lihilihi. He ʻano kikoʻī ʻole ia o ka conjunctivitis, ʻaʻole maopopo nā kumu kūpono o kona hoʻomohala ʻana, no ka mea, ʻaʻohe ʻikepili hōʻoia e hōʻike ana i kekahi o nā mana. Eia nō naʻe, ʻaʻole i kāpae ʻia ke kuleana o ka hoʻoulu ʻana antigenic mau loa (ke ʻano maʻi o ka maʻi) a i ʻole kahi mea hana mechanical e hoʻonāukiuki i ka conjunctiva (traumatic nature). Hoʻopili ʻia ka mālama ʻana i nā antigens a/a i ʻole nā ​​mea hoʻonāukiuki mechanically a me ka lāʻau hōʻailona.

maʻi maʻi catarrhal

I ka hoʻohālikelike ophthalmological hou, hiki i kekahi ke ʻike pinepine i ka wehewehe ʻana o "mucous", akā naʻe, i nā kumu kahiko i kapa ʻia ʻo catarrhal. Eia naʻe, ʻoi aku ka mea nui ma mua o ka wehewehe ʻana i ka mea ma hope. ʻO ka pinepine, ʻo ia ke ʻano o ka pathology maʻi e like me ka dry eye syndrome, a i ʻole keratoconjunctivitis sicca (KCS). Hoʻopili ʻia kēia pathology me ka lawa ʻole o ka hana ʻana o ka lacrimal secretion; Hana ʻia ka hoʻāʻo a Schirmer no ka hōʻoia ʻana. Ke hoʻopaʻa ʻia, ua kuhikuhi ʻia ka lāʻau ola holoʻokoʻa - kulu maka no ka moisturizing.

Purulent conjunctivitis

ʻO ka conjunctivitis purulent kahi ʻano o ka conjunctivitis i hōʻike ʻia e ka purulent discharge mai ka ʻeke conjunctival. ʻO ka mea pōʻino, ʻaʻole ʻike kēia wehewehe iā ia iho i ke kumu o kona hoʻomohala ʻana ma kekahi ʻano, a no laila, hāʻawi ia i nā ʻike liʻiliʻi loa e kōkua i ka ʻīlio, a no laila (ʻoiai ʻo ka hoʻolaha ʻana o kēia wehewehe i kēlā me kēia lā) ʻoi aku ka maikaʻi. ʻaʻole pono, no ka mea hiki ke hana ʻia e nā kumu like ʻole i hōʻike ʻia ma luna. A, e like me kāu i hoʻomaopopo mua ai, pili ka prognosis a me ke ʻano o ka mālama ʻana i ke kumu o ka conjunctivitis. ʻO ka manawa pinepine, ʻo ka mālama makapō i nā hōʻailona o ka conjunctivitis e alakaʻi i ka hoʻomohala ʻana o ka relapses, no ka mea ʻaʻole i hoʻopau ʻia ke kumu.

Ka mālama ʻana i ka conjunctivitis i nā ʻīlio

"Pehea e mālama ai?" he nīnau a kēlā me kēia haku. ʻOiaʻiʻo, e like me kāu i hoʻomaopopo mua ai, ʻo ka mālama ʻana i ka conjunctivitis i loko o kahi ʻīlio e pili ana i ka etiology (nā kumu o kona ulu ʻana). He mea nui ka hoʻomaopopo ʻana inā he pono ka lāʻau lapaʻau. Eia kekahi, ua kauoha ʻia nā ʻīlio i nā kulu maka no ka conjunctivitis, akā pono e hoʻohana pono ʻia e like me ka ʻōlelo a ke kauka. Hiki i ka hoʻomaʻamaʻa hewa ke hūnā i nā hōʻike kūpono a i ʻole e hōʻeha i ke ʻano o ka maʻi. No ka laʻana, maloʻo loa ka hopena kī i makemake nui ʻia e ka holoi ʻana a ʻaʻole kūpono loa no ka mālama ʻana i ka conjunctivitis i kahi ʻīlio.

Ma mua o ka hoʻomaka ʻana i ka mālama ʻana, pono ia e hana i kahi hōʻailona - no ka laʻana, kahi hoʻāʻo fluorescein e ʻike ai a kāpae ʻole i nā erosions a me nā ʻeha i loko o ka cornea, ʻaʻole hiki ke ʻike ʻia. I kēia hihia, ʻaʻole hiki iā ʻoe ke hoʻohana i nā hāʻule me ka hoʻohui o nā steroid.

Inā ʻike ʻia ka conjunctivitis maʻi, pono e hoʻopau ʻia ka allergen inā ʻike ʻia a hiki. A e hoʻohana i nā lāʻau lapaʻau e hoʻōki i ka hoʻomohala ʻana i kahi hopena maʻi: antihistamines (no ka hoʻokō ʻana i ka hopena, pono e lawe maikaʻi ʻia ma mua o ka hoʻomaka ʻana o nā hōʻailona, ​​​​ma muli o ke koʻikoʻi o ka maʻi allergies), corticosteroids (he nui ko lākou ʻaoʻao koʻikoʻi. ʻO nā hopena, koi i ka nānā ʻana i ka holoholona a me ka mālama ʻana i ka lāʻau lapaʻau lāʻau, ʻaʻole kūpono no ka hoʻohana mau ʻana), cyclosporine (ʻoi aku ka hopena, akā ʻoi aku ka maikaʻi no ka hoʻohana lōʻihi).

ʻO nā lāʻau lapaʻau āpau, nā dosages a me ka lōʻihi o ka hoʻohana ʻana e noʻonoʻo ʻia i kēlā me kēia hihia, e noʻonoʻo ana i nā ʻano āpau o ka ʻīlio, a me ka paʻakikī a me ka lōʻihi o ke ʻano o ka maʻi.

Ka mālama ʻana i ka conjunctivitis i nā ʻīlio

ʻAʻole maʻamau ka conjunctivitis i loko o kahi ʻīlio. ʻAʻohe mea pili i ka mālama ʻana i nā ʻīlio makua, akā he mea nui ka makahiki i ka ʻike ʻana a me ka ʻike ʻana i ke kumu o ka maʻi: no ka laʻana, ʻoi aku ka maʻalahi o nā ʻīlio ʻōpio i ka follicular conjunctivitis; ʻOi aku ka maʻamau o ka ulu ʻana o ka maka i ka wā ʻōpio, no ka mea, he pathology congenital.

Nā hopena a me nā wānana

Me ka mālama ʻana i ka manawa a me ka hoʻokō ʻana i nā ʻōlelo aʻoaʻo āpau, maikaʻi loa ka prognosis. Eia nō naʻe, hilinaʻi nui i ke kumu kumu o ka hoʻomohala ʻana o ka conjunctivitis - i kekahi mau manawa e lilo ia i mea maʻi a hoʻopilikia wale i ka maikaʻi o ke ola o ka holoholona, ​​​​a i kekahi mau hihia, ʻaʻole i hana ʻia a i ʻole ka mālama pono ʻole ʻia me ka nalowale o ka maka.

Nā hana pale

He mea maʻalahi ka pale ʻana: pale i ka huhū o ka mucous membrane o ka maka (ke one, aerosol, a me nā mea ʻē aʻe) a mai poina e pili ana i ke kipa pale ʻana i ka ophthalmologist inā pili kāu ʻīlio i kahi ʻano predisposed i ka conjunctivitis. ʻAʻole paʻakikī loa ka mālama pono ʻana i nā maka o kāu pipi, ʻeā?

ʻAʻole ka ʻatikala he kāhea e hana!

No ka ʻike kikoʻī hou aku o ka pilikia, manaʻo mākou e hoʻopili i kahi loea.

E nīnau i ke kauka

October 20 2020

Hana hou ʻia: Pepeluali 13, 2021