Kev kis kab mob hauv lub qhov muag? Cia peb tham txog 'Endophthalmitis'!

Koj puas tau hnov ​​txog kev kis kab mob loj heev hauv lub qhov muag? Tej zaum koj yuav tsis xav tias kev kis kab mob loj heev li no yuav tshwm sim hauv lub qhov muag. Txawm li cas los xij, nws yog qhov ua tau tiag tiag, thiab hauv kev kho mob peb hu nws tias 'Endophthalmitis'. Qhov no yog ib qho mob hnyav, yog li nws tseem ceeb heev uas yuav tsum tau kho sai li sai tau. Hnub no, peb yuav tham txog qhov no hauv txoj kev yooj yim uas koj tuaj yeem nkag siab.

'Endophthalmitis' yog dab tsi? Cia peb nkag siab yooj yim!

Hais yooj yim xwb, endophthalmitis yog ib qho kev kis mob uas cuam tshuam rau sab hauv ntawm koj lub qhov muag . Qhov no tshwm sim thaum cov kab mob lossis cov pwm nkag mus rau hauv lub qhov muag thiab ua rau o . Kev o yog ib qho kev teb uas tshwm sim thaum peb lub cev tiv thaiv kab mob tawm tsam kev kis mob.

Xav txog seb, muaj ob hom kua dej hauv peb lub qhov muag. Ib qho yog cov kua dej ntshiab hu ua 'aqueous humor'. Qhov no nyob rau hauv pem hauv ntej ntawm lub qhov muag, ntawm lub lens thiab cornea. Qhov thib ob yog cov tshuaj zoo li jelly hu ua 'vitreous humor'. Qhov no nyob rau hauv lub qhov muag, ntawm lub lens thiab retina. Ob hom kua dej no feem ntau raug cuam tshuam los ntawm tus kab mob no hu ua 'endophthalmitis'.

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias qhov no yog ib qho mob hnyav heev. Yog tias tsis kho sai sai, tus kab mob tuaj yeem kis mus rau lwm qhov thiab ua rau pom tsis meej . Qee zaum, tus kab mob tuaj yeem kis mus rau tag nrho lub qhov muag thiab txawm tias lub qhov muag. Hauv qhov no, nws hu ua Panophthalmitis.

Thaum koj mus ntsib kws kho qhov muag, lawv yuav qhia koj seb koj puas muaj kab mob bacterial endophthalmitis lossis fungal endophthalmitis. Lawv kuj tseem yuav faib nws raws li qhov pib ntawm tus kab mob.

Muaj ob hom kab mob 'Endophthalmitis':

1. Kab mob Endophthalmitis sab nraud: Qhov no yog hom kab mob uas feem ntau tshwm sim. Qhov no tshwm sim thaum muaj ib yam dab tsi los ntawm sab nraud lub qhov muag nkag mus rau hauv lub qhov muag thiab ua rau muaj kev kis kab mob. Piv txwv li, yog tias muaj xwm txheej rau lub qhov muag, xws li ib yam khoom ntse nkag mus rau hauv lub qhov muag, lossis tom qab phais qhov muag, qhov mob no tuaj yeem tshwm sim.

2. Kab mob Endogenous Endophthalmitis: Qhov no tsis tshua muaj ntau dua li lwm hom kab mob. Qhov no yog thaum muaj kab mob bacterial lossis fungal los ntawm lwm qhov chaw hauv koj lub cev kis mus rau koj lub qhov muag los ntawm koj cov ntshav . Qhia meej dua, qhov teeb meem nyob rau lwm qhov chaw hauv koj lub cev cuam tshuam rau koj lub qhov muag.

Cov tsos mob ntawm Endophthalmitis yog dab tsi?

Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob no, koj yuav tsum txhawj xeeb:

• Qhov muag liab: Tsis yog li ntawd xwb, qee zaum qhov muag tuaj yeem liab heev.
• Mob qhov muag hnyav heev: Mob tsis taus uas los ntawm sab hauv lub qhov muag.
• Pom kev tsis meej los yog poob qis: Tam sim ntawd, qhov muag pom kev pib tsis meej los yog txo qis.
• Kev rhiab heev rau lub teeb ci ntsa iab (photophobia): Qhov muag xiav heev ua rau lawv tsis tuaj yeem saib lub teeb.
• Qhov muag o: Qhov muag sab saud thiab sab hauv qab yuav o.
• Qhov muag ntws dej (epiphora): Ib qho kev xav tias kua muag ntws tawm ntawm qhov muag tas li.

Yog tias koj muaj ib qho ntawm cov tsos mob no, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob tam sim ntawd, vim tias koj tos ntev npaum li cas, qhov kev puas tsuaj loj dua uas yuav tshwm sim.

Vim li cas qhov 'Endophthalmitis' no thiaj tshwm sim? Dab tsi yog cov ua rau?

Muaj ntau yam ua rau qhov no. Cov laj thawj sib txawv nyob ntawm ob hom uas peb tau tham ua ntej, 'exogenous' thiab 'endogenous'.

Ua rau muaj 'Exogenous Endophthalmitis':

Qhov no yog thaum cov kab mob los ntawm sab nraud nkag mus rau hauv lub qhov muag. Nov yog qee qhov piv txwv:

• Kev phais qhov muag: Qhov no yog qhov ua rau tseem ceeb. Qhov mob no feem ntau tshwm sim tom qab phais mob cataract . Nws kuj tseem tuaj yeem tshwm sim tom qab phais rau lwm yam mob qhov muag, xws li glaucoma. Yog tias cov tsos mob xws li pom kev tsis meej thiab mob qhov muag tshwm sim hauv ib lub lim tiam tom qab phais, nws yuav yog mob endophthalmitis, uas yog ib hom mob uas tshwm sim sai. Qee zaum cov tsos mob siv sijhawm ntev dua los tshwm sim, thiab qhov no hu ua mob endophthalmitis ntev.
• Kev txhaj tshuaj rau hauv qhov muag lossis Intravitreal: Qee yam mob ntawm qhov muag, xws li kev puas tsuaj ntawm lub qhov muag thaum laus, yuav tsum tau txhaj tshuaj rau hauv qhov muag. Kev kis kab mob kuj tseem tuaj yeem tshwm sim thaum lub sijhawm ua cov txheej txheem no.
• Kev sib tsoo hauv kev lag luam lossis kev sib tsoo tsheb: Xav txog seb puas muaj ib lub tshuab tsoo rau hauv koj lub qhov muag thaum lub sijhawm sib tsoo tsheb, lossis muaj ib yam dab tsi nkag rau hauv koj lub qhov muag. Cov kev raug mob ntawm qhov muag no kuj tuaj yeem ua rau muaj kab mob nkag mus rau hauv koj lub qhov muag.
• Kev raug mob ntawm kev ua si: Kev raug mob ntawm qhov muag tuaj yeem tshwm sim hauv qee yam kev ua si, tshwj xeeb tshaj yog cov uas muaj kev ua si hnyav.

Ua rau muaj 'Endogenous Endophthalmitis':

Qhov no yog thaum muaj kev kis kab mob los ntawm lwm qhov ntawm lub cev nkag mus rau hauv lub qhov muag los ntawm cov ntshav. Hauv cov teb chaws sab hnub poob, cov kab mob feem ntau ua rau qhov no yog Staphylococcus aureus thiab Streptococcus pneumoniae. Ntawm cov kab mob fungal, feem ntau yog Candida albicans.

Nov yog qee qhov xwm txheej uas cov kab mob hauv lub cev tuaj yeem nkag mus rau hauv cov ntshav thiab ncav cuag lub qhov muag:

• Kev kho hniav: Thaum rho hniav tawm, lossis thaum lub sijhawm kho hniav.
• Cov tshuaj txhaj rau hauv cov hlab ntsha: Vim tias qee yam kab mob xav tau cov tshuaj txhaj rau hauv cov hlab ntsha.
• Cov mob xws li 'Pneumonia' lossis 'Sepsis' (lom ntshav): Cov no yog cov kab mob loj heev.
• Kev phais qhov twg ntawm lub cev: Tsis yog tsuas yog phais qhov muag xwb, tab sis kuj muaj lwm yam kev phais thiab.
• Mob qog los yog mob tawv nqaij.
• Kev kis kab mob ntawm txoj hlab zis.

Cov kev tshawb fawb tsis ntev los no tau pom tias qee tus neeg uas muaj COVID-19 kuj muaj tus mob no hu ua 'endogenous endophthalmitis'. Qhov no feem ntau yog vim muaj lwm yam kab mob uas tshwm sim thaum lawv nyob hauv tsev kho mob. Leej twg muaj feem yuav muaj feem ntau?

• Rau cov neeg uas tau nyob hauv tsev kho mob ntev heev lawm.
• Rau cov neeg uas muaj lwm yam mob hnyav.
• Cov neeg uas tau txais cov tshuaj tua kab mob hauv cov hlab ntsha ('IV antibiotics') thiab lwm yam tshuaj.

Puas yog Endophthalmitis kis tau?

Tsis yog. Txawm hais tias nws yog los ntawm ib yam kab mob sib kis, tus kab mob no tsis kis tau ntawm ib tus neeg mus rau lwm tus .

Cov kws kho mob kuaj qhov no li cas? (Kev kuaj mob)

Thaum koj mus ntsib kws kho qhov muag, nws yuav xub nug txog koj keeb kwm kev noj qab haus huv , nug txog koj cov tsos mob tam sim no, thiab tom qab ntawd ua qhov kev kuaj qhov muag tag nrho.

Tom ntej no, lawv feem ntau yuav coj cov kua dej los ntawm koj lub qhov muag , lossis ib yam dab tsi zoo li kua qaub los ntawm koj lub qhov muag, thiab xa mus rau chav kuaj mob kom kuaj. Qhov ntawd yuav pab txiav txim siab seb hom kab mob twg ua rau nws. Tej zaum koj kuj yuav tsum tau kuaj koj cov ntshav thiab zis .

Muaj tej lub sij hawm, tus kws kho mob kuj yuav kom ua qhov muag ultrasound (ocular ultrasound) .

Yuav kho li cas?

Thaum kho tus kab mob endophthalmitis, koj tus kws kho qhov muag yuav sau ntawv kom muab tshuaj rau koj. Cov no yuav suav nrog cov tshuaj tua kab mob lossis cov tshuaj tua kab mob fungal, lossis cov tshuaj tiv thaiv kev o xws li corticosteroids . Cov no yuav muab tau ua cov tshuaj tee qhov muag lossis cov tshuaj txhaj.

Qhov tseem ceeb tshaj plaws yog pib kho mob sai li sai tau.

Yog tias koj qhov muag pom kev tau raug cuam tshuam loj heev los ntawm tus kab mob, koj tus kws kho mob yuav pom zoo kom phais hu ua vitrectomy . Qhov kev phais no tshem tawm cov khoom muaj kab mob tawm hauv lub qhov muag, ua rau tus kws phais txhaj tshuaj tua kab mob lossis tshuaj tua kab mob fungal ncaj qha rau hauv lub qhov muag.

Tom qab phais mob, tus kws kho mob kuj tseem yuav qhia koj kom hnav daim ntaub thaiv qhov muag ib pliag.

Puas muaj teeb meem dab tsi thaum kho mob?

Thaum txhaj tshuaj rau hauv lub qhov muag (intravitreal injections), qee zaum yuav muaj kev puas tsuaj me me rau lub cornea lossis retina. Txawm li cas los xij, qhov no tsis tshwm sim ntau zaus.

Kuv yuav zoo sai npaum li cas tom qab kho tas?

Koj cov tsos mob, xws li mob thiab liab, yuav pib ploj mus hauv ob peb hnub . Txawm li cas los xij, cov teeb meem pom kev yuav nyob ntev mus ib ntus. Endophthalmitis tuaj yeem siv sijhawm ntau lub lis piam, txawm tias ntau lub hlis, kom daws tau tag nrho . Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum ua siab ntev thiab ua raws li kev kho mob.

Peb ua tau dab tsi los txo qhov kev pheej hmoo no?

Cov no tuaj yeem pab txo qhov kev pheej hmoo ntawm endophthalmitis:

• Yog tias koj txoj haujlwm muaj kev sib chwv nrog cov khoom (piv txwv li, ua haujlwm nrog tshuab, vuam), ib txwm hnav cov iav tiv thaiv qhov muag . Qhov no tseem ceeb heev yog tias koj ua si kis las uas muaj kev cuam tshuam loj.
• Yog tias koj yuav tsum kov koj ob lub qhov muag, ntxuav koj txhais tes kom huv si thiab ua kom lawv huv si . Tsis txhob kov koj ob lub qhov muag yam tsis tsim nyog.
• Yog koj tau phais mob, tshwj xeeb yog phais qhov muag, ua raws li koj tus kws kho mob cov lus qhia kom meej . Ua raws li cov lus qhia rau kev saib xyuas tus kheej kom meej.

Yuav ua li cas rau ib tus neeg uas muaj 'Endophthalmitis'? (Xaus lus ua ntej)

Ib yam li ntau yam kab mob, qhov sai dua koj paub thiab kho tus kab mob endophthalmitis, qhov tshwm sim zoo dua . Txawm li cas los xij, rau cov neeg uas muaj lub cev tiv thaiv kab mob tsis muaj zog lossis cov neeg uas muaj mob xws li ntshav qab zib, qhov tshwm sim phem dua.

Tej zaum yuav muaj ib txhia neeg tseem pom kev tsis meej tom qab kho tas. Yog tias qhov no tshwm sim, nrog koj pab neeg kho mob tham txog qhov no thiab nrhiav kev pab txhawb nqa uas koj xav tau.

Kuv yuav saib xyuas kuv tus kheej li cas?

Yog tias koj muaj mob endophthalmitis, koj yuav tsum tau mus ntsib kws kho qhov muag tsis tu ncua . Yog tias koj pom muaj kev hloov pauv hauv koj qhov muag pom kev lossis mob qhov muag, qhia rau koj tus kws kho mob tam sim ntawd .

Yog tias koj qhov muag tsis pom kev zoo tom qab kho mob lawm, koj tus kws kho mob kuj yuav pab koj nrhiav kev pab txhawb nqa yog tias xav tau.

Tseem Ceeb: Yog tias koj tau phais mob, tshwj xeeb tshaj yog phais qhov muag lossis txhaj tshuaj rau qhov muag, thiab muaj cov tsos mob txhawj xeeb xws li mob qhov muag, kua muag tawm, lossis liab tom qab ntawd, mus ntsib kws kho mob tam sim ntawd. Kab mob endophthalmitis ceev heev yog qhov xwm txheej ceev. Yuav kom koj muaj feem rov zoo dua, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob sai li sai tau.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Kab mob Endophthalmitis yog ib qho kab mob loj heev uas tshwm sim hauv lub qhov muag. Nws tuaj yeem tshwm sim los ntawm kev raug mob ntawm lub qhov muag, kev phais, lossis kev kis tus kab mob los ntawm lwm qhov hauv lub cev.

• Cov tsos mob: Qhov muag liab, mob heev, pom kev tsis meej, rhiab rau lub teeb, qhov muag o.
• Ua rau: phais qhov muag, raug mob qhov muag, tshuaj kho qhov muag, lwm yam kab mob hauv lub cev.
• Kev Kho Mob: Tshuaj tua kab mob los yog tshuaj tua kab mob fungal (tshuaj tee los yog tshuaj txhaj), tej zaum yuav phais (vitrectomy).
• Qhov tseem ceeb tshaj plaws: Mus ntsib kws kho qhov muag sai li sai tau thaum cov tsos mob tshwm sim. Kev kho mob thaum ntxov tuaj yeem cawm koj qhov muag pom kev.
• Kev Nyab Xeeb: Tiv thaiv koj ob lub qhov muag, ua kom koj txhais tes huv si, thiab ua raws li cov lus qhia kho mob.

Vam tias cov ntaub ntawv no yuav pab tau koj. Qhov muag muaj nqis heev, yog li txhua tus neeg lub luag haujlwm yog saib xyuas lawv.

Endophthalmitis , Kab mob qhov muag, Kab mob qhov muag, Mob qhov muag, Poob qhov muag, Phais qhov muag, Vitrectomy