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女人懷孕期間眼睛充血怎么辦？如何有效緩解眼睛充血？

出處：網(wǎng)絡(luò)收集 日期：2024-06-13 01:21:53 編輯：秩名

眼睛充血是怎么回事

眼睛充血，籠統(tǒng)的概念為眼白發(fā)紅。當(dāng)球結(jié)膜和鞏膜組織的血管在某種情況下出現(xiàn)擴(kuò)張充血、淤血或出血時(shí)，即可呈現(xiàn)眼白發(fā)紅。由于眼部各部分組織的血供來(lái)源不同，其表現(xiàn)的眼睛充血形態(tài)也不一樣，而反應(yīng)的病變部位也不盡相同。因此眼睛充血是許多眼病所共有的常見癥狀。
 
眼球充血可分為淺層和深層兩種。前者呈鮮紅色，稱為“結(jié)膜充血”；后者呈暗紅色，稱為“睫狀充血”。二者兼有的，稱為“混合性充血”。這些情況不同的充血，是判斷眼病輕重的重要依據(jù)之一，可是一般外行人很難分辨清楚。
 

眼睛充血的原因

醫(yī)生仔細(xì)檢查后確認(rèn)米樂(lè)是患上了角膜炎。米樂(lè)很納悶，怎么自己會(huì)得角膜炎呢？醫(yī)生告訴她，造成眼睛充血的原因很多，而不同的表現(xiàn)也代表著不同的病因。
 
1、急性結(jié)膜炎——這是細(xì)菌、病毒感染所引起的一種常見的流行性眼病，傳染性強(qiáng)。
 
癥狀：起病急，雙眼同時(shí)或先后發(fā)病，患眼有刺痛、癢、異物感，重者有畏光及灼熱感，視力一般不受影響。眼瞼紅腫，結(jié)膜充血，分泌物多為細(xì)菌性、黏液性或膿性。早晨起來(lái)眼睛被分泌物封閉。病毒性感染的分泌物多為水樣，且可伴有角膜病變，耳前、頜下淋巴結(jié)腫大及壓痛。
 
治療與注意事項(xiàng)：本病有很強(qiáng)的傳染性，應(yīng)預(yù)防隔離，毛巾、手帕不要相互使用，臉盆用后應(yīng)沖洗干凈并消毒。保持眼部清潔，分泌物多時(shí)可用清水沖洗，局部滴用抗生素、抗病毒藥物。如有發(fā)熱、頭痛等全身癥狀，應(yīng)結(jié)合內(nèi)科治療。
 
眼睛充血是許多眼病所共有的常見癥狀
 
2、急性虹膜睫狀體炎——虹膜睫狀體的發(fā)病原因很復(fù)雜，大多病因不明，可能與自身免疫性疾病如風(fēng)濕以及結(jié)核、梅毒、病毒感染等有關(guān)
 
癥狀：眼睫狀充血或混合充血，角膜后有沉淀物（簡(jiǎn)稱kp），房水混濁，虹膜腫脹，瞳孔縮小或不規(guī)則，對(duì)光反射遲鈍，部分虹膜與晶狀體發(fā)生后粘連；眼壓一般正常，但有時(shí)會(huì)增高或降低；視力下降伴有明顯的畏光、流淚、疼痛，疼痛可放射到眉弓、顳部及額部。
 
治療與注意事項(xiàng)：積極尋找病因，對(duì)病因進(jìn)行治療。局部用1%阿托品眼水?dāng)U瞳、熱敷、激素眼水滴眼或球結(jié)膜下注射，嚴(yán)重的患者需全身靜脈注射或口服激素以及服用消炎痛類藥物。
 
3、角膜炎——大多數(shù)角膜炎是由外來(lái)感染引起的。輕微的角膜外傷常是感染的誘因，常見的致病原為細(xì)菌、真菌、病毒等。另外，角膜免疫功能不全或營(yíng)養(yǎng)不良均可引起角膜炎。
 
癥狀：患眼疼痛、異物感、眼瞼痙攣、怕光、流淚、視力驟降等。不同病因引起的角膜炎各有特點(diǎn)，但基本癥狀為眼瞼痙攣水腫，結(jié)膜充血明顯，球結(jié)膜混合充血伴水腫，角膜出現(xiàn)混濁或潰瘍形成，角膜后可見沉淀物，前房?jī)?nèi)可有積膿等。
 
治療與注意事項(xiàng)：治療角膜炎首先要去除病因。大多數(shù)角膜炎為感染引起，所以選用適當(dāng)?shù)目咕幖翱共《舅幒苤匾?。我們可通過(guò)各種角膜炎臨床不同的特點(diǎn)、分泌物或潰瘍組織涂片染色及細(xì)菌培養(yǎng)。藥物敏感試驗(yàn)等，明確診斷病因。如為細(xì)菌性角膜炎，可用廣譜抗菌藥，如為綠膿桿菌引起的，可加用妥布霉素、多黏菌素及黏菌素等。真菌性角膜炎可用二性霉素B、金褐霉素等抗真菌藥。病毒性角膜炎可用無(wú)環(huán)鳥苷、病毒痤等，給藥途徑可局部滴用或球結(jié)膜下注射。另外可輔以1%阿托品眼水散大瞳孔，麻痹睫狀肌以止痛，防止虹膜后粘連。局部熱敷，用眼墊包扎，對(duì)止痛、促進(jìn)局部血循環(huán)、促使炎癥的消退及潰瘍愈合有一定的幫助。病因一時(shí)難以確定者，可采用廣譜抗菌藥或多種抗菌藥聯(lián)合治療。
 
4、急性閉角型青光眼——發(fā)病原因較為復(fù)雜，女性為男性的2～4倍，多發(fā)生于中老年婦女，為雙眼疾病，與遺傳有一定的關(guān)系。主要是因眼球的房角關(guān)閉，房水排出途徑受阻，眼壓升高所致。
 
癥狀：眼瞼和球結(jié)膜水腫，球結(jié)膜顯著混合充血，角膜水腫呈云霧狀，前房極淺，虹膜水腫，瞳孔散大，光反射消失，眼壓很高，可大于60mmHg；視力突然下降，眼部劇烈疼痛，同側(cè)偏頭痛，可伴有惡心嘔吐（易誤診為胃腸道疾?。?/div>
 
治療與注意事項(xiàng)：急性閉角型青光眼發(fā)病急劇，病情嚴(yán)重，可在短時(shí)間內(nèi)失明，應(yīng)及時(shí)搶救，盡可能在24～48小時(shí)內(nèi)控制眼壓。原則上先用藥物控制眼壓，盡早采用手術(shù)治療。降低眼壓的藥物主要有20%甘露醇液、50%的甘油、醋氮酰胺片等。
 
5、球結(jié)膜下出血——大都因高血壓動(dòng)脈硬化，凝血功能不良及局部血管炎癥或脆性增加，用力屏氣或外傷所致。
 
癥狀：患者一般無(wú)不適，偶有輕度酸痛，往往是無(wú)意中或旁人發(fā)現(xiàn)后才知道。在球結(jié)膜上可見點(diǎn)狀或片狀出血，壓迫不退色，新鮮時(shí)為鮮紅色，較陳舊者為暗紅色。
 

治療角膜炎首先要去除病因

 
治療與注意事項(xiàng)：可口服維生素C、復(fù)方蘆丁片，如有高血壓可服用降壓藥，新鮮出血時(shí)可行冷敷，出血穩(wěn)定后改行熱敷以加快吸收，一般2～3周會(huì)自行消退。
 

眼睛充血的表現(xiàn)

米樂(lè)回到家趕緊把隱形眼鏡取下，架上框架眼鏡對(duì)著鏡子一看，她眼睛里的眼白布滿了大大小小、長(zhǎng)長(zhǎng)短短的紅絲，面積還不小。上網(wǎng)一查，發(fā)現(xiàn)這是眼睛充血了。米樂(lè)頓時(shí)滿頭疑問(wèn)：眼睛充血？這是什么呀？
 
眼睛充血籠統(tǒng)來(lái)說(shuō)，就是指眼白發(fā)紅
 
眼睛充血籠統(tǒng)來(lái)說(shuō)，就是指眼白發(fā)紅。而造成眼白發(fā)紅的醫(yī)學(xué)原因，是球結(jié)膜和鞏膜組織的血管在某種情況下出現(xiàn)擴(kuò)張充血、淤血或出血。由于眼部各部分組織的血供來(lái)源不同，其表現(xiàn)的眼睛充血形態(tài)也不一樣，而反應(yīng)的病變部位也不盡相同。因此，眼睛充血是許多眼病所共有的常見癥狀。
 
球結(jié)膜充血代表結(jié)膜或周圍附屬器官的原發(fā)或繼發(fā)疾?。唤逘畛溲?jiǎng)t代表眼球本身的疾病，如角膜炎、鞏膜炎、虹膜睫狀體炎、充血性青光眼等；若血管本身病變或損傷破裂，則出血可積聚于球結(jié)膜下，稱之為結(jié)膜下出血，這也是眼睛充血癥的一種。
 
從患者感覺角度來(lái)說(shuō)，眼睛發(fā)炎的話，一般是會(huì)在眼部產(chǎn)生一些明顯的癥狀。前期患者可能只是感覺到眼睛癢癢的，有想揉眼的沖動(dòng)。但是隨著炎癥的加深，患者的眼睛會(huì)出現(xiàn)一些發(fā)紅充血的明顯癥狀，可能還伴有脹痛等等。
 

眼睛充血怎么辦

醫(yī)生告訴米樂(lè)，她的角膜炎不算嚴(yán)重，一般來(lái)說(shuō)，針對(duì)這種炎癥引發(fā)的眼睛充血有幾步基本的治療措施。
 
1、對(duì)于有細(xì)菌感染因素者，可用抗生素眼藥水，每日3～4次。對(duì)于非感染因素，不可濫用，更不可常規(guī)作為安慰劑。
 
2、可試點(diǎn)皮質(zhì)類固醇類眼藥水，但不可長(zhǎng)點(diǎn)，且應(yīng)觀測(cè)眼壓。
 
3、珍珠明目液，每日3～4次。
 
4、如果口服湯藥難以堅(jiān)持，可在選服滋陰降火丸、知柏地黃丸、銀翹解毒丸等。
 
當(dāng)然，最主要的是要針對(duì)具體病因進(jìn)行針對(duì)性的治療，這樣才能有效的控制和治愈。
 

如何預(yù)防眼睛充血

眼睛是心靈的窗戶，而眼睛充血不僅影響美觀，還會(huì)對(duì)日常用眼造成不便。那么，如何預(yù)防眼睛充血？下面一起來(lái)了解下吧。
 
1、眨眼睛
 
每天眨眼300次。20～40歲之間的正常人每分鐘眨眼約20次，而在睜眼凝視變動(dòng)快速的電腦屏幕時(shí)，眨眼次數(shù)會(huì)減少到每分鐘4～5次，造成淚液分泌嚴(yán)重不足，就會(huì)出現(xiàn)眼睛干燥酸澀的癥狀。因此特意眨眼，對(duì)眼睛的保護(hù)非常有效。一般而言，每天特意眨眼300次比較合適，不僅有助于促進(jìn)淚液分泌，緩解干燥酸澀的癥狀，而且可以清潔眼睛，并給眼睛小小的按摩，從而緩解眼睛疲勞。
 
2、熱敷法
 
經(jīng)常以熱水、熱毛巾或蒸氣等熏浴雙眼，可以促進(jìn)眼部的血液循環(huán)，趨減眼睛的疲勞感。
 
3、按摩法
 
閉著眼睛，用食指、中指，無(wú)名指的指端輕輕地按壓眼球，也可以旋轉(zhuǎn)輕揉。不可持續(xù)太久或用力揉壓，20秒鐘左右就停止。
 
4、遠(yuǎn)眺
 
當(dāng)用眼一段時(shí)間后，試試將目光遠(yuǎn)眺，遙望遠(yuǎn)處的景色，如果是綠色風(fēng)景或者海景就更好了，這樣眺望個(gè)十來(lái)分鐘，眼睛會(huì)舒服一些。
 
5、攝入足夠的維生素C
 
維生素C可以減弱光線和氧對(duì)晶狀體造成的損害，具有防止眼睛充血的作用。

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