So w’aniwa ho ahonhon na ayɛ kɔkɔɔ? Eyi betumi ayɛ blepharitis!

So ɛtɔ mmere bi a wosɔre anɔpa a w’aniwa ho ahonhon , ɛyɛ kɔkɔɔ, na ɛyɛ wo yaw ? Ebia w’aniwa anim abɔ mu. Eyi nyɛ ade a ɛtaa ba kɛkɛ, wɔfrɛ no blepharitis . Momma yɛnka eyi ho asɛm nkɔ akyiri nnɛ, efisɛ ɛyɛ tebea a ɛka nnipa pii, nanso wobetumi adi ho dwuma yiye.

Dɛn ankasa ne `(Blepharitis)` yi?

Sɛ yɛbɛka no tiawa a, `(Blepharitis)` yɛ ɔfe a ɛba w’aniwa anoano. Eyi kyerɛ sɛ w’aniwa ano ano yɛ kɔkɔɔ, ɛtɔ mmere bi a ɛyɛ tuntum kakra, ɛho ahonhon, na ɛyɛ kurukuruwa. Eyi taa ka aniwa abien no nyinaa. Nneɛma pii betumi ama eyi aba. Ebetumi afi honam ani nyarewa bi, anaasɛ ɔyare mmoawa bi, anaasɛ ebetumi afi ngo ntini a ɛwɔ w’aniwa mu a asiw. Ɛtɔ da bi a, eyinom nyinaa tumi si bere koro mu.

Seesei ebia woresusuw ho sɛ ebia eyi yɛ tebea a emu yɛ den anaasɛ w'ani bɛyera . Nha wo ho! Blepharitis yɛ ɔyare a ɛma obi ho hyehye no a ebetumi ama obi anya aniwa mu yare, nanso Blepharitis dodow no ara nyɛ nea ɛde ɔyare ba. Afei nso, ɛntaa nsi koraa sɛ ɛbɛma obi ani afura.

Tebea yi abu so dɛn?

Nhwehwɛmu bi a wɔyɛe wɔ aniwa ho animdefo ne aniwa ho animdefo mu no hui sɛ ayarefo a wohu wɔn no mu bɛyɛ fã wɔ ``Blepharitis.'' Enti wubetumi ahu sɛnea eyi abu so. Na, wobetumi adi ne sɛnkyerɛnne ahorow so.

Saa tebea yi betumi aba mpanyimfo ne mmofra nyinaa mu, na ebetumi aka mmarima ne mmea nyinaa. Nanso, ɔkwan pɔtee biako wɔ hɔ, a wɔfrɛ no ``Staphylococcal blepharitis`` , a ɛtaa ba mmea so. Ɛne sɛ, bɛyɛ 80%.

So Blepharitis ahorow ahorow wɔ hɔ?

Yiw, blepharitis ahorow abien na ɛwɔ hɔ, na egyina baabi a ɔfe no wɔ wɔ w’aniwa anim no so.

1. Anterior blepharitis: Eyi ne bere a w’aniwa anim, baabi a w’aniwa fi adi no yɛ kɔkɔɔ, ɛho ahonhon, na ɛtɔ mmere bi a ɛma w’aniwa anim ayɛ mmerɛw.

2. Akyi blepharitis: Eyi yɛ tebea a ɛma ntini a ɛma ngo wɔ aniwa no mu a wɔfrɛ no Meibomian glands , no siw anaasɛ ɛnyɛ papa.

Dɛn ne Blepharitis ho sɛnkyerɛnne ahorow?

Sɛ wowɔ blepharitis a, wubetumi anya saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa:

• Aniwa a ɛho ahonhon ne/anaasɛ srade a ɛte nka.
• Aniwa no yɛ kɔkɔɔ, ɛyɛ yaw, na ɛte sɛ nea ɛrehyew.
• Aniwa no anim nhwi ne ntwea so yɛ kurukuruwa, na aniwa no anim no bata ho anɔpa.
• Wora a atwa aniwa ne aniwa no ho ahyia no reyɛ ayɛ mmerɛw.
• Aniwa a ɛyɛ mmerɛw anaasɛ nusu a ɛtra so.
• Aniwa a wɔtaa yɛ no.

Ebia sɛnkyerɛnne afoforo bi wɔ hɔ:

• Hann a wɔte nka, kyerɛ sɛ, ɛyɛ den sɛ wobehu hann (Photophobia) .
• Anisoadehu a ɛyɛ kusuu .
• Aniwa nhwi a ɛrehwe ase.
• Trichiasis yɛ bere a aniwa no nyin kɔ mu, kyerɛ sɛ, ɛkɔ aniwa no so.

Dɛn ne nneɛma a ɛde Blepharitis ba?

Sɛnea yɛadi kan aka no, nneɛma atitiriw pii na ɛde blepharitis ba. Ɔhaw ahorow a ɛwɔ Meibomian ntini a ɛma ngo wɔ nusu mu no dwumadi mu, honam ani nyarewa bi , anaa ɔyare mmoawa nyinaa betumi de aba.

Nneɛma a Ɛde Anterior Blepharitis Ba:

• Acne rosacea: Eyi yɛ honam ani yare a ɛma honam ani honam ani hyew na ebetumi aka aniwa no nso.
• Allergies: Nnipa binom ho yɛ den wɔ contact lens solution, aniwa mu aduru, anaa aduru a wɔde yɛ wɔn ho, na wotumi nya aniwa mu hyew.
• Seborrheic dermatitis: Sɛ wowɔ wo ti nhwi mu a, srade no betumi akɔ w’aniwa mu na ama wo ho ayɛ wo hyew wɔ hɔ nso.
• Aniwa a ɛyow: Sɛ nusu ntini no wow a, tumi a etumi ko tia mmoawa no so tew, na ɔyare mmoawa betumi aba.
• Demodicosis: Demodex mmoawa betumi asiw aniwa no anim nhwi ne ntini ahorow no. Nhwehwɛmu bi daa no adi sɛ nnipa a wɔwɔ blepharitis a ɛtra hɔ kyɛ no mu 30% wɔ Demodex mites.

Nneɛma a ɛde Posterior blepharitis ba:

• Meibomian gland dysfunction (MGD): Sɛ ngo a efi meibomian ntini no mu no ntumi nkɔ yiye a, aniwa no betumi ayow, ayɛ hyew, na anya ɔyare mmoawa.
• Acne rosacea a ɛyɛ mmerɛw
• Dandruff a ɛyɛ mmerɛw

Wubetumi nso agyina wo sɛnkyerɛnne ahorow so asusuw Blepharitis ko a wowɔ no ho. Nhwɛsoɔ:

• Sɛ wowɔ seborrheic blepharitis a, ebia wubehu nneɛma a srade wom na ɛyɛ kurukuruwa.
• Wɔ ulcerative blepharitis mu no, mogya betumi atu bere a wɔayi akisikuru no afi hɔ no.
• Meibomian blepharitis brɛ wo nusu no ase.
• Wɔ Staphylococcal blepharitis mu no, ebia wubehu sɛ aniwa nhwi no rehwe ase anaasɛ ɛredan akɔ ɔkwan a ɛnteɛ so.

So asiane afoforo wɔ hɔ a ebetumi ama obi anya Blepharitis?

Yiw, nea ɛka acne rosacea ne nwi a ɛyɛ nwininwini a wubenya ho no, ebia asiane kɛse wom sɛ wubenya blepharitis esiane nneɛma a edidi so yi nti:

• Sɛ wowɔ asikreyare (Diabetes Mellitus) a .
• Sɛ woyɛ obi a ɔhyɛ contact lens a .
• Sɛ wotaa nya nneɛma te sɛ mfutuma ne nnuru a.
• Sɛ woyɛ adwuma anaa wote baabi a ɛhɔ yɛ kusuu a (eyi fa bere pii a wode bɛtra mmeae a mframa pa wom nso ho).
• Sɛ wowɔ mmoawa nketenkete a wɔtaa tra wo honam ani a ɛboro so a.
• Sɛ woannyi wo makeup no yiye a.
• Sɛ wowɔ honam ani srade a.
• Sɛ worenom nnuru bi te sɛ kokoram ayaresa a.
• Sɛ worekɔ brayɛ mu anaasɛ worenya nkwaadɔm mu nsakrae a.

So efĩ na ɛma Blepharitis ba?

Efĩ betumi ayɛ ade a ɛde `(Blepharitis)` ba. Nanso, wontumi nka kɛkɛ sɛ nnipa a wɔn ho ntew nkutoo na wonya `(Blepharitis). Ahotew yɛ ade biako pɛ a ɛma nnipa binom nya `(Blepharitis)`.

Ma ɛntra w’adwenem sɛ, nnipa dodow no ara nhohoro wɔn ani ne wɔn ani nhwi ho wɔ ɔkwan soronko so anadwo biara. Nanso, wɔ wɔn a asiane ahorow wɔ hɔ no fam no, ɛsɛ sɛ wɔn aniwa ne wɔn ani nhwi ho a wɔbɛma ho atew no yɛ ade titiriw.

Ɔkwan bɛn so na wohu sɛ obi anya Blepharitis?

Nhwehwɛmu biako biara nni hɔ a ebetumi ahu blepharitis pɛpɛɛpɛ. Ebia w’ani duruyɛfo bedi anammɔn yi akyi de ahu sɛ ebia wowɔ blepharitis ne ɔkwan a ɛyɛ:

• Bisa w’akwahosan ho abakɔsɛm: Bisa wo yare no ho sɛnkyerɛnne ne akwahosan tebea afoforo ho asɛm, na ohu asiane ahorow a wowɔ.
• Abɔnten so nhwehwɛmu a wɔyɛ wɔ aniwa no mu: Wɔhwɛ sɛnea w’aniwa anim yɛ kɔkɔɔ, sɛnea ɛyɛ kɔkɔɔ kɛse, sɛ ebia nsu bi fi mu, ne sɛnea ɛho ahonhon so na ɛkyerɛ blepharitis ko ne sɛnea emu yɛ den.
• Sɛ nsuo a ɛfiri mu ba a, wɔsɔ ne nhwɛsoɔ hwɛ (cultures of discharge): Wɔde nsuo a ɛfiri aniwa no mu nhwɛsoɔ kɔ lab kɔhwɛ deɛ ɛwɔ mu, mmoawa ko a ɛwɔ mu, ne dodoɔ a ɛwɔ mu.
• Wobetumi ayɛ nusu ho nhwehwɛmu: Wobetumi afa nusu nhwɛsode ahwɛ sɛ aniwa a ayow no renya eyi so nkɛntɛnso anaa.
• Aniwa nhwi mu nhwehwɛmu: Wobetumi de afiri a wɔde hwɛ nneɛma nketenkete ahwɛ aniwa no mu hwɛ sɛ ebia nwansena bi wɔ hɔ anaa.
• Aniwa a wɔde yɛ nipadua no mu nhwehwɛmu:Eyi ho yɛ na koraa. Ebia ɛho behia sɛ wo duruyɛfo yɛ nipadua mu nhwehwɛmu na ama woahu honam ani kokoram anaa nkwammoaa afoforo a ɛnyɛ ne kwan so. W’aniwa anim bɛyɛ mmerɛw, wɔde ade bɛfa nkwammoaa bi na wɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ. Ebia wobɛte nka sɛ woapirapira kakra, nanso akuru biara remma.

So wobetumi asa Blepharitis wɔ fie?

Wɔ Blepharitis ahorow bi fam no, ofie nnuru betumi aboa ma yare no ho sɛnkyerɛnne ahorow no afi hɔ. Sɛ wususuw sɛ wowɔ Blepharitis a, sɔ nneɛma yi hwɛ:

• Kwati sɛ wode w’aniwa aduru bɛhyɛ wo ho: Ɛyɛ papa sɛ wobɛkwati sɛ wode w’aniwa aduru bɛhyɛ wo ho kosi sɛ wobɛhyɛ ɔfe no so, efisɛ ebetumi ama woanya abufuw bio.
• Fa compress a ɛyɛ hyew gu so: Fa ntama a ɛho tew, fa gu nsu a ɛyɛ hyew mu, pia nsu a ɛboro so no, na fa gu w’aniwa anim. Sɛ ntama no dwo a, san fa nsuo gu mu. Bere bi akyi no, abon no bɛyɛ nwini na ɛbɛyɛ mmerɛw sɛ wobeyi srade a aka no afi hɔ. Ɔhyew akataso a wotumi de gu microwave mu wɔ sotɔɔ ahorow mu, na ebetumi atu mpɔn kɛse efisɛ ɛma ɔhyew no kɔ so kyɛ.
• Nya Omega-3s: Nhwehwɛmu ahorow bi ada no adi sɛ omega-3s a ɛwɔ mpataa ngo anaa flax aba ngo mu no betumi aboa ma w’aniwa ntini ayɛ adwuma yiye. Ɛyɛ adwene pa nso sɛ wubedi nhabannuru ne nnuaba a ɛyɛ ahabammono na woakwati nnuan a srade pii wom.
• Nnuru a wɔde hohoro nneɛma a wɔde kata so: Wobetumi anya eyinom afi nnurutɔnbea ahorow sɛ nnuru a wɔde petepete so, aduru a wɔde petepete so, anaasɛ mpopaho a wɔde abɔ mu mmiako mmiako. Mpɛn pii no, hypochlorous acid na ɛwɔ mu. Eyinom boa ma mmoawa a ɛwɔ aniwa no anim ne honam ani a atwa aniwa no ho ahyia no so tew.

Wubetumi nso ayɛ w’ankasa aduru a wɔde tew w’aniwa ho wɔ fie. Ɔkwan a wɔfa so yɛ no ni:

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* Mfa ntama koro no ara a wɔde tew aniwa biako ho wɔ aniwa foforo so no nni dwuma. Fa ntama foforo a ɛho tew di dwuma. Eyi betumi aboa ma mmoawa a wɔtrɛw fi aniwa biako so kɔ foforo so no so atew.

* Yɛ ano aduru denam nkokoaa shampoo 50% ne nsu 50% a wode bɛfrafra so.

* Fa ntama a ɛyɛ hyew na ɛyɛ nwini no kyekyere wo nsateaa a wode kyerɛ ade no ho na fa samina a woasiesie no gu ntama no so.

* Bere a woato aniwa a worehohoro no mu no, fa ntama no petepete aniwa no anoano ne aniwa no anoano brɛoo mpɛn pii.

* Afei fa ntama a ɛho tew na ɛyɛ hyew na ɛyɛ nwini hohoro mu yiye.

* Yɛ saa ara ma aniwa foforo no.

Sɛ akisikuru no anyera bere a woaprapra w’aniwa anim yiye wɔ saa kwan yi so nna kakraa bi mpo akyi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ aniwa ho oduruyɛfo nkyɛn.

Ɔkwan bɛn so na oduruyɛfo sa Blepharitis?

Ayaresa a wɔde sa wo blepharitis no gyina nea wowɔ no so. Bere a wo duruyɛfo ahwɛ w’aniwa anim na wayɛ nhwehwɛmu biara a ɛho hia awie no, obetumi akyerɛw wo ayaresa a edidi so yi mu biako anaa nea ɛboro saa ama wo:

Nnuru a ekum ɔyare mmoawa a wɔde sa Blepharitis

Ebia wɔbɛkyerɛw wo aduru a ekum ɔyare mmoawa – sɛ nhwɛso no , Erythromycin , Bacitracin ophthalmic, anaa Polysporin® – anaasɛ aniwa mu nnuru a ekum ɔyare mmoawa – Polymyxin B ne Trimethoprim a wɔaka abom, te sɛ Polytrim® . Saa ayaresa ahorow yi boa ma wosiw ɔyare mmoawa no so na ɛtew ɔfe so. Ɛtɔ da bi a, wɔ nsɛm a ɛkɔ so daa mu no, wobetumi akyerɛw nnuru a wɔde kum ɔyare mmoawa a wɔnom – te sɛ Doxycycline anaa Azithromycin – nso ama.

Nnuru a ɛko tia ɔyare mmoawa a wɔde sa Blepharitis

Sɛ wuhia mmoa kakra bio a, ebia wo duruyɛfo de steroid aniwa aduru anaa cream bi bɛka w’ayaresa nhyehyɛe ho. Steroids brɛ ɔfe ase. Sɛnea ɛbɛyɛ na wɔasa nea ɛde ɔyare no ba anaa nea ɛto so abien no, ebia wo duruyɛfo bɛkyerɛw nnuru a ekum ɔyare mmoawa ne nnuru a ekum ɔyare mmoawa a wɔaka abom.

Nnuru a ɛma nipadua no tumi ko tia nyarewa ma Blepharitis

Wɔ akyi blepharitis ho no, wɔahu sɛ aduru bi a ɛma nipadua no tumi ko tia nyarewa te sɛ cyclosporine ophthalmic (Restasis®) a wɔde ka ho no ma ɔfe no so tew. Saa nnuru yi yɛ adwuma denam wo nipadua no abɔde mu tumi a ɛko tia nyarewa a esiw ano no so, na ɛnam so ma ɔfe no so tew.

Nneɛma a ɛde Blepharitis ba titiriw a wɔbɛsa

Wɔ sɛnkyerɛnne ahorow a ɛma obi ho tɔ no akyi no, ɛho hia nso sɛ wɔsa nea ɛde Blepharitis ba no. Wora tebea (te sɛ acne rosacea) anaa aniwa tebea (te sɛ aniwa a ɛyɛ kusuu) betumi ama Blepharitis asan aba bio. Wɔ tebea horow a ɛtete saa mu no, nnuru bi, nnuru a wɔde hyɛ aniwa mu, anaa aniwa mu aduru bi a ɛboa ma aniwa no yow betumi aboa.

Blepharitis a wɔde sa yare wɔ ayaresabea

Mprempren ayaresa foforo pii wɔ hɔ a nnuruyɛfo betumi ayɛ wɔ wɔn ayaresabea ahorow. Ebi ne:

• `(Lipiflow®)`: Eyi ma aniwa no yɛ hyew na eyi ngo a ɛnyɛ papa fi hɔ.
• Intense Pulsed Light Therapy: Eyi hwehwɛ sɛ wɔde hann kɔkɔɔ a ɛhyerɛn a ɛbɔ kɔ honam ani.
• `(BlephEx®)`: Eyi bɛtew w'aniwa anoano.

Sɛ wɔansa a, nsɛnnennen bɛn na ebetumi afi Blepharitis mu aba?

Wontumi nsa blepharitis koraa. Nanso, sɛ woma w’aniwa ho tew a, wubetumi adi so. Sɛ wɔansa a, blepharitis betumi ama obi anya aniwa mu haw a emu yɛ den kɛse. Ebetumi aka aniwa no anim fã a ɛda adi pefee, ani a ɛyɛ mmerɛw no titiriw, na ebetumi ayɛ aniberesɛm koraa.

Ebia nsɛnnennen no bi ne:

• Chalazion: Eyi yɛ akisikuru/akuru ketewaa bi a ɛnyɛ yaw a ɛba aniwa no anim.
• Aniwa mu akisikuru (keratitis): Aniwa mu akisikuru betumi aba esiane ɔyare mmoawa a ɛkɔ so anaasɛ aniwa no a ɛho ahonhon nti.
• Aniwa anim haw: Sɛ ``Blepharitis'' a ɛtra hɔ kyɛ a, aniwa no betumi ahwe ase, anyin anwonwakwan so, anaasɛ ne kɔla ahwere.
• Aniwa mu nyarewa `(Pink eye - conjunctivitis)`: `(Blepharitis)` ahorow bi betumi adan aniwa yare a ɛtra hɔ kyɛ.
• Stye: Eyi yɛ akisikuru kɔkɔɔ a ɛyɛ yaw a ɛba aniwa no anim a ɛbɛn aniwa no.
• Nsɛm a ɛfa nusu ho: Nsu, ngo, ne nsu a ɛkari pɛ a ɛyɛ mmerɛw na ɛyɛ nusu na ama w’ani ayɛ nwini na abɔ ho ban. Sɛ efĩ anaa ngo a efi wo honam ani siw wo kwan a, ebia w’ani bɛyow anaasɛ wobɛtetew dodo. Ngo a ahoɔden wom a aniwa no fi mu ba no boa ma nusu ntumi nkɔ. Sɛ wɔyɛ ngo a ɛnyɛ papa esiane blepharitis nti a, aniwa a ɛyɛ mmerɛw betumi ayɛ nea abu so kɛse mpo.

Ɔkwan bɛn so na wobetumi asiw Blepharitis ano?

Wontumi nsiw blepharitis dodow no ara ano. Nneɛma bi a ɛde blepharitis ba, te sɛ honam ani yare ahorow bi, yɛ nea wuntumi nyɛ ho hwee. Nanso, nneɛma bi wɔ hɔ a wubetumi ayɛ da biara da de aboa wɔ yare no ho sɛnkyerɛnne ahorow ho:

• Ma wo nsa, w’anim, ne wo ti nhwi ho ntew.
• Kwati sɛ wode wo nsa bɛka w’ani anaa w’anim a ɛyɛ wo yaw no. Sɛ ɛsɛ sɛ wode wo nsa ka a, fa ntini a ɛho tew di dwuma.
• Hwɛ hu sɛ wubeyi aniwa aduru nyinaa afi hɔ ansa na woada anadwo.
• Fa ntini a ɛho tew popa nusu a ɛboro so anaa aniwa aduru.
• Hyɛ ahwehwɛ mmom sen sɛ wode ahwehwɛ bɛhyɛ ahwehwɛ kosi sɛ tebea no bɛyɛ yiye.
• Sɛ w’ani ayɛ kusuu, na wo duruyɛfo pene so a, fa nusu a wɔde nsa ayɛ di dwuma.
• Fa aduru a ɛko tia akisikuru hohoro wo ti nhwi.
• Aniwa aduru – aniwa aduru, aniwa aduru, mascara – tɔ foforo. Nkuku dedaw betumi akora mmoawa. Wopɛ sɛ wusiw ɔyare mmoawa a ɛsan ba no ano.

Blepharitis a ɛma aniwa a ɛho ahonhon, ɛyɛ kɔkɔɔ, na ɛyɛ yaw no nyɛ osuahu a ɛyɛ anigye da. Mmom,Mpɛn pii no, blepharitis yɛ tebea a wubetumi adi ho dwuma. Sɛ wubetumi asa ɔhaw biara a ɛda adi, na woma w’aniwa ho tew a, wubetumi atew mpɛn dodow a tebea yi ba no so.

Enti, nkrasɛm bɛn na yɛpɛ sɛ yɛde kɔ fie fi saa asɛm yi mu?

Okay, enti yɛaka Blepharitis ho asɛm pii. Ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae ne sɛ ɛwom sɛ eyi yɛ tebea a abu so de, nanso sɛ wɔhwɛ so yiye a, wobetumi adi so.

Sɛ w’aniwa yɛ kɔkɔɔ, ɛho ahonhon, anaasɛ ɛyɛ wo yaw bere nyinaa a, mmu w’ani ngu so kɛkɛ. Hwɛ hu sɛ wobɛkɔ aniwa ho oduruyɛfo nkyɛn akɔhwehwɛ afotu.

Ofie nnuru te sɛ nnuru a wɔde mia aniwa a ɛyɛ hyew ne nnuru a wɔde hyɛ aniwa mu betumi aboa ma wɔadi yare no ho sɛnkyerɛnne ahorow so. Ɛho hia nso sɛ wudi ayaresa a wo duruyɛfo akyerɛ wo no akyi. Titiriw no, akyinnye biara nni ho sɛ ɛsɛ sɛ wɔn a wɔde aduru a wɔde yɛ aniwa no yi fi hɔ ansa na wɔada anadwo. Ahotew yɛ ɔkwan pa a wɔfa so siw tebea horow a ɛtete saa ano.

Biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho, sɛ wohwɛ so yiye a, Blepharitis yɛ tebea a ɛrensiw wo kwan sɛ wobɛtra ase sɛnea ɛsɛ!

` Blepharitis, Aniwa mu Nyarewa, Aniwa a Ɛhonhon, Aniwa a Ɛyɛ Kete, Aniwa Kɔkɔɔ, Aniwa Akwahosan