Yu yay kin dray ɔltɛm? Dɛn kin it? Na bikɔs ɔf prɔblɛm wit di meibomian gland dɛn? (Meibomian Gland Disfunkshɔn) .

Sɔntɛnde yu kin fil lɛk se yu yay jɔs dray, lɛk se sɔntin de insay, ɔ i kin it ɛn rɛd ɔltɛm? Yu go tink se dis na nɔmal tin, lɛk smɔl dɔst. Bɔt if dɛn sik ya kɔntinyu, i kin bi prɔblɛm wit di smɔl smɔl ɔyl gland dɛn we de na yu yaylid. Tide, wi go tɔk bɔt wan pan dɛn kayn tin ya, we na Meibomian Gland Dysfunction (MGD) .

Wetin na di meibomian gland disfכnkshכn (MGD)?

Fɔ tɔk am simpul wan, Meibomian Gland Dysfunction (MGD) na we di smɔl smɔl ɔyl gland dɛn we de ɔp ɛn dɔŋ ed na yu yaylid (wi kɔl dɛn Meibomian gland ya) nɔ de pul di ɔyl (we dɛn kɔl meibum) we yu yay nid fayn fayn wan. Dis ɔyl rili impɔtant fɔ mek yu yay nɔ dray.

Imajin, wan fim de we de protɛkt wi yay. I gɛt tri men layers:

1. di כyl כta layεr: Dis na כyl we de kכmכt na di meibomian gland dεm. Dis kin mek di wata layt we de ɔnda de stɔp fɔ evapɔret tumɔs kwik.

2. Aqueous middle layer: Dis na di big pat pan di tear film. Na di men pat we de mek di yay wet, gi tin fɔ it, ɛn klin.

3. insay layt we gεt mכkus: dis de εp fכ kip di wata layεr fכ lכbrik fayn fayn wan na di yay sεf.

Naw yu ɔndastand aw impɔtant di ɔyl we de kɔmɔt na di meibomian gland dɛn impɔtant? insay MGD, dεn gland dεm ya nכ de prodyuz inof כyl , כ di kwaliti כf di כyl we dεn de prodyuz de dכn . Bɔku tɛm, di say dɛn we dɛn gland ya de opin kin blok ɛn di ɔyl nɔ kin ebul fɔ kɔmɔt. Wi kɔl dis ɔbstrɔktiv MGD .

Dis kכndyushכn kin bi we dεn bכn am כ we dεn gεt am. I kin afɛkt yɔŋ pipul dɛn ɛn ol pipul dɛn.

Aw dis sik kin kɔmɔn?

Infakt, MGD na wan sik wae kin pasmak pas aw yu kin tink. Dɛn se lɛk 35.8% pan di pipul dɛm na di wɔl gɛt dis sik. Na Amɛrika, lɛk 70% pan pipul dɛm wae dɔn pas 60 ia gɛt MGD.

Bɔku tɛm, i kin bɔku pan man dɛn pas uman dɛn. Di we aw i bɔku kin difrɛn bak bitwin difrɛn etnik grup dɛn. Fɔ ɛgzampul, MGD kin bɔku pan pipul dɛn we kɔmɔt na Eshia pas wayt pipul dɛn.

Yu gɛt dɛn sik ya bak?

Sɔm pipul dɛm wae gɛt MGD nɔr kin sho ɛni sayn. Bɔt if yu gɛt sɔm sayn dɛn, dɛn kin gɛt:

• Ayz kin it ɔltɛm ɔ fil lɛk se dɛn de bɔn .
• Ay dɛn kin rɛd ɔ dɛn kin wund .
• Di aylid dɛn kin luk lɛk se dɛn dɔn swel .
• Mi yay de wata fɔ natin.(Dis kin rili apin bikɔs di yay dray, ɛn di yay kin ansa bay we i de mek mɔ wata wata).
• Fɔrin bɔdi sɛns, lɛk gren san na di yay.
• I tan lɛk se mi vishɔn nɔ klia smɔl .
• Styes ɛn chalazions kin apin bɔku tɛm na di aylid.
• Mi aylash dɛn gɛt klɔmp ɔ tin dɛn we kin stika we kin stɔp pan dɛn na mɔnin.
• If yu yuz kɔntakt lens, i kin at fɔ wɛr am fayn .

Imajin, Nilanthi na pɔsin we de wok na kɔmpyuta ɔltɛm. Na ivintɛm, in yay kin rɛd ɛn it. Sɔntɛnde, i kin fil lɛk se sɔntin dɔn stɔp na in yay. I bin tink se na bikɔs i taya. Bɔt na we i si dɔktɔ nɔmɔ i kam fɔ no se i dɔn gɛt MGD.

Wetin mek dis de apin? Wetin na di rizin dɛn?

di men tin we de mek MGD na di blok we di meibomian gland dεm we wi bin tכk bכt. Dis min se ɔyl kin gɛda na di gland opin, i kin stɔp, ɛn i nɔ kin ebul fɔ kɔmɔt. Wan ɔda rizin na bikɔs di kwaliti fɔ di ɔyl we di gland dɛn kin pul kin go dɔŋ .

Apat frɔm dat, we yu yuz sɔm mɛrɛsin dɛn bak, i kin mek yu gɛt MGD. Fɔ ɛgzampul:

• Sɔm mɛrɛsin dɛn fɔ glaukoma.
• Mεdikeshכn dεm we gεt rεtinoid (dεn kin yus fכ akni).
• Estrogen we dɛn kin gi fɔ ɔmon riplesmɛnt tɛrapi.
• Mεdikeshכn dεm we de ridyus di androgen lεvεl.

Udat dɛn kin gɛt dis sik mɔ? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Risk factors na tin wae de mek yu gɛt mɔr chans fɔ gɛt sik. MGD gɛt sɔm kayn risk factor dɛm:

• Ol: As yu de ol, di wok we dɛn gland ya de du kin stɔp.
• di ifekt dεm we di כmon dεm de du: εspεshali we di כmon dεm we de fכm di כmon dεn dכn dכn.
• Fɔ gɛt di abit fɔ gɛt alɛji.
• We yu wɛr kɔntakt lens: Di prɔblɛm kin bɔku if yu wɛr am fɔ lɔng tɛm pas di tɛm we dɛn se yu nɔ klin am fayn.

Apat frɔm dat, if yu gɛt sɔm kayn mɛrɛsin, yu go gɛt MGD. Dis risk kin pasmak pan pipul dɛm wae gɛt sik wae gɛt fɔ du wit di imyun sistɛm.

Di risk dɛm wae kin kam wit di wikɛd imyun sistɛm

Pipul wae gɛt dis sik kin gɛt MGD:

• Rosacea ( Rosacea ): Na wan sik we de mek di skin de rɛd ɛn smɔl blɔd vesel dɛn de si na di say we i de.
• Sjögren’s syndrome: Na wan sik wae de mek yu yay ɛn yu mɔt dray.
• Lupus: Na wan sik we de ambɔg difrɛn pat dɛn na di bɔdi.
• Psoriasis: Na sik na di skin we kin mek yu gɛt skel pat.
• Rimatɔyd at at sik: .Na ɔtoimyun sik we kin afɛkt di jɔyn dɛn.

Ɔda mɛdikal kɔndishɔn dɛn we de mek di risk fɔ gɛt MGD bɔku

• Kronik blefaraytis: Di ed dɛm na di aylid kin swel ɔltɛm ɛn rɛd.
• Stevens-Johnson syndrome: Na wan sik wae de afekt di skin εn di mכkus mεmbran dεm bad bad wan.
• Di ay blɔd prɛshɔn.
• Di kɔlɔstrel we bɔku na di blɔd.
• Infεkshכn dεm na di yay, lεk trachoma .
• Aniridia: Na wan sik we di ayris na di yay nɔ de ɔlsay ɔ sɔm pat pan am.

Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?

MGD nɔto jɔs dray yay. If dɛn nɔ trit am fayn, i kin mek i gɛt difrɛn prɔblɛm dɛn. So, i nɔ fayn fɔ lɛ wi nɔ pe atɛnshɔn to am.

Di men prɔblɛm na di divɛlɔpmɛnt fɔ dray ay sindrom (Dray ay sik) . Dis min se di yay dɛn kin dray ɔltɛm. pan tap dat, sik dεm na di sכfa pat na di yay (kכnia εn kכnjunktiva), lεk fכ inflameshn na di yay lid (blepharitis), kin apin.

If dɛn nɔ trit MGD, yu go gɛt ay infɛkshɔn ɔ inflammatory conditions . If yu de du ɛni ay ɔpreshɔn, MGD de pan risk bak fɔ gɛt kɔmplikeshɔn afta da ɔpreshɔn de. If i siriɔs, MGD we dɛn nɔ trit kin ivin pwɛl di kɔnia .

Aw dɔktɔ kin no se yu gɛt MGD?

Di pɔsin we de kia fɔ yu yay go aks yu fɔs bɔt yu wɛlbɔdi, mɛrɛsin, ɛn di sayn dɛm. Dɔn, dɛn go du wan kɔmplit ay ɛgzam . Bay di ansa dɛm we yu gi, di dɔktɔ go ebul fɔ luk insay yu yaylid fɔ no di sayn dɛm fɔ MGD.

Us tɛst dɛn de du fɔ dis?

Fɔ no if yu gɛt MGD, yu dɔktɔ kin du wan ɔ mɔ pan dɛn tɛst ya:

• Oil expression: Di dɔktɔ go prɛs yu yaylid jisnɔ fɔ si if ɔyl de kɔmɔt na di gland dɛn, if na so, ɔmɔs, ɛn wetin na di kayn ɔyl.
• Tear film breakup time test (TBUT): Dɛn kin put spɛshal day na yu yay ɛn dɛn kin aks yu fɔ blink. Dɔn, dɛn kin yuz slit lamp fɔ no aw lɔng i kin tek fɔ mek di fim we gɛt kray wata brok. Bɔku tɛm, i fɔ pas 10 sɛkɔn.
• Schirmer test (Schirmer tear test): Insay dis tɛst, dɛn kin put tu spɛshal filta pepa strip dɛn bitwin yu aylid we de dɔŋ ɛn yu yay. Afta sɔm minit, dɛn kin mɛzhɔ di mɔstɔ we di pepa strip dɛn de tek fɔ si if yu yay de mek yu yay kray.
• Tiar sampul tɛst (Sampling): .Sɔm tɛst kin no us prɔtin de na yu kray wata.
• Meibography: Dis na test we de tek pikchɔ fɔ di meibomian gland dɛm. I de yuz difrɛn we dɛn lɛk infrarɛd, optik kɔhɛrɛns tomografi (OCT), ɛn lɛsa imej. I kin sho aw di gland dɛn shep, ɔmɔs pan dɛn dɔn blok, ɛn if dɛn dɔn pwɛl.

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt fɔ MGD dipen pan bɔku tin, lɛk aw yu sik bad, wetin mek i kam, ɛn yu ɔl wɛl bɔdi.

Tin dɛn we yu kin du na os

Di dɔktɔ kin tɛl yu fɔs sɔm simpul tin dɛn we yu kin du na os:

• Wam kɔmprɛs: Sok klin klos insay wam wata, wring am kɔmɔt fayn fayn wan, ɛn ol am oba yu yaylid fɔ lɛk 5 minit. Dis go ɛp fɔ lɛf sɔm pan di ɔyl we dɔn trɔp ɛn mek i izi fɔ pul am. I bɛtɛ fɔ du dis tu tɛm insay di de.
• Masaj di aylid: Afta yu dɔn put di wam kɔmprɛs, masaj yu aylid dɛn jisnɔ wit yu finga dɛn, push dɛn to yu aylid dɛn (dɔwn fɔ di aylid dɛn we de ɔp, ɔp fɔ di aylid dɛn we de dɔŋ). Dis go ɛp fɔ pul di ɔyl kɔmɔt na di gland dɛn.
• Aw fɔ klin yu aylid: Miks smɔl sop we nɔ gɛt bɛtɛ blɔd, lɛk bebi shampoo, wit smɔl wata ɛn klin di ed dɛn na yu yaylid jisnɔ (we yu aylash dɛn bigin). Ɔ, yuz spɛshal lid klin we yu dɔktɔ tɛl yu fɔ du.
• Fɔ tek Omega-3 sɔpɔtmɛnt: If yu tek supamakit we gɛt omega-3, lɛk fish ɔyl ɔ flaks sid ɔyl, i kin mek di ɔyl kwaliti bɛtɛ ɛn i kin mek yu nɔ gɛt MGD simptom. Tɔk to yu dɔktɔ bɔt dis ɛn bigin.
• Fɔ kia fɔ di envayrɔmɛnt: Ridyus di say we di briz de blo. Ridyus di tɛm we yu de spɛn fɔ luk skrin lɛk kɔmpyuta ɛn fon. Gi yu yay dɛn fɔ blo wan wan tɛm.

Di tritmɛnt we dɔktɔ tɛl yu fɔ du

If di tritmɛnt dɛn we dɛn kin gi na os nɔmɔ nɔ go du fɔ yu, yu dɔktɔ kin tɛl yu ɔda tritmɛnt dɛn lɛk:

• Atikul wata / Lubrikɛnt: Yu kin yuz lɔbrik ay drɔp bɔku tɛm insay di de fɔ mek di yay nɔ dray. Dɛn kin kam bak insay jel ɔ ɔntmɛnt fɔm.
• Di mɛrɛsin dɛn we de agens di sik: If infekshɔn de na di yaylid, dɛn kin gi yu antibayɔtik drɔp, ɔntmɛnt, ɔ pils. Sɔm antibayɔtiks (e.g., doxycycline , azithromycin) kin ɛp bak wit MGD.
• Di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn di sik we dɛn kɔl anti-inflammatory:Ay drɔp, lɛk sayklɔspɔrin ɔ stɛroyd, kin ɛp fɔ ridyus di inflamɛns na di yaylid. Dɛn fɔ jɔs yuz dɛn tin ya ɔnda dɔktɔ in advays.
• Fɔ trit sik dɛn we gɛt fɔ du wit am: Fɔ ɛgzampul, if na sik we di mit (Demodex) we de liv na di aylid dɛn kin mek, fɔ trit am.
• Di we aw fɔ pul di gland dɛn:
• Divays dɛm lɛk Lipiflow, iLux, ɛn TearCare: Dɛn wan ya de aplay kɔntrol ɔt ɛn prɛshɔn pan di aylid dɛm, we de sɔlv di meibomian gland dɛm we dɔn klos ɛn pul dɛn.
• Meibomian gland probing: dεn de put wan tin instrכmεnt (probe) insay di gland opin dεm εn dεn de pul di blכk.
• Laser tritmɛnt: Dɛn kin yuz sɔm kayn lɛsa bak fɔ mek dɛn gland ya wok ɛn pul di tin dɛn we dɔn blok.

Aw lɔng i kin tek fɔ mek yu wɛl afta yu dɔn gɛt tritmɛnt? Wetin na di tin dɛn we wi go si?

כl di MGD tritmεnt dεm nכ nid bכku "rεkכvεshכn tεm." Infakt, yu dɔktɔ go tɛl yu fɔ kɔntinyu fɔ yuz tin dɛn lɛk fɔ ɛkstɛnd yu aylash, fɔ kɔmprɛs yu wam wam, ɛn fɔ gi yu sɔpɔt.

Na if dɛn du ɔpreshɔn pan yu nɔmɔ, i kin tek sɔm tɛm fɔ mek yu wɛl ɔl.

De luk fɔ pɔrsin wae gɛt MGD kin ɔltɛm fayn , mɔr lɛk if yu du wetin yu nid fɔ du fɔ mɛn de sik. Yu go nid fɔ kip gud abit dɛn fɔ klin yu yay ɔlsay na yu layf.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt MGD? Aw dɛn go ebul fɔ ridyus di prɔblɛm?

Dɛn nɔ kin ebul fɔ stɔp MGD kpatakpata, bɔt sɔm tɛm dɛn kin mek yu nɔ gɛt prɔblɛm .

Wi nɔr kin chenj sɔm risk factor dɛm, lɛk ej ɛn rays. Bɔt sɔm tin dɛn de we wi kin chenj:

• Fɔ manej ɔda wɛl bɔdi prɔblɛm dɛn: Kɔntrol tin lɛk di kɔlɔstrel we de na di blɔd ɛn di blɔd prɛshɔn.
• Manej di say we yu de: Nɔ de fa frɔm di tin dɛn we de mek yu gɛt alɛrjens as yu ebul. Nɔ tek draft as mɔ as yu ebul. Limit di tɛm we yu de spɛn na di skrin.
• Fɔ chɛk yu yay ɔltɛm.
• If yu wɛr kɔntakt lens, yuz am ɛn klin am lɛk aw yu dɔktɔ se.
• Kip yu yay ɛn yu aylash klin.

Wetin na di bɛst tɛm fɔ go to dɔktɔ?

If yu gɛt ɛni prɔblɛm we gɛt fɔ du wit yu yay, lɛk we yu yay de pen ɔ we yu nɔ de si fayn, mek shɔ se yu go to dɔktɔ.

If yu gɛt pen pan yu yay wantɛm wantɛm ɔ yu nɔ de si fayn, go na ɔspitul imejensi rum wantɛm wantɛm.

Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ

Yu kin gɛt bɔku kwɛstyɔn dɛn fɔ aks yu yay dɔktɔ. Yu kin aks tin dɛn lɛk:

• Wetin mek a gɛt MGD?
• Us kayn tritmɛnt yu kin advays?
• Ɛni sayd ɛfɛkt (kɔmplikɛshɔn) de fɔ dɛn tritmɛnt ya?
• Yu tink se dis sik na bikɔs ɔf in jɛnɛtiks? A fɔ aks di ɔda pipul dɛn na mi famili fɔ mek dɛn du tɛst?
• Aw ɔltɛm a fɔ du ɛgzam na mi yay?
• A kin stil yuz kɔntakt lens?
• Dis MGD kondishon go eva get komplit beta?

Yu tink se dis MGD kɔndishɔn go wɛl ɔltogɛda?

Fɔ sɔm pipul dɛm, MGD kin bi prɔblɛm fɔ ɔl yu layf , mɔ if yu gɛt ɔda sik, lɛk wan sik we de ambɔg yu bɔdi, we yu kin kɔntrol bɔt nɔr kin wɛl ɔl. Bɔt if dɛn de manej am fayn, i kin bi prɔblɛm fɔ ɔl in layf.

Aw fɔ riset di meibomian gland dɛn we dɔn klos?

Yu kin yuz os mɛrɛsin lɛk wam kɔmprɛs ɛn masaj fɔ ɛp fɔ pul di meibomian gland dɛn we dɔn klos. Apat frɔm dat, tul dɛn ɛn we dɛn de we dɔktɔ dɛn kin yuz.

Sɔm ɛgzampul dɛn bɔt dɛn tin ya na:

• Mashin dɛn we de wam yu yaylid ɛn sɔlv dray ɔ tik meibum.
• Mashin dɛn we de yuz lɛsa bim fɔ go insay di gland dɛn ɛn pul di tin dɛn we dɔn blok.
• di dכkta de put tin instrכmεnt dεm (prob dεm) insay di gland dεm fכ pul di meibomian כyl we trכp.

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl we wi fɔ mɛmba

I impɔtant fɔ mek yu de chɛk yu yay ɔltɛm. Dis na bikɔs dɔktɔ kin no sɔm ay kɔndishɔn (lɛk MGD) bifo yu ivin gɛt di sayn dɛm. Dray yay wan wan tɛm nɔ kin bi big tin. Bɔt, dray yay nɔ fayn fɔ yu. Yu meibomian gland dɛm na impɔtant pat pan yu yay wɛlbɔdi we de ɛp fɔ protɛkt yu yay. So, if yu gɛt MGD, i impɔtant fɔ no ɛn trit am kwik fɔ mek yu nɔ gɛt siriɔs prɔblɛm. If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu yay dɔktɔ.

` Dray yay, Meibomian gland, MGD, Dray ay sindrom, Ay hεlth, Meibomian Gland Disfכnkshכn, Dray Ay Sindrom