I mit a vawt reng em? An itch em? Meibomian glands-a harsatna a awm vang em ni? (Meibomian Gland hnathawh that lohna) .

A chang chuan i mit chu a vawt mai mai ang maiin, a chhungah thil awm ang maiin i inhria em, a nih loh leh a hring reng a, a sen reng ang maiin i inhria em? Hei hi thil pangngaiah i ngai mai thei, leivut hrual ang maiin. Mahse, heng symptoms te hi a awm reng chuan i mitmeng chhunga oil gland te tak te te tan harsatna a ni thei. Vawiin hian chutiang dinhmun pakhat, Meibomian Gland Dysfunction (MGD) chungchang kan sawi dawn a ni.

Meibomian gland dysfunction (MGD) hi eng nge ni?

A awlsam zawngin sawi ila, Meibomian Gland Dysfunction (MGD) chu i mitmeng chung leh hnuai lam (heng Meibomian glands kan ti)-a oil gland te tak te te hian i mit mamawh oil (meibum an tih) chu uluk taka an chhuah loh vang a ni. He hriak hi i mit a vawt loh nan a pawimawh hle.

Ngaihtuah teh, kan mit vengtu mittui film a awm a. Layer lian pathum a nei a, chungte chu:

1. The oily outer layer: Hei hi meibomian glands atanga oil atanga siam a ni. Hei hian a hnuaia tui layer chu a vawt rang lutuk loh nan a titawp a ni.

2. Aqueous middle layer: Hei hi mittui film a lian ber a ni. Mit tituitu, chawmtu leh tifaitu ber a ni.

3. Innermost layer containing mucus: Hei hian aqueous layer chu mit chung lamah a lubricate tha hle.

Tunah chuan meibomian glands atanga oil lo chhuak hi a pawimawh zia i hrethiam tawh em? MGD ah chuan heng glands te hian oil an siam tling lo emaw, an oil siam quality a tlahniam emaw a ni . A tam zawkah chuan heng glands hawnna te hi a inkhar a, oil chu a chhuak thei lo. Hei hi obstructive MGD kan ti a ni.

Hetiang dinhmun hi pianpui emaw, neih emaw pawh a ni thei. Thalai leh tarte a nghawng thei a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan MGD hi i ngaihtuah aiin a tam zawk hle . Khawvel mihring 35.8% velin he natna hi an vei nia chhut a ni. United States-ah chuan kum 60 chunglam zinga 70% velin MGD an nei a ni.

A tlangpuiin hmeichhia aiin mipaah ​​a tam zawk. Hnam hrang hrangah pawh a hluar dan pawh a inang lo. Entirnan, MGD hi mipa hring aiin Asian hnam chhuak zingah a tam zawk.

Nang pawhin heng symptoms te hi i nei ve em?

MGD vei thenkhat chuan symptom an nei lo. Mahse, natna lan chhuahna i neih chuan, chungte chu:

• Mit a na reng emaw a kang reng emaw .
• Mit a sen emaw a na emaw a ni .
• Mitmeng chu a hring vek niin a lang .
• Ka mit chu a tui lo mai mai.(Hei hi a takah chuan mit a vawt vang a ni a, mit hian mittui tui tam zawk siamin a chhang let thin).
• Foreign body sensation, mit chhunga hnim hnah ang mai.
• Ka mit chu a fiah deuh niin a lang .
• Styes leh chalazions hi mitmengah a awm fo thin.
• Ka mitmengah hian zing lamah clumps emaw sticky substance emaw a awm a.
• Contact lens i hman chuan nuam taka hak a harsa thei hle .

Ngaihtuah teh, Nilanthi hi computer-a thawk reng reng a ni. Zan lamah chuan a mit a sen a, a na bawk. A châng chuan a mitmengah thil eng emaw a inkhung ang maiin a inhria ṭhin. Chauhna vang niin a ngai a. Mahse doctor a hmuh veleh MGD a vei tih a hre ta chauh a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

MGD thlentu ber chu a hmaa kan sawi tawh meibomian glands blockage vang a ni. Chumi awmzia chu gland hawnna hmunah oil a pung khawm a, a tang a, a chhuak thei lo tihna a ni. A chhan dang chu glands atanga oil chhuak quality a tlahniam vang a ni .

Tin, damdawi thenkhat hman hian MGD a thlen thei bawk. Entir nan:

• Glaucoma damdawi thenkhat.
• Retinoids (acne atana hman) awmna damdawi.
• Hormone thlak danglamna therapy atana estrogen pek thin.
• Androgen level tihhniam thei damdawi.

Hetiang hi tuin nge nei tam zawk? (Risk factor hrang hrang) 1.1.

Risk factors hi natna vei theihna tipungtu thil a ni. MGD hian hetiang risk factor engemaw zat a nei a:

• Kum upa lam: I tar chhoh zel chuan heng glands te hnathawh hi a tlahniam thei a ni.
• Hormone te nghawng: A bik takin hormone androgen tlahniam.
• Allergy nei duhna nei.
• Contact lens vuah: Hun ruahman aia rei i vuah a, uluk taka tihfai loh chuan a hlauhawmna a sang zawk.

Tin, damdawi lam harsatna thenkhat i neih chuan MGD i vei theihna a sang zawk bawk. Hetiang hlauhawmna hi immune system nena inzawm natna nei tan chuan a sang hle.

Immune system chak lohna avanga hlauhawmna

Heng natna vei te hian MGD an nei thei a:

• Rosacea ( Rosacea ): Vun a sen a, a chung lamah thisen kalna kawng te te a lang thin.
• Sjögren’s syndrome: Autoimmune disease a ni a, mit leh hmui a vawt tir thin.
• Lupus: Autoimmune disease a ni a, taksa peng hrang hrang a khawih thin.
• Psoriasis: Vun natna a ni a, vun natna a ni a, a hring (scaly patches) a awm thin.
• Rheumatoid arthritis natna vei te hi:Autoimmune natna, ruhkawr tichhe thei.

MGD vei theihna tipungtu damdawi lam thil dang

• Chronic blepharitis: Mit hmul kilte chu a hring reng a, a sen reng bawk.
• Stevens-Johnson syndrome: Vun leh vun natna (mucous membrane) nasa taka tichhe thei natna a ni.
• Thisen sang a sang.
• Thisenah cholesterol level sang tak a awm.
• Mit natna, trachoma .
• Aniridia: Mit iris awm lo vek emaw, a then emaw awm lohna dinhmun.

Enkawl loh chuan eng harsatna nge thleng thei?

MGD hi mit vawt mai a ni lo. A enkawl that loh chuan harsatna chi hrang hrang a thlen thei a ni. Chuvangin, ngaihthah mai mai a tha lo.

A harsatna ber chu dry eye syndrome (Dry eye disease) lo awm hi a ni. Chumi awmzia chu mit a vawt reng tihna a ni. Tin, mit chunglam natna (cornea leh conjunctiva), mitmeng natna (blepharitis) te pawh a awm thei bawk.

MGD hi enkawl loh a nih chuan mit natna emaw, inflammatory conditions emaw i nei tam zawk . Mit surgery eng pawh i neih chuan MGD pawh hi chu surgery hnuah harsatna a awm thei bawk. A nasat chuan MGD enkawl loh chuan mit (cornea) pawh a tichhe thei a ni .

Engtin nge doctor hian MGD hi a hriat theih ang?

I mit enkawltu chuan i hriselna, damdawi leh natna lan chhuah dan te a zawt hmasa ang che. Tichuan, mit enfiahna kimchang an nei ang . I chhanna a\angin doctor chuan i mitmeng chhung lam chu a en thei ang a, MGD chhinchhiahna a hmu thei ang.

Hemi atan hian eng test nge tih a nih?

MGD i vei leh neih loh finfiah nan i doctor chuan a hnuaia test pakhat emaw a aia tam emaw a ti thei ang:

• Oil expression: Doctor chuan i mitmeng chu zawi zawiin pressure a pe ang a, glands atanga oil a chhuak em tih te, a chhuak a nih chuan engzat nge a chhuah tih te, oil chu eng ang nge a nih tih te a en ang.
• Tear film breakup time test (TBUT): I mit chhungah dye bik dahin mit khap turin an ti a. Tichuan, slit lamp hmangin tear film chu a chhe vek theih nan eng chen nge a rei tih an teh thin. A tlangpuiin second 10 aia rei a ni tur a ni.
• Schirmer test (Schirmer tear test): He test-ah hian i mitmeng hnuai lam leh i mit inkarah filter paper strip bik pahnih dah a ni. Minute engemaw zat hnuah paper strip-in tui a lakluh zat chu i mit hian mittui a chhuah tling em tih an teh a.
• Mittui sample test (Sampling): 1.1.Test thenkhatah chuan i mittuiah hian eng protein nge awm tih hriat theih a ni.
• Meibography: Hei hi test a ni a, meibomian glands thlalak lakna a ni. Thil chi hrang hrang a hmang a, chu chu infrared, optical coherence tomography (OCT), leh laser imaging te a ni. Glands pianzia te, engzat nge block tih te, a chhiat leh chhiat loh te a entir thei a ni.

Hei hi eng enkawlna nge ni?

MGD enkawlna hi thil tam takah a innghat a, chung zingah chuan i natna a nasat dan te, a chhan te, leh i hriselna zawng zawng te pawh a tel a ni.

In lama i tih theih thilte

Doctor chuan in lama i tih theih tur thil awlsam tlemte a rawn rawt hmasa a:

• Warm compress: Puan fai tak chu tui lum ah hnim la, uluk takin hrual la, i mitmeng chungah minute 5 vel dah la. Hei hian oil tang thenkhat chu a tizau thei ang a, awlsam zawkin a chhuak thei ang. Ni khatah vawi hnih tal tih a tha ber.
• Mitmeng massage: Compress lum tak i hnawih zawh chuan i mitmeng chu i kut zungtang hmangin zawi zawiin massage la, i mitmeng lam hawiin nawr la (mitmeng chunglam tan hnuai lam, mitmeng hnuai lam tan chuan chunglam). Hei hian glands atanga oil chu a chhuah tir thei dawn a ni.
• Mitmeng fai dan: Sahbawn nalh tak, nausen shampoo ang chi tlem te te chu tui tlem nen chawhpawlh la, i mitmeng kil (i mitmeng intanna hmun) chu zawi zawiin silfai rawh. A nih loh leh, i doctor-in a rawt angin lid cleaner bik hmang rawh.
• Omega-3 supplement ei: Omega-3 awmna supplement, fish oil emaw flaxseed oil emaw ei hian oil quality a ti tha a, MGD symptoms a ti tlem thei bawk. Hemi chungchang hi i doctor nen sawiho la, tan rawh.
• Environment enkawl: Thlipui na tak laka invenna tihtlem. Computer leh phone ang chi screen en rengna hun hman tlem. I mit chu a chang chuan chawlh pe thin ang che.

Doctor-in enkawl dan tur a rawt

In lama enkawlna chauh a tawk lo a nih chuan i doctor chuan enkawlna dang a rawn rawt thei a, chu chu:

• Artificial tears / Lubricants: Lubricant eye drops hi ni khatah vawi eng emaw zat hman theih a ni a, chu chuan mit a vawt loh nan a hmang thei a ni. Gel emaw ointment emaw angin an awm bawk.
• Anti-infective medications: Mit hmuiah natna a awm chuan antibiotic drop, ointment, pill emaw pek theih a ni. Antibiotics thenkhat (e.g., doxycycline , azithromycin) pawhin MGD hi a pui thei bawk.
• Topical anti-inflammatory damdawi hman tur:Mit drop, cyclosporine emaw steroid emaw hian mitmeng a inflammation a tihziaawm thei a ni. Hengte hi Doctor thurawn hnuaiah chauh hman tur a ni.
• Natna inzawm enkawl dan: Entirnan, mitmeng chunga cheng mites (Demodex) avanga natna a nih chuan enkawl.
• Glands unblock dan tur: 1.1.
• Lipiflow, iLux, leh TearCare ang chi device: Hengte hian mitmengah controlled heat leh pressure a pe a, meibomian glands clogged te chu a tithianghlim a, a paih chhuak ta a ni.
• Meibomian gland probing: Gland hawnna chhungah hian instrument (probe) te tak te dahin a blockage chu paih chhuak a ni.
• Laser hmanga enkawlna: Laser chi thenkhat chu heng glands te tihchak nan leh blockage te tihbo nan an hmang bawk.

Enkawlna atanga dam leh theih nan eng chen nge a duh? Eng ang thlirna nge ni ang?

MGD enkawlna tam zawkah hian "recovery time" tam tak a ngai lo. Dik tak chuan i doctor chuan eyelash extension, warm compress, leh supplement te ang chi thil te chu chhunzawm zel turin a hrilh ang che.

Surgery i neih chauh chuan a dam kim theih nan hun engemaw chen a la ngai thei.

The outlook for someone with MGD is usually good , a bik takin i dinhmun enkawl nan i tih tur i tih chuan. I dam chhung zawngin mit fai dan tha tak i neih a ngai mai thei.

MGD hi ven theih a ni em? Engtin nge a hlauhawmna chu tihziaawm theih ang ?

MGD hi pumpelh kim theih a ni lo va, mahse a then phei chuan i hlauhawmna chu i tihtlem thei a ni .

Risk factor thenkhat, kum leh hnam ang chi hi kan thlak danglam thei lo. Amaherawhchu, thil engemaw kan tihdanglam theih a awm a:

• Hriselna dang enkawl dan: Thisen cholesterol level leh thisen sang ang chi thil control.
• I chhehvel enkawl rawh: Allergens lakah a theih ang anga inthiarfihlim rawh. Draft hi a theih ang angin pumpelh rawh. Screen hun chhung kha tihtlem rawh.
• Mit enfiah fo thin.
• Contact lens i bun chuan doctor-in a tih angin hmang la, tifai bawk ang che.
• I mit leh mitmeng te fai takin vawng reng ang che.

Doctor hmuh hun tha ber berte chu engte nge ni?

Mit lama harsatna, mit na emaw, mit fim lo emaw i neih chuan doctor pan ngei ngei tur a ni.

Mit na tak tak emaw, mitdelna emaw i neih chuan damdawi in emergency room-ah kal nghal rawh.

I doctor zawh tur zawhna pawimawh

I mit doctor zawh tur zawhna tam tak i nei mai thei. Hetiang thil hi i zawt thei ang:

• Eng thilin nge he MGD condition hi ka neih chhan?
• Eng ang enkawlna nge i rawt?
• Heng enkawlnate hian side effect (complication) a nei em?
• Hetiang dinhmun hi genetic a ni em? Ka chhungte dang zawng zawng test turin ka ngen tur em ni?
• Engzat nge mit enfiahna ka neih ang?
• Contact lens ka la hmang thei em?
• He MGD condition hi a tha vek dawn em ni?

He MGD condition hi a dam vek dawn em ni?

Mi thenkhat tan chuan MGD hi dam chhung zawng harsatna a ni thei , a bik takin natna dang, immune system disorder ang chi, control theih mahse tihdam kim loh i neih chuan. Mahse, uluk taka enkawl a nih chuan dam chhung zawng harsatna a ni thei.

Engtin nge meibomian glands clogged te chu reset theih ang?

Home remedies warm compress leh massage te hmangin meibomian glands clogged te chu unclog turin i pui thei bawk. Hei bakah hian Doctor-te hmanraw leh hmanraw hrang hrang a awm bawk.

Chungte entirnan:

• I mitmeng ti lumtu leh meibum vawt emaw thickened emaw tithianghlimtu machine.
• Laser beam hmanga glands chhunga lut leh blockage te paih chhuak thei machine.
• Doctor chuan glands chhungah hian instrument te tak te (probes) a dah lut a, chu chuan meibomian oil tang chu a paih chhuak thin.

A tawp berah chuan hriat reng tur pawimawh ber berte

Mit enfiah fo a pawimawh. Hei hi a chhan chu doctor chuan mit natna thenkhat (MGD ang chi) chu symptoms i neih hmain a detect thei a ni. A chang chuan mit vawt hi thil lian tak a ni lo mai thei. Mahse, mit vawt hi i tan a tha lo. I meibomian glands hi i mit hriselna atana pawimawh tak a ni a, i mit venhimna atan a pui a ni. Chuvangin MGD i neih chuan harsatna lian tham i neih loh nan a hmaa hriatchhuah leh enkawl a pawimawh. Hemi chungchanga zawhna i neih chuan mit doctor nen inbiakna neih hreh suh.

` Mit hring, Meibomian glands, MGD, Dry eye syndrome, Mit hriselna, Meibomian Gland Dysfunction, Dry Eye Syndrome