Kutupa ndi kutupa kwa zikope (Blepharitis): Tiyeni tidziwe bwino lomwe kuti ichi ndi chiyani?

Kodi munadzukapo m'mawa n’kumva ngati maso anu akumata, m’mbali mwa zikope zanu muli zofiira, zoyabwa, komanso zotupa pang'ono? Mwina munaonapo tinthu ting'onoting'ono tozungulira zikope zanu. Uwu ndi matenda omwe amakhudza anthu ambiri ndipo ndi okhumudwitsa pang'ono. Tikambirana za izi lero. Mu zamankhwala, timatcha vutoli Blepharitis. Ngakhale kuti dzinali ndi lachilendo pang'ono, siloyenera kuopa. Tiyeni tiwone chomwe chilidi, chifukwa chake chimachitika, komanso zomwe mungachite.

Mwachidule, kodi Blepharitis ndi chiyani?

Blepharitis ndi kutupa kwa m'mphepete mwa zikope zanu, komwe nsidze zanu zimamera. Zimafanana ndi kuvulala kwa khungu komwe kumapangitsa kuti malowo akhale ofiira komanso otupa. M'mphepete mwa zikope zanu zimatha kufiira, nthawi zina zakuda pang'ono, komanso zimatha kutupa komanso kusweka. Matendawa nthawi zambiri amakhudza maso onse awiri.

Pakhoza kukhala zifukwa zingapo zomwe zimayambitsa izi. Zitha kukhala chifukwa cha matenda ena pakhungu lanu, matenda a bakiteriya, kapena kutsekeka kwa mafuta m'zikope zanu. Nthawi zina, zonsezi zimatha kuyambitsa vutoli.

Ngati mufunsa kuti vutoli ndi lofala bwanji, madokotala a maso ndi madokotala a maso amanena kuti pafupifupi theka la odwala omwe amawaona ali ndi zizindikiro za Blepharitis. Kotero mutha kuwona momwe vutoli lilili lofala. Lingakhudze akuluakulu ndi ana, ndipo limakhudza amuna ndi akazi.

Pali mitundu iwiri ikuluikulu ya blepharitis:

Blepharitis ingagawidwe m'magulu awiri akuluakulu, kutengera komwe kutupa kumachitika. Izi zikamveka bwino, zimakhala zosavuta kuchiza.

1. Blepharitis ya Patsogolo: Izi zimachitika kunja kwa chikope, komwe nsidze zimamera. Tangoganizirani kuti m'mphepete mwa chikope chanu mumakhala wofiira, kutupa, kapena kukhala ndi malo otupa komanso otupa pakati pa nsidze zanu. Umu ndi momwe mtundu uwu ulili.

2. Posterior Blepharitis: Izi zimachitika chifukwa cha tinthu tating'onoting'ono ta mafuta mkati mwa zikope. Tinthu tating'onoting'ono timeneti timatulutsa mafuta omwe amapanga misozi yathu. Vutoli limatha kuchitika tinthu tating'onoting'ono timeneti tikatsekedwa kapena mafuta omwe timapanga akakula.

Kodi inunso muli ndi zizindikiro izi?

Pali zizindikiro zambiri za blepharitis. Mwina mwakumanapo ndi chimodzi kapena zingapo mwa izi. Tiyeni tiwone zizindikiro zazikulu.

Nchifukwa chiyani timadwala Blepharitis? Kodi zimayambitsa chiyani?

Palibe chifukwa chimodzi chokha cha blepharitis. Pali zifukwa zingapo zomwe zingatheke. Zomwe zimayambitsa zimasiyana malinga ndi mitundu iwiri yomwe takambirana kale.

Zifukwa za Anterior Blepharitis

• Seborrheic Dermatitis: Ngati muli ndi dandruff pamutu panu, dandruff imeneyo imatha kufalikira ku nsidze zanu ndikuyambitsa kutupa kumeneku.
• Matenda a pakhungu (Acne Rosacea ): Rosacea ndi matenda omwe amachititsa kuti khungu la nkhope likhale lofiira komanso lotupa. Lingakhudzenso maso.
• Matenda a Ziwengo: Ngati muli ndi vuto la mankhwala a contact lens, madontho a m'maso, kapena zodzoladzola (mascara, eyeliner) zomwe mumagwiritsa ntchito, maso anu akhoza kutupa.
• Maso Ouma: Pamene kupangika kwa misozi m'maso kumachepa, mphamvu yolimbana ndi mabakiteriya imachepa ndipo matenda amatha kuchitika.
• Nthata za Demodex: Demodex ndi nthata yaying'ono yosaoneka yomwe nthawi zambiri imakhala pakhungu lathu. Nthata zimenezi zikachulukana m'zikope za anthu ena, kutulutsa kwawo kungayambitse kutupa.

Zifukwa za Posterior Blepharitis

• Kulephera kwa Chithokomiro cha Meibomian (MGD): Ichi ndiye chifukwa chachikulu cha matenda a posterior blepharitis. Mafuta ochokera m'zithokomiro za mafuta zomwe zili mkati mwa zikope sizituluka bwino ndipo zimatsekeka, maso amauma, amatupa, komanso amadwala. Taganizirani ngati ngalande yotsekeka mu sinki yakukhitchini.
• Matenda a pakhungu (Acne rosacea ) ndi dandruff: Matenda onsewa angakhudzenso ntchito ya ma glands a meibomian.

Kodi dokotala amazindikira bwanji izi?

Ngati mukuganiza kuti muli ndi blepharitis, ndi bwino kupita kwa dokotala wa maso. Dokotalayo adzayesa mayeso angapo kuti atsimikizire izi.

• Adzakufunsani mafunso okhudza mbiri yanu ya thanzi: zizindikiro zanu ndi ziti, nthawi yomwe mwakhala nazo, komanso ngati muli ndi matenda ena aliwonse (monga matenda a shuga kapena matenda a pakhungu).
• Unikani maso anu: Pogwiritsa ntchito chida chapadera (nyali yodulidwa), maso anu, m'mbali mwake, khungu, ndi momwe maso anu alili zidzafufuzidwa mosamala. Mtundu ndi kuopsa kwa vutoli zitha kudziwika ndi zinthu monga kutupa, kufiira, ndi kutumphuka.
• Kuyesa chitsanzo cha mafinya: Nthawi zina swab imatha kutengedwa kuchokera m'chikope ndikutumizidwa ku labu kuti akadziwe mtundu wa mabakiteriya omwe alipo.
• Kuyesa filimu ya misozi: Mayeso apadera angachitike kuti aone ngati muli ndi vuto la maso ouma.
• Kufufuza za matenda a khungu: Izi zimachitika kawirikawiri. Ngati pali kukayikira kuti pali vuto lalikulu, monga khansa ya pakhungu, ndiye kuti kachidutswa kakang'ono ka minofu kamene kamachotsedwa pa chikope mwa kuchichotsa dzanzi ndikuchiyang'ana.

Mankhwala ndi njira zochiritsira kunyumba

Pali zinthu zosavuta zomwe mungachite kunyumba kuti muchepetse vuto la blepharitis. Ndikofunikira kuti izi zikhale chizolowezi cha tsiku ndi tsiku.

1. Ma compress ofunda:

• Tengani nsalu yoyera ndipo muiike m'madzi otentha momwe mungathere.
• Finyani madzi bwino, tsekani maso anu, ndipo muwasunge pa zikope zanu kwa mphindi 5-10.
• Kutentha kumeneku kungathandize kumasula ming'alu ndi mafuta obisika m'zikope zanu, zomwe zimapangitsa kuti zikhale zosavuta kuyeretsa. Chitani izi kawiri kapena katatu patsiku.

2. Zotsukira Zikope:

• Ndi bwino kwambiri kuchita izi mukatha kusamba ndi madzi otentha.
• Sakanizani madontho ochepa a shampu ya ana (yomwe siimayambitsa misozi) ndi madzi oyera kuti mupange yankho lopyapyala.
• Zilowerereni thonje loyera kapena nsalu yoyera mu yankho ili ndikupukuta pang'onopang'ono m'mphepete mwa nsidze zanu.
• Kenako tsukani bwino ndi madzi oyera ndikuchotsa.
• Musagwiritse ntchito thonje lomwelo lomwe limagwiritsidwa ntchito pa diso limodzi pa diso lina.

3. Pewani zodzoladzola:

• Ndi bwino kupewa kugwiritsa ntchito zodzoladzola (mascara, eyeliner) kuzungulira maso panthawiyi. Izi zitha kuwonjezera kutupa.

4. Zakudya zokhala ndi Omega-3 yambiri:

• Kafukufuku wina wapeza kuti omega-3 fatty acids imathandiza kuti glands za meibomian zizigwira ntchito bwino. Phatikizani nsomba monga salimoni, tuna, ndi mbewu za fulakesi muzakudya zanu.

Kodi chithandizo chamankhwala ndi chiyani?

Ngati mankhwala apakhomo sakuthandiza, dokotala wanu angakupatseni mankhwala osiyanasiyana.

• Mankhwala opha tizilombo toyambitsa matenda: Ngati pali matenda a bakiteriya, mungapatsidwe mafuta odzola m'maso kapena madontho a m'maso. Mwachitsanzo, mafuta odzola monga `(erythromycin)` kapena `(bacitracin).` Nthawi zina mungafunikenso kupereka mapiritsi akumwa `(doxycycline, azithromycin).`
• Mankhwala Oletsa Kutupa: Ngati kutupa ndi kufiira kuli kwakukulu, madontho a maso a steroid kapena mafuta odzola angaperekedwe kwa kanthawi kochepa.
• Mankhwala Oletsa Kutupa kwa Mthupi: Pa matenda a posterior blepharitis, mankhwala monga madontho a m'maso okhala ndi cyclosporine nthawi zina amagwiritsidwa ntchito.
• Kuchiza chifukwa chake: Ngati muli ndi matenda monga psoriasis kapena rosacea , kuwachiza n'kofunikanso poletsa blepharitis.
• Njira Zachipatala: Mankhwala atsopano tsopano akupezeka. Lipiflow® imatenthetsa maso kuti ichotse mafuta omwe atsekeredwa. Chithandizo cha Intense Pulsed Light (IPL) ndi BlephEx® zingagwiritsidwenso ntchito kuyeretsa maso kwambiri.

Mavuto omwe angakhalepo a blepharitis

Blepharitis si matenda ochiritsika kwathunthu. Komabe, imatha kulamulidwa bwino. Ngati sichitha kuchiritsidwa, mavuto ena angachitike.

• Sty/Stye: Chiwalo cha ciliary chomwe chili ndi kachilombo chomwe chimapanga chotupa chofiira komanso chopweteka.
• Chalazion: Chotupa chaching'ono, chopanda ululu pa chikope chomwe chimayambitsidwa ndi chotupa cha mafuta chotsekedwa.
• Matenda a maso (Diso la Pinki / Conjunctivitis): Blepharitis ingayambitse matenda a maso pafupipafupi.
• Chilonda cha cornea: Kutupa kwa nthawi yayitali kungayambitse zilonda pa cornea ya diso. Ili ndi vuto lalikulu.
• Mavuto a kung'ambika kwa maso: Maso ouma kapena kung'ambika kwambiri kungachitike.