Kodi maso anu nthawi zonse amakhala ouma? Kodi amayabwa? Kodi ndi chifukwa cha vuto la ma gland a meibomian? (Kulephera kwa ntchito kwa Meibomian Gland)

Kodi nthawi zina mumamva ngati maso anu ndi ouma, ngati kuti muli china chake mkati, kapena kuti nthawi zonse akuyabwa komanso ofiira? Mungaganize kuti izi ndi zachilendo, ngati kachidutswa ka fumbi. Komabe, ngati zizindikirozi zikupitirira, zitha kukhala vuto ndi tinthu tating'onoting'ono ta mafuta m'zikope zanu. Lero, tikambirana za vuto limodzi lotere, Meibomian Gland Dysfunction (MGD) .

Kodi vuto la meibomian gland (MGD) ndi chiyani?

Mwachidule, Meibomian Gland Dysfunction (MGD) ndi pamene tinthu tating'onoting'ono ta mafuta m'mphepete mwa zikope zanu (timati izi ndi tinthu ta Meibomian glands) sititulutsa bwino mafuta (otchedwa meibum) omwe maso anu amafunikira. Mafuta awa ndi ofunikira kwambiri kuti maso anu asaume.

Tangoganizirani, pali filimu yochotsa misozi yomwe imateteza maso athu. Ili ndi zigawo zitatu zazikulu:

1. Gawo lakunja lamafuta: Izi zimapangidwa ndi mafuta ochokera ku ma glands a meibomian. Izi zimaletsa gawo lamadzi lomwe lili pansi pake kuti lisaume mofulumira kwambiri.

2. Madzi apakati: Ichi ndi gawo lalikulu kwambiri la filimu yong'ambika. Ndi gawo lalikulu lomwe limanyowetsa, kudyetsa, komanso kuyeretsa diso.

3. Gawo lamkati lomwe lili ndi ntchofu: Izi zimathandiza kuti gawo lamadzi likhale lopaka mafuta bwino pamwamba pa diso.

Tsopano mukumvetsa kufunika kwa mafuta ochokera ku ma gland a meibomian? Mu MGD, ma gland awa sapanga mafuta okwanira , kapena mtundu wa mafuta omwe amapanga umachepa . Nthawi zambiri, malo otseguka a ma gland awa amatsekedwa ndipo mafuta sangatuluke. Timatcha izi kuti MGD yolepheretsa .

Matendawa akhoza kukhala obadwa nawo kapena obwera chifukwa cha matendawa. Angakhudze achinyamata ndi okalamba omwe.

Kodi vutoli ndi lofala bwanji?

Ndipotu, matenda a MGD ndi ofala kwambiri kuposa momwe mungaganizire. Akuti pafupifupi 35.8% ya anthu padziko lonse lapansi ali ndi vutoli. Ku United States, pafupifupi 70% ya anthu azaka zopitilira 60 ali ndi matenda a MGD.

Kawirikawiri matendawa amapezeka kwambiri mwa amuna kuposa akazi. Kufala kwake kumasiyananso pakati pa mafuko osiyanasiyana. Mwachitsanzo, matenda a MGD amapezeka kwambiri mwa anthu ochokera ku Asia kuposa azungu.

Kodi inunso muli ndi zizindikiro izi?

Anthu ena omwe ali ndi MGD sasonyeza zizindikiro zilizonse. Komabe, ngati mutakhala ndi zizindikiro, zingaphatikizepo izi:

• Maso nthawi zonse amayabwa kapena amamva kutentha .
• Maso amakhala ofiira kapena opweteka .
• Zikope zikuoneka zotupa .
• Maso anga akutuluka madzi pachabe.(Izi zimachitika chifukwa chakuti diso limauma, ndipo diso limayankha mwa kutulutsa misozi yambiri yamadzi).
• Kumva thupi lachilendo, ngati mchenga m'diso.
• Maso anga akuoneka osawoneka bwino .
• Ma styes ndi ma chalazion nthawi zambiri amapezeka pa zikope.
• Nsidze zanga zimakhala ndi tinthu tomatira kapena zinthu zina zomatira zomwe zimamatirira m'mawa.
• Ngati mugwiritsa ntchito ma contact lens, zingakhale zovuta kuwavala bwino .

Tangoganizani, Nilanthi ndi munthu amene amagwira ntchito pa kompyuta nthawi zonse. Madzulo, maso ake amafiira komanso kuyabwa. Nthawi zina amamva ngati chinachake chamugwira m'maso mwake. Amaganiza kuti ndi chifukwa cha kutopa. Koma atangoonana ndi dokotala ndiye adadziwa kuti ali ndi matenda a MGD.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Chifukwa chachikulu cha MGD ndi kutsekeka kwa ma gland a meibomian omwe tidakambirana kale. Izi zikutanthauza kuti mafuta amasonkhana m'mabowo a gland, amamatira, ndipo sangatuluke. Chifukwa china n'chakuti mtundu wa mafuta omwe amatulutsidwa ndi ma gland umachepa .

Kuphatikiza apo, kugwiritsa ntchito mankhwala ena kungayambitsenso MGD. Mwachitsanzo:

• Mankhwala ena a glaucoma.
• Mankhwala okhala ndi retinoids (ogwiritsidwa ntchito pa ziphuphu).
• Estrogen yoperekedwa kuti igwiritsidwe ntchito pochiza mahomoni.
• Mankhwala omwe amachepetsa kuchuluka kwa androgen.

Ndani amene ali ndi mwayi waukulu wopeza izi? (Zinthu zomwe zingakubweretsereni chiopsezo)

Zinthu zomwe zimayambitsa matenda ndi zinthu zomwe zimawonjezera mwayi wopeza matenda. MGD ili ndi zinthu zingapo zomwe zimayambitsa matendawa:

• Ukalamba: Pamene mukukalamba, ntchito ya tiziwalo timeneti ingachepe.
• Zotsatira za mahomoni: Makamaka kuchepa kwa hormone ya androgen.
• Kukhala ndi chizolowezi cha ziwengo.
• Kuvala ma contact lens: Chiwopsezo chimakhala chachikulu ngati muzivala kwa nthawi yayitali kuposa nthawi yoyenera popanda kuziyeretsa bwino.

Kuphatikiza apo, ngati muli ndi matenda enaake, muli ndi mwayi waukulu wopeza matenda a MGD. Chiwopsezochi chimakhala chachikulu makamaka kwa anthu omwe ali ndi matenda okhudzana ndi chitetezo chamthupi.

Zoopsa zokhudzana ndi kufooka kwa chitetezo chamthupi

Anthu omwe ali ndi matenda awa akhoza kukhala ndi MGD:

• Rosacea ( Rosacea ): Matenda omwe khungu limakhala lofiira ndipo mitsempha yamagazi imawoneka pamwamba.
• Matenda a Sjögren: Matenda a autoimmune omwe amayambitsa maso ndi pakamwa pouma.
• Lupus: Matenda a autoimmune omwe amakhudza ziwalo zosiyanasiyana za thupi.
• Psoriasis: Matenda a pakhungu omwe amayambitsa ziphuphu.
• Matenda a nyamakazi:Matenda a autoimmune omwe amakhudza mafupa.

Matenda ena omwe amawonjezera chiopsezo cha MGD

• Matenda a blepharitis osatha: M'mphepete mwa zikope nthawi zonse mumakhala kutupa komanso kufiira.
• Matenda a Stevens-Johnson: Matenda omwe amakhudza kwambiri khungu ndi ma mucous nembanemba.
• Kuthamanga kwa magazi kwambiri.
• Kuchuluka kwa cholesterol m'magazi.
• Matenda a maso, monga trachoma .
• Aniridia: Matenda omwe diso silili konse kapena pang'ono.

Ndi mavuto otani omwe angachitike ngati sanachiritsidwe?

MGD si diso louma lokha. Ngati silinalandire chithandizo choyenera, lingayambitse mavuto osiyanasiyana. Chifukwa chake, si bwino kunyalanyaza.

Vuto lalikulu ndi kukula kwa matenda a maso ouma (matenda a maso ouma) . Izi zikutanthauza kuti maso amakhala ouma nthawi zonse. Kuphatikiza apo, matenda a pamwamba pa diso (cornea ndi conjunctiva), monga kutupa kwa zikope (blepharitis), amatha kuchitika.

Ngati MGD sichithandizidwa, mumakhala ndi mwayi waukulu wopeza matenda a maso kapena matenda otupa . Ngati mukuchitidwa opaleshoni ya maso, MGD ilinso pachiwopsezo cha mavuto pambuyo pa opaleshoniyo. Pa milandu yoopsa, MGD yosachiritsidwa imatha kuwononga cornea .

Kodi dokotala amazindikira bwanji MGD?

Dokotala wanu wa maso adzakufunsani kaye za thanzi lanu, mankhwala, ndi zizindikiro zanu. Kenako, adzakuyesani maso mokwanira . Kutengera ndi mayankho anu, dokotalayo adzatha kuyang'ana mkati mwa zikope zanu kuti adziwe zizindikiro za MGD.

Ndi mayeso ati omwe akuchitidwa pa izi?

Kuti atsimikizire ngati muli ndi MGD, dokotala wanu angachite chimodzi kapena zingapo mwa izi:

• Kuchuluka kwa mafuta: Dokotala adzaika mphamvu pang'onopang'ono pa zikope zanu kuti aone ngati mafuta akutuluka m'zikodzo, ngati ndi choncho, kuchuluka kwake, komanso mtundu wa mafutawo.
• Mayeso a nthawi yotha kusweka kwa filimu yong'ambika (TBUT): Utoto wapadera umayikidwa m'diso lanu ndipo mumapemphedwa kuti muphethire. Kenako, nyali yodulidwa imagwiritsidwa ntchito poyesa nthawi yomwe filimu yong'ambikayo imatenga kuti isweke. Nthawi zambiri iyenera kukhala masekondi opitilira 10.
• Mayeso a Schirmer (Mayeso a misozi a Schirmer): Mu mayesowa, timizere tiwiri tapadera ta pepala losefera timayikidwa pakati pa chikope chanu chapansi ndi diso lanu. Pakatha mphindi zochepa, kuchuluka kwa chinyezi chomwe chimayamwa ndi timizere ta pepala kumayesedwa kuti muwone ngati maso anu akutulutsa misozi yokwanira.
• Kuyesa zitsanzo za misozi (Kuyesa zitsanzo):Mayeso ena angathandize kudziwa mapuloteni omwe ali mu misozi yanu.
• Meibography: Iyi ndi njira yoyesera yomwe imajambula zithunzi za ma glands a meibomian. Imagwiritsa ntchito njira zosiyanasiyana, monga infrared, optical coherence tomography (OCT), ndi laser imaging. Ikhoza kuwonetsa mawonekedwe a ma glands, kuchuluka kwa omwe atsekedwa, komanso ngati awonongeka.

Kodi mankhwala ochizira izi ndi otani?

Chithandizo cha MGD chimadalira zinthu zambiri, kuphatikizapo kuopsa kwa vuto lanu, chomwe chinayambitsa, komanso thanzi lanu lonse.

Zinthu zomwe mungachite kunyumba

Choyamba dokotala akulangizani zinthu zosavuta zomwe mungachite kunyumba:

• Kupopera kofunda: Ilowetseni nsalu yoyera m'madzi ofunda, ikani bwino, ndikuigwira pa zikope zanu kwa mphindi pafupifupi 5. Izi zithandiza kumasula mafuta ena omwe ali m'kati mwake ndikulola kuti atuluke mosavuta. Ndi bwino kuchita izi osachepera kawiri patsiku.
• Kupaka zikope: Mukagwiritsa ntchito compress yofunda, pukutani zikope zanu pang'onopang'ono ndi zala zanu, kuzikankhira ku nsidze zanu (pansi pa zikope zapamwamba, mmwamba pa zikope zapansi). Izi zithandiza kutulutsa mafuta m'zikope.
• Ukhondo wa maso: Sakanizani sopo wofewa pang'ono, monga shampu ya ana, ndi madzi pang'ono ndikutsuka pang'ono m'mbali mwa maso anu (kumene maso anu amayambira). Kapena, gwiritsani ntchito chotsukira chivindikiro chapadera chomwe dokotala wanu wakupatsani.
• Kumwa mankhwala owonjezera a Omega-3: Kumwa mankhwala owonjezera okhala ndi omega-3, monga mafuta a nsomba kapena mafuta a flaxseed, kungathandize kuti mafutawo akhale abwino komanso kuchepetsa zizindikiro za MGD. Lankhulani ndi dokotala wanu za izi ndipo yambani.
• Kusamalira chilengedwe: Chepetsani kukhudzidwa ndi mphepo yamphamvu. Chepetsani nthawi yowonera pazenera monga makompyuta ndi mafoni. Pumulani maso anu nthawi ndi nthawi.

Chithandizo chomwe dokotala akulangiza

Ngati chithandizo cha kunyumba chokha sichikwanira, dokotala wanu angakupatseni njira zina zothandizira, monga:

• Mafuta Opangira Misozi / Mafuta Opaka: Madontho a maso opaka mafuta angagwiritsidwe ntchito kangapo patsiku kuti achepetse kuuma kwa maso. Amabweranso mu mawonekedwe a gel kapena mafuta opaka.
• Mankhwala oletsa matenda: Ngati pali matenda m'maso, madontho a maantibayotiki, mafuta odzola, kapena mapiritsi angalembedwe. Maantibayotiki ena (monga doxycycline , azithromycin) angathandizenso ndi MGD.
• Mankhwala oletsa kutupa m'malo olumikizirana mafupa:Madontho a m'maso, monga cyclosporine kapena steroids, angathandize kuchepetsa kutupa m'maso. Izi ziyenera kugwiritsidwa ntchito pokhapokha ngati dokotala walangiza.
• Kuchiza matenda okhudzana ndi matendawa: Mwachitsanzo, ngati ndi vuto lomwe limayamba chifukwa cha nthata (Demodex) zomwe zimakhala m'zikope, lichiritseni.
• Njira zochotsera ma glands:
• Zipangizo monga Lipiflow, iLux, ndi TearCare: Izi zimayika kutentha ndi kupanikizika kolamulidwa ku zikope, kusungunula ma glands a meibomian otsekeka ndikuchotsa.
• Kufufuza kwa gland ya Meibomian: Chida choonda (probe) chimayikidwa m'mabowo a gland ndipo chotsekacho chimachotsedwa.
• Mankhwala a laser: Mitundu ina ya laser imagwiritsidwanso ntchito polimbikitsa ma glands awa ndikuchotsa zotsekeka.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire atalandira chithandizo? Kodi chiyembekezo cha matendawa ndi chotani?

Mankhwala ambiri a MGD safuna nthawi yochuluka yochira. Ndipotu, dokotala wanu adzakuuzani kuti mupitirize ndi zinthu monga nsidze zowonjezera, zopopera zofunda, ndi zowonjezera.

Pokhapokha ngati mutachitidwa opaleshoni, zingatenge nthawi kuti muchire bwino.

Chiyembekezo cha munthu amene ali ndi matenda a MGD nthawi zambiri chimakhala chabwino , makamaka ngati muchita zomwe muyenera kuchita kuti muchepetse vutoli. Mungafunike kukhala ndi zizolowezi zabwino zosamalira maso anu pa moyo wanu wonse.

Kodi matenda a MGD angapewedwe? Kodi chiopsezochi chingachepe bwanji ?

MGD singathe kupewedwa kotheratu, koma nthawi zina mutha kuchepetsa chiopsezo chanu .

Sitingathe kusintha zinthu zina zomwe zingatibweretsere mavuto, monga zaka ndi mtundu. Komabe, pali zinthu zina zomwe tingasinthe:

• Kusamalira matenda ena: Kuwongolera zinthu monga kuchuluka kwa cholesterol m'magazi ndi kuthamanga kwa magazi.
• Sinthani malo anu: Pewani zinthu zomwe zimayambitsa ziwengo momwe mungathere. Pewani kupsa mtima kwambiri momwe mungathere. Chepetsani nthawi yowonera TV.
• Kuyezetsa maso nthawi zonse.
• Ngati muvala ma contact lens, gwiritsani ntchito ndi kuwatsuka monga momwe dokotala wanu akulangizira.
• Sungani maso ndi nsidze zanu zoyera.

Kodi nthawi zabwino zokaonana ndi dokotala ndi ziti?

Ngati muli ndi vuto lililonse lokhudza maso, monga kupweteka kwa maso kapena kusawona bwino, onetsetsani kuti mwaonana ndi dokotala.

Ngati mukumva kupweteka kwa maso mwadzidzidzi kapena kutaya masomphenya, pitani kuchipatala mwamsanga.

Mafunso ofunikira oti mufunse dokotala wanu

Mungakhale ndi mafunso ambiri oti mufunse dokotala wanu wa maso. Mungafunse zinthu monga:

• Kodi n’chiyani chimandipangitsa kukhala ndi vuto la MGD?
• Kodi mumalimbikitsa chithandizo chamtundu wanji?
• Kodi pali zotsatirapo zilizonse (zovuta) pa mankhwala awa?
• Kodi vutoli ndi la majini? Kodi ndiyenera kupempha abale anga onse kuti akayezetse?
• Kodi ndiyenera kuyezetsa maso kangati?
• Kodi ndingagwiritsebe ntchito ma contact lenses?
• Kodi vuto la MGD limeneli lidzachira kotheratu?

Kodi vuto la MGD limeneli lidzachiritsidwa kwathunthu?

Kwa anthu ena, MGD ikhoza kukhala vuto la moyo wonse , makamaka ngati muli ndi vuto lina, monga matenda a chitetezo chamthupi, lomwe lingathe kuthetsedwa koma silingathe kuchiritsidwa kwathunthu. Komabe, ngati litathetsedwa bwino, likhoza kukhala vuto la moyo wonse.

Kodi mungabwezeretse bwanji zilonda za meibomian zomwe zatsekeka?

Mungagwiritse ntchito mankhwala ochiritsira kunyumba monga ma compress ofunda ndi ma masaji kuti muthandize kuchotsa ma glands a meibomian omwe atsekeka. Kuphatikiza apo, pali zida ndi njira zomwe madokotala amagwiritsa ntchito.

Zitsanzo za izi ndi izi:

• Makina omwe amatenthetsa zikope zanu ndikusungunula meibum youma kapena yokhuthala.
• Makina omwe amagwiritsa ntchito kuwala kwa laser kulowa m'ma gland ndikuchotsa zotsekeka.
• Zipangizo zopyapyala (zofufuzira) zimayikidwa m'ma glands ndi dokotala kuti achotse mafuta a meibomian omwe ali m'maselo.

Pomaliza, zinthu zofunika kwambiri kukumbukira

Ndikofunikira kuyesedwa maso nthawi zonse. Izi zili choncho chifukwa dokotala amatha kuzindikira matenda ena a maso (monga MGD) musanayambe zizindikiro. Maso ouma nthawi ndi nthawi sangakhale vuto lalikulu. Komabe, maso ouma si abwino kwa inu. Tizilombo tanu ta meibomian ndi gawo lofunika kwambiri pa thanzi la maso anu lomwe limathandiza kuteteza maso anu. Chifukwa chake, ngati muli ndi MGD, ndikofunikira kuzindikira ndi kuchiza msanga kuti mupewe mavuto aakulu. Ngati muli ndi mafunso okhudza izi, musazengereze kulankhula ndi dokotala wanu wa maso.

Maso ouma, ma gland a Meibomian, MGD, matenda a maso ouma, thanzi la maso, kusokonekera kwa ma gland a Meibomian, matenda a maso ouma