Maziso ako anogara akaoma here? Anokwenya here? Imhaka yedambudziko remagland emeibomian here? (Kusashanda zvakanaka kweGland reMeibomian)

Dzimwe nguva unonzwa sekuti maziso ako akaoma, sekunge mune chimwe chinhu mukati, kana kuti anogara achikwenya uye akatsvuka? Ungafunga kuti izvi zvakajairika, seguruva. ​​Zvisinei, kana zviratidzo izvi zvikaramba zviripo, zvinogona kunge zviri dambudziko netumafuta tudiki mumaziso ako. Nhasi, tichataura nezvechimwe chezvirwere zvakadaro, Meibomian Gland Dysfunction (MGD) .

Chii chinonzi meibomian gland dysfunction (MGD)?

Zvichitaurwa zviri nyore, Meibomian Gland Dysfunction (MGD) inguva apo matinji madiki emafuta ari pamusoro nepazasi pemaziso ako (tinodaidza kuti aya matinji eMeibomian) asingabudise mafuta zvakanaka (anonzi meibum) anodiwa nemaziso ako. Mafuta aya akakosha zvikuru kudzivirira maziso ako kuti asaome.

Fungidzira, kune firimu remisodzi rinodzivirira maziso edu. Rine zvikamu zvitatu zvikuru:

1. Chigadziko chekunze chine mafuta: Ichi chakagadzirwa nemafuta anobva mumagland e meibomian. Izvi zvinodzivirira chigadziko chemvura chiri pasi kuti chisakurumidza kupwanyika.

2. Rutivi rwepakati rwemvura: Ichi ndicho chikamu chikuru chefirimu remisodzi. Ndicho chikamu chikuru chinonyorovesa, chinopa utano, uye chinochenesa ziso.

3. Rutivi rwemukati rune madzihwa: Izvi zvinobatsira kuti rutivi rwemvura rugare rwakanyoroveswa zvakanaka pamusoro peziso.

Zvino wava kunzwisisa kukosha kwemafuta anobva kumagland e meibomian? MuMGD, magland aya haabudise mafuta akakwana , kana kuti mhando yemafuta aanogadzira inoderera . Kazhinji, maburi emagland aya anovharika uye mafuta haagone kubuda. Tinodaidza izvi kuti MGD inovhara .

Chirwere ichi chinogona kuva chekuzvarwa nacho kana kuti chinowanikwa. Chinogona kubata vanhu vadiki nevakuru.

Dambudziko iri rakajairika zvakadii?

Kutaura zvazviri, chirwere cheMGD chinowanzoitika kupfuura zvaungafunga. Zvinofungidzirwa kuti vanhu vanosvika 35.8% pasi rose vane chirwere ichi. MuUnited States, vanhu vanosvika 70% vane makore anopfuura 60 vane chirwere cheMGD.

Kazhinji inowanikwa zvakanyanya muvarume kupfuura vakadzi. Kuwanda kwayo kunosiyanawo pakati pemapoka akasiyana emadzinza. Semuenzaniso, MGD inowanikwa zvakanyanya muvanhu vane dzinza rekuAsia kupfuura muvarungu.

Unewo zviratidzo izvi here?

Vamwe vanhu vane MGD havaratidzi zviratidzo. Zvisinei, kana ukava nezviratidzo, zvinogona kusanganisira:

• Maziso anogara achikwenya kana kunzwa kupisa .
• Maziso matsvuku kana kuti anorwadziwa .
• Maziso emaziso anoita seakazvimba .
• Maziso angu ari kuyerera mvura pasina.(Izvi zvinoitika nekuti ziso rakaoma, uye ziso rinopindura nekuburitsa misodzi yakawanda inoyerera mvura).
• Kunzwa kwemuviri wekunze, sejecha muziso.
• Kuona kwangu kunenge kusina kujeka .
• Mavanga nehasha zvinowanzoitika pamaziso.
• Maziso angu ane zvimedu kana zvinhu zvinonamira zvakanamira paari mangwanani.
• Kana ukashandisa ma contact lenses, zvinogona kuoma kuapfeka zvakanaka .

Fungidzira, Nilanthi munhu anoshanda pakombiyuta nguva dzese. Manheru, maziso ake anotsvuka uye anokwenya. Dzimwe nguva anonzwa sekunge pane chinhu chakabatwa mumaziso ake. Aifunga kuti zvakakonzerwa nekuneta. Asi paakaona chiremba ndipo paakazoziva kuti akanga abatwa nechirwere cheMGD.

Sei izvi zvichiitika? Ndezvipi zvikonzero?

Chikonzero chikuru cheMGD kuvharika kwemagland e meibomian atakataura nezvawo kare. Izvi zvinoreva kuti mafuta anoungana mumaburi emagland, anonamira, uye haagone kubuda. Chimwe chikonzero ndechekuti mhando yemafuta anoburitswa nemagland inoderera .

Pamusoro pezvo, kushandiswa kwemimwe mishonga kunogona kukonzerawo MGD. Semuenzaniso:

• Mimwe mishonga yekurapa glaucoma.
• Mishonga ine retinoids (inoshandiswa kurapa mapundu).
• Estrogen inopihwa kurapwa kwekutsiva mahormone.
• Mishonga inoderedza huwandu hwe androgens.

Ndiani ane mukana mukuru wekuwana izvi? (Zvinhu zvinokonzera njodzi)

Zvinhu zvinokonzera njodzi zvinhu zvinowedzera mukana wekuwana chirwere. MGD ine zvimwe zvinhu zvinokonzera njodzi:

• Kukwegura: Sezvaunokura, mashandiro emagland aya anogona kudzikira.
• Mhedzisiro yemahormone: Kunyanya kudzikira kwe androgen hormone.
• Kuva nekatsika kekurwara nezvirwere (allergies).
• Kupfeka ma contact lenses: Njodzi yacho yakakura kana ukaapfeka kwenguva yakareba kupfuura nguva yakatarwa usina kuachenesa zvakanaka.

Uyezve, kana uine zvimwe zvirwere, une mukana mukuru wekuwana chirwere cheMGD. Njodzi iyi yakanyanya kuwanda kuvanhu vane zvirwere zvine chekuita nemasoja emuviri.

Njodzi dzine chekuita nekushomeka kwesimba remuviri rekudzivirira muviri

Vanhu vane zvirwere izvi vanogona kuwana chirwere cheMGD:

• Rosacea ( Rosacea ): Chirwere chekuti ganda rinotsvuka uye mitsipa midiki yeropa inoonekwa pamusoro.
• Sjögren's syndrome: Chirwere che autoimmune chinokonzera maziso nemuromo zvakaoma.
• Lupus: Chirwere che autoimmune chinokanganisa nhengo dzakasiyana dzemuviri.
• Psoriasis: Chirwere cheganda chinokonzera mapundu ane mavanga.
• Rumatoid arthritis:Chirwere che autoimmune chinokanganisa majoini.

Mamwe matambudziko ehutano anowedzera njodzi yeMGD

• Chirwere cheblepharitis chisingaperi: Micheto yemaziso inogara yakazvimba uye yakatsvuka.
• Stevens-Johnson syndrome: Chirwere chinokanganisa ganda zvakanyanya uye mucous membranes.
• Kukwira kweropa.
• Mafuta akawanda echolesterol muropa.
• Utachiona hwemaziso, hwakadai setrachoma .
• Aniridia: Chirwere chekuti iris yeziso haisipo zvachose kana kuti chikamu chayo.

Ndezvipi zvinetso zvinogona kuitika kana zvikasarapwa?

MGD haisi ziso rakaoma chete. Kana rikasarapwa zvakanaka, rinogona kukonzera matambudziko akasiyana-siyana. Saka, hazvina kunaka kuregeredza.

Dambudziko guru nderekukura kwechirwere chemaziso akaoma (Dry eye disease) . Izvi zvinoreva kuti maziso anogara akaoma. Pamusoro pezvo, zvirwere zvepamusoro peziso (cornea neconjunctiva), zvakaita sekuzvimba kwemaziso (blepharitis), zvinogona kuitika.

Kana MGD ikasarapwa, une mukana wekutapukirwa nezvirwere zvemaziso kana kuzvimba . Kana uri kuvhiyiwa chero kupi zvako kwemaziso, MGD iri panjodzi yekusangana nematambudziko mushure mekuvhiyiwa ikoko. Muzviitiko zvakakomba, MGD isina kurapwa inogona kutokuvadza cornea .

Chiremba anoongorora sei chirwere cheMGD?

Chiremba wemaziso ako achatanga nekukubvunza nezvehutano hwako, mishonga, uye zviratidzo. Zvadaro, achakuongororwa maziso ako zvizere . Zvichibva pamhinduro dzako, chiremba achakwanisa kutarisa mukati memaziso ako kuti aone zviratidzo zveMGD.

Ndedzipi bvunzo dziri kuitwa pakuita izvi?

Kuti asimbise kana une MGD, chiremba wako anogona kuita imwe kana kupfuura yemiedzo inotevera:

• Kuonekwa kwemafuta: Chiremba achakumanikidza zvinyoro nyoro kuti aone kana mafuta ari kubuda mumagland, kana zvakadaro, kuti akawanda sei, uye kuti mafuta acho akaita sei.
• Kuyedzwa kwenguva yekupatsanurwa kweganda remavanga (TBUT): Dhayi yakakosha inoiswa muziso rako wobva wakumbirwa kuti ubwaire. Zvadaro, rambi rinotsemuka rinoshandiswa kuyera kuti zvinotora nguva yakareba sei kuti ganda remavanga riparare. Rinofanira kunge riine masekondi anopfuura gumi.
• Kuongororwa kweSchirmer (Kuongororwa kwemisodzi yeSchirmer): Mukuedzwa uku, zvidimbu zviviri zvepepa rekusefa zvinoiswa pakati peziso rako rezasi neziso rako. Mushure memaminitsi mashoma, huwandu hwehunyoro hunotorwa nezvidimbu zvepepa hunoyerwa kuti zvionekwe kana maziso ako ari kuburitsa misodzi yakakwana.
• Kuyedzwa kwemuenzaniso wekubvaruka (Kuenzanisa):Mimwe miedzo inogona kuona kuti mapuroteni ari mumisodzi yako ndeapi.
• Meibography: Iyi bvunzo inotora mifananidzo yemagland emeibomian. Inoshandisa nzira dzakasiyana-siyana, dzakadai se infrared, optical coherence tomography (OCT), uye laser imaging. Inogona kuratidza chimiro chemagland, kuti mangani awo akavharika, uye kana akakuvara.

Ndezvipi zvinorapwa izvi?

Kurapwa kweMGD kunoenderana nezvinhu zvakawanda, kusanganisira kuti chirwere chako chakanyanya sei, chakakonzera chii, uye hutano hwako hwese.

Zvinhu zvaunogona kuita kumba

Chiremba anotanga akurudzira zvinhu zvishoma zviri nyore zvaunogona kuita kumba:

• Kudzvanya kunodziya: Nyika jira rakachena mumvura inodziya, worisvina zvakanaka, woribata pamusoro pemaziso ako kwemaminitsi mashanu. Izvi zvichabatsira kusunungura mamwe mafuta ari mumaziso uye kuita kuti abude zviri nyore. Zvakanakisisa kuita izvi kanenge kaviri pazuva.
• Kukwiza maziso: Mushure mekudzvanya minwe inodziya, kwiza maziso ako zvinyoro nyoro neminwe yako, uchiasundira kumaziso ako (pasi kune eyelid yepamusoro, kumusoro kune eyelid yepasi). Izvi zvichabatsira kuburitsa mafuta kubva mumagland.
• Kuchenesa tsiye: Sanganisa sipo diki isina kunyorova, senge shampoo yemwana, nemvura shoma wogeza zvinyoro nyoro mipendero yetsiye dzako (panotangira tsiye dzako). Kana, shandisa mushonga wekuchenesa chivharo wakapihwa nachiremba wako.
• Kutora mishonga yekuwedzera yeOmega-3: Kutora mishonga yekuwedzera ine omega-3, yakadai semafuta ehove kana mafuta eflaxseed, kunogona kuvandudza mhando yemafuta uye kuderedza zviratidzo zveMGD. Taura nachiremba wako nezvazvo wotanga.
• Kuchengetedza nharaunda: Deredza kubatwa nemhepo ine simba. Deredza nguva yaunopedza uchitarisa masikirini akadai semakombiyuta nemafoni. Zorora maziso ako nguva nenguva.

Kurapwa kunokurudzirwa nachiremba

Kana kurapwa kumba chete kusina kukwana, chiremba wako anogona kukupa mamwe marapirwo akadai se:

• Madonhwe ekugadzira / Mafuta ekugadzira: Madonhwe emaziso emafuta anogona kushandiswa kakawanda pazuva kuderedza kuoma kwemaziso. Anouyawo muchimiro chegel kana mafuta ekuzora.
• Mishonga yekudzivirira hutachiona: Kana paine hutachiona mumaziso, madonhwe emishonga inorwisa mabhakitiriya, mafuta ekuzora, kana mapiritsi anogona kunyorerwa. Mamwe maantibiotic (semuenzaniso, doxycycline , azithromycin) anogonawo kubatsira neMGD.
• Mishonga yekudzivirira kuzvimba:Madonhwe emaziso, akadai se cyclosporine kana steroids, anogona kubatsira kuderedza kuzvimba mumaziso. Aya anofanira kushandiswa chete kana chiremba akamurayira.
• Kurapa zvirwere zvine chekuita nazvo: Semuenzaniso, kana chiri chirwere chinokonzerwa nezvipembenene (Demodex) zvinogara pamaziso, chirape.
• Maitiro ekusunungura magland:
• Zvishandiso zvakaita seLipiflow, iLux, uye TearCare: Izvi zvinoisa kupisa kwakadzora uye kumanikidzwa kumaziso, zvichinyungudutsa magland emeibomian akavharika uye zvinobviswa.
• Kuongorora gland reMeibomian: Chinhu chakatetepa (probe) chinopinzwa mumaburi egland uye kuvharika kwacho kunobviswa.
• Kurapa neLaser: Mamwe marudzi emaLaser anoshandiswawo kukurudzira magland aya nekubvisa mavhariji.

Zvinotora nguva yakareba sei kuti munhu apore mushure mekurapwa? Tariro yacho ndeyei?

Kurapa kwakawanda kweMGD hakudi nguva yakawanda yekupora. Kutaura zvazviri, chiremba wako achakuudza kuti urambe uchishandisa zvinhu zvakaita sekuwedzera tsiye, kudzvanya zvinodziya, uye zvimwe zvinovaka muviri.

Kana ukavhiyiwa chete, zvinogona kutora nguva kuti unyatsopora.

Maonero emunhu ane MGD anowanzova akanaka , kunyanya kana ukaita zvaunoda kuti ugadzirise dambudziko racho. Ungangoda kugara uine tsika dzakanaka dzekuchenesa maziso ako muhupenyu hwako hwese.

MGD inogona kudzivirirwa here? Njodzi yacho ingaderedzwa sei ?

MGD haigone kudzivirirwa zvachose, asi mune dzimwe nguva unogona kuderedza njodzi yako .

Hatigoni kuchinja zvimwe zvinhu zvinokonzera njodzi, zvakaita sezera nerudzi. Zvisinei, pane zvimwe zvatinogona kuchinja:

• Kutarisira mamwe matambudziko ehutano: Dzora zvinhu zvakaita sehuwandu hwecholesterol muropa uye BP.
• Ronga nharaunda yako: Rega zvinhu zvinokonzera allergy zvakanyanya sezvinobvira. Dzivisa kusvuta zvakanyanya sezvinobvira. Deredza nguva yekuona zviri mukati.
• Kuongororwa maziso nguva dzose.
• Kana ukapfeka ma contact lenses, ashandise uye achenese sezvinokurudzirwa nachiremba wako.
• Chengeta maziso ako netsiye dzako zvakachena.

Ndeipi nguva dzakanakisa dzekuona chiremba?

Kana uine matambudziko ekuona, akadai sekurwadziwa kwemaziso kana kusaona zvakanaka, iva nechokwadi chekuona chiremba.

Kana ukanzwa kurwadziwa kwemaziso kamwe kamwe kana kurasikirwa nekuona, enda kuchipatara nekukurumidza.

Mibvunzo inokosha yekubvunza chiremba wako

Ungave nemibvunzo yakawanda yekubvunza chiremba wemaziso ako. Ungabvunza zvinhu zvakaita seizvi:

• Chii chinoita kuti ndive nechirwere ichi cheMGD?
• Munokurudzira rudzii rwekurapwa?
• Pane migumisiro yakaipa here pakurapa uku?
• Dambudziko iri rinokonzerwa nemajini here? Ndinofanira kukumbira vamwe vese vemhuri yangu kuti vanoongororwa here?
• Ndinofanira kuongororwa maziso kangani?
• Ndichiri kukwanisa kushandisa ma contact lenses here?
• Ko chirwere ichi cheMGD chichazombova nani here?

Ko chirwere ichi cheMGD chicharapwa zvachose here?

Kune vamwe vanhu, MGD inogona kuva dambudziko rehupenyu hwese , kunyanya kana uine chimwe chirwere, chakadai sechirwere chemuviri chinodzivirira zvirwere, chinogona kudzorwa asi chisingarapwe zvachose. Zvisinei, kana chikarapwa nemazvo, chinogona kuva dambudziko rehupenyu hwese.

Nzira yekugadzirisa sei maronda e meibomian akavharika?

Unogona kushandisa mishonga yekumba yakaita sema compresses anodziya uye masaja kubatsira kubvisa maronda e meibomian akavharika. Pamusoro pezvo, kune maturusi nematekiniki anoshandiswa navanachiremba.

Mienzaniso yeizvi ndeiyi:

• Michina inopisa maziso ako uye inonyungudutsa meibum yakaoma kana yakakora.
• Michina inoshandisa laser beams kupinda muma glands nekubvisa mavhariji.
• Zvishandiso zvitete (probes) zvinoiswa mumagland nachiremba kuti abvise mafuta e meibomian akavharirwa.

Chekupedzisira, zvinhu zvinonyanya kukosha zvekurangarira

Zvakakosha kuongororwa maziso nguva nenguva. Izvi zvinodaro nekuti chiremba anogona kuona mamwe matambudziko emaziso (seMGD) usati watombova nezviratidzo. Maziso akaoma dzimwe nguva angasave dambudziko guru. Zvisinei, maziso akaoma haana kunaka kwauri. Matumbu ako emeibomian chikamu chakakosha chehutano hwemaziso ako chinobatsira kuchengetedza maziso ako. Saka, kana uine MGD, zvakakosha kuiongorora nekuirapa nekukurumidza kudzivirira matambudziko akakomba. Kana uine mibvunzo nezveizvi, usazeza kutaura nachiremba wemaziso ako.

Maziso akaoma , magland eMeibomian, MGD, Dry eye syndrome, Hutano hwemaziso, Kusashanda zvakanaka kweGland reMeibomian, Dry Eye syndrome