Ingaba amehlo akho avuvukile kwaye abomvu? Oku kusenokuba yi-blepharitis!

Ngaba ngamanye amaxesha uvuka kusasa uneenkophe ezivuvukileyo, ezibomvu, nezirhawuzelelayo? Mhlawumbi iinkophe zakho zinamathelene. Oku akuyonto ixhaphakileyo nje, kubizwa ngokuba yi-blepharitis . Makhe sithethe ngale nto ngokweenkcukacha namhlanje, kuba yimeko echaphazela abantu abaninzi, kodwa inokulawulwa ngokufanelekileyo.

Yintoni kanye kanye le `(Blepharitis)`?

Ngamafutshane, `(Blepharitis)` kukudumba kwemiphetho yeenkophe zakho. Oku kuthetha ukuba imiphetho yeenkophe zakho iba bomvu, ngamanye amaxesha ibe mnyama kancinci, idumbe, kwaye ibe namaqhuqhuva. Oku kudla ngokuchaphazela amehlo omabini. Kunokubakho izizathu ezahlukeneyo zoku. Kungabangelwa zizifo ezithile zesikhumba, okanye usulelo, okanye kungabangelwa kukuvaleka kwee-oyile kwiinkophe zakho. Ngamanye amaxesha, zonke ezi zinto zinokwenzeka ngaxeshanye.

Ngoku usenokuba uzibuza ukuba ingaba le yimeko embi okanye uza kulahlekelwa kukubona . Ungakhathazeki! I-Blepharitis yimeko yokuvuvukala enokubangela usulelo lwamehlo, kodwa uninzi lweemeko ze-Blepharitis azisuleli. Kwakhona, kunqabile kakhulu ukuba ibangele ubumfama.

Ixhaphake kangakanani le meko?

Uphando olwenziwe kwiingcali zamehlo kunye neengcali zamehlo lufumanise ukuba malunga nesiqingatha sezigulana abazibonayo zineempawu ze-"Blepharitis." Ngoko ke ungabona ukuba oku kuqheleke kangakanani. Kwaye, iimpawu zayo zinokulawulwa.

Le meko inokwenzeka kubantu abadala nakubantwana, kwaye inokuchaphazela amadoda nabafazi. Nangona kunjalo, kukho uhlobo oluthile, olubizwa ngokuba yi-"Staphylococcal blepharitis" , oluxhaphake kakhulu kwabasetyhini. Oko kukuthi, malunga ne-80%.

Ngaba kukho iintlobo ezahlukeneyo zeBlepharitis?

Ewe, kukho iintlobo ezimbini ze-blepharitis, kuxhomekeke ekubeni ukudumba kukuphi kwiliso lakho.

1. I-Anterior blepharitis: Oku kuxa umphambili we-eyelid yakho, apho iinkophe zakho ziphuma khona, uba bomvu, udumbe, kwaye ngamanye amaxesha ubangela ukuqhekeka kweenkophe.

2. I-Posterior blepharitis: Le yimeko apho amadlala avelisa ioyile ngaphakathi kwejwabu leso, abizwa ngokuba yi-Meibomian glands , azivaleleka okanye angabi sempilweni.

Ziziphi iimpawu ze-blepharitis?

Ukuba une-blepharitis, unokufumana enye okanye ngaphezulu kwezi mpawu:

• Ukudumba kwamehlo kunye/okanye ukuziva unamafutha.
• Amehlo abomvu, ayarhawuzelela, kwaye avakala ngathi ayatsha.
• Iinkophe kunye neekona zamehlo zirhabaxa, kwaye iinkophe ziyanamathelana kusasa.
• Ulusu olujikeleze amehlo kunye neenkophe luyaxobuka.
• Amehlo omileyo okanye ukukrazuka kakhulu.
• Ukuqhwanyaza amehlo rhoqo.

Kusenokubakho ezinye iimpawu:

• Ubuthathaka ekukhanyeni, oko kukuthi, ubunzima bokubona ukukhanya (Photophobia) .
• Umbono ofipheleyo .
• Iinkophe ziyawa.
• I-Trichiasis kuxa iinkophe zikhula ngaphakathi, oko kukuthi, zijonge elisweni.

Ziziphi izizathu ze-blepharitis?

Njengoko besitshilo ngaphambili, kukho izizathu ezininzi eziphambili ze-blepharitis. Iingxaki ngokusebenza kwamadlala e-Meibomian, avelisa ioyile kwiintlungu, izifo ezithile zolusu , okanye usulelo zonke zinokuba zizizathu.

Izizathu zeBlepharitis yangaphambili:

• I-Acne rosacea: Le yimeko yesikhumba ebangela ukudumba kolusu ebusweni kwaye inokuchaphazela neenkophe.
• Ii-Allergy: Abanye abantu bane-allergy kwisisombululo se -contact lens , amaconsi amehlo, okanye i-makeup, kwaye banokuba nokuvuvukala kwamehlo.
• I-seborrheic dermatitis: Ukuba une-dandruff entlokweni yakho, i-sebum ingangena kwiibhola zamehlo akho kwaye ibangele ukudumba apho.
• Amehlo omileyo: Xa amadlala eenyembezi omile, amandla awo okumelana neebhaktheriya ayancipha, kwaye iintsholongwane zinokubakho.
• I-Demodicosis: Iincukuthu zeDemodex zinokuvala iinkophe kunye neendlala. Olunye uphando lufumanise ukuba ama-30% abantu abane-blepharitis yexesha elide babeneencukuthu zeDemodex.

Izizathu ze-Posterior blepharitis:

• Ukungasebenzi kakuhle kwe-Meibomian gland (MGD): Xa ioyile evela kwi-meibomian glands ingaphumi kakuhle, amehlo anokoma, avuvuke, aze asuleleke.
• I-acne rosacea
• Inkwethu

Ungaqikelela nokuba loluphi uhlobo lwe-Blepharitis onalo ngokusekwe kwiimpawu zakho. Umzekelo:

• Ukuba une-"Seborrheic blepharitis", ungabona izinto ezinamafutha nezirhabaxa.
• Kwi-blepharitis enesilonda, ukopha kunokwenzeka xa kususwe amaqhekeza.
• I-Meibomian blepharitis inciphisa umgangatho weenyembezi zakho.
• Kwi-Staphylococcal blepharitis, unokubona iinkophe ziwa okanye zijika kwicala elingalunganga.

Ngaba kukho ezinye izinto ezinokubangela umhlaza we-blepharitis?

Ewe, ukongeza ekubeni ne-acne rosacea kunye nemibimbi, unokuba sengozini enkulu yokuba ne-blepharitis ngenxa yezi zinto zilandelayo:

• Ukuba unesifo seswekile (iDiabetes Mellitus) .
• Ukuba unxibe iilensi zoqhagamshelwano .
• Ukuba uhlala ujongene nezinto ezifana nothuli kunye neekhemikhali.
• Ukuba usebenza okanye uhlala kwindawo eyomileyo (oku kukwasebenza nasekuchitheni ixesha elingakumbi kwiindawo ezine-air conditioner).
• Ukuba une-microorganisms ezininzi ezihlala eluswini lwakho.
• Ukuba awuyisusi kakuhle i-makeup yakho.
• Ukuba unesikhumba esinamafutha.
• Ukuba uthatha amayeza athile, afana nonyango lomhlaza.
• Ukuba udlula kwixesha lokuya exesheni okanye ufumana utshintsho kwiihomoni.

Ngaba i-blepharitis ibangelwa bukungcola?

Ukungahlambuluki kunokuba yinto ebangela `(i-Blepharitis)`. Nangona kunjalo, akunakutshiwo nje ukuba ngabantu abangcolileyo kuphela abafumana `(i-Blepharitis). Ukucoceka sesinye sezizathu zokuba abanye abantu bafumane `(i-Blepharitis)`.

Khumbula, uninzi lwabantu aluzihlambi ngokwahlukeneyo iinkophe zabo kunye neenkophe ubusuku ngabunye. Nangona kunjalo, kwabo baneengxaki zobungozi, ukugcina iinkophe zabo kunye neenkophe zicocekile kufanele kube yinto ephambili.

Ifunyanwa njani i-blepharitis?

Akukho vavanyo lunye olunokuchonga ngokuchanekileyo i-blepharitis. Ugqirha wakho wamehlo angalandela la manyathelo ukuze abone ukuba unayo na i-blepharitis kwaye iluhlobo luni:

• Ubuza ngembali yakho yempilo: Ubuza ngeempawu zakho kunye nezinye iimeko zempilo, aze afumanise ukuba zeziphi izinto ezinokubangela umngcipheko.
• Ukuhlolwa kwangaphandle kwamehlo: Uhlobo kunye nobunzima be-blepharitis bumiselwa ngokujonga inkangeleko yamehlo akho, ubukhali bokubomvu, ukuba kukho na ukukhupha amanzi, kunye nokuba avuvukele kangakanani.
• Ukuba kukho into ephumayo, iisampulu zayo ziyavavanywa (iinkcubeko zokukhupha): Isampulu yokukhupha ethathwe esweni ithunyelwa kwilabhoratri ukuze kufunyaniswe ukuba yintoni engaphakathi kuyo, ukuba loluphi uhlobo lweebhaktheriya ezikhoyo, kwaye zingaphi ezikhoyo.
• Kungenziwa uvavanyo lokukrazula: Kungathathwa isampuli yokukrazula ukuze kubonwe ukuba amehlo omileyo anegalelo na koku.
• Ukuhlolwa kweenkophe: Iinkophe zingahlolwa ngemicroscope ukuze kubonwe ukuba azikho na iincukuthu.
• I-biopsy yejwabu leso:Oku kunqabile kakhulu. Ugqirha wakho unokufuna ukwenza i-biopsy ukuze aqinisekise ukuba akukho mhlaza wesikhumba okanye ezinye iiseli ezingaqhelekanga. Iliso lakho liya kuba ne-numbness, isampuli yeeseli iya kuthathwa ngenaliti ize ijongwe phantsi kwe-microscope. Usenokuziva unamanxeba amancinci, kodwa akuyi kubakho manxeba.

Ngaba i-blepharitis inganyangwa ekhaya?

Kwezinye iintlobo zeBlepharitis, amayeza asekhaya anokunceda ekunciphiseni iimpawu. Ukuba ucinga ukuba uneBlepharitis, zama ezi zinto:

• Kuphephe ukusebenzisa izimonyo zamehlo: Kungcono ukuphepha ukusebenzisa izimonyo zamehlo de kube kulawuleke ukudumba, kuba kunokubangela ukurhawuzelelwa okungakumbi.
• Faka izinto zokucinezela ezifudumeleyo: Thatha ilaphu elicocekileyo, ulifake emanzini afudumeleyo, ucinezele amanzi angaphezulu, uze ulibeke phezu kwamehlo akho. Xa ilaphu lipholile, limanzise kwakhona. Emva kwexesha elithile, amaxolo aya kuba manzi kwaye intsalela yamafutha iya kuba lula ukuyisusa. Kukho iimaski zobushushu ezifakwa kwi-microwave ezifumaneka evenkileni, ezinokuba luncedo ngakumbi kuba zigcina ubushushu ixesha elide.
• Fumana ii-Omega-3s: Ezinye izifundo zifumanise ukuba ii-omega-3s, ezifumaneka kwioyile yeentlanzi okanye kwioyile yembewu yeflakisi, zinokunceda amadlala akho amehlo asebenze kakuhle. Kukwangumbono olungileyo ukutya imifuno eluhlaza kunye neziqhamo kwaye uphephe ukutya okunamafutha amaninzi.
• Izikhuhli zesiciko: Ezi zifumaneka kwiikhemesti njengezitshizi, amagwebu, okanye iitowelettes ezisongiweyo ngazinye. Zihlala zine-hypochlorous acid. Ezi zinceda ekunciphiseni inani leebhaktheriya kwiinkophe nakwisikhumba esijikeleze iinkophe.

Ungazenzela nesicoci sakho seenkophe ekhaya. Nantsi indlela yokwenza oku:

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* Musa ukusebenzisa ilaphu elifanayo elisetyenziswa ukucoca iliso elinye kwelinye. Sebenzisa ilaphu elitsha nelicocekileyo. Oku kunokunceda ekunciphiseni ukusasazeka kweentsholongwane ukusuka kwelinye iliso ukuya kwelinye.

* Yenza isicombululo ngokuxuba ishampu yosana engama-50% kunye namanzi angama-50%.

* Songa ilaphu elifudumeleyo nelifumileyo kumnwe wakho wokukhomba uze ufake isicombululo sesepha esilungisiweyo elaphini.

* Xa iliso lakho livaliwe, hlikihla ilaphu ngokuthe tye emaphethelweni eenkophe uze ugobe iinkophe izihlandlo ezininzi.

* Emva koko hlambulula kakuhle ngelaphu elicocekileyo, elifudumeleyo nelifumileyo.

* Yenza okufanayo nakwelinye iliso.

Ukuba amaxolo awanyamalali emva kokucoca iinkophe zakho kakuhle ngale ndlela kangangeentsuku ezimbalwa, ngokuqinisekileyo kuya kufuneka ubone ugqirha wamehlo.

Ugqirha unyanga njani i-blepharitis?

Unyango lwe-blepharitis yakho luxhomekeke kuhlobo onalo. Emva kokuhlola iinkophe zakho nokwenza naluphi na uvavanyo olufunekayo, ugqirha wakho angakunika olunye okanye ngaphezulu kwezi ndlela zonyango zilandelayo:

Ii-antibiotics ze-Blepharitis

Usenokunikwa ioyile yokubulala iintsholongwane – umzekelo , i-Erythromycin , i-Bacitracin ophthalmic, okanye i-Polysporin® – okanye amaconsi eliso okubulala iintsholongwane – indibaniselwano ye -Polymyxin B kunye ne-Trimethoprim , efana ne -Polytrim® . Olu nyango lunceda ukulawula usulelo lwebhaktheriya kunye nokunciphisa ukudumba. Ngamanye amaxesha, kwiimeko eziqhubekayo, i-antibiotic yomlomo – efana ne -Doxycycline okanye i-Azithromycin – nayo inganikwa.

Anti-inflammatories for Blepharitis

Ukuba ufuna uncedo olungakumbi, ugqirha wakho unokongeza amaconsi amehlo e-steroid okanye ikhrimu kwisicwangciso sakho sonyango. Ii-steroids zinciphisa ukudumba. Ukunyanga unobangela oyintloko okanye usulelo lwesibini, ugqirha wakho unokumisela indibaniselwano yamayeza okubulala iintsholongwane kunye namayeza okulwa nokudumba.

Ii-immunomodulators ze-Blepharitis

Kwimeko ye-posterior blepharitis, ukongeza amayeza okunciphisa ukuvuvukala, njenge- cyclosporine ophthalmic (Restasis®), kuye kwafunyaniswa ukuba kunciphisa ukuvuvukala. La mayeza asebenza ngokuthintela impendulo yendalo yomzimba wakho yokuzikhusela, ngaloo ndlela enciphisa ukuvuvukala.

Unyango lwezizathu ezibangela i-Blepharitis

Ukongeza ekunciphiseni iimpawu, kubalulekile nokunyanga unobangela oyintloko we-Blepharitis. Iimeko zesikhumba (ezifana ne-acne rosacea) okanye iimeko zamehlo (ezifana ne-dry eye) zinokubangela ukuba i-Blepharitis iphinde ivele. Kwiimeko ezinjalo, amayeza athile, iikhrimu, okanye amaconsi amehlo anceda ukomisa amehlo anokunceda.

Unyango lwezonyango lwe-Blepharitis

Ngoku kukho iindlela zonyango ezintsha ezininzi oogqirha abanokuzisebenzisa kwiikliniki zabo. Ezinye zazo ziquka:

• `(Lipiflow®)`: Oku kufudumala iinkophe kwaye kususe iioyile ezingaphilileyo.
• Unyango Lokukhanya Okunamandla Okushukumayo: Oku kuquka ukuqondisa ukukhanya okubomvu okuqaqambileyo eluswini.
• `(BlephEx®)`: Oku kuya kucoca imiphetho yeenkophe zakho.

Ziziphi iingxaki ezinokubakho zeBlepharitis ukuba ayinyangwa?

I-blepharitis ayinakunyangwa ngokupheleleyo. Nangona kunjalo, ingalawulwa ukuba ugcina iinkophe zakho zicocekile. Ukuba ayinyangwa , i-blepharitis inokukhokelela kwiingxaki zamehlo ezinzulu ngakumbi. Ingachaphazela ngakumbi inxalenye engaphambili yeliso ecacileyo, i-cornea, enokuba yingozi kakhulu.

Iingxaki zingabandakanya:

• I-Chalazion: Eli liqhuma/ukudumba okuncinci, okungenabuhlungu okwenzeka kwinkophe.
• Isilonda se-corneal (keratitis): Isilonda se-cornea sinokuvela ngenxa yosulelo oluqhubekayo okanye ukudumba kwe-cornea.
• Iingxaki zeenkophe: Xa i-"Blepharitis" ihlala ixesha elide, iinkophe zinokuwa, zikhule ngendlela engaqhelekanga, okanye zilahlekelwe ngumbala wazo.
• Izifo zamehlo `(Iliso elipinki - i-conjunctivitis)`: Ezinye iintlobo ze `(i-Blepharitis)` zinokuguquka zibe sisifo samehlo esihlala ixesha elide.
• I-Stye: Eli liqhuma elibomvu nelibuhlungu elenzeka kwi-eyelid kufutshane ne-eyelid.
• Iingxaki zefilimu yokukrazula: Iinyembezi zenziwe ngokulinganisela okuthambileyo kwe-mucus, ioyile, kunye namanzi ukugcina amehlo akho emanzi kwaye ekhuselekile. Ukuba ukungcola okanye ioyile eluswini lwakho iyakuphazamisa, unokufumana amehlo omileyo okanye ukukrazula kakhulu. Iioyile ezisempilweni ezikhutshwa ziinkophe zinceda ukuthintela ukukrazula ekuphumeni. Xa iioyile ezingalunganga ziveliswa ngenxa ye-blepharitis, amehlo omileyo anokuba yinto eqhelekileyo nangakumbi.

Indlela yokuthintela i-blepharitis?

Uninzi lweemeko ze-blepharitis azinakuthintelwa. Ezinye izinto ezibangela i-blepharitis, njengeemeko ezithile zolusu, azinakulawuleka. Nangona kunjalo, kukho izinto onokuzenza yonke imihla ukunceda ngeempawu:

• Gcina izandla zakho, ubuso kunye nentloko yakho zicocekile.
• Kuphephe ukuchukumisa amehlo okanye ubuso bakho oburhawuzelelayo. Ukuba kufuneka ubuchukumise, sebenzisa ilaphu elicocekileyo.
• Qiniseka ukuba uyazisusa zonke izinto zokuthambisa amehlo ngaphambi kokuba ulale ebusuku.
• Sula iinyembezi ezigqithisileyo okanye amayeza asetyenziswa emehlweni ngethishu ecocekileyo.
• Nxiba iiglasi endaweni yee-contact lenses de imeko ibe ngcono.
• Ukuba unamehlo omileyo, kwaye ugqirha wakho uyavuma, sebenzisa iinyembezi zokwenziwa.
• Sebenzisa ishampu yokulwa ne-dandruff ukuhlamba iinwele zakho.
• Izithambiso zamehlo – i-eyeliner, isithunzi samehlo, i-mascara – thenga ezintsha. Izikhongozeli ezindala zinokuba neentsholongwane. Ufuna ukuthintela ukosuleleka kwakhona.

I-blepharitis, ebonakaliswa kukudumba kwamehlo, ukubomvu, nokurhawuzelela, ayisiyonto imnandi. Nangona kunjalo,Kwiimeko ezininzi, i-blepharitis yimeko onokuyilawula. Ukuba unokuyinyanga nayiphi na ingxaki engaphantsi, kwaye ukuba ugcina iinkophe zakho zicocekile, unganciphisa ukwenzeka kwesi sifo.

Ngoko ke, sithini isigidimi esifuna ukusithatha ekhaya kweli bali?

Kulungile, ngoko ke sithethe kakhulu nge-Blepharitis. Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba nangona le yimeko eqhelekileyo, inokulawulwa ukuba ilawulwa ngokufanelekileyo.

Ukuba amehlo akho ahlala ebomvu, edumbile, okanye erhawuzelela, musa ukuwahoya nje. Qiniseka ukuba ubona ugqirha wamehlo ukuze akunike ingcebiso.

Amayeza asekhaya, anje ngee-compress ezifudumeleyo kunye namaconsi amehlo, anokunceda ukulawula iimpawu. Kubalulekile nokulandela unyango oluchazwe ngugqirha wakho. Ingakumbi, abo bafaka i-makeup emehlweni kufuneka bayisuse ngaphambi kokuba balale ebusuku. Ucoceko yindlela entle yokuthintela ezo meko.

Akukho nto ibalulekileyo, i-Blepharitis yimeko enokuthi, ukuba ijongiwe ngokufanelekileyo, ingakuthinteli ukuba uphile ubomi obuqhelekileyo!

I- Blepharitis, Izifo Zamehlo, Ukudumba Kwamehlo, Amehlo Arhawuzelelayo, Amehlo Abomvu, Impilo Yamehlo