Ukudumba nokudumba kwamehlo (iBlepharitis): Masifumanise ukuba yintoni kanye kanye le nto?

Ngaba wakha wavuka kusasa waza waziva ngathi amehlo akho anamathele, imiphetho yeenkophe zakho ibomvu, iyarhawuzelela, kwaye ivuvukele kancinci? Usenokuba ukhe waphawula amaqhekeza amancinci ajikeleze iinkophe zakho. Le yimeko echaphazela abantu abaninzi kwaye iyacaphukisa. Siza kuthetha ngale nto namhlanje. Kwizonyango, sibiza le meko ngokuthi yiBlepharitis. Nangona eli gama lingaqhelekanga, akukho nto yokoyika. Makhe sibone ukuba yintoni kanye kanye, kutheni isenzeka, kwaye ungenza ntoni ngayo.

Ngamafutshane, yintoni i-blepharitis?

I-blepharitis kukudumba kwemiphetho yeenkophe zakho, apho iinkophe zakho zikhula khona. Ifana nokwenzakala kwesikhumba okubangela ukuba indawo ibe bomvu kwaye idumbe. Imiphetho yeenkophe zakho inokuba bomvu, ngamanye amaxesha ibe mnyama kancinci, kwaye isenokudumba kwaye iqhekeke. Le meko idla ngokuchaphazela omabini amehlo.

Kunokubakho izizathu ezahlukeneyo zoku. Kusenokuba ngenxa yesinye isifo eluswini lwakho, usulelo lwebhaktheriya, okanye ukuvaleka kwamadlala eoyile kwiinkophe zakho. Ngamanye amaxesha, zonke ezi zizathu zinokudibana zibangele le meko.

Ukuba ubuza ukuba le meko ixhaphake kangakanani, oogqirha bamehlo kunye noogqirha bamehlo bathi phantse isiqingatha sabaguli abababonayo baneempawu zeBlepharitis. Ngoko ke ungabona ukuba le meko ixhaphake kangakanani. Inokuchaphazela abantu abadala kunye nabantwana, kwaye ichaphazela amadoda kunye nabasetyhini.

Kukho iintlobo ezimbini eziphambili ze-blepharitis:

I-blepharitis inokwahlulwa ibe ziintlobo ezimbini eziphambili, kuxhomekeke apho ukudumba kwenzeka khona. Xa oku kuqondwa kakuhle, kulula ukunyanga.

1. I-Anterior Blepharitis: Oku kwenzeka ngaphandle kwe-eyelid, apho i-eyelid ikhula khona. Khawuthelekelele umda we-eyelid yakho usiba bomvu, udumbile, okanye unendawo enamaqhuqhuva, enamaqhuqhuva phakathi kwe-eyelid yakho. Yiyo le nto olu hlobo luyiyo.

2. I-Posterior Blepharitis: Oku kubangelwa zii-meibomian glands, ii-oil glands ezincinci ngaphakathi kweenkophe. Ezi glands zikhupha ioyile eyenza iinyembezi zethu. Le meko inokwenzeka xa ezi glands zivalekile okanye xa ioyile eziyivelisayo iqina.

Ngaba nawe unazo ezi mpawu?

Kukho iimpawu ezininzi ze-blepharitis. Usenokuba ukhe wahlangabezana nenye okanye ezingaphezulu kwezi. Makhe sijonge iimpawu eziphambili.

Kutheni sifumana i-Blepharitis? Zithini izizathu?

Akukho sizathu sinye se-blepharitis. Zininzi izizathu ezinokubakho. Izizathu ziyahluka ngokuxhomekeke kwiintlobo ezimbini esizixubushile ngaphambili.

Izizathu zeBlepharitis yangaphambili

• I-Seborrheic Dermatitis: Ukuba une-dandruff entlokweni yakho, loo dandruff ingasasazeka nakwiinkophe zakho kwaye ibangele oku kuqhambuka.
• Izifo zesikhumba (Acne Rosacea ): I-Rosacea yimeko ebangela ukuba ulusu lobuso lube bomvu kwaye ludumbe. Ingachaphazela neenkophe.
• Ii-Allergy: Ukuba une-allergy kwisisombululo se-contact lens, amaconsi amehlo, okanye i-makeup (i-mascara, i-eyeliner) oyisebenzisayo, amehlo akho anokudumba.
• Amehlo Omileyo: Xa ukuveliswa kweenyembezi emehlweni kuncipha, amandla okumelana neebhaktheriya ayancipha kwaye kunokubakho izifo.
• Iincukuthu zeDemodex: IDemodex sisicukuthu esincinci, esingabonakaliyo esihlala eluswini lwethu. Xa ezi ncukuthu zisanda kwiinkophe zabanye abantu, ukukhupha kwazo kunokubangela ukudumba.

Izizathu ze-Posterior Blepharitis

• Ukungasebenzi kakuhle kwe-Meibomian Gland (MGD): Le yeyona nto ibangela i-posterior blepharitis. Xa ioyile evela kwezi glands zeoyile ngaphakathi kweenkophe ingaphumi kakuhle ize ivaleke, amehlo ayoma, avuvuke, kwaye asuleleke. Cinga ngayo njengedreyini evalekileyo kwisinki yekhitshi.
• Izifo zesikhumba (i-Acne rosacea ) kunye ne-dandruff: Zombini ezi meko zinokuchaphazela nokusebenza kwamadlala e-meibomian.

Ugqirha uyixilonga njani le nto?

Ukuba ukrokrela ukuba une-blepharitis, kungcono ukubona ugqirha wamehlo. Ugqirha uza kwenza uvavanyo oluninzi ukuqinisekisa oku.

• Baza kukubuza imibuzo malunga nembali yakho yempilo: zithini iimpawu zakho, ixesha oye waba nazo, kunye nokuba unayo nayiphi na eminye imiba yezempilo (efana nesifo seswekile okanye imeko yolusu).
• Hlola iinkophe zakho: Usebenzisa isixhobo esikhethekileyo (isibane esiqhekekileyo), iinkophe zakho, imiphetho yazo, ulusu, kunye nemeko yeenkophe zakho ziya kuhlolwa ngononophelo. Uhlobo kunye nobunzima bemeko bunokufunyanwa zizinto ezifana nokudumba, ukubomvu, kunye nokuqhekeka kwesikhumba.
• Ukuvavanya isampuli yobovu: Ngamanye amaxesha i-swab ingathathwa kwi-eyelid ize ithunyelwe kwilebhu ukuze kufunyaniswe ukuba loluphi uhlobo lwebhaktheriya ekhoyo.
• Uvavanyo lwefilimu yokukrazula: Uvavanyo olukhethekileyo lungenziwa ukuze kubonwe ukuba unemeko yamehlo eyomileyo na.
• I-Biopsy: Oku akwenzeki rhoqo. Kuphela xa kukho ukurhanelwa kwemeko embi kakhulu, njengomhlaza wolusu, apho iqhekeza elincinci lesicwili liya kususwa kwiliso ngokulifaka i-numbness nokulihlola.

Unyango lwasekhaya kunye namayeza

Kukho izinto ezilula onokuzenza ekhaya ukunceda ukulawula i-blepharitis. Kubalulekile ukuzenza ezi zinto zibe ngumkhwa wemihla ngemihla.

1. Uxinzelelo olufudumeleyo:

• Thatha ilaphu elicocekileyo uze ulifake emanzini ashushu kangangoko unako.
• Cinezela amanzi kakuhle, uvale amehlo akho, uze uwabambe phezu kweenkophe zakho malunga nemizuzu emi-5 ukuya kweli-10.
• Olu bushushu buza kunceda ukukhulula amaxolo kunye namafutha avalelekileyo kwiinkophe zakho, nto leyo eza kwenza kube lula ukuzicoca. Yenza oku kabini okanye kathathu ngemini.

2. IiScrubs zeEyelid:

• Kungcono kakhulu ukwenza oku emva kokuhlamba ngamanzi ashushu.
• Xuba amathontsi ambalwa eshampu yosana (uhlobo olungakrazuliyo) namanzi acocekileyo ukuze wenze isicombululo esincinci.
• Nciphisa i-cotton bud ecocekileyo okanye ilaphu elicocekileyo kwesi sicombululo uze usule kancinci ecaleni kweenkophe zakho.
• Emva koko hlambulula kakuhle ngamanzi acocekileyo uze uyisuse.
• Musa ukusebenzisa i-cotton bud efanayo esetyenziswa kwelinye iliso kwelinye iliso.

3. Ziphephe izinto zokuthambisa ubuso:

• Kungcono ukuphepha ukusebenzisa izimonyo (i-mascara, i-eyeliner) kufutshane namehlo ngeli xesha le meko. Oku kunokunyusa ukudumba.

4. Ukutya okutyebileyo kwi-Omega-3:

• Ezinye izifundo zifumanise ukuba ii-omega-3 fatty acids ziphucula ukusebenza kwamadlala e-meibomian. Faka iintlanzi ezifana ne-salmon, i-tuna, kunye nembewu yeflakisi ekutyeni kwakho.

Zithini iindlela zonyango zonyango?

Ukuba amayeza asekhaya awancedi, ugqirha wakho unokukunika iindlela ezahlukeneyo zonyango.

• Ii-antibiotics: Ukuba kukho usulelo lwebhaktiriya, unganikwa ioyile yamehlo okanye amaconsi amehlo. Umzekelo, amafutha anjenge `(erythromycin)` okanye `(bacitracin).` Ngamanye amaxesha ungadinga ukunika iipilisi zomlomo `(doxycycline, azithromycin).`
• Amayeza okulwa nokudumba: Ukuba ukudumba kunye nokubomvu kukhulu, amaconsi okanye amafutha e-steroid emehlweni anokunikwa ixesha elifutshane.
• Ii-immunomodulators: Kwi-posterior blepharitis, amayeza afana namaconsi amehlo aqulethe i-cyclosporine ngamanye amaxesha asetyenziswa.
• Ukunyanga unobangela oyintloko: Ukuba uneemeko ezifana ne-psoriasis okanye i-rosacea , ukunyanga kwazo kubalulekile ekulawuleni i-blepharitis.
• Iinkqubo zeKliniki: Kukho unyango olutsha olufumanekayo ngoku. I-Lipiflow® ifudumeza iinkophe ukuze isuse ioyile evalelekileyo. Unyango lwe-Intense Pulsed Light (IPL) kunye ne-BlephEx® zingasetyenziselwa ukucoca nzulu iinkophe.

Iingxaki ezinokwenzeka ze-blepharitis

I-blepharitis ayisosifo esinyangekayo ngokupheleleyo. Nangona kunjalo, inokulawulwa kakuhle. Ukuba ayinyangwa, ezinye iingxaki zinokubakho.

• Sty/Stye: I-ciliary gland eyosulelekileyo eyenza iqhuma elibomvu nelibuhlungu.
• I-Chalazion: Iqhuma elincinci elingenabuhlungu kwi-eyelid elibangelwa yi-oil gland evalekileyo.
• Izifo zamehlo (iPink Eye / iConjunctivitis): I-Blepharitis inokubangela izifo zamehlo ezixhaphakileyo.
• Isilonda seCorneal: Ukudumba kwexesha elide kunokubangela izilonda kwi-cornea yeliso. Le yimeko enzima kakhulu.
• Iingxaki zefilimu yokukrazula: Amehlo omileyo okanye ukukrazula kakhulu kunokwenzeka.