Ngaba amehlo akho ahlala omile? Ngaba ayarhawuzelela? Ngaba kungenxa yengxaki yamadlala e-meibomian? (Ukungasebenzi kakuhle kwe-Meibomian Gland)

Ngaba ngamanye amaxesha uziva ngathi amehlo akho omile nje, ngathi kukho into ethile ngaphakathi, okanye ukuba ahlala erhawuzelela kwaye ebomvu? Usenokucinga ukuba oku kuqhelekile, njengesuntswana lothuli. Nangona kunjalo, ukuba ezi mpawu ziyaqhubeka, inokuba yingxaki ngamadlala amancinci eoyile kwiinkophe zakho. Namhlanje, siza kuthetha ngenye yeemeko ezinjalo, iMeibomian Gland Dysfunction (MGD) .

Yintoni ukungasebenzi kakuhle kwe-meibomian gland (MGD)?

Ngamafutshane, iMeibomian Gland Dysfunction (MGD) kuxa amadlala amancinci eoyile asemacaleni aphezulu nasezantsi eenkophe zakho (esizibiza ngokuba ngamadlala eMeibomian) engakhupheli kakuhle ioyile (ebizwa ngokuba yimeibum) efunekayo emehlweni akho. Le oyile ibaluleke kakhulu ukugcina amehlo akho engomi.

Khawucinge nje, kukho ifilimu yokukrazula ekhusela amehlo ethu. Ineengqimba ezintathu eziphambili:

1. Umaleko wangaphandle onamafutha: Lo wenziwe ngeoyile evela kwi-meibomian glands. Oku kuthintela umaleko wamanzi ongaphantsi ukuba ungatshi ngokukhawuleza.

2. Umaleko ophakathi omanzi: Le yeyona nxalenye inkulu yefilimu yokukrazula. Yiyo eyona nxalenye iphambili efumisa, yondla, kwaye ihlambulula iliso.

3. Umaleko ongaphakathi one-mucus: Oku kunceda ukugcina umaleko omanzi uthanjiswe kakuhle kumphezulu weliso.

Ngoku uyaqonda ukuba ibaluleke kangakanani ioyile evela kwi-meibomian glands? Kwi-MGD, la ma-glands awavelisi ioyile eyaneleyo , okanye umgangatho weoyile abayivelisayo uyancipha . Rhoqo, imingxuma yala ma-glands iyavalwa kwaye ioyile ayinakuphuma. Oku sikubiza ngokuba yi-MGD ethintelayo .

Le meko inokuba yinto yokuzalwa okanye efunyenweyo. Ingachaphazela abantu abancinci nabadala.

Ixhaphake kangakanani le meko?

Enyanisweni, i-MGD yimeko eqhelekileyo kakhulu kunokuba unokucinga. Kuqikelelwa ukuba malunga ne- 35.8% yabemi behlabathi banale meko. E-United States, malunga ne-70% yabantu abangaphezu kweminyaka engama-60 ubudala bane-MGD.

Ngokwesiqhelo ixhaphake kakhulu kumadoda kunakwabasetyhini. Ukuxhaphaka kwayo kuyahluka phakathi kwamaqela eentlanga ezahlukeneyo. Umzekelo, i-MGD ixhaphake kakhulu kubantu abazalwa eAsia kunakwabamhlophe.

Ngaba nawe unazo ezi mpawu?

Abanye abantu abane-MGD ababonisi zimpawu. Nangona kunjalo, ukuba ufumanisa iimpawu, zingabandakanya:

• Amehlo ahlala erhawuzelela okanye evutha .
• Amehlo abomvu okanye abuhlungu .
• Iinkophe zibonakala zidumbile .
• Amehlo am agcwele amanzi .(Oku kwenzeka kuba iliso lomile, kwaye iliso liphendula ngokukhupha iinyembezi ezimanzi ngakumbi).
• Imvakalelo yomzimba wasemzini, njengentlabathi yeliso.
• Umbono wam ubonakala ungacacanga kancinci .
• Ii-styes kunye ne-chalazion zihlala zikho kwiinkophe.
• Iinkophe zam zineziqwenga okanye izinto ezinamathelayo ezinamathele kuzo kusasa.
• Ukuba usebenzisa iilensi zokunxibelelana, kunokuba nzima ukuzinxiba kakuhle .

Khawucinge nje, uNilanthi ngumntu osebenza kwikhompyutha rhoqo. Ngokuhlwa, amehlo akhe aba bomvu aze arhawuzelele. Ngamanye amaxesha uziva ngathi kukho into ebambekileyo emehlweni akhe. Wayecinga ukuba kungenxa yokudinwa. Kodwa kuphela xa ebona ugqirha apho afumanisa khona ukuba une-MGD.

Kutheni oku kusenzeka? Zithini izizathu?

Eyona nto ibangela i-MGD kukuvaleka kwamadlala e-meibomian esithethe ngawo ngaphambili. Oku kuthetha ukuba ioyile iqokelelana kwiindawo ezivulekileyo zamadlala, ibambeke, kwaye ayikwazi ukuphuma. Esinye isizathu kukuba umgangatho weoyile ekhutshwa ngamadlala uyehla .

Ukongeza, ukusetyenziswa kwamayeza athile kunokubangela i-MGD. Umzekelo:

• Amanye amayeza e-glaucoma.
• Amayeza aqulethe i-retinoids (asetyenziselwa i-acne).
• I-estrogen inikwa unyango lokutshintsha iihomoni.
• Amayeza anciphisa amanqanaba e-androgen.

Ngubani onokuba nethuba elikhulu lokuphuhlisa oku? (Izinto ezibangela umngcipheko)

Izinto ezibangela umngcipheko zizinto ezinyusa amathuba okufumana isifo. I-MGD inezinye izinto ezibangela umngcipheko:

• Ukwaluphala: Njengoko ukhula, ukusebenza kwezi gland kunokuncipha.
• Iziphumo zeehomoni: Ingakumbi ukwehla kwehomoni i-androgen.
• Ukuba notyekelo lwe-allergies.
• Ukunxiba iilensi zokunxibelelana: Umngcipheko uphezulu ukuba uzinxiba ixesha elide kunexesha elicetyiswayo ngaphandle kokuzicoca kakuhle.

Ukongeza, ukuba uneengxaki ezithile zempilo, unokuba sengozini enkulu yokuba ne-MGD. Le ngozi iphezulu kakhulu kubantu abanezifo ezinxulumene nenkqubo yomzimba yokuzikhusela.

Iingozi ezinxulumene nobuthathaka benkqubo yomzimba yokuzikhusela

Abantu abanezi meko banokuba ne-MGD:

• I-Rosacea ( i-Rosacea ): Imeko apho ulusu luba bomvu kwaye imithambo yegazi emincinci ibonakala phezu komphezulu.
• Isifo sikaSjögren: Sisifo sokuzikhusela komzimba esibangela amehlo nomlomo owomileyo.
• I-Lupus: Sisifo esichaphazela amalungu omzimba ahlukeneyo.
• I-Psoriasis: Isifo solusu esibangela amabala arhabaxa.
• Irheumatoid arthritis:Isifo sokuzikhusela komzimba esichaphazela amalungu.

Ezinye iimeko zonyango ezonyusa umngcipheko we-MGD

• I-blepharitis engapheliyo: Imiphetho yeenkophe ihlala idumbile kwaye ibomvu.
• Isifo sikaStevens-Johnson: Imeko echaphazela kakhulu ulusu kunye ne-mucous membranes.
• Igazi elonyukayo.
• Amanqanaba aphezulu e-cholesterol egazini.
• Usulelo lwamehlo, olufana ne -trachoma .
• I-Aniridia: Imeko apho i-iris yeliso ingekho ngokupheleleyo okanye inxalenye yayo.

Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?

I-MGD ayiloliso nje elomileyo. Ukuba ayinyangwa kakuhle, inokukhokelela kwiingxaki ezahlukeneyo. Ngoko ke, ayilocebo lilungileyo ukuyityeshela.

Ingxaki ephambili kukukhula kwesifo samehlo esomileyo (isifo samehlo esomileyo) . Oku kuthetha ukuba amehlo ahlala omile. Ukongeza, izifo zomphezulu weliso (i-cornea kunye ne-conjunctiva), ezifana nokudumba kwamehlo (i-blepharitis), zinokwenzeka.

Ukuba i-MGD ayinyangwa, unokuba sengozini enkulu yokuhlaselwa zizifo zamehlo okanye izifo zokudumba . Ukuba wenza naluphi na utyando lwamehlo, i-MGD ikwasengozini yeengxaki emva kolo tyando. Kwiimeko ezinzima, i-MGD enganyangwanga inokonakalisa ne-cornea .

Ugqirha uyixilonga njani i-MGD?

Ugqirha wakho uza kuqala akubuze ngempilo yakho, amayeza kunye neempawu zakho. Emva koko, uza kwenza uvavanyo olupheleleyo lwamehlo . Ngokusekelwe kwiimpendulo zakho, ugqirha uya kukwazi ukujonga ngaphakathi kweenkophe zakho ukuze abone iimpawu ze-MGD.

Zeziphi iimvavanyo ezenziwayo koku?

Ukuqinisekisa ukuba unayo i-MGD, ugqirha wakho angenza olunye okanye ngaphezulu kwezi vavanyo zilandelayo:

• Ukubonakala kweoyile: Ugqirha uza kubeka uxinzelelo kancinci kwiinkophe zakho ukuze abone ukuba ioyile iyaphuma na kwiindlala, ukuba kunjalo, ingakanani, kwaye injani na ioyile.
• Uvavanyo lwexesha lokuqhekeka kwefilimu yokukrazula (TBUT): Kufakwa idayi ekhethekileyo elisweni lakho uze ucelwe ukuba uqhwanyaze. Emva koko, kusetyenziswa isibane esincinci ukulinganisa ukuba kuthatha ixesha elingakanani ukuba ifilimu yokukrazula iqhekeke. Idla ngokuba ngaphezu kwemizuzwana eli-10.
• Uvavanyo lweSchirmer (uvavanyo lokukrazula kweSchirmer): Kolu vavanyo, kubekwa imicu emibini ekhethekileyo yephepha lesihluzo phakathi kwejwabu lakho elisezantsi neliso lakho. Emva kwemizuzu embalwa, ubungakanani bomswakama obufunxwa yimicu yephepha buyalinganiswa ukuze kubonwe ukuba amehlo akho akhupha iinyembezi ezaneleyo na.
• Uvavanyo lwesampuli yokukrazula (Ukuthatha isampuli):Ezinye iimvavanyo zinokufumanisa ukuba zeziphi iiproteni ezikwiinyembezi zakho.
• I-Meibography: Olu luvavanyo oluthatha imifanekiso yee-meibomian glands. Lusebenzisa iindlela ezahlukeneyo, ezifana ne-infrared, i-optical coherence tomography (OCT), kunye ne-laser imaging. Lungabonisa imilo yee-glands, ukuba zingaphi ezivalekileyo, kunye nokuba zonakele na.

Zithini iindlela zonyango zoku?

Unyango lwe-MGD luxhomekeke kwizinto ezininzi, kuquka ukuba imeko yakho imbi kangakanani, yintoni ebangele oko, kunye nempilo yakho iyonke.

Izinto onokuzenza ekhaya

Ugqirha uqala ngokucebisa izinto ezimbalwa ezilula onokuzenza ekhaya:

• Ukucinezela okufudumeleyo: Nciphisa ilaphu elicocekileyo emanzini afudumeleyo, ulihluze kakuhle, uze ulibambe phezu kweenkophe zakho malunga nemizuzu emi-5. Oku kuya kunceda ukukhulula ioyile evalelekileyo kwaye kuvumele ukuba ikhuphe amanzi ngokulula. Kungcono ukwenza oku ubuncinane kabini ngemini.
• Ukuphulula amehlo: Emva kokufaka i-compress efudumeleyo, phulula amehlo akho ngobunono ngeminwe yakho, uwatyhalele emashiya akho (ezantsi ukuya kumashiya aphezulu, phezulu ukuya kumashiya asezantsi). Oku kuya kunceda ukukhulula ioyile kumadlala.
• Ucoceko lweenkophe: Xuba isepha encinci ethambileyo, njengeshampu yosana, namanzi amancinci uze ucoce imiphetho yeenkophe zakho ngobunono (apho iinkophe zakho ziqala khona). Okanye, sebenzisa isicoci esikhethekileyo sesiciko esicetyiswe ngugqirha wakho.
• Ukusela izongezo ze-Omega-3: Ukusela izongezo ezine-omega-3, ezifana neoyile yentlanzi okanye ioyile yeflakisi, kunokuphucula umgangatho weoyile kwaye kunciphise iimpawu ze-MGD. Thetha nogqirha wakho ngale nto uze uqalise.
• Ukunyamekela okusingqongileyo: Nciphisa ukuvezwa yimimoya enamandla. Nciphisa ixesha olichitha ujonge izikrini ezifana neekhompyutha kunye neefowuni. Nika amehlo akho ikhefu ngamanye amaxesha.

Unyango olucetyiswa ngugqirha

Ukuba unyango lwasekhaya lodwa alwanelanga, ugqirha wakho angacebisa ezinye iindlela zonyango, ezifana nezi:

• Iinyembezi zokwenziwa/Izithambiso: Amathontsi amehlo athambileyo angasetyenziswa izihlandlo ezininzi ngemini ukunciphisa ukoma emehlweni. Akwafumaneka kwifomu yejeli okanye yezithambiso.
• Amayeza okulwa nosulelo: Ukuba kukho usulelo kwiinkophe, amathontsi e-antibiotic, amafutha okugcoba, okanye iipilisi zinokunikwa. Amanye amayeza okubulala iintsholongwane (umz., i-doxycycline , i-azithromycin) anokunceda kwi-MGD.
• Amayeza okulwa nokuvuvukala asetyenziswa kwiindawo ezingaphandle:Amaconsi amehlo, anjenge-cyclosporine okanye ii-steroids, anokunceda ekunciphiseni ukudumba kwiinkophe. La maconsi afanele asetyenziswe kuphela phantsi kwengcebiso kagqirha.
• Ukunyanga izifo ezinxulumene noko: Umzekelo, ukuba yimeko ebangelwa ziingcongconi (iDemodex) ezihlala kwiinkophe, yinyange.
• Iindlela zokuvula amadlala:
• Izixhobo ezifana neLipiflow, iLux, kunye neTearCare: Ezi zibeka ubushushu obulawulwayo kunye noxinzelelo kwiinkophe, zinyibilikise ii-meibomian glands ezivalekileyo kwaye zizisuse.
• Ukuhlolwa kwe-Meibomian gland: Isixhobo esincinci (i-probe) sifakwa kwiindawo ezivulekileyo ze-gland kwaye ukuvaleka kuyasuswa.
• Unyango lweLaser: Ezinye iintlobo zelaser zikwasetyenziselwa ukuvuselela la madlala nokususa ukuvaleka.

Kuthatha ixesha elingakanani ukuchacha emva konyango? Injani imeko?

Uninzi lonyango lwe-MGD aludingi "ixesha elininzi lokuchacha." Enyanisweni, ugqirha wakho uya kukuxelela ukuba uqhubeke nezinto ezifana nokwandiswa kweenkophe, ii-compress ezifudumeleyo, kunye nezongezo.

Kuphela xa utyando lugqityiwe, kunokuthatha ixesha elithile ukuba uphile ngokupheleleyo.

Ithemba lomntu one-MGD lihlala lilungile , ingakumbi ukuba wenza oko kufuneka ukwenze ukulawula le meko. Kusenokufuneka uhlale unemikhwa emihle yokucoca amehlo ubomi bakho bonke.

Ngaba i-MGD ingathintelwa? Ingancitshiswa njani ingozi?

I-MGD ayinakuthintelwa ngokupheleleyo, kodwa kwezinye iimeko ungawunciphisa umngcipheko wakho .

Asinakutshintsha ezinye izinto ezibangela umngcipheko, njengobudala kunye nohlanga. Nangona kunjalo, kukho izinto esinokuzitshintsha:

• Ukulawula ezinye iimeko zempilo: Lawula izinto ezifana namanqanaba e-cholesterol egazini kunye noxinzelelo lwegazi.
• Lawula imeko-bume yakho: Zigcine kude nezinto ezibangela i-allergy kangangoko unako. Ziphephe ii-dream kangangoko unako. Nciphisa ixesha lokujonga isikrini.
• Ukuhlolwa kwamehlo rhoqo.
• Ukuba unxiba iilensi zokunxibelelana, zisebenzise kwaye uzicoce njengoko ugqirha wakho ecebisa.
• Gcina amehlo akho kunye neenkophe zakho zicocekile.

Ngawaphi amaxesha afanelekileyo okubonana nogqirha?

Ukuba uneengxaki ezinxulumene nokubona, ezinje ngeentlungu zamehlo okanye ukubona izinto ezingaqondakaliyo, qiniseka ukuba ubona ugqirha.

Ukuba ufumana intlungu yeliso ngequbuliso okanye ungaboni kakuhle, yiya kwigumbi likaxakeka esibhedlele ngokukhawuleza.

Imibuzo ebalulekileyo yokubuza ugqirha wakho

Usenokuba nemibuzo emininzi onokuyibuza ugqirha wakho wamehlo. Usenokubuza izinto ezifana nezi:

• Yintoni ebangela ukuba ndibe nale meko ye-MGD?
• Luhlobo luni lonyango olucetyiswayo?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga (iingxaki) kwezi ndlela zonyango?
• Ingaba le meko ibangelwa lufuzo? Ngaba ndifanele ndicele lonke usapho lwam ukuba luye kuvavanywa?
• Ndifanele ndihlolwe amehlo kangaphi?
• Ndingakwazi ukusebenzisa iilensi zokunxibelelana?
• Ngaba le meko ye-MGD iya kuze ibe ngcono ngokupheleleyo?

Ngaba le meko ye-MGD iya kunyangeka ngokupheleleyo?

Kwabanye abantu, i-MGD ingaba yingxaki yobomi bonke , ingakumbi ukuba unenye imeko, efana nesifo senkqubo yomzimba yokuzikhusela, enokulawulwa kodwa inganyangeki ngokupheleleyo. Nangona kunjalo, ukuba ilawulwa ngokufanelekileyo, ingaba yingxaki yobomi bonke.

Ungayibuyisela njani kwakhona i-meibomian glands evalekileyo?

Ungasebenzisa amayeza asekhaya afana nokuxinwa okufudumeleyo kunye nokuphulula ukuze uncede ukukhulula amadlala e-meibomian avalelekileyo. Ukongeza, kukho izixhobo kunye neendlela ezisetyenziswa ngoogqirha.

Imizekelo yezi zinto zezi:

• Oomatshini abafudumeza iinkophe zakho baze banyibilikise i-meibum eyomileyo okanye etyebileyo.
• Oomatshini abasebenzisa imisebe yelaser ukungena kwiindlala nokususa imiqobo.
• Izixhobo ezincinci (iiprobe) zifakwa kwiindlala ngugqirha ukuze kususwe ioyile ye-meibomian ebambekileyo.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule

Kubalulekile ukuba uhlolwe amehlo rhoqo. Oku kungenxa yokuba ugqirha unokubona ezinye iimeko zamehlo (ezifana ne-MGD) ngaphambi kokuba ube neempawu. Amehlo omileyo ngamanye amaxesha asenokungabi yinto enkulu. Nangona kunjalo, amehlo omileyo akakulungelanga. Amadlala akho e-meibomian ayinxalenye ebalulekileyo yempilo yamehlo akho enceda ekukhuseleni amehlo akho. Ke ngoko, ukuba une-MGD, kubalulekile ukuyixilonga kwaye uyinyange kwangethuba ukuze uthintele iingxaki ezinkulu. Ukuba unemibuzo malunga noku, ungathandabuzi ukuthetha nogqirha wakho wamehlo.

Amehlo omileyo, ii-Meibomian glands, i-MGD, isifo samehlo esomileyo, impilo yamehlo, ukungasebenzi kakuhle kwe-Meibomian gland, isifo samehlo esomileyo