Ingabe amehlo akho avuvukile futhi abomvu? Lokhu kungaba yi-blepharitis!

Ingabe ngezinye izikhathi uvuka ekuseni unezinkophe ezivuvukile, ezibomvu, nezilumayo? Mhlawumbe izinkophe zakho zinamathele ndawonye. Lokhu akuyona nje into evamile, kubizwa ngokuthi i-blepharitis . Ake sixoxe ngalokhu ngokuningiliziwe namuhla, ngoba kuyisimo esithinta abantu abaningi, kodwa singaphathwa kahle.

Kuyini ngempela lokhu `(i-Blepharitis)`?

Kalula nje, `(Blepharitis)` ukuvuvukala kwemiphetho yamehlo akho. Lokhu kusho ukuthi imiphetho yamehlo akho iba bomvu, ngezinye izikhathi ibe mnyama kancane, ivuvuke, futhi ibe namaqhubu. Lokhu kuvame ukuthinta amehlo womabili. Kungaba nezizathu eziningana zalokhu. Kungaba ngenxa yezifo ezithile zesikhumba, noma ukutheleleka, noma kungaba ngenxa yokuvaleka kwezindlala zamafutha emahlobeni akho. Ngezinye izikhathi, konke lokhu kungenzeka ngesikhathi esisodwa.

Manje ungase uzibuze ukuthi lesi yisimo esibucayi noma uzolahlekelwa ukubona kwakho . Ungakhathazeki! I-Blepharitis yisimo sokuvuvukala esingaholela ekuthelelekeni kwamehlo, kodwa izimo eziningi ze-Blepharitis azithelelani. Futhi, akuvamile kakhulu ukuthi ibangele ubumpumputhe.

Sivame kangakanani lesi simo?

Ucwaningo lodokotela bamehlo nodokotela bamehlo luthole ukuthi cishe ingxenye yeziguli abazibonayo zinezimpawu ze-"Blepharitis." Ngakho ungabona ukuthi lokhu kuvame kangakanani. Futhi, izimpawu zakhona zingalawulwa.

Lesi simo singaba khona kokubili kubantu abadala nasezinganeni, futhi singathinta kokubili amadoda nabesifazane. Kodwa-ke, kukhona uhlobo oluthile oluthile, olubizwa ngokuthi "i-Staphylococcal blepharitis" , oluvame kakhulu kwabesifazane. Okungukuthi, cishe u-80%.

Zikhona yini izinhlobo ezahlukene ze-blepharitis?

Yebo, kunezinhlobo ezimbili ze-blepharitis, kuye ngokuthi ukuvuvukala kukuphi esweni lakho.

1. I-blepharitis yangaphambili: Lokhu kwenzeka lapho ingaphambili lejwabu lakho, lapho izinkophe zakho ziphuma khona, liba bomvu, livuvuke, futhi ngezinye izikhathi libangele ukuqhekeka kwezinkophe.

2. I-Posterior blepharitis: Lesi yisimo lapho izindlala ezikhiqiza uwoyela ngaphakathi kwejwabu leso, ezibizwa ngokuthi izindlala ze-Meibomian , zivaleka noma zingabi nempilo enhle.

Ziyini izimpawu ze-blepharitis?

Uma une-blepharitis, ungase ubhekane nenye noma ngaphezulu yalezi zimpawu:

• Ukuvuvukala kwamehlo kanye/noma umuzwa wamafutha.
• Amehlo abomvu, ayaluma, futhi azizwa eshisa.
• Izinkophe namakhona amehlo aqinile, futhi izinkophe ziyanamathelana ekuseni.
• Isikhumba esizungeze amehlo namajwabu amehlo siyaxebuka.
• Amehlo omile noma ukudabuka kakhulu.
• Ukucwayiza kwamehlo njalo.

Kungase kube nezinye izimpawu:

• Ukuzwela ukukhanya, okungukuthi, ubunzima bokubona ukukhanya (i-Photophobia) .
• Umbono ofiphele .
• Izinkophe ziyawa.
• I-Trichiasis yilapho izinkophe zikhula ngaphakathi, okungukuthi, zibheke esweni.

Ziyini izimbangela ze-blepharitis?

Njengoba sishilo ngaphambili, kunezimbangela eziningana eziyinhloko ze-blepharitis. Izinkinga ngokusebenza kwezindlala ze-Meibomian, ezikhiqiza uwoyela ekulimaleni, izifo ezithile zesikhumba , noma izifo kungaba yimbangela.

Izinkinga ze-anterior blepharitis:

• I-acne rosacea: Lesi yisimo sesikhumba esibangela ukuvuvukala kwesikhumba ebusweni futhi singathinta nezinkophe.
• Ukungezwani komzimba: Abanye abantu bangezwani nesisombululo se -contact lens , amaconsi amehlo, noma izimonyo, futhi bangaba nokuvuvukala kwamehlo.
• I-Seborrheic dermatitis: Uma une-dandruff ekhanda lakho, i-sebum ingangena ezinhlamvini zamehlo akho futhi ibangele ukuvuvukala lapho.
• Amehlo omile: Lapho izindlala zezinyembezi zoma, ikhono lazo lokumelana namagciwane liyancipha, futhi izifo zingase zivele.
• I-Demodicosis: Izimbuzane ze-Demodex zingavimba izinkophe nezindlala. Ucwaningo olulodwa luthole ukuthi abantu abangu-30% abane-blepharitis yesikhathi eside babenezimbuzane ze-Demodex.

Izimbangela ze-Posterior blepharitis:

• Ukungasebenzi kahle kwe-Meibomian gland (MGD): Uma amafutha avela kuma-meibomian glands engaphumi kahle, amehlo angomile, avuvuke futhi atheleleke.
• I -rosacea ye-acne
• I-Dandruff

Ungaqagela futhi ukuthi uluhlobo luni lwe-Blepharitis olunayo ngokusekelwe ezimpawini zakho. Isibonelo:

• Uma une-seborrheic blepharitis, ungase ubone izinto ezinamafutha nezinoqweqwe.
• Ku-blepharitis yezilonda, ukuphuma kwegazi kungase kwenzeke lapho kususwa uqweqwe.
• I-Meibomian blepharitis inciphisa ikhwalithi yezinyembezi zakho.
• Ku-Staphylococcal blepharitis, ungase ubone izinkophe ziwa noma ziphenduka ngendlela engafanele.

Zikhona yini ezinye izinto ezingabangela i-blepharitis?

Yebo, ngaphezu kokuba ne-acne rosacea kanye nemibimbi, ungase ube sengozini enkulu yokuthola i-blepharitis ngenxa yezici ezilandelayo:

• Uma unesifo sikashukela (i-Diabetes Mellitus) .
• Uma ugqoka amalensi okuxhumana .
• Uma uvame ukuchayeka ezintweni ezifana nothuli namakhemikhali.
• Uma usebenza noma uhlala endaweni eyomile (lokhu kusebenza nasekuchitheni isikhathi esiningi ezindaweni ezine-air conditioner).
• Uma unezinambuzane eziningi ezihlala esikhumbeni sakho.
• Uma ungasusi izimonyo zakho kahle.
• Uma unesikhumba esinamafutha.
• Uma uthatha imithi ethile, njengokwelashwa komdlavuza.
• Uma udlula esikhathini sokunqamuka kokuya esikhathini noma uhlangabezana nezinguquko zamahomoni.

Ingabe i-blepharitis ibangelwa ukungcola?

Ukungcola kungaba yimbangela yokubangela `(i-Blepharitis)`. Kodwa-ke, akunakushiwo nje ukuthi abantu abangcolile kuphela abathola `(i-Blepharitis). Ukuhlanzeka kungenye yezizathu ezenza abanye abantu bathole `(i-Blepharitis)`.

Khumbula, abantu abaningi abahlanzi amajwabu amehlo abo kanye namajwabu amehlo ngokwahlukana njalo ebusuku. Kodwa-ke, kulabo abanezici eziyingozi, ukugcina amajwabu amehlo abo kanye namajwabu amehlo abo kuhlanzekile kufanele kube yinto eza kuqala.

I-blepharitis itholakala kanjani?

Akukho ukuhlolwa okukodwa okungahlonza ngokunembile i-blepharitis. Udokotela wakho wamehlo angalandela lezi zinyathelo ukuze anqume ukuthi une-blepharitis nokuthi iluhlobo luni:

• Ubuza ngomlando wakho wezempilo: Ubuza ngezimpawu zakho kanye nezinye izimo zempilo, bese ethola ukuthi yiziphi izinto eziyingozi onazo.
• Ukuhlolwa kwangaphandle kwamehlo: Uhlobo kanye nobukhali be-blepharitis kunqunywa ngokubheka ukubukeka kwamehlo akho, ubukhulu bokubomvu, ukuthi kukhona yini ukuphuma kwamanzi, nokuthi avuvukele kangakanani.
• Uma kukhona okuphumayo, amasampula alo ayahlolwa (ukuhluzwa kokukhishwa): Isampula yokuphuma esweni ithunyelwa elabhorethri ukuthola ukuthi yini ekulo, ukuthi hlobo luni lwamagciwane akhona, nokuthi mangaki akhona.
• Kungenziwa ukuhlolwa kokunyenya: Kungathathwa isampula yokunyenya ukuze kubonakale ukuthi amehlo omile ayasiza yini kulokhu.
• Ukuhlolwa kwezinkophe: Izinkophe zingahlolwa nge-microscope ukuze kubonakale ukuthi zikhona yini izibungu.
• Ukuhlolwa kwesikhumba sejwabu:Lokhu akuvamile kakhulu. Udokotela wakho kungadingeka enze i-biopsy ukuze anqume ukuthi unesifo somdlavuza wesikhumba noma amanye amangqamuzana angajwayelekile. Ijwabu lakho lizophelelwa amandla, isampula yamangqamuzana izothathwa ngenaliti bese ibhekwa ngaphansi kwe-microscope. Ungase uzizwe unamanxeba amancane, kodwa ngeke kube khona amanxeba.

Ingabe i-blepharitis ingelashwa ekhaya?

Kwezinye izinhlobo ze-Blepharitis, amakhambi asekhaya angasiza ekunciphiseni izimpawu. Uma ucabanga ukuthi une-Blepharitis, zama lezi zinto:

• Gwema ukufaka izimonyo zamehlo: Kungcono ukugwema ukufaka izimonyo zamehlo kuze kube yilapho ukuvuvukala sekulawulekile, ngoba kungabangela ukucasuka okwengeziwe.
• Faka ama-compress afudumele: Thatha indwangu ehlanzekile, uyicwilise emanzini afudumele, ukhiphe amanzi asele, bese uyibeka phezu kwamehlo akho. Uma indwangu isipholile, yimanzise futhi. Ngemva kwesikhashana, ama-crusts azoba manzi futhi insalela yamafutha izoba lula ukuyisusa. Kunezifihla-buso zokushisa ezifakwa kuma-microwave ezitholakala ezitolo, ezingaba ngcono ngoba zigcina ukushisa isikhathi eside.
• Thola ama-Omega-3: Ezinye izifundo zithole ukuthi ama-omega-3, atholakala kumafutha enhlanzi noma kumafutha embewu yefilakisi, angasiza izindlala zamehlo akho ukuthi zisebenze kahle. Kungumqondo omuhle futhi ukudla imifino eluhlaza nezithelo nokugwema ukudla okunamafutha amaningi.
• Izikhuhla zesembozo: Lezi zitholakala emakhemisi njengezifutho, amagwebu, noma amathawula asongwe ngamanye. Ngokuvamile aqukethe i-hypochlorous acid. Lokhu kusiza ukunciphisa inani lamagciwane ezinkopheni nasesikhumbeni esizungeze izinkophe.

Ungazenzela nesihlanzi sakho sezinkophe ekhaya. Nansi indlela yokwenza:

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* Ungasebenzisi indwangu efanayo esetshenziswa ukuhlanza iso elilodwa kwelinye iso. Sebenzisa indwangu entsha nehlanzekile. Lokhu kungasiza ekunciphiseni ukusabalala kwamagciwane kusuka kwelinye iso kuya kwelinye.

* Yenza ikhambi ngokuxuba i-shampoo yengane engu-50% kanye namanzi angu-50%.

* Songa indwangu efudumele, emanzi emunweni wakho wokukhomba bese ufaka insipho elungisiwe endwangu.

* Njengoba iso lakho livaliwe, hlikihla indwangu kancane ngokuvundlile emaphethelweni ezinkophe bese ugoqa ijwabu izikhathi eziningana.

* Bese ugeza kahle ngendwangu ehlanzekile, efudumele, nemanzi.

* Yenza okufanayo nakwelinye iso.

Uma uqweqwe lunganyamalali ngisho nangemva kokuhlanza amehlo akho kahle ngale ndlela izinsuku ezimbalwa, kufanele nakanjani ubonane nodokotela wamehlo.

Udokotela uphatha kanjani i-blepharitis?

Ukwelashwa kwe-blepharitis yakho kuncike kuhlobo onalo. Ngemva kokuhlola amehlo akho nokwenza noma yikuphi ukuhlolwa okudingekayo, udokotela wakho angase akunikeze eyodwa noma ngaphezulu yalezi zindlela zokwelapha ezilandelayo:

Ama-antibiotic e-Blepharitis

Ungase unikezwe umuthi wokuthambisa ngama-antibiotic – ​​isibonelo , i-Erythromycin , i-Bacitracin ophthalmic, noma i-Polysporin® – noma amaconsi amehlo e-antibiotic – inhlanganisela ye -Polymyxin B ne -Trimethoprim , njenge -Polytrim® . Lokhu kwelashwa kusiza ukulawula ukutheleleka ngamagciwane nokunciphisa ukuvuvukala. Ngezinye izikhathi, ezimweni eziqhubekayo, umuthi wokuthambisa ngama-antibiotic omlomo – njenge -Doxycycline noma i-Azithromycin – nawo unganikezwa.

I-Anti-inflammatories ye-blepharitis

Uma udinga usizo olwengeziwe, udokotela wakho angase afake amaconsi amehlo e-steroid noma ukhilimu ohlelweni lwakho lokwelashwa. Ama-steroid anciphisa ukuvuvukala. Ukuze elaphe imbangela eyinhloko noma ukutheleleka kwesibili, udokotela wakho angase akunikeze inhlanganisela yama-antibiotic kanye nemithi yokulwa nokuvuvukala.

Ama-immunomodulators e-Blepharitis

Ezimweni ze-posterior blepharitis, ukwengeza umuthi wokucindezela amasosha omzimba, njenge- cyclosporine ophthalmic (Restasis®), kuye kwatholakala ukuthi kunciphisa ukuvuvukala. Le mithi isebenza ngokuvimbela impendulo yemvelo yomzimba wakho yokuzivikela, ngaleyo ndlela inciphise ukuvuvukala.

Ukwelapha izimbangela eziyinhloko ze-blepharitis

Ngaphezu kokuqeda izimpawu, kubalulekile futhi ukwelapha imbangela eyinhloko ye-Blepharitis. Izimo zesikhumba (njenge-acne rosacea) noma izimo zamehlo (njenge-dry eye) zingabangela i-Blepharitis ukuthi ibuye. Ezimweni ezinjalo, imithi ethile, okhilimu, noma amaconsi amehlo asiza ukomisa amehlo angasiza.

Ukwelashwa kwe-blepharitis emitholampilo

Manje sekukhona izindlela zokwelapha eziningana ezintsha odokotela abangazisebenzisa emitholampilo yabo. Ezinye zazo zifaka:

• `(Lipiflow®)`: Lokhu kufudumala amehlo futhi kususe amafutha angenampilo.
• Ukwelashwa Kokukhanya Okunamandla Okushukuma: Lokhu kuhilela ukuqondisa ama-pulse okukhanya okubomvu okukhanyayo esikhumbeni.
• `(BlephEx®)`: Lokhu kuzohlanza imiphetho yamehlo akho.

Yiziphi izinkinga ezingaba khona ze-blepharitis uma zingalashwa?

I-blepharitis ayinakwelapheka ngokuphelele. Kodwa-ke, ingalawulwa uma ugcina amehlo akho ehlanzekile. Uma ingelashwa , i-blepharitis ingaholela ezinkingeni zamehlo ezinkulu kakhulu. Ingathinta ikakhulukazi ingxenye engaphambili yeso esobala, i-cornea, engaba yingozi kakhulu.

Izinkinga zingafaka:

• I-Chalazion: Lesi yisigaxa/ukuvuvukala okuncane, okungenabuhlungu okwenzeka esweni.
• Isilonda se-corneal (keratitis): Isilonda se-corneal singakhula ngenxa yokutheleleka okuqhubekayo noma ukuvuvukala kwe-cornea.
• Izinkinga zamajwabu amehlo: Nge-"Blepharitis" yesikhathi eside, amajwabu amehlo angawa, akhule ngendlela exakile, noma alahlekelwe umbala wawo.
• Izifo zamehlo `(Iso elipinki - i-conjunctivitis)`: Ezinye izinhlobo `(i-Blepharitis)` zingaba yisifo samehlo sesikhathi eside.
• I-Stye: Lesi yisigaxa esibomvu nesibuhlungu esakheka esikhumbeni sejwabu eduze kwejwabu.
• Izinkinga zefilimu yokudabuka: Izinyembezi zakhiwa ukulinganisela okubucayi kwe-mucus, uwoyela, namanzi ukugcina amehlo akho emanzi futhi evikelekile. Uma ukungcola noma uwoyela ovela esikhumbeni sakho kuphazamisa, ungase uzwe amehlo omile noma ukudabuka ngokweqile. Amafutha anempilo akhishwa yizinkophe asiza ukuvimbela izinyembezi ukuthi zingashisi. Lapho kukhiqizwa amafutha angenampilo ngenxa ye-blepharitis, amehlo omile angaba yinto evamile nakakhulu.

Indlela yokuvimbela i-blepharitis?

Amacala amaningi e-blepharitis awanakuvinjelwa. Ezinye izinto eziyingozi ze-blepharitis, njengezimo ezithile zesikhumba, azikwazi ukuzilawula. Kodwa-ke, kunezinto ezithile ongayenza nsuku zonke ukusiza ngezimpawu:

• Gcina izandla zakho, ubuso kanye nesikhumba sekhanda kuhlanzekile.
• Gwema ukuthinta amehlo noma ubuso bakho obulumayo. Uma kufanele ubuthinte, sebenzisa izicubu ezihlanzekile.
• Qiniseka ukuthi ususa zonke izimonyo zamehlo ngaphambi kokulala ebusuku.
• Sula izinyembezi eziningi noma umuthi wamehlo ngethishu ehlanzekile.
• Gqoka izibuko esikhundleni sama-contact lens kuze kube yilapho isimo sithuthuka.
• Uma unamehlo omile, futhi udokotela wakho evuma, sebenzisa izinyembezi zokwenziwa.
• Sebenzisa i-shampoo yokulwa ne-dandruff ukugeza izinwele zakho.
• Izimonyo zamehlo – i-eyeliner, isithunzi samehlo, i-mascara – thenga ezintsha. Izitsha ezindala zingaba namagciwane. Ufuna ukuvimbela ukutheleleka kabusha.

I-blepharitis, ebonakala ngokuvuvukala kwamehlo, ukubomvu, nokuluma, ayiyona into ejabulisayo. Kodwa-ke,Ezimweni eziningi, i-blepharitis yisimo ongakwazi ukusilawula. Uma ungakwazi ukwelapha noma yiziphi izinkinga eziyisisekelo, futhi uma ugcina amehlo akho ehlanzekile, unganciphisa ukuvama kwalesi simo.

Ngakho-ke, yimuphi umyalezo esifuna ukuwuthatha ekhaya kule ndaba?

Kulungile, ngakho-ke sesikhulume kakhulu nge-Blepharitis. Into ebaluleke kakhulu okufanele uyikhumbule ukuthi nakuba lesi kuyisimo esivamile, singalawulwa uma siphathwa kahle.

Uma amehlo akho ehlala ebomvu, evuvukile, noma eluma, ungamane uwashaye indiva. Qiniseka ukuthi ubona udokotela wamehlo ukuze uthole iseluleko.

Izindlela zokwelapha zasekhaya, njengezinto ezifudumele zokucindezela kanye namaconsi amehlo, zingasiza ekulawuleni izimpawu. Kubalulekile futhi ukulandela ukwelashwa okunqunywe udokotela wakho. Ikakhulukazi, labo abagqoka izimonyo zamehlo kufanele nakanjani bakususe ngaphambi kokulala ebusuku. Ukuhlanzeka kuyindlela enhle yokuvimbela izimo ezinjalo.

Akukho okufanele ukhathazeke ngakho, i-Blepharitis yisimo esingeke sikuvimbele ukuba uphile impilo evamile uma sixazululwa kahle!

I- Blepharitis, Izifo Zamehlo, Ukuvuvukala Kwamehlo, Amehlo Alumayo, Amehlo Abomvu, Impilo Yamehlo