Prevention

Ungasiza ekuvimbeleni i-dry eye syndrome ngokuthatha imikhuba ethile:

• Gwema ukwamukelaair ngqo emehlweni.
• Sebenzisa umswakama.
• Yehlisa ukushisa.
• Gqoka ezinye izibuko ngaphandle.
• Yehlisa inani lamahora ogqoka ama-contact lens.
• Gwema ukubhema.
• Gwema umkhathi ongcolile,
• Yenza amakhefu avamile ngesikhathi sokusebenza isikhathi eside kukhompuyutha, noma ngenkathi ufunda, ubheka kude imizuzwana embalwa futhi ucwayiza.
• Funda ipheshana lephakheji lanoma yimuphi umuthi owuthathayo futhi ubuze udokotela wakho ukuthi kungenzeka yini ukushintshwa kwawo uma engabangela amehlo omile.
• Gqoka izibuko ezivaliwe ukuze uvikele iso endaweni enokhahlo kanye nokugcina umswakama ophezulu emehlweni.
• Ungalokothi uye ku-swimming pool ngaphandle kokugqoka izibuko zokuzivikela, i-chlorine ecasulayo emehlweni.

Imithi yokwelashwa

- Ukwelashwa kokuqala okulula nokushesha kakhulu kokukhululeka ukusetshenziswa iso lihla noma izinyembezi zokufakelwa (amaconsi esweni athambisayo) okuvala ukushoda kwezinyembezi. Le ndlela ngokuvamile inikeza impumuzo ezimweni ezithambile ze amehlo omile. Udokotela noma udokotela wamehlo angase atuse uhlobo olufanele lwamaconsi, kuye ngecala, njengoba kungewona wonke amaconsi adalwe alinganayo. Ezinye, njenge-serum ye-physiological, aqukethe kuphela usawoti wamanzi namaminerali, kuyilapho ifilimu yezinyembezi iqukethe ama-lipids (amafutha anendima yokugcoba). Ngakho-ke ama-gel okugcoba ahloselwe amehlo omile asebenza kangcono.

– Ukuvuselela ukucwayiza kwamehlo kulula, kodwa ngezinye izikhathi kuyasiza kakhulu.

I-Azithromycin, isibulala-magciwane emaconsi esweni, kungenzeka sithuthukise amehlo omile, hhayi ngomphumela wama-antibiotic, kodwa mhlawumbe ngomphumela we-anti-enzymatic okwenza kube nokwenzeka ukuthuthukisa ikhwalithi yokuphuma kwegazi. Umthamo ungamaconsi ama-2 ngosuku izinsuku ezi-3, izikhathi ezingama-2-3 ngenyanga.

Amanye ama-antibiotics ngomlomo angasetshenziswa ngenjongo efanayo (i-azythromycin, i-doxycycline, i-minocycline, i-lymecycline, i-erythromycin, i-metronidazole).

- Kwezinye izimo izidakamizwa ezinomphumela wokulwa nokuvuvukala zingaba nomphumela othokozisayo, i-corticosteroids, amaconsi iso e-cyclosporine,

– Ukusetshenziswa kwezibuko ezifudunyezwayo ezinegumbi elinomswakama kuthuthukisa iso elomile (Blephasteam®) kungase kuphakanyiswe udokotela wamehlo.

- Angakwazi futhi ukunikeza ama-scleral lens ukugcina i-cornea imanzi ngaso sonke isikhathi.

- Inqubo entsha ingaphatha amehlo athile omile, lawo lapho ifilimu ye-lipid ingasakhiqizwa ngokwanele yizindlala ze-meibomian. Kungase kwanele ukufudumala amajwabu amehlo ngokucindezela okushisayo, bese uwabhucunga nsuku zonke, okushukumisa noma okuvula lezi zindlala. Kunamadivaysi (i-lipiflow®) asetshenziswa odokotela bamehlo ukuze bashise ingaphakathi lamajwabu amehlo futhi bawabhucunge, kuyilapho bevikela ingaphezulu leso. Le ndlela ivuselela lezi zindlala okuholela ekududuzeni kwamehlo okungcono nokuncipha kwesidingo sefilimu yezinyembezi yokwenziwa. Ukusebenza kwalokhu kwelashwa cishe izinyanga eziyi-9 futhi kusabiza.

Odokotela bamehlo bangakwazi futhi ukwenza ukuhlola-ukuvula izindlala ze-Meibomian besebenzisa ama-probe asetshenziswa kanye (ama-Maskin® probes)

– Kuyenzeka futhi ufake ama-microscopic silicone tear plugs ezindaweni zokuphuma izinyembezi ukuze kwandiswe ubuningi bawo esweni. Kwesinye isikhathi kuyasiza ukucabangela ukukhishwa kwe-cauterization kwezimbobo zokukhipha izinyembezi.

Ukwelashwa okuhambisanayo

Amafutha e-sea buckthorn ngendlela ngomlomo⁴. Ngegramu engu-1 yala mafutha ekuseni nakusihlwa ku-capsule, ezinyangeni ezintathu ukuthuthukiswa kwezimpawu zamehlo omile kwabonwa uma kuqhathaniswa ne-placebo, ikakhulukazi ukubomvu kwamehlo kanye nezinzwa ezivuthayo kanye nekhono lokugqoka ama-lens. yokuxhumana.

Ama-Omega-3 ahlotshaniswa nama-antioxidants⁵ : Ama-capsules angu-3 ngosuku amaviki angu-12 esengezo sokudla esiqukethe i-omega-3 nama-antioxidants alethe ukuthuthukiswa kwamehlo omile. Ama-antioxidants kwakunguvithamini A, i-ascorbic acid, i-vitamin E, i-zinc, ithusi, i-magnesium, i-selenium, nama-amino acids, i-tyrosine, i-cysteine ​​​​ne-glutathione (i-Brudysec® 1.5 g).