I-Blepharitis ukuvuvukala komphetho wamahhala wejwabu leso (irimu ebomvu enombala obomvana otholakala ezingeni lezinkophe). Lokhu kuvuvukala kungasakazeka esikhunjeni (ijwabu leso), ingaphakathi lejwabu leso, elibhekene neso, noma iso uqobo. Kungadala ukulahleka kwe-eyelash okubizwa nge-madarosis.

Izimpawu zesifo

    I-Blepharitis ibangela ububomvu bekhasi lejwabu leso. Kwesinye isikhathi kukhona ama-crusty deposits ezansi kwezinkophe. Ezimweni zokuvuvukala kakhulu, kungahle kube khona i-edema yejwabu leso, ukukhubazeka noma izilonda emaphethelweni amajwabu amehlo.

Kuhambisana nokuzwa komzimba wangaphandle, ukushisa, ukulunywa, ngisho nobuhlungu futhi akuvamile ukuncipha kokubona kahle.

Izimbangela ze-blepharitis

1 / Staphylococcus

I-blepharitis exhunywe ne-staphylococcus isanda kuqala futhi kungazelelwe, noma yenza kube nzima i-blepharitis yesinye imbangela ngokungcoliswa ngesandla.

Ukuvuvukala komphetho wamahhala wejwabu leso kumakwa, okuvame ukuhambisana nokuguguleka kwe-ciliary follicle, ama-crusts aqinile azungeze impande ye-eyelashes, ukukhwabanisa okuzungezile kwe-eyelashes, bese kuba nokulahlekelwa kwe-eyelashes (madarosis) kanye nokungahambi kahle kwejwabu leso (tylosis). )

2 / Demodex

I-Demodex folliculorum i-parasite yesikhumba ehlala ezinhlakeni zezinwele zobuso. Kungadala i-demodecidosis yobuso (ukuqubuka okubukeka njenge-rosacea kepha akuphulukisi ngama-antibiotics).

Ku-blepharitis ehlobene nokudlulela kwe-demodex, ama-parasites angabonakala ngeso lenyama, eligcwele ngesimo semikhono ye-tubular ecacile ezungeze isisekelo se-eyelashes.

3/Rosacea

IRosacea iyi-pathology enikeza i-rosacea nezinduna zezihlathi namakhala. Le pathology ivame ukuhambisana ne-blepharitis ngoba itholakala kuma-60% wamacala we-rosacea enqamulelayo. Kubonisa ngisho ne-rosacea lapho kungekho zimpawu zesikhumba okwamanje kuma-20% wamacala.

I-Blepharitis ye-rosacea ihambisana nokubandakanyeka kwangemuva, okungukuthi, ngokuphathelene nohlangothi lwamajwabu leso ngokubandakanyeka kwezindlala ze-meibomian, izindlala ezise-conjunctiva, ezihluziwe, zikhipha uketshezi olunamafutha uma ucindezela kulo bese wenza ifilimu yezinyembezi linamafutha. Kwesinye isikhathi lezi zindlala zivinjelwa yi-plug enamafutha bese iyasha (meibomite)

Isihlanganisi sibomvu, sinemikhumbi evulekile, izindawo ezivuvukele futhi kungenzeka ukuthi nasezigabeni ezithuthukile zibe nezibazi ze-atrophic.

I-4 / Seborrheic dermatitis

I-seborrheic dermatitis ibangela ububomvu obomile ikakhulukazi ezindaweni ze-seborrheic ebusweni (emaphethelweni ekhaleni, amafolda e-nasolabial, azungeze amehlo, njll.). Ingahambisana ne-blepharitis evuvukala kancane, ngomonakalo kujwabu leso yi-dermatitis, enezikali ezinamafutha

5 / Izimbangela ezingandile

Ezinye izimbangela ze-blepharitis i-psoriasis (ukubukeka okufana ne-seborrheic dermatitis), ukuthintana noma i-atopic eczema (okuholela eczema yejwabu leso), i-cicatricial pemphigoid, ukuqhuma kwezidakamizwa, i-lupus engapheli, i-dermatomyositis kanye ne-phtiriasis yomzimba (“Izinkalankala” ezingahlanganisa amashiya nezinkophe. ngaphezu kokubandakanyeka kwe-pubic). 

Ukwelashwa kwe-blepharitis

1 / Staphylococcus

Udokotela usebenzisa amaconsi wamehlo noma amafutha okugcoba asuselwa kwi-mercury oxide (kabili ngosuku izinsuku eziyi-7: i-Ophtergine®, i-Yellow mercuric oxide 1 p. 100 Chauvin®), i-bacitracin (Bacitracine Martinet®), i-chloramphenicol (i-Chloramphenicol Faure® umthamo owodwa, owodwa lahla izikhathi ezi-3 kuye kwezingu-6 ngosuku), ama-aminoglycosides (amaconsi e-Gentalline® noma amafutha, i-Tobrex® eye eye noma amafutha, izicelo ezi-3 / usuku)

Amafutha angasetshenziswa ngaphezu kwamaconsi wamehlo futhi azosetshenziswa kusihlwa. Ivumela ukuthamba kwama-crusts.

Kunamaconsi ehlo elwa namagciwane asuselwa kuma-fluoroquinolones, abiza kakhulu futhi angasetshenziswa kakhulu. Ngokufanayo, ama-cyclins awavamile ukusetshenziswa ngenxa yokumelana nezinhlobo eziningi ze-staphylococci.

Ukusetshenziswa ngasikhathi sinye kwe-corticosteroids kanye ne-antibiotic (i-Gentasone® ointment) kuyimpikiswano, kepha kuvumela ukwenziwa ngcono ngokushesha kwezimpawu zokusebenza kune-antibiotic iyodwa: ukwelashwa kwe-corticosteroid yendawo kufanele kusetshenziswe ngokucophelela okukhulu, uma kutholakala i-keratitis esithathelwanayo (i-herpes …) Ngokusemthethweni kukhishwe ngudokotela wezifo zamehlo.

2 / Demodex

Ukwelashwa kufaka ukusetshenziswa kwe-1% yamafutha we-mercury oxide. 100 (Ophtergine®, Yellow mercuric oxide 1 p. 100 Chauvin®), izixazululo ze-boric acid (iDacryosérum® single dose, Dacudoses®) nokususwa kwemikhono yemikhono ye-ciliary nge-forceps.

3/Rosacea

Ukususa uketshezi olunamafutha kwizindlala ze-meibomian

Udokotela uncoma ukubhucunga amajwabu amehlo kabili ngosuku ukuze kukhishwe uketshezi olunamafutha kusuka kwizindlala ze-meibomian. Lokhu kubhucungwa kungandulelwa ukusetshenziswa kokucinana okufakwe emanzini ashisayo okuthambisa uketshezi.

Lwela iso elomile

Ukusetshenziswa kwezinyembezi zokufakelwa ngaphandle kwesinqanda mathe (i-Gel-Larmes® umthamo owodwa, izikhathi ezi-2 kuye kwezingu-4 ngosuku, umthamo owodwa weLacryvisc ®, i-ophthalmic gel).

Ukwelashwa kwe-rosacea

Udokotela wesikhumba usebenzisa ama-antibiotics omlomo (ama-cyclins: i-Tolexine®, i-100 mg / usuku amasonto ayi-12) anomthelela omuhle hhayi kwi-rosacea enqamulelayo kuphela kepha nakwi-blepharitis.

Ama-cyclin endawo afana ne-oxytetracycline (Tetranase®) awanayo Imvume Yokumaketha kulesi sibonakaliso kodwa angasebenza futhi.

Ijeli ye-Metronidazole ku-0,75 p. I-100 (i-Rozex gel®) ingasetshenziswa kanye ngosuku endaweni yesikhumba yamajwabu amehlo kanye nonqenqema lwazo lwamahhala amasonto ayi-12.

I-4 / Seborrheic dermatitis

Ukunakekelwa kwenhlanzeko kubalulekile futhi, ukuze kuqedwe uqweqwe olunamafutha kanye nezikali eziwumthombo wokwanda kwamagciwane kanye nokucasuka ngokusebenzisa umkhiqizo wokuhlanza amajwabu leso (Blephagel®, Lid-Care®…).

I-Blepharitis exhunywe ne-seborrheic dermatitis ivame ukungcoliswa ne-staphylococci, ngakho-ke idinga ukwelashwa okufana ne-staphylococcal blepharitis.

Umbono kadokotela wethu

iziNdawo

I-Dermatonet.com, indawo yolwazi esikhunjeni, izinwele kanye nobuhle ngudokotela wesikhumba

www.edermatonet.com

Imininingwane engaphezulu ngeso elibomvu: http://www.dermatonet.com/oeil-rouge-yeux-rouges.htm/