Blepharitis ndi kutupa kwa m'mphepete mwachikope (m'mphepete mwa pinki wofiyira womwe uli pamtunda wa nsidze). Kutupa uku kumatha kufalikira pakhungu (chikope), mkati mwa chikope, chomwe chili moyang'anizana ndi diso, ngakhale diso lomwe. Zingayambitse kutayika kwa nsidze yotchedwa madarosis.

Zizindikiro za matendawa

    Blepharitis imayambitsa kufiira kwa m'mphepete mwa chikope. Nthawi zina pamunsi pa eyelashes pamakhala zotupa. Mu mawonekedwe otupa kwambiri, pakhoza kukhala edema ya chikope, kupunduka kapena zilonda m'mphepete mwa zikope.

Zimatsagana ndi zomverera za thupi lachilendo, kuyaka, kuyabwa, ngakhale kupweteka komanso kuchepa kwa mawonekedwe achilendo.

Zifukwa za blepharitis

1 / Staphylococcus

Blepharitis yolumikizidwa ndi staphylococcus imayamba posachedwa komanso mwadzidzidzi, kapena imasokoneza blepharitis chifukwa china ndi kuipitsidwa kwamanja.

Kutupa kwa m'mphepete mwachikope kumazindikiridwa, nthawi zambiri kumatsagana ndi kukokoloka kwa ciliary follicle, zolimba zolimba kuzungulira muzu wa nsidze, kutukusira kwa nsidze, kenako kutayika kwa nsidze (madarosis) ndi kusakhazikika kwa m'mphepete (tylosis). )

2 / Demodex

Demodex folliculorum ndi tizilombo toyambitsa matenda tomwe timakhala m'mitsempha ya tsitsi. Zingayambitse demodecidosis ya nkhope (zidzolo zomwe zimawoneka ngati rosacea koma sizichiritsa ndi maantibayotiki).

Mu blepharitis yokhudzana ndi kukula kwa demodex, tizilombo toyambitsa matenda titha kuwoneka ndi maso, omwe amawombera mu mawonekedwe a manja omveka bwino a tubular kuzungulira tsinde la eyelashes.

3/Rosacea

Rosacea ndi matenda omwe amapereka rosacea ndi ziphuphu za masaya ndi mphuno. Matendawa nthawi zambiri amatsagana ndi blepharitis chifukwa amapezeka mu 60% ya milandu ya cutaneous rosacea. Zimawonetsanso za rosacea pomwe palibe zizindikiro zapakhungu mu 20% ya milandu.

Blepharitis ya rosacea imatsagana ndi kukhudzidwa kwapambuyo, kutanthauza kuti mbali ya mucous ya diso ndi kukhudzidwa kwa tiziwalo timene timatulutsa meibomian, glands zomwe zili pa conjunctiva, zomwe zimatambasulidwa, zimatulutsa madzi amafuta ngati mutakanikiza ndikupangitsa misozi filimu mafuta. Nthawi zina glands izi zimatsekedwa ndi pulagi yamafuta ndikuyaka (meibomite)

Conjunctiva ndi yofiira, yokhala ndi ziwiya zotambalala, malo otupa ndipo imatha kukhala ndi zipsera za atrophic.

4 / Seborrheic dermatitis

Seborrheic dermatitis imayambitsa kufiira kouma makamaka m'madera a seborrheic a nkhope (m'mphepete mwa mphuno, makutu a nasolabial, kuzungulira maso, etc.). Zitha kutsagana ndi kutupa pang'ono kwa blepharitis, ndi kuwonongeka kwa chikope ndi dermatitis, ndi mamba amafuta.

5 / Zifukwa zosawerengeka

Zina zomwe zimayambitsa blepharitis ndi psoriasis (mawonekedwe ofanana ndi seborrheic dermatitis), kukhudzana kapena atopic eczema (kuyambitsa chikanga cha m'maso), cicatricial pemphigoid, kuphulika kwa mankhwala, matenda a lupus, dermatomyositis ndi thupi phtiriasis ("Nkhanu" zomwe zimatha kusokoneza nsidze ndi nsidze. kuwonjezera pa kukhudzidwa kwa pubic). 

Chithandizo cha blepharitis

1 / Staphylococcus

Dokotala amagwiritsa ntchito madontho a maso kapena mafuta odzola pogwiritsa ntchito mercury oxide (kawiri pa tsiku kwa masiku 7: Ophtergine®, Yellow mercuric oxide 1 p. 100 Chauvin®), bacitracin (Bacitracine Martinet®), chloramphenicol (Chloramphenicol Faure® mlingo umodzi, umodzi dontho 3 mpaka 6 patsiku), aminoglycosides (Gentalline® m'maso kapena mafuta odzola, Tobrex® m'maso kapena mafuta odzola, katatu patsiku)

Mafutawa angagwiritsidwe ntchito kuwonjezera pa madontho a maso ndipo adzagwiritsidwa ntchito madzulo. Zimapangitsa kufewetsa kwa crusts.

Pali ma antibiotic a m'maso opangidwa ndi fluoroquinolones, omwe ndi okwera mtengo komanso osagwiritsidwa ntchito kawirikawiri. Momwemonso, ma cyclins sagwiritsidwa ntchito kawirikawiri chifukwa cha kukana kwa mitundu yambiri ya staphylococci.

Kugwiritsa ntchito munthawi yomweyo ma corticosteroids ndi maantibayotiki (mafuta a Gentasone®) kumatsutsana, koma kumathandizira kuwongolera mwachangu kwazizindikiro zogwira ntchito kuposa mankhwala opha maantibayotiki okha: chithandizo chamankhwala am'deralo cha corticosteroid chiyenera kugwiritsidwa ntchito mosamala kwambiri, akapezeka ndi matenda a keratitis (herpes). …) adalamulidwa ndi dokotala wamaso.

2 / Demodex

Chithandizo chimaphatikizapo 1% mercury oxide mafuta odzola. 100 (Ophtergine®, Yellow mercuric oxide 1 p. 100 Chauvin®), mayankho a boric acid (Dacryosérum® single dose, Dacudoses®) ndi kuchotsa makina a manja a ciliary ndi forceps.

3/Rosacea

Kuchotsa zotupa zamafuta ku glands za meibomian

Dokotala amalimbikitsa kuti azisisita zikope kawiri pa tsiku kuti atulutse mafuta otuluka m'matumbo a meibomian. Kutikita minofu kukhoza kutsogozedwa ndi kugwiritsa ntchito compresses woviikidwa m'madzi otentha omwe amachepetsa zotsekemera.

Menyani ndi diso louma

Kugwiritsa ntchito misozi yokumba popanda kusungirako (Gel-Larmes® single dose, 2 mpaka 4 pa tsiku, Lacryvisc® single dose, ophthalmic gel).

Chithandizo cha rosacea

Dermatologist amagwiritsa ntchito maantibayotiki am'kamwa (ma cyclins: Tolexine®, 100 mg / tsiku kwa milungu 12) omwe amakhudza osati kokha pakhungu la rosacea komanso blepharitis.

Ma cyclins amderalo monga oxytetracycline (Tetranase®) alibe Chilolezo Chotsatsa paziwonetserozi koma amathanso kukhala ogwira mtima.

Gel Metronidazole pa 0,75 p. 100 (Rozex gel®) itha kugwiritsidwa ntchito kamodzi patsiku pakhungu la zikope ndi m'mphepete mwaulere kwa milungu 12.

4 / Seborrheic dermatitis

Chisamaliro chaukhondo ndichofunikanso, kuti tithe kuchotsa mafuta ochulukirapo ndi mamba omwe amapanga gwero la kuchulukira kwa bakiteriya ndi kukwiya pogwiritsa ntchito mankhwala oyeretsa m'maso (Blephagel®, Lid-Care®…).

Blepharitis yokhudzana ndi seborrheic dermatitis nthawi zambiri imakhudzidwa ndi staphylococci, choncho imafunika chithandizo chofanana ndi staphylococcal blepharitis.

Lingaliro la dokotala wathu

zikhomo

Dermatonet.com, tsamba lazidziwitso pakhungu, tsitsi ndi kukongola ndi dermatologist

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