Meibomian Gland Dysfunction, kana MGD, inenge yemaziso iyo yakazara zvokuti kunyange vanachiremba vanowanzokanganwa kuitarisa kunyange kana varwere vane zviratidzo. MGD rudzi rwe blepharitis. Blepharitis izwi rinorondedzera kupisa uye dzimwe nguva kutapukira kwechikoyi. Blepharitis yakarongeka seanoratidzika kana shure kwe blepharitis.
Anterior blepharitis inobata chikamu chepamberi chemajeri uye eyelashes. Anterior blepharitis inokonzera thickening yeoiaid, redness, uye crusty eyelashes uye inowanzokonzerwa zvikuru nemaktheria e staphylococcus ayo tose tine muviri wedu. Iyo inowedzera kuunganidzirwa pameso emaoko uye kushungurudza mune vamwe vanhu. Posterior blepharitis inoshandiswa sehweibomian gland kusagadzikana.
Iko kune zvinyorwa zvema 40-50 meibomi pamakona ekumusoro uye ma-glands makumi maviri nemaviri pamawere emazasi. Zvinyorwa zveMeibomian zvipembenene zvakakura zvegungwa zvinokonzera mafuta kana meibum. Nguva imwe neimwe patinenge tanyunguduka, zvigunwe izvi zvinokonzera meibum uye zvinopararira pamusoro pemisoro yemisodzi. Uyu hutatu hwemafuta hunodzivisa kubvarura firimu evaporation uye kunobatsira kuchengeta maziso edu akazara.
MuMGD, zvipembenene izvi zvinopisa. Nokufamba kwenguva, makemikari anoita mafuta ano-secretion anochinja uye dzimwe nguva anova akawandisa. Mune zvimwe zviitiko, meibum inopfuura-yakagadzirwa uye kune zvakawanda zvayo.
Ichi chiitiko chinonzi meibomian seborrhea.
MGD inokonzera firimu isina kubvongodzwa yemabvu. Firimu inobvarura iyo inobvarura ziso redu yakaoma zvikuru uye kana ikava isina kugadzikana kana yehutsika hwakanaka, pamusoro peziso rinotanga kupisa. Meso acho anotsvuka, anotsamwirwa, akaomeswa uye anogona kuita kuti chiratidzo chive kuchinja zuva nezuva.
Chirwere cheMGD chisingaiti chinogona kukonzera glands kuti idzivirirwe, inokonzerwa uye inotapukirwa. Apo inotapukirwa, inonzi hordeolum kana stye. Apo hordeolum haina kuporesa zvakanaka uye inopfuurira kwemavhiki, dzimwe nguva inogona kuva chalazion .
Zviratidzo zveMGD
Vanhu vane MGD vakapopotera nezve:
- Red-rimmed eyelid margins
- dry eyes
- sandy, gritty sensation
- kuchinja kwechiono
Zvinofadza kuti varwere vakawanda vanong'un'una pavanenge vachibuda mumvura inopisa. Vanoti maziso avo ave akajeka zvikuru uye dzimwe nguva vanonzwa kuvhara, kushaya marwadzo eziso. Izvi zvinowanzoitika nokuti pane kuchinja kamwe-kamwe mumumvuri muimba yekugezera uye firimu rinosvimha rinoramba risina kugadzikana nokukurumidza zvikuru. Ziso rinooma uye iyo cornea, iyo yakajeka dome-yakafanana sarudzo pamucheto wekutanga weziso, haisati yakanyatsorongedzwa uye inopera.
Izvozvo zvinoratidzei kuongorora MGD?
Vanachiremba vemaziso vanoongorora hutano hwekutanga hunobva pane zvirwere zvechirwere. Pasi pema microscope, vanachiremba vachaona kuti mazamu eefodhi anowira mavara matsvuku, vascularized uye meibomian angaratidzika kunge akabudiswa. Firimu inochera haigadzikani. Vanachiremba vanoyera chimwe chinhu chinonzi TBUT-kubvarura firimu inopedza nguva. Kana hutete huri pamusoro pepanyika husingaiti, vanhu vane TBUT shoma.
Chirwere cheTCTUT chinowanzoitika anenge masekondi gumi. Izvo zvipembenene zvinyorwa zvinogona kuratidzirwa uye zvakanyanya kudarika zvinowanzoitwa meibum zvinoonekwa. Imwe firimu yemabhesi dzimwe nguva inoonekwa seine mafuta. Dzimwe nguva, misodzi ichave yakasvibiswa, ichioneka.
MGD inobatwa sei?
Kurapa kwehutano hwemheibomian kusagadzikana kunosiyana zvichienderana nekuoma.
- Lid Hygiene - Vanachiremba vakawanda vanotanga kukurudzira kushambidzika kunononoka zuva rimwe nerimwe rakateverwa nedzimwe mhando yehuputi hwehupfeko eyelid scrubs. Zvokutengeserana zvinowanikwa zvemaofisi eefodhi zvinogadziriswa zvinowanikwa pane peji. Zvitsva zvemakemikari emakemikari akadai se hypochlorous acid solution akawanikwa ari anobatsira zvikuru zvakare.
- Mishonga inorwisa mabhakitiriya - Tetracycline uye tetracycline zvigadzirwa zvakadai sa doxycycline kana minocycline zvakaratidzwa kuva nehuviri hwekurapa. Vanoderedza nhamba yebhakitiriya iri muhutu uye zvakare yakaratidzwa kuva ne-anti-inflammatory effect pamasero. Dzimwe nguva varwere vangada kuvashandisa kwemavhiki akawanda kusvika mwedzi. Munguva pfupi yapfuura, azithromycin yakapiwa kwemazuva masere chete yakaratidzwa kuenzanisa mishonga imwechete yekurapa se tetracycline inopiwa kwenguva yakareba. Kubatsirwa kwaro kunopesana pakati pevashandi vekuona
- Zvinyorwa zvemashoko ekurwisa mishonga - Azithromycin inowanikwawo sejechasiki, iyo inonzi Azasite (Akorn Pharmaceutical) Vamwe vashandi vanogadza vaAzasite kuti vashandise marita eyelipi zvakananga usiku humwe. Izvi zvingave zvakanyorerwa chero kupi zvayo kubva pazuva 10-30.
- Nyaya dzeTopical steroids - Nyaya dzepamusoro madonhwe eziso dzinopiwawo pamwe chete apo MGD inokonzera kuputika kukuru.
- Omega 3 supplements - Omega 3 fatty acids kana ichipiwa murapa hwekurapa yakaratidzwa kuti ichengetedze zvipembenene zvemukoko.
Chii chinoitika kana MGD isiri kurapwa zvakanaka?
Kana MGD isiri kurapwa, imwe nzira yakanyanya yeicular surface inogona kukura uye inogona kuratidza zviratidzo zvinogona kuchinja hupenyu hwehupenyu. Nemhaka yokuti MGD inokonzera kubuda kwemaziso akaoma, iyo cornea inogona kuve yakasvibiswa uye yakaoma kusvika pane imwe nzvimbo iyo mutsvuku unogona kuumba. Kana MGD isingagumi, inogona kukonzera mafungiro emagetsi kuti atrophy. Kana vachinge vatsvaga, zvakaoma zvikuru kuti zviite kuti zviite zvakare zvakare. MGD inogona kukura kuva rosacea yakaoma, iyo inogona kutsvaga kurapwa kwakanyanya kwechisimba.
> Kwakabva:
> Kashkouli MB, Fazel AJ, Kiavash V, et al. Oral azithromycin inoshandiswa ne doxycycline mumishonga inobata meibomian: kushandiswa kwemakiriniki emakiriniki asina kuvharwa mairi. Br J Ophthalmol. 2015 Feb; 99 (2): 199-204.