Menene blepharitis?

Menene blepharitis?

Blepharitis kumburi ne na gefen kyauta na fatar ido (launin ruwan hoda mai ruwan hoda wanda yake a matakin gashin idanu). Wannan kumburin na iya yaduwa zuwa fata (fatar ido), ciki na fatar ido, wanda yake kan ido, ko ma ido da kansa. Zai iya haifar da asarar gashin ido da ake kira madarosis.

Alamomin cutar

    Blepharitis yana haifar da jajayen gefen fatar ido. Wani lokaci akwai adibas na adibas a gindin gashin ido. A cikin nau'ikan kumburi, ana iya samun kumburin fatar ido, nakasa ko ulcers a gefen fatar ido.

Yana tare da abubuwan jin daɗi na jikin waje, ƙonawa, ƙaiƙayi, har ma da ciwo kuma mafi ƙarancin raguwa a cikin gani.

Sanadin blepharitis

1 / Staphylococcus

Blepharitis da ke da alaƙa da staphylococcus na ɗan lokaci ne na farat ɗaya, ko kuma yana rikitar da blepharitis na wani sanadin ta hanyar gurɓatawa da hannu.

Ana yin alamar kumburin gefen fatar fatar ido, galibi yana tare da yashewar ciliary follicle, ɓarna mai ƙarfi a kusa da tushen gashin idanu, murɗawa a kusa da gashin ido, sannan asarar gashin ido (madarosis) da rashin daidaituwa na gefen fatar ido (tylosis) )

2/ Demodex

Demodex folliculorum fatar fata ce da ke rayuwa a cikin gashin gashin fuska. Zai iya haifar da demodecidosis na fuska (fatar da ta yi kama da rosacea amma ba ta warkar da maganin rigakafi).

A cikin blepharitis da ke da alaƙa da haɓaka demodex, ana iya ganin parasites tare da ido tsirara, wanda ke taruwa a cikin madaidaicin hannayen tubular a kusa da gindin gashin ido.

3 / Rosacea

Rosacea cuta ce da ke ba da rosacea da pimples na kunci da hanci. Wannan cutar ana yawan haɗa ta da blepharitis tunda an same ta a cikin 60% na cututtukan rosacea na fata. Har ma yana nuna rosacea lokacin da babu alamun fata har yanzu a cikin 20% na lokuta.

Blepharitis na rosacea yana tare da rashi na baya, wato game da gefen mucous na fatar ido tare da shiga cikin ƙwayoyin meibomian, gland ɗin da ke kan conjunctiva, waɗanda ke daɗaɗawa, ba da ruwa mai mai idan kun danna shi kuma ku yi fim mai hawaye. Wani lokaci ana toshe waɗannan gland ɗin ta toshe mai mai ƙonewa (meibomite)

Conjunctiva ja ne, tare da tasoshin faɗaɗawa, wuraren kumbura kuma yana iya ma a cikin matakai masu tasowa suna da tabon atrophic.

4 / Seborrheic dermatitis

Seborrheic dermatitis yana haifar da bushewar bushewa galibi a cikin sassan seborrheic na fuska (gefunan hanci, nasolabial folds, kusa da idanu, da sauransu). Zai iya kasancewa tare da ɗan ƙaramin kumburi mai kumburi, tare da lalacewar fatar ido ta dermatitis, tare da sikelin mai

5 / Sababbin Rare

Sauran abubuwan da ke haifar da blepharitis sune psoriasis (bayyanar kama da seborrheic dermatitis), lamba ko atopic eczema (wanda ke haifar da fatar ido), cicatricial pemphigoid, fashewar miyagun ƙwayoyi, lupus na yau da kullun, dermatomyositis da phtiriasis na jiki (“Crabs” wanda zai iya mamaye gira da gashin ido). ban da shiga cikin jama'a). 

Magungunan likita don blepharitis

1 / Staphylococcus

Likitan yana amfani da ruwan ido ko man shafawa wanda ya danganta da oxide mercury (sau biyu a rana tsawon kwanaki 7: Ophtergine®, Yellow mercuric oxide 1 p. 100 Chauvin®), bacitracin (Bacitracine Martinet®), chloramphenicol (Chloramphenicol Faure® guda ɗaya, ɗaya saukad da sau 3 zuwa 6 a rana), aminoglycosides (Gentalline® saukad da ido ko maganin shafawa, Tobrex® ido ya faɗi ko maganin shafawa, aikace -aikace 3 / rana)

Ana iya amfani da man shafawa ban da ruwan ido sannan za a shafa da yamma. Yana ba da damar yin laushi na ɓawon burodi.

Akwai saukad da ido na ƙwayoyin cuta dangane da fluoroquinolones, waɗanda suka fi tsada kuma ba kasafai ake amfani da su ba. Hakanan, ba kasafai ake amfani da cyclins ba saboda juriya na yawancin nau'ikan staphylococci.

Amfani da corticosteroids lokaci guda da maganin rigakafi (Gentasone® maganin shafawa) yana da rigima, amma yana ba da damar haɓakawa da sauri a cikin alamun aikin fiye da maganin rigakafi kawai: yakamata a yi amfani da maganin corticosteroid na gida tare da kulawa mai kyau, da zarar an gano cutar keratitis (herpes). …) Wani likitan ido ya yanke hukunci a hukumance.

2/ Demodex

Jiyya ya ƙunshi aikace -aikacen 1% maganin shafawa na mercury. 100 (Ophtergine®, Yellow mercuric oxide 1 p. 100 Chauvin®), mafita na boric acid (Dacryosérum® kashi ɗaya, Dacudoses®) da kuma cire injin injunan ciliary da ƙarfi.

3 / Rosacea

Cire ɓoyayyen mai daga ƙwayar meibomian

Likitan ya ba da shawarar tausa fatar ido sau biyu a rana don fitar da abubuwan da ke fitar da mai daga gland na meibomian. Za a iya yin wannan tausa ta hanyar amfani da matsewar da aka jiƙa a cikin ruwan zafi wanda ke tausar da ɓoyewar.

Yaƙi da bushewar ido

Amfani da hawaye na wucin gadi ba tare da kariya ba (Gel-Larmes® kashi ɗaya, sau 2 zuwa 4 a rana, Lacryvisc® kashi ɗaya, gel na ido).

Maganin rosacea

Likitan fatar jiki yana amfani da maganin rigakafi na baka (cyclins: Tolexine®, 100 mg / rana na makonni 12) waɗanda ke da tasiri mai kyau ba kawai akan rosacea na fata ba har ma akan blepharitis.

Cyclins na gida kamar oxytetracycline (Tetranase®) ba su da izinin Talla a cikin wannan nuni amma kuma suna iya yin tasiri.

Gel na Metronidazole a 0,75 p. Ana iya amfani da 100 (Rozex gel®) sau ɗaya a rana zuwa farfaɗɗen fatar ido da gefensu na kyauta na tsawon makonni 12.

4 / Seborrheic dermatitis

Kula da tsabtar jiki yana da mahimmanci, don kawar da ɓawon burodi da sikeli wanda ya zama tushen yaduwar ƙwayoyin cuta da haushi ta amfani da samfurin tsabtace ido (Blephagel®, Lid-Care®…).

Blepharitis da ke da alaƙa da seborrheic dermatitis galibi ana gurbata shi da staphylococci, don haka yana buƙatar magani mai kama da staphylococcal blepharitis.

Ra'ayin likitan mu

Blepharitis galibi cuta ce mara kyau (ban da cutar staphylococcal) amma naƙasa da damuwa a kullun. Sau da yawa alama ce ta cututtukan cututtukan fata (kumburin staphylococcal na fata, rosacea, seborrheic dermatitis, demodecidosis, da dai sauransu) wanda likitan fata dole ne ya yi aiki da kyau ban da kulawar da likitan ido ya bayar. Sabili da haka cutar kan iyaka ce ga waɗannan ƙwararrun ƙwararrun biyu waɗanda dole ne suyi aiki tare don taimakawa marasa lafiya.

Dokta Ludovic Rousseau, likitan fata

wuri

Dermatonet.com, shafin bayanai akan fata, gashi da kyawu ta likitan fata

www.dermatone.com

Ƙarin bayani akan jan ido: http://www.dermatonet.com/oeil-rouge-yeux-rouges.htm/

Rubutu: Dokta Ludovic Rousseau, likitan fata

Afrilu 2017

 

1 Comment

  1. Маш OLON ийм шинжтэмдэгтэй дэгүй IRHIIN KANAR L SAN KYAUTA KYAUTA…

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