ʻO Blepharitis kahi mumū o ka maka manuahi o ka eyelid (ka ʻulaʻula ʻulaʻula a pinkish ma ka pae o nā maka maka). Hiki ke pālahalaha kēia ʻōpala i ka ʻili (ka lihilihi), ka loko o ka maka, aia i kū i ka maka, a i ʻole ka maka ponoʻī. Hiki iā ia ke kumu i ka nalowale ʻana o ka eyelash i kapa ʻia ʻo madarosis.

Nā hōʻailona o ka maʻi

    Hoʻokumu ʻo Blepharitis i ka ʻulaʻula o ka palena maka. I kekahi manawa aia nā waihona crusty ma ke kumu o nā maka maka. I nā ʻano hoʻoweliweli loa, aia paha he edema eyelid, deformities a i ʻole ulcer ma ka lihi o nā eyelids.

Hele pū ʻia me nā ʻano o ke kino haole, ke ahi, ka ʻili, a me ka ʻeha a ʻoi iki ka emi ʻana o ka ʻike maka.

Nā kumu o ka blepharitis

1 / ʻO Staphylococcus

Pili ʻo Blepharitis i ka staphylococcus i kēia manawa a hoʻomaka koke paha, a i ʻole hoʻopilikia i ka blepharitis o kekahi kumu e ka hoʻohaumia lima.

Kaha ʻia ka mumū o ka maka manuahi o ka eyelid, hele pinepine ʻia e nā erosion o ka ciliary follicle, nā pāpaʻi paʻakikī a puni ke aʻa o nā maka maka maka, nā scill scaling a puni ka eyelash, a laila ka nalowale ʻana o ka eyelash (madarosis) a me kahi kūpono ʻole o ka maka maka (tylosis )

2 / Demodex

ʻO Demodex folliculorum kahi ʻili parasite e ola ana i nā lauoho lauoho o ka maka. Hiki iā ia ke alakaʻi i ka demodecidosis o ka maka (kahi ʻāʻī e like me ka rosacea akā ʻaʻole hoʻōla me nā antibiotic).

I ka blepharitis e pili ana i ka demodex overgrowth, hiki ke ʻike ʻia nā parasites me ka maka ʻōlohelohe, ka mea e ʻālohilohi ana i ke ʻano o nā pūlima tubular maopopo e pili ana i ke kumu o nā maka maka.

3 / Rosacea

ʻO Rosacea kahi maʻi pilikino e hāʻawi ana i ka rosacea a me nā pimples o nā papalina a me ka ihu. Hele pinepine ʻia kēia pathology me ka blepharitis ma muli o ka loaʻa ma 60% o nā hihia o ka rosacea cutaneus. Hōʻike ia i ka rosacea ke loaʻa ʻole nā ​​ʻōuli i 20% o nā hihia.

Hele pū ʻo Blepharitis o rosacea me ka pili o hope, ʻo ia hoʻi e pili ana i ka ʻaoʻao mucous o ka eyelid me ke komo pū ʻana o nā guba meibomian, nā gland ma luna o ka conjunctiva, i pālahalaha ʻia, e hāʻawi i kahi wai aila inā ʻoe e kaomi a hana i ka hinuhinu kiʻi ʻoniʻoni. I kekahi manawa pani ʻia kēia mau glands e kahi plug aila a hoʻā ʻia (meibomite)

ʻUlaʻula ka conjunctiva, me nā moku ākea, nā wahi pehu a ʻo ia paha i nā pae holomua i loaʻa nā scars atrophic.

4 / Dermatitis Seborrheic

Hana ke dermatitis seborrheic i ka ʻulaʻula maloʻo ma nā wahi seborrheic o ka maka (nā kihi o ka ihu, nā nasolabial pelu, a puni nā maka, a pēlā aku.). Hiki iā ia ke hele pū me kahi blepharitis mumū iki, me ka hōʻino ʻana i ka eyelid e dermatitis, me nā unahi momona.

5 / kumu kumu

ʻO nā kumu ʻē aʻe o ka blpharitis he psoriasis (ʻano like me seborrheic dermatitis), kāhea a i ʻole atopic eczema (e hopena ana i ka eyelid eczema), cicatricial pemphigoid, lāʻau pahū, lāʻau lupus, dermatomyositis a me ke kino phtiriasis ("Crabs" i hiki ke kolonehe i nā kuʻemaka a me nā maka maka. i ka hoʻohui ʻana i ke komo ʻana i ka pubic). 

Nā lāʻau lapaʻau no ka blepharitis

1 / ʻO Staphylococcus

Hoʻohana ke kauka i nā kulu maka a i ʻole nā ​​aila hamo ma muli o ka mercury oxide (ʻelua manawa i ka lā no 7 mau lā: Ophtergine®, Yellow mercuric oxide 1 p. 100 Chauvin®), bacitracin (Bacitracine Martinet®), chloramphenicol (Chloramphenicol Faure® hoʻokahi-mahele, hoʻokahi kulu 3 a 6 mau manawa i ka lā), aminoglycosides (kulu ka maka a Gentalline® a me ka hamo paha, nā kulu maka a Tobrex® a i ʻole ka hamo, 3 mau noi / lā)

Hiki ke hoʻohana ʻia ka hamo ma ka hoʻohui o nā kulu maka a laila e hoʻopili ʻia i ke ahiahi. ʻAe ʻia ka palupalu o nā ʻāpala.

Aia nā kulu maka antibiotic e pili ana i nā fluoroquinolones, ʻoi aku ka pipiʻi a me ka hoʻohana pinepine ʻole. Pēlā nō hoʻi, ʻaʻole hoʻohana pinepine ʻia nā cyclins ma muli o ke kūpaʻa o nā ʻano staphylococci.

ʻO ka hoʻohana like ʻana o nā corticosteroids a me kahi lāʻau ʻalopika (Gentasone® hamo) he mea hoʻopaʻapaʻa, akā hiki i ka hoʻomaikaʻi wikiwiki ʻana i nā ʻōuli hana ma mua o ka antibiotic wale nō. …) Ua kāohi hewa ʻia e ka ophthalmologist.

2 / Demodex

Hoʻopili ka hana i ka noi o 1% mercury oxide hamo. 100 (Ophtergine®, Yellow mercuric oxide 1 p. 100 Chauvin®), nā hopena o ka waikawa boric (Dacryosérum® hoʻokahi mahele lāʻau, Dacudoses®) a me ka hemo ʻana o ka lima o nā lima ciliary me ka ikaika.

3 / Rosacea

ʻO ka hemo ʻana o nā huna aila mai nā aʻa meibomian

Paipai ke kauka i ka lomilomi ʻana i nā kuʻemaka i ʻelua mau manawa i ka lā i mea e heʻe ai i nā huna aila mai nā aʻa meibomian. Hiki ke hoʻomaka ʻia kēia lomilomi e ka palapala noi o nā compresses i pulu ʻia i ka wai wela e hoʻopalupalu i nā huna.

E hakakā me ka maka maloʻo

Hoʻohana o nā waimaka kūlohelohe me ka ʻole o ka preservative (Gel-Larmes® hoʻokahi lāʻau, 2 a 4 mau manawa i kēlā me kēia lā, Lacryvisc® hoʻokahi lāʻau, ophthalmic gel).

Ka mālama ʻana i ka rosacea

Hoʻohana ka dermatologist i nā lāʻauʻalopelo waha (cyclins: Tolexine®, 100 mg / lā no 12 mau pule) kahi hopena maikaʻi ʻaʻole wale ma ka rosacea cutaneous akā ma ka blpharitis.

ʻO nā cyclins kūloko e like me ka oxytetracycline (Tetranase®) ʻaʻohe mana ʻĀpana Hoʻolaha ma kēia hōʻike akā hiki ke hoʻohana pono ʻia.

Metronidazole gel ma 0,75 p. 100 (Rozex gel®) hiki ke hoʻopili ʻia i hoʻokahi manawa i ka lā i ka ʻili o nā eyelids a me ko lākou kūʻokoʻa manuahi no 12 mau pule.

4 / Dermatitis Seborrheic

He mea nui hou ka mālama ʻana i ke olakino, i mea e hoʻopau ai i nā ʻā momona a me nā unahi i hoʻokumu ʻia i kumu no ka hoʻonui ʻana o ka maʻi a me ka ukiuki ma o ka hoʻohana ʻana i kahi huahana hoʻomaʻemaʻe maka maka (Blephagel®, Lid-Care® ...).

Pili pinepine ʻia ʻo Blepharitis i ka seborrheic dermatitis me ka staphylococci, no laila koi ʻia ka lapaʻau e like me ka blepharitis staphylococcal.

Ka manaʻo o kā mākou kauka

palena'āina

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