Blepharitis bụ mbufụt nke oghere nkuchianya efu (rim pink rim dị na ọkwa nku anya). Mbufụt a nwere ike gbasaa na akpụkpọ ahụ (nkuchianaya), n'ime nkuchianaya, nke dị na anya, ma ọ bụ ọbụna anya n'onwe ya. Ọ nwere ike bute ntutu nku anya akpọrọ madarosis.

Mgbaàmà nke ọrịa

    Blepharitis na -ebute ọbara ọbara nke oke nkuchi anya. Mgbe ụfọdụ, a na -enwe nkwụnye ego dị n'okpuru nku anya. N'ọnọdụ dị oke mkpasu iwe, enwere ike nwee edema nkuchi anya, nkwarụ ma ọ bụ ọnya n'ọnụ ọnụ nkuchi anya.

Ọ na -esonyere mmetụta nke ahụ onye mba ọzọ, ọkụ, itching, ọbụlagodi ihe mgbu na ọ na -adịkarịghị ibelata njupụta anya.

Ihe na -akpata blepharitis

1 / Staphylococcus

Blepharitis nke ejikọtara na staphylococcus bụ mmalite na mberede, ma ọ bụ ọ na -agbagha blepharitis nke ihe ọzọ site na mmetọ akwụkwọ ntuziaka.

A na -ahụ maka mbufụt nke nkuchianya efu, nke na -esokarị mbuze nke follicle ciliary, ihe siri ike gburugburu mgbọrọgwụ nku anya, frill na -efegharị gburugburu ntutu anya, mgbe ahụ mfu ntutu (madarosis) na mmebi nke oke nkuchi anya (tylosis) )

2/ Ngosipụta

Demodex folliculorum bụ parasaiti akpụkpọ ahụ nke na -ebi na ntutu ntutu nke ihu. Ọ nwere ike ibute demodecidosis nke ihu (ọkụ ọkụ nke yiri rosacea mana ọ naghị eji ọgwụ nje agwọ ọrịa).

N'ọnọdụ blepharitis metụtara mmụba demodex, enwere ike iji anya gba ọtọ na -ahụ nje ahụ, nke na -efegharị n'ụdị aka uwe tubular doro anya n'okpuru isi nku anya.

3 / Rosacea

Rosacea bụ ọrịa na -enye rosacea na etuto na ntì na imi. A na -ejikọkarị ọrịa a na blepharitis ebe ọ bụ na a na -ahụ ya na 60% nke rosacea akpụkpọ ahụ. Ọ na -egosipụtakwa rosacea mgbe enweghị akara akpụkpọ anụ mana na 20% nke ikpe.

Blepharitis nke rosacea na -esonye na ntinye aka azụ, ya bụ, gbasara akụkụ mucous nke nkuchianya na ntinye nke meibomian glands, glands dị na conjunctiva, nke na -agbasasị, nye mmiri mmanu ma ọ bụrụ na ị pịa ya wee mee ya. ihe nkiri na -akwa akwa. Mgbe ụfọdụ a na -egbochi glands ndị a site na nkwụnye mmanu wee mụnye ọkụ (meibomite)

Conjunctiva na -acha ọbara ọbara, nwere arịa ndị na -agbasawanye, mpaghara ọzịza na ọ nwere ike nwee ọnya atrophic ọbụlagodi n'ọkwa dị elu.

4 / Seborrheic dermatitis

Seborrheic dermatitis na -ebute nkụ na -acha ọbara ọbara ọkachasị n'akụkụ seborrheic nke ihu (n'ọnụ imi, mpịakọta nasolabial, gburugburu anya, wdg). Enwere ike ibute ya na obere ọnya ọnya ọnya, yana mmebi nkuchi anya site na dermatitis, yana akpịrịkpa abụba.

5 / Ihe na -adịghị ahụkebe

Ihe ndị ọzọ na -akpata blepharitis bụ psoriasis (ọdịdị yiri seborrheic dermatitis), kọntaktị ma ọ bụ atopic eczema (nke na -ebute eczema), cicatricial pemphigoid, ntiwapụ ọgwụ, lupus na -adịghị ala ala, dermatomyositis na phtiriasis ahụ (“Crabs” nke nwere ike ịchị nku anya na nku anya). na mgbakwunye na itinye aka na pubic). 

Ọgwụ ọgwụgwọ maka blepharitis

1 / Staphylococcus

Dọkịta na-eji mgbada anya ma ọ bụ ude dabere na mercury oxide (ugboro abụọ n'ụbọchị maka ụbọchị asaa: Ophtergine®, Yellow mercuric oxide 7 p. 1 Chauvin®), bacitracin (Bacitracine Martinet®), chloramphenicol (Chloramphenicol Faure® otu-otu, otu dobe ugboro 100 ruo 3 kwa ụbọchị), aminoglycosides (Gentalline® anya mmiri ma ọ bụ ude, Tobrex® anya ma ọ bụ ude, ngwa 6 / ụbọchị)

Enwere ike iji ude ahụ na mgbakwunye anya mmiri wee tinye ya na mgbede. Ọ na -enye ohere ime ka nro dị nro.

Enwere anya mmiri ọgwụ nje na -adabere na fluoroquinolones, nke dị oke ọnụ ma na -adịkarị ụkọ. N'otu aka ahụ, a naghị ejikarị cyclins n'ihi nguzogide nke ọtụtụ ụdị staphylococci.

Ojiji nke corticosteroids na ọgwụ nje (ude mmanụ Gentasone®) na -arụrịta ụka, mana ọ na -enye ohere imeziwanye ngwa ngwa na mgbaàmà arụmọrụ karịa ọgwụ nje naanị: ekwesịrị iji ezigbo ọgwụgwọ corticosteroid mpaghara, ozugbo nyocha nke keratitis na -efe efe (herpes). …) Bụ onye dibịa ophthalmologist wepụrụ ya.

2/ Ngosipụta

Ọgwụgwọ gụnyere itinye 1% mmanụ ude mercury. 100.

3 / Rosacea

Mwepụ ihe nzuzo mmanụ site na glands meibomian

Dọkịta na -atụ aro ịhịa aka n’ahụ anya ugboro abụọ n’ụbọchị iji wepụta ihe mmanu na -esi na glands meibomian. Ịhịa aka n'ahụ a nwere ike ibu ụzọ tinye compresses nke mikpuru n'ime mmiri ọkụ nke na -eme ka nzuzo ahụ dị nro.

Na -alụ ọgụ megide anya akọrọ

Ojiji nke anya mmiri mmadụ na-enweghị nchekwa (Gel-Larmes® otu ọgwụ, ugboro 2 ruo 4 kwa ụbọchị, Lacryvisc® otu ọgwụ, gel ophthalmic).

Ọgwụgwọ rosacea

Onye na -ahụ maka akpụkpọ ahụ na -eji ọgwụ nje eme ihe ọnụ (cyclins: Tolexine®, 100 mg / ụbọchị maka izu iri na abụọ) nke nwere mmetụta dị mma ọ bụghị naanị na rosacea akpụkpọ ahụ kamakwa na blepharitis.

Cyclins mpaghara dịka oxytetracycline (Tetranase®) enweghị ikike ire ahịa na ngosi a mana ha nwekwara ike ịdị irè.

Gel Metronidazole na 0,75 p. Enwere ike itinye 100 (Rozex gel®) otu ugboro n'ụbọchị n'elu akpụkpọ ahụ nke nkuchianya na ihu efu ha maka izu iri na abụọ.

4 / Seborrheic dermatitis

Nlekọta ịdị ọcha dị mkpa ọzọ, iji kpochapụ ntụpọ na akpịrịkpa abụba nke bụ isi mmalite nje na mgbakasị ahụ site na iji ngwaahịa nhicha anya (Blephagel®, Lid-Care®…).

Blepharitis nke ejikọtara na seborrheic dermatitis na -emebi staphylococci, yabụ ọ chọrọ ọgwụgwọ yiri staphylococcal blepharitis.

Echiche dọkịta anyị

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