Matenda a Meibomian Gland Opaleshoni, kapena MGD, ali ndi vuto la maso lomwe ngakhale madokotala amatha kuiwala kulithetsa ngakhale pamene odwala ali ndi zizindikiro. MGD ndi mtundu wa blepharitis. Blepharitis ndi mawu omwe amamasulira za kutupa ndi nthawi zina matenda opatsirana. Blepharitis amagawidwa ngati bwalo lopuma kapena lochedwa blepharitis.
Anterior blepharitis amakhudza mbali yam'tsogolo ya khungu ndi eyelashes. Anterior blepharitis amachititsa khungu lakuya, redness, ndi eyelashes ndipo nthawi zambiri zimayambitsa mabakiteriya a staphylococcus omwe tonsefe tiri nawo matupi athu. Zimangowonjezera pamaso ndi mabala ena mwa anthu ena. Mankhwala otsika a blepharitis amatchulidwa ngati mankhwala osokoneza ubongo.
Pali zilonda zokwana 40-50 za m'magazi pamapiko apamwamba komanso masentimita 20-25 m'makona a m'munsi. Zilonda za m'magazi ndizozing'ono zazikulu zotsekemera zomwe zimatulutsa mafuta kapena meibum. Nthaŵi zonse tikamawombera, zilondazi zimatulutsa meibum ndipo zimafalikira pamwamba pa misonzi. Mafuta ameneŵa amachititsa kuti filimu yowonongeka iwonongeke komanso imathandiza kuti maso athu azikhala odzola.
Mu MGD, zilondazi zimayamba kutentha. Pakapita nthawi, mankhwala opangidwa ndi mankhwalawa amamasintha ndipo nthawi zina amakhala obiriwira kwambiri. Nthawi zina, mankhwalawa amatha kutulutsidwa ndipo pali zambiri.
Matendawa amatchedwa seborrhea.
MGD imayambitsa filimu yosasunthika yamaliro. Filimu yowang'amba yomwe imatikongoletsa ndi yovuta komanso ngati imakhala yosasunthika kapena yosaoneka bwino, nkhope imayamba kutentha. Maso amakhala ofiira, okwiya, owuma ndipo amachititsa masomphenya kusinthasintha tsiku ndi tsiku.
Mthendayi yambiri imatha kuyambitsa tizilombo toyambitsa matenda. Akadwala, amatchedwa hordeolum kapena stye. Pamene hordeolum imachiza bwino ndikupitirira kwa masabata, nthawi zina ikhoza kukhala chalazion .
Zizindikiro za MGD
Anthu omwe ali ndi MGD akudandaula za:
- mizere ya maolivi wofiira
- maso owuma
- mchenga, kumverera kokoma
- kusinthasintha masomphenya
Chochititsa chidwi n'chakuti odwala ambiri amadandaula potuluka pamadzi otentha. Amati maso awo amakhala ofiira kwambiri ndipo nthawi zina amamva kupweteka, kupweteka ululu wa maso. Izi kawirikawiri chifukwa pali kusintha kwadzidzidzi mu chinyezi mu bafa ndipo filimu yotsekemera imakhala yosakhazikika mwamsanga. Diso limauma ndipo cornea, yomangidwa ngati dome-ngati mbali kumbali ya kutsogolo kwa diso, siyiyikidwa bwino bwino ndipo imauma.
Kodi optometrist amazindikira bwanji MGD?
Madokotala a maso amadziŵa kuti chikhalidwe choyamba chimachokera ku zizindikiro za matenda. Pansi pa microscope, madokotala adzawona kuti msinkhu wa eyelid umawoneka wofiira, vascularized ndi matenda apamwamba angawoneke kuti akudulidwa. Filimu yowang'amba imakhala yosasunthika. Madokotala amayesa chinthu chomwe chimatchedwa filimu yotsegula TBUT. Ngati mpweya wochuluka pamtunda suli wolimba, anthu adzalandira TBUT.
TBUT yachibadwa ndi pafupifupi masekondi khumi. Zilonda za m'magazi zimatha kufotokozedwa ndi zowonjezereka kuposa momwe zimakhalira. Kawirikawiri filimu yotseketsa imawoneka yochuluka kwambiri. Nthawi zina, misonzi idzakhala yooneka bwino, yooneka bwino.
Kodi MGD imachizidwa bwanji?
Chithandizo cha matenda opatsirana pogonana chimasiyana malinga ndi kuuma kwake.
- Ukhondo Wosayera - Madokotala ambiri amayamba kulangiza kutentha kwapadera tsiku lililonse kutsatiridwa ndi mtundu wina wa chivindikiro cha ma eyelid. Kukonzekera kogwiritsira ntchito mafakitale opangidwa ndi mafakitale omwe amapezeka pamalonda akupezeka pamtengowo. Zakudya zamakono zatsopano monga mankhwala a hypochlorous acid apezeka kuti ndi opindulitsa kwambiri.
- Mankhwala a antibiotic - Tetracycline ndi tetracycline zotengera monga doxycycline kapena minocycline awonetsedwa kuti ali ndi zochiritsira ziwiri. Amachepetsa chiwerengero cha mabakiteriya omwe amapezeka m'matumbo ndipo amasonyezanso kuti ali ndi mphamvu zotsutsa ndi zotupa pamatenda. Nthawi zina odwala amafunika kuwagwiritsa ntchito kwa milungu ingapo mpaka miyezi. Posachedwapa, azithromycin yoperekedwa kwa masiku asanu ndi limodzi okha yasonyezedwa kuti azitsanzira zotsatira zochiritsira zomwe tetracycline amapatsidwa kwa nthawi yaitali. Kupindula kwake kuli kutsutsana pakati pa opaleshoni ya maso
- Mankhwala opangira ma antibiotic - Azithromycin imapezedwanso ngati gel, omwe amatchedwa Azasite (Akorn Pharmaceutical) Olemba ena amapanga Azasiti kuti azigwiritsidwa ntchito pamtunda uliwonse wa usiku. Izi zikhoza kuperekedwa kulikonse kuyambira masiku 10-30.
- Zolemba za steroids - Zithunzi zam'maso zothandizira m'maso zimaperekedwanso palimodzi pamene MGD imayambitsa kutentha kwakukulu.
- Omega 3 zakudya zowonjezera - Omega 3 mafuta acid acids pamene anapatsidwa mankhwala ochiritsira awonetseredwa kuti azionetsetsa zofiira zam'mimba.
Nchiyani chimachitika ngati MGD isachiritsidwe bwino?
Ngati MGD sichikuchiritsidwa, mawonekedwe oopsa kwambiri a maola ochuluka akhoza kukula ndipo akhoza kusonyeza zizindikiro zomwe zingasinthe moyo. Chifukwa MGD imachititsa kuti diso likhale lopanda madzi, khunguli limatha kuzimitsidwa ndi kuuma mpaka pamene minofu imatha kupanga. Ngati MGD ndi yachilendo, ikhoza kuchititsa kuti zilonda zam'mimba ziwonongeke. Akakhala atrophied, zimakhala zovuta kuti azigwira ntchito moyenera. MGD ikhoza kukhala rosacea yosavuta kumva, yomwe ingapangitse kuchipatala koopsa.
> Chitsime:
> Kashkouli MB, Fazel AJ, Kiavash V, et al. Mlomo wa azithromycin motsutsana ndi doxycycline m'thupi lachibwana chosagwira ntchito: mayesero am'chipatala otsegulidwa mwachisawawa. Br J Ophthalmol. 2015 Feb; 99 (2): 199-204.