Ukukhubazeka kweGland ye-Meibomian, noma i-MGD, isimo sesiso esivamile kangangokuthi ngisho nodokotela bavame ukukhohlwa ukubhekana nayo ngisho noma iziguli zihlangabezana nezimpawu. I-MGD uhlobo lwe-blepharitis. I-blepharitis yigama elichaza isimo sokuvuvukala nesinye isikhathi esithathelwanayo sejwabu leso. I-blepharitis ihlukaniswe njenge-blepharitis yangaphakathi noma yangemva kwayo.
I-anterior blepharitis ithinta ingxenye yangaphambili yejwabu leso kanye ne-eyelashes. I-blepharitis yangaphakathi idala ukuqina kwejwabu leso, ukubomvu, kanye nama-eyelashes e-crusty futhi ngokuvamile kubangelwa ama-bacapia ase-staphylococcus esinawo wonke emizimbeni yethu. Kuvame ukuqoqwa ngamajwabu amehlo nemivimbo eminye abantu. I-blepharitis yangaphambilini ibhekiselwa njengokungasebenzi komzimba we-meibomian.
Kunezinhlayiya ezingaba ngu-40-50 ze-meibomian emahlombe angaphezulu kanye nama-glands angu-20-25 emahlombe aphansi. Izithobezi zeMeibomian ziyizinhlayiya ezinkulu ezikhukhumezayo ezifaka amafutha noma i-meibum. Njalo uma sicula, lezi zinhlayiya ziyayigcina i-meibum futhi isakazeka phezu kwezinyembezi. Lolu ungqimba lwamafutha luvimbela ukuqhuma kwefilimu yezinyembezi futhi kusiza ukugcina amehlo ethu agcoba.
E-MGD, lezi zinhlayiya zivutha. Ngokuhamba kwesikhathi, ukwakheka kwamakhemikhali kwalezi zinguquko eziyimfucumfucu yamafutha futhi ngezinye izikhathi ziba nkulu kakhulu. Kwezinye izimo, i-meibum iphelelwe isikhathi futhi kuningi kakhulu.
Lesi simo sibizwa ngokuthi i-seborrhea ye-meibomian.
I-MGD ibangela ifilimu engabonakali yezinyembezi. Ifilimu yezinyembezi ezigqoke iso lethu liyinkimbinkimbi kakhulu futhi uma ingaba lizinzile noma likhwalithi elibi, ubuso buso buqala ukuvutha. Amehlo abe abomvu, acasulwe, asomile futhi angabangela umbono ukuba uguquke nsuku zonke.
I-MGD engapheli ingabangela ukuthi izigulane zivinjelwe, zithinteke futhi zithole igciwane. Uma igciwane, libizwa nge-hordeolum noma i-stye. Uma i- hordeolum ingapholi kahle futhi iphikelela amasonto, ngezinye izikhathi ingaba i- chalazion .
Izimpawu ze-MGD
Abantu abane-MGD bakhononda nge:
- Amaphethelo amajwabu e-red-rimmed
- amehlo omile
- inzwa enesihlabathi, enobuhlungu
- umbono oguqukayo
Ngokuthakazelisayo, iziguli eziningi zikhononda lapho ziphuma eshaweni esishisayo. Bathi amehlo abo abe abomvu kakhulu futhi ngezinye izikhathi bazizwa bekhomba, behlaba ubuhlungu beso. Lokhu kuvame ukuthi kukhona ukuguqulwa okungazelelwe emswakeni endlini yokugezela futhi ifilimu yezinyembezi ihlala ingazinzile ngokushesha. Iso limile futhi i-cornea, isakhiwo esicacile se-dome-like engxenyeni engaphambili yeso, asiketshezi kahle futhi soma.
I-optometrist ixilonga kanjani i-MGD?
Odokotela bezilingo baxilonga ukuthi isimo sisekelwe okokuqala ezimpawu zesineke. Ngaphansi kwe-microscope, odokotela bazobona ukuthi umkhawulo wejwabu leso ubonakala obomvu, ama-vascularized kanye nezilonda ze-meibomian zingabonakala zixhunyiwe. Ifilimu yezinyembezi ayizinzile. Odokotela balinganisa okuthiwa ifilimu ye-TBUT-izinyembezi ichitha isikhathi. Uma ungqimba lwe-oily on the surface lungacacile, abantu bazoba ne-TBUT encishisiwe.
I-TBUT ejwayelekile ingamasekhondi angu-10. Izinhlayiya ze-meibomian zingabonakaliswa futhi zikhudlwana kune-meibum evamile. Ngezinye izikhathi ifilimu yezinyembezi ibonakala i-oily kakhulu. Ngezinye izikhathi, izinyembezi ziyoba nokubukeka okukhulu, nokubukeka.
I-MGD iphathwa kanjani?
Ukwelashwa kwe-meibomian gland ukungasebenzi kuyashintsha kuye ngokuthi ubunzima kangakanani.
- Ukuhlanzeka Okumsulwa - Odokotela abaningi bazocoma ukuthi kuqala ukufudumala okufudumayo nsuku zonke kulandelwa uhlobo oluthile lwezinhlayiya zokuhlanza ijwabu leso. Amalungiselelo e-elefactant ekhanda ama-eyelid scrub ayatholakala kuma-counter. Amakhemikhali amakhemikhali amasha amasha njengesixazululo se-hypochlorous acid atholakale futhi enenzuzo kakhulu.
- Ama-antibiotics - Tetracycline kanye ne-tetracycline izidakamizwa ezifana ne-doxycycline noma i-minocycline ziye zaboniswa ukuthi zinemiphumela emibili yokwelapha. Zinciphisa inani lamabhaktheriya asekhona egangeni futhi liye laboniswa ukuthi linomthelela olwa nokuvuvukala emahlathini. Ngezinye izikhathi iziguli zingase zidingeke zizisebenzise amaviki ambalwa izinyanga. Muva nje, i-azithromycin enikezwe izinsuku eziyisithupha kuphela iboniswe ukulingisa umphumela ofanayo wokwelapha njengoba i-tetracycline inikezwa isikhathi eside kakhulu. Inzuzo yayo iphikisana phakathi kwabahlengikazi bezame
- Ama-antibiotic e-Topic - I-Azithromycin iyatholakala njengejelisi le-topical, okuthiwa i-Azasite (Akorn Pharmaceutical) Abanye odokotela bayobeka ukuthi ama-Azas asetshenziselwe ukujwayiswa kwesikhumba sejwabu leso ngqo ebusuku. Lokhu kungenziwa kunqunywe noma kuphi ezinsukwini ezingu-10-30.
- I-steroids yama-topical - Amaconsi e-eye ehlotshaniswa ngamathambo nawo anikezwa ngokuhlanganiswa uma i-MGD ibangela ukuvuvukala ngokweqile.
- Ama-omega 3 - Ama-fatty acids ama-Omega 3 uma enikezwa ngezidakamizwa zokwelapha iye yaboniswa ukuze avame ukugcizelela izilonda ze-meibomian.
Kwenzekani uma i-MGD ingelashwa kahle?
Uma i-MGD ingelashwa, ifomu elibi kakhulu lesifo se-ocular lingakhula futhi lingabonisa izimpawu ezingashintsha izinga lempilo. Ngenxa yokuthi i-MGD ibangela iso elomile eliphuthumayo, i-cornea ingasetshenziswa futhi yome kuze kube yilapho izicubu ezinzima zingakha khona. Uma i-MGD ingapheli, ingabangela izigulane ze-meibomi ukuthi zenzeke ngempela. Uma sebese-atrophied, kunzima kakhulu ukubenza basebenze ngokujwayelekile futhi. I-MGD ingaba yi-rosacea ehlukile, engadinga ukwelashwa okunamandla okunonya.
> Umthombo:
> IKashkouli MB, Fazel AJ, Kiavash V, et al. I-azithromycin ye-oval ngokumelene ne-doxycycline ekusebenziseni kwe-gland yokuhlukunyezwa: isilingo semithi yomtholampilo evulekile ngokuphindaphindiwe kabili. U-J Ophthalmol. 2015 Feb; 99 (2): 199-204.