Kungenzeka ukuthi uzwe ngesimo esibizwa nge- rosacea , kodwa wazi ukuthi singathinta amehlo? I-Rosacea yisimo esithinta kakhulu impumu, ubuso nesifuba. I-Rosacea ingaba engapheli futhi ibe nezinkathi zokukhipha nokuphazamiseka. Kungabangela ukuphazamisa ngezikhathi ezithile, kubangele amahlathi, impumulo, isikhunta, nekhanda ukuze athuthukise ubomvu nokuvuvukala.
Ngokuhamba kwesikhathi, isikhumba sikhula ukuvuthwa okuvame ukubizwa ngokuthi "isakhiwo sesikhumba esiqinile." Izitsha zegazi ezincane ziqala ukukhula futhi zibonakala ngokwengeziwe. Ngokuhamba kwesikhathi, isikhumba singase siphinde sibe ne-bumpy futhi ikhala lingakhula futhi likhukhumele. Ama-pustules noma ama-pimples angabuye aqhubeke ngezikhathi ezithile.
I-Rosacea ivame ukukhombisa ema-30s akho. Isimo sesikhumba esinikeza i-WC Fields, umculi owedlule, ekhaleni lakhe elibonakalayo.
I-Rosacea ye-Eye
I-rosacea ye-ocula ingenzeka ngaphandle kwezibonakaliso nezibonakaliso zobuso, kodwa ngokuvamile kaningi ukwanda kwesimo. I-rosacea ye-ocula ithinta abantu abangaba ngu-20% abane-rosacea. Amajwabu amehlo angase avele evuvukale futhi abomvu futhi athuthukise imfucumfucu yama-crusty. Amehlo avame ukubonakala abomvu noma igazi futhi angazizwa ecasulwa. Abanye abantu bakhononda ukuzizwa sengathi umzimba wangaphandle noma isihlabathi esisesweni. Amehlo angase aphule futhi aphuze amanzi noma empeleni abe nomuzwa omile kakhulu.
I-rosacea ye-ocula ingakwazi ukuveza ngezindlela ezihlukahlukene.
Izimo zamehlo ezilandelayo zingathuthuka njengengxenye ye-rosacea iso:
Ukwelapha
Ukwelashwa kwe-rosacea ye-ocular kugxile ekulawuleni izinkinga ezibalulwe ngenhla, ikakhulukazi i-blepharitis yangemuva, ebonakala iyindlela ejwayelekile kakhulu futhi engapheliyo ye-rosacea ye-ocular.
Iningi odokotela bakholelwa ekufundiseni iziguli futhi echaza ukuthi i-rosacea ingathinta amehlo ngezindlela eziningi futhi lezo zinto zingaphathwa.
Izinketho zokwelapha zingase zibe nalezi ezilandelayo:
- Ukuxubezela ifilimu yokuqothula: Ukusetshenziswa okukhulu kwezinyembezi zokwenza izinhlanzi ezinjengeSoothe XP (Bausch & Lomb), FreshKote (Focus Laboratories) neSystane Balance (Alcon), zisetshenziselwa ukushintsha ukuguquguquka kwefilimu yezinyembezi futhi unciphise isifo somzimba esomile. Into ebalulekile okumele uyikhumbule ukuthi ukukhala kwezinyembezi ezivamile kungase kungakusizi. Kuzodingeka ubheke amaconsi anikezwa udokotela noma afana namaconsi okukhulunywe ngenhla.
- Ukuhlanzeka okumswakama: Ukuhlanzwa ngokuqondile kwamajwabu ama-detergent omnene kuboniswe ukuthi kuzuzisa. Ukucindezela okufudumele okusetshenziselwa ngokubambisana nezikhwama zejwabu leso ezilungiselelwe ukuhweba yiyona eyinhloko yokuhlanzeka kwejwabu leso. Esikhathini esidlule, odokotela baye batusa ama-eyisidi scrubs noJohnson & Johnson Baby Shampoo. Kodwa-ke, ucwaningo lwamuva lubonise ukuthi izithako ze-shampoo ezinganeni zingashintsha ifilimu yezinyembezi kanye nemikhemikhali yejwabu leso, okwandisa isimo kwabanye abantu.
- I-hyperthermia e-Lid: I-hyperthermia yama- Lid iyisicelo esiqondile sokushisa (phakathi kuka-105-110 degrees Fahrenheit). Uma isetshenziswa ngokuphepha, ukushisa kunciphisa ukuqina kwemigqa yejwabu leso futhi kusiza ukulawula ukukhula kwamagciwane.
- Imithi yokwelapha: Nakuba ama-antibiotic e-topical kanye nama-antibiotic steroids angasiza, athatha izingozi eziphakeme zokucindezeleka. Namuhla, i-azithromycin yama-topical (AzaSite) iyisisekelo esiyinhloko sokwelashwa kwama-topical. Nakuba i-AzaSite engeyona i-FDA-evunyelwe kuloluphawu, kuboniswe ukuthi kuthuthukiswe izibonakaliso ezimbili nezimpawu ze-blepharitis nezimo ze-rosacea ezihambisanayo. Inzuzo ye-AzaSite yukuthi i-antibiotic enezindawo zokulwa nokuvuvukala futhi ayiqukethe ama-steroids.
- Izithako: Ngezimo ezinzima kakhulu, odokotela batusa ama-fatty acid supplements. I-omega-3 emafutheni e-fatty acids enza ukuqiniswa kwezigulane ze-meibomian emahlombe, aphethwe yi-rosacea. Lezi zithako kufanele zisetshenziswe kuphela ngaphansi kokuqondiswa udokotela. Ukuqapha kufanele kuthathwe iziguli ezithatha igazi, njenge-aspirin noma i-coumadin.
- Imithi yomlomo: Izidakamizwa ze-Oral tetracycline, ezifana ne-doxycycline kanye ne-minocycline, zibonise ukunciphisa izimpawu ngokunciphisa ukukhiqizwa kwe-lipases, amakhemikhali angashintsha ukuvumelana kwamafutha emigqonyeni ye-meibomian. I-tetracycline yomlomo iveza nomphumela wokulwa nokuvuvukala okufana ne-AzaSite. Kodwa-ke, ngezinye izikhathi inkambo yokwelashwa ingahlala izinyanga eziningi.
- Ukukhanya okuphambene nomzimba: Ukukhanya okugxilile ukwelashwa kwenziwa ngokuyinhloko ngama-dermatologists ukunciphisa ukuguqulwa kwesikhumba nokususa izinwele. Kodwa-ke, kusanda kuphenywa ukusetshenziswa kokuphatha i-rosacea yama-ocular. Ukukhanya okugxilile kusebenza ukuvimbela imithwalo yegazi nokuncipha ukuvuvukala kwesikhumba.
Imithombo:
Kabat, Alan no-Diana Shechtman. Izinyathelo zokwelashwa zamanje zokuphatha kweBlepharitis, Ukubuyekezwa kwe-Optometry, ngoMashi 2011.
UShovlin, uJoseph. Ukukhanya okukhanyisiwe kwe-Ocular Rosacea, Ukubuyekezwa kwe-Optometry, ngo-Ephreli 2011.