Blepharitis kuzvimba kwemahara eeyelid (iyo yepinki tsvuku rim iri padanho reeyelashes). Kuzvimba uku kunogona kupararira paganda (eyelid), mukati meziso, riri pakatarisana neziso, kana kunyange ziso pacharo. Inogona kukonzera kurasikirwa kweziso kunonzi madarosis.

Zviratidzo zvechirwere

    Blepharitis inokonzera kutsvuka kwemaziso. Dzimwe nguva kune crusty deposits pazasi eyelashes. Mune maitiro ekupisa zvakanyanya, panogona kunge paine edema yeziso, kuremara kana maronda pamucheto weziso.

Iyo inoperekedzwa nekunzwa kwekunze kwemuviri, kupisa, kuputika, kunyange kurwadziwa uye zvakanyanya kashoma kuderera kwekuona acuity.

Zvikonzero zve blepharitis

1 / Staphylococcus

Blepharitis yakabatana ne staphylococcus ingangove ichangopfuura uye kamwe kamwe kutanga, kana kuti inoomesa blepharitis yechimwe chikonzero nekusvibiswa kwemaoko.

Kuzvimba kwemupendero wakasununguka weziso kunoratidzwa, kazhinji kunoperekedzwa nekukukurwa kweciliary follicle, kuomarara kwakatenderedza mudzi weeyelashes, frill scaling kutenderedza eyelash, ipapo eyelash kurasikirwa (madarosis) uye kusarongeka kweiyo eyelid margin (tylosis). )

2/ Demodex

Demodex folliculorum chirwere cheganda chinogara mubvudzi rechiso. Inogona kutungamirira ku demodecidosis yechiso (kuputika kunoratidzika se rosacea asi hakupore nemishonga inorwisa mabhakitiriya).

Mu blepharitis yakabatana nedemodex overgrowth, zvipembenene zvinogona kuonekwa neziso rakashama, iro rinoputika muchimiro chemavara akajeka tubular akapoteredza chigadziko cheeyelashes.

3 / Rosacea

Rosacea chirwere chinopa rosacea nemapundu ematama nemhino. Iyi pathology inowanzoperekedzwa neblepharitis, sezvo inowanikwa mu60% yezviitiko zvecutaneous rosacea. Izvo zvinotoratidza zve rosacea kana pasina zviratidzo zveganda mu20% yezviitiko.

Blepharitis ye rosacea inoperekedzwa nekubatanidzwa kwemashure, kureva nezve mucous side yeziso nekubatanidzwa kwe meibomian glands, glands dziri pa conjunctiva, iyo yakanyungudutswa, inopa mvura ine mafuta kana iwe ukatsikirira pairi uye gadzira iyo. kubvarura firimu rakakora. Dzimwe nguva idzi glands dzakavharwa nepureji ine mafuta uye inopisa (meibomite)

Iyo conjunctiva yakatsvuka, ine midziyo yakanyungudutswa, nzvimbo dzakazvimba uye inogona kunyange mumatanho epamusoro iine mavanga atrophic.

4 / Seborrheic dermatitis

Seborrheic dermatitis inokonzera kuoma kwakatsvuka zvakanyanya munzvimbo dze seborrheic dzechiso (micheto yemhino, nasolabial folds, kumativi emeso, nezvimwewo). Inogona kuperekedzwa nekashoma kuzvimba blepharitis, nekukuvadzwa kweziso ne dermatitis, ine mafuta mazero.

5 / Zvikonzero zvisingawanzo

Zvimwe zvinokonzera blepharitis i psoriasis (kuonekwa kwakafanana ne seborrheic dermatitis), kubata kana atopic eczema (inokonzera mumaziso eczema), cicatricial pemphigoid, kuputika kwezvinodhaka, chronic lupus, dermatomyositis uye body phtiriasis ("Crabs" inogona kuunganidza tsiye uye eyelashes. kuwedzera pakubatanidzwa kwepubic). 

Mishonga yekurapa blepharitis

1 / Staphylococcus

Chiremba anoshandisa madonhwe emaziso kana mafuta anobva pane mercury oxide (kaviri pazuva kwemazuva 7: Ophtergine®, Yellow mercuric oxide 1 p. 100 Chauvin®), bacitracin (Bacitracine Martinet®), chloramphenicol (Chloramphenicol Faure® single-dose, imwe donhedza katatu kusvika katanhatu pazuva), aminoglycosides (Gentalline® madonhwe eziso kana mafuta, Tobrex® madonhwe emaziso kana mafuta, katatu pazuva)

Iyo yekuzora inogona kushandiswa kuwedzera kumadonhwe emeso uye inozoiswa manheru. Inobvumira kupfava kwemacrusts.

Kune antibiotic madonhwe emaziso anobva pane fluoroquinolones, iyo inodhura uye isingawanzo kushandiswa. Saizvozvo, macyclins haawanzo kushandiswa nekuda kwekupokana kwemhando dzakawanda dze staphylococci.

Kushandiswa panguva imwe chete yecorticosteroids nemishonga inorwisa mabhakitiriya (Gentasone® mafuta) inopokana, asi inobvumira kukurumidza kuvandudzwa kwezviratidzo zvekushanda kupfuura mushonga unorwisa mabhakitiriya chete: kurapa kwekorticosteroid yemunharaunda kunofanira kushandiswa nekuchenjerera, kana kuongororwa kwehutachiona hwekeratitis (herpes). …) akarambidzwa zviri pamutemo nachiremba wemaziso.

2/ Demodex

Kurapa kunosanganisira kushandisa 1% mercury oxide mafuta. 100 (Ophtergine®, Yellow mercuric oxide 1 p. 100 Chauvin®), mhinduro dze boric acid (Dacryosérum® single dose, Dacudoses®) uye mechanical kubviswa kweciliary sleeves ne forceps.

3 / Rosacea

Kubviswa kwemafuta ane mafuta kubva kune meibomian glands

Chiremba anokurudzira kukwiza ziso kaviri pazuva kuitira kuti ubvise zvakavandika zvine mafuta kubva mumatumbu emeibomian. Iyi massage inogona kutangirwa nekushandiswa kwema compresses akanyikwa mumvura inopisa iyo inopfavisa zvakavanzika.

Kurwisana neziso rakaoma

Kushandiswa kwemisodzi yekugadzira pasina kuchengetedza (Gel-Larmes® imwe yero, 2 kusvika 4 kanomwe pazuva, Lacryvisc® imwe dosi, ophthalmic gel).

Kurapa rosacea

Chiremba wedermatologist anoshandisa mishonga inorwisa mabhakitiriya (macyclins: Tolexine®, 100 mg / zuva kwemavhiki gumi nemaviri) ayo ane simba rakanaka kwete chete pa cutaneous rosacea asiwo pablepharitis.

Macyclin emunharaunda akadai se oxytetracycline (Tetranase®) haana Mvumo yeKushambadzira mune iyi chiratidzo asi anogona zvakare kushanda.

Metronidazole gel pa 0,75 p. 100 (Rozex gel®) inogona kuiswa kamwe chete pazuva kune ganda remaziso uye mupendero wavo wemahara kwemavhiki gumi nemaviri.

4 / Seborrheic dermatitis

Kuchengetedza hutsanana kwakakosha zvakare, kuitira kubvisa mafuta makungu uye zvikero zvinoumba sosi yekuwedzera kwebhakitiriya uye kushatirwa nekushandisa chigadzirwa chekuchenesa maziso (Blephagel®, Lid-Care®…).

Blepharitis yakabatana ne seborrheic dermatitis inowanzosvibiswa ne staphylococci, saka inoda kurapwa kwakafanana ne staphylococcal blepharitis.

Maonero echiremba wedu

varipo

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