I-Meibomian Gland i-Dysfunction, okanye iMGD, yimeko yesiso exhaphakileyo kangangokuthi noogqirha badla ukulibala ukujongana nayo xa izigulane zifumana iimpawu. UMGD uluhlobo lwe-blepharitis. I-blepharitis ibinzana elichaza intshutshiso kwaye ngezinye izifo ezithintekayo kwesosiko. I-blepharitis ihlelwe njenge-blepharitis yangaphambili okanye yangaphambili.
I-blepharitis yangaphambili ichaphazela inxalenye yangaphambili yejwabu leso kunye ne-eyelashes. I-blepharitis yangaphambili idala i-eyayidi yokwanda, ubomvu, kunye ne-eyelashes kwaye ngokuqhelekileyo ibangelwa yi-staphylococcus ibhaktheriya esinayo yonke imizimba yethu. Ijwayele ukuqokelela kwiinkophe kunye nemivimbo kwabanye abantu. I-postphapha ye-blepharitis ibhekiselwa njengento engasebenzi ngayo i-meibomian gland.
Kukho malunga neengcingo ezingama-40 ukuya kuma-50 ezinqamlekileyo kwiipilisi ezingaphezulu kunye neengqungquthela ezi-20-25 kwiibophe ezantsi. Iingqungquthela zeMeibomian zizintlu ezinkulu ze-olegia ezithatha i-oyile okanye i-meibum. Njalo xa sikhankanya, ezi zilwanyana zithengisa i-meibum kwaye zisasazeka phezu kweenyawo. Olu luhlu lweoli luvimbela ukukhupha ifilimu yeqabunga kunye nokunceda ukugcina amehlo ethu agcobile.
Kwi-MGD, ezi zigulane zivutha. Ngokuhamba kwexesha, ukuveliswa kwamakhemikhali oku kutshintshwa kwe-oli-like secretion kwaye ngamanye amaxesha kuya kuba lukhulu. Kwezinye iimeko, i-meibum yenziwe ngokugqithiseleyo kwaye kuninzi kakhulu.
Le meko ibizwa ngokuba yi-meboromian seborrhea.
I-MGD ibangela ifilimu engabonakaliyo. Ifilimu yokuqhaqhaqhazelayo eyambatha iso lethu liyinkimbinkimbi kwaye xa ingaba yinto engaqinisekiyo okanye ingabikho kakuhle, ubuso belihlo baqala ukutsha. Amehlo abomvu, athukuthele, aomile kwaye angabangela umbono ukuba uguquke imihla ngemihla.
I-MGD engapheliyo ingenza ukuba izigulane zivalwe, zichaphazeleke kwaye zikhulelwe. Xa usulelekile, ubizwa ngokuba yi-hordeolum okanye i-stye. Xa i- hordeolum ayiphilanga kakuhle kwaye iqhubeka iiveki, ngezinye izihlandlo iyakwazi ukujika ibe yi- chalazion .
Iimpawu zeMGD
Abantu abaneMGD bayakhalaza:
- iimpawu zeebhokhwe ezibomvu
- amehlo omeleyo
- inhlabathi, inzwa
- umbono oguqukayo
Ngokuthakazelisayo, izigulane ezininzi zikhalaza xa ziphuma eshahleni eshushu. Bathi amehlo abo abe obomvu kakhulu kwaye ngamanye amaxesha baziva bexakeka, behlaba intlungu. Oku kudla ngokuba kukho utshintsho olukhawulezileyo kwindawo yokuhlambela kunye nefilimu yokuliba iya kuhlala ingaqiniseki ngokukhawuleza. Iliso limila kwaye i-cornea, isakhiwo esicacileyo se-dome-engxenyeni yangaphambili yelihlo, ayinakucaciswa ngokufanelekileyo kwaye idibene.
I-optometrist ixilonga njani i-MGD?
Oogqirha bamazi baxilonga ukuba imeko yokuqala isekelwe kwimpawu zesigulane. Ngaphantsi kwe-microscope, oogqirha baya kubona ukuba i-eyelid margin ibonakala ibomvu, i-vascularized kunye neengqungquthela ze-meibomi zingabonakala zixhunyiwe. Ifilimu yokulibala ayizinzile. Oogqirha balinganisa into ebizwa ngokuba yi-TBUT-tear tear-time break. Ukuba umgca oyile ophezulu ungapheli, abantu baya kuba ne-TBUT enciphise.
I-TBUT eqhelekileyo imitha engama-10. Iingqungquthela ze-meibomi zingabonakaliswa kwaye zikhudlwana kuneyona meibum eqhelekileyo ibonakala. Ifilimu yezinyembezi iza kuvela ngamanye amaxesha. Ngamanye amaxesha, iinyembezi ziza kubonakala zibuhlungu.
Ukuphathwa kweMGD njani?
Unyango lwe-meibomian gland ukungasebenzi kakufani ngokuxhomekeka kubuqili.
- Ucoceko lwe-Lid - Oogqirha abaninzi baya kuqala bacebisa ukufudumala okufudumeleyo imihla ngemihla elandelwa luhlobo oluthile lokuhlambulula iinqweba. Amalungiselelo e-efidi ye-eyelidi aphethwe ngamashishini atholakala kwi-counter. Iimveliso ze-biochemicals ezitsha ezifana ne-hypochlorous acid isisombululo ziye zafunyanwa zincedo kakhulu.
- I-Antibiotics - i-Tetracycline kunye ne-tetracycline iziphumo ezifana ne-doxycycline okanye i-minocycline ziye zaboniswa ukuba zinemiphumo emibili yokwelapha. Zinciphisa inani leebhaktheriya ezikhoyo kwi-gland kwaye ziye zaboniswa ukuba zineempembelelo ezichasene nezigulane. Ngamanye amaxesha izigulane zifuna ukuzisebenzisa iiveki eziliqela ukuya kwiinyanga. Kungekudala, i-azithromycin eyinikwe iintsuku ezintandathu kuphela iboniswe ukulinganisa umphumo ofanayo wobuchopho njengoko iTetracycline inikwe ixesha elide. Inzuzo yayo inengxabano phakathi kwezilwanyana zonyango
- I-antibiotic ye-Topic - I-Azithromycin ifumaneka njengegrikhi ye-topical, ebizwa ngokuba yi-Azasite (Akorn Pharmaceutical) Abanye oogqirha baya kunika iAazas ukuba isetyenziswe kwi-eyelid margin ngqo ebusuku. Oku kunokumiselwa naphi na kwiintsuku ezili-10 ukuya ku-30.
- I-steroids ye-Topical - I-headical steriod yeehlohla zamehlo zinikwa ngokudibeneyo xa i-MGD ibangela ukuvuvukala ngokweqile.
- I-Omega 3 isongezelelo - i-Omega 3 i-fatty acids xa kunikezelwa kwiiyureli zonyango kuye kwaboniswa ukuba kulungelelaniswe izilonda ze-meibomian.
Yintoni eyenzekayo xa iMGD ingaphathwa kakuhle?
Ukuba i-MGD ayiphathwe, ifom ephezulu kakhulu yesifo somzimba iyakhula kwaye ingabonisa iimpawu ezingakwazi ukuguqula umgangatho wobomi. Ngenxa yokuba i-MGD ibangele iso lomsindo omile, i-cornea inokucwangciswa kwaye iyomile kwinqanaba elincinci. Ukuba i-MGD ingapheliyo, inokubangela ukuba izigulane ze-meibomi zenze i-atrophy. Xa sele behlaselwa, kunzima kakhulu ukwenza ukuba basebenze ngokuqhelekileyo kwakhona. I-MGD ingahlakulela ibe yi-rosacea ye-ocular, enokufuna unyango olongezelelweyo.
> Umthombo:
> IKashkouli MB, Fazel AJ, Kiavash V, et al. I-azalithromycin yomlomo kunye ne-doxycycline kwi-meibomian gland ukungasebenzi: ityala lezonyango ezivulekileyo ezingabonakaliyo. Br J Ophthalmol. 2015 Feb; 99 (2): 199-204.