Blepharitis waa barar ku dhaca cidhifka indhaha ee xorta ah (dhinaca cas ee casaanka leh ee ku yaal heerka indho-shareeraha). Caabuqani waxa uu ku fidi karaa maqaarka (daalka isha), gudaha ee isha, oo ku taal isha, ama xataa isha lafteeda. Waxay sababi kartaa indho-beelka indho-beelka loo yaqaan madarosis.

Astaamaha cudurka

    Blepharitis wuxuu keenaa casaanka margin ee daboolka indhaha. Mararka qaarkood waxaa jira kaydyo qolof ah oo ku yaal saldhigga indhashareeraha. Noocyada bararka aadka u daran, waxaa laga yaabaa inay jiraan barar daboolka indhaha, qallafsanaan ama boogaha cidhifka indhashareerta.

Waxaa weheliya dareenka jirka shisheeye, gubasho, cuncun, xitaa xanuun iyo marar dhif ah hoos u dhaca muuqaalka muuqaalka.

Sababaha blepharitis

1 / Staphylococcus

Blepharitis oo ku xidhan staphylococcus waa mid dhow iyo mid kedis ah, ama waxay adkeynaysaa blepharitis sabab kale oo ay u keento wasakhowga gacanta.

Caabuqa cidhifka bilaashka ah ee daboolka indhaha ayaa la calaamadeeyay, inta badan waxaa weheliya nabaad-guurka follicle ciliary, qolof adag oo ku wareegsan xididka indhashareeraha, xoqin maqaarka agagaarka indhaha, ka dibna luminta indhaha (madarosis) iyo cillad aan caadi ahayn ee margin indhaha (tylosis) )

2/ Demodex

Demodex folliculorum waa dulin maqaarka ah oo ku nool timaha timaha ee wejiga. Waxay u horseedi kartaa demodecidosis wajiga (finan u eg rosacea laakiin aan ku bogsan antibiyootiga).

In blepharitis la xidhiidha kororka demodex, dulin waxaa lagu arki karaa isha qaawan, kaas oo ku soo qulqulaya qaab gacmo-gacmeedyo tuubo ah oo cad oo ku wareegsan saldhigga indhoolaha.

3 / Rosacea

Rosacea waa cudur-baadi siinaya rosacea iyo finan dhabannada iyo sanka. Cudurkaan waxaa inta badan la socda blepharitis maadaama laga helo 60% xaaladaha rosacea maqaarka. Waxay xitaa calaamad u tahay rosacea marka aysan jirin calaamado maqaarka weli 20% kiisaska.

Blepharitis of rosacea waxaa weheliya ku lug lahaanshaha dambe, taas oo ah in la yiraahdo dhinaca xabka ee isha oo ku lug leh qanjidhada meibomian, qanjidhada ku yaal conjunctiva, kuwaas oo fidsan, waxay bixiyaan dareere saliid leh haddii aad cadaadiso oo aad sameyso filim jeex ah oo dufan leh. Mararka qaarkood qanjidhadan waxaa xira fur saliid leh oo shideysa (meibomite)

Konjunctiva waa casaan, oo leh weelal baladhan, meelo bararsan oo xitaa marxaladaha hore waxay yeelan karaan nabarro atrophic ah.

4 / Seborrheic dermatitis

Seborrheic dermatitis waxay keentaa casaan qallalan inta badan meelaha seborrheic ee wajiga (cidhifyada sanka, laalaabka nasolabial, indhaha agagaaraha, iwm.). Waxaa la socon kara blepharitis in yar oo barar ah, oo dhaawac u geysta daboolka isha ee dermatitis, oo leh miisaanno dufan leh.

5/Sababaha naadirka ah

Sababaha kale ee blepharitis waa psoriasis (muuqaal la mid ah dermatitis seborrheic), taabashada ama cambaarta atopic (oo ka dhalata cambaarta indhaha), cicatricial pemphigoid, dillaaca daroogada, lupus dabadheeraad ah, dermatomyositis iyo phtiriasis jirka ("Crabs" kaas oo gumaysan kara sunnayaasha iyo indho-shareeraha marka lagu daro ka qayb qaadashada dadweynaha). 

Daaweynta blepharitis

1 / Staphylococcus

Dhakhtarku waxa uu isticmaalaa dhibco ama boomaato ku salaysan meerkuri oxide (laba jeer maalintii muddo 7 maalmood ah: Ophtergine®, Yellow mercuric oxide 1 p. 100 Chauvin®), bacitracin (Bacitracine Martinet®), chloramphenicol (Chloramphenicol Faure® hal-dose, hal qiyaas. hoos 3 ilaa 6 jeer maalintii), aminoglycosides (Gentalline® dhibcaha indhaha ama boomaatada, Tobrex® dhibcaha indhaha ama boomaatada, 3 codsi / maalin)

Cadarka waxaa la isticmaali karaa marka lagu daro dhibcaha indhaha ka dibna waxaa la marsiin doonaa fiidkii. Waxay u ogolaataa jilicsanaanta qolofka.

Waxaa jira dhibco indhaha antibiyootiga ah oo ku salaysan fluoroquinolones, kuwaas oo aad qaali u ah oo aad u dhif ah loo isticmaalo. Sidoo kale, baaskiilada ayaa si dhif ah loo isticmaalaa sababtoo ah caabbinta noocyo badan oo staphylococci ah.

Isticmaalka isku mar ah ee corticosteroids iyo antibiyootiga ( cadarka Gentasone ) waa muran, laakiin waxay u oggolaaneysaa horumar degdeg ah calaamadaha shaqeynaya marka loo eego antibiyootiga oo keliya: daaweynta corticosteroid maxaliga ah waa in loo isticmaalo si taxadar leh, marka la ogaado keratitis faafa (herpes) …) Waxaa si rasmi ah meesha uga saaray dhakhtarka indhaha.

2/ Demodex

Daawadu waxay ku lug leedahay codsashada 1% boomaatada meerkuri oxide. 100.

3 / Rosacea

Ka saarida dheecaanka saliidda leh ee qanjidhada meibomian

Dhakhtarku wuxuu ku talinayaa in la duugo daboolka indhaha laba jeer maalintii si looga saaro dheecaanka saliidda leh ee qanjidhada meibomian. Duugistan waxa ka horrayn kara in la marsado cadaadisyo lagu qooyay biyo kulul oo jilcisa dheecaannada.

La dagaallama isha engegan

Isticmaalka ilmada macmalka ah oo aan lahayn wax-ilaaliye ah (Gel-Larmes® hal dose, 2 ilaa 4 jeer maalintii, Lacryvisc® hal dose, jel indhaha).

Daaweynta rosacea

Takhtarka maqaarka ayaa isticmaala antibiyootiga afka laga qaato (cyclins: Tolexine®, 100 mg/maalintii ilaa 12 toddobaad) kuwaaso saameyn wanaagsan ku leh ma aha oo kaliya rosacea maqaarka laakiin sidoo kale blepharitis.

Baaskiilada maxalliga ah sida oxytetracycline (Tetranase®) ma laha Ogolaanshaha Suuqgeynta ee tilmaantan laakiin sidoo kale waxay noqon karaan kuwo waxtar leh.

Gel Metronidazole at 0,75 p. 100 (Rozex gel®) ayaa la marsiin karaa hal mar maalintii oogada maqaarka ee daboolka indhaha iyo cidhifkooda xorta ah muddo 12 toddobaad ah.

4 / Seborrheic dermatitis

Daryeelka nadaafadda ayaa mar kale muhiim ah, si loo baabi'iyo qolofyada dufanka leh iyo miisaanka kuwaas oo ka kooban isha faafinta bakteeriyada iyo xanaaqa iyada oo la adeegsanayo alaabta nadiifinta indhaha (Blephagel®, Lid-Care®…).

Blepharitis oo ku xidhan dermatitis seborrheic ayaa inta badan ku wasakhaysan staphylococci, markaa waxay u baahan tahay daaweyn la mid ah staphylococcal blepharitis.

Fikirka dhakhtarkayaga

Bartilmaameedyo

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