Blepharitis yog qhov o ntawm ntug dawb ntawm daim tawv muag (lub paj liab liab nyob ntawm qib plaub muag). Qhov mob no tuaj yeem kis rau ntawm daim tawv nqaij (tawv muag), sab hauv ntawm daim tawv muag, nyob ze rau lub qhov muag, lossis txawm tias lub qhov muag nws tus kheej. Nws tuaj yeem ua rau plaub muag poob hu ua madarosis.

Cov tsos mob ntawm tus kab mob

    Blepharitis ua rau liab ntawm daim tawv muag. Qee lub sij hawm muaj cov tawv nqaij tso rau ntawm lub hauv paus ntawm cov plaub muag. Hauv cov ntaub ntawv mob hnyav, yuav muaj qhov muag qhov muag, deformities lossis mob txhab ntawm ntug ntawm daim tawv muag.

Nws yog nrog los ntawm kev hnov ​​ntawm lub cev txawv teb chaws, hlawv, khaus, txawm tias mob thiab tsis tshua muaj qhov txo qis hauv qhov muag pom.

Ua rau blepharitis

1 / Staphylococcus

Blepharitis txuas rau staphylococcus yog ob qho tsis ntev los no thiab sai li sai tau, lossis nws ua rau cov ntshav sib xyaw ntawm lwm qhov ua rau los ntawm phau ntawv tsis huv.

Kev mob ntawm qhov tsis pub dawb ntawm daim tawv muag tau cim, feem ntau nrog los ntawm kev yaig ntawm cov hauv paus ciliary, tawv tawv nyob ib puag ncig lub hauv paus ntawm plaub muag, ua kom zoo ib ncig ntawm cov plaub muag, tom qab ntawd plaub muag poob (madarosis) thiab qhov tsis sib xws ntawm daim tawv muag (tylosis) )

2/ Demodex

Demodex folliculorum yog kab mob ntawm daim tawv nqaij uas nyob hauv cov hauv paus plaub hau ntawm lub ntsej muag. Nws tuaj yeem ua rau demodecidosis ntawm lub ntsej muag (ua pob uas zoo li rosacea tab sis tsis kho nrog tshuaj tua kab mob).

Hauv blepharitis cuam tshuam nrog demodex kev loj hlob, cov kab mob tuaj yeem pom nrog lub qhov muag liab qab, uas swarm nyob rau hauv daim ntawv ntawm lub tsho tubular tseeb nyob ib puag ncig puag ntawm plaub muag.

3 / Rosea

Rosacea yog kab mob pathology muab rosacea thiab ntxau ntawm lub puab tsaig thiab qhov ntswg. Cov kab mob no feem ntau nrog los ntawm blepharitis txij li nws tau pom hauv 60% ntawm cov neeg mob ntawm daim tawv nqaij rosacea. Nws tseem yog qhov qhia txog rosacea thaum tseem tsis muaj cov tsos mob ntawm daim tawv nqaij hauv 20% ntawm cov neeg mob.

Blepharitis ntawm rosacea yog nrog nrog kev koom tes tom qab, uas yog hais txog sab mucous ntawm daim tawv muag nrog kev koom tes ntawm cov qog meibomian, qog nyob ntawm lub qhov muag, uas tau nthuav dav, muab cov kua roj tawm yog tias koj nias rau nws thiab ua rau kua muag zaj duab xis roj. Qee lub sij hawm cov qog no tau thaiv los ntawm cov roj ntsaws thiab taws (meibomite)

Tus kab mob sib txuas yog xim liab, nrog cov hlab ntsha nthuav dav, thaj chaw o thiab nws tseem tuaj yeem ua rau theem siab muaj qhov nti.

4 / Seborrheic dermatitis

Seborrheic dermatitis ua rau liab liab feem ntau nyob rau thaj tsam seborrheic ntawm lub ntsej muag (ntug ntawm lub qhov ntswg, quav nasolabial, ncig lub qhov muag, thiab lwm yam). Nws tuaj yeem ua ke nrog kev mob me ntsis blepharitis, nrog kev puas tsuaj ntawm daim tawv muag los ntawm daim tawv nqaij, nrog cov nplai rog

5 / Tsis tshua muaj tshwm sim

Lwm qhov ua rau blepharitis yog psoriasis (pom zoo ib yam li seborrheic dermatitis), tiv tauj lossis atopic eczema (ua rau tawv muag tawv nqaij), cicatricial pemphigoid, tshuaj sib tsoo, lupus ntev, dermatomyositis thiab lub cev phtiriasis ("Crab" uas tuaj yeem ua rau cov plaub muag thiab plaub muag) ntxiv rau kev koom nrog pubic). 

Kev kho mob rau blepharitis

1 / Staphylococcus

Tus kws kho mob siv lub qhov muag los yog tshuaj pleev raws li mercury oxide (ob zaug ib hnub rau 7 hnub: Ophtergine®, Yellow mercuric oxide 1 p. 100 Chauvin®), bacitracin (Bacitracine Martinet®), chloramphenicol (Chloramphenicol Faure® ib zaug, ib zaug poob 3 txog 6 zaug hauv ib hnub), aminoglycosides (Gentalline® qhov muag poob lossis tshuaj pleev, Tobrex® qhov muag poob lossis tshuaj pleev, 3 daim ntawv thov / hnub)

Cov tshuaj pleev tuaj yeem siv ntxiv rau qhov muag qhov muag thiab tom qab ntawv yuav thov thaum yav tsaus ntuj. Nws tso cai rau muag cov tawv nqaij.

Muaj cov tshuaj tua kab mob qhov muag raws li fluoroquinolones, uas kim dua thiab tsis tshua muaj siv. Ib yam nkaus, cyclins tsis tshua muaj siv vim muaj kev tiv thaiv ntau yam kab mob ntawm staphylococci.

Kev siv corticosteroids ib txhij thiab tshuaj tua kab mob (Gentasone® tshuaj pleev) yog qhov teeb meem, tab sis nws tso cai rau txhim kho kev ua haujlwm sai dua li cov tshuaj tua kab mob ib leeg: kev kho corticosteroid hauv ib cheeb tsam yuav tsum tau siv nrog kev saib xyuas zoo, thaum kuaj pom kis mob keratitis (herpes) ...) tau raug txiav txim los ntawm tus kws kho qhov muag.

2/ Demodex

Kev kho mob cuam tshuam nrog kev thov 1% mercury oxide ointment. 100 (Ophtergine®, Yellow mercuric oxide 1 p. 100 Chauvin®), kev daws teeb meem ntawm boric acid (Dacryosérum® ib zaug, Dacudoses®) thiab tshem tawm cov tes tsho ciliary nrog quab yuam.

3 / Rosea

Tshem tawm cov roj tso tawm los ntawm cov qog meibomian

Tus kws kho mob pom zoo kom ua tawv muag ob zaug ib hnub txhawm rau tshem tawm cov roj tso tawm los ntawm cov qog meibomian. Qhov zaws no tuaj yeem ua ntej los ntawm kev siv cov ntaub ntub dej ntub hauv cov dej kub uas ua rau cov kua tso tawm.

Sib ntaus tiv thaiv qhov muag qhuav

Siv cov kua muag dag yam tsis muaj tshuaj khaws cia (Gel-Larmes® ib koob, 2 txog 4 zaug hauv ib hnub, Lacryvisc® ib koob, tshuaj pleev qhov muag).

Kev kho mob rosacea

Tus kws kho mob tawv nqaij siv tshuaj tua kab mob hauv qhov ncauj (cyclins: Tolexine®, 100 mg / hnub rau 12 lub lis piam) uas muaj qhov cuam tshuam zoo tsis yog rau ntawm daim tawv nqaij rosacea nkaus xwb tab sis kuj tseem ua rau mob blepharitis.

Cov cyclins hauv zos xws li oxytetracycline (Tetranase®) tsis muaj Kev Tso Cai Ua Lag Luam hauv qhov kev qhia no tab sis lawv kuj tseem tuaj yeem ua haujlwm tau zoo.

Metronidazole gel ntawm 0,75 p. 100 (Rozex gel®) tuaj yeem thov ib hnub ib hnub rau ntawm daim tawv nqaij ntawm daim tawv muag thiab lawv cov ntug dawb rau 12 lub lis piam.

4 / Seborrheic dermatitis

Kev saib xyuas kev tu cev yog qhov tseem ceeb dua, txhawm rau tshem tawm cov tawv nqaij thiab cov nplai uas yog lub hauv paus ntawm cov kab mob loj zuj zus thiab ua rau khaus los ntawm kev siv cov khoom ua kom tawv muag (Blephagel®, Lid-Care®…).

Blepharitis txuas rau seborrheic dermatitis feem ntau kis nrog staphylococci, yog li nws xav tau kev kho mob zoo ib yam li staphylococcal blepharitis.

Peb tus kws kho mob lub tswv yim

landmarks

Dermatonet.com, cov ntaub ntawv qhia txog ntawm daim tawv nqaij, plaub hau thiab kev zoo nkauj los ntawm kws kho mob tawv nqaij

www.dermatone.com

Xav paub ntau ntxiv txog lub qhov muag liab: http://www.dermatonet.com/oeil-rouge-yeux-rouges.htm/