Amehlo Dry: Izimbangela Nezingozi Ukwelashwa amakhambi abantu futhi amathonsi

Ngaphansi kwezimo zamanje umsebenzi nokuphila izici eziningi ezahlukene kungaba nethonya amehlo, akusiyo eyakhayo ngaso sonke isikhathi. Ngenxa yalesi sizathu, ekubeni nezindaba zokuphila eziqhubeka ezibalulekile ezifana kome iso, izimbangela kanye nokwelashwa, umbono angase awele esesimweni esinjalo noma cha? Ukuze anikeze impendulo ephelele, kudingeka ucabangele le nkinga.

Kungani amehlo omile

Le timu, njengokuthi "Amehlo Dry: Ubangela futhi Ukwelashwa" amadili elinabantu abaningi. Ngokuvamile imbangela ezinjalo yisimo sokugembula yilokho okubizwa ngokuthi "xerophthalmia". Ingqikithi le nkinga enganele umswakama conjunctiva futhi cornea ngenxa izinyembezi ukuntula uketshezi ukuntengantenga we ifilimu izinyembezi.

Le filimu ihlanganisa phambi kobuso iso. Uhlonze lwalo imayelana 10 microns. Umgomo oyinhloko walesi ifilimu ukuvikela iso kusukela imvelo, ahlukahlukene ingress elincane imizimba angaphandle nothuli, kukonke. Ngaphezu kwalokho, ngokunembile uma kwenzeka iqhaza umoya-mpilo nezakhi ukuba cornea, kanjalo zakha isimiso nesivikelo semvelo mzimba ezifeni.

Isakhiwo ifilimu izinyembezi

Ukutadisha kome amehlo, izimbangela kanye nokwelashwa yalesi sifo, kufanele sinake ilungiselelo ukudabuka ifilimu, esakhiwa ezintathu zamatshe:

- ejulile - ungqimba mucin. umkhiqizo wakhe conjunctival goblet amaseli. Ngaphezu kwalokho, lesi sendlalelo imbozwe cornea, lapho ubuso bayo uyisicaba futhi abushelelezi. Umsebenzi osemqoka lesi sendlalelo kuyehla kube ukugcina ngesikhathi epithelium we-cornea ngokwayo izinyembezi ifilimu.

- ungqimba aqueous. nezindlala yakhe izinyembezi ukukhiqiza. Lesi sendlalelo siqukethe electrolyte kakhulu ziyoncibilika, futhi izinto eziphila abakhuthele. It unikeza epithelium we conjunctiva futhi cornea ne mpilo nezakhi. Ngaphezu kwalokho, ngenxa yongqimba aqueous isuswe imfucuza umzimba, amangqamuzana omoya-carbon dioxide futhi amaseli EPITHELIAL eyayintula ukuncipha.

- lipid ungqimba. It kuveza nezindlala meibomian futhi ihlanganisa ohlangothini elingaphandle ungqimba amanzi. umsebenzi yayo esemqoka - kuyisivikelo the inhlamvu yeso kanye nokuhlinzeka leso elingenhla of beya. Iphinde evimbela ngokweqile ukushisa ukudluliselwa epithelium kanye aqueous ungqimba vaporization.

Ngaphansi kwengqikithi ethi: "Amehlo Dry: Izimbangela Nezingozi Ukwelashwa» ukuziqhakambisa yokuthi njalo ngemizuzwana 10 kukhona uqhekeko we ifilimu izinyembezi, inkanuko eshaywa. Ngenxa yalokho, kukhona sokuvuselelwa uketshezi izinyembezi, okuholela ukubuyiselwa ifilimu.

Ngomzuzu owodwa buyekeza kwenzeka cishe 15% of the ifilimu izinyembezi. Uma lokhu kwenzeka le ukuhwamuka sika-8%.

Dry iso syndrome zingase ukuthuthukisa uma izikhala ngenhla echazwe kukhona ubuningi. Ziholela edwengula yalolu hlobo kuthiwa izici ezihlukahlukene: uketshezi kahle ka mucins, lipids kwamangqamuzana uketshezi, futhi kubuye ukuhwamuka ngokushesha kakhulu ifilimu uqobo.

Izimbangela ezomile iso syndrome

Kunezindlela ezihlukahlukene izimo lapho kukhona ukwehla ezivezwa uketshezi lacrimal. Okuvame kakhulu yilezi ezilandelayo:

- endocrine iziyaluyalu phakathi menopause futhi pre-menopause. Sikhuluma ukuntuleka ukukhiqizwa estrogen.

- Vitamin ukuntula.

- iziyaluyalu Sinzima esithinta izinzwa, isifo i-Parkinson, isifo sezinso, ukukhulelwa, ukuvuvukala isifo samehlo neziyaluyalu ezihlukahlukene izinhlaka umbono, nokungondleki okukhulu, izifo kanye nezifo zesikhumba.

- Izimo sokuhlasela kwamasosha omzimba (isifo Sjögren sika), futhi zezinzwa izicubu isifo. Kulokhu kusho ukwanda okungaqondiswa kwamadolobha ezicutshini emzimbeni sihambisane occlusion of indlala lacrimal Amapayipi excretory. Amapayipi ukuvimba foci fibrotic, okuholela ukuphazamiseka ukukhiqizwa egcwele uketshezi izinyembezi. Ngenxa yalokho, lapho livela khona maldistribution we-cornea.

- Uma ucabangela kome amehlo, izimbangela kanye nokwelashwa yalesi sifo, udinga ukuba banake imiphumela emibi yemithi antiarrhythmic futhi antihypertensive ngesikhathi nokuphathwa yabo ezingamahlalakhona. Waba yini umphumela walesi mkhuba ungakusiza ukwehlisa ukukhiqizwa lomzimba noma ukuphelelwa amanzi emzimbeni. Ngenxa yalokho, it incipha isamba izinyembezi futhi kwandisa viscosity yayo. Zibulale ukukhiqizwa koketshezi izinyembezi zingasebenzisa iso amaconsi namafutha aqukethe anticholinergics, beta-blocker futhi imithi ebulala izinzwa.

- I ahlukene, phetho okuyinto ukungakwazi ukuvala ngokuphelele iso, futhi kungase kubangele ukoma. Ukuze Isivalo egcwele amafutha kufanele ivalwe ngokuphelele.

- Ukusetshenziswa contact lens, usayizi okungafanele noma eliphansi.

- Iqhaza engakhi kungaba ukudlala ukuhlukumeza umbuso ka Ukuphumula nokulala, kanye yizici zemvelo.

Imbangela izinyembezi ekuseni tisetjentiswe komunye noma ngaphezulu izici ezibalulwe ngenhla.

Ngokuvamile, ukuthuthukiswa ezomile iso syndrome kwande kubantu abaphila kulezi zone zezulu ezidinga ukusetshenziswa emoyeni isimo futhi bafudumale izinhlelo. Lokhu kungenxa yokuthi umphumela emoyeni owomile kubangela ukuhwamuka uketshezi ebusweni iso.

Ubani awela iqembu ingozi

Uma ucabangela kome amehlo, izimbangela kanye nokwelashwa yalesi sifo, kubalulekile ukucacisa ukuthi ngubani ukuba wesabe inkinga enjalo. Okokuqala, leso sifo kungenzeka izakhamuzi emadolobheni, ngoba izinga lokungcoliswa komoya kunomthelela oqonde ngqo ku nokudlondlobala ezomile iso syndrome.

Kungenzeka okufanayo engaqhamuka kanye nezakhamuzi izindawo sezintaba. Njengoba izimo ophilayo, okungase kuthonye isimo iso, zihlanganisa umsebenzi eside ngesikhathi ikhompyutha. Ngokocwaningo olwenziwa, ezingaphezu kuka-70% abesifazane 60% amadoda usebenza PC ehhovisi, unezinkinga umsebenzi nezindlala lacrimal.

Ahambisanayo isihloko "iso Dry - izimbangela kanye nokwelashwa eneminyaka engu-iminyaka engu-50", ngoba abesifazane kuleli qoqo leminyaka batholakale abhekene nakho ukwehla izinga estrogen igazi. Lokhu, kuholela ome iso.

Dry iso syndrome - izimpawu

Ezimweni eziningi, izimpawu yale nkinga akucacile, kodwa ngezinye izikhathi ngenxa ukuthuthukiswa yezinkinga ingavela ngempela lubonakale nokuphazamiseka kwempilo.

Lawa izimpawu ezilandelayo zokugula:

- ububomvu esweni;

- ababambelela nezinkophe ekuseni;

- umuzwa "isihlabathi emehlweni" koma, okungase wakha emini;

- ngesikhathi eshaywa nokucija umbono.

Uma kulesi sifundazwe iso sizothinta ukushisa futhi abheme, degree of izimpawu kungenzeka kakhulu ephakeme.

Lesi sifo ukubonakaliswa kakhulu:

- nobuhlungu obukhulu emehlweni, ukuthi kunzima ukubekezelela;

- angaboni kahle;

- anda nokuzwela ekukhanyeni;

- abalulekile ububomvu samehlo, okuyinto isikhathi eside aluphumeleli.

Kwezinye izimo, ungase nasezinganeni ukulimala corneal. Ngakho-ke, ukubukeka lezi zimpawu kufanele afune usizo lwezokwelapha.

Izindlela yokwelashwa

Uma kwakuba khona izinyembezi, izimbangela kanye nokwelashwa ezinganeni nakubantu abadala kudingeka ukuthi ifakwe udokotela. Ngakho-ke, kwenziwa uphethwe: Cytology smear conjunctiva, lacrimal uketshezi ukuhlaziywa, biomicroscopy, futhi Schirmer test futhi Norma (indlela yokunquma isilinganiso kumiswa kanye ukuhwamuka okwalandela uketshezi izinyembezi).

Uma imbangela isifo uzimisele, kungasetshenziswa izindlela ezihlukahlukene ekwelapheni izinyembezi yokufakelwa ngaphambi kokuhlinzwa.

Ngaphansi kwengqikithi ethi "amehlo omile, izimbangela kanye nokwelashwa" iconsi libanakekele ekhethekile ngoba ingasetshenziswa iwukudambisa inkinga emazingeni ehlukene yentuthuko.

izinyembezi, ukungakhululeki, ububomvu nezinye emizweni ezingemnandi ngokuvamile ukuphazamisa labo njalo egumbini evuthayo noma-moya isikhathi eside futhi isebenza ngesikhathi ikhompyutha. Ngakho-ke, amehlo akhe kumelwe siqinisekise hydration ngokwakha ifilimu zokuzivikela phezu corneal. Nge lo msebenzi kuyasiza ukuphatha izimali ngesisekelo asidi i-hyaluronic, isibonelo, ngeso lehla "Artelak Splash", okuyinto aboniswa kuqede izimpawu yokukhathala iso, kokuvela babeyivakashela ngankathi kanye eduze ekupheleni kosuku. Ngezinye iziqephu njalo izinyembezi, kokuphazamisa umuntu usuku lonke, kufanele sinake iconsi "Artelak Balance", ingxenye okubaliwe uMvikeli (polyethylene glycol 8000), eqinile ukukhululwa amafutha umphumela asidi i-hyaluronic, futhi vitamin B12, okuyinto ine impahla eqinile antioxidant.

ejenti eqeda ukuvuvukala futhi elwa namagciwane

Ngokuvamile, ukuvuvukala kwenzeka iso lapho ezomile. Kulokhu, ingelapheka ngemithi elwa namagciwane, futhi immunosuppressants. Sikhuluma izidakamizwa ezifana hormone iconsi "Dexamethasone", "Oftan», «Maxidex» eyehlela nge cyclosporine "Restasis".

Ukutadisha kome amehlo, izimbangela, ukwelashwa kanye nomthelela ngempumelelo inkinga iyonke, kudingeka ukuba banake ejenti elwa namagciwane. Basuke esetshenziselwa neutralization of Izifo ukuvuvukala, okuvame ukubangela izinyembezi. Kumayelana yokugcoba ne-tetracycline futhi erythromycin. Babamise, njengoba umthetho, inkambo izinsuku 7-10 of. Zisetshenziswa ngesikhathi sokulala.

Kukhona nezinye izindlela ukuthonya ngempumelelo ukoma iso. Izimbangela Nezingozi Ukwelashwa (izibuyekezo siliqinisekise) kuvamile ezifana indlela ephumelelayo ukuthonya isifo njengenhlangano esitsheni implantable lapho slezozamenyayuschaya ketshezi. Yibeke e ijwabu leso engezansi.

ukuchayeka kuhlinzwa

Kunezinhlobo eziningana imisebenzi ezincane ezingathinta emehlweni kusuka iphele ukuphuma. Ngezinye ukuqaliswa zabo eziphumelelayo zokuqhuba ibhizinisi abuyiselwe ukuthuthukiswa evamile kanye nokugcinwa lemali edingekile of uketshezi izinyembezi.

Njengoba isibonelo, i-occlusion we imbobo lacrimal, okuyinto uketshezi kuhoxiswe kusukela iso. Uma idlulela, uketshezi iqala buthelela ku ebusweni elingaphandle iso, okuholela hydration yayo. Nokunamathelisa kukakhokho Amapayipi esetshenziswa, okuyinto, uma kunesidingo, isuswe. inqubo enjalo akuyona eziyinkimbinkimbi, kodwa kungaba kakhulu ngcono isimo lesiguli.

Uma, ngemva lo msebenzi, inkinga awuzange siyixazululile ingasetshenziswa moxibustion lacrimal mapayipi.

izindlela abantu

Kukhona izindlela eziningana ukuthi bayakufanelekela kokukhuluma ekuhloleni kwengqikithi ethi "amehlo omile -. Izimbangela Nezingozi Ukwelashwa" amakhambi Folk ukuba banqobe izifo eziningi ezivamile futhi lesi sifo hhayi okuhlukile.

Njengoba izibonelo zalokhu indlela kungaholela ezinye izindlela:

- A decoction of chamomile. Kuyadingeka ukwenza Daisy. Umhluzi okuholela oswakanyiswe pads ukotini kanye isetshenziswa emehlweni imizuzu 10-20. Okwenza kube efiselekayo amanga.

- Tea elangeni. Sebenzisa isimiso esifanayo nokusetshenziswa ukotini pad nje ukwenziwa itiye elivamile, futhi kanzima.

- Ukusetshenziswa uju. Lo mkhiqizo ekwelapheni ancibilikisa ngamanzi sisetshenziswa ngesimo ukulibopha.

Ngokuvamile, isifundo esiphathelene izinyembezi, izimbangela kanye nokwelashwa leli amakhambi isifo abantu, kuyafaneleka ukuthi kubalulekile ukuba bayakhohlwa indlela edidiyelayo isenzo.

zokuvimbela

Ukuze uvimbele okuvela izinyembezi noma silungise umphumela ukwelashwa, kubalulekile ukulandela iziqondiso ezilula ezimbalwa:

- ukuqinisekisa ukuthi izinga umswakama endlini kwaba cishe 30-50%;

- ngenkathi ezibandayo, sebenzisa humidifier;

- ukuvikela amehlo nokusondelana oqondile komoya futhi umoya onamandla ngaphezulu;

- ukusetshenziswa izibuko.

okutholakele

Ngokusobala, kome amehlo kungaba umphumela lonke uchungechunge izici ezahlukene. Ngenxa yalesi sizathu, kokubili ngaphambi ukwelashwa nangemva kubalulekile ukuqinisekisa ukuthi imbangela inkinga iqhubeka ukuze angabi nomthelela omubi ulwelwesi esweni.

Kukhona Izimo. Udinga ukufunda bhukwana noma uthintane nge onguchwepheshe.