Meibomianitis

I-Meibomianitis ukuvuvukala kwezindlala ze-meibomian, iqembu lezindlala ezikhulula uwoyela (ama-sebaceous) kumajwabu amehlo. Lezi zindlala zinezikhala ezincane zokukhipha uwoyela ebusweni be-cornea.

Noma isiphi isimo esandisa uketshezi olunamafutha lwezindlala ze-meibomian kuzovumela amafutha amaningi ukuba akhe emaphethelweni amajwabu amehlo. Lokhu kuvumela ukukhula okweqile kwamagciwane ngokuvamile akhona esikhumbeni.

Lezi zinkinga zingabangelwa ukungezwani komzimba, ukushintsha kwama-hormone ngesikhathi sobusha, noma izimo zesikhumba ezifana ne-rosacea nezinduna.

I-Meibomianitis ivame ukuhlotshaniswa ne-blepharitis, engadala ukwanda kwezinto ezinjenge-dandruff ezansi kwezinkophe.

Kwabanye abantu abane-meibomianitis, izindlala zizoxhunywa ukuze kunciphe uwoyela owenzelwa ifilimu ejwayelekile yezinyembezi. Laba bantu bavame ukuba nezimpawu zeso elomile.

Izimpawu zifaka:

• Ukuvuvukala nokubomvu kwemiphetho yejwabu leso
• Izimpawu zeso elomile
• Ukufiphaza kancane kombono ngenxa kawoyela omningi kwezinyembezini - imvamisa kususwa ngokucwayiza
• Izitayela ezivamile

I-Meibomianitis ingatholakala ngokuhlolwa kwamehlo. Ukuhlolwa okukhethekile akudingeki.

Ukwelashwa okujwayelekile kubandakanya:

• Ukuhlanza ngokucophelela imiphetho yamabhodlela
• Ukufaka ukushisa okumanzi esweni elithintekile

Lezi zindlela zokwelapha zivame ukunciphisa izimpawu ezimweni eziningi.

Umhlinzeki wakho wezokunakekelwa kwempilo angakunika umuthi wamafutha wokubulala amagciwane ukuze uwufake emaphethelweni esembozo.

Ezinye izindlela zokwelashwa zingafaka:

• Ukuba nodokotela wamehlo wenze isimemezelo sezindlala ze-meibomian ukusiza ukusula izindlala zemfihlo.
• Ukufaka ishubhu elincane (i-cannula) embobeni ngayinye yendlala ukugeza uwoyela ojiyile.
• Ukuthatha ama-antibiotic e-tetracycline amasonto ambalwa.
• Usebenzisa iLipiFlow, idivaysi efudumeza ijwabu leso ngokuzenzekelayo futhi isize ukusula izindlala.
• Ukuthatha uwoyela wezinhlanzi ukwenza ngcono ukugeleza kukawoyela ezigulini.
• Kusetshenziswa umuthi oqukethe i-hypochlorous acid, lokhu kufuthwa kumajwabu amehlo. Lokhu kungasiza kakhulu kubantu abane-rosacea.

Ungadinga futhi ukwelashwa ngezimo zesikhumba ezijwayelekile ezifana nezinduna noma i-rosacea.

I-Meibomianitis ayisona isimo esisongela umbono. Kodwa-ke, kungaba yisizathu sesikhathi eside (esingapheli) nesiphindaphindayo sokucasulwa kwamehlo. Abantu abaningi bakuthola kukhathaza ukwelashwa ngoba imiphumela ayivamisile ukuba khona ngokushesha. Ukwelashwa, noma kunjalo, kuvame ukusiza ukunciphisa izimpawu.

Shayela umhlinzeki wakho uma ukwelashwa kungaholeli ekwenzeni ngcono noma uma kuvela izitayela.

Ukugcina izinkophe zakho zihlanzekile futhi welapha izimo zesikhumba ezihambisanayo kuzosiza ukuvimbela i-meibomianitis.

Ukungasebenzi kahle kwendlala yeMeibomian

• Ukwakheka kwamehlo

UKaiser PK, uFriedman NJ. Amabhodlela, imivimbo, kanye nohlelo lwe-lacrimal. Ku: Kaiser PK, Friedman NJ, ama-eds. IMassachusetts Eye and Ear Infirmary Illustrated Manual of Ophthalmology. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 3.

UValenzuela FA, uPerez VL. Ulwelwesi lwe-mucous pemphigoid. Ku: Mannis MJ, Holland EJ, ama-eds. I-Cornea. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2017: isahluko 49.

IVasaiwala RA, iBouchard CS. I-keratitis engatheleleki. Ku: Yanoff M, Duker JS, ama-eds. I-Ophthalmology. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2019: isahluko 4.17.