Meibomianitis

ʻO Meibomianitis ka mumū o nā meibomian glands, kahi hui o ka hoʻokuʻu ʻana i ka aila (sebaceous) i nā lihilihi. He mau puka liʻiliʻi ko kēia mau glands e hoʻokuʻu i nā aila ma luna o ka ʻili.

ʻO kēlā me kēia kūlana e hoʻonui i nā huna aila o nā meibomian glands e ʻae i ka nui o nā aila e kūkulu ma nā lihi o nā eyelids. ʻAe kēia i ka ulu nui ʻana o nā koʻohune i loaʻa mau i ka ʻili.

Hiki i kēia mau pilikia ke kumu i nā maʻi āpau, nā loli hormonone i ka wā ʻōpio, a i ʻole nā ​​ʻili e like me rosacea a me huehue.

Hoʻohui pinepine ʻia ʻo Meibomianitis me ka blepharitis, i hiki ke hoʻokumu i kahi mea like me ka dandruff ma ke kumu o nā maka maka.

I kekahi poʻe me ka meibomianitis, e hoʻopili ʻia nā glands i mea e emi ai ka aila e hana ʻia no ke kiʻi ʻoniʻoni maʻamau. Loaʻa pinepine kēia mau poʻe i nā ʻōuli o ka maka maloʻo.

ʻO nā hōʻailona me:

• ʻO ka pehu a me ka ʻulaʻula o nā kaʻe maka
• Nā ʻōuli o ka maka maloʻo
• Hoʻopiʻi iki o ka hihi ma muli o ka nui o ka aila i ka waimaka - hoʻomaʻemaʻe pinepine ʻia e ka blinking
• Nā ʻano pinepine

Hiki ke ʻike ʻia ka Meibomianitis e kahi hoʻokolohua maka. ʻAʻole koi ʻia nā hoʻāʻo kūikawā.

Pili ka mālama maʻamau:

• E hoʻomaʻemaʻe pono i nā lihi o nā poʻi
• Ke noi nei i ka wela i ka maka i hoʻopilikia ʻia

ʻO kēia mau hōʻailona e hōʻemi pinepine i nā hōʻailona ma ka hapanui o nā hihia.

Hiki i kāu kauka olakino ke kuhikuhi i kahi hamo antibiotic e hoʻopili ai i ka lihi o ka uhi.

Hiki i nā mālama ʻē aʻe ke:

• Ke hana nei i kahi kauka maka e hana i ka expression gland meibomian e kōkua i ka hoʻomaʻemaʻe i nā glands o nā huna.
• Hoʻokomo i kahi paipu liʻiliʻi (cannula) i loko o kēlā me kēia hāmama e wehe e holoi i ka aila mānoanoa.
• Lawe i nā antibiotic tetracycline no kekahi mau pule.
• Ke hoʻohana nei iā LipiFlow, kahi pono e hoʻomehana i ka maka maka a kōkua i ka hoʻomaʻemaʻe i nā glands.
• Lawe i ka aila iʻa e hoʻomaikaʻi i ke kahe o ka ʻaila mai nā kelena.
• Ke hoʻohana nei i kahi lāʻau i loaʻa i ka waikawa hypochlorous, kāpīpī ʻia kēia i nā lihilihi. He kūpono paha kēia i nā poʻe i loaʻa ka rosacea.

Pono paha ʻoe e mālama i nā ʻano ʻili e like me ka huehue a rosacea paha.

ʻAʻole ʻo Meibomianitis kahi kūlana hoʻoweliweli. Eia nō naʻe, he wā lōʻihi paha (mau) a me ke kumu hou o ka huhū o ka maka. He nui ka poʻe e ʻike i nā hana hōʻeha no ka mea ʻaʻole pinepine ka hopena. ʻO ka mālama ʻana, e kōkua pinepine ʻia e hōʻemi i nā ʻōuli.

Kāhea i kāu mea hāʻawi inā ʻaʻole alakaʻi ka hoʻomaʻamaʻa i ka hoʻomaikaʻi a i ʻole inā hoʻomohala nā ʻano.

Ke mālama nei i ka hoʻomaʻemaʻe o kou lihilihi a me ka mālama ʻana i nā ʻano ʻili e pili ana e kōkua i ka pale ʻana i ka meibomianitis.

ʻO ka hana ʻole o ka momona ʻo Meibomian

• Anatomia maka

Kaiser PK, Friedman NJ. Nā poʻi, nā ʻūlili, a me nā ʻōnaehana lacrimal. I: Kaiser PK, Friedman NJ, eds. ʻO ka Massachusetts Eye and Ear Infirmary Illustrated Manual of Ophthalmology. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2014: chap 3.

Valenzuela FA, Perez VL. Pemphigoid membrane mucous. I: Mannis MJ, Hōlani EJ, eds. Kornea. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 49.

ʻO Vasaiwala RA, ʻo Bouchard CS. Keratitis noninfectious. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 4.17.