Nkag siab Internal Stye: Phau Ntawv Qhia Kom Paub
Introduction
Ib sab hauv stye, tseem hu ua meibomian cyst lossis chalazion, yog ib qho mob qhov muag uas tuaj yeem ua rau tsis xis nyob thiab txhawj xeeb rau cov neeg cuam tshuam. Thaum feem ntau yuam kev rau ib qho yooj yim pob txuv los yog pob ntawm daim tawv muag, ib qho chaw sab hauv yog ib qho kev mob ntawm cov qog meibomian, uas yog lub luag haujlwm tsim cov kua muag oily txheej. Kev nkag siab txog qhov tseem ceeb ntawm tus kab mob sab hauv yog qhov tseem ceeb, vim tias nws tuaj yeem cuam tshuam qhov muag thiab qhov muag tag nrho yog tias tsis kho kom raug. Kab lus no yog npaj los muab cov ntsiab lus dav dav ntawm cov kab mob sab hauv, nrog rau lawv qhov ua rau, cov tsos mob, kev kuaj mob, kev kho mob, thiab cov tswv yim tiv thaiv.
Lus txhais
Internal Stye yog dab tsi?
Internal stye yog ib qho me me, mob pob uas tshwm sim nyob rau sab hauv ntawm daim tawv muag vim qhov txhaws thiab mob ntawm cov qog meibomian. Cov qog no nyob ntawm daim tawv muag ntawm daim tawv muag thiab ua lub luag haujlwm tseem ceeb hauv kev saib xyuas kev noj qab haus huv ntawm lub qhov muag los ntawm kev zais cov roj uas tiv thaiv kua muag evaporation. Thaum cov qog no txhaws, nws tuaj yeem ua rau o, liab, thiab tsis xis nyob. Tsis zoo li cov styes sab nraud, uas tshwm sim ntawm daim tawv muag sab nrauv thiab feem ntau tshwm sim los ntawm cov kab mob kab mob, cov kab mob sab hauv feem ntau yog vim lub caj pas txhaws thiab tej zaum tsis tas yuav kis kab mob.
Ua rau thiab Risk Factors
Kab mob/ib puag ncig ua rau
Txawm hais tias cov kab mob sab hauv feem ntau yog tshwm sim los ntawm kev thaiv cov qog meibomian, qee yam kab mob sib kis tuaj yeem ua rau lawv loj hlob. Cov kab mob, tshwj xeeb tshaj yog Staphylococcus aureus , tuaj yeem kis tus kab mob rau cov qog uas raug thaiv, ua rau o thiab ua kua paug. Cov yam ntxwv ib puag ncig xws li kev raug hmoov av, pa luam yeeb, lossis cov tshuaj ua xua kuj tuaj yeem ua rau khaus qhov muag thiab ua rau cov qog txhaws.
Genetic/autoimmune ua rau
Muaj cov pov thawj los qhia tias caj ces predisposition tuaj yeem ua lub luag haujlwm hauv kev tsim cov styes sab hauv. Cov tib neeg uas muaj keeb kwm ntawm tsev neeg ntawm qhov muag lossis kab mob ntawm daim tawv nqaij tej zaum yuav raug ntau dua. Tsis tas li ntawd, autoimmune tej yam kev mob uas cuam tshuam rau ntawm daim tawv nqaij los yog mucous daim nyias nyias tuaj yeem ua rau muaj kev pheej hmoo ntawm kev tsim styes vim yog mob ntev.
Txoj kev ua neej thiab kev noj haus
Kev xaiv kev ua neej thiab kev noj zaub mov tuaj yeem cuam tshuam qhov tshwm sim ntawm kev tsim cov styes sab hauv. Kev tu cev tsis zoo, xws li tsis tshem lub qhov muag pleev ua ntej pw los yog kov lub qhov muag nrog cov tes tsis tau ntxuav, tuaj yeem qhia cov kab mob thiab ua rau daim tawv muag. Kev noj zaub mov zoo hauv cov zaub mov ua tiav thiab cov roj fatty acids tsawg kuj tseem tuaj yeem cuam tshuam qhov tsim kua muag zoo, uas ua rau lub caj pas txhaws.
Yam Tseem Ceeb Risk
- Hnub nyoog: Thaum styes tuaj yeem tshwm sim rau txhua lub hnub nyoog, lawv muaj ntau dua rau cov neeg laus.
- Tub los ntxhais: Cov poj niam yuav muaj kev pheej hmoo siab me ntsis vim yog siv cov tshuaj pleev ib ce thiab cov tshuaj hormonal hloov.
- Qhov chaw Geographic: Cov tib neeg nyob hauv thaj chaw uas muaj plua plav ntau lossis muaj kuab paug tuaj yeem ua rau muaj kab mob ntau dua.
- Cov xwm txheej hauv qab: Cov mob xws li blepharitis (mob ntawm daim tawv muag), rosacea, thiab seborrheic dermatitis tuaj yeem ua rau muaj kev pheej hmoo ntawm kev tsim stye.
Cov tsos mob
Cov tsos mob ntawm Internal Stye
Cov tsos mob ntawm tus kab mob sab hauv tuaj yeem sib txawv hauv kev siv zog tab sis feem ntau suav nrog:
- Localized Mob: Ib pob mob ntawm daim tawv muag sab hauv uas yuav hnov mob rau qhov kov.
- o thiab liab: Cov tawv muag uas cuam tshuam tuaj yeem tshwm o thiab liab.
- Tuav: Kev tsim kua muag ntau ntxiv tuaj yeem tshwm sim thaum lub qhov muag sim tshem tawm cov khaus khaus.
- Sensitivity rau lub teeb: Tsis xis nyob los yog mob thaum raug teeb ci.
- Pom tsis pom kev: Qee zaum, qhov o tuaj yeem cuam tshuam qhov muag, ua rau pom qhov muag tsis pom kev ib ntus.
Ceeb Toom Qhia Txog Kev Kho Mob Tam Sim No
Txawm hais tias feem ntau cov styes sab hauv daws lawv tus kheej, qee cov tsos mob ua rau muaj kev kho mob tam sim:
- Mob hnyav: Kev mob hnyav uas tsis txhim kho nrog kev kho mob tom khw muag khoom.
- Kev pom kev hloov pauv: Sudden hloov nyob rau hauv lub zeem muag los yog pheej tsis pom kev tsis pom kev.
- Ua npaws: Qhov tshwm sim ntawm kub taub hau yuav qhia tau tias muaj mob hnyav dua.
- Spreading Redness: Redness uas kis dhau ntawm daim tawv muag los yog cuam tshuam nrog cov tawv nqaij ib puag ncig.
mob
Soj ntsuam soj ntsuam
Kev kuaj mob ntawm tus kab mob sab hauv feem ntau pib nrog kev soj ntsuam tag nrho. Tus kws kho qhov muag yuav ua kom paub meej txog keeb kwm ntawm tus neeg mob, suav nrog ib qho kev tshwm sim yav dhau los ntawm styes, kev noj qab haus huv hauv qab, thiab kev ua neej nyob. Kev tshuaj xyuas lub cev ntawm daim tawv muag yuav ua rau ntsuas qhov loj, qhov chaw, thiab cov yam ntxwv ntawm lub pob.
Kev kuaj mob
Feem ntau, tsis muaj ib qho kev kuaj mob tshwj xeeb yuav tsum tau ua kom paub meej tias muaj tus kab mob sab hauv. Txawm li cas los xij, yog tias tus stye tsis txhim kho nrog cov qauv kev kho mob lossis yog tias muaj kev txhawj xeeb txog qhov mob hnyav dua, kev sim ntxiv yuav raug ua, suav nrog:
- Laboratory xeem: Swabs yuav raug coj los txheeb xyuas cov kab mob.
- Kev tshawb fawb duab: Muaj tsawg zaus, cov kev tshawb fawb xws li ultrasound yuav raug siv los ntsuas qhov cuam tshuam ntawm qhov thaiv lossis txiav tawm lwm yam mob.
Differential Diagnosis
Nws yog ib qho tseem ceeb kom paub qhov txawv ntawm ib sab hauv stye los ntawm lwm yam ntawm daim tawv muag, xws li:
- Chalazion: Ib pob zoo sib xws uas tsis mob thiab tshwm sim los ntawm lub caj pas txhaws tab sis tsis kis.
- Blepharitis: Kev mob ntawm daim tawv muag ntawm daim tawv muag uas tuaj yeem ua rau liab thiab o.
- Cov qog nqaij hlav: Tsis tshua muaj, cov qog ntawm daim tawv muag tuaj yeem ua raws li qhov pom ntawm tus stye.
Cov Kev Xaiv Kho
Kev kho mob kev kho mob
Kev kho mob ntawm tus kab mob sab hauv feem ntau yog nyob ntawm qhov hnyav ntawm cov tsos mob thiab qhov muaj tus kab mob. Cov kev kho mob uas muaj xws li:
- Compresses sov: Kev siv cov cua sov, noo noo compress rau ntawm daim tawv muag rau 10-15 feeb ob peb zaug hauv ib hnub tuaj yeem pab txo qhov o thiab txhawb cov kua dej.
- Tshuaj tua kab mob: Yog tias muaj pov thawj ntawm cov kab mob, cov tshuaj pleev tshuaj tua kab mob tuaj yeem raug tshuaj.
- Cov tshuaj tua kab mob hauv qhov ncauj: Thaum muaj kab mob hnyav lossis yog tus stye tsis teb rau kev kho mob, yuav tsum muaj tshuaj tua kab mob hauv qhov ncauj.
- Surgical Drainage: Yog hais tias tus stye tseem mob los yog mob tshwj xeeb, tus kws kho mob yuav pom zoo kom muaj kev phais me me kom tshem tawm cov cyst.
Cov Kev Kho Mob Tsis-Pharmacological
Ntxiv nrog rau kev kho mob, ntau txoj hauv kev uas tsis yog tshuaj kho mob tuaj yeem pab tswj cov tsos mob thiab txhawb kev kho mob:
- Cov kev coj huv huv: Kev tu daim tawv muag kom zoo los ntawm kev ntxuav daim tawv muag nrog xab npum me me thiab dej tuaj yeem pab tiv thaiv cov kab mob yav tom ntej.
- Kev hloov noj zaub mov: Kev sib xyaw cov khoom noj uas muaj omega-3 fatty acids, xws li ntses, flaxseeds, thiab walnuts, tuaj yeem txhim kho cov kua muag kom zoo thiab txo qhov kev pheej hmoo ntawm qog nqaij hlav.
- Kev Tswj Kev Nyuaj Siab: Txo kev ntxhov siab los ntawm cov tswv yim so yuav pab txhim kho tag nrho cov tawv nqaij noj qab haus huv thiab txo qhov mob.
Kev txiav txim siab tshwj xeeb rau cov neeg sib txawv
- Pediatric Patients: Cov menyuam yaus yuav xav tau kev saib xyuas tshwj xeeb kom ntseeg tau tias lawv tsis txhuam lawv ob lub qhov muag, uas tuaj yeem ua rau tus mob hnyav dua. Cov compresses sov tuaj yeem ua kom zoo rau cov neeg mob hluas.
- Cov neeg mob Geriatric: Cov neeg laus tuaj yeem muaj kev xav txog kev noj qab haus huv ntxiv, xws li qhov muag qhuav, uas tuaj yeem cuam tshuam rau kev tswj hwm sab hauv. Kev kuaj qhov muag tsis tu ncua yog qhov tseem ceeb rau cov neeg no.
Teeb meem
Tej Yam Teeb Meem
Yog tias tsis kho lossis tswj tsis tau zoo, cov kab mob sab hauv tuaj yeem ua rau muaj ntau yam teeb meem, suav nrog:
- Chronic Styes: Cov styes rov tshwm sim tuaj yeem tshwm sim yog tias qhov tshwm sim hauv qab tsis tau hais txog.
- Kev kis kab mob: Muaj tsawg zaus, tus kab mob tuaj yeem kis mus rau cov ntaub so ntswg ib puag ncig, ua rau cellulitis lossis lwm yam kab mob loj.
- Teeb meem tsis pom kev: Kev o tas li yuav ua rau lub qhov muag siab, ua rau pom kev hloov pauv.
Short-Term and Long-Term Complications
Cov teeb meem luv luv tuaj yeem suav nrog qhov mob thiab tsis xis nyob, thaum cov teeb meem mus ntev tuaj yeem cuam tshuam rau daim tawv muag mob ntev lossis caws pliav. Kev kuaj mob ntxov thiab kev kho mob yog qhov tseem ceeb los tiv thaiv cov txiaj ntsig tsis zoo no.
Kev tiv thaiv
Cov tswv yim tiv thaiv
Kev tiv thaiv sab hauv styes suav nrog kev coj noj coj ua zoo thiab ua rau kev hloov hauv lub neej. Nov yog qee cov tswv yim zoo:
- Saib xyuas daim tawv muag Hygiene: Ntxuav daim tawv muag tsis tu ncua nrog xab npum me me thiab dej, tshwj xeeb tshaj yog tias koj muaj keeb kwm ntawm styes lossis blepharitis.
- Tsis txhob kov qhov muag: Txo qhov kov lossis txhuam qhov muag, tshwj xeeb nrog cov tes tsis tau ntxuav.
- Tshem Tawm Qhov Muag Makeup: Ib txwm tshem tawm qhov muag pleev ua ntej pw kom tsis txhob txhaws ntawm cov qog meibomian.
- Tswj cov xwm txheej hauv qab: Yog tias koj muaj mob xws li rosacea lossis seborrheic dermatitis, ua haujlwm nrog koj tus kws kho mob los tswj lawv kom zoo.
- Noj qab nyob zoo: Muab cov khoom noj muaj txiaj ntsig zoo uas muaj cov vitamins thiab omega-3 fatty acids los txhawb qhov muag tag nrho.
Prognosis & Long-Term Outlook
Course of the Disease
Kev kwv yees rau cov tib neeg uas muaj styes sab hauv feem ntau yog qhov zoo. Feem ntau cov styes daws lawv tus kheej hauv ib lub lis piam lossis ob zaug, tshwj xeeb tshaj yog nrog kev saib xyuas hauv tsev. Txawm li cas los xij, qee tus neeg tuaj yeem ntsib kev rov tshwm sim dua, tshwj xeeb yog tias lawv muaj cov xwm txheej hauv qab no.
Factors Influencing Prognosis
Ntau yam tuaj yeem cuam tshuam rau tag nrho cov kev mob tshwm sim, suav nrog:
- Thaum ntxov Diagnosis: Kev lees paub sai thiab kho cov tsos mob tuaj yeem ua rau muaj kev daws teeb meem sai dua.
- Ua raws li Kev Kho Mob: Ua raws li cov lus qhia kho mob thiab cov lus pom zoo kho mob tuaj yeem txhim kho cov txiaj ntsig zoo.
- Cov xwm txheej hauv qab kev noj qab haus huv: Tswj txhua yam teeb meem kev noj qab haus huv tuaj yeem txo qhov kev pheej hmoo ntawm kev rov tshwm sim dua.
Cov Lus Nquag Nug (FAQ)
- Yuav ua li cas ua rau ib tug internal stye? Cov kab mob sab hauv feem ntau tshwm sim los ntawm kev txhaws ntawm cov qog meibomian hauv daim tawv muag, feem ntau vim kev tu cev tsis zoo, tawv nqaij, lossis kab mob. Ib puag ncig yam tseem ceeb thiab kev xaiv txoj kev ua neej tuaj yeem pab txhawb.
- Kuv tuaj yeem qhia tau li cas yog tias kuv muaj tus kab mob sab hauv? Cov tsos mob tshwm sim muaj xws li mob pob khaus ntawm daim tawv muag sab hauv, o, liab, tearing, thiab rhiab heev rau lub teeb. Yog tias koj ntsib kev mob hnyav lossis pom kev hloov pauv, nrhiav kev kho mob.
- Puas yog internal styes kis tau? Tsis yog, internal styes tsis kis tau. Lawv tshwm sim los ntawm lub caj pas txhaws thiab mob es tsis yog cov txheej txheem kis tau los ntawm ib tus neeg mus rau lwm tus.
- Ntev npaum li cas tus kab mob sab hauv yuav kav ntev npaum li cas? Feem ntau sab hauv styes daws ntawm lawv tus kheej hauv ib mus rau ob lub lis piam. Siv cov compresses sov tuaj yeem pab ua kom cov txheej txheem kho kom zoo.
- Kuv puas tuaj yeem tau txais ib qho internal stye? Nws tsis raug nquahu kom pop lossis nyem qhov sab hauv stye, vim qhov no tuaj yeem ua rau muaj kab mob ntxiv lossis muaj teeb meem. Hloov chaw, siv cov compresses sov thiab sab laj nrog tus kws kho mob yog tias tsim nyog.
- Thaum twg kuv yuav tsum mus ntsib kws kho mob rau ib qho mob sab hauv? Koj yuav tsum mus ntsib kws kho mob yog tias koj muaj mob hnyav, pom kev hloov pauv, kub taub hau, lossis yog tias tus stye tsis zoo nrog kev kho mob hauv tsev hauv ib lub lis piam.
- Dab tsi yog txoj kev kho mob rau tus kab mob sab hauv? Cov kev kho mob muaj xws li sov compresses, tshuaj pleev lossis tshuaj tua kab mob hauv qhov ncauj, thiab, qee zaum, kev phais dej. Kev tsis yog tshuaj kho mob xws li kev tu tawv nqaij ntawm daim tawv muag thiab kev hloov pauv kev noj haus kuj tseem muaj txiaj ntsig.
- Puas tuaj yeem tiv thaiv cov styes sab hauv? Yog lawm, kev tswj xyuas daim tawv muag kom huv si, tsis txhob kov lub qhov muag, thiab tswj cov tawv nqaij hauv qab tuaj yeem pab tiv thaiv cov kab mob sab hauv.
- Puas muaj teeb meem cuam tshuam nrog cov styes sab hauv? Yog tias tsis kho, cov kab mob sab hauv tuaj yeem ua rau mob ntev, kis kab mob, thiab muaj teeb meem tsis pom kev. Kev kho thaum ntxov yog qhov tseem ceeb los tiv thaiv qhov teeb meem.
- Puas muaj qhov sib txawv ntawm ib sab hauv stye thiab chalazion? Yog lawm, thaum ob qho tib si cuam tshuam nrog cov qog meibomian, ib qho chaw sab hauv feem ntau yog mob thiab tuaj yeem kis tau, qhov chalazion yog ib qho mob uas tshwm sim los ntawm lub caj pas txhaws tsis muaj kab mob.
Thaum Mus ntsib Tus Kws Kho Mob
Nrhiav kev kho mob tam sim yog tias koj ntsib ib qho ntawm cov tsos mob loj hauv qab no:
- Mob hnyav lossis hnyav dua nyob rau hauv lub qhov muag cuam tshuam.
- Sudden hloov hauv kev pom, xws li qhov muag tsis pom lossis tsis pom kev.
- npaws los yog cov tsos mob uas qhia tau tias muaj kev kis kab mob.
- Tshaj tawm liab los yog o dhau ntawm daim tawv muag.
Xaus & Tsis lees paub
Nyob rau hauv cov ntsiab lus, ib tug sab hauv stye yog ib qho tshwm sim tsis tau tswj tau uas tuaj yeem ua rau tsis xis nyob thiab kev txhawj xeeb. Kev nkag siab txog nws cov laj thawj, cov tsos mob, thiab cov kev xaiv kho mob yog qhov tseem ceeb rau kev tswj hwm thiab kev tiv thaiv zoo. Los ntawm kev coj noj coj ua zoo thiab nrhiav kev kho mob raws sijhawm thaum tsim nyog, cov tib neeg tuaj yeem txo lawv txoj kev pheej hmoo ntawm kev tsim cov styes sab hauv thiab tswj xyuas qhov muag kom zoo.
Lus Ceeb Toom: Tsab xov xwm no tsuas yog rau kev qhia xwb thiab tsis hloov cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob kom paub tseeb tias koj muaj mob.
Nyuam qhuav ntxiv
Disclaimer:
Cov ntaub ntawv muab rau ntawm nplooj ntawv no tsuas yog rau kev qhia dav dav thiab kev kawm xwb. Txawm hais tias peb siv zog ua kom cov ntaub ntawv no muaj tseeb, txhim khu kev qha, thiab tshuaj xyuas tas li, nws yuav tsum tsis txhob raug suav hais tias yog ib qho kev hloov pauv rau cov lus qhia kho mob, kev kuaj mob, lossis kev kho mob.
Cov tsos mob, ua rau muaj, qhov hnyav, kev nce qib, thiab cov kev xaiv kho rau ib tus kab mob lossis tus mob yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Cov ntaub ntawv muab yuav tsis suav nrog txhua yam ntawm tus mob lossis txhua txoj kev xaiv kho mob.
Tsis txhob siv cov ntaub ntawv no rau kev kuaj mob lossis kev kho mob tus kheej. Thov nrog ib tus kws kho mob uas tsim nyog tham kom tau txais kev kuaj mob thiab cov lus qhia raws li koj tus mob.
Yog tias koj muaj cov tsos mob hnyav, tam sim ntawd, lossis mob hnyav zuj zus, nrhiav kev kho mob tam sim ntawd.
Yog xav paub ntxiv txog peb cov ntsiab lus kho mob raug tsim, tshuaj xyuas, hloov kho tshiab, thiab tswj hwm li cas, thov nyeem peb [Txoj Cai Kho Mob].