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Ekhaya Impilo Ukuphazamiseka kunyango Ukuphazamiseka kunyanga oi-Amritha K Ngu UAmritha K. Nge-Matshi 11, 2019

IMadarosis yimeko yonyango ebangela ukulahleka kweenkophe kunye namashiya. Ekuqaleni, igama leklinikhi lalisetyenziselwa iinkophe kodwa ngoku lisetyenziselwa amashiya. Imeko inokuchaphazela icala elinye okanye omabini amacala obuso kwaye inokukhokelela ekulahlekelweni ngenxalenye okanye ngokupheleleyo konwele kwii-eyelashes zakho okanye kumashiya. IMadarosis inokubangela ukuba ulahlekelwe ziinwele zakho (iinkophe kunye namashiya) okanye ezinye zazo ^[1] .

I-Madarosis luphawu lwezifo ezahlukeneyo, zombini izifo zesikhumba kunye nezomzimba. Ukulahleka kweenwele kwiinkophe kunye namashiya kubaluleke kakhulu kwimpilo yamehlo njengoko i-eyelashes ikhusela i-eyeball kwimizimba emincinci yangaphandle (ngenxa yokuvalwa kwamehlo) kunye namashiya akhusela i-bony ridges ngaphezu kwamehlo. Zombini zinomsebenzi obalulekileyo wokuthambisa. Imeko ixhaphake kubantu besini esinye kwaye iya isanda kufunyanwa kubantu abadala ^[Mbini] , ^[3] .

Iindidi zeMadarosis

Imeko inokuthi ibumbane okanye ibambisane, ingagqitywa okanye igqitywe, kwaye ingabi nesikrelemnqe okanye ibe namabala. Nangona kunjalo, inokuthi iqatshelwe ngokubanzi njengongenasibetho okanye inkohliso ^[4] , ^[5] .

I-non-scarring madarosis kuxa ulwakhiwo lwangaphakathi lweenwele luhlala, apho kukho ithuba lokubuyisa ukulahleka kweenwele.

Kwi-scarring madarosis, kukho umonakalo ongaphezulu kunye nokulahleka kweenwele kumashiya akho kunye neenkophe ngokusisigxina.

Iimpawu zeMadarosis

Isibonakaliso sokuqala nesona siphambili semeko siwela i-eyelashes ^[6] . I-eyelashes yakho iya kuba brittle kwaye ibhitye kwaye iya kutsala nakwezona zinto zincinci zonxibelelwano (njengaxa ufaka i-mascara).

Iimpawu zeemeko zezi zilandelayo ^[7] :

Ukucoca kunye nokulahleka kweenwele kwamanye amalungu omzimba, ngakumbi isikhumba.
Ukufumana ubunzima ngequbuliso okanye ukubetha, ngakumbi ukuba umntu unemeko ye-thyroid.
Ukutshisa iinkophe ngokurhawuzelela okungapheliyo kunye nokudumba okulandelayo.

Oonobangela beMadarosis

Imeko inezizathu ezahlukeneyo, oko kukuthi, iimeko ezahlukeneyo zonyango kunye nezifo zinokubangela i-madarosis ^[8] , ^[9] , ^[10] .

1. I-Trichotillomania

Sisifo sengqondo. Imeko yempilo yengqondo ibangela ukuba abantu bakhuphe ngabom iinwele zabo, ngakumbi kwii-eyelashes, amashiya kunye nentloko.

2. IBlepharitis

Esinye sezizathu eziphambili ze-madarosis yi-blepharitis. Kukudumba kweenkophe okungabangelwa lusulelo olufana nosuleleko njenge-Demodex folliculorum, i-staphylococcal aureus, iqhenqa, usulelo lwentsholongwane njengemasisi, usulelo lokungunda njenge chlamydia njl. umntu makahlikihle amehlo ngokuqhubekayo, aqhubeke ekhokelela ekulahlekelweni kweenkophe. I-Blepharitis ibangela ukurhawuzelela nokubomvu iinkophe, amehlo owomileyo, kunye ne-crust ejikeleze iinkophe.

3. Iqhenqa

Ngomnye woonobangela abakhulu be-madarosis. Ngokuqhelekileyo kufunyanwa kubantu abaneqhenqa (usulelo lwebhaktiriya oluchaphazela ulusu, amehlo, impumlo, kunye nemithambo-luvo).

4. Umothuko

Ukulimala ngokwasemzimbeni kwiinkophe kunye namashiya kunokubenza bawe. Umonzakalo uquka ukutsha, amanxeba okanye iingozi.

5. Usulelo

Usulelo lomngundo, intsholongwane kunye negciwane kunokubangela i-madarosis. Usulelo lomngundo lubandakanya umqala, usulelo lwebacteria lubandakanya iStaphylococcus kunye negcushuwa, kunye nosulelo lwentsholongwane kubandakanya i-herpes simplex kunye ne-HIV.

6. Izifo ezisebenza ngokuzenzekelayo

Ezinye izifo ezinje ngealopecia totis zinokubangela ukulahleka kweenwele emzimbeni wakho. Ezinye izifo ezizimeleyo ezibangela ukuwa kweenwele kumashiya kunye neelishi zi-scleroderma kunye ne-discoid lupus ^{[Shumi elinanye]} .

7. Imiba ye-thyroid

I-Hypothyroidism kunye ne-hyperthyroidism ziyaziwa ukuba zibangela i-madarosis, ekhokelela ekubeni i-eyelashes yakho iwe.

8. Amayeza nonyango

Unyango olufana ne-chemotherapy, i-radiotherapy, kunye nonyango lwe-laser kunokubangela ukuba iinkophe zakho ziwe. Unyango luchaphazela ukukhula kweenwele kunye namandla ngokuhlasela iiseli ezikhulayo. Ngokunjalo, amayeza athile anje ngamayeza anticlotting, amayeza okulinganisa i-thyroid, amachiza e-anticholesterol kunye noxinzelelo lwegazi nazo zinokubangelwa yimadarosis ^[12] .

9. Ukuswela ukutya

Ukusilela kwi-zinc, i-iron, okanye i-biotin ikwasebenza njengesizathu se-madarosis. Njengoko ukusilela kwesondlo kuchaphazela iinwele zakho, kunokubangela ukuba iinwele zakho zinciphe kwaye ziwe ^[13] .

10. Iimeko zemfuzo

Isifo se-Ehlers-Danlos, ichthyosiform erythroderma, cryptophthalmos kunye ne-ectodermal dysplasia kunokubangela i-madarosis.

Ngaphandle kwazo zonke ezi zinto, umhlaza wolusu ukwabangwa njengonobangela we-madarosis.

Ukuchongwa kweMadarosis (H2)

Ukuqonda iimpawu, ugqirha uya kuvavanya imbali yakho yezonyango kwaye enze uvavanyo lomzimba. Ngaphandle kwezi, ugqirha uyakukucela ukuba uhambe la manyathelo alandelayo ukuze uqonde kwaye uchaze unobangela ^[14] .

Ulusu swabs ukuvavanya usulelo lwebacteria
I-Dermoscopy okanye i-dermatoscopy yokujonga ulusu ngesikhulisi
Ukukhutshwa kolusu ukuvavanya usulelo lomngundo
Uvavanyo lwegazi

Unyango lweMadarosis

1. Utyando

Kwiimeko ezinzima, ukufakelwa okulandelayo kweenwele zamashiya kunokukhetha. Yenziwa ngokutshintsha iinwele kwindawo yokucoca, ngokwenza ukusika okuncinci. Inkqubo ayifuni nakuphi na ukuthungwa okanye ukusikwa kwaye iinwele ziya kukhula kwisithuba seenyanga ezimbalwa, emva kotyando ^{[Shumi elinantlanu]} .

2. Amayeza asemxholweni

I-Latanoprost kunye ne-bimatoprost zezona ziqhelekileyo zisetyenziswa, eziza kunceda ekwandiseni ubude okanye ekuqiniseni iinwele ze-eyelash. Amayeza esincoko nawo ayanceda ekunyangeni ukulahleka kweenwele kumashiya.

3. Izixhobo zeBiotin

Oku kunceda ekulungiseni iinwele kunye nokukhuthaza ukukhula kweenwele ezintsha. IVithamini H iyanceda ekuphuculeni ibhloko yokwakha iinwele (isakhiwo sekeratin) kwaye iyanceda ekubuyiseni iinwele ezilahlekileyo ^[16] .

4. IBoraksi

Oku kunokunceda ekunyangeni usulelo kunye neetyhefu, ngaloo ndlela kukhuthazwe ukukhula kweenwele ezintsha. I-Borax ihlanjululwe kwisicelo kwi-eyelashes kunye namashiya. Kuye kwaqinisekiswa ukukhuthaza ukukhula kweenwele kunye nokuzalisa amabala e-bald.

5. Uncedo ngengqondo

Le yimeko yabantu abane-trichotillomania. Uncedo lwengqondo luya kumnceda umntu ngokumnika indlela yokuziphatha kunye noncedo lwengqondo.

6. Unyango lwezithambiso

Amanyathelo ohlukeneyo anjengeenkophe zokufakelwa, umvambo wokwenza umvambo okanye iinkophe njl.njl., Ingasetyenziselwa ukugubungela ukulahleka kweenwele kumashiya akho kunye neenkophe ^[17] .

Unyango lwaseKhaya lweMadarosis

Ngaphandle kweendlela zonyango, imeko inokunyangwa ngokwamkela utshintsho kwindlela ophila ngayo ^[18] , ^[19] , ^{[Amashumi amabini]} .

1. Ioli yeCastor

Ukufaka ioyile kuya kukunceda ngokuchasene nokulahleka kwe-eyelashe. Ikhuthaza ukubuyela kwakhona kweenkophe kwaye inceda ekuthomalaliseni indawo kwimeko yayo nayiphi na imeko yokuvuvukala. Ioyile yeCastor iyanceda ekupheliseni izifo.

2. Iiprotheyini kunye namafutha acid

Ngokwamkela ukutya okune-protein, uya kuba nakho ukuphinda uhlaziye iinwele zakho ezilahlekileyo kumashiya nakwiinkophe. Iiproteni zikhuthaza kwaye zomeleze ukukhula kweenwele.

3. Ukunyamekela

Lumka kakhulu ngelixa usebenzisa i-make-up. Sukusebenzisa i-make-up endala okanye enamaqweqwe, kwaye susa yonke into oyithathayo, ngakumbi imake-up yamehlo ngaphambi kokuba ulale.

Jonga iZalathiso zeNqaku

[1]Khong, J.J, Casson, R. J., Huilgol, S. C., kunye noSelva, D. (2006). Uphando lwe-ophthalmology, 51 (6), 550-560.
[Mbini]UKumar, A., kunye noKarthikeyan, K. (2012). IMadarosis: umakishi wezifo ezininzi. Ijenali yamazwe ngamazwe ye-trichology, 4 (1), 3.
[3]ISachdeva, S., kunye nePrasher, P. (2008). IMadarosis: Umakishi wesikhumba. Ijenali yeIndiya yeDermatology, iVenereology, kunye neLeprology, 74 (1), 74.
[4]UCHUANG, S. D., JEE, S. H., CHIU, H., CHEN, J. S., kunye no-LIN, J. T. (1995). I-acanthosis nigricans eyaziwayo ene-madarosis. Ijenali yaseBritane yeDermatology, 133 (1), 104-108.
[5]Vij, A., & Bergfeld, W. F. (2015). I-Madarosis, i-milphosis, i-eyelash trichomegaly, kunye nedermatochalasis.Clinics kwi-dermatology, 33 (2), 217-226.
[6]USmith, K., Winstanley, J., Boyle, F., O'Reilly, A., Mhlophe, M., kunye no-Antill, YC (2018). I-Madarosis: isifundo esisemgangathweni sokuvavanya ukuqonda kunye namava abaguli base-Australia abanesifo somhlaza wamabele kwangoko baphathwa nge-chemotherapy esekwe kwirhafu Uncedo oluxhasayo kuMhlaza, 26 (2), 483-489.
[7]UPrensky, C.J, Brissette, A. R., Sippel, K., C., kunye noTeitelbaum, A. (2018). Iimpawu zamehlo kunye neeTyhefu zenkqubo yeChemotherapy. KwiNcwadi yeMASCC yoNonophelo lokuNonophela uKhathalelo kunye nokuSinda (iphe. 563-583). Isitshisi, Cham.
[8]I-Kanski, J. J. (2010) .Iimpawu kwiOphthalmology: oonobangela kunye nokwahlulahlula i-E-Book. IiSayensi zezeMpilo zikaElsevier.
[9]Ukuhlalela, D. (2005). I-Madarosis kunye ne-alopecia yobuso ethathwa njengasesekondari kwi-botulinum inaliti ye-toxin.
[10]Nguyen, H. V., Jakobiec, F. A., Zakka, F. R., & Yoon, M. K. (2018). Ukuvuvukala komda ophakamileyo kunye nophantsi we-eyelid kunye ne-madarosis ngenxa ye-lymphoma.Uvavanyo lwe-ophthalmology, 63 (4), 589-594.
[Shumi elinanye]IModjtahedi, B. S., Alikhan, A., Maibach, H.I, kunye neSchwab, I. R. (2011). Izifo zeenwele ezingaqhelekanga.Uvavanyo lwe-ophthalmology, 56 (5), 416-432.
[12]Ingoma, uJ., Ingoma, A., Palmares, T., Ingoma, M., kunye neNgoma, H. (2017). I-Ruxolitinib ifunyenwe ibangela ukukhula kwe-eyelash: ingxelo yetyala.Ijenali yeengxelo zetyala, 11 (1), 189.
[13]Arunachalam, C., Hegde, V., kunye noJain, R. (2008). Umboniso ongaqhelekanga we-ocular we-immune defence syndrome. Ijenali yaseIndiya ye-ophthalmology, 56 (5), 434.
[14]USelva, D., Chen, C. S., uJames, uC. L., kunye noHuilgol, uS. C. (2003). Ukufumanisa i-lupus erythematosus ebonisa njenge-madarosis. Ijenali yaseMelika ye-ophthalmology, 136 (3), 545-546.
[Shumi elinantlanu]I-Kataev, M. G., kunye neFilatova, I. A. (1997). Unyango lotyando lwe-madarosis ebuhlungu. IVestniktalmologii, 113 (1), 16-19.
[16]Ukuhamba ngenqanawa, M. E. (2015). Ulawulo lweetyhefu zesikhumba se-dermatologic. Ijenali yeNethiwekhi yeLizwe yeCancer Comprehensive Cancer, 13 (5S), 686-689.
[17]Ugurlu, S., Bartley, G. B., Otley, C., kunye noBaratz, K. H. (1999). Isifo esiyinyani sesikhumba seperiocular kunye nobuso ebusweni. Ijenali yaseMelika ye-ophthalmology, 127 (2), 196-201.
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[Amashumi amabini]Bermejo, E. E., De Egea, G. G., Llanos, R. A., Meza, D. L. M., Carreño, M. L., Jaraba, L. E., & Sales, L. C. E. (2018) U.S. Isicelo sePatent esinguNombolo 15 / 647,201.