DIMA
29.08.2004, 01:10
In me have found out DEMODEKS eyelashes how it or him to cure medikamentozno?
Просмотр полной версии : In me have found out DEMODEKS eyelashes how it or him to cure medikamentozno?...
Esteem! In the extremity or end of clause or artic
31.08.2004, 11:09
DEMODEKOZ (DEMODECOSIS OCULI-the ciliary tick or mite) - the illness or disease caused parazitirovaniem of conditionally pathogenic tick or mite - zheleznitsy ugrevoj (Demodex folliculorum and Demodex brevis). The tick or mite in the sizes 0, 2 0, 5 lives in depth sebaceous and mejbomievyh glands, in hair follicles of the person and mammals.
Favourite localization of the tick or mite - veki, a skin of the face, area nadbrovnyh arches, a forehead, nosogubnye cords or crimps and a chin, external acoustical passage. Products of vital activity of the tick or mite promote an allergization of an organism, development Acne rosacea on the face, seborrheas; cause a specific lesion of eyes - demodekoznyj a blepharitis and blefarokonjuktivit. Disease has chronic character with seasonal exacerbations in the spring and in the autumn.
The clinical picture demodekoza is mainly recorded at faces with the weakened or easied immune system, ametropias and disturbances of a metabolism, often - in advanced age. There is at children chronic diseases zheludochno-an intestinal tract and lungs, nekorrigirovannoj a refractive pathology (hyperopia).
And displays (the weariness of eyes, an itch, an edema, a hyperemia of edges or territories of blepharons, occurrence of flakes in roots of eyelashes for a long time) and a high degree of an invasiveness (zaraznosti associates) allow to find out signs demodekoz already at visual survey. The kind of the amazed or struck century or blepharon is characteristic: scurf on edge or territory of blepharons, cilia slipshiesja, are surrounded by crusts in the form of mufty. In the anamnesis: frequent barleys, abaissement of the eyelashes, recurring or relapsing ugrevaja an eruption, a psoriasis. Laboratory research the extremely simple, does not demand special preparation and is possible or probable at presence of the patient directly in a cabinet or study. From each eye undertakes on 8 eyelashes: four from a upper eyelid, four with bottom. They are located on subject glass in a drop of an alkaline solution or an admixture from 1 ml Glycerinum and 9 ml fizrastvora; are covered with cover or integumentary glass and are considered or examined;surveyed under a microscope. Similar research enables fast diagnostics.
We can help or assist you!
The analysis on demodeks can be spent in our center in some minutes, then you will be consulted by the expert and will appoint or nominate corresponding or meeting treatment. Iz-for invasivenesses (an opportunity of infection of associates) at presence of the tick or mite at one of members of family it is recommended to spend careful inspection for all.
Treatment long, is effective only at strict observance of measures of personal hygiene (an opportunity of a repeated autoinfection). After preliminary purification or ablution of blepharons and eyelashes from crusts spirtosoderzhashchimi Tincturas Calendulae or evkalipta (twice with an interval in 15 minutes) on edges or territories of blepharons put or render ointment "demalan" ("demalon") 2 times day (or 1 time on night). Spend similar processing other pruritic sites of a skin of the face, not forgetting about brows and external acoustical passage. "Demalan" it is considered the most effective and well studied or investigated preparation of etiotropic treatment demodekoza.
Products of vital activity of ticks or mites promote an allergization of the person. For putting off or taking out local toksikoallergicheskih reactions expediently use of ointment "prenatsid" (greasing of edges or territories of blepharons twice day within 5 7 days) or instilljatsii microdoses of corticosteroids (6 8 times a day). At presence purulent blefarokonjuktivita/a blepharitis the oculentum and drops "kolbiotsin" or " eubetal-an antibiotic " (4 times in den-10 days) is recommended. At presence of a scaly blepharitis it is recommended preliminary 2 3 dnevnyj a toilet of edges or territories of blepharons. Efficiency of medicamental treatment raises or increases at carrying out of a physiotherapy: massage of blepharons, a magnetotherapy, ozonotherapy (10 procedures on a course daily or in a day).
Normalization of metabolic disturbances, treatment of the dysbacteriosis, accompanying diseases GASTROINTESTINAL TRACT and lungs, constant ochkovaja correction of a refractive pathology (at all age groups) is necessary. For rising immunologic fastness use preparatatov normalizing immunity is recommended. Treatment demodekoza should be psychotherapeutic. Reaction of patients to illness or disease (" presence of the tick or mite in an eye ") can be the diversified, down to development of depressions. At absence of complaints and low obsemenennosti parasites the causal treatment can be not spent.
In complex pathogenetic therapy allergic konjuktivita, a scaly blepharitis drops and ointment "prenatsid" are used, at purulent blefarokonjuktivite - "kolbiotsin". In treatment sochetannogo infektsionno-an allergic lesion of blepharons and a conjunctiva (at absence oftalmogerpesa!) ointment " eubetal-an antibiotic " is highly effective. In 10 % of cases relapses, more often iz-for discontinuings of course of treatment are observed.
Causal treatment
Traditional purposes or appointments
Ointment "Demalan" - greasing of edges or territories of blepharons twice day within 45 days (at development of allergic reactions to components of ointment etiotropic treatment temporarily to cancel).
Ointment "Demalan" + ointment "Prenatsid" - in the ratio 1 : 1 - greasing of edges or territories of blepharons twice day within 25 days.
Complex pathogenetic therapy
Local and Systemic
Local therapy
Processing of edges or territories of blepharons by spirituous solutions of grasses (Tinctura Calendulae, evkalipta) or 70 % a solution of alcohol with an Aether + processing of a skin in the field of: brows, a forehead, wings of a nose, podborobka, external acoustical passage - twice with an interval in 15 mines (up to ointments!).
Ointment "Prenatsid" - allergic blefarokonjuktivit, a blepharitis;
"Kolbiotsin", Eubetal-an antibiotic (eye drops and ointment) - purulent blefarokonjuktivit, a blepharitis.
Local physiotherapy
Massage of blepharons, ozonotherapy (mestno), a magnetotherapy (on a background of spent medicinal therapy)
The combined treatment of a dysbacteriosis (polyvalent strepto/a staphylococcal bacteriophage; Nistatinum and pr).
Ochkovaja correction of a refractive pathology (especially at children with a hypermetropia).
Systemic therapy
- Correction of immunologic and metabolic disturbances. Treatment chronic gastroduodenitov and holetsisto-a pancreatitis (anamnesticheski - at 80 % surveyed),
- Treatment of chronic diseases of lungs;
Prophylaxis of infection (repeated autoinfection)
Treatment demodekoza a century to spend simultaneously with treatment demodekoza faces.
For excision of products of vital activity of ticks or mites of procedure of morning and evening washing the face with antibacterial soap it is recommended to supplement with self-massage of blepharons (wet fingers of 1 2 minutes).
In order to prevent a repeated autoinfection during treatment it is recommended:
- For a toilet of blepharons and washings of the face to use disposable napkins,
- Daily to iron pillowcases and towels;
- To spend regular a dignity. Processing of glasses or spots, shaving sets, including cases;
- To wash or clean other personal things (gloves, scarfs, headdresses, motorcycle helmets), faces adjoining a skin;
- To women to exclude cosmetics, to liquidate obsemenennuju ticks or mites cosmetics;
- Children can catch after contact to the infected subjects.
Before full convalescence to limit contact (face to face) with close people.
It is not recommended during treatment: the use of alcohol and a spicy food, visiting of baths and pools, long stay on the sun, a frigorism, the chronic overwork, the raised or increased visual load (including a computer).
Causal treatment
Alternative purposes or appointments
Aerosol or Spray "Spregal" - greasing of edges or territories of blepharons by a wad (!) impregnated by a medicine, is admissible only vrachom-by the ophthalmologist.
Complex pathogenetic therapy
Local and Systemic
Local therapy
At a scaly blepharitis the preliminary toilet of blepharons antiseptic solutions (furatsillina, MnO4, Acidum boricum) with applying for the night vazelinovoj bandages binocularly within 2 3 days is expedient.
Application of Corvalolum or Valocordinum for processing edges or territories of blepharons is limited (burning sensation); it is possible to use 5 % water r-r Novocainum, 35 30 % water r-r "Dimexidum";
At blefarokonjuktivite: 10 % r-r norsulfazola-(eye drops), microdoses of corticosteroids (instilljatsii 6 8 times a day).
Local physiotherapy
Electrophoresis with antiinflammatory or anti-inflammatory and desensitizing agents.
Treatment sochetannyh diseases of eyes.
Optical correction of amenotropic disturbances.
Systemic therapy
- Correction of immunologic, amenotropic and metabolic disturbances.
Polyvitaminums - a course 2 3 months;
- Propagation of a healthy way of life and a rational diet;
- Psychoemotional adaptation of patients with chronic current demodekoza.
Prophylaxis of infection (repeated autoinfection)
sanitarno-hygienic measures it is recommended to add keeping of a complex diagnostic inspection on demodekoz:
- At faces with chronic inflammatory diseases of eyes,
At patients 40 years before carrying out scheduled are more senior
Ophthalmologic operations;
Regular survey on demodekoz pets at the veterinarian is expedient.
Recommended pharmacological preparations for treatment Demodeksa.
1. "DEMALAN" ("demalon") (maz-suspension of complex or difficult structure). Containing Metronidazolum, biologically active substances (BASS) from a cornea of animals and mazevye components. Ointment possesses specific action on ticks or mites Demodex folliculorum and Demodex brevis. The preparation eliminiruet puberal parasites from the amazed or struck tissues, breaks a cycle of development and maturing of ticks or mites. The BASS stimulate reparativnye processes. Duration of treatment - 45 days.
2. "SPREGAL" (an aerosol or a spray for external application). Contains esdepaletrin and piperonila butoksid. Treatment of a scabies and demodekoza skins at patients of all age groups.
3. "KOLBIOTSIN" (eye drops, ointment). The complex antibacterial preparation containing Chloramfenicolum, a rolytetracycline (Tetracyclinum) and a colistin. The association of three antibiotics provides a wide spectrum of antimicrobial, antibacterial and antimicotic activity. The synergy of action of components kolbiotsina interferes with development of bacteriemic or bacterial fastness. A favorable structure of safety pozvodjaet to use a preparation in pediatrics.
4. " EUBETAL-the ANTIBIOTIC " (eye drops, ointment). The preparation contains Chloramfenicolum, a rolytetracycline, a colistin and betamethasone. The ideal association of antibiotics in a combination to a corticosteroid provides the expressed antiinflammatory or anti-inflammatory and antimicrobic effect at the minimal terms of treatment. For treatment demodekoznogo blefarokonjuktivita the oculentum is recommended.
5. "PRENATSID" (eye drops, ointment). Contains a topical glucocorticoid of new generation - dezonid 21 disodiums Natrii phosphas which is more active than Dexamethazonum and betamethasone. Prenatsid quickly eliminates or erases;removes signs of allergic diseases of eyes, including demodekoznoj etiologies. Does not render systemic rezorbtivnogo action. Does not raise or increase an ophthalmotonus. It is safe at long (4 months) use.
6. Preparations for correction of the immune status.
Favourite localization of the tick or mite - veki, a skin of the face, area nadbrovnyh arches, a forehead, nosogubnye cords or crimps and a chin, external acoustical passage. Products of vital activity of the tick or mite promote an allergization of an organism, development Acne rosacea on the face, seborrheas; cause a specific lesion of eyes - demodekoznyj a blepharitis and blefarokonjuktivit. Disease has chronic character with seasonal exacerbations in the spring and in the autumn.
The clinical picture demodekoza is mainly recorded at faces with the weakened or easied immune system, ametropias and disturbances of a metabolism, often - in advanced age. There is at children chronic diseases zheludochno-an intestinal tract and lungs, nekorrigirovannoj a refractive pathology (hyperopia).
And displays (the weariness of eyes, an itch, an edema, a hyperemia of edges or territories of blepharons, occurrence of flakes in roots of eyelashes for a long time) and a high degree of an invasiveness (zaraznosti associates) allow to find out signs demodekoz already at visual survey. The kind of the amazed or struck century or blepharon is characteristic: scurf on edge or territory of blepharons, cilia slipshiesja, are surrounded by crusts in the form of mufty. In the anamnesis: frequent barleys, abaissement of the eyelashes, recurring or relapsing ugrevaja an eruption, a psoriasis. Laboratory research the extremely simple, does not demand special preparation and is possible or probable at presence of the patient directly in a cabinet or study. From each eye undertakes on 8 eyelashes: four from a upper eyelid, four with bottom. They are located on subject glass in a drop of an alkaline solution or an admixture from 1 ml Glycerinum and 9 ml fizrastvora; are covered with cover or integumentary glass and are considered or examined;surveyed under a microscope. Similar research enables fast diagnostics.
We can help or assist you!
The analysis on demodeks can be spent in our center in some minutes, then you will be consulted by the expert and will appoint or nominate corresponding or meeting treatment. Iz-for invasivenesses (an opportunity of infection of associates) at presence of the tick or mite at one of members of family it is recommended to spend careful inspection for all.
Treatment long, is effective only at strict observance of measures of personal hygiene (an opportunity of a repeated autoinfection). After preliminary purification or ablution of blepharons and eyelashes from crusts spirtosoderzhashchimi Tincturas Calendulae or evkalipta (twice with an interval in 15 minutes) on edges or territories of blepharons put or render ointment "demalan" ("demalon") 2 times day (or 1 time on night). Spend similar processing other pruritic sites of a skin of the face, not forgetting about brows and external acoustical passage. "Demalan" it is considered the most effective and well studied or investigated preparation of etiotropic treatment demodekoza.
Products of vital activity of ticks or mites promote an allergization of the person. For putting off or taking out local toksikoallergicheskih reactions expediently use of ointment "prenatsid" (greasing of edges or territories of blepharons twice day within 5 7 days) or instilljatsii microdoses of corticosteroids (6 8 times a day). At presence purulent blefarokonjuktivita/a blepharitis the oculentum and drops "kolbiotsin" or " eubetal-an antibiotic " (4 times in den-10 days) is recommended. At presence of a scaly blepharitis it is recommended preliminary 2 3 dnevnyj a toilet of edges or territories of blepharons. Efficiency of medicamental treatment raises or increases at carrying out of a physiotherapy: massage of blepharons, a magnetotherapy, ozonotherapy (10 procedures on a course daily or in a day).
Normalization of metabolic disturbances, treatment of the dysbacteriosis, accompanying diseases GASTROINTESTINAL TRACT and lungs, constant ochkovaja correction of a refractive pathology (at all age groups) is necessary. For rising immunologic fastness use preparatatov normalizing immunity is recommended. Treatment demodekoza should be psychotherapeutic. Reaction of patients to illness or disease (" presence of the tick or mite in an eye ") can be the diversified, down to development of depressions. At absence of complaints and low obsemenennosti parasites the causal treatment can be not spent.
In complex pathogenetic therapy allergic konjuktivita, a scaly blepharitis drops and ointment "prenatsid" are used, at purulent blefarokonjuktivite - "kolbiotsin". In treatment sochetannogo infektsionno-an allergic lesion of blepharons and a conjunctiva (at absence oftalmogerpesa!) ointment " eubetal-an antibiotic " is highly effective. In 10 % of cases relapses, more often iz-for discontinuings of course of treatment are observed.
Causal treatment
Traditional purposes or appointments
Ointment "Demalan" - greasing of edges or territories of blepharons twice day within 45 days (at development of allergic reactions to components of ointment etiotropic treatment temporarily to cancel).
Ointment "Demalan" + ointment "Prenatsid" - in the ratio 1 : 1 - greasing of edges or territories of blepharons twice day within 25 days.
Complex pathogenetic therapy
Local and Systemic
Local therapy
Processing of edges or territories of blepharons by spirituous solutions of grasses (Tinctura Calendulae, evkalipta) or 70 % a solution of alcohol with an Aether + processing of a skin in the field of: brows, a forehead, wings of a nose, podborobka, external acoustical passage - twice with an interval in 15 mines (up to ointments!).
Ointment "Prenatsid" - allergic blefarokonjuktivit, a blepharitis;
"Kolbiotsin", Eubetal-an antibiotic (eye drops and ointment) - purulent blefarokonjuktivit, a blepharitis.
Local physiotherapy
Massage of blepharons, ozonotherapy (mestno), a magnetotherapy (on a background of spent medicinal therapy)
The combined treatment of a dysbacteriosis (polyvalent strepto/a staphylococcal bacteriophage; Nistatinum and pr).
Ochkovaja correction of a refractive pathology (especially at children with a hypermetropia).
Systemic therapy
- Correction of immunologic and metabolic disturbances. Treatment chronic gastroduodenitov and holetsisto-a pancreatitis (anamnesticheski - at 80 % surveyed),
- Treatment of chronic diseases of lungs;
Prophylaxis of infection (repeated autoinfection)
Treatment demodekoza a century to spend simultaneously with treatment demodekoza faces.
For excision of products of vital activity of ticks or mites of procedure of morning and evening washing the face with antibacterial soap it is recommended to supplement with self-massage of blepharons (wet fingers of 1 2 minutes).
In order to prevent a repeated autoinfection during treatment it is recommended:
- For a toilet of blepharons and washings of the face to use disposable napkins,
- Daily to iron pillowcases and towels;
- To spend regular a dignity. Processing of glasses or spots, shaving sets, including cases;
- To wash or clean other personal things (gloves, scarfs, headdresses, motorcycle helmets), faces adjoining a skin;
- To women to exclude cosmetics, to liquidate obsemenennuju ticks or mites cosmetics;
- Children can catch after contact to the infected subjects.
Before full convalescence to limit contact (face to face) with close people.
It is not recommended during treatment: the use of alcohol and a spicy food, visiting of baths and pools, long stay on the sun, a frigorism, the chronic overwork, the raised or increased visual load (including a computer).
Causal treatment
Alternative purposes or appointments
Aerosol or Spray "Spregal" - greasing of edges or territories of blepharons by a wad (!) impregnated by a medicine, is admissible only vrachom-by the ophthalmologist.
Complex pathogenetic therapy
Local and Systemic
Local therapy
At a scaly blepharitis the preliminary toilet of blepharons antiseptic solutions (furatsillina, MnO4, Acidum boricum) with applying for the night vazelinovoj bandages binocularly within 2 3 days is expedient.
Application of Corvalolum or Valocordinum for processing edges or territories of blepharons is limited (burning sensation); it is possible to use 5 % water r-r Novocainum, 35 30 % water r-r "Dimexidum";
At blefarokonjuktivite: 10 % r-r norsulfazola-(eye drops), microdoses of corticosteroids (instilljatsii 6 8 times a day).
Local physiotherapy
Electrophoresis with antiinflammatory or anti-inflammatory and desensitizing agents.
Treatment sochetannyh diseases of eyes.
Optical correction of amenotropic disturbances.
Systemic therapy
- Correction of immunologic, amenotropic and metabolic disturbances.
Polyvitaminums - a course 2 3 months;
- Propagation of a healthy way of life and a rational diet;
- Psychoemotional adaptation of patients with chronic current demodekoza.
Prophylaxis of infection (repeated autoinfection)
sanitarno-hygienic measures it is recommended to add keeping of a complex diagnostic inspection on demodekoz:
- At faces with chronic inflammatory diseases of eyes,
At patients 40 years before carrying out scheduled are more senior
Ophthalmologic operations;
Regular survey on demodekoz pets at the veterinarian is expedient.
Recommended pharmacological preparations for treatment Demodeksa.
1. "DEMALAN" ("demalon") (maz-suspension of complex or difficult structure). Containing Metronidazolum, biologically active substances (BASS) from a cornea of animals and mazevye components. Ointment possesses specific action on ticks or mites Demodex folliculorum and Demodex brevis. The preparation eliminiruet puberal parasites from the amazed or struck tissues, breaks a cycle of development and maturing of ticks or mites. The BASS stimulate reparativnye processes. Duration of treatment - 45 days.
2. "SPREGAL" (an aerosol or a spray for external application). Contains esdepaletrin and piperonila butoksid. Treatment of a scabies and demodekoza skins at patients of all age groups.
3. "KOLBIOTSIN" (eye drops, ointment). The complex antibacterial preparation containing Chloramfenicolum, a rolytetracycline (Tetracyclinum) and a colistin. The association of three antibiotics provides a wide spectrum of antimicrobial, antibacterial and antimicotic activity. The synergy of action of components kolbiotsina interferes with development of bacteriemic or bacterial fastness. A favorable structure of safety pozvodjaet to use a preparation in pediatrics.
4. " EUBETAL-the ANTIBIOTIC " (eye drops, ointment). The preparation contains Chloramfenicolum, a rolytetracycline, a colistin and betamethasone. The ideal association of antibiotics in a combination to a corticosteroid provides the expressed antiinflammatory or anti-inflammatory and antimicrobic effect at the minimal terms of treatment. For treatment demodekoznogo blefarokonjuktivita the oculentum is recommended.
5. "PRENATSID" (eye drops, ointment). Contains a topical glucocorticoid of new generation - dezonid 21 disodiums Natrii phosphas which is more active than Dexamethazonum and betamethasone. Prenatsid quickly eliminates or erases;removes signs of allergic diseases of eyes, including demodekoznoj etiologies. Does not render systemic rezorbtivnogo action. Does not raise or increase an ophthalmotonus. It is safe at long (4 months) use.
6. Preparations for correction of the immune status.
Mum Dimy
01.09.2004, 21:13
Many thanks to YOU the kind person for YOUR most detailed story about illness or disease and treatment. As to us on periphery nehvataet such dobrozhelateltnyh, talantlevyh experts. Big to YOU human thanks. Happiness, pleasure, prosperity and long years of a life to YOU and YOUR relatives.
Light (oculist)
02.09.2004, 01:39
Many thanks for wishes. .etu I have found clause or article in the Internet. .ot myself I can add only, that demodeks - the tick or mite becomes more active or will be activated at depression of immunity. .i once having cured it or him, unfortunately there is no guarantee, that he will not show itself(himself) more.
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