stye - an infectious process in the eye, manifested acute leakage.Barley begins its development as a result of falling into the hair follicle ciliary or in meibomian gland infectious agents.Barley seems the most common disease among infectious diseases of the eye.It is proved that during the life of barley suffer about 85% population.Barley is often generated in children and adults in the area of 35-55 years.
flow barley usually acute, which can manifest itself in severe pain and eye inflammation.Identification of barley is not expressed difficulty lies in the internal inspection of the affected eye.Education stye is not considered a simple cosmetic problem, and is a serious infectious disease, because its treatment should be treated with extreme caution.
Complications of barley may be submitted to severe purulent-septic eye damage and prolonged duration of disease becomes chronic.It is important to differentiate the treatment of barley with another process in the eye (chalazion, swe
stye is caused by the penetration of pathogens in the sebaceous glands and hair follicles in the eyelashes.The sebaceous glands century is also called the meibomian gland.They tend to become clogged, thereby impairing for barley.For pathogenic bacteria in the development of barley include Staphylococcus aureus and Streptococcus.Normally, these microorganisms inhabited in a certain ratio human skin and make up about 10% of the positive microflora composition.Under certain factors, they can start their reproduction, penetrating and spreading to healthy surrounding tissue.In certain cases, the cause of development of barley in the eye can be demodex mite, which is considered opportunistic inhabitant of the skin.Microscopically, this mite is more like a worm in size from 0.1 to 0.5 mm.As a rule, he lives at the mouth of the hair follicle in mammals and humans, but may migrate into the ducts and glands producing sebaceous skin on the face, in the meibomian sebaceous glands.It is also possible to detect Demodex on the skin surface, which thus causes no skin disorders.But, for example, with a decrease in immunity can be caused by allergic reactions to the products of his life, which manifests itself in the form of the disease acne (pimples) or barley in the eye.
stye begins with what is happening in pathogens entering the duct of the sebaceous gland or hair follicle eyelashes, which leads to clogging of the output channel.This channel opens in the hair follicle, and due to its obstruction inflammation begins its walls and the formation of pus.Penetration of pathogenic bacteria in the hair follicle and into the cavity of meibomian gland contributes to inadequate personal hygiene (wiping face dirty towels, scratching eyes with unwashed hands, Microfracture century when combing, the use of decorative cosmetics of poor or questionable quality, the use of decorative cosmetics after another person, and so on.p.)
We should also highlight the role of immunodeficiency states in the development of barley on the eye.Experts say that low immunity contributes to inflammatory processes on the skin.Among such conditions actually cause numerous factors.Separate primary immunodeficiency and secondary.
Primary is innate, detected in approximately 5% of patients with immunodeficiency and causes severe malformations, cardiovascular diseases, disorders of the endocrine system.
secondary immunodeficiency is detected more often.It occurs when certain diseases.It is worth mentioning that the very term "immunodeficiency" means reduced immunity in the body and reducing the body's resistance to bacterial and viral infections.Immunodeficiency cause chronic foci of infection (tonsillitis, adenoids, sinusitis, sinusitis, hepatitis, cholecystitis, etc.).Also, decreased immunity contribute to parasitic infestation.Manifestations stye just observed during infection with trichinosis or toxocara.When trichinosis, especially early in infection observed occurrence of barley in both eyes with severe edema in some cases.Rubella, toxoplasmosis, ascariasis enough expressed suppress the immune defense of the body, because the carriers of Toxoplasma can occur frequently retsedivirovanie stye.HIV gradually inhibits the growth limtsofitov-killers, who are involved in resistance to infection.When there is chronic HIV not only in the eye of the barley, but also other bacterial infections of the skin.
presence of diabetes increases the risk of barley in several times.Blepharitis, especially chronic course often complicated by the development of barley on the eye.It is assumed factors are also considered: seborrheic dermatitis, abrasions, gastrointestinal disease, hyperlipidemia, acne vulgaris, stress, vitamin deficiencies, conjunctivitis.
are two types of localization of barley on the eye.Outdoor barley detected more frequently and is characterized by inflammation tseysovyh, or as they are called, mollievyh glands that produce a certain secret which has a protective function on the surface of the eye.These glands are located in the root zone of the eyelashes.The consequence of blockage mollievoy cancer it is a secret fat becomes the occurrence of infection in it and the appearance of edema on the eyelid.
internal stye or meybomit, is caused by clogging of the meibomian sebaceous glands.They are located in the interior of the inner eyelid.The process of inflammation in domestic barley on the eye affects the cartilage plate century.With frequent relapses stye talk about its development in the chronic stage.Chronic internal stye chalazion contributes to the appearance.
stye is represented as a single eruption, and the form of numerous eruptions that can affect just two eyes.However, numerous and often appearing barley appear in the propagation of infection from one hair follicle to another.This most often takes older people or people with severely immunocompromised (HIV infection, malignancy, chronic viral hepatitis and so forth.)
growth of barley on the eye occurs in a short time, usually characterized by an acute course.Signs of barley in the eye at the beginning of the inflammatory process are: itching at the edges of eyelids;the appearance of redness and swelling of the eyelids;pain that occurs at rest, and is enhanced with pressure on the inflammatory site.Sometimes, swelling of the eyelid may be so strongly expressed that a patient with barley can not open the patient eye.The development of numerous barley may be accompanied by febrile fever, body aches, chills, headache, increase in the submandibular and parotid lifmaticheskih nodes.
In the course of the disease in the inflammation focus on barley pustule is formed, the appearance of which the pain subsides.When spontaneous dissection of barley going emptying its cavities with purulent content.After all signs of barley on the eye gradually disappear.The infectious-inflammatory process in the growth of barley may take up to 7 days.
internal stye localized deep in the cartilage, which is located in the inner side of the century.It is determined by the reversing of the century.It looks like local redness and swelling of the conjunctiva.About three days later with the development of barley through the mucosa of the century begins to radiate purulent exudate yellow-green color.Self-opening domestic barley in the eye happens to the area of the conjunctiva.Later, on the mucous century begin to grow granulation leaf.
The formation of barley in the eye must be as fast as possible to resort to the examination and consultation ophthalmologist.Often, the diagnosis of external or internal stye is not difficult and is performed by full-time inspection with eversion century illuminated side.
If patients have frequent recurrences of barley, it is not superfluous will consult other physicians (gastroenterologist, endocrinologist, a dermatologist, immunologist and therapist);determining the amount of glucose in capillary blood test for glucose tolerance (for the study of diabetes);microscopic study of eyelashes for Demodex mite feces and research on parasite eggs.Also produce bacteriological examination of secretions from the conjunctiva to determine the pathogen in the sty and a blood test for sterility.
When barley may experience complications.In no case should not squeeze out the pus yourself from barley.In such a case, it may be the penetration of infection in the deep veins of the face and eyes.Also, there may be multiple abscess on the eyelids, orbits cellulitis, meningitis, thrombophlebitis vessels orbiting age, sepsis.
stye, which did not give timely treatment, or treatment was carried out correctly, can develop into a stage with frequent relapses, mostly chronic.
Barley in front of a child
barley Usually the child is characterized by hyperemia and edema on the edge of the eyelid, swelling increases with time until the papules.The whole process is developing infection in the hair follicle eyelashes.With the development of swelling on the eyelid eyes narrowing your child has slit eyes, making it difficult to open it.
Barley a child in the eye if left untreated can lead to the fact that the child's vision can greatly suffer.The general condition of the baby is characterized by low grade fever, headache, chills, eyelid twitching and may be accompanied by pain.
factors for the emergence of a child barley may be submitted to: worm infestation, allergic reactions, conjunctivitis, stomach and intestines, and so forth. In children, the immune system is not sufficiently ripe for rejection of pathogens, because the development of barley they observed more frequently than in adults.Immunosuppression may also be triggered by hypothermia, overheating, frequent colds and chronic foci of infection (adenoids, tonsillitis, and otitis media).
pathogens in case of barley is also considered Staphylococcus aureus.
first action when a parent of barley in front of the children should be an appeal to the child's eye doctor.The faster the show the child specialist, the faster the prescribed treatment.With proper treatment of barley in front of the child may be recommended a sulfonamide, the dosage of which is selected based on the patient's age and his body weight.In this case, a well-proven sulfacetamide drops.Local treatments include barley ointment or tetracycline ointment Levomitsetinovuyu.Such ointments good for the pathogen, significantly reducing the time of development of barley in the child.
The child also may develop domestic barley, which should be treated in a hospital.May get antibiotics wide range of exposure to orally or intramuscularly, receiving anti-inflammatory drugs.In addition to the medical treatment applied surgery, which under domestic stye is used in a lot of cases.Barley is subject to opening and drainage with antiseptic drugs.
stye is considered to be an inflammatory disease caused coccal flora.As a rule, the outer barley resorted to conservative methods of treatment, and at the domestic barley may need surgery.Often, when barley recommended antibiotics.First, preference dropwise with antibacterial action.These drops can be attributed Albucidum drug which not only helps in the treatment of barley in the eye, but also acts as an excellent prophylactic agent for various inflammatory processes in the eyes (conjunctivitis, blepharitis).Another good antibacterial activity while eliminating barley has a solution erythromycin, or penicillin, and intolerance penicillin group of antibiotics, it is replaced by gentamicin.It should be instilled into both eyes of a 1% solution of these drugs.At the beginning of barley on the eye, should be instillation in the eye every three hours.
also good drops for the treatment of barley in the eye drops are considered to chloramphenicol, which also have a wide range of activities.They are very effective in the treatment of barley, in the short term relieve inflammation in the affected eye, reduce the area of infiltration.It is also well proven themselves antibacterial agents of the latest generation and Tsiprolet Tobreks, which contains the main active ingredient of the aminoglycoside tobramycin.Drops should be instilled in the barley is not itself the eyeball and the conjunctival sac.
the treatment of barley can recommend the use of ointments.But they differ from the drops that are not so easily applied to the affected area of barley.But, unlike drops, ointment when applied to barley does not spread, and quickly begins to interact with pathogenic flora in the outbreak of infection due to its thick consistency.Typically, barley prescribed tetracycline, erythromycin, hydrocortisone ointment.For easier application can be purchased from pharmacies analogue ointments - antibacterial gels, for example, Blefarogel.As an ointment or gel applied directly to the lower eyelid, despite localization barley.
When multiple entities barley or in the event of domestic barley on the eye, the patient must be treated in a hospital.In some cases, may conduct an autopsy domestic barley on an outpatient basis in the office of an ophthalmologist.But if severe barley may require not only surgery, but also the use of antibacterial and anti-inflammatory drugs.Surgery is performed initially by opening sty.After him, there is rejection of the rod and purulent content with pus, then the cavity is drained barley antiseptics.The intervention is performed under local anesthesia with Novocain, ledokain, ultrakain etc.
After opening barley patients received a course of antibiotics, which include: Ceftriaxone in / in or / m, Gentamicin / m, Azithromycin n / a, Amoxiclav n / a, Penicillin / m, etc.In addition to the systemic exposure, apply topical application of antibacterial solutions, drops or ointments to the area with barley.Along with the antibacterial drugs used anti-inflammatory and restorative drugs: sodium thiosulfate / O, Vitamin C, Vitamin B6, B1, nicotinic acid.Immunomodulators are administered in the form of rectal suppositories or / injection Viferon 500,000 units, according to the scheme TSikloferon / m, polioksidony scheme / O.
stye how to treat
Treat eye on barley in various ways.When just beginning the development of barley, it can significantly reduce the time of its formation by applying a compress on the area of barley.He does so: a small piece of sterile cotton wool moistened with vodka, how to squeeze and applied on reddened skin at the site of the root zone of eyelashes.Top necessary to impose a large piece of a sterile cotton and bandage fixed.Hold a wrap on barley should be no more than 10 minutes.When domestic barley, this method is contraindicated, since it can cause burns of the mucous membrane of the eye.
also an effective tool in treating barley in the eye, especially in its initial stage may seem ordinary dry heat.For example, take a normal egg, cook it for about 15 minutes, are wrapped in gauze and applied to the affected eye barley.