Ne postoji domaċi termin da jasno determiniše chalazion. Ječmir, ili čmičak se koriste više za akutnu ograničenu upalu kapka (hordeolum). Chalazion je hronična tvrdina na rubu kapka, najčešċe veličine zrna graška, a koža iznad tvrdine je obično nepromjenjena. Kod hordeoluma je koža crvena i zategnuta. Tu se radi o akutnoj upali lojnih žlijezda uz korijen trepavica, i ta je upala adekvatna furunkulusu (čiru) na koži negdje drugdje. Chalazion je obicno potpuno bezbolan a hordeolum boli.
Uzrok chalaziona je začepljenje izvodnih kanaliċa Meibomovih žlijezda, koje imaju otvor kanaliċa na stražnjem bridu ruba kapka. Sekret Meibomovih žlijezda podmazuje rub kapka, pa se oni elegantno zatvaraju jedan na drugi, a isto tako učestvuje u izgradnji suznog filma (njegove lipidne komponente). Stvrdnut I začepljen ekskret predstavlja prepreku daljem oticanju (loja) pa se on skuplja iza začepljenog mjesta I formira masnu tvrdu tvorevinu u vidu male loptice, koja se ograniči kapsulom. Chalazionu je adekvatan aterom na koži na nekom drugom dijelu tijela.
Chalazion se teško resorbuje bez hirurške intervencije. Pokušava se sa toplim oblogama razmekšati masni sadržaj. Obično se ipak mora uraditi mala operacija kojom se odstrani masni sadržaj skupa sa kapsulom. Ako zaostane fibrozna kapsula onda se na istom mjestu može pojaviti ponovo chalazion. U slučajevima nekoliko recidiva na istom mjestu treba kod operacije poslati materijal na patološku anlaizu, jer se, istina veoma rijetko, može patološki dijagnosticirati maligni tumor ċelija lojnih žlijezda (carcinoma sebaceum), koji je prilično maligan.
Chalazion se operiše sa unutrašnje strane kapka, tako da ne ostaje nikakav ožiljak
Hordeolum se naprotiv obično sam, kao i svakii čir, “provali”, te iscuri gnoj i upala se smiri. Topli vlažni oblozi i antibiotska mast za oči pomažu ozdravljenje. Hordeolum je češċi kod dijabetičara, osoba sa smanjenim imunitetom, kod hroničnog blefaritisa i kod loše higijene. Pojava chalaziona se ne može povezati sa nekim opštim tjelesnim oboljenjem.
Vise o ovome vidi chalazion_ , a slike halaciona vidi images.google.
p.s. U narodu postoji vjerovanje da ce onaj ko ne udovolji zelji trudnice dobiti na oku jecmir
hvala na odgovoru, imala sam dva puta ovu gnjavazu, ali mi je uklonjena bez hirurskog zahvata kakav je ovdje opisan, vec unosenjem nekakvog lijeka injekcijom pod kozu i uz obloge 😉
Moze se dati kortizon u vidu injekcije, veliki i tvrdi halacioni prolaze samo kiretazom.
”p.s. U narodu postoji vjerovanje da ce onaj ko ne udovolji zelji trudnice dobiti na oku jecmir” hehehe… pa kako ja onda zaradih dvaput…mislim..mala je vjerovatnoca da nabasam na dvije trudnice i ne ispunim im zelje…a kad malo bolje razmislim, ni moje zelje niko ne ispunjava… iako nisam trudna 🙂
p.s.
obzirom da je prevruce vjerovatno je ovaj gore tekst jako nebulozan, pa se izvinjavam 😉
a sta cu ja meni je to na gornjem kapku crveno, zategnuto i boli… Mama kaze da ce to samo proci. Sta da uradim? Svi ce mi se prekosutra u skoli smijati. Imam to vec dva dana. Heeelllppp.
jos je rekla da je i ona to imala pa je samo od sebe prošlo.
Tople obloge od kamilice, antibiotska mast za oci (Chloramphenicol) . To se zove hordeolum
dobar tekst, ali meni nažalost nisu pomogli ni oblozi ni antibiotska mast, evo idem drugi put na operaciju…samo nadam se da je to i zadnji put…u svakom slucaju najbolji su oblozi ali stavljati cim primjetite..
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