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Saturday, March 31, 2012

Sty- Hordeolum

Sty-What is a sty?

Hordeolum, also known as hordeolum.The sty means meibomian gland or eyelash follicle around the sebaceous glands by a staph infection caused by acute suppurative inflammation.Sty localized redness, pain, induration, and yellow pus points as the main clinical manifestations.Stye is a common eye disease, everyone can suffer, mainly in young people.The sties disease is stubborn and prone to relapse, and in severe cases can be left eyelid scar.

Sty - pathology conceptSty (hordeolum) due to infection is usually staph infection, generally involving the lid margin, or one or more of the inside of the eyelid glands. The disease can be abscess formation and perforation of the skin, releasing the pus trend. The spontaneous formation of the sty, may also be the face edge of the inflammation caused by a person's life that may occur l-2 times a sty, it was also repeated. The sty early period of performance for local congestion, increased tension, dangerous edge of pain, then a small round swelling with tenderness, increased tears, photophobia and foreign body sensation. Swollen eyelids are limitations, sometimes involving the entire lid, late in the swelling of the district can be formed - a small yellow pus point. Although antibiotic therapy can be used, but the effect is not obvious. The best treatment is hot. Hot compress several times a day, every 10 minutes. The fomentation help hordeolum limitations and accelerate abscess rupture, so that the pus can be draining. Eyelid deep gland formation in the sty (hordeolum), more emphasis on pain and other symptoms.Pain, redness, swelling, confined to a small area, generally at the edge of the face. Because this the sty rarely worn on their own, and sometimes doctors are required incision and drainage of pus. Within the sty recurrence trend. Outside the sty: eyelash hair follicles of the sebaceous glands of the Ministry of infection by Staphylococcus aureus, called palpebral boil, commonly known as "the eye of a needle, poor sanitation, weak constitution, or refractive errors, easy to get the disease. Disease, eyelid local swelling, redness and tenderness, nearly palpebral parts can be touched, induration, and sometimes swollen lymph nodes in front of the ear and tenderness, even cold, fever, general malaise and other symptoms. A few days later the hair follicle to a yellow pus points, the pus is removed the symptoms gradually improved and recovered. Such as any external hordeolum purulent its broken pus, often due to scar contraction caused by eyelid deformation, eversion, the upper and lower palpebral fissure dysraphism or other consequences, it should attract attention. : Also known as tarsal inflammation within the sty. Start eyelid swelling, but heavier tarsus darker, new pain. When the abscess is not ulceration often exposed conjunctiva yellow pus head, can be worn on their own mature pus and more. Inside and outside the sty, if the pressure to squeeze the pus, bacteria, toxins easily flow back into the brain, causing the eyes bee organizations inflammation sponge embolization of serious complications, severe cases can be life threatening, so the "eye of a needle", should not have to squeeze. The sty early or abscess formation, can be local moist heat three times a day, every 20 minutes.Hot compress can accelerate blood circulation of the eye, the role of swelling and pain. The combination of membrane capsule coated with 0.127; 5% chlortetracycline ointment or other antibiotic ointment. 2-3 times daily. Systemic symptoms, antibiotics or sulfa drugs, or intramuscular injection of penicillin. Outside the sty local apparent softening, but not yet ulceration is no need for anesthesia, incision parallel with the lower eyelid; obvious pus within the sty with the membrane surface, drops of 0.5% ropivacaine 3 times, until the surface of anesthesia After the tip and lower eyelid vertical incision. Attention to rest during treatment, do not eat food stimulation, multiple water and maintain a smooth stool. Sty long-term non-retired leaving induration in the eyelid, in the acute inflammation subsided, and membrane surface cut scrape the contents, and cut off the residual capsule and granuloma.

Sty - Pathogenesis
Sty eyelid gland is located in the eyelids deep, but the opening in the lid margin bacteria (mainly Staphylococcus aureus) may be the openings of the sebaceous glands of the roots of eyelashes or eyelid deep meibomian gland may cause acute suppurative inflammation, the former is outside the sty, which is called within the sty. The eyelids of healthy people have a strong defense capability, it can resist the invasion of external bacterial However, when the body resistance is weakened (such as malnutrition, lack of sleep, or diabetes) morbidity. Suffering from the face edge of the inflammation, trachoma, chronic conjunctivitis, or excessive use of eyes as well as nearsightedness, farsightedness, astigmatism and other eye diseases, failure to make timely corrective glasses, and eye fatigue can onset. Not pay attention to eye health, eyes, wipe with clean hands, towels, handkerchiefs and other bacteria invade the eyelid gland, can be a direct result of the sty.

Sty - to identify ways
Sty sty commonly known as the eye of a needle, acute suppurative inflammation of the eyelash hair follicles near the sebaceous glands or meibomian gland. Is a common childhood eye disease. Healthy people eyelids defense outside bacteria invasion, children ignorant, and often crying, often with dirty Rouyan, the bacteria will take advantage of. The bacteria that cause sty mostly Staphylococcus aureus, so sty suppurative inflammation. Children have a variety of systemic diseases, body defenses are weakened, but also easy to cause sties. Sty was divided into two, within the sty and outside the sty. Outside the sty is an acute inflammation of the sebaceous glands or hair follicles of the roots of eyelashes. Manifested as a localized swelling of the eyelid, a small induration, conscious pain and touch the pain. A few days later, the hair follicle pus, the incision or pus own ulceration, symptoms disappear quickly recovered. Sties within the acute inflammation of the eyelids inside face plate gland, its symptoms and outside the sty, but inflammation in the organization of a solid face plate, so pain is more intense inflammation and long duration, severe eyelid swelling, suffering from ear before lymph node swelling, and tenderness. Few days later, the eyelids inside out pus, pus will come to heal, the symptoms will vanish.


Sty - clinical performance The hordeolum 1. Outside the sty: also known as the face edge of the boils, the onset eyelid swelling, pain; nearly face edge of the Ministry of palpable induration and marked tenderness, the number of future induration softened purulent, yellowish-white pus head in the vicinity of the roots of eyelashes. Ulcerated after pus, pus discharge, swelling rapidly subsided, and pain relief. If the pathogen toxicity is severe or your body to reduce the pathogen resistance, inflammation from a gland spread to other glands, the formation of multiple pus points, a high degree of swelling eyelids, close to the chemosis, preauricular lymph node swelling. Young children and frail elderly persons and even chills, fever and other signs. Two. Within the sty: the patients 'performance outside the sty inflammation However, due to infection of the meibomian gland is located in the solid meibomian organization did not play outside the sty, eyelid swelling as significant, the patients' perceived pain is more intense, long time. Early inflammation of the meibomian gland openings congestion uplift, the number of future conjunctiva face of vaguely visible yellow pus head last perforation of the conjunctiva, pus in the conjunctival sac. Sty - home care The hordeolum 1. Family medicine: (1) 0.25% chloramphenicol eye drops, 4-6 times a day, or 0.1% rifampicin eye drops, 2-4 times daily eye. (2) 0.5% tetracycline eye ointment or 0.5% erythromycin ophthalmic ointment 3-4 times daily, painted eyes. (3) severe symptoms or accompanied by fever, systemic symptoms, systemic antibiotics or sulfa drugs, to control inflammation and prevent proliferation. Such as oral: cotrimoxazole, two each, twice daily, for the first time 4. The Midecamycin, each O.2 g, 3 times a day. Erythromycin, 0.25 g each, 4 times a day. Two. Chinese herbs and remedies: 30 g (1) dandelion, chrysanthemum, 9 grams, water simmer in water, 2 times a day. (2) fresh dandelion and Hedyotis diffusa, pounded for external application. (3) Yinqiaojiedu pills, each l nine, 2 times a day orally. 3. Eye moist heat: can accelerate the blood circulation of the eye, dilate blood vessels, early application, swelling and pain, to promote the role of inflammation subsided. If purulent applications, then shorten the course to promote the role of early and weeping. Methods: folded multi-layered gauze or towels immersed in boiling water or cooking, wring and apply directly over the affected area, a few minutes to replace the high temperature for 20 minutes or so, three times a day until the induration disappeared until the abscess began to fluctuate . 4. Conditions can also go to a nearby hospital for physical therapy. 5 Nutrition and diet: the duration of the illness should strengthen nutrition, eat more vegetables, drink more water, Eat candy, eat to stimulate food Eat less fried food, do not eat too much greasy food, may be appropriate to take cod liver oil. Home care: (1) to ensure that patients with adequate rest and avoid fatigue. (2) maintain a smooth stool, dry stool of patients should be given drug treatment. Pediatric care points A. Can be used as a hot compress before the formation of pus, to promote suppuration, mild inflammation completely disappeared in the heat. Systemic and local use of antibiotics can promote the disappearance of the inflammation, antibiotics, oral, intramuscular or intravenous injection can be, it is the role of pyogenic bacteria are good. Two. Once the pus should be timely incision, do not wait until the self-rupture, thus reducing the pain of the sick child, and can shorten the course of treatment. 3. Should not be squeezed by hand when the pus appears, because the eyelid blood vessels, eyes the same vein and orbital vein, and connected with intracranial cavernous sinus and ophthalmic vein venous valve, blood in all directions reflux, squeezing cause the spread of inflammation, causing serious complications, such as orbital cellulitis, cavernous sinus thrombosis, or sepsis, and thus life-threatening. 4. Local eyedropper, the general use of 0.25% chloramphenicol eye drops can, such as secretions multi-effect with rifampicin eye drops. Chlortetracycline ointment can be painted after the children fall asleep. 5 Do not rub your eyes with dirty hands, to avoid bacteria into the eye, causing infection.

Sty - treatmentSty an early moist heat or gyromagnetic physical therapy, to promote infiltration and absorption or induration quickly fester.2, the surgical incision: the incision after the formation of pus point. But pay attention to outside the sty of the incision should be parallel with the lower eyelid, the incision within the sty celebration and vertical palpebral. Avoid undue compression, to prevent the spread of inflammation to the orbit, intracranial, causing orbital cellulitis, cavernous sinus phlebitis, meningitis, and abscess and life-threatening.3, stubborn cases of frequent attacks, available autologous immunotherapy. With systemic fever, preauricular, submandibular lymph nodes can give the application of antibiotics and sulfa drugs.Western medical treatment(1) local moist heat with a clean towel or gauze, 2-3 times a day, every 15-30 minutes.(2) antibiotic eye drops such as chloramphenicol or rifampicin or ofloxacin eye, 4-6 times a day. Antibacterial ointment of yarn such as chlortetracycline or erythromycin painted eyes 1-2 times a day. Generally do not require systemic use of antibiotics. Individual with severe, intramuscular injection of penicillin or oral antibiotics.(3) mature abscess, yellow pus, may be incision. But avoid squeezing the local.Sty Chinese medicine treatmentSty is a summary of the limitations was born in the edge of the eyelid, shaped like a grain of wheat, eyelid swelling, the pain intense, 3-4 days after the lower eyelid hair root or yellowish-white pus points inside of the eyelid, pus into ulceration, pus began more . Modern medicine believes that the sty of the eyelid glands of a bacterial infection of suppurative inflammation of the line into the eyelid gland. Exogenous wind-heat sty both chills, fever, headache, thin white fur, floating and rapid pulse. Acupoints: Cuanzhu, fish waist, the sun, wind and empty, between the lines. Chills, fever and foreign relations; headache plus the wind pool.Methods: The eye area points mm needle or prick bleeding, 1 day, excluding treatment until cured. Mares-tail stomach heat type: sty chief see bad breath, dry mouth, upset, yellow greasy moss, pulse a few. Acupoints: Chengqi, four white, pupil liao gu, Sanyinjiao. Method: with exogenous wind-heat type. Also be added thorn Ashi. Methods: redness and swelling at the alcohol after disinfection, with 0.5-1.0 inch needles, pierce the oblique swelling at 2-5 mm (depending on tumor size, deep puncture, a small shallow stab), not twisting, leaving the needle 10 -15 minutes. Auricular therapy acupoints: the eyes, liver, ear, door of God, kidney, cortex, heart.: Bloodletting in Apex, I point sticking and pressing Vaccaria seed. Routine disinfection of the sticking and pressing the ear, massage the ear redness as well, sticking and pressing is completed press 2-3 times. Zhu Huanzhe daily press 3-4 times their own press 15-20 times, each time the children by their parents to help press. 3 days after the review, such as grain disappeared, then a second treatment. The plum-blossom needle therapy acupoints: sty in the upper eyelid, percussion between the upper eyelid and eyebrows; percussion in the lower eyelid to lower eyelid and Chengqi, after the ball between. Plum-blossom needle tapping to local burning sensation or flush to a degree. 3 times a day 3-5 times a course of treatment. Point thorn therapy acupoints: to find positive points after the first 1-2 thoracic vertebrae to the axillary line. Infants and young children, such as reaction points, taking the first 3-5 thoracic spike two Wang pointed. Sharp needle point: round thorn in children with No. 28 needles to make the bleeding 2-3 drops. The acupuncture treatment of this disease, early is not purulent best effect to promote its absorption, swelling, and analgesic effect. Who has purulent promote its pus. Note that the pus into collapse by non-squeezed, wrung with sterile hot towel and wrap the affected area for 15-20 minutes, 2 times a day. Forbidden to take spicy spicy food.(1) External: coated jade Ondansetron or clear eyes of fire pill. Dispensary ground into juice, applied to the knot swollen parts.(2) within the rule of law:① wind hot foreign invasion: early eyelid tumor, local micro-swelling and itching, with headache, fever, general malaise, etc., thin white tongue coating, floating pulse.Governing Law: Shufeng heat. Recipe: honeysuckle, forsythia, 15 g, Platycodon 12 grams mint 6 grams (boiled), 10 grams short bamboo, 6 grams of licorice, wind, O g, 12 g of trichosanthin, 10 g of Arctium, phragmites 10 grams.Proprietary Chinese medicines the: Yinqiaojiedu pill.② toxic heat dampness: eyelid swelling and pain is difficult to open eyes. Both dry mouth, headache, fever, dark urine, constipation, yellow tongue coating, red tongue, pulse a few powerful.
Governing Law: Xiehuo detoxification. Recipe: 12 grams of pangolin, 10 grams of gardenia, forsythia, 15 g, berberine 10 grams, 10 grams of skullcap, Angelica 10 grams, 12 grams of trichosanthin, herb for 12. G, owned by the end of 12 grams, 6 grams of licorice root, red peony root 12 g, honeysuckle 15 grams, 5 grams of rhubarb, Glauber's salt 10 g.Chinese medicine: forsythia Baidu pill or bezoar detoxification pills.Sty - principles of treatmentChinese medicine treatment of Chinese medicine treatment (a) styComposition A bead 12 grams of silkworm 9 g Scorpion (Jiuxi) 6 grams of honeysuckle 12 grams Angelica 12 6 g 9 g 15 g of raw land north Xin days Ding Ke Danpi 9 grams of licorice 6 grams function Qufeng heat, detoxifying herbal powder Results. Attending the eye of a needle, red swelling of the cell face. Subtraction heavy wind and heat plus forsythia 12 g, 9 g of Arctium; thirsty and pollen 15 g, Pueraria 12 g; dry stool, increased yellow, citrus aurantium 6 g; urine red hot plus gardenia, Akebia 9 g .(B) sty Chinese medicine treatmentSilver Flower composed of 15 g of wild chrysanthemum 15 grams Viola 15 g dandelion 15 grams forsythia 12 grams Angelica 6 restraint use water to cook, boil 20 minutes, taking about 150 ml of liquid, add water and fry, take 150 ml of liquid will 2 liquid mixing spare. 1 day, 2 times service. Indications sty. Addition and subtraction if the disease is severe, increased Yinhua, dandelion dose; constipation, increase yellow, sodium sulphate. Pus has become a plus pangolins, herb to promote ulceration pus. With the 1991 Dan topical effects are particularly obvious.(C) the sty tie line treatmentNight bar with red middle finger of the palm, the left eye was born sties to bar his right middle finger, right eye and Health sties to bar the left middle finger. Best when the initial issuance of the sty, then quickly detoxification Sanjie swelling.(D) the sty folk recipe therapyTo observe the sty on both sides of the spine in patients with sesame red dot. Right eye illness, spine left red dot; left eye illness, the right of the red dot in the spine. The amount is usually in the 1-4 range. Stab with sterile needles in front of the spine next to the sterile red dot, extrusion 2 drop of blood, so the next day the grain of wheat that is gradually disappearing and more.
  
This method is popular in the village committee the Dan Lingcun of every household of the road Hengxian South township board for a long time, is famous. - 【Source】 Chinese medicine recipe for network(E) Sty radical remediesFresh duck plantar stem 1 inch long Xu, Sec, wash hand held hostage by a 45 degree angle, placed alcohol lamp (or candle) fire burning on the upper section of stem, you can see next paragraph beads foam liquid drops spare bottle storage.
 
Usage: the drops of liquid applied to the lesion and the surrounding. 3-5 times a day. Applicator, the affected area to feel comfortable. General two days to recover.(F) the points of the treatment of hordeolum (sty) and acupressureThe treatment of hordeolum, acupressure, "two". The fist, like a deep groove in the second joint of the index finger at the top of the gully, "two". This is well known acupuncture points in acupuncture on acupuncture points, be sure to keep in mind.Shiatsu, acupressure with only hordeolum eyes with the edge of the hand, first one side slowly expiratory pressure side 6 seconds. Shiatsu is not a fist, but the hands open. If you still unhealed, the use of pressure by the thumb and index finger of the hands of a strong pinch, so to repeat 30 times, and the hordeolum will heal or fester healing immediately.In addition, "two" is also very effective for the treatment of knee pain.(G) of acupuncture treatment of hordeolum

 
Bilateral temples acupuncture, OK strong stimulation, the needle for 20 minutes, the ipsilateral Apex Needle prick squeezed out one or two drops of blood, sterile cotton swab to paint on the go can.
 
Particularly effective in this Law on the sty of the early, early eyelid swelling, redness tip visible white spots, acupuncture is generally a cured, weight some two to four times Jiyu. On the formation of abscess, and heal slowly. The use of acupuncture treatment, good results and no side effects.
Sty - NoteA. Sty should not squeeze or pick and prematurely cut with unsterile needles. Vein and orbital veins and facial veins rich in blood vessels of the eyelid, the same, and there is no venous valve to prevent backflow of blood, but also connected with the cranial venous inflammation, as it spreads the light caused by orbital cellulitis, severe cases can lead to cavernous sinus thrombosis the formation of sepsis, life-threatening.(2) can not use the hot water bottle instead of moist heat, hot water bottle penetration of light, the effect was weaker, and only caused by the surface of the tissue congestion. Do moist heat to prevent burns skin, especially young children and elderly patients should pay particular attention on the eyelid coated thin layer of Vaseline or cover Vaseline gauze to prevent.Abscess has formed and the emergence of pus point should go to hospital for incision, such as abscess worn on their own; available and gently wiped clean cotton.4. After recovery to continue the medication about a week to prevent recurrence.5 patients with refractory relapse, should go to the hospital to identify the cause and treatment.Sty - the prevention of common senseThe hordeolum 1. Keep the eye clean, rub eyes do not have unclean hands, towels, handkerchiefs and other items.Two. Suffering from blepharitis, conjunctivitis or trachoma should be treated in time.3. Diabetes, multiple boils carbuncle, tuberculosis, tonsillitis and other chronic diseases, timely treatment.4. Myopia, hyperopia, astigmatism, it is timely corrective glasses.Sty is divided into both internal and external: infection of the sebaceous gland or eyelash follicle external hordeolum, meibomian gland infection that within the sty. Due to poor immune function in children, resistance to infection, coupled with the nature of a good move, if accompanied by poor health habits, dirty hands Rouyan prone to cause the bacteria to invade the glands and the incidence of Outside the sty lesions since the beginning of swelling, pain, nearly palpebral palpable induration, shaped like a grain of wheat, 3 to 5 days after the abscess to soften, about 7 days can be worn on their own skin, pus, redness and swelling disappeared, and some without puncture the skin, pus, redness and swelling disappear, and some also subsided without perforation of the pus or drainage and poor self-absorption. Within the sty: because the sites of inflammation in the solid tarsus, the general scope of smaller, does not look heavy, but the pain was obvious, near the external canthus (corner) with severe sty can cause the white eye (conjunctiva) edema. was blister-like, and even prominent blepharophimosis outside.Lesion on the conjunctiva was red or purple, the center of a yellowish-white pus points, abscess since the conjunctival surface ulceration, pus may be discharged, the symptoms disappeared. The sty early heat or three times a day, every 20 minutes or so to promote blood and lymphatic circulation, and dissipation of mass, late swollen to be abscess incision or allowed in localized since the collapse. Do not hand squeeze or not sterile needle pick, because the face has a rich lymphatic and vascular networks, and intracranial blood vessels connected directly, plus above the vein of the Ministry of static valve, squeeze the inflammatory spread easily to the brain, can cause serious consequences of the cavernous sinus inflammation, or meningitis. Severe systemic antibiotics, topical ocular use to the general concentration of eye drops and eye ointment [1] [2] [3].Sty - classificationOutside the sty(Hordeolum externum) acute purulent inflammation of the Zeis glands (Zeiss gland). Early palpebral Ministry showed the limitations of charge outside the sty blood swelling, about 2 to 3 days after the formation of induration, pain swelling and tenderness obvious after induration gradually softening, yellow pus bubble formation in the roots of eyelashes, pierced pus speedy recovery. If the pathogen toxicity is strong, they can still cause the eyelids and the surrounding conjunctival edema. Preauricular lymph nodes tenderness, particularly in the outer canthus are more susceptible to severe cases may have chills, fever and other systemic symptoms.Within the sty(Hordeolum interunm) for acute purulent inflammation of the meibomian gland. Their clinical symptoms as external hordeolum is more violent, because in the inflamed state of the meibomian gland was firm. Within the sty of the tarsus tissue surrounded. Hyperemia of the conjunctiva surface often peeped out of yellow pus, may be worn on their own pus in the conjunctival sac. Meibomian gland openings can be slightly elevated, congestion, can also pass along the eyelid gland discharge pus, and a small number also from the skin and perforation of the abscess if meibomian failed to puncture, while disease-causing toxicity is also a strong inflammation expand, violations of the tarsus organizations, the formation of the eyelid abscess.