Demodecosis, diagnosis and treatment

Content

  • What are the causes of demodicosis
  • What are the manifestations of demodicosis
  • How to diagnose demodicosis
  • How demodicosis is treated
  • What is the forecast for demodicosis

  • Demodecosis - lesion of the skin caused by the conditionally sick-tongue parasite of the genus of the kind of demodex. Demodex lives in hair follicles, in coarse glands of the skin, eyelines. Pliers have microscopic size and are not noticeable to the naked eye.

    The speed of movement of demodex on the surface of the skin - 8-16 mm / hour. It feeds on the secret of the sebaceous glands.

    Reproduction
    ticks stopped outside the host. With T°+thirty°, +40° they
    show maximum activity, and therefore the exacerbation of demodecosis is more often
    occurs in spring-summer, during the period of maximum air temperature,
    After making a hot bath, long stay in a hot room
    and T.NS. Long time ticks live in vegetable oil, Vaseline,
    cosmetic cream. Delet, Cresol, Carbolic Acid, Chloroform,
    Ether kill them instantly, 96° Alcohol - 3-4 minutes, 10°
    Salicylic acid alcohol solution - after 1 minute.



    What are the causes of demodicosis

    Pincers
    The genus DemodEx is found in 60% of adults, but the disease
    It does not occur. In men and women, demodecosis meets the same
    often. It is considered the normal number of ticks 0-1, pathogenic -
    3-4 ticks and more on 6 eyelashes.

    As a result, long
    joint existence, between the ticks and the owner develops
    Stable equilibrium (carriage) at which the impact of the parasite
    Balanced by the mechanisms of immunity of a healthy carrier host. Under
    The influence of various factors is the equilibrium and arise
    Manifestations of demodicosis. To external factors provoking the emergence
    Demodecosis include: exposure to high temperatures, solar
    irradiation, unfavorable household and professional conditions, operations
    on the eyeball. To internal factors contributing to the emergence
    demodicosis include changes in the immunity of the patient's body in
    The result of the disease is nervous, vascular and hormonal (for example,
    Sugar diabetes) systems, gastrointestinal tract and liver, disorders
    In exchange processes, reducing immunity.



    What are the manifestations of demodicosis

    Demodecosis
    The skin of the face is manifested by redness of the skin, the expansion of surface
    vessels, small bubbles, peeling. Patients make complaints to
    Eyes fatigue, century and eyebrows, increasing under heat action,
    Paging, burning, feeling of a foreign body or sand in the eyes,
    «crawling geasses», The severity of the eyelids and viscous sticky, «caustic» separated by
    mornings, cluster of a foam separated in the corners of the eyes during the day.

    Demodecosis
    Century is accompanied by a violation of the function of the eyelids, the skin, the peeling of the eyelids
    (scales and crusts of grayish color between eyelashes). Leather edges of the century
    Lightly reddened, the mouths of the glands on the centuries are expanded, when pressing and
    Massage of the eyelid of them highlights thick or creamy- or copper
    separated. Small guns are noticeable in the free edge of the eyelids and
    Multiple papillary formations on the skin between eyelashes. At
    Age demodemicosis can be scarce, more often a foam, mucous membrane
    From the eye. As a result of the impairment of the function of the eyelid, the layer decreases
    Table film, its evaporation increases, which leads to the development of the syndrome «Dry Eyes».



    How to diagnose demodicosis

    Diagnosis of demodicosis
    is carried out by an oculist doctor. Laboratory diagnostics of demodicosis
    The eye is extremely simple, does not require special training, it is possible in
    The presence of a patient in the doctor's office is carried out by identifying
    ticks at remote eyelashes (the eyelashes should be freshly.
    Sveoeuclear eyelary for research is placed on the slide,
    poured 10-20% alkali eating, gasoline, kerosene or
    glycerin, covered with a glass and view under
    Microscope.



    How demodicosis is treated

    Demodecosis, diagnosis and treatment
    Treatment
    Demodecosis Long, 4-6 weeks. For the treatment of demodecosis apply
    Anti-leather drugs: 1-2% Yellow mercury ointment and zincthiol
    ointment. The use of yellow mercury ointment due to toxicity is not
    exceeds 4 weeks, it is contraindicated during pregnancy. For skin face
    The preparations of sulfur, tar, ichthyol, benzyl benzoate are used, 1%
    Permethrin, Amitrazole, 1% Lidanan, 10% CROTAMITON (YUST). In treating
    Demodecosis of the eye also uses funds used for the treatment of glaucoma:
    Fizostigmine, 0.02% phosphall, 0.01% Armin, 0.5% Tosmien. They are paralyzed
    Musculature ticks. Lubrication of the edges of a century 4% gel pilocarpine or
    The processing of their thin bunteer moistened with 1.5-3% carbonic solution
    also paralyzes musculatory ticks.

    Good results were obtained when using ointments or gel 2% metronidazole (clion, metrogyl).

    Mazi with hormones (for example, eye hydrocortisone) reduce local immunity and lead to increasing the number of ticks.

    Auxiliary treatment of demodecosis includes: preparations of artificial tears in syndrome «dry» eyes,
    Treatment of the edges of the eyelids with a solution of dimexide, water infusion of the Pijmas,
    Alcohol tincture wormwood, eyelid massage with impaired function of the eyelids,
    D’Arsonval, magnetotherapy, electrophoresis on eyelids with Dimedrol, Zinc
    Sulfate, 2% calcium chloride, 3% in potassium iodide.

    Important
    The importance of therapy of concomitant diseases
    gastrointestinal tract and liver, correction of immunological and
    exchange disorders, treatment of chronic infection foci, seborrhea treatment, optical correction of violations.

    After
    The main course of treatment for demodicosis is recommended to rub the rapid
    Oils in the edge of the age of 1.5-3 months for stimulating eyelashes.



    What is the forecast for demodicosis

    Period
    Demodicosis remission lasts from 3 months to a year, depending on the type
    Skin, age, the presence of concomitant diseases of internal organs. W
    10% of the treated patients are noted relapses, more often due to the incomplete course
    Treatment.

    Leave a reply