Barley a child - A limited accumulation of pus in the hair follicle eyelashes and associated sebaceous glands of Zeiss, at least - in laid in the thickness of the cartilage century lobules meibomian glands. The clinical picture of the child's disease is characterized by painful swelling and hyperemia century, the formation of an abscess at the root of the lashes (outside Barley) or the inside of the century (domestic barley), followed by opening and an exit of pus. barley diagnosis of the child is established on the basis of a common inspection eyes and eyelids in the natural and side lighting. When the child barley shown infiltration purification and disinfection, the application of eye drops, ointments and antibacterial action, if necessary - ulcer surgical opening.
Barley a child
Barley children is common in clinical practice, pediatrics and pediatric ophthalmology.
There are outdoor and indoor, single and multiple, single and double-sided barley in the child. Outdoor barley a child is detected more often characterized by a purulent focus on the edge of the outer skin and the muscle plate of the century in the root zone of the eyelashes. When domestic barley (meybomit) the child has purulent inflammation develops in the thickness of the cartilage of the upper or lower eyelid plate to yield an abscess on his inner mucosal surface immediately adjacent to the eyeball.
Formed barley in the child represents an accumulation of polymorphonuclear leukocytes of Nuclear and tissue necrosis, ie, abscess.
contact lenses, swimming in polluted water.
Contact infection in the sebaceous glands to clog their outlet channels and stagnation secretion aggravates inflammation. The development of inflammatory processes in the skin of a child contributes to the lack of maturity of the immune system and easing of protective mechanisms that occurs on a background of frequent acute respiratory viral infections, chronic foci of infection (tonsillitis, adenoiditis, sinusitis), digestive tract diseases, parasitic infestations (ascariasis, toxoplasmosis), endocrinopathies (hypothyroidism, diabetes) and beriberi.
Barley in a child is often accompanied by other disorders of the eye (staphylococcal blepharitis, conjunctivitis, meibomian gland dysfunction), in adolescence difficult for seborrheic dermatitis, acne vulgaris, furunculosis, demodectic mange. HIV infection is noted during chronic barley and other bacterial skin infection in children.
When domestic barley (meybomit) the child develops less acute inflammation, swelling and redness becomes more noticeable when reversing century, redness and irritation of the conjunctiva of the eye may occur. When domestic barley abscess in a child opening occurs on the inside surface of the century in the conjunctival sac. After spontaneous resolution of internal barley may cause granulation growths mucosa century. By reducing the immunity of the child and the presence of chronic infection foci of inflammation of the eyelids may become protracted course with periodic relapses barley.
Extrude child content in barley is unacceptable, because the spread of dangerous infection to the development of purulent cellulitis of the orbit, orbital thrombophlebitis century, cavernous sinus thrombosis, brain, in rare cases - purulent meningitis with the risk of death.
Barley, a child may become chronic non-infectious inflammation of the sebaceous glands lipogranulomatoznoe century - chalazion.
Pediatric Ophthalmology as a result of general inspection eyes and eyelids in natural lighting and side lighting method. Biomicroscopy eye in domestic barley allows the child to establish the expansion of the mouths of the meibomian glands.
To identify the causes of recurrent flow of barley in the child conducted a comprehensive survey involving children immunology, children's dermatologist, pediatric gastroenterologist, pediatric endocrinologist. Appointed general analysis of blood and urine, determination of blood glucose, bacteriological smear from a conjunctiva (to isolate the pathogen and its sensitivity to antibiotics), feces analysis on helminth eggs, demodicosis eyelashes, the study of the immunological status.
Barley differentiate a child with chalazion, dacryocystitis, cysts and tumors of the eyelids.
UFO, UHF), which increase blood flow and natural drainage. Produced instillation into the conjunctival sac of the eye drops containing preservatives (aq sodium sulfacyl), antibiotics (pp chloramphenicol, ciprofloxacin), corticosteroids (dexamethasone pp). Erythromycin ointment application and tetracycline ointment under the eyelid continue after barley opening a child. To infection in barley autopsy has not spread deeper, you must make sure that the child is not rubbing his eyes with his hands.
In the case of general symptoms (fever, malaise) is shown receiving antipyretics, sulfonamides or antibacterial drugs.
Surgical treatment is required when the outer and inner barley large, are not amenable to conservative treatment. Under local anesthesia produced an autopsy of the child barley followed by a daily post-operative treatment of purulent wounds and antibiotic therapy. In cases of recurrent barley during the child's assigned vitamins, immunomodulators, autohemotherapy.
Prediction and prevention of barley in a child
With precise and adequate treatment of barley prognosis in children, is generally favorable in most cases do not develop complications, recovery occurs within 1-2 weeks.
Prevention of barley of a child includes tempering, nutritious food, fresh air, good hygiene, sanitation of chronic infection foci. In the case of barley recurrence of the child must be a thorough examination in order to identify and eliminate the aetiological and predisposing factors.