{"id":1309,"date":"2022-01-03T11:04:23","date_gmt":"2022-01-03T11:04:23","guid":{"rendered":"http:\/\/profmunteanu.ro\/?p=1309"},"modified":"2023-09-05T09:11:35","modified_gmt":"2023-09-05T08:11:35","slug":"blefarita-cu-demodex-de-la-diagnostic-la-tratament","status":"publish","type":"post","link":"https:\/\/profmunteanu.ro\/de\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\/","title":{"rendered":"Blepharitis mit Demodex - von der Diagnose bis zur Behandlung"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Die letzten Jahre haben uns und unseren Kollegen in verschiedenen Teilen der Welt gezeigt, dass die Demodex-Blepharitis viel h\u00e4ufiger vorkommt als erwartet. Die neuesten Statistiken zeigen, dass dieser Parasit die Ursache von 45% der Blepharitis im Allgemeinen ist, bei Menschen \u00fcber 60 ist er bei 84% der Augenlidentz\u00fcndungen pr\u00e4sent. Bei jungen Menschen mit Diabetes, Akne, Rosazea oder einem geschw\u00e4chten Immunsystem ist die Demodex-Infektion die Hauptursache f\u00fcr Blepharitis.&nbsp;&nbsp; <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong><em>Um wen handelt es sich?<\/em><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Milben in\nDemodex-Arten finden sich auf der Gesichtshaut, insbesondere auf der Stirn, den Wangen, den Seiten\nder Nase, aber auch auf den Augenlidern und Wimpern. In der\nOb \u00fcberraschend oder nicht, diese Ektoparasiten leben fast st\u00e4ndig auf der Haut.\nmenschliche Haut. In etwa 70% der F\u00e4lle sind Menschen, die sich mit diesen\nMilben sind asymptomatisch, d. h. sie zeigen keine Anzeichen oder Symptome.\nDies ist auch der Hauptgrund, warum viele Menschen ein Leben lang\nmit diesen Parasiten auf ihrer Haut, ohne es zu wissen. Eine gr\u00f6\u00dfere Anzahl von Demodex-Milben kann jedoch Folgendes verursachen\nunerw\u00fcnschte Symptome und Hautprobleme.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Demodex\nFolliculorum<\/strong>&nbsp;hat eine L\u00e4nge von 0,3-0,4 mm und ist\nin kleinen Haarfollikeln, insbesondere an den Wimpern. Sowohl in seinem\nIm unreifen und erwachsenen Stadium ern\u00e4hrt er sich von Hautzellen.&nbsp;<strong>Demodex\nbrevis<\/strong>&nbsp;ist etwas kleiner (0,15-0,2 mm) und befindet sich in den Dr\u00fcsen\ndie mit kleinen Haarfollikeln verbunden sind. Anders als\nDemodex folliculorum, Demodex brevis ern\u00e4hrt sich von Talgdr\u00fcsenzellen.\nBeide Milben sind senitransparent, d. h. f\u00fcr das blo\u00dfe Auge fast unsichtbar, aber\nunter dem Mikroskop zu sehen sind.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Prin \u00eens\u0103\u0219i prezen\u021ba lor, ace\u0219ti parazi\u021bi produc modific\u0103ri tisulare inflamatorii locale , c\u00e2t \u0219i formarea unor dopuri foliculare cu \u00eenfundarea \u0219i atrofierea consecutiv\u0103 a <a href=\"https:\/\/profmunteanu.ro\/de\/meibografia\/\" target=\"_blank\" rel=\"noreferrer noopener\">glandelor meibomiene<\/a> responsabile de stabilitatea filmului lacrimal. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong><em>Wie wird die Diagnose gestellt?<\/em><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Die Symptome, die\nsind vielf\u00e4ltig und unspezifisch: brennende Augen, Trockenheit, Verlegenheit\nAugenbeschwerden, Verstopfung. Lokalisierter Juckreiz entlang der\nfreien Rand der Augenlider, an der Wurzel der Wimpern, kann ein Element der\ndiagnostische Anleitung. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Prin examinarea la <a href=\"https:\/\/profmunteanu.ro\/de\/biomicroscopia-ultrasonica\/\" target=\"_blank\" rel=\"noreferrer noopener\">biomicroscop<\/a>, se observ\u0103 prezen\u021ba unui man\u0219on de detritus celular (coleret\u0103) \u00een jurul bazei genelor, semn clinic distinctiv \u0219i esen\u021bial pentru stabilirea diagnosticului. La acesta se adaug\u0103 semne nespecifice: edem \u0219i eritem palpebral, madaroza ( pierderea genelor), hiperemie conjunctival\u0103, leziuni corneene. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bewertungen\nfakultative, oft unn\u00f6tige Untersuchungen k\u00f6nnen die Mikroskopie sein\noptische Mikroskopie einer gezupften Wimper (direkter Nachweis des Parasiten) oder\nkonfokale Laser-Scanning-Mikroskopie (CLSM)<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong><em>Warum sollten wir handeln?<\/em><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Prin modific\u0103rile produse la nivel local, prin prezen\u021ba \u0219i activitatea sa, acest parazit induce o stare de inflama\u021bie constant\u0103 la nivelul segmentului anterior ocular, manifestat\u0103 prin blefarit\u0103 cronic\u0103, keratite sau conjunctivite repetate. Deseori leziunile provocate la nivel cornean sunt ireversibile \u0219i asociate cu un impact negativ asupra capacit\u0103\u021bii vizuale. Se consider\u0103 c\u0103 acarienii din specia Demodex reprezint\u0103 un ,,trigger\u2019\u2019 pentru diverse bacterii, motiv pentru care frecven\u021ba blefaroconjunctivitelor este mult crescut\u0103 \u00een cazul acestor pacien\u021bi. De asemenea, s-a demonstrat corela\u021bia dintre prezen\u021ba acestui parazit \u0219i modificarea aspectului \u0219i func\u021bionalit\u0103\u021bii glandelor meibomiene, responsabile pentru stabilitatea filmului lacrimal duc\u00e2nd astfel la dezvoltarea chalazionului \u0219i progresia simptomatologiei specifice ochiului uscat.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong><em>Wie kann sie behandelt werden?<\/em><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Erstens, eine\nzu vermeiden ist die Anwendung von Kortikosteroid-Salben, die zu einer\ndie Zahl der Parasiten zu erh\u00f6hen. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zeitsparend,\nhat sich Teebaum\u00f6l bew\u00e4hrt, weshalb derzeit\nes gibt zahlreiche Produkte (T\u00fccher, Seifen, Gele) auf der Grundlage von Teebaum\u00f6l\nf\u00fcr die Augenlidhygiene verwendet. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In den letzten Jahren wird der Behandlung mit intensiv gepulstem Licht eine echte Wirkung auf die Entwicklung und Vermehrung dieses Parasiten zugeschrieben. J\u00fcngsten Studien zufolge hat diese Behandlung eine Ausrottungsrate der Infektion von etwa 83% einen Monat nach der dritten Behandlungssitzung gezeigt. Diese auf IPL basierende Behandlung setzt sich bei der Behandlung dieser Infektion immer mehr durch, da sie die lokale Temperatur \u00fcber die vom Parasiten unterst\u00fctzte Temperatur hinaus erh\u00f6ht, ohne lokale Nebenwirkungen in der Haut hervorzurufen.&nbsp; <\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"397\" data-id=\"6417\" src=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/blefarita-demodex-oftalmologie.png\" alt=\"diagnostic si tratament blefarita cu demodex, oftalmologie\" class=\"wp-image-6417\" srcset=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/blefarita-demodex-oftalmologie.png 1024w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/blefarita-demodex-oftalmologie-300x116.png 300w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/blefarita-demodex-oftalmologie-768x298.png 768w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/blefarita-demodex-oftalmologie-18x7.png 18w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/figure>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><em>Descoperi\u021bi mai multe informa\u021bii valoroase despre oftalmologie \u0219i s\u0103n\u0103tatea ochilor vizion\u00e2nd materialele realizate de exper\u021bi \u00een domeniu de pe canalul nostru de <a href=\"https:\/\/www.youtube.com\/@profmunteanu\">YouTube<\/a>.<\/em><\/h3>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong> Dr. Cristina Pac - Fach\u00e4rztin f\u00fcr Augenheilkunde  <\/strong><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft is-resized\"><img decoding=\"async\" src=\"http:\/\/profmunteanu.ro\/wp-content\/uploads\/2020\/09\/IMG-20200910-WA0007.jpeg\" alt=\"\" class=\"wp-image-1008\" width=\"251\" height=\"335\" srcset=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2020\/09\/IMG-20200910-WA0007.jpeg 480w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2020\/09\/IMG-20200910-WA0007-225x300.jpeg 225w\" sizes=\"(max-width: 251px) 100vw, 251px\" \/><\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Ultimii ani ne-au demonstrat at\u00e2t nou\u0103, c\u00e2t \u0219i colegilor din diferite col\u021buri ale lumii, c\u0103 blefarita cu Demodex este mult mai frecvent\u0103 dec\u00e2t ne-am a\u0219teptat. Ultimele statistici arat\u0103 c\u0103 acest parazit este cauza a 45% din blefarite \u00een general, la persoanele peste 60 de ani fiind prezent \u00een 84% din cazurile de inflama\u021bii palpebrale. \u00cen [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3950,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[5,3],"tags":[],"class_list":["post-1309","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articole","category-noutati"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Blefarita cu Demodex \u2013 de la diagnostic la tratament - Clinica Oftalmologica Dr. Munteanu<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/profmunteanu.ro\/de\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Blefarita cu Demodex \u2013 de la diagnostic la tratament - Clinica Oftalmologica Dr. Munteanu\" \/>\n<meta property=\"og:description\" content=\"Ultimii ani ne-au demonstrat at\u00e2t nou\u0103, c\u00e2t \u0219i colegilor din diferite col\u021buri ale lumii, c\u0103 blefarita cu Demodex este mult mai frecvent\u0103 dec\u00e2t ne-am a\u0219teptat. Ultimele statistici arat\u0103 c\u0103 acest parazit este cauza a 45% din blefarite \u00een general, la persoanele peste 60 de ani fiind prezent \u00een 84% din cazurile de inflama\u021bii palpebrale. \u00cen [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/profmunteanu.ro\/de\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\/\" \/>\n<meta property=\"og:site_name\" content=\"Clinica Oftalmologica Dr. Munteanu\" \/>\n<meta property=\"article:published_time\" content=\"2022-01-03T11:04:23+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-09-05T08:11:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/04\/Munteanu_Featured-image_blog-2.png\" \/>\n\t<meta property=\"og:image:width\" content=\"430\" \/>\n\t<meta property=\"og:image:height\" content=\"540\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"admin_drmunteanu\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Verfasst von\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin_drmunteanu\" \/>\n\t<meta name=\"twitter:label2\" content=\"Gesch\u00e4tzte Lesezeit\" \/>\n\t<meta name=\"twitter:data2\" content=\"4\u00a0Minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/profmunteanu.ro\\\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/profmunteanu.ro\\\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\\\/\"},\"author\":{\"name\":\"admin_drmunteanu\",\"@id\":\"http:\\\/\\\/profmunteanu.ro\\\/de\\\/#\\\/schema\\\/person\\\/e23334026cffd718b0e842de6dc33331\"},\"headline\":\"Blefarita cu Demodex \u2013 de la diagnostic la tratament\",\"datePublished\":\"2022-01-03T11:04:23+00:00\",\"dateModified\":\"2023-09-05T08:11:35+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/profmunteanu.ro\\\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\\\/\"},\"wordCount\":782,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/profmunteanu.ro\\\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/profmunteanu.ro\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/Munteanu_Featured-image_blog-2.png\",\"articleSection\":[\"Articole\",\"Noutati\"],\"inLanguage\":\"de\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/profmunteanu.ro\\\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/profmunteanu.ro\\\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\\\/\",\"url\":\"https:\\\/\\\/profmunteanu.ro\\\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\\\/\",\"name\":\"Blefarita cu Demodex \u2013 de la diagnostic la tratament - 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Ultimele statistici arat\u0103 c\u0103 acest parazit este cauza a 45% din blefarite \u00een general, la persoanele peste 60 de ani fiind prezent \u00een 84% din cazurile de inflama\u021bii palpebrale. \u00cen [&hellip;]","og_url":"https:\/\/profmunteanu.ro\/de\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\/","og_site_name":"Clinica Oftalmologica Dr. Munteanu","article_published_time":"2022-01-03T11:04:23+00:00","article_modified_time":"2023-09-05T08:11:35+00:00","og_image":[{"width":430,"height":540,"url":"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/04\/Munteanu_Featured-image_blog-2.png","type":"image\/png"}],"author":"admin_drmunteanu","twitter_card":"summary_large_image","twitter_misc":{"Verfasst von":"admin_drmunteanu","Gesch\u00e4tzte Lesezeit":"4\u00a0Minuten"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/profmunteanu.ro\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\/#article","isPartOf":{"@id":"https:\/\/profmunteanu.ro\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\/"},"author":{"name":"admin_drmunteanu","@id":"http:\/\/profmunteanu.ro\/de\/#\/schema\/person\/e23334026cffd718b0e842de6dc33331"},"headline":"Blefarita cu Demodex \u2013 de la diagnostic la tratament","datePublished":"2022-01-03T11:04:23+00:00","dateModified":"2023-09-05T08:11:35+00:00","mainEntityOfPage":{"@id":"https:\/\/profmunteanu.ro\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\/"},"wordCount":782,"commentCount":0,"image":{"@id":"https:\/\/profmunteanu.ro\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\/#primaryimage"},"thumbnailUrl":"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/04\/Munteanu_Featured-image_blog-2.png","articleSection":["Articole","Noutati"],"inLanguage":"de","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/profmunteanu.ro\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/profmunteanu.ro\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\/","url":"https:\/\/profmunteanu.ro\/blefarita-cu-demodex-de-la-diagnostic-la-tratament\/","name":"Blefarita cu Demodex \u2013 de la diagnostic la tratament - 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