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Eye rubbing too much. What to do if eye inflammation?

家長錦囊

11-9

Written by : Dr Cheung Kit

Every child has his or her own characteristics. As a parent, you may not be able to tell what your child is trying to express by their expressions, behaviors and vocalizations. Take the example of a child’s reaction to dozing, the form of expression varies from person to person.Some may cry, some may lose their temper, some may rub their eyes, or a variety of other reactions. Among the many reactions, in my position as a doctor, the most unwanted habit is “rubbing eyes” because this will easily cause inflammation.

Eye inflammation is not caused by unclean hands

Interestingly, the inflammation was not due to the child’s unclean hands, but to other causes. In this case, the inflammation was not initially caused by bacteria, but by a blockage of the secretory glands near the eyelashes. When the hand rubs against the eye, the originally open ventral outlet is disrupted by the external pressure, causing pressure in the gland as the oil cannot be expelled, which then causes an inflammatory reaction. This inflammatory reaction is superficially the same as a normal bacterial inflammation. The difference is that in this case, antibiotics (topical and oral) are not effective. The correct method is to do warm compresses for your eyes, which is intended to open the blocked outlet and make the inflammation disappear slowly.

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How to treat eye acne

To treat an existing eye acne, besides seeing a doctor, the most basic method is to

do warm compresses as described above. Choose a reheatable heat pack or use a lightly heated towel. Do warm compresses for 5 minutes, 3 times a day. The need for antibiotics is at the discretion of the doctor. However, the following principles apply.

– Whether the inflammation of the eye acne exceeds the normal case

– Is there any bacterial inflammation of the conjunctiva?

– Is the tissue around the eye red and painful?

– Whether the child is able to control his or her own eye rubbing to reduce the possibility of bacterial inflammation

Early treatment of ophthalmia

If the inflammation is not controlled, the swelling may not disappear on its own. In this case, surgical release of the swelling is a must. Although it may sound scary, the procedure is actually a simple one and only requires local anaesthesia. Therefore, parents only need to follow the doctor’s advice and they can rest assured.

All in all, our biggest fear is not that our children’s hands are dirty, but that they keep rubbing eyes. If the eye infection is caused by nasal allergy, eye allergy and eczema, parents must take it seriously. Parents should feel free to use medication when they want to, without having to worry about how long it will take and the side effects that may occur.

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Parents Zone Parents Zone

捽眼捽唔停 眼發炎點做好?

家長錦囊

11-9

撰文:張傑醫生

每個孩子都有自己的特性。作為父母未必能夠從他們的表情、行為和發聲便知道孩子想表達的東西。就以孩子打瞌睡的反應,每個人的表達形式也有不同,有的人會大哭;有的人會發脾氣;有的人會揉眼睛,或是其他各種各樣的反應。在眾多的反應中,在筆者醫生的立場,最不要得的習慣是「捽眼」。因為這很容易會引起發炎的情況。

眼睛發炎非雙手不潔淨所導致?

有趣的是,發炎不是因為孩子雙手不潔淨,而是其他原因。原來,在這情況下,發炎起初不是因為細菌的引起,而是因為眼睫毛附近的分泌腺體阻塞所致。在手部摩擦眼睛時,原本暢通的腹體出口會被外來的壓力所破壞,令油脂因不能夠被排出而在腺體內造成壓力,繼而引起發炎反應。這種發炎反應的表面上與一般細菌性發炎無異。而分別在於在這情況下,用上抗生素(外塗和口服)都沒有作用。而較正確的方法是使用熱敷,目的是讓熱量加通阻塞的出口,令炎症慢慢消失。

11-8

如何治療眼瘡?

要治療已出現的眼瘡,除了看醫生外,最基本的方法是,如上述,可用熱敷。選擇可重複加熱的熱敷包或使用微熱的毛巾。每天分 3 次,按敷 5 分鐘。至於會否需要使用抗生素,醫生會自行判斷。但是一般基於以下幾個原則:

  • 眼瘡的發炎程度會否超越一般的個案
  • 結膜有否相關細菌發炎的情況
  • 眼周圍組織有否紅腫和疼痛
  • 孩子能否控制自己擦眼睛,以減少細菌發炎的可能

患上眼炎應及早醫治

倘若控制不了發炎的情況,腫粒可能未能自行消失。這時候,手術式放腫是必須的做法。聽起來,雖然有點恐怖,但是其實過程只是很簡單的步驟,而且只需要局部麻醉。所以,父母只需跟從醫生的建議便可以放心。

說到尾,我們最怕不是孩子的雙手骯髒,而是怕他們不停揉的動作。如果是因為鼻敏感、眼敏感和濕疹引起眼炎的話,父母必須正視。家長要用藥時就放膽用藥,不必拘泥於用藥多久及未必會出現的副作用。

Three characteristics to let you know whether you are a “monster parent”?

Parenting Tips

November 2022
11

Written by: Director of the Hong Kong Institute of Family Education    Dr. Tik Chi-yuen

Although parenting is a natural duty, it is not “inborn to take duty”. Previously, I discussed with senior government officials the current difficulties of parents and how to effectively promote parent education.During the discussion, we all felt that parent education should be strengthened because parents are becoming more and more “monsterized”, resulting in high pressure on parents and heavy burden on children.

If parents want to determine whether they are “monster parents”, they can assess in three aspects.

  • First,are you always worried about your child losing at the starting line, so you ask your child to learn more and practice more?
  • Second, do you often worry about your children doing wrong, afraid that they face failure, so give children a variety of protection?
  • Third, do you often feel stressed by your children’s studies and daily life, worrying that your children will not do well in everything, so you are emotionally disturbed?
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One of the problems with “monster parents” is that they focus too much on their children’s performance, especially in terms of academics and grades. In fact, there are more important things we should be concerned about, and that is the parent-child relationship. Parents and children are meant to have a mutual emotional relationship, not a ministry relationship. In the family, we talk more about love and affection rather than dictations, tests, and exams. Having a good parent-child relationship is the cornerstone of healthy growth for our children.

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Parents Zone

三個特點讓你知 你是否「怪獸家長」?

家長錦囊

November 2022
11

撰文:香港家庭教育學院總監 狄志遠博士

雖然父母是天職,但不是「天生就識」。之前筆者跟政府高官討論現時家長的困難以及如何有效推展家長教育工作,席間大家都覺得要加強家長教育工作,因為現時的家長愈來愈「怪獸化」,結果是家長壓力大,孩子負擔重。

如果家長想判斷自己是否「怪獸家長」,可從三方面去評估:

  • 你是否時刻擔心孩子輸在起跑線上,所以要求子女多學習及多操練呢?
  • 你是否常常擔心孩子做錯事,怕他們面對失敗,所以給予子女多方面的保護呢?

你是否經常因子女的學業及日常生活而感到壓力,擔心子女事事做不好,以致自己情緒不安呢?

11-1

「怪獸家長」有一個問題,就是太著重子女的表現,特別是學業或成績方面。其實,我們有更重要的事情值得關心,就是親子關係了。父母與子女是要互立感情關係,而不是事工關係。在家庭中,我們多談情說愛,而不是默書測驗及考試。擁有良好的親子關係,是促使子女健康成長的基石。