Izimpawu Zama-Nasolacrimal Avinjiwe, Ukuxilongwa Nokwelapha
Ziyini izimpawu zomgwaqo wezinyembezi ezivinjiwe futhi uphathwa kanjani?
Umzila Wokuvimbela (I-Nasolacrimal Duct) Ezinganeni
Izinsana kanye nezinsana ezincane zivame ukuba nezibindi emehlweni abo futhi zingase zibe nokudwengula okuningi. Nakuba ngokuvamile ebizwa nge-pink eye, ukuphuza amehlo ngaphandle kwezimpawu ezifana neliso elibomvu kuvame ukubangelwa ukuhamba kwezinyembezi ezivinjiwe, okuthiwa i- dacryostenosis .
Umzila ovaliwe wezinyembezi uvela lapho umzila ongenawo umlomo okhwanyisa izinyembezi esweni empeni, uvinjelwe (ngenxa yokutheleleka, ukuhlukumezeka, njll) noma, ngokuvamile, kuvinjelwe kusukela ekuzalweni (ukuvimbela ukukhulelwa komzimba okungavamile). ukuvinjelwa kwezidakamizwa ezingabonakaliyo ezinganeni ezisanda kuzalwa ukuhluleka kwekhanda eliqapha umzila - okuthiwa i-valve ye-Hasner - ukuvula.
Kulinganiselwa ukuthi izingane ezingaba ngu-30% zizalwa ngokuvuthwa kwezinyembezi ezivinjiwe, kodwa ezingaphezu kuka-90% zalaba bantwana, izimpawu zixazulula ngokuzalwa kwazo kokuqala.
Izimpawu Zendlela Yokuvimbela Umkhumbi
Izinsana ezinomkhumbi wezinyembezi ezivinjiwe zizovame uku:
- Ngamehlo aphethwe yi-teary, ukuze amehlo abo ahlale ebonakala enomsoco noma ebonakala sengathi akhiqiza izinyembezi eziningi (epiphora) ezidonsa emathunjini wengane.
- Ngamehlo avela enqanyuliwe futhi ehluthwe ngokuphuma, ngoba impahla ye-mucoid evame ukukhiqizwa esikhwameni esilahlekile ibuyele esweni, esikhundleni sokudlula emgwaqeni ongenawo umlomo ekhaleni
- Unobomvu obuseduze amehlo abo ngoba lezi zivame ukugubha amehlo
Ngezinye izikhathi, lapho umgwaqo wezinyembezi uvinjelwe, isikhwama esingenayo i- nasolamalmal , esisekhoneni elingaphakathi leso lomntanakho eduze kwempumu, lizokwelashwa. Lesi simo, okuthiwa i- dacryocystitis , singenza ukuba indawo ivuvuke, ibomvu, futhi ibuhlungu, futhi ingane yakho ingase ibe nomkhuhlane.
Iningi lezingane ezinezimboni ezilula ezinqandekile azikho ezinye izimpawu.
Ukuxilongwa kwe-Duct Tear Tear
Izingane zivame ukutholakala ukuthi zinezinkinga zokuvimbela izinyembezi ezisekelwe ephatheni lezibonakaliso, kuhlanganise nokuqothula ngokweqile nokuqhathanisa.
Khumbula ukuthi izinsana eziningi azange ziqale izinyembezi kuze kube yilapho seziba khona amasonto amabili noma ngaphezulu, ngakho-ke ngeke uqaphele izimpawu zendlela yokuvimbela izinyembezi, ngisho noma ingane yakho izalwa nayo.
Ngezinye izikhathi, ukuhlolwa kokunyamalala kwedayi eguquguqukayo kungenziwa, lapho idayi ye-fluorescein ifakwa ebusweni lomntwana. Ngemuva kwemizuzu engu-5, ukukhanya okhethekile ("ukukhanya okumnyama") kusetshenziselwa ukubona ukuthi yonke idayi idlulile phakathi kwamathanga ezinyembezi nasemakhaleni. Uma kungenjalo, futhi idayi ihlala isohlwini lomntwana, kungenzeka ukuthi unomkhumbi wezinyembezi ovinjiwe.
Ukwelashwa kwamadoksi okuvuthwa avinjelwe
Ngenhlanhla, amacala amaningi okuvimbela izinyembezi azisiwe .
Kuze kube yilapho ingane yakho ivinjelwe ukudonsa izinyembezi, imithi ingafaka:
- Ukusikhipha okungahleliwe, lapho ugeza khona ingxenyeni yangaphakathi yengane yengane yakho 2 kuya kwezi-3 ngosuku. Ucwaningo lubonisa ukuthi lokhu ukusikhipha (okuyinto ingane yakho engaboniswa ngawe) empeleni kwenza umehluko , futhi kunganciphisa isidingo sokuguqulwa komgwaqo ongenawo obala.
- Ukuhlanza noma yikuphi ukukhishwa noma indaba emehlweni nge-washcloth efudumele.
- I-antibiotic iso liyehla lapho ukuphuma kwamehlo kuba ngokweqile, njengokungathi kufanele usule ngaphezulu kuka 2 noma kathathu ngosuku.
- Ama-antibiotic omlomo uma ingane yakho iveza izimpawu ze-dacryocystitis.
Uma umkhumbi wezinyembezi ovinjiwe wengane wakho ungashiyi uqobo, ikakhulukazi ngenkathi eneminyaka engu- 9 kuya kweyishumi nambili ubudala, ukwelashwa okwengeziwe nge- neasolamal duct probing kungadingeka. Kule nqubo, okuvame ukuphumelela kakhulu, i-ophthalmologist yezingane (udokotela weso lwezingane) uzofaka iprobhethi emgwaqeni ongenawo wonke umuntu, ezama ukususa noma yini evimbela ukuhamba.
Ngezinye izikhathi, i-stent ye-canalicular, i-tube ye-silicone, ifakwe emgodini ongenawo wonke umuntu uma iqhubeka ivinjelwe.
Okudingeka Ukwazi
- Nakuba izingane ezinokuvinjelwa okuphelele zihlale zikhona izimpawu, uma ingane yakho ivinjelwe kancane, ungabona kuphela izimpawu lapho yenza izinyembezi ezingaphezulu noma uma ikhala lakhe livinjiwe, njengokungathi lapho ebanda.
- Uma ingane yakho encane ihlolwe ngokuphindaphindiwe nge- pink iso , ikakhulukazi uma iso lakhe lingabomvu ngokuvamile, khona-ke kungenzeka ukuthi abe nomzila wokukhala wezinyembezi.
- Izingane zingaba nomgwaqo wezinyembezi ovinjiwe ochaphazela noma eyodwa noma kokubili amehlo.
- Uma ilanga lomntanakho lidwengula futhi lihlukumezekile futhi licasula, esikhundleni se-duct evinjiwe, ingane yakho ingahlolwa nge- congenital glaucoma . I-glaucoma engavamile ingavamile (ukuzalwa kwabayishumi ku-10 000) futhi ngokuvamile iyenzeka eminyakeni engu-2 yokuqala yokuphila. Kanye nokudwengula ingane kungase kube ne-cornea eguquguqukayo, engacabangi. Kubalulekile ukuthi lesi sifo sitholakale, njengoba ukwelashwa kungalondoloza umbono isikhathi esithile lapho kutholakala khona ngokunembile.
- Uma ukuhlolwa kuphelelwa isikhathi ngaphambi kokuba ingane ineminyaka engu-6 kuya kweyisishiyagalombili ubudala, ingenziwa kaningi nge-ophthalmologist yezingane ezisehhovisi, ngaphandle kwe-anesthesia ejwayelekile , njengokungadingeka kwabantwana abadala.
- I-ophthalmologist yengane ingaba usizo uma ingane yakho inomkhumbi ovimbekile, nakuba ingane yakho ingase ikwazi ukuphatha amacala alula kakhulu.
Imithombo:
I-American Association ye-Opthalmology ye-Pediatric ne-Strabismus. I-Glaucoma yezingane. Kubuyekeziwe 04/14. http://www.aapos.org/terms/conditions/55.
I-American Association ye-Opthalmology ye-Pediatric ne-Strabismus. Ukuvinjelwa kwamathambo okungahambi kahle. Kubuyekezwe 01/16. http://www.aapos.org/terms/conditions/72.
UKarti, O., Karahan, E., Acan, D., noT. Kusbeci. Inqubo yemvelo yokuvimbela ukuguqulwa komzimba okungabonakali kanye nomphumela we-lacrimal sac massage. Ama-Pediatrics aMazwe ngamazwe . 2016 Mar 7. (Epub ngaphambi kokuphrinta).