Iimpawu zokuVikela iiNasolacrimal Blocked, Diagnosis, kunye neNyango
Ziziphi iimpawu zendlela yokukhupha ikhefu kunye neyokuphathwa njani?
I-Duct Tear Duct (I-Nasolacrimal Duct) yabantwana
Iintsana kunye neentsana ezincinci zivame ukuxubusha kwamehlo abo kwaye zinokutshatyalaliswa okukhulu. Nangona idla ngokubhekisele kwi-pink eye, ukuthambisa amehlo ngaphandle kwempawu ezifana neliso elibomvu ngokuqhelekileyo kubangelwa yindlela yokukhuba, ebizwa ngokuba yi- dacryostenosis .
I-duct ye-tear blocked iyenzeka xa i-duct engabhalwanga ikhupha iinyembezi kwiso ngaphakathi ekhaleni, ivalwe (ngenxa yentsholongwane, ukukhathazeka, njl njl.) Okanye, ngokuqhelekileyo, ivaliwe ekuzalweni (isithintelo sokuzalwa esingazalwayo. ukukhutshwa kweengcingo ezingabonakaliyo kwiintsana ezisanda kuzalwa kukuhluleka kwimbumba yokulinda umzila - into ebizwa ngokuba yi-valve yeHasner - ukuvula.
Kuqikelelwa ukuba ukuya kwi-30% yabantwana abasandul 'ukuzalwa bazalwe ngendwangu yokulila, kodwa kwi-90% yabantwana, iimpawu zigqiba ngokuzalwa kwazo kokuqala.
Iimpawu zeCandelo lokuLawula eliViweyo
Iintsana ezinomkhuhlane okhubekileyo zivame ukuba:
- Namehlo enamehlo, ukwenzela ukuba amehlo abo asoloko ebonakala enohlaza okanye ebonakala ngathi akhiqiza iinyembezi (epiphora) ekhwela emathunzini omntwana.
- Namehlo avela enqabileyo aze ahluthwe ngenxa yokukhupha, kuba impahla ye-mucoid evame ukuveliswa kwisikhwama esikhankqalazayo ibuyele ejongeni, kunokuba igqitywe ngumzila ongenawo umlomo kwimpumlo
- Unobomi obomvu ngamehlo abo kuba aba bantwana bahlala bexubusha amehlo abo
Ngamanye amaxesha, xa i-tear trap ivinjiwe, isikhwama esingabonakaliyo , esisekhoneni eliphambili lomlenze wengane yakho eduze kwempumlo yakhe, liya ku sulelwa. Le meko, ebizwa ngokuthi i- dacryocystitis , inokubangela ukuba indawo ivuke, ibomvu, ibe bubuhlungu, kwaye umntwana wakho unokuba nomkhuhlane.
Uninzi lwabantwana abanomgca wokukhawula olulula olukhethiweyo abanalo naziphi na iimpawu.
Ukuxilongwa kweCandelo lokuLawula iIbhanki
Abantwana bavame ukufunyanwa ngumbono okhuselekile weengxube ezisekelwe kwiimpawu zeempawu, kubandakanywa ukukrazula ngokugqithiseleyo nokuqhawula.
Gcina ukhumbule ukuba abaninzi abantwana abatsha baqala ukulila baze babe malunga neveki ezimbini okanye bebekhulile, ngoko unganakuboni nayiphi na impawu yendlela yokukhupha ikhefu, nangona usana lwakho luzalwa nalo.
Ngamanye amaxesha, ukuhlolwa kokunyamalala kwendayiti ye-fluorescein kungenziwa, apho idayi ye-fluorescein ifakwe kweso lomntwana. Emva kwemizuzu emi-5, ukukhanya okukhethekileyo ("ukukhanya okumnyama") kusetyenziswa ukubona ukuba yonke idayi idlulile kwiidolozi zokulila kunye nasempumleni. Ukuba akunjalo, kwaye idayi ihlala iliso lomntwana, ngoko mhlawumbi unesitya sokukhahlela.
Unyango lweMingqungquthela yokuLawula
Ngethamsanqa, amaninzi amatyala ekhethiweyo aphulaphulayo .
Kuze kube yilapho umntanakho ekhutshwe i-tear traps, iyeza zingaquka:
- Ukusilalisa okungaqhelekanga , apho uhlalisa khona ikona langaphakathi lempumlo yengane yakho ukuya kwezihlandlo ezi-3 ngosuku. Uphando lubonisa ukuba ukuxilisa (okwenziwe ngabazali bakho abantwana) kunokunyaniseka, kwaye kunokunciphisa imfuno yokungaxilwanga kwindlela yokuziphatha.
- Ukucoca naluphi na ukukhutshwa okanye umcimbi emehlweni ngento yokuhlamba efudumeleyo.
- I-antibiotiki iliso liyehla xa ukukhutshwa kwamehlo kugqithisa ngokweqile, kufana ukuba kufuneka uyisuse ngaphezu kwama-2 okanye amathathu amaxesha ngosuku.
- Amayeza omlomo xa umntwana wakho eba neempawu ze-dacryocystitis.
Ukuba umntwana wakho uvale ukukhupha i-tear does not go away, ngokukodwa ngexesha eli- 9 ukuya kwinyanga ezili-12 ubudala, unyango olongezelelweyo nge- non -crimal duct probing luyimfuneko. Kule nkqubo, ngokuqhelekileyo yimpumelelo kakhulu, i-ophthalmologist yezilwanyana (ugqirha weziliso kubantwana) uza kufaka iphenyo kumgca ongekho mthethweni, uzame ukucima nayiphi na into evimbela ukuhamba.
Ngamanye amaxesha, i-stal ye-canalicular stent, i-tube ye-silicone, ifakwe kwi-duct engekho mthethweni xa iqhubeka isithintela.
Oko Kufuneka Ukwazi
- Nangona abantwana abanokupheliswa okupheleleyo baya kuhlala bekhona iimpawu, ukuba umntwana wakho unqatshelwe, ungabona kuphela iimpawu xa esenza iinyembezi ezingaphezulu okanye ukuba impumlo yakhe ivinjiwe, njengokuba xa ebanda.
- Ukuba umntwana wakho omncinci ufunyaniswa ngokuphindaphindiweyo ngeliso lepinki , ingakumbi ukuba iliso lakhe lingabomvu ngokubanzi, ngoko unokuba nehambo ekhethiweyo.
- Abantwana banokuba neengcambu zokulila ezinqandekayo ezichaphazela enye okanye zombini amehlo.
- Ukuba iliso lomntwana lakho liqhaqhazela kwaye likhuni kwaye liyakhathazeka, endaweni yengcambu yokulila, umntwana wakho unokuhlaziywa nge- congenital glaucoma . I-glaucoma engamaqabane ayiqhelekanga (1 ngo-10 000 ngokuzalwa) kwaye idla ngokuphindaphindiweyo kwiminyaka emibili yobomi. Ngokubambisa umntwana kungase kube neqhwaba, ukugqithisa kubonakale ku-cornea. Kubalulekile ukuba le ngxaki ifunyanwe, njengoko unyango lunokulondoloza umboniso ngexesha elichanekileyo.
- Ukuba ukuphonononga kwenziwa kwangoko ngaphambi kokuba umntwana uneminyaka engama-6 ukuya kweyisi-8 ubudala, inokuthi iqhutywe ngunyana we-ophthalmologist eofisini, ngaphandle kwe-anesthesia jikelele , njengokuba kuya kubakho abantwana abadala.
- I-ophthalmologist yezilwanyana inokuba luncedo xa umntwana wakho enesibindi sokukhahlela, nangona ugqirha wezilwanyana unakho ukulawula amacala amaninzi alula.
Imithombo:
Umbutho waseMelika we-Opthalmology ne-Strabismus. I-Glaucoma yabantwana. Updated 04/14. http://www.aapos.org/terms/conditions/55.
Umbutho waseMelika we-Opthalmology ne-Strabismus. Ukukhutshwa kwamathambo angabonakaliyo. Updated 01/16. http://www.aapos.org/terms/conditions/72.
Karti, O., Karahan, E., Acan, D., kunye noT. Kusbeci. Inkqubo yemvelo yobunzima bokuzalwa obungabonakaliyo kunye nefuthe le-mass slap massage. IiNtsholongwane zamazwe ngamazwe . 2016 uMar 7. (Epub ngaphambi kokuprinta).