So w’ani ayɛ wo yaw anaasɛ ahonhon? Ebetumi ayɛ Dacryocystitis!

So w’ani mu , a ɛbɛn wo hwene no, ahonhon, ayɛ kɔkɔɔ, na ɛtɔ mmere bi a ɛyɛ yaw wɔ akisikuru ho? Anaasɛ ɛte sɛ nea wo ba kumaa no ani so nsu bere nyinaa, anaasɛ nusu asisi wɔ n’ani ntwea so? Eyinom betumi ayɛ tebea bi a wɔfrɛ no dacryocystitis ho sɛnkyerɛnne. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm kɔ akyiri na yɛayɛ no tiawa koraa nnɛ.

Dɛn ne Dacryocystitis?

Sɛ yɛbɛka no tiawa a, Dacryocystitis yɛ yɛn nusu kotoku mu ɔfe anaa ɔyare mmoawa . Seesei ebia woresusuw nea ɛyɛ saa nusu kotoku yi ne baabi a ɛwɔ no ho.

Yɛn aniwa ma yesu. Saa nusu yi boa ma yɛn ani yɛ nwini na ɛho tew. Mpɛn pii no, saa nusu yi fa ɔkwan ketewaa bi a wɔabue mu (a wɔsan frɛ no `punctum`) a ɛwɔ aniwa no mu ntwea so , na afei ɛfa afiri ketewa bi mu kɔ nusu kotoku no mu. Efi saa nusu kotoku yi mu no, nsukorade foforo a wɔfrɛ no `nasolacrimal duct` kɔ hwene no mu. Ɛno nti na sɛ wosu a, wunya nusuo.

Nanso, sɛ nusu kwan no, a ɛwɔ nusu kotoku no mu anaasɛ nusu kwan no mu , siw esiane biribi nti a, nusu no ntumi nkɔ mu na ɛnkɔfa baabi biako. Sɛ eyi ba a, mmoawa betumi anyin wɔ nusu nsu no mu na wɔanya ɔyare mmoawa. Ɛno ne nea yɛfrɛ no dacryocystitis.

Nsonsonoe bɛn na ɛda dacryocystitis a emu yɛ den ne nea enni sabea ntam?

Dacryocystitis ahorow atitiriw abien na ɛwɔ hɔ: dacryocystitis a emu yɛ den ne dacryocystitis a enni sabea .

• Acute dacryocystitis: Eyi yɛ nea efi ase mpofirim. Nsɛnkyerɛnne no pue mpofirim na ɛtaa fi hɔ wɔ asram abiɛsa ntam. Nsɛnkyerɛnne no betumi ayɛ ɛyaw, ɔfe, ne kɔkɔɔ.
• Dacryocystitis a enni sabea: Eyi yɛ tebea a ɛtra hɔ kyɛ kɛse. Ebia yare no ho sɛnkyerɛnne no mu nyɛ den pii sɛnea ɛte wɔ dacryocystitis a emu yɛ den mu no, nanso ebia atetew bere tenten na ɛtɔ mmere bi a ɛho ahonhon nketenkete.

Ade foforo ne sɛ ɛtɔ mmere bi a wobetumi de dacryocystitis a enni sabea abata tebea afoforo a ɛka yɛn nipadua nyinaa ho. Sɛ nhwɛso no, wobetumi ahu no wɔ tebea horow a nipadua no tumi ko tia nyarewa te sɛ Granulomatosis a ɛwɔ Polyangiitis, Sarcoidosis, ne Lupus (a wɔsan frɛ no Systemic Lupus Erythematosus) ho. Ebetumi aba nnipa a wɔn ani yɛ kɔkɔɔ a enni sabea te sɛ aniwa mu yare a enni sabea, anaa Pink Eye nso so.

Mmoawa (pathogens) ahorow a ɛde ɔyare mmoawa ba wɔ saa ahorow abien yi mu nso betumi ayɛ soronko.

So ahorow afoforo wɔ hɔ?

Yiw, wɔ tebea horow a emu yɛ den ne nea enni sabea akyi no, tebea yi betumi afi awo mu anaasɛ wonya .

• Congenital Dacryocystitis: Eyi taa ba nkokoaa nkumaa so. Eyi ba efisɛ nsu a ɛwɔ awotwaa mu a ɛwɔ nusu ntini no mu no ntumi nkɔ koraa bere a akokoaa no wɔ awotwaa mu no. Sɛ saa nsu yi nya ɔyare mmoawa a, wɔfrɛ no neonatal dacryocystitis .

Fa no sɛ, akokoaa bi a wɔawo no foforo wɔ hɔ, momma yɛnka sɛ ne din de Uraraka Ti Puta. Ɔtetew n’ani biako so bere nyinaa, na ɛtɔ mmere bi a anɔpa no, akisikuru ketewaa bi wɔ aniwa no ntwea so . Ɛna no werɛ ahow paa na ehu aka no. Eyi ne nea wobetumi ahu wɔ dacryocystitis a wɔde awo obi no mu.

• Acquired Dacryocystitis: Eyi yɛ tebea a ɛba akyiri yi wɔ asetra mu esiane nneɛma ahorow nti. Sɛ nhwɛso no, ebetumi afi akisikuru, oprehyɛn, akisikuru a ɛwɔ hwene mu anaa nea ɛbɛn aniwa no, anaa nnuru bi a wɔde di dwuma.

Saa tebea yi abu so dɛn?

Sɛnea akontaabu kyerɛ no, wɔwo nkokoaa bɛyɛ 6% a wɔwɔ tebea bi a wɔfrɛ no Congenital Nasolacrimal Duct Obstruction (NLDO) . Dacryocystitis ka mmofra a wɔawo wɔn a wɔte ase 3,884 biara mu bɛyɛ 1 . Ɛtaa ba mmeawa so sen mmarimaa, efisɛ wɔn nusu ntini no yɛ teateaa.

Dɛn ne dacryocystitis ho sɛnkyerɛnne ahorow?

Sɛ wowɔ dacryocystitis a, wubetumi anya saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa:

• Aniwa mu yaw: Titiriw wɔ aniwa no mu , bɛn hwene no.
• Aniwa a ɛho ahonhon: Ɛhonhon wɔ saa beae no.
• Wora a ɛyɛ kɔkɔɔ anaa ɛyɛ tuntum: Beae a ahonhon no betumi ayɛ kɔkɔɔ, ebia ɛbɛyɛ bruu/akuturuku kakra.
• Bue anaa kuru bi a ɛwɔ aniwa no mu ntwea so: Eyi betumi ama akisikuru atu .
• Atiridii: Ebetumi aba sɛ obi benya atiridii esiane ɔyare mmoawa bi nti.

Wɔ dacryocystitis a enni sabea mu no, ebia saa sɛnkyerɛnne ahorow yi mu nyɛ den kakra. Sɛ nhwɛso no, ebia w’ani da so ara yɛ nsu, nanso atiridii no betumi ayera.

Dɛn ne nneɛma a ɛde dacryocystitis ba?

Sɛnea yɛadi kan aka ho asɛm no, nea ɛde ba titiriw ne nusu kwan a asiw . Saa kwan a esiw kwan yi mma nusu ntumi mfi aniwa no mu nkɔ hwene no mu.

Wɔ nkokoaa a wɔawo wɔn foforo mu no, ntini a ɛyɛ tratraa (`membrane`) na esiw nusu kwan no ano. Nanso, wɔ mmofra a wɔn mfe akɔ anim ne mpanyimfo mu no, nneɛma ahorow betumi de saa akwanside yi aba.

Nneɛma bi a ebetumi ama obi anya dacryocystitis ni:

• Mpanyinyɛ: Saa tebea yi taa ba nnipa a wɔadi boro mfe 40 mu.
• Opira: hwene a ɛpaapae, oprehyɛn, ne nea ɛkeka ho wɔ hwene no ho anaa nea atwa ho ahyia.
• Ayaresa mu tebea afoforo:Nkwammoaa a ɛko tia nyarewa ho haw, ɔfe afoforo anaa ɔyare mmoawa te sɛ sinusitis.
• Hwene no nsusuwii a ɛnteɛ a wobenya.
• Akisikuru: Akuru a ɛba hwene, ntini, anaa ntini a ɛma nusu mu.
• Nnuru bi: Sɛ nhwɛso no, nnuru te sɛ `(Timolol)` a wɔde sa mogya mmoroso, `(Dorzolamide)` ne `(Pilocarpine)` a wɔde sa atiridiinini, `(Trifluridine)` a wɔde sa nnuru a ekum mmoawa, ne kokoram ayaresa te sɛ `(Fluorouracil)`, `(Docetaxel)` anaa `(Radioactive Iodine)`.
• Punctal plugs: Saa plugs nketewa yi a ɛtɔ mmere bi a wɔde si hɔ sɛ aduru a wɔde sa aniwa a ɛyɛ mmerɛw no, sɛ wɔannyi afi hɔ a, ebetumi ama asiw.

So dacryocystitis yɛ ɔyare mmoawa?

Ɛwom sɛ dacryocystitis ne ɔyare mmoawa bi wɔ abusuabɔ de, nanso ɛntaa nnya ɔyare mmoawa mfi onipa biako so kɔ foforo so , enti ɛnyɛ biribi a ɛsɛ sɛ wodwen ho dodo.

Ɔkwan bɛn so na oduruyɛfo hu eyi? (Ɔkwan bɛn so na wohu?)

Sɛ wokɔ oduruyɛfo nkyɛn a, wɔbɛhwɛ w’ani, ahwehwɛ baabi a atwa wo hwene ho ahyia, na wɔabisa wo wo yare no ho sɛnkyerɛnne ne w’ayaresa ho abakɔsɛm. Mpɛn pii no, saa nsɛm yi nkutoo bɛma oduruyɛfo no ahu nea ɛrekɔ so no.

Nanso, wubetumi nso ayɛ sɔhwɛ ahorow a edidi so yi de asi so dua bio:

• Aniwa mu nhwehwɛmu.
• Ɔsɔfo no mia baabi a ahonhon no na ɔhwehwɛ nsu a ɛte sɛ akisikuru fi tokuru ketewa (`punctum`) a ɛwɔ aniwa no ntwea so no mu .
• Sɛ akisikuru wɔ hɔ a, wɔfa nhwɛsoɔ bi na wɔde kɔ aduruyɛdan mu kɔsɔ hwɛ (`amammerɛ`). Eyi betumi aboa ma wɔahu mmoawa pɔtee a ɛde ɔyare no reba.
• Wɔfa mogya bi na wɔsɔ hwɛ, titiriw mogya mu nkwammoaa fitaa dodow. Sɛ eyinom dɔɔso a, ɛkyerɛ sɛ obi anya ɔyare mmoawa. Ɛtɔ mmere bi a mogya mu nhwehwɛmu nso betumi aboa ma wɔahu tebea afoforo a ɛde ba.
• Sɔhwɛ a wɔde aduru kɔkɔɔ bi gu aniwa no mu (`Dye disappearance test`). Wɔhwɛ saa aduru yi mu hwɛ sɛ ɛyera ntɛmntɛm sɛnea ɛtaa yɛ wɔ nusu kwan no ho no. Sɛ egye bere tenten ansa na ayera a, ebia biribi asiw kwan. Sɛ wɔde saa aduru yi petepete cotton ball a wɔde ahyɛ hwene no mu a, ɛkyerɛ sɛ ``afã bi asiw``.
• Mfoninitwa sɔhwɛ ahorow. Ɛtɔ mmere bi a wobetumi ayɛ CT scan anaa MRI scan de ahu nea ɛde akwanside no ba ankasa.

Ebia ɛho behia sɛ wɔyɛ nhwehwɛmu foforo, titiriw sɛ wo nusu retu mogya (`hemolacria`) anaasɛ sɛ wowɔ aniwa mu haw a .

Ɔkwan bɛn so na wɔsa dacryocystitis?

Okay, afei momma yɛnhwɛ ayaresa ahorow a wobetumi ayɛ ama eyi.

• Sɛ wowɔ dacryocystitis a emu yɛ den a ɔyare mmoawa bi na ɛde ba a, wo duruyɛfo no bɛyɛ saaWɔbɛkyerɛw nnuru a wɔde kum ɔyare mmoawa a wɔnom anaa wɔde fa ntini mu (IV) a ekum ɔyare mmoawa. Wobetumi nso ama wo srade a ekum ɔyare mmoawa anaa aniwa mu aduru.

Nnuru bi a wɔtaa kyerɛw ma no ne: `(Amoxicillin-clavulanate)`, `(Cephalexin)`, `(Ciprofloxacin)`, `(Clindamycin)`, `(Trimethoprim-Sulfamethoxazole)`.

• Nhyɛso a ɛyɛ hyew a wɔde twitwiw baabi a ahonhon no brɛoo betumi aboa ma yare no ho sɛnkyerɛnne ahorow no afi hɔ.
• Wobɛfi ase ate nka wɔ nna kakraa bi akyi bere a woafi nnuru a ekum ɔyare mmoawa ase no.

Neonatal dacryocystitis , tebea bi a ɛba nkokoaa nkumaa so no, taa gyae ankasa wɔ bɛyɛ afe biako mu , sɛ ɛsan ba bio mpo a.

Sɛ wowɔ dacryocystitis a emu yɛ den a, bere a wode nnuru a ekum ɔyare mmoawa awie no, ebia wo duruyɛfo bɛkyerɛ sɛ wɔnyɛ wo oprehyɛn . Wɔfrɛ eyi dacryocystorhinostomy (DCR) . Ayaresa titiriw a wɔde sa dacryocystitis a enni sabea ne DCR. Saa oprehyɛn yi ma wonya ɔkwan foforo a nusu bɛfa so.

Dɛn ne nsɛnnennen a ebetumi afi DCR oprehyɛn mu aba?

Te sɛ oprehyɛn biara no, ɛtɔ mmere bi a DCR oprehyɛn betumi de nsɛnnennen nketenkete aba. Nanso mma ɛnhaw wo, mpɛn pii no eyinom yɛ nketenkete.

• Mogya a ɛtɔ dodo fi baabi a wɔyɛɛ oprehyɛn no.
• Nsaneɛ.
• Sinusitis a ɛyɛ yare.
• Nneɛma nketenkete a ɛsɛe aniwa anaa hwene no afã horow.

Wo duruyɛfo bɛka eyi ho nsɛm pii akyerɛ wo.

So wobetumi asiw dacryocystitis ano?

Nokwarem no, ɛyɛ den ma yɛn sɛ yɛbɛyɛ biribi titiriw biara de asiw dacryocystitis ahorow pii a ɛbɛba no ano. Nanso, ɛho hia sɛ wobɔ mmɔden sɛ wobɛkwati nyarewa . Eyi nti, .

• Nya nsa hohoro ho su pa.
• Kwati sɛ wode wo nsa bɛka w’ani a ɛho nhia.
• Tew mmeae a nnipa ahyɛ hɔ ma a wobɛkɔ na wo ne ayarefo adi nkitaho no so sɛnea wubetumi biara.

Saa nneɛma yi ma ahobammɔ kakra.

Sɛ tebea yi ba a, dɛn na ɛba?

Ɛwom sɛ dacryocystitis no bi betumi asiesie no ankasa de, nanso sɛ wo anaa wo ba no wɔ saa sɛnkyerɛnne ahorow yi a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu.

Sɛ wɔansa eyi a, eyi betumi abɛyɛ kuru a ɛda hɔ na ɛtɔ mmere bi a ɛde anisoadehu mu nsɛm aba . Enti, ɛho hia sɛ wohwehwɛ ayaresa ntɛm.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wo anaa wo ba wɔ dacryocystitis ho sɛnkyerɛnne biara anaasɛ adwenem naayɛ ketewaa bi mpo sɛ wowɔ bi a, .Mma nsɛe bere na kɔ oduruyɛfo nkyɛn ntɛm ara. Ayaresa a wɔyɛ no ntɛm betumi aboa wo ma wo ho atɔ wo ntɛm.

Nsonsonoe bɛn na ɛda Dacryoadenitis ne Dacryocystitis ntam?

Saa edin abien yi di nsɛ kakra, enti ebetumi ama nkurɔfo adwene atu afra. Tebea abien no nyinaa yɛ aniwa mu ɔfe/nyarewa, nanso ɛba mmeae ahorow.

• Dacryocystitis: Eyi yɛ ɔfe/yare mmoawa a ɛba nusu kwan/nusu kotoku mu.
• Dacryoadenitis: Eyi yɛ ɔfe/yare mmoawa a ɛba ntini a ɛma nusu (nusu ntini) no mu. Saa ntini yi wɔ aniwa no ase, wɔ aniwa no akyi atifi .

Sɛ yɛbɛka no tiawa a, sɛ wote nka sɛ wo ho nyɛ wo dɛ wɔ w’ani ho, titiriw w’ani no mu ntwea so , baabi a ɛbɛn wo hwene no, anaasɛ sɛ wote akisikuru anaa wo hohoro nka a, ebetumi ayɛ dacryocystitis. Sɛ wowɔ eyi a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn.

Awiei koraa no, ade a ɛho hia sen biara (Take-Home Message) .

Ebia ebedu saa bere yi na woate ase sɛ dacryocystitis yɛ ɔyare mmoawa anaa ɔfe a ɛba nusu kotoku no mu. Ebetumi aba nkokoaa ne mpanyimfo nyinaa mu.

• Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ ɛyaw, ɔfe, kɔkɔɔ, nsu a ɛtɔ, anaasɛ wotaa tetew w’ani mu a , hwɛ so yiye.
• Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, hwehwɛ aduruyɛfo afotu ntɛm ara.
• Mma ɛnhaw wo, ayaresa pa wɔ hɔ a wɔde sa eyi. Wobetumi de nnuru a ekum ɔyare mmoawa asa no yare na ɛtɔ mmere bi a wɔyɛ oprehyɛn ketewaa bi.
• Nneɛma a ɛnyɛ den te sɛ ahotew a wobɛhwɛ so ne wo nsa a wobɛhohoro mpɛn pii no betumi aboa ma woabɔ wo ho ban afi nyarewa ho.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, wubetumi abisa w’abusua oduruyɛfo anaa aniwa ho oduruyɛfo. Kɔ so nya apɔwmuden!

` Dacryocystitis, ɔyare mmoawa a ɛwɔ nusu kotoku no mu, nusu kwan a asiw, aniwa mu yaw, aniwa a ɛho ahonhon, akokoaa nusu ho haw