So wo ba no ani so nusu? Momma yensua Blocked Tear Duct ne Tear Duct Probe ho ade wɔ ɔkwan a ɛnyɛ den so!

So wo ba kumaa no ani so nusu bere nyinaa ? Anaasɛ ɛte sɛ nea nusu ahyɛ wɔn ma? Ɛtɔ mmere bi a, eyi betumi ayɛ awofo hu kakra. Nanso mma ɛnhaw wo. Mpɛn pii no, tebea bi a wɔfrɛ no nusu ntini a asiw, a ɛtaa ba mmofra nkumaa mu no na ɛde eyi ba . Ɛnnɛ, yɛbɛka nea nusu kwan a asiw yɛ ne ayaresa a ɛnyɛ den a wɔfrɛ no tear duct probe ho asɛm.

Dɛn ankasa ne nusu yi? Dɛn ne nusu kwan?

Nea edi kan no, ma yɛnhwɛ nea nusu yi yɛ, sɛnea ɛba, ne nea enti a yehia. Fa no sɛ yɛn ani te sɛ mfoninitwa mfiri nketewa abien. Ɛsɛ sɛ wɔma mfoninitwa afiri yi, kyerɛ sɛ, aniwa no, yɛ nwini na ɛho tew bere nyinaa. Ɛno ne nea nusu boa.

Ntini nketenkete bi wɔ yɛn aniwa a ɛwɔ soro no ase, wɔ yɛn aniwa akyi. Yɛfrɛ eyinom sɛ nusu ntini . Wɔte sɛ nsukorabea. Saa ntini ahorow yi ma nusu tu. Saa nusu yi sen fa aniwa no ani, ɛtrɛw fa aniwa no nyinaa mu, ɛma aniwa no yɛ nwini, yi efĩ ne nneɛma a asɛe, na ɛho tew. Ɛnyɛ ɛno nko, na mmom saa nusu yi tumi ko tia mmoawa a wɔhyɛn aniwa no mu nso.

Afei, sɛnea ɛsɛ sɛ yeyi nsu a yɛde adi dwuma no fi hɔ no, saa ara na ɛsɛ sɛ yeyi nusu a yɛde adi dwuma yi fi aniwa no so nso. Ɛno ne nea tear duct system no yɛ ma. Susuw ho te sɛ nsu a ɛkɔ yɛn fie no. Wɔ aniwa no mu ntwea so, wɔ aniwa no atifi ne ase no, ntokuru nketewa abien (`(Puncta)`) wɔ hɔ. Nusu fa saa ntokuru yi mu, fa nsukorade nketewa (`(Canaliculi)`) mu na ɛboaboa ano wɔ kotoku ketewa bi a wɔfrɛ no nusu kotoku (`(Lacrimal Sac)`) mu. Afei efi hɔ no, wɔfa tube tenten foforo (`(Nasolacrimal Duct)`) mu na wɔboaboa ano wɔ hwene no mu. Ɛno nti sɛ yɛsu pii a , nusu nso fi yɛn hwene mu. So wote ase?

Dɛn nti na saa ntini a ɛma nusu yi siw?

Okay, seesei yɛnim sɛdeɛ nusuo ba ne sɛdeɛ ɛfiri aniwa no mu. Enti dɛn nti na saa nusu ntini yi siw?

Yɛtaa hu tebea yi wɔ nkokoaa a wɔawo wɔn foforo mu . Nea enti a ɛte saa ne sɛ, sɛnea yɛadi kan aka no, nusu kwan no ne hwene no di nkitaho, na wɔ saa ntini no awiei no, ntini ketewaa bi (`(Membrane)`) wɔ hɔ. Wɔto saa ntini yi mu bere a akokoaa no wɔ awotwaa mu no. Mpɛn pii no, saa ntini yi bue ne ho bere a wɔawo akokoaa no anaasɛ wɔawo no akyi nna kakraa bi. Nanso, wɔ nkokoaa binom mu no, ebia saa ntini yi rentumi mmue. Ɛno ne bere a nusu no nni ɔkwan biara a ɛbɛfa so akɔ hwene mu, na ɛkyere aniwa no mu, na ɛsɛ sɛ nusu no guan fi aniwa no mu. Yɛfrɛ eyi awosu mu anom ntini a ɛsiw (`(Congenital Nasolacrimal Duct Obstruction)`) . Eyi ne ade titiriw a ɛma nkokoaa nusu kwan no siw.

Nneɛma afoforo betumi ama mmofra a wɔanyinyin anaa mpanyimfo a nusu ntini no asiw. Nhwɛsoɔ:

• Aniwa anaa hwene mu yare (`( Infections )`) .
• Apirakuru a ɛba aniwa anaa hwene so
• Nsakrae a ɛba bere a obi nyin no
• Nkuruwankuruwa bi a ɛba hwene mu (`(Nasal Polyps)`) .
• Ɛntaa mma sɛ tebea horow te sɛ akisikuru (`(Akisikuru)`) betumi aba wɔ nusu kwan nhyehyɛe no mu. Nanso, eyinom ho yɛ na koraa.

Ɛno nti, sɛ wo anaa wo ba no wɔ saa sɛnkyerɛnne ahorow yi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn, titiriw aniwa ho oduruyɛfo . Afei wobetumi ahu nea ɛde ba ankasa.

Wobɛyɛ dɛn ahu sɛ nusu kwan bi asiw?

Seesei ebia woredwen ho sɛ, ‘Minnim sɛ ebia me ba no nso wɔ saa ɔhaw yi anaa.’ Enti, ma yɛnhwɛ nea ɛkyerɛ sɛ nusu kwan a asiw.

• Aniwa a ɛyɛ nsu na nusu gu bere nyinaa (`( Epiphora )`) : Eyi ne sɛnkyerɛnne titiriw. Sɛ akokoaa no nsu mpo a, wotumi hu nusu wɔ n’ani so na ɛtɔ mmere bi a ɛsen fa n’afono so.
• Mucopurulent discharge : Mucopurulent discharge, titiriw bere a wosɔre anɔpa no, betumi aboaboa ano atwa aniwa no ho ahyia. Ɛtɔ mmere bi a eyi betumi ama aniwa no mu akyekye.
• Aniwa no mu ntwea a ɛyɛ kɔkɔɔ anaasɛ ɛho ahonhon : Ɛtɔ mmere bi a baabi a nusu kotoku no wɔ (`(Lacrimal Sac Area)`) no betumi ayɛ kɔkɔɔ, ahonhon, na ɛyɛ yaw sɛ wobɛka. Eyi betumi aba sɛ nusu kotoku no wɔ ɔyare mmoawa (`(Dacryocystitis)`). Sɛ eyi ba a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara .
• Mmɔden a wɔbɔ sɛ wɔbɛpopa wɔn ani mpɛn pii : Ebia nkokoaa bɛte nka sɛ wɔn ho nyɛ wɔn dɛ efisɛ nusu ahyɛ wɔn aniwa ma. Enti wɔtaa bɔ mmɔden sɛ wɔde wɔn nsa bɛpopa wɔn ani.
• Aniwa hwɛbea yɛ kusuu : Ɛtɔ mmere bi a, aniwa betumi ayɛ kusuu kakra esiane nusu a ɛtra so nti.

Kae sɛ, sɛ wo ba no wɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ aniwa ho oduruyɛfo nkyɛn . Wobetumi ahwɛ no yiye na wɔaka akyerɛ wo sɛ ɛyɛ nusu kwan a asiw, na sɛ ɛte saa a, nea ɛsɛ sɛ woyɛ wɔ ho.

Dɛn na wobetumi ayɛ? Anamɔn atitiriw.

Okay, enti seesei woakɔ oduruyɛfoɔ nkyɛn na wɔasi so dua sɛ wo ba no nusuo kwan no asiw. Ayaresa bɛn na oduruyɛfo no de bɛma wo?

Mpɛn pii no, titiriw wɔ mmofra a wɔawo wɔn foforo fam no, nnuruyɛfo mfa wɔn ho nhyɛ ayaresa akɛse mu ntɛm ara. Efisɛ sɛnea yɛadi kan aka no, nkokoaa dodow no ara nusu ntini a asiw no ankasa bue wɔ afe a edi kan no mu.Enti, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wode boasetɔ bɛtwɛn kakra.

Bere koro no ara mu no, oduruyɛfo no bɛkyerɛ wo sɛnea wobɛbɔ nusu kotoku no ho (`(Crigler Massage)`) . Eyi yɛ mmerɛw yiye.

• Nea edi kan no, ɛsɛ sɛ wode samina hohoro wo nsa yiye.
• Afei, fa wo nsateaa a wode kyerɛ ade (nnipa binom nso de wo nsateaa a ɛyɛ pinky di dwuma) to wo ba no aniwa no mu ntwea so, wɔ abon ketewaa a ɛda hwene ne aniwa no ntam (baabi a nusu kwan no wɔ) no mu, na mia so brɛoo na fa petepete hwene no so . Te sɛ nea wode nkrasɛm ketewaa bi remena.
• Oduruyɛfo no ka sɛ wɔnyɛ eyi mprenu anaa mprɛnsa da biara, bɛyɛ mpɛn anum anaa asia bere koro mu.

Saa aduru yi ma nhyɛso a ɛwɔ nusu kotoku no mu no yɛ kɛse na ɛboa ma wobue ntini a asiw no.

Bio nso, sɛ wo ba no ani yɛ kurukuruwa, a ɛkyerɛ sɛ ɔwɔ ɔyare mmoawa a emu nyɛ den a, oduruyɛfo no betumi akyerɛw n’ani a wɔde hohoro ne nnuru a ekum ɔyare mmoawa a wɔde siw ɔyare mmoawa no ano . Sɛ worehohoro aniwa no ho a, fa kotoku a wɔde ahyɛ nsu a ɛho tew a ɔyare mmoawa nnim mu na popa aniwa no fi mu kosi akyi. Mfa swab koro no ara nni dwuma bio.

Mpɛn pii no, saa nneɛma a ɛnyɛ den yi siesie ɔhaw no wɔ asram kakraa bi mu. Nanso sɛ anyɛ saa a, na yɛresusuw ade a edi hɔ a yɛbɛyɛ ho.

Dɛn ne tear duct probe?

Fa no sɛ, wɔ asram kakraa bi a wɔde aduru a wɔde twitwiw akokoaa no akyi mpo no, ne nusu nnyae sɛ ɛresen. Anaasɛ, wɔrenya aniwa mu yare bere nyinaa. Ɛno ne bere a nnuruyɛfo susuw ayaresa bi a wɔfrɛ no tear duct probe ho .

Sɛ yɛbɛka no tiawa a, eyi ne ɔkwan a wɔfa so bue nusu kwan a asiw denam adwinnade a ɛyɛ tratraa so . Aniwa ho oduruyɛfo bi na ɔyɛ eyi . Wɔtaa bu eyi sɛ oprehyɛn ketewaa bi, nanso ɛnyɛ nea ɛfa ntwitwiridii kɛse ho.

Wɔfrɛ afiri a wɔde yɛ eyi no ‘probe’ . Ɛyɛ adwinnade a ɛyɛ mmerɛw yiye, ɛyɛ tratraa, na ɛte sɛ dade poma. Ɛwɔ baabi a ɛyɛ torotoro, enti ɛnsɛe nusu kwan no. Wɔde pia ntini a asiw anaa akwanside ketewaa foforo no brɛoo, na ɛma nusu no nya kwan.

Ɔkwan bɛn so na wɔyɛ sɔhwɛ/ayaresa yi?

Seesei ebia woresusuw sɛnea wobɛyɛ eyi ho, na so ɛbɛhaw akokoaa no? Mma ɛnhaw wo, mɛkyerɛkyerɛ saa nso mu.

Sɛ wɔreyɛ eyi `(Probing)` a, wɔtaa ma nkokoaa nkumaa aduru a wɔde kum nipadua no nyinaa (`(General Anesthesia)`) . Eyi kyerɛ sɛ wɔde akokoaa no da kakra. Wɔyɛ eyi sɛnea ɛbɛyɛ a akokoaa no nte biribiara nka, ɔrensuro, na ɔrenhinhim. Afei oduruyɛfo no betumi ayɛ eyi a ɛnyɛ den koraa na asiane biara nni ho. Ɛtɔ da bi a, wɔ mmofra anaa mpanyimfo a wɔanyinyin kakra fam no, wobetumi de aniwa aduru a wɔde kum nipadua no wɔ mpɔtam hɔ nkutoo na ayɛ eyi (`(Local Anesthetic Eye Drops)`). Ɛno yɛ oduruyɛfo no na ɛsɛ sɛ osi ho gyinae.

Sɛ oduruyɛfo no de aduru a ɛma obi dwensɔ ma wie a, ɔbɛyɛ nea edidi so yi:

1. Nea edi kan no, wɔde adwinnade a ɛyɛ mmerɛw na ɛyɛ tokuru ketewa (`(Punctum)`) a ɛwɔ aniwa no mu ntwea so a yɛadi kan aka ho asɛm no kɛse kakra.

2. Afei, `Probe`, dade poma a ɛyɛ tratraa , no, wɔde ahwɛyiye kɛse fa saa tokuru no mu na ɛfa nasolacrimal duct no ase.

3. Sɛ wɔfa saa `Probe` yi mu a, sɛ membrane a asiw anaasɛ akwanside ketewaa foforo bi wɔ hɔ a, ɛbɛbubu brɛoo. Eyi bɛma ɔkwan bi aba ma nusu no asen.

4. Awiei koraa no, oduruyɛfo no de nkyene a ɛnyɛ yare (`(Sterile Saline Solution)`) bɛhyɛ nusu kwan no mu denam syringe ketewaa bi so ahwɛ sɛ ebia ɔkwan no abue na nsu no resen akɔ hwene no mu anaa. Ɛte sɛ nea worehohoro paipu a asiw mu denam nsu a ɛsen fa mu no so. Ɛtɔ da bi a, wɔde aduru (`(Dye)`) bi ka saa nkyene aduru yi ho na wohu kɔla no sɛ ɛrefi hwene no mu, a ebetumi asi so dua sɛ ɔkwan no abue.

Adeyɛ no nyinaa gye simma kakraa bi pɛ , enti enhia sɛ wɔde aduru a wɔde kum akokoaa no kyɛ.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Okay, afei `(Probing)` no aba awiei. Dɛn na ɛba akyi?

• Mpɛn pii no, akokoaa no tumi kɔ fie da koro no ara. Bere a wɔanyan afi nnuru a wɔde kum nipadua no mu akyi no, wɔhwɛ wɔn so kakra ansa na wɔde wɔn akɔ fie.
• Nna kakraa a edi kan no, ebia w’ani benya nsu bi, ebia nusu a ɛyɛ pink (a mogya kakra wom) . Ebia nsu bi nso bɛtɔ wo hwene mu. Eyi yɛ ade a ɛfata, mma ɛnhaw wo . Ɛbɛkɔ wɔ nna kakraa bi akyi.
• Ɛda adi kɛse sɛ oduruyɛfo no bɛkyerɛw nnuru a ekum ɔyare mmoawa ama aniwa mu aduru anaa srade nna kakraa bi. Wɔde ma de siw ɔyare mmoawa ano. Ɛsɛ sɛ wɔde di dwuma sɛnea oduruyɛfo no ka no pɛpɛɛpɛ, bere tenten pɔtee no.
• Ɛtɔ mmere bi a, oduruyɛfo no bɛka akyerɛ wo sɛ toa nusu kotoku mu aduru no so sɛnea na woyɛ kan no nna kakraa bi bio . Eyi bɛboa ma nusu kwan a wɔabue no foforo no antoto bio.
• Oduruyɛfo no bɛka akyerɛ wo sɛ san bra bɛhwɛ wo akyi akɔhwɛ tebea no.

The success rate of this ``(Probing)`` treatment is very high , titiriw bere a wɔyɛ wɔ nkokoaa a wonnii afe biako so no. Mpɛn pii no, ɔhaw no fi hɔ koraa wɔ ayaresa biako pɛ akyi.

So asiane ahorow bi wɔ mu?

Sɛnea ɛte wɔ aduruyɛ mu adeyɛ biara ho no, nhwehwɛmu nyɛ nea asiane biara nni ho. Nanso, mpɛn pii no ɛyɛ adeyɛ a ahobammɔ wom kɛse . Nsɛnnennen ntaa mma bere a aniwa ho oduruyɛfo a ne ho akokwaw yɛ no.

Nneɛma a ebetumi asi ne:

• Nyarewa : Hokwan a ɛwɔ hɔ sɛ eyi bɛba no sua koraa, efisɛ wɔde nnuru a ekum ɔyare mmoawa ma bere a wɔasa no yare awie no.
• Mogya a ɛtɔ : Mpɛn pii no, mogya a ɛba no sua koraa, na ɛno ankasa gyae.
• Ɔkwan a ɛnteɛ a wɔfa so yɛ (`(Atoro Nkyekyɛm)`) .: Sɛ wɔtwam `probe` no a, ɛyɛ yie sɛ ɛbɛkɔ ɔkwan foforɔ so na ayɛ ɔkwan foforɔ mmom sen sɛ ɛbɛyɛ nusuo kwan ankasa. Nanso, ɛnyɛ nea ɛda adi koraa sɛ eyi bɛba wɔ oduruyɛfo a ne ho akokwaw ho.
• Akuru : Akuru betumi aba nusu kwan no mu na ama asiw bio. Eyi nso ho yɛ na koraa.
• Ɛsan Siw : Ɛtɔ mmere bi a, bere a wɔayɛ nhwehwɛmu awie mpo no, nusu kwan no betumi asiw bio wɔ bere bi akyi. Sɛ eyi ba a, ebia ɛho behia sɛ woyɛ nhwehwɛmu foforo, anaasɛ ebia ɛho behia sɛ woyɛ ayaresa foforo (sɛ nhwɛso no, wode afiri ketewaa bi bɛhyɛ nusu kwan no mu - stenting - anaasɛ oprehyɛn a ɛyɛ den kɛse mpo). Nanso wo duruyɛfo no bɛkyerɛkyerɛ eyi mu akyerɛ wo.
• Asiane a Ɛwɔ Anesthesia mu : Sɛ wɔma wo ba no aduru a wɔde kum nipadua no nyinaa a, asiane ahorow bi wɔ ho. Oduruyɛfo a ɔde aduru a ɛma obi dwensɔ no bɛkyerɛkyerɛ eyinom mu akyerɛ wo yiye ansa na wɔayɛ aduru no.

Ade a ɛho hia sen biara ne sɛ wubebisa oduruyɛfo no nsɛm anaa nsɛm biara a ɛhaw wo. Wɔbɛkyerɛkyerɛ biribiara mu akyerɛ wo.

Nea etwa to no, kae eyi.

Okay, enti momma yɛnkae wo nneɛma kakraa bi a yɛkaa ho asɛm nnɛ a yɛsusu sɛ ɛho hia wo.

• Nusu ntini a asiw abu so kɛse wɔ nkokoaa nkumaa mu , enti mma ɛnhaw wo pii wɔ ho.
• Mpɛn pii no, tebea yi ankasa tu mpɔn bere a akokoaa no adi bɛyɛ afe , anaasɛ wɔde akwan a ɛnyɛ den a wɔfa so twitwiw nipadua no sa no yare no.
• Sɛ ɛno anyɛ adwuma a, ade a wɔde hwehwɛ nusu mu yɛ aduru a ahobammɔ wom na etu mpɔn yiye .
• Sɛ wo ba no ani so nsu anaasɛ ɛyɛ kurukuruwa bere nyinaa a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ aniwa ho oduruyɛfo nkyɛn . Wɔbɛyɛ wɔn a wobetumi ahwehwɛ wɔn mu yiye na wɔama wo afotu a eye sen biara ama wo ne wo ba no.
• Wo ne oduruyɛfo no nkasa yiye na bisa na yi wo nsɛmmisa ne w'adwenem naayɛ nyinaa fi hɔ . Ɛyɛ wo hokwan.

Enti, mewɔ anidaso sɛ saa nkɔmmɔbɔ yi aboa mo. Mepɛ sɛ wo ba no ho tɔ no ntɛm!

Tear Duct Blockage, Tear Duct Probe, Blocked Tear Duct, Aniwa ho ɔyaresafo, Akokoaa Aniwa, Tete, Nusu Nsuo a Wɔde Hyehyɛ