Ðe aɖatsi gena ɖe ŋku dzi na wò ɣesiaɣia? Mina míasrɔ̃ nu tso Blocked Tear Duct / Nasolacrimal Duct Obstruction ŋu!

Ðe viwò sue ƒe ŋkuwo tsina ɣesiaɣia? Alo ɖe tsi nɔa ŋku lém ɖe ŋuwò ɣesiaɣi eye tsi nɔa ŋuwòa? Ɣeaɖewoɣi la, àdi gɔ̃ hã be yeatutu ŋku. Le nyateƒe me la, esia doa dziku vie. Nusi gbɔ esia tso ate ŋu anye xexe aɖe ƒomevi le wò aɖatsimɔ̃a me, si nye mɔ si dzi aɖatsiwo tona. Le atikewɔwɔ me la, míeyɔa esia be `(Nasolacrimal Duct Obstruction)`. Egbea, míaƒo nu tso esia ŋu tsitotsito, bɔbɔe ŋutɔ.

Nukae nye aɖatsimɔ̃ siwo xe?

Kpuie ko la, aɖatsimɔ̃ si xe la nye ne nane xe aɖatsimɔ̃awo, si wɔe be womete ŋu tsi le míaƒe ŋkume nyuie o. Xexe sia ate ŋu ana aɖatsiwo natsi blewu alo atɔ te wo keŋkeŋ. Esia nana aɖatsiwo ƒoa ƒu ɖe aɖatsimɔ̃a me eye wogatrɔna yia ŋkua me.

Ènya be aɖatsiwo le vevie hafi míaƒe ŋkuwo nate ŋu awɔ dɔ nyuiea? Aɖatsi nana ŋkua ƒe akpa si le tsia dzi la xɔa dzo eye wòkpena ɖe ŋkume ƒe ŋkumeʋuʋu ŋu wòxɔa ya si woyɔna be oxygen. Nu bubue nye be dɔlélenutsiŋutete hã le aɖatsiwo me. Esiawo kpɔa ŋkuwo ta tso dɔlékuiwo me, alo kpena ɖe wo ŋu wohayana kabakaba ne woxɔ dɔlékuiwo.

Bu eŋu abe tsidzɔƒe si ɖea tsi tso aƒe aɖe tame ene. Tɔdzisasrãawo ƒoa tsia nu ƒu heɖonɛ ɖe pɔmpia me. Gake, ne pɔmpi sia xe le afi aɖe la, tsia ƒoa ƒu eye wòdzea ƒoƒo gɔme tso tɔʋuawo me, alo? Aleae wòle le esia gome.

Míaƒe aɖatsi ƒe ɖoɖoa nye do suesuesuewo kple xɔtunu siwo le abe mɔ̃ ene ƒe ƒuƒoƒo. Aɖatsiwo dona le ŋkua me le mɔ sia nu:

1. Puncta: Do sue eve le ŋku ɖesiaɖe ŋu le ŋkume ƒe akpa si le etame kple esi le ete. Woyɔa esiawo dometɔ ɖeka be punctum. Ele abe do si me tsi tona le tsiléƒe alo tsileƒe ene. Aɖatsiwo toa do siawo me yia mɔ̃ siwo woyɔna be canaliculi me.

2. Canaliculi: Aɖatsiwo sina tso punctum ɖesiaɖe me yia mɔ̃ sue aɖe si woyɔna be canaliculus (agbɔsɔsɔme: canaliculi). Mɔ̃ eve siawo ƒoa ƒu wɔa mɔ̃ si lolo wu, si doa ka kple nasolacrimal duct.

3. Nasolacrimal ducts: Esiawoe nye akpa mamlɛtɔ siwo le abe mɔ̃ ene siwo me aɖatsiwo tona. Ele be ʋuƒo sue aɖe nanɔ aɖatsimɔ̃ ɖesiaɖe ŋu le ete.

4. Valve of Hasner: Le nyateƒe me la, valve sia nye ʋuƒo sue aɖe si na aɖatsi gena ɖe no me. Zi geɖe la, eʋuna le eɖokui si hafi wodzia mí. Gake le vidzĩ aɖewo gome la, ate ŋu adzɔ be meʋu haɖe o. Ne meʋu o la, woyɔnɛ be Hasner ƒe Lãmetsi.

Aleke gbegbee aɖatsimɔ̃ siwo xe la bɔe?

Aɖatsimɔ̃ siwo xe la bɔ ŋutɔ le ɖevi suewo ŋutɔ me . Wodzea vidzĩ yeyewo ƒe 6% va ɖo 20% dzi. Ke hã, womebɔ ɖe ame tsitsiwo me nenema gbegbe o.

Nukae nye aɖatsimɔ̃ siwo xe ƒe dzesiwo?

Ne aɖatsimɔ̃ aɖe xe wò alo viwòa la, àte ŋu akpɔ dzesiwo abe:

• Epiphora: Aɖatsi si le dodom tso ŋkuwo me atraɖii ƒe seselelãme .
• Nuwo abe aɖatsiwo ene lé ɖe ŋkume alo ŋkume, si wɔnɛ be wòsesẽna be nàʋu ŋku le ŋdi me .
• Didi ɣesiaɣi be woatutu ŋkua alo teƒe si ƒo xlã mɔ si xe la.
• Ŋkuwo ƒe biã kple vuvu le esi wotutu wo enuenu ta.
• Sese le ɖokuiwò me be yeƒe ŋkuwo me mekɔ o vie .

Xexe sia ate ŋu ana wòanɔ bɔbɔe be aɖatsimɔ̃awo hã naxɔ dɔlékuiwo. Ne dɔlékui sia tɔgbe dzɔ la, dzesiwo abe:

• Aɖatsimɔ̃ alo lãkusi si ƒo xlãe ƒe vuvu alo biã .
• Asrãdɔ xɔxɔ .
• Avifafa enuenu kple dziɖeleameƒo (vevietɔ le vidzĩwo gome).
• Ŋku ƒe vevesese alo nyaƒoɖeamenu ƒe seselelãme le lãkusi ƒe akpa si le lãkusia me .
• Ŋku ƒe ʋuʋudedi alo abi, si me ŋku ƒe ɣi (sclera) hã le.

Nukatae aɖatsimɔ̃ siawo xena?

Nu geɖe li siwo ate ŋu ana aɖatsimɔ̃wo xe. Wo dometɔ aɖewo nye esiwo wodzina , si fia be wonɔa anyi le wo dzidzi me. Bubuwo hã tsina emegbe le woƒe agbe me.

Aɖatsimɔ̃ ƒe xexe si wodzina

Zi geɖe la, wodzia ɖevi sue aɖe kple aɖatsimɔ̃ si xe elabena wotsɔa lãkusi si megbã o si nye ``Membrane of Hasner'' ɖɔlia ``Valve of Hasner'' si míeyɔ va yi. Emegbe, aɖatsitsi ƒoa ƒu ɖe aɖatsimɔ̃a me. Le ɣeyiɣi aɖe megbe la, aɖatsi sia si ƒo ƒu ate ŋu ana ʋukaa navuvu. Ate ŋu ahe dɔlékuiwo hã vɛ le aɖatsimɔ̃a alo aɖatsimɔ̃a ƒe akpa bubuwo hã.

Nu bubu siwo gbɔ aɖatsimɔ̃wo xena

Aɖatsimɔ̃ siwo xe la ate ŋu adzɔ le atikewɔwɔ ƒe nɔnɔme bubuwo ta, alo le go aɖewo me. Zi geɖe la, nusiawo dzɔna le aɖatsimɔ̃a ƒe akpa siwo le etame. Na míalé ŋku ɖe eƒe kpɔɖeŋu ʋɛ aɖewo ŋu:

• Dɔlékuiwo: Dɔlékui siwo nɔa wò ŋkuwo me alo ƒo xlãe ɣeyiɣi didi ate ŋu ana abi ƒe lãkusiwo nadzɔ. Ɣeaɖewoɣi la, abi ma ate ŋu axe ʋukawo ahaxe wo.
• Nuveviwɔame: Ne èxɔ abi le wò mo, ŋku, alo ŋɔti ŋu la, ate ŋu ana nàvuvu eye lãmeka siwo ƒo xlã aɖatsimɔ̃wo natrɔ. Ʋuʋudedi, lãmekawo ƒe tɔtrɔ, alo xexe ɖesiaɖe si akpɔ ŋusẽ ɖe nuɖoanyi sia ƒe akpa ɖesiaɖe dzi ate ŋu ana wòaxe.
• Dacryostenosis: Ɣeaɖewoɣi la, wò aɖatsimɔ̃wo ate ŋu anɔ kpuie le vidzidzi me, alo woate ŋu atsi ɖe edzi le wò tsitsime. Esiawo evea siaa ate ŋu ana woaxe mɔ.
• Tsitsi: Ne èle tsitsim la, aɖatsimɔ̃wo kple teƒe siwo ƒo xlã wo ate ŋu atrɔ ahanɔ tsɛ.
• Dɔdzẽ alo tsitsi: Esiawo dometɔ aɖewoe nye dɔdzẽ siwo me dɔlékui aɖeke mele o kpakple kansa ƒe dɔdzẽ (togbɔ be esiawo mebɔ kura o hã). Dɔdzẽ ƒomevi aɖe si woyɔna be mucocele hã ate ŋu axe aɖatsimɔ̃wo. Esiawo nye kotoku sue siwo me ʋuʋudedi yɔ fũu, siwo dzɔna le ethmoid sinuses, si nye sinus ƒe do siwo le ŋɔti ƒe akpa eveawo.
• Dacryoliths: Esiawo ate ŋu adzɔ ne aɖatsi me tsi ƒo ƒu eye wòlolo. Ne wololo la, woate ŋu axe aɖatsimɔ̃ aɖe.

Nukawoe nye afɔku siwo ate ŋu ana aɖatsimɔ̃wo xe?

Anɔ eme be vidzĩwo ƒe aɖatsimɔ̃ si xe. Zi geɖe la, mɔxexe ɖe enu dzɔna elabena lãkusi si le nasolacrimal duct ƒe nuwuwu si le anyime la meʋuna o eye wòwɔa ʋuƒo si woyɔna be Valve of Hasner.

Ame tsitsiwo ate ŋu axɔ aɖatsimɔ̃ si xe nenye be:

• Ŋku ƒe dɔléle siwo xɔa ɣeyiɣi didi, le kpɔɖeŋu me `(Uveitis)` .
• Glaucoma ƒe dɔléle .
• Ne wowɔ ŋku alo ʋuka me dɔ na wò kpɔ la .
• Ne èwɔ dɔ na kansa va yi , le kpɔɖeŋu me, keklẽŋusẽdɔdamɔnu alo atikewɔmɔnu.

Nukawoe nye kuxi siwo dona tso aɖatsimɔ̃ siwo xe me?

Aɖatsimɔ̃ si xe nye teƒe nyui aɖe si dɔlékuiwo tsina le. Eyata dɔlékuiwo ƒe dɔléle alo ʋuʋudediwoe nye kuxi vevitɔ . Dɔlékui siawo ate ŋu agblẽ nu le wò lãkusiwo, ŋkuwo, kple lãkusi siwo ƒo xlã wò ŋu. Esia tae wòle vevie ŋutɔ be woada dɔlékuia be wòagakaka o.

Aleke nàwɔ anya aɖatsimɔ̃ si xe?

Zi geɖe la, ŋkudɔdala alo lãmesẽdɔwɔla bubu ate ŋu anɔ te ɖe wò dzesiwo dzi anya nɔnɔme sia kple ŋkuléle ɖe ŋku kple aɖatsimɔ̃a ŋu ahase le eɖokui me. Woabia nya wò tso wò dzesiwo hã ŋu. Ne wosusu be aɖatsimɔ̃ aɖe xe viwòa la, woate ŋu alé ŋku ɖe eŋu ahawɔ dodokpɔ aɖewo akpɔe ɖa be xexe aɖe xe hã.

Dodokpɔ bɔbɔe ɖekae nye "amadede ƒe bu dodokpɔ." Le dodokpɔ sia me la, ɖɔktaa dea amadede tɔxɛ aɖe si woyɔna be fluorescein ƒe tsitete ɖe wò ŋku me. Fluorescein klẽna blɔ. Eyata ɖɔkta ate ŋu atsɔ esia ƒe tsi aɖe ade dzetsi me eye wòatsɔ dze ma ade wò ŋku me. Le miniti atɔ̃ megbe la, woate ŋu alé akaɖi yibɔ aɖe ɖe asi akpɔe ɖa be amadedea gakpɔtɔ li hã. Ne ele nenema la, efia be aɖatsimɔ̃a xe keŋkeŋ alo eƒe akpa aɖe xe.

Woate ŋu awɔ dodokpɔ bubuwo hã, vevietɔ ne wò ɖɔkta susui be nɔnɔme alo kuxi bubu aɖe gbɔe wò aɖatsimɔ̃ siwo xe la tso. Dodokpɔ siwo woakafu la anɔ te ɖe wò dzesiwo, nɔnɔmewo, kple nusi wosusu dzi.

Esi wònye be nu geɖe kpɔa ŋusẽ ɖe esia dzi ta la, anyo wu be nàƒo nu tso wò dodokpɔ ƒe tiatiawɔblɔɖewo ŋu na wo. Woate ŋu ana nyatakaka siwo sɔ eye wole vevie na wò nɔnɔme tɔxɛa wò.

Aleke nèwɔa nu ɖe ​​aɖatsimɔ̃ si xe ŋu? Ðe atike aɖe li na esia?

Aɖatsimɔ̃ siwo xe nye nɔnɔme si woate ŋu ada ŋutɔ.. Gake atikewɔwɔ ƒe tiatia vovovowo le dɔnɔa ƒe ƒexɔxɔ kple nu bubuwo nu. Nɔnɔme sia ate ŋu anyo ɖe edzi ɣeaɖewoɣi ne womewɔ atike nɛ o, vevietɔ le vidzĩwo gome. Gake anyo wu be nàdze agbagba adae be wòaxe mɔ ɖe kuxiwo abe dɔlékuiwo xɔxɔ ene nu.

Woate ŋu ana atike aɖewo, abe dɔlékuiwutikewo ene, na ame siwo xɔ ƒe vovovowo. Zi geɖe la, wonaa esiawo ne dɔlékui aɖe do ƒome kple aɖatsimɔ̃ si xe. Woate ŋu ava le ami alo ŋkumeɖonu ƒe nɔnɔme me. Atike bubuwo hã ate ŋu akpe ɖe ŋuwò. Wò ŋkudɔdala ate ŋu agblɔ nu geɖe tso tiatia siawo ŋu na wò.

Atike vevitɔ si wozãna na aɖatsimɔ̃ siwo xe le vidzĩwo kple ɖevi suewo mee nye asisisi ƒe mɔnu tɔxɛ aɖe si woate ŋu awɔ le aƒeme . Ne nɔnɔme sia le viwò alo ɖevi si dzi nèkpɔna ŋu la, woƒe ɖeviwo ƒe dɔdala afia alesi tututu nàwɔe wò. Zi geɖe la, asikaka ame ŋu ƒe mɔnu sia sɔ gbɔ be wòana lãkusia nagbã eye wòazu ʋuƒo. Bu alesi gbegbe asisisi vi aɖe ate ŋu awɔe ŋu kpɔ!

Ne vidzĩ ƒe xexe meva nyo ɖe edzi ne wotsɔ asi ƒoe hafi wòxɔ eƒe dzigbezã gbãtɔ o la, ate ŋu ahiã be woawɔ atike bubu nɛ. Azɔ hã, asilili ame ŋu mekpena ɖe ame tsitsiwo ŋu boo o , eyata zi geɖe la, ehiãna be woawɔ atike bubuwo.

Atikewɔwɔ siawo dometɔ aɖewo ate ŋu abia be woatsɔ atike si naa ame ƒe dzi dzea eme alo ana alɔ̃dɔdɔ ame. Wò (alo viwò ƒe) ŋkudɔdala alo lãmesẽdɔwɔla ate ŋu aɖe nusita wole atike si naa alɔ̃dɔdɔ ƒe aɖaŋu ɖom na wò la me.

Dilation, probing kple tsidede agble

Afɔɖeɖe etɔ̃ ƒe mɔnu sia nye mɔ bɔbɔe aɖe si dzi woato ada aɖatsimɔ̃ si xe. Ate ŋu akpe ɖe vidzĩ siwo mewɔa nu ɖe ​​asilili ame ŋu o ŋu, eye zi geɖe la, eyae nyea atike gbãtɔ na ɖevi tsitsiwo kple ame tsitsiwo.

Mɔnu sia ƒe afɔɖeɖewoe nye esiawo:

1. Kekeɖenudɔwɔwɔ: Le afɔɖeɖe gbãtɔ sia me la, ŋkudɔdala kekea (kekea) puncta kple aɖatsi ƒe akpa bubu siwo ŋu wògblẽ nu le la ɖe enu. Esia naa mɔnukpɔkpɔ nusi adzɔ le afɔɖeɖe si kplɔe ɖo me.

2. Dodokpɔ: Le afɔɖeɖe sia me la, ŋkudɔdala zãa dɔwɔnu/dɔwɔnu tɔxɛ aɖe tsɔ doa aɖatsimɔ̃a ƒe akpa si xe la kpɔ (doa nu me kpɔna). Esia akpe ɖe wo ŋu woake ɖe nusi gbɔ mɔxenua tso ŋu eye ne anya wɔ la, woaɖee ɖa.

3. Tsidede agble: Afɔɖeɖe mamlɛtɔ sia bia be woatsɔ dzetsi akɔ aɖatsimɔ̃a me be wòakpɔ egbɔ be ekɔ eye tsi le eme nyuie.

Balloon ƒe kekeɖenudɔwɔwɔ

Ne kekeɖenudɔ bɔbɔe, ŋkuléle ɖe nu ŋu, kple tsidedee mesɔ gbɔ o la, ate ŋu ahiã be woawɔ kekeɖenudɔ si de ŋgɔ wu. Ne edzɔ alea la, viwòa ƒe ŋkudɔdala azã mɔ̃ aɖe si me ʋuƒo sue aɖe le. Woakɔ ʋuƒoa ɖe teƒe si xaxa la blewuu blewu. Zi geɖe la, tutu sia si le eme la ate ŋu akeke mɔ̃a ɖe enu eye wòakpɔ kuxia gbɔ.

Stenting alo intubation tsɔtsɔ de lãme na ame

Le go aɖewo me la, ɖewohĩ balloon ƒe kekeme ɖeɖe mate ŋu akeke aɖatsimɔ̃ si xaxa la ɖe enu tegbee o. Le nɔnɔme mawo me la, mɔ̃ alo stent dede ate ŋu anye tiatia nyuitɔ kekeake. Mɔ̃ siawo naa xɔtunu sesẽ aɖe si me do le si ate ŋu ana mɔ̃a nanɔ ʋuʋu ɖi eye wòana aɖatsiwo nate ŋu atso.

Amekoko ƒe ɖoɖowo

Le go aɖewo me la, amekokoe nye mɔnu nyuitɔ kekeake, be woadzra aɖatsimɔ̃ si xe la ɖo alo woato eŋu ahawɔ mɔ bubu aɖe si dzi aɖatsitsia ato ado. Amekoko ƒomevi vevi eve li:

• Dacryocystorhinostomy (DCR): Le dɔ sia wɔwɔ me la, amekola wɔa mɔ aɖe si dzi woato ato aɖatsitsia me. Mɔ yeye sia to mɔxenu si li fifia ŋu keŋkeŋ.
• Conjunctivodacryocystorhinostomy (CDCR): Amekoko sia gbugbɔa wò aɖatsimɔ̃ bliboa ɖoa anyi.

Viɖe, kuxi siwo le amekoko siawo ŋu, kple kuxi siwo ate ŋu ado tso eme la to vovo ŋutɔ. Nusiwo ƒomevi xe mɔ na wò, afisi wòle, kple nu bubuwo ate ŋu akpɔ ŋusẽ ɖe esia dzi. Wò amekola alo ŋkudɔdalae nye nyatakakatsoƒe nyuitɔ kekeake tso nusiwo nàkpɔ mɔ na ŋu.

Ðe woate ŋu axe mɔ ɖe aɖatsimɔ̃ siwo xe nua?

Aɖatsimɔ̃ siwo xe la dzɔna le susu siwo mèle mɔ kpɔm na o, siwo dzi màte ŋu aɖu o, alo esiwo màte ŋu akpɔ o ta. Ema fia be le nyateƒe me la, mɔ aɖeke meli si dzi woato axe mɔ ɖe wo nu o .

Gake nu ʋɛ aɖewo li nàte ŋu awɔ be kuxi aɖe si ate ŋu ana nàxe mɔ na wò la dzi akpɔtɔ. Wotu esiawo ɖo koŋ ɖe mɔxexe ɖe dɔlékuiwo xɔxɔ nu. Afɔɖeɖe siawo dometɔ aɖewoe nye:

• Ƒo asa na ŋku tutu enuenu alo asikaka wo ŋu madzemadzee.
• Mègatsɔ ŋkumenuwo, abe ŋkumeɖonu alo atsyɔ̃ɖomi ene, na ame bubuwo o.
• Wɔ ɖe wò ŋkudɔdala ƒe mɔfiamewo dzi ne èle ŋkumeɖonu kɔm.
• Trɔ atsyɔ̃ɖomiwo abe mascara, ŋkumeɖonu, kple ŋkumeɖonu ene ɣleti etɔ̃ va ɖo ade ɖesiaɖe.
• Klɔ asi nyuie enuenu.

Nukae mate ŋu akpɔ mɔ na ne nye (alo vinye) ƒe aɖatsimɔ̃ xe?

Zi geɖe la, nu nyui aɖe dona tso eme na aɖatsimɔ̃ siwo xeEnɔ te ɖe nusi gbɔ wòtso dzi. Aɖatsimɔ̃ siwo xe la menye afɔku le wo ɖokui si o. Gake nusiwo gbɔ wòtsona dometɔ aɖewo ate ŋu anye. Azɔ hã, nusiwo xe mɔ na ame ate ŋu ahe dɔlékui siwo me afɔku le vɛ, eyata ele vevie be nàde dzesi nusi xe mɔ na wò eye nàxɔ atike.

Nu nyui aɖe ŋutɔ dona tso nusiwo xea mɔ na wo dzidzi me . Ðevi siwo ŋu mɔxenu siawo le la dometɔ siwo ade 70% nyona ɖe edzi ne woxɔ ɣleti 6, eye abe 90% hã nyona ɖe edzi le woƒe dzigbezã gbãtɔ me. Togbɔ be nusiwo xea mɔ na ame ate ŋu nu ayi le wo ɖokui si hã la, asilili ame ŋu ate ŋu ana dɔa nawɔ kabakaba eye wòaɖe dɔlékui alo kuxi bubuwo ƒe mɔnukpɔkpɔ dzi akpɔtɔ. Zi geɖe la, nusiwo xea mɔ na ame siwo wodzina mehea kuxiwo vɛ le eƒe tsitsime o.

Le ame tsitsiwo gome la, zi geɖe la, emetsonua nyona, le nusi gbɔ wòtso nu. Nu geɖe siwo gbɔ wòtsona, vevietɔ esiwo do ƒome kple abixɔxɔ, wɔa dɔ nyuie le atikewɔwɔ me, eye mɔ geɖe li siwo dzi woato akpe ɖe eŋu. Wò ŋkuŋutinunyala ate ŋu agblɔ atikewɔwɔ siwo ate ŋu akpe ɖe ŋuwò wu, nusiwo nàkpɔ mɔ na, ​​kple nusiwo nàte ŋu awɔ be emetsonu mawo nanyo ɖe edzi na wò.

Aleke malé be na ɖokuinye?

Ne aɖatsimɔ̃ xe wò (alo ɖevi si dzi nèkpɔna) la, ŋkudɔdala aɖe afia mɔ wò le alesi nàdae ahakpɔ egbɔe ŋu. Mele be nàdze agbagba akpɔ aɖatsimɔ̃ si xe alo adae le ɖokuiwò si gbeɖe o . Ne èsusu be ŋku ƒe ʋuʋu ƒe dzesiwo le ye ŋu la, ele be nàwɔ ɖoɖo kple ŋkudɔdala aɖe godoo eye nàkpɔ wo kaba ale si nàte ŋui.

Ɣekaɣie wòle be makpɔ nye ɖɔkta alo adi kpekpeɖeŋu?

Ne aɖatsimɔ̃ aɖe xe la, wò ŋkudɔdala aɖo aɖaŋu na wò le atikewɔwɔ ŋu ahafia mɔ wò. Àte ŋu abia wo hã be dzesi kple dzesi siwo ŋu wòle be nàlé ŋku ɖo, nenye be ele be nàƒo ka na wo alo nàdi atikewɔlawo ƒe kpekpeɖeŋu enumake.

Nya kawoe wòle be mabia nye ɖɔkta?

Àte ŋu abia nya siawo wò ŋkuŋutinunyala alo lãmesẽdɔwɔla:

• Nukae ate ŋu ana aɖatsimɔ̃wo xena wu?
• Atikewɔwɔ ka ƒomevie nèkafu?
• Ðe atikewɔwɔa ƒe nugbegblẽ aɖewo lia?
• Ðe aɖatsimɔ̃ sia si xe la do ƒome kple atikewɔwɔ ƒe nɔnɔme bubua?
• Nukae mate ŋu awɔ be mɔxenu sia nagatrɔ ava o?

Mlɔeba la, gbedasi si nàtsɔ ayi aƒemee:

Aɖatsimɔ̃ si xe ate ŋu ana ame tsitsiwo ƒe dzi nadze eme eye wòase veve. Eye ne vi aɖe le asiwò le wò dzikpɔkpɔ te si si ɖevi le la, esɔ be nàtsi dzimaɖi ahanɔ vɔvɔ̃m. Dzɔgbenyuietɔe la, aɖatsimɔ̃ siwo xe nye dɔléle si woate ŋu ada ŋutɔ . Ðevi akpa gãtɔ hayana kaba, vevietɔ ne wozã modzakaɖemɔnu bɔbɔewo. Zi geɖe la, nusi dona tso eme na ame tsitsiwo hã nyea nyuitɔ, vevietɔ le nu aɖewo siwo gbɔ wòtso kple nusiwo gbɔ wòtsona gome.

Ne èsusu be ɖewohĩ aɖatsimɔ̃ aɖe xe viwò (alo wò) la, kpɔ egbɔ be yeƒo nu kple ŋkudɔdala alo lãmesẽdɔwɔla bubu. Dɔlélea didi kaba kple edada ate ŋu ana vovototo gã aɖe nanɔ aɖatsi siawo siwo xe mɔ na la ɖeɖeɖa kple dzimaɖitsitsi si dona tso eme la dzi ɖeɖe kpɔtɔ me. Mègatsi dzi o, egbɔkpɔnuwo li!

` Nasolacrimal Duct Obstruction, Tsi Ŋkuwo, Vidzĩ ƒe Aɖatsimɔ̃wo, Ŋku ƒe Lãmesẽ, Aɖatsi ƒe Ðoɖo, Epiphora