Ðe nèdea dzesii be yevuvu, biã, alo le veve sem le wò ŋku ƒe dzogoe ememetɔ gbɔ , si te ɖe wò ŋɔti ŋu, eye tsi dona ɖe eme ɣeaɖewoɣia? Alo ɖewohĩ ède dzesii be viwò suea ƒe ŋkuwo le tsi ƒom ɣesiaɣi, eye aɖatsiwo alo aɖatsiwo le ƒoƒom ɖe eƒe dzogoe ememetɔwo dzia? Esiawo ate ŋu anye nɔnɔme aɖe si woyɔna be dacryocystitis ƒe dzesiwo. Taflatse mègatsi dzi o—le Nirogi Lanka la, míeva afisia be míaɖe nɔnɔme sia me na wò eme nakɔ eye wòanɔ bɔbɔe na wò.
Nukae nye Dacryocystitis?
Kpuie ko la, dacryocystitis nye aɖatsikotoku (aɖatsikotoku) ƒe dɔdzẽ alo dɔlékuiwo xɔxɔ . Ðewohĩ ànɔ afisi kotoku sia le kple nusi wòwɔna ŋu bum.
Wò ŋkuwo naa aɖatsiwo dona ɣesiaɣi be woana ami nanɔ wo ŋu eye woanɔ dzadzɛ. Zi geɖe la, aɖatsi siawo toa do sue aɖe si le wò ŋkume ƒe dzogoe ememetɔ (si woyɔna be punctum) me, toa mɔ sue aɖe me yia aɖatsikotokua me, eye mlɔeba woɖiɖina toa aɖuɖɔtoea me yia wò ŋɔti me. Esia tututu tae wò ŋɔti ƒua du ne èle avi fam ɖo.
Gake ne mɔ sia—vevietɔ aɖatsikotoku alo aɖatsimɔ̃a— xe , aɖatsi mate ŋu atso o eye wòadze ƒoƒo gɔme. Tsitretsitsi sia naa nɔnɔme nyui aɖe nɔa anyi na dɔlékuiwo be woatsi, si wɔnɛ be woxɔa dɔlékuiwo. Le Nirogi Lanka la, míeɖea nɔnɔme sia gɔme be dacryocystitis.
Vovototo kae le Dacryocystitis si Kpɔa Dɔléle Dzɔdzɔe kple Dɔléle Siwo Mekpɔa Nu O dome?
Dacryocystitis ƒomevi vevi eve li: Acute kple Chronic .
- Dacryocystitis Sesẽ: Esia dzea egɔme kpata. Dzesiawo dzena kabakaba eye zi geɖe la, womeɖea wo ɖa le ɣleti si mede etɔ̃ o me. Àte ŋu ase veve vevie, avuvu vevie, eye teƒea abiã.
- Dacryocystitis si nɔa anyi didi: Esia nye dɔléle si nɔa anyi didi, si nɔa anyi didi. Togbɔ be dzesiawo masẽ boo wu esiwo nu sẽ o hã la, àte ŋu akpɔ aɖatsi si nɔa anyi didi eye wòavuvu ɣeaɖewoɣi.
Ele vevie be míade dzesii be ɣeaɖewoɣi la, woate ŋu atsɔ dacryocystitis si nɔa anyi didi ado ƒome kple ɖoɖowɔɖi ƒe nɔnɔmewo, abe Granulomatosis with Polyangiitis, Sarcoidosis, alo Systemic Lupus Erythematosus (Lupus) ene. Gakpe ɖe eŋu la, ame ɖekaɖeka siwo ŋu ŋkudɔ si nɔa anyi didi (Ŋku Pink) le hã le afɔku gã aɖe me. Dɔlékui ƒomevi siwo hea dɔlélea vɛ ate ŋu ato vovo le ƒomevi eve siawo dome.
Ðe ƒomevi bubuwo lia?
Ẽ, le dɔléle si nu sẽ kple esi nɔa anyi didi gome la, woate ŋu ade dɔlélea ɖe hatsotsowo me hã be enye nusi wodzina (enɔa anyi le edziɣi) alo esi woxɔ (si va zua emegbe le agbe me).
- Dacryocystitis si wodzina: Esia dzɔna zi geɖe le vidzĩwo ŋu. Edzɔna ne vidzidɔ me tsi mekɔ le aɖatsi ƒe ɖoɖoa me le vidzidzi megbe o. Ne tsi sia si xaxa la va xɔ dɔlékui la, woyɔnɛ be Neonatal Dacryocystitis .
Kpɔe ɖa le susu me be vidzĩ si wodzi yeyee si aɖatsi le dodom tso ŋku ɖeka dzi ɣesiaɣi, eye ɣeaɖewoɣi la, ʋuʋudedi vi aɖe nɔa ŋkua ƒe dzogoe dzi le ŋdi me. Ate ŋu aɖe fu na dzila, gake esia nye dacryocystitis si wodzina ƒe ɖeɖefia si wonya nyuie.
- Acquired Dacryocystitis: Esia dzɔna emegbe le nu vovovowo ta, siwo dometɔ aɖewoe nye mo ƒe gbagbã, amekoko, dɔdzẽ siwo te ɖe ŋɔti alo ŋku ŋu, alo abe atike aɖewo ƒe nugbegblẽ le ame ŋu ene.
Aleke gbegbee nɔnɔme sia bɔe?
Le akɔntabubu nu la, wodzia vidzĩ yeye siwo ade 6% kple Congenital Nasolacrimal Duct Obstruction (NLDO) . Gake dacryocystitis ŋutɔ mebɔ kura o, eye wòdzɔna le vidzidzi gbagbe 3,884 ɖesiaɖe me abe 1 ene me. Ebɔ vie le vidzĩ nyɔnuwo me le woƒe aɖatsimɔ̃ ƒe mɔ siwo le kpuie wu ta.
Nukae nye Dacryocystitis ƒe dzesiwo?
Ne dacryocystitis le ŋuwò la, àte ŋu ade dzesi dzesi siwo gbɔna la dometɔ ɖeka alo esi wu nenema:
- Ŋku ƒe vevesese: Vevietɔ le ŋkua ƒe dzogoe ememetɔ gbɔ, si te ɖe ŋɔti ŋu.
- Ŋkua ƒe vuvu: Fuɖename dzena le teƒe si dɔlélea le.
- Ŋutilã ƒe amadede biã alo eƒe amadede ƒe tɔtrɔ: Teƒea ate ŋu adze dzĩ alo abi vie gɔ̃ hã/amadede ado viviti wu.
- Tsi si dona: Ʋuʋu alo abi si te ɖe ŋkua ƒe dzogoe ememetɔ ŋu ate ŋu ana ʋuʋudedi nado .
- Asrã: Esi wònye dɔlékui aɖee esia nye ta la, àte ŋu axɔ asrã hã.
Le dacryocystitis si nɔa anyi didi gome la, zi geɖe la, dzesiawo nu mesẽna o; le kpɔɖeŋu me, àte ŋu akpɔ tsi si nɔa dodom le ŋkuwòme atraɖii eye asrã aɖeke manɔ ŋuwò o.
Nukae hea Dacryocystitis vɛ?
Abe alesi míegblɔe ene la, nusi koŋ gbɔ wòtsonae nye aɖatsimɔ̃ si xe , si wɔnɛ be aɖatsiwo mete ŋu sina nyuie tso ŋkuawo me yia ŋɔti me o.
Le vidzĩ yeyewo gome la, lãkusi tsɛ aɖe gbɔe esia tsona zi geɖe, evɔ le ɖeviwo kple ame tsitsiwo gome la, mɔxenuwo ate ŋu atso nu vovovowo gbɔ.
Nusiwo nana Acquired Dacryocystitis dzɔna dometɔ aɖewoe nye:
- Tsitsi: Wokpɔa nɔnɔme sia zi geɖe le ame ɖekaɖeka siwo xɔ wu ƒe 40 ŋu.
- Nuveviwɔame: Nuveviwɔame siwo ku ɖe ŋɔti alo nuto siwo ƒo xlãe ŋu, abe mo ƒe gbagbã alo amekoko ene.
- Lãmesẽ Nɔnɔme Siwo Le Eme: Dɔlélenutsiŋutete ƒe dɔlélewo alo dɔdzẽ ƒe nɔnɔme/dɔlékui bubuwo abe sinusitis ene.
- Anatomical Abnormalities: Nusiwo mewɔ ɖeka kple ŋɔti ƒe wɔwɔme o.
- Dɔdzẽ: Tsitsi siwo le ŋɔti, ŋɔti, alo aɖatsikotoku me alo ƒo xlãe.
- Atike Aɖewo: Kpɔɖeŋu aɖewoe nye ʋusɔgbɔdɔtikewo abe Timolol ene, ŋkudɔdadatikewo abe Dorzolamide kple Pilocarpine ene, dɔlékuiwutikewo abe Trifluridine ene, kple kansatikewo abe Fluorouracil, Docetaxel, alo Radioactive Iodine ene.
- Punctal Plugs ƒe Anyinɔnɔ: Mɔ̃ sue siawo siwo wozãna ɣeaɖewoɣi tsɔ daa ŋku siwo ƒu la ate ŋu ana ŋku naxe ne womeɖe wo ɖa abe alesi wogblɔe ene o.
Ðe Dacryocystitis xɔa ame mea?
Togbɔ be dacryocystitis lɔ dɔlékui aɖe ɖe eme hã la, zi geɖe la, mexɔa ame o eye mate ŋu akaka tso ame ɖeka me ayi ame bubu gbɔ o. Taflatse kakaɖedzi nenɔ asiwò be, mehiã be woatsi dzi fũu akpa le dɔlékuiwo kaka ŋu o.
Aleke wokpɔa dɔlélea dzea sii?
Le wò atikewɔwɔ me la, wò ɖɔkta ada wò ŋkuwo kple ŋɔti ƒe akpa si ƒo xlãe kpɔ, esime wòanɔ wò atikewɔwɔ ŋutinya kple dzesi tɔxɛwo me dzrom. Zi geɖe la, dɔdamɔnu dodokpɔ sia sɔ gbɔ be woakpɔ dɔlélea.
Be nàɖo kpe dɔlélea dzi la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ numekuku siwo gbɔna:
- Ŋku Dodokpɔ si Me Womewɔa Nu Le Bliboe.
- Asiléle Fafɛ: Wò ɖɔkta ate ŋu azi teƒe si vuvu la dzi blewuu akpɔe ɖa be ʋuʋudedi le dodom tso punctum (si nye ʋuƒo sue si le wò ŋku ƒe dzogoe dzi) me hã.
- Dekɔnuwo Dodokpɔ: Ne ʋuʋudedi le eme la, woate ŋu aɖo eƒe kpɔɖeŋu ɖe nudokpɔƒe be woatsɔ ade dzesi dɔlékui si koŋ he dɔlélea vɛ.
- Ʋudodokpɔ: Esiawo ate ŋu ada wò ʋumenugbagbevi ɣiwo ƒe xexlẽme akpɔ be dɔlékui ƒe dzesiwo alo ɖoɖowɔɖi ƒe nɔnɔme siwo le eme hã.
- Amadede ƒe Bubu Dodokpɔ: Wodea amadede ɣi tɔxɛ aɖe wò ŋku dzi be wòalé ŋku ɖe alesi wòkɔna kabakaba to wò aɖatsimɔ̃wo me ŋu. Heheɖemegbe fia be nu xe, gake ne amadedea le no me tsia dzi la, ate ŋu afia be eƒe akpa aɖe xe.
- Nɔnɔmetatawo Dodokpɔwo: Woate ŋu abia be woawɔ CT scan alo MRI be woatsɔ ade dzesi nusi tututu gbɔ wòtso be ʋua xe.
Ne èkpɔ Hemolacria (aɖatsi si me ʋu le) alo ŋku ƒe dɔmawɔmawɔ nyuie la, ahiã be nàgawɔ dodokpɔ tɔxɛ bubuwo.
Aleke wodaa Dacryocystitis ƒe dɔléleae?
Le Nirogi Lanka la, míetsɔa wò hayahaya ɖoa nɔƒe gbãtɔ to beléle nyui si wotu ɖe kpeɖodzi dzi me:
- Le dɔlékui ƒe dacryocystitis si nu sẽ gome la, wò ɖɔkta aŋlɔ dɔlékuiwutike siwo woano alo esiwo wodona ɖe ʋuka me (IV) na wò . Woate ŋu aŋlɔ dɔlékuiwutike alo ami si wotsɔna tsia lãme na ame hã na wò.
Dɔlékuiwutike siwo woŋlɔna zi geɖe dometɔ aɖewoe nye Amoxicillin-clavulanate, Cephalexin, Ciprofloxacin, Clindamycin, kple Trimethoprim-Sulfamethoxazole.
- Nusiwo wotsɔa dzoxɔxɔ ƒoa nui kple asitutu teƒe si dɔlélea le blewu ate ŋu akpe ɖe ame ŋu be vevesesea dzi naɖe akpɔtɔ.
- Dɔnɔ akpa gãtɔ dzea gbɔdzɔe gã aɖe xɔxɔ gɔme le ŋkeke ʋɛ aɖewo megbe tso esime wodze dɔlékuiwutikewo zazã gɔme.
Togbɔ be Vidzĩwo ƒe Dacryocystitis , togbɔ be egadzɔna hã la, zi geɖe la, evɔna le eɖokui si le eƒe agbenɔƒe ƒe gbãtɔ me.
Le dɔléle siwo nɔa anyi ɖaa alo esiwo nɔa anyi didi gome la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ amekoko si woyɔna be Dacryocystorhinostomy (DCR) , si naa mɔ yeye aɖe si dzi woato aɖatsiwo nado.
Kuxi siwo ate ŋu ado tso DCR dɔwɔwɔ me
Abe alesi wòle le amekoko ɖesiaɖe gome ene la, kuxi suesuesuewo ate ŋu ado mo ɖa, togbɔ be zi geɖe la, womebɔ o hã:
- Ʋu si dona le ame ŋu le dɔwɔwɔ vɔ megbe.
- Dɔlékuiwo ƒe gege ɖe amekokoa teƒe.
- Sinusitis ƒe dɔléle.
- Nuveviwɔame sue aɖe le ŋku alo ŋɔti ƒe lãkusiwo ŋu.
Wò ɖɔkta adzro afɔku kple viɖe siwo katã le eme la me kpli wò tsitotsito.
Ðe woate ŋu axe mɔ ɖe Dacryocystitis nua?
Togbɔ be womate ŋu aƒo asa na nusiwo gbɔ wòtsona dometɔ aɖewo o hã la, dzadzɛnyenye bliboa me léle ɖe asi ɖea dɔléle xɔxɔ ƒe afɔkua dzi kpɔtɔna ŋutɔ:
- Te asikɔklɔ nyuie.
- Ƒo asa na asikaka wò ŋkuwo ŋu madzemadzee.
- Seɖoƒe li na alesi nànɔ teƒe siwo amewo sɔ gbɔ ɖo kple ame ɖekaɖeka siwo ŋu dɔlékuiwo le dɔlékuiwo le.
Afɔɖeɖe bɔbɔe siawo kpɔa ame ta nyuie tso dɔlékui siwo bɔ me.
Nukae wòle be nàwɔ ne dzesiwo dze?
Togbɔ be nɔnɔme aɖewo ate ŋu atso le wo ɖokui si hã la, ne wò ŋutɔ alo viwòa ƒe dzesiwo dze le ŋuwò la, taflatse yi lãmesẽdɔwɔla aɖe gbɔ le Nirogi Lanka alo yi dɔwɔƒe si te ɖe ŋuwò le nudzɔdzɔ kpatawo gbɔ kpɔƒe si te ɖe ŋuwò enumake hena dɔléle didi kple atikewɔwɔ ƒe ɖoɖo si wowɔ le se nu.
Ne womedae o la, esia ate ŋu ava zu abi si le ʋuʋu ɖi eye le go aɖewo me la, ahe ŋku ƒe kuxiwo vɛ . Eyata ele vevie be nàdi atikewɔmɔnu kaba.
Ɣekaɣie wòle be nàkpɔ ɖɔkta?
Ne wò alo viwò susu be dacryocystitis ƒe dzesiwo ate ŋu anɔ ye ŋu la, mègagblẽ ɣeyiɣi eye nàyi ɖɔkta enumake o. Atikewɔwɔ kaba nana wòhayana kabakaba eye wònɔa bɔbɔe wu.
Vovototo kae le Dacryoadenitis kple Dacryocystitis dome?
Esi ŋkɔawo ɖi wo nɔewo ta la, woate ŋu atɔtɔ ame. Nɔnɔme evea siaa lɔ dɔdzẽ alo dɔlékui siwo ƒo xlã ŋkua ɖe eme, gake teƒe si wòle la to vovo.
- Dacryocystitis: Esia lɔ aɖatsimɔ̃ / aɖatsikotokua ƒe abi alo dɔlékuiwo xɔxɔ ɖe eme.
- Dacryoadenitis: Esia bia be aɖatsi ƒe lãkusia naxɔ abi alo axɔ dɔ. Glu sia le ŋkume ƒe akpa si le ŋkua ƒe gota gome si le etame la te.
Kpuie ko la, ne èse le ɖokuiwò me be yeƒe ŋkua me mekɔ o, vevietɔ vuvu alo ƒu aɖe si te ɖe wò ŋku ƒe dzogoe ememetɔ ŋu (le ŋɔti gbɔ) la, ate ŋu anye dacryocystitis. Ne èto esia me la, ele be nàyi ɖɔkta gbɔ.
Gbedasi Vevi Si Wotsɔ Yi Aƒeme
Èse egɔme azɔ be dacryocystitis nye dɔlékui alo aɖatsikotokua ƒe dɔdzẽ. Ate ŋu adze ame sia ame dzi, tso ɖevi suewo dzi va ɖo ame tsitsiwo dzi.
- Lé ŋku ɖe vevesese, vuvu, biã, ʋuʋudedi, alo aɖatsi si gbɔ eme le ŋkua ƒe dzogoe ememetɔ ŋu hã.
- Ne ède dzesi dzesi siawo la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
- Mègatsi dzi o; atikewɔmɔnu nyuiwo li. Zi geɖe la, woate ŋu atsɔ dɔlékuiwutikewo alo dɔ suesuesuewo akpɔ nɔnɔmea gbɔ.
- Dzadzɛnyenye nyui me léle ɖe asi kple asiklɔ enuenu ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe dɔlékuiwo xɔxɔ nu.
Ne nyabiase bubuwo gale asiwò la, yi wò ƒomea ƒe ɖɔkta alo ŋkudɔdala gbɔ. Nɔ lãmesẽ me kple Nirogi Lanka!
👩🏽 ⚕️ Nyabiasewo
💬 Ðe Dacryocystitis nana ŋku biãa?
Menye nenema tututue o. Togbɔ be ekpɔa ŋusẽ ɖe teƒe si ƒo xlã ŋkua dzi hã la, menye ŋkudɔ gbãtɔ abe ‘ŋku pink’ ene o. Aɖatsiwo tsoa lãkusi si le ŋkua tame gbɔ, sina toa ŋkua dzi, eye wòsina yia aɖatsikotoku si te ɖe ŋɔti ŋu me. Dacryocystitis dzɔna ne woxe tsidzɔƒe sia, si wɔnɛ be dɔlékuiwo gena ɖe aɖatsikotokua me hexɔa dɔlékuiwo.
💬 Aleke aɖatsikotoku si vuvu la le?
Àde dzesii be yeƒe ŋku biã, avuvu ɖedzesi aɖe, eye ƒu aɖe le veve sem ŋutɔ le wò ŋku ƒe dzogoe ememetɔ gbɔ (le ŋɔti gbɔ). Esi aɖatsiwo mete ŋu le dodom nyuie o ta la, wò ŋku ate ŋu anɔ tsi atraɖii. Ne wozi ƒunukpeƒea dzi la, ʋuʋudedi ate ŋu ado le ŋkua me.
💬 Ðe mehiã atikewɔwɔ na dɔlékui sia godooa?
Ẽ, keŋkeŋ! Esi teƒe sia te ɖe ŋɔti, ahɔhɔ̃, kple ŋku ŋu ta la, ele be nàxɔ ŋkumeɖonu alo atike si woano enumake be dɔlékuia nagakaka o (si ahe kuxiwo abe cellulitis ene vɛ). Tsɔ kpe ɖe eŋu la, wokafui be woatsɔ atike si me dzo le asisi ɖe eŋu zi 4-5 gbesiagbe.
Nya veviwo: Dacryocystitis, aɖatsikotoku me dɔléle, aɖatsimɔ̃ si xe, ŋku ƒe vevesese, ŋku ƒe vuvu, ɖeviwo ƒe aɖatsimɔ̃ ƒe nyawo
