Ðe wò ŋkuwo le veve sem alo vuvua? Ate ŋu anye Dacryocystitis!

Ðe wò ŋku ƒe ememe , si te ɖe wò ŋɔti ŋu, vuvu, biã, eye ɣeaɖewoɣi la, ʋuʋudedi le eŋua? Alo ɖe wòdzena abe ɖe viwò suea ƒe ŋkuwo le tsi ɖum atraɖii enea, alo ɖe aɖatsi ƒuƒuwo le woƒe ŋkuwo ƒe dzogoewo dzia? Esiawo ate ŋu anye nɔnɔme aɖe si woyɔna be dacryocystitis ƒe dzesiwo. Mègatsi dzi o, míaƒo nu tso esia ŋu tsitotsito eye wòanɔ bɔbɔe ŋutɔ egbea.

Nukae nye Dacryocystitis?

Kpuie ko la, Dacryocystitis nye míaƒe aɖatsikotokua ƒe dɔdzẽ alo dɔlékui . Fifia ɖewohĩ ànɔ ɖokuiwò biam be nukae nye aɖatsikotoku sia kple afisi wòle hã.

Míaƒe ŋkuwo naa aɖatsi. Aɖatsi siawo kpena ɖe mía ŋu be míaƒe ŋkuwo nɔa dzadzam henɔa dzadzɛ. Zi geɖe la, aɖatsi siawo toa do sue aɖe (si woyɔna hã be `punctum`) si le ŋkua ƒe dzogoe ememetɔ me , eye emegbe wotoa mɔ̃ sue aɖe me yia aɖatsikotokua me. Tso aɖatsikotoku sia me la, mɔ̃ bubu, si woyɔna be `nasolacrimal duct`, yia ŋɔti me. Esia tae aɖatsiwo tsia wò ne èle avi fam ɖo.

Gake ne aɖatsimɔ̃a, eɖanye le aɖatsikotokua me alo aɖatsimɔ̃a me , xe le susu aɖe ta la, aɖatsiawo mate ŋu ato eme eye woatsi teƒe ɖeka o. Ne edzɔ alea la, dɔlékuiwo ate ŋu atsi le aɖatsitsia me eye woaxɔ dɔlékuiwo. Emae nye nusi míeyɔna be dacryocystitis.

Vovototo kae le dacryocystitis si nu sẽ kple esi nɔa anyi didi dome?

Dacryocystitis ƒomevi vevi eve li: dacryocystitis si nu sẽ kple dacryocystitis si nɔa anyi didi .

• Acute dacryocystitis: Esia nye dɔléle si dzea egɔme kpata. Dzesiawo dzena kpata eye zi geɖe la, wo nu tsona le ɣleti etɔ̃ megbe. Dzesiawo ate ŋu anye vevesese, abi, kple abi.
• Dacryocystitis si nɔa anyi didi: Esia nye dɔléle si nɔa anyi didi wu. Dzesiawo ate ŋu asẽ wu le dacryocystitis si nu sẽ me, gake ate ŋu adzɔ be woavuvu ɣeyiɣi didi eye woavuvu vie ɣeaɖewoɣi.

Nu bubue nye be ɣeaɖewoɣi la, dacryocystitis si nɔa anyi didi ate ŋu ado ƒome kple nɔnɔme bubu siwo gblẽa nu le míaƒe ŋutilã bliboa ŋu. Le kpɔɖeŋu me, woate ŋu akpɔe le dɔlélenutsiŋutete ƒe nɔnɔmewo abe Granulomatosis kple Polyangiitis, Sarcoidosis, kple Lupus (si woyɔna hã be Systemic Lupus Erythematosus) me. Ate ŋu adzɔ le amesiwo ƒe ŋkuwo biã atraɖii, abe ŋkumeʋuʋu si nɔa anyi didi, alo Ŋku Pink ene hã dzi.

Dɔlékui (dɔlékui) ƒomevi siwo hea dɔléle vɛ le ƒomevi eve siawo me hã ate ŋu ato vovo.

Ðe ƒomevi bubuwo lia?

Ẽ, tsɔ kpe ɖe dɔléle sia ƒomevi siwo nu sẽ kple esiwo nɔa anyi didi ŋu la, ate ŋu anye esi wodzina alo woxɔa ame .

• Dacryocystitis si wodzina: Esia dzɔna zi geɖe le vidzĩ suewo me. Esia dzɔna elabena vidzidɔ me tsi si le aɖatsimɔ̃wo me meɖena keŋkeŋ esime vidzĩa le vidzidɔa me o. Ne dɔlékui le tsi sia ŋu la, woyɔnɛ be neonatal dacryocystitis .

Bu eŋu kpɔ, vidzĩ yeye aɖe li, mina míagblɔ be eŋkɔe nye Uraraka Ti Puta. Eɖea aɖatsi tso ŋku ɖeka dzi ɣesiaɣi, eye ɣeaɖewoɣi le ŋdi me la, ʋuʋudedi vi aɖe nɔa ŋkua ƒe dzogoe dzi . Vidadaa lé blanui ŋutɔ eye vɔvɔ̃ ɖoe. Esiae nye nusi woate ŋu akpɔ le dacryocystitis si wodzina me.

• Acquired Dacryocystitis: Esia nye dɔléle si doa mo ɖa le eƒe tsitsime le susu vovovowo ta. Le kpɔɖeŋu me, ate ŋu atso ŋku ƒe gbagbã, amekoko, dɔdzẽ le ŋɔti me alo le ŋkua gbɔ, alo atike aɖewo zazã gbɔ.

Aleke gbegbee nɔnɔme sia bɔe?

Le akɔntabubuwo nu la, wodzia vidzĩ siwo ade 6% kple dɔléle aɖe si woyɔna be Congenital Nasolacrimal Duct Obstruction (NLDO) . Dacryocystitis dzea vi siwo wodzi agbagbee siwo ade 1 le 3,884 ɖesiaɖe me dzi. Ebɔ ɖe nyɔnuviwo me wu ŋutsuviwo, elabena woƒe aɖatsimɔ̃wo le kpuie wu.

Nukae nye dacryocystitis ƒe dzesiwo?

Ne dacryocystitis le ŋuwò la, àte ŋu akpɔ dzesi siawo dometɔ ɖeka alo esi wu nenema:

• Ŋku ƒe vevesese: Vevietɔ le ŋkua ƒe akpa si le eme , le ŋɔti gbɔ.
• Ŋkuwo ƒe vuvu: Vuvu dzɔna le teƒe ma.
• Ŋutilãa ƒe biã alo eƒe viviti dodo: Teƒe si vuvu la ate ŋu azu dzĩ, ɖewohĩ wòazu blɔ/aɖabɛ vie.
• Ʋuʋu alo abi aɖe si le ŋkua ƒe dzogoe ememetɔ: Esia ate ŋu ana ʋuʋudedi nado .
• Asrã: Ate ŋu adzɔ be asrã naxɔ ame le dɔlékui aɖe ta.

Le dacryocystitis si nɔa anyi didi me la, dzesi siawo ate ŋu asẽ vie. Le kpɔɖeŋu me, ɖewohĩ tsi le ŋkuwòme kokoko, gake asrãa ate ŋu nu ayi.

Nukawoe hea dacryocystitis vɛ?

Abe alesi míedzro eme va yi ene la, nusi koŋ gbɔ wòtsoe nye aɖatsimɔ̃ si xe . Xexe sia xea mɔ na aɖatsi si le sisim tso ŋkuwo me yia ŋɔti me.

Le vidzĩ siwo wodzi yeyee me la, lãkusi tsɛ aɖe (`membrane`) xea mɔ na aɖatsimɔ̃a. Gake le ɖevi tsitsiwo kple ame tsitsiwo gome la, nu vovovowo ate ŋu atso mɔxenu sia gbɔ.

Nu aɖewo siwo ate ŋu ana woaxɔ dacryocystitis lae nye esi:

• Tsitsi: Nɔnɔme sia bɔ ɖe amesiwo xɔ wu ƒe 40 dome wu.
• Nuveviwɔame: ŋɔti ƒe gbagbã, amekoko, kple bubuawo le ŋɔti ŋu alo ƒo xlãe.
• Atikewɔwɔ ƒe nɔnɔme bubuwo:Dɔlélenutsiŋutete ƒe kuxiwo, dɔdzẽ bubuwo alo dɔlékuiwo abe sinusitis ene.
• No ƒe nɔnɔme si mesɔ o ƒe amesinɔnɔ.
• Dɔdzẽ: Ƒumelã siwo dzɔna le ŋɔti, ŋɔti, alo aɖatsimɔ̃wo me.
• Atike aɖewo: Le kpɔɖeŋu me, atikewo abe `(Timolol)` na ʋusɔgbɔdɔ, `(Dorzolamide)` kple `(Pilocarpine)` na ŋkudɔ, `(Trifluridine)` na dɔlékuiwutikewo, kple kansa dada abe `(Fluorouracil)`, `(Docetaxel)` alo `(Radioactive Iodine)`.
• Punctal plugs: Plug sue siawo, siwo wodana ɣeaɖewoɣi abe atike na ŋku ƒuƒu ene, ate ŋu ana ŋku naxe ne womeɖe wo ɖa o.

Ðe dacryocystitis xɔa ame mea?

Togbɔ be dacryocystitis do ƒome kple dɔlékui aɖe hã la, zi geɖe la, mexɔa ame ɖeka gbɔ yia ame bubu gbɔ o , eyata menye nusi ŋu wòle be woatsi dzi ɖo akpa o.

Aleke ɖɔkta awɔ anya esia? (Aleke wowɔna kpɔa dɔlélea?)

Ne èyi ɖɔkta gbɔ la, woalé ŋku ɖe wò ŋkuwo ŋu, alé ŋku ɖe teƒe si ƒo xlã wò ŋɔti ŋu, eye woabia wò dzesiwo kple atikewɔwɔ ŋutinya wò. Zi geɖe la, nyatakaka sia ɖeɖe dzaa ana ɖɔktaa nakpɔ nusi le edzi yim.

Gake àte ŋu awɔ dodokpɔ siwo gbɔna hã atsɔ aɖo kpe edzi be:

• Ŋku dodokpɔ.
• Nunɔla la tea teƒe si vuvu la eye wòdia tsi si le abe ʋuʋudedi ene tso do sue (`punctum`) si le ŋkua ƒe dzogoe dzi la me .
• Ne ʋuʋudedi li la, woɖea eƒe kpɔɖeŋu aɖe heɖonɛ ɖe nudokpɔƒe be woadoe kpɔ (`dekɔnu` aɖe). Esia ate ŋu akpe ɖe ame ŋu wòanya dɔlékui si tututu le dɔlélea hem vɛ.
• Woɖea ʋu hedoa ʋu kpɔna, vevietɔ ʋumenugbagbevi ɣiwo ƒe xexlẽme. Ne esiawo sɔ gbɔ la, efia be dɔlékuiwo le ame ŋu. Ɣeaɖewoɣi la, ʋudodokpɔ ate ŋu akpe ɖe ame ŋu hã be woake ɖe nɔnɔme bubu siwo gbɔ wòtso ŋu.
• Dodokpɔ si me wotsɔa amadede ɣi dea ŋkua me (`Dye disappearance test`). Woléa ŋku ɖe amadede sia ŋu be ebuna kabakaba abe alesi wòbuna zi geɖe le aɖatsimɔ̃a ŋu ene hã. Ne exɔ ɣeyiɣi didi hafi wòbu la, ate ŋu axe mɔ. Ne wotsɔ amadede sia sisi ɖe kotoklobo si woda ɖe ŋɔti me dzi la, efia be ``xe mɔ ɖe akpa aɖe nu``.
• Nɔnɔmetatawo ɖeɖe ƒe dodokpɔwo. Ɣeaɖewoɣi la, woate ŋu awɔ CT-dɔdamɔnu alo MRI-dɔdamɔnu be woanya nusi tututu gbɔe wòtso be ʋua xe mɔ na.

Ate ŋu ahiã be woawɔ dodokpɔ bubuwo, vevietɔ ne wò aɖatsiwo le ʋu ɖum (`hemolacria`) alo ne ŋku ƒe kuxiwo le ŋuwò .

Aleke wodaa dacryocystitis ƒe dɔlélee?

Enyo, azɔ mina míakpɔ atikewɔwɔ siwo woate ŋu awɔ na esia ɖa.

• Ne dacryocystitis sesẽ si dɔlékui ƒe dɔléle aɖe hena vɛ na wò la, wò ɖɔkta awɔe nenemaWoaŋlɔ dɔlékuiwutike siwo woano alo dɔlékuiwutike siwo wodona ɖe ʋuka me (IV) na ame. Woate ŋu ana dɔlékuiwutike ƒe ami alo ŋkumeɖonu hã wò.

Dɔlékuiwutike aɖewo siwo woŋlɔna zi geɖee nye: `(Amoxicillin-clavulanate)`, `(Cephalexin)`, `(Ciprofloxacin)`, `(Clindamycin)`, `(Trimethoprim-Sulfamethoxazole)`.

• Nutete dzodzoe kple asitutu teƒe si vuvu la blewu ate ŋu akpe ɖe ame ŋu wòaɖe dzesiawo dzi akpɔtɔ.
• Àdze egɔme anɔ lãmesẽ me le ŋkeke ʋɛ aɖewo megbe tso esime nèdze dɔlékuiwutikewo zazã gɔme.

Zi geɖe la, neonatal dacryocystitis , si nye dɔléle si dzɔna ɖe vidzĩ suewo dzi la nu yina le eɖokui si le abe ƒe ɖeka ene me , ne egadzɔ ake gɔ̃ hã.

Ne dacryocystitis sesẽ aɖe le ŋuwò la, le dɔlékuiwutikewo zazã vɔ megbe la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ dɔ na wò . Woyɔa esia be dacryocystorhinostomy (DCR) . Atike vevitɔ si wozãna na dacryocystitis si nɔa anyi didie nye DCR. Amekoko sia naa mɔ yeye aɖe li si dzi aɖatsiwo tona.

Kuxi kawoe ate ŋu ado tso DCR dɔwɔwɔ me?

Abe amekoko ɖesiaɖe ene la, DCR dɔwɔwɔ ate ŋu ahe kuxi suesuesuewo vɛ ɣeaɖewoɣi. Gake mègatsi dzi o, zi geɖe la, esiawo nyea nu suewo.

• Ʋu si dona fũu akpa tso teƒe si wowɔ amekokoa le.
• Dɔdzedze.
• Sinusitis ƒe dɔléle.
• Nu suesuesue siwo gblẽ le ŋku alo ŋɔti ƒe akpa aɖewo ŋu.

Wò ɖɔkta agblɔ nya geɖe tso esia ŋu na wò.

Ðe woate ŋu axe mɔ ɖe dacryocystitis nua?

Le nyateƒe me la, esesẽna na mí be míawɔ nu tɔxɛ aɖe atsɔ axe mɔ ɖe dacryocystitis ƒomevi geɖe ƒe dzɔdzɔ nu. Gake ele vevie be nàdze agbagba aƒo asa na dɔlékuiwo xɔxɔ . Le esia ta la, .

• Tu asikɔklɔ ƒe nɔnɔme nyuiwo ɖo.
• Ƒo asa na asikaka wò ŋkuwo ŋu madzemadzee.
• Ðe teƒe siwo amewo sɔ gbɔ ɖo yiyi kple hadede kple dɔnɔwo dzi kpɔtɔ alesi nàte ŋui.

Nu siawo naa ametakpɔkpɔ vi aɖe.

Nukae adzɔ ne nɔnɔme sia dzɔ?

Togbɔ be dacryocystitis ƒe dɔléle aɖewo ate ŋu atso le wo ɖokui si hã la, ne dzesi siawo le ŋuwò alo viwòa ŋu la, anyo wu be nàyi ɖɔkta gbɔ aɖaɖo aɖaŋu na wò.

Ne womedae o la, esia ate ŋu ava zu abi si le ʋuʋu ɖi eye ɣeaɖewoɣi la, ahe ŋku ƒe kuxiwo vɛ . Eyata ele vevie be nàdi atike kaba.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne dacryocystitis ƒe dzesi aɖewo le ŋuwò alo viwòa ŋu alo ɖikeke suetɔ kekeake gɔ̃ hã be ɖe le ŋuwò la, .Mègagblẽ ɣeyiɣi eye nàyi ɖɔkta gbɔ enumake o. Atikewɔwɔ kabakaba ate ŋu akpe ɖe ŋuwò nàhaya kaba.

Vovototo kae le Dacryoadenitis kple Dacryocystitis dome?

Ŋkɔ eve siawo ɖi wo nɔewo vie, eyata woate ŋu atɔtɔ ame. Nɔnɔme eveawo siaa nye ŋku ƒe dɔdzẽ/dɔlékuiwo, gake wodzɔna le teƒe vovovowo.

• Dacryocystitis: Esia nye aɖatsimɔ̃/ aɖatsi kotoku ƒe dɔdzẽ/dɔlékui.
• Dacryoadenitis: Esia nye dɔdzẽ/dɔlékui si le lãkusi si naa aɖatsi (lacrimal gland) me. Glu sia le ŋkua te, le ŋkua ƒe megbe si le etame .

Kpuie ko la, ne èse le ɖokuiwò me be yeƒe ŋkuwo mevo o, vevietɔ le wò ŋkuwo ƒe dzogoe ememetɔ , le wò ŋɔti ƒe tɔdzisasrã gbɔ, alo ne èse le ɖokuiwò me be ƒu alo vuvu aɖe le ye ŋu la, ate ŋu anye dacryocystitis. Ne esia le ŋuwò la, yi ɖɔkta gbɔ godoo.

Mlɔeba la, nu vevitɔ kekeake (Take-Home Message) .

Ðewohĩ èse egɔme fifia be dacryocystitis nye dɔlékui alo aɖatsikotokua ƒe dɔdzẽ. Ate ŋu adzɔ le vidzĩwo kple ame tsitsiwo siaa dzi.

• Ne dzesiwo abe vevesese, vuvu, bibi, tsi si le dodom, alo aɖatsi le wò ŋku me enuenu ene le ŋuwò la , lé ŋku ɖe eŋu.
• Ne ède dzesi dzesi siawo la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
• Mègatsi dzi o, atike nyuiwo li na esia. Woate ŋu atsɔ dɔlékuiwutikewo adae eye ɣeaɖewoɣi la, woawɔ dɔ sue aɖe nɛ.
• Nu bɔbɔewo abe dzadzɛnyenye me léle ɖe asi kple asikɔklɔ enuenu ene ate ŋu akpe ɖe ŋuwò nàkpɔ ame ta tso dɔlékuiwo me.

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, àte ŋu abia wò ƒomea ƒe ɖɔkta alo ŋkudɔdala. Nɔ lãmesẽ me!

` Dacryocystitis, dɔlékui si le aɖatsikotokua me, aɖatsimɔ̃ si xe, ŋku ƒe vevesese, ŋku ƒe vuvu, vidzĩ ƒe aɖatsi ƒe kuxiwo