Ua ʻeha a pehu paha kou mau maka? He Dacryocystitis paha ia!

Ua pehu, ʻulaʻula, a i kekahi manawa ʻeha paha ka ʻaoʻao o loko o kou maka , kokoke i kou ihu? A i ʻole ke ʻano nei e kahe mau ana ka wai o nā maka o kāu keiki liʻiliʻi, a i ʻole he mau puʻu waimaka ko lākou ma nā kihi o ko lākou mau maka? He mau hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo dacryocystitis. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi i kēia lā.

He aha ka maʻi Dacryocystitis?

I ka ʻōlelo maʻalahi, ʻo Dacryocystitis kahi mumū a i ʻole ka maʻi o kā mākou ʻeke lacrimal . I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia ʻeke lacrimal a me kona wahi.

Hoʻopuka ko kākou mau maka i nā waimaka. Kōkua kēia mau waimaka i ka mālama ʻana i ko kākou mau maka i ka pulu a me ka maʻemaʻe. ʻO ka maʻamau, kahe kēia mau waimaka ma o kahi puka liʻiliʻi (i kapa ʻia hoʻi he 'punctum') ma ke kihi o loko o ka maka , a laila ma o kahi ʻōmole liʻiliʻi i loko o ka ʻeke waimaka. Mai kēia ʻeke waimaka, hele kekahi ʻōmole ʻē aʻe, i kapa ʻia ʻo 'nasolacrimal duct', i ka ihu. ʻO ia ke kumu e loaʻa ai iā ʻoe nā waimaka waimaka ke uē ʻoe.

Eia nō naʻe, inā paʻa ke ala waimaka, ma loko o ka ʻeke lacrimal a i ʻole ke ala waimaka, no kekahi kumu, ʻaʻole hiki i nā waimaka ke kahe a paʻa i kahi hoʻokahi. Ke hana ʻia kēia, hiki i nā germs ke ulu i loko o ka wai waimaka a lilo i maʻi. ʻO ia ka mea a mākou e kapa nei he dacryocystitis.

He aha ka ʻokoʻa ma waena o ka dacryocystitis ʻākī a me ka dacryocystitis mau loa?

ʻElua ʻano nui o ka dacryocystitis: ka dacryocystitis ʻākī a me ka dacryocystitis mau .

• ʻO ka dacryocystitis koʻikoʻi: He ʻano kēia e hoʻomaka koke ana. ʻIke koke ʻia nā hōʻailona a hoʻopau pinepine ʻia i loko o ʻekolu mahina. Hiki i nā hōʻailona ke komo pū me ka ʻeha, ka pehu, a me ka ʻulaʻula.
• ʻO ka dacryocystitis mau loa: He ʻano lōʻihi kēia. ʻOi aku ka ʻino o nā hōʻailona ma mua o ka dacryocystitis ʻoi, akā hiki ke lōʻihi ka haehae ʻana a me ka pehu iki i kekahi manawa.

ʻO kekahi mea ʻē aʻe, hiki ke pili pū ʻia ka dacryocystitis mau me nā kūlana ʻē aʻe e hoʻopilikia ai i ko mākou kino holoʻokoʻa. No ka laʻana, hiki ke ʻike ʻia me nā kūlana autoimmune e like me Granulomatosis me Polyangiitis, Sarcoidosis, a me Lupus (i ʻike ʻia hoʻi ʻo Systemic Lupus Erythematosus). Hiki nō hoʻi ke hana i nā poʻe me nā maka ʻulaʻula mau, e like me ka conjunctivitis mau, a i ʻole Pink Eye.

ʻOkoʻa paha nā ʻano o nā germs (pathogens) e hoʻoulu ai i ka maʻi i kēia mau ʻano ʻelua.

Aia kekahi mau ʻano ʻē aʻe?

ʻAe, ma waho aʻe o nā ʻano ʻoi a me nā ʻano maʻi mau, hiki i kēia maʻi ke hānau ʻia a loaʻa paha .

• ʻO ka Dacryocystitis hānau: Loaʻa pinepine kēia i nā pēpē ʻōpio. Hana ʻia kēia no ka mea ʻaʻole i kahe loa ka wai amniotic i loko o nā ala waimaka i ka wā e noho ana ke pēpē i loko o ka ʻōpū. Inā loaʻa kēia wai i ka maʻi, ua kapa ʻia ʻo ia he neonatal dacryocystitis .

E noʻonoʻo, aia kahi pēpē hānau hou, e ʻōlelo kākou ʻo Uraraka Ti Puta kona inoa. Hoʻokahe mau ʻo ia i ka waimaka mai kekahi maka, a i kekahi manawa i ke kakahiaka he pus liʻiliʻi ma ke kihi o ka maka . Kaumaha loa ka makuahine a makaʻu hoʻi. ʻO kēia ka mea e ʻike ʻia ma ka dacryocystitis congenital.

• ʻO ka Dacryocystitis i loaʻa: He ʻano kēia e ulu aʻe ma hope o ke ola ma muli o nā kumu like ʻole. No ka laʻana, hiki ke hana ʻia e nā haki, ke ʻoki kino, nā puʻupuʻu ma ka ihu a kokoke paha i ka maka, a i ʻole ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau.

Pehea ka maʻamau o kēia ʻano?

Wahi a nā helu helu, ma kahi o 6% o nā pēpē i hānau ʻia me kahi maʻi i kapa ʻia ʻo Congenital Nasolacrimal Duct Obstruction (NLDO) . Hoʻopilikia ka Dacryocystitis ma kahi o 1 i loko o 3,884 mau hānau ola. ʻOi aku ka maʻamau i nā kaikamahine ma mua o nā keikikāne, no ka mea, ʻoi aku ka haiki o ko lākou mau ala waimaka.

He aha nā hōʻailona o ka dacryocystitis?

Inā loaʻa iā ʻoe ka dacryocystitis, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona:

• ʻEha maka : ʻOi loa aku ma loko o ka maka , kokoke i ka ihu.
• Ka pehu ʻana a puni nā maka: Loaʻa ka pehu ʻana ma ia wahi.
• ʻUlaʻula a ʻeleʻele paha o ka ʻili: Hiki ke lilo ka ʻāpana pehu i ʻulaʻula, malia paha me kahi waihoʻoluʻu polū/poni iki.
• He puka a ʻeha paha ma ke kihi o loko o ka maka: Hiki i kēia ke hoʻokahe i ka pus .
• Kuni: Aia kahi hiki ke loaʻa i ke kuni ma muli o kahi maʻi.

I ka dacryocystitis mau loa, ʻaʻole paha e ʻoi aku ka koʻikoʻi o kēia mau hōʻailona. Eia kekahi laʻana, he mau maka wai kou, akā naʻe, e nalowale paha ke kuni.

He aha nā kumu o ka dacryocystitis?

E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu nui ka paʻa ʻana o ke ala waimaka . Mālama kēia paʻa i nā waimaka mai ke kahe ʻana mai nā maka a i ka ihu.

I nā pēpē hānau hou, ua ālai ʻia ke ala waimaka e kahi membrane lahilahi (`membrane`). Eia nō naʻe, i nā keiki makua a me nā pākeke, hiki ke hana ʻia kēia ālai ʻana e nā kumu like ʻole.

Eia kekahi mau kumu e hiki ke kōkua i ka loaʻa ʻana o ka dacryocystitis:

• Ka ʻelemakule: ʻOi aku ka maʻamau o kēia maʻi i waena o ka poʻe ma luna o 40 mau makahiki.
• Nā ʻeha: Nā haki, nā ʻoki kino, a pēlā aku ma ka ihu a puni paha.
• Nā kūlana olakino ʻē aʻe:Nā pilikia o ka ʻōnaehana pale, nā mumū ʻē aʻe a i ʻole nā ​​​​maʻi e like me ka sinusitis.
• Loaʻa i ke ʻano ʻē o ka ihu.
• Nā Tumors: Nā puʻupuʻu e hana ana i loko o ka ihu, nā sinuses, a i ʻole nā ​​​​​​auwai waimaka.
• Kekahi mau lāʻau lapaʻau: No ka laʻana, nā lāʻau lapaʻau e like me `(Timolol)` no ke koko kiʻekiʻe, `(Dorzolamide)` a me `(Pilocarpine)` no ka glaucoma, `(Trifluridine)` no nā lāʻau antiviral, a me nā lāʻau lapaʻau no ke kanesa e like me `(Fluorouracil)`, `(Docetaxel)` a i ʻole `(Radioactive Iodine)`.
• Nā plugs punctal: ʻO kēia mau plugs liʻiliʻi, i kekahi manawa i kau ʻia e like me ka lāʻau lapaʻau no nā maka maloʻo, hiki ke hana i nā ālai inā ʻaʻole e wehe ʻia.

He maʻi laha anei ka dacryocystitis?

ʻOiai pili ka dacryocystitis me kahi maʻi, ʻaʻole ia e laha pinepine mai kekahi kanaka a i kekahi kanaka , no laila ʻaʻole ia he mea e hopohopo nui ai.

Pehea e ʻike ai ke kauka i kēia? (Pehea e ʻike ʻia ai?)

Ke hele ʻoe e ʻike i ke kauka, e nānā lākou i kou mau maka, e nānā i ka wahi a puni kou ihu, a e nīnau iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. ʻO ka pinepine, ʻo kēia ʻike wale nō e hāʻawi i ke kauka i kahi manaʻo o ka mea e hana nei.

Eia nō naʻe, hiki iā ʻoe ke hana i nā hoʻokolohua aʻe e hōʻoia hou aku:

• Hoʻokolokolo maka.
• Kaomi ke kahuna pule ma kahi pehu a nānā i ka wai e like me ka pus mai ka lua liʻiliʻi (`punctum`) ma ke kihi o ka maka .
• Inā he pus, lawe ʻia kahi hāpana a hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana (kahi 'culture'). Hiki i kēia ke kōkua i ka hoʻoholo pono ʻana i ka germ e hoʻoulu ai i ka maʻi.
• Lawe ʻia kahi hāpana koko a hoʻāʻo ʻia, ʻoiai ka helu o nā hunaola koko keʻokeʻo. Inā kiʻekiʻe kēia mau mea, he hōʻailona ia o ka maʻi. I kekahi manawa hiki i nā hoʻāʻo koko ke kōkua i ka ʻike ʻana i nā maʻi ʻē aʻe.
• He hoʻāʻo kahi e kau ʻia ai kahi waihoʻoluʻu melemele i loko o ka maka ('Hoʻāʻo nalowale ʻana o ka waihoʻoluʻu'). Nānā ʻia kēia waihoʻoluʻu e ʻike inā nalowale koke ia e like me ka mea maʻamau ma ke kahawai waimaka. Inā lōʻihi ka manawa e nalowale ai, aia paha kahi mea e ālai ʻia ai. Inā e hamo ʻia kēia waihoʻoluʻu ma luna o kahi pōpō pulupulu i kau ʻia i loko o ka ihu, hōʻike ia i kahi "pale hapa".
• Nā hoʻāʻo kiʻi. I kekahi manawa, hiki ke hana ʻia kahi scan CT a i ʻole MRI scan e ʻike pono ai i ke kumu o ka paʻa ʻana.

Pono paha nā hoʻokolohua hou aʻe, ʻoiai inā e kahe ana ke koko o kou mau waimaka (`hemolacria`) a inā he pilikia kou ʻike maka .

Pehea e mālama ʻia ai ka dacryocystitis?

ʻAe, e nānā kākou i nā lāʻau lapaʻau e hiki ke hana ʻia no kēia.

• Inā loaʻa iā ʻoe ka dacryocystitis koʻikoʻi i hoʻokumu ʻia e kahi maʻi bacteria, e hana kāu kaukaE kuhikuhi ʻia nā lāʻau antibiotic waha a i ʻole nā ​​lāʻau antibiotic intravenous (IV). Hiki ke hāʻawi ʻia iā ʻoe ka poni antibiotic a i ʻole nā ​​kulu maka.

ʻO kekahi o nā lāʻau antibiotic i kuhikuhi pinepine ʻia: `(Amoxicillin-clavulanate)`, `(Cephalexin)`, `(Ciprofloxacin)`, `(Clindamycin)`, `(Trimethoprim-Sulfamethoxazole)`.

• Hiki i nā ʻūmiʻi mehana a me ka lomilomi mālie o ka ʻāpana pehu ke kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona.
• E hoʻomaka ʻoe e ʻoi aku ka maikaʻi i loko o kekahi mau lā o ka hoʻomaka ʻana i nā antibiotics.

ʻO ka neonatal dacryocystitis , kahi kūlana e kū mai ana i nā pēpē ʻōpio, e hoʻopau pinepine ia ma kāna iho i loko o hoʻokahi makahiki , ʻoiai inā e hoʻi hou mai.

Inā loaʻa iā ʻoe ka dacryocystitis koʻikoʻi, ma hope o nā lāʻau antibiotic, hiki i kāu kauka ke kuhikuhi i ke ʻoki kino . Ua kapa ʻia kēia he dacryocystorhinostomy (DCR) . ʻO ka lāʻau lapaʻau nui no ka dacryocystitis mau loa he DCR. Hoʻokumu kēia ʻoki kino i kahi ala hou no ka waimaka e kahe ai.

He aha nā pilikia e hiki mai ana o ke ʻoki ʻana o DCR?

E like me nā ʻoki kino āpau, hiki i ke ʻoki kino DCR ke hana i nā pilikia liʻiliʻi i kekahi manawa. Akā, mai hopohopo, he mau mea liʻiliʻi kēia.

• Ke kahe nui ʻana o ke koko mai ka wahi i ʻoki ʻia ai.
• Ka maʻi ʻana.
• ʻO ka sinusitis.
• Ka pōʻino iki i nā ʻāpana o nā maka a i ʻole ka ihu.

E haʻi aku kāu kauka iā ʻoe i nā mea hou aʻe e pili ana i kēia.

Hiki ke pale ʻia ka dacryocystitis?

ʻO kaʻoiaʻiʻo, he mea paʻakikī iā mākou ke hana i kekahi mea kūikawā e pale aku ai i ka ulu ʻana o nā ʻano dacryocystitis he nui. Eia nō naʻe, he mea nui e hoʻāʻo e pale i nā maʻi . No kēia,

• E hoʻomohala i nā hana holoi lima maikaʻi.
• Mai hoʻopā i kou mau maka me kou mau lima me ke kumu ʻole.
• E hōʻemi i ka hele ʻana i nā wahi piha kanaka a me ka launa pū ʻana me ka poʻe maʻi e like me ka hiki.

Hāʻawi kēia mau mea i kahi palekana iki.

He aha ka mea e hana ʻia inā kū kēia kūlana?

ʻOiai hiki i kekahi mau hihia o ka dacryocystitis ke hoʻoholo iā lākou iho, inā loaʻa iā ʻoe a i kāu keiki kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka no ka ʻōlelo aʻo.

Inā ʻaʻole mālama ʻia, hiki i kēia ke lilo i ʻeha ākea a i kekahi manawa e hoʻopilikia ai i ka ʻike . No laila, he mea nui e ʻimi koke i ka lāʻau lapaʻau.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe a i kāu keiki paha kekahi mau hōʻailona o ka dacryocystitis a i ʻole ke kānalua iki paha he hoʻokahi kāu,Mai hoʻonele i ka manawa a e ʻike koke i ke kauka. Hiki i ka lāʻau lapaʻau wikiwiki ke kōkua iā ʻoe e hoʻōla koke.

He aha ka ʻokoʻa ma waena o ka Dacryoadenitis a me ka Dacryocystitis?

Ua like iki kēia mau inoa ʻelua, no laila hiki ke huikau. He mau mumū/maʻi e pili ana i ka maka nā kūlana ʻelua, akā loaʻa lākou ma nā wahi like ʻole.

• ʻO Dacryocystitis: He mumū/maʻi kēia o ke kahawai waimaka/ʻeke lacrimal.
• ʻO Dacryoadenitis: He mumū/maʻi kēia o ka ʻōpū hana waimaka (lacrimal gland). Aia kēia ʻōpū ma lalo o ka lihilihi maka, ma ke kua o luna o ka maka .

I ka ʻōlelo maʻalahi, inā ʻoe e manaʻo i ka ʻoluʻolu ʻole a puni kou mau maka, ʻoiai ma ke kihi o loko o kou mau maka , kokoke i ke alahaka o kou ihu, a inā ʻoe e manaʻo i kahi puʻupuʻu a pehu paha, he dacryocystitis paha ia. Inā loaʻa iā ʻoe kēia, e ʻike pono i ke kauka.

ʻO ka mea hope loa, ʻo ka mea nui loa (Leka Lawe-Home)

I kēia manawa, ua maopopo paha iā ʻoe he maʻi a he mumū paha ka ʻeke waimaka o ka dacryocystitis. Hiki ke loaʻa i nā pēpē a me nā pākeke.

• Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha, ka pehu ʻana, ka ʻulaʻula, ka kahe ʻana o ke koko, a i ʻole ka waimaka pinepine i loko o kou maka , e hoʻolohe iā ia.
• Inā ʻike ʻoe i kēia mau hōʻailona, ​​e ʻimi koke i ke kōkua lapaʻau.
• Mai hopohopo, aia nā lāʻau lapaʻau maikaʻi no kēia. Hiki ke ho'ōla ʻia me nā lāʻau antibiotic a i kekahi manawa he ʻoki liʻiliʻi.
• ʻO nā hana maʻalahi e like me ka mālama ʻana i ka maʻemaʻe a me ka holoi pinepine ʻana i kou mau lima hiki ke kōkua i ka pale ʻana i nā maʻi.

Inā he mau nīnau hou aku kāu e pili ana i kēia, hiki iā ʻoe ke nīnau i kāu kauka ʻohana a i ʻole ke kauka maka. E noho olakino!

ʻO ka Dacryocystitis, ka maʻi o ka ʻeke waimaka, ke ala waimaka i pani ʻia, ka ʻeha o ka maka, ka pehu ʻana o ka maka, nā pilikia waimaka o ka pēpē