Ke ʻike nei ʻoe i ka pehu ʻana, ka ʻulaʻula, a i ʻole ka ʻeha kokoke i ke kihi o loko o kou maka , kokoke i kou ihu, i kekahi manawa hele pū me ka hoʻokahe ʻana? A i ʻole ua ʻike paha ʻoe e kahe mau ana ka wai o nā maka o kāu keiki liʻiliʻi, me ka ʻili a i ʻole ka hōʻiliʻili ʻana o nā waimaka ma nā kihi o loko? He mau hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo dacryocystitis. Mai hopohopo—ma Nirogi Lanka, eia mākou e wehewehe pono a maʻalahi i kēia maʻi no ʻoe.
He aha ka maʻi Dacryocystitis?
I ka ʻōlelo maʻalahi, ʻo ka dacryocystitis kahi mumū a i ʻole ka maʻi o ka ʻeke lacrimal (ka ʻeke waimaka). Ke noʻonoʻo nei paha ʻoe i kahi o kēia ʻeke a me kāna hana.
Hoʻopuka mau kou mau maka i nā waimaka e hoʻomaʻemaʻe a hoʻomāʻemaʻe iā lākou. ʻO ka maʻamau, kahe kēia mau waimaka ma kahi puka liʻiliʻi ma ke kihi o loko o kou lihilihi maka (i kapa ʻia ʻo punctum), hele ma kahi kahawai liʻiliʻi i loko o ka ʻeke lacrimal, a laila neʻe i lalo i ke ala nasolacrimal i loko o kou ihu. ʻO ia ke kumu e holo ai kou ihu ke uē ʻoe.
Eia nō naʻe, inā paʻa kēia alahele—ʻo ia hoʻi ka ʻeke lacrimal a i ʻole ke kahawai nasolacrimal—ʻaʻole hiki i nā waimaka ke kahe a hoʻomaka e hōʻiliʻili. Hoʻokumu kēia kūpaʻa i kahi kūlana kūpono no ka ulu ʻana o ka bacteria, e alakaʻi ana i kahi maʻi. Ma Nirogi Lanka, wehewehe mākou i kēia kūlana he dacryocystitis.
He aha ka ʻokoʻa ma waena o ka Dacryocystitis ʻĀkī a me ka Dacryocystitis Maʻi?
ʻElua mau ʻano nui o ka dacryocystitis: ʻO ka maʻi ʻāʻī a me ka maʻi mau .
- ʻO ka Dacryocystitis ʻoi: Hoʻomaka koke kēia. ʻIke koke ʻia nā hōʻailona a hoʻopau pinepine ʻia i loko o ʻekolu mahina. Hiki iā ʻoe ke ʻike i ka ʻeha nui, ka pehu nui, a me ka ʻulaʻula ma ia wahi.
- ʻO ka Dacryocystitis Mau Loa: He kūlana mau loa kēia. ʻOiai ʻoi aku ka liʻiliʻi o nā hōʻailona ma mua o ke ʻano ʻoi, hiki iā ʻoe ke ʻike i ka haehae mau loa a me ka pehu pinepine.
He mea nui e hoʻomaopopo he hiki ke hoʻopili ʻia ka dacryocystitis mau i kekahi manawa i nā kūlana ʻōnaehana, e like me Granulomatosis me Polyangiitis, Sarcoidosis, a i ʻole Systemic Lupus Erythematosus (Lupus). Eia kekahi, ʻoi aku ka nui o ka pilikia o ka poʻe me ka conjunctivitis mau (Pink Eye). Hiki ke ʻokoʻa nā ʻano pathogens e hoʻoulu ai i ka maʻi ma waena o kēia mau ʻano ʻelua.
Aia kekahi mau ʻano ʻē aʻe?
ʻAe, ma waho aʻe o ka ʻoi a me ka maʻi mau, hiki ke hoʻokaʻawale ʻia ke ʻano he congenital (i ka wā hānau) a i loaʻa paha (e ulu ana ma hope o ke ola).
- ʻO ka Dacryocystitis hānau: Loaʻa pinepine kēia i nā pēpē. Hana ʻia ia ke hoʻomaʻemaʻe ʻole ʻia ka wai amniotic mai ka ʻōnaehana waimaka ma hope o ka hānau ʻana. Inā loaʻa kēia wai i paʻa i ka maʻi, ua kapa ʻia ʻo ia ʻo Neonatal Dacryocystitis .
E noʻonoʻo i kahi pēpē hānau hou e kahe mau ana nā waimaka mai kekahi maka, i kekahi manawa me kahi pus ma ke kihi o ka maka i ke kakahiaka. Hiki ke hoʻoluhi i kahi makua, akā he hōʻike maʻamau kēia o ka dacryocystitis congenital.
- ʻO ka Dacryocystitis i loaʻa: Hoʻomaka kēia ma hope ma muli o nā kumu like ʻole, me nā haki maka, nā kaʻina hana ʻoki, nā puʻupuʻu kokoke i ka ihu a i ʻole ka maka, a i ʻole he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau.
Pehea ka maʻamau o kēia ʻano?
Ma ke ʻano helu, ma kahi o 6% o nā pēpē hānau hou i hānau ʻia me ka Congenital Nasolacrimal Duct Obstruction (NLDO) . Eia nō naʻe, ʻoi aku ka kakaikahi o ka dacryocystitis ponoʻī, e kū ana ma kahi o 1 o kēlā me kēia 3,884 mau hānau ola. He mea maʻamau iki ia i nā pēpē wahine ma muli o ko lākou mau ala waimaka haiki.
He aha nā hōʻailona o ka Dacryocystitis?
Inā loaʻa iā ʻoe ka dacryocystitis, e ʻike paha ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona penei:
- ʻEha maka: Ma kahi kokoke i ke kihi o loko o ka maka, kokoke i ka ihu.
- Pehu a puni ka maka: Ka pehu ʻana i ʻike ʻia ma ka ʻāpana i hoʻopilikia ʻia.
- ʻUlaʻula a ʻili paha: Hiki ke ʻulaʻula ke ʻano o ka ʻili a ʻeha iki paha/ʻeleʻele iki paha ke kala.
- Hoʻokuʻu ʻia: ʻO kahi puka a ʻeha paha kokoke i ke kihi o loko o ka lihilihi e puka mai ai ka pus .
- Fiva: No ka mea he maʻi kēia, hiki iā ʻoe ke loaʻa i ke kuni.
Me ka dacryocystitis mau loa, ʻoi aku ka maʻalahi o nā hōʻailona; no ka laʻana, hiki iā ʻoe ke loaʻa nā maka waimaka mau me ka ʻole o ke kuni.
He aha ke kumu o ka Dacryocystitis?
E like me kā mākou i ʻōlelo ai, ʻo ke kumu nui ka paʻa ʻana o ke aʻa waimaka , ka mea e pale ai i nā waimaka mai ke kahe pono ʻana mai nā maka a i loko o ka ihu.
I nā pēpē hānau hou, hoʻokumu pinepine ʻia kēia e kahi membrane lahilahi, ʻoiai i nā keiki a me nā pākeke, hiki ke ala mai nā mea keakea mai nā kumu like ʻole.
ʻO nā kumu e kōkua ana i ka hoʻomohala ʻana o ka dacryocystitis i loaʻa:
- Ka ʻelemakule: ʻIke pinepine ʻia kēia ʻano i nā kānaka ma luna o 40 mau makahiki.
- Trauma: Nā ʻeha e pili ana i ka ihu a i ʻole nā wahi a puni, e like me nā haki maka a i ʻole nā kaʻina hana.
- Nā Kūlana Ola Kino: Nā maʻi o ka ʻōnaehana pale kino a i ʻole nā kūlana mumū/maʻi ʻē aʻe e like me ka sinusitis.
- Nā ʻano ʻē o ke kino: Nā ʻano ʻē i ke ʻano o ka ihu.
- ʻO nā puʻupuʻu: Nā ulu ʻana i loko a puni paha o ka ihu, nā sinuses, a i ʻole ka ʻeke lacrimal.
- Kekahi mau lāʻau lapaʻau: ʻO nā laʻana e komo pū me nā lāʻau lapaʻau koko e like me Timolol, nā lāʻau lapaʻau glaucoma e like me Dorzolamide lāua ʻo Pilocarpine, nā lāʻau antivirals e like me Trifluridine, a me nā lāʻau lapaʻau maʻi kanesa e like me Fluorouracil, Docetaxel, a i ʻole Radioactive Iodine.
- Ke alo o nā Plugs Punctal: ʻO kēia mau mea liʻiliʻi, i kekahi manawa hoʻohana ʻia e mālama i nā maka maloʻo, hiki ke hana i nā ālai inā ʻaʻole lākou e wehe ʻia e like me ke kuhikuhi ʻana.
He maʻi laha anei ka Dacryocystitis?
ʻOiai ʻo ka dacryocystitis kahi maʻi, ʻaʻole ia he mea laha a ʻaʻole hiki ke laha mai ke kanaka a i ke kanaka. E ʻoluʻolu e hōʻoiaʻiʻo, ʻaʻohe pono e hopohopo nui e pili ana i ka laha ʻana.
Pehea e ʻike ʻia ai?
I kāu kūkākūkā ʻana, e loiloi kāu kauka i kou mau maka a me ka ʻāpana ihu a puni, ʻoiai e kūkākūkā ana i kou mōʻaukala olakino a me nā hōʻailona kikoʻī. I ka manawa pinepine, ua lawa kēia hoʻokolohua lapaʻau no kahi hōʻoia.
No ka hōʻoia ʻana i ka hōʻailona, hiki i kāu kauka ke kuhikuhi i nā noiʻi aʻe:
- Hoʻokolohua Maka Piha.
- Palpation Mālie: E kaomi mālie paha kāu kauka ma kahi pehu e nānā i ka hoʻokuʻu ʻana o ka pus mai ka punctum (ka puka liʻiliʻi ma ke kihi o kou maka).
- Ka hoʻāʻo ʻana i ka moʻomeheu: Inā loaʻa ka pus, hiki ke hoʻouna ʻia kahi hāpana i ka hale hana e ʻike ai i ka pathogen kikoʻī e hoʻoulu ai i ka maʻi.
- Nā hoʻāʻo koko: Hiki i kēia ke loiloi i kāu helu koko keʻokeʻo e nānā i nā hōʻailona o ka maʻi a i ʻole nā kūlana ʻōnaehana.
- Hoʻāʻo Nalowale ʻana o ka Waihoʻoluʻu: Hoʻopili ʻia kahi waihoʻoluʻu melemele kūikawā i kou maka e nānā i ka wikiwiki o kona wehe ʻana ma o kou mau kahawai waimaka. Hōʻike ka lohi i kahi paʻa, ʻoiai ʻo ke alo o ka waihoʻoluʻu ma kahi ʻūpā ihu e hōʻike paha i kahi paʻa hapa.
- Nā Hoʻāʻo Kiʻi: Hiki ke kauoha ʻia kahi CT scan a i ʻole MRI e ʻike pololei i ke kumu o ka poloka.
Inā loaʻa iā ʻoe ka Hemolacria (waimaka koko) a i ʻole nā pilikia o ka ʻike, pono paha nā hoʻokolohua kūikawā hou aʻe.
Pehea e mālama ai ʻo Dacryocystitis?
Ma Nirogi Lanka, hoʻoikaika mākou i kou ho'ōla hou ʻana ma o ka mālama pono ʻana i nā hōʻike:
- No ka dacryocystitis bacterial acute, e kuhikuhi kāu kauka i nā antibiotics waha a i ʻole intravenous (IV) . Hiki nō hoʻi ke kuhikuhi ʻia iā ʻoe nā kulu antibiotic topical a i ʻole ka poni.
ʻO nā lāʻau antibiotic i kuhikuhi pinepine ʻia ʻo Amoxicillin-clavulanate, Cephalexin, Ciprofloxacin, Clindamycin, a me Trimethoprim-Sulfamethoxazole.
- Hiki i nā ʻūmiʻi mehana a me ka lomilomi mālie o ka wahi i hoʻopilikia ʻia ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha.
- Hoʻomaka ka hapa nui o nā maʻi e ʻike i ka hōʻoluʻolu nui i loko o kekahi mau lā o ka hoʻomaka ʻana o ka lāʻau antibiotic.
ʻOiai ke hana hou ʻia ʻana o ka Dacryocystitis i nā keiki hānau hou , hoʻopau pinepine ia ma kāna iho i loko o ka makahiki mua o ke ola.
No nā hihia hoʻomau a mau paha, hiki i kāu kauka ke ʻōlelo aku i kahi hana ʻokiʻoki i ʻike ʻia ʻo Dacryocystorhinostomy (DCR) , kahi e hana ai i kahi ala hou no ka hoʻokahe ʻana o ka waimaka.
Nā pilikia kūpono o ke ʻoki ʻana o DCR
E like me nā hana ʻoki kino a pau, hiki ke loaʻa nā pilikia liʻiliʻi, ʻoiai he mea pinepine ʻole lākou:
- Ke kahe koko ma hope o ke ʻoki ʻana.
- Ka maʻi ma kahi i hana ʻia ai ke ʻoki.
- ʻO ka sinusitis.
- Ka ʻeha iki i nā ʻiʻo o ka maka a i ʻole ka ihu.
E kūkākūkā pono kāu kauka iā ʻoe i nā pilikia a me nā pono āpau.
Hiki ke pale ʻia ka dacryocystitis?
ʻOiai ʻaʻole hiki ke pale ʻia kekahi mau kumu, ʻo ka mālama ʻana i ka maʻemaʻe laulā e hōʻemi nui i kou pilikia o ka maʻi:
- E hoʻomaʻamaʻa pono i ka holoi lima.
- Mai hoʻopā i kou mau maka me ke kumu ʻole.
- E kaupalena i ka pili ʻana i nā wahi i piha i nā kānaka a me nā poʻe me nā maʻi ʻeha.
Hāʻawi kēia mau hana maʻalahi i ka pale kūpono i nā pathogens maʻamau.
He aha kāu e hana ai inā ʻike ʻia nā hōʻailona?
ʻOiai hiki i kekahi mau hihia ke hoʻoholo koke ʻia, inā loaʻa iā ʻoe a i ʻole kāu keiki nā hōʻailona, e ʻoluʻolu e nīnau aku i kahi loea mālama ola ma Nirogi Lanka a i ʻole e kipa koke aku i kāu keʻena pilikia kokoke loa no kahi hōʻoia maʻamau a me ka hoʻolālā lapaʻau.
Inā ʻaʻole mālama ʻia, hiki i kēia ke lilo i ʻeha hāmama a, i kekahi mau hihia, e alakaʻi i nā pilikia ʻike . No laila, he mea nui e ʻimi koke i ka lāʻau lapaʻau.
Āhea ʻoe e ʻike ai i ke kauka?
Inā kānalua ʻoe a i ʻole kāu keiki he mau hōʻailona paha kāu o ka dacryocystitis, mai hoʻonele i ka manawa a e ʻike koke i ke kauka. ʻO ke komo ʻana o ka lāʻau lapaʻau mua e hōʻoia i ka hoʻōla wikiwiki a me ka maʻalahi.
He aha ka ʻokoʻa ma waena o ka Dacryoadenitis a me ka Dacryocystitis?
Ma muli o ke ʻano like o nā inoa, hiki ke huikau. Pili nā kūlana ʻelua i ka mumū a i ʻole ka maʻi a puni ka maka, akā ʻokoʻa ko lākou wahi.
- ʻO Dacryocystitis: Pili kēia i ka mumū a i ʻole ka maʻi o ke kahawai waimaka / ʻeke lacrimal.
- Dacryoadenitis: Pili kēia i ka mumū a i ʻole ka maʻi o ka ʻōpū lacrimal. Aia kēia ʻōpū ma lalo o ke kuʻemaka ma ke kihi o waho o ka maka.
I ka ʻōlelo maʻalahi, inā ʻoe e ʻike i ka ʻoluʻolu ʻole a puni kou maka, ʻoiai ka pehu ʻana a i ʻole kahi puʻupuʻu kokoke i ke kihi o loko o kou maka (kokoke i ka ihu), he dacryocystitis paha ia. Inā ʻike ʻoe i kēia, pono ʻoe e nīnau i ke kauka.
Leka Hoʻouna Koʻikoʻi
Ua maopopo iā ʻoe i kēia manawa he maʻi a he mumū paha ka ʻeke waimaka ka dacryocystitis. Hiki iā ia ke hoʻopilikia i kekahi, mai nā keiki ʻōpio a i nā pākeke.
- E makaʻala i ka ʻeha, ka pehu ʻana, ka ʻulaʻula, ka kahe ʻana o ka pus, a i ʻole ka haehae nui ʻana ma ke kihi o loko o ka maka.
- Inā ʻike ʻoe i kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau.
- Mai hopohopo; loaʻa nā lāʻau lapaʻau kūpono. Hiki ke mālama pinepine ʻia ke kūlana me nā antibiotics a i ʻole nā kaʻina hana liʻiliʻi.
- ʻO ka mālama ʻana i ke olakino maikaʻi a me ka holoi pinepine ʻana i nā lima e hiki ke kōkua i ka pale ʻana i nā maʻi.
Inā he mau nīnau hou aku kāu, e kūkākūkā me kāu kauka ʻohana a i ʻole ke kauka maka. E noho olakino me Nirogi Lanka!
👩🏽⚕️ Nā nīnau i nīnau pinepine ʻia
💬 Ke kumu nei anei ʻo Dacryocystitis i ka maka ʻulaʻula?
ʻAʻole pololei loa. ʻOiai e pili ana ia i ka ʻāpana a puni ka maka, ʻaʻole ia he maʻi maka mua e like me ka 'maka poni'. Hoʻopuka ʻia nā waimaka e ka gland ma luna o ka maka, kahe ma luna o ka ʻili o ka maka, a kahe i loko o ka ʻeke waimaka kokoke i ka ihu. Hana ʻia ka Dacryocystitis ke ālai ʻia kēia ala kahe wai, e ʻae ana i ka bacteria e komo a hoʻopilikia i ka ʻeke waimaka.
💬 Pehea ke ʻano o ka ʻeke waimaka pehu?
E ʻike ʻoe i ka ʻulaʻula, ka pehu nui, a me kahi puʻupuʻu ʻeha loa kokoke i ke kihi o loko o kou maka (kokoke i ka ihu). No ka mea ʻaʻole hiki i nā waimaka ke kahe pono, hiki i kou maka ke wai mau. Inā paʻi ʻia ka puʻupuʻu, hiki ke hoʻokuʻu ʻia ka pus mai ka maka.
💬 Pono maoli anei au i ka lāʻau no kēia maʻi?
ʻAe, ʻoiaʻiʻo! No ka mea, kokoke kēia wahi i ka ihu, ka lolo, a me nā maka, pono ʻoe e loaʻa i nā kulu maka antibiotic a i ʻole ka lāʻau lapaʻau waha i ka manawa koke e pale aku ai i ka laha ʻana o ka maʻi (e alakaʻi ana i nā pilikia e like me ka cellulitis). Eia kekahi, ua ʻōlelo ʻia e kau i kahi ʻūlū mahana 4-5 mau manawa i ka lā.
Nā huaʻōlelo: Dacryocystitis, maʻi ʻeke waimaka, ala waimaka i ālai ʻia, ʻeha maka, pehu maka, pilikia ala waimaka o nā keiki
