Koj puas muaj kua muag tas li? Cia peb kawm txog Kev Txhaws Kua Muag / Kev Txhaws Nasolacrimal Duct!

Koj tus me nyuam lub qhov muag puas ntws dej tas li? Los yog koj lub qhov muag puas ntws dej tas li? Tej zaum koj yuav xav txhuam koj lub qhov muag. Qhov no yeej ua rau koj chim siab me ntsis. Qhov laj thawj rau qhov no tej zaum yuav yog qee yam kev thaiv hauv koj lub qhov muag kua muag, uas yog, txoj kev uas kua muag ntws mus. Hauv kev kho mob, peb hu qhov no tias '(Nasolacrimal Duct Obstruction)'. Hnub no, peb yuav tham txog qhov no kom meej, yooj yim heev.

Cov hlab kua muag raug thaiv yog dab tsi?

Hais yooj yim xwb, qhov uas cov kua muag txhaws yog thaum muaj ib yam dab tsi thaiv cov kua muag, ua rau lawv tsis ntws tawm ntawm peb lub qhov muag. Qhov kev txhaws no tuaj yeem ua rau cov kua muag ntws qeeb lossis nres lawv tag nrho. Qhov no ua rau cov kua muag sib sau ua ke hauv cov kua muag thiab rov qab mus rau hauv lub qhov muag.

Koj puas paub tias kua muag tseem ceeb rau peb lub qhov muag kom ua haujlwm tau zoo? Kua muag ua rau qhov muag noo thiab pab lub qhov muag nqus tau cov pa oxygen. Lwm yam yog tias kua muag kuj muaj cov tshuaj tiv thaiv kab mob. Cov no tiv thaiv lub qhov muag ntawm kev kis kab mob, lossis pab lawv kho sai dua yog tias lawv kis kab mob.

Xav txog nws zoo li lub qhov dej ntws los ntawm lub ru tsev. Cov qhov dej ntws sau cov dej thiab xa mus rau hauv cov yeeb nkab. Tab sis, yog tias cov yeeb nkab no raug txhaws qhov twg, cov dej yuav sau thiab pib npau tawm ntawm cov qhov dej ntws, puas yog? Nws yog li ntawd nrog qhov no.

Peb lub cev kua muag yog ib pawg ntawm cov qhov me me thiab cov qauv zoo li raj. Kua muag ntws tawm ntawm lub qhov muag li no:

1. Qhov Muag Poob: Txhua lub qhov muag muaj ob lub qhov me me nyob rau sab saud thiab sab hauv qab ntawm daim tawv muag. Ib qho ntawm cov no hu ua qhov muag poob. Nws zoo li lub qhov dej ntws hauv lub dab dej lossis lub dab da dej. Cov kua muag ntws los ntawm cov qhov no mus rau hauv cov raj hu ua canaliculi.

2. Canaliculi: Cov kua muag ntws los ntawm txhua lub qhov ntswg mus rau hauv ib lub raj me me hu ua canaliculus (plural: canaliculi). Ob lub raj no sib koom ua ke los ua ib lub raj loj dua, uas txuas rau lub qhov ntswg nasolacrimal.

3. Cov kav dej nasolacrimal: Cov no yog cov seem zoo li raj kawg uas cov kua muag ntws mus. Txhua lub kav dej kua muag yuav tsum muaj lub qhov me me nyob rau hauv qab kawg.

4. Lub qhov ntswg ntawm Hasner: Lub qhov ntswg no yog qhov qhib me me uas cia kua muag ntws mus rau hauv lub qhov ntswg. Feem ntau nws qhib nws tus kheej ua ntej peb yug los. Txawm li cas los xij, rau qee tus menyuam mos, nws yuav tsis tau qhib. Yog tias nws tsis qhib, nws hu ua Daim nyias nyias ntawm Hasner.

Cov hlab kua muag raug thaiv ntau npaum li cas?

Cov kua muag txhaws feem ntau tshwm sim rau cov menyuam yaus me . Lawv cuam tshuam rau ntawm 6% thiab 20% ntawm cov menyuam mos. Txawm li cas los xij, lawv tsis tshua muaj rau cov neeg laus.

Cov tsos mob ntawm cov hlab ntsha kua muag raug thaiv yog dab tsi?

Yog tias koj lossis koj tus menyuam muaj cov hlab kua muag uas raug thaiv, koj yuav muaj cov tsos mob zoo li:

• Epiphora: Ib qho kev xav ntawm kua muag ntws los ntawm lub qhov muag tas li .
• Tej yam xws li kua muag lo rau ntawm daim tawv muag lossis daim tawv muag, ua rau nws nyuaj rau qhib koj ob lub qhov muag thaum sawv ntxov .
• Xav txhuam lub qhov muag lossis thaj chaw ib puag ncig cov hlab ntsha uas raug txhaws tas li.
• Qhov muag liab thiab o vim yog kev sib txhuam ntau zaus.
• Xav tias koj lub zeem muag tsis meej me ntsis .

Qhov kev txhaws no kuj tseem ua rau cov kav dej kua muag yooj yim kis kab mob. Yog tias muaj kev kis kab mob zoo li no, cov tsos mob xws li:

• Qhov o los yog liab ntawm cov hlab ntsha tsim kua muag los yog cov nqaij nyob ib puag ncig.
• Kub taub hau .
• Quaj ntau zaus thiab tsis so (tshwj xeeb tshaj yog rau cov menyuam mos).
• Mob qhov muag los yog muaj kev xav tias muaj kev nyem hauv thaj chaw sinus .
• Liab los yog o ntawm lub qhov muag, suav nrog lub qhov muag dawb (sclera).

Vim li cas cov kav dej kua muag no thiaj raug thaiv?

Muaj ntau yam ua rau cov kua muag txhaws. Qee qhov yog los ntawm noob neej los , uas txhais tau tias lawv muaj thaum yug los. Lwm tus tshwm sim tom qab hauv lub neej.

Kev thaiv cov kua muag ntawm lub cev yug los

Feem ntau, ib tug me nyuam yaus yug los muaj ib txoj hlab kua muag uas raug thaiv vim tias "Valve of Hasner" uas tau hais ua ntej tau hloov los ntawm ib daim nyias nyias uas tsis tawg "Membrane of Hasner". Tom qab ntawd, cov kua muag yuav sib sau ua ke hauv txoj hlab kua muag. Raws li lub sijhawm dhau mus, cov kua muag uas sib sau ua ke no tuaj yeem ua rau txoj hlab kua muag o. Nws kuj tseem tuaj yeem ua rau muaj kev kis kab mob hauv txoj hlab kua muag lossis lwm qhov ntawm lub cev kua muag.

Lwm yam ua rau cov hlab ntsha txhaws

Cov hlab ntsha tsim kua muag raug thaiv feem ntau tshwm sim vim yog lwm yam mob, lossis qee zaum. Cov no feem ntau tshwm sim rau sab saud ntawm lub hlab ntsha tsim kua muag. Cia peb saib ob peb qho piv txwv:

• Kev kis kab mob: Kev kis kab mob mus sij hawm ntev hauv lossis nyob ib puag ncig koj lub qhov muag tuaj yeem ua rau cov nqaij caws pliav tsim. Qee zaum, cov nqaij caws pliav ntawd tuaj yeem ua rau cov hlab ntsha nqaim thiab thaiv.
• Kev Raug Mob: Kev raug mob rau koj lub ntsej muag, qhov muag, lossis qhov ntswg tuaj yeem ua rau o thiab hloov pauv cov nqaij nyob ib puag ncig cov kav dej kua muag. Txhua qhov o, kev hloov pauv ntawm cov nqaij, lossis kev thaiv uas cuam tshuam rau ib feem ntawm lub cev no tuaj yeem ua rau muaj kev thaiv.
• Dacryostenosis: Qee zaum koj cov hlab kua muag yuav nqaim thaum yug los, lossis lawv tuaj yeem nqaim dua tom qab. Ob qho no tuaj yeem ua rau txhaws.
• Kev Laus: Thaum koj laus zuj zus, cov kav dej kua muag thiab thaj chaw nyob ib puag ncig lawv tuaj yeem hloov pauv thiab nyias dua.
• Cov qog nqaij hlav lossis cov qog loj hlob: Cov no suav nrog cov qog nqaij hlav tsis muaj mob thiab cov qog nqaij hlav mob qog noj ntshav (txawm hais tias cov no tsis tshua muaj). Ib hom qog nqaij hlav hu ua mucocele kuj tuaj yeem thaiv cov kav dej kua muag. Cov no yog cov hnab me me, puv nrog cov hnoos qeev uas tsim nyob rau hauv ethmoid sinuses, qhov sinus cavities ntawm ob sab ntawm lub qhov ntswg.
• Dacryoliths: Cov no tuaj yeem tsim thaum cov kua muag sib sau ua ke thiab tuab. Yog tias lawv loj, lawv tuaj yeem thaiv cov kav dej kua muag.

Cov yam ua rau muaj kev pheej hmoo ntawm cov hlab ntsha tsim kua muag raug txhaws yog dab tsi?

Cov menyuam mos feem ntau yuav muaj cov hlab ntsha kua muag txhaws. Feem ntau, cov hlab ntsha no txhaws vim tias daim nyias nyias ntawm qhov kawg ntawm cov hlab ntsha nasolacrimal tsis qhib thiab tsim ib lub valve hu ua Valve of Hasner.

Cov neeg laus yuav muaj feem ntau dua los tsim cov hlab ntsha kua muag txhaws yog tias lawv muaj keeb kwm ntawm:

• Cov mob qhov muag uas mob mus ntev, piv txwv li '(Uveitis)' .
• Kab mob qhov muag (Glaucoma ).
• Yog tias koj tau phais qhov muag lossis qhov ntswg .
• Yog tias koj tau txais kev kho mob qog noj ntshav ua ntej , piv txwv li, kev kho hluav taws xob lossis chemotherapy.

Cov teeb meem ntawm cov hlab ntsha tsim kua muag raug thaiv yog dab tsi?

Cov kav dej kua muag uas raug txhaws yog qhov chaw zoo rau cov kab mob loj hlob. Yog li ntawd, cov kab mob kis los yog cov kab mob abscesses yog qhov teeb meem tseem ceeb . Cov kab mob no tuaj yeem cuam tshuam rau koj cov sinuses, qhov muag, thiab cov nqaij nyob ib puag ncig. Yog vim li ntawd nws thiaj li tseem ceeb heev rau kev kho cov kab mob kom tiv thaiv nws kom tsis txhob kis mus rau lwm tus.

Yuav ua li cas koj thiaj paub tias cov kua muag raug thaiv?

Feem ntau tus kws kho qhov muag lossis lwm tus kws kho mob tuaj yeem kuaj mob no raws li koj cov tsos mob thiab los ntawm kev kuaj xyuas thiab kov ib ncig ntawm lub qhov muag thiab cov kav dej kua muag. Lawv kuj tseem yuav nug koj txog koj cov tsos mob. Yog tias lawv xav tias koj tus menyuam muaj cov kav dej kua muag raug thaiv, lawv yuav kuaj xyuas nws thiab ua qee qhov kev kuaj xyuas kom pom tias puas muaj kev thaiv.

Ib qho kev sim yooj yim yog "kev sim kom cov xim ploj mus." Hauv qhov kev sim no, tus kws kho mob muab ib tee ntawm cov xim tshwj xeeb hu ua fluorescein rau hauv koj lub qhov muag. Fluorescein ci xiav. Yog li tus kws kho mob tuaj yeem muab ib tee ntawm cov xim no rau hauv cov kua ntsev thiab muab cov kua ntsev ntawd rau hauv koj lub qhov muag. Tom qab tsib feeb, lawv tuaj yeem tuav lub teeb dub kom pom tias cov xim puas tseem nyob ntawd. Yog tias nws tseem nyob ntawd, nws qhia tias koj muaj qhov txhaws tag nrho lossis ib nrab ntawm cov kua muag.

Kuj tseem yuav muaj lwm yam kev kuaj mob, tshwj xeeb yog tias koj tus kws kho mob xav tias koj cov kua muag raug txhaws yog los ntawm lwm yam mob lossis teeb meem. Cov kev kuaj mob uas lawv pom zoo yuav nyob ntawm koj cov tsos mob, qhov xwm txheej, thiab yam uas lawv xav tias.

Vim muaj ntau yam cuam tshuam rau qhov no, nws yog qhov zoo tshaj plaws los tham nrog lawv txog koj cov kev xaiv kuaj mob. Lawv tuaj yeem muab cov ntaub ntawv uas cuam tshuam thiab tseem ceeb rau koj qhov xwm txheej tshwj xeeb.

Yuav kho qhov teeb meem ntawm cov kua muag uas raug txhaws li cas? Puas muaj kev kho rau qhov no?

Cov hlab ntsha tsim kua muag raug txhaws yog ib qho mob uas kho tau zoo heev.Txawm li cas los xij, cov kev xaiv kho mob sib txawv nyob ntawm tus neeg mob lub hnub nyoog thiab lwm yam. Qhov mob no qee zaum tuaj yeem zoo dua yam tsis tau kev kho mob, tshwj xeeb tshaj yog rau cov menyuam mos. Txawm li cas los xij, nws yog qhov zoo tshaj plaws los sim kho nws kom tiv thaiv cov teeb meem xws li kev kis kab mob.

Qee cov kev kho mob, xws li tshuaj tua kab mob, tuaj yeem muab rau cov neeg txhua lub hnub nyoog. Cov no feem ntau yog muab yog tias muaj kev kis kab mob cuam tshuam nrog lub qhov muag txhaws. Lawv tuaj yeem tuaj yeem ua cov tshuaj pleev lossis tshuaj qhov muag. Lwm cov tshuaj kuj tseem yuav pab tau. Koj tus kws kho qhov muag tuaj yeem qhia koj ntxiv txog cov kev xaiv no.

Kev kho mob tseem ceeb rau cov kua muag uas raug txhaws hauv cov menyuam mos thiab cov menyuam yaus yog kev zaws tshwj xeeb uas tuaj yeem ua tau hauv tsev . Yog tias koj tus menyuam lossis tus menyuam uas koj saib xyuas muaj tus mob no, lawv tus kws kho mob menyuam yaus yuav qhia koj paub yuav ua li cas. Kev zaws no feem ntau txaus kom ua rau daim nyias nyias tawg thiab ua lub qhov dej. Xav txog seb kev zaws me ntsis tuaj yeem ua tau ntau npaum li cas!

Yog tias tus menyuam txoj kev txhaws tsis zoo dua los ntawm kev zaws thaum lawv hnub yug thawj zaug, lawv yuav xav tau kev kho mob sib txawv. Tsis tas li ntawd, kev zaws tsis pab ntau rau cov neeg laus , yog li ntawd feem ntau yuav tsum tau kho lwm yam.

Qee cov kev kho mob no yuav xav tau kev siv tshuaj loog lossis tshuaj loog. Koj (lossis koj tus menyuam) tus kws kho qhov muag lossis tus kws kho mob tuaj yeem piav qhia vim li cas lawv thiaj pom zoo kom siv tshuaj loog.

Kev nthuav dav, kev soj ntsuam thiab kev ywg dej

Cov txheej txheem peb kauj ruam no yog ib txoj hauv kev yooj yim los kho cov hlab ntsha uas raug txhaws. Nws tuaj yeem pab cov menyuam mos uas tsis teb rau kev zaws, thiab feem ntau nws yog thawj qhov kev kho mob rau cov menyuam loj dua thiab cov neeg laus.

Cov kauj ruam ntawm cov txheej txheem no yog raws li nram no:

1. Kev nthuav dav: Hauv thawj kauj ruam no, tus kws kho qhov muag yuav nthuav (ua kom dav) qhov puncta uas raug cuam tshuam thiab lwm yam qauv ntawm lub kaw lus kua muag. Qhov no ua chaw rau qhov yuav tshwm sim hauv kauj ruam tom ntej.

2. Kev Tshawb Xyuas: Hauv kauj ruam no, tus kws kho qhov muag siv cov cuab yeej/cov cuab yeej tshwj xeeb los tshuaj xyuas (tshawb xyuas) qhov txhaws ntawm cov kav dej kua muag. Qhov no yuav pab lawv nrhiav qhov ua rau txhaws thiab, yog tias ua tau, tshem nws tawm.

3. Kev ywg dej: Kauj ruam kawg no yog ntxuav lub qhov muag nrog cov kua ntsev kom paub tseeb tias nws huv thiab ntws dej tau zoo.

Kev nthuav dav ntawm lub npas

Thaum kev nthuav dav yooj yim, kev tshuaj xyuas, thiab kev ywg dej tsis txaus, tej zaum yuav xav tau kev ua kom dav dua. Yog li ntawd, koj tus menyuam tus kws kho qhov muag yuav siv lub cuab yeej uas muaj lub npas me me txuas nrog. Lawv yuav maj mam thiab maj mam ua kom lub npas puv rau hauv qhov chaw nqaim. Qhov kev thawb mus rau sab hauv no feem ntau tuaj yeem ua rau lub raj dav dua thiab daws qhov teeb meem.

Kev siv stenting los yog intubation

Muaj tej lub sij hawm, tsuas yog siv lub npas loj xwb yuav tsis ua rau lub qhov dej kua muag nqaim mus tas li. Yog li ntawd, kev ntxig ib lub raj lossis stent yuav yog qhov kev xaiv zoo tshaj plaws. Cov khoom siv no muab ib lub thav khov kho thiab khoob uas tuaj yeem ua rau lub qhov dej qhib thiab cia kua muag ntws.

Cov txheej txheem phais

Muaj tej lub sij hawm, kev phais yog qhov kev xaiv zoo tshaj plaws, los kho qhov uas cov kua muag txhaws los yog hla nws thiab tsim lwm txoj kev rau cov kua muag ntws tawm. Muaj ob hom kev phais tseem ceeb:

• Dacryocystorhinostomy (DCR): Hauv txoj kev phais no, tus kws phais yuav tsim ib txoj kev bypass rau cov kua muag ntws los. Txoj kev tshiab no hla dhau qhov kev thaiv uas twb muaj lawm.
• Conjunctivodacryocystorhinostomy (CDCR): Qhov kev phais no rov tsim kho koj lub qhov muag tag nrho.

Cov txiaj ntsig, qhov tsis zoo, thiab tej yam teeb meem ntawm cov kev phais no sib txawv heev. Hom kev txhaws uas koj muaj, nws qhov chaw, thiab lwm yam tuaj yeem cuam tshuam rau qhov no. Koj tus kws phais lossis kws kho qhov muag yog qhov chaw zoo tshaj plaws ntawm cov ntaub ntawv txog yam yuav tshwm sim.

Puas tiv thaiv tau cov hlab kua muag uas raug thaiv?

Cov hlab kua muag txhaws tshwm sim rau cov laj thawj uas koj tsis tau xav txog, koj tswj tsis tau, lossis koj tsis pom. Qhov ntawd txhais tau tias tsis muaj txoj hauv kev los tiv thaiv lawv .

Txawm li cas los xij, muaj ob peb yam koj ua tau los txo qhov muaj teeb meem uas yuav ua rau txhaws. Cov no feem ntau yog tsim los ntawm kev tiv thaiv kev kis kab mob. Cov kev ceev faj no suav nrog:

• Tsis txhob txhuam koj ob lub qhov muag ntau zaus lossis kov lawv yam tsis tsim nyog.
• Tsis txhob sib koom cov khoom siv rau qhov muag, xws li cov tshuaj qhov muag lossis cov tshuaj pleev ib ce, nrog lwm tus.
• Ua raws li koj tus kws kho qhov muag cov lus qhia thaum ntxuav cov iav ntsiab muag.
• Hloov cov tshuaj pleev ib ce xws li mascara, eyeliner, thiab eyeshadow txhua peb mus rau rau lub hlis.
• Ntxuav koj txhais tes kom huv si.

Yog tias kuv (lossis kuv tus menyuam) muaj cov kav dej kua muag txhaws, kuv yuav xav tau dab tsi?

Feem ntau yog qhov tshwm sim zoo rau cov kav dej kua muag uas raug thaivNws nyob ntawm seb ua li cas. Cov kav dej kua muag raug thaiv tsis yog qhov txaus ntshai ntawm nws tus kheej. Tab sis qee qhov ua rau tuaj yeem ua rau muaj. Tsis tas li ntawd, kev thaiv tuaj yeem ua rau muaj kev kis kab mob txaus ntshai, yog li nws tseem ceeb heev kom paub txog kev thaiv thiab nrhiav kev kho mob.

Kev thaiv qhov quav uas yug los muaj qhov tshwm sim zoo heev . Kwv yees li 70% ntawm cov menyuam uas muaj cov kev thaiv no zoo dua thaum muaj hnub nyoog 6 lub hlis, thiab kwv yees li 90% zoo dua thaum lawv hnub yug thawj zaug. Txawm hais tias cov kev thaiv no tuaj yeem ploj mus ntawm lawv tus kheej, kev zaws tuaj yeem ua kom cov txheej txheem sai dua thiab txo qhov muaj feem yuav kis kab mob lossis lwm yam teeb meem. Kev thaiv qhov quav uas yug los feem ntau tsis ua rau muaj teeb meem tom qab hauv lub neej.

Rau cov neeg laus, feem ntau qhov tshwm sim zoo, nyob ntawm seb ua rau muaj dab tsi. Muaj ntau yam ua rau, tshwj xeeb tshaj yog cov uas muaj feem cuam tshuam nrog kev raug mob, teb tau zoo rau kev kho mob, thiab muaj ntau txoj hauv kev los pab. Koj tus kws kho qhov muag tuaj yeem qhia koj tias kev kho mob twg yuav pab tau zoo tshaj plaws, koj tuaj yeem cia siab tias yuav muaj dab tsi tshwm sim, thiab koj tuaj yeem ua dab tsi los txhim kho cov txiaj ntsig ntawd.

Kuv yuav saib xyuas kuv tus kheej li cas?

Yog tias koj (lossis ib tug menyuam uas koj saib xyuas) muaj cov kua muag txhaws, tus kws kho qhov muag yuav qhia koj txog kev kho thiab tswj nws. Koj yuav tsum tsis txhob sim kuaj mob lossis kho cov kua muag txhaws ntawm koj tus kheej . Yog tias koj xav tias koj muaj cov tsos mob ntawm kev txhaws, koj yuav tsum teem sijhawm nrog tus kws kho qhov muag thiab mus ntsib lawv sai li sai tau.

Thaum twg kuv yuav tsum mus ntsib kuv tus kws kho mob lossis nrhiav kev pab?

Yog koj lub qhov muag txhaws, koj tus kws kho qhov muag yuav muab cov lus qhia thiab kev taw qhia rau koj txog kev kho mob. Koj tuaj yeem nug lawv seb koj yuav tsum saib xyuas cov cim thiab cov tsos mob li cas, seb koj puas yuav tsum hu rau lawv lossis nrhiav kev pab kho mob tam sim ntawd.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Tej zaum koj yuav xav nug koj tus kws kho qhov muag lossis tus kws kho mob cov lus nug no:

• Dab tsi yog qhov ua rau cov hlab ntsha tsim kua muag raug txhaws?
• Koj pom zoo kom siv hom kev kho mob twg?
• Puas muaj tej yam tshwm sim ntawm kev kho mob?
• Qhov kev txhaws ntawm cov kua muag puas cuam tshuam nrog lwm yam mob?
• Kuv ua tau dab tsi los tiv thaiv qhov kev thaiv no kom tsis txhob rov qab los?

Thaum kawg, cov lus coj mus tsev:

Cov kav dej kua muag uas raug txhaws tuaj yeem ua rau cov neeg laus tsis xis nyob thiab mob. Thiab yog tias koj muaj ib tug menyuam uas koj saib xyuas uas muaj ib tug, nws yog ib qho ib txwm muaj kev ntxhov siab thiab ntshai. Zoo hmoo, cov kav dej kua muag uas raug txhaws yog ib qho mob uas kho tau zoo heev . Feem ntau cov menyuam yaus rov zoo sai, tshwj xeeb tshaj yog nrog cov txheej txheem zaws lub ntsej muag yooj yim. Qhov tshwm sim rau cov neeg laus feem ntau kuj zoo, tshwj xeeb tshaj yog nrog qee qhov ua rau thiab cov yam ntxwv uas ua rau muaj.

Yog koj xav tias koj tus menyuam (lossis koj tus kheej) muaj cov kua muag txhaws, nco ntsoov nrog kws kho qhov muag lossis lwm tus kws kho mob tham. Kev kuaj mob thiab kev kho mob thaum ntxov tuaj yeem ua qhov sib txawv loj hauv kev tshem tawm cov kua muag txhaws thiab txo qhov kev ntxhov siab uas los nrog lawv. Tsis txhob txhawj, muaj cov kev daws teeb meem!

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