Koj tus me nyuam puas muaj kua muag hauv nws lub qhov muag? Cia peb kawm txog Blocked Tear Duct thiab Tear Duct Probe hauv txoj kev yooj yim!

Koj tus me nyuam lub qhov muag puas ntws kua muag tas li? Los yog nws zoo li lawv puv nrog kua muag? Qee zaum qhov no tuaj yeem ua rau cov niam txiv ntshai me ntsis. Tab sis tsis txhob txhawj. Feem ntau, qhov no yog tshwm sim los ntawm ib qho mob hu ua cov kua muag txhaws, uas yog ib qho tshwm sim ntau rau cov menyuam yaus . Hnub no, peb yuav tham txog dab tsi yog cov kua muag txhaws thiab kev kho mob yooj yim hu ua cov cuab yeej ntsuas kua muag.

Cov kua muag no yog dab tsi tiag? Cov kav kua muag yog dab tsi?

Ua ntej, cia peb saib seb cov kua muag no yog dab tsi, lawv tsim tawm li cas, thiab vim li cas peb thiaj xav tau lawv. Xav txog nws zoo li peb lub qhov muag zoo li ob lub koob yees duab me me. Lub lens koob yees duab no, uas yog, lub qhov muag, yuav tsum tau khaws cia kom noo thiab huv si txhua lub sijhawm. Qhov ntawd yog qhov kua muag pab tau.

Muaj cov qog me me nyob hauv qab peb lub qhov muag sab saud, sab nraud ntawm peb lub qhov muag. Peb hu cov no ua cov qog kua muag . Lawv zoo li lub thoob dej. Cov qog no tsim cov kua muag. Cov kua muag no ntws los ntawm qhov muag, nthuav dav thoob plaws lub qhov muag, ua rau lub qhov muag ntub, tshem tawm cov av thiab cov khib nyiab, thiab ntxuav nws. Tsis yog li ntawd xwb, tab sis cov kua muag no kuj tseem tuaj yeem tawm tsam cov kab mob uas nkag mus rau hauv lub qhov muag.

Tam sim no, ib yam li peb xav tau pov tseg cov dej siv lawm, cov kua muag siv lawm no kuj yuav tsum tau muab tshem tawm ntawm lub qhov muag. Qhov ntawd yog lub hauv paus ntawm lub qhov muag. Xav txog nws zoo li lub hauv paus ntawm kev ntws dej hauv peb lub tsev. Ntawm lub ces kaum sab hauv ntawm lub qhov muag, ntawm lub qhov muag sab saud thiab sab qis, muaj ob lub qhov me me (`(Puncta)`). Cov kua muag nkag los ntawm cov qhov no, mus ncig los ntawm cov raj me me (`(Canaliculi)`) thiab sau rau hauv ib lub hnab me me hu ua lub hnab kua muag (`(Lacrimal Sac)`) . Tom qab ntawd los ntawm qhov ntawd, lawv mus ncig los ntawm lwm lub raj ntev (`(Nasolacrimal Duct)`) thiab sau rau hauv lub qhov ntswg. Yog vim li cas thaum peb quaj ntau , cov kua muag kuj tawm ntawm peb lub qhov ntswg. Koj puas nkag siab?

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

Zoo, tam sim no peb paub tias cov kua muag tsim li cas thiab lawv ntws tawm ntawm lub qhov muag li cas. Yog li ntawd, vim li cas cov kav dej kua muag no thiaj raug thaiv?

Peb feem ntau pom qhov mob no rau cov menyuam mos . Qhov laj thawj rau qhov no yog vim, raws li tau hais ua ntej, cov kav dej kua muag txuas rau lub qhov ntswg, thiab thaum kawg ntawm cov kav dej ntawd yog ib daim nyias nyias me me (`(Membrane)`). Daim nyias nyias no raug kaw thaum tus menyuam nyob hauv plab. Feem ntau, daim nyias nyias no qhib tau thaum tus menyuam yug los lossis ob peb hnub tom qab yug los. Txawm li cas los xij, rau qee tus menyuam mos, daim nyias nyias no yuav tsis qhib. Qhov ntawd yog thaum cov kua muag tsis muaj txoj hauv kev mus rau lub qhov ntswg, thiab lawv tau daig hauv qhov muag, thiab cov kua muag yuav tsum khiav tawm ntawm qhov muag. Peb hu qhov no ua qhov kev thaiv ntawm cov kav dej nasolacrimal txij thaum yug los (`(Congenital Nasolacrimal Duct Obstruction)`) . Qhov no yog qhov laj thawj tseem ceeb rau kev thaiv ntawm cov kav dej kua muag rau cov menyuam mos.

Tej zaum yuav muaj lwm yam ua rau cov kua muag txhaws rau cov menyuam yaus lossis cov neeg laus. Piv txwv li:

• Kab mob ntawm qhov muag lossis qhov ntswg (`( Kab mob )`)
• Kev raug mob rau lub qhov muag lossis lub qhov ntswg
• Cov kev hloov pauv uas tshwm sim nrog hnub nyoog
• Qee cov qog uas tsim nyob rau hauv lub qhov ntswg (`(Nasal Polyps)`)
• Tsis tshua muaj tej yam mob xws li qog nqaij hlav ('(Tumors)') tshwm sim tau hauv lub qhov muag. Txawm li cas los xij, cov no tsis tshua muaj.

Yog vim li ntawd, yog tias koj lossis koj tus menyuam muaj cov tsos mob no, koj yuav tsum mus ntsib kws kho mob, tshwj xeeb yog kws kho qhov muag . Lawv mam li nrhiav tau qhov ua rau mob.

Koj paub li cas yog tias cov hlab kua muag raug thaiv?

Tam sim no tej zaum koj yuav xav tias, 'Kuv tsis paub tias kuv tus menyuam puas muaj qhov teeb meem no thiab.' Yog li, cia peb saib seb cov tsos mob ntawm cov kav dej kua muag txhaws yog dab tsi.

• Qhov muag ntub thiab quaj tas li (`( Epiphora )`) : Qhov no yog cov tsos mob tseem ceeb. Txawm tias thaum tus menyuam tsis quaj los, cov kua muag tseem pom tau hauv qhov muag thiab qee zaum ntws los ntawm sab plhu.
• Cov kua tawm hauv qhov ntswg : Cov kua tawm hauv qhov ntswg, tshwj xeeb tshaj yog thaum koj sawv thaum sawv ntxov, tej zaum yuav sib sau ua ke nyob ib ncig ntawm daim tawv muag. Qhov no qee zaum tuaj yeem ua rau daim tawv muag lo ua ke.
• Liab los yog o ntawm lub ces kaum sab hauv ntawm lub qhov muag : Thaj chaw uas lub hnab kua muag nyob ("Thaj Chaw Hnab Kua Muag") qee zaum yuav liab, o, thiab mob thaum kov. Qhov no tuaj yeem tshwm sim yog tias lub hnab kua muag kis kab mob ("Dacryocystitis"). Yog tias qhov no tshwm sim, koj yuav tsum mus ntsib kws kho mob tam sim ntawd .
• Sim so lawv lub qhov muag ntau zaus : Cov menyuam mos yuav tsis xis nyob vim lawv lub qhov muag puv nrog kua muag. Yog li ntawd lawv feem ntau sim so lawv lub qhov muag nrog lawv txhais tes.
• Qhov muag zoo li tsis meej : Qee zaum qhov muag pom kev tuaj yeem tsis meej me ntsis vim yog tsim kua muag ntau dhau.

Nco ntsoov tias, yog tias koj tus menyuam muaj ib lossis ntau yam ntawm cov tsos mob no, qhov zoo tshaj plaws uas yuav tsum ua yog mus ntsib kws kho qhov muag . Lawv tuaj yeem saib nws ze ze thiab qhia koj seb nws puas yog lub qhov muag txhaws, thiab yog tias muaj, yuav ua li cas txog nws.

Yuav ua li cas tau? Cov kauj ruam yooj yim.

Zoo, yog li tam sim no koj tau mus ntsib kws kho mob thiab tau lees paub tias koj tus menyuam lub qhov muag raug thaiv. Tus kws kho mob yuav muab kev kho mob dab tsi rau koj?

Feem ntau, tshwj xeeb tshaj yog rau cov menyuam mos tshiab, cov kws kho mob tsis kho tam sim ntawd. Vim tias, raws li tau hais ua ntej, feem ntau cov menyuam mos cov kua muag uas raug txhaws yuav qhib nws tus kheej hauv thawj xyoo.Yog li ntawd, thawj qhov uas yuav tsum ua yog tos me ntsis ua siab ntev.

Tib lub sijhawm ntawd, tus kws kho mob yuav qhia koj yuav ua li cas zaws lub hnab kua muag (`(Crigler Massage)`) . Qhov no yooj yim heev.

• Ua ntej, koj yuav tsum ntxuav koj txhais tes kom huv si nrog xab npum.
• Tom qab ntawd, muab koj tus ntiv tes xoo (qee tus neeg kuj siv koj tus ntiv tes xoo) tso rau ntawm ces kaum sab hauv ntawm koj tus menyuam lub qhov muag, hauv lub pob me me ntawm lub qhov ntswg thiab lub qhov muag (qhov chaw uas cov kua muag nyob), thiab maj mam nias thiab txhuam rau ntawm lub qhov ntswg . Zoo li xa xov me me.
• Tus kws kho mob hais kom ua li no ob lossis peb zaug hauv ib hnub, kwv yees li tsib lossis rau zaug hauv ib zaug.

Qhov kev zaws no ua rau lub siab nyob rau hauv lub hnab kua muag nce ntxiv thiab pab qhib lub daim nyias nyias uas raug txhaws.

Tsis tas li ntawd xwb, yog tias koj tus menyuam lub qhov muag tawv, uas txhais tau tias lawv muaj kab mob me me, tus kws kho mob yuav sau ntawv kom ntxuav qhov muag thiab muab tshuaj tua kab mob rau qhov muag kom tswj tau kab mob . Thaum ntxuav qhov muag, siv daim paj rwb so hauv dej huv, huv si los so qhov muag ntawm sab hauv mus rau sab nraud. Tsis txhob siv daim paj rwb qub dua.

Feem ntau, tej yam yooj yim no daws tau qhov teeb meem hauv ob peb lub hlis. Tab sis yog tias qhov ntawd tsis tshwm sim, peb tab tom xav txog kauj ruam tom ntej.

Lub tshuab ntsuas kua muag yog dab tsi?

Xav txog seb, txawm tias tom qab ob peb lub hlis ntawm kev zaws, tus menyuam cov kua muag tseem tsis tau tso tseg. Los yog, lawv pheej muaj kab mob qhov muag. Thaum ntawd cov kws kho mob xav txog kev kho mob hu ua kev soj ntsuam cov kua muag .

Hais yooj yim xwb, qhov no yog txheej txheem ntawm kev qhib lub qhov muag uas raug txhaws siv ib lub cuab yeej nyias . Qhov no yog ua los ntawm tus kws kho qhov muag . Qhov no feem ntau suav tias yog kev phais me me, tab sis nws tsis suav nrog kev phais loj.

Lub cuab yeej siv rau qhov no hu ua 'probe' . Nws yog ib lub cuab yeej uas nyias nyias, zoo li tus pas hlau. Nws muaj ib qho chaw du, yog li nws tsis ua rau lub qhov kua muag puas. Nws yog siv los maj mam thawb lub membrane uas raug thaiv lossis lwm yam kev thaiv me me, ua ib txoj hauv kev rau cov kua muag ntws.

Qhov kev kuaj/kev kho mob no ua li cas?

Tam sim no tej zaum koj xav paub tias yuav ua li cas, thiab nws puas yuav ua rau tus menyuam mob? Tsis txhob txhawj, kuv yuav piav qhia qhov ntawd thiab.

Thaum ua qhov no '(Probing)', cov menyuam mos feem ntau yuav raug muab tshuaj loog dav dav ('(General Anesthesia)') . Qhov no txhais tau tias tus menyuam yuav raug muab tso pw tsaug zog ib pliag. Qhov no ua kom tus menyuam tsis hnov ​​​​dab tsi, tsis ntshai, thiab tsis txav. Tom qab ntawd tus kws kho mob tuaj yeem ua qhov no yooj yim thiab muaj kev nyab xeeb. Qee zaum, rau cov menyuam yaus lossis cov neeg laus uas loj dua me ntsis, qhov no tuaj yeem ua tiav los ntawm kev siv cov tshuaj loog hauv zos ('(Local Anesthetic Eye Drops)'). Qhov ntawd yog nyob ntawm tus kws kho mob txiav txim siab.

Tom qab muab tshuaj loog, tus kws kho mob yuav ua cov hauv qab no:

1. Ua ntej, lub qhov me me (`(Punctum)`) ntawm lub ces kaum sab hauv ntawm lub qhov muag uas tau hais ua ntej lawm raug ua kom loj dua me ntsis, siv cov cuab yeej mos mos.

2. Tom qab ntawd, lub 'Probe', ib tug pas hlau nyias nyias , raug ntxig rau hauv lub qhov ntawd kom zoo zoo thiab xa mus rau hauv cov hlab ntsha nasolacrimal.

3. Thaum lub 'Probe' no dhau mus, yog tias muaj ib daim nyias nyias uas raug thaiv lossis lwm yam kev thaiv me me, nws yuav maj mam tawg. Qhov no yuav tsim ib txoj hauv kev rau cov kua muag ntws.

4. Thaum kawg, tus kws kho mob yuav txhaj cov tshuaj saline sterile (`(Sterile Saline Solution)`) rau hauv cov hlab ntsha kua muag nrog ib lub koob txhaj me me kom pom tias qhov dej ntws mus rau hauv lub qhov ntswg puas qhib thiab cov kua dej ntws mus rau hauv lub qhov ntswg. Nws zoo li ntxuav cov hlab ntsha uas txhaws los ntawm kev ntws dej hla nws. Qee zaum, cov xim zas (`(Dye)`) raug ntxiv rau cov tshuaj saline no thiab cov xim pom tawm ntawm lub qhov ntswg, uas tuaj yeem lees paub tias qhov dej ntws qhib.

Tag nrho cov txheej txheem tsuas yog siv sijhawm ob peb feeb xwb , yog li tus menyuam tsis tas yuav siv tshuaj loog ntev.

Tom qab kuaj tas lawm, yuav muaj dab tsi tshwm sim?

Zoo, tam sim no qhov '(Kev Tshawb Nrhiav)' tas lawm. Yuav muaj dab tsi tshwm sim tom ntej?

• Feem ntau, tus me nyuam tuaj yeem mus tsev tau tib hnub ntawd. Tom qab sawv los ntawm kev siv tshuaj loog, lawv raug saib xyuas ib pliag ua ntej xa mus tsev.
• Ob peb hnub thawj zaug, tej zaum koj yuav muaj qee qhov muag ntws dej, tej zaum kua muag liab dawb (nrog me ntsis ntshav) . Tej zaum koj kuj yuav muaj qee cov kua tawm ntawm koj lub qhov ntswg. Qhov no yog ib txwm muaj, tsis txhob txhawj . Nws yuav ploj mus rau ob peb hnub.
• Feem ntau tus kws kho mob yuav sau ntawv kom muab tshuaj tua kab mob rau ob peb hnub. Nws yog muab rau kom tiv thaiv kev kis kab mob. Nws yuav tsum tau siv raws li tus kws kho mob hais, rau lub sijhawm tseeb.
• Qee zaum, tus kws kho mob yuav hais kom koj txuas ntxiv zaws lub hnab kua muag ib yam li koj tau ua ua ntej rau ob peb hnub ntxiv . Qhov no yuav pab tiv thaiv kom lub qhov kua muag tshiab qhib tsis txhob kaw dua.
• Tus kws kho mob yuav hais kom koj rov qab los ntsib kws kho mob dua kom paub seb koj puas muaj mob dab tsi.

Qhov kev kho mob "(Probing)" no muaj kev vam meej ntau heev , tshwj xeeb tshaj yog thaum ua rau cov menyuam yaus hnub nyoog qis dua ib xyoos. Feem ntau, qhov teeb meem no daws tau tag nrho tom qab kho ib zaug xwb.

Puas muaj tej yam txaus ntshai uas cuam tshuam nrog?

Ib yam li lwm yam kev kho mob, kev soj ntsuam qhov muag tsis yog yam tsis muaj kev pheej hmoo. Txawm li cas los xij, feem ntau nws yog ib qho kev kho mob uas muaj kev nyab xeeb heev . Cov teeb meem tsis tshua muaj thaum ua los ntawm tus kws kho qhov muag uas muaj kev paub dhau los.

Tej yam uas yuav tshwm sim tau yog:

• Kev kis kab mob : Qhov muaj feem yuav tshwm sim no tsawg heev, vim tias cov tshuaj tua kab mob raug muab tom qab kev kho mob.
• Kev Los Ntshav : Feem ntau yuav muaj kev los ntshav me ntsis xwb, thiab nws yuav tsum tsis txhob los ntshav lawm.
• Ua ib txoj kev tsis ncaj ncees lawm (`(Kev Cuav)`)Thaum lub 'probe' dhau mus, nws muaj peev xwm mus rau lwm txoj kev thiab tsim ib txoj kev tshiab es tsis yog txoj hlab kua muag tiag tiag. Txawm li cas los xij, qhov no tsis tshua muaj tshwm sim nrog tus kws kho mob uas muaj kev paub dhau los.
• Kev Caj Dab : Kev caws pliav tuaj yeem tsim tau sab hauv lub raj tso kua muag thiab ua rau nws rov qab raug thaiv dua. Qhov no kuj tsis tshua muaj.
• Rov Qab Muaj Kev Txhaws : Qee zaum, txawm tias tom qab kuaj xyuas lawm, cov kav dej kua muag kuj tseem yuav raug txhaws dua tom qab ib pliag. Yog tias qhov no tshwm sim, koj yuav tsum tau kuaj xyuas dua, lossis koj yuav tsum tau ua lwm yam kev kho mob (piv txwv li, muab ib lub raj me me rau hauv cov kav dej kua muag - stenting - lossis txawm tias phais mob nyuaj dua). Tab sis koj tus kws kho mob yuav piav qhia qhov no rau koj.
• Kev Pheej Hmoo ntawm Kev Siv Tshuaj loog : Yog tias koj tus menyuam raug muab tshuaj loog dav dav, muaj qee qhov kev pheej hmoo cuam tshuam nrog nws. Tus kws kho mob loog yuav piav qhia cov no rau koj kom meej ua ntej kev kho mob.

Qhov tseem ceeb tshaj plaws yog nug tus kws kho mob txog tej lus nug lossis kev txhawj xeeb uas koj muaj. Lawv yuav piav qhia txhua yam rau koj.

Thaum kawg, nco ntsoov qhov no.

Zoo, yog li cia peb rov qhia koj txog ob peb yam uas peb tau tham hnub no uas peb xav tias tseem ceeb rau koj.

• Cov hlab kua muag raug txhaws yog ib qho uas tshwm sim ntau heev rau cov menyuam mos , yog li ntawd tsis txhob txhawj ntau dhau txog nws.
• Feem ntau, qhov mob no yuav zoo dua thaum tus me nyuam muaj li ib xyoos , lossis kho tau los ntawm kev zaws yooj yim.
• Yog tias qhov ntawd tsis ua haujlwm, kev siv lub tshuab ntsuas kua muag yog ib txoj kev kho mob uas muaj kev nyab xeeb thiab zoo heev .
• Yog tias koj tus menyuam lub qhov muag ntws dej tas li los yog khaus, koj yuav tsum mus ntsib kws kho qhov muag . Lawv yuav yog cov uas tuaj yeem kuaj xyuas lawv kom zoo thiab muab cov lus qhia zoo tshaj plaws rau koj thiab koj tus menyuam.
• Tham nrog kws kho mob kom meej thiab nug thiab tshem tawm tag nrho koj cov lus nug thiab kev tsis ntseeg . Nws yog koj txoj cai.

Yog li ntawd, kuv vam tias qhov kev sib tham no tau pab tau koj. Kuv vam tias koj tus menyuam yuav zoo sai sai!

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