I naupang tê mitmeng chu a hrual reng em? A nih loh leh zing lamah i mit pahnih chu a inzawm khawm a, i mitmeng chu a inzawm tlat a ni em? A châng chuan, puitling i nih tawh pawhin, chhan awm lovin mit pakhat aṭangin mittui a luang chhuak reng tih i tawng tawh mai thei. Hetiang thil i hmuh hian tlem a hlauhthawn hi thil pangngai a ni. Mahse hei hi a chhan chu "blocked tear ducts" an tih dinhmun a ni fo thin a, chu chu tunlai hian kan sawi mek a ni. Hlauh tur a awm lo, engkim hi a awlsam zawngin sawi ila.
Blocked Tear Duct tih hi eng nge ni?
A awlsam zawngin, kan mit atanga mittui lo chhuak chu a chhuak tha lo va, chu system chhungah chuan khawi emaw laiah a tang tlat tihna a ni. Damdawi lam hawi chuan hei hi ``Nasolacrimal Duct Obstruction'' kan ti a.
Tunah chuan kan mit a thawh that theih nan mittui hi a pawimawh hle. Mittui hian mit a ti hnim a, a titui bawk. Tin, mit (cornea) hian a mamawh oxygen a hmuh theih nan an pui a, mit chu natna hrik lakah an venghim bawk.
Hei hi hriatthiamna tha ber chu in chung lama gutter awm hi a ni. Ngaihtuah teh, gutter chu inchung chunga tui tla chu la khawm a, pipe-a phur thla turin a awm a ni. Mahse, he pipe hi hnah leh bawlhhlawhin a khuh chuan eng nge thleng ang? Tui chu a tla lo va, gutter atang chuan a luang chhuak zawk a ni. Kan mittui tlakna (tear system) pawh chutiang bawk chu a ni. Mittui chu a tla tha tawk lo va, a inkharkhip chuan mit atang chuan a luang chhuak tan thin.
Hei hi kan mittui chhuahna system hnathawh dan chu a ni:
He zinkawng hi tlem han zir ila.
- Punctae: Darthlalang atanga i en chuan kan mitmeng chunglam leh hnuai lam, hnar bulah khur te te pahnih a awm tih i hmu ang. Mit atang hian mittui chu heng khur pahnih ``puncta'' an tih hmang hian a chhuak tan a, chu chu tuikhuah chhunga khur ang maiin a thawk a ni.
- Canaliculi: Chu khur pahnih atanga mittui lo lut chu canaliculi an tih tube te tak te pahnih ah a lut ta a ni. Heng tube pahnih hi an inzawm khawm a, tube te tak te pakhat an siam a ni.
- Nasolacrimal Duct: Chumi hnuah mittui chu nasolacrimal duct-ah a kal a, chu chuan mittui chu hnar chhungah a phur lut a ni.
- Hasner's Valve: He tear duct hnuai lamah hian, hnar chhungah a inhawng a, chutah chuan ``Valve of Hasner'' an tih valve a awm a. A tlangpuiin he valve hi kan pian hmain a inhawng thin. Amaherawhchu, naute thenkhat chu an pian hunah an la inhawng lo. Chu chu congenital tear duct blockage a tam ber lai a ni.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Nausen piang thar zingah mittui tlakna kawngkhar (blocked tear ducts) hi a tam hle. Survey-a a lan dan chuan he natna hian nau piang thar zinga 6% leh 20% inkar a nghawng a ni. Mahse, puitling zingah chuan chutiang chuan a awm lo.
Mittui kawngkhar (blocked tear ducts) hian eng symptoms nge a neih?
Hetiang dinhmunah hian symptom engemaw zat hmuh tur a awm. A châng chuan he blockage hian natna hrik a thlen thei bawk. Heng symptoms te hi ngun zawkin han thlir ila.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Mit tui tak tak | Mit hnim reng reng emaw, chhan awm lo, tap lovin mittui tla zawih zawih emaw hriatna. Damdawi lamah chuan hei hi `(epiphora)` an ti bawk. |
| Mitmeng hring/swelling | Zing i thawh chuan i mitmeng chu a inzawm khawm a, yellow emaw greenish coating a nei a ni. He coating hi nitin a pungkhawm thei a ni. |
| Mit emaw a chhehvel emaw hrual fo | Mit hahdam loh vangin, a bikin nausen naupangte chuan an mit emaw, hnar emaw hrual an tum fo thin. |
| Mit sen leh hring | Khawih leh hnawih fo hian mit vel vun chu a sen a, a hring deuh thei bawk. |
| Mit hmuh a fiah lo | Mit chhunga mittui film a awm reng avangin mit hmuhna chu a hlim lo deuhin a lang thei. |
| Infection a awm tih chhinchhiahna | |
| Tear duct a hring/sen chhuak | Mit chhung lam leh hnar inkar chu a sen thei a, a hring thei a, khawih pawh a na thei bawk. |
| Khawsik | Infection pakhat chu taksa pum puiah a darh chuan khawsik a awm thei. |
| Hrisel lohna leh thinrimna | A bik takin nausen naupang te chu an tap fo thin a, natna leh lungawi lohna avangin ei leh in an duh lo. |
| Mit na a na | Mit chhungah emaw, mit chhungah emaw pressure ang chi natna i nei thei. |
Engvangin nge tear duct te hi hetiang hian a block?
Hei hi chhan hrang hrang a awm thei. Ṭhenkhat chu pianpui an ni a, ṭhenkhat erawh chu nakin lawkah an lo ṭhang chho thung.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Congenital Blockage a awm thin | |
| Hasner-a valve a inhawng lo | Hei hi naute tam takin he natna an neih chhan ber a ni. Pian tirh atanga inhawng tur Hasner-a valve chu a inhawng lo va, chuvangin mittui chu hnar chhungah a luang lut lo va, a inkhar ta a ni. |
| Acquired Causes te chu a ni | |
| Infection awm thei te | Mit chhung emaw, a chhehvela natna hrik awm fo hian scar tissue a siam thei a, mittui tlakna kawng a ti tawi emaw, a tikhawlo thei bawk. |
| Hliam a awm | Hmai, mit emaw, hnar emaw hliam emaw, operation emaw avanga a hring emaw, tissue inthlak emaw vangin duct hi a block thei a ni. |
| Dacryostenosis tih a ni | Mi thenkhat chu mittui tlakna kawng te tak te neia piang an ni thei a, a nih loh leh an upat deuh deuh chuan zawi zawiin an thim zual thei bawk. |
| Kum upa lam | Kan tar chhoh zel chuan kan mittui tlakna system-a pores leh ducts te chu a pianphungah a hring tan a, hei hi blockage awm chhan dang a ni. |
| Tumor emaw, a lo thang lian emaw | Hei hi a tlem hle a, mahse tear duct system-a tumor pangngai emaw cancer emaw lo awm vang pawh a ni thei. |
| Mittui tlakna lung (Dacryoliths) . | Mittuiah hian component awmte chu an pungkhawm thei a, mittui tlakna kawng chhungah lung te tak te (dacryoliths) an siam thei a, chu chu kidney lung ang chiah a ni. Chungte chu a lian a nih chuan duct chu an block thei a ni. |
A pawimawh ber chu doctor pan a, a chhan dik tak hriat chhuah a ni a, heng symptoms te hi i hriat veleh mahni inenkawl tum ai chuan.
Doctor, engtin nge hei hi i diagnose?
A tlangpuiin, doctor chuan i natna lan chhuah dan zawtin i mit leh a chhehvel enfiahin i dinhmun chu a hre thei a ni.
Tin, a chang chuan test awlsam tak "Dye Disappearance Test" tih pawh tih theih a ni bawk.
- Hei hian i mit chhungah ``fluorescein'' tih hming pu dye bik drop khat dah a huam a ni.
- He pigment hi blue light hnuaiah a eng chhuak thin.
- Minute 5 vel hnuah doctor chuan mit atanga pigment a chhuahsan em tih leh a la awm em tih a enfiah thin.
- Tear duct hian hna a thawk tha a nih chuan he pigment hi a awm tawh lo tur a ni.Mit chhungah pigment a la awm chuan mittui tlakna kawng chu a block vek emaw, a then emaw a awm tihna a ni.
Blockage chhan dang nia rinhlelh a nih chuan specialized test dang atan refer i ni thei bawk.
Mittui kawngkhar (blocked tear ducts) enkawlna tur engte nge ni?
Hei hi enkawl theih tak a ni a, mahse kum leh thil dang a zirin enkawl dan a inang lo.
Nausen te te enkawlna
Nausen piang thar hian he natna hi a neih chuan a piancham hmasa ber a thlen meuh chuan a mah chauhin a reh tlangpui a, a tlangpuiin 90% velin a reh mai thin. Amaherawhchu, hri kai loh nan leh a dam thuai theih nan enkawl a tha ber.
- Massage Technique: Hei hi naute tan a pawimawh ber leh a hlawk ber a ni. I doctor chuan chutiang tih dan dik chu a zirtir ang che. Mit chhung lam leh hnar inkar hmun chu zawi zawiin i massage chuan valve inhawng lo chu pressure i pe thei a, a hawn theih nan i pui thei bawk.
- Antibiotics: I mit chu pus-filled lutuk, infection a awm tihna a nih chuan i doctor chuan antibiotic eye drops a pe ang che.
Kum khat vel hnuah he massage method hmang hian naute a lo tha lo a nih chuan doctor chuan naupang chu enkawlna dangah a refer thei bawk.
Kum upa lam leh midangte enkawlna
Massage hi puitling tan chuan a hlawk lo a, chuvangin hmanraw dang hman a ngai a ni.
- Dilation, Probing, leh Irrigation: Hei hi tih dan awlsam tak a ni.
1. Dilation: Pakhatnaah chuan mit chhunga khur te te (puncta) te chu hmanraw bik hmangin tlem a zauin an tizau a.
2. Probing: Chumi hnuah chuan instrument tha tak tak chu tube hnuaiah an pass a, blockage chu zawng chhuakin lakchhuah an tum thin.
3. Irrigation: A tawp berah chuan tube chhungah hian saline fluid an kalpui a, chu chu a fai kim vek a, a inhawng tha hle.
- Balloon Dilation: A chang chuan duct hi a zim hle a nih chuan duct chhungah hian balloon nei device te tak te dahin, a chhung atanga duct zau zawka siam turin balloon chu inflated a ni.
- Stenting emaw Intubation: Duct chu a zim nawn fo chuan silicone (stent) atanga siam tube te tak te tak mai chu duct chhungah hian rei lo te chhung dah theih a ni a, chu chu a inhawng reng thei a ni. He tube hi thla engemaw zat hnuah lakchhuah a ni.
- Surgery tih dan: Enkawlna dang a hlawhtling lo a nih chuan surgery neih a ngai mai thei.
- DCR (Dacryocystorhinostomy): Hei hian mittui chu hnar chhunga luang lut tur kawng thar siam a ni a, a blocked area chu bypass a ni.
- CDCR (Conjunctivodacryocystorhinostomy) hmanga tihchhuah a ni.Hei hi surgery buaithlak zawk a ni. Tear system zawng zawng siam thar lehna hmunah tih a ni.
Tear ducts block loh dan tur a awm em?
Dik tak chuan, hetiang thil thlentu tam tak hi sawi lawk theih loh leh kan thunun theih loh a ni. Chuvangin hei hi 100% a ven theih a ni lo.
Mahse, blockage thlen thei infection hlauhawmna tihziaawm nan a hnuaia mite hi kan ti thei ang:
- I kut chu sahbawn hmangin uluk takin silfai fo ang che.
- A tul lovah i mit khawih leh hrual kha bansan rawh.
- Contact lens i bun chuan uluk takin silfai la, a hun takah thlak leh bawk ang che.
- Mit makeup (mascara, eyeliner ang chi) hi midang hnenah share suh. Tin, thla 3-6 danah thlak thin tur a ni.
Take-Home Thuchah a ni
- Mittui kawngkhar (blocked tear ducts) hi a tam hle a, a bik takin nausen piang tharte zingah hian a tam hle. Kum khat chhungin anmahni chauhin an rel fo thin.
- Mittui tla fo leh mit na lutuk hi a lan chhuah dan ber a ni.
- Hetiang dinhmun hian bacteria infection a thlen thei a, chuvangin symptoms te chu ngaihthah suh.
- Doctor-in naute tana a zirtirna special massage method hi enkawlna tha tak a ni.
- Puitling tan chuan a blockage tihbo nan hian enkawlna tha hrang hrang a awm a.
- Nangmah emaw i naute emaw hian heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni a, diagnosis dik tak leh enkawl dan tur ruahmanna siam rawh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh