I mittui a tla reng em? Blocked Tear Duct / Nasolacrimal Duct Obstruction chungchang hi i zir dawn nia!

I fate mit chu a tui reng em? A nih loh leh mit tui tak, tui tak tak i nei reng em? A châng chuan i mit pawh i hrual duh mai thei. Hei hi a takah chuan a ti thinrim deuh. Hei hi a chhan chu i mittui duct system-a blockage chi khat, chu chu mittui tlakna kawng a ni thei. Damdawi lam hawi chuan hei hi `(Nasolacrimal Duct Obstruction)` kan ti a. Vawiin hian he thu hi chipchiar takin, awlsam takin kan sawi dawn a ni.

Mittui kawngkhar (blocked tear ducts) chu eng nge ni?

A awlsam zawngin sawi ila, mittui tlakna kawngkhar (blocked tear duct) chu thil pakhatin mittui tlakna kawngkhar a tihkhawtlai a, kan mit atanga a luang chhuak tha lo tih hi a ni. He blockage hian mittui luang chu a ti slow thei a, a titawp vek thei bawk. Hei hian mittui chu tear duct system chhungah a pool a, mit chhungah a back up leh thin.

Kan mit a thawh that theih nan mittui hi a pawimawh tih i hria em? Mittui hian mit chunglam a ti hnim a, mitmeng (cornea) hian oxygen a lakluh theih nan a pui bawk. Thil dang pakhat chu mittui hian immune factors a nei bawk. Chungte chuan mit chu natna hrik lakah a venghim a, a nih loh leh natna kai a nih chuan a dam thuai theih nan a pui bawk.

In chung atanga tui luang chhuak gutter angin han ngaihtuah teh. Gutters te hian tui chu an la khawm a, pipe hnuaiah an thawn thla thin. Mahse, he pipe hi khawi emaw laiah a inkhar a nih chuan tui chu a khawlkhawm a, gutters atang chuan a boil chhuak tan thin a ni lawm ni? Hei hi chutiang chu a ni.

Kan tear system hi khur te tak te leh tube ang chi thil awmkhawm a ni. Mit atang hian hetiang hian mittui a luang chhuak thin:

1. Puncta: Mit tin hian mitmeng chung leh hnuai lamah khur te te pahnih a nei a. Chung zinga pakhat chu punctum an ti a. Sink emaw bathtub emaw chhunga drain hole ang mai a ni. Heng khur atang hian mittui chu canaliculi an tih tube ah a luang lut thin.

2. Canaliculi: Punctum tin atang hian mittui a luang chhuak a, chu chu tube te tak te canaliculus (plural: canaliculi) an tih ah a luang lut thin. Heng tube pahnih hi an inzawm khawm a, tube lian zawk an siam a, chu chu nasolacrimal duct nen a inzawm a ni.

3. Nasolacrimal ducts: Hengte hi mittui kalna tur tube ang chi hnuhnung ber a ni. Tear duct tin hian a hnuai lam tawp lamah valve te tak te an nei tur a ni.

4. Valve of Hasner: He valve hi a takah chuan hawnna te tak te a ni a, chu chuan hnar chhungah mittui a luang lut thei a ni. Kan pian hmain a mah chauhin a inhawng tlangpui. Mahse, naute thenkhatah chuan a la inhawng lo mai thei. A hawn loh chuan Membrane of Hasner an ti a.

Engtiang chiahin nge blocked tear ducts hi a awm fo?

Naupang tê tê tê tê têah chuan mittui tlakna kawngkhar (blocked tear ducts) hi a awm fo . Nau piang thar zinga 6% leh 20% inkar vel an nghawng a ni. Amaherawhchu, puitlingah chuan an awm ve lo.

Mittui kawngkhar (blocked tear ducts) hian eng symptoms nge a neih?

Nangmah emaw i fa emaw hian mittui tlakna kawng a block a nih chuan heng ang symptoms hi i nei thei ang:

• Epiphora: Mit atanga mittui luang chhuak chhunzawm zel ang chi .
• Mittui ang chi thilte chu mitmeng emaw, mitmeng emaw-ah a innghat a, chu chuan zing lamah i mit hawn a ti harsa hle .
• Mit emaw, blocked duct chhehvel hmun emaw chu hnawih duhna .
• Mit sen leh hliam fo vanga mit a hring .
• I mit hmuh chu a hlim lo deuh niin i hria .

He blockage hian tear ducts te pawh a ti awlsam thei bawk. Chutiang natna a lo awm chuan a lan chhuah dan te chu:

• Mittui kawng emaw a chhehvel tissue emaw a hring emaw a sen emaw .
• Khawsik (fever) a awm .
• Tap fo leh hahdam loh (a bik takin naute zingah).
• Mit na emaw sinus area a pressure awm emaw .
• Mitmeng sen emaw, a hring emaw, mit var (sclera) pawh a tel.

Engvangin nge heng tear duct te hi an block?

Tear ducts block chhan awm thei engemaw zat a awm. Ṭhenkhat chu congenital , an pian laiin an awm tihna a ni. Mi dangte chu nakin lawkah an lo thang lian a.

Congenital tear duct tihkhawtlai a ni

Vawi tam tak chu naupang te tak te chu a hmaa kan sawi tawh ``Valve of Hasner'' chu membrane chhe lo ``Membrane of Hasner''-in a thlak avangin mittui tlakna kawngkhar block neiin a piang thin. Tichuan, tear fluid chu tear duct chhungah a pung khawm ta a ni. Hun a kal zel a, he mittui khawlkhawm hian duct chu a ti hring thei a ni. Tin, tear duct emaw tear system hmun dangah emaw natna a thlen thei bawk.

Tear ducts block chhan dangte

Blocked tear ducts hi damdawi lam thil dang vang emaw, a then phei chuan a awm tam zawk. Hengte hi tear duct system chunglam lamah a awm fo thin. Entirna tlemte han thlir ila:

• Infection: I mit chhungah emaw, a chhehvelah emaw hun rei tak infection a awm chuan scar tissue a siam thei a ni. A châng chuan, chu scar tissue chuan thisen kalna chu a ti tawi thei a, a tikhawlo thei bawk.
• Hliam: I hmai, mit emaw, hnar emaw a hliam chuan mittui tlakna kawng vel a ti na thei a, tissue a tidanglam thei bawk. He system hmun eng pawh nghawng thei swelling, tissue inthlak danglamna, blockage eng pawh hian blockage a thlen thei.
• Dacryostenosis: A chang chuan i mittui tlakna kawng chu i pian tirh lamah a zim thei a, a hnu lamah pawh a zim thei bawk. Heng pahnih hian blockage a thlen thei a ni.
• Tar: I tar chhoh zel chuan mittui tlakna kawng leh a chhehvel te chu a danglam thei a, a hring thei bawk.
• Tumors emaw growths: Chung zingah chuan benign tumors bakah cancerous tumors (hengte hi a tlem hle nachungin) te pawh a tel. Tumor chi khat mucocele an tih hian mittui tlakna kawng a tikhawlo thei bawk. Hengte hi bawm te tak te, mucus-a khat, ethmoid sinus, hnar sir lehlama sinus cavities-a lo awm an ni.
• Dacryoliths: Hengte hi mittui tui a lo awm khawm a, a thim chuan a lo awm thei a ni. An lian a nih chuan tear duct an block thei.

Mittui kawngkhar block (blocked tear ducts) awm thei tur risk factors te chu engte nge ni?

Naute hian mittui tlakna kawngkhar (blocked tear duct) an nei tam ber. A tam zawkah chuan nasolacrimal duct hnuai lam tawp lama membrane chu a inhawng lo va, Valve of Hasner an tih valve a siam vang a ni.

Puitlingte chuan mittui tlakna kawngkhar (blocked tear duct) an nei tam zawk a, chu chu hetiang hi an neih chuan:

• Hun rei tak chhunga mit natna, entirnan `(Uveitis)` .
• Glaucoma natna (Glaucoma) a awm .
• Mit emaw sinus emaw surgery i neih tawh chuan .
• Cancer enkawlna i lo dawng tawh a nih chuan , entirnan, radiation therapy emaw chemotherapy emaw.

Mittui kawngkhar (blocked tear ducts) hian eng harsatna nge a thlen?

Mittui kawngkhar (blocked tear duct) hi bacteria te tan hmun tha tak a ni. Chuvangin, bacteria infection emaw, abscesses emaw hi a buaithlak ber a ni . Heng natna hrik te hian i sinus, mit leh a chhehvel tissue te a nghawng thei a ni. Chuvang chuan a darh loh nan a hri kai enkawl hi a pawimawh em em a ni.

Engtin nge mittui tlakna kawngkhar (blocked tear duct) chu i hriat theih ang?

Mit lam doctor emaw, healthcare provider dang emaw chuan i natna lan chhuah dan a zirin leh mit leh mittui tlakna kawng vel enfiah leh hriatna hmangin he natna hi a hriat theih tlangpui. I symptoms te pawh an zawt ang che. I naute hian mittui tlakna kawng a block nia an hriat chuan an enfiah a, a block a awm leh awm loh enfiah turin test engemaw zat an nei thei bawk.

Test awlsam tak pakhat chu "dye disappearance test" tih hi a ni. He test-ah hian doctor chuan i mit chhungah dye special fluorescein an tih chu a rawn dah lut a. Fluorescein chu a eng mawi hle. Chuvangin doctor chuan hei hi saline solution-ah a dah thei a, chu saline solution chu i mit chhungah a dah thei bawk. Minute nga hnuah chuan black light an chelh thei a, dye chu a la awm em tih an en thei a ni. A nih chuan tear duct blockage kimchang emaw, a then emaw i nei tih a tilang a ni.

Test dang pawh tih theih a ni a, a bik takin i doctor-in i mittui tlakna kawngkhar khar chu dinhmun dang emaw, harsatna dang emaw avanga lo awm a nih a rinhlelh chuan. Test an rawt chu i natna lan chhuah dan, i dinhmun leh an rinhlelh danah a innghat ang.

Hei hi thil tam takin a nghawng avangin i testing options chungchang hi sawipui a tha ber. I dinhmun bik nena inzawm leh pawimawh tak takte chu an pe thei che a ni.

Engtin nge mittui tlakna kawngkhar (blocked tear duct) chu i enkawl ang? Hei hi damdawi a awm em?

Blocked tear ducts hi enkawl theih tak a ni.. Mahse, damlo kum leh thil dang a zirin enkawl dan tur a inang lo. Hetiang dinhmun hi a chang chuan enkawl lohvin a dam thei a, a bik takin nauteah chuan. Mahse, natna hrik kai ang chi harsatna a awm loh nan enkawl tum a tha ber.

Damdawi thenkhat, antibiotics ang chi te hi kum tin mi te hnenah pek theih a ni. Hengte hi mittui tlakna kawngkhar (blocked tear duct) nena inzawm infection a awm chuan pek thin a ni. Ointment emaw eye drop emaw angin an lo thleng thei bawk. Damdawi dang pawhin a pui thei bawk. I mit doctor chuan heng duhthlan turte hi a hrilh belh thei che a ni.

Naute leh naupang tear tear ducts blocked enkawlna ber chu in lama tih theih massage technique bik a ni I fa emaw, i enkawl naupang emaw hian he natna hi a nei a nih chuan an naupang enkawltu doctor chuan a tih dan tur dik tak a kawhhmuh ang che. He massage technique hi a tlangpuiin membrane a puak a, valve a nih theih nan a tawk tlangpui. Massage tlemte hian eng ang nge a tih theih tih han ngaihtuah teh!

Naute blockage chu an piancham hmasa ber thlenga massage hmanga a that loh chuan enkawlna dang an mamawh mai thei. Also, massage doesn’t help much with adults , chuvangin enkawlna dang a ngai tlangpui.

Heng enkawlna thenkhatah hian sedation emaw anesthesia emaw a ngai thei bawk. I (or i fa) mit lam doctor emaw, healthcare provider emaw chuan anesthesia an rawt chhan a sawifiah thei ang.

Dilation, probing leh irrigation te a awm bawk

He step thum hmanga tih dan hi mittui tlakna kawngkhar (blocked tear duct) enkawl dan awlsam tak a ni. Naute massage dawng lote tan a pui thei a, naupang kum upa zawk leh puitling tan chuan enkawlna hmasa ber a ni fo bawk.

He technique hman dan tur chu hetiang hi a ni:

1. Dilation: He step hmasa berah hian mit lam doctor chuan a nghawng puncta leh tear system-a structure dangte chu a tizau (widen) thin. Hei hian a hnuaia thil thleng tur atan hmun a siamsak a ni.

2. Probing: He step-ah hian mit lam doctor chuan tear duct blocked part chu instrument/tools bik hmangin a enfiah (probe) thin. Hei hian blockage awm chhan chu a zawng chhuak ang a, a theih chuan a paih chhuak thei bawk ang.

3. Irrigation: He step hnuhnung ber hian tear duct chu saline solution hmanga silfai a, a thianghlim a, tui a chhuak tha em tih enfiah a ni.

Balloon tihzauh a ni

Simple dilation, inspection, leh irrigation te a tawk loh chuan dilation procedure hmasawn zawk a ngai mai thei. Chutiang a nih chuan i fa mit doctor chuan balloon te tak te dahna hmanrua a hmang ang. Zawi zawiin leh zawi zawiin balloon chu a zim deuhah chuan an inflate ang. Hetianga inward push hian tube chu a tizau thei fo a, buaina chu a chinfel sak thei bawk.

Stent emaw intubation emaw hmanga tihchak

A then phei chuan balloon dilation chauh hian tear duct tawi tak chu a tizau reng thei lo mai thei. Chutiang hunah chuan tube emaw stent emaw dah hi a tha ber mai thei. Heng hmanrua te hian frame nghet tak, hollow tak a pe a, chu chuan duct chu a hawng reng thei a, mittui a luang chhuak thei bawk.

Surgery tih dan tur

A then phei chuan surgery hi a tha ber a, mittui tlakna kawngkhar khar siamthat emaw, bypass a, mittui tlak chhuahna tur kawng dang siam emaw a ni. Surgery hi chi hnih a awm a, chungte chu:

• Dacryocystorhinostomy (DCR): Hetiang tih danah hian surgeon chuan mittui tlakna tur bypass route a siam a. He kawng thar hian blockage awmsa chu a bypass vek a ni.
• Conjunctivodacryocystorhinostomy (CDCR): He surgery hian i mittui tlakna kawng zawng zawng chu a siam thar leh vek a ni.

Heng surgery-te hian a thatna, a that lohna leh a harsatna awm thei te hi a inang lo hle. Blockage i neih chi hrang hrang, a awmna hmun leh thil dangin hei hi a nghawng thei a ni. I surgeon emaw mit lam doctor emaw hi i beisei tur hriat theihna tha ber a ni.

Tear ducts blocked te hi a veng thei ang em?

Blocked tear ducts hi beisei loh, i thunun theih loh, i hmuh theih loh thil vang a ni. Chu chu anmahni khap theih dan tur a awm lo tak zet tihna a ni .

Mahse, blockage thlen thei harsatna awm theihna tur tihtlem nan thil tlemte i tih theih a awm. Hengte hi hri kai venna vel a siam a ni ber. Heng fimkhur turte hi:

• I mit chu hnawih fo emaw, a tul lova khawih emaw loh tur a ni.
• Mit lam thil, mittui tlakna emaw, cosmetics emaw te chu midangte hnenah share suh.
• Contact lens i tihfai dawnin i mit doctor thupek zawm rawh.
• Thla thum atanga thla ruk danah cosmetics, mascara, eyeliner, leh eyeshadow te thlak thin ang che.
• Kut tha takin sil fo thin ang che.

Kei (or ka fa) hian mittui tlakna kawng a block a nih chuan eng nge ka beisei theih ang?

A tlangpuiin tear ducts blocked result positive a niA chhanah a innghat. Mittui kawngkhar (blocked tear duct) hi a mah chauhin a hlauhawm lo. Mahse a chhan thenkhat chu a ni thei. Tin, blockage hian natna hlauhawm tak a thlen thei bawk a, chuvangin blockage hriatchhuah a, enkawlna lak a pawimawh bawk.

Congenital blockage hian result tha tak a nei a . Heng blockage nei naupang zinga 70% vel chu thla 6 an tlin chuan an tha zawk a, 90% vel chu an piancham hmasa berah an dam zawk bawk. Blockage te hi a mah chauhin a bo thei a, mahse massage hian a ti rang thei a, infection emaw harsatna dang emaw a thlen theihna a ti tlem thei bawk. Congenital blockage hian nakin lawkah harsatna a thlen lo tlangpui.

Puitlingah chuan a rah chhuah a tha tlangpui a, a chhan a zirin. A chhan tam tak, a bik takin hliam kaihhnawih te hian enkawlna an dawng tha hle a, tanpui theih dan tam tak a awm bawk. I mit specialist chuan eng enkawlna nge a puih theih ber tih te, eng result nge i beisei theih ang tih te, leh chu result tihchangtlun nan eng nge i tih theih tih te a hrilh thei che a ni.

Engtin nge ka in enkawl ang?

I (or naupang i enkawl) mittui tlakna kawng a block a nih chuan mit lam doctor chuan enkawl dan leh enkawl dan tur a kaihruai ang che. Mittui kawngkhar block chu nangmah chauhin i diagnose emaw treat emaw tum ngai suh . Blockage symptoms i neih nia i hriat chuan mit lam doctor hnenah appointment siam ngei tur a ni a, a rang thei ang bera hmuh tur a ni.

Engtikah nge ka doctor ka hmuh ang emaw, tanpuina ka zawn ang?

Mittui kawng a block a nih chuan i mit doctor chuan enkawlna tur thurawn leh kaihhruaina a pe ang che. Eng chhinchhiahna leh chhinchhiahna nge i fimkhur tur tih te, i biak tur nge, damdawi lam tanpuina dil nghal tur tih te pawh i zawt thei bawk.

Doctor hnenah eng zawhna nge ka zawh ang?

I mit specialist emaw healthcare provider emaw hnenah heng zawhnate hi i zawt thei ang:

• Mittui kawngkhar (tear ducts) block chhan awm thei ber chu eng nge ni?
• Eng ang enkawlna nge i rawt?
• Enkawlna hian side effect a nei em?
• He blocked tear duct hi damdawi lam thil dang nen a inzawm em?
• He blockage hi a lo kir leh loh nan eng nge ka tih theih ang?

A tawp berah chuan take-home message:

Mittui kawngkhar (locked tear duct) hi puitling tan chuan a nuam lo thei a, a na thei bawk. Tin, i enkawlna hnuaia naupang nei i neih chuan lungkhamna leh hlauhna i neih hi thil pangngai a ni. Vanneihthlak takin, blocked tear ducts hi enkawl theih tak a ni . Naupang tam zawk chu an dam thuai a, a bik takin hmai massage dan awlsam tak hmangin an dam thuai thin. Puitling tan pawh a rah chhuah chu a tha tlangpui a, a bik takin a chhan leh a thawhhlawk thenkhat nen.

I fa (a nih loh leh nangmah) hian mittui tlakna kawng a block thei nia i ngaih chuan mit lam doctor emaw, healthcare provider dang emaw biak ngei ngei tur a ni. Hriatchhuah hmasak leh enkawl hian heng mittui block te hi tihfai leh a kaihhnawih lungkhamna tihziaawmna kawngah danglamna nasa tak a thlen thei a ni. Ngaihtuah buai suh, solution a awm!

` Nasolacrimal Duct Obstruction, Mit Tui, Nausen Mittui Duct, Mit Hriselna, Mittui System, Epiphora