I mit a na em, a hring em? Dacryocystitis a ni thei!

I mit chhung lam , i hnar bulah, a hring, a sen, leh a chang chuan zun a na em? A nih loh leh i naupang tê mit chu tui a tla reng angin a lang em, a nih loh leh an mit kil khatah mittui tla a awm em? Hengte hi dacryocystitis an tih natna chhinchhiahna a ni thei. Ngaihtuah buai suh, vawiin hian he thu hi chipchiar tak leh awlsam takin kan sawi dawn a ni.

Dacryocystitis hi eng nge ni?

A awlsam zawngin, Dacryocystitis hi kan mittui tlakna (lacrimal sac) a inflammation emaw infection emaw a ni. Tunah chuan he lacrimal sac hi eng nge a nih a, khawiah nge a awm tih i ngaihtuah mai thei.

Kan mit hian mittui a siam chhuak thin. Heng mittui hian kan mit a ti hnim a, a thianghlim reng bawk. A tlangpuiin, heng mittui te hi mit chhung lam kil khata kawngkhar te tak te (`punctum` tia koh bawk) hmangin a luang chhuak a , chutah chuan tube te tak te hmangin mittui bawm chhungah a luang lut leh thin. He mittui bawm atang hian tube dang, `nasolacrimal duct` an tih chu hnar lamah a kal a. Chuvang chuan i tap hian mittui a tla thin.

Mahse, mittui tlakna kawng, mittui tlakna bawm emaw, mittui tlakna kawng emaw -a awm chu eng emaw vanga a inkhar chuan mittui chu a luang lut thei lo va, hmun khatah a tang thei lo. Chutiang a lo thlen chuan mittui tuiah hrik a lo thang lian thei a, a kai thei bawk. Chu chu dacryocystitis kan tih chu a ni.

Acute leh chronic dacryocystitis hi eng nge an danglamna?

Dacryocystitis hi chi hnih a awm a, chungte chu acute dacryocystitis leh chronic dacryocystitis te an ni.

• Acute dacryocystitis: Hei hi a lo awm nghal mai a ni. Symptoms hi a lang nghal a, thla thum chhungin a reh tlangpui. A lan chhuah dan chu natna, hring, leh sen hring te a ni thei.
• Chronic dacryocystitis: Hei hi hun rei tak chhunga awm thei a ni. Acute dacryocystitis aiin a natna lan chhuah dan a na lo zawk thei a, mahse hun rei tak chhung chu a hliam a, a chang chuan a hring te te a awm thei bawk.

Thil dang chu, chronic dacryocystitis hi a chang chuan kan taksa pum pui nghawng thei natna dang nen a inzawm thei bawk. Entirnan, autoimmune condition Granulomatosis with Polyangiitis, Sarcoidosis, leh Lupus (Systemic Lupus Erythematosus tia hriat bawk) te nen hmuh theih a ni. Mit sen rei tak nei, conjunctivitis natna nei, emaw Pink Eye emaw te tan pawh a awm thei bawk.

Heng chi hnih ah hian natna hrik (pathogens) awm thei chi hrang hrang pawh a inang lo thei bawk.

A chi dang a awm em?

Ni e, acute leh chronic type bakah hian he natna hi pianpui emaw, acquired emaw pawh a ni thei .

• Congenital Dacryocystitis: Hei hi naute naupang zawkah a awm tam ber. Hei hi naute pum chhunga a awm laiin mittui tlakna kawngkhar chhunga amniotic fluid chu a chhuak kim lo vang a ni. He tui hi a kai chuan neonatal dacryocystitis an ti a ni.

Ngaihtuah teh, naute piang thar a awm a, a hming chu Uraraka Ti Puta ti ila. Mit pakhat aṭangin a mittui a tla fo va, a châng chuan zing lamah mit kil khatah chuan hrual tlem a awm ṭhin . Nu chu a lungngai hle a, a hlauthawng hle bawk. Hei hi congenital dacryocystitis-ah pawh hmuh theih a ni.

• Acquired Dacryocystitis: Hei hi nakin lawkah chhan hrang hrang avanga lo awm thin a ni. Entirnan, ruh tliak vang te, surgery vang te, hnar emaw mit bulah emaw tumor awm vang te, damdawi thenkhat hman vang te pawh a ni thei.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Statistics atanga a lan dan chuan naute 6% vel chu Congenital Nasolacrimal Duct Obstruction (NLDO) tih natna neiin an piang a ni . Dacryocystitis hian nau piang nung 3,884 zinga 1 vel a vei a ni. Mipa aiin hmeichhiaah a tam zawk a, a chhan chu an mittui tlakna kawng a zim zawk a ni.

Dacryocystitis natna lan chhuahna chu engte nge ni?

Dacryocystitis i vei chuan heng symptoms zinga pakhat emaw a aia tam emaw i nei thei ang:

• Mit na: A bik takin mit chhung lam , hnar bulah.
• Mit vel a hring: Chu hmunah chuan a hring chhuak thin.
• Vun sen emaw, a dum emaw: A hringna hmun chu a sen thei a, a sen hring/purple deuh deuh pawh a awm thei.
• Mitmeng chhung lam kil khata inhawng emaw, hliam emaw: Hei hian pus a leak thei .
• Fever: Infection avanga khawsik neih theihna a awm.

Chronic dacryocystitis-ah chuan heng symptoms te hi a na lo deuh thei. Entirnan, mittui tla i la nei thei a, mahse khawsik chu a bo mai thei.

Dacryocystitis hi engte nge ni?

Kan sawi tawh ang khan a chhan ber chu tear duct block vang a ni . He blockage hian mit atanga hnar thlenga mittui a luang chhuak thei lo.

Nausen piang tharah chuan mittui tlakna kawng chu membrane te tak te (`membrane`) in a block thin. Mahse, naupang kum upa zawk leh puitlingah chuan he blockage hi thil chi hrang hrang vang a ni thei.

Acquired dacryocystitis thlen thei thil thenkhat chu hetiang hi a ni:

• Kum upa lam: He natna hi kum 40 chunglam zingah a tam ber.
• Hliam: Hnar emaw, hnar vel emaw, ruh tliak, surgery, etc..
• Damdawi lam harsatna dangte:Immune system lama harsatna, inflammation dang emaw, sinusitis ang chi infection emaw a awm thei.
• Hnar pianzia danglam tak neih.
• Tumors: Hnar, sinus emaw tear ducts-a lumps lo awm.
• Damdawi thenkhat: Entirnan, thisen sang tan damdawi `(Timolol)`, glaucoma tan `(Dorzolamide)` leh `(Pilocarpine)` te, antivirals tan `(Trifluridine)` te, leh cancer enkawlna tur `(Fluorouracil)`, `(Docetaxel)` emaw `(Radioactive Iodine)` te.
• Punctal plugs: Heng plug te te, a chang chuan mit vawt enkawlna atana dah te hi lakchhuah loh chuan blockage a awm thei.

Dacryocystitis hi a kai theih em?

Dacryocystitis hi natna hrik nen inzawm ni mahse, mi pakhat atanga mi dang kai theih a ni lo , chuvangin ngaihtuah lutuk tur thil a ni lo.

Engtin nge doctor hian hei hi a hriat chian? (Engtin nge a hriat chhuah?)

Doctor i pan dawnin i mit an en ang a, i hnar vel chu an enfiah ang a, i natna lan chhuah dan leh i medical history te an zawt ang che. Vawi tam tak chu, he thu hriatna chauh hian doctor chu eng thil nge thleng tih hriatna a pe ang.

Mahse, a hnuaia test te hi confirm belh turin i ti thei bawk ang:

• Mit enfiah a ni.
• Puithiam chuan a hring hring chu a hmet a, mit kil khata khur te tak te (`punctum`) atang chuan zung ang maia tui chhuak a zawng a .
• Pus a awm chuan sample lak a, laboratory-ah test turin an thawn thin (a `culture`). Hei hian eng hrik nge natna thlentu tih chiang taka hriat theih nan a pui thei a ni.
• Thisen sample lak a, test a ni a, a bik takin thisen var awm zat an enfiah thin. Hengte hi a sang a nih chuan hri kai chhinchhiahna a ni. A châng chuan thisen test hian a hnuaia dinhmun dangte pawh a hmu thei bawk.
• Mit chhunga dye sen dahna test (`Dye disappearance test`). He dye hi tear duct-a a awm dan pangngai angin a bo nghal vat em tih enfiah thin a ni. Hun rei tak a bo a nih chuan blockage a awm thei. He dye hi hnar chhunga cotton ball dah chungah hnawih a nih chuan ``partial blockage`` a ni tih a tilang.
• Imaging test te pawh a awm. A châng chuan CT scan emaw MRI scan emaw hmangin blockage thlentu dik tak hriat theih a ni.

Test dang neih belh a ngai mai thei a, a bik takin i mittui thisen chhuak (`hemolacria`) emaw, mit lama harsatna i neih chuan .

Dacryocystitis hi engtin nge enkawl a nih?

Okay, tunah chuan hei hi eng treatment nge tih theih ang tih i en ang u.

• Bacteria infection avanga acute dacryocystitis i neih chuan i doctor chuan a ti angOral antibiotics emaw intravenous (IV) antibiotics emaw pek tur a ni. Antibiotic ointment emaw eye drop emaw pek i ni thei bawk.

Antibiotics pek chhuah tlangpui thenkhat chu: `(Amoxicillin-clavulanate)`, `(Cephalexin)`, `(Ciprofloxacin)`, `(Clindamycin)`, `(Trimethoprim-Sulfamethoxazole)` te an ni.

• Compress lum leh a hringna hmun chu zawi zawia massage hian natna lanchhuahna a tiziaawm thei a ni.
• Antibiotics i ei tan atanga ni engemaw zat chhungin i dam tan ang.

Neonatal dacryocystitis , naute naupangte zinga lo awm thin chu kum khat vel chhungin a mah chauhin a reh tlangpui a, a lo lang leh a nih pawhin.

Acute dacryocystitis i neih chuan antibiotics i ei hnuah i doctor chuan operation neih a rawt thei ang . Hei hi dacryocystorhinostomy (DCR) an ti a. Chronic dacryocystitis enkawlna ber chu DCR a ni. He surgery hian mittui tlakna tur kawng thar a siam a ni.

DCR surgery avanga harsatna awm thei te chu engte nge ni?

Surgery dang ang bawkin DCR surgery hian harsatna tenau te a thlen thei bawk. Mahse, lungngai suh, hengte hi a tlangpuiin minor a ni.

• Surgery na hmun atanga thisen chhuak tam lutuk.
• Kaichhawng.
• Sinusitis natna a ni.
• Mit emaw hnar emaw hmun thenkhatah chhiatna tenau te.

Hemi chungchang hi i doctor chuan a hrilh belh ang che.

Dacryocystitis hi ven theih a ni em?

Dik tak chuan dacryocystitis chi hrang hrang lo awm tur venna atan thil danglam bik tih hi kan harsa hle. Mahse, natna hrik kai loh tum a pawimawh . Chumi atan chuan, .

• Kut sil dan tha tak nei rawh.
• A tul lovah i kut hmanga i mit khawih loh tur.
• Mipui tamna hmuna kal leh damlote nena inpawh tawnna chu a theih ang anga tih tlem.

Heng thilte hian venhimna tlem a pe a ni.

Hetiang dinhmun hi a lo awm a nih chuan eng nge thleng ang?

Dacryocystitis natna thenkhat chu a mah chauhin a reh thei a, mahse nangmah emaw i fa emaw hian heng symptoms te hi i neih chuan doctor pan a, thurawn lak a tha ber.

Enkawl loh chuan hei hi open sore a lo ni thei a, a chang chuan mit lamah harsatna a thlen thei bawk . Chuvangin inenkawlna zawng vat a pawimawh.

Engtikah nge Doctor ka hmuh ang?

Nangmah emaw i fa emaw hian dacryocystitis natna lan chhuahna emaw, i vei nia rinhlelhna tlemte pawh i neih chuan,Hun khawhral suh la, Doctor pan nghal mai rawh. Enkawlna rang tak hian i dam thuai thei a ni.

Dacryoadenitis leh Dacryocystitis hi eng nge an danglamna?

Heng hming pahnih hi eng emaw chen a inang a, chuvangin a buaithlak thei hle. Heng natna pahnih hi mit kaihhnawih inflammation/infection a ni a, mahse hmun hrang hrangah a awm thung.

• Dacryocystitis: Hei hi mittui tlakna/lacrimal sac a inflammation/infection a ni.
• Dacryoadenitis: Hei hi mittui siamtu gland (lacrimal gland) a inflammation/infection a ni. He gland hi mitmeng hnuaiah, mit hnunglam chung lamah a awm a ni .

A awlsam zawngin, i mit vel, a bik takin i mit chhung lam kil , i hnar kawngkhar bula, emaw, hnim hring emaw, hring emaw i hriat chuan, dacryocystitis a ni thei. Hei hi i neih chuan doctor pan ngei ngei tur a ni.

A tawp berah chuan a pawimawh ber (Take-Home Message) .

Tunah chuan dacryocystitis hi mittui bawm infection emaw inflammation emaw a ni tih i hre tawh mai thei. Nausen leh puitlingah pawh a awm thei.

• I mit chhunga natna, hring, sen, tui chhuak, emaw mittui tlak fo ang chi symptoms i neih chuan ngaihven rawh.
• Heng symptoms te hi i hriat chuan doctor rawn la nghal rawh.
• Lungngai suh, hei hi enkawl dan tha tak tak a awm. Antibiotics hmanga tihdam theih a ni a, a chang chuan surgery tenau te pawhin a tidam thei bawk.
• Thil awlsam tak tak, faina vawn leh kut sil fo te hian natna hrik laka invenna atan a pui thei a ni.

Hemi chungchanga zawhna dang i neih chuan i chhungkaw doctor emaw mit lam doctor emaw i zawt thei ang. Hrisel takin awm rawh!

` Dacryocystitis, mittui bawm infection, mittui tlakna kawng a block, mit na, mit na, naute mittui tlak lohna