I fate mit chu a tui reng em? Tear Duct Blockage Surgery chungchang hi han sawi ila!

I naute mit chu mittui tla mai mai a ni tih i hre ngai em? A châng chuan mit vêlah tlem a hnim mai mai a, a châng chuan mit luang chhuakin a zui bawk. Hei hi nau piang thar tam zawk tan chuan thil pangngai a nih laiin, a chang chuan ngaihtuahawm tak a ni thei bawk. Vawiin hian hei hi a chhan awm thei, "blocked tear duct" an tih leh a enkawlna atana surgery tih theih dan tur kan sawi dawn a ni.

Engvangin nge heng tear duct te hi an block? Tear duct tih hi eng nge ni?

Okay, a hmasa berin heng mittui te hi engtin nge an siam tih leh mittui tlakna kawng (tear ducts)-a thil thlengte hi han en ila. I hria em, kan mit hi a hnim reng a ngai a, leivut laka ven nan. Hei hi pui turin kan mit chung lamah, kan mitmeng hnuaiah, mittui tlak tir thei gland te te kan nei a. Heng mittui te hi mit chhung zawngah a darh a, mit a tifai a, a tawpah chuan mit chhungah, hnar bulah, khur te tak te pahnih (``puncta'' kan ti a) hmangin a lut a, tube system te tak te hmangin hnar thlengin a kal a ni. He tube system hi ``lacrimal drainage system '' kan tih hi a ni. Chuti a nih chuan, kawngpuiah khawi emaw laiah, tear duct-ah blockage a awm a nih chuan eng nge thleng ang? Mittui chu a luang tha thei lo. Chutah chuan mit atang chuan mittui chu a luang chhuak tan a, sink khata tui luang chhuak ang maiin. Engvangin nge naupang tête chungah hetiang hian a thlen? A tam zawkah chuan nausen piang tharte mittui tlakna kawng a inhawng kim loh vang a ni. Chu chu pian tirh atanga awm reng dinhmun a ni tihna a ni. Hei hi Doctor-te chuan `(Congenital Nasolacrimal Duct Obstruction - CNLDO)` an ti a. Naute chu a pum chhunga a awm laiin he duct tawp hi `(membrane)` te tak te hian a khuh thei a ni. A tlangpuiin he membrane hi a pian tirh emaw, pian hnu kar engemaw zat hnuah emaw a inhawng chhuak thin. Mahse naute thenkhatah chuan hetiang hi a thleng lo. Chutah chuan buaina chu a intan ta a ni.

A awlsam zawngin sawi ila, mittui tlakna kawng hi mit atanga mittui lo chhuak chu hnar thlenga phur thei tube te tak te ang a ni. A block a nih chuan mit atang chuan mittui a luang chhuak ang.

Engtin nge i mittui tlakna kawng a block tih i hriat theih ang? Eng nge a lan chhuah dan?

I fa te hian mittui tlakna kawng a block nia i rinhlelh chuan heng symptoms te hi en reng ang che.

• Mit mittui tla reng: I naute mit pakhat emaw pahnih emaw-ah mittui a awm a, a bik takin a tap loh laiin, a chang chuan a hmuiah a tlan thla a nih chuan, i naute thla 6-8 vel a nih thlenga hetiang hian a awm zel a nih chuan i ngaihtuah tur a ni
• Mit chhunga mucus leh pus ang chi thil awmkhawm: Mittui hi a chhuak tha lo a, mit chhungah mittui a pungkhawm thei a, a chang chuan mucus ang chi, emaw yellowish, greenish pus ang chi thil a siam thei bawk. Zing lama i thawh chuan i mit a chhing thei bawk.
• Mit sen leh hring:A chang chuan, a bik takin natna hrik a awm chuan mit vel chu a sen a, a hring thei bawk.
• Mit natna lo awm leh thin: Mittui hi hmun khatah a awm reng avangin natna hrik te tan a awlsam hle. Hei hian naute thenkhat chu mit natna a thlen leh thei a ni. Doctor chuan a natna tihziaawm nan antibiotics a pe mai thei a, mahse ni engemaw zat hnuah a lo let leh ang.
• Mit chhung lam kil (hnar lam)-ah blue-colored swelling: A tlem berah chuan lacrimal sac hmunah hian swelling te tak te a lo lang thei a, chu chu mittui nen a khat thin. Hei hi dacryocystocele an ti bawk.

I naute hian heng symptoms pakhat emaw a aia tam emaw a neih chuan naupang enkawltu emaw mit lam doctor emaw rawn la a tha ber.

Mi zawng zawng hian operation kan mamawh em? Enkawlna dang a awm hmasa lo em ni?

Ni lo, mi zawng zawng hi operation an nei nghal vek dawn lo. A bik takin naupang tan chuan doctor ten enkawlna awlsam dang an lo enchhin hmasa thin. Thil tih hmasak tur: 1. Lacrimal sac massage: Hei hi i zirtir hmasak ber a ni fo thin. I doctor emaw nurse emaw chuan hetiang tih dan tur dik tak a kawhhmuh ang che. I mit leh hnar inkar, mittui tlakna hmun chu zawi zawia leh chiang taka massage hian blocked membrane chu a tizau thei a ni. Hei hi ni khatah vawi eng emaw zat tih tur a ni. Hei hi dik taka tih a pawimawh hle. 2. Mit thianghlim taka vawn dan: Mit chu puan hnim (tui lum hmanga hnim hnim) hmanga phih fai tur a ni. 3. Antibiotic eye drops: Infection a awm chuan, chu chu pus a awm a nih chuan, mit a sen a nih chuan doctor in antibiotics awmna eye drop a pe thei che a ni. Mahse hei hian infection chauh a control a, blocked tear duct chu a tifai lo. A tam zawkah chuan naute kum 6, 9, kum khat pawh an tlin meuh chuan he massage hmang hian mittui tlakna kawng chu a inhawng ang a, hun kal zelah pawh a inhawng ang. Chumi awmzia chu naupang 10 zinga 9 vel chu zai an ngai lo tihna a ni. Chuti a nih chuan engtikah nge operation tih i ngaihtuah ang?

• Naute chu kum khat vel a nih pawhin (doctor thenkhat chuan a hma pawhin an ngai), he mittui tla leh natna hi a la awm chhunzawm zel a nih chuan.
• Mit natna i neih fo leh na tak i neih chuan.
• Massage ang chi thil hian a puih loh hmel a nih chuan.
• ``dacryocystocele`` tih natna hlauhawm tak i neih chuan.

Hetiang hunah hian doctor chuan operation neih a rawt thin.

Tear Duct Blockage Surgery tih hi eng nge ni?

A awlsam zawngin sawi ila, he surgery hi mittui tlakna kawngkhar (locked tear duct) hawn nan a ni. Hei hi mit lam doctor-in a ti tlangpui a, a chang chuan naupang mit lam doctor pawhin a ti thin. Hei hi surgery lian tak, buaithlak tak a ni lo. A tam zawkah chuan outpatient surgery tenau tak angin tih a ni . Chumi awmzia chu naute chu damdawi inah ni tam tak a awm a ngai lo va, chu ni vek chuan a haw thei tihna a ni. He surgery hi naupangte an tih hian general anesthesia pek an ni a, chu chu engmah an hre lo tihna a ni a, natna pawh an nei lo tihna a ni. Chuvangin, naute hian he thil atang hian lungawi lohna leh hlauhna a nei lo. Naupangte tana surgery tih dan tlanglawn ber: Naupang tê tête tana hmanraw hman tlanglawn ber chu probing leh irrigation a ni . Hetah hian doctor chuan instrument (probe) tha tak, te tak te tak te chu tear duct zawhin a pass a, blocked membrane emaw blockage emaw chu zawi zawiin a hawng thin. Tichuan, tui saline ang chi thil pakhat chu tube hnuaiah (hei hi `(irrigation)` an ti) a, chu chu tube chu a inhawng vek em tih leh a mittui a luang tha em tih en turin an kal a. A châng chuan, a bik takin he `(probing)` hnua tube hi a block chhunzawm zel a nih chuan, doctor chuan tube chu hawn reng turin tube te tak te `(stent)` dah a rel thei a ni. He tube hi thla engemaw zat a hmunah dah a ni a, chutah chuan lakchhuah a ni. Puitling tan surgery (`(dacryocystorhinostomy - DCR)` ang chi) hi a buaithlak deuh thei a, mahse he `(probing and irrigation)` tih dan hi naupang tan chuan hman a ni fo.

Operation hmain eng nge i hriat tur?

I doctor-in operation tih a tum chuan a hnuaia mi hi a hrilhfiah ang che:

• Naute chu zai hmain hun engemaw chen ei leh in pek loh tur a ni ( anesthesia pek a nih avangin).
• Operation ni-a damdawi ina i thlen hun tur.
• I naute natna dang emaw, allergy emaw a neih chuan doctor hnenah i hrilh tur a ni.
• Hei hi zawhna emaw, ngaihtuahna emaw i neih apiang doctor nena inbiakna hun tha ber a ni.

Engtin nge surgery hi an tih thin? Tlemte chu a ti na dawn em ni?

Kan sawi tawh ang khan he surgery hi naute chungah general anesthesia hmanga tih a ni. Chumi awmzia chu naute chu a muhil vek tawh tihna a ni. Engmah hrehawm an nei lo. Minute tlemte hnuah surgery chu a tawp ta a ni. Doctor chuan chu hmanraw nalh tak takte chu hmangin mittui tlakna kawng chu a hawng a.

Hetiang hian han ngaihtuah teh, tui pipe khar tihfai ang mai a ni a, mahse uluk tak leh nalh takin.

Surgery hnuah eng nge thleng? In lamah engtin nge i in enkawl ang?

Operation zawhah naute chu rei vak lo enkawl a ni ang a, anesthesia atanga an harh veleh chu ni vek chuan an haw phalsak ang. In i thlen hnuah heng thilte hi enkawl rawh:

• Mit tui: Doctor chuan antibiotic a pe ang a, steroid pawh a pe thei bawk.)` Mit tui chi khat dahna tur a ni an ti a, chutah chuan. Hei hi a hun takah, ni dik takah hman a ngai a ni. Hei hian infection a veng a, swelling a ti tlem bawk.
• Mit fai taka vawn dan: Mit vel hi i moisturize thei. Mahse mit chu hnawih emaw, hrual emaw suh.
• Hnar thisen tlem: A chang chuan, operation hnuah ni khat emaw ni hnih emaw chhung chu i hnar atang hian pinkish discharge i nei thei. Hei hi thil pangngai a ni a, lungngai suh. Mahse thisen chhuak a nasat chuan doctor hnenah hrilh rawh .
• Follow-up: I naute chu doctor appointment-ah hruai kir leh a ngai a, chu chu surgery a hlawhtling em tih leh tear duct a thawk tha em tih en a ngai a ni.

He surgery hi a tam zawkah chuan a hlawhtling hle . Surgery an neih zawh chuan naute mit chu tui a chawlhsan a, a mit a chhing vek tawh mai.

He surgery atang hian side effect a awm em?

Surgery dang ang bawkin, side effects tenau tak tak awm theihna chance tlemte a awm a, mahse a tlem hle .

• An infection (chuvang chuan antibiotic drop an pe thin).
• Tear duct blocked lo awm leh (hei pawh hi a awm lo, a lo awm a nih chuan surgery dang neih leh a ngai mai thei).
• Anesthesia nena inzawm harsatna tenau (hengte pawh hi a tlem hle).

I doctor chuan heng zawng zawng hi a hrilhfiah hmasa ang che. Thil ngaihtuah tur a awm lo, a chhan chu hei hi surgery him tak a ni.

Surgery i neih loh chuan eng nge thleng ang?

Mittui kawng chu a inkhar reng a nih chuan harsatna lian ber chu mit natna lo awm leh thin hi a ni . Hei hi nang leh i naute tan pawh harsatna a ni. A châng chuan heng hri kai te hi a na thei hle. A tlem berah chuan tear sac-a natna khirh tak (acute dacryocystitis) a awm thei. Hei hi a hrehawm khawp mai. Chuvang chuan doctor-in surgery a rawt a nih chuan ngun taka ngaihtuah a pawimawh.

Take-Home Thuchah a ni

Okay, chuvangin kan sawi tawh zinga pawimawh tak tak thenkhat i hriat nawn tir leh ang u.

• Nausen piang tharte hian mit tui an nei a, thisen chhuak hi thil awmze nei tak a ni. In most cases , hei hi thla engemaw zat chhungin a mah chauhin a reh ang.
• Doctor-in a zirtir thin tear duct massage hi uluk taka tih a pawimawh hle.
• Naute kum khat vel a tlin hnuah pawh buaina a awm reng a nih chuan , emaw, natna hrik a awm fo chuan, doctor chuan operation chungchang a sawipui thei (Tear Duct Blockage Surgery).
• He surgery hi a awlsamin a him hle a ni . Naute chu anesthesia pek a nih avangin a na lo. Chumi ni vek chuan a haw thei.
• Surgery zawhah doctor thupek (mit drop dah ang chi) zawm nghal rawh.
• Rinhlelhna emaw hlauhna emaw i neih chuan zak lo la, i doctor hnenah zawt rawh. I tanpui turin an awm reng a ni.

I fate hriselna hi a pawimawh ber tih hre reng ang che. Hetiang harsatna a lo chhuah hian hlauthawng lo ila, damdawi lam thurawn dik tak la a, chu mi ang chuan thil tih a tha ber. I naute chu a dam thuai theih nan duhsakna hlanin!Mittui kawngkhar (Tear Duct Blockage), Nausen mittui tlakna (Tear Duct Blockage Surgery), Congenital Nasolacrimal Duct Obstruction, Probing leh Irrigation, Mit Surgery, Naupang Mit Natna te