I naute mit chu a hrual reng em? Blocked Tear Duct chungchang hi han sawi ila!

I naute mit chu mittui tla mai mai a ni tih i hre tawh mai thei a, a châng chuan mit pahnih a ni a, an mit kil khatah chuan hnim hring a awm tih i hre tawh mai thei . Engvangin nge i fate chungah hian tap pawh ni lovin hetiang thil hi a thleng tih i ngaihtuah mai thei. Nu leh pa tam tak chuan he thil hi an ngaihtuah deuh a. Mahse lungngai suh, hei hi naute zingah hmuh tur awm fo a ni. Vawiin hian Blocked Tear Duct chu eng nge a nih, engvangin nge a lo awm tih leh in lama enkawl dan tur te kan sawi dawn a ni.

Engvangin nge heng mittui te hi? Tear duct tih hi eng nge ni?

A hmasain, heng mittui te hi eng nge an nih, engtin nge an hnathawh tih hi han sawi ila. Kan mit hi camera hlu tak ang maiin han ngaihtuah teh. He camera hi engtik lai pawha fai leh hnim taka vawn reng a ngai a ni. Chu chu mittui hian a puih a ni.

Mitmeng hnuaiah, mit chungah , gland te tak te, lacrimal glands an tih te a awm a. Zun siamna hmun ang mai an ni a, mittui an siam chhuak thin. Heng mittui te hi mit chhung zawng zawngah a darh a, a hnim a, leivut ang chi thil te paih chhuakin a tifai bawk.

Tin, chutah chuan? Heng mittui hman tawhte hi paih chhuah a ngai a ni. Chu chu tear duct system hi a ni. A awlsam zawngin kan in chhunga drainage system ang maiin a thawk a ni.

1. Mit chhung lam kil khatah hian mitmeng chung leh hnuai lamah khur te tak te (`puncta`) pahnih a awm a .

2. Heng khur atang hian mittui chu kawngpui te tak te (`Canaliculi`) hmangin a kal a, .

3. Mittui chu bawm te tak te `Lacrimal Sac` an tih ah a inkhawm thin. Hei hi hnar leh mit inkarah a awm a.

4. A tawp berah chuan he mittui bawm atang hian mittui chu duct te tak te dang (`Nasolacrimal Duct`) hmangin hnar chhungah a luang lut a.

Chuvang chuan kan tap hian kan hnar kan puak thin. Mittui tam lutuk kan neih chuan he tube-ah hian a tla thla a, kan hnar chhungah a lut thin. I hrethiam em?

Chuti a nih chuan blocked tear duct chu eng nge ni?

Tunah chuan tear duct system hi a pawimawh zia i hrethiam ta. Blocked tear duct chu ka sawi tawh ang khan tear duct sir hmun khatah blockage emaw obstruction emaw a awm chuan a ni. Tui pipe khar ang mai a ni. Chuti a nih chuan eng nge thleng? Mittui chu hnar chhungah a luang lut tha thei lo. Chuvângin, mit aṭangin an tla chhuak ṭan a, a nih loh leh mitah an tang .

Hei hi naute zingah a tam hle. Naute 10 zinga pakhat vel chu he natna nei hian an piang thin. A tam zawkah chuan tube tawp lama membrane te tak te (`Membrane` emaw `Valve of Hasner`) chu hnar thlenga mittui phurtu (`Nasolacrimal Duct`) a inhawng tha lo vang a ni. A tlangpuiin he membrane hi a pian tirh emaw, a pian hnu ni engemaw zat hnuah emaw a inhawng thin. Mahse naute thenkhatah chuan a rei deuh a ni.

A pawimawh ber chu a tam zawkah chuan hei hian naute a ti na lo va, naute mit hmuhna a tichhe lo.

Engtin nge ka naute hian he natna hi a nei tih ka hriat theih ang? (Natna)

I fate hian mittui tlakna kawng a block em tih hriat nan nangmah ngeiin i en theih tur chhinchhiahna engemaw zat a awm a:

• Mit tui/Epiphora: Naute tap loh lai pawhin mit pakhat emaw pahnih emaw chu mittui nen a khat reng a, mittui chu a hmuiah a luang thla thin. Hei hi khaw vawt ni emaw, thli tleh hmunah emaw a na zual thei.
• Sticky discharge : Zing i harh hian, emaw, nitin emaw, i mit kil khatah sen hring hring i hmu thei . A châng chuan, he tui chhuak hian i mitmeng chu a inzawm khawm thei a ni.
• Mitmeng a hring emaw a sen emaw: A chang chuan, a hring emaw, a sen emaw tlem a awm tih i hmu thei a, a bik takin mittui bawm awmna hmunah (hnar bul, mit chhung lam kil khatah ).
• Mit silfai fo: I naute hian a mit chu a kut hmanga silfai a tum reng a nih chuan hei hi chhinchhiahna a ni thei.

Mahse hre reng ang che, mit a sen hle a, a hring nasa hle a, naute pawhin khawsik a nei a nih chuan , infection (`Dacryocystitis`) a ni thei. Chutiang a nih chuan Doctor i pan nghal tur a ni.

Tear Duct Massage hi eng nge ni? Engtin nge tih a nih?

A tam zawkah chuan mittui tlakna kawngkhar (blocked tear duct) chu naute kum khatna chhungin a mah chauhin a dam leh ang. Mahse, he damna kawnga ṭanpui tûr leh kawngkhar khar chu tihbuai theih nân, doctor-te chuan thil awlsam tak , tear duct massage tih chu an rawt a ni. A chang chuan `Crigler Massage` an ti bawk.

Hei hi drain block-a pressure tlem pek ang mai a ni. Hetiang massage kan tih hian lacrimal sac chu zawi zawiin kan press a. A chhunga mittui chuan a blocked membrane chu a nawr a, a inhawng thei ta a ni.

Engtin nge massage dik taka tih theih ang?

Hei hi thil awlsam tak a ni a, mahse a tih dan tur dik tak hriat a pawimawh. I doctor emaw nurse emaw chuan chiang takin a hrilhfiah ang che. Tlem han sawifiah teh ang.

1. Faina hi a pawimawh ber!

• Massage i tan hmain i kut chu sahbawn hmangin uluk takin silfai hmasa phawt ang che.
• I naute nail pawh tawi takin dah la, a chhan chu hetiang hi hmun nalh takah kan ti a ni.

2. Hmun dik tak:

• I naute mit chhung lam kil , hnar bul hnaih (hnar lam)-ah hmun te tak te, dimpled tak i hre ang. Chutah chuan lacrimal sac chu a awm a ni.

3. Massage siam dan: 1.1.

• I index finger emaw, i pinky finger emaw hmang la.
• Ka sawi tak tear sac chunglam chu pressure zawi zawiin hmang la, i kut zungtang chu hnuai lamah dah la, hnar sir lamah dah rawh . Line te tak te hnuai lam hawia ziak ang maiin. Mit chu press ngai suh.
• Hetiang massage hi vawi 2-3 vel a zawnin tih tur a ni. Hei hi `one session` angin ngaihtuah rawh.

4. Engzat nge ka tih tur?

• Doctor-te chuan he massage hi ni khatah vawi hnih emaw vawi thum emaw (zing, chawhnu leh zan) tih an rawt tlangpui. Vawi khatah massage 5-10 vel i ti thei.
• I doctor chuan heng zat te hi i naute nena inmil turin a siamrem ang.

5. Eng chen nge a daih?

• Hetiang dinhmun hi naute tam takah chuan thla engemaw zat an tih hnuah a tha leh thin. A châng chuan, i naute chu kum khat vêl a tlin hma loh chuan tihsak tûrin i ti thei hial a ni.

Pawimawh:

• Hre lutuk suh. Hei hi zawi zawia tih tur a ni. I press nasat lutuk chuan naute tan engmah a ti tha lovang.
• Massage i tih lai hian i mit atang hian mucus emaw mittui tlem emaw a chhuak thei. Hei hi thil pangngai a ni. Cotton ball fai tak chu tuiah (tui lum a tha ber) hnim la, mit chhung lam atanga pawn lam zawi zawiin phihfai rawh.
• Mit tin atan cotton ball hrang hrang hmang rawh.

He massage hi damdawi ang mai a ni tih hre reng ang che. Doctor-in a sawi ang chiah, vawi dik tak, leh a tih ang chiaha i tih chuan result tha tak i hmu thei ang.

Massage ringawt hian a puih loh chuan engtin nge ni ang?

A tam zawkah chuan naute 90% vel chu kum khat an tlin meuh chuan tear duct massage hmangin anmahniin an dam leh thin. Mahse, naute tlemteah chuan he dinhmun hi a ṭha lo thei a ni.

Chutiang a nih chuan, chu chu i naute chu a la mittui a la chhuak a, mit a chhuak fo a nih chuan, kum khat vel hnuah mit natna a nei fo a nih chuan, i doctor chuan enkawlna dang a hrilh ang che.

Chung zinga ṭhenkhat chu hetiang hi a ni:

• Probing: Hei hi surgery tenau tak a ni. Naute chu anesthetized a nih hnuah mit lam doctor chuan mittui tlakna kawngah hian instrument tha tak (probe) a dah a, a block tawhna hmun chu a hawng a ni. Hei hi enkawlna hlawhtling tak a ni.
• Stenting emaw Intubation: A chang chuan probing zawhah silicone tube te tak te chu a block leh loh nan tube chhungah hian rei lo te chhung dah a ni. He tube hi thla engemaw zat hnuah lakchhuah a ni.
• Balloon Dacryoplasty: A then phei chuan balloon te tak te chu tube chhungah dahin inflated a ni a, blocked portion chu hawn theih a ni.
• Surgery (Dacryocystorhinostomy - DCR): Hei hi nauteah tih a tlem hle. Thil buaithlak tak takah tih a ni. Hetah hian mittui bawm atanga hnar thlengin kawng thar siam a ni.

Mahse he enkawlna hi i ngaihtuah nghal a ngai lo. A pawimawh hmasa ber chu mittui tlakna kawng (tear ducts) te hi uluk taka massage a, doctor thupek zawm hi a ni.

Engtikah nge Doctor ka hmuh ang?

A tlangpuiin, naute pian hnu thla engemaw zat hnuah, he a tear leh crusting i hmuh hian naute clinic-ah kal la, doctor hnenah i hrilh tur a ni . Doctor chuan naute chu a enfiah ang a, hei hi mittui tlakna kawngkhar block a nih leh nih loh a nemnghet ang a, massage dan tur a zirtir ang che.

Amaherawhchu, heng thilte hi i hmuh chuan Doctor pan nghal rawh:

• Mit chu a sen dum, a hring nasa hle a, naute chu i vawn lai pawhin a tap a nih chuan (na).
• Mit kil , mittui bawm awmna chu a sen a, a hring a, chuta tang chuan yellow pus a lo chhuak a nih chuan.
• Naute hian khawsik a neih chuan.
• I naute mit hmuhnaah thil dik lo a awm nia i hriat chuan .
• Thla tam tak massage hnuah pawh hmasawnna a la awm lo.

Hengte hi natna kai chhinchhiahna a ni thei a, antibiotics pawh a ngai thei bawk.

Take-Home Thuchah a ni

Chuvangin, i naute mit pawh hetiang hian tui a luang a, a hring a nih chuan, a tlangpuiin ngaihtuahawm tur a ni lo. Mittui kawngkhar (blocked tear duct) a ni thei a, hei hi naute zingah a awm fo thin.

• Hemi atan hian Tear Duct Massage hi a awlsam em em a, a tangkai hle bawk.
• Doctor-in a sawi angin fai tak, zawi zawia massage hi a pawimawh hle .
• Naute tam zawk tan chuan he natna hi kum khat vel an tlin meuh chuan a reh vek thin .
• Mit sen, mit hring leh khawsik ang chi symptom i neih chuan doctor pan ngei ngei tur a ni.
• Hemi chungchangah hian rinhlelhna emaw zawhna emaw i neih chuan chhungkaw doctor emaw naupang enkawltu emaw zawt hreh suh.

I naute chu a dam thuai theih nan duhsakna hlanin! He thu hi in tan a tangkai ngei ka beisei.

mittui tlakna kawng khar, mittui kawngkhar khar, mittui tlakna kawng massage, mittui tlakna kawng massage, naute mittui tlak, epiphora, dacryostenosis