I naute hian mittui a nei em? Blocked Tear Duct leh Tear Duct Probe chungchang hi awlsam takin i zir dawn teh ang!

I fate mit atang hian mittui a luang chhuak fo em ? A nih loh leh mittui tla ang maiin a lang em? A chang chuan hei hi nu leh pate tan chuan a hlauhawm deuh thei. Mahse, lungngai suh. A tam zawkah chuan, hei hi naupang tê tête zingah a awm fo ṭhin, mittui tlakna kawng (blocked tear ducts) an tih natna avânga lo awm a ni . Vawiin hian blocked tear duct tih hi eng nge a nih tih leh a enkawlna awlsam tak tear duct probe an tih te kan sawi dawn a ni.

Heng mittui te hi eng nge ni tak tak? Tear duct tih hi eng nge ni?

A hmasain heng mittui te hi eng nge an nih, engtin nge an lo pian chhuah a, engvangin nge kan mamawh tih hi han thlir ila. Kan mit hi camera te tak te pahnih ang maiin han ngaihtuah teh. He camera lens, chu chu mit hi engtik lai pawha hnim leh thianghlim taka vawn reng a ngai a ni. Chu chu mittui hian a puih a ni.

Kan mitmeng chunglam hnuaiah, kan mit pawn lamah gland te te a awm a. Hengte hi lacrimal glands kan ti a . Tui bawm ang mai an ni. Heng gland te hian mittui a siam thin. Heng mittui te hi mit chungah a luang thla a, mit chhung zawng zawngah a darh a, mit a hnim a, bawlhhlawh leh bawlhhlawh a paih chhuak a, a tifai bawk. Chu mai ni lovin, heng mittui te hian mit chhunga hrik lutte chu a do thei bawk.

Tunah chuan tui hman tawhte kan paih chhuah a ngai ang bawkin, heng mittui hman tawhte pawh hi mit atanga lak chhuah a ngai a ni. Chu chu tear duct system hi a ni. Kan in chhunga drainage system ang maiin han ngaihtuah teh. Mit chhung lam kil khatah, mitmeng chung leh hnuai lamah chuan khur te tak te pahnih (`(Puncta)`) a awm a. Heng khur atang hian mittui hi a lut a, tube te tak te (`(Canaliculi)`) hmangin a kal a, bag te tak te , tear sac (`(Lacrimal Sac)`) an tih ah a khawl khawm thin. Tichuan chuta tang chuan tube sei dang (`(Nasolacrimal Duct)`) hmangin an kal a, hnar chhungah an khawlkhawm leh thin. Chuvang chuan kan tap tam hian , kan hnar atangin mittui a chhuak bawk . I hrethiam em?

Engvangin nge heng tear duct te hi an block?

Okay, tunah chuan mittui siam dan leh mit atanga a chhuah dan kan hre ta. Chuti a nih chuan engvangin nge heng tear duct te hi an block?

Hetiang dinhmun hi naute piang thar ah kan hmu fo thin . A chhan chu, a hmaa kan sawi tawh ang khan, mittui tlakna kawng chu hnar nen a inzawm a, chu kawng tawp lamah chuan membrane te tak te (`(Membrane)`) a awm a ni. He membrane hi naute pum chhunga a awm laiin a khar thin. A tlangpuiin he membrane hi naute pian tirh emaw, a pian hnu ni engemaw zat hnuah emaw a inhawng nghal mai thin. Mahse, naute thenkhatah chuan he membrane hi a inhawng lo thei. Chu chu mittui chu hnar thlenga kalna tur a neih loh lai a ni a, mitmengah a tang a, mittui chu mit atanga a chhuah a ngai a ni. Hei hi pianpui nasolacrimal duct obstruction (`(Congenital Nasolacrimal Duct Obstruction)`) kan ti a ni. Hei hi nausen tear duct a block chhan ber a ni.

Naupang kum upa zawk emaw, puitling emaw zingah mittui tlakna kawng (tear ducts) a inkhar chhan dang pawh a awm thei bawk. Entir nan:

• Mit emaw hnar emaw natna (`( Infections )`) .
• Mit emaw hnar emaw hliam
• Kum upat ruala inthlak danglamna
• Hnar chhunga lump thenkhat lo awm (`(Nasal Polyps)`) .
• A tlem hle a, tear duct system-ah hian tumor (`(Tumors)`) ang chi condition a awm thei. Mahse, hengte hi a tlem hle.

Chuvangin, nangmah emaw i naute emaw hian heng symptoms te hi i neih chuan doctor, a bik takin mit lam doctor i pan ngei tur a ni . Chumi hnuah chuan a chhan dik tak chu an hmu thei ta a ni.

Engtin nge tear duct a block tih i hriat theih ang?

Tunah chuan, ‘Ka naute pawhin he harsatna hi a nei em tih ka hre lo’ tih hi i ngaihtuah mai thei. Chuvangin, mittui tlakna kawngkhar (blocked tear duct) hian eng symptoms nge a neih tih hi han en ila.

• Mit hnim leh mittui tla reng (`( Epiphora )`) : Hei hi a lan chhuahna ber a ni. Naute a tap loh lai pawhin mittui chu a mittui a lang thei a, a chang chuan a hmuiah a luang thla bawk.
• Mucopurulent discharge : Mucopurulent discharge, a bik takin zing i thawh hian mitmeng velah a pungkhawm thei. Hei hian a chang chuan mitmeng a ti hrual thei a ni.
• Mit chhung lam kil a sen emaw, a hring emaw : Mittui bawm awmna hmun (`(Lacrimal Sac Area)`) hi a chang chuan a sen thei a, a hring thei a, khawih a na thei bawk. Hei hi mittui bawm (`(Dacryocystitis)`) a awm chuan a thleng thei. Chutiang a nih chuan doctor i pan nghal tur a ni .
• Mit hrufai fo tum : Naute chuan an mit a mittui a khat avangin nuam lo takin an awm thei. Chuvang chuan an mit chu an kut hmanga phihfai an tum fo thin.
• Mit chu a fiah lo : A chang chuan mittui tlak tam lutuk avangin mit a fim lo deuh thei bawk.

I naute hian heng chhinchhiahna pakhat emaw, a aia tam emaw a neih chuan, a ṭha ber chu mit lam doctor pan hi a ni tih hre reng ang che . Ngun takin an en thei a, mittui tlakna kawngkhar khar a nih leh nih loh an hrilh thei che a, chutiang a nih chuan eng nge i tih tur tih an hrilh thei bawk.

Eng nge tih theih ang? Step bulpui ber berte.

Okay, chuti a nih chuan tunah chuan doctor i hmu tawh a, i naute mittui tlakna kawng a block tih finfiah a ni. Doctor hian eng enkawlna nge a pek ang che?

A tam zawkah chuan, a bik takin nau piang thar tan chuan doctor-te chuan enkawlna lian tham an hmang nghal lo. A chhan chu, a hmaa kan sawi tawh ang khan naute tam zawk mittui tlakna kawngkhar khar chu kum khatna chhungin anmahni chauhin a inhawng thin.Chuvangin, tih hmasak ber chu dawhthei taka nghah hi a ni.

Chutih rual chuan doctor chuan mittui tlak dan (`(Crigler Massage)`) . Hei hi a awlsam hle.

• A hmasa berin sahbawn hmangin i kut i sil fai a ngai a ni.
• Tichuan, i index finger (mi thenkhat chuan i pinky finger pawh an hmang bawk) chu i naute mit chhung lam kil khatah dah la, hnar leh mit inkar bump te tak te (mittui kawng awmna hmunah) dah la, zawi zawiin hmet thla la, hnar lam hawiin hnawih rawh Message tlemte thawn ang maiin.
• Doctor chuan ni khatah vawi hnih emaw vawi thum emaw, vawi nga emaw vawi ruk emaw vel tih tur a ti.

He massage hian tear sac chhunga pressure a ti sang a, blocked membrane chu a hawng thei bawk.

Chu bâkah, i naute mit chu a hring (crusty) a, chu chu natna hrik kai lo tihna a nih chuan, doctor chuan a natna control nân mit silna leh antibiotic eye drops a pe thei bawk Mit tihfai dawnin cotton swab tui thianghlim leh sterile-a thun hmangin mit chhung lam atanga pawn lam thlengin mit chu phihfai tur a ni. Swab ang chiah kha hmang leh tawh suh.

A tam zawkah chuan heng thil awlsam tak takte hian thla engemaw zat chhungin buaina chu a chinfel sak thin. Mahse chutiang chu a thleng lo a nih chuan a dawt leh tur kan ngaihtuah mek a ni.

Tear duct probe tih hi eng nge ni?

Ngaihtuah teh, thla engemaw zat massage hnuah pawh naute mittui chu a la reh lo. A nih loh leh, mit natna an vei reng a ni. Chu chu doctor-te chuan tear duct probe tih damdawi an ngaihtuah lai a ni.

A awlsam zawngin, hei hi instrument te tak te hmanga tear duct blocked hawn dan a ni . Hei hi mit lam doctor in a ti thin . Hei hi surgery tenau anga ngaih a ni tlangpui a, mahse incision lian tak a tel lo.

Chumi atana hmanraw hman chu ‘probe’ an ti a. Instrument nalh tak, te tak te, metal rod ang maia siam a ni. A chung lam chu a hrual a, chuvang chuan tear duct a tichhia lo. Membrane blocked emaw, thil dang tenau dang emaw chu zawi zawiin nawr chhuah nan hman a ni a, mittui luang chhuak tur kawng a siam a ni.

He test/treatment hi engtin nge an tih?

Tunah chuan hetiang hi engtin nge i tih ang tih i ngaihtuah mai thei a, naute chu a ti na dawn em ni? Ngaihtuah buai suh, chu pawh chu ka hrilhfiah ang.

Hetianga `(Probing)` tih hian naute te te chu general anesthesia (`(General Anesthesia)`) pek an ni tlangpui . Chumi awmzia chu naute chu rei vak lo mut tir tihna a ni. Hei hi naute hian engmah a hriat loh nan, a hlau lo va, a che lo turin an ti thin. Tichuan doctor chuan awlsam tak leh him takin hei hi a ti thei ang. A châng chuan naupang kum upa deuh emaw, puitling emaw tan chuan local anesthetic eye drops (`(Local Anesthetic Eye Drops)`) chauh hmangin tih theih a ni. Chu chu doctor-in a rel tur a ni.

Anesthesia a pek hnuah doctor chuan a hnuaia mi ang hian a ti ang:

1. Pakhatnaah chuan, a hmaa kan sawi tawh mit chhung lam kil a khur te tak te (`(Punctum)`) chu tlem a lian deuhin, hmanraw nalh tak hmangin siam a ni.

2. Tichuan, chu khur atang chuan `Probe`, thir rod te tak te , chu uluk takin an dah lut a, nasolacrimal duct hnuaiah an kal thla ta a ni.

3. He `Probe` hi kan paltlang chuan membrane block emaw, obstruction tenau dang emaw a awm chuan zawi zawiin a chhe vek ang. Hei hian mittui luangna tur kawng a siam ang.

4. A tawp berah chuan doctor chuan sterile saline solution (`(Sterile Saline Solution)`) chu tear duct-ah syringe te tak te hmangin a inject ang a, a kalna tur chu a inhawng em tih leh a tui chu hnar chhungah a luang lut em tih a en ang. Pipe block tawh chu tui luang chhuakin tihfai ang mai a ni. A châng chuan, he saline solution-ah hian dye (`(Dye)`) dah a ni a, a rawng chu hnar aṭanga chhuak hmuh a ni a, chu chuan a kalna chu a inhawng tih a nemnghet thei a ni.

The entire process only takes a few minutes , chuvangin naute chu rei tak anesthesia hnuaia awm a ngai lo.

Test zawhah eng nge thleng?

Okay, tunah chuan `(Probing)` chu a tawp ta. Eng nge thleng leh ang?

• A tam zawkah chuan naute chu a ni vek hian a haw thei a ni. Anesthesia atanga an harh hnuah rei vak lo enkawl an ni a, an in lama thawn let leh an ni.
• Ni hmasa berah chuan mit tui deuh deuh i nei thei a, mittui pinkish (thisen tlem nen) pawh a awm thei bawk . I hnar atang hian discharge engemaw zat i nei thei bawk. Hei hi thil pangngai a ni a, lungngai suh . Ni reilote hnuah a bo mai ang.
• Doctor chuan ni engemaw zat chhung chu antibiotic eye drop emaw ointment emaw a pe ngei ang. Infection laka invenna atana pek a ni. Doctor sawi ang chiah, a hun chhung dik tak hman tur a ni.
• A châng chuan, doctor chuan a hmaa i tih ang bawkin mittui bawm massage chu ni engemaw zât dang chhunzawm leh tûrin a hrilh ang che . Hei hian tear duct hawn thar chu a khar leh tawh loh nan a pui ang.
• Doctor chuan thil awmdan enfiah turin follow-up appointment nei turin lo kir leh turin a ti ang che.

He ``(Probing)`` enkawlna hlawhtlinna hi a sang hle , a bik takin naute kum khat hnuai lam chunga tih a nih chuan. A tam zawkah chuan enkawlna vawi khat chauh hnuah buaina chu a reh vek a ni.

Risk a awm em?

Damdawi lam thil dang ang bawkin, probing hi a hlauhawmna nei lo a ni lo. Mahse, a tlangpuiin a him hle a ni . Mit lam doctor tawnhriat ngah takin a tih chuan complication a awm tlem hle.

Thil awm thei chu:

• Infection : Hetiang a thlen theihna chance hi a tlem hle a, a chhan chu antibiotics hi enkawl hnuah pek thin a ni.
• Thisen chhuah : A tlangpuiin thisen a chhuak tlem hle a, chu chu a mah chauhin a tawp thin.
• Kawng dik lo siam (`(False Passage)`) .: `Probe` chu a kal pelh chuan a kalna tur kawng dang a kal thei a, tear duct tak tak ni lovin kawng thar a siam thei a ni. Mahse, doctor tawnhriat ngah tak tan chuan hetiang hi a awm a rinawm loh hle.
• Scarring : Tear duct chhungah hian Scarring a lo awm thei a, a block leh thei bawk. Hei pawh hi a tlem hle.
• Recurrence of Blockage : A chang chuan probing hnuah pawh tear duct hi rei vak lo hnuah a block leh thei bawk. Chutiang a nih chuan probing dang i tih a ngai mai thei a, a nih loh leh enkawlna dang i tih a ngai mai thei (entir nan, tear duct-ah tube te tak te dah - stent - emaw, surgery buaithlak zawk pawh). Mahse i doctor chuan hei hi a hrilhfiah ang che.
• Anesthesia hlauhawmna : I naute chu general anesthesia pek a nih chuan a kaihhnawih hlauhawmna engemaw zat a awm. Anesthetist chuan enkawl hmain hengte hi uluk takin a hrilhfiah ang che.

A pawimawh ber chu doctor hnenah zawhna emaw, ngaihtuahna emaw i neih chuan zawh hi a ni. Engkim an hrilhfiah ang che.

A tawp berah chuan hei hi hre reng ang che.

Okay, chuti a nih chuan vawiina kan sawi tawh tlemte, i tana pawimawh nia kan hriatte kha han hriat nawn tir leh ang u.

• Blocked tear ducts hi naute naupangah a awm fo thin , chuvangin ngaihtuah lutuk suh.
• A tam zawkah chuan, he natna hi naute kum khat vel a nih hunah a mah chauhin a ṭha chho , a nih loh leh massage technique awlsam tak hmanga tihdam a ni.
• Chu chuan hna a thawk lo a nih chuan tear duct probe hi enkawlna him leh tangkai tak a ni .
• I naute mit a tui emaw, a hring reng emaw a nih chuan mit lam doctor i pan ngei tur a ni . Anmahni hi uluk taka enfiah thei tur leh nang leh i naute tan thurawn tha ber pe thei tur che an ni ang.
• Doctor nen uluk takin inbiakna nei la , i zawhna leh rinhlelhna zawng zawng zawt la , tifai rawh . I dikna a ni.

Chuvangin, he sawihona hian in tan a puih ngei ka beisei. I naute chu dam thuai turin duhsakna ka hlan e!

Mittui Duct Blockage, Mittui Duct Probe, Blocked Tear Duct, Mit lam doctor, Nausen Mit, Mittui, Mittui Duct Massage