Kei te kite koe i te pupuhi, te whero, te mamae rānei i te kokonga o roto o tō kanohi , e tata ana ki tō ihu, i ētahi wā ka haere tahi me te rere? Kua kite pea koe kei te wai tonu ngā kanohi o tāu tamaiti, me te kiripaka, te kohi roimata rānei i ngā kokonga o roto? He tohu pea ēnei o tētahi mate e kiia nei ko te dacryocystitis. Kaua e manukanuka—i Nirogi Lanka, kei konei mātou ki te whakamārama mārama me te ngāwari i tēnei mate māu.
He aha te Dacryocystitis?
Ki te kī māmā noa, ko te dacryocystitis he mumura, he mate rānei o te pēke waikura (te pēke roimata). Tērā pea kei te whakaaro koe kei hea tēnei pēke, ā, he aha tāna mahi.
Ka whakaputa tonu ō kanohi i ngā roimata hei pupuri i te hinu me te ma. I te nuinga o te wā, ka rere ēnei roimata mā roto i tētahi kōhao iti i te kokonga o roto o tō kamo (e kiia nei ko te punctum), ka haere mā roto i tētahi awa iti ki roto i te pēke waikura, ā, ka heke iho i te awaawa nasolacrimal ki roto i tō ihu. Koinei tonu te take e rere ai tō ihu ina tangi koe.
Heoi, ki te āraia tēnei ara—tērā te pēke waikura, te awaawa nasolacrimal rānei—kāore e taea e ngā roimata te rere, ā, ka tīmata te putunga. Mā tēnei tūnga kore e puta he taiao pai mō te tipu o ngā huakita, ka puta he mate. I Nirogi Lanka, ka tautuhia e mātou tēnei āhuatanga ko te dacryocystitis.
He aha te rerekētanga i waenga i te Dacryocystitis Āhua Kino me te Dacryocystitis Mau tonu?
E rua ngā momo matua o te dacryocystitis: Ko te mate pāwera me te mate mau tonu .
- Dacryocystitis Whakapeka: Ka tīmata ohorere tēnei. Ka puta wawe ngā tohu, ā, ka memeha haere i roto i ngā marama e toru. Tērā pea ka pāngia koe e te mamae nui, te pupuhi nui, me te whero i te wāhi.
- Te Dacryocystitis Mau tonu: He mate pumau, he roa hoki tēnei. Ahakoa he iti ake te kaha o ngā tohu i te momo koi, tera pea ka pāngia koe e te haehae mau tonu me te pupuhi ā-wā.
He mea nui kia mōhiotia ko te dacryocystitis mau tonu ka honoa pea ki ngā mate pūnaha, pērā i te Granulomatosis me te Polyangiitis, te Sarcoidosis, te Systemic Lupus Erythematosus (Lupus) rānei. Hei tāpiri, ko te hunga whai mate pūkahukahu mau tonu (Pink Eye) he nui ake te mōrearea ki te mate. Tērā pea he rerekē ngā momo mate e puta ai te mate i waenga i ēnei momo e rua.
He momo anō kei reira?
Āe, i tua atu i te āhua whakapeka me te āhua mau tonu, ka taea hoki te whakarōpū i te mate nei he āhua whānau mai (kei te whānau mai anō) he āhua whiwhi mai rānei (ka whanake i muri mai i te ao).
- Dacryocystitis whānau: He maha ngā wā ka pā tēnei ki ngā pēpi. Ka pā mai tēnei ina kore e ma te wai o te amniotic i te pūnaha roimata i muri i te whānautanga. Mēnā ka pangia tēnei wai kua mau, ka kiia ko te Neonatal Dacryocystitis .
Whakaarohia he pēpi hou e rere tonu ana ngā roimata mai i te kanohi kotahi, i ētahi wā ka puta he pupuhi ki te kokonga o te kanohi i te ata. He mea whakapouri pea tēnei mō te mātua, engari he whakaaturanga matarohia tēnei o te dacryocystitis whānau.
- Te Dacryocystitis Whiwhi: Ka puta ake tēnei i muri mai nā ngā āhuatanga maha, tae atu ki ngā whati o te kanohi, ngā pokanga, ngā pukupuku e tata ana ki te ihu, ki te kanohi rānei, hei pānga taha rānei o ētahi rongoā.
He pēhea te noa o tēnei āhuatanga?
E ai ki ngā tatauranga, tata ki te 6% o ngā pēpi hou ka whānau mai me te Congenital Nasolacrimal Duct Obstruction (NLDO) . Heoi, he tino onge ake te mate dacryocystitis, tata ki te 1 i roto i te 3,884 whānautanga ora. He paku noa ake te kitea i roto i ngā pēpi wahine nā te whaiti o ngā ara roimata.
He aha ngā tohu o te Dacryocystitis?
Mena he dacryocystitis tōu, ka kite pea koe i tētahi, i ētahi atu rānei o ngā tohu e whai ake nei:
- Mamae kanohi: Ina koa kei te kokonga o roto o te kanohi, e tata ana ki te ihu.
- Te pupuhi huri noa i te kanohi: Ka kitea te pupuhi i te wāhi e pāngia ana.
- Te whero, te rerekētanga rānei o te tae o te kiri: Tērā pea ka whero te āhua o te wāhi, ka paku maru/pango ake rānei te tae.
- Puku: Tērā pea ka turuturu te wai i te pūaha , i te whara rānei e tata ana ki te kokonga o roto o te kamo.
- Kirika: Nā te mea he mate pāwera tēnei, ka pāngia pea koe e te kirika.
Mō te dacryocystitis mau tonu, he ngawari ake ngā tohu; hei tauira, tera pea ka mau tonu te wai o ō kanohi, engari kāore he kirika.
He aha te take o te Dacryocystitis?
E ai ki tā mātou i kōrero ai, ko te tino take he aukati i te awa roimata , e kore ai e rere tika ngā roimata mai i ngā kanohi ki te ihu.
I roto i ngā pēpi hou, he maha ngā wā ka puta tēnei āhuatanga nā te kiriuhi angiangi, engari i roto i ngā tamariki me ngā pakeke, ka puta pea ngā arai mai i ngā āhuatanga maha.
Ko ngā āhuatanga e whai wāhi ana ki te whanaketanga o te dacryocystitis kua whiwhi ko:
- Te koroheketanga: Ka kitea pinepine tēnei āhuatanga i roto i te hunga neke atu i te 40 tau te pakeke.
- Whara: Ngā whara e pā ana ki te ihu, ki ngā wāhi rānei e karapoti ana, pērā i ngā whati kanohi, i ngā pokanga rānei.
- Ngā Āhuatanga Hauora Matua: Ngā mate pūnaha ārai mate, ngā mate mumura/mate pāwera rānei pērā i te sinusitis.
- Ngā Āhuatanga Pūnaha: Ngā āhua rerekē o te hanganga o te ihu.
- Ngā pukupuku: Ngā tupu kei roto, kei te taha rānei o te ihu, o ngā sinuses, o te putea lacrimal rānei.
- Ngā Rongoā Motuhake: Hei tauira, ko ngā rongoā toto totoka pēnei i a Timolol, ngā maimoatanga glaucoma pēnei i a Dorzolamide me Pilocarpine, ngā rongoā ārai huaketo pēnei i a Trifluridine, me ngā maimoatanga mate pukupuku pēnei i a Fluorouracil, Docetaxel, Radioactive Iodine rānei.
- Te Aroaro o ngā Pūwero Mata: Ka taea e ēnei taputapu iti, e whakamahia ana i ētahi wā hei rongoā i ngā kanohi maroke, te ārai i ngā kanohi mena kāore e tangohia kia rite ki ngā tohutohu.
He mate hopuhopu te Dacryocystitis?
Ahakoa he mate pāwera te dacryocystitis, kāore e horapa whānuitia, ā, e kore e taea te horapa mai i te tangata ki te tangata. Kia māia, kāore he take e manukanuka nui ai mō te horapa.
Me pēhea te tautuhi i tōna mate?
I a koe e kōrero ana ki tō tākuta, ka arotakehia ō kanohi me te rohe ihu e karapoti ana, me te matapaki anō hoki i tō hītori hauora me ngā tohu motuhake. He maha ngā wā, he rawaka tēnei whakamātautau haumanu hei whakatau i te mate.
Hei whakaū i te mate, ka tūtohu pea tō tākuta i ngā rangahau e whai ake nei:
- Whakamātautau Kanohi Whānui.
- Te Pā Mārie: Tērā pea ka pēhi mārie tō tākuta i te wāhi pupuhi hei tirotiro mēnā kei te puta te pūkahukahu mai i te punctum (te pūaha iti kei te kokonga o tō kanohi).
- Whakamātautau Ahurea: Mena he pūkahukahu kei roto, ka tukuna pea he tauira ki te taiwhanga hei tautuhi i te mate pukupuku e puta ai te mate.
- Ngā Whakamātautau Toto: Ka taea e ēnei te aromatawai i te maha o ngā toto toto mā hei tirotiro i ngā tohu o te mate, o ngā mate pūnaha rānei.
- Whakamātautau Ngaro Tae: Ka pania he tae kōwhai motuhake ki tō kanohi hei aroturuki i te tere o te mawhiti i roto i ō awa roimata. Ko te whakaroa he tohu kei te aukati, ko te kitea o te tae i runga i te ūkui ihu he tohu kei te aukati wāhanga.
- Ngā Whakamātautau Whakaahua: Tērā pea ka tonoa he matawai CT, he MRI rānei hei tautuhi tika i te pūtake o te aukati.
Mena ka pāngia koe e te Hemolacria (roimata toto) me ngā raruraru tirohanga rānei, me whai whakamātautau motuhake anō pea.
Me pēhea te rongoā i te dacryocystitis?
I Nirogi Lanka, ka whakatairangahia tō whakaoranga mā te tiaki whai hua, e ahu mai ana i ngā taunakitanga:
- Mō te dacryocystitis huakita whakapeka, ka tohua e tō tākuta he paturopi ā-waha, he paturopi ā-uaua rānei (IV) . Tērā pea ka tohua he pata paturopi ā-waha, he hinu rānei.
Ko ngā paturopi e tohua ana ko Amoxicillin-clavulanate, Cephalexin, Ciprofloxacin, Clindamycin, me Trimethoprim-Sulfamethoxazole.
- Mā te whakamahi i ngā kōpeke mahana me te mirimiri mārie i te wāhi e pāngia ana ka āwhina i te whakamama i te mamae.
- Ko te nuinga o ngā tūroro ka tīmata ki te rongo i te tino whakaoranga i roto i ngā rā torutoru i muri i te tīmatanga o te rongoā paturopi.
Ahakoa ka hokihoki mai te dacryocystitis o te pēpi hou , ka memeha noa iho i roto i te tau tuatahi o te oranga.
Mō ngā take pumau, mau tonu rānei, ka tūtohu pea tō tākuta i tētahi tikanga pokanga e mōhiotia ana ko te Dacryocystorhinostomy (DCR) , e waihanga ana i tētahi ara hou mō te rerenga o ngā roimata.
Ngā raruraru pea o te pokanga DCR
Pērā i ngā tikanga pokanga katoa, tera pea ka puta he raruraru iti, ahakoa he onge noa iho:
- Te toto i muri i te pokanga.
- Te mate urutā i te wāhi i pokangahia.
- Te mate pāwera o te sinusitis.
- He whara iti ki ngā kiko o te kanohi, o te ihu rānei.
Ka kōrero taipitopito tō tākuta ki a koe mō ngā mōrearea me ngā painga katoa.
Ka taea te ārai i te dacryocystitis?
Ahakoa he maha ngā take kāore e taea te karo, mā te pupuri i te akuaku whānui ka tino whakaiti i te tūponotanga o te pangia e te mate:
- Me horoi pai ō ringaringa.
- Kaua e pā atu ki ō kanohi me te kore e hiahiatia.
- Kaua e noho ki ngā wāhi kīkī me te hunga e pangia ana e ngā mate pāwera.
Ka whakaratohia e ēnei mahi ngāwari he parenga whai hua ki ngā mate urutā noa.
Me aha koe mēnā ka puta mai ngā tohu?
Ahakoa ka ea noa iho ētahi āhuatanga, ki te puta mai ngā tohu ki a koe, ki tāu tamaiti rānei, me toro atu ki tētahi tohunga hauora i Nirogi Lanka, me toro atu rānei ki tō tari urupare tata tonu atu mō te tātaritanga me te mahere maimoatanga whaimana.
Ki te kore e rongoatia, ka huri hei mate tuwhera , ā, i ētahi wā, ka raru pea te tirohanga . Nō reira, he mea nui kia rapua he maimoatanga hauora i te wā tonu.
Āhea koe me toro atu ki te tākuta?
Ki te whakapae koe, tāu tamaiti rānei kei a koe ngā tohu o te dacryocystitis, kaua e whakaroa, me toro atu ki te tākuta tonu. Mā te wawaotanga hauora wawe ka tere ake, ka maeneene ake hoki te whakaoranga.
He aha te rerekētanga i waenga i te Dacryoadenitis me te Dacryocystitis?
Nā te mea he rite ngā ingoa, ka pōhēhē pea. Ko ngā āhuatanga e rua he mumura, he mate pāwera rānei i te taha o te kanohi, engari he rerekē te wāhi.
- Dacryocystitis: Kei roto i tēnei ko te mumura, te mate rānei o te awa roimata/te putea lacrimal.
- Dacryoadenitis: Kei roto i tēnei ko te mumura, te mate rānei o te repe waikura. Kei raro i te tukemata tēnei repe i te kokonga o waho o runga o te kanohi.
Ki te kī ngāwari, ki te pāngia koe e te mamae i te taha o tō kanohi, inā koa te pupuhi, te puku rānei i te kokonga o roto o tō kanohi (e tata ana ki te ihu), tera pea he dacryocystitis. Ki te pāngia koe e tēnei, me toro atu koe ki te tākuta.
Karere Hira mō te Hokona ki te Kāinga
Kua mārama koe inaianei ko te dacryocystitis he mate, he mumura rānei o te pēke roimata. Ka pā ki te katoa, mai i ngā tamariki nohinohi ki ngā pakeke.
- Kia tūpato ki te mamae, ki te pupuhi, ki te whero, ki te rere o te waikura, ki te haehae nui rānei i te kokonga o roto o te kanohi.
- Ki te kite koe i ēnei tohu, rapua tonutia he tohutohu hauora.
- Kaua e manukanuka; kei te wātea ngā maimoatanga whai hua. He maha ngā wā ka taea te whakahaere i te mate mā te whakamahi i ngā paturopi, i ngā tikanga iti rānei.
- Mā te pupuri i te akuaku pai me te horoi ringa i ngā wā katoa ka āwhina i te ārai i ngā mate urutā.
Mēnā he pātai anō āu, whakapā atu ki tō tākuta whānau, ki tētahi tākuta kanohi rānei. Kia ora tonu koe me Nirogi Lanka!
👩🏽⚕️ Ngā Pātai Auau
💬 Ka puta te whero o ngā kanohi i te dacryocystitis?
Kāore rawa. Ahakoa e pāngia ana te rohe huri noa i te kanohi, ehara i te mate kanohi tuatahi pērā i te 'kanohi māwhero'. Ka puta ngā roimata i te repe i runga ake i te kanohi, ka rere puta noa i te mata o te kanohi, ka maringi ki roto i te pēke roimata e tata ana ki te ihu. Ka puta te dacryocystitis ina āraia tēnei ara rerenga wai, ka taea ai e ngā huakita te tomo me te pangia te pēke roimata.
💬 He aha te āhua o te pēke roimata pupuhi?
Ka kite koe i te whero, te pupuhi nui, me te puku tino mamae e tata ana ki te kokonga o roto o tō kanohi (e tata ana ki te ihu). Nā te mea kāore e taea e ngā roimata te rere tika, ka wai tonu pea tō kanohi. Ki te pēhia te puku, ka puta pea te pūkahukahu mai i te kanohi.
💬 Me tino hiahia ahau ki te rongoā mō tēnei mate?
Āe, tino tika! Nā te mea e tata ana tēnei wāhi ki te ihu, te roro, me ngā kanohi, me whiwhi tonu koe i ngā pata kanohi paturopi, i ngā rongoā ā-waha rānei hei ārai i te horapa o te mate (ka ara ake ngā raruraru pēnei i te cellulitis). Hei tāpiri, he mea pai kia pania he kōpeke mahana 4-5 ngā wā i te rā.
Ngā Kupumatua: Dacryocystitis, mate pēke roimata, awa roimata kua āraia, mamae kanohi, pupuhi kanohi, raruraru awa roimata o ngā tamariki
