Kei te rere tonu ngā roimata i roto i ō kanohi? Me ako tātou mō te pokanga dacryocystorhinostomy (DCR).

He wā anō ka rere ngā roimata i ō kanohi, kāore he take, ā, kei te mākū te taha o ō kanohi? Me horoi tonu pea ki te tauera. He tino hoha tēnei. Ko te take matua pea o tēnei he aukati pea te pūnaha ngongo ngawari e kawe ana i ngā roimata e puta mai ana i roto i ō kanohi ki tō ihu, e kiia nei ko te awa roimata. I tēnei rā, ka kōrero tātou mō tētahi pokanga, koinei te otinga pai rawa atu mō tēnei.

He aha te pokanga DCR?

Ki te kī māmā noa, ko te dacryocystorhinostomy, te DCR rānei, he tikanga e waihanga ana i tētahi ara hou mō ō roimata kia rere mēnā kua āraia.

I te nuinga o te wā, ka uru ngā roimata e puta mai ana i roto i ō tātou kanohi mā roto i ngā kōhao ririki i ngā kokonga o ngā kanohi, ka haere mā roto i te pēke roimata, ka rere ki roto i te ihu. Tērā pea ka mahara koe ina tangi tātou, ina uru mai rānei tētahi mea ki roto i ō tātou kanohi, ka puta mai ngā roimata, ka rere mai hoki he awa wai i roto i ō tātou ihu. Koinei te take. Nō reira, ki te āraia tēnei awa roimata ki tētahi wāhi, kāore he wāhi e haere ai ngā roimata, ka tīmata te puhake mai i ngā kanohi. Ehara i te mea ka noho makuku tonu ngā kanohi i tēnei, engari i ētahi wā ka puta mai hoki ngā mate kino.

Ka kitea tēnei āhuatanga i waenga i ngā tamariki nohinohi, tae atu ki ngā pakeke neke atu i te 65 tau te pakeke.

Me pēhea taku whakarite i mua i te pokanga?

I mua i te pokanga i a koe, i tāu tamaiti rānei, me toro atu koe ki tētahi tohunga. Ko te tikanga, ka mahia tēnei pokanga e tētahi tākuta kanohi, e tētahi taote pokanga taringa, ihu me te korokoro rānei (taote pokanga ENT). I ētahi wā, ka mahi tahi ngā tākuta o te tari kotahi i te pokanga.

Ka whakamāramahia e tō tākuta te tikanga o te pokanga ki a koe, ā, ka tonoa hoki e ia ētahi whakamātautau hei tirotiro mēnā he pai koe mō te pokanga.

Hei tāpiritanga, ka kōrero te tohunga whakamoe ki a koe, nā te mea ka mahia tēnei pokanga i raro i te whakamoe whakamoe.

Kia whakaritea te rā mo te pokanga, ka tohutohu atu tō tākuta ki a koe mō ngā mea e whai ake nei:

• Ngā rongoā e tangohia ana e koe: Mena kei te tango koe i ētahi rongoā, ma tō tākuta koe e kī atu mēnā me mutu te tango i tētahi o aua rongoā i mua i te pokanga, ā, mēnā me mutu, me pēhea.
• Te pupuri i te kiri kia ma: Hei whakaiti i te mōrearea o te mate, me horoi pea tō mata ki tētahi hopi motuhake i te pō i mua i te pokanga.
• Nohopuku: He mea tino nui tēnei. Mā te tākuta koe e kī atu kia hia ngā hāora i mua i te pokanga me mutu te kai me te inu. Me whakamahi tonu i taua wā. Nā te mea, ki te mea he kai kei roto i te puku i te wā e whakamoea ana, ki te ruaki koe, ā, ka uru aua mea ki roto i ngā pukahukahu, ka pā mai he mate kino ka mate pea ('aspiration pneumonia').

Me pēhea te mahi i te pokanga?

I te tīmatanga o te pokanga, ka whakanohoia he aho IV, he ngongo tote rānei, ki roto i tētahi uaua i tō ringa. Mā tēnei ka hoatu he rongoā whakamoe me ngā wai ki a koe. Kātahi ka tukuna koe ki raro i te rongoā whakamoe, ā, ka moe katoa.

E rua ngā huarahi matua ka taea e te tākuta te mahi i tēnei pokanga: mā te tapahi i waho o te ihu (o waho) mā roto rānei i te ihu (endonasal).

Kia pēhea te roa o tēnei pokanga?

I te nuinga o te wā, mō te pokanga tuatahi, ka roa pea te 45-50 meneti mō te tikanga o waho, ā, ka roa pea te 30 meneti mō te tikanga o roto i te ihu. Heoi, ka rerekē pea tēnei wā.

He aha ngā painga o tēnei pokanga?

Ko te painga nui o tēnei ko te taea e koe te whakakore katoa i te āhua whakarihariha o te roimata tonu o ō kanohi. Waihoki:

• Ka mārama te tirohanga.
• Ka whakaitihia te mōrearea o ngā mate pāwera huri noa i ngā kanohi.

He aha ngā mōrearea me ngā raruraru o te pokanga?

Pērā i ngā pokanga katoa, he iti noa ngā mōrearea. Tērā anō hoki ētahi raruraru e pā ana ki tēnei pokanga.

Mā tō tākuta koe e whakamārama taipitopito he aha ngā mōrearea ka pā mai ki a koe.

He aha ngā mea ka tupu i muri i te pokanga?

He tikanga tēnei mō te wā o waho. Ka tirotirohia koe mō ētahi haora i muri i tō oho ake i te rongoā whakamoe, ā, ka tukuna ki te kāinga. Ka tohua e te tākuta ngā rongoā whakamamae mamae me ngā rongoā paturopi. He mea tino nui kia tangohia ēnei rongoā kia rite ki te mea i tohua.

Ka tonoa koe kia hoki mai anō mō ​​tētahi tirotiro hauora i te wiki i muri i te pokanga. Kātahi ka tirohia te patunga, ā, ka tangohia ngā takai katoa i whakamahia hei aukati i te toto. Mena i tapahia he tapa i waho, ka tangohia hoki ngā tuitui i taua wā.

Kia pēhea te roa o te wā e ora ai?

E hia wiki, e hia marama rānei pea ka ora katoa, nā te mea ka roa te wā e ora ai te kōhao i hangaia i roto i te wheua.

Āhea koe me toro atu ki te tākuta?

Mena ka pāngia koe e tētahi o ēnei tohu i muri i te pokanga, me waea atu koe ki tō tākuta tonu:

• Ki te pāngia koe e te kirika.
• Mena kei te pupuhi, kei te wera hoki te wāhi i pokanga.
• Mena ka toto tonu te patunga, ka rere rānei te pūkahukahu, kāore rānei e mutu te toto o te ihu.
• Ki te tīmata anō te rere o ngā roimata.

He huarahi kē atu hei whakakapi i te pokanga DCR?

Āe, he maha atu anō ngā kōwhiringa ka tūtohu pea tō tākuta hei utu mō te pokanga DCR:

• Mātakitaki: Ki te kore tō mamae e tino kino, kāore pea koe e hiahia ki te maimoatanga.
• Ngā rongoā: I ētahi wā, ka taea e koe te whakamātau ki te whakahaere i te āhua mā te whakamahi i ngā rongoā paturopi me ngā pata kanohi steroid.
• Te whakaurunga ngongo: Ki te kore he pokanga, ka whakauruhia he ngongo angiangi ki roto i te awa roimata tūturu, ā, ka waihotia mō te 3-6 marama kia kite ai mēnā ka ea te raruraru.
• Ētahi atu pokanga: Tērā atu anō ētahi atu pokanga motuhake e mahia ana mō te hunga kāore anō kia angitu te pokanga DCR.

He tino mamae te roimata tonu o ngā kanohi. Engari he otinga tino haumaru, he whai hua hoki te DCR mō tēnei raruraru. Mena kei a koe, kei tētahi rānei o tō whānau tēnei raruraru, tirohia he tākuta kanohi mō ētahi tohutohu. Māna e whakatau te maimoatanga tino tika mōu, ā, māna hoki e tuku te aratohu e tika ana.