Kodi maso anu akumva kupweteka kapena kutupa? Mwina ndi Dacryocystitis!

Kodi mkati mwa diso lanu, pafupi ndi mphuno yanu, muli kutupa, kufiira, ndipo nthawi zina kumapweteka chifukwa cha mafinya? Kapena maso a mwana wanu amaoneka ngati akutuluka madzi nthawi zonse, kapena ali ndi ziphuphu m'makona a maso awo? Izi zitha kukhala zizindikiro za matenda otchedwa dacryocystitis. Musadandaule, tikambirana izi mwatsatanetsatane komanso mosavuta lero.

Kodi Dacryocystitis ndi chiyani?

Mwachidule, Dacryocystitis ndi kutupa kapena matenda a lacrimal sac yathu . Tsopano mwina mukudabwa kuti lacrimal sac iyi ndi chiyani komanso komwe ili.

Maso athu amatulutsa misozi. Misozi imeneyi imathandiza kuti maso athu akhale onyowa komanso oyera. Nthawi zambiri, misoziyi imatuluka kudzera m'kabowo kakang'ono (komwe kumatchedwanso `punctum`) mkati mwa diso , kenako kudzera mu chubu chaching'ono kupita mu thumba la misozi. Kuchokera mu thumba la misozi ili, chubu china, chotchedwa `nasolacrimal duct`, chimapita kumphuno. Ndicho chifukwa chake mumapeza misozi yotuluka mukamalira.

Komabe, ngati njira yochotsera misozi, kaya m'thumba la m'maso kapena m'njira yochotsera misozi , yatsekeka pazifukwa zina, misoziyo singathe kutuluka ndikukhala pamalo amodzi. Izi zikachitika, majeremusi amatha kukula m'madzi a misozi ndi kutenga matenda. Ndicho chimene timachitcha kuti dacryocystitis.

Kodi kusiyana pakati pa dacryocystitis yoopsa ndi yosatha ndi kotani?

Pali mitundu iwiri ikuluikulu ya dacryocystitis: acute dacryocystitis ndi chronic dacryocystitis .

• Acute dacryocystitis: Uku ndi kuyamba kwadzidzidzi. Zizindikiro zimawonekera mwadzidzidzi ndipo nthawi zambiri zimatha mkati mwa miyezi itatu. Zizindikiro zake zingakhale kupweteka, kutupa, ndi kufiira.
• Matenda a dacryocystitis osatha: Uwu ndi matenda a nthawi yayitali. Zizindikiro zake sizingakhale zovuta kwambiri kuposa matenda a dacryocystitis, koma pakhoza kukhala kung'ambika kwa nthawi yayitali komanso kutupa pang'ono nthawi zina.

Chinthu china n'chakuti nthawi zina dacryocystitis yosatha imatha kugwirizanitsidwa ndi matenda ena omwe amakhudza thupi lathu lonse. Mwachitsanzo, imatha kuoneka ndi matenda a autoimmune monga Granulomatosis yokhala ndi Polyangiitis, Sarcoidosis, ndi Lupus (yomwe imadziwikanso kuti Systemic Lupus Erythematosus). Imathanso kuchitika mwa anthu omwe ali ndi maso ofiira osatha, monga conjunctivitis yosatha, kapena Pink Eye.

Mitundu ya majeremusi (matenda) omwe amayambitsa matenda m'mitundu iwiriyi ingakhalenso yosiyana.

Kodi pali mitundu ina?

Inde, kuwonjezera pa mitundu yoopsa komanso yosatha, vutoli likhoza kukhala lobadwa nalo kapena lopezeka .

• Congenital Dacryocystitis: Izi zimachitika kawirikawiri mwa makanda aang'ono. Izi zimachitika chifukwa madzi amniotic omwe ali mu ducts ya misozi satuluka kwathunthu mwana ali m'mimba. Ngati madzi awa atenga kachilombo, amatchedwa neonatal dacryocystitis .

Tangoganizani, pali mwana wakhanda, tiyeni tinene kuti dzina lake ndi Uraraka Ti Puta. Amalira nthawi zonse kuchokera m'diso limodzi, ndipo nthawi zina m'mawa pamakhala mafinya pang'ono pakona pa diso . Mayiyo amakhala wachisoni kwambiri komanso wamantha. Izi ndi zomwe zimawoneka mu congenital dacryocystitis.

• Acquired Dacryocystitis: Iyi ndi matenda omwe amayamba munthu akakula chifukwa cha zifukwa zosiyanasiyana. Mwachitsanzo, amatha kuchitika chifukwa cha kusweka kwa mafupa, opaleshoni, zotupa m'mphuno kapena pafupi ndi diso, kapena kugwiritsa ntchito mankhwala enaake.

Kodi vutoli ndi lofala bwanji?

Malinga ndi ziwerengero, pafupifupi 6% ya makanda amabadwa ndi vuto lotchedwa Congenital Nasolacrimal Duct Obstruction (NLDO) . Dacryocystitis imakhudza pafupifupi mwana m'modzi mwa ana 3,884 obadwa amoyo. Ndi yofala kwambiri mwa atsikana kuposa anyamata, chifukwa njira zawo zodulira misozi ndi zopapatiza.

Kodi zizindikiro za dacryocystitis ndi ziti?

Ngati muli ndi dacryocystitis, mutha kukhala ndi chimodzi kapena zingapo mwa zizindikiro izi:

• Kupweteka kwa maso : Makamaka mkati mwa diso , pafupi ndi mphuno.
• Kutupa mozungulira maso: Kutupa kumachitika m'dera limenelo.
• Kufiira kapena mdima wa khungu: Malo otupa amatha kufiira, mwina ndi mtundu wa buluu/wofiirira pang'ono.
• Chilonda kapena bala lomwe lili mkati mwa diso: Izi zitha kutulutsa mafinya .
• Malungo: Pali kuthekera kotenga malungo chifukwa cha matenda.

Mu dacryocystitis yosatha, zizindikirozi sizingakhale zovuta kwambiri. Mwachitsanzo, mungakhalebe ndi maso otuluka madzi, koma malungo amatha.

Kodi ndi zifukwa ziti zomwe zimayambitsa dacryocystitis?

Monga tafotokozera kale, chifukwa chachikulu ndi njira yotsekeka ya misozi . Kutsekeka kumeneku kumaletsa misozi kutuluka m'maso kupita kumphuno.

Mu makanda obadwa kumene, njira yotulutsira misozi imatsekedwa ndi nembanemba yopyapyala (`membrane`). Komabe, mwa ana okalamba ndi akuluakulu, kutsekeka kumeneku kungayambitsidwe ndi zinthu zosiyanasiyana.

Nazi zina mwa zinthu zomwe zingayambitse dacryocystitis:

• Ukalamba: Matendawa amapezeka kwambiri mwa anthu azaka zopitirira 40.
• Kuvulala: Kusweka kwa mphuno, opaleshoni, ndi zina zotero.
• Matenda ena:Mavuto a chitetezo chamthupi, kutupa kwina kapena matenda ena monga sinusitis.
• Kukhala ndi mawonekedwe osazolowereka a mphuno.
• Zotupa: Ziphuphu zomwe zimapangika m'mphuno, m'mphuno, kapena m'mitsempha yosokera.
• Mankhwala ena: Mwachitsanzo, mankhwala monga `(Timolol)` a kuthamanga kwa magazi, `(Dorzolamide)` ndi `(Pilocarpine)` a glaucoma, `(Trifluridine)` a ma virus, ndi mankhwala a khansa monga `(Fluorouracil)`, `(Docetaxel)` kapena `(Radioactive Iodine)`.
• Mapulagi ang'onoang'ono awa, omwe nthawi zina amaikidwa ngati mankhwala a maso ouma, angayambitse kutsekeka ngati sanachotsedwe.

Kodi dacryocystitis imafalikira?

Ngakhale kuti dacryocystitis imagwirizanitsidwa ndi matenda, nthawi zambiri siimatenga munthu wina , choncho si chinthu choti munthu azidera nkhawa nacho kwambiri.

Kodi dokotala amazindikira bwanji izi? (Kodi zimazindikira bwanji izi?)

Mukapita kukaonana ndi dokotala, amakuyang'anani maso, amafufuza malo ozungulira mphuno yanu, ndikukufunsani za zizindikiro zanu komanso mbiri yanu yachipatala. Nthawi zambiri, izi zokha zimapatsa dokotalayo lingaliro la zomwe zikuchitika.

Komabe, mutha kuchita mayeso otsatirawa kuti mutsimikizire zina:

• Kuyezetsa maso.
• Wansembe amakankhira pamalo otupawo ndipo amafufuza ngati pali mafinya ochokera m'bowo laling'ono (`punctum`) pakona pa diso .
• Ngati pali mafinya, chitsanzo chimatengedwa ndikutumizidwa ku labotale kuti akayesedwe ('culture'). Izi zingathandize kudziwa kachilombo komwe kamayambitsa matendawa.
• Kuyezetsa magazi kumatengedwa ndikuyesedwa, makamaka kuchuluka kwa maselo oyera amagazi. Ngati awa ndi ochuluka, ndi chizindikiro cha matenda. Nthawi zina kuyezetsa magazi kungathandizenso kupeza matenda ena omwe amayambitsa matendawa.
• Kuyesa komwe utoto wachikasu umayikidwa m'diso (`Dye disappear test`). Utoto uwu umawunikidwa kuti awone ngati ukutha msanga monga momwe umachitikira nthawi zambiri m'mphepete mwa payipi yosokera. Ngati zitenga nthawi yayitali kuti zithe, pakhoza kukhala kutsekeka. Ngati utoto uwu wapakidwa pa thonje lomwe laikidwa mkati mwa mphuno, zimasonyeza kuti pali "kutsekeka pang'ono".
• Mayeso ojambulira zithunzi. Nthawi zina CT scan kapena MRI scan ingachitike kuti mudziwe chomwe chikuyambitsa kutsekeka kwa chithunzicho.

Mayeso ena angafunike, makamaka ngati misozi yanu ikutuluka magazi (`hemolacria`) kapena ngati muli ndi vuto la masomphenya .

Kodi dacryocystitis imachiritsidwa bwanji?

Chabwino, tsopano tiyeni tiwone chithandizo chomwe chingachitike pa izi.

• Ngati muli ndi dacryocystitis yoopsa yomwe imayamba chifukwa cha matenda a bakiteriya, dokotala wanu adzakupatsaniMankhwala opha tizilombo toyambitsa matenda kapena maantibayotiki operekedwa m'mitsempha (IV) adzakulemberani. Mungapatsidwenso mafuta opha tizilombo kapena madontho a m'maso.

Maantibayotiki ena omwe amaperekedwa nthawi zambiri ndi awa: `(Amoxicillin-clavulanate)`, `(Cephalexin)`, `(Ciprofloxacin)`, `(Clindamycin)`, `(Trimethoprim-Sulfamethoxazole)`.

• Kupaka minofu yofunda komanso kupukuta pang'ono malo otupa kungathandize kuchepetsa zizindikiro.
• Mudzayamba kumva bwino patatha masiku ochepa mutayamba kumwa mankhwala opha tizilombo.

Matenda a makanda aang'ono otchedwa dacryocystitis , omwe amapezeka mwa ana aang'ono, nthawi zambiri amatha okha mkati mwa chaka chimodzi , ngakhale atabwereranso.

Ngati muli ndi dacryocystitis yoopsa, dokotala wanu angakulangizeni opaleshoni mutalandira maantibayotiki. Izi zimatchedwa dacryocystorhinostomy (DCR) . Chithandizo chachikulu cha dacryocystitis yosatha ndi DCR. Opaleshoniyi imapanga njira yatsopano yotulutsira misozi.

Kodi ndi mavuto otani omwe angakhalepo chifukwa cha opaleshoni ya DCR?

Monga opaleshoni ina iliyonse, opaleshoni ya DCR nthawi zina ingayambitse mavuto ang'onoang'ono. Koma musadandaule, nthawi zambiri izi zimakhala zazing'ono.

• Kutuluka magazi ambiri kuchokera pamalo ochitira opaleshoni.
• Matenda.
• Matenda a sinusitis.
• Kuwonongeka pang'ono kwa mbali zina za maso kapena mphuno.

Dokotala wanu adzakuuzani zambiri za izi.

Kodi dacryocystitis ingapewedwe?

Ndipotu, n'kovuta kuti tichite chilichonse chapadera kuti tipewe kukula kwa mitundu yambiri ya dacryocystitis. Komabe, ndikofunikira kuyesetsa kupewa matenda . Pachifukwa ichi,

• Khalani ndi zizolowezi zabwino zosamba m'manja.
• Pewani kukhudza maso anu ndi manja anu mosafunikira.
• Chepetsani kupita ku malo odzaza anthu ambiri komanso kucheza ndi odwala momwe mungathere.

Zinthu zimenezi zimateteza pang'ono.

Kodi chimachitika n’chiyani ngati vutoli litachitika?

Ngakhale kuti milandu ina ya dacryocystitis imatha yokha, ngati inu kapena mwana wanu muli ndi zizindikiro izi, ndi bwino kupita kwa dokotala kuti akakupatseni upangiri.

Ngati sichichiritsidwa, izi zimatha kukhala chilonda chotseguka ndipo nthawi zina zimayambitsa mavuto a maso . Chifukwa chake, ndikofunikira kufunafuna chithandizo mwachangu.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati inu kapena mwana wanu muli ndi zizindikiro za dacryocystitis kapena ngakhale kukayikira pang'ono kuti muli ndi zizindikiro,Musataye nthawi ndi kupita kwa dokotala nthawi yomweyo. Kulandira chithandizo mwachangu kungakuthandizeni kuchira mwachangu.

Kodi pali kusiyana kotani pakati pa Dacryoadenitis ndi Dacryocystitis?

Mayina awiriwa ndi ofanana pang'ono, kotero amatha kukhala osokoneza. Matenda onsewa ndi kutupa/matenda okhudzana ndi maso, koma amapezeka m'malo osiyanasiyana.

• Dacryocystitis: Ichi ndi kutupa/matenda a mtsempha wa misozi/thumba la m'kamwa.
• Dacryoadenitis: Ichi ndi kutupa/matenda a gland yotulutsa misozi (lacrimal gland). Gland iyi ili pansi pa chikope, pamwamba pa diso .

Mwachidule, ngati mukumva kusasangalala pafupi ndi maso anu, makamaka mkati mwa maso anu , pafupi ndi mlatho wa mphuno yanu, kapena ngati mukumva chotupa kapena kutupa, mwina ndi dacryocystitis. Ngati muli ndi vutoli, pitani kwa dokotala.

Pomaliza, chinthu chofunikira kwambiri (Uthenga Wopita Nawo Kunyumba)

Pofika pano mwina mukumvetsa kuti dacryocystitis ndi matenda kapena kutupa kwa thumba la misozi. Imatha kuchitika mwa makanda ndi akuluakulu.

• Ngati muli ndi zizindikiro monga kupweteka, kutupa, kufiira, kutuluka magazi, kapena kung'ambika pafupipafupi m'diso lanu , samalani nazo.
• Ngati muwona zizindikiro izi, funsani upangiri wa dokotala nthawi yomweyo.
• Musadandaule, pali mankhwala abwino a izi. Itha kuchiritsidwa ndi maantibayotiki ndipo nthawi zina opaleshoni yaying'ono.
• Zinthu zosavuta monga kukhala aukhondo komanso kusamba m'manja pafupipafupi zingathandize kuteteza matenda.

Ngati muli ndi mafunso ena okhudza izi, mutha kufunsa dokotala wa banja lanu kapena katswiri wa maso. Khalani ndi thanzi labwino!

Dacryocystitis , matenda a thumba la misozi, njira yotsekeka ya misozi, kupweteka kwa maso, kutupa kwa maso, mavuto a misozi ya mwana