Ijisho ryawe rirababara cyangwa ryabyimbye? Rishobora kuba ari Dacryocystitis! - Nirogi Lanka

Ese ubona kubyimba, gutukura, cyangwa ububabare hafi y'inyuma y'ijisho ryawe, hafi y'izuru ryawe, rimwe na rimwe bigaherekezwa no kuva amaraso? Cyangwa wenda wabonye ko amaso y'umwana wawe ahora ashongera, afite ibibyimba cyangwa amarira mu mfuruka zo imbere? Ibi bishobora kuba ibimenyetso by'indwara yitwa dacryocystitis. Ntugahangayike—muri Nirogi Lanka, turi hano kugira ngo tubasobanurire neza kandi mu buryo bworoshye iyi ndwara.

Dacryocystite ni iki?

Muri make, dacryocystitis ni ukubyimba cyangwa kwandura k'agasabo k'amarira . Ushobora kuba wibaza aho aka gasabo gaherereye n'icyo gakora.

Amaso yawe ahora asohora amarira kugira ngo akomeze kuba meza kandi agire amavuta. Ubusanzwe, ayo marira anyura mu mwenge muto uri mu mfuruka y'ijisho ryawe (witwa punctum), anyura mu muyoboro muto ujya mu gasabo k'amaso, hanyuma akamanuka mu muyoboro wa nasolacrimal akagera mu mazuru yawe. Iyi ni yo mpamvu izuru ryawe ritemba iyo urira.

Ariko, iyo iyi nzira—cyane cyane agasabo k'amaso cyangwa umuyoboro w'amazi yo mu nda— ifunze , amarira ntashobora gusohoka ngo atange kwivanga. Uku guhagarara gutuma habaho ahantu heza ho gukura bagiteri, bigatera kwandura. Muri Nirogi Lanka, iyi ndwara tuyisobanura nk'indwara ya dacryocystitis.

Ni irihe tandukaniro riri hagati ya Dacryocystitis ikaze n'indwara idakira?

Hari ubwoko bubiri bw'ibanze bwa dacryocystitis: Indwara ikomeye n'indwara idakira .

• Dacryocystite ikabije: Ibi bitangira mu buryo butunguranye. Ibimenyetso bigaragara vuba kandi akenshi bigashira mu gihe kitarenze amezi atatu. Ushobora kugira ububabare bukomeye, kubyimba gukomeye, no gutukura muri ako gace.
• Dacryocystitis idakira: Iyi ni indwara idakira kandi ihoraho. Nubwo ibimenyetso bishobora kuba bike cyane ugereranyije n'indwara ikabije, ushobora kugira imvune idakira no kubyimba rimwe na rimwe.

Ni ngombwa kumenya ko dacryocystitis idakira rimwe na rimwe ishobora kuba ifitanye isano n'indwara z'umubiri, nka Granulomatosis hamwe na Polyangiitis, Sarcoidosis, cyangwa Systemic Lupus Erythematosus (Lupus). Byongeye kandi, abantu bafite ubumuga bwo mu maso budakira (Pink Eye) nabo bari mu kaga gakomeye. Ubwoko bw'udukoko dutera ubwandu bushobora gutandukana hagati y'ubu bwoko bubiri.

Hari ubundi bwoko?

Yego, uretse indwara ikabije n'iyidakira, iyi ndwara ishobora no gushyirwa mu cyiciro cy'indwara ivuka (ikibaho mu gihe cyo kuvuka) cyangwa iyo umuntu avutse (ikura mu myaka yashize).

• Dacryocystitis yo mu nda: Ibi bikunze kubaho ku bana bato. Bibaho iyo amazi yo mu nda adasohoka mu gice cy'amarira nyuma yo kuvuka. Iyo aya mazi yafashwe yanduye, yitwa Dacryocystitis y'impinja .

Tekereza umwana uvutse ahora arira mu jisho rimwe, rimwe na rimwe agashyiramo amacandwe mu mfuruka y'ijisho mu gitondo. Bishobora kubabaza umubyeyi, ariko iyi ni isura isanzwe ya dacryocystitis.

• Dacryocystitis iterwa n'indwara ya Acquired: Iyi ndwara iterwa n'ibintu bitandukanye, birimo kuvunika mu maso, kubagwa, ibibyimba hafi y'izuru cyangwa ijisho, cyangwa se ingaruka z'imiti imwe n'imwe.

Iyi ndwara ikunze kugaragara gute?

Imibare igaragaza ko hafi 6% by'abana bavutse bafite ikibazo cyo kutagira imiyoboro y'amaraso yo mu nda (NLDO) . Ariko, dacryocystitis ubwayo ikunze kugaragara cyane, ikaba igaragara ku mwana umwe muri 3.884 bavutse ari bazima. Ikunze kugaragara cyane ku bana b'abakobwa bitewe n'inzira zabo zo kugabanya amarira.

Ni ibihe bimenyetso bya Dacryocystitis?

Niba urwaye dacryocystitis, ushobora kubona kimwe cyangwa byinshi muri ibi bikurikira:

• Ububabare bw'amaso: Cyane cyane hafi y'inyuma y'ijisho, hafi y'izuru.
• Kubyimba hafi y'ijisho: Kubyimba kugaragara mu gace karwaye.
• Gutukura cyangwa guhindura ibara ry'uruhu: Ahantu hashobora kugaragara nk'umutuku cyangwa ndetse n'amabara y'uruhu asa n'aho yangiritse gato/yijimye.
• Amasohoro: Umwobo cyangwa igisebe hafi y'imfuruka y'imbere y'ijisho gishobora kuvamo amashyira .
• Umuriro: Kubera ko iyi ari indwara, ushobora no kugira umuriro.

Ku ndwara ya dacryocystitis idakira, ibimenyetso bikunze kuba byoroshye; urugero, ushobora kugira amaso adashira kandi adashyushye.

Ni iki gitera indwara ya Dacryocystite?

Nkuko twabivuze, impamvu nyamukuru ni umuyoboro w'amarira uzibye , ubuza amarira kuva neza mu maso ajya mu mazuru.

Ku bana bavutse, ibi bikunze guterwa n'ururenda ruto, mu gihe ku bana no ku bantu bakuru, imbogamizi zishobora guterwa n'ibintu bitandukanye.

Ibintu bitera indwara ya Acquired Dacryocystitis birimo:

• Imyaka yo gusaza: Iyi ndwara ikunze kugaragara cyane ku bantu barengeje imyaka 40.
• Ihungabana: Ibikomere biterwa n'izuru cyangwa ibice bikikije amazuru, nko kuvunika mu maso cyangwa kubagwa.
• Ingorane z'ubuzima: Indwara z'ubudahangarwa bw'umubiri cyangwa izindi ndwara zo kubyimba/kwandura nka sinusiti.
• Utunyangingo tw'umubiri: Utunyangingo tw'izuru.
• Ibibyimba: Ibibyimba biri mu mazuru, mu mazuru cyangwa hafi yayo.
• Imiti imwe n'imwe: Ingero zirimo imiti y'umuvuduko w'amaraso nka Timolol, imiti ya glaucoma nka Dorzolamide na Pilocarpine, imiti igabanya ubukana bwa virusi nka Trifluridine, n'imiti ivura kanseri nka Fluorouracil, Docetaxel, cyangwa Iodine ikoresha imirasire.
• Kuba hariho udupira two mu maso: Utu dukoresho duto, rimwe na rimwe dukoreshwa mu kuvura amaso yumye, dushobora gutuma habaho kuziba iyo tudakuweho nk'uko byategetswe.

Ese Dacryocystite yandura?

Nubwo dacryocystite iterwa n'ubwandu, muri rusange ntabwo yandura kandi ntishobora kwanduzwa umuntu umwe. Nyamuneka menya neza ko nta mpamvu yo guhangayikishwa cyane no kwandura.

Ipimwa ite?

Mu gihe cyo kugisha inama, muganga wawe azasuzuma amaso yawe n'izuru rikikije, mu gihe azaba aganira ku mateka y'ubuzima bwawe n'ibimenyetso byihariye. Akenshi, iki kizamini cyo kwa muganga kiba gihagije kugira ngo hamenyekane indwara.

Kugira ngo wemeze ko indwara yanduye, muganga wawe ashobora kukugira inama yo gukora iperereza rikurikira:

• Isuzuma ry’amaso rirambuye.
• Gukanda mu buryo bworoshye: Muganga wawe ashobora gukanda buhoro buhoro ahantu habyimbye kugira ngo arebe niba hari amashyira ava mu gahu (akantu gato kari ku mfuruka y'ijisho ryawe).
• Gupima imiterere y'umuti: Iyo hari amashyira, icyitegererezo gishobora koherezwa muri laboratwari kugira ngo hamenyekane indwara runaka itera ubwandu.
• Ibipimo by'amaraso: Ibi bishobora gusuzuma umubare w'uturemangingo tw'amaraso yawe kugira ngo harebwe ibimenyetso by'ubwandu cyangwa imiterere y'umubiri wawe.
• Ikizamini cyo Kubura Irangi: Irangi ryihariye ry'umuhondo rishyirwa mu jisho ryawe kugira ngo rimenye uburyo risohoka vuba mu miyoboro y'amarira yawe. Gutinda bigaragaza ko rifunze, mu gihe kuba hari irangi ku gitambaro cyo mu mazuru bishobora kugaragaza ko hari igice cy'ipfunze.
• Ibizamini byo Gupima: Gupima CT cyangwa MRI bishobora gutangwa kugira ngo hamenyekane neza icyateye kuziba kw'imitsi.

Niba urwaye Hemolacria (amarira y'amaraso) cyangwa ibibazo byo mu maso, hashobora kuba ngombwa ko ukorerwa isuzuma ryihariye.

Dacryocystite ivurwa ite?

Muri Nirogi Lanka, dushyira imbere gukira kwawe binyuze mu buvuzi bufatika kandi bushingiye ku bimenyetso:

• Ku ndwara ya dacryocystitis iterwa n'udukoko, muganga azakwandikira imiti igabanya ubukana bw'udukoko iterwa mu kanwa cyangwa mu mitsi (IV) . Ushobora kandi kwandikirwa imiti igabanya ubukana bw'udukoko cyangwa amavuta yo kwisiga.

Antibiyotike zikunze kwandikirwa zirimo Amoxicillin-clavulanate, Cephalexin, Ciprofloxacin, Clindamycin, na Trimethoprim-Sulfamethoxazole.

• Gukanda ahantu hashyushye no gukanda ahantu hakomeretse byoroheje bishobora gufasha kugabanya ububabare.
• Abarwayi benshi batangira kumva baruhutse cyane mu minsi mike nyuma yo gutangira imiti igabanya ubukana bw'imiti.

Nubwo Dacryocystite y'abana bato igaruka kenshi, ikunze kwiyakira ubwayo mu mwaka wa mbere w'ubuzima.

Ku ndwara zidakira cyangwa zidakira, muganga wawe ashobora kukugira inama yo kubaga izwi nka Dacryocystorhinostomy (DCR) , ibyo bikaba ari byo bitanga uburyo bushya bwo gusohora amazi mu maraso.

Ingorane zishobora guterwa no kubagwa kwa DCR

Nkuko bigenda mu kubaga, ingorane nto zishobora kubaho, nubwo muri rusange zidakunze kubaho:

• Kuva amaraso nyuma yo kubagwa.
• Kwandura aho bakorewe.
• Sinusite.
• Gukomereka gato ku ngingo z'ijisho cyangwa izuru.

Muganga wawe azakubwira ingaruka zose n'inyungu zose ufite.

Ese Dacryocystite ishobora kwirindwa?

Nubwo hari impamvu zimwe na zimwe zidashobora kwirindwa, kugira isuku muri rusange bigabanya cyane ibyago byo kwandura:

• Itoze gukaraba intoki neza.
• Irinde gukorakora ku maso yawe bitari ngombwa.
• Gabanya guhura n'ahantu hahurira abantu benshi n'abantu bafite ubwandu.

Izi ngamba zoroshye zitanga uburinzi bufatika ku mikorobe zisanzwe.

Ugomba gukora iki mu gihe ibimenyetso bigaragaye?

Nubwo hari ibimenyetso bishobora gukemuka mu buryo butunguranye, niba wowe cyangwa umwana wawe mugize ibimenyetso, nyamuneka gisha inama abaganga bo muri Nirogi Lanka cyangwa usure ishami rishinzwe ubutabazi bwihutirwa riri hafi yawe kugira ngo bagufashe gusuzuma no kugufasha.

Iyo bitavuwe, ibi bishobora kuvamo igisebe gifunguye , rimwe na rimwe bigatera ibibazo byo kutabona . Kubwibyo, ni ngombwa gushaka ubuvuzi bwihuse.

Ni ryari ukwiye kujya kwa muganga?

Niba wowe cyangwa umwana wawe mukeka ko mushobora kuba mufite ibimenyetso bya dacryocystitis, ntimugapfushe umwanya ahubwo muhite mugana muganga. Ubuvuzi bwihuse butuma mukira vuba kandi neza.

Ni irihe tandukaniro riri hagati ya Dacryoadenitis na Dacryocystitis?

Kubera ko amazina asa, ashobora gutera urujijo. Ibi bibazo byombi birimo kubyimba cyangwa kwandura indwara zikikije ijisho, ariko aho biherereye biratandukanye.

• Dacryocystite: Ibi bikubiyemo kubyimba cyangwa kwandura umuyoboro w'amarira / agasabo k'amaso.
• Dacryoadenitis: Ibi bikubiyemo kubyimba cyangwa kwandura kwa gland yo mu maso. Iyi gland iherereye munsi y'ijisho ku mfuruka yo hejuru y'ijisho.

Mu magambo make, niba wumva umerewe nabi hafi y'ijisho ryawe, cyane cyane kubyimba cyangwa ikibyimba hafi y'inyuma y'ijisho ryawe (hafi y'izuru), bishobora kuba ari dacryocystitis. Niba uhuye n'ibi, ugomba kugisha inama muganga.

Ubutumwa bw'ingenzi bwo kujyana mu rugo

Ubu urasobanukiwe ko dacryocystite ari indwara cyangwa ububyimbirwe bw'agafuka k'amarira. Ishobora kwibasira umuntu uwo ari we wese, kuva ku bana bato kugeza ku bakuru.

• Witondere ububabare, kubyimba, gutukura, kuva amashyira, cyangwa gucika cyane mu mfuruka y'imbere y'ijisho.
• Ubonye ibi bimenyetso, shaka ubufasha bwa muganga ako kanya.
• Ntugahangayike; hari uburyo bwiza bwo kuvura. Iyi ndwara ishobora gukemurwa n'imiti igabanya ubukana cyangwa uburyo bworoheje bwo kuyivura.
• Kugira isuku no gukaraba intoki kenshi bishobora gufasha mu kwirinda kwandura indwara.

Niba ufite ibindi bibazo, gana muganga w'umuryango wawe cyangwa inzobere mu by'amaso. Komeza ugire ubuzima bwiza hamwe na Nirogi Lanka!

Amagambo ahinnye: Dacryocystitis, ubwandu bw'umufuka w'amarira, imiyoboro y'amarira yazibye, ububabare bw'amaso, kubyimba amaso, ibibazo by'imiyoboro y'amarira y'abana