Amaso yawe arababara cyangwa arabyimbye? Bishobora kuba ari Dacryocystite!

Ese imbere mu jisho ryawe, hafi y'izuru ryawe, harabyimbye, haratukura, rimwe na rimwe hababaza amabyi? Cyangwa amaso y'umwana wawe asa n'aho ahora ashonje, cyangwa afite udusebe mu mfuruka z'amaso ye? Ibi bishobora kuba ibimenyetso by'indwara yitwa dacryocystitis. Ntugahangayike, tuzabivugaho birambuye kandi byoroshye uyu munsi.

Dacryocystite ni iki?

Muri make, Dacryocystitis ni ukubyimba cyangwa kwandura kwa sokisi yacu yo mu maraso . Noneho ushobora kuba wibaza icyo iyi sokisi yo mu maraso ari cyo n'aho iherereye.

Amaso yacu atera amarira. Aya marira afasha amaso yacu kuguma asukuye kandi aryoshye. Ubusanzwe, aya marira anyura mu mwenge muto (witwa kandi 'punctum') mu mfuruka y'ijisho , hanyuma akanyura mu muyoboro muto ujya mu muyoboro w'amarira. Muri uyu muyoboro w'amarira, undi muyoboro, witwa 'nasolacrimal duct', ujya mu mazuru. Niyo mpamvu urira amarira menshi iyo urira.

Ariko, iyo umuyoboro w'amarira, haba mu gasabo k'amaso cyangwa mu muyoboro w'amarira , ufunze kubera impamvu runaka, amarira ntashobora gutembera no gufatirwa ahantu hamwe. Iyo ibi bibaye, mikorobe zishobora gukura mu mazi y'amarira zikandura. Ibyo ni byo twita dacryocystitis.

Ni irihe tandukaniro riri hagati ya dacryocystitis ikaze n'iy'igihe kirekire?

Hari ubwoko bubiri bw'ingenzi bwa dacryocystitis: dacryocystitis ikaze na dacryocystitis idakira .

• Dacryocystite ikabije: Iyi ni indwara itunguranye. Ibimenyetso bigaragara mu buryo butunguranye kandi akenshi bigashira mu mezi atatu. Ibimenyetso bishobora kuba birimo ububabare, kubyimba no gutukura.
• Dacryocystitis idakira: Iyi ni indwara ifata igihe kirekire. Ibimenyetso bishobora kuba bike cyane ugereranyije na dacryocystitis ikabije, ariko hashobora kubaho gucikagurika igihe kirekire no kubyimba guke rimwe na rimwe.

Ikindi kintu ni uko dacryocystite idakira rimwe na rimwe ishobora kujyana n'izindi ndwara zigira ingaruka ku mubiri wacu wose. Urugero, ishobora kugaragara ku ndwara ziterwa n'ubwiyongere bw'umubiri nka Granulomatosis hamwe na Polyangiitis, Sarcoidosis, na Lupus (izwi kandi nka Systemic Lupus Erythematosus). Ishobora no kugaragara ku bantu bafite amaso atukura adakira, nka conjunctivitis idakira, cyangwa Pink Eye.

Ubwoko bwa mikorobe (udukoko) dutera ubwandu muri ubwo bwoko bubiri nabwo bushobora gutandukana.

Hari ubundi bwoko?

Yego, uretse ubwoko bw'indwara zikabije n'izidakira, iyi ndwara ishobora kuvukanwa cyangwa ikavukanwa .

• Dacryocystitis yo mu nda: Ibi bikunze kubaho ku bana bato. Ibi bibaho kubera ko amazi yo mu nda ari mu miyoboro y'amarira adasohoka neza mu gihe umwana akiri mu nda. Iyo aya mazi yanduye, yitwa dacryocystitis y'impinja .

Tekereza, hari umwana uvutse, reka tuvuge ko yitwa Uraraka Ti Puta. Ahora arira mu jisho rimwe, rimwe na rimwe mu gitondo hakagaragara amabyi mu mfuruka y'ijisho . Nyina aba afite agahinda kenshi kandi afite ubwoba. Ibi nibyo bigaragara kuri dacryocystite ivuka.

• Dacryocystitis iterwa n'indwara ya Acquired: Iyi ni indwara ikura mu buzima bitewe n'impamvu zitandukanye. Urugero, ishobora guterwa no kuvunika, kubagwa, ibibyimba mu mazuru cyangwa hafi y'ijisho, cyangwa gukoresha imiti imwe n'imwe.

Iyi ndwara ikunze kugaragara gute?

Dukurikije imibare, hafi 6% by'abana bavuka bafite indwara yitwa Congenital Nasolacrimal Duct Obstruction (NLDO) . Dacryocystitis yibasira abana 1 kuri 3.884 bavutse ari bazima. Ikunze kugaragara ku bakobwa kurusha abahungu, kuko imiyoboro yabo y'amarira iba mito.

Ni ibihe bimenyetso bya dacryocystitis?

Niba urwaye dacryocystitis, ushobora kugaragaza kimwe cyangwa byinshi muri ibi bimenyetso:

• Ububabare bw'amaso : Cyane cyane imbere mu jisho , hafi y'izuru.
• Kubyimba hafi y'amaso: Kubyimba biba muri ako gace.
• Uruhu rutukura cyangwa rukijimye: Ahantu habyimbye hashobora guhinduka umutuku, wenda hakagira ibara ry'ubururu/umuhengeri.
• Umwobo cyangwa igikomere mu mfuruka y'imbere y'ijisho: Ibi bishobora kuvamo amabyi .
• Umuriro: Hari amahirwe yo kurwara umuriro bitewe n'ubwandu.

Mu ndwara ya dacryocystite idakira, ibi bimenyetso bishobora kuba bike cyane. Urugero, ushobora kuba ugifite amaso y'amazi, ariko umuriro ushobora kubura.

Ni izihe mpamvu zitera dacryocystitis?

Nkuko twabiganiriyeho mbere, impamvu nyamukuru ni umuyoboro w'amarira uzibye . Uku kuziba kw'amarira bibuza amarira kuva mu maso kugera mu mazuru.

Ku bana bavutse, umuyoboro w'amarira ufungwa n'agace gato (`membrane`). Ariko, ku bana bakuze n'abantu bakuru, uku kuziba kw'amarira gushobora guterwa n'ibintu bitandukanye.

Dore bimwe mu bintu bishobora gutera dacryocystitis ifata:

• Imyaka yo gusaza: Iyi ndwara ikunze kugaragara cyane mu bantu barengeje imyaka 40.
• Ibikomere: Kuvunika, kubagwa, nibindi ku mazuru cyangwa hafi yayo.
• Izindi ndwara:Ibibazo by'ubudahangarwa bw'umubiri, ibindi bibyimba cyangwa indwara nka sinusiti.
• Kugira imiterere idasanzwe y'izuru.
• Ibibyimba: Ibibyimba biba mu mazuru, mu mfuruka, cyangwa mu miyoboro y'amarira.
• Imiti imwe n'imwe: Urugero, imiti nka `(Timolol)` yo kuvura umuvuduko ukabije w'amaraso, `(Dorzolamide)` na `(Pilocarpine)` yo kuvura glaucoma, `(Trifluridine)` yo kuvura imiti igabanya ubukana bw'imiti, hamwe n'imiti ivura kanseri nka `(Fluorouracil)`, `(Docetaxel)` cyangwa `(Iodine ikoresha imirasire)`.
• Udupfundikizo twa Punctal: Utu dupfundikizo duto, rimwe na rimwe dushyirwa mu rwego rwo kuvura amaso yumye, dushobora gutera kuziba niba tudakuweho.

Ese dacryocystite yandura?

Nubwo dacryocystite ifitanye isano n'ubwandu, akenshi ntabwo yandurira umuntu umwe ijya ku wundi , bityo si ikintu cyo guhangayikishwa cyane.

Ni gute umuganga asuzuma ibi? (Bisuzuma gute?)

Iyo ugiye kwa muganga, bazakureba amaso, basuzume agace gakikije izuru ryawe, kandi bakubaze ibimenyetso byawe n'amateka y'ubuzima bwawe. Akenshi, aya makuru yonyine azaha muganga igitekerezo cy'ibiri kuba.

Ariko, ushobora kandi gukora ibizamini bikurikira kugira ngo wemeze byinshi:

• Isuzuma ry'amaso.
• Umupadiri akandagira ahantu habyimbye maze agashaka aho hari ibibyimba bisa n'ibisebe biva mu mwobo muto (`punctum`) uri mu mfuruka y'ijisho .
• Iyo hari amashyira, icyitegererezo kijyanwa muri laboratwari kugira ngo gipimwe (`culture`). Ibi bishobora gufasha kumenya neza mikorobe itera ubwandu.
• Amaraso arafatwa agapimwa, cyane cyane umubare w'uturemangingo tw'amaraso twera. Iyo ari twinshi, ni ikimenyetso cy'ubwandu. Hari igihe ibizamini by'amaraso bishobora gufasha kumenya izindi ndwara zibitera.
• Ikizamini aho irangi ry'umuhondo rishyirwa mu jisho (`Ikizamini cyo gucika kw'irangi`). Iri bara rigenzurwa kugira ngo barebe niba rishira vuba nk'uko bisanzwe bigenda ku muyoboro w'amarira. Iyo bifata igihe kirekire kugira ngo rishire, hashobora kubaho gufunga. Iyo iri bara rishyizwe ku ipamba rishyizwe mu mazuru, bigaragaza ko hari "gufunga igice``.
• Ibizamini byo gupima. Hari igihe hashobora gukorwa isuzuma rya CT cyangwa MRI kugira ngo hamenyekane neza icyateye kuziba kw'imitsi.

Hashobora kuba ngombwa ko upimwa ibindi bipimo, cyane cyane niba amarira yawe arimo kuva amaraso (`hemolacria`) cyangwa niba ufite ibibazo byo kutabona .

Indwara ya dacryocystite ivurwa ite?

Noneho reka turebe uburyo bwo kuvura ibi.

• Niba ufite dacryocystitis ikabije iterwa n'ubwandu bwa bagiteri, muganga wawe azagufashaHazatangwa imiti igabanya ubukana bw'imitsi cyangwa imiti igabanya ubukana bw'imitsi (IV). Ushobora kandi guhabwa amavuta yo kwisiga cyangwa ibitonyanga by'amaso.

Amwe mu mabwiriza asanzwe yo kwa muganga ni: `(Amoxicillin-clavulanate)`, `(Cephalaxin)`, `(Ciprofloxacin)`, `(Clindamycin)`, `(Trimethoprim-Sulfamethoxazole)`.

• Gukanda bushyushye no gukanda ahantu habyimbye buhoro buhoro bishobora gufasha kugabanya ibimenyetso.
• Uzatangira kumva umeze neza mu minsi mike uhereye igihe utangiye imiti igabanya ubukana bw'imiti.

Indwara ya dacryocystitis y’abana bato , indwara ikunze kwibasira abana bato, ihita yiyambura mu gihe cy’umwaka umwe , nubwo yaba yongeye kugaruka.

Niba urwaye dacryocystitis ikabije, nyuma yo gukoresha imiti yica udukoko (antibiotiques), muganga wawe ashobora kukugira inama yo kubagwa . Ibi byitwa dacryocystorhinostomy (DCR) . Uburyo bw'ingenzi bwo kuvura dacryocystitis idakira ni DCR. Uku kubagwa gushya inzira yo gusohora amarira.

Ni izihe ngorane zishobora guterwa no kubagwa kwa DCR?

Nk’uko bigenda mu kubaga kose, kubaga DCR rimwe na rimwe bishobora guteza ingorane nto. Ariko ntugahangayike, izi akenshi ziba ari nto.

• Kuva amaraso menshi cyane aho bakorewe.
• Kwandura indwara.
• Sinusite.
• Kwangirika guto ku bice by'amaso cyangwa izuru.

Muganga wawe azakubwira byinshi kuri ibi.

Ese dacryocystite ishobora kwirindwa?

Mu by’ukuri, biragoye kuri twe gukora ikintu kidasanzwe kugira ngo wirinde ko habaho ubwoko bwinshi bwa dacryocystitis. Ariko, ni ngombwa kugerageza kwirinda indwara . Kugira ngo tubigereho,

• Tegura ingeso nziza zo gukaraba intoki.
• Irinde gukorakora ku maso yawe n'amaboko yawe bitari ngombwa.
• Gabanya kujya ahantu hahurira abantu benshi no kuganira n'abarwayi uko bishoboka kose.

Ibi bintu bitanga uburinzi gato.

Bigenda bite iyo iki kibazo kibaye?

Nubwo hari indwara ya dacryocystite ishobora kwikemurira ubwayo, niba wowe cyangwa umwana wawe mufite ibi bimenyetso, ni byiza kugana muganga kugira ngo akugire inama.

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

Ni ryari ngomba kujya kwa muganga?

Niba wowe cyangwa umwana wawe mufite ibimenyetso bya dacryocystitis cyangwa se mukaba mwakeka ko mufite,Ntugapfushe umwanya ngo uhite ubonana na muganga. Kuvurwa vuba bishobora kugufasha gukira vuba.

Ni irihe tandukaniro riri hagati ya Dacryoadenitis na Dacryocystitis?

Aya mazina yombi asa gato, bityo ashobora gutera urujijo. Ibi bibazo byombi ni ukubyimba/kwandura bifitanye isano n'amaso, ariko biba ahantu hatandukanye.

• Dacryocystite: Iyi ni indwara yo kubyimba/kwandura kw'umuyoboro w'amarira/agasaho k'amaso.
• Dacryoadenitis: Iyi ni indwara iterwa no kubyimba/kwandura kw'agahu gatanga amarira (lacrimal gland). Aka gahu gaherereye munsi y'ijisho, inyuma y'ijisho .

Mu magambo make, niba wumva utameze neza hafi y'amaso yawe, cyane cyane mu mfuruka y'imbere y'amaso yawe , hafi y'ikiraro cy'izuru ryawe, cyangwa niba wumva ikibyimba cyangwa kubyimba, bishobora kuba ari dacryocystitis. Niba ufite ibi, jya kwa muganga.

Amaherezo, ikintu cy'ingenzi cyane (Ubutumwa bwo kujyana mu rugo)

Kugeza ubu ushobora kuba usobanukiwe ko dacryocystitis ari indwara cyangwa kubyimba k'agasabo k'amarira. Bishobora kugaragara ku bana bato ndetse n'abantu bakuru.

• Niba ufite ibimenyetso nko kubabara, kubyimba, gutukura, kuva amaraso mu maso, cyangwa gucikagurika kenshi mu jisho ryawe , byitondere.
• Ubonye ibi bimenyetso, shaka ubufasha bwa muganga ako kanya.
• Ntugahangayike, hari uburyo bwiza bwo kuvura ibi. Bishobora kuvurwa hakoreshejwe imiti yica udukoko ndetse rimwe na rimwe no kubagwa gato.
• Ibintu byoroshye nko kugira isuku no gukaraba intoki kenshi bishobora gufasha mu kwirinda indwara zandura.

Niba ufite ibindi bibazo kuri ibi, ushobora kubaza muganga w'umuryango wawe cyangwa inzobere mu by'amaso. Komeza ugire ubuzima bwiza!

---

Dacryocystite , kwandura agasaho k'amarira, imiyoboro y'amarira izibye, ububabare bw'amaso, kubyimba amaso, ibibazo by'amarira y'abana