Ingaba ingaphakathi leliso lakho, kufutshane nempumlo yakho, lidumbile, libomvu, kwaye ngamanye amaxesha libuhlungu ngenxa yobomvu? Okanye ngaba amehlo omntwana wakho abonakala ehlala emanzi, okanye anamaqhuqhuva eembombo zamehlo akhe? Ezi zinokuba ziimpawu zesifo esibizwa ngokuba yi-dacryocystitis. Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha nangokulula namhlanje.
Yintoni iDacryocystitis?
Ngamafutshane, iDacryocystitis kukudumba okanye usulelo lwe-lacrimal sac yethu . Ngoku usenokuba uyazibuza ukuba yintoni le lacrimal sac kwaye ikuphi.
Amehlo ethu akhupha iinyembezi. Ezi inyembezi zinceda ekugcineni amehlo ethu efumile kwaye ecocekile. Ngokwesiqhelo, ezi inyembezi ziphuma ngomngxuma omncinci (okwabizwa ngokuba yi-'punctum') kwikona engaphakathi yeliso , zize zidlule ngetyhubhu encinci ziye kwityhubhu yokukrazula. Kule tyhubhu yokukrazula, enye ityhubhu, ebizwa ngokuba yi-'nasolacrimal duct', iya empumlweni. Yiyo loo nto ufumana iinyembezi xa ulila.
Nangona kunjalo, ukuba umbhobho wokukrazula, nokuba ukwisingxobo se-lacrimal okanye umbhobho wokukrazula , uvalekile ngesizathu esithile, iinyembezi azikwazi ukuphuma zize zibambeke kwindawo enye. Xa oku kusenzeka, iintsholongwane zinokukhula kulwelo lokukrazula zize zosuleleke. Yiloo nto siyibiza ngokuba yi-dacryocystitis.
Yintoni umahluko phakathi kwe-dacryocystitis ebukhali nengapheliyo?
Kukho iintlobo ezimbini eziphambili ze-dacryocystitis: i-acute dacryocystitis kunye ne -chronic dacryocystitis .
- I-acute dacryocystitis: Le yimeko eqala ngequbuliso. Iimpawu zibonakala ngequbuliso kwaye zihlala ziphela kwisithuba seenyanga ezintathu. Iimpawu zingabandakanya iintlungu, ukudumba, kunye nokubomvu.
- I-dacryocystitis engapheliyo: Le yimeko ehlala ixesha elide. Iimpawu zinokuba zincinci kune-dacryocystitis ebukhali, kodwa kunokubakho ukukrazuka okude kunye nokudumba okuncinci ngamanye amaxesha.
Enye into kukuba i-chronic dacryocystitis ngamanye amaxesha inokunxulunyaniswa nezinye iimeko ezichaphazela umzimba wethu wonke. Umzekelo, inokubonwa kwiimeko zokuzikhusela komzimba ezifana neGranulomatosis enePolyangiitis, iSarcoidosis, kunye neLupus (ekwaziwa ngokuba yiSystemic Lupus Erythematosus). Inokwenzeka nakubantu abanamehlo abomvu angapheliyo, njenge-chronic conjunctivitis, okanye iPink Eye.
Iintlobo zeentsholongwane (iintsholongwane) ezibangela usulelo kwezi ntlobo zimbini nazo zinokwahluka.
Ngaba zikho ezinye iintlobo?
Ewe, ukongeza kwiintlobo ezibukhali nezingapheliyo, le meko inokuba yinto yokuzalwa okanye efunyenwe .
- I-Congenital Dacryocystitis: Oku kwenzeka rhoqo kwiintsana ezincinci. Oku kwenzeka kuba ulwelo lwe-amniotic olukwimibhobho yokukrazula aluphumi ngokupheleleyo ngelixa umntwana esesibelekweni. Ukuba olu lwelo lusulelekile, lubizwa ngokuba yi -neonatal dacryocystitis .
Khawucinge nje, kukho usana olusandul’ ukuzalwa, masithi igama lakhe ngu- Uraraka Ti Puta. Uhlala ekhala kwelinye iliso, kwaye ngamanye amaxesha kusasa kukho ubomvu obuncinci ekhoneni leliso . Umama ukhathazekile kakhulu kwaye uyoyika. Oku kunokubonwa kwi-congenital dacryocystitis.
- I-Acquired Dacryocystitis: Le yimeko ekhula kamva ebomini ngenxa yezizathu ezahlukeneyo. Umzekelo, inokubangelwa kukwaphuka kwamathambo, utyando, iithumba empumlweni okanye kufutshane neliso, okanye ukusetyenziswa kwamayeza athile.
Ixhaphake kangakanani le meko?
Ngokwezibalo, malunga ne-6% yeentsana zizalwa zinemeko ebizwa ngokuba yiCongenital Nasolacrimal Duct Obstruction (NLDO) . I-Dacryocystitis ichaphazela malunga nomntwana omnye kwabayi-3,884 abazalwa bephila. Ixhaphake kakhulu kumantombazana kunamakhwenkwe, kuba imibhobho yabo yokukrazula imincinci.
Zithini iimpawu ze-dacryocystitis?
Ukuba une-dacryocystitis, unokufumana enye okanye ngaphezulu kwezi mpawu:
- Intlungu yeliso : Ingakumbi ngaphakathi kweliso , kufutshane nempumlo.
- Ukudumba okujikeleze amehlo: Ukudumba kwenzeka kuloo ndawo.
- Ubomvu okanye ukuba mnyama kwesikhumba: Indawo evuvukileyo inokuba bomvu, mhlawumbi ibe nombala oluhlaza okwesibhakabhaka/omfusa kancinci.
- Umngxuma okanye inxeba kwikona engaphakathi yeliso: Oku kunokuvuza ubovu .
- Umkhuhlane: Kukho ithuba lokuba nomkhuhlane ngenxa yosulelo.
Kwi-dacryocystitis engapheliyo, ezi mpawu zisenokungabi nzima kangako. Umzekelo, usenokuba namehlo anamanzi, kodwa umkhuhlane usenokuphela.
Zithini izizathu ze-dacryocystitis?
Njengoko besitshilo ngaphambili, unobangela oyintloko ngumbhobho weenyembezi ovalekileyo . Oku kuthintelwa kweenyembezi ukuba zingaphumi emehlweni ziye empumlweni.
Kwiintsana ezisandul’ ukuzalwa, umbhobho wokukrazula uvalwe yinwebu encinci (`inwebu`). Nangona kunjalo, kubantwana abadala nakubantu abadala, oku kukrazula kunokubangelwa zizinto ezahlukeneyo.
Nazi ezinye izinto ezinokubangela i-acquired dacryocystitis:
- Ukwaluphala: Le meko ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-40 ubudala.
- Ukwenzakala: Ukuqhekeka kwamalungu, utyando, njl.njl. empumlweni okanye ejikeleze impumlo.
- Ezinye iimeko zonyango:Iingxaki zesistim somzimba, ezinye izifo ezibangelwa kukudumba okanye usulelo olufana ne-sinusitis.
- Ukuba nemo engaqhelekanga yempumlo.
- Iithumba: Amaqhuma aqala empumlweni, kwiisinasi, okanye kwimibhobho yokukrazula.
- Amanye amayeza: Umzekelo, amayeza afana ne-`(Timolol)` yoxinzelelo lwegazi oluphezulu, `(Dorzolamide)` kunye ne-`(Pilocarpine)` ye-glaucoma, `(Trifluridine)` ye-antivirals, kunye nonyango lomhlaza olufana ne-`(Fluorouracil)`, `(Docetaxel)` okanye `(Radioactive Iodine)`.
- Iiplagi zePunctal: Ezi plagi zincinci, ngamanye amaxesha ezibekwa njengonyango lwamehlo omileyo, zinokubangela ukuvaleka ukuba azisuswanga.
Ingaba i-dacryocystitis iyosulela?
Nangona i-dacryocystitis inxulunyaniswa nosulelo, ayiqhelekanga ukuba yosulele umntu omnye ukuya komnye , ngoko ke ayisiyonto yokuxhalabela kakhulu.
Ugqirha uyixilonga njani le nto? (Ixilonga njani le nto?)
Xa usiya kugqirha, baya kujonga amehlo akho, bahlole indawo ejikeleze impumlo yakho, baze bakubuze ngeempawu zakho kunye nembali yezonyango. Rhoqo, olu lwazi lodwa luya kunika ugqirha umbono wento eyenzekayo.
Nangona kunjalo, ungenza olu vavanyo lulandelayo ukuqinisekisa ngakumbi:
- Uvavanyo lwamehlo.
- Umfundisi ucinezela indawo evuvukileyo aze akhangele ukuba kukho ukukhupha okufana nobovu kumngxuma omncinci (`punctum`) ekhoneni leliso .
- Ukuba kukho ubovu, kuthathwa isampuli ize ithunyelwe kwilebhu ukuze ivavanywe ('inkcubeko'). Oku kunokunceda ekuqinisekiseni ukuba yeyiphi kanye kanye intsholongwane ebangela usulelo.
- Kuthathwa isampuli yegazi ize ivavanywe, ingakumbi inani leeseli ezimhlophe zegazi. Ukuba ezi ziphezulu, luphawu losulelo. Ngamanye amaxesha uvavanyo lwegazi lunokunceda ekufumaneni ezinye iimeko ezifihlakeleyo.
- Uvavanyo apho kufakwa idayi emthubi esweni (`Uvavanyo lokunyamalala kwedayi`). Le dayi iyajongwa ukuze kubonwe ukuba iyanyamalala ngokukhawuleza na njengoko iqhele ukwenza ecaleni kombhobho wokukrazula. Ukuba kuthatha ixesha elide ukuba inyamalale, kunokubakho ukuvaleka. Ukuba le dayi itshizwe kwibhola yomqhaphu ebekwe ngaphakathi kwempumlo, ibonisa ``ukuvaleka okuncinci``.
- Uvavanyo lokufota. Ngamanye amaxesha i-CT scan okanye i-MRI scan inokwenziwa ukuze kufunyaniswe ukuba yintoni kanye kanye ebangela ukuvaleka kwale mithambo.
Kunokufuneka uvavanyo olongezelelweyo, ingakumbi ukuba iinyembezi zakho ziphuma igazi ('hemolacria') okanye ukuba unengxaki yokubona .
Iphathwa njani i-dacryocystitis?
Kulungile, ngoku makhe sibone ukuba loluphi unyango olunokwenziwa koku.
- Ukuba une-acute dacryocystitis ebangelwa lusulelo lwebhaktheriya, ugqirha wakho uyaKuya kunikwa amayeza okubulala iintsholongwane okanye amayeza okubulala iintsholongwane afakwa kwimithambo yegazi (IV). Unganikwa namafutha okubulala iintsholongwane okanye amaconsi emehlweni.
Ezinye zee-antibiotics ezisetyenziswa rhoqo zezi: `(Amoxicillin-clavulanate)`, `(Cephalexin)`, `(Ciprofloxacin)`, `(Clindamycin)`, `(Trimethoprim-Sulfamethoxazole)`.
- Ukucinezela okufudumeleyo kunye nokuphulula kancinci indawo evuvukileyo kunokunceda ekunciphiseni iimpawu.
- Uza kuqala ukuziva ungcono kwiintsuku ezimbalwa emva kokuba uqalise ukusebenzisa amayeza okubulala iintsholongwane.
I-dacryocystitis yeentsana ezisandul’ ukuzalwa , imeko eyenzeka kwiintsana ezincinci, idla ngokuziphelela kwisithuba sonyaka , nokuba iphinda ivele.
Ukuba une-acute dacryocystitis, emva kokusebenzisa amayeza okubulala iintsholongwane, ugqirha wakho angacebisa utyando . Oku kubizwa ngokuba yi-dacryocystorhinostomy (DCR) . Unyango oluphambili lwe-chronic dacryocystitis yi-DCR. Olu tyando ludala indlela entsha yokukhupha iinyembezi.
Ziziphi iingxaki ezinokubakho xa utyando lwe-DCR?
Njengalo naluphi na utyando, utyando lwe-DCR ngamanye amaxesha lunokubangela iingxaki ezincinci. Kodwa ungakhathazeki, ezi zihlala zincinci.
- Ukopha kakhulu kwindawo yotyando.
- Usulelo.
- I-Sinusitis.
- Umonakalo omncinci kwiindawo zamehlo okanye impumlo.
Ugqirha wakho uza kukuxelela okungakumbi ngale nto.
Ngaba i-dacryocystitis ingathintelwa?
Enyanisweni, kunzima kuthi ukwenza nantoni na ekhethekileyo ukuthintela uphuhliso lweentlobo ezininzi ze-dacryocystitis. Nangona kunjalo, kubalulekile ukuzama ukuphepha usulelo . Ngenxa yoku,
- Hlakulela imikhwa emihle yokuhlamba izandla.
- Kuphephe ukuchukumisa amehlo akho ngezandla zakho ngokungeyomfuneko.
- Nciphisa ukuya kwiindawo ezinabantu abaninzi kwaye udibane nabantu abagulayo kangangoko unako.
Ezi zinto zibonelela ngokhuseleko oluncinci.
Kuza kwenzeka ntoni xa le meko isenzeka?
Nangona ezinye iimeko ze-dacryocystitis zinokuzilungisa zodwa, ukuba wena okanye umntwana wakho ninezi mpawu, kungcono ukubona ugqirha ukuze akunike ingcebiso.
Ukuba ayinyangwa, le nto inokuba sisilonda esivulekileyo kwaye ngamanye amaxesha ibangele iingxaki zokubona . Ngoko ke, kubalulekile ukufuna unyango ngokukhawuleza.
Ndifanele ndimbone nini ugqirha?
Ukuba wena okanye umntwana wakho uneempawu ze-dacryocystitis okanye nokuba kukho into encinci onokuyicinga ukuba unayo,Musa ukuchitha ixesha uze ubone ugqirha ngoko nangoko. Unyango olukhawulezileyo lunokukunceda uphile ngokukhawuleza.
Yintoni umahluko phakathi kweDacryoadenitis kunye neDacryocystitis?
La magama mabini afana kancinci, ngoko ke anokubhida. Zombini ezi meko zibangelwa kukudumba/usulelo olunxulumene namehlo, kodwa zenzeka kwiindawo ezahlukeneyo.
- I-Dacryocystitis: Oku kukudumba/usulelo lomsele wokukrazula/ingxowa yelacrimal.
- I-Dacryoadenitis: Oku kukudumba/usulelo lwe-lacrimal gland evelisa iinyembezi. Le gland ifumaneka phantsi kwejwabu leso, ngasemva ophezulu weliso .
Ngamafutshane, ukuba uziva ungakhululekanga emehlweni akho, ingakumbi kwikona engaphakathi yamehlo akho , kufutshane nombhobho wempumlo yakho, okanye ukuba uziva iqhuma okanye ukudumba, isenokuba yi-dacryocystitis. Ukuba unayo le nto, qiniseka ukuba ubonana nogqirha.
Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)
Okwangoku kusenokwenzeka ukuba uyaqonda ukuba i-dacryocystitis lusulelo okanye ukudumba kwe-tear sac. Inokwenzeka kubantwana abancinci nakubantu abadala.
- Ukuba uneempawu ezinje ngentlungu, ukudumba, ukuba bomvu, ukuphuma kwamanzi, okanye ukukrazuka rhoqo ngaphakathi kweliso lakho , yiqwalasele loo nto.
- Ukuba ubona ezi mpawu, funa ingcebiso kagqirha ngoko nangoko.
- Ungakhathazeki, kukho unyango olufanelekileyo loku. Lunganyangeka ngee-antibiotics kwaye ngamanye amaxesha utyando oluncinci.
- Izinto ezilula ezifana nokugcina ucoceko kunye nokuhlamba izandla zakho rhoqo kunokunceda ekukhuseleni kwiintsholongwane.
Ukuba unemibuzo engaphezulu malunga noku, ungabuza ugqirha wosapho lwakho okanye ingcali yamehlo. Hlala usempilweni!
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ingaba iDacryocystitis sisifo esibangela amehlo abomvu?
Hayi! Esi asisosifo samehlo, ngaphandle kokwakheka 'kweziqwenga zamehlo'. Xa sikhala, iinyembezi ziveliswa yi-gland ephezu kweliso. Ezo inyembezi zingena elisweni, ziqokelele kwi-'tear sac' (i-Tear sac / i-Lacrimal sac) ekwi-cavity yempumlo, zize zihambe ngempumlo. Kodwa kulapho loo mbhobho uvaleka khona kwaye intsholongwane ingena (ivunde) kwi-tear sac ize idumbe.
💬 Ibonakala njani xa ingxowa yeenyembezi idumbile?
Ikona engaphakathi yeliso lakho, ebekwe ngasempumlweni, iba bomvu, idumbe, kwaye ibe buhlungu xa uyichukumisa. Iinyembezi zihlala zivuza emehlweni kuba akukho ndlela yokuba iinyembezi ziphume. Ukuba ucinezela ukudumba, ubomvu bungaphuma nasesweni.
💬 Ngaba kufuneka ndithathe amayeza ngenxa ye-stye?
Inene! Ekubeni oku kusondele kakhulu empumlweni, ebuchotsheni, namehlo, kufuneka uthabathe amaconsi e-antibiotic kunye neepilisi zomlomo ngoko nangoko ngaphambi kokuba iintsholongwane zifikelele esweni okanye ebuchotsheni (Cellulitis). Kufuneka ufake ne-compress efudumeleyo amaxesha ama-4-5 ngemini.
I- Dacryocystitis, usulelo lwengxowa yeenyembezi, umbhobho weenyembezi ovalekileyo, iintlungu zamehlo, ukudumba kwamehlo, iingxaki zokukrazula kosana
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