Ingabe amehlo akho abuhlungu noma avuvukele? Kungaba yi-Dacryocystitis!

Ingabe ingaphakathi leso lakho, eduze kwekhala lakho, livuvukele, libomvu, futhi ngezinye izikhathi libuhlungu ngenxa yobomvu? Noma ingabe amehlo engane yakho abonakala ehlala ekhipha amanzi, noma ingabe anamaqhubu ezinyembezi emakhoneni amehlo ayo? Lokhu kungaba izimpawu zesimo esibizwa ngokuthi i-dacryocystitis. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe nangokulula namuhla.

Kuyini i-Dacryocystitis?

Kalula nje, i-Dacryocystitis ukuvuvukala noma ukutheleleka kwesikhwama sethu se-lacrimal . Manje ungase uzibuze ukuthi siyini lesi sikhwama se-lacrimal nokuthi sitholakala kuphi.

Amehlo ethu akhipha izinyembezi. Lezi zinyembezi zisiza ekugcineni amehlo ethu emanzi futhi ehlanzekile. Ngokuvamile, lezi zinyembezi ziphuma ngembobo encane (ebizwa nangokuthi i-'punctum') ekhoneni elingaphakathi leso , bese ziphuma ngepayipi elincane ziye esikhwameni sezinyembezi. Kulesi sikhwama sezinyembezi, elinye ipayipi, elibizwa ngokuthi i-'nasolacrimal duct', liya ekhaleni. Yingakho uthola izinyembezi ezikhazimulayo uma ukhala.

Kodwa-ke, uma umsele wokukhala izinyembezi, kungaba kusesikhwameni se-lacrimal noma emseleni wokukhala izinyembezi , uvaleka ngesizathu esithile, izinyembezi azikwazi ukugeleza zibhajwe endaweni eyodwa. Uma lokhu kwenzeka, amagciwane angakhula oketshezini lwezinyembezi bese etheleleka. Yilokho esikubiza ngokuthi i-dacryocystitis.

Uyini umehluko phakathi kwe-dacryocystitis ebukhali nengamahlalakhona?

Kunezinhlobo ezimbili eziyinhloko ze-dacryocystitis: i-acute dacryocystitis kanye ne -chronic dacryocystitis .

• I-dacryocystitis ebukhali: Lokhu kuqala ngokuzumayo. Izimpawu zivela ngokuzumayo futhi ngokuvamile ziyaphela zingakapheli izinyanga ezintathu. Izimpawu zingase zihlanganise ubuhlungu, ukuvuvukala, kanye nokubomvu.
• I-dacryocystitis engapheli: Lesi yisimo sesikhathi eside. Izimpawu zingase zingabi zimbi kakhulu kune-dacryocystitis ebukhali, kodwa kungase kube nokudabuka okude kanye nokuvuvukala okuncane ngezikhathi ezithile.

Enye into ukuthi i-dacryocystitis engapheli ngezinye izikhathi ingahlotshaniswa nezinye izimo ezithinta umzimba wethu wonke. Isibonelo, ingabonakala ezimweni zokuzivikela komzimba njenge-Granulomatosis ene-Polyangiitis, i-Sarcoidosis, kanye ne-Lupus (eyaziwa nangokuthi i-Systemic Lupus Erythematosus). Ingavela nakubantu abanamehlo abomvu angapheli, njenge-conjunctivitis engapheli, noma i-Pink Eye.

Izinhlobo zamagciwane (amagciwane) abangela ukutheleleka kulezi zinhlobo ezimbili nazo zingase zihluke.

Ingabe zikhona ezinye izinhlobo?

Yebo, ngaphezu kwezinhlobo ezibukhali nezingamahlalakhona, lesi simo singazalwa naso noma sitholakale .

• I-Congenital Dacryocystitis: Lokhu kuvame ukwenzeka ezinganeni ezincane. Lokhu kwenzeka ngoba uketshezi lwe-amniotic olusemigudwini yokudabuka aluphumi ngokuphelele ngesikhathi umntwana esesibelethweni. Uma lolu ketshezi lutheleleka, lubizwa ngokuthi i-neonatal dacryocystitis .

Cabanga nje, kukhona umntwana osanda kuzalwa, ake sithi igama lakhe lingu- Uraraka Ti Puta. Uhlala ekhala iso elilodwa, futhi ngezinye izikhathi ekuseni kuba nobomvu obuncane ekhoneni leso . Umama udabuke kakhulu futhi wesaba. Yilokhu okungabonakala ku-dacryocystitis yokuzalwa.

• I-Acquired Dacryocystitis: Lesi yisimo esikhula kamuva ekuphileni ngenxa yezizathu ezahlukahlukene. Isibonelo, singabangelwa ukuphuka kwamathambo, ukuhlinzwa, izimila ekhaleni noma eduze kweso, noma ukusetshenziswa kwemithi ethile.

Sivame kangakanani lesi simo?

Ngokwezibalo, cishe u-6% wezingane uzalwa enesimo esibizwa ngokuthi i-Congenital Nasolacrimal Duct Obstruction (NLDO) . I-Dacryocystitis ithinta cishe ukuzalwa oku-1 kwabangu-3,884 . Ivame kakhulu emantombazaneni kunabafana, ngoba imigudu yabo yokudabuka imincane.

Ziyini izimpawu ze-dacryocystitis?

Uma une-dacryocystitis, ungase ube nesinye noma ngaphezulu salezi zimpawu:

• Ubuhlungu bamehlo : Ikakhulukazi ngaphakathi kweso , eduze kwekhala.
• Ukuvuvukala okuzungeze amehlo: Ukuvuvukala kwenzeka kuleyo ndawo.
• Ukubomvu noma ukuba mnyama kwesikhumba: Indawo evuvukele ingase ibe bomvu, mhlawumbe ibe nombala oluhlaza okwesibhakabhaka/onsomi kancane.
• Imbobo noma inxeba ekhoneni elingaphakathi lenhlamvu yeso: Lokhu kungavuza ubomvu .
• Umkhuhlane: Kukhona ithuba lokuthola umkhuhlane ngenxa yokutheleleka.

Ku-dacryocystitis engapheli, lezi zimpawu zingase zingabi zimbi kangako. Isibonelo, ungase ube namehlo anamanzi, kodwa umkhuhlane ungase uphele.

Ziyini izimbangela ze-dacryocystitis?

Njengoba sixoxile ngaphambili, imbangela enkulu iwumsele wezinyembezi ovalekile . Lokhu kuvinjelwa kuvimbela izinyembezi ukuthi zingaphumi emehlweni ziye ekhaleni.

Ezinganeni ezisanda kuzalwa, umsele wokukhala uvalwe yi-membrane encane (`ulwelwesi`). Kodwa-ke, ezinganeni ezindala nakubantu abadala, lokhu kuvinjelwa kungabangelwa yizinto ezahlukahlukene.

Nazi ezinye izici ezingaba nomthelela ku-dacryocystitis etholakele:

• Ukuguga: Lesi simo sivame kakhulu kubantu abangaphezu kweminyaka engama-40 ubudala.
• Ukulimala: Ukuphuka kwamathambo, ukuhlinzwa, njll. ekhaleni noma eduze kwalo.
• Ezinye izimo zezokwelapha:Izinkinga zesimiso somzimba sokuzivikela, okunye ukuvuvukala noma izifo ezifana ne-sinusitis.
• Ukuba nesimo esingavamile sekhala.
• Izimila: Amaqhubu akheka ekhaleni, ema-sinuses, noma emigudwini yokudabuka.
• Eminye imithi: Isibonelo, imithi efana ne-`(Timolol)` yomfutho wegazi ophakeme, `(Dorzolamide)` kanye ne-`(Pilocarpine)` ye-glaucoma, `(Trifluridine)` yemithi yokulwa namagciwane, kanye nokwelashwa komdlavuza njenge-`(Fluorouracil)`, `(Docetaxel)` noma `(Radioactive Iodine)`.
• Ama-punctal plugs: Lawa ma-plugs amancane, ngezinye izikhathi abekwa njengendlela yokwelapha amehlo omile, angabangela ukuvaleka uma engasuswa.

Ingabe i-dacryocystitis iyathelelana?

Nakuba i-dacryocystitis ihlotshaniswa nokutheleleka, ngokuvamile ayithelelani kusuka komunye umuntu kuya komunye , ngakho akuyona into okufanele ikhathazeke kakhulu ngayo.

Udokotela ukuxilonga kanjani lokhu? (Kuxilonga kanjani?)

Uma uya kudokotela, bazobuka amehlo akho, bahlole indawo ezungeze ikhala lakho, futhi bakubuze ngezimpawu zakho kanye nomlando wezokwelapha. Ngokuvamile, lolu lwazi lulodwa luzonikeza udokotela umbono wokuthi kwenzekani.

Noma kunjalo, ungenza futhi izivivinyo ezilandelayo ukuqinisekisa okwengeziwe:

• Ukuhlolwa kwamehlo.
• Umpristi ucindezela indawo evuvukele bese ebheka ukuthi kukhona yini okuphumayo okufana nobomvu emgodini omncane (`punctum`) ekhoneni leso .
• Uma kukhona ubomvu, isampula iyathathwa bese ithunyelwa elabhorethri ukuze ihlolwe ('ukukhuliswa'). Lokhu kungasiza ekunqumeni ukuthi yiliphi igciwane elibangela ukutheleleka.
• Kuthathwa isampula yegazi bese ihlolwa, ikakhulukazi inani lamaseli amhlophe egazi. Uma lawa ephezulu, kuyisibonakaliso sokutheleleka. Ngezinye izikhathi ukuhlolwa kwegazi kungasiza ekutholeni ezinye izimo eziyisisekelo.
• Ukuhlolwa lapho kufakwa khona idayi ephuzi esweni (`Ukuhlolwa kokunyamalala kwedayi`). Le dayi iyahlolwa ukuze kubonakale ukuthi iyanyamalala ngokushesha njengoba kuvame ukwenzeka eceleni komsele wokukhala izinyembezi. Uma kuthatha isikhathi eside ukunyamalala, kungase kube nokuvaleka. Uma le dayi igcotshwe ebholeni likakotini elibekwe ngaphakathi kwempumulo, kubonisa ``ukuvaleka okuyingxenye``.
• Ukuhlolwa kwezithombe. Ngezinye izikhathi kungenziwa i-CT scan noma i-MRI scan ukuze kutholakale ukuthi yini ngempela ebangela ukuvaleka.

Kungadingeka ukuhlolwa okwengeziwe, ikakhulukazi uma izinyembezi zakho ziphuma igazi (`hemolacria`) noma uma unezinkinga zokubona .

Iphathwa kanjani i-dacryocystitis?

Kulungile, manje ake sibone ukuthi yiziphi izindlela zokwelapha ezingenziwa kulokhu.

• Uma une-dacryocystitis ebukhali ebangelwa ukutheleleka ngamagciwane, udokotela wakho uzokwenzaKuzonikezwa imithi yokulwa namagciwane ngomlomo noma imithi yokulwa namagciwane emithanjeni (IV). Unganikezwa futhi imithi yokulwa namagciwane noma amaconsi amehlo.

Amanye ama-antibiotic avame ukunikezwa yilawa: `(Amoxicillin-clavulanate)`, `(Cephalaxin)`, `(Ciprofloxacin)`, `(Clindamycin)`, `(Trimethoprim-Sulfamethoxazole)`.

• Ukucindezela okufudumele kanye nokuhlikihla indawo evuvukele kungasiza ekunciphiseni izimpawu.
• Uzoqala ukuzizwa ungcono ezinsukwini ezimbalwa ngemuva kokuqala ama-antibiotic.

I-dacryocystitis yezingane ezisanda kuzalwa , isimo esenzeka ezinganeni ezincane, ngokuvamile iyazixazulula ngokwayo cishe phakathi nonyaka , noma ngabe ibuye ibuye.

Uma une-dacryocystitis ebukhali, ngemuva kwama-antibiotic, udokotela wakho angase akuphakamisele ukuhlinzwa . Lokhu kubizwa ngokuthi i-dacryocystorhinostomy (DCR) . Ukwelashwa okuyinhloko kwe-dacryocystitis engapheli yi-DCR. Lokhu kuhlinzwa kudala indlela entsha yokukhipha izinyembezi.

Yiziphi izinkinga ezingaba khona ngokuhlinzwa kwe-DCR?

Njenganoma yikuphi ukuhlinzwa, ukuhlinzwa kwe-DCR ngezinye izikhathi kungabangela izinkinga ezincane. Kodwa ungakhathazeki, lezi ngokuvamile zincane.

• Ukopha ngokweqile endaweni yokuhlinzwa.
• Ukutheleleka.
• I-Sinusitis.
• Umonakalo omncane ezingxenyeni zamehlo noma ekhaleni.

Udokotela wakho uzokutshela okwengeziwe ngalokhu.

Ingabe i-dacryocystitis ingavinjelwa?

Eqinisweni, kunzima ngathi ukwenza noma yini ekhethekile ukuvimbela ukuthuthukiswa kwezinhlobo eziningi ze-dacryocystitis. Kodwa-ke, kubalulekile ukuzama ukugwema izifo . Ngenxa yalokhu,

• Hlakulela imikhuba emihle yokugeza izandla.
• Gwema ukuthinta amehlo akho ngezandla zakho ngokungadingekile.
• Nciphisa ukuya ezindaweni ezinabantu abaningi futhi uhlanganyele nabantu abagulayo ngangokunokwenzeka.

Lezi zinto zinikeza isivikelo esincane.

Kwenzekani uma lesi simo sivela?

Nakuba ezinye izimo ze-dacryocystitis zingaxazululeka zodwa, uma wena noma ingane yakho ninalezi zimpawu, kungcono ukubona udokotela ukuze uthole iseluleko.

Uma kungelashwa, lokhu kungaba yisilonda esivulekile futhi ngezinye izikhathi kubangele izinkinga zokubona . Ngakho-ke, kubalulekile ukufuna ukwelashwa ngokushesha.

Kufanele ngimbone nini udokotela?

Uma wena noma ingane yakho ninezimpawu ze-dacryocystitis noma ngisho nokusola okuncane ukuthi ninayo,Ungachithi isikhathi bese ubona udokotela ngokushesha. Ukwelashwa okusheshayo kungakusiza ukuthi ululame ngokushesha.

Uyini umehluko phakathi kwe-Dacryoadenitis ne-Dacryocystitis?

La magama amabili afana kancane, ngakho-ke angadida. Zombili lezi zimo ziwukuvuvukala/ukutheleleka okuhlobene namehlo, kodwa kwenzeka ezindaweni ezahlukene.

• I-Dacryocystitis: Lokhu ukuvuvukala/ukutheleleka komsele wokukhala/isikhwama se-lacrimal.
• I-Dacryoadenitis: Lokhu ukuvuvukala/ukutheleleka kwendlala ekhiqiza izinyembezi (indlala ye-lacrimal). Le ndlala itholakala ngaphansi kwejwabu leso, ngemuva kweso elingaphezulu.

Kalula nje, uma uzizwa ungakhululekile eduze kwamehlo akho, ikakhulukazi ekhoneni elingaphakathi lamehlo akho , eduze kwebhuloho lekhala lakho, noma uma uzwa iqhubu noma ukuvuvukala, kungaba yi-dacryocystitis. Uma unalokhu, qiniseka ukuthi ubona udokotela.

Okokugcina, into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Cishe usuyaqonda manje ukuthi i-dacryocystitis iwukutheleleka noma ukuvuvukala kwesikhwama sezinyembezi. Ingavela kokubili ezinganeni nakubantu abadala.

• Uma unezimpawu ezifana nobuhlungu, ukuvuvukala, ukubomvu, ukuphuma koketshezi, noma ukudabuka njalo ngaphakathi kweso lakho , qaphela lokho.
• Uma ubona lezi zimpawu, funa iseluleko sezokwelapha ngokushesha.
• Ungakhathazeki, kunezindlela zokwelapha ezinhle zalokhu. Kungelapheka ngama-antibiotics futhi ngezinye izikhathi ukuhlinzwa okuncane.
• Izinto ezilula njengokugcina inhlanzeko nokugeza izandla zakho njalo kungasiza ekuvikeleni ezifweni.

Uma uneminye imibuzo mayelana nalokhu, ungabuza udokotela womndeni wakho noma udokotela wamehlo. Hlala uphilile!

I- Dacryocystitis, ukutheleleka kwesikhwama sezinyembezi, umgudu wokukhala ovalekile, ubuhlungu bamehlo, ukuvuvukala kwamehlo, izinkinga zokudabuka kwezingane