Ingabe amehlo engane yakho ahlala econsa? Ake sixoxe ngokuhlinzwa kokuvala imisele yezinyembezi!

Wake waphawula ukuthi amehlo engane yakho aconsa izinyembezi, ngezinye izikhathi avela esweni elilodwa, noma kokubili? Ngezinye izikhathi amanzi kancane eduze kwamehlo, futhi ngezinye izikhathi ahambisana namehlo agobhozayo. Nakuba lokhu kuvamile ezinganeni eziningi ezisanda kuzalwa, ngezinye izikhathi kungaba yinto okufanele ikhathazeke ngayo. Namuhla sizokhuluma ngembangela engaba khona yalokhu, ebizwa ngokuthi "umsele wezinyembezi ovaliwe," kanye nokuhlinzwa okungenziwa ukuze kwelashwe.

Kungani le migudu yokudonsa izinyembezi ivalekile? Iyini imigudu yokudonsa izinyembezi?

Kulungile, ake siqale sibheke ukuthi lezi zinyembezi zenziwa kanjani nokuthi kwenzekani emigudwini yezinyembezi. Uyazi, amehlo ethu adinga ukuba manzi ngaso sonke isikhathi, ukuze siwavikele othulini. Ukuze sisize ngalokhu, sinezindlala ezincane phezulu kwamehlo ethu, ngaphansi kwamehlo ethu, ezenza izinyembezi. Lezi zinyembezi zisakazeka kulo lonke iso, zigcine iso lihlanzekile, bese ekugcineni zingena ngaphakathi kweso, eduze kwekhala, ngemigodi emibili emincane (esiyibiza ngokuthi "i-puncta"), bese zihamba ngohlelo oluncane lwamapayipi ziye ekhaleni. Lolu hlelo lwamapayipi yilokho esikubiza ngokuthi " uhlelo lokukhipha amanzi e-lacrimal". Ngakho-ke, kwenzekani uma kukhona ukuvaleka endaweni ethile endleleni, emgudwini wezinyembezi? Izinyembezi azikwazi ukugeleza kahle. Yilapho izinyembezi ziqala khona ukuconsa esweni, njengamanzi aphuma esinkini esigcwele. Kungani lokhu kwenzeka ezinganeni ezincane? Esikhathini esiningi, lokhu kwenzeka ngoba imigudwini yezinyembezi zezingane ezisanda kuzalwa ayivuleki ngokuphelele. Okusho ukuthi, yisimo esikhona kusukela ekuzalweni. Odokotela bakubiza lokhu ngokuthi `(Congenital Nasolacrimal Duct Obstruction - CNLDO)`. Uma umntwana esesibelethweni, ingxenye yalo msele ingase imbozwe `(ulwelwesi)` oluncane. Ngokuvamile, lo msele uvula wodwa ekuzalweni noma emasontweni ambalwa ngemva kokuzalwa. Kodwa kwezinye izingane, lokhu akwenzeki. Yilapho inkinga iqala khona.

Kalula nje, umsele wokukhala izinyembezi ufana nethubhu elincane elithwala izinyembezi ezikhiqizwe esweni ziye ekhaleni. Uma uvalekile, izinyembezi zizophuma esweni.

Wazi kanjani ukuthi umsele wakho wokukhala uvaliwe? Ziyini izimpawu?

Uma usola ukuthi ingane yakho inepayipi lezinyembezi elivalekile, qaphela lezi zimpawu.

• Amehlo agcwele izinyembezi njalo: Uma ingane yakho ikhala kwelinye noma womabili amehlo, ikakhulukazi uma ingakhali, futhi ngezinye izikhathi igeleza ezihlathini zayo, kufanele ukhathazeke uma lokhu kuqhubeka kuze kube yilapho ingane yakho isineminyaka engaba ngu-6-8 ubudala .
• Ukunqwabelana kwezinto ezifana ne -mucus kanye ne-pus esweni: Ngenxa yokuthi izinyembezi aziphumi kahle, izinyembezi zinganqwabelana ngaphakathi kweso, ngezinye izikhathi zakhe into efana ne-mucus, noma ephuzi, efana ne-pus eluhlaza okwesibhakabhaka. Amehlo akho angase abambeke lapho uvuka ekuseni.
• Ukubomvu kwamehlo nokuvuvukala:Ngezinye izikhathi, ikakhulukazi uma kukhona ukutheleleka, indawo ezungeze iso ingaba bomvu futhi ivuvuke.
• Ukutheleleka kwamehlo okuphindaphindiwe: Ngenxa yokuthi izinyembezi zihlala endaweni eyodwa, kulula ukuthi amagciwane akhule. Lokhu kungabangela ukuthi ezinye izingane zibe nokutheleleka kwamehlo okuphindaphindiwe. Udokotela angase anikeze ama-antibiotics ukuze anciphise ukutheleleka, kodwa kuzobuya ngemva kwezinsuku ezimbalwa.
• Ukuvuvukala okuluhlaza okwesibhakabhaka ekhoneni elingaphakathi leso (eceleni kwekhala): Akuvamile ukuthi kube nokuvuvukala okuncane endaweni yesikhwama se-lacrimal, esigcwala izinyembezi. Lokhu kubizwa nangokuthi i-dacryocystocele.

Uma ingane yakho inesinye salezi zimpawu noma ngaphezulu, kungcono ukubonana nodokotela wezingane noma udokotela wamehlo ukuze uthole iseluleko.

Ingabe wonke umuntu udinga ukuhlinzwa? Akukho yini okunye ukwelashwa kuqala?

Cha, akuwona wonke umuntu ozohlinzwa ngokushesha. Ikakhulukazi ezinganeni, odokotela bazama ezinye izindlela zokwelapha ezilula kuqala. Izinto okufanele uzenze kuqala: 1. Ukuhlikihla isikhwama se-lacrimal: Lokhu kuvame ukuba yinto yokuqala ofundiswa yona. Udokotela wakho noma umhlengikazi uzokukhombisa ngqo ukuthi ungakwenza kanjani lokhu. Ukuhlikihla indawo ephakathi kweso lakho nekhala lapho kukhona khona isikhwama sezinyembezi kungasiza ekukhululeni ulwelwesi oluvalekile. Lokhu kufanele kwenziwe izikhathi eziningana ngosuku. Kubaluleke kakhulu ukwenza lokhu ngendlela efanele. 2. Ukugcina iso lihlanzekile: Gcina iso lihlanzekile ngokulisula ngendwangu emanzi (emanziswe ngamanzi afudumele). 3. Amaconsi amehlo e-antibiotic: Uma kukhona ukutheleleka, okungukuthi, uma kukhona ubomvu, uma iso libomvu, udokotela angakunika iconsi lamehlo eliqukethe ama-antibiotic. Kodwa lokhu kulawula kuphela ukutheleleka, akususi umsele wezinyembezi ovalekile. Ezimweni eziningi, lapho izingane sezineminyaka engu-6, 9, noma ngisho nonyaka ubudala, umsele wezinyembezi uzozivulekela ngokwawo ngale massage futhi ngokuhamba kwesikhathi. Lokhu kusho ukuthi cishe izingane ezingu-9 kwezingu-10 azidingi ukuhlinzwa. Ngakho-ke kufanele ucabangele nini ukuhlinzwa?

• Ngisho noma ingane inonyaka owodwa ubudala (abanye odokotela bacabanga kanjalo ngisho nangaphambi kwalokho), uma lokhu kudabula nokutheleleka kuqhubeka.
• Uma unezifo zamehlo ezivame ukwenzeka futhi ezinzima.
• Uma izinto ezifana nokubhucungwa umzimba zibonakala zingasizi.
• Uma unesifo esingavamile esibizwa ngokuthi ``dacryocystocele``.

Kungezikhathi ezinjengalezi lapho udokotela ephakamisa khona ukuhlinzwa.

Kuyini Ukuhlinzwa Kokuvimba Imisele Yezinyembezi?

Kalula nje, lokhu kuhlinzwa kuwukuvula umsele wokukhala izinyembezi ovalekile. Lokhu kuvame ukwenziwa uchwepheshe wamehlo, ngezinye izikhathi udokotela wamehlo wezingane. Lokhu akuyona ukuhlinzwa okukhulu nokuyinkimbinkimbi. Ngokuvamile, kwenziwa njengokuhlinzwa okuncane kwangaphandle . Lokhu kusho ukuthi ingane akudingeki ihlale esibhedlela izinsuku eziningi, futhi ingaya ekhaya ngalolo suku. Uma lokhu kuhlinzwa kwenziwa ezinganeni, zinikezwa i-anesthesia ejwayelekile, okusho ukuthi azizizwa lutho futhi azizizwa ubuhlungu. Ngakho-ke, ingane ayizizwa ingakhululekile noma yesaba ngenxa yalokhu. Inqubo yokuhlinzwa evame kakhulu ezinganeni: Indlela evame kakhulu yezingane ezincane ukuhlola nokunisela . Kulokhu, udokotela udlulisa ithuluzi elincane kakhulu, elincane (i-probe) eceleni komsele wokukhala izinyembezi bese evula ngobumnene ulwelwesi oluvalekile noma ukuvaleka. Ngemuva kwalokho, into efana namanzi anosawoti idluliselwa epayipini (lokhu kubizwa ngokuthi `(ukunisela)`) ukuze kubonakale ukuthi ipayipi livulekile ngokuphelele nokuthi izinyembezi zigeleza kahle. Ngezinye izikhathi, ikakhulukazi uma ithubhu liqhubeka nokuvaleka ngemva kwalokhu `(ukuphenya)`, udokotela angase anqume ukufaka ithubhu elincane `(stent)` ukuze ligcine ithubhu livulekile. Leli thubhu lishiywa endaweni yalo izinyanga ezimbalwa bese lisuswa. Ukuhlinzwa kwabantu abadala (njenge `(dacryocystorhinostomy - DCR)`) kungaba nzima kakhulu, kodwa le ndlela `(yokuhlola nokunisela)` ivame ukusetshenziswa ezinganeni.

Yini okudingeka uyazi ngaphambi kokuhlinzwa?

Uma udokotela wakho enquma ukwenza ukuhlinzwa, uzokuchazela okulandelayo:

• Ingane akufanele inikwe ukudla noma isiphuzo isikhathi esithile ngaphambi kokuhlinzwa (ngoba i-anesthesia inikezwa).
• Isikhathi okudingeka ufike ngaso esibhedlela ngosuku lokuhlinzwa.
• Kufanele utshele udokotela nganoma yiziphi ezinye izifo noma ukungezwani komzimba ingane yakho enakho.
• Lesi yisikhathi esihle kakhulu sokukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.

Ukuhlinzwa kwenziwa kanjani? Ingabe kuzolimaza ingane encane?

Njengoba sishilo ngaphambili, lokhu kuhlinzwa kwenziwa ezinganeni ngaphansi kwe-anesthesia ejwayelekile. Lokho kusho ukuthi ingane ilele ngokuphelele. Ayizwa ubuhlungu. Ukuhlinzwa kuphelile ngemizuzu embalwa. Udokotela usebenzisa lawo mathuluzi athambile ukuvula umsele wokukhala izinyembezi.

Cabanga ngale ndlela, kufana nokuhlanza ipayipi lamanzi elivalekile, kodwa ngokucophelela nangokucophelela.

Kwenzekani ngemva kokuhlinzwa? Ungazinakekela kanjani ekhaya?

Ngemva kokuhlinzwa, umntwana uzobhekwa isikhashana futhi, uma esevukile ekuhlinzweni kokubulala izinzwa, uzovunyelwa ukuya ekhaya ngalolo suku. Nakekela lezi zinto ngemva kokufika ekhaya:

• Amaconsi aso: Udokotela uzokunikeza umuthi wokulwa namagciwane futhi mhlawumbe ne-steroid.)` Kuthiwa ifaka uhlobo lweconsi lamehlo eliqukethe. Lokhu kumele kusetshenziswe ngesikhathi esifanele, izinsuku ezifanele. Lokhu kuvimbela ukutheleleka futhi kunciphisa ukuvuvukala.
• Ukugcina amehlo ehlanzekile: Ungayithambisa indawo ezungeze amehlo. Kodwa ungawahlikihli noma uwacindezele amehlo.
• Ukopha kancane ekhaleni: Ngezinye izikhathi, ungase uphume igazi elibomvu ekhaleni lakho usuku olulodwa noma ezimbili ngemva kokuhlinzwa. Lokhu kuvamile, ungakhathazeki. Kodwa uma ukopha kukhulu, tshela udokotela wakho .
• Ukulandelela: Udinga ukubuyisela ingane yakho kudokotela ukuze ubone ukuthi ukuhlinzwa kuphumelele yini nokuthi umsele wokukhipha izinyembezi usebenza kahle yini.

Lokhu kuhlinzwa kuphumelela kakhulu ezimweni eziningi. Ngemva kokuhlinzwa, amehlo engane ayayeka ukuchama futhi avule amehlo cishe ngokuphelele.

Ingabe kukhona imiphumela emibi evela kulokhu kuhlinzwa?

Njenganoma yikuphi ukuhlinzwa, kunethuba elincane lemiphumela emibi emincane kakhulu, kodwa ayivamile kakhulu .

• Ukutheleleka (yingakho kunikezwa amaconsi e-antibiotic).
• Ukuphindeka komsele wokukhala ovimbekile (lokhu nakho akuvamile, uma kwenzeka, kungadingeka ukuthi uphinde uhlinzwe).
• Izinkinga ezincane ezihlobene nokubulala izinzwa (nazo azivamile kakhulu).

Udokotela wakho uzokuchazela konke lokhu kusengaphambili. Akukho okufanele ukhathazeke ngakho, ngoba lokhu kuyindlela yokuhlinzwa ephephile kakhulu.

Kwenzekani uma ungahlinzwanga?

Uma umsele wokukhala uvaliwe, inkinga enkulu ukutheleleka kwamehlo okuphindaphindiwe . Lokhu kuyinkinga kuwe nakumntwana wakho. Ngezinye izikhathi lokhu kutheleleka kungaba kubi kakhulu. Akuvamile ukuthi kube nokutheleleka okukhulu kwesikhwama sezinyembezi (i-dacryocystitis ebukhali). Lokhu kungaba buhlungu kakhulu. Ngakho-ke, uma udokotela encoma ukuhlinzwa, kubalulekile ukucabanga ngokucophelela ngakho.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ngakho ake sikukhumbuze ezinye zezinto ezibaluleke kakhulu esixoxe ngazo.

• Kuvamile ukuthi izingane ezisanda kuzalwa zibe namehlo anamanzi futhi ziphume uketshezi. Ezimweni eziningi , lokhu kuzozixazulula ngokwako zingakapheli izinyanga ezimbalwa.
• Kubaluleke kakhulu ukwenza kahle i-tear duct massage efundiswa udokotela.
• Uma inkinga iqhubeka ngemva kokuba umntwana esenonyaka owodwa ubudala , noma uma ukutheleleka kwenzeka njalo, udokotela angaxoxa ngokuhlinzwa (Ukuhlinzwa Kokuvimba Amapayipi Ezinyembezi).
• Lokhu kuhlinzwa kulula futhi kuphephile . Ingane inikezwa i-anesthesia, ukuze ingazizwa ubuhlungu. Ingaya ekhaya ngalolo suku.
• Landela imiyalelo kadokotela (njengokufaka amaconsi emehlweni) ngemva kokuhlinzwa.
• Uma unokungabaza noma ukwesaba, ungabi namahloni ubuze udokotela wakho. Bakhona ukuzokusiza.

Khumbula, impilo yengane yakho iyona nto ebaluleke kakhulu. Uma kuvela inkinga efana nale, kungcono ukungesabi, kodwa ukufuna iseluleko sezokwelapha esifanele bese wenza ngokufanele. Ngifisela ingane yakho ukululama okusheshayo!Ukuvaleka Kwemibhobho Yokudabuka, Ukudabuka Kwezinsana, Ukuhlinzwa Kokuvaleka Kwemibhobho Yokudabuka, Ukuvaleka Kwemibhobho Yokuzalwa Engenaso Isisu, Ukuhlolwa Nokunisela, Ukuhlinzwa Kwamehlo, Izifo Zamehlo Zezingane