Ingabe amehlo engane yakho ahlala edabula? Ake sixoxe nge-Blocked Tear Duct!

Kungenzeka ukuthi uqaphele ukuthi amehlo engane yakho avuza izinyembezi, ngezinye izikhathi womabili amehlo, futhi kukhona amaqhubu emakhoneni amehlo ayo . Ungase uzibuze ukuthi kungani lokhu kwenzeka enganeni yakho ngaphandle kokukhala. Abazali abaningi bakhathazekile kancane ngalokhu. Kodwa ungakhathazeki, lesi yisimo esivamile esibonakala ezinganeni. Namuhla, sizoxoxa ngokuthi yini i-Blocked Tear Duct, ukuthi kungani kwenzeka, nokuthi yini ongayenza ukuze uyelaphe ekhaya.

Kungani lezi ziyizinyembezi? Ziyini imigudu yezinyembezi?

Okokuqala, ake sixoxe ngokuthi lezi zinyembezi ziyini nokuthi zisebenza kanjani. Cabanga ngakho njengoba amehlo ethu efana nekhamera eyigugu. Le khamera idinga ukugcinwa ihlanzekile futhi imanzi ngaso sonke isikhathi. Yilokho izinyembezi ezisiza ngakho.

Ngaphansi kwamehlo, ngaphezu kwamehlo , kunezindlala ezincane ezibizwa ngokuthi ama-lacrimal glands . Zifana nefektri yomchamo , futhi zikhipha izinyembezi. Lezi zinyembezi zisakazeka kulo lonke iso, zimanzise futhi zihlanze ngokususa izinto ezinjengothuli.

Bese-ke? Lezi inyembezi ezisetshenzisiwe zidinga ukususwa. Yilokho okwenziwa uhlelo lwepayipi lezinyembezi . Kalula nje, lusebenza njengohlelo lokukhipha amanzi endlini yethu.

1. Kunezimbobo ezimbili ezincane (`puncta`) ezinkopheni ezingaphezulu nangaphansi ekhoneni elingaphakathi leso .

2. Izinyembezi zidlula kulezi zimbobo ngemisele emincane (`iCanaliculi`),

3. Izinyembezi ziqoqana esikhwameni esincane esibizwa ngokuthi i-'Lacrimal Sac'. Lesi sitholakala phakathi kwekhala neso.

4. Ekugcineni, kulesi sikhwama sezinyembezi, izinyembezi ziphuma ziye ekhaleni ngenye ipayipi elincane (i-`Nasolacrimal Duct`).

Yingakho sishaya amakhala ethu uma sikhala. Uma sinezinyembezi eziningi kakhulu, zehla kuleli payipi zingene emakhaleni ethu. Uyaqonda?

Ngakho-ke iyini ipayipi lezinyembezi elivinjiwe?

Manje usuyaqonda ukuthi uhlelo lwepayipi lezinyembezi lubaluleke kangakanani. Ipayipi lezinyembezi elivalekile liba lapho kukhona ukuvaleka noma ukuvinjelwa endaweni ethile eceleni kwepayipi lezinyembezi engikhulume ngalo ekuqaleni. Kufana nepayipi lamanzi elivalekile. Kwenzekani-ke? Izinyembezi azikwazi ukuphuma kahle ekhaleni. Ngakho-ke ziqala ukuvuza esweni, noma zibhajwe esweni .

Lokhu kuvame kakhulu ezinganeni. Cishe ingane eyodwa kweziyi-10 izalwa inalesi simo. Ngokuvamile, lokhu kwenzeka ngoba ulwelwesi oluncane (`Ulwelwesi` noma `I-Valve of Hasner`) ekugcineni kwepayipi elithwala izinyembezi ekhaleni (`Ulwelwesi LwaseNasolacrimal`) aluvuli kahle. Ngokuvamile, lolu lwelwelwesi luvuleka lodwa lapho luzalwa noma ezinsukwini ezimbalwa ngemva kokuzalwa. Kodwa kwezinye izingane, kuthatha isikhathi eside.

Into ebaluleke kakhulu ukuthi ezimweni eziningi lokhu akumzwisi ubuhlungu umntwana, futhi akulimazi umbono wengane.

Ngingazi kanjani ukuthi ingane yami inalesi simo? (Izimpawu)

Kunezimpawu eziningana ongazibheka ukuze ubone ukuthi ingane yakho ivalekile yini ngombhobho wezinyembezi:

• Amehlo anamanzi/i-Epiphora: Ngisho noma ingane ingakhali, iso elilodwa noma womabili ahlala egcwele izinyembezi, futhi izinyembezi zehla ezihlathini. Lokhu kungaba kubi kakhulu ezinsukwini ezibandayo noma ezindaweni ezinomoya.
• Ukuphuma koketshezi olunamathelayo : Uma uvuka ekuseni, noma emini, ungase uphawule ukukhishwa okuphuzi ekhoneni leso lakho . Ngezinye izikhathi, lokhu kukhishwa koketshezi kungabangela ukuthi ijwabu lakho linamathele ndawonye.
• Ukuvuvukala noma ukubomvu kwejwabu leso: Ngezinye izikhathi, ungase uqaphele ukuvuvukala okuncane noma ukubomvu, ikakhulukazi endaweni lapho kukhona khona isikhwama sezinyembezi (esisekelweni sekhala, ekhoneni elingaphakathi leso ).
• Ukuhlikihla amehlo njalo: Uma ingane yakho izama njalo ukuhlikihla amehlo ayo ngezandla zayo, lokhu kungaba uphawu.

Kodwa khumbula, uma iso libomvu kakhulu, livuvukele kakhulu, futhi umntwana enomkhuhlane , kungaba yisifo (`i-Dacryocystitis`). Uma lokho kwenzeka, kufanele ubonane nodokotela ngokushesha.

Kuyini ukubhucungwa kwe-Tear Duct? Kwenziwa kanjani?

Esikhathini esiningi, umsele wokukhala izinyembezi ovalekile uzophola wodwa phakathi nonyaka wokuqala womntwana. Kodwa-ke, ukuze kusizwe ngale nqubo yokuphulukiswa nokuvula umsele ovalekile, odokotela batusa inqubo elula ebizwa ngokuthi i-tear duct massage . Ngezinye izikhathi ibizwa ngokuthi i-'Crigler Massage'.

Lokhu kufana nokufaka ingcindezi encane emseleni ovalekile. Uma senza lokhu kuhlikihla, sicindezela kancane isikhwama se-lacrimal. Izinyembezi ezingaphakathi kwaso zicindezela ulwelwesi oluvalekile, zisize ukuthi luvuleke.

Indlela yokwenza i-massage ngendlela efanele?

Lokhu kuyinto elula kakhulu, kodwa kubalulekile ukwazi kahle ukuthi ungakwenza kanjani. Udokotela wakho noma umhlengikazi wakho uzokuchazela kahle. Ake ngichaze kancane.

1. Ukuhlanzeka kuza kuqala!

• Ngaphambi kokuqala ukubhucunga, geza izandla zakho kahle ngensipho.
• Gcina izinzipho zengane yakho zimfushane futhi, ngoba lokhu sikwenza endaweni ebucayi kakhulu.

2. Indawo efanele:

• Uzozwa indawo encane, enamabala ekhoneni elingaphakathi leso lengane yakho, eduze kwasekuqaleni kwekhala (ngasekhaleni). Yilapho kutholakala khona isikhwama se-lacrimal.

3. Indlela yokuhlikihla:

• Sebenzisa umunwe wakho wokukhomba noma umunwe wakho opinki.
• Faka ukucindezela okuncane endaweni engaphezulu kwesikhwama sezinyembezi engikhulume ngaso, ubeke umunwe wakho phansi, eceleni kwekhala . Njengokungathi udweba umugqa omncane phansi. Ungalokothi ucindezele iso.
• Yenza lokhu kubhucungwa izikhathi ezimbili noma ezintathu zilandelana. Cabanga ngalokhu 'njengeseshini eyodwa'.

4. Kufanele ngikwenze kangaki?

• Odokotela bavame ukuncoma ukwenza lokhu kubhucungwa kabili noma kathathu ngosuku (ekuseni, ntambama, nasebusuku). Ungenza cishe ukubhucungwa okungu-5-10 ngesikhathi.
• Udokotela wakho uzolungisa la manani ukuze afanele ingane yakho.

5. Kuthatha isikhathi esingakanani?

• Lesi simo siyathuthuka ezinganeni eziningi ngemva kwezinyanga ezimbalwa zenza lokhu. Ngezinye izikhathi, ungacela ngisho nengane yakho ukuba ikwenze kuze kube yilapho isinonyaka owodwa ubudala.

Okubalulekile:

• Ungacindezeli kakhulu. Lokhu kufanele kwenziwe ngobumnene. Uma ucindezela kakhulu, ngeke kusize ngalutho enganeni.
• Ngesikhathi uhlikihla, kungase kuphume ulwelwesi noma izinyembezi emehlweni akho. Lokhu kuvamile. Cwilisa ibhola likakotini elihlanzekile emanzini (amanzi abilisiwe angcono kakhulu) bese usula iso ngobumnene kusukela ngaphakathi kuya ngaphandle.
• Sebenzisa amabhola kakotini ahlukene esweni ngalinye.

Khumbula, lokhu kuhlikihla kufana nomuthi. Ungathola imiphumela emihle kuphela uma ukwenza njengoba nje udokotela esho, ngenani eliqondile lezikhathi, futhi njengoba uyalelwe.

Kuthiwani uma ukubhucungwa kukodwa kungasizi?

Ezimweni eziningi, cishe u-90% wezingane uyalulama ngokuzenzakalelayo ngokuhlikihla imisele yezinyembezi lapho zinonyaka owodwa ubudala. Kodwa-ke, ezinganeni ezincane kakhulu , lesi simo singase singabi ngcono.

Uma kunjalo, okungukuthi, uma ingane yakho isadabukile, iphuma igazi njalo emehlweni, noma inezifo zamehlo njalo ngemva konyaka, udokotela wakho uzokutshela ngezinye izindlela zokwelapha.

Nazi ezinye zazo:

• Ukuhlola: Lokhu ukuhlinzwa okuncane. Ngemva kokuba umntwana ehlinzwe nge-anesthesia, udokotela wamehlo ufaka ithuluzi elincane kakhulu (i-probe) emgudwini wokukhipha izinyembezi, evula indawo evalekile. Lokhu kuyindlela yokwelapha ephumelelayo.
• Ukufaka i-stenting noma i-intubation: Ngezinye izikhathi, ngemva kokuhlola, ishubhu elincane le-silicone lifakwa okwesikhashana ngaphakathi kweshubhu ukuze livinjwe futhi. Leli shubhu liyasuswa ngemva kwezinyanga ezimbalwa.
• I-Balloon Dacryoplasty: Kwezinye izimo, kufakwa ibhaluni elincane epayipini bese livuvulwa ukuze kuvulwe ingxenye evalekile.
• Ukuhlinzwa (Dacryocystorhinostomy - DCR): Lokhu akuvamile ukwenziwa ezinganeni. Kwenziwa ezimweni eziyinkimbinkimbi kakhulu. Lapha, kudalwa indlela entsha esuka esikhwameni sezinyembezi iye ekhaleni.

Kodwa akudingeki ukhathazeke ngalokhu kwelashwa ngokushesha. Into yokuqala ebalulekile ukuhlikihla kahle imigudu yokudonsa izinyembezi bese ulandela imiyalelo kadokotela.

Kufanele ngimbone nini udokotela?

Ngokuvamile, ezinyangeni ezimbalwa ngemva kokuzalwa komntwana, uma ubona lokhu kudabuka nokuqhekeka, kufanele uye emtholampilo womntwana utshele udokotela . Udokotela uzohlola umntwana, aqinisekise ukuthi lo msele wezinyembezi uvaliwe yini, futhi uzokufundisa ukuthi uwuhlikihla kanjani.

Kodwa-ke, uma ubona lezi zinto, bheka udokotela ngokushesha:

• Uma iso libomvu ngokumnyama, livuvukele kakhulu, futhi umntwana ekhala ngisho noma ulibambe (ubuhlungu).
• Uma ikhona leso , lapho kukhona khona isikhwama sezinyembezi, liba bomvu futhi livuvuke, bese kuphuma ubomvu obuphuzi kulo.
• Uma ingane inomkhuhlane.
• Uma uzizwa sengathi kukhona okungahambi kahle ekuboneni kwengane yakho.
• Ngisho nangemva kwezinyanga zokuhlikihla, akukabikho ukuthuthuka.

Lokhu kungaba izimpawu zokutheleleka, futhi kungadingeka ama-antibiotic.

Umlayezo Wokuya Nawe Ekhaya

Ngakho-ke, uma amehlo engane yakho econsa kanje, futhi equmbile, ngokuvamile akukho okufanele ukhathazeke ngakho. Kungaba umsele wezinyembezi ovalekile, ovame kakhulu ezinganeni.

• Ukuhlikihla i-Tear Duct kuyindlela elula kakhulu futhi ephumelelayo yokwenza lokhu.
• Kubaluleke kakhulu ukuhlikihla ngendlela ehlanzekile, ngobumnene, futhi njengoba udokotela ekuyalile .
• Kwabaningi abantwana, lesi simo siphela ngokuphelele lapho sebenonyaka owodwa ubudala .
• Uma unezimpawu ezifana nokubomvu kwamehlo, ukuvuvukala kanye nomkhuhlane, kufanele nakanjani ubone udokotela.
• Uma unemibuzo noma ukungabaza ngalokhu, ungangabazi ukubuza udokotela womndeni wakho noma udokotela wezingane.

Ngifisela ingane yakho ukululama okusheshayo! Ngiyethemba ukuthi lolu lwazi luzokusiza.

ipayipi lezinyembezi elivinjiwe, ukuvaleka kwepayipi lezinyembezi, ukubhucungwa kwepayipi lezinyembezi, ukubhucungwa kwepayipi lezinyembezi, amehlo anamanzi ezinganeni, i-epiphora, i-dacryostenosis