Nzira Dzakachengetedzwa Nasolacrimal Zviratidzo, Kuongororwa, uye Kurapwa
Ndezvipi zviratidzo zvekuvhara duct yakadzivirirwa uye inorapwa sei?
Duct Tear Teed (Nasolacrimal Duct) muvana
Vacheche nevana vaduku vanowanzova nemakumbo mumaziso avo uye vanogona kunge vachibvarura. Kunyange zvazvo inowanzomira pameso echiso, kudiridza maziso pasina zviratidzo zvakadai seziso rekundu zvinowanzokonzerwa nevhavharo yakabviswa , chimwe chinonzi dacryostenosis .
Duct inodzivirirwa inoputika inoitika kana gumbo risina kuvhara rinodurura misodzi kubva muziso mumhino, rinodziviswa (nemhaka yehutachiona, tsvina, njodzi, etc.) kana, kana kazhinji, inodzivirirwa kubva pakuberekwa (congenital nasolacrimal duct kudzivisa. ye nasolacrimal duct kuvhiringidzika muzvitsva ndekukundikana kwemuviri wekuchengetedza dhara - chimwe chinhu chinonzi valve yeHasner - kuti izarure.
Inofungidzirwa kuti kusvika pamwana makumi matatu kubva kuzana kubva muzana vanoberekwa nechechi yakabvongodzwa, asi mune 90% zvevana ava, zviratidzo zvinogadzirisa nekuzvarwa kwavo kwekutanga.
Zviratidzo zveChikoro Chekudzivirira
Vana vacheche vane chirwere chakavhara chidziro kazhinji kacho:
- Ita maziso anonyorera, kuitira kuti maziso avo aratidze seanonyorova kana kuti achiita sokuti anounza misodzi yakawanda (epiphora) inopinda mumatama emwana.
- Ita maziso anoonekwa akaoma uye akazara nemafuta, nokuti mucoid nyaya inowanzobudiswa muchirongwa cheracrimal ichikwira muziso, panzvimbo pekudhonza muchitsiko chisina kukwana kusvika kumhino
- Iva nehumwe hutsvuku pameso avo nokuti vana ava vanowanzosvinudza meso avo
Dzimwe nguva, kana gumbo rinosuka rakadzivirirwa, girasi rinoputika , iro riri mukati mekona romukomana wako pedyo nemhino dzake, richabatwa. Ichi chiitiko, chinonzi dacryocystitis , chinogona kukonzera nzvimbo yacho kuti izvimba, yakatsvuka, uye inorwadza, uye mwana wako anogonawo kuva nefivha.
Vana vakawanda vane ruvara rwakadzivirirwa ruchidzivirirwa harina zvimwe zviratidzo.
Kuongororwa kweChikoro Chekudzivirira
Vana vanowanzoongororwa vane gumbo rakabvongodzwa rinopfigirwa maererano nemuenzaniso wezviratidzo, kusanganisira kubvarura zvakanyanya uye kubata.
Ramba uchiyeuka kuti vazhinji vanozvarwa vasati vatanga kusvimha misodzi kusvikira vaine vhiki mbiri kana kuti vaduku, saka iwe haungagoni kuona zviratidzo zvekuvhara duct, iyo kana mwana wako akazvarwa nawo.
Pane imwe nguva, dhidhi rekucheneswa dhiyorescein dye rinoparara rinogona kuitwa, umo dhayi re fluorescein rinowanikwa paziso remwana. Mushure memaminitsi mashanu, chiedza chinokosha ("chiedza chitsvuku") chinoshandiswa kuona kana dae rose rave rakanyangarika kuburikidza nemakumbo emisodzi uye mumhino. Kana zvisingaiti, uye daa rinoramba riri muziso remwana, ipapo angave ane duct yakavhara.
Mishonga yekudziviswa Mucheka Ducts
Nenzira yakanaka, maitiro akawanda evhavha dzinoputika anoenda ari oga .
Kusvikira mwana wako akavhara kambani yakabvongodzwa inopera, kurapa kunogona kusanganisira:
- Kurasikirwa kwemavara , umo iwe unopisa mukati mekona yemhino yemwana wako 2 kusvika katatu pazuva. Zvidzidzo zvinoratidza kuti izvi zvinoshambadza (izvo chiremba wevana vako zvinogona kukuratidza iwe) zvinokonzera kusiyana , uye zvinogona kuderedza kudiwa kwechirwere chemaitiro chinoshandiswa.
- Kuchenesa chero kusvibiswa kana nyaya kumeso nemafuta anoshambidza.
- Mishonga inorwisa mabhakitiriya inodonha apo kusununguka mumaziso kunowedzera, sekunge iwe uchifanira kuupukuta kunze kwechipiri kana katatu pazuva.
- Mishonga inorwisa mabhakitiriya kana mwana wako achikura zviratidzo zve dacryocystitis.
Kana mwana wako akavhara duct rekudzivirira hazvibvumi pazviri, kunyanya nenguva yaanenge ane mwedzi 9 kusvika ku12 , kumwe kurapwa nemaitiro ekunyatsoshandiswa kwemaitiro kunogona kudiwa. Mune nzira iyi, iyo inowanzobudirira kwazvo, chirwere chemakumbo ophthalmologist (chiremba weziso chevana) chichaisa shanduro mumugwagwa unotadza, uchiedza kubvisa chero chinhu chiri kudzivirira duct.
Pane imwe nguva, ganda rinogona kugadzirwa, iyo silicone tube, inogadzirirwa mukana wekunyora kana ikaramba ichidzivirirwa.
Zvaunoda Kuziva
- Kunyange zvazvo vana vane zvikwangwani zvakakwana zvicharamba zvichiine zviratidzo, kana mwana wako akavhara zvishoma, iwe ungangotarisa zviratidzo paanenge achiwedzera misodzi kana kana mhino yake yakavharwa, sekunge paanenge achinaya.
- Kana mwana wenyu muduku achidzokidzwa achionekwa neine ziso rinopenya , kunyanya kana ziso rake risati rakaita mutsvuku, saka angave akavhara duct.
- Vana vanogona kuva nedhara rakadzivhara rinoputika rinosanganisira rimwe kana maziso ose.
- Kana ziso romwana wako riri kuputika uye iye ane fussy uye ane shungu, panzvimbo yekuvhara duct rakadzidzirwa, mwana wako angave akaongororwa ku congenital glaucoma . Congenital glaucoma isingawanzozivikanwi (1 muvana vakaberekwa 10 000) uye kazhinji inowanikwa mumakore maviri ekutanga ehupenyu. Pamwe nekubvarura mwana anogonawo kuva nemakore, asingasviki achiona cornea. Zvakakosha kuti chirwere ichi chinowanikwa, sezvo kurapwa kunogona kuchengetedza maonero mazhinji yenguva iyo yakanyatsozivikanwa.
- Kana kuongorora kuchiitwa nguva isati yasvika mwana asati ava nemwedzi 6 kusvika ku8, zvinowanzoitwa nevana vei ophthalmologist muhofisi yavo, pasina aneshehesia , sezvinodiwa kune vakwegura.
- Chirwere chemapfupa ophthalmologist chinogona kubatsira kana mwana wako akavhara duct rakabvongodza, kunyange zvazvo chiremba wevana vangave vanogona kutarisira mamiriro akawandisa.
Sources:
American Association for Pediatric Opthalmology uye Strabismus. Glaucoma yevana. Yashandurwa 04/14. http://www.aapos.org/terms/conditions/55.
American Association for Pediatric Opthalmology uye Strabismus. Nziralacrimal duct kuvhiringidzika. Updated 01/16. http://www.aapos.org/terms/conditions/72.
Karti, O., Karahan, E., Acan, D., naT. Kusbeci. Zvinhu zvekuzvarwa zvekukanganiswa kwemakumbo ekudzivirira uye kukanganisa kwekunyora musasa. International Pediatrics . 2016 Mar 7. (Epub mberi kwekudhinda).