An katange ƙwayar cutar kwayar cutar Duct, ganewar asali, da jiyya
Mene ne bayyanar cututtuka na ƙwayar hawaye da aka katange kuma ta yaya aka bi ta?
Ƙungiyar Juye Kashe (Cikin Nadalacrimal Duct) a Yara
Yaran jarirai da ƙananan jarirai suna da matsala a idanunsu kuma suna da matukar damuwa. Kodayake sau da yawa akan zargewa akan ruwan hoda, idanu idanu ba tare da bayyanar cututtuka irin su ja ido sun fi yawan lalacewar hawaye, abin da ake kira dacryostenosis .
Kullun da aka katange yawo yana faruwa a lokacin da yarinyar nasolacrimal wanda ya ɗaga hawaye daga ido a cikin hanci, aka katange (saboda kamuwa da cuta, cututtuka, da dai sauransu) ko, mafi yawanci, an katange daga haihuwa (ƙananan ƙwayar cumbal obstruction. na ɓoye ƙwayar ƙwayar ƙwayar cuta a cikin jarirai shine rashin nasarar kirkirar da ke kula da kwayar halitta - wani abu da ake kira bawul din Hasner - don buɗewa.
An kiyasta cewa kimanin kashi 30 cikin 100 na jarirai da aka haife su tare da hawaye mai hawaye, amma cikin fiye da 90% na wadannan yara, alamun sunyi tsayayya da ranar haihuwa.
Kwayoyin cututtuka na ƙwayar ƙuƙwalwa
Yara jarirai tare da kullun da aka katange hawaye zai sau da yawa:
- Ka da idanu masu ido, don idanunsu su kasance masu tsada sosai ko kuma suna neman samar da hawaye mai yawa (epiphora) da suke kwantar da hankalin jaririn.
- Shin idanun da suka bayyana sunyi nasara kuma sun dace tare da fitarwa, saboda abincin da aka saba da shi a cikin lacrimal jakar baya ne a kan ido, maimakon yin zuzzurwa ta hanyar dabbar ta hanyar zuwa ga hanci
- Yi wasu redness a kusa da idanun su saboda wadannan yara sukan yi idanu
Lokaci-lokaci, lokacin da aka katange igiya mai hawaye, jaka na nasolacrimal , wadda take a kusurwar goshin ido na ɗanka kusa da hanci, zai zama kamuwa. Wannan yanayin, wanda ake kira dacryocystitis , zai iya sa yankin ya zama kumbura, ja, da kuma mai raɗaɗi, kuma yaro zai iya zama zazzaɓi.
Yawancin yara tare da ƙwayar hawaye mai sauƙi ba su da wata alama.
Binciken asali na Kayan Gumar Tashi
Yara yawanci ana bincikar yara tare da kututturewar hawaye mai kama da alamar bayyanar cututtuka, ciki har da matsanancin lalata da matting.
Ka tuna cewa yawancin jarirai ba su fara fara hawaye ba sai sun kasance kimanin makonni biyu ko babba, don haka baza ka lura da duk wani alamomi na kwalliyar hawaye ba, ko da an haifi jariri tare da shi.
Lokaci-lokaci, za'a iya yin gwajin fatar na fuka-fuka mai gyaran ƙwayar wutan lantarki wanda aka sanya shi a kan idon yaro. Bayan minti 5, an yi amfani da haske na musamman ("baƙar fata") don ganin ko duk ƙuƙwalwar ya ɓace ta wurin hawaye kuma ya shiga cikin hanci. Idan ba haka ba, kuma yarin ya zauna a idon yaro, to yana iya samun kullun hawaye.
Jiyya ga Wuraren Bugun Kashe
Abin farin cikin, mafi yawan lokuta da aka katange hawan hawaye sun tafi kansu .
Har sai yarinyar da aka katange yaro ya tafi, maganin zai iya hada da:
- Magunguna na nasolacrimal , inda kuke yin tausa a cikin kusurwar hanci yaro 2 zuwa sau 3 a rana. Nazarin ya nuna cewa wannan wutan (abin da dan jaririn zai iya nuna maka) yana haifar da banbanci , kuma zai iya rage yawan buƙatar ƙwararrayar ƙwayar.
- Ana tsarkake duk wani fitarwa ko kwayar halitta a idanu tare da wanke wanka.
- Kwayar antibiotic saukad da lokacin da fitarwa a cikin idanun ya zama mai wuce kima, kamar idan kuna da gogewa fiye da 2 ko sau 3 a rana.
- Magungunan maganin rigakafi idan yarinyar tasowa bayyanar cututtuka na dacryocystitis.
Idan kullun hawaye na yarinya ba ya tafi kan kansa, musamman ma lokacin da ya kai 9 zuwa 12 watanni , ƙarin magani ta hanyar bincike na nasolacrimal zai iya zama dole. A cikin wannan hanya, wanda yawanci ya yi nasara sosai, likita na likitan yara (likitan ido ga yara) zai sanya bincike a cikin tasirin nasolacrimal, yana ƙoƙari ya share duk abin da ke hana shira.
Lokaci-lokaci, zane mai kwakwalwa, tube na silicone, an sanya shi a cikin dakin nasolacrimal idan har ya ci gaba da katsewa.
Abin da Kake Bukatar Ku sani
- Kodayake yara da cikakkiyar tanguwa zasu kasance da alamun bayyanar, idan yaronka yana da rikici, zaka iya lura da bayyanar cututtuka lokacin da yake yin karin hawaye ko kuma idan an rufe hanci, kamar lokacin da yake da sanyi.
- Idan ƙaramin yaron ya kasance yana bincikar dasu tare da ruwan hoda , musamman ma idan idonsa bai sabawa ja ba, to yana iya samun kullun hawaye.
- Yara suna iya samun kullun hawaye wanda ya shafi kowa ko duka idanu.
- Idan idon yaron yana raɗawa kuma yana da fussy da rashin jin daɗi, maimakon kullun da aka katange hawaye, za a iya gwada yaronka ga glaucoma . Glaucoma na al'ada ba abu ne bane (1 a cikin haihuwar haihuwar 10,000) kuma sau da yawa yakan faru a farkon shekaru 2 na rayuwa. Tare da tayar da yaro zai iya zama da girgije, mai dadi yana bayyana cornea. Yana da muhimmanci cewa an gano wannan cuta, kamar yadda magani zai iya kiyaye hangen nesa mafi yawan lokutan da aka gano daidai.
- Idan bincike ya yi tun kafin yara ya kai 6 zuwa 8 watanni, ana iya yin aikin likita na likitoci a cikin ofishin su, ba tare da wanzuwa ba , kamar yadda ya kamata ga mazan yara.
- Kwararren likitan ilimin likita na yara zai iya taimakawa lokacin da yarinyar ta sami kullun hawaye, kodayake dan jaririn zai iya gudanar da shari'ar mafi sauki.
Sources:
Ƙungiyar {asar Amirka don Harkokin Ilimin Harkokin Ilimin Harkokin Ilimin Harkokin Ilmin yara da kuma Strabismus. Glaucoma ga Yara. Updated 04/14. http://www.aapos.org/terms/conditions/55.
Ƙungiyar {asar Amirka don Harkokin Ilimin Harkokin Ilimin Harkokin Ilimin Harkokin Ilmin yara da kuma Strabismus. Nataralacrimal duct obstruction. Updated 01/16. http://www.aapos.org/terms/conditions/72.
Karti, O., Karahan, E., Acan, D., da T. Kusbeci. Tsarin halitta na haɓaka da ƙwayar launi na karnalcrimal da tasirin lacrimal jaka. Kwararren yara na duniya . 2016 Mar 7. (Epub gaba da bugu).