Mitsempha Yopanda Malamulo Osalepheretsa, Zizindikiro, ndi Chithandizo
Kodi zizindikiro za mitsempha yotsekedwa yotsekedwa ndi yotani?
Mitsempha Yotsitsa (Njira Yopweteka) mu Ana
Ana obadwa kumene ndi ana ang'onoang'ono amakhala ndi zibwenzi m'maso mwawo ndipo amatha kung'amba. Ngakhale kuti nthawi zambiri amadzakhala ndi diso la pinki, kuthirira maso opanda zizindikiro monga diso lofiira makamaka limayamba chifukwa chotsata mitsempha, yomwe imatchedwa dacryostenosis .
Mitsempha yotsekemera yotsekedwa imapezeka pamene makoswe osakanikirana omwe amachotsa misozi m'maso mwa mphuno, amatsekedwa (chifukwa cha matenda, zoopsa, zina zotero) kapena, makamaka, amachotsedwa kubadwa (congenital nasolacrimal duct obstruction). Mitsempha yowonongeka kwa ana omwe akungoyamba kumene ndi kulephera kwa nembanemba kuyang'anira khwalala - chinachake chotchedwa valve ya Hasner - kutseguka.
Akuti ana opitirira 30% amabadwa ndi mitsempha yotsekedwa, koma ana oposa 90 peresenti, zizindikiro zimatsimikiziridwa ndi tsiku loyamba la kubadwa.
Zizindikiro za Mitsempha Yopweteka Yotetezedwa
Makanda omwe ali ndi ngongole yotsekedwa nthawi zambiri:
- Onetsetsani maso, kuti maso awo nthawi zonse aziwoneka onyowa kapena akuwoneka ngati akubweretsa misozi yambiri (epiphora) yomwe imathamangira pa masaya a mwanayo.
- Khalani ndi maso omwe amawoneka otayika ndi okhuta kwambiri, chifukwa mucoid zakuthupi zomwe nthawi zambiri zimatulutsidwa mu sachesi yam'mbuyo imakwera kumaso, mmalo mopyola muyezo wamtundu wopita ku mphuno
- Ali ndi redness m'maso mwawo chifukwa ana awa nthawi zambiri amakhuta maso awo
Nthaŵi zina, pamene mitsempha yosochera imatsekedwa, thumba lopweteka , lomwe lili pamkati mwa diso la mwana wanu pafupi ndi mphuno yake, lidzatenga kachilomboka. Matendawa, otchedwa dacryocystitis , amachititsa kuti dera lanu likhale kutupa, lofiira, ndi lopweteka, ndipo mwana wanu akhoza kukhala ndi malungo.
Ana ambiri omwe ali ndi chidole chotseketsa chokhalira alibe zizindikiro zina.
Kusanthula kwa Mitsempha Yotsitsa
Nthawi zambiri ana amapezeka kuti ali ndi njira yotsekemera yomwe imatsekedwa pogwiritsa ntchito zizindikiro, kuphatikizapo kuvulaza kwambiri ndi kupha.
Kumbukirani kuti ana ambiri omwe samangoyamba kumene amayamba kulira mpaka atakhala ndi zaka ziwiri kapena zaka zing'onozing'ono, kotero simungayang'ane zizindikiro za mitsempha yotsekemera, ngakhale mwana wanu atabadwa.
Nthaŵi zina, kuyesedwa kwa dye kosasinthika kumatha kusinthika, kumene dzira la fluorescein limayikidwa pa diso la mwana. Pambuyo pa mphindi zisanu, kuwala kopadera ("kuwala kofiira") kumagwiritsidwa ntchito kuona ngati dawuni yonse yatha mwazidutswa za misozi ndi mphuno. Ngati sichoncho, ndipo utoto umakhala mu diso la mwana, ndiye kuti mwinamwake ali ndi duct yotsekemera.
Kuchiza kwa Mitseke Yotsitsa
Mwamwayi, maulendo ambiri otsekedwa amatuluka okha .
Mpaka mwana wanu atatsekedwa mitsempha yosochera imatha, mankhwala angaphatikizepo:
- Kuseketsa kosalala , komwe mumapiritsa mkati mwa ngodya ya mphuno ya mwana wanu 2 mpaka 3 pa tsiku. Kafukufuku amasonyeza kuti minofu imeneyi (yomwe mwana wanu angakuwonetseni) imapangitsa kusiyana , ndipo ingachepetse kufunika kwa njira yosawerengera.
- Kuyeretsa kutayira kulikonse kapena mankhwala pamaso ndi nsalu yotentha.
- Diso la antibiotic limadumphira pamene kutuluka kwa maso kumakhala kovuta kwambiri, ngati kuti mukuyenera kulipukuta nthawi zoposa 2 kapena 3 patsiku.
- Mankhwala a antibayotiki ngati mwana wanu akukula zizindikiro za dacryocystitis.
Ngati mwana wanu watsekedwa ndi mitsempha yolepheretsa, makamaka panthawi yomwe ali ndi miyezi 9 mpaka 12 , chithandizo choonjezera ndi ndondomeko yosakanikirana yothetsera vuto. Mwa njirayi, yomwe nthawi zambiri imakhala yopambana kwambiri, dokotala wa ophthalmologist (dokotala wa maso kwa ana) adzaika ndondomeko mu ndodo yowonongeka, kuyesera kuchotsa chirichonse chomwe chikuletsa njirayo.
Nthaŵi zina, timagulu ta tizilombo timene timagwiritsira ntchito tizilombo timene timayika, timayika m'kati mwa nyerere yomwe imapitirizabe kutsekedwa.
Zimene Mukuyenera Kudziwa
- Ngakhale kuti ana omwe ali ndi zizindikiro zowonongeka nthawi zonse amakhala ndi zizindikiro, ngati mwana wanu watsekedwa pang'ono, amangozindikira zizindikiro pamene akupanga misonzi yambiri kapena ngati mphuno yake imatsekedwa, monga ngati ali ndi chimfine.
- Ngati mwana wanu wamng'ono akupezeka kuti ali ndi diso la pinki , makamaka ngati diso lake silinali lofiira, ndiye kuti akhoza kukhala ndi duct yotseka.
- Ana akhoza kukhala ndi duct yomwe imatsekedwa yomwe imakhudza imodzi kapena onse awiri.
- Ngati diso la mwana wanu likung'amba ndipo ali wokwiya komanso wokwiya, mmalo mwa chidole chosatsekedwa, mwana wanu akhoza kuyesedwa kuti awonetseredwe congenital glaucoma . Congenital glaucoma siwodziwika (amodzi mwa ana 10,000) ndipo nthawi zambiri amapezeka zaka ziwiri zoyambirira za moyo. Kuphatikizana ndi kuvula mwana kungakhale ndi mdima wonyezimira, wowoneka bwino. Ndikofunika kuti matendawa athandizidwe, monga chithandizo chingasunge masomphenya nthawi yambiri yomwe imapezeka bwino.
- Ngati kufufuza kwachitika msanga mwana asanakwanitse miyezi 6 mpaka 8, akhoza kuchita kafukufuku wa ophthalmologist ku ofesi yawo, popanda aesthesia , monga momwe zingakhalire ndi ana okalamba.
- Katswiri wa ophthalmologist wa ana angathandize ngati mwana wanu ali ndi ngongole yotsekemera, ngakhale kuti ana anu amatha kusamalira zovuta zambiri.
Zotsatira:
Association of American for Opthalmology ndi Strabismus. Glaucoma kwa Ana. Kusinthidwa 04/14. http://www.aapos.org/terms/conditions/55.
Association of American for Opthalmology ndi Strabismus. Njira yosokoneza bongo. Kusinthidwa 01/16. http://www.aapos.org/terms/conditions/72.
Karti, O., Karahan, E., Acan, D., ndi T. Kusbeci. Zochitika zachilengedwe za njira yobadwa yosabadwa yomwe imayambitsa ndi zotsatira za minofu ya lacrimal. Matenda Achilendo Padziko Lonse . 2016 Mar 7. (Epub patsogolo pa kusindikiza).