Akufufuza mpata ngalande lacrimal mu akhanda monga mankhwala dacryocystitis

Ndithu matenda makanda ndi dacryocystitis, amene amayamba chifukwa cha kutsekeka kwa ritsa misozi. matenda, malingana ndi kuwerengera, kumeneko 2-5% ya makanda. Zoyambitsa ndi mankhwala njira dacryocystitis bwinobwino. Nthawi zambiri anagwira lacrimal ritsa intubation ku matenda ndi mankhwala a matenda.

Zimayambitsa matenda

Kuti timvetse chifukwa cha matenda, m'pofunika kukumbukira thunthu la diso. Kapangidwe ka diso imavuta kwambiri. Pakuti kugwira ntchito dongosolo amasewera yofunika kuichotsa madzimadzi. Kuichotsa kupangidwa mu England lacrimal, ali kwa moistening cha diso ndi conjunctiva. Lacrimal madzimadzi kwa diso kwapatsidwa mwa njira lacrimal. Zikuphatikizapo awiri mfundo lacrimal, awiri ducts misozi, lacrimal sac ndi ngalande kwinaku m'mphuno. Lacrimal madzimadzi umayenda kudzera mu njira mu mmunsi mwa turbinate, kumene ukuphwera. Dacryocystitis kumachitika pamene connective minofu Kakhungu si atrophied asanabadwe. Kakhungu Zimenezi zimathandiza kukhudzana ndi madzimadzi amniotic mu ritsa misozi. Ngati ambike pambuyo mpweya woyamba kapena kulira mwana, ndiye pali magalimoto ndi makutu lachrymal ndimeyi. Choncho, chifukwa ndi chisokonezo dacryocystitis lacrimation, ndi kujowina matenda sekondale.

chipatala dacryocystitis

Wosatsutsika zizindikiro zoyambirira za dacryocystitis mu khanda ndi kutupa ngodya lamkati la diso, kulekana kwa muco-purulent okhutira, kupezeka slezostoyaniya ndi zochepa womwetula. Nthawi zina pali redness a conjunctiva lapansi. Koma chachikulu, mu chipatala cha matenda ndi ndalama bwino purulent secretions ku mfundo lacrimal pamene kukanikiza pa ziyerekezo kwa sac lacrimal.

Ndi bwino kuti awonetsepo matenda kollargolovuyu kwa Zitsanzo ( West). M'pofunika adzagwa mu maso 1 dontho la 3% njira ya siliva colloid. Anaikapo mu ndime m'mphuno thonje chingwe. Ngati mphindi zisanu pa chingwe ndi kuda inki akalipo, ndi yoikidwiratu chitsanzo positive. Chitsanzo abwino kulankhula ndi pamene pambuyo instillation conjunctival Collargol akubwera kuwunikiridwa mu maminiti atatu. Mwanayo sadalole dacryocystitis, m'pofunika kusiyanitsa udindo wake ndi matenda ena. nthawi kuwonjezeka kudetsa chingwe kwa mphindi 20 akulankhula za chitsanzo anachedwa, mphindi 20 - za chitsanzo negative. Ngati chifukwa lacrimonasal nyemba ndi zoipa, ndiye umenewu ndi umboni matenda a dacryocystitis.

Pakuti dacryocystitis aakulu ikuyenda khalidwe mvula mafinya secretions, makamaka mwana tulo.

Kamodzi matenda, mankhwala ayenera kuyamba yomweyo monga mavuto dacryocystitis oopsa - phlegmon wa sac lacrimal, chitukuko cha fistulas. Mungafunike kugwetsera ritsa akufufuza mpata.

mankhwala a matenda

Mankhwalawa akuyamba ndi kutikita a. kutikita Baby chachitika ndi manja oyera. Mkombaphala opangidwa jerky kayendedwe ka m'mphepete lamkati la (mfundo ziyerekezo kuichotsa) diso kudula pamodzi nasolacrimal ritsa Mapiko mphuno. Chala ngati embryonic ankafuna kuphwanya filimu pansi kuthamanga mu njira.

• Finyani nkhani za lacrimal sac, kuchotsa ndi chowuma thonje swab.
• Kukapanda kuleka njira furatsillina 1: 5000 m'maso.
• Agwire kutikita m'dera la lacrimal kayendedwe sac jerky maulendo 10 kuchokera pamwamba mpaka pansi.
• Kuchita instillation dontho levomitsetina njira 0,25% kapena vitabakta
• Minofu nthawi 5-6 tsiku.

Ngati kutikita kwa masabata awiri kapena atatu sachiza, osati Kakhungu yopuma, ndi stagnation kupulumutsidwa, m'pofunika kuthetsa nkhani ya akufufuza mpata wa ritsa misozi. phukusi zachipatala zachitika mu ofesi maso a, makamaka mu m'badwo wa miyezi iwiri atatu. Akufufuza mpata wa ducts kuichotsa pa ana ayenera kukhala odziwa akatswiri.

Akufufuza mpata ngalande lacrimal imagwiridwa pansi mankhwala oletsa ululu pamalopo, mwana wake momufungata munsalu. Kudzera mwa probes conical Sichel, kuyambira zing'onozing'ono mfundo anayesedwa kuichotsa ndi tubules. Komanso kafukufuku Bowman amamvera nyimbo m'malo mochita mu nasolacrimal ritsa Kakhungu. Pambuyo akufufuza mpata diso kupangidwa njira kusamba ndi yankho tizilombo toyambitsa matenda.

Home, makolo ayenera kupitiriza kuchita kutikita kuteteza zisadzachitikenso, kukaika tizilombo toyambitsa matenda ndi vitamini akutsikira (1 dontho floksal 1 nthawi tsiku lililonse kwa masiku 7) komanso nthawi zina kusonyeza mwana katswiri. A kukonzanso intubation wa ritsa lacrimal chofunika.

Dacryocystitis - matenda neonatal, amene mankhwala n'kofunika. Nthawi imene chithandizo kumayambitsa malizitsani ayambe mwanayo.