Impilo, Imithi
Iphenya canal lacrimal e izinsana njengendlela yokwelapha for dacryocystitis
Izimo zethu zihluke kakhulu isifo ovamile ezinsaneni kuyinto dacryocystitis, okuyinto kubangelwa ukuvimbela uvule imbobo izinyembezi. Lesi sifo, ngokusho izibalo, lapho babe 2-5% izinsana. Izimbangela Nezingozi isu ukwelashwa dacryocystitis bawuqonda. Ngokuvamile eyenziwa lacrimal imbobo intubation ku ukuxilongwa kanye nokwelashwa kwezifo kungakephuzi.
Izimbangela zesifo
Ukuze uqonde imbangela isifo, kubalulekile ukuba sikhumbule anatomy esweni. Isakhiwo iso iyi kubenzima. Ngokuba ukusebenza kohlelo linendima uketshezi ezibalulekile izinyembezi. Izinyembezi kwakheka indlala lacrimal, kufeza ngoba moistening cornea kanye conjunctiva. uketshezi lacrimal kusukela iso enikezwa ezindleleni lacrimal. Lezi zihlanganisa i-pair of amaphuzu lacrimal, yebhangqa izinyembezi Amapayipi, sac lacrimal kanye umsele izinyembezi-acinene. uketshezi lacrimal odabula kulesi siteshi engxenyeni engezansi turbinate, lapho iyasha. Dacryocystitis kwenzeka lapho zezinzwa izicubu ulwelwesi akuyona atrophied ngaphambi kokuzalwa. Lokhu ulwelwesi kuvimbela ukuxhumana amniotic fluid e uvule imbobo izinyembezi. Uma ingakwenzi lokho aphule emva umoya lokuqala noma ingane ikhala, khona-ke kukhona ukucinana kahle lachrymal ndima. Ngenxa yalokho, imbangela ukuphazamiseka dacryocystitis lacrimation, nokujoyina igciwane yesibili.
umtholampilo dacryocystitis
izimpawu zokuqala elingenakuphikwa dacryocystitis e usana kuthiwa ukuvuvukala ekhoneni engaphakathi iso, ukwehlukana okuqukethwe muco-ubovu, ukutholakala slezostoyaniya kanye Ukubhidliza kancane. Ngezinye izikhathi kukhona ububomvu we conjunctiva. Kodwa lo main, emtholampilo lesi sifo yiyona amanani lelitfutfukile ubovu uketshezi kusukela amaphuzu lacrimal lapho ngokucindezela phezu kwelivi ye-yolk sac lacrimal.
Kunconywa ukuqinisekisa kollargolovuyu uphethwe i- Sample ( West). Kuyadingeka iconsa ku emehlweni 1 iconsi 3% isixazululo of a esiliva Colloid. Kufakwe phakathi acinene ndima ukotini ntambo. Uma emva kwemizuzu emihlanu ku yefilakisi inki iminonjana abonakala, egxilile isampula omuhle. Isampula omuhle angakhuluma nalapho ngemva instillation conjunctival Collargol iza ukukhanyiselwa kungakapheli imizuzu emithathu. Ingane akusho ahlupheke dacryocystitis, kubalulekile ukuhlukanisa isimo salo nezinye izifo. ukwanda isikhathi staining ntambo 20 amaminithi ukhuluma ngani isampuli imisiwe, imizuzu engaphezu kwengu-20 - mayelana isampula ezimbi. Uma isampula lacrimonasal yi alivumi ke lokhu kuqinisekisa sitholakele dacryocystitis.
Ukuze dacryocystitis ezingamahlalakhona ageleze isici ezinkulu ubovu osenyameni uketshezi, ikakhulukazi ngemva ingane ubuthongo.
Uma kutholakala ukuthi uphethwe yini, ukwelashwa kufanele uqale masinyane njengoba dacryocystitis yezinkinga eziyingozi - phlegmon ye-yolk sac lacrimal, ukuthuthukiswa fistulas. Ungase udinge likhiphe imbobo kumba.
ekwelapheni lesi sifo
Ukwelapha iqala massage. Baby massage kwenziwa ngezandla ezihlanzekile. Forefinger ekhiqizwa nomqwayiba ukunyakaza onqenqemeni engaphakathi (amaphuzu kwelivi izinyembezi) iso umqhewu eduze imbobo nasolacrimal ukuba amaphiko ekhaleni. Umunwe like embryonic wafisa ukuba aphule ifilimu ngaphansi kwengcindezi okusezingeni eliphezulu esiteshini.
- Cindezela okuqukethwe ngaphakathi komgodlana lacrimal, uyisuse nge oyinyumba ukotini swab.
- Ukuvuza isixazululo furatsillina 1: 5000 emehlweni.
- Feza massage endaweni lacrimal sac nomqwayiba ukunyakaza tandla emahlandla la -10 kusukela phezulu kuya phansi.
- Yenza instillation iconsi levomitsetina 0.25% isixazululo noma vitabakta
- Ukuze uhlikihla izikhathi 5-6 ngosuku.
Uma massage amasonto amabili kuya kwamathathu kungasebenzi, hhayi ulwelwesi siphuka, futhi yokujama tsi zigcinwa, kubalulekile ukuxazulula udaba zokuhlola imbobo izinyembezi. Lesi sinyathelo bezokwelapha kwenziwa ehhovisi kudokotela wezifo zamehlo sika, okungcono engu-izinyanga ezimbili kuya kwezintathu. Kumba ka izinyembezi Amapayipi e izingane kufanele kuphela kube abanolwazi lochwepheshe.
Iphenya canal lacrimal wenziwa ngaphansi izinzwa wendawo, ingane uvalwe swaddled. Esebenzisa iphenya oyindilinga Sichel, kusukela ezincane ihlolwe amaphuzu izinyembezi nokuqeda tubules. Ngaphezu kwalokho Uphenyo Bowman udle ku ulwelwesi nasolacrimal imbobo. Ngemva kumba iso kukhiqizwa, siteshi sihlanzwe isixazululo magciwane.
Ekhaya, abazali kufanele siqhubeke senza massage ukuvimbela Ukuphinda, yokungcwaba magciwane ne vitamin lehla (1 iconsi floksal izikhathi 1 nsuku zonke izinsuku ezingu-7) futhi ngezikhathi ezithile zibonisa onguchwepheshe umntwana. A kabusha intubation we imbobo lacrimal liyadingeka.
Dacryocystitis - isifo ezisanda kubelethwa, okuyinto ukwelashwa kuyadingeka. Isikhathi esichithwe ukwelashwa kuholela ukuqedela yokutakula ingane.
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