Thaiv thaiv lub kua muag duct

Lub qhov ntsej muag txhawm rau txhaws yog qhov uas thaiv ib feem los yog tag nrho hauv txoj kev uas coj cov kua muag los ntawm sab npoo ntawm lub qhov muag mus rau hauv lub qhov ntswg.

Cov kua muag tseem niaj hnub ua kom pab tiv thaiv qhov muag ntawm koj lub qhov muag. Lawv tso dej rau hauv qhov qhib me me (punctum) hauv kaum ntawm koj lub qhov muag, ze rau koj lub qhov ntswg. Qhov qhib no yog qhov nkag mus rau ntawm txoj hlab qhov ntswg. Yog tias cov kua no txhawm rau, lub kua muag yuav txua thiab ntxeev mus rau sab plhu. Qhov no tshwm sim txawm tias koj tsis tau quaj.

Hauv cov menyuam yaus, tus qog yuav tsis tuaj yeem txhim kho thaum yug los. Tej zaum nws yuav raug kaw lossis npog los ntawm zaj duab xis nyias nyias, uas ua rau txhaws ib nrab.

Hauv cov laus, tus mob yuav ua rau puas los ntawm kev kis mob, raug mob lossis nqaij hlav.

Cov tsos mob tseem ceeb yog tsus kua muag (epiphora), uas ua rau kua muag ntws los rau lub ntsej muag lossis sab plhu. Hauv cov menyuam mos, cov kua muag no pib pom tau thaum thawj 2 rau 3 asthiv tom qab yug.

Qee zaum, cov kua muag yuav tshwm los dua ntais. Lub kua muag yuav qhuav thiab ua crusty.

Yog tias muaj paug paug hauv lub qhov muag lossis tawv muag tau lo sib dho, koj tus menyuam yuav muaj mob qhov muag hu ua mob pob txha.

Yuav luag txhua lub sijhawm, tus kws kho mob tsis tas yuav ua ib qho kev ntsuas dabtsi.

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Qhov muag ntsuam xyuas
• Qhov muag dig muag tshwj xeeb (fluorescein) seb cov kua muag ntws los li cas
• Kev tshawb nrhiav duab xoo hluav taws xob los kuaj cov kua muag tsim tawm (tsis tshua ua tiav)

Ua tib zoo ntxuav daim tawv muag siv ib daim ntaub ntub dej ntub, ntub dej yog tsim kua muag thiab tawm daim zuaj.

Rau cov menyuam mos, koj tuaj yeem sim maj mam zaws thaj tsam 2 mus rau 3 zaug hauv ib hnub. Siv cov ntiv tes uas huv, tshiav thaj chaw ntawm ces kaum sab hauv ntawm lub qhov muag mus rau lub qhov ntswg. Qhov no yuav pab qhib lub qhov txhawm kua muag.

Feem ntau, lub qog kua muag yuav qhib nws tus kheej los ntawm lub sijhawm uas tus menyuam muaj 1 xyoos. Yog tias qhov no tsis tshwm sim, kev soj ntsuam yuav tsim nyog. Cov txheej txheem no feem ntau ua tas siv cov tshuaj loog, yog li tus me nyuam yuav tsaug zog thiab tsis hnov ​​mob. Yuav luag txhua qhov ua tiav.

Hauv cov neeg laus, qhov ua rau ntawm blockage yuav tsum tau kho. Qhov no tuaj yeem rov qab qhib cov khes mis yog tias tsis muaj kev puas tsuaj ntau dhau. Cov phais siv cov hlab me me los yog cov xaim los qhib kev tso pa tawm tej zaum yuav xav tau los ua kom qhov txhawm kua muag tawm mus.

Rau cov menyuam mos, lub qhov ntsej muag tawm ntawm lub ntsej muag yuav feem ntau ploj mus ntawm nws tus kheej ua ntej tus menyuam muaj 1 xyoos. Yog tias tsis yog, qhov tshwm sim tseem yuav zoo nrog kev soj ntsuam.

Hauv cov neeg laus, txoj kev pom rau lub siab txhaws txhaws qog sib txawv, nyob ntawm qhov ua rau thiab ntev npaum li cas ntawm qhov txhaws ntawd.

Cov hlab ntaws uas txhaws tawm tuaj yeem ua rau muaj tus mob (dacryocystitis) ntawm qhov ntswg ntawm qhov ntswg uas hu ua lacrimal sac. Feem ntau, muaj pob nyob ntawm sab qhov ntswg sab ntawm ces kaum ntawm lub qhov muag. Kev kho rau qhov no feem ntau xav tau cov tshuaj tiv thaiv qhov ncauj. Qee zaum, lub hnab ntim yuav tsum tau phais mob.

Cov hlab ntaws uas txhaws tawm kuj tseem tuaj yeem ua rau muaj feem ntau ntawm lwm qhov kev kis mob, xws li mob ua ke.

Mus ntsib koj tus kws kho mob yog tias koj kua muag txhuav rau sab plhu. Thaum ntxov kho tau zoo dua. Yog hais tias mob qog, kev kho thaum ntxov yuav cawm tau neeg txoj sia.

Tsis tuaj yeem tiv thaiv ntau tus mob. Kho cov hnoos qeev kom zoo thiab mob rau cov leeg yuav txo txoj kev pheej hmoo ntawm qhov uas txhaws ntswg txhaws. Siv cov tsom iav tiv thaiv qhov muag tiv thaiv yuav pab tiv thaiv kom tsis txhob txhaws qhov tshwm sim los ntawm kev raug mob.

Dacryostenosis; Thaiv tau nasolacrimal mob ntsws; Nasolacrimal ciav hlau thaiv kev (NLDO)

• Thaiv thaiv lub kua muag duct

Dolman PJ, Hurwitz JJ. Kev ua tsis ncaj ntawm lacrimal system. Hauv: Fay A, Dolman PJ, eds. Kab mob thiab cuam tshuam ntawm Orbit thiab Ocular AdnexaCov. Philadelphia, PA: Elsevier; 2017: chap 30.

Olitsky SE, Marsh JD. Kev ua tsis ncaj ntawm lacrimal system. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 643.

Salmon JF. Lacrimal kua system. Hauv: Salmon JF, ed. Kanski's Soj ntsuam Kev Kho Mob OphthalmologyCov. 9le ed. Philadelphia, PA: Elsevier; 2020: chap 3.