Egbochiri dọkatụrụ adọka duct

Ọkpụkpụ adọka akpọchiri akpọchi bụ mkpọchi anya ma ọ bụ zuru ezu n'ụzọ nke na-eburu anya mmiri si n'elu anya banye n'ime imi.

A na-agbazi anya mmiri mgbe niile iji nyere aka chebe elu anya gị. Ha na-adaba n’ime obere oghere (punctum) na akuku anya gị, n’akụkụ imi gị. Ihe mmeghe a bu uzo nke uzo nasolacrimal. Ọ bụrụ na egbochiri ọwa a, anya mmiri ga-arịgo ma tochie na ntì. Nke a na-eme ọbụlagodi mgbe ị naghị ebe akwa.

N’ime ụmụaka, ọwa ahụ nwere ike ọ gaghị emepe emepe mgbe amụrụ ya. Enwere ike imechi ya ma ọ bụ kpuchie ya site na obere ihe nkiri, nke na-akpata nkwụsị akụkụ.

N'ime ndị okenye, eriri ahụ, mmerụ ahụ, ma ọ bụ akpụ nwere ike imebi duct ahụ.

Ihe mgbaàmà kachasị na ya bụ ịba ụba (epiphora), nke na-eme ka anya mmiri jupụta na ihu ma ọ bụ agba. N’ebe ụmụaka nọ, a na-ahụta nkewa a n’izu nke mbụ ruo n’izu atọ nke ọmụmụ.

Oge ụfọdụ, anya mmiri nwere ike ịkarị. Anya mmiri nwere ike ihicha ma sie ike.

Ọ bụrụ na ọnya dị na anya ma ọ bụ nkuanya anya na-arapara ọnụ, nwa gị nwere ike ịrịa ọrịa anya a na-akpọ conjunctivitis.

Imirikiti oge, onye nlekọta ahụike agaghị achọ ịme ule ọ bụla.

Ule nke enwere ike ime gunyere:

• Anya nyocha
• Anya pụrụ iche (fluorescein) iji hụ ka anya mmiri na-agba
• Ihe nyocha X-ray iji nyochaa eriri anya mmiri (ọ naghị adịkarị)

Jiri nlezianya hichaa nkuanya anya site na iji akwa mmiri na-ekpo ọkụ, mmiri ma ọ bụrụ na anya mmiri na-etolite ma hapụ ọkpụkpọ.

Maka ụmụ aka, ị nwere ike iji nwayọ ịhịa aka na mpaghara ahụ ugboro abụọ ruo atọ ugboro n'ụbọchị. Iji mkpịsị aka dị ọcha, hichaa ebe ahụ site n'ime ime anya ruo imi. Nke a nwere ike inyere aka mepee ụzọ ụgbọ mmiri.

Ọtụtụ oge, ọ ga-emepe onwe ya oge nwa ahụ ga-eru afọ 1. Ọ bụrụ na nke a emeghị, nyocha nwere ike ịdị mkpa. A na-emekarị usoro a site na iji nhụjuanya n'ozuzu ya, ya mere nwatakịrị ga-ehi ụra na enweghị ihe mgbu. Ọ fọrọ nke nta ka ọ bụrụ na ọ na-aga nke ọma.

Na ndị okenye, a ghaghị ịgwọ ihe kpatara mgbochi. Nke a nwere ike mepee ọwa mmiri ma ọ bụrụ na enweghi oke mmebi. Gerywa ahụ site na iji obere tubes ma ọ bụ stents iji mepee ụzọ ụzọ ga-adị mkpa iji weghachite nsị mmiri.

Maka ụmụ aka, obere akwachi akwachi ga-apụkarị onwe ya tupu nwa ahụ eruo afọ 1. Ọ bụrụ na ọ bụghị, nsonaazụ ya ka ga-adị mma na nyocha.

Na ndị okenye, ele ihe anya na-adị na ya, ọ dabere na ihe kpatara ya na ogologo oge mgbochi ahụ adịla.

Arzọ mkpọchi anya mmiri nwere ike ibute ọrịa (dacryocystitis) n'akụkụ akụkụ nke nasolacrimal nke akpọrọ lacrimal sac. Ọtụtụ mgbe, a na-enwe ihe okuku n'akụkụ imi n'akụkụ aka nri. Ọgwụgwọ maka nke a na-achọkarị ọgwụ nje ọnụ. Mgbe ụfọdụ, a na-eji ịwa ahụ sac sịa akpa ahụ.

Okpokoro ịgbawa agbawa nwekwara ike ime ka ohere ndị ọzọ na-efe efe, dịka conjunctivitis.

Hụ onye na-ahụ maka ọrụ gị ma ọ bụrụ na anya mmiri juru gị anya na agba. Na mbụ ọgwụgwọ ka ihe ịga nke ọma. N'ihe banyere akpụ, ọgwụgwọ oge mbụ nwere ike ịzọpụta ndụ.

Enweghị ike igbochi ọtụtụ okwu. Treatmentgwọ ọrịa nke ọma n’ọrịa imi na conjunctivitis nwere ike ibelata ihe ize ndụ nke ịnwe ọdọ mmiri egbochi. Iji mkpuchi anya nwere ike inye aka gbochie mgbochi nke mmerụ ahụ kpatara.

Dacryostenosis; Egbochiri nasolacrimal duct; Nasolacrimal duct mgbochi (NLDO)

• Egbochiri dọkatụrụ adọka duct

Nwa nwoke PJ, Hurwitz JJ. Ọgba aghara nke usoro lacrimal. Na: Fay A, Dolman PJ, eds. Ọrịa na Ọgba aghara nke Orbit na Ocular Adnexa. Philadelphia, PA: Elsevier; 2017: isi 30.

Olitsky SE, Marsh JD. Ọgba aghara nke usoro lacrimal. Na: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Philadelphia, PA: Elsevier; 2020: isi 643.

Salmọn JF. Lacrimal drainage usoro. Na: Salmon JF, ed. Kanski’s Clinical Ophthalmology. Agba nke 9. Philadelphia, PA: Elsevier; 2020: isi 3.