Isibambo sezinyembezi esivinjiwe

Umgudu wezinyembezi ovinjiwe ukuvinjelwa okuyingxenye noma okuphelele emendweni othwala izinyembezi ebusweni beso ungene ekhaleni.

Izinyembezi zihlala zenziwa ukusiza ukuvikela ubuso beso lakho. Bangena embotsheni encane kakhulu (punctum) ekhoneni leso lakho, eduze kwekhala lakho. Lokhu kuvulwa kungukungena emgodini we-nasolacrimal. Uma lo mgudu uvaliwe, izinyembezi zizokwakha futhi zichichime esihlathini. Lokhu kwenzeka noma ungakhali.

Ezinganeni, umgudu awunakuthuthukiswa ngokuphelele lapho kuzalwa. Ingavalwa noma imbozwe yifilimu ezacile, edala ukuvinjelwa okuyingxenye.

Kubantu abadala, umgudu ungalimala ngokutheleleka, ukulimala noma isimila.

Uphawu oluyinhloko ukwanda kokudwengula (i-epiphora), okwenza izinyembezi zigcwale ebusweni noma esihlathini. Ezinganeni, lokhu kudabuka kuyabonakala phakathi kwamasonto amabili kuya kwamathathu okuqala emva kokuzalwa.

Kwesinye isikhathi, izinyembezi zingabonakala sengathi ziyajiya. Izinyembezi zingoma futhi ziqhume.

Uma kukhona ubomvu emehlweni noma amajwabu amehlo ahlangana ndawonye, ​​ingane yakho ingaba nokutheleleka kweso okubizwa ngokuthi i-conjunctivitis.

Isikhathi esiningi, umhlinzeki wezokunakekelwa kwempilo ngeke adinge ukwenza izivivinyo.

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kwamehlo
• Ibala elikhethekile leso (i-fluorescein) ukubona ukuthi izinyembezi zidonsa kanjani
• Izifundo ze-X-ray zokuhlola umgudu wezinyembezi (ongavamile ukwenziwa)

Hlanza ngokucophelela amajwabu amehlo usebenzisa indwangu yokuwasha efudumele, emanzi uma izinyembezi zakha futhi zishiya uqweqwe.

Ezinganeni, ungazama ukumasaja ngobumnene indawo izikhathi ezi-2 kuya kwezi-3 ngosuku. Usebenzisa umunwe ohlanzekile, gcoba indawo kusuka ekhoneni elingaphakathi leso kuye ekhaleni. Lokhu kungasiza ukuvula umzila wezinyembezi.

Isikhathi esiningi, umgudu wezinyembezi uyobe uvuleke wedwa lapho usana lunonyaka owodwa ubudala. Uma lokhu kungenzeki, ukuhlolwa kungadingeka. Le nqubo ivame ukwenziwa kusetshenziswa i-anesthesia ejwayelekile, ngakho-ke ingane izobe ilele futhi ingenazinhlungu. Cishe iphumelela njalo.

Kubantu abadala, imbangela yokuvaleka kufanele ilashwe. Lokhu kungavula kabusha umgudu uma kungekho monakalo omningi. Ukuhlinzwa usebenzisa amashubhu amancane noma ama-stents ukuvula iphaseji kungadingeka ukubuyisa umsele ojwayelekile wezinyembezi.

Ezinganeni, umgudu wezinyembezi ovinjiwe uvame ukuzihambela wedwa ngaphambi kokuba ingane ibe nonyaka owodwa. Uma kungenjalo, umphumela usengaba muhle ngokuhlolwa.

Kubantu abadala, umbono wendlela evulekile yezinyembezi iyahlukahluka, kuya ngesizathu nokuthi ukuvinjelwa kube khona isikhathi esingakanani.

Ukuvinjelwa komsele wezinyembezi kungaholela ekuthelelekeni (i-dacryocystitis) engxenyeni yomzila we-nasolacrimal obizwa ngokuthi i-lacrimal sac. Imvamisa, kuneqhubu ohlangothini lwekhala ngqo ekhoneni leso. Ukwelashwa kwalokhu kuvame ukudinga ama-antibiotics omlomo. Kwesinye isikhathi, isikhwama sidinga ukukhishwa ngokuhlinzwa.

Ukuvinjelwa kwemisipha yezinyembezi kungakhuphula namathuba ezinye izifo, njenge-conjunctivitis.

Bona umhlinzeki wakho uma unezinyembezi ezichichima esihlathini. Ukwelashwa ngaphambi kwesikhathi kuphumelela kakhulu. Endabeni yesimila, ukwelashwa kusenesikhathi kungasindisa impilo.

Amacala amaningi awakwazi ukuvinjelwa. Ukwelashwa okufanele kwezifo ezisemakhaleni kanye ne-conjunctivitis kunganciphisa ubungozi bokuthi kuvuleke umsele wezinyembezi. Ukusebenzisa izigqoko zamehlo zokuvikela kungasiza ekuvimbeleni ukuvinjelwa okubangelwa ukulimala.

I-Dacryostenosis; Umgudu we-nasolacrimal ovinjiwe; Ukuvinjelwa kwe-Nasolacrimal duct (NLDO)

• Isibambo sezinyembezi esivinjiwe

UDolman PJ, uHurwitz JJ. Ukuphazamiseka kohlelo lwe-lacrimal. Ku: Fay A, Dolman PJ, ama-eds. Izifo nokuphazamiseka kwe-Orbit ne-Ocular Adnexa. IPhiladelphia, PA: Elsevier; 2017: isahluko 30.

U-Olitsky SE, uMarsh JD. Ukuphazamiseka kohlelo lwe-lacrimal. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 643.

I-Salmon JF. Uhlelo lwe-Lacrimal drainage. Ku: Salmon JF, ed. IKanski’s Clinical Ophthalmology. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 3.