Ntse a botsolotsa a kanale lacrimal ka masea ka kalafo bakeng sa dacryocystitis

Haholo lefu le tloaelehile masea ke dacryocystitis, eo ho bakoa ke obstruction tsa difapho eohle. lefu lena, ho ea ka lipalo-palo, ho na le 2-5% ea masea. Sesosa le kalafo leqheka dacryocystitis hantle utloisisa. Hangata e etsoa lacrimal difapho intubation ka tepelletse maikutlong le kalafo ea lefu.

Lisosa tsa lefu lena

Ho utloisisa sesosa sa lefu lena, e ke ho hlokahala hore ho hopola kaheho ea leihlo. Sebōpeho sa leihlo e rarahaneng haholo. Bakeng sa tšebetso ea tsamaiso ea phetha bohlokoa karolo e phethoang eohle mokelikeli. Tabola thehoa ka tšoelesa lacrimal, ho sebeletsa ho moistening le cornea le conjunctiva. Lacrimal mokelikeli ho tloha leihlo e fanoeng ke litseleng lacrimal. Tsena li akarelletsa para ea lintlha lacrimal, para ea ducts eohle, lacrimal karaoke tren le kanale lla-nasal. Lacrimal mokelikeli phallang ka le kanaleng karolong e ka tlaase ea turbinate, moo ho e pshang kateng. Dacryocystitis le hlaha ha connective dinama tse nyenyane tse lera e sa atrophied pele a tsoaloa. lera lena thibela kopana le mokelikeli amniotic ka difapho eohle. Haeba e ha e senya ka mor'a phefumoloho pele kapa ea hoeletsang ho ngoana, joale ho na le tsubuhlellano le litsebeng lachrymal temana. Ka lebaka leo, sesosa ke khathatsoa dacryocystitis lacrimation, 'me ho kopanela tšoaetso e mahareng.

Tleliniki dacryocystitis

Ke keng ba latoloa matšoao pele tsa dacryocystitis ka lesea ba ho ruruha ea sekhutlo le ka hare la leihlo, karohano oa muco-purulent dikahare, ho fumaneha slezostoyaniya le tlase rusolle. Ka linako tse ling ho na le redness tsa conjunctiva ena. Empa le ka sehloohong, ka Tleliniki ya lefu lena le ke e ngata haholoanyane tsela purulent maro tloha lintlha tsa lacrimal ha phehella ka boqapi ba karaoke tren lacrimal.

E kgothaletswa ho tiisetsa tepelletse maikutlong kollargolovuyu bakeng Sample ( West). Hoa hlokahala ho rotha ka mahlo 1 lerotholi la 3% tharollo ea silevera colloid. Kenngoa ka karolo nasal k'hothone Wick. Haeba ka mor'a metsotso e mehlano ka Wick le mesaletsa enke tse bonahalang, ho e tsitsitseng sampole e ntle. The sampole bo botle bo ka bua le ha mora instillation conjunctival Collargol tluoa tabeng ea tlhahiso-leseling ka hare ho metsotso e meraro. Ngwana ha ba utloa bohloko dacryocystitis, ho ke ke ho hlokahala hore ho phapang boemo lona le maloetse a mang. nako eketseha staining Wick ho metsotso e 20 a bua ka mohlala o hlahang lieha, metsotso e fetang e 20 - ka sampole negative. Ha sephetho lacrimonasal sampole e mpe, ka nako eo sena e tiisa phumano ya dacryocystitis.

Bakeng sa dacryocystitis foleng phalla bath tsa melupe purulent tjhajoloha maro, haholo-holo ka mor'a hore lesea robala.

Hang fumanoa, kalafo lokela ho qala hang-hang e le mathata a dacryocystitis kotsi - phlegmon tsa karaoke tren lacrimal, ntshetsopele ya fistulas. O ka lokela ho tabola difapho ntse a botsolotsa a.

kalafo ea lefu lena

The kalafo e qala ka sililoa ka. sililoa lesea e entseng ka matsoho a hloekileng. Forefinger hlahiswa jerky motsamao oa ka bohale le ka hare la (lintlha boqapi eohle) leihlo slit hammoho le nasolacrimal difapho ho mapheo nko. Monoana joaloka embryonic batla ho roba filimi tlas'a khatello e phahameng ea ho ba kanale e.

• Pepeta se fuperoeng ke lacrimal karaoke tren, tlosa e ka nyopa k'hothone swab.
• Rothele tharollo furatsillina 1: le 5000 ka mahlo.
• Phetha sililoa sebaka sa lacrimal mekhatlo karaoke tren jerky ho fihlela ho ka makhetlo a 10 ho tloha holimo ho ea tlaase.
• Phetha instillation lerotholi levomitsetina tharollo 0,25% kapa vitabakta
• Ho silila makhetlo a 5-6 ka letsatsi.

Ha sililoa ka libeke tse peli ho tse tharo ha se sebetse, se lera khefu, 'me stagnation ba bolokoa, ho ke ho hlokahala hore ho rarolla bothata ba ntse a botsolotsa a sa difapho eohle. kenella ena ya kalafi se etsoa ofising ophthalmologist e, ka go tlhaolega ka a le lilemo li likhoeli tse peli ho isa ho tse tharo. Ntse a botsolotsa a ba ducts eohle ka masea a lokela ho feela ba nang le phihlelo litsebi.

Ntse a botsolotsa a kanale lacrimal o etsoa tlas'a thethebatso ea moo, lesea ka thata-thata swaddled. Ka ho probes conical Sichel, kaha nyenyane lintlha lekoa eohle le tubules. Ho ekelletsa moo fatang Bowman intrude ka nasolacrimal difapho lera. Mora ntse a botsolotsa a leihlo hlahisoa, le kanaleng e hlatsoa le le tharollo sebolaya ditwatsi.

Home, batsoali ba lokela ho tsoela pele ho etsa sililoa ho thibela boipheto, ho pata sebolaya ditwatsi le vithamine marotholi (1 lerotholi floksal 1 makhetlo a letsatsi le letsatsi bakeng sa matsatsi a 7) le ka linako tse ling ba bontša hore ba lesea setsebi. A botjha intubation tsa difapho lacrimal hlokahala.

Dacryocystitis - lefu neonatal, eo kalafo e hlokahalang. Nako ile a qeta kalafo isang tlatsa hlaphoheloa ea ngoana.