Kanal o ka waimaka i ālai ʻia

ʻO kahi lepe waimaka i hoʻopaʻa ʻia he āpana hapa a piha paha i ke ala e halihali i nā waimaka mai ka maka o ka maka i ka ihu.

Ke hana mau nei nā waimaka e pale aku i ka maka o kou maka. Kahe lākou i loko o kahi puka liʻiliʻi loa (punctum) ma ke kihi o kou maka, kokoke i kou ihu. ʻO kēia hāmama ka puka o ka aʻa nasolacrimal. Inā kāpae ʻia kēia kaula, e kūkulu ana nā waimaka a hāpai i ka papalina. Kū kēia kēia ke ʻaʻole ʻoe e uē.

I nā keiki, ʻaʻole hiki ke hoʻomohala piha ʻia ke kaula i ka wā hānau. E pani ʻia a uhi ʻia paha e kahi kiʻi ʻoniʻoni lahilahi, a he kumu ia e pale ai i ka hapa.

I ka poʻe mākua, hiki ke hoʻopōʻino ʻia ke kaula i kahi maʻi, ʻeha, a me kahi tumo.

Hoʻonui ka ʻōuli nui i ka haehae ʻana (epiphora), ka mea e kahe ai nā waimaka i ka maka a i ʻole ka papalina. I nā pēpē, ʻike ʻia kēia haehae i ka wā o 2 a 3 mau pule ma hope o ka hānau ʻana.

I kekahi manawa, mānoanoa paha nā waimaka. E maloʻo paha nā waimaka a lilo i crusty.

Inā loaʻa ka pā ma nā maka a paʻa paʻa paha nā lihilihi, loaʻa paha i kāu pēpē ka maʻi maʻi i kapa ʻia ʻo conjunctivitis.

ʻO ka hapa nui o ka manawa, ʻaʻole pono ka mea mālama ola e hana i nā hoʻokolohua.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Hōʻike maka
• ʻIke maka kūikawā (fluorescein) e ʻike pehea e kahe ai nā waimaka
• Nānā X-ray e nānā i ke kaula waimaka (hana pinepine ʻole ʻia)

E hoʻomaʻemaʻe pono i nā lihilihi e hoʻohana ana i kahi kapa holoi mahana, pulu inā e kūkulu nā waimaka a waiho i nā pā.

No nā pēpē, hiki iā ʻoe ke hoʻāʻo i ka lomilomi mālie ʻana i ka wahi 2 a 3 mau manawa i ka lā. Me ka hoʻohana ʻana i kahi manamana lima maʻemaʻe, hamo i kahi mai ka ʻaoʻao i loko o ka maka i ka ihu. Kōkua paha kēia i ka wehe ʻana i ke kaha waimaka.

ʻO ka hapanui o ka manawa, e wehe ka puha waimaka nona iho e ka manawa o ka pēpē i 1 makahiki. Inā kū ʻole kēia, pono ka hoʻokolokolo ʻana. Hana pinepine ʻia kēia kaʻina hana me ka hoʻohana ʻana i ka anesthesia laulā, no laila e hiamoe ana ke keiki a ʻaʻohe ʻeha. ʻAneʻane kūleʻa mau ia.

I nā mākua, pono e mālama i ke kumu o ka paʻa ʻana. Hiki paha i kēia ke wehe hou i ke kaula wai inā ʻaʻohe nui loa ka pōʻino. ʻO ke kaha me ka hoʻohana ʻana i nā paipu liʻiliʻi a i ʻole nā ​​stent e wehe i ke alaloa e pono ai e hoʻihoʻi i ka kahe waimaka maʻamau.

No nā keiki pēpē, hele pinepine kahi aʻaina waimaka i paʻa iā ia iho ma mua o ke keiki 1 makahiki. Inā ʻaʻole, maikaʻi paha ka hopena me ka hoʻāʻo ʻana.

I ka poʻe mākua, ʻokoʻa ka nānā ʻana no ke kahe waimaka i kāpae ʻia, e pili ana i ke kumu a me ka lōʻihi o ka paʻa ʻana.

Hiki ke pale ʻia ke kahe o ka waimaka i kahi maʻi (dacryocystitis) i kahi ʻāpana o ke aʻa nasolacrimal i kapa ʻia ka ʻeke lacrimal. ʻO ka hapanui pinepine, aia kekahi puʻupuʻu ma ka ʻaoʻao o ka ihu ma ka ʻaoʻao pono o ka maka. Pono ka mālama ʻana no kēia i nā lāʻau ʻailakelo waha. I kekahi manawa, pono e hoʻopau ʻia ka ʻeke.

Hiki ke hoʻonui i ke kahe o ka waimaka i ka manawa kūpono o nā maʻi ʻē aʻe, e like me ka conjunctivitis.

E ʻike i kāu mea hāʻawi inā loaʻa ka waimaka i ka papalina. ʻOi aku ka kūleʻa o ka mālama mua ʻana. I ke kumu o kahi tumo, mālama ola paha ka mālama mua ʻana.

ʻAʻole hiki ke pale ʻia nā hihia he nui. ʻO ka mālama kūpono ʻana i nā maʻi ihu a me ka conjunctivitis e hōʻemi paha i ka makaʻu o ke kahe waimaka i ālai ʻia. Hiki ke kōkua i ka hoʻohana ʻana i nā maka aniani pale i ka pale ʻana i ka poloka i hoʻokumu ʻia e ka ʻeha.

Dacryostenosis; Pākuʻi nasolacrimal i hoʻopaʻa ʻia; ʻO ke keʻakeʻa o Nasolacrimal duct (NLDO)

• Kanal o ka waimaka i ālai ʻia

Dolman PJ, Hurwitz JJ. Nā maʻi o ka ʻōnaehana lacrimal. I: Fay A, Dolman PJ, eds. Nā maʻi a me nā maʻi o ka Orbit a me ka Ocular Adnexa. Piladelapia, PA: Elsevier; 2017: chap 30.

Olitsky SE, Marsh JD. Nā maʻi o ka ʻōnaehana lacrimal. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 643.

Salemona JF. ʻŌnaehana hoʻokahe Lacrimal. I: Salmon JF, ed. ʻO Ophthalmology Clinical Clinical. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 3.