Kutuluka kwa Diso (Epiphora) mu Amphaka

Kodi epiphora ndi chiyani?
Epiphora amatanthauza kuchulukira kwa misozi m'maso. Ndi chizindikiro osati matenda enieni ndipo amagwirizana ndi zinthu zosiyanasiyana. Nthawi zambiri, filimu yopyapyala ya misozi imapangidwa kuti ipangitse mafuta m'maso ndipo madzi ochulukirapo amathira munjira za nasolacrimal, kapena ma ducts ong'ambika, omwe amakhala pakona ya diso pafupi ndi mphuno. Ma nasolacrimal ducts amakhetsa misozi kumbuyo kwa mphuno ndi mmero. Epiphora nthawi zambiri imagwirizanitsidwa ndi kusakwanira kwa madzi a filimu yamisozi kuchokera m'maso. Chomwe chimapangitsa kuti misozi isagwe bwino ndikutsekeka kwa ma nasolacrimal ducts kapena kusagwira bwino kwa zikope chifukwa cha kupunduka. Epiphora ingakhalenso chifukwa chotulutsa misozi kwambiri.

Kodi zizindikiro za epiphora ndi ziti?
Zizindikiro zodziwika bwino za epiphora ndizonyowa kapena kunyowa pansi pa maso, utoto wofiirira waubweya pansi pa maso, kununkhiza, kuyabwa pakhungu, ndi matenda apakhungu. Eni ake ambiri amanena kuti nkhope ya mphaka wawo imakhala yonyowa nthawi zonse, ndipo amatha kuona misozi ikutuluka pankhope ya ziweto zawo.

Kodi epiphora amadziwika bwanji?
Chinthu choyamba ndicho kudziwa ngati pali chifukwa chachikulu cha kung'ambika kwambiri. Zina mwa zomwe zimayambitsa kutulutsa misozi kwa amphaka ndi monga conjunctivitis (ma virus kapena mabakiteriya), ziwengo, kuvulala kwamaso, zisonyezo zachilendo (distichia kapena ectopic cilia), zilonda zam'maso, matenda am'maso, zowoneka bwino monga kukulungidwa m'zikope (entropion) kapena kugudubuza. glaucoma ndi glaucoma (ectropion).

"Choyamba ndicho kudziwa ngati pali chifukwa chomwe chikukulirakulira."
Zomwe zimayambitsa epiphora zikatha, ndikofunikira kudziwa ngati kukhetsa misozi koyenera komanso kokwanira kumachitika. Kufufuza kozama kwa maso kumachitidwa, kupereka chidwi chapadera ku ma nasolacrimal ducts ndi minofu yapafupi, ndikuyang'ana zizindikiro za kutupa kapena zolakwika zina. Maonekedwe a nkhope ya mphaka akhoza kutengapo mbali pa vutoli. Mitundu ina (monga, Persians ndi Himalayans) imakhala ndi nkhope zopyapyala kapena zopindika (brachycephalics) zomwe sizilola kuti filimu yong'ambikayo ikhetse bwino. Ziwetozi, filimu yong'ambika imalephera kulowa munjira ndikungogudubuzika kumaso. Nthawi zina, tsitsi lozungulira maso limalepheretsa khomo la nasolacrimal ducts, kapena zinyalala kapena thupi lachilendo limapanga pulagi mkati mwa njirayo ndikuletsa kukhetsa misozi.

Chimodzi mwamayesero osavuta owunika kukhetsa kwa misozi ndikuyika dontho la fluorescein m'diso, kuyika mutu wa mphaka pansi pang'ono, ndikuyang'anira kuthirira m'mphuno. Ngati ngalande ikugwira ntchito bwino, banga lamaso liyenera kuwonedwa pamphuno mkati mwa mphindi zingapo. Kulephera kuyang'ana banga sikuzindikira motsimikizika njira yotsekeka ya nasolacrimal koma zikuwonetsa kufunika kofufuzanso.

Kodi epiphora amachiritsidwa bwanji?
Ngati njira ya nasolacrimal ikuganiziridwa kuti yatsekedwa, mphaka wanu amapatsidwa mankhwala opha tizilombo ndipo chida chapadera chidzalowetsedwa mumtsinjewo kuti mutulutse zomwe zili mkatimo. Nthawi zina, lacrimal puncta kapena kutsegula mwina sikunatsegule panthawi yomwe mphaka wanu akukula, ndipo ngati ndi choncho, akhoza kutsegulidwa opaleshoni panthawiyi. Ngati matenda osachiritsika kapena ziwengo apangitsa kuti matupiwo achepe, kuyaka kungathandize kukulitsa.

Ngati chifukwa chake chikugwirizana ndi vuto lina la diso, chithandizo chidzaperekedwa pa chifukwa chachikulu chomwe chitha kuphatikizapo opaleshoni.

Kodi ndingatani kuti ndiderere?
Pali mankhwala ambiri omwe alangizidwa kuti achotse kapena kuchotsa kupukuta kumaso komwe kumakhudzana ndi misozi yambiri. Palibe mwa izi chomwe chatsimikizira kukhala 100%. Mankhwala ena ogulitsika angakhale ovulaza kapena ovulaza m’maso.

Mlingo wochepa wa maantibayotiki ena savomerezedwanso chifukwa cha chiopsezo chokhala ndi mabakiteriya osamva kukana, zomwe zimapangitsa kuti maantibayotiki ofunikawa akhale opanda ntchito kwa anthu komanso kwa ziweto. Zina mwazinthu zogulitsira malonda zaperekedwa koma sizinatsimikizidwe kuti ndizothandiza pamayesero a kafukufuku.

Osagwiritsa ntchito mankhwala popanda kukaonana ndi veterinarian wanu. Pewani kugwiritsa ntchito mankhwala omwe ali ndi hydrogen peroxide pafupi ndi maso, chifukwa mankhwalawa amatha kuwononga kwambiri ngati atawazidwa m'maso mosadziwa.

Kodi matenda a epiphora ndi otani?
Pokhapokha ngati chifukwa chachikulu chingapezeke ndikuchiritsidwa, odwala ambiri omwe ali ndi epiphora amakumana ndi zochitika zapakati pa moyo wawo wonse. Ngati mawonekedwe a nkhope ya mphaka wanu amalepheretsa kuti filimu yong'ambika ikhale yokwanira, ndizotheka kuti epiphora ingapitirirebe ngakhale mutayesetsa. Nthawi zambiri, palibe zovuta zazikulu zomwe zingabuke, ndipo kung'ambika kumatha kukhala kokongoletsa. Veterinarian wanu adzakambirana za momwe mphaka wanu alili ndipo adzadziwa njira zomwe mungasankhire komanso momwe mungapangire mphaka wanu.