Yog tias koj lub qhov muag muaj dej thiab ua rau kub hnyiab, koj yuav muaj qhov thaiv qhov muag. Kev thaiv cov kua muag tuaj yeem tshwm sim los ntawm kev kis mob lossis qee yam hnyav dua, zoo li qog. Feem ntau nws tuaj yeem kho tus kab mob kua muag uas siv zaws, tab sis yog tias xav tau kev kho ntxiv, koj tus kws kho mob yuav sau ntawv tshuaj tua kab mob lossis pom zoo kom phais kom tsis txhob thaiv cov hlab.
Cov kauj ruam
Ntu 1 ntawm 3: Txheeb Xyuas Qhov Tiv Thaiv Qhov Ncauj
Kauj Ruam 1. Paub tias dab tsi ua rau txhaws qhov txhaws
Qhov thaiv cov kua muag (tseem hu ua dacryocystitis) tshwm sim thaum muaj qhov cuam tshuam hauv txoj kev hla uas txuas lub qhov muag mus rau lub qhov ntswg lossis thaum cov ciav dej qhib tsis tau. Qhov no feem ntau tshwm sim hauv cov menyuam mos yug tshiab, tab sis nws kuj tuaj yeem tshwm sim rau cov neeg laus vim yog kis mob, raug mob lossis qog. Nov yog qhov ua rau tshwm sim:
- Congenital blockage, uas tshwm sim feem ntau hauv cov menyuam mos
- Kev hloov ntsig txog hnub nyoog
- Kab mob hauv qhov muag
- Kev raug mob rau lub ntsej muag
- Cov qog nqaij hlav
- Kev kho mob qog noj ntshav
Kauj Ruam 2. Paub txog cov tsos mob ntawm txoj hlab ntaws
Cov tsos mob tshwm sim feem ntau yog ua kua muag hauv qhov muag. Cov kua muag no yuav ntws mus rau lub ntsej muag. Thaum raug kev txom nyem los ntawm cov kua muag kaw, cov kua muag tuaj yeem ua rau me ntsis tuab dua li ib txwm thiab ua rau tawv nqaij thaum lawv qhuav. Lwm cov tsos mob muaj xws li:
- Rov ua qhov muag rov los yog kis kab mob.
- Qhov muag tsis pom kev.
- Cov hnoos qeev los yog qhov paug zoo li tawm hauv qhov muag.
- Ntshav kua muag.
- Ua npaws.
Kauj Ruam 3. Mus ntsib koj tus kws kho mob lossis kws kho qhov muag kom kuaj mob
Kev tshuaj xyuas lub cev los ntawm kws kho mob yuav tsum tau txhawm rau txheeb xyuas qhov txhaws kua muag. Thaum qhov mob yooj yim tuaj yeem ua rau txhaws, nws kuj tseem tuaj yeem yog qog lossis lwm yam teeb meem kev kho mob hnyav, yog li nws yog qhov tseem ceeb mus ntsib koj tus kws kho mob.
- Txhawm rau ntsuas qhov txhaws kua muag, tus kws kho mob yuav yaug lub qhov muag siv cov kua tshwj xeeb uas muaj qhov tsw. Yog tias qhov tsw qab tsis tuaj yeem saj nyob tom qab ntawm caj pas, tom qab ntawd cov hlab ntaws kaw yuav zoo li yuav kuaj tau.
- Lwm qhov kev sim yuav suav nrog X-ray lossis CT scan ntawm thaj tsam ntawm qhov kua muag (hu ua dacryocystogram).
- Tus kws kho mob tseem yuav nug koj kom piav qhia koj cov tsos mob, uas muaj txiaj ntsig zoo hauv kev kho mob vim tias lawv tuaj yeem pab txiav tawm lwm yam kev mob lub qhov muag xws li mob qog noj ntshav thiab mob glaucoma.
Ntu 2 ntawm 3: Kev tshem tawm qhov thaiv qhov muag hauv tsev
Kauj Ruam 1. Ntxuav thaj chaw ntau zaus
Siv ntaub ntxhua khaub ncaws ntxhua khaub ncaws thiab dej sov kom so cov dej ntws ntau zaus hauv ib hnub, yog li nws tsis cuam tshuam nrog kev pom kev. Qhov no yog qhov tshwj xeeb tshaj yog tias cov kua dej tau tshwm sim los ntawm kev kis kab mob uas tuaj yeem kis mus rau lwm lub qhov muag.
Kauj Ruam 2. Ua kom sov sov txhawm rau txhawb kev nqus dej
Qhov sov sov tuaj yeem qhib nws thiab tso cai rau nws ntws tau yooj yim dua. Nias qhov sov sov tawm tsam sab saum toj ntawm lub qhov ncauj kua muag rau peb txog tsib feeb, txog tsib zaug hauv ib hnub kom txog thaum qhov txhaws tsis zoo.
- Txhawm rau ua kom sov sov, koj tuaj yeem siv qhov sov so, phuam ntub lossis muab lub pob paj rwb tso rau hauv dej sov lossis tshuaj yej chamomile (uas muaj cov txiaj ntsig zoo).
- Nco ntsoov tias qhov sov sov tsis kub dhau, lossis nws tuaj yeem ua rau liab thiab mob.
Kauj Ruam 3. Sim ua kom lub qhov dej lacrimal massages txhawm rau thaiv qhov ciav dej
Lacrimal sac massage tuaj yeem siv los qhib cov kua muag thiab txhawb kom cov kua ntws tawm. Koj tus kws kho mob yuav qhia koj yuav ua li cas zaws qhov no ntawm koj tus kheej lossis ntawm koj tus menyuam kom tshem qhov quav tawm. Txhawm rau zaws, tso tus ntiv tes ntsuas ntawm lub kaum sab hauv ntawm lub qhov muag, ze rau ob sab ntawm lub qhov ntswg.
- Thov siab rau qhov chaw no ob peb feeb, tom qab ntawd tso tawm. Rov ua qhov no 3 txog 5 zaug hauv ib hnub.
- Nco ntsoov ntxuav koj txhais tes ua ntej ua zaws lub hauv paus lacrimal, vim koj tsis xav kom pheej hmoo qhia cov kab mob rau lub qhov muag thiab ua rau kis mob.
Kauj Ruam 4. Muab mis niam tso rau hauv qhov muag kom tua cov kab mob
Txoj hauv kev no tuaj yeem pab menyuam mos uas muaj qhov thaiv cov kua muag, txawm hais tias muaj pov thawj tsawg tias nws muaj txiaj ntsig. Cov kua mis muaj cov tshuaj tua kab mob uas tuaj yeem pab tiv thaiv kev kis tus kab mob hauv qhov thaiv qhov muag, thaum tseem ua rau lub qhov muag thiab txo qhov khaus.
- Muab ob peb tee kua mis tso rau ntawm koj tus ntiv tes taw, tom qab ntawd cia nws ntws mus rau tus menyuam qhov muag. Koj tuaj yeem ua qhov no txog rau zaug ib hnub.
- Ib zaug ntxiv, nws tseem ceeb heev uas koj yuav tsum tau ntxuav koj txhais tes kom huv ua ntej ua qhov no, kom tsis txhob qhia cov kab mob rau tus menyuam lub qhov muag.
Ntu 3 ntawm 3: Kev Kho Mob Kho Mob
Kauj Ruam 1. Siv tshuaj tua kab qhov muag los yog tshuaj pleev
Qhov muag dauv thiab tshuaj pleev feem ntau tau sau ua ntej rau qhov thaiv cov kua muag. Koj yuav tau mus ntsib koj tus kws kho mob kom tau daim ntawv yuav tshuaj.
- Txhawm rau siv lub qhov muag poob, co lub raj mis kom zoo, qaij koj lub taub hau rov qab, tom qab ntawd tso tus lej pom zoo tso rau hauv qhov muag. Kaw qhov muag rau 30 vib nas this rau ib feeb kom tso lub qhov muag kom nqus.
- Ib txwm ntxuav koj txhais tes ua ntej siv qhov muag qhov muag kom tsis txhob kis kab mob rau lub qhov muag. Tom qab siv lub qhov muag tee, ntxuav tes dua.
- Rau menyuam yaus, kev qhia yog tib yam, tabsis xav tau kev pab los ntawm lwm tus neeg laus los tiv thaiv tus menyuam tsis txhob txav mus los.
Kauj Ruam 2. Siv tshuaj tua kab mob hauv qhov ncauj los tiv thaiv kev kis kab mob hauv lub qhov muag
Cov tshuaj tua kab mob hauv qhov ncauj yuav tau sau ntawv los pab txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau yog tias qhov ua rau cov hlab ntaws raug mob. Tshuaj tua kab mob yog tshuaj uas siv los tiv thaiv kev loj hlob ntawm cov kab mob hauv thaj chaw tshwj xeeb ntawm lub cev. Cov tshuaj no yuav tsis qhib koj lub qhov ncauj tawm, tab sis lawv pab kho kev kis kab mob.
- Cov tshuaj tua kab mob hauv qhov ncauj feem ntau pom zoo rau kev kis kab mob gonococcal thiab chlamydial.
- Cov tshuaj tua kab mob dav-dav feem ntau yog siv rau kab mob sib kis kab mob.
Kauj Ruam 3. Muaj qhov thaiv cov kua muag uas tau kuaj xyuas thiab tso dej tawm
Kev tso pa tawm, tshuaj xyuas, thiab dej yog qhov kev kho mob tsawg kawg nkaus uas tuaj yeem ua tiav kom tshem tawm qhov thaiv cov kua muag. Cov txheej txheem no ua tiav raws li txheej txheem kho mob sab nrauv uas yooj yim heev rau cov neeg laus. Rau tus menyuam, nws feem ntau yog ua nyob rau hauv kev tso tshuaj loog. Cov txheej txheem yuav siv sijhawm li 30 feeb.
- Cov txheej txheem yog ua los ntawm kev nthuav dav lub puncta (ob lub qhov me me nyob rau hauv daim tawv muag) nrog cov cuab yeej me me hlau nthuav dav. Tom qab ntawd, ib qho kev sojntsuam tau txav mus los ntawm txoj kev hla mus txog thaum nws mus txog qhov ntswg. Thaum qhov kev sojntsuam mus txog lub qhov ntswg txoj kev hla dej yog siv cov kua tsis huv.
- Yog tias koj (lossis koj tus menyuam) tau teeb tsa kom tau txais kev kho mob no, nws yog qhov tseem ceeb uas koj yuav tsum tsis txhob noj tshuaj aspirin, ibuprofen, lossis lwm yam NSAID tom khw hauv ob lub lis piam ua ntej kev phais, vim nws tuaj yeem ua rau los ntshav.
- Thov tham txog txhua yam tshuaj thiab tshuaj ntxiv uas koj noj nrog koj tus kws kho mob ua ntej txheej txheem.
Kauj Ruam 4. Xav txog "stenting" lossis kho intubation
Intubation yog lwm txoj kev kho mob tsawg kawg nkaus. Zoo ib yam li kev tshuaj xyuas thiab dej, nws lub hom phiaj yog qhib qhov txhaws hauv cov kua muag. Cov tshuaj loog raug muab rau tus neeg mob kom nws tsaug zog.
- Thaum lub sijhawm ua cov txheej txheem, tom qab ntawd muab lub raj tso rau hauv lub qhov ncauj los ntawm lub qhov muag ntawm lub qhov muag kom txog thaum nws mus txog qhov ntswg. Lub raj no tom qab tso rau hauv cov kav dej rau peb mus rau plaub lub hlis kom tso cov kua muag ntws tawm thiab tiv thaiv kom tsis txhob raug thaiv dua.
- Lub raj nws tus kheej tsis tshua pom pom, tab sis tom qab phais qee yam yuav tsum tau ceev faj kom tiv thaiv kev kis mob. Koj yuav tsum tsis txhob txhuam koj ob lub qhov muag thaum koj txav lossis puas lub raj thiab koj yuav tsum nco ntsoov ntxuav koj txhais tes ua ntej kov koj lub qhov muag.
Kauj Ruam 5. Kev phais mob yog qhov chaw kawg
Kev phais yog qhov kev kho mob zaum kawg. Thaum cov kua muag tsis tuaj yeem raug thaiv los ntawm kev siv ib txoj hauv kev piav qhia saum toj no, nws yuav tsum tau muab tshem tawm tag nrho hauv cov txheej txheem hu ua dacryocystorhinostomy.
- Dacryocystorhinostomy yog ua los ntawm kev tsim kev hla kev sib txuas lus ntawm cov kua muag thiab lub qhov ntswg, uas tso cai rau lub kua muag ntws tawm.
- Laser dacryocystorhinostomy cuam tshuam nrog endoscope uas muaj lub laser uas tuaj yeem txiav hla lub cev nqaij daim tawv. Lub laser yuav txiav ib lub qhov hauv pob txha qhov ntswg kom txuas cov kua muag thiab lub qhov ntswg.
- Tom qab ntawd lub fistula raug tso rau hauv cov ciav dej, ua haujlwm raws txoj kev ntawm lub kua muag.
