Probing of the tear ducts in newborns as a method of treatment of dacryocystitis

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2019-02-14 04:00:43

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A Fairly common disease in newborns is dacryocystitis caused by lacrimal duct. This disease, according to statistics, occurs in 2-5% of infants. Causes and treatment of dacryocystitis is well studied. Often carried out probing of the tear ducts in the diagnosis and treatment of disease.

Cause of disease

To understand the cause of diseases, anatomy of the eye. The structure of the eye is quite complex. For the functioning of this system plays a big role tear fluid. Tears formed in the lacrimal gland, serves to moisten the conjunctiva and cornea. Lacrimal fluid from the eye is lacrimal pathways. These include a few of the lacrimal points, a few of the lacrimal tubules, the lacrimal SAC and lacrimal-nasal channel. Lacrimal fluid flows through the channel in the lower part of the turbinate, where it evaporates. Dacryocystitis occurs in those cases where a connective tissue membrane are not atrophied before birth. This membrane does not allow penetration of amniotic fluid in the lacrimal canal. If it does not breaks after the first breath or cry of a child, you have stagnation and disturbed slezootdelenia. Therefore, the cause of dacryocystitis is a violation of tearing, and the accession of secondary infection.

Clinic dacryocystitis

It is early signs of dacryocystitis in the infant are swelling of the inner corner of the eye, the separation of Muco-purulent content, the presence of slatestone and less watery. Sometimes there is redness of the conjunctiva. But the main, in the clinic of the disease is the increasing number of purulent secretion from the lacrimal point while pressing on the projection of the lacrimal SAC.

To confirm the diagnosis is recommended collargolum sample (sample Vesta). Should drip into eyes 1 drop of a 3% solution of collargol. To insert into a nostril a cotton wick. If after five minutes the pilot light traces of paint, it is identified as a positive sample. On the positive the sample can speak in the case, when after instillation of collargol enlightenment occurs in the conjunctiva for three minutes. The child is not suffering from dacryocystitis, it is necessary to differentiate the condition from other diseases. The increase in time of dyeing of the wick to 20 minutes talking about the trial, more than 20 minutes – about the negative sample. If the result of a lacrimal-nasal sample is negative, then this fact confirms the diagnosis of dacryocystitis.

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For chronic dacryocystitis of characterized by an abundant purulent branch of the secret, especially after the sleeping child.

After diagnosis, you should immediately start treatment as dacryocystitis dangerous complications-phlegmon of the lacrimal SAC, development of fistulas. May need intubation of the lacrimal duct.

Treatment

Treatment begins with massage. Baby massage is done with clean hands. The index finger produces jerky motion from the inner edge of the eye slit (projection puncta) in the course of the lacrimal-nasal duct to the nose. Finger as if unwilling to break embryonic film under the action of high pressure in the channel.

  • Squeeze out the contents of the lacrimal SAC to remove a sterile cotton swab.
  • Drip solution of furatsilina 1:5000 in his eyes.
  • To massage the lacrimal SAC jerky movements of up to 10 times from top to bottom.
  • Make dripping a drop of chloramphenicol 0,25% solution or vitabath
  • To massage 5-6 times a day.

If massage is for two to three weeks does not result, the membrane erupts, and the stagnation continues, it is necessary to solve the issue of probing the lachrymal canal. This medical intervention is performed in the ophthalmologist's office, preferably in two to three months. Sensing tear ducts in infants should be performed only by an experienced technician.

Probing of the lacrimal canal is performed under local anesthesia, the child is tightly swaddled. By using conical probes Sihala, starting with smaller, are the puncta and canaliculi. Further probe Bowman break through in the lacrimal-nasal canal is the eardrum. After the sensing the eye is produced, the channel is washed with a disinfectant solution.

At Home, parents should continue to massage to prevent relapse, to bury disinfectant and vitamin drops (floksal 1 drop 1 times a day for 7 days) and occasionally show the baby to a specialist. Repeated probing of the tear ducts is not required.

Dacryocystitis – disease of the newborn treatment which should be. Timely treatment leads to complete recovery of the child.


Article in other languages:

AR: https://tostpost.com/ar/health/15594-probing-of-the-tear-ducts-in-newborns-as-a-method-of-treatment-of-dacr.html

BE: https://tostpost.com/be/zdaro-e/27582-zandavanne-slezna-kanala-novanarodzhanyh-yak-metad-lyachennya-dakrioci.html

DE: https://tostpost.com/de/gesundheit/27255-die-sondierung-des-tr-nenapparates-kanal-bei-s-uglingen-als-methode-zu.html

ES: https://tostpost.com/es/la-salud/27144-el-sondeo-sleznogo-canal-en-el-reci-n-nacido-como-un-m-todo-de-tratami.html

HI: https://tostpost.com/hi/health/15706-dacryocystitis.html

JA: https://tostpost.com/ja/health/15258-dacryocystitis.html

KK: https://tostpost.com/kk/densauly/27884-zondtau-zhas-arna-n-restelerge-emdeu-d-s-ret-nde-dakriocistita.html

PL: https://tostpost.com/pl/zdrowie/28956-sondowanie-kana-u-zowego-u-noworodk-w-jako-metoda-leczenia-zapalenie-w.html

PT: https://tostpost.com/pt/sa-de/28715-sensoriamento-sleznogo-canal-no-rec-m-nascido-como-um-m-todo-de-tratam.html

TR: https://tostpost.com/tr/sa-l-k/27134-sondalama-g-zya-kanal-bebeklerde-bir-tedavi-y-ntemi-olarak-dakriocisti.html

UK: https://tostpost.com/uk/zdorov-ya/28140-zonduvannya-sl-znogo-kanalu-u-novonarodzhenih-yak-metod-l-kuvannya-dak.html

ZH: https://tostpost.com/zh/health/8317-probing-of-the-tear-ducts-in-newborns-as-a-method-of-treatment-of-dacr.html






Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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