Дакріоцистит – симптоми, лікування, масаж

Дакріоцистит – симптоми, лікування, масаж

Симптоми і лікування дакріоциститу

Дакріоцистит є запаленням слізного мішка. Будова слізних шляхів має досить складну структуру, де присутні «замкнуті простору» і «вузькі проходи». Навіть незначне запалення може призвести до того, що ці проходи наглухо перекриваються, але іноді причиною затору стає тривіальна смітинка, яка потрапляє в слізні шляхи.

дакріоцистит фото

Блокування слізного каналу неодмінно призведе до того, що сльози просто перестануть потрапляти в носову порожнину, а це означає, що вони почнуть збиратися і застоюватися в слізному мішку. Він, у свою чергу, починає переповнюватися, а в його вмісті починають активно розмножуватися бактерії, що, власне, і призводить до розвитку захворювання.

У клінічній практиці зустрічаються два види недуги: хронічний і гострий. Найчастіше спостерігається перший варіант. Окремо виділяють дакріоцистит у новонароджених, який виникає у 5-7% всіх немовлят. Здавалося б, що захворювання більш властиво дорослим людям, але насправді у дітей воно зустрічається частіше.

Дакріоцистит у немовлят виникає в більшості випадків через желатінообразний пробки, яка утворюється в слізному каналі ще тоді, коли малюк знаходиться в утробі матері. Народившись, дитина починає кричати, і пробка, як правило, проривається, але якщо цього не відбувається, то починається розвиток запалення. Важливо відразу зауважити, що захворювання, не отримуючи лікування, може перерости в хронічну форму, а хронічний дакріоцистит лікується набагато довше і важче, ніж захворювання, виявлене в початковій стадії розвитку.

Причини виникнення

застуда ознака дакриоцистита

Як говорилося вище, дакріоцистит у дітей найчастіше виникає в перші два місяці життя через желатінообразний пробки, яка повинна прориватися при першому крику малюка. Рідше він виникає при травмах, попаданні смітинки, а також при розвитку інфекційного захворювання очей. У клінічній практиці зустрічається навіть вроджений дакріоцистит, лікування якого має так само проходити без вповільнень, як і лікування набутого.

Дакріоцистит у дорослих може розвинутися через банальної застуди або як ускладнення після пошкодження носових ходів. Але в більшості випадків причину його виникнення встановити так і не вдається.

Симптоми

Як показала практика, дакріоцистит симптоми має неяскраві, але відстежити їх все ж можна. Так, наприклад, гострий дакріоцистит викликає невеликий біль, припухлість і почервоніння в області слізного мішка. До того ж він найчастіше розвивається тільки з одного боку, тобто страждає тільки одне око, а не два.

Характерною ознакою недуги вважають невпинне сльозотеча в силу того, що сльоза не може піти у носову порожнину і тому «стоїть» в оці. Нагромадившись, сльози стікають по щоці, через що шкіра постійного зволожується і досить сильно дратується, тому бажано постійно носити з собою чистий носовичок.

У немовлят гнійний дакріоцистит проявляється гнійним виділенням, почервонінням і опухлостью очі, односторонньої сльозоточивість і сильним закисание очі вранці.

Діагностика

діагностика дакриоцистита у дитини проводиться за допомогою спеціального обладнання

Як правило, досвідчений лікар виявляє хворобу при візуальному огляді, так як запалення найчастіше наявності. Правда визначити візуально місце звуження слезоотводящих шляхів неможливо, тому для цього застосовується рентгенографія.

Для того щоб визначити, наскільки слізні канали прохідні, використовується методика проби Веста. Для цього в око пацієнта закопується кілька крапель оранжево-жовтого колларгола, а у відповідну ніздрю вставляють ватний тампон. Якщо протягом двох хвилин тампон забарвиться помаранчевим кольором, то вважається, що прохідність нормальна. Якщо колларгол потрапив на тампон протягом п’яти хвилин, то експеримент слід повторити, так як ця проба вважається сумнівною. І тільки в тому випадку, коли вата забарвлюється через десять хвилин або не фарбується зовсім, стає ясно, що слізні шляхи непрохідні.

Лікування

для лікування дакріоциститу необхідно відвідування фахівця

Багато дорослі люди не поспішають дізнатися, як вилікувати дакріоцистит, оскільки вважають, що все пройде без медичного втручання. У підсумку запалення переростає в запущену форму і додає людині багато більше проблем, ніж в початковій стадії. Саме тому потрібно відразу ж звертатися до фахівців, які зможуть призначити адекватне лікування.

У клінічній практиці хвороба лікується в два етапи. Перший етап відповідає за відновлення прохідності слізних шляхів, а другий за зняття запалення і знищення бактерій.

Якщо дакріоцистит лікування отримує своєчасне, то і методи лікування застосовуються щадні. Наприклад, відновлення слізних шляхів при гострій формі проводиться шляхом бужування. Цей метод лікування передбачає введення в слізні канали жорсткого зонда, який і називається бужом. Фізично зонд пробиває затор каналу (якщо він дійсно є) і розсовує його звузилися стінки. Вводиться буж в слізну точку, що знаходиться біля внутрішнього кута ока.

На перший погляд лікування дакріоциститу у дорослих допомогою бужа виглядає трохи страхітливо, але насправді така міні-операція триває всього кілька хвилин і не викликає больових відчуттів. Правда, не завжди вистачає одноразового введення зонда для повного відновлення слізних шляхів, тому багато пацієнтів переносять повторне бужування.

До і після процедури бужування зазвичай проводиться медикаментозне лікування, яке спрямоване на зниження гострого запалення. В якості протизапальних засобів використовуються не тільки таблетки, але також гормональні розчини та мазі, тому пацієнтам з алергією є з чого вибрати.

У разі хронічної форми введення зонда замінюється на серйозне хірургічне втручання, зване дакриоцисториностомия. Сама по собі операція не складна і проводиться під загальним наркозом. Фактично, хірург формує сполучення між порожниною носа і слізним мішком, але старі Носослізний шляху залишаються за межами нового каналу, так як прочистити їх не представляється можливим.

Лікування грудничка

грудничкам для лікування дакріоциститу виписують масаж

На щастя, вищеописані методи лікування вкрай рідко застосовуються до немовлятам. Зазвичай маленьким дітям призначається масаж очі при дакриоцистите, а вірніше слізного мішка, для того щоб желатинозная плівка могла розірватися, а вміст мішечка було видавлено назовні.

Відео за темою:

Сама техніка масажу при дакриоцистите повинна бути щадить, тому що навіть дорослій людині терпіти фізичний вплив на запалену слізний мішок дуже неприємно, а дитині доводиться і того гірше. Спочатку в око закопуються призначені лікарем краплі, а потім за допомогою мізинця хами проводиться масаж слізного мішечка. Проводити цю процедуру потрібно 4-5 разів на день.

Постійний масаж при дакриоцистите допомагає досить швидко прибрати гній з мішечка і відновити прохідність слізних шляхів. Варто знати, що перед проведенням ки повинні бути ретельно вимиті, а нігті підстрижені, так як з ками можна занести в очі дитини інфекцію.

Лікування із застосуванням народних засобів

шипшина надасть допомогу в боротьбі із захворюванням

Впливати на хворобу можна не тільки таблетками, а й перевіреними народними засобами.

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