He aha te awa i ārai? Ngā tohu, ngā take, me te rongoā

Ka puta te awa i ārai ina mutu te rere o ngā wai i roto i ngā pūtuku e ringi ana i ngā roimata i ō kanohi. Ka ārai tēnei āhuatanga noa i te rere tika o ngā roimata i tō kanohi ki tō ihu, ka nui haere ai te wai, ka āwangawanga hoki ō kanohi.

Ahakoa ka rongo pea koe i te manukanuka, he maha ngā wā ka taea te whakahaere i ngā awa i ārai, ā, ka ora ake pea i a rātou anō, ina koa ki ngā pēpi iti. Mā te mōhio ki te mea kei te pēhea, ka āhei koe ki te kimi i te wā hei rapu awhina, me ngā rongoā hei awhina pea.

He aha te awa i ārai?

Ko tō pūnaha ringi roimata he rite ki te whatunga wai tino whakahirahira. Ka rere ngā roimata i ngā pakitara iti i roto i ō kamo, e kiia nei ko ngā puncta, i roto i ngā pūtuku iti e kiia nei ko ngā canaliculi, ki roto i te putea roimata, ā, ka rere iho ki te awa nasolacrimal ki tō ihu.

Ina mutu te rere o tetahi wāhanga o tēnei ara ringi, kāore e rere tika ngā roimata, ka tīmata te kohikohi. Ka puta mai tēnei i te nui o te wai me te āwangawanga o ngā kanohi e kitea ana e te tini o te iwi me tēnei āhuatanga.

He aha ngā tohu o te awa i ārai?

Ko te tohu tino kitea ko te nui o te wai e kore e rite ki ngā kare ā-roto, ki te āwangawanga rānei. Ka wai tonu pea tō kanohi e pā ana, ahakoa kāore koe e tangi ana, kāore rānei e pouri.

Ko ēnei ngā tohu noa ka kitea pea e koe:

• Te nui o te wai, te wai rānei o ngā kanohi
• Te kōwhatu, te kirikiri rānei, ina koa i te whakamātautanga
• Te pōrori o te tirohanga i te nui o ngā roimata
• Te whero i te kokonga o roto o tō kanohi
• Te pupuhi tata ki te rohe o te putea roimata
• Ngā mate kanohi e puta ana

I ētahi wā, ka kite pea koe ka puta mai te wai ina pehi koe i te rohe o te putea roimata. Ka tohu pea tēnei tohu kua kohikohi ngā pūkohu i te rohe i ārai, ahakoa kāore tēnei e tohu ana he mate kino tōu.

He aha ngā momo awa i ārai?

Ka taea te wehewehe i ngā awa i ārai i runga i te wā i puta ai, me te take. Ko ngā awa i ārai i whānau mai he mea no te whānau, ā, ka pā ki te 20% o ngā pēpi iti, ka ora ake pea i roto i te tau tuatahi o te ora.

Ka puta mai ngā awa i ārai i muri mai i te ora i runga i ngā take maha, pēnei i te koroheketanga, ngā mate, ngā whara rānei. Ka hiahia pea ēnei ki te rongoā kaha ake, no te mea kāore e ora ake i a rātou anō.

He mea nui hoki te wāhi o te ārai mō te whakarite rongoā. Ka pā te stenosis punctal ki ngā pakitara iti i roto i ō kamo, ka puta te ārai awa nasolacrimal i roto i te pūtuku ringi matua e arahina ana ki tō ihu.

He aha ngā take o te awa i ārai?

He maha ngā take ka ārai i ngā awa roimata, ā, ko te mōhio ki te take ka āhei ai te kimi i te huarahi rongoā pai. Ko ngā huringa e pā ana ki te pakeke tetahi o ngā take noa, no te mea ka whakaiti pea te pūnaha ringi i te wā.

Ko ēnei ngā take matua me mōhio koe:

• Te whakaiti o ngā awa roimata e pā ana ki te pakeke
• Ngā mate kanohi roa, te mumura rānei
• Te pokanga kanohi, te ihu rānei i mua
• Ngā whara kanohi e pā ana ki te rohe ringi roimata
• Ētahi rongoā e whakamaroke ana i ngā kanohi
• Ngā āhuatanga autoimmune pēnei i te mate Sjögren
• Ngā mate pūngāwerewere, ngā pūngāwerewere rānei tata ki ngā awa roimata (kaore i te noa)
• Ngā rongoā mate pūngāwerewere i mua e pā ana ki te rohe kanohi

Ki ngā pēpi iti, ko te take ko te whanaketanga. Kāore pea te kiri e hipoki ana i te awa nasolacrimal e tuwhera tika i te whānau, ahakoa ka tika pea tēnei i a ia e tipu haere ana.

Kāore i te noa, ka taea e ngā āhuatanga pūnaha pēnei i te sarcoidosis, te granulomatosis rānei me te polyangiitis te whakaoho i te mumura o te awa roimata me te ārai. Ka hiahia ēnei āhuatanga noa ki te rongoā motuhake o te mate taketake.

Nō hea te haere ki te taote mō te awa i ārai?

Me whakapiri atu koe ki tō kaiwhakarongo hauora mena ka kite koe i te nui o te wai e roa atu ana i ngā rā torutoru kaore e pai ake. Ahakoa he mea noa te wai o ngā kanohi i ētahi wā, ko te wai tonu e ārai ana i ō mahi o ia rā ka hiahia ki te tiaki hauora.

Rapua te tiaki hauora tere mena ka puta mai ngā tohu o te mate, tae atu ki te kirika, te pupuhi nui hoki i tō kanohi, te wai māori, te tae rānei. Ka tohu ēnei tohu kua kohikohi pea ngā pūkohu i te rohe i ārai, ā, ka hiahia ki te rongoā antibiotic.

Mō ngā mātua, ko ngā pēpi iti me ngā awa i ārai ka hiahia pea ki te tirotiro atu i te rongoā tere. Heoi, whakapiri atu ki tō tākuta pēpi mena ka puta mai ngā tohu o te mate i tō pēpi, mena ka roa atu te wai i te 12 marama.

He aha ngā take morearea mō ngā awa i ārai?

Ka taea e ētahi take te whakanui ake i tō tūponotanga ki te whāngai i tēnei āhuatanga, ahakoa ko te whai i ngā take morearea kāore e whakamana ana ka pā ngā raruraru ki a koe. Ko te pakeke te take nui rawa, no te mea ka whakaiti pea ngā awa roimata i te wā.

Ka nui pea tō morearea mena he:

• Te hītori o ngā mate kanohi roa
• Te pokanga kanohi, te kanohi rānei i mua
• Ngā āhuatanga autoimmune e pā ana ki te whakaputa roimata
• Te whakamahinga roa o ētahi pata kanohi
• Te rongoā radiation i mua ki te ulu, ki te kaki rānei
• Te sinusitis roa, ngā raruraru ihu rānei

Ka nui ake te pānga o ngā wāhine i ngā tāne, ina koa i muri i te menopause ina taea e ngā huringa hormonal te pā ki te whakaputa roimata me te ringi. Hei tāpiri atu, ko ngā tāngata e kakahu ana i ngā karāhe kanohi, e whakamahi ana i te whakapaipai kanohi i te nuinga o te wā ka nui ake pea te morearea no te āwangawanga pea.

He aha ngā raruraru pea o ngā awa i ārai?

Ahakoa he maha ngā awa i ārai he koretake atu i te kino, ko te kore e rongoā ka āhei pea te arahi ki ngā raruraru nui ake. Ko te raruraru tino awangawanga ko te whāngai o ngā mate kanohi e puta ana no te mea ko ngā roimata e noho ana ka hanga i te taiao e taea ai te tipu o ngā pūkohu.

Ko ēnei ngā raruraru pea:

• Ngā mate kanohi roa (conjunctivitis)
• Te mate putea roimata (dacryocystitis)
• Te kino o te cornea i te wai tonu
• Te āwangawanga o te kiri tata ki ngā kanohi
• Ngā raruraru pāpori, mahi rānei no te ahua

I ētahi wā kaore i te noa, ka taea e ngā mate kino te horapa ki ngā kiko tata, ka puta ai te cellulitis, ngā raruraru kino atu rānei. Heoi, mā te tiaki hauora tika, ka taea te aukati i ēnei raruraru kino.

Ka taea hoki e te wai roa te pā ki tō kounga ora, ka uaua ake ai ngā mahi pēnei i te pānui, te taraiwa rānei. Ka taea e te hiahia tonu ki te horoi i ō kanohi te arahi ki te āwangawanga o te kiri me te kore ngāwari pāpori.

Me pēhea te whakamātautau i te awa i ārai?

Ka tīmata tō kaiwhakaora kanohi ki te whakamātautau tika i ō kanohi me tō pūnaha ringi roimata. Ka ui atu rātou ki ō tohu, ki tō hītori hauora, ki ētahi raru kanohi, ki ngā pokanga rānei i mua i whiwhi koe.

Ko te whakamātautau te nuinga o te wā he maha ngā whakamātautau ngāwari e mahia ana i te tari. Ka taea e tō taote te whakamahi i te tae motuhake e kiia nei ko te fluorescein hei whai i te rere o ngā roimata i roto i tō pūnaha ringi, ka āhei ai te kimi i te wāhi o te ārai.

Ka taea e ngā whakamātautau atu te ine i tō whakaputa roimata, te tirotiro i ngā puncta (ngā pakitara ringi iti), te horoi rānei i te saline i roto i ngā awa roimata hei aromatawai i te rere. I ngā take uaua, ka hiahia pea ngā whakaahua pēnei i te dacryocystography ki te tiki i ngā whakaahua taipitopito o te pūnaha ringi.

He aha te rongoā mō ngā awa i ārai?

Ka rereke ngā huarahi rongoā i runga i te kino o tō ārai me te take taketake. Mō ngā take ngawari, ko te whakahaere mā te whakamahana me te mirimiri ngawari ka homai te whakaora, ka āhei pea te whakahoki i te ringi noa.

Ko ēnei ngā kōwhiringa rongoā pea:

• Ngā whakamahana me te mirimiri ngawari
• Ngā pata kanohi antibiotic mō te mate
• Te whakamātautau awa roimata (mō ngā take e mau tonu ana)
• Te whakawhanui porowhita o te awa roimata
• Te whakanoho stent, te pūtuku rānei
• Te hanga hou pokanga (dacryocystorhinostomy)

Mō ngā pēpi iti, ka tūtohu pea ngā taote ki te tatari, no te mea ka ora ake pea te nuinga o ngā take i roto i te 12 marama. Ka taea e ngā tikanga mirimiri ngawari te āhei i te awa roimata ki te tuwhera tika i tēnei wā tatari.

Ko ngā tukanga matatau ake pēnei i te dacryocystorhinostomy ka hanga i te ara ringi hou tika mai i te putea roimata ki tō ihu, ka ngaro ai te awa i ārai. He nui te angitu o tēnei pokanga mō ngā tāngata me ngā ārai katoa kaore i whakautu ki ngā rongoā iti ake.

Me pēhea te whakahaere i ngā awa i ārai i te kāinga?

Ahakoa he mea nui te rongoā ngaio, ka taea e ētahi tikanga tiaki kāinga te whakahaere i ō tohu, te tautoko rānei i te tukanga whakaora. Ka taea e ngā whakamahana e whakamahia ana mō ngā meneti 5-10 i ngā wā maha o ia rā te whakaiti i te mumura me te whakatenatena i te ringi.

Ka taea e te mirimiri ngawari o te rohe putea roimata te awhina i te wehewehe i ngā ārai iti me te whakaputa i te rere noa. Ka taea e tō taote te whakaatu i te tikanga tika, e whakamahi ana i te pehi mārama i te nekehanga iho mai i te kokonga o roto o tō kanohi ki tō ihu.

Kia ma te kanohi e pā ana mā te tango ngawari i tetahi wai māori me te kākahu mahana, ma. Kaua e mirimiri, e pehi rānei i ō kanohi, no te mea ka taea tēnei te whakaiti i te āwangawanga me te whakauru pea i ngā pūkohu.

Ka taea e ngā roimata mahi te whakawai i ngā wai māori, te homai rānei i te whakaora, ahakoa kāore e whakaora i te ārai taketake. Mena kei te whakamahi koe i ngā karāhe kanohi, whakaarohia te whakawhiti ki ngā karāhe i te wā poto hei whakaiti i te āwangawanga.

Me pēhea te whakarite mō tō hui taote?

I mua i tō hui, tuhia te wā i tīmata ai ō tohu, me te mea e pai ake ai, e kino ake rānei. Tāruahia ngā tauira wai māori, pēnei i te mea he kino ake i te ata, i muri rānei i ētahi mahi.

Mauria he rārangi o ngā rongoā katoa e inu ana koe, tae atu ki ngā pata kanohi, ngā taapiri rānei. Ka taea e ētahi rongoā te pā ki te whakaputa roimata, te whakanui rānei i tō morearea o ngā raruraru.

Tuhia ētahi pātai kei a koe mō tō āhuatanga, ngā kōwhiringa rongoā, ngā tumanakohanga ora rānei. Kaua e whakamā ki te ui mō ngā reiti angitu mō ngā rongoā rerekē, te mea rānei e tatari ana koe i ngā wā ora.

Mena kua whiwhi koe i ngā pokanga kanohi i mua, ngā whara, ngā rongoā rānei, mau mai ētahi rēkōta hauora e tika ana. Ka āhei tēnei mōhio ki tō taote te mōhio ki ngā take pea, te whiriwhiri rānei i te huarahi rongoā tino tika.

He aha te mea nui mō ngā awa i ārai?

Ko ngā awa i ārai he āhuatanga noa, he maha ngā wā ka taea te whakahaere, ka taea te pā nui ki tō whakaora me tō kounga ora. Ko te mea nui ko te mōhio ki te wā e hiahiatia ana te awhina ngaio, me te mōhio kei reira ngā rongoā whai hua.

Ka whakautu pea te nuinga o ngā take ki te rongoā tika, ahakoa ko te whakahaere mā te ngawari, ngā tukanga pokanga matatau rānei. Ka taea e te whakauru tere te aukati i ngā raruraru, te āhei hoki i a koe ki te hoki ki ngā mahi noa i te tere ake.

Kia mahara ahakoa ka pouri pea te wai tonu, kāore tēnei āhuatanga e wehi i te tirohanga ina whakahaerea tika. Mā te tiaki tika me te manawanui, ka taea e koe te tumanako i te whakapainga nui i ō tohu me te whakaora kanohi katoa.

Ngā pātai e ui pinepinetia ana mō ngā awa i ārai

P1: Ka ora ake pea ngā awa i ārai i a rātou anō?

Ae, ina koa ki ngā pēpi iti e tata ana ki te 90% o ngā take e ora ake ana i roto i te tau tuatahi o te ora. Ki ngā pakeke, ka pai ake pea ngā ārai iti ki te whakahaere mā te ngawari pēnei i ngā whakamahana me te mirimiri, engari ko ngā ārai katoa ka hiahia pea ki te whakauru ngaio hei whakaoti katoa.

P2: He mea tika te pokanga mō ngā awa i ārai?

Kāo, kāore i te hiahiatia te pokanga i ngā wā katoa. Ka whakautu pea te maha o ngā take ki ngā rongoā iti ake pēnei i te whakamātautau awa roimata, te whakawhanui porowhita, te whakanoho stent rānei. Ko te pokanga te nuinga o te wā ka waiho mō ngā ārai katoa, ngā take rānei kaore i whakautu ki ētahi atu rongoā. Ka tūtohu tō taote i te kōwhiringa tino iti hei mahi mō tō āhuatanga motuhake.

P3: E hia te roa o te ora i muri i te pokanga awa roimata?

Ka rereke te wā ora i runga i te tukanga i mahia. Ko ngā tukanga iti pēnei i te whakamātautau ka hiahia pea ki ngā rā torutoru o te mahi i ārai, ka hiahia pea te pokanga nui ake pēnei i te dacryocystorhinostomy ki ngā wiki 2-4 mō te ora katoa. Ka kite pea te nuinga o te iwi i te whakapainga nui i te wai i roto i ngā wiki tuatahi i muri i te rongoā angitu.

P4: Ka taea e ngā awa i ārai te arahi ki ngā raruraru tirohanga pumau?

Kāore i te maha ngā wā e arahi ana ngā awa i ārai ki te ngaro o te tirohanga pumau ina whakahaerea tika. Heoi, ka taea e ngā take kore e rongoā te arahi ki ngā raruraru cornea, ngā mate e puta ana rānei e pā ana ki te tirohanga. Koia te take e hiahiatia ana te rongoā mena ka mau tonu ngā tohu, ka kino ake rānei i te wā.

P5: Kei reira ngā huarahi hei aukati i te puta mai o ngā awa i ārai?

Ahakoa kāore e taea e koe te aukati i ngā take katoa, ina koa ngā huringa e pā ana ki te pakeke, ka taea e koe te whakaiti i tō morearea mā te rongoā tere i ngā mate kanohi, te tiaki i ō kanohi i te whara, te whakahaere rānei i ngā āhuatanga taketake pēnei i ngā mate autoimmune. Ka taea hoki e te tiaki kanohi pai te āhei i te ringi roimata hauora.