An datse bututun bututu

Hanyar toshewar hanci wani bangare ne ko cikkakken toshewa a cikin hanyar da ke dauke da hawaye daga saman ido zuwa hanci.

Hawaye koyaushe akeyi don taimakawa kare farjin idonka. Suna malalewa a cikin wata 'yar karamar buduwa (punctum) a kusurwar idonka, kusa da hanci. Wannan buɗewar shine ƙofar zuwa bututun nasolacrimal. Idan an toshe wannan bututun, hawayen za su tashi su mamaye kan kunci. Wannan na faruwa koda bakuyi kuka ba.

A cikin yara, bututun bazai inganta gaba ɗaya lokacin haihuwa. Yana iya rufewa ko rufe shi ta hanyar fim na bakin ciki, wanda ke haifar da toshewar bangare.

A cikin manya, bututun zai iya lalacewa ta hanyar kamuwa da cuta, rauni, ko ƙari.

Babbar alamar ita ce haɓaka hawaye (epiphora), wanda ke haifar da zubar da hawaye akan fuska ko kunci. A cikin jarirai, wannan yagewar yana zama sananne yayin farkon makonni 2 zuwa 3 bayan haihuwa.

Wani lokaci, hawayen na iya bayyana sun fi kauri. Hawaye zai iya bushewa ya zama mai taushi.

Idan akwai kumburi a cikin idanun ko kuma idanun ido sun makale wuri daya, jaririn na iya samun ciwon ido da ake kira conjunctivitis.

Yawancin lokaci, mai ba da kiwon lafiya ba zai buƙatar yin kowane gwaji ba.

Gwajin da za a iya yi sun hada da:

• Gwajin ido
• Tabbataccen ido na musamman (fluorescein) don ganin yadda hawaye ke malala
• Nazarin X-ray don bincika bututun hawaye (da wuya ake yi)

Yi hankali a tsabtace fatar ido ta amfani da dumi, rigar wanki idan hawaye suka taru suka bar fasassun.

Ga jarirai, kuna iya gwada tausa a hankali sau 2 zuwa 3 a rana. Amfani da yatsa mai tsafta, goge yankin daga cikin kusurwar ido zuwa hanci. Wannan na iya taimaka wajan bude bututun hawaye.

Mafi yawan lokuta, bututun hawaye zai bude da kansa lokacin da jariri ya cika shekara 1 da haihuwa. Idan wannan bai faru ba, bincika zai iya zama dole. Ana yin wannan aikin sau da yawa ta amfani da maganin rigakafi na gaba ɗaya, don haka yaron zai yi barci kuma ba shi da ciwo. Kusan koyaushe yana cin nasara.

A cikin manya, dole ne a bi da dalilin toshewar. Wannan na iya sake buɗe bututun idan babu lalacewa da yawa. Yin aikin tiyata ta amfani da ƙananan bututu ko ɗakuna don buɗe hanyar mashigi na iya buƙata don dawo da malalar hawaye na al'ada.

Ga jarirai, toshewar bututun hawaye zai tafi da kansa tun kafin yaron ya cika shekara 1. Idan ba haka ba, sakamakon har yanzu yana iya zama mai kyau tare da bincike.

A cikin manya, hangen nesa ga bututun hawaye da aka toshe ya bambanta, ya danganta da dalilin da kuma tsawon lokacin da matsalar ta kasance.

Arkewar ƙwayar hawaye na iya haifar da kamuwa da cuta (dacryocystitis) a wani ɓangare na bututun nasolacrimal da ake kira lacrimal sac. Mafi sau da yawa, akwai cin karo a gefen hanci dama kusa da kusurwar ido. Jiyya don wannan yakan buƙaci maganin rigakafi na baka. Wani lokaci, jakar takan buƙaci a tsabtace ta hanyar tiyata.

Har ila yau, toshewar bututun na iya kara damar wasu cututtukan, kamar su conjunctivitis.

Dubi mai ba da sabis idan kun zubar da hawaye akan kunci. Tun da farko magani ya fi nasara. Game da ƙari, farkon magani na iya zama mai ceton rai.

Yawancin lamura ba za a iya hana su ba. Yin magani mai kyau na cututtukan hanci da conjunctivitis na iya rage haɗarin samun toshewar bututun hawaye. Amfani da gashin ido mai kariya na iya taimakawa hana toshewar da rauni ya haifar.

Dacryostenosis; An katange bututun nasolacrimal; Nasolacrimal bututun toshewa (NLDO)

• An toshe bututun hawaye

Dolman PJ, Hurwitz JJ. Rikici na tsarin lacrimal. A cikin: Fay A, Dolman PJ, eds. Cututtuka da cuta na Orbit da Ocular Adnexa. Philadelphia, PA: Elsevier; 2017: babi na 30.

Olitsky SE, Marsh JD. Rikici na tsarin lacrimal. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 643.

Salmon JF. Tsarin magudanar Lacrimal. A cikin: Salmon JF, ed. Kanski na Clinical Ophthalmology. 9th ed. Philadelphia, PA: Elsevier; 2020: babi na 3.