Children // Childhood diseases

Obstruction of the lacrimal canal in newborns

Obstruction of the lacrimal canal in newborns

relatively rare disease is an obstruction of the lacrimal canal of a newborn child.However, about this disease need to know expectant mothers not to take it for conjunctivitis.Obstruction of tear ducts in children and has another name - dacryocystitis.Prevalence dacryocystitis is 4% of the total number of births.

What is the obstruction of tear duct?Although

about this disease, few parents aware, it can be diagnosed in almost all just been born baby.Obstruction of lacrimal newborn child arises from the fact that the channel is blocked zhalatinoobraznoy film which is present in all those who are in the womb and unborn babies.

This film protects the child from entering his body of amniotic fluid from the womb.After birth of the child need in this film disappears, and, ideally, it should be dissolved in the birth process or soon thereafter.In fact, the majority of infants it exactly happens: baby experiencing stress both during childbirth itself and by its first scream.

Once the child makes his firs

t breath, gelatinous film in his nasolacrimal ducts bursts and releases the path for the tear fluid.However, it does happen that in one of the ducts, and very rarely - in two gelatinous tube continues to obstruct the ducts.Because of this tear fluid accumulates and stagnates in the lacrimal sac, thus creating the conditions for infection.It is this state of nasolacrimal duct is called dacryocystitis.

more details about dacryocystitis newborn read here

The main features of lacrimal obstruction in infants

  • In children glazik accumulates excessive amounts of tear fluid.

  • baby's eyelids may blush and pripuhnut.

  • inner corner of the eye is also in a state of swelling.

  • discharge from the eyes or mucous becomes purulent slimy character.

If the child showed signs of obstruction of lacrimal

This condition is not something dangerous at first.Parents who suspect that their baby is clogged with tears, nasal passage, we must show the child's doctor.An experienced specialist has a baby by visual inspection can determine that the child - dacryocystitis or conjunctivitis.

If visual inspection is not enough, your doctor will conduct some simple procedures to clarify the diagnosis.The essence of these procedures is patient instillation solution glazik ink component to detect the presence of obstruction in the nasolacrimal duct.These procedures last for about 5-10 min., After which the doctor makes a final diagnosis.

If it turns out that the child dacryocystitis, the doctor will prescribe the baby drops and massage.If this treatment does not lead to positive results, the treatment is resumed after 1.5 months.If no improvement is, therefore, necessary to make the child sensing nasolacrimal canal.

dacryocystitis is desirable to diagnose and treat him for as long as the child is 3 months.If the parents do not have time to do it, then further treatment will be possible only after the child reaches 7 years.Until then he is likely to be regularly suffer from exacerbations dacryocystitis.

Treatment of obstruction of lacrimal home

Parents kid, diagnosed with "dacryocystitis" is recommended before you start treatment the child to study the anatomy of the lacrimal pathways.It should also ask your doctor in detail about how to massage baby.

  • Before the procedure of massage should carefully wash your hands and nails shave.You can wear sterile gloves on his hands.

  • fingertip should squeeze out the contents of the lacrimal sac.

  • furatsilina warm solution in a ratio of 1: 5000 to drip bag and a sterile swab to remove the purulent discharge.

  • Perform massage the lacrimal sac, the tip of the index finger gently push jerky movements five times in the bag from the top down.

  • dripped 0.25% chloramphenicol or vitabakt for the purpose of disinfecting the field of massage.

  • Repeat this massage 4-5 times a day.

duration of the course of massage should be at least 2 weeks.With careful and proper performance of massage is the absorption of a breakthrough or gelatinous film to 3-4 months.

Surgical treatment of obstruction of lacrimal children

If massage at home did not lead to a cure of dacryocystitis child, the child will make eye office sensing nasolacrimal canal.This procedure is quite effective when it is performed by experienced and qualified personnel.Sensing is performed under local anesthesia.

During sensing probes are used in two varieties - a conical tip and a long probe Siegel Bowman.Siegel probe being expanded lacrimal points and tubules and Bowman's probe performed a breakthrough gelatinous plug in the nasolacrimal duct.After the procedure, sensing channel washed with a disinfectant solution.

After the procedure, parents should be sure to probe during the week to perform a massage to prevent re-blockage of nasolacrimal duct due to the formation of adhesions.

If the child has not developed dacryocystitis due to blockage of nasolacrimal duct gelatinous film, and for other reasons, for example because of the abnormal development of the channel, the curvature of the nasal septum, etc., The probe in such cases is useless.In such situations, designate dacryocystorhinostomy - operation, which is carried out after the child reaches 5-6 years.

See also: Proper eye care baby

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