Congenital Rules Of Birth
The lacrimal system is the tear path that travels from the lacrimal region to the lower nostril. Tears enter the lacrimal passage through the lacrimal duct, tear in the lacrimal sac, lacrimal sac, nasal lacrimal duct and flow into the nasopharynx through the lower nostril.
Pathological morbidity is common in infants (especially premature children). When obstructed, the tears will become stagnant and cause excessive tearing, sometimes accompanied by pus and mucus. If left untreated for a long time, it will cause aches and pains.
Why clogged and manifested?
Congenital morbidity is often caused by the following:
No rules: The child will always have tears and persistent conjunctivitis.
Congenital fistula leakage: The skin near the inner corner of the eye has a small fistula that causes tears to flow through this fistula.
Congenital nasal obstruction: This is the most common occurrence in about 5% of babies 12-20 days of age
The disease can occur in one or both eyes, occasionally causing symptoms of live tears, if frequent and prolonged can produce pus, conjunctivitis, swelling of the lacrimal sac.
The cause of congestion of the nasal lacrimal duct is also due to incomplete embryo formation in the fetus, so the lower end of the nasal lacrimal duct remains obstructed, in other cases due to deformity of the musculoskeletal nasal cavity.
When the rule of law, the corner of the eye may be slightly lighter, more tense. If the blockage process is prolonged, especially if the nasal lacrimal duct is left untreated, it can cause chronic folliculitis.
Tears that accumulate in the lacrimal sac can cause infection at the lacrimal sac, the lacrimal sac is inflamed, and has mucous pus. Pressing on this area has pus mucus that erupts at the corner of the eye, causing abscess in the lacrimal sac, even causing detection, drainage of pus outside the skin, severe soreness, swollen, redness in the corner of the eye.
Treatment according to cause and age
Treatment for congenital rule of law will be performed according to the age and cause of the rule. If the cause is due to the lack of tears due to the diaphragm at the lacrimal scale, the incision may be made
If the cause is a lacrimal fistula, then treatment by surgical closure.
If the cause is congenital nasal obstruction, then the doctor will prescribe appropriate treatment.
For children under 3 months of age, the main treatment is massaging the lacrimal sac, wiping the eyelids with physiological saline, if there is purulent mucus, use antibiotic eye drops as directed by the doctor.
For children from 3 to 12 months of age, treatment is done by flushing the vesicles with a combination of topical antibiotics and religious practices. However, the practice of directing is only done after the pump flushed area and use antibiotic ineffective antibiotics.
For children over 1 year old, the conventional method of pumping the vaginal discharge is often ineffective, so it is necessary for the child to see a doctor to evaluate the surgery to open the nasal sac.
For infants who are found to have live tears or often have stagnant water in their parents' eyelids, they should be examined immediately so that the doctors can determine the exact cause of the tears, eliminating the causes. such as congenital glaucoma, inflammation in the eyes and appropriate treatment..
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