epiphora (aushadh)

epiphora mhanje samanya radnyavyatirikt radnyavyatirikt ashru vahane. heey eka vaidyakeey chinh kinwa sthitee aahe jyamadhye dolhyanmadhun ashru falicha apura nichara hoto, jyamadhye ashru nasolacrimal pranalidware naan jaata jaata khalee vahatil.
kaaran.
epiphorachi karane ashee aahet jyamule ektar ashru jaast pramanat tayar hotat kinwa ashruncha nichara qamee hoto, parinami gaal fadato. heey dolhyanchi jaljal aanee jaljal (trichiasis aanee entropians) kinwa ashru vahanyachya margat adthala aalyane houu shakate, jeey tyachya sharirik sthananusar vibhagale jaate (i.eae., actropian, punctal, canalicular kinwa nasolacrimal duct adthala). nantarche bahudha vruddhatva (eka utsfurt prakriya), netrashleshmalashoth, sansarg (i.eae. dacreosystities), nasikashoth aanee navjat kinwa arbhakanmadhye, nasolacrimal nalika ughadanyat ayashasvi.
aanakhi eka kaaran mhanje tyaa bhagala jhalelya aaghatanantar nasolacrimal duct pranalichi kharab punarrachana. punarrachana fracture (nasoethmoid fracture kinwa maxillary leey phorta fractures) aanee naak aanee/kinwa papanicha samavesh asalela mauu-uutincha aaghat heey aaghat honyache kaaran asoo shakate. hii sthitee anekada nirashajanak kinwa chidkhor asate.
koradya dolhyachya upcharasathi punctal plugchya vaparacha abhyas abhyas paddhatshir punaravalokanat sahbhaginmadhye epiphorachi kahee prakarane nondavali gelee.
nidan.
epiforache nidan heey itihasache sadarikaran aanee jhakananche nirikshan karoon kele jaate.
fluoresine rangacha vapar canaliculiver daboon punctal refluxchee tapasani karnyasathi keela jaau shakato jyamadhye doctoranni refluxcha pratikar nondavala pahije kaaran too panktamdware nakat sinchan karato. dacreocyntigraphy hii eka pratimechi paddhat aahe jee lacrimal upkaranatil adthale shodhanyasathi vaparali jaate.
vyavasthapan.
jarr epiphora haah actropian kinwa entropiyanmule hott asel tarr jhakan durusti darshavili jaate. panchak sinchanachihi aavashyakta aahe. nasolacrimal dosh asalelya arbhakanmadhye, nasolacrimal duct probecha vapar keela jaato aanee tatpurati (crofford) kinwa kayamswarupi (johns) tube replacement kelee jaate. lacrimal drainage purvavat karnyasathi lacrimal pishavila anunasik shleshmalamadhye jodanyasathi dacreosysterinostomy navachi shastrakriya kelee jaate.

