Sometimes small newborn children turn sour eyes on returning from the hospital. Why this happens, than to treat a child and what to do at home is the topic of our meeting today.
You know that there is patronage at home for young children, conducted by local nurses, assigned to the pediatric site. Surely you will be visited at home. Inform the nurse that the baby has a sour eye. This is the simplest thing in your power.
Next, let's look at the signs and symptoms of eye souring in infants.
CONTENTS
. Eyes: Symptoms of inflammation of the conjunctiva
When a baby's eye turns sour, it becomes clearly visible in the mornings. At night, eyes and eyelids rest, close, do not blink, but nevertheless inflammatory processes occur in the conjunctiva, symptoms and signs are as follows:
- the inner corners of the eyes are covered with yellow, grayish-white or brown crust, or a thick consistency resemblingby the form of mucus;
- the lower and upper eyelids are glued together, so that the child can not open the eye on his own;
- newborn can not complain of burning and pain, rub eyes, so he is irritated, expressing discontent with discomfort by crying;
- souring is removed after washing the eyes, but if nothing else is done, after a while the situation repeats.
All of the above suggests that there is an infection in the area of the conjunctive sack. Yellow crusts and branches of turbid mucus - signs of the presence of pus, indicating the bacterial nature of the inflammatory process. The reasons why the bacteria populate the eyes are different.
Why the eyes become sour: the possible causes of
The most common two causes of sourness in newborns:
- dacryocystitis;
- bacterial conjunctivitis.
Consider the disease details.
Dacryocystitis - inflammation of the lacrimal sac
Dacryocystitis means a condition where the nasolacrimal canal does not open after birth, so that tears can not pass along the natural pathway for them. There is a tear stagnation, and after a while in a moist and warm environment bacteria begin to multiply successfully.
Dacryocystitis in a newborn does not allow tears to flow normally on the nasolacrimal canal, resulting in inflammation.
Symptoms and Diagnosis
Symptoms of dacryocystitis are very similar to those of conjunctivitis:
- sour eyes with stiff cilia;
- , when pressing on the inner corner of the eye near the base of the nose from the conjunctiva, purulent contents are released;
- antibiotic treatment gives only temporary relief, then the symptoms return, as the main cause of the infection has not been eliminated.
Unlike conjunctivitis, dacryocystitis can affect both one and two eyes. Bacterial infection, as a rule, affects both eyes.
A qualified oculist is able to differentiate the disease and make an accurate diagnosis. Therefore, with the above signs, go to a consultation with an ophthalmologist.
How does the eye doctor determine the disease?
At the disposal of the ophthalmologist there are special tests for staining, for example, Vesta test. It helps to establish whether there is patency of the nasolacrimal canal or not.
The essence of the procedure is as follows: a tampon made of cotton wool is placed in the nose, and a coloring substance is buried in the eye, which does not cause harm. It can be a solution of collargol.
Then time is detected. The paint from the eyeballs normally disappears in 4, maximum in 5 minutes. After this time, a tampon is removed from the nose every minute and it is tracked at what time it will be painted. If the paint reaches the tampon within 7 minutes, it is considered that the passability test is positive. With every additional minute the probability of blockage of the ducts increases.
What to do: treatment of dacryocystitis, than to treat
There are two main ways to treat dacryocystitis: massage and bougie. Begin with the first method.
Massage .At the doctor's appointment, the mother is taught to perform simple massage movements:
- , the index finger is placed on the inner corner of the eye, pressing lightly on the point in the nose;
- the pressure, on the one hand, must be intense to pierce the gelatinous plug that clogged the channel;on the other hand, it is necessary to control the efforts in order not to damage the fragile cartilaginous tissues of the nose;
- with jerky movements we move the finger down along the nose;The
- procedure is repeated several times.
Massage movements in dacryocystitis should be neat, but at the same time sufficiently strong.
Before the massage, the nails are cut short, and the hands are thoroughly washed with soap. The eyes themselves are cleaned with a solution of furacilin or decoction of chamomile.
After the procedure, the final stage will be instillation of antibacterial drops( in dacryocystitis, do not recommend using drops with the ability to crystallize, such as albucid).
Video: Massage of the lacrimal canal in the newborn
Drill .In the case where the massage does not have the proper effect, the nasolacrimal canal is punched mechanically with a probe. Although this intervention is surgical, it is not difficult to perform.
The child is instilled with local anesthetic drops. With one special probe, the lacrimal duct expands, and the other, resembling the finest metal wire, breaks through. After that, the channel is washed with disinfectant solutions, and the problem is forgotten forever.
Conjunctivitis - inflammation of the outer shell
Conjunctivitis, a similar inflammatory disease, when the mucosa of the eyeball gets an irritant in the form of a viral, bacterial infection or allergen. Purulent discharge from the eyes - a typical sign of infection with bacteria
In addition to the symptoms inherent in dacryocysts, conjunctivitis can be accompanied by photophobia and profuse lacrimation. Sour eyes, which, moreover, suppurate, is a clear sign of a bacterial infection.
What to do: treatment of conjunctivitis, than to treat
At the heart of the treatment of bacterial conjunctivitis is a drop and ointment with an antibiotic component.
Best for the treatment of newborns is floxal - eye drops and ointment( active ingredient - ofloxacin) and tobrex - eye drops( active ingredient - tobramycin).They are allowed for use by children from birth. Less often use a solution of levomycetin or a drop of 20% albucid.
A separate place is taken in the list of medicines homeopathic drops oculocheel. They have anti-inflammatory, antiallergenic and analgesic effect, based on the activation of their own defense forces. Their use does not always give the expected result, but in the initial stages of the disease, drops help well.
As a rule, droplets are prescribed for use by the day at a frequency of 4 to 6 times, depending on what substance is included. For a longer lasting night, it is recommended that an antibacterial ointment be placed behind the eyelid.
As you can see, the sourness of the eyes can have a different nature of occurrence, and before proceeding to treatment, it is worthwhile to examine in detail and understand what the reason for this condition is. This will help a pediatrician and a children's ophthalmologist.
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Is the child crying and constantly rubs his eyes or complains that the eye looks like a sand or his eyes are festering? Running to the doctor, this is conjunctivitis!
Conjunctivitis is an inflammation of the mucous membrane that covers the inner surface of the eyelid. The causes of conjunctivitis can be bacteria( staphylococcus, meningococcus, streptococcus, pneumococcus, etc.), viruses( influenza virus, ARVI, measles, herpes, adenoviruses) and chlamydia. There are allergic conjunctivitis, the causes of which are pollen, dust, smells and other allergens.
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