{"id":4960,"date":"2023-07-18T09:40:26","date_gmt":"2023-07-18T08:40:26","guid":{"rendered":"https:\/\/profmunteanu.ro\/?page_id=4960"},"modified":"2026-06-03T14:23:20","modified_gmt":"2026-06-03T13:23:20","slug":"obstructia-canalului-lacrimo-nazal","status":"publish","type":"page","link":"https:\/\/profmunteanu.ro\/de\/obstructia-canalului-lacrimo-nazal\/","title":{"rendered":"Obstructia canalului lacrimo-nazal"},"content":{"rendered":"
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Obstruc\u0163ia canalului lacrimo-nazal<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Descoper\u0103 cauzele \u0219i solu\u021biile pentru obstruc\u021bia canalului lacrimo-nazal la bebelu\u0219i. \u00cen acest articol, vei \u00een\u021belege importan\u021ba func\u021bion\u0103rii corecte a canalului lacrimal \u0219i cum s\u0103 identifici semnele unei posibile obstructii. Vei descoperi, de asemenea, metodele eficiente de tratare \u0219i prevenire a acestei condi\u021bii, astfel \u00eenc\u00e2t micu\u021bul t\u0103u s\u0103 poat\u0103 z\u00e2mbi \u0219i r\u00e2de f\u0103r\u0103 disconfort.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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1. Ce este obstruc\u0163ia sau stenoza de canal lacrimo-nazal?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Este ,,co\u0219marul\u2019\u2019 m\u0103micilor care observ\u0103 ochiul l\u0103crimos sau plin de secre\u021bii al bebelu\u0219ului.<\/p>

Din punct de vedere medical, este cea mai frecvent\u0103 anomalie a cailor lacrimale la pacien\u021bii de v\u00e2rst\u0103 pediatric\u0103, reg\u0103sindu-se la aproximativ 6-20% dintre nou-n\u0103scu\u021bi.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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2. De ce apare obstruc\u0163ia canalului lacrimo-nazal?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Lacrimile sunt produse de glandele lacrimale principale \u0219i accesorii ca apoi s\u0103 se scurg\u0103 prin punctele lacrimale superioare \u0219i inferioare. Traseul lor urmeaz\u0103 calea sacului lacrimal ajung\u00e2nd prin canalul lacrimo-nazal \u00een nas.<\/p>

Canalizarea incomplet\u0103 este cea mai frecvent\u0103 cauz\u0103 a obstruc\u021biei congenitale a canalului lacrimo-nazal \u0219i const\u0103 \u00een prezenta unei membrane.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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3. Care sunt semnele ce ne \u00eendrum\u0103 spre consult oftalmologic?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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P\u0103rin\u021bii observ\u0103 din primele zile sau luni de via\u021b\u0103 c\u0103 bebelu\u0219ul prezint\u0103 la unul sau la ambii ochi secre\u021bii muco-purulente sau l\u0103crimare excesiv\u0103.<\/p>

Din cauza drenajului inadecvat, prezen\u0163a lacrimilor \u00een exces sau a secre\u021biilor conjunctivale determin\u0103 irita\u021bii ale pielii pleoapelor.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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4. Ce avem de f\u0103cut \u00een continuare?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Tratamentul de prim\u0103 inten\u021bie const\u0103 \u00een efectuarea masajului local. Scopul masajului este de a for\u021ba ruperea membranelor prin presiunea exercitat\u0103 local. \u00cen func\u021bie de simptomatologie, medicul oftalmolog va asocia \u0219i un tratament topic, cu pic\u0103turi.<\/p>

Masajul local presupune exercitarea unei presiuni din unghiul intern c\u0103tre nas. P\u0103rin\u021bii vor efectua 3-4 ture de masaj, iar mi\u0219carea se va repeta de mai multe ori.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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5. Ce facem dac\u0103 tratamentul local nu a fost un succes?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Este important ca masajul s\u0103 fie executat corect \u0219i cu con\u0219tiinciozitate.\u00a0 Studiile au demonstrat c\u0103 un tratament local corect are o rata de succes de 70% p\u00e2n\u0103 la v\u00e2rst\u0103 de 3 luni \u0219i de 90% p\u00e2n\u0103 la v\u00e2rst\u0103 de 1 an.<\/p>

Interven\u021bia de sondaj de c\u0103i lacrimale, adic\u0103 o dezobstruc\u021bie mecanic\u0103 a canalului lacrimo-nazal, se impune dup\u0103 v\u00e2rst\u0103 de 6 luni \u00een condi\u021biile \u00een care tratamentul local a fost respectat \u00een totalitate.<\/p>

\u00cen situa\u021bii rare, sondajul cailor lacrimale se recomand\u0103 \u00eenaintea v\u00e2rstei de 6 luni.<\/p>

\u00cen timpul procedurii, medicul introduce o sond\u0103 \u0219i o avanseaz\u0103 prin sistemul de drenaj lacrimal p\u00e2n\u0103 c\u00e2nd atinge obstruc\u021bia.<\/p>

In cadrul Centrului Oftalmologic prof Munteanu sondajul c\u0103ilor lacrimale<\/a> se realizeaz\u0103 \u00een anestezie local\u0103 f\u0103r\u0103 internare.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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6. Avem 2-3 sondaje efectuate, dar ochiul tot curge. Ce putem face?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Daca simptomatologia se men\u021bine \u0219i dup\u0103 2-3 sondaje atunci se recomand\u0103\u00a0 folosirea tubului siliconic. Acesta se va men\u021bine pentru 3-6 luni av\u00e2nd rolul de a men\u021bine deschis\u0103 calea de drenaj.<\/p>

Dilatarea cu balon poate fi utilizat\u0103 ca procedur\u0103 primar\u0103 sau \u00een urma e\u0219ecului unei sond\u0103ri simple. Sondarea standard a canalului lacrimo-nazal este urmat\u0103 de introducerea unui cateter cu balon tip LacriCath. Balonul este umflat conform specifica\u021biilor produc\u0103torului. Succesul acestei tehnici ca procedur\u0103 primar\u0103 sau secundar\u0103 a fost raportat ca fiind \u00eentre 53 \u0219i 95%.<\/p>

Ca ultim\u0103 op\u021biune, reg\u0103sim varianta de dacriocistorinostomie care presupune crearea unei c\u0103i de comunicare intraosoas\u0103 \u00eentre sacul lacrimal \u0219i nas. Dacriocistorinostomia endoscopic\u0103 are o rat\u0103 de succes de 82-94%.\u00a0 Abordarea endoscopic\u0103 este preferat\u0103 de majoritatea oftalmologilor pentru a evita cicatricile.<\/p>

Este important\u0103 diagnosticarea rapid\u0103 a stenozei de canal lacrimo-nazal pentru a se ini\u021bia la timp tratamentul corespunz\u0103tor. Masajul local rezolv\u0103 \u00een majoritatea cazurilor problema obstruc\u021biei, scutind copilul de interven\u021bii mecanice.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Literaturverzeichnis<\/strong><\/p>

  1. VanverVeen DK, Jones DT, Tan H, Petersen RA. Endoscopic dacryocystorhinosotmy in children.\u00a0J AAPOS. 2001;5:143-47.<\/li>
  2. Perez Y, Patel BC, Mendez MD. Nasolacrimal Duct Obstruction. In:\u00a0StatPearls. Treasure Island (FL): StatPearls Publishing; April 3, 2023.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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    <\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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    Descoperi\u021bi mai multe informa\u021bii valoroase despre oftalmologie \u0219i s\u0103n\u0103tatea ochilor vizion\u00e2nd materialele realizate de exper\u021bi \u00een domeniu de pe canalul nostru de YouTube<\/span><\/a>.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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    \"Oftalmologie<\/a><\/figure>

    Dr. Mocanu Valeria<\/a><\/h3>

    Medic primar oftalmolog, cu specializari efectuate in Germania si Elvetia, Doctor in stiinte medicale, Sef de lucrari Universitatea de Medicina si Farmacie \u201cVictor Babes\u201d Timisoara.<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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    \n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tProgrammierung konsultieren<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

    Obstruc\u0163ia canalului lacrimo-nazal Descoper\u0103 cauzele \u0219i solu\u021biile pentru obstruc\u021bia canalului lacrimo-nazal la bebelu\u0219i. \u00cen acest articol, vei \u00een\u021belege importan\u021ba func\u021bion\u0103rii corecte a canalului lacrimal \u0219i cum s\u0103 identifici semnele unei posibile obstructii. Vei descoperi, de asemenea, metodele eficiente de tratare \u0219i prevenire a acestei condi\u021bii, astfel \u00eenc\u00e2t micu\u021bul t\u0103u s\u0103 poat\u0103 z\u00e2mbi \u0219i r\u00e2de f\u0103r\u0103 […]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"footnotes":""},"class_list":["post-4960","page","type-page","status-publish","hentry"],"yoast_head":"\nObstructia canalului lacrimo-nazal - Clinica Oftalmologica Dr. Munteanu<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/profmunteanu.ro\/de\/obstructia-canalului-lacrimo-nazal\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Obstructia canalului lacrimo-nazal - Clinica Oftalmologica Dr. Munteanu\" \/>\n<meta property=\"og:description\" content=\"Obstruc\u0163ia canalului lacrimo-nazal Descoper\u0103 cauzele \u0219i solu\u021biile pentru obstruc\u021bia canalului lacrimo-nazal la bebelu\u0219i. \u00cen acest articol, vei \u00een\u021belege importan\u021ba func\u021bion\u0103rii corecte a canalului lacrimal \u0219i cum s\u0103 identifici semnele unei posibile obstructii. 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