Koj puas pom cov pob dub lossis cov ntaub uas ntab rau ntawm koj ob lub qhov muag? Koj puas pom lub teeb? Cia peb kawm txog Posterior Vitreous Detachment!

Nyob zoo! Koj puas tau pom cov pob dub me me, cov khoom zoo li kab laug sab , lossis cov khoom me me zoo li plaub hau ntab rau ntawm koj lub qhov muag? Qee zaum koj tuaj yeem pom lub teeb ci ntsa iab los ntawm ces kaum ntawm koj lub qhov muag, puas yog? Cov no tuaj yeem ua rau koj ntxhov siab heev. Muaj ntau tus neeg ntshai qhov no. Yog li, yog tias koj tau muaj qhov kev paub no, cia peb tham hnub no txog qhov ua rau nws, nws puas txaus ntshai, thiab yuav ua li cas tau. Tus mob uas peb yuav tham txog yog Posterior Vitreous Detachment , lossis luv luv PVD .

Qhov 'Posterior Vitreous Detachment' no yog dab tsi?

Hais yooj yim xwb, peb lub qhov muag zoo li lub pob me me. Sab hauv lub pob no puv nrog cov khoom zoo li gel . Peb hu qhov no ua vitreous gel . Cov gel no yog qhov ua rau lub qhov muag zoo li lub voj voog thiab tiv thaiv cov khoom mos mos hauv lub qhov muag. Nyob tom qab ntawm lub qhov muag yog ib txheej hlab ntsha nyias nyias, rhiab heev. Nws hu ua retina . Nws ua haujlwm zoo li zaj duab xis hauv lub koob yees duab. Cov duab peb pom yog tsim thaum lub teeb poob rau ntawm retina no.

Tam sim no, PVD yog thaum cov vitreous gel hauv lub qhov muag maj mam nyias tawm, ntsws , thiab sib cais los ntawm retina tom qab nws. Xav txog nws zoo li cov khoom zoo li jelly uas nyias tawm thiab maj mam sib cais los ntawm phab ntsa. Qhov no yog ib qho txheej txheem ntuj uas feem ntau tshwm sim thaum peb laus.

Thaum cov gel no sib cais ntawm lub retina, zoo li kuv tau hais ua ntej, cov duab dub, grey ntxoov ntxoo, cov me me, thiab cov khoom zoo li kab pib ntab rau ntawm lub qhov muag. Ib txhia neeg tuaj yeem pom lub teeb tawm ntawm lub ces kaum ntawm lawv lub qhov muag. Nws tuaj yeem siv sijhawm li plaub txog rau lub lis piam rau cov gel no kom sib cais tag nrho ntawm lub retina. Yog tias koj pib pom cov pob zoo li no thawj zaug, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho qhov muag.

Cov theem ntawm PVD yog dab tsi?

Qhov mob no hu ua "(PVD)" tsis tshwm sim ib zaug. Cov gel maj mam poob tawm hauv ntau theem. Qhov no yog ib qho txheej txheem ntuj uas tshwm sim nrog hnub nyoog.

Muaj plaub theem tseem ceeb:

• Theem 1: Cov gel hauv koj lub qhov muag pib xoob me ntsis ntawm macula (qhov ntawm retina uas pab peb pom tseeb thiab ntse), uas yog qhov tseem ceeb ntawm lub qhov muag. Tab sis nws tseem txuas rau lub qhov me me hauv nruab nrab ntawm macula hu ua fovea , uas muab qhov pom kev ntse tshaj plaws.
• Theem 2:Tam sim no cov gel tawm me ntsis ntawm qhov chaw ntawm lub fovea, tab sis nws tseem yuav lo rau ntawm ib cheeb tsam me me hu ua foveola (uas kuj nyob hauv nruab nrab ntawm lub fovea).
• Theem 3: Nyob rau theem no, cov gel tau raug tshem tawm ntawm macula tag nrho, tab sis cov hlab ntsha optic, uas nqa lub teeb thiab cov ntaub ntawv duab los ntawm lub qhov muag mus rau lub hlwb, tseem txuas nrog.
• Theem 4: Qhov no yog thaum cov gel raug tshem tawm tag nrho ntawm ob qho tib si macula thiab lub paj hlwb optic. Qhov no yog qhov peb hu ua PVD tiav .

Kev paub txog cov theem no meej meej tej zaum yuav tsis tseem ceeb rau koj, tab sis nws yuav pab tus kws kho mob nkag siab txog koj tus mob.

Tus mob no hu ua PVD ntau npaum li cas?

Qhov no feem ntau tshwm sim ntau dua li koj xav. Qhov no yog ib qho mob uas feem ntau cuam tshuam rau ntau tus neeg, thiab nws tshwm sim thaum lawv laus zuj zus. Cov ntaub ntawv qhia tias kwv yees li 66 ntawm 100 tus neeg hnub nyoog ntawm 66 thiab 86 xyoo muaj tus mob no. Yog li ntawd, tsis txhob txhawj tias qhov no yog ib qho mob hnyav uas tsuas yog cuam tshuam rau koj xwb.

Cov tsos mob ntawm PVD yog dab tsi?

Raws li peb tau tham txog me ntsis ua ntej lawm, muaj ntau cov tsos mob tseem ceeb ntawm PVD:

• Pom tej yam ntab rau ntawm lub qhov muag (`(Floaters)`): Qhov no yog cov tsos mob tseem ceeb uas ntau tus neeg tshaj tawm. Ib txhia hais tias cov no zoo li cov kab me me, cov ntaub kab laug sab, cov plaub hau, lossis hmoov av. Qee zaum lawv tuaj yeem pom hauv cov duab puag ncig lossis oval. Cov kws kho mob qee zaum hu cov no "(Weiss rings)`` . Cov no ua rau neeg ntxhov siab heev thaum lawv txav mus los, puas yog?
• Teeb Ci Ntxoov Ntxoo : Ib txhia neeg yuav pom teeb ci ntsa iab tawm ntawm ces kaum ntawm lawv lub qhov muag, zoo li teeb ci ntsa iab los ntawm lub koob yees duab. Feem ntau pom tau los ntawm ces kaum ntawm lawv lub qhov muag. Feem ntau yuav tshwm sim rau hauv qhov chaw tsaus ntuj. Cov teeb ci ntsa iab no yog tshwm sim los ntawm cov gel rub tawm ntawm lub retina thaum nws sib cais.

Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho qhov muag tam sim ntawd yog tias koj muaj cov tsos mob no, txawm tias lawv yog tshiab lossis hnyav zuj zus, vim tias qee zaum lawv tuaj yeem yog cov cim qhia ntawm tus mob hnyav dua.

Feem ntau, cov tsos mob no maj mam txo qis thiab tom qab ob peb lub hlis, koj lub hlwb tau siv rau nws thiab nws tsis ua rau koj ntxhov siab ntau.

Dab tsi ua rau PVD?

Thaum peb tseem hluas, zoo li thaum peb muaj 20 xyoo, peb lub qhov muag muaj ib daim gel tuab thiab meej heev sab hauv. Qhov no hu ua vitreous humor.Yog li ntawd. Yog hais kom meej, 99% ntawm nws yog dej, qhov seem yog yam xws li '(collagen)' thiab '(hyaluronic acid)'. Thaum peb laus zuj zus, cov dej hauv cov gel no nce ntxiv, thiab cov '(collagen)' fibers tawg, thiab cov gel pib ua kua. Tom qab ntawd, vim nws tsis muaj qhov tuab ntawd, cov gel cia li ntsws thiab sib cais ntawm '(retina)'. Qhov no zoo li lub npas qub ntsws thaum cua tawm.

Leej twg muaj feem yuav mob PVD ntau dua?

Vim qhov no yog ib feem ntawm kev laus, nws tsis tshua muaj rau cov neeg hnub nyoog qis dua 40 xyoo kom muaj qhov no. Feem ntau nws pom ntau dua tom qab hnub nyoog 50 xyoo. Lub sijhawm ntawm kev muaj qhov no nce ntxiv thaum muaj hnub nyoog.

Tsis tas li ntawd xwb, yog tias ib lub qhov muag muaj PVD, muaj feem ntau uas lwm lub qhov muag kuj yuav muaj nws hauv ib mus rau ob xyoos tom ntej.

Tsis tas li ntawd xwb, qee yam tseem ceeb yuav ua rau muaj kev pheej hmoo ntawm kev mob PVD:

• Rau cov neeg uas muaj qhov muag pom kev ze (Myopia) . Uas yog, cov neeg uas pom tau zoo thaum ze tab sis tsis deb.
• Rau cov neeg mob uas muaj mob ntshav qab zib ("( Diabetes Mellitus)") .
• Rau cov neeg uas tau raug mob qhov muag loj heev yav dhau los .
• Rau cov neeg uas tau phais qhov muag (piv txwv li, phais cataract ).

PVD puas ua rau pom kev tsis meej?

Qhov no yog ib lo lus nug uas ntau tus neeg nug. PVD feem ntau tsis mob . Tsis tas li ntawd, PVD ib leeg tsis ua rau pom kev tsis meej.

Txawm li cas los xij, qee zaum, thaum cov gel ntawd tawm ntawm retina, nws tuaj yeem raug rub me ntsis thiab muaj teeb meem tshwm sim. Qhov no yog thaum qhov muag pom kev tuaj yeem cuam tshuam.

Zoo hmoo, cov teeb meem no tshwm sim rau tsawg dua 15 ntawm 100 tus neeg uas muaj PVD. Qhov no txhais tau tias ntau tus neeg tsuas yog muaj PVD yam tsis muaj teeb meem, thiab cov tsos mob ploj mus raws sijhawm.

Cov teeb meem tseem ceeb uas tuaj yeem tshwm sim yog:

• Kev tsim kua muag ntawm lub qhov muag : Thaum cov gel tawm los, lub qhov muag tuaj yeem ncab thiab tsim kua muag.
• Kev tawg ntawm daim tawv muag : Kev rhuav tshem hauv daim tawv muag, ua rau cov kua dej ntws los ntawm qhov kua muag, thiab daim tawv muag tuaj yeem sib cais tag nrho ntawm cov ntaub so ntswg hauv qab. Qhov no yog qhov xwm txheej ceev thiab xav tau kev kho mob tam sim ntawd.
• Ib lub qhov hauv lub macula (`(Macular hole)`) : Raws li peb tau hais lawm, ib lub qhov tuaj yeem tsim nyob rau hauv `(macula)`, qhov ntse tshaj plaws ntawm kev pom.
• Macular pucker (los yog epiretinal membrane) : Ib daim nyias nyias tsim los saum lub macula, ua rau nws me thiab ua rau pom kev tsis meej.

Yog vim li no peb thiaj hais kom mus ntsib kws kho mob sai li sai tau thaum koj pib muaj cov tsos mob ntawm PVD. Ces peb mam li kuaj xyuas seb puas muaj teeb meem zoo li no.

Tus kws kho mob kuaj mob PVD li cas?

Yog koj muaj cov tsos mob ntawm PVD, koj yuav tsum mus ntsib kws kho qhov muag (kws kho qhov muag lossis kws kho qhov muag) tam sim ntawd . Nws yuav kuaj koj ob lub qhov muag kom zoo zoo.

Qhov kev kuaj mob tseem ceeb yog kev kuaj qhov muag kom dav . Hauv qhov kev kuaj mob no, tus kws kho mob muab qee cov tee dej rau hauv koj lub qhov muag thiab ua kom lub qhov muag loj. Qhov no ua rau nws pom cov retina, cov hlab ntsha optic, thiab cov vitreous gel hauv koj lub qhov muag . Nws siv lub teeb tshwj xeeb thiab cov iav los ua qhov no. Qhov kev kuaj mob no tsis mob heev, tab sis koj yuav hnov ​​​​​​qhov mob me ntsis tom qab siv cov tee dej, thiab koj qhov kev pom kev yuav tsis meej me ntsis rau ob peb teev.

Tsis tshua muaj, xws li thaum muaj me ntsis ntshav hauv lub qhov muag, thiab yog tias tus kws kho mob tsis pom sab hauv lub qhov muag kom zoo, lawv yuav ua qhov kev kuaj mob ultrasound ntawm lub qhov muag . Qhov no kuj tsis mob. Nws siv cov suab nrov siab los saib sab hauv lub qhov muag.

Cov kev kho mob rau PVD yog dab tsi?

Qhov no kuj yog ib qho teeb meem uas ntau tus neeg muaj. Yog tias tsis muaj teeb meem, PVD tsis tas yuav kho tshwj xeeb. Vim tias nws yog ib qho xwm txheej ntuj tsim.

Txawm li cas los xij, kom tsis txhob muaj teeb meem los ntawm PVD, nws yog qhov zoo tshaj plaws kom kuaj qhov muag thaum koj pib muaj cov tsos mob thiab, yog tias koj tus kws kho mob pom zoo, yuav tsum kuaj dua li plaub txog rau lub lis piam. Qhov no hu ua kev saib xyuas tom qab .

Thaum lub sijhawm kuaj zaum ob no, tus kws kho mob yuav saib ntau yam. Ib qho yog saib seb puas muaj dab tsi tsis tau pom thaum kuaj pom thawj zaug tias muaj PVD. Qhov thib ob yog saib seb puas muaj teeb meem tshiab tshwm sim. Piv txwv li, tej zaum yuav tsis muaj qhov kua muag ntawm daim tawv muag thaum kuaj thawj zaug, tab sis tej zaum yuav tshwm sim tom qab. Yog tias muaj ib qho, nws tuaj yeem kho tau sai.

Kev phais rau cov pob muag uas ntab tsis tshua muaj, vim muaj kev pheej hmoo (piv txwv li, kev kis kab mob, cataracts, retinal detachment). Txawm li cas los xij, rau qee tus neeg, yog tias cov pob muag uas ntab ua rau lawv tsis tuaj yeem ua haujlwm txhua hnub, ib txoj kev phais hu ua vitrectomy tuaj yeem ua tau los tshem tawm cov gel. Txawm li cas los xij, nws yog qhov zoo tshaj plaws los sab laj nrog kws phais vitreoretinal , tus kws phais uas tshwj xeeb hauv retina thiab lub qhov muag, ua ntej ua li ntawd.

Puas tsis muaj txoj hauv kev los tiv thaiv PVD kom tsis txhob loj hlob?

Tu siab kawg li, tsis muaj ib txoj kev twg los tiv thaiv tau PVD. Nws yog ib feem ntawm kev laus, ib yam li peb cov plaub hau hloov dawb lossis peb daim tawv nqaij ntsws.

Tiam sis, qhov tseem ceeb tshaj plaws uas koj ua tau yog, yog tias koj pom muaj kev hloov pauv tshiab hauv koj lub zeem muag,(Piv txwv li: Pom ntau yam uas ntab tam sim ntawd, pom ntau lub teeb, xav tias ib feem ntawm koj qhov muag pom kev raug npog los ntawm lub vijtsam dub) Nws yog ib qho tseem ceeb uas yuav tsum qhia rau tus kws kho qhov muag tam sim ntawd. Qhov no yuav pab txiav txim siab seb puas muaj lwm yam kab mob qhov muag thiab, yog tias muaj teeb meem tshwm sim, kev kho mob tuaj yeem pib sai.

Yav tom ntej yuav zoo li cas rau ib tus neeg uas muaj PVD?

Cov neeg uas muaj PVD feem ntau ua tau lawv tej dej num ib txwm yam tsis muaj teeb meem dab tsi. Tsis muaj teeb meem dab tsi nrog tej yam xws li tsav tsheb, nyeem ntawv, lossis ua haujlwm ntawm lub computer.

Txawm hais tias qhov mob no tsis ploj mus los, cov teeb meem ntab thiab teeb ci ntsa iab yuav maj mam txo qis zuj zus, thiab thaum kawg yuav tsis pom kiag li. Qhov no yog vim koj lub hlwb maj mam siv rau cov teeb meem ntab thiab kawm tsis quav ntsej lawv.

Nws muaj feem ntau tias PVD yuav tshwm sim rau lwm lub qhov muag hauv ib lossis ob xyoos ntawm thawj qhov PVD. Yog tias cov tsos mob tshwm sim rau lwm lub qhov muag, lub qhov muag ntawd yuav tsum tau kuaj xyuas kom paub tseeb tias tsis muaj kev rhuav tshem ntawm daim tawv muag.

Feem ntau cov neeg tsis muaj teeb meem xws li kev tawg ntawm daim tawv muag. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj qhov muag kom paub tseeb tias koj tsis muaj mob hnyav dua.

Puas muaj dab tsi uas kuv ua tau los txo qhov pom ntawm cov khoom ntab no hauv tsev?

Txawm hais tias tsis muaj kev kho mob tshwj xeeb rau PVD, cov no tuaj yeem pab txo qhov tsis xis nyob ntawm cov teeb ci ntsa iab thiab cov teeb ci ntsa iab uas los nrog nws:

• Maj mam txav koj ob lub qhov muag mus rau saum, mus rau hauv qab, ib sab mus rau ib sab, thiab ua voj voog. Tej zaum tus uas ntab yuav txav deb ntawm qhov chaw koj tab tom saib ncaj.
• Txo qhov kaj ntawm cov ntxaij vab tshaus xws li xov tooj ntse, khoos phis tawj, thiab TV. Qhov no yuav ua rau pom tsis meej ntawm cov khoom ntab.
• Siv cov tsom iav uas koj tus kws kho mob tau sau kom raug.
• Hnav tsom iav thaum muaj teeb pom kev zoo, tshwj xeeb tshaj yog thaum tawm mus rau sab nraum zoov. Qhov no yuav ua rau pom tsis meej ntawm cov khoom ntab.

Txawm hais tias cov no yuav tsis pab tau ntau los xij, lawv yuav pab txo qhov tsis xis nyob me ntsis.

PVD puas yog ib qho mob hnyav?

Lub npe "Posterior Vitreous Detachment" tuaj yeem ua rau ntshai me ntsis. Tab sis hmoov zoo, qhov no tsis yog qhov mob qhov muag loj heev. Nws yog ib qho txheej txheem ntuj uas tshwm sim thaum peb laus. Ntau tshaj ib nrab ntawm cov neeg laus hauv cov tebchaws zoo li Tebchaws Meskas tau ntsib qhov no.

Txawm hais tias tus mob no nws tus kheej tsis loj heev los xij, cov teeb meem uas nws ua tau tuaj yeem ua rau mob hnyav heev. Yog tias muaj qee yam zoo li qhov retinal tear lossis retinal detachment uas peb tau tham txog tshwm sim, nws yuav tsum tau kho tam sim ntawd, lossis koj tuaj yeem poob koj qhov muag mus tas li.

Yog li ntawd, yog tias koj muaj cov tsos mob ntawm PVD, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho qhov muag kom pom tias puas muaj qee yam loj dua, lossis yog tias nws xav tau kev kho. Tsis txhob txhawj, feem ntau nws yog ib yam dab tsi yooj yim.

Yog li ntawd, peb yuav tsum nco ntsoov dab tsi ntawm qhov no?

Zoo, yog li cia peb sau luv luv txog yam koj yuav tsum nco ntsoov los ntawm yam peb tau tham txog:

• (PVD) yog qhov sib cais ntawm cov gel hauv lub qhov muag ntawm retina thaum peb laus zuj zus. Qhov no yog ib qho uas tshwm sim ntau heev thiab tsis muaj dab tsi yuav tsum txhawj txog.
• Yog tias koj pom cov teeb me me, cov pob dub, lossis lub teeb ci ntsa iab rau ntawm koj ob lub qhov muag, cov no yuav yog cov tsos mob ntawm PVD.
• Yog tias cov tsos mob no tshwm sim sai sai, yog cov tshiab, lossis yog tias lawv nce ntxiv, koj yuav tsum mus ntsib kws kho qhov muag. Txawm hais tias PVD tsis txaus ntshai, nws qee zaum tuaj yeem ua rau muaj teeb meem loj, xws li retina kua muag.
• Feem ntau, PVD tsis tas yuav muaj kev kho mob tshwj xeeb. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj mob raws li koj tus kws kho mob hais kom kuaj xyuas seb puas muaj teeb meem dab tsi.
• Cov tsos mob no yuav ploj mus raws sijhawm. Koj lub hlwb yuav tau siv rau lawv. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum ua siab ntev thiab tsis txhob ntshai.
• Yog koj lub luag haujlwm los saib xyuas koj ob lub qhov muag! Mus nrhiav kev pab kho mob thaum lub sijhawm zoo.

Vam tias cov ntaub ntawv no yuav pab tau koj. Yog koj muaj lus nug ntxiv, tsis txhob hnov ​​qab nrog koj tus kws kho mob tham.