Koj lossis ib tug neeg hauv koj tsev neeg, tej zaum koj niam lossis koj txiv uas muaj ntshav qab zib, puas tau raug tus kws kho qhov muag hais tias, "Muaj teeb meem me ntsis nrog lub retina, cia peb mus ntsib tus kws tshwj xeeb rau qhov no"? Lossis koj puas tau ntsib qhov muag tsis meej thaum koj laus zuj zus, thiab koj tsis pom qhov chaw ntawm koj qhov muag? Thaum qhov ntawd tshwm sim, peb yuav xav tias, "Vim li cas thiaj yuav tsum nrhiav tus kws kho qhov muag cais rau qhov no? Puas yog tus kws kho qhov muag tsis txaus?" Ntawd yog lo lus nug uas peb yuav tham txog hnub no. Leej twg yog 'Tus Kws Tshwj Xeeb Retina'? Cia peb tham txog nws kom meej thiab yooj yim heev.
Tus Kws Kho Mob Retina no yog leej twg? Cia peb nkag siab yooj yim.
Xav txog peb ob lub qhov muag zoo li lub koob yees duab zoo. Daim zaj duab xis tom qab lub koob yees duab no kaw cov duab ntawm tej yam uas peb pom. Lub membrane tseem ceeb heev hauv lub qhov muag uas ua haujlwm zoo li daim zaj duab xis ntawd, uas muaj ntau lub hlwb rhiab rau lub teeb, hu ua retina . Lub teeb los ntawm tej yam uas peb pom ntaus lub retina no, hloov mus ua cov teeb liab hluav taws xob, thiab mus rau lub hlwb los ntawm cov hlab ntsha optic, uas yog qhov chaw uas peb pom.
Yog li, peb hu tus kws kho mob tshwj xeeb Retina ua tus kws kho mob uas tau txais kev cob qhia tshwj xeeb hauv cov kab mob thiab kev phais uas cuam tshuam rau retina thiab cov khoom zoo li jelly ntawm lub lens ntawm lub qhov muag thiab retina, uas yog, lub cev vitreous .
Hais yooj yim xwb, txhua tus kws kho mob Retina yog kws kho qhov muag. Tab sis tsis yog txhua tus kws kho qhov muag yog kws kho mob Retina. Zoo li no, txhua tus kws kho mob plawv yog kws kho mob dav dav. Tab sis nws tau kawm txog lub plawv tob dua thiab tau txais kev cob qhia tshwj xeeb. Yog li ntawd. Cov kws kho mob tshwj xeeb no nyob ntawd rau cov kab mob nyuaj ntsig txog lub retina uas kws kho qhov muag dav dav kho tsis tau.
Yuav siv sijhawm ntev npaum li cas los kawm kom dhau los ua ib tug kws tshaj lij zoo li no?
Qhov no yog ib qho kev cog lus loj heev thiab yog ib txoj kev taug kev ntev. Xav txog seb yuav siv sijhawm ntev npaum li cas los kawm kom dhau los ua ib tug kws tshaj lij zoo li no.
1. Ua ntej, koj yuav tsum ua kom tiav daim ntawv kawm tiav dav dav.
2. Tom qab ntawd, koj yuav tsum kawm plaub xyoos hauv tsev kawm ntawv kho mob (MBBS).
3. Tom ntej no, koj yuav tsum ua tiav ib xyoos kev xyaum ua haujlwm.
4. Tom qab ntawd, koj yuav kawm peb xyoos txog kev kho qhov muag. Thaum lub sijhawm no koj yuav dhau los ua kws kho qhov muag dav dav.
5. Thaum kawg, koj yuav tsum tau kawm ob xyoos txog cov kab mob ntsig txog lub retina thiab lub cev vitreous.
Qhov ntawd txhais tau tias, kwv yees li 10 xyoo ntxiv tom qab kawm tiav qib siab.Tsis tas li ntawd xwb, ib tug kws tshwj xeeb txog qhov muag (Retina Specialist) yug los ntawm kev kawm thiab kev cob qhia. Cov neeg no txuas ntxiv kawm txog cov thev naus laus zis tshiab thiab cov txheej txheem kho mob tshiab thoob plaws lawv lub neej ua haujlwm. Vim tias kev kho qhov muag yog ib qho kev kawm uas tab tom txhim kho txhua hnub.
Tus kws kho mob tshwj xeeb Retina kho cov mob dab tsi?
Cov kws tshwj xeeb no feem ntau kho cov kev raug mob thiab cov kab mob ntawm cov qhov muag uas rhiab heev. Ntau yam kab mob no, yog tias tsis kuaj pom thiab kho thaum ntxov, tuaj yeem ua rau pom kev tsis meej mus tas li. Yog vim li ntawd lub luag haujlwm ntawm cov kws kho mob no thiaj li tseem ceeb heev.
Cia peb saib ntawm lub rooj hauv qab no seb cov mob tseem ceeb uas lawv kho yog dab tsi.
| Mob | Hauv lus yooj yim, yuav ua li cas nrog qhov no? |
|---|---|
| Kev puas tsuaj ntawm cov macular uas muaj feem cuam tshuam nrog hnub nyoog | Thaum peb laus zuj zus, qhov nruab nrab ntawm lub retina (macula) qaug zog. Qhov nruab nrab ntawm cov khoom uas pom ncaj qha yuav tsis meej thiab tshwm sim ua ib qho dub. |
| Kev puas tsuaj rau lub qhov muag vim yog mob ntshav qab zib (Diabetes-related retinopathy) | Kab mob ntshav qab zib ua rau cov hlab ntsha hauv lub retina puas tsuaj, ua rau lawv xau ntshav lossis kua dej. Qhov no yog ib qho ua rau pom tsis meej. |
| Kev tawg ntawm cov retina | Kev tawg ntawm daim tawv muag yog kev sib cais ntawm daim tawv muag ntawm cov nqaij hauv qab. Qhov no yog qhov xwm txheej ceev. Yog tias koj pom ib qho dub, ib daim ntaub kab laug sab, lossis ib lub teeb ci ntsa iab rau ntawm koj lub qhov muag, koj yuav tsum mus ntsib kws kho mob tam sim ntawd. |
| Qhov Macular | Ib lub qhov me me nyob rau hauv nruab nrab ntawm lub retina (macula) uas ua rau nruab nrab ntawm cov khoom tsis meej thaum saib ncaj qha. |
| Macular pucker | Ib txheej nqaij nyias nyias tsim nyob rau hauv nruab nrab ntawm lub retina, ua rau nws ntsws. Qhov no tuaj yeem ua rau pom kev tsis meej (zoo li cov kab ncaj). |
| Kev txhaws ntawm cov hlab ntsha retina | Kev txhaws ntawm cov hlab ntsha uas nqa cov ntshav tawm ntawm lub retina. Qhov no tuaj yeem ua rau pom kev tsis meej tam sim ntawd. |
| Kev raug mob qhov muag loj heev | Kho cov kev puas tsuaj rau cov qhov muag, tshwj xeeb tshaj yog cov retina, uas tshwm sim los ntawm qhov xwm txheej. |
| Cov kab mob qhov muag loj thiab o (uveitis thiab endophthalmitis) | Kev kis kab mob hnyav thiab o ntawm lub qhov muag. Cov no yuav tsum tau kho sai. |
Qhov tseem ceeb tshaj plaws yog tias yog koj pom ib qho ntawm cov tsos mob no, tsis txhob tsis quav ntsej lawv thiab mus ntsib kws kho qhov muag sai li sai tau. Yog tias nws xav tias nws tsim nyog, lawv yuav xa koj mus rau tus kws tshwj xeeb Retina.
Thaum koj mus ntsib kws kho mob Retina Specialist, koj yuav tsum xav li cas?
Yog tias koj tau raug xa mus rau tus kws kho qhov muag tshwj xeeb rau Retina, muaj ob peb yam uas koj yuav tsum paub txog qhov kev teem caij ntawd.
1. Lub sijhawm tab tom yuav tas.
Feem ntau, thaum koj mus ntsib kws kho mob tshwj xeeb zoo li no, tshwj xeeb tshaj yog thawj zaug, nws yuav siv sijhawm li ob lossis peb teev . Vim tias koj ob lub qhov muag yuav tsum tau kuaj xyuas kom zoo. Nws yuav siv sijhawm los ua qhov kev kuaj mob tsim nyog. Yog li, tsis txhob muab lwm yam tso rau hnub ntawd, thiab mus nrog koj lub siab kaj siab lug.
2. Tsis txhob tsav tsheb ib leeg.
Qhov no tseem ceeb heev. Ua ntej tus kws kho mob kuaj koj ob lub qhov muag, nws yuav siv cov tshuaj pleev qhov muag tshwj xeeb los ua kom lub qhov muag ntawm koj lub qhov muag loj dua. Qhov no hu ua kev nthuav lub qhov muag . Thaum lub qhov muag loj dua, tus kws kho mob tuaj yeem pom lub retina, macula, thiab cov hlab ntsha optic hauv koj lub qhov muag kom meej meej.
Koj qhov muag yuav tsis pom kev li ob peb teev tom qab siv cov tshuaj no. Tej zaum koj yuav muaj teeb meem tsom koj ob lub qhov muag rau ntawm lub teeb ci ntsa iab. Yog li ntawd,Tsis txhob tsav tsheb los yog rov qab los ib leeg. Ib txwm mus nrog ib tug neeg hauv tsev neeg los yog phooj ywg.
3. Npaj koj cov ntaub ntawv kho mob
Tus kws kho mob yuav nug koj txog koj keeb kwm kev mob nkeeg tag nrho.
- Lwm yam kab mob uas koj muaj (xws li ntshav qab zib, ntshav siab)
- Koj siv cov tshuaj dab tsi?
- Cov kev ua xua uas koj muaj
- Seb leej twg hauv tsev neeg puas muaj kab mob qhov muag
Nco ntsoov txhua yam no kom meej thiab nco ntsoov. Yog tias ua tau, nws yog ib lub tswv yim zoo kom coj koj cov tshuaj thiab daim ntawv qhia tshuaj nrog koj.
Cov kev kuaj mob yog dab tsi?
Yuav kom paub tseeb tias koj tus mob zoo li cas, koj tus kws kho mob yuav ua ntau yam kev kuaj mob sib txawv. Tej zaum qee yam ntawm cov no yuav tsis paub rau koj. Tab sis tsis tas yuav ntshai ib qho ntawm cov no.
| Kev Ntsuas | Koj ua li cas rau qhov no? |
|---|---|
| Kev kuaj lub teeb ci ntsa iab | Siv ib lub cuab yeej tshwj xeeb xws li lub tshuab microscope los ua kom cov qauv hauv lub qhov muag loj dua. |
| Kev kuaj mob qhov muag tsis ncaj qha | Tus kws kho mob hnav ib lub cuab yeej zoo li lub teeb rau ntawm nws lub taub hau thiab siv lub lens los kuaj sab nraub qaum ntawm lub qhov muag. Qhov no ua rau nws pom yuav luag tag nrho lub retina. |
| Kev kuaj mob ntawm lub qhov muag (OCT) | Qhov no zoo li kev luam theej sab hauv lub qhov muag. Nws thaij cov duab txiav ntawm cov txheej ntawm lub retina thiab nrhiav seb puas o, muaj kua dej ntau, thiab lwm yam. Nws tsis mob. |
| Kev kuaj mob fluorescein angiography | Yuav muab ib yam xim tshwj xeeb txhaj rau hauv cov hlab ntsha hauv caj npab, thiab yuav muab ib co duab ntawm cov hlab ntsha hauv lub qhov muag thaij. Qhov no pab kom pom tseeb tias cov ntshav lossis cov kua dej puas ntws los ntawm cov hlab ntsha hauv cov kab mob xws li ntshav qab zib. |
Cov lus nug tseem ceeb uas yuav tsum nug koj tus kws kho mob
Thaum peb mus ntsib kws kho mob, qee zaum peb tsis nco qab tag nrho cov lus nug uas peb muaj. Yog li, nws yog ib lub tswv yim zoo los sau txhua yam uas koj xav paub rau ntawm daim ntawv ua ntej koj mus. Koj tuaj yeem hais kom koj tus khub sau sai sai txog yam uas tus kws kho mob hais. Tom qab ntawd koj tuaj yeem tshawb nrhiav nws tom qab.
Nov yog qee cov lus nug uas koj tuaj yeem nug:
Txog koj tus mob:
- Kuv tus mob yog dab tsi tiag?
- Vim li cas ho muaj qhov teeb meem no?
- Qhov no cuam tshuam li cas rau kuv qhov muag pom kev?
- Puas muaj tej yam uas kuv yuav tsum hloov hauv kuv lub neej txhua hnub? (piv txwv li, kev noj zaub mov, kev tawm dag zog)
- Kuv yuav tsum txhawj xeeb txog cov tsos mob twg? Kuv yuav tsum ua li cas yog tias muaj tej yam zoo li ntawd tshwm sim?
- Qhov no puas yog ib yam kab mob uas tau los ntawm noob caj noob ces?
Txog kev ntsuam xyuas:
- Yuav tsum xav li cas los ntawm qhov kev xeem no?
- Thaum twg kuv thiaj paub cov txiaj ntsig (cov ntawv ceeb toom) ntawm qhov no?
- Puas muaj tej yam tshwm sim lossis kev pheej hmoo cuam tshuam nrog qhov kev kuaj no?
Txog kev kho mob:
- Kuv muaj cov kev kho mob twg?
- Tus kws kho mob pom zoo kom kho li cas? Vim li cas?
- Kuv yuav tsum paub dab tsi txog kev kho mob no (tshuaj, koob tshuaj, phais)?
- Cov kev pheej hmoo thiab cov txiaj ntsig ntawm kev kho mob no yog dab tsi?
- Kuv yuav tsum mus ntsib kws kho mob ntau npaum li cas?
Tsis txhob ntshai nug koj tus kws kho mob txog tej lus nug uas koj muaj. Thaum koj nkag siab meej txog koj tus mob, nws yuav yooj yim dua rau koj los txhawb koj txoj kev kho mob.
Thaum kawg, koj ob lub qhov muag yog ib qho khoom muaj nqis heev. Yog li ntawd, yog tias koj pom muaj kev hloov pauv lossis qhov tsis zoo hauv koj qhov kev pom, tsis txhob tsis quav ntsej lawv. Tus Kws Kho Mob Retina yog tus kws kho mob tshwj xeeb uas muaj kev cob qhia thiab kev paub ntau tshaj plaws los pab koj tiv thaiv koj qhov kev pom. Yog li ntawd, yog tias koj raug xa mus rau tus kws kho mob zoo li no , kev ua raws li lawv cov lus qhia yuav yog kev pab zoo hauv kev tiv thaiv koj qhov kev pom.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tus Kws Tshwj Xeeb Txog Retina yog tus kws kho mob uas tau txais kev cob qhia tshwj xeeb hauv retina, ntau dua li tus kws kho qhov muag dav dav.
- Cov kws kho mob tshwj xeeb no kho cov kab mob loj xws li kev puas tsuaj rau lub qhov muag los ntawm ntshav qab zib, retina detachment, thiab kev poob qhov muag ntsig txog hnub nyoog.
- Yog koj raug xa mus rau tus kws kho qhov muag Retina, nco ntsoov tias qhov kev teem caij yuav siv sijhawm ntev dua (2-3 teev) thiab koj yuav tsum tsis txhob tsav tsheb thiab muaj lwm tus neeg nrog koj mus vim tias yuav muaj tshuaj kho qhov muag.
- Pom kevYog tias muaj kev hloov pauv sai sai (floaters, flashes, poob qhov muag tam sim ntawd), mus rau tus kws kho qhov muag lossis chav kho mob ceev hauv tsev kho mob (ETU) tam sim ntawd yam tsis muaj kev ncua .
- Nug koj tus kws kho mob cov lus nug kom meej txog koj tus mob, kev kuaj mob, thiab kev kho mob. Qhov no yog qhov tseem ceeb rau kev kho mob kom zoo.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus