Koj puas pom cov kab zoo li no hauv koj ob lub qhov muag? Cia peb tham txog Angioid Streaks!

Koj puas tau mus ntsib kws kho qhov muag thiab hnov ​​​​​​ib yam dab tsi zoo li, "Koj tuaj yeem pom cov kab me me no hauv koj lub qhov muag, peb hu lawv ua Angioid Streaks"? Los yog koj puas tau hnov ​​​​​​lub npe no? Tej zaum koj yuav ntshai me ntsis thaum hnov ​​​​​​qhov no. Tab sis tsis txhob txhawj. Hnub no, peb yuav tham txog qhov mob no hu ua Angioid Streaks hauv txoj kev yooj yim thiab nkag siab.

Koj puas paub Angioid Streaks yog dab tsi?

Hais yooj yim xwb, Angioid Streaks yog cov kab me me, ntxhib uas tshwm sim hauv qab retina ntawm koj lub qhov muag. Lawv zoo li cov hlab ntsha, tab sis lawv tsis yog cov hlab ntsha tiag tiag. Lawv feem ntau pom thaum koj tus kws kho qhov muag kuaj koj lub qhov muag. Lawv feem ntau pom tau hauv ob lub qhov muag. Ib txhia neeg kuj hu lawv ua Knapp streaks lossis Knapp striae.

Xav txog, hauv koj lub qhov muag muaj ib lub 'Optic Disc' (uas yog, qhov kawg ntawm lub paj hlwb optic ua ntej nws txuas mus rau lub hlwb), thiab cov kab no zoo li nthuav tawm mus rau sab nraud ntawm qhov ntawd. Lawv tau tsim thaum ib daim ntaub hu ua 'Bruch's membrane' tsim tawm hauv lub qhov muag. Lub 'Bruch's membrane' no yog lub npog sab hauv ntawm 'Choroid' (qhov no yog qhov chaw uas cov hlab ntsha uas coj ntshav thiab cov as-ham mus rau lub qhov muag nyob). Nws nyob nruab nrab ntawm 'Retina' thiab 'Sclera'.

Cov tsos mob ntawm tus mob no yog dab tsi?

Feem ntau, tsis muaj tsos mob ntawm cov kab mob angioid. Qhov no txhais tau tias koj yuav tsis pom muaj kev hloov pauv lossis tsis xis nyob. Txawm li cas los xij, qee qhov teeb meem cuam tshuam nrog cov kab mob angioid no qee zaum tuaj yeem ua rau pom tsis tau. Yog vim li ntawd cov kws kho mob thiaj txhawj xeeb txog qhov no.

Vim li cas cov kab angioid no thiaj tsim?

Qhov laj thawj tseem ceeb yog qhov tsim cov kab nrib pleb hauv 'Bruch's membrane' uas peb tau tham txog ua ntej. Rau qee tus neeg, daim nyias nyias no tuab zuj zus, tso cov khoom xws li calcium, thiab yooj yim tawg. Thaum ntawd cov kab nrib pleb zoo li kab txaij tsim.

Qee zaum, cov no kuj tuaj yeem tshwm sim los ntawm kev raug mob ntawm qhov muag.

Cov yam ua rau muaj kev pheej hmoo yog dab tsi?

Muaj qee yam mob uas ua rau muaj Angioid Streaks. Yuav kom nco ntsoov cov no, cov kws kho mob qee zaum siv cov lus luv PEPSI . Cia peb saib seb lawv yog dab tsi:

• P - Pseudoxanthoma elasticum: Qhov no yog ib yam kab mob uas los ntawm noob caj noob ces. Nws yog tshwm sim los ntawm kev tso cov zaub mov hauv cov fibers elastic ntawm lub cev. Cov kab mob no feem ntau cuam tshuam nrog Angioid Streaks.
• E - Ehlers-Danlos syndrome: Qhov no kuj yog ib qho mob caj ces uas cuam tshuam rau lub cev cov ntaub so ntswg sib txuas.
• P - Kab mob Paget ntawm pob txha: Qhov no yog ib qho kab mob uas cuam tshuam rau cov pob txha. Nws cuam tshuam rau txoj kev uas cov pob txha tshiab tsim thiab tawg.
• Kab mob S - Sickle cell: Qhov no yog ib yam kab mob uas tau txais los ntawm noob caj ces uas cuam tshuam rau cov qe ntshav liab. Cov qe ntshav liab yuav hloov pauv thiab tuaj yeem daig rau hauv cov hlab ntsha.
• Kuv - Cov mob Idiopathic : Cov no yog cov mob uas tsis muaj laj thawj tshwj xeeb . Cov no tuaj yeem cuam tshuam rau hemoglobin (ib feem ntawm koj cov qe ntshav liab) lossis collagen (ib feem tseem ceeb ntawm cov ntaub so ntswg sib txuas) hauv koj cov ntshav.

Qhov tseem ceeb yog, koj tsis tas yuav muaj txhua yam kab mob uas PEPSI hais kom muaj Angioid Streaks. Cov no yog cov kab mob tseem ceeb uas tuaj yeem cuam tshuam nrog.

Lwm yam kev pheej hmoo

Ntxiv rau cov mob loj no, ntau lwm yam tseem ceeb yuav ua rau muaj kev pheej hmoo ntawm kev tsim Angioid Streaks:

• Kev laus: Kev hloov pauv hauv Bruch's membrane tuaj yeem tshwm sim nrog hnub nyoog.
• Kev raug mob ntawm qhov muag: Raws li peb tau hais ua ntej lawm, cov no kuj tuaj yeem tshwm sim los ntawm tej yam xws li kev raug mob hnyav rau lub qhov muag.

Cov teeb meem uas yuav tshwm sim ntawm Angioid Streaks yog dab tsi?

Txawm hais tias cov kab angioid feem ntau tsis muaj teeb meem dab tsi los xij, qee zaum lawv tuaj yeem ua rau muaj teeb meem uas cuam tshuam rau koj qhov muag pom kev. Cov no yog cov uas txaus ntshai.

Muaj ob qho teeb meem tseem ceeb:

1. Choroidal neovascularization: Qhov no yog thaum cov hlab ntsha tshiab, tsis zoo loj hlob hauv retina. Cov no zoo li cov nroj tsuag, thiab lawv tsis zoo rau lub qhov muag. Lawv tuaj yeem los ntshav lossis xau cov kua dej, ua rau pom kev tsis meej thiab tsis meej.

2. Kev los ntshav hauv qab lub qhov muag: Cov hlab ntsha tshiab uas tsis muaj zog no tuaj yeem tawg thiab los ntshav hauv qab lub qhov muag. Qhov no kuj tseem tuaj yeem ua rau pom kev tsis zoo.

Tsuas yog thaum muaj teeb meem zoo li no tshwm sim koj qhov kev pom kev pib tsis meej lossis txo qis.

Yuav kuaj mob li cas? Yuav kuaj dab tsi?

Feem ntau, koj tus kws kho qhov muag tuaj yeem kuaj pom cov kab angioid no thaum lub sijhawm kuaj qhov muag tas li. Txawm li cas los xij, txhawm rau kom paub meej tias muaj mob, tshem tawm lwm yam mob, thiab txiav txim siab seb puas muaj teeb meem dab tsi, koj tus kws kho mob yuav xav kom koj kuaj ntxiv. Qee zaum, lawv yuav hais kom koj kuaj cov no dua ib ntus ib ntus kom pom tias koj tus mob hloov pauv li cas.

Cov hom kev ntsuam xyuas uas tau ua

Cov kev ntsuam xyuas duab tseem ceeb uas tau ua yog:

• Kev kuaj mob fluorescein angiography:Qhov no suav nrog kev txhaj tshuaj xim tshwj xeeb rau hauv cov leeg ntshav hauv koj txhais caj npab. Tom qab ntawd, lub koob yees duab tshwj xeeb yuav thaij duab thaum cov xim mus ncig los ntawm cov hlab ntsha hauv koj lub qhov muag. Qhov no tso cai rau koj pom meej meej txog teeb meem nrog koj cov hlab ntsha, xws li cov hlab ntsha tshiab.
• Kev thaij duab Optical coherence tomography (OCT): Qhov no zoo li kev luam theej duab sab hauv ntawm lub qhov muag. Nws siv lub teeb ci los thaij cov duab hla ntawm sab hauv ntawm lub qhov muag. Nws tuaj yeem saib cov khoom xws li qhov tuab ntawm cov khaubncaws sab nraud povtseg ntawm lub retina, cov kua dej uas sib sau ua ke, thiab cov hlab ntsha tshiab.
• Fundus autofluorescence: Qhov kev kuaj no siv cov tshuaj ntuj hu ua lipofuscin pom nyob hauv lub qhov muag los ntes cov kev hloov pauv thiab kev puas tsuaj rau cov hlwb hauv lub qhov muag.

Tus kws kho mob yuav txiav txim siab seb koj xav tau kev kho mob dab tsi raws li cov ntaub ntawv tau los ntawm cov kev kuaj no.

Puas muaj kev kho mob rau Angioid Streaks?

Tsis muaj kev kho mob tshwj xeeb rau Angioid Streaks. Uas yog, tam sim no tsis muaj kev kho rau cov kab txaij. Txawm li cas los xij, qhov tseem ceeb tshaj plaws yog kho cov teeb meem uas tshwm sim los ntawm lawv, thiab kho txhua yam mob uas cuam tshuam nrog lawv (zoo li cov uas nyob hauv daim ntawv teev npe PEPSI).

Kev kho mob tshwj xeeb rau cov teeb meem

Yog tias koj muaj ib yam mob zoo li qhov peb tau tham txog hu ua "choroidal neovascularization" (piv txwv li kev tsim cov hlab ntsha tshiab, tsis xav tau), koj tus kws kho mob yuav qhia cov kev kho mob zoo li no:

• Photocoagulation: Qhov no siv laser los rhuav tshem cov hlab ntsha tsis xav tau.
• Kev kho mob Photodynamic (PDT): Qhov no suav nrog kev muab tshuaj tshwj xeeb uas ua rau koj lub cev rhiab rau lub teeb, tom qab ntawd xa lub teeb tshwj xeeb mus rau hauv koj lub qhov muag kom rhuav tshem cov hlab ntsha uas koj tsis xav tau.
• Cov tshuaj tiv thaiv kev loj hlob ntawm cov hlab ntsha endothelial (anti-VEGF): Cov no yog cov kev kho mob uas siv ntau tshaj plaws. Lawv suav nrog kev txhaj tshuaj tshwj xeeb rau hauv cov kua dej zoo li jelly hauv lub qhov muag hu ua vitreous humor. Cov tshuaj no tswj kev loj hlob ntawm cov hlab ntsha tshiab. Lawv kuj hu ua VEGF inhibitors. Cov tshuaj txhaj no yuav tsum tau rov ua dua txhua hli lossis raws li qhov xav tau.
• Siv cov tshuaj PDT thiab cov tshuaj anti-VEGF ua ke: Qee zaum ob txoj kev kho mob no siv tau ua ke.

Puas muaj tej yam kev mob tshwm sim/teeb meem ntawm kev kho mob?

Ib yam li kev kho mob twg los xij, cov kev kho mob no tuaj yeem muaj qee qhov kev phiv lossis teeb meem. Nws yog ib qho zoo uas yuav tsum paub txog qhov ntawd thiab.

• Kev siv laser photocoagulation:Txawm hais tias qhov no yuav ua rau pom kev meej hauv lub sijhawm luv luv, qee zaum nws tuaj yeem ua rau cov nqaij noj qab haus huv puas tsuaj, ua rau cov ntshav tawm hauv retina thiab poob qhov pom kev hauv nruab nrab.
• Cov tshuaj tiv thaiv VEGF: Cov kev mob tshwm sim los ntawm cov tshuaj txhaj no feem ntau yog luv luv xwb. Lawv tuaj yeem suav nrog mob qhov muag, liab, kua muag, thiab ntab. Muaj kev pheej hmoo me me ntawm kev kis kab mob qhov muag loj nrog txhua qhov kev txhaj tshuaj.
• Kev kho mob PDT: Tej zaum yuav muaj kev kub hnyiab ntxiv ib ntus tom qab qhov no. Kuj tseem yuav muaj qhov tsis pom kev hauv qhov muag. Tej zaum yuav muaj kev tsis haum tshuaj rau cov tshuaj uas ua rau lub teeb ci ntsa iab, thiab tsis tshua muaj, cov hlab ntsha tshiab, tsis xav tau yuav tsim.

Yog tias muaj lus qhia rau koj txog kev kho mob, nws yog ib qho tseem ceeb heev uas yuav tsum tau tham txog qhov zoo, qhov tsis zoo, thiab tej yam tshwm sim nrog koj tus kws kho mob.

Yog tias kuv muaj Angioid Streaks, yuav ua li cas?

Yog tias koj tsuas muaj cov kab mob angioid xwb, uas yog, yog tias tsis muaj lwm yam teeb meem, nws tsis txaus ntshai heev. Txawm li cas los xij, yog tias koj raug mob qhov muag, koj yuav tsum mus ntsib kws kho qhov muag thiab kho.

Yog tias koj muaj ib qho mob hauv lub cev uas ua rau koj cov angioid streaks, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob txoj kev npaj kho mob thiab tau txais kev kho qhov muag tsim nyog.

Qhov no puas tiv thaiv tau? Yuav ua li cas thiaj txo tau qhov kev pheej hmoo?

Tsis muaj ib txoj kev twg los tiv thaiv cov kab mob angioid uas tshwm sim los ntawm lwm yam mob. Txawm li cas los xij, koj tuaj yeem tiv thaiv cov kab mob uas tshwm sim los ntawm kev raug mob ntawm qhov muag.

Kev tiv thaiv koj ob lub qhov muag yog qhov tseem ceeb tshaj plaws ntawm no. Kev hnav cov khoom siv tiv thaiv qhov muag tuaj yeem txo qhov kev pheej hmoo thaum lub sijhawm zoo li no:

• Thaum ua haujlwm nrog cov tshuab lossis cov khoom uas yuav ua rau raug mob qhov muag (piv txwv li vuam, siv lub tshuab sib tsoo, ua haujlwm ntoo).
• Thaum caij maus taus (nrog lub visor ntawm lub kaus mom hlau).
• Thaum koom nrog kev ua si uas muaj zog me ntsis (piv txwv li ua si cricket, tshwj xeeb tshaj yog thaum ntaus pob ntaus pob, ntaus pob hauv fielding).
• Thaum ua haujlwm hauv lub vaj, tshwj xeeb tshaj yog thaum txiav cov ceg ntoo thiab tshem cov ntoo.

Lub sijhawm twg zoo tshaj plaws mus ntsib kws kho mob?

Nws yog ib lub tswv yim zoo kom mus ntsib kws kho qhov muag tsis tu ncua kom kuaj xyuas koj ob lub qhov muag. Yog tias koj muaj teeb meem qhov muag lossis lwm yam mob uas tuaj yeem cuam tshuam rau koj ob lub qhov muag, koj yuav tsum mus ntsib koj tus kws kho mob ntau zaus dua.

Yog tias koj muaj teeb meem qhov muag no, mus ntsib kws kho qhov muag tam sim ntawd:

• Yog koj mob qhov muag.
• Yog tias koj pom muaj kev hloov pauv hauv qhov muag (piv txwv li qhov muag tsis meej, qhov muag tsis pom kev, qhov muag tsaus).

Hauv qhov no, mus ntsib kws kho mob tam sim ntawd lossis mus rau chav kho mob ceev:

• Yog koj raug mob qhov muag.
• Yog tias koj mob hnyav lossis los ntshav hauv lub qhov muag.
• Yog tias koj qhov kev pom kev ploj mus sai sai lossis tsaus ntuj heev.

Cov lus nug uas yuav tsum nug tus kws kho mob/kws kho mob

Thaum koj paub tias koj muaj Angioid Streaks, koj tuaj yeem nug koj tus kws kho mob cov lus nug zoo li no:

• Vim li cas kuv thiaj muaj cov kab angioid no?
• Kuv xav tau kev kho mob hom twg?
• Cov kev kho mob no muaj cov kev mob tshwm sim li cas?
• Kuv yuav tsum tau ntsib koj ntau npaum li cas?
• Kuv yuav tsum mus ntsib kws kho mob tshwj xeeb twg ntxiv (piv txwv li, rau qhov mob uas twb muaj lawm)?
• Kuv yuav tsum tau saib xyuas cov tsos mob tshiab lossis cov cim qhia tias tus mob hnyav zuj zus tuaj li cas?
• Kuv tus mob yuav zoo li cas mus tom ntej (kev kwv yees)?

Qhov txawv ntawm 'Lacquer cracks' thiab 'Angioid Streaks' yog dab tsi?

Ob yam no yog cov khoom uas zoo li cov kab txaij hauv lub qhov muag thaum koj kuaj lub qhov muag. Txawm li cas los xij, lawv cov tsos thiab ua rau muaj qhov txawv.

• Cov kab nrib pleb ntawm cov xim lacquer: Cov no feem ntau pom tau rau hauv lub qhov muag ntawm cov neeg uas muaj qhov muag tsis pom kev zoo heev (qhov muag tsis pom kev ze).
• Angioid Streaks: Cov no tuaj yeem tshwm sim los ntawm qee qhov mob uas peb tau tham ua ntej, lossis los ntawm kev puas tsuaj rau lub qhov muag.

Qee zaum, yog tias cov kab no tsis pom tseeb, tus kws kho mob yuav tsum tau ua cov kev kuaj duab zoo li OCT kom paub qhov txawv ntawm ob qho no.

Thaum kawg, cov lus coj mus tsev

Yog koj muaj cov kab angioid, tej zaum koj yuav tsis paub txog qhov ntawd. Feem ntau cov kws kho mob yuav pom lawv thaum lub sijhawm kuaj qhov muag. Feem ntau, koj tsis tuaj yeem ua dab tsi txog lawv tsuas yog saib lawv xwb. Yog li ntawd, tsuas yog tos thiab saib seb lawv puas hloov pauv.

Txawm li cas los xij, qee zaum koj tus kws kho mob yuav xav tias koj muaj ib qho mob uas cuam tshuam nrog qhov no. Yog tias qhov ntawd yog qhov teeb meem, koj yuav tsum tau kuaj ntxiv.

Qhov tseem ceeb tshaj plaws yog tsis txhob ntshai thiab mloog zoo rau yam koj tus kws kho mob hais. Nco ntsoov nug cov lus nug txog yam kev kuaj mob uas koj yuav ua thiab cov txiaj ntsig yuav qhia koj li cas. Koj pab neeg kho mob nyob ntawd los txhawb koj thiab pab koj txiav txim siab zoo. Mus kuaj qhov muag tsis tu ncua thiab tiv thaiv koj ob lub qhov muag, thiab koj tuaj yeem txo qhov kev pheej hmoo ntawm ntau yam teeb meem.

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