Koj puas tau xav txog seb peb lub qhov muag ua haujlwm li cas zoo li lub koob yees duab zoo kawg? Txhua yam peb pom, uas yog, xim, lub teeb, cov duab, tag nrho cov no raug xa mus rau lub hlwb hauv ob peb feeb xwb, cia peb pom lub ntiaj teb no. Hauv lub qhov muag me me no, muaj ib tug phab ej uas tsis tshua muaj neeg paub uas tseem ceeb rau peb lub zeem muag, tab sis peb tsis tham txog nws ntau. Qhov ntawd yog qhov peb hu ua 'Choroid'. Txawm hais tias lub npe txawv me ntsis, nws txoj haujlwm tseem ceeb heev. Yog li cia peb tham txog qhov no yooj yim thiab zoo hnub no.
Hais yooj yim xwb, cov choroid no yog dab tsi?
Xav txog tias peb lub qhov muag yog ib lub pob uas muaj peb txheej. Txheej nruab nrab hu ua uvea. Lub choroid yog ib feem tseem ceeb ntawm txheej nruab nrab ntawd. Nws lub luag haujlwm tseem ceeb yog muab ntshav, uas yog cov khoom noj uas lwm qhov tseem ceeb ntawm lub qhov muag xav tau uas tseem ceeb rau peb qhov kev pom kev. Tsis tas li ntawd xwb, nws kuj pab tswj qhov kaj nkag mus rau hauv lub qhov muag thiab muab kev pom kev meej rau peb.
Ob lub luag haujlwm tseem ceeb ntawm choroid yog dab tsi?
Cov kev pabcuam uas cov choroid muab rau peb lub qhov muag muaj peev xwm muab faib ua ob ntu tseem ceeb.
1. Kev Muab Ntshav
Qhov no yog qhov tseem ceeb tshaj plaws thiab lub luag haujlwm tseem ceeb ntawm choroid. Nws zoo li lub chaw tsim hluav taws xob tseem ceeb uas muab dej thiab hluav taws xob rau lub nroog. Lub retina thiab cov hlab ntsha optic hauv peb lub qhov muag zoo li ob lub Hoobkas uas ua haujlwm tsis tu ncua. Vim tias lawv ib txwm xa cov cim mus rau lub hlwb, lawv xav tau ntshav thiab khoom noj khoom haus ntau dua li lwm cov nqaij.
Yog li ntawd, sab hauv lub choroid no yog ib lub network ntawm cov hlab ntsha me me, sib sau ua ke saum ib leeg. Nws yog los ntawm cov hlab ntsha no uas lub retina thiab lub paj hlwb optic tau txais cov pa oxygen thiab cov as-ham tas mus li. Yog tias qhov kev muab no raug txo qis me ntsis, peb qhov muag pom kev tuaj yeem raug puas tsuaj loj heev.
2. Kev Nqus Tau Lub Teeb
Qhov no yog ib qho haujlwm uas tsis tshua muaj neeg paub, tab sis tseem ceeb heev. Koj puas tau pom cov ua npuas dub uas lo rau ntawm phab ntsa ntawm cov chaw kaw suab kom tsis txhob muaj suab rov qab los? Qhov ntawd yog qhov uas cov choroid ua hauv lub qhov muag.
Tej zaum koj yuav tau hnov txog melanin , cov xim uas ua rau peb daim tawv nqaij xim av. Cov melanin no kuj pom muaj ntau heev hauv choroid. Melanin siv rau hauv daim tawv nqaij los tiv thaiv cov teeb meem ultraviolet los ntawm lub hnub.Nws tiv thaiv daim tawv nqaij los ntawm kev nqus cov teeb UV. Hauv lub qhov muag, cov melanin no tiv thaiv lub teeb uas nkag los kom tsis txhob tawg mus rau hauv lub qhov muag yam tsis tsim nyog.
Yog hais kom meej, zoo li sab hauv lub koob yees duab dub, cov melanin no hauv choroid pab kom lub teeb tsom, pab cov hlwb photoreceptor hauv retina tsim cov duab meej. Txwv tsis pub, lub teeb hauv lub qhov muag tuaj yeem tawg thoob plaws, ua rau qhov peb pom tsis meej.
Cov choroid no nyob qhov twg?
Lub choroid nyob rau sab nraub qaum ob feem peb ntawm peb lub qhov muag. Hais yooj yim xwb, nws nyob nruab nrab ntawm phab ntsa dawb sab nraud ntawm peb lub qhov muag (sclera) thiab txheej sab hauv ntawm lub qhov muag, lub retina . Nws zoo li txheej nruab nrab ntawm lub sandwich.
Qhov no yog ib daim nyias nyias heev. Uas yog, nws tsuas yog tuab li daim ntawv A4 uas peb feem ntau luam tawm. Tab sis sab hauv qhov tuab me me ntawd yog lub network loj ntawm cov hlab ntsha uas kuv tau hais. Qee zaum, ib yam li peb muaj cov cim yug me nyuam ntawm peb daim tawv nqaij, cov choroid no kuj tuaj yeem muaj cov cim yug me nyuam (nevi). Peb tsis tuaj yeem pom cov no los ntawm sab nraud. Cov no tsuas yog pom thaum tus kws kho qhov muag kuaj xyuas qhov muag.
Tej yam mob twg yuav cuam tshuam rau choroid?
Muaj ntau yam uas cuam tshuam rau kev ncig ntshav hauv peb lub cev, xws li cov kab mob o, kuj tuaj yeem cuam tshuam rau choroid. Vim tias nws yog ua los ntawm cov hlab ntsha. Qee qhov mob tseem ceeb uas tuaj yeem pom yog:
- Albinism: Ib yam mob caj ces uas ua rau cov xim melanin hauv daim tawv nqaij thiab qhov muag txo qis. Qhov tsis muaj melanin no ua rau ob lub qhov muag tsis tuaj yeem tiv taus lub teeb (photophobia) thiab ua rau pom kev tsis meej.
- Cov mob uas muaj txij thaum yug los: Piv txwv li, cov mob xws li choroideremia tuaj yeem ua rau puas tsuaj rau retina.
- Kab mob retinopathy uas cuam tshuam nrog ntshav qab zib: Kab mob ntshav qab zib tuaj yeem ua rau cov hlab ntsha hauv lub qhov muag puas tsuaj, uas kuj tuaj yeem cuam tshuam rau choroid.
- Kev puas tsuaj ntawm lub qhov muag: Tshwj xeeb tshaj yog nyob rau hauv hom 'ntub', cov hlab ntsha tshiab, tsis muaj zog loj hlob hauv choroid, uas tuaj yeem ua rau puas tsuaj rau qhov muag pom.
- Mob qog nqaij hlav ntawm qhov muag: Mob qog nqaij hlav, tshwj xeeb tshaj yog melanoma hauv qhov muag, tuaj yeem tshwm sim hauv choroid.
- Qhov muag ischemia: Cov ntshav tsis txaus mus rau lub qhov muag, xws li thaum muaj mob stroke.
- Glaucoma: Thaum muaj kev siab ntxiv hauv lub qhov muag ua rau lub paj hlwb optic thiab retina puas tsuaj, choroid kuj tuaj yeem raug cuam tshuam tsis ncaj qha.
- Kev raug mob ntawm qhov muag.
- Cov mob o: Mob o thiab kis kab mob rau sab hauv lub qhov muag, xws li uveitis lossis chorioretinitis.
Koj yuav paub qhov teeb meem nrog rau choroid li cas?
Thaum muaj teeb meem nrog lub choroid, nws cuam tshuam ncaj qha rau peb qhov kev pom kev. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau ua tib zoo saib xyuas txhua qhov kev hloov pauv ntawm qhov muag pom kev.
| Cov tsos mob ntawm cov kab mob ntsig txog choroid | |
|---|---|
| Cov tsos mob uas pom ntau zaus | |
| Cov pob dub lossis qee qhov ntawm qhov muag ploj mus | Kev tshwm sim ntawm cov chaw dig muag (scotomas). |
| Pom kev tsis meej | Pom kev tsis meej. |
| Kev pom ob sab | Pom kev ob sab (diplopia). |
| Mob qhov muag thiab mob taub hau | Mob qhov muag thiab mob taub hau. |
| Nyuaj siab saib lub teeb | Kev rhiab heev rau lub teeb (photophobia). |
| Cov tsos mob thaum muaj xwm txheej ceev uas xav tau kev kho mob tam sim ntawd | |
| Xeev siab thiab ntuav nrog rau mob qhov muag/siab | Xeev siab thiab ntuav nrog rau mob qhov muag. |
| Pom cov voj voog zaj sawv ncig lub teeb | Pom cov halos xim zaj sawv ncig lub teeb. |
| Kev poob qis lossis kev pom kev sai sai | Qhov no yog ib qho xwm txheej ceev uas xav tau kev kho mob tam sim ntawd. |
| Lub teeb ci ntsa iab ua ntej lub qhov muag | Pom teeb ci ntsa iab (photopsias). |
Yog tias koj muaj cov tsos mob ceev no, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob yam tsis ncua sijhawm thiab mus ntsib kws kho mob. Lub sijhawm yog qhov tseem ceeb hauv kev kho mob ceev ntawm qhov muag.
Yuav ua li cas thiaj kuaj tau cov mob zoo li no?
Thaum koj mus ntsib kws kho qhov muag, lawv yuav nug txog koj cov tsos mob thiab kuaj koj ob lub qhov muag. Yog tias lawv xav tias muaj teeb meem nrog choroid, lawv yuav ua cov kev kuaj mob hauv qab no:
- Kev ntsuam xyuas qhov pom kev: Kev ntsuam xyuas dav dav uas ntsuas qhov ntse ntawm koj qhov kev pom kev.
- Kev kuaj pom kev: Kev kuaj seb puas muaj teeb meem dab tsi hauv koj qhov kev pom kev (koj pom deb npaum li cas yam tsis txav koj lub taub hau).
- Kev kuaj lub teeb me me: Hauv qhov no, tus kws kho mob yuav ua tib zoo kuaj sab hauv ntawm koj lub qhov muag nrog lub cuab yeej tshwj xeeb zoo li lub tshuab microscope.
- Kev kuaj duab retinal: Vim yog kev sib txuas ntawm choroid thiab retina, kev kuaj xyuas retina kuj tseem tuaj yeem muab cov ntaub ntawv hais txog choroid.
- Kev siv tshuaj fluorescein angiography: Yuav muab ib yam xim tshwj xeeb txhaj rau hauv cov hlab ntsha hauv caj npab, thiab yuav thaij cov duab ntawm cov hlab ntsha hauv lub qhov muag.
- Optical Coherence Tomography (OCT): Qhov no zoo li kev thaij duab ntawm sab hauv lub qhov muag. Nws tuaj yeem kuaj xyuas seb cov txheej ntawm lub qhov muag tuab npaum li cas thiab seb puas muaj qhov o.
Cov kev kho mob rau cov kab mob ntsig txog choroid yog dab tsi?
Feem ntau, es tsis txhob kho ncaj qha rau choroid, qhov mob hauv qab uas cuam tshuam rau nws raug kho. Qhov no txhais tau tias thaum kho qhov ua rau, qhov mob ntawm choroid kuj zoo dua. Cov txheej txheem kho mob tuaj yeem sib txawv heev nyob ntawm tus kab mob.
| Txoj kev kho mob | Hais yooj yim xwb... |
|---|---|
| Cov tshuaj kho mob glaucoma | Cov tshuaj uas txo qhov siab ntawm lub qhov muag thiab tiv thaiv lossis txo qhov kev puas tsuaj rau cov hlab ntsha optic. |
| Cov tshuaj tiv thaiv kev o | Cov tshuaj uas tswj qhov o thiab kev kis kab mob hauv lub qhov muag. |
| Cov tshuaj tiv thaiv VEGF | Ib yam tshuaj (feem ntau txhaj rau hauv lub qhov muag) uas tiv thaiv kev loj hlob ntawm cov hlab ntsha tshiab, tsis muaj zog hauv lub qhov muag. |
| Kev kho mob qog noj ntshav | Kev kho mob rau mob qog noj ntshav hauv qhov muag suav nrog kev phais thiab kev siv hluav taws xob. |
| Cov tshuaj uas pab cov ntshav ncig | Cov tshuaj uas tiv thaiv cov ntshav txhaws (anticoagulants), xws li cov tshuaj uas tswj cov ntshav siab. |
| Kev phais qhov muag | Kev phais mob ua los kho qee yam mob uas ua rau lub qhov muag puas tsuaj. |
Nyob ntawm koj tus mob, tej zaum koj yuav xav tau kev kho mob ntxiv, uas koj tus kws kho mob yuav piav qhia rau koj kom meej.
Yuav ua li cas thiaj tswj tau kev noj qab haus huv ntawm choroid thiab qhov muag?
Peb ob lub qhov muag yog ib qho khoom muaj nqis heev. Yog li ntawd, peb txhua tus yuav tsum sim tiv thaiv lawv. Muaj ntau yam uas koj tuaj yeem ua tau los tswj kev noj qab haus huv ntawm tag nrho lub qhov muag, suav nrog cov choroid.
- Mus kuaj qhov muag tsis tu ncua: Txawm koj hnav tsom iav los tsis hnav, nws yog ib qho tseem ceeb uas yuav tsum tau mus ntsib kws kho qhov muag kuaj koj ob lub qhov muag tsawg kawg ib xyoos ib zaug. Ua li no, tej teeb meem twg los xij yuav raug txheeb xyuas ua ntej cov tsos mob tshwm sim.
- Tiv thaiv koj ob lub qhov muag: Yog tias koj vuam hlau, ua haujlwm nrog cov tshuaj lom neeg, lossis ua haujlwm hauv thaj chaw muaj plua plav, nco ntsoov hnav tsom iav / tsom iav kev nyab xeeb.
- Tsis txhob haus luam yeeb thiab haus luam yeeb: Kev haus luam yeeb thiab zom luam yeeb ua rau peb lub cev ntshav puas tsuaj ncaj qha. Vim tias choroid yog ib txheej ntawm cov hlab ntsha, kev haus luam yeeb tuaj yeem ua rau nws puas tsuaj ncaj qha.
- Tswj cov kab mob ntev: Yog tias koj muaj cov kab mob xws li ntshav qab zib thiab ntshav siab , tswj lawv kom zoo raws li koj tus kws kho mob cov lus qhia. Yog tias cov kab mob no tsis raug tswj, qhov kev puas tsuaj rau lub qhov muag tuaj yeem loj heev.
- Saib xyuas koj txoj kev noj qab haus huv tag nrho: Kev noj zaub mov kom sib npaug, tswj qhov hnyav kom noj qab nyob zoo, thiab kev tawm dag zog tsis tu ncua tsis yog tsuas yog zoo rau koj lub qhov muag xwb, tab sis kuj zoo rau koj lub cev tag nrho.
Lub choroid yog ib feem ntsiag to, tab sis tseem ceeb heev ntawm peb lub qhov muag. Nws muab lub neej rau peb qhov muag pom thiab pab peb pom lub ntiaj teb kom meej. Yog li, nws yog peb lub luag haujlwm kom paub txog nws thiab saib xyuas peb lub qhov muag.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov choroid yog ib feem tseem ceeb ntawm txheej nruab nrab hauv peb lub qhov muag uas muab ntshav rau lub qhov muag thiab tswj lub teeb.
- Tsis pom kev tam sim ntawd, pom teeb ci ntsa iab ntawm lub qhov muag, thiab ntuav nrog mob qhov muag yog cov tsos mob hnyav uas yuav tsum tau kho mob ceev.
- Txoj kev zoo tshaj plaws los tswj kev noj qab haus huv ntawm cov choroid yog tswj cov kab mob xws li ntshav qab zib thiab ntshav siab thiab mus ntsib kws kho qhov muag tsis tu ncua.
- Yog koj pom muaj kev hloov pauv lossis tsis xis nyob hauv koj lub zeem muag, tsis txhob sim txiav txim siab ntawm koj tus kheej thiab tham nrog kws kho mob sai li sai tau.
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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