Koj tus menyuam puas muaj teeb meem qhov muag zoo li no? Cia peb kawm txog Kab Mob Coats.

Thaum koj saib koj tus menyuam lub qhov muag, koj puas tau pom ib yam dab tsi txawv? Tej zaum ib lub qhov muag zoo li txawv me ntsis, lossis lawv lub zeem muag zoo li tsis meej me ntsis? Yog tias koj pom ib yam dab tsi zoo li ntawd, tsis txhob xav tias nws yooj yim. Hnub no peb yuav tham txog ib qho teeb meem uas yuav los rau hauv koj lub siab thaum lub sijhawm zoo li no, thiab qhov ntawd yog ib qho mob hu ua Coats Disease . Qhov no yog ib qho kab mob qhov muag tsis tshua muaj uas feem ntau cuam tshuam rau cov menyuam yaus, tshwj xeeb tshaj yog cov tub hluas.

Kab mob Coats yog dab tsi? Cia peb nkag siab yooj yim heev.

Hais yooj yim xwb, Kab mob Coats yog ib yam mob uas tshwm sim thaum cov hlab ntsha hauv koj tus menyuam lub qhov muag tsis loj hlob zoo. Qhov no cuam tshuam rau lub retina, uas yog sab nraub qaum ntawm lub qhov muag. Xav txog nws li no: yog tias peb lub qhov muag zoo li lub koob yees duab, lub retina zoo li daim zaj duab xis hauv nws. Thaum lub teeb nkag mus rau hauv lub qhov muag, nws ntes cov duab thiab xa cov lus mus rau lub hlwb los ntawm lub retina no.

Yog li ntawd, hauv Coats Disease, cov hlab ntsha me me hauv retina ua o thiab ntswj, thiab lawv pib xau lossis xau cov kua dej zoo li plasma . Qhov no zoo li cov yeeb nkab dej uas muaj qhov hauv nws thiab xau dej. Txawm hais tias nws yuav tsis ua rau muaj kev puas tsuaj ntau tam sim ntawd, dhau sijhawm, qhov xau no tuaj yeem ua rau retina puas tsuaj thiab cuam tshuam rau qhov pom kev.

Kab mob no feem ntau cuam tshuam rau ib lub qhov muag. Txawm li cas los xij, nws tsis tshua muaj peev xwm cuam tshuam rau ob lub qhov muag tib lub sijhawm. Txawm hais tias feem ntau kuaj pom tias muaj kab mob no rau cov menyuam yaus thiab cov hluas, nws tuaj yeem tshwm sim rau txhua lub hnub nyoog. Qhov no tuaj yeem ua rau pom kev tsis meej, muaj teeb meem loj xws li retinal detachment, thiab thaum kawg dig muag hauv lub qhov muag ntawd. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob tam sim ntawd yog tias koj pom muaj kev hloov pauv hauv koj tus menyuam lub qhov muag lossis kev pom kev.

Cov tsos mob no yog dab tsi? Koj paub lawv li cas?

Kab mob Coats tej zaum yuav tsis ua rau muaj tsos mob thaum ntxov. Txawm li cas los xij, thaum tus kab mob loj zuj zus, tus menyuam yuav muaj cov tsos mob xws li:

• Kev pom kev maj mam ploj mus: Koj tus menyuam yuav xav tias lawv pom tsis meej hauv ib lub qhov muag. Tej zaum koj yuav pom tej yam xws li txav mus ze dua thaum saib TV lossis ntsia ntsoov thaum nyeem phau ntawv.
• Strabismus: Ib lub qhov muag zoo li tig mus rau lwm qhov.
• Mob qhov muag: Tej zaum ib txhia menyuam yaus kuj yuav yws txog mob qhov muag.
• Kab mob Leukocoria: Qhov no yog ib qho tsos mob txawv txawv me ntsis. Thaum koj saib ntawm lub qhov muag ntawm koj tus menyuam, lossis thaij duab, nws yuav zoo li dawb lossis nyiaj. Qhov no qee zaum hu ua "miv lub qhov muag." Yog tias koj pom lub cim no, koj yuav tsum mus ntsib kws kho mob tam sim ntawd.

Xav txog seb, thaum koj tus tub ua si, koj pom tias nws pom tsis meej nrog ib lub qhov muag, lossis thaum koj thaij duab thaum hmo ntuj, muaj ib qho dawb nyob rau hauv lub qhov muag dub ntawm ib lub qhov muag. Qhov ntawd yog qhov uas yuav tshwm sim ntawm no.

Cov theem ntawm tus kab mob Coats yog dab tsi?

Kab mob Coats muaj ntau theem, nyob ntawm seb nws loj hlob li cas, uas zoo li ntaiv.

• Theem 1: Qhov no yog theem yooj yim tshaj plaws. Hauv qhov no, tus kws kho qhov muag tuaj yeem pom tias tus menyuam muaj cov hlab ntsha tsis zoo hauv lub qhov muag, tab sis tus menyuam tseem tsis tau muaj kev tsis xis nyob lossis cov tsos mob vim yog cov hlab ntsha ntawd.
• Theem 2: Qhov no yog qhov uas cov kua dej pib tawm ntawm cov hlab ntsha tsis zoo. Qhov no feem ntau tuaj yeem cuam tshuam rau tus menyuam txoj kev pom kev.
• Theem 3: Thaum tus kab mob mus txog theem no, tus menyuam lub qhov muag pib tawg. Qhov no yog ib qho mob hnyav dua.
• Theem 4: Hauv theem plaub, tus menyuam lub qhov muag yuav muaj mob glaucoma , uas yog ib yam kab mob uas ua rau lub siab hauv lub qhov muag nce ntxiv.
• Theem 5: Qhov no yog theem hnyav tshaj plaws thiab theem kawg ntawm tus kab mob Coats. Thaum lub sijhawm no, lub qhov muag uas raug mob yuav dig muag tag.

Qhov tseem ceeb tshaj plaws yog tias txawm tus kab mob nyob rau theem twg los xij, qhov sai dua uas kuaj pom thiab kho tau, qhov ntau dua uas tus menyuam yuav pom kev zoo.

Vim li cas tus kab mob Coats thiaj tshwm sim?

Qhov tseeb, cov kws tshaj lij tseem tsis tau nrhiav tau qhov ua rau muaj tus kab mob Coats (idiopathic ). Uas yog, nws feem ntau tshwm sim yam tsis muaj kev xav tshwj xeeb, yam tsis muaj laj thawj tshwj xeeb.

Ib qho tseem ceeb ntxiv yog tias Kab Mob Coats tsis yog ib qho mob caj ces . Qhov ntawd yog, nws tsis yog ib qho mob caj ces uas kis tau los ntawm ib tiam dhau ib tiam. Txawm tias tsis muaj leej twg hauv koj tsev neeg muaj tus kab mob no los, koj tus menyuam tseem tuaj yeem muaj tus kab mob no. Tsis tas li ntawd, vim tias ib tug ntawm koj cov menyuam muaj tus kab mob no, tsis tas yuav txhawj tias lwm tus menyuam yuav muaj tus kab mob no thiab.

Leej twg yuav muaj feem ntau dua rau qhov no? (Cov yam ntxwv ntawm kev pheej hmoo)

Txawm hais tias leej twg los xij tuaj yeem mob Coats Disease, qee tus neeg muaj feem yuav mob ntau dua.

• Tau pom tias cov tub hluas muaj feem yuav mob no li peb npaug ntau dua li cov ntxhais.
• Saib hnub nyoog:
• Cov kws kho mob feem ntau kuaj pom qhov no rau cov menyuam yaus thiab cov hluas hnub nyoog qis dua 16 xyoo .
• Tsis tshua muaj qee tus menyuam yaus yug los muaj tus mob no, lossis nws tuaj yeem tshwm sim ob peb lub hlis tom qab yug los.
• Kuj tseem muaj kev tshaj tawm tias kwv yees li ib feem peb ntawm cov neeg uas muaj tus kab mob Coats yog cov neeg laus hnub nyoog tshaj 30 xyoo .

Tus kws kho mob paub qhov no li cas? (Kev kuaj mob)

Thaum koj mus ntsib kws kho mob, tshwj xeeb yog kws kho qhov muag , tom qab koj pom qee yam txawv hauv koj tus menyuam lub qhov muag, thawj qhov uas nws yuav ua yog kuaj xyuas tus menyuam lub qhov muag kom zoo.

• Nws kuaj xyuas tus menyuam lub qhov muag los ntawm sab nraud thiab sab hauv siv cov cuab yeej tshwj xeeb.
• Yuav muaj kev ntsuam xyuas qhov muag kom paub tseeb tias tus menyuam pom kev zoo. Qhov no suav nrog kev ntsuas qhov muag los ntawm kev qhia lawv cov ntawv thiab cov duab thiab kom lawv nyeem.

Ntxiv rau, ib lossis ntau qhov kev kuaj duab tshwj xeeb hauv qab no yuav raug ua los xyuas kom meej tias muaj tus kab mob Coats:

• Optical Coherence Tomography (OCT) scan: Qhov no thaij duab ntawm qhov seem ntawm retina.
• Kev kuaj mob Angiography: Qhov no suav nrog kev txhaj tshuaj tshwj xeeb rau hauv cov leeg ntshav hauv koj txhais caj npab thiab thaij duab thaum nws hla dhau cov hlab ntshav hauv koj lub qhov muag . Qhov no tso cai rau koj kom paub meej tias muaj qhov xau twg.
• Kev kuaj mob ultrasound: Qhov no tuaj yeem saib sab hauv ntawm lub qhov muag.
• Kev thaij duab MRI (Magnetic Resonance Imaging).
• Ib daim CT scan (Computed Tomography scan).

Cov kev kuaj no tso cai rau tus kws kho mob paub meej tias muaj dab tsi tshwm sim hauv lub qhov muag, qhov kev puas tsuaj rau cov hlab ntsha, thiab seb cov kua dej puas xau.

Cov kev kho mob yog dab tsi?

Kev kho mob rau tus kab mob Coats nyob ntawm theem ntawm tus kab mob hauv tus menyuam. Piv txwv li, yog tias tus kab mob raug kuaj pom thaum ntxov heev (theem 1 lossis theem 2 thaum ntxov) , tus menyuam yuav tsis tas yuav kho dab tsi li. Hauv cov xwm txheej zoo li no, tus kws kho qhov muag yuav tshuaj xyuas tus menyuam lub qhov muag tas li thiab nrhiav kev hloov pauv hauv cov hlab ntsha hauv lub retina.

Txawm li cas los xij, yog tias tus menyuam muaj cov tsos mob hnyav, lossis yog tias tus kab mob nyob rau theem hnyav dua, muaj kev kho mob xws li:

• Cryotherapy: Qhov no suav nrog kev siv cua txias heev los khov thiab rhuav tshem cov hlab ntsha tsis zoo, uas tom qab ntawd tiv thaiv lawv kom tsis txhob xau dej.
• Kev Kho Mob Tshuaj: Tus kws kho qhov muag tuaj yeem txhaj tshuaj anti-VEGF (Anti-vascular endothelial growth factor) ncaj qha rau hauv tus menyuam lub retina. Cov tshuaj no pab tiv thaiv cov kua dej kom tsis txhob ntws los ntawm cov hlab ntsha thiab tiv thaiv kom lub retina tsis tawg.
• Kev Phais Mob: Yog tias tus me nyuam nyob rau theem hnyav ntawm tus kab mob, lossis yog tias muaj mob xws li retina detachment tau tshwm sim, yuav tsum tau phais mob los kho qhov puas tsuaj.

Yog tias kuv tus menyuam muaj tus kab mob Coats, kuv yuav tsum tau tos li cas?

Qhov cuam tshuam uas tus kab mob Coats muaj rau tus menyuam lub qhov muag thiab kev pom kev nyob ntawm seb thaum twg kuaj pom tus kab mob thiab lub qhov muag teb rau kev kho mob zoo npaum li cas. Cov kev tshawb fawb tau pom tias tus menyuam laus dua thaum kuaj pom tus kab mob, qhov ntawd yuav tsis tshua muaj feem mob mus rau theem hnyav dua .

Yog tias kuaj pom tias muaj tus kab mob Coats thaum ntxov (theem 1 lossis 2), tus menyuam yuav tsis muaj feem yuav muaj cov teeb meem loj thiab ntev. Txawm li cas los xij, txawm tias tau kho mob lawm los xij, lub qhov muag uas raug mob tseem yuav pom kev tsis meej (pom kev tsis meej).

Yog tias tus kab mob tau nce mus txog theem hnyav dua, muaj kev pheej hmoo ntau dua ntawm kev dig muag ntawm lub qhov muag uas raug cuam tshuam. Yog vim li ntawd peb thiaj xav kom koj mus ntsib kws kho mob sai li sai tau, txawm tias koj pom qhov kev hloov pauv me me xwb los xij.

Qhov no ua rau muaj teeb meem dab tsi ntxiv?

Thaum muaj tus kab mob Coats, ib tug me nyuam muaj feem yuav mob lwm yam mob qhov muag, xws li:

• Mob pob qhov muag
• Kab mob qhov muag
• Uveitis ( mob ntawm cov ntaub so ntswg sab hauv lub qhov muag)
• Kev tsim cov hlab ntsha tshiab

Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tus kws kho mob cov lus qhia kom zoo thiab mus kuaj mob raws sijhawm.

Puas tiv thaiv tau tus kab mob Coats?

Vim tias tus kab mob no tshwm sim tsis tu ncua, tsis muaj laj thawj tshwj xeeb, tsis muaj dab tsi peb ua tau los tiv thaiv tus kab mob Coats.

Txawm li cas los xij, thaum kuaj pom tias muaj tus kab mob lawm, nws yog ib qho tseem ceeb uas yuav tsum tau mus kuaj qhov muag tas li raws li tus kws kho qhov muag pom zoo kom saib xyuas cov kev hloov pauv hauv tus menyuam lub retina. Qhov no yuav pab txheeb xyuas seb tus kab mob puas zuj zus tuaj thiab ua cov kauj ruam tsim nyog.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj pom muaj kev hloov pauv hauv koj tus menyuam lub qhov muag lossis qhov muag pom kev, mus ntsib kws kho mob lossis kws kho qhov muag tam sim ntawd. Tsis txhob ncua sijhawm.

Thiab, yog tias koj muaj ib qho ntawm cov tsos mob no, mus rau chav kho mob ceev hauv tsev kho mob tam sim ntawd :

• Tsis pom kev tam sim ntawd.
• Mob qhov muag heev.
• Nws piav tau tias yog pom lub teeb ci ntsa iab los yog pom cov khoom ntab nyob rau pem hauv ntej ntawm lub qhov muag.

Koj yuav tsum nug tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, tej zaum koj yuav xav nug cov lus nug zoo li no:

• Kuv tus menyuam muaj tus kab mob Coats theem twg lawm?
• Kuv yuav tsum tuaj kuaj ntxiv ntau npaum li cas?
• Tus me nyuam puas xav tau kev kho mob?
• Nws xav tau kev kho mob li cas?
• Kab mob Coats yuav cuam tshuam rau nws qhov muag pom kev npaum li cas?

Nug cov lus nug zoo li no thiab tshem tawm tag nrho koj cov kev tsis ntseeg. Tus kws kho mob yuav piav qhia txhua yam rau koj.

Qhov txawv ntawm Coats Disease thiab Retinoblastoma yog dab tsi?

Kab mob Coats thiab Retinoblastoma yog ob yam mob uas cuam tshuam rau retina ntawm cov menyuam yaus.

• Kab mob Coats yog ib yam mob uas cov hlab ntsha hauv tus menyuam lub qhov muag loj hlob tsis zoo li qub, ua rau cov kua dej ntws mus rau hauv lub qhov muag.
• Retinoblastoma yog ib hom mob qog noj ntshav tsawg tsawg uas tshwm sim hauv lub qhov muag. Txawm hais tias nws yog ib hom mob qog noj ntshav, yog tias cov qog tsis tau kis mus rau sab nraud lub qhov muag, feem ntau cov menyuam yaus tuaj yeem nyob tsis muaj mob qog noj ntshav tom qab kho mob.

Cov tsos mob thaum ntxov ntawm ob hom kab mob no zoo sib xws heev. Tshwj xeeb, qhov pom dawb ntawm lub qhov muag dub (leukocoria) tuaj yeem pom hauv ob qho tib si. Yog li ntawd, yog tias koj pom muaj kev hloov pauv lossis cov tsos mob hauv koj tus menyuam lub qhov muag, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho qhov muag tam sim ntawd kom paub meej tias nws yog dab tsi. Tus kws kho mob tuaj yeem ua qhov kev kuaj mob thiab qhia rau koj paub meej tias nws yog hom kab mob twg ntawm ob hom kab mob no.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Kab mob Coats yog ib yam mob tsis tshua muaj uas cuam tshuam rau cov hlab ntsha me me hauv lub retina, sab nraub qaum ntawm koj tus menyuam lub qhov muag. Qhov no ua rau cov kua dej tawm ntawm cov hlab ntsha ntawd, ua rau pom kev tsis zoo.

Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov yog tias txoj hauv kev zoo tshaj plaws los txo qhov cuam tshuam ntawm tus kab mob no rau lub qhov muag thiab kev pom kev ntawm tus menyuam yog kom paub txog tus kab mob thaum nws tseem hluas.

Yog li ntawd, yog tias koj pom txawm tias qhov kev hloov pauv me me ntawm koj tus menyuam lub qhov muag lossis txoj kev uas lawv pom tej yam, tsis txhob tsis quav ntsej thiab mus ntsib kws kho mob lossis kws kho qhov muag tam sim ntawd. Yog tias kuaj pom thaum ntxov, muaj feem ntau dua uas koj tus menyuam lub zeem muag yuav raug cawm nrog kev kho mob. Tsis txhob txhawj, cov kws kho mob nyob ntawd los pab koj thiab koj tus menyuam.

Kab mob Coats, cov kab mob qhov muag rau menyuam yaus, cov hlab ntsha hauv lub qhov muag, retina, kev tsis pom kev, kev kho qhov muag, kev noj qab haus huv ntawm menyuam yaus