Koj tus kws kho mob puas tau qhia koj tias koj muaj ib yam mob hu ua Keratoconus, uas ua rau lub cornea nyias? Los yog nws puas tau qhia koj txog kev kho mob hu ua Corneal Cross-Linking, lossis CXL? Tej zaum koj yuav ntshai me ntsis thaum koj hnov lub npe. Tab sis tsis muaj laj thawj yuav tsum ntshai. Qhov no yog ib qho kev kho mob tseem ceeb thiab zoo heev los tiv thaiv koj lub zeem muag. Cia peb tham txog nws yooj yim heev hnub no.
Corneal Cross-Linking (CXL) yog dab tsi tiag?
Hais yooj yim xwb, Corneal Cross-Linking (CXL) yog ib qho kev kho mob me me uas ua rau lub cornea muaj zog thiab nruj, uas yog txheej nyias nyias, pob tshab nyob rau pem hauv ntej ntawm koj lub qhov muag .
Xav txog koj lub qhov muag zoo li lub koob yees duab. Lub cornea ntawm peb lub qhov muag ua haujlwm zoo li lub lens ntawm lub koob yees duab ntawd. Lub teeb nkag mus rau hauv lub qhov muag los ntawm qhov no. Yog li, qhov zoo li ntawm lub cornea no yog qhov tseem ceeb rau kev pom tseeb.
Hauv cov mob zoo li Keratoconus, lub cornea maj mam nyias, qaug zog, thiab nthuav mus rau pem hauv ntej ua lub duab zoo li lub khob hliav qab. Nws zoo li lub pob puag ncig uas nthuav tawm hauv ib qho chaw thaum nws raug ntaus. Peb hu qhov no ua corneal ectasia. Qhov no yog ib yam dab tsi uas maj mam nce ntxiv mus raws sijhawm. Thaum cov duab no hloov pauv, koj qhov kev pom kev maj mam pib tsis meej thiab zoo li ncab (astigmatism).
Kev kho mob CXL tiv thaiv qhov kev nyias nyias thiab tawm ntawm lub qhov muag. Qhov no tuaj yeem tiv thaiv koj lub qhov muag kom tsis txhob qaug zog ntxiv thiab tiv thaiv kev puas tsuaj rau qhov muag mus tas li.
Qhov no ua haujlwm li cas?
Peb lub qhov muag yog ua los ntawm cov protein fibers hu ua collagen. Cov no zoo li cov xov me me uas txuas ua ke, nthuav tawm zoo li ib lub mesh, ua rau lub qhov muag muaj zog. Cov txheej txheem no ntawm cov fibers khi ua ke hu ua "cross-linking."
Thaum lub sijhawm CXL, koj tus kws kho mob siv lub teeb UV tshwj xeeb thiab cov tshuaj qhov muag uas muaj vitamin B2 hu ua riboflavin. Thaum ob yam no sib xyaw ua ke, cov collagen fibers tshiab thiab muaj zog dua tau tsim los ntawm cov collagen fibers hauv lub cornea. Nws zoo li cov xov ntawm lub mesh uas tsis muaj zog tau sib ntswg ua ke thiab ua kom muaj zog. Qhov no tiv thaiv qhov thinning thiab protrusion ntawm lub cornea tag nrho.
Kev kho mob no haum rau leej twg? Thiab tsis haum rau leej twg?
Yog koj tus kws kho mob pom tias koj lub qhov muag nyias ua rau pom kev tsis meej mus tas li, nws yuav pom zoo kom siv txoj kev kho no. Cia peb saib daim ntawv teev lus hauv qab no kom paub thaum twg qhov no tsim nyog thiab tsis tsim nyog.
| Cov mob uas pom zoo kom kho CXL | Cov rooj plaub uas kev kho mob CXL yuav tsis haum |
|---|---|
| Keratoconus: Qhov mob feem ntau uas lub cornea bulges rau hauv ib lub cone zoo li. | Yog tias lub cornea nyias heev. |
| Pellucid marginal degeneration: Ib qho mob uas qhov qis ntawm lub cornea nyias. | Yog tias muaj qhov caws pliav loj heev lossis qhov opacification ntawm lub cornea. |
| Terrien marginal degeneration: Ib qho mob uas cov khoom sab nraud ntawm lub cornea nyias nyias. | Yog tias koj tau muaj tus kab mob herpes ntawm qhov muag yav dhau los. |
| Kev mob pob qhov muag tom qab phais: Kev qaug zog ntawm lub qhov muag tom qab phais xws li LASIK thiab PRK. | Yog tias koj muaj cov kab mob autoimmune . |
Qhov no puas yog phais? Epi-off yog dab tsi?
Yog lawm, CXL yog ib qho kev phais qhov muag me me vim tias nws yog ua los ntawm tus kws kho qhov muag. Tab sis tsis txhob txhawj, nws tsis yog ib qho kev phais loj.
Tsuas yog phais xwb ces yog tshem cov txheej nyias nyias saum lub qhov muag, hu ua epithelium. Nws zoo li cov txheej nyias nyias saum peb daim tawv nqaij. Nws raug tshem tawm kom cov tshuaj riboflavin uas peb siv tau nqus mus rau hauv cov txheej tob dua ntawm lub qhov muag. Txoj kev no hu ua "Epi-off" (epithelium-off). Txoj kev no tam sim no yog txoj kev pom zoo thiab ua tiav tshaj plaws hauv ntiaj teb.
Kuv puas yuav tsum npaj ua ntej kev kho mob?
Qhov no tsis yog kev kho mob sab nraud. Qhov no txhais tau tias koj tuaj yeem mus tsev tib hnub tom qab kev kho mob. Tsis tas yuav npaj tshwj xeeb. Txawm li cas los xij, vim tias koj yuav tsis tuaj yeem tsav tsheb tom qab kev kho mob, nws yog qhov tseem ceeb uas koj muaj ib tus neeg coj koj mus tsev.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Tag nrho kev kho mob yuav siv sijhawm li 60 feeb.Tam sim no, koj pw saum txaj. Tus kws kho mob yuav ua cov kauj ruam no raws li qhov kev txiav txim:
1. Ua kom qhov muag tsis hnov mob: Ua ntej, muab cov tshuaj loog rau qhov muag rau ntawm qhov muag kom nws tsis hnov mob.
2. Tshem tawm cov epithelium: Tom ntej no, txheej sab saud ntawm lub cornea, uas yog epithelium, yuav raug tshem tawm zoo heev.
3. Siv cov tshuaj: Tom ntej no, muab cov tshuaj qhov muag daj hu ua riboflavin (vitamin B2) tso rau hauv lub qhov muag thiab cia li 30 feeb kom nqus tau zoo.
4. Lub teeb UV: Tom qab ntawd, lub teeb UV tshwj xeeb yuav raug xa mus rau koj lub qhov muag li 30 feeb. Qhov no yog thaum lub sijhawm uas qhov khawv koob tshwm sim, ua kom cov collagen sib txuas ntxiv zog.
5. Kauj Ruam Kawg: Thaum kawg, cov tshuaj tua kab mob siv los tiv thaiv kev kis kab mob, cov tshuaj steroid qhov muag siv los txo qhov o, thiab cov ntaub qhwv qhov muag ib ntus siv los tiv thaiv lub qhov muag.
Yog li ntawd xwb. Ces koj mam li mus tsev tau.
Cov txiaj ntsig thiab kev pheej hmoo ntawm qhov no yog dab tsi?
Qhov zoo tshaj plaws ntawm kev kho mob no yog tias nws yog tib txoj kev kho mob uas muaj tam sim no uas tuaj yeem tiv thaiv kom lub qhov muag nyias thiab tawm los. Qhov no yuav tiv thaiv koj qhov muag kom tsis txhob pom kev phem dua. Nws kuj tseem tuaj yeem tiv thaiv koj kom tsis txhob raug phais loj, xws li hloov lub qhov muag, tom qab.
Kev tshawb fawb pom tau tias qhov kev vam meej ntawm kev kho mob Corneal Cross-Linking, tshwj xeeb tshaj yog rau tus mob Keratoconus, yog siab txog 95%.
Tau kawg, ib yam li kev kho mob twg los xij, muaj qee qhov kev pheej hmoo me me heev. Tab sis nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov no tsis tshua muaj .
- Kev kis kab mob.
- Kev ua caws pliav.
- Pom kev tsis meej tas mus li (corneal haze).
Koj tus kws kho mob yuav nrog koj tham txog tej yam no.
Lub sijhawm rov zoo tom qab kev kho mob yog li cas?
Lub sijhawm rov zoo tom qab kev kho mob yuav tsum tau ua siab ntev me ntsis.
Ua ntej, koj yuav tsum hnav lub lens uas muaj daim ntaub qhwv rau li ib lub lim tiam . Qhov no yog lub sijhawm rau cov txheej epithelium uas peb tau tshem tawm kom loj hlob rov qab. Thaum lub sijhawm no, koj kuj tseem yuav tsum siv cov tshuaj steroid qhov muag uas koj tus kws kho mob yuav sau ntawv kom siv.
Mob: Tom qab kho mob tas, tej zaum koj yuav mob me ntsis los yog kub hnyiab hauv koj ob lub qhov muag. Tej zaum ib txhia neeg yuav mob heev dhau lawm. Koj tus kws kho mob yuav muab tshuaj qhov muag rau koj kom txo qhov mob. Yog tias qhov mob tsis ploj mus txawm tias tom qab siv cov tshuaj no lawm los xij, tsis txhob ntshai qhia rau koj tus kws kho mob.
Pom Kev: Qhov tseem ceeb tshaj plaws yog tias thaum ntxov tom qab kev kho mob, koj qhov kev pom kev yuav zoo li tsis meej dua li yav dhau los.Qhov no hu ua corneal haze. Qhov no yog ib txwm muaj, tsis txhob txhawj txog nws. Koj qhov kev pom kev yuav maj mam pib pom tseeb dua.
Cov lus hauv qab no teev cov yam uas koj yuav ntsib thaum lub sijhawm rov zoo.
| Cov tsos mob uas tshwm sim thaum lub sijhawm rov zoo | |
|---|---|
| Khaus me ntsis los yog kub hnyiab hauv qhov muag | Kev rhiab heev ntawm lub teeb |
| Zoo li muaj ib yam dab tsi daig rau hauv lub qhov muag | qhov muag qhuav |
| Pom kev tsis meej | Corneal edema |
Tej zaum yuav siv sijhawm li 2-3 lub hlis rau koj qhov muag kom rov zoo li qub. Tom qab ntawd, koj yuav tsum tau siv ib txheej tsom iav tshiab lossis cov iav sib txuas lus tshiab.
Thaum twg koj yuav tsum tau nrog kws kho mob tham?
Yog tias koj pom kev hloov pauv sai sai thaum koj rov zoo (piv txwv li, pom tsis meej sai sai, pom cov pob dub) lossis yog tias qhov mob tsis raug tswj los ntawm cov tshuaj uas koj tus kws kho mob tau sau tseg, qhia rau koj tus kws kho mob paub tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Corneal Cross-Linking (CXL) yog ib txoj kev kho mob zoo heev uas tiv thaiv kom lub cornea tsis nyias thiab tawm thiab ua kom nws muaj zog hauv cov mob xws li Keratoconus.
- Qhov no yog kev kho mob me me, tsis yog nyob hauv tsev siv cov tshuaj qhov muag riboflavin (vitamin B2) thiab lub teeb UV.
- Nws yog ib qho ib txwm muaj qhov muag tsis meej pem thaum ntxov tom qab kev kho mob. Nws yuav siv sijhawm ob peb lub hlis kom rov zoo thiab pom kev zoo.
- Txoj kev kho mob no tuaj yeem tiv thaiv kev puas tsuaj loj rau qhov muag thiab kev phais loj yav tom ntej.
- Yog koj muaj kev txhawj xeeb lossis tsis paub meej txog qee yam, nrog koj tus kws kho qhov muag tham tas li. Tsis txhob ntshai nug cov lus nug.
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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