Koj puas tau pom ib tug kws kho mob siv lub teeb me me ci rau hauv koj lub qhov muag? Los yog tej zaum koj tau pom tus kws kho mob ua li ntawd thaum kuaj xyuas koj tus menyuam lub qhov muag. Qhov no yog ib qho kev kuaj yooj yim heev, tab sis tseem ceeb heev. Nws feem ntau kuaj xyuas seb koj lub qhov muag puas nyob hauv qhov chaw zoo, uas yog, seb lawv puas sib dhos zoo. Hnub no peb yuav tham txog qhov kev kuaj yooj yim tab sis tseem ceeb heev no.
Kev Ntsuas Lub Teeb Reflex ntawm Lub Qhov Muag yog dab tsi?
Hauv lus yooj yim, qhov no yog kev sim uas xyuas seb koj ob lub qhov muag puas sib phim los ntawm kev ci lub teeb rau ntawm lub cornea ntawm koj lub qhov muag thiab saib seb lub teeb cuam tshuam li cas. Txhua yam koj xav tau yog chav tsaus ntuj thiab lub teeb me me, xws li lub teeb cwj mem. Nws tseem hu ua Hirschberg Test , los ua kev hwm rau tus kws kho qhov muag German uas thawj zaug nrhiav pom nws, Julius Hirschberg. Nws siv sijhawm luv luv los ua thiab tsis mob.
Qhov kev xeem no feem ntau ua rau ntau lub sijhawm:
- Thaum lub sijhawm kuaj qhov muag: Qhov no yog ib yam dab tsi uas cov kws kho qhov muag (kws kho qhov muag lossis kws kho qhov muag) feem ntau ua thaum lawv kuaj qhov muag.
- Thaum kuaj xyuas kev loj hlob ntawm cov menyuam yaus: Cov kws kho mob menyuam yaus ua qhov no tas li thaum kuaj xyuas cov menyuam mos thiab cov menyuam yaus hauv tsev kho mob, vim nws yog txoj hauv kev zoo tshaj plaws los kuaj pom cov mob xws li strabismus lossis amblyopia lossis qhov muag nkees thaum ntxov.
- Thaum lub sijhawm kuaj xyuas txhua xyoo rau cov neeg laus: Txawm tias cov kws kho mob dav dav kuj ua qhov kev xeem yooj yim no thaum ua kev kuaj mob lub cev lossis kev kuaj mob hlwb.
Qhov kev xeem no ua haujlwm li cas?
Xav txog koj ob lub qhov muag zoo li ob lub voos me me, ci ntsa iab. Tus kws kho mob ua yog ci ib lub teeb me me rau hauv koj lub qhov muag. Lub teeb ces ntaus rau ntawm lub qhov muag, qhov pom tseeb ntawm pem hauv ntej ntawm koj lub qhov muag, thiab cuam tshuam ua ib lub cim me me.
Yog tias koj ob lub qhov muag sib phim zoo kawg nkaus, uas yog, yog tias sib phim zoo kawg nkaus, lub cim me me uas lub teeb ci ntsa iab yuav tsum pom tseeb rau tib qho chaw hauv ob lub qhov muag.
Tus kws kho mob saib qhov chaw ntawm lub me me ntawd. Qhov ntawd tuaj yeem qhia tau yooj yim seb puas muaj teeb meem nrog kev sib phim ntawm lub qhov muag.
Muaj dab tsi tshwm sim thaum lub sijhawm kuaj thiab tom qab kuaj?
Qhov no yooj yim heev.
Thaum lub sijhawm xeem
Ua ntej, tus kws kho mob yuav ua kom chav tsaus me ntsis kom koj pom lub teeb ci ntsa iab ntawm koj ob lub qhov muag. Tom qab ntawd, koj yuav raug hais kom zaum ntawm nws xub ntiag thiab saib ncaj qha rau lub teeb me me hauv nws txhais tes. Thaum koj tab tom saib, tus kws kho mob yuav ua tib zoo saib qhov twg lub teeb ci ntsa iab rau ntawm koj ob lub qhov muag.
Tom qab qhov kev xeem
Nyob ntawm qhov tshwm sim, tus kws kho mob yuav ua ib yam dab tsi:
1. Yog tias qhov chaw ntawm ob lub qhov muag yog lawm: ces tsis muaj teeb meem. Nws yuav txav mus rau lwm qhov ntawm kev kuaj mob.
2. Yog tias zoo li muaj teeb meem nrog qhov chaw ntawm lub qhov muag: Yog tias muaj, yuav muaj qee qhov kev kuaj yooj yim los xyuas kom meej ntxiv thiab ntsuas qhov dav ntawm qhov kev hloov pauv. Tsis tas yuav txhawj txog qhov no, qhov no yog ua kom nkag siab qhov xwm txheej meej.
Cov txiaj ntsig ntawm qhov kev xeem no hais li cas?
Tus kws kho mob tuaj yeem qhia koj seb koj puas muaj teeb meem nrog qhov sib phim ntawm koj lub qhov muag thaum lub sijhawm lossis tom qab kuaj mob tam sim ntawd.
Yog tias qhov chaw zoo li qub:
Koj cov ntaub ntawv kho mob yuav sau tseg tias nws yog "symmetry" lossis "ortho." Qhov no txhais tau tias lub teeb pom kev zoo nyob rau tib qho chaw hauv ob lub qhov muag.
Qee zaum peb raug dag!
Qhov no hu ua pseudostrabismus . Xav txog tias qee tus menyuam mos muaj lub qhov ntswg dav dua me ntsis nrog daim tawv nqaij ntawm ob sab. Tom qab ntawd, thaum peb saib los ntawm sab nraud, peb lub qhov muag yuav saib me ntsis sab hauv. Tab sis qhov tseeb tsis muaj dab tsi tsis ncaj ncees lawm nrog lub qhov muag. Qhov Kev Ntsuas Lub Teeb Pom Kev ntawm Lub Qhov Muag no tuaj yeem txheeb xyuas cov mob zoo li no uas tsis yog strabismus, tab sis zoo li ntawd.
Yog tias qhov chaw tsis zoo li qub:
Yog tias qhov chaw ntawm lub qhov muag txawv tiag tiag, tus kws kho mob kuj yuav sau tseg tias nws yog hom dab tsi. Nov yog ob peb hom tseem ceeb.
| Hom Kev Tsis Sib Haum | Hais yooj yim xwb... (Piav qhia yooj yim) |
|---|---|
| Esotropia | Ib lossis ob lub qhov muag tig mus rau sab hauv (sab hauv) mus rau lub qhov ntswg . |
| Exotropia | Ob lub qhov muag los yog ib lub qhov muag tig mus rau sab nraud . |
| Hypertropia | Ib lub qhov muag nyob siab dua lwm lub. |
| Hypotropia | Ib lub qhov muag nyob qis dua lwm lub. |
Yog tias paub tseeb tias muaj teeb meem, koj yuav ua li cas tom ntej?
Yog tias tus kws kho mob menyuam yaus lossis koj tus kws kho mob hauv tsev neeg kuaj pom tias muaj teeb meem nrog qhov chaw ntawm koj ob lub qhov muag, lawv yuav xa koj mus rau tus kws kho qhov muag . Vim tias lawv muaj kev paub tshwj xeeb hauv kev kho qhov muag, lawv tuaj yeem qhia koj meej tias yog dab tsi ua rau qhov no thiab muaj kev kho mob dab tsi.
Qee zaum, cov kev hloov pauv ntawm qhov muag no tuaj yeem yog los ntawm teeb meem ntawm lub hlwb, xws li mob stroke lossis mob taub hau. Hauv cov xwm txheej zoo li no, kev kho mob yuav nyob ntawm qhov ua rau muaj teeb meem. Koj tus kws kho mob yuav piav qhia qhov no rau koj kom meej.
Thaum twg peb yuav tsum mus ntsib kws kho mob txog qhov no?
Qhov no yog ib feem tseem ceeb heev.
- Yog koj pom tias muaj kev hloov pauv maj mam:
- Cov Menyuam: Yog tias koj pom qhov muag tsis pom kev me me uas maj mam nce ntxiv, mus ntsib kws kho mob menyuam yaus tam sim ntawd . Cov mob xws li amblyopia tuaj yeem kho tau tag nrho yog tias kuaj pom ntxov. Txawm li cas los xij, yog tias kev kho mob qeeb tom qab lawv loj hlob mus txog hnub nyoog laus, nws tuaj yeem ua rau pom kev tsis meej mus tas li. Yog li, yog tias koj pom qee yam zoo li no, tsis txhob ncua sijhawm.
- Cov Neeg Laus: Yog tias tus neeg laus lub qhov muag maj mam hloov pauv, nws yog qhov zoo tshaj plaws mus ntsib kws kho qhov muag kom kuaj xyuas.
- Yog tias koj ob lub qhov muag qhib tam sim ntawd (qhov no yog xwm txheej ceev!):
- Yog tias qhov chaw ntawm lub qhov muag hloov pauv sai sai hauv ob peb teev lossis ob peb feeb, nws yog qhov xwm txheej ceev hauv kev kho mob .
- Yog tias koj tam sim ntawd pom kev tsis meej, tshwj xeeb tshaj yog tom qab raug mob taub hau lossis muaj cov tsos mob ntawm tus mob stroke, koj yuav tsum tsis txhob nkim sijhawm thiab mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
Tam sim no koj tuaj yeem pom tias peb tuaj yeem kawm tau ntau yam ntaub ntawv tseem ceeb los ntawm qhov kev xeem yooj yim no. Yog li ntawd, yog tias koj muaj kev tsis ntseeg txog qhov kev xeem no, lossis txog qhov chaw ntawm koj lossis koj tus menyuam lub qhov muag, tsis txhob yig tham nrog koj tus kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev Ntsuas Lub Teeb Pom Kev Zoo ntawm Lub Qhov Muag (Corneal Light Reflex Test - Hirschberg Test) yog ib qho kev ntsuas yooj yim heev, tsis mob, thiab ceev ceev uas xyuas seb lub qhov muag puas sib phim.
- Qhov no tseem ceeb heev rau kev kuaj pom thaum ntxov ntawm cov mob xws li strabismus thiab amblyopia hauv cov menyuam yaus.
- Yog koj pom tias tus menyuam lub qhov muag loj zuj zus tuaj, nrhiav kev kho mob sai sai yuav pab tiv thaiv kom tsis txhob muaj teeb meem pom kev mus tas li.
- Tsis yog txhua qhov muag tsis sib luag uas tshwm sim sab nraud yuav yog qhov tsis sib luag tiag tiag. Qee zaum nws yuav yog qhov tsis sib luag cuav (pseudostrabismus). Qhov kev kuaj no tuaj yeem lees paub qhov ntawd.
- Qhov muag ntswj tam sim ntawd, tshwj xeeb tshaj yog tom qab raug mob taub hau lossis muaj cov tsos mob ntawm kev mob stroke, yog qhov xwm txheej ceev uas yuav tsum tau kho tam sim ntawd ntawm chav kho mob ceev (ETU) ntawm tsev kho mob .
- Yog tias koj muaj kev txhawj xeeb txog qhov chaw ntawm koj ob lub qhov muag, tsis txhob yig nrog koj tus kws kho mob tham.
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