Koj tus menyuam puas muaj teeb meem nrog kev txav ntawm lub qhov muag? Cia peb tham txog Duane Syndrome!

Koj puas tau pom tias muaj ib txhia menyuam yaus muaj teeb meem tig lawv lub qhov muag mus rau tib qho kev taw qhia? Los yog nws zoo li ib lub qhov muag tig mus rau lub qhov ntswg thiab lwm lub qhov muag tig mus rau pob ntseg. Nws yog ib qho ib txwm rau cov niam txiv yuav txhawj xeeb heev thaum lawv pom ib yam dab tsi zoo li no, tshwj xeeb tshaj yog thaum nws tshwm sim rau lawv tus menyuam. Duane Syndrome, uas peb yuav tham txog hnub no, yog ib qho mob uas tshwm sim los ntawm kev txav ntawm lub qhov muag. Hais yooj yim, qhov no yog ib hom strabismus.

Kab mob Duane Syndrome yog dab tsi? Koj puas piav qhia ntxiv me ntsis?

Zoo, cia peb piav qhia qhov no kom yooj yim me ntsis. Ib tug neeg uas muaj Duane Syndrome muaj teeb meem tig lawv lub qhov muag mus rau ib sab, uas yog, mus rau sab ntawm lub qhov ntswg thiab mus rau sab ntawm pob ntseg. Tej zaum yuav yog ib lub qhov muag, tej zaum yuav yog ob lub qhov muag. Ntxiv rau qhov nyuaj ntawm kev tig cov qhov muag no mus rau ib sab, qee tus neeg kuj tseem yuav muaj teeb meem saib saum thiab hauv qab.

Ib qho ntxiv yog tias ob lub qhov muag tsis sib xws, lawv saib rau sab, thiab txawm tias lub qhov muag tuaj yeem txav mus los sib txawv thaum sim txav lub qhov muag. Qhov laj thawj tseem ceeb rau qhov no yog tias cov hlab ntsha (cranial nerves) uas tswj cov leeg hauv peb lub qhov muag tsis ua haujlwm zoo. Xav txog, nws zoo li tsis tuaj yeem tig lub kauj tsheb mus rau ob qho tib si.

Feem ntau, ntawm 80% thiab 90%, qhov mob no tsuas cuam tshuam rau ib lub qhov muag xwb (ib sab). Kuj tseem pom tias lub qhov muag sab laug feem ntau cuam tshuam .

Puas muaj lwm lub npe rau qhov no?

Yog, muaj ntau lub npe siv rau Duane Syndrome. Tsis txhob txhawj yog tias koj tus kws kho mob hais ib lub npe ntawm cov no, lawv txhua tus yog tib yam mob.

• Duane retraction syndrome
• Mob qhov muag rub rov qab
• Mob retraction syndrome los yog congenital retraction syndrome
• Duane radial ray syndrome
• Kab mob Stilling-Turk-Duane

Zoo siab paub cov npe no, vim qee zaum cov npe no yuav tshwm sim hauv cov ntaub ntawv kho mob.

Puas muaj hom Duane Syndrome?

Yog, ib yam li peb tab tom tham txog cov khoom noj, muaj peb hom tseem ceeb ntawm Duane syndrome. Lawv hu ua hom 1, hom 2, thiab hom 3. Tam sim no cia peb saib txhua hom sib cais.

Hom 1 Duane syndrome

Qhov no yog hom mob uas feem ntau tshwm sim , suav txog 78% ntawm tag nrho cov neeg mob Duane syndrome.

Yog koj lossis koj tus menyuam muaj hom thawj, nws nyuaj rau tig lub qhov muag mus rau sab nraud, uas yog, mus rau pob ntseg.. Tiam sis koj tuaj yeem tig koj lub qhov muag mus rau sab ntawm koj lub qhov ntswg. Tiam sis thaum koj ua li ntawd, qhov qhib uas lub qhov muag nyob yuav me dua, thiab lub pob qhov muag yuav zoo li "rub rov qab". Qee zaum lub qhov muag kuj zoo li raug rub mus rau sab ntawm koj lub qhov ntswg (esotropia).

Hom 2 Duane syndrome

Qhov no yog hom mob tsawg tshaj plaws , suav txog li 7% ntawm cov neeg uas muaj tus mob no.

Ib tug neeg uas muaj hom thib ob muaj peev xwm tsawg los tig lub qhov muag mus rau sab hauv, uas yog, mus rau lub qhov ntswg . Txawm li cas los xij, lawv tuaj yeem tig lub qhov muag mus rau pob ntseg. Txawm li cas los xij, thaum lawv ua li ntawd, qhov qhib qhov muag yuav me dua, zoo li hom thawj, thiab lub pob muag yuav zoo li mus rau sab hauv. Cov neeg no yuav muaj lawv lub qhov muag tig mus rau sab nraud, mus rau pob ntseg (exotropia).

Hom 3 Duane syndrome

Hom no cuam tshuam txog li 15% ntawm tag nrho cov neeg mob.

Ib tug neeg uas muaj hom 3 muaj peev xwm tsawg los tig lawv lub qhov muag mus rau ob sab, sab hauv thiab sab nraud . Tsis tas li ntawd, thaum saib los ntawm ntau lub kaum sib txawv, lub qhov muag yuav zoo li nqaim thiab lub pob qhov muag yuav zoo li mus rau sab hauv.

Qhov kev faib tawm no yog qhov tseem ceeb rau cov kws kho mob los npaj kev kho mob thiab nkag siab txog qhov xwm txheej ntawm tus kab mob.

Kab mob Duane Syndrome no muaj ntau npaum li cas?

Raws li kev suav txheeb hauv Tebchaws Meskas, kwv yees li 4% ntawm cov pej xeem, lossis kwv yees li 13 lab tus tib neeg, muaj qee hom strabismus. Kwv yees tias ntawm 1% thiab 5% ntawm cov neeg uas muaj tus mob no muaj Duane syndrome.

Lwm yam yog tias tus mob no feem ntau tshwm sim ntawm cov poj niam .

Cov tsos mob ntawm qhov no yog dab tsi? Cov menyuam yaus puas pom cov no thiab?

Yog, qee cov tsos mob ntawm Duane syndrome tuaj yeem pom txawm tias nyob rau hauv cov menyuam yaus. Cia peb saib seb cov tsos mob tseem ceeb yog dab tsi:

• Lub taub hau tig tsis zoo li qub: Ib txhia neeg uas muaj tus kab mob Duane feem ntau tig lawv lub taub hau mus rau ib sab kom lawv lub qhov muag ncaj. Xav txog nws zoo li koj tig koj lub taub hau thaum koj saib ib daim duab dai ntawm phab ntsa.
• Strabismus: Qee zaum, tab sis tsis yog txhua lub sijhawm, nws zoo li ob lub qhov muag tsis taw rau tib qho kev taw qhia .
• Amblyopia lossis qhov muag nkees: Qhov no kuj hu ua "qhov muag nkees." Thaum lub hlwb tau siv rau qhov muag zoo dua, nws pib tsis quav ntsej cov teeb liab los ntawm qhov muag uas cuam tshuam. Qhov no tuaj yeem ua rau pom kev tsis zoo hauv qhov muag ntawd dhau sijhawm.
• Ib lub qhov muag zoo li me dua li lwm lub: Qhov no yog vim lub pob qhov muag nqaim.
• Thaum koj saib ib qho kev taw qhia, koj ob lub qhov muag yuav txav mus rau saum lossis hauv qab: Qhov no hu ua "tsom mus rau saum" lossis "tsom mus rau hauv qab". Nws zoo li ob lub qhov muag yuav dhia mus rau saum lossis hauv qab tam sim ntawd.

Yog koj pom cov tsos mob no hauv koj tus menyuam, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho qhov muag kom tau txais lus qhia.

Cov neeg uas muaj Duane Syndrome puas tuaj yeem muaj lwm yam mob?

Txawm hais tias tsis yog txhua lub sijhawm, Duane syndrome qee zaum tuaj yeem nrog lwm yam teeb meem kev noj qab haus huv. Ib txhia ntawm cov no suav nrog:

• Kev hnov ​​​​lus tsis zoo
• Goldenhar syndrome: Qhov no yog ib qho mob uas ua rau muaj qhov tsis zoo ntawm lub ntsej muag, pob ntseg, thiab tus txha nqaj qaum.
• Teeb meem nrog koj tus txha nqaj qaum lossis vertebrae

Tsis tas li ntawd xwb, lwm yam mob qhov muag kuj tuaj yeem tshwm sim nrog rau Duane syndrome. Piv txwv li:

• Cataract: Qhov no txhais tau tias lub lens ntawm lub qhov muag ua clouding.
• Microphthalmos: Hauv qhov no, lub qhov muag yuav me me tsis zoo.
• Nystagmus: Qhov no yog thaum lub qhov muag txav mus sai thiab tsis tuaj yeem tswj tau.
• Kab mob kua muag ntawm tus khej: Qhov no yog cuam tshuam nrog tus mob ntawm lub ntsej muag uas ua haujlwm tsis zoo hu ua Bell's palsy. Hauv tus mob no, kua muag yuav tshwm sim thaum noj lossis haus ib yam dab tsi.

Yog li ntawd, thaum kuaj pom tias muaj Duane syndrome, cov kws kho mob kuj kuaj xyuas lwm yam mob zoo sib xws.

Dab tsi yog cov ua rau muaj Duane Syndrome?

Kab mob Duane yog ib yam mob uas muaj los ntawm noob caj noob ces, tiam sis feem ntau nws tsis yog los ntawm noob caj noob ces . Cov teeb meem kev txav ntawm lub qhov muag no yog tshwm sim, raws li tau hais ua ntej lawm, los ntawm cov teeb meem nrog cov hlab ntsha cranial uas tswj kev txav ntawm peb lub qhov muag.

Tshwj xeeb, nws tau pom tias cov menyuam ntawm cov niam uas raug tshuaj thalidomide thaum cev xeeb tub muaj feem yuav mob Duane syndrome ntau dua (cov tshuaj no tsis siv rau lub hom phiaj no lawm).

Kwv yees li ntawm 10% ntawm cov neeg uas muaj tus mob Duane syndrome muaj lwm cov neeg hauv tsev neeg uas kuj muaj tus mob no. Hauv cov rooj plaub hauv tsev neeg zoo li no, ob lub qhov muag feem ntau raug cuam tshuam (ob sab).

Yog tias Duane syndrome yog los ntawm kev xeeb tub los ntawm niam txiv, nws yog tshwm sim los ntawm tus menyuam tau txais ib qho variant ntawm cov noob caj noob ces 'CHN1', 'MAFB', lossis 'SALL4' los ntawm lawv niam lawv txiv. Tus qauv ntawm kev xeeb tub no hu ua 'autosomal dominant' . Qhov no txhais tau tias nws tuaj yeem tshwm sim tsis hais poj niam txiv neej, thiab txawm tias tsuas yog ib tug niam txiv muaj tus mob no, tus menyuam tuaj yeem tau txais nws.

Puas yog Duane Syndrome kis tau?

Tsis yog, tsis yog li ntawd. Duane syndrome tsis yog ib yam kab mob sib kis tau. Uas yog, nws tsis kis tau ntawm ib tus neeg mus rau lwm tus zoo li mob khaub thuas lossis mob ntsws. Yog li ntawd, tsis muaj laj thawj yuav tsum ntshai nws.

Yuav kuaj mob Duane Syndrome li cas?

Koj tus kws kho mob, tshwj xeeb yog tus kws kho qhov muag, yuav sau tag nrho cov keeb kwm kev kho mob thiab kuaj koj ob lub qhov muag kom zoo. Lawv yuav ntsuas seb muaj dej ntau npaum li cas hauv koj ob lub qhov muag thiab koj tuaj yeem tig lawv mus deb npaum li cas los ntawm ib sab mus rau ib sab.

Tus kws kho mob kuj tseem yuav xaj kom kuaj xyuas lwm yam mob uas yuav cuam tshuam nrog Duane syndrome.

Muaj lwm yam mob hu ua mob plawv nres thib rau, uas zoo ib yam li Duane syndrome, tab sis tsis tshua muaj. Tus kws kho mob kuj yuav sim paub qhov txawv ntawm ob yam mob no.

Yuav kho tus mob Duane Syndrome li cas?

Cov kev xaiv kho mob nyob ntawm koj lub hnub nyoog, qhov mob hnyav npaum li cas, thiab lwm yam mob uas koj muaj.

• Tej zaum ib txhia neeg yuav tsis xav tau kev kho mob: Ib txhia neeg uas muaj tus mob Duane syndrome tsis xav tau kev kho mob tshwj xeeb. Lawv tsuas yog yuav tsum mus ntsib kws kho qhov muag thiab kuaj lawv qhov muag xwb.
• Kev Kho Mob Rau Qhov Muag Qhuav (Amblyopia): Yog tias koj kuj muaj qhov muag qhuav, koj tuaj yeem sim txhim kho qhov pom kev ntawm lub qhov muag ntawd los ntawm kev npog lub qhov muag zoo nrog daim ntaub thiab ua rau lub qhov muag tsis muaj zog ua haujlwm hnyav dua. Qhov no zoo li hais kom ib tug menyuam ntse hauv chav kawm sawv ib sab ib pliag thiab muab sijhawm rau lwm tus menyuam.
• Kev Phais Mob: Yog tias Duane syndrome hnyav heev, tej zaum yuav xav tau kev phais mob los kho cov leeg ntawm lub qhov muag. Kev phais mob no tsis tuaj yeem kho qhov teeb meem ntawm cov hlab ntsha, tab sis nws tuaj yeem pab kho cov leeg ntawm lub qhov muag, txo qhov kev tsa taub hau tsis zoo, ua kom lub qhov muag ncaj thaum saib ncaj nraim rau pem hauv ntej, thiab tswj cov ceg saum toj/hauv qab.

Nco ntsoov tias, tsis yog txhua tus neeg yuav tsum tau phais. Qhov ntawd yog koj tus kws kho mob txiav txim siab.

Puas tiv thaiv tau Duane Syndrome?

Tam sim no, tsis muaj ib txoj kev twg los tiv thaiv tus kab mob Duane syndrome. Cov tshuaj thalidomide, uas tuaj yeem ua rau tus kab mob Duane syndrome (thiab ntau lwm yam kev puas tsuaj thaum yug los), tsis siv lawm. Yog li ntawd, tsis tas yuav ntshai nws.

Yog tias kuv muaj Duane Syndrome, kuv yuav tsum xav li cas?

Ib txhia neeg uas muaj tus mob Duane syndrome no yuav tig tau lawv lub taub hau me ntsis, ua rau lawv pom kev zoo dua, thiab ua neej nyob li qub. Qee zaum, tej zaum yuav tsum tau phais, raws li tau hais ua ntej.

Yog koj muaj lwm yam mob nrog rau Duane syndrome, koj tus kws kho mob yuav kho qhov mob ntawd thiab.

Tej zaum koj yuav raug pom zoo kom hnav tsom iav kom pom kev zoo dua thiab/lossis kho qhov chaw ntawm koj ob lub qhov muag.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Koj tuaj yeem nug koj tus kws kho mob cov lus nug zoo li no:

• Kuv puas yuav tsum mus ntsib tus kws pab tswv yim txog caj ces? (Tshwj xeeb tshaj yog tias ib tug neeg hauv tsev neeg muaj tus mob no, lossis yog tias kuv xav tias yuav muaj menyuam ntxiv).
• Puas muaj cov khoom siv pab uas pab kom pom kev zoo?

Feem ntau tus kws kho mob yuav kuaj pom tus menyuam muaj Duane syndrome hauv 10 xyoo thawj zaug ntawm lub neej. Yog tias koj muaj kev txhawj xeeb txog koj qhov muag pom kev lossis koj tus menyuam qhov muag pom kev, mus ntsib kws kho mob tam sim ntawd. Koj tus kws kho mob tuaj yeem pab koj txiav txim siab qhov kev kho mob zoo tshaj plaws rau Duane syndrome thiab kho amblyopia yog tias nws muaj.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li, los piav qhia txog Duane Syndrome uas peb tau tham txog, nco ntsoov cov no:

• Duane syndrome yog ib yam mob uas muaj txij thaum yug los uas ua rau nws nyuaj rau tig lub qhov muag los ntawm ib sab mus rau ib sab.
• Qhov no tsis yog ib yam kab mob sib kis tau.
• Cov tsos mob muaj xws li tig lub taub hau mus rau ib sab, ntsia tsis pom kev, thiab pom kev tsis meej hauv ib lub qhov muag.
• Muaj peb hom no, thiab qee zaum nws tuaj yeem tshwm sim nrog lwm yam teeb meem kev noj qab haus huv.
• Kev kho mob yuav suav nrog kev soj ntsuam, kho qhov muag qaug zog, lossis phais. Tsis yog txhua tus neeg yuav tsum tau phais.
• Qhov tseem ceeb tshaj plaws yog tias yog koj lossis koj tus menyuam muaj cov tsos mob no, tsis txhob ntshai thiab mus ntsib kws kho qhov muag kom tau cov lus qhia thiab kev kho mob zoo.

Vam tias cov ntaub ntawv no yuav pab tau koj. Yog tias koj muaj lus nug ntxiv, tsis txhob yig nug koj tus kws kho mob!

Duane syndrome, strabismus, qhov muag mob txij thaum yug los, kev txav ntawm qhov muag, qhov muag tub nkeeg, amblyopia, teeb meem pom kev