Koj ob lub qhov muag puas tig mus rau sab nraud thiab? Cia peb tham txog exotropia!

Koj puas tau pom tias koj tus me nyuam, lossis tej zaum ib tug neeg uas koj paub, muaj ib lossis ob lub qhov muag tig me ntsis mus rau sab nraud, mus rau pob ntseg? Los yog nws puas kaw ib lub qhov muag thaum saib TV lossis thaum nws nyob sab nraum zoov hauv tshav ntuj ci ntsa iab? Qee zaum koj yuav pom nws tig nws lub taub hau mus rau ib sab. Cov no yog qee cov tsos mob ntawm tus mob hu ua "Exotropia" uas peb yuav tham txog hnub no. Tsis txhob txhawj, qhov no yog ib yam dab tsi uas ntau tus neeg muaj, thiab cia peb tham txog nws kom meej thiab yooj yim.

Hauv lwm lo lus, exotropia yog dab tsi?

Exotropia (hais tias "ex-so-tro-pee-ya") yog qhov tsis sib luag ntawm lub qhov muag. Hauv kev kho mob, peb feem ntau hu qhov mob no ua "strabismus." Tej zaum koj kuj tau hnov ​​​​​​lo lus "qhov muag sib tshuam," uas yog qhov nws yog.

Yog li ntawd, hauv qhov '(Exotropia)' no, ib lossis qee zaum ob lub qhov muag tig mus rau sab nraud, uas yog, mus rau sab uas pob ntseg nyob. Yog tias tsuas muaj ib lub qhov muag tig mus rau sab nraud li no, peb hu nws '(Monocular Exotropia)'. Yog tias ob lub qhov muag tig mus rau sab nraud li no, nws hu ua '(Bilateral Exotropia)'.

Tej zaum koj twb tau hnov ​​txog ib yam mob hu ua '(Esotropia)'. Nws yog thaum lub qhov muag tig mus rau sab hauv, uas yog, mus rau lub qhov ntswg. Qhov '(Exotropia)' no yog qhov txawv ntawm qhov ntawd. Txawm hais tias qhov mob no feem ntau pom muaj rau cov menyuam mos thiab cov menyuam yaus, nws qee zaum tuaj yeem tshwm sim rau cov neeg laus thiab.

Qhov tseem ceeb tshaj plaws yog nrhiav kev pab kho mob tam sim ntawd yog tias koj xav tias koj tus menyuam lub qhov muag tig mus rau sab nraud. Qhov no yog vim tias tus menyuam uas muaj lub qhov muag zoo li no tuaj yeem muaj teeb meem pom kev, thiab qhov tsos no tuaj yeem cuam tshuam rau tus menyuam txoj kev ntseeg siab rau tus kheej thiab kev sib raug zoo hauv zej zog. Yog li ntawd, nws yog qhov zoo tshaj plaws kom tau txais kev kuaj mob thiab pib kho sai li sai tau.

Cov hom exotropia tseem ceeb yog dab tsi?

Kuj tseem muaj ntau hom "Exotropia". Cia peb saib seb cov tseem ceeb yog dab tsi:

• Qhov muag tsis pom kev ib ntus: Qhov no yog hom uas pom ntau tshaj plaws. Raws li lub npe qhia, nws tsis yog ib txwm muaj. Nws tuaj thiab mus. Piv txwv li, koj tus menyuam yuav tig lawv lub qhov muag mus rau sab nraud thaum lawv nkees heev, lossis thaum lawv muaj mob xws li mob khaub thuas, lossis thaum lawv ntxhov siab. Qhov no kuj tuaj yeem pom thaum saib qee yam deb.
• Qhov muag tsis pom kev tas li: Hom no, ib lossis ob lub qhov muag tig mus rau sab nraud tas li. Qhov mob no tuaj yeem pom thaum saib ze thiab deb. Qhov no tsis tshua muaj ntau npaum li qhov muag tsis pom kev tas li uas tau hais ua ntej.
• Infantile lossis Congenital Exotropia: Qhov no txhais tau tias tus mob no muaj nyob rau thaum yug los lossis thaum tseem yog menyuam yaus.
• Sensory Exotropia: Qhov no tshwm sim rau lub qhov muag uas twb pom kev tsis zoo lawm. Lub qhov muag uas pom kev tsis zoo tig mus rau sab nraud vim nws tsis tuaj yeem ua haujlwm ua ke nrog lwm lub qhov muag.
• Alternating Exotropia: Qhov no yog thaum ob lub qhov muag tig mus rau sab nraud sib txawv ntawm lub sijhawm sib txawv. Qhov no txawv ntawm Unilateral Exotropia (qhov twg tsuas yog ib lub qhov muag ib txwm tig mus rau sab nraud).
• Kev Mob Qhov Muag Ntswg Los Sis Thib Ob: Hom no tshwm sim tom qab phais mob los kho Esotropia (qhov muag tig mus rau sab hauv).

Cov tsos mob ntawm exotropia yog dab tsi?

Cia peb saib seb cov yam ntxwv zoo li cas tuaj yeem pom hauv qhov xwm txheej no:

• Qee zaum ib lossis ob lub qhov muag lossis ib txwm tig mus rau sab nraud.
• Ntse muag liab.
• Qhov muag mob.
• Mob taub hau.
• Pom kev ob sab los yog Diplopia.
• Kaw ib lub qhov muag thaum lub hnub ci ntsa iab.
• Kev pom qhov tob txo qis.

Yog tias koj lossis koj tus menyuam muaj ib lossis ntau yam ntawm cov tsos mob no, nco ntsoov mus ntsib kws kho qhov muag.

Vim li cas qhov exotropia no tshwm sim?

Muaj ntau yam ua rau qhov no. Cia peb saib seb lawv yog dab tsi:

• Cov noob caj noob ces: Hauv qee tsev neeg, tus mob no (strabismus) yog kis los ntawm ib tiam dhau ib tiam.
• Cov leeg nqaij ntawm qhov muag tsis muaj zog: Qhov no tuaj yeem tshwm sim thaum cov leeg nqaij uas tswj kev txav ntawm qhov muag tsis ua haujlwm zoo.
• Convergence Insufficiency (CI): Qhov no yog thaum lub qhov muag tsis tuaj yeem tsom mus rau ib qho chaw thaum saib ib yam dab tsi ze.
• Cov mob ntawm lub paj hlwb: Exotropia kuj tuaj yeem tshwm sim los ntawm cov mob xws li mob stroke lossis mob qog hauv hlwb.
• Kev pom kev tsis zoo heev: Yog tias ib lub qhov muag pom kev tsis zoo heev, lub qhov muag ntawd yuav tig mus rau sab nraud.

Qee zaum, tshwj xeeb tshaj yog rau cov exotropia tsis tu ncua , ib qho laj thawj tshwj xeeb yuav tsis pom.

Leej twg yuav muaj feem ntau dua rau kev mob exotropia? (Cov yam ntxwv ntawm kev pheej hmoo)

Muaj qee yam uas ua rau muaj feem yuav mob no. Lawv yog:

• Cov teeb meem ntawm lub paj hlwb.
• Yug ua ntej lub sijhawm.
• Kev siv tshuaj yeeb thiab cawv thaum cev xeeb tub.
• Kev hloov pauv ntawm cov noob caj noob ces.
• Cov teeb meem refractive uas tsis kho (piv txwv li, tsis hnav tsom iav) `(Cov teeb meem refractive uas tsis kho)`.
• Muaj ib tug neeg hauv tsev neeg uas muaj tus mob '(Strabismus)'.

Yog tias tsis kho mob li cas? (Teeb meem)

Yog tias qhov mob "Exotropia" no, tshwj xeeb tshaj yog "Intermittent Exotropia", tsis kho, nws tuaj yeem dhau los ua "Constant Exotropia". Tsis tas li ntawd, yog tias qhov mob no hnyav zuj zus thaum yau, tus menyuam yuav muaj tus mob hu ua "Lazy Eye" (Amblyopia).Qhov no txhais tau tias qhov muag pom kev tsis zoo. Tsis tas li ntawd, qhov muag pom tau peb sab (binocular vision) los ntawm kev siv ob lub qhov muag ua ke yuav ploj mus.

Yuav kuaj mob exotropia li cas thiaj paub tseeb? (Kev kuaj mob)

Tej zaum koj yuav pom tias koj tus menyuam lub qhov muag tig mus rau sab nraud. Los yog koj tus kws kho mob hauv tsev neeg yuav pom qhov no. (Qee zaum tus neeg uas muaj exotropia tsis paub txog qhov ntawd.) Lawv yuav xa koj mus rau kws kho qhov muag lossis kws kho qhov muag.

Koj tus menyuam tus kws kho mob yuav nug txog koj tsev neeg keeb kwm kev kho mob thiab koj tus menyuam keeb kwm kev kho mob. Tom qab ntawd lawv yuav kuaj qhov muag. Qhov kev kuaj no yuav saib seb koj tus menyuam lub qhov muag txav mus los thiab tsom mus li cas. Cov kev kuaj no yuav suav nrog:

• Kev Ntsuas Pom Kev: Nug cov menyuam nyeem cov ntawv los ntawm daim duab, lossis yog cov menyuam yaus me, sim seb lawv pom tej yam li cas.
• Kev Ntsuas Qhov Sib Txawv: Ib qho kev xeem uas ntsuas seb lub teeb tsom mus rau hauv lub qhov muag li cas los ntawm kev kom lawv saib los ntawm ntau lub lens sib txawv. Cov menyuam yaus tsis tas yuav hais lus lossis teb cov kev xeem no.
• Kev ntsuam xyuas qhov muag kom sib dhos thiab tsom mus rau qhov twg: Cov kev ntsuam xyuas no xyuas seb tus menyuam lub qhov muag sib dhos zoo npaum li cas thiab lawv pom tau meej npaum li cas.
• Qhib lub qhov muag kom dav kom paub tseeb tias cov qauv hauv lub qhov muag puas noj qab haus huv.

Cov kev kho mob rau exotropia yog dab tsi?

Kev kho mob yuav txawv nyob ntawm seb qhov mob hnyav npaum li cas. Qee zaum, qhov mob exotropia tsis hnyav heev, lossis nws yuav zoo dua nws tus kheej dhau sijhawm. Cov kev kho mob muaj xws li:

• Kev Kho Qhov Muag: Qhov no suav nrog kev npog lub qhov muag uas pom kev zoo dua thiab muaj zog dua nrog daim ntaub thaiv thiab ua rau lub qhov muag tsis muaj zog ua haujlwm hnyav dua los txhawb nws.
• Tshuaj qhov muag: Qhov no yog ib txoj kev kho mob uas, zoo li kev siv daim ntaub qhov muag, muab kev txhawb zog ntau dua rau lub qhov muag tsis muaj zog.
• Cov tsom iav kho qhov muag: Tus kws kho mob yuav pom zoo kom siv tsom iav lossis cov tsom iav sib cuag.
• Kev Kho Mob Pom Kev: Yog tias koj tus menyuam muaj qhov tsis txaus ntawm qhov sib sau ua ke, kev tawm dag zog ntawm qhov muag yuav pab tau.
• Botulinum Toxin (Botox®): Kev txhaj tshuaj Botox® rau hauv cov leeg ntawm lub qhov muag tuaj yeem pab kho qhov muag kom ncaj.
• Kev Phais Mob: Tus kws kho mob yuav phais kom cov leeg ntawm ib lossis ob lub qhov muag nruj lossis xoob.

Puas tiv thaiv tau qhov exotropia no?

Tsis muaj ib txoj kev twg los tiv thaiv qhov mob no kom tsis txhob tshwm sim. Txawm li cas los xij, yog tias koj cev xeeb tub lossis npaj yuav cev xeeb tub, nws yog ib lub tswv yim zoo los tham nrog tus kws pab tswv yim txog caj ces txog qhov kev pheej hmoo ntawm kev kis tus mob no rau koj tus menyuam.

Yav tom ntej rau cov neeg uas muaj tus mob no yog dab tsi? (Kev Rov Qab Zoo)

Cov kab mob Exotropia tuaj yeem zoo dua qub, tab sis feem ntau hom kab mob no yeej tsis ploj mus tag. Kev kho mob uas tsis tas phais yuav pab tswj tau qhov mob no, tab sis ntau tus neeg muaj feem yuav rov qab mob dua.

Thaum twg kuv tus menyuam yuav tsum mus ntsib kws kho mob?

Mus ntsib kws kho mob yog tias koj tus menyuam muaj tej yam tsos mob uas ua rau koj txhawj xeeb. Tej zaum yuav muaj xws li:

• Mob qhov muag.
• Pom ob zaug.
• Pom kev tsis meej.
• Mob taub hau.
• Qhov tsos ntawm lub qhov muag tig mus rau sab nraud.

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

Nov yog qee cov lus nug uas koj tuaj yeem nug koj tus kws kho mob:

• Kuv tus menyuam muaj hom exotropia twg?
• Koj pom zoo kom muaj kev kho mob twg?
• Puas yog kuv tus menyuam yuav tsum tau phais?
• Yog tias kuv phais, cov txiaj ntsig thiab kev pheej hmoo yog dab tsi?

Puas yog exotropia ua rau dig muag?

Yog tias tsis kho, exotropia tuaj yeem ua rau muaj mob hu ua "lub qhov muag tub nkeeg" (amblyopia), uas yog qhov tsis pom kev hauv ib lub qhov muag. Yog tias tsis kho, kev pom kev ob lub qhov muag tuaj yeem ploj thiab kev pom kev deb tuaj yeem ua rau tsis zoo. Txawm li cas los xij, feem ntau tsis yog qhov muag dig tag nrho.

Puas yog exotropia zuj zus tuaj thaum muaj hnub nyoog?

Yog tias tsis kho, tus kab mob "(Exotropia)" feem ntau yuav hnyav zuj zus mus. Nws tuaj yeem tswj tau, tab sis nws yuav tsis ploj mus tag. Qee cov kws tshawb fawb ntseeg tias txoj kev daws teeb meem mus tas li rau "(Intermittent Exotropia)" yog kho lub hlwb, tab sis qhov no tseem tsis tau ua tau tam sim no.

Yog tias koj tus menyuam muaj "(Exotropia)," qhov mob no tuaj yeem cuam tshuam rau lawv txoj kev ntseeg tus kheej. Nws kuj tseem tuaj yeem ua rau nws nyuaj rau tsim thiab tswj kev sib raug zoo nrog lwm tus. Thaum ib tug neeg tham lus yam tsis tau ntsia qhov muag, lawv yuav zoo li tsis quav ntsej lossis xav txog lwm yam.

Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum mus ntsib kws kho qhov muag sai li sai tau thaum koj pom qhov teeb meem no. Tshwj xeeb tshaj yog rau cov menyuam yaus, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj qhov muag kom paub tseeb tias txhua lub qhov muag noj qab nyob zoo thiab pom kev zoo. Txawm hais tias koj tsis tuaj yeem tiv thaiv qhov no kom tsis txhob tshwm sim, koj tuaj yeem ua ib yam dab tsi thiab kho thaum ntxov.

Cia peb nco ntsoov tej yam tseem ceeb tshaj plaws (Cov Lus Coj Mus Tsev)

Zoo, yog li cia peb sau cov ntsiab lus tseem ceeb tshaj plaws uas yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• Exotropia yog qhov uas ib lossis ob lub qhov muag tig mus rau sab nraud (mus rau pob ntseg). Qhov no yog ib hom strabismus, lossis qhov muag hla.
• Txawm hais tias qhov no feem ntau pom muaj rau cov menyuam yaus, nws kuj tuaj yeem tshwm sim rau cov neeg laus.
• Kev kuaj pom thiab kho thaum ntxov yuav txo tau cov teeb meem pom kev thiab qhov cuam tshuam rau tus menyuam txoj kev ntseeg siab rau tus kheej.
• Kev kho mob suav nrog daim ntaub qhwv qhov muag, tshuaj tee qhov muag, tsom iav, kev tawm dag zog qhov muag, kev txhaj tshuaj Botox®, thiab phais.
• Yog koj muaj kev txhawj xeeb txog koj tus menyuam lub qhov muag, mus ntsib kws kho qhov muag sai li sai tau.
• Tus mob no yeej tswj tau, tiam sis tej zaum yuav kho tsis tau tag nrho. Txawm li cas los xij, yog tias koj tswj tau zoo, koj yuav ua tau lub neej zoo.

Vam tias cov ntaub ntawv no yuav pab tau koj. Yog tias koj muaj lus nug ntxiv, thov nrog kws kho mob tham.

Qhov muag tsis pom kev zoo ( exotropia ), qhov muag tsis pom kev zoo (digital deviation), qhov muag dov (dov), cov kab mob qhov muag rau menyuam yaus, teeb meem pom kev, kev kho qhov muag, strabismus