Koj puas tau saib koj ob lub qhov muag hauv daim iav? Koj tuaj yeem pom lub voj voog dub nyob hauv nruab nrab ntawm qhov muag uas muaj xim (peb hu nws ua iris). Qhov ntawd yog qhov peb hu ua lub qhov muag me. Nws qhov loj me hloov pauv ntawm lub sijhawm mus rau lub sijhawm. Tab sis qee zaum, yog tias lub qhov muag me me txawm tias lub teeb hloov pauv ntau npaum li cas los xij, nws tuaj yeem yog lub cim ntawm teeb meem kev noj qab haus huv. Qhov ntawd yog qhov peb hu ua Miosis hauv kev kho mob.
Hais yooj yim xwb, Miosis yog dab tsi?
Mob Miosis yog thaum lub qhov muag me dua li qub, zoo li kab laug sab. Qhov loj ntawm lub qhov muag raug tswj los ntawm cov leeg nqaij hauv qhov muag uas muaj xim, uas yog lub iris.
Ib yam li koj ntsia thaum koj mus rau hauv lub hnub ci ntsa iab, peb cov qhov muag kuj me dua thaum muaj lub teeb ci ntsa iab. Tsis tas li ntawd, thaum nyob rau hauv qhov chaw tsaus ntuj, cov qhov muag loj dua (dilate) kom pom zoo dua. Qhov no yog ib qho txheej txheem ib txwm muaj. Txawm li cas los xij , rau ib tus neeg uas muaj miosis, cov qhov muag tseem me me txawm tias lub teeb hloov pauv ntau npaum li cas los xij . Ib txhia neeg hu lawv tias 'pinpoint pupils' vim tias lawv zoo li lub hau ntawm rab koob.
Tus mob no tsuas tshwm sim tau rau ib lub qhov muag xwb (ib sab) lossis ob lub qhov muag (ob sab).
Qhov Sib Txawv Ntawm Miosis thiab Mydriasis
Ob qho no yog cov mob sib txawv. Miosis yog thaum lub iris nqaim. Mydriasis yog thaum lub iris loj dhau (dilated).
Cov ua rau muaj miosis yog dab tsi?
Muaj ntau yam ua rau lub qhov muag me. Qee qhov yog qhov tshwm sim ntau, thaum lwm qhov tuaj yeem ua rau mob hnyav dua.
| Ua rau | Cov nyhuv |
|---|---|
| Qee cov tshuaj (piv txwv li, opioids) | Feem ntau cuam tshuam rau ob lub qhov muag . |
| Horner's Syndrome | Tsuas yog ib sab ntawm lub ntsej muag raug cuam tshuam. |
| Kev lom | Nws feem ntau cuam tshuam rau ob lub qhov muag . |
| Kev o ntawm qhov muag (Uveitis / Iritis) | Feem ntau nws cuam tshuam rau ib lub qhov muag , tab sis qee zaum tuaj yeem cuam tshuam rau ob qho tib si. |
| Pontine Stroke | Ob lub qhov muag raug cuam tshuam. |
| Mob taub hau sib koom ua ke | Nws tsuas cuam tshuam rau ib sab xwb . |
1. Qee cov tshuaj
Qee cov tshuaj, tshwj xeeb yog cov tshuaj opioid, siv rau qhov mob hnyav tuaj yeem ua rau lub qhov muag me dua hauv ob lub qhov muag. Qee cov tshuaj qhov muag siv rau glaucoma, xws li pilocarpine, kuj tuaj yeem ua rau qhov no.
2. Kab mob Horner
Qhov no yog ib qho mob uas tshwm sim los ntawm kev cuam tshuam ntawm cov hlab ntsha sympathetic uas khiav ntawm peb lub hlwb mus rau qhov muag thiab lub ntsej muag. Hauv qhov mob no, cov tsos mob xws li qhov muag poob thiab qhov muag poob tsuas pom tau ntawm ib sab ntawm lub ntsej muag xwb.
3. Kev lom
Qhov mob no tuaj yeem tshwm sim los ntawm kev noj qee yam tshuaj tua kab, tshwj xeeb tshaj yog organophosphates . Nws kuj tseem tuaj yeem tshwm sim los ntawm kev noj tshuaj ntau dhau, xws li benzodiazepines.
Yog tias muaj kev xav me ntsis txog qhov no, tus neeg mob yuav tsum raug coj mus rau chav kho mob ceev (ETU) ze tshaj plaws tam sim ntawd. Nws tseem ceeb heev uas yuav tsum hu rau National Poisons Information Centre ntawm Colombo National Hospital kom tau txais cov lus qhia ntxiv.
4. Qhov Muag Mob
Kev o ntawm lub qhov muag, uas ua rau liab thiab mob, kuj tuaj yeem ua rau lub qhov muag tsis ua haujlwm zoo. Uveitis thiab iritis yog ob yam mob zoo li no.
5. Kev Raug Mob Rau Lub Hlwb Los Yog Qhov Muag
Qhov no kuj tseem tuaj yeem tshwm sim thaum muaj ib yam dab tsi ntaus lub qhov muag thiab ua rau raug mob, lossis vim muaj mob stroke (Pontine stroke) uas tshwm sim hauv qee qhov ntawm lub hlwb, tshwj xeeb tshaj yog lub brainstem.
6. Lwm yam laj thawj
Ntxiv rau, miosis kuj tseem tuaj yeem pom hauv cov mob xws li Argyll Robertson cov menyuam qhov muag, uas tshwm sim hauv cov theem kawg ntawm kev kho mob syphilis, thiab mob taub hau cluster.
Cia peb kawm txog Miosis uas tshwm sim thaum lub sijhawm phais mob cataract.
Thaum lub sijhawm phais mob cataract, lub iris yuav tsum tau nthuav kom yooj yim dua rau kev phais. Txawm li cas los xij, qee zaum lub iris tuaj yeem cog lus sai sai thaum lub sijhawm phais. Qhov no hu ua intraoperative miosis. Qee cov tshuaj, xws li alpha-1 antagonists rau ntshav siab lossis prostate loj, muaj kev pheej hmoo ntau dua. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj ua ntej yuav phais.
Cov kev kho mob rau qhov no yog dab tsi?
Kab mob Miosis yog ib qho tsos mob, tsis yog ib yam kab mob, yog li kev kho mob yog tsom mus rau qhov mob uas ua rau nws.
- Yog tias nws yog vim tshuaj: Koj tus kws kho mob yuav txiav txim siab seb puas yuav tsum tsis txhob noj lossis hloov tshuaj.
- Yog tias nws yog kev kis kab mob ntawm qhov muag: koj yuav tau txais cov tshuaj tiv thaiv kev o lossis cov tshuaj tiv thaiv kev kis kab mob.
- Horner's syndrome: Tej zaum yuav tsum tau phais yog tias nws yog los ntawm ib yam dab tsi zoo li qog nqaij hlav.
- Yog muaj mob stroke: Yuav tsum tau kho mob thaum muaj xwm txheej ceev hauv tsev kho mob.
Puas tiv thaiv tau tus kab mob Miosis?
Peb tuaj yeem tiv thaiv kab mob miosis uas tshwm sim los ntawm qee yam ua rau.
- Nyob deb ntawm cov tshuaj: Tsis txhob siv cov tshuaj kiag li, tshwj xeeb yog cov tshuaj opioids.
- Hnav cov khoom siv tiv thaiv: Nws yog ib qho tseem ceeb heev uas yuav tsum hnav cov khoom tiv thaiv qhov muag kom zoo, xws li cov tsom iav qhov muag, thaum ua si kis las lossis ua haujlwm txaus ntshai.
- Qhia koj tus kws kho mob kom raug: Ib txwm qhia koj tus kws kho mob txog txhua yam tshuaj uas koj noj.
Nco ntsoov, hom kev hloov pauv ntawm koj lub qhov muag xim no, tshwj xeeb tshaj yog tias nws tshwm sim sai sai lossis nrog lwm cov tsos mob (xws li loog ntawm ib sab ntawm lub ntsej muag, mob taub hau hnyav, qhov muag liab), tuaj yeem yog ib qho cim ntawm tus mob hnyav. Yog li ntawd, tsis txhob tsis quav ntsej nws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Miosis yog ib lub qhov muag me me txawv txav, uas tej zaum yuav tsis teb tau zoo rau lub teeb.
- Qhov no tsis yog ib yam kab mob, tab sis yog ib qho tsos mob ntawm lwm yam mob.
- Cov ua rau muaj peev xwm suav nrog cov mob yooj yim mus rau cov mob hnyav xws li tshuaj, lom, kab mob ntawm lub paj hlwb, mob hlwb, thiab kab mob ntawm qhov muag.
- Yog koj pom qhov kev hloov pauv no hauv koj lub qhov muag, tshwj xeeb yog tias nws muaj lwm yam tsos mob, mus ntsib kws kho mob sai li sai tau.
- Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj.
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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