Koj lub qhov muag puas tuaj yeem muaj 'mob stroke'? (Mob stroke qhov muag / Retinal Artery Occlusion) Cia peb kawm paub meej txog qhov no!

Koj puas tau muaj ib zaug uas koj lub qhov muag tsis pom kev zoo li tsaus ntuj nti? Los yog koj puas tau muaj tej yam me me ntab saum koj lub qhov muag, los yog pom teeb? Tej zaum koj tsis tau ua tib zoo saib xyuas qhov no. Txawm li cas los xij, nws yuav yog ib qho cim qhia tias koj lub qhov muag mob stroke . Qhov no yog ib qho mob hnyav uas yuav tsum tau mus kho mob thaum muaj xwm txheej ceev. Cia peb tham txog qhov no kom meej hnub no, vim nws tseem ceeb heev uas yuav tsum paub txog nws.

Qhov 'mob qhov muag' yog dab tsi tiag?

Hais yooj yim xwb, 'mob stroke hauv lub qhov muag' yog kev txhaws ntawm cov hlab ntsha, ib txoj hlab ntsha uas xa cov ntshav mus rau lub retina hauv peb lub qhov muag. Hauv cov lus kho mob, qhov no hu ua 'Retinal Artery Occlusion' . 'Occlusion' txhais tau tias kev txhaws. Ib yam li thaum cov yeeb nkab dej txhaws, cov dej tsis ntws, thaum cov hlab ntsha me me no uas nqa cov ntshav mus rau lub qhov muag raug txhaws, lub qhov muag tsis tau txais cov pa oxygen thiab cov khoom noj khoom haus uas nws xav tau. Qhov kev txhaws no feem ntau yog los ntawm cov ntshav txhaws .

Tam sim no tej zaum koj yuav xav paub tias lub retina no yog dab tsi. Lub retina zoo li daim zaj duab xis hauv lub koob yees duab. Thaum lub teeb ntaus lub qhov muag, nws tsim ib daim duab thiab xa xov mus rau lub hlwb. Yog li ntawd, yog tias cov ntshav mus rau thaj chaw no nres, nws txhais tau tias cov hlwb hauv lub retina pib puas tsuaj, thiab peb lub zeem muag tam sim ntawd raug cuam tshuam.

Ib yam li ntawd, cov hlab ntsha uas xa cov ntshav mus rau lub retina tuaj yeem raug thaiv. Qhov no hu ua 'Retinal Vein Occlusion' . Qhov no kuj yog ib qho mob uas cuam tshuam rau qhov muag pom kev.

Qhov tseem ceeb tshaj plaws yog qhov 'mob stroke qhov muag' (Retinal Artery Occlusion) no yog xwm txheej ceev kho mob. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob sai li sai tau thaum muaj cov tsos mob tshwm sim.

Puas muaj tej yam zoo li no? Koj yuav ua li cas thiaj paub lawv sib txawv?

Yog, muaj ntau hom mob stroke no uas cuam tshuam rau lub qhov muag, uas yog, retinal artery occlusion, nyob ntawm seb qhov twg blockage tshwm sim. Nws zoo li ib tsob ntoo uas muaj me me ticks ntawm nws lub cev, ceg, thiab ceg.

• Kev txhaws ntawm cov hlab ntsha hauv lub qhov muag (CRAO): Qhov no yog hom mob uas feem ntau tshwm sim. Ib yam li cov ceg ntoo, nws cuam tshuam nrog kev txhaws ntawm cov hlab ntsha tseem ceeb uas xa cov ntshav mus rau lub qhov muag. Qhov no tuaj yeem cuam tshuam rau tag nrho lub qhov muag, txhais tau tias koj yuav poob koj qhov kev pom kev tag nrho.
• Kev thaiv cov hlab ntsha ntawm lub qhov muag (BRAO): Qhov no tshwm sim thaum ib txoj hlab ntsha me me, zoo li ib ceg uas tawm ntawm txoj hlab ntsha loj, raug thaiv. Nws zoo li ib ceg ntoo. Tsuas yog ib feem ntawm lub qhov muag thiaj li raug cuam tshuam. Tsuas yog ib feem ntawm qhov pom kev xwb thiaj li yuav ploj mus.
• Kev Txhaws Ntawm Cov Ntshav Ntawm Ob Sab Ntawm Cov Ncej Ntshav: Qhov no yog ib txoj hlab ntshav me dua, zoo li cov ceg ntoo uas raug txhaws. Qhov cuam tshuam tsuas yog txwv rau thaj chaw me dua xwb.

Qhov kev faib tawm no kuj tseem siv tau rau cov hlab ntsha txhaws.

Tus mob no feem ntau tshwm sim li cas?

Qhov mob retinal artery occlusion yog ib qho mob uas tsis tshua muaj. Raws li kev suav lej, kwv yees tias qhov mob no tshwm sim rau ib lossis ob tus neeg ntawm txhua 100,000 tus neeg hauv ib xyoos. Txawm li cas los xij, nws tuaj yeem tshwm sim rau txhua tus neeg, yog li nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no.

Cov tsos mob ntawm qhov no yog dab tsi? Peb yuav paub nws li cas?

Feem ntau, qhov mob no tsis mob qhov muag . Qhov no yog qhov ua rau ntau tus neeg yuam kev. Cov tsos mob tseem ceeb thiab thawj zaug yog qhov muag tsis pom kev lossis hloov pauv sai sai . Cov kev hloov pauv no tuaj yeem tshwm sim ib qho zuj zus:

• Cov khoom ntab, cov pob dub me me, thiab cov khoom zoo li lub vas ntab rau ntawm lub qhov muag, thiab cov teeb ci ntsa iab tam sim ntawd.
• Pom kev tsis meej.
• Cov chaw dig muag lossis qhov tsaus ntuj tag nrho nyob rau hauv pem hauv ntej ntawm lub qhov muag.
• Kev hloov pauv ntawm qhov muag pom kev pib me me thaum xub thawj thiab maj mam nce ntxiv mus raws sijhawm.

Cov tsos mob no feem ntau tsuas cuam tshuam rau ib lub qhov muag xwb. Yog tias koj muaj ib qho ntawm cov tsos mob no, tsis txhob tsis quav ntsej lawv. Mus ntsib kws kho mob tam sim ntawd.

Vim li cas qhov no thiaj tshwm sim rau peb? Dab tsi yog cov laj thawj rau qhov no?

Qhov ua rau muaj 'mob stroke' yog vim cov ntshav uas mus rau lub retina raug thaiv. Muaj ntau txoj kev uas qhov kev thaiv no tshwm sim tau:

1. Kev txhaws ntawm cov hlab ntsha (Embolism): Qhov no tshwm sim thaum cov ntshav txhaws, cov quav hniav, lossis ib daim nqaij ntawm lwm qhov ntawm lub cev (piv txwv li, phab ntsa ntawm lub plawv lossis lwm cov hlab ntsha loj) tawg thiab mus ncig los ntawm cov hlab ntsha kom nyob hauv cov hlab ntsha me me uas muab ntshav rau lub qhov muag.

2. Kev Ntshav Txhaws: Qhov no yog thaum cov ntshav tuab thiab cov ntshav txhaws tsim nyob rau hauv cov hlab ntsha uas xa cov ntshav mus rau lub qhov muag.

Thaum cov hlab ntsha raug thaiv li no, cov ntshav tuaj yeem ntws los ntawm nws thiab ua rau muaj kev siab ntxiv hauv lub qhov muag (kev siab ntawm lub qhov muag). Qhov kev siab ntxiv no tuaj yeem ua rau cov hlab ntsha optic puas tsuaj. Qhov no kuj pom muaj nyob rau hauv ib qho mob hu ua glaucoma .

Leej twg muaj feem yuav mob hlwb hnov ​​lus ntau dua?

Cov yam ua rau mob stroke rau lub qhov muag feem ntau zoo ib yam li cov uas ua rau mob stroke rau lub hlwb. Cov no suav nrog:

• Rau cov neeg uas muaj ntshav siab (Hypertension). Qhov no yog ib qho teeb meem uas ntau tus neeg hauv peb lub tebchaws muaj.
• Rau cov neeg uas muaj cov roj cholesterol ntau hauv cov ntshav (Hyperlipidemia).
• Rau cov neeg uas muaj cov rog nyob hauv lawv cov hlab ntsha, ua rau lawv nyias (atherosclerosis).
• Rau cov neeg uas muaj kab mob plawv.
• Rau cov neeg uas tau muaj mob stroke yav dhau los.
• Rau cov neeg hnub nyoog tshaj 60 xyoo. Qhov kev pheej hmoo no nce ntxiv raws li hnub nyoog.
• Rau cov txiv neej.Kev tshawb fawb qhia tau tias cov txiv neej muaj feem yuav mob ntau dua me ntsis. Txawm li cas los xij, qhov no tsis tau txhais hais tias cov poj niam yuav tsis muaj mob no. Cov poj niam kuj tuaj yeem muaj mob no.
• Qhov kev pheej hmoo no kuj siab dua rau cov neeg uas muaj ntshav qab zib , vim tias ntshav qab zib tuaj yeem ua rau cov hlab ntsha puas tsuaj.
• Qhov kev pheej hmoo kuj tseem siab rau cov neeg haus luam yeeb .

Yog tias koj muaj ib lossis ntau yam ntawm cov yam txaus ntshai no, nws yog ib lub tswv yim zoo kom ceev faj me ntsis.

Tus kws kho mob yuav paub li cas tias qhov no puas yog 'mob pob ntseg' tiag?

Zoo li kuv tau hais ua ntej lawm, yog tias koj cia li poob tag nrho lossis ib feem ntawm koj qhov kev pom kev hauv ib lub qhov muag, nws yog ib qho xwm txheej ceev hauv kev kho mob . Thaum koj mus ntsib kws kho mob, lawv yuav ua cov hauv qab no:

• Yuav nug koj txog koj cov tsos mob thiab koj keeb kwm kev kho mob.
• Yuav muaj kev kuaj qhov muag tag nrho. Qhov no suav nrog kev kuaj fundoscopy , lossis ophthalmoscopy , uas tus kws kho mob siv cov cuab yeej tshwj xeeb (ophthalmoscope) thiab lub teeb ci ntsa iab los kuaj sab hauv ntawm koj lub qhov muag, tshwj xeeb tshaj yog cov retina thiab cov hlab ntsha.
• Tej zaum yuav muaj ib tug neeg hais kom koj mus kuaj fluorescein angiography. Qhov no yuav tsum txhaj ib yam xim tshwj xeeb rau hauv cov hlab ntsha hauv koj txhais caj npab thiab siv lub koob yees duab los thaij duab thaum nws mus ncig los ntawm cov hlab ntsha hauv koj lub qhov muag. Qhov no yuav qhia tau meej tias muaj kev thaiv lossis teeb meem nrog cov ntshav ntws.
• Kev thaij duab xim ntawm lub qhov muag (fundus) yog ib qho kev xeem uas thaij tau cov duab meej ntawm sab hauv ntawm lub qhov muag (fundus), uas suav nrog lub retina.
• Optical Coherence Tomography (OCT) yog ib qho kev kuaj mob siab heev uas muab cov duab qhia txog cov hlab ntsha thiab cov txheej ntawm lub retina.

Qee zaum, yog tias tus kws kho mob xav tias muaj lwm yam mob, xws li Giant Cell Arteritis lossis Temporal Arteritis, lawv kuj tseem yuav pom zoo kom ua ultrasound , echocardiogram (scan lub plawv), thiab ntau qhov kev kuaj ntshav kom nrhiav tau cov cim qhia txog kev o hauv cov ntshav.

Puas muaj kev kho rau qhov no? Ua li cas lawm?

Lub hom phiaj tseem ceeb ntawm kev kho mob 'mob stroke ntawm lub qhov muag' yog kom rov qab tau cov ntshav ntws mus rau lub retina sai li sai tau, txo qhov muag tsis pom kev. Cov kev xaiv kho mob nyob ntawm seb nws ntev npaum li cas txij li thaum cov tsos mob thawj zaug tshwm sim thiab qhov xwm txheej ntawm qhov kev thaiv. Qee cov kev xaiv kho mob suav nrog:

• Cov tshuaj siv los txo qhov siab hauv lub qhov muag lossis kom yaj cov ntshav txhaws.
• Kev kho mob laser kom kaw cov hlab ntsha uas xau.
• Maj mam zaws lub qhov muag thaum lub qhov muag kaw. Qhov no yuav pab txav cov ntshav txhaws thiab tshem tawm qhov txhaws.
• Kev Siv Tshuaj Ntsuam Xyuas Qhov Muag: Hauv txoj kev kho mob no, tus kws kho mob siv ib rab koob me me los rho tawm me ntsis kua dej ntawm sab hauv lub qhov muag. Qhov no tuaj yeem pab txo qhov siab hauv lub qhov muag tam sim ntawd.
• Kev Kho Mob Pa oxygen Hyperbaric: Hauv qhov no, tus neeg mob raug muab tso rau hauv ib chav tshwj xeeb thiab ua kom pa oxygen ntshiab hauv qab lub siab siab. Qhov no yog ua kom muaj pa oxygen ntau ntxiv rau lub retina.

Tiam sis nco ntsoov, kom tau txais txiaj ntsig ntau tshaj plaws ntawm cov kev kho mob no, koj yuav tsum pib kho sai li sai tau thaum cov tsos mob tshwm sim, tsis pub dhau ob peb teev. Lub sijhawm yog qhov tseem ceeb ntawm no.

Peb puas ua tau dab tsi los txo qhov kev pheej hmoo no?

Txawm hais tias nws tsis yooj yim sua kom tiv thaiv tau tag nrho los xij, muaj ob peb yam uas peb ua tau los txo qhov kev pheej hmoo ntawm 'mob hlwb hnov ​​​​lus tsis zoo'. Cov no feem ntau zoo rau peb txoj kev noj qab haus huv tag nrho:

• Noj zaub mov zoo thiab tawm dag zog kom txaus. Noj zaub, txiv hmab txiv ntoo, thiab zaub ntsuab ntau ntxiv, thiab txo cov roj, qab zib, thiab ntsev yog qhov zoo heev.
• Yog koj muaj ntshav qab zib, nws yog ib qho tseem ceeb uas yuav tsum tswj koj cov ntshav qab zib kom zoo.
• Tswj cov ntshav siab, cov roj cholesterol hauv cov ntshav, thiab cov ntshav siab ntawm qhov muag kom nyob rau theem zoo. Siv cov tshuaj uas koj tus kws kho mob tau sau ntawv kom noj.
• Mus ntsib kws kho qhov muag tsis tu ncua kom kuaj xyuas koj ob lub qhov muag, tshwj xeeb yog tias koj muaj tej yam uas ua rau koj muaj feem yuav muaj mob.
• Yog koj haus luam yeeb, tso tseg. Qhov kev pheej hmoo no muaj ntau dua vim yog kev haus luam yeeb ua rau cov hlab ntsha puas tsuaj.

Ua raws li cov no yuav tsis tsuas yog pab tiv thaiv koj ntawm 'mob hlwb hnov ​​​​lus' xwb, tab sis kuj tseem yuav pab tiv thaiv koj ntawm ntau yam kab mob, xws li kab mob plawv thiab mob hlwb.

Tom qab qhov xwm txheej no muaj li cas? Peb yuav tsum xav li cas?

Qhov kev puas tsuaj los ntawm 'mob pob ntseg' tuaj yeem sib txawv ntawm ib tus neeg mus rau ib tus neeg. Nws nyob ntawm qhov twg qhov kev txhaws tshwm sim, ntev npaum li cas cov ntshav raug txiav tawm, thiab pib kho sai npaum li cas .

Yog tias nws yog ceg (BRAO) lossis ceg ntoo (Twig) ntawm cov hlab ntsha retinal occlusion, uas yog kev thaiv ntawm cov hlab ntsha me me, qhov kev puas tsuaj yuav me me xwb. Txawm li cas los xij, yog tias nws yog nruab nrab (CRAO) , uas yog kev thaiv ntawm cov hlab ntsha tseem ceeb, qhov kev puas tsuaj yuav loj dua.

Txawm tias tom qab kho tas lawm los xij, qee tus neeg tseem yuav pom kev tsis meej. Qee zaum qhov muag yuav tsis zoo tag nrho. Yog vim li ntawd thiaj li saib qhov no ua qhov tseem ceeb heev.

Ib qho tseem ceeb ntxiv yog tias 'mob stroke hnov ​​lus' txhais tau tias koj muaj mob stroke hauv lub hlwb.Nws kuj tseem yog ib qho cim qhia tias koj muaj feem yuav muaj ib qho. Vim tias cov yam ua rau muaj ob qho mob zoo sib xws, nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob txog nws yog tias koj muaj 'mob stroke hnov ​​​​lus' thiab ua cov kauj ruam los tiv thaiv mob stroke.

Thaum twg peb yuav tsum nrhiav kev pab kho mob?

Qhov no yeej meej heev: Yog tias koj pom ib lub qhov muag tsis meej, tsaus ntuj nti, lossis tsis pom kev zoo, nrhiav kev kho mob tam sim ntawd. 'Kev mob hlwb ntawm lub qhov muag ' feem ntau tsuas yog cuam tshuam rau ib lub qhov muag xwb.

Qee zaum qhov muag pom kev tsis tau ib ntus thiab tom qab ntawd rov qab los. Qhov no hu ua 'mob stroke me me hauv lub qhov muag' . Txawm tias koj pom kev tsis tau ib ntus los xij, tsis txhob tsis quav ntsej nws. Kho nws ua qhov xwm txheej ceev thiab mus ntsib kws kho mob.

Kev poob koj qhov muag pom kev, txawm tias ib ntus lossis mus tas li, tuaj yeem yog qhov kev paub txaus ntshai. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob sai sai, tshwj xeeb tshaj yog tias koj muaj kev hloov pauv ntawm qhov muag pom kev hauv ib lub qhov muag xwb. Ib yam li mob stroke rau lub hlwb, kev kho mob thaum ntxov yog txoj hauv kev zoo tshaj plaws kom tau txais txiaj ntsig zoo dua los ntawm mob stroke rau lub qhov muag.

Hauv kev xaus lus, ntawm no yog cov yam peb yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev):

Zoo, yog li cia peb rov hais dua cov ntsiab lus tseem ceeb tshaj plaws uas peb tau tham hnub no txog 'Eye Stroke / Retinal Artery Occlusion':

• Qhov no yog xwm txheej ceev hauv kev kho mob. Mus ntsib kws kho mob sai li sai tau thaum koj muaj cov tsos mob.
• Cov tsos mob tseem ceeb yog qhov muag tsis pom kev sai sai, tsis meej, lossis tsis pom kev hauv ib lub qhov muag. Feem ntau nws tsis mob.
• Tej yam xws li ntshav siab, ntshav qab zib, roj cholesterol, kab mob plawv thiab haus luam yeeb ua rau muaj kev pheej hmoo ntau ntxiv.
• Kev kho mob sai sai tuaj yeem txo qhov kev puas tsuaj ntawm qhov muag.
• Qhov kev pheej hmoo ntawm tus mob no tuaj yeem txo tau los ntawm kev ua neej noj qab haus huv thiab tswj cov yam uas ua rau muaj kev pheej hmoo.

Koj ob lub qhov muag yog ib qho khoom muaj nqis heev. Yog li ntawd, saib xyuas lawv. Kuv vam tias cov ntaub ntawv no yuav pab tau koj. Xav kom koj thiab koj cov neeg hlub noj qab nyob zoo!

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