Koj lub qhov muag puas xoob xwb? Cia peb tham txog (Floppy Eyelid Syndrome)?

Koj puas hnov ​​mob hauv koj ob lub qhov muag thiab muaj qhov muag dov rov qab thiab dov thaum koj sawv thaum sawv ntxov? Tej zaum koj ob lub qhov muag yuav zoo li roj hmab thaum koj kov lawv. Txawm hais tias qhov no yog qhov tsis yooj yim me ntsis rau qee tus neeg, nws kuj tseem yog ib qho tsos mob ntawm tus mob uas peb yuav tham txog hnub no hu ua (Floppy Eyelid Syndrome) .

Kab mob qhov muag tsis pom kev zoo yog dab tsi?

Hais yooj yim xwb, (Floppy Eyelid Syndrome) yog thaum daim tawv nqaij ntawm koj lub qhov muag, lossis lub qhov muag, xoob thiab roj hmab. Nws dhau los ua ncab, zoo li ib txoj hlua roj hmab qub. Qhov no ua rau nws yooj yim rau koj lub qhov muag dov rau hauv lossis tawm, tshwj xeeb tshaj yog thaum koj pw tsaug zog. Nws feem ntau tuaj yeem cuam tshuam rau ob lub qhov muag sab saud.

Tus mob no feem ntau tshwm sim li cas?

Cov kev tshawb fawb tam sim no qhia tias ntawm 2% thiab 4% ntawm cov pej xeem hauv ntiaj teb muaj tus mob no (Floppy Eyelid Syndrome). Txawm li cas los xij, cov kws kho mob ntseeg tias tus lej no yuav siab dua. Qhov laj thawj yog tias cov tsos mob ntawm tus mob no tuaj yeem tshwm sim nrog ntau lwm yam kab mob. Yog li ntawd, qee zaum cov kws kho mob, tshwj xeeb tshaj yog cov kws kho qhov muag, kho cov tsos mob no, tab sis tej zaum yuav tsis paub tias nws yog ib feem ntawm tus mob no (Floppy Eyelid Syndrome) nws tus kheej.

Cov tsos mob ntawm Floppy Eyelid Syndrome yog dab tsi?

Tus mob no tuaj yeem ua rau muaj ntau yam tsos mob, tshwj xeeb tshaj yog thaum koj sawv ntxov thawj zaug .

• Cov qhov muag yuav xoob thiab poob qis heev. Lawv tuaj yeem dov rau hauv/tawm txawm tias kov me ntsis xwb los xij.
• Koj hnov ​​mob los yog kub hnyiab hauv koj ob lub qhov muag.
• Ob lub qhov muag qhuav vim tias cov kua muag uas ua rau ob lub qhov muag ntub tsis tau ua kom lawv mos.
• Koj ob lub qhov muag ntws kua muag vim koj lub cev tsim ntau cov kua muag kom lawv ntub.
• Cov qhov muag o thiab mob. Peb kuj hu qhov no ua blepharitis hauv kev kho mob.
• Zoo li muaj ib yam dab tsi daig hauv lub qhov muag.
• Ua rau lub teeb rhiab heev, txhais tau tias nws nyuaj rau saib lub teeb (Photophobia) .
• Ib yam kua dej zoo li ib tee dej tab tom los ntawm lub qhov muag.

Vim li cas qhov muag poob no thiaj yog teeb meem?

Koj puas paub tias daim tawv nqaij nyias tshaj plaws ntawm peb lub cev pom muaj nyob rau ntawm peb lub qhov muag ? Yuav kom cov qhov muag no ua haujlwm tau zoo, lawv yuav tsum muaj zog . Thaum ntawd lawv muaj 'qhov chaw' uas lawv xav tau kom nyob nruj nreem ntawm lub qhov muag thiab txav mus rau saum thiab nqis thaum peb qhib, kaw, thiab ntsais muag.

Tiamsis lub qhov muag tsis yog ib yam khoom uas npog xwb. Sab hauv nws muaj ib hom qog hu ua cov qog Meibomian . Cov qog no tsim (Meibum)Lawv tso tawm cov roj uas hu ua meibum (hais tias meibum). Cov tshuaj no tseem ceeb heev rau txoj kev uas peb lub cev tsim kua muag ua haujlwm. Cov roj no, hu ua meibum, sib tov nrog cov kua muag, ua kom lub ntsej muag ntawm lub qhov muag ntub thiab txo qhov ua kom cov kua muag tsis txhob evaporate. Tsis yog li ntawd xwb, tab sis nws kuj pab kom lub qhov muag sib koom ua ke thaum lub qhov muag kaw, tsim ib lub foob uas tiv thaiv cua nkag. Qhov no pab kom lub qhov muag noo.

Yog li, thaum koj lub qhov muag poob qhov elasticity no, lawv dhau los ua droopy, lawv tsis nyob hauv qhov chaw kom raug. Tom qab ntawd (Meibum) uas los ntawm (Meibomian qog) tsis sib xyaw nrog cov kua muag kom raug. Tom qab ntawd lubrication ntawm lub qhov muag raug cuam tshuam. Tsis tas li ntawd, vim tias lub qhov muag txav mus los yooj yim, lub foob airtight tsis tsim kom raug thaum koj lub qhov muag kaw. Qhov no yog ib yam dab tsi uas tuaj yeem tshwm sim txhua lub sijhawm, tshwj xeeb tshaj yog thaum koj pw tsaug zog .

Dab tsi yog cov ua rau muaj Floppy Eyelid Syndrome?

Qhov laj thawj tseem ceeb rau qhov muag poob yog qhov poob ntawm cov protein hu ua elastin hauv qhov muag. Cov elastin no yog qhov ua rau daim tawv nqaij nws qhov elasticity. Tab sis qhov laj thawj tseeb rau qhov no tseem tsis tau paub. Txawm li cas los xij, kev tshawb fawb tau tsa kev tsis ntseeg txog ntau yam. Nws nyuaj rau hais tias cov no yog cov ua rau muaj tseeb lossis tsuas yog cov yam ntxwv pab txhawb. Tab sis cov no tau xav tias ua lub luag haujlwm:

• Kev Rog Poob thiab Kev Pw Tsaug Zog Tsis Taus (OSA): Ob yam mob no muaj feem cuam tshuam ze heev. Yog tias koj rog dhau, uas yog, rog heev, koj muaj feem yuav mob OSA ntau dua. Nrog OSA, koj txoj kev ua pa nres thaum koj pw tsaug zog. Qhov no txo ​​cov pa oxygen uas koj lub cev tau txais. Qhov tsis muaj oxygen no hloov pauv lub cev cov tshuaj lom neeg, thiab ntau cov enzymes raug tsim tawm uas tuaj yeem rhuav tshem cov protein hu ua elastin. Kwv yees li ib nrab ntawm cov neeg uas muaj OSA kuj muaj tus mob no (Floppy Eyelid Syndrome).
• Cov kab mob ntawm cov nqaij sib txuas: Cov no yog cov kab mob uas cuam tshuam rau cov nqaij sib txuas xws li cov pob txha mos thiab cov leeg. Cov kab mob no kuj tseem tuaj yeem cuam tshuam rau txoj kev uas lub cev tsim thiab siv elastin. Piv txwv li, cov mob xws li Marfan syndrome thiab Ehlers-Danlos syndrome .
• Cov noob caj noob ces: Kev hloov pauv hauv koj cov DNA tuaj yeem cuam tshuam rau txoj kev uas koj lub cev tsim thiab siv elastin. Cov no tej zaum yuav tau txais los ntawm koj niam koj txiv, lossis lawv tej zaum yuav yog kev hloov pauv tsis tau xav txog uas tshwm sim thaum koj tseem tab tom loj hlob ua tus menyuam hauv plab.
• Lwm yam kab mob uas cuam tshuam rau lub qhov muag thiab cov nqaij nyob ib puag ncig: Cov neeg uas muaj kab mob uas ua rau lub qhov muag nthuav mus tom ntej yuav muaj feem yuav mob ntau dua. Piv txwv li , cov kab mob thyroid , xws li Hashimoto's kab mob .

Ntxiv rau qhov no, muaj ntau lwm yam uas ua rau muaj teeb meem no:

• Txiv neej thiab poj niam: Cov txiv neej muaj feem yuav mob Floppy Eyalid Syndrome ntau dua li cov poj niam. Kwv yees li ob feem peb yog txiv neej.
• Hnub nyoog:Tus mob no feem ntau tshwm sim rau cov neeg laus. Txawm hais tias nws tuaj yeem tshwm sim rau cov menyuam yaus, nws tsis tshua muaj.
• Haiv Neeg: Cov neeg uas muaj daim tawv nqaij tshwj xeeb (epicanthic fold) ntawm lub ces kaum sab hauv ntawm lub qhov muag, xws li qee cov haiv neeg Esxias, tej zaum yuav tsis tshua muaj tus mob no vim yog qhov qauv ntawm lawv lub qhov muag.

Tej yam teeb meem uas yuav muaj tau ntawm tus kab mob Floppy Eyelid Syndrome yog dab tsi?

Thaum koj lub qhov muag poob qis, nws ua rau koj lub qhov muag tsis ntub thiab tsis muaj roj. Qhov no tuaj yeem ua rau koj lub qhov muag khaus thiab puas tsuaj . Qhov no tuaj yeem ua rau:

• Kab mob qhov muag qhuav .
• Keratitis yog o ntawm lub cornea, qhov pom tseeb pem hauv ntej ntawm lub qhov muag.
• Kev puas tsuaj ntawm lub qhov muag (RCE) rov tshwm sim .
• Cov kab mob ulcers thiab cov qhov txhab ntawm lub cornea .
• Hauv cov mob hnyav, yog tias tsis kho, qhov muag yuav tsis pom kev.

Yuav kuaj mob li cas rau tus mob no (Floppy Eyelid Syndrome)?

Vim tias cov tsos mob ntawm tus kab mob no (Floppy Eyelid Syndrome) tshwm sim nrog ntau lwm yam kab mob, tsis muaj kev kuaj mob tshwj xeeb los kuaj mob kom raug.

Tus kws kho qhov muag tuaj yeem kuaj mob no los ntawm kev nug koj txog koj cov tsos mob, nug koj cov lus nug txog koj qhov pom kev thiab koj lub qhov muag xav li cas, thiab kuaj koj lub qhov muag. Thaum lub sijhawm kuaj mob, tus kws kho mob yuav muab nws tus ntiv tes tso rau ntawm daim tawv nqaij ntawm koj lub qhov muag. Nws yog ib qho kev kuaj mob uas maj mam txaus kom tsis txhob mob, tab sis khov kho txaus kom pom tias koj tuaj yeem txav mus deb npaum li cas thiab rub koj lub qhov muag.

Muaj ntau tus kws kho qhov muag siv txoj kev no los txiav txim seb koj puas muaj Floppy Eyelid Syndrome thiab nws hnyav npaum li cas . Muaj ob txoj kev ntsuas qib tseem ceeb uas siv rau qhov no:

• Txoj kev ntsuas: Qhov no ntsuas qhov kev txav ntawm lub qhov muag. Qhov ntsuas no yog txij li 0 txog 4.
• Lub Cev Pom Kev ntawm Lub Qhov Muag: Hauv qhov no, tus kws kho qhov muag yuav tsa koj lub qhov muag sab saud thaum koj saib mus rau hauv qab. Qhov hnyav yog txiav txim siab los ntawm qhov pom ntawm qhov dawb ntawm lub qhov muag, hu ua conjunctiva, ntau npaum li cas. Qhov ntsuas no yog txij li 0 txog 3.

Cov kev kho mob rau qhov no (Floppy Eyelid Syndrome) yog dab tsi?

Muaj ob txoj kev kho mob tseem ceeb: kev kho mob conservative thiab kev phais .

Txoj kev txuag

Ib txoj kev kho mob kom zoo yog sim tiv thaiv cov tsos mob ntawm tus mob no kom tsis txhob tshwm sim. Feem ntau qhov no yog kev npog koj ob lub qhov muag nrog daim ntaub nplaum thaum koj pw tsaug zog, pw nrog lub npog qhov muag, lossis siv cov kua muag cuav lossis tshuaj pleev qhov muag ua ntej mus pw.

Tsis tas li ntawd xwb, koj tus kws kho mob yuav hais kom koj kuaj seb koj puas muaj OSA. Nco ntsoov tias, koj tuaj yeem muaj OSA txawm tias koj tsis rog dhau los xij.

: (OSA) , (Continuous Positive Airway Pressure - CPAP) , (Bilevel Positive Airway Pressure - BPAP) ( (BiPAP®) ) (Elastin) , . . . , ‍ (OSA) , .

Kev phais mob

Feem ntau yuav tsum tau phais yog tias cov kev kho mob tsis tau ua haujlwm. Tsis tas li ntawd, yog tias koj tus mob (Floppy Eyelid Syndrome) hnyav heev thiab muaj kev pheej hmoo ntawm kev puas tsuaj rau lub qhov muag, ces kev phais yuav yog ib qho kev xaiv. Muaj ntau txoj kev phais uas tuaj yeem ua rau cov nqaij ntawm koj lub qhov muag nruj. Koj tus kws kho qhov muag lossis kws phais yuav qhia koj ntxiv txog cov txheej txheem uas lawv pom zoo thiab yam yuav tsum tau cia siab.

Yog koj muaj (Floppy Eyelid Syndrome) yuav tsum xav li cas?

Yog tias koj muaj Floppy Eyelid Syndrome, koj cov tsos mob feem ntau tig mus rau qhov teeb meem nrog cov dej noo hauv koj lub qhov muag. Cov tsos mob feem ntau hnyav dua thaum koj thawj zaug sawv thaum sawv ntxov . Yog tias koj feem ntau pw ntawm koj ib sab, koj sab ntawm lub qhov muag nyiam yuav raug cuam tshuam ntau dua los ntawm koj cov tsos mob. Txawm hais tias qhov mob no tsis yog qhov txaus ntshai ncaj qha, nws tuaj yeem ua rau koj lub qhov muag puas tsuaj mus tas li thiab cuam tshuam rau koj qhov pom kev.

Yog koj xav tias koj muaj (Floppy Eyelid Syndrome), nws yog ib lub tswv yim zoo mus ntsib kws kho qhov muag thiab kom nws kuaj xyuas. Yog tias muaj, koj tus kws kho mob yuav kuaj xyuas (OSA) thiab, yog tias tsim nyog, kho nws.

Yog xav kom tus mob no (Floppy Eyelid Syndrome) zoo dua qub, yuav tsum kho qhov ua rau mob xws li OSA kom tag. Txawm li cas los xij, yuav tsum kho OSA kom zoo, vim nws tuaj yeem ua rau muaj teeb meem loj rau lub neej.

Tus mob no (Floppy Eyelid Syndrome) yuav zoo li cas?

Kev kho mob zoo li yuav zoo heev rau tus kab mob Floppy Eyelid Syndrome. Kev siv cov kev kho mob xws li (CPAP) lossis (BPAP) lossis (OSA) yuav pab koj cov tsos mob zoo dua me ntsis. Cov tsos mob uas tseem tshuav yuav tsis hnyav heev thiab yooj yim dua los tswj nrog lwm cov kev kho mob uas tsis tas siv tshuaj kho.

Tus nqi kho mob Floppy Eyelid Syndrome ua tiav tau zoo heev. Tus nqi phais ua tiav yog nruab nrab ntawm 91% thiab 98% .

Puas tiv thaiv tau tus mob Floppy Eyelid Syndrome?

Vim peb tsis paub meej tias tus kab mob Floppy Eyelid Syndrome no tshwm sim li cas, nws tsis yooj yim sua kom tiv thaiv tau tag nrho. Txawm li cas los xij, cov kws tshaj lij ntseeg tias koj tuaj yeem txo koj txoj kev pheej hmoo ntawm kev mob Floppy Eyelid Syndrome los ntawm kev kho lossis zam cov mob uas yuav ua rau nws. Cov no suav nrog:

• Tswj koj qhov hnyav kom noj qab nyob zoo.
• Siv koj lub tshuab ua pa kom muaj zog raws li tau pom zoo, txhua hmo, yam tsis tu ncua ib hnub.
• Tswj txhua yam kab mob ntev uas koj muaj (xws li Hashimoto tus kab mob) kom tiv thaiv kev hloov pauv ntawm qhov muag uas yuav ua rau muaj Floppy Eyelid Syndrome.

Kuv yuav saib xyuas kuv tus kheej li cas yog tias kuv muaj (Floppy Eyelid Syndrome)?

Yog tias koj muaj tus kab mob Floppy Eyelid Syndrome, nws yog ib qho tseem ceeb uas yuav tsum ua raws li koj tus kws kho qhov muag cov lus qhia kom ze li sai tau. Kev tiv thaiv koj ob lub qhov muag thaum koj pw tsaug zog yuav tsum yog qhov tseem ceeb . Tsis tas li ntawd, siv cov kua muag cuav, cov tshuaj qhov muag, lossis lwm yam khoom raws li pom zoo. Nws tseem ceeb heev kom tsis txhob txhuam koj ob lub qhov muag . Qhov no tuaj yeem ua rau koj ob lub qhov muag poob qis.

Yog koj tus kws kho mob xa koj mus rau tus kws kho mob tshwj xeeb txog kev pw tsaug zog kom kuaj xyuas seb puas muaj OSA, koj yuav tsum ua raws li cov lus qhia. Yog tias kuaj pom tias muaj OSA, ua raws li cov lus qhia ntawm tus kws kho mob tshwj xeeb. Qhov no tseem ceeb heev, vim tias OSA uas tsis kho tuaj yeem ua rau tuag taus.

Thaum twg kuv yuav tsum mus ntsib kuv tus kws kho mob lossis nrhiav kev pab kho mob?

Yog tsis kho, Floppy Eyelid Syndrome tuaj yeem ua rau lub qhov muag puas tsuaj mus tas li. Yog tias koj muaj cov tsos mob, koj yuav tsum mus ntsib kws kho qhov muag sai li sai tau . Qhov no tsis yog xwm txheej ceev, tab sis nws tsis yog ib yam dab tsi uas koj yuav tsum ua siab ntev, tsis quav ntsej, lossis sim kho koj tus kheej.

Yog koj twb paub lawm tias koj muaj tus mob no, nrog koj tus kws kho mob tham yog tias koj cov tsos mob hloov pauv lossis hnyav zuj zus. Yog tias kev kho mob tsis pab, lossis yog tias lawv zoo li tsis ua haujlwm zoo, koj tuaj yeem tham nrog koj tus kws kho mob txog qhov ntawd thiab.

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

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

• Kuv tus mob (Floppy Eyelid Syndrome) hnyav npaum li cas?
• Qhov no cuam tshuam li cas rau kuv ob lub qhov muag tam sim no?
• Kuv ua tau dab tsi los kho kuv tus mob lub sijhawm no?
• Kuv yuav tsum paub txog thiab ceev faj txog tej teeb meem lossis tej yam tshwm sim tsis zoo li cas?

Qhov txawv ntawm Floppy Eyelid Syndrome thiab lwm yam mob uas ua rau qhov muag poob qis (ptosis) yog dab tsi?

Qhov muag poob qis, ib qho mob uas paub hauv kev kho mob hu ua ptosis , tuaj yeem tshwm sim hauv ob txoj kev:

• Yog tias koj lub qhov muag tsis muaj zog vim muaj teeb meem nrog cov leeg nqaij lawv tus kheej.
• Yog tias cov hlab ntsha uas txuas nrog cov leeg nqaij tsis ua haujlwm zoo, qhov ntawd txhais tau tias cov cim qhia uas ua rau cov leeg nqaij txav mus los raug cuam tshuam.

Kab mob Floppy Eyelid Syndrome txawv ntawm ob txoj kev kho mob vim nws muaj feem cuam tshuam nrog kev ywj pheej ntawm daim tawv nqaij . Nws tsis cuam tshuam rau cov leeg nqaij lossis lub paj hlwb uas cuam tshuam nrog kev txav ntawm daim tawv nqaij.

Kev piav qhia luv luv thiab tej yam yuav tsum nco ntsoov

Txawm hais tias Floppy Eyelid Syndrome zoo li yog ib yam me me xwb los, nws tuaj yeem yog ib qho cim qhia txog ib qho mob hnyav dua, uas tuaj yeem ua rau tuag taus hu ua Obstructive Sleep Apnea (OSA). Yog tias tsis kho, Floppy Eyelid Syndrome tuaj yeem ua rau lub qhov muag puas tsuaj mus tas li.

Yog koj muaj cov tsos mob ntawm (Floppy Eyelid Syndrome), tsis txhob tsis quav ntsej lossis ua siab ntev rau lawv. Kev paub thiab kho tus mob no yuav pab koj kom noj qab nyob zoo, pom kev zoo dua, thiab tiv thaiv cov teeb meem txaus ntshai. Yog li, nco ntsoov mus ntsib kws kho mob thiab tau txais cov lus qhia.

Kab mob qhov muag tsis khov, OSA, Ua tsis taus pa thaum pw tsaug zog, Kab mob qhov muag, CPAP, Kev dov qhov muag