Puas muaj ntshav nyob hauv koj lub qhov muag? Cia peb kawm txog qhov kev hais lus dag no!

Koj puas tau pom tias koj lub qhov muag lossis ib tus neeg koj paub muaj ntshav ntws hauv nws? Tej zaum nws yog tom qab muaj xwm txheej me me. Qhov no yog ib qho txaus ntshai heev. Hnub no peb yuav tham txog qhov mob no, uas yog ib hom ntshav ntws hauv lub qhov muag, hu ua hyphema . Tsis txhob txhawj, cia peb tham txog nws yooj yim.

Hyphema yog dab tsi?

Hais yooj yim xwb, hyphema yog cov ntshav sib sau ua ke hauv koj lub qhov muag, hauv ib feem hu ua anterior chamber . Lub anterior chamber no yog qhov chaw me me nyob rau pem hauv ntej ntawm lub iris, qhov dub uas muab nws cov xim rau koj lub qhov muag. Xav txog qhov no, nyob rau pem hauv ntej ntawm qhov muaj xim ntawm koj lub qhov muag, nyob rau hauv daim nyias nyias (cornea) uas nyob saum qhov dawb ntawm koj lub qhov muag , uas zoo li ib lub khob.

Yog tias cov ntshav me me, koj yuav tsis pom nws yooj yim. Tsuas yog tus kws kho qhov muag thiaj li nrhiav tau nws siv cov khoom siv tshwj xeeb. Txawm li cas los xij, yog tias muaj ntshav ntau, koj yuav pom nws. Feem ntau nws zoo li ob txheej. Koj tuaj yeem pom cov ntshav qub, tsaus nti hauv qab, thiab cov ntshav tshiab, liab dawb rau saum.

Qhov tseem ceeb tshaj plaws yog tias yog koj pom hom ntshav no nyob hauv koj lub qhov muag, lossis hauv lub qhov muag ntawm tus menyuam uas koj saib xyuas, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob tam sim ntawd . Tab sis tsis txhob txhawj, nrog kev kho mob sai, qhov mob no feem ntau tuaj yeem kho tau los ntawm kev siv tshuaj thiab so.

Qhov no loj npaum li cas? Nws hnyav npaum li cas?

Cov kws kho mob faib cov hyphema raws li qhov ntau ntawm cov ntshav uas tau sib sau ua ke hauv lub qhov muag. Cov ntshav ntau npaum li cas, qhov mob hnyav dua thiab qhov yuav muaj teeb meem ntau dua. Kev faib ua pawg yog raws li nram no:

• Qib 0 (microhyphema): Qhov no yog ib hom ntshav txhaws uas tsis pom ua ib txheej. Txawm li cas los xij, muaj ntshav. Tej zaum yuav xav tau cov khoom siv tshwj xeeb los pom qhov no.
• Qib 1: Cov ntshav pom tau ua tej txheej, tab sis tsawg dua ib feem peb ntawm chav pem hauv ntej ntawm lub qhov muag puv nrog cov ntshav.
• Qib 2: Ntshav zoo li txheej txheej, nrog rau ib feem peb mus rau ib nrab ntawm chav pem hauv ntej puv nrog ntshav.
• Qib 3: Cov ntshav zoo li muaj txheej txheej, ntau tshaj ib nrab ntawm chav tsev pem hauv ntej puv nrog cov ntshav, tab sis tsis tau puv tag.
• Qib 4 (tag nrho cov ntshav sib xyaw ua ke): Hauv qhov no, chav pem hauv ntej puv nkaus nrog cov ntshav liab tsaus lossis dub. Qhov no qee zaum hu ua "yim lub pob" ntshav sib xyaw ua ke. Hauv qhov mob no, qhov kev pheej hmoo ntawm kev mob hnyav xws li lub kaum sab xis kaw glaucoma yog siab heev.

Cov tsos mob ntawm Hyphema yog dab tsi?

Yog tias koj muaj hyphema, koj yuav muaj cov tsos mob zoo li:

• Zoo li ntshav tau sib sau ua ke ntawm qhov muag xim (iris) thiab daim nyias nyias uas hla lub qhov muag dawb (cornea). Nws zoo li cov ntshav me me hauv koj lub qhov muag.
• Pom kev tsis meej lossis tsis meej.
• Tshwj xeeb tshaj yog cov menyuam yaus, lawv feem ntau zoo li nkees thiab tsaug zog (qhov no tuaj yeem yog ib qho cim qhia txog kev raug mob taub hau, yog li ceev faj).
• Ntsws thiab xeev siab tshwm sim (qhov no txhais tau tias qhov siab hauv koj lub qhov muag yuav siab heev).

Ntxiv rau cov no, koj kuj tseem yuav pom qhov muag o. Txawm hais tias qhov no tsis yog ib qho tsos mob ntawm hyphema nws tus kheej, nws tuaj yeem yog los ntawm kev raug mob uas ua rau muaj hyphema.

Yog tias koj tau muaj xwm txheej thiab muaj ib qho ntawm cov tsos mob no, mus rau chav kho mob ceev ze tshaj plaws tam sim ntawd . Nco ntsoov, kev kho mob thaum ntxov yog qhov tseem ceeb heev.

Dab tsi ua rau muaj qhov xwm txheej no?

Qhov muag tsis pom kev (hyphema) feem ntau yog los ntawm kev raug mob ntawm qhov muag, qee yam kab mob ntawm qhov muag, thiab ntau yam mob uas ua rau muaj qhov muag tsis pom kev (hyphema). Cia peb saib seb lawv yog dab tsi:

• Kev raug mob ntsig txog kev ua si: Tshwj xeeb tshaj yog thaum cov pob me me (cov pob cricket, cov pob tennis) ntaus lub qhov muag. Nws kuj tseem tuaj yeem tshwm sim hauv kev ua si xws li kev sib tw ntaus nrig thiab kev ntaus nrig. Xav txog, yog tias koj tab tom ua si cricket thiab lub pob txav ceev ntaus koj lub qhov muag ...
• Phom: Tej yam txaus ntshai los ntawm tej yam xws li phom cua, phom paintball, phom pellet, thiab phom BB. Cov no txaus ntshai heev.
• Kev Sib Tsoo Tsheb: Txawm tias muaj kev sib tsoo tsheb los xij, lub qhov muag tuaj yeem raug mob thiab los ntshav.
• Kev raug mob nkag mus: Yog tias muaj ib yam dab tsi ntse nkag mus rau hauv lub qhov muag.
• Kev raug mob rov qab: Yuav tsum ceev faj heev thaum siv cov khoom no.
• Kab mob ntshav qab zib sickle cell: Qhov no yog ib qho kab mob caj ces.
• Hemophilia: Qhov no kuj yog teeb meem ntshav txhaws.
• Kab mob Von Willebrand.
• Kab mob ntshav dawb (Leukemia): Ib hom mob qog ntshav.
• Mob ntshav qab zib lossis lwm yam mob: Piv txwv li , mob ntshav qab zib thiab mob hlwb neovascularization .
• Mob qog noj ntshav ntawm qhov muag: tshwj xeeb tshaj yog mob melanoma ntawm qhov muag .
• Kev phais qhov muag: Tshwj xeeb tshaj yog tom qab kev phais mob uas cuam tshuam nrog iris thiab ciliary body .
• Qhov kev pheej hmoo no kuj muaj rau cov neeg uas siv qee yam tshuaj uas ua rau cov ntshav nyias (anticoagulants) .

Cov yam ua rau muaj kev pheej hmoo ntawm hyphema yog dab tsi?

Muaj ob yam tseem ceeb uas ua rau muaj kev pheej hmoo ntawm hyphema:

• Hnub Nyoog: Nruab nrab ntawm 70% thiab 75% ntawm cov neeg mob uas muaj kev hais lus tsis raug cai tshwm sim rau cov menyuam yaus thiab cov hluas. Cov neeg hnub nyoog ntawm 10 thiab 20 xyoo yog cov muaj feem yuav raug kev pheej hmoo siab tshaj plaws. Kev hais lus tsis raug cai feem ntau tshwm sim rau cov neeg laus, tshwj xeeb tshaj yog cov neeg hnub nyoog tshaj 50 xyoo.
• Txiv neej thiab poj niam: Cov txiv neej muaj feem yuav mob hyphema ntau dua. Cov kws tshaj lij hais tias cov txiv neej muaj feem yuav mob hyphema ntau dua li cov poj niam peb txog tsib npaug.

Cov teeb meem ntawm tus mob no yog dab tsi?

Cov teeb meem tseem ceeb uas tuaj yeem tshwm sim nrog hyphema yog:

• Ntshav siab ntawm lub qhov muag: Cov ntshav uas sib sau ua ke hauv chav pem hauv ntej ntawm lub qhov muag tuaj yeem thaiv qhov ntws ntawm cov dej noo. Qhov no ua rau muaj kev siab ntawm lub qhov muag , ua rau muaj kev siab ntawm lub qhov muag. Qhov no tuaj yeem ua rau mob glaucoma sai sai, uas tuaj yeem ua rau dig muag tas mus li . Qhov no txaus ntshai heev.
• Los ntshav dua: Qhov no yog thaum qhov txhab uas ua rau muaj hyphema pib los ntshav dua. Qhov no feem ntau yuav tshwm sim hauv 72 teev tom qab los ntshav thawj zaug. Qhov los ntshav zaum ob feem ntau hnyav dua li thawj zaug. Nws kuj muaj kev pheej hmoo siab dua ntawm kev pom kev thiab teeb meem qhov muag mus sij hawm ntev. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tiv thaiv qhov no.
• Cov ntshav ntawm lub qhov muag: Cov ntshav uas sib sau ua ke hauv chav pem hauv ntej ntawm lub qhov muag tuaj yeem ua rau cov xim ntawm cov txheej tom qab ntawm lub qhov muag. Qhov no feem ntau tshwm sim hauv cov rooj plaub ntawm hyphema uas muaj ntshav ntau hauv lawv, hu ua qib 3 thiab 4 hyphemas. Cov xim no tuaj yeem ua rau koj lub zeem muag zoo li liab ntev.

Qhov mob Hyphema tuaj yeem ua rau mob hnyav heev rau cov neeg uas muaj tus kab mob sickle cell (tseem hu ua tus kab mob sickle cell trait) . Qhov no yog vim tus kab mob sickle cell ua rau cov qe ntshav liab hloov pauv, ua rau lawv yuav daig hauv cov kav dej ntawm lub qhov muag.

Yuav ua li cas thiaj paub txog hyphema?

Ib tug kws kho qhov muag lossis tus kws kho mob chav kho mob ceev tuaj yeem kuaj mob hyphema nrog ob peb qhov kev kuaj qhov muag yooj yim.

Koj tus kws kho mob yuav ua cov kev kuaj mob zoo li no:

• Kev ntsuam xyuas qhov muag pom kev: Qhov no yog kev ntsuam xyuas los saib seb koj pom kev zoo npaum li cas.
• Kev kuaj lub qhov muag siv lub tshuab microscope tshwj xeeb: Kev kuaj lub qhov muag los ntawm kev siv lub teeb ci tshwj xeeb.
• Gonioscopy: Kev kuaj xyuas lub kaum sab xis ntawm lub qhov muag.
• Tonometry: Ntsuas qhov siab hauv qhov muag.
• Kev kuaj mob ultrasound: Saib qhov mob sab hauv lub qhov muag.

Ntxiv mus, koj tus kws kho mob kuj tseem yuav kom kuaj ntshav kom paub txog qee yam kab mob ntshav. Nyob ntawm koj cov tsos mob thiab qhov ua rau koj mob, lwm yam kev kuaj yuav raug pom zoo. Koj tus kws kho mob yuav qhia koj ntxiv txog cov no.

Yuav kho tus mob hyphema li cas?

Muaj ntau txoj kev kho mob rau hyphema. Tsis muaj ib qho kev kho mob twg yuav "kho tau" tag nrho, tab sis lawv tuaj yeem pab tiv thaiv lossis txo qhov kev pheej hmoo ntawm cov teeb meem loj.

Yog tias koj qhov kev xav tsis hnyav thiab qhov kev pheej hmoo ntawm cov teeb meem tsawg, koj yuav txaus siab rau cov kev kho mob yooj yim. Muaj qee qhov kev kho mob muaj los tiv thaiv cov teeb meem loj. Koj tus kws kho mob yuav siv ib lossis ntau qhov kev kho mob no ua ke:

• So: Ua ntej koj lub qhov muag zoo, tsis txhob ua tej yam uas yuav ua rau koj lub qhov muag ntxhov siab. Tsis tas li ntawd, tsis txhob ua tej yam uas yuav ua rau koj lub qhov muag ntxhov siab, xws li nyeem ntawv thiab saib TV.
• Kev tiv thaiv qhov muag: Hnav daim ntaub thaiv qhov muag lossis daim ntaub thaiv qhov muag. Qhov no yuav tiv thaiv kev raug mob ntawm qhov muag ntxiv thiab pab koj ob lub qhov muag so thiab kho.
• Khaws koj lub taub hau kom siab: Thaum koj pw tsaug zog, khaws koj lub taub hau kom siab nrog ob lub hauv ncoo. Qhov no pab kom cov ntshav uas tau sib sau ua ke hauv lub qhov muag ntws tawm.
• Cov Tshuaj: Cov tshuaj uas feem ntau pab tau yog cov tshuaj tiv thaiv kev o thiab cov tshuaj uas muab los tiv thaiv kev loj hlob ntawm glaucoma. Cov kws kho mob feem ntau pom zoo kom siv cov tshuaj tua kab mob xws li acetaminophen (piv txwv li Panadol®) rau qhov mob qhov muag uas tshwm sim los ntawm hyphema. Txawm li cas los xij, lawv qhia kom tsis txhob siv cov tshuaj xws li cov tshuaj tiv thaiv kev o uas tsis yog steroidal (NSAIDs) (piv txwv li ibuprofen , aspirin ) vim tias lawv tuaj yeem ua rau muaj kev pheej hmoo ntawm kev los ntshav ntxiv.
• Phais Mob: Tsuas yog 5% ntawm cov neeg uas muaj hyphema xwb thiaj yuav tsum tau phais mob. Feem ntau tsis tas yuav phais mob tshwj tsis yog tias muaj ntshav los yog lwm yam tsos mob uas yuav ua rau lub qhov muag puas mus tas li.

Yuav kho li cas hauv tsev?

Yog koj qhov hyphema tsis hnyav thiab tsis ua rau muaj lwm yam tsos mob lossis teeb meem, koj tuaj yeem kho nws hauv tsev. Cov kev kho mob yooj yim no feem ntau suav nrog:

• So: Tsis txhob ua tej yam hnyav uas yuav ua rau lub qhov muag siab ntxiv kom txog thaum lub qhov muag zoo.
• Hnav daim ntaub thaiv qhov muag: Hnav daim ntaub thaiv qhov muag tuaj yeem tiv thaiv lub qhov muag ntawm kev raug mob ntxiv thiab tseem pab lub qhov muag so thiab kho.
• Khaws koj lub taub hau kom siab: Khaws koj lub taub hau kom siab tshaj koj lub plawv pab kom cov ntshav uas tau sib sau ua ke hauv lub qhov muag ntws rov qab mus rau hauv lub cev.

Kev phais rau Hyphema

Tsuas yog 5% ntawm cov neeg uas muaj hyphema yuav tsum tau phais. Yog tias koj los ntshav hnyav heev thiab qhov siab hauv koj lub qhov muag tsis txo qis hauv 24 teev, lossis yog tias koj cov tsos mob hnyav txaus ua rau koj lub qhov muag puas tsuaj mus tas li, koj yuav tsum tau phais.

Tus kws phais yuav rho cov ntshav hauv lub qhov muag tawm thiab txo qhov siab.

Kuv yuav saib xyuas kuv tus kheej li cas?

Thaum koj rov zoo los ntawm kev mob hyphema, ua raws li koj tus kws kho mob lossis kws phais mob cov lus qhia kom meej. Yog tias lawv hais kom koj hnav daim ntaub thaiv qhov muag, hnav nws rau lub sijhawm uas tau teem tseg, raws li tau qhia. Feem ntau Hyphema yuav kho nws tus kheej hauv ob peb hnub.

Txawm tias koj tsuas xav tau kev kho mob yooj yim xwb los, tsib hnub tom qab muaj qhov hyphema tshwm sim yog qhov tseem ceeb heev . Thaum lub sijhawm no, koj lub qhov muag muaj feem yuav rov raug mob dua, txhais tau tias nws pib los ntshav. Qhov no tuaj yeem ua rau muaj teeb meem loj, suav nrog kev pom kev tsis meej mus tas li. Yog li ntawd, ceev faj heev.

Puas tiv thaiv tau hyphema?

Yog lawm, qee qhov teeb meem hyphema feem ntau tiv thaiv tau . Cov kws tshaj lij hais tias 90% ntawm cov teeb meem hyphema los ntawm kev sib tsoo kis las tuaj yeem tiv thaiv tau los ntawm kev hnav tsom iav tiv thaiv (xws li lub ntsej muag tiv thaiv, tsom iav lossis tsom iav tiv thaiv). Tsis tas li ntawd, hnav tsom iav thaum siv cov cuab yeej hluav taws xob yog ib txoj hauv kev tseem ceeb los tiv thaiv hyphema. Siv cov tsom iav uas haum thiab ua tau raws li cov qauv tsim nyog. Nco ntsoov tias cov tsom iav ib txwm tsis muab kev tiv thaiv no.

Txawm li cas los xij, qee zaum muaj cov lus hais tsis tseeb uas tshwm sim sai sai, tsis muaj kev phom sij pom tseeb. Tsis muaj txoj hauv kev los tiv thaiv lawv.

Yuav ua li cas yog qhov kev cia siab rau hyphema?

Hyphema yog ib qho xwm txheej ceev hauv kev kho mob vim nws tuaj yeem ua rau muaj teeb meem xws li kev puas tsuaj rau lub qhov muag mus tas li thiab kev tsis pom kev. Txawm li cas los xij, cov teeb meem no tuaj yeem tiv thaiv tau los ntawm kev nrhiav kev kho mob sai sai . Cov neeg feem coob rov zoo li qub li tsib txog xya hnub nrog kev saib xyuas zoo, suav nrog kev noj tshuaj, so, thiab lwm yam kev kho mob yooj yim.

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

Tom qab koj tau txais kev kho mob thawj zaug rau hyphema, koj yuav tsum nrhiav kev kho mob tam sim ntawd yog tias koj muaj ib qho ntawm cov cim lossis cov tsos mob hauv qab no:

• Yog koj pom cov ntshav tshiab sib sau ua ke rau ntawm koj lub qhov muag.
• Yog tias koj pom kev hloov pauv sai sai lossis tsis pom kev.
• Yog tias muaj kev hloov pauv ntawm koj qib mob, lossis yog tias koj muaj cov tsos mob ntxiv xws li xeev siab thiab ntuav (cov no yuav qhia tau tias qhov siab hauv koj lub qhov muag yuav siab dhau).

Koj tus kws kho qhov muag lossis lwm tus kws kho mob tuaj yeem qhia koj tias koj yuav tsum tau ceev faj txog lwm yam tsos mob.

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:

• Dab tsi ua rau kuv muaj hyphema?
• Kuv qhov kev hais lus phem loj npaum li cas?
• Kuv puas yuav tau ua ntau qhov kev ntsuam xyuas?
• Kuv yuav xav tau hom kev kho mob twg?
• Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
• Kuv puas yuav tsum hu rau chaw ua haujlwm lossis mus rau chav kho mob ceev? Yog tias kuv pom qhov txawv, yuav ua li cas?

Qhov txawv ntawm hyphema thiab subconjunctival hemorrhage yog dab tsi?

Hyphema yog ib qho mob uas cov ntshav sib sau ua ke hauv koj lub qhov muag thiab sib sau ua ke hauv chav pem hauv ntej ntawm koj lub qhov muag. Hauv hyphema, cov ntshav zoo li nyob rau hauv thaj chaw uas koj lub qhov muag muaj xim. Qhov sib txawv, qhov ntshav tawm hauv qab lub qhov muag yog cov hlab ntsha tawg hauv qhov dawb ntawm koj lub qhov muag (sclera) . Hyphema mob heev, tab sis qhov ntshav tawm hauv qab lub qhov muag tsis mob. Txawm li cas los xij, ob qho tib si tuaj yeem tshwm sim tib lub sijhawm, tshwj xeeb tshaj yog tom qab muaj xwm txheej lossis raug mob.

Thaum kawg, cov lus coj mus tsev:

Qhov muag pom tsis meej (hyphema) ua rau neeg ntshai heev. Txawm hais tias qhov mob no loj heev thiab yuav tsum tau kho mob tam sim ntawd los xij, kev kho mob thaum ntxov yuav ua rau koj muaj feem pom kev zoo dua thiab tiv thaiv tau cov teeb meem.

Feem ntau cov neeg tsuas xav tau tej yam yooj yim xws li tshuaj thiab so kom txog thaum lawv lub qhov muag zoo. Koj tus kws kho qhov muag tuaj yeem piav qhia qhov no rau koj kom meej ntxiv thiab qhia koj txog yam koj ua tau los pab koj tus mob zoo sai dua. Yog li ntawd, tsis txhob ntshai, thiab ua raws li koj tus kws kho mob cov lus qhia.

` Hyphema, los ntshav hauv lub qhov muag, teeb meem qhov muag, raug mob qhov muag, tsis pom kev zoo, glaucoma, kws kho qhov muag