Koj puas tau xav tias thaum koj nyeem ntawv xov xwm lossis saib lub qhov rais, cov kab ncaj nraim ntawm nws zoo li ncab me ntsis thiab ntsws? Qee zaum koj tuaj yeem ntsib kev paub zoo sib xws thaum saib cov vuas hauv pem teb hauv chav dej. Muaj ntau tus neeg xav tias qhov no yog teeb meem nrog lawv cov tsom iav. Tab sis qhov no tuaj yeem tshwm sim los ntawm kev hloov me me hauv lub qhov muag uas tsis tuaj yeem kho tau los ntawm kev hloov lawv cov tsom iav. Hnub no peb tab tom tham txog qhov mob no hu ua Macular Pucker, uas ntau tus neeg tsis tau hnov txog, tab sis qee tus neeg ua. Tsis txhob txhawj, peb yuav tham txog txhua yam hauv cov lus yooj yim.
Macular Pucker yog dab tsi?
Yuav kom nkag siab qhov no, cia peb xub saib seb peb ob lub qhov muag ua haujlwm li cas. Xav txog peb ob lub qhov muag zoo li lub koob yees duab high-tech. Tom qab lub koob yees duab no, muaj ib txheej nyias nyias ntawm cov hlwb uas rhiab rau lub teeb uas ua haujlwm zoo li zaj duab xis. Peb hu qhov no ua retina . Cov duab peb pom yog tsim rau ntawm retina no.
Tam sim no, nyob hauv nruab nrab ntawm lub retina no, muaj ib qho chaw me me uas muaj ntau lub hlwb rhiab heev rau lub teeb tau sib sau ua ke uas pab peb pom tej yam kom meej, nyeem tau, thiab paub lub ntsej muag hauv txoj kev uas tsis pom kev zoo. Peb hu nws ua macula . Qhov no yog qhov tseem ceeb uas ua rau peb pom kev meej thiab meej.
Macular pucker yog thaum ib txheej nyias nyias ntawm cov nqaij caws pliav, zoo li ib daim ntawv cellophane, tsim rau saum macula. Cov txheej no maj mam ntsws zuj zus. Tom qab ntawd nws ncab thiab ntsws nrog rau macula hauv qab. Nws zoo li muab lwm daim ntaub tso rau saum ib daim ntaub pw thiab daim ntaub hauv qab ntsws thaum nws ncab. Qhov ntsws no ua rau peb pom kev meej, ncaj nraim kom tawg thiab tawg. Cov kws kho mob kuj hu qhov no ua epiretinal membrane (ERM) lossis cellophane maculopathy .
Feem ntau, qhov no tsis ua rau muaj kev puas tsuaj loj rau qhov muag pom kev, tab sis rau qee tus neeg, nws tuaj yeem ua rau nws nyuaj rau ua cov haujlwm txhua hnub.
Cov tsos mob ntawm tus neeg uas muaj macular pucker yog dab tsi?
Cov tsos mob tseem ceeb thiab feem ntau ntawm tus mob no yog pom kev tsis meej. Ntawd yog, cov khoom uas ncaj zoo li raug ncab. Hauv kev kho mob, peb hu qhov no ua metamorphopsia . Nws tsuas yog cuam tshuam rau ib lub qhov muag xwb, tab sis qee zaum nws tuaj yeem cuam tshuam rau ob lub qhov muag. Txawm hais tias nws tuaj yeem tshwm sim rau ob lub qhov muag, feem ntau ib lub qhov muag raug cuam tshuam ntau dua li lwm qhov.
Hauv qab no yog cov tsos mob feem ntau ntawm tus mob no.
| Cov tsos mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Kev Pom Kev Tsis Zoo | Cov kab ncaj (cov qhov rai, cov thav qhov rooj, cov kab hauv phau ntawv) zoo li ncab, nkhaus, lossis wavy. |
| Pom kev tsis meej | Xav tias tej yam me me tsis pom tseeb, txawm koj saib ze npaum li cas los xij. Nyeem ntawv thiab sau ntawv nyuaj. |
| Pom Kev Ob Zaug | Thaum saib nrog ib lub qhov muag, daim duab zoo li ob. |
| Qhov loj ntawm cov duab zoo li txawv. | Daim duab uas ib lub qhov muag pom yuav zoo li loj dua lwm lub qhov muag. |
Qhov tseem ceeb tshaj plaws yog tias qhov muag tsis pom kev uas tshwm sim los ntawm qhov muag pucker tsis tuaj yeem kho tau nrog cov tsom iav ib txwm. Yog tias koj muaj cov tsos mob no, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho qhov muag.
Vim li cas qhov macular pucker no thiaj tshwm sim? Dab tsi yog cov yam uas ua rau muaj kev pheej hmoo?
Qhov mob no feem ntau tshwm sim thaum muaj hnub nyoog. Cov khoom zoo li jelly hauv peb lub qhov muag uas ua rau lub qhov muag zoo li qub hu ua vitreous humor . Thaum peb laus zuj zus, cov jelly no yuav ntsws, ua kua, thiab pib sib cais ntawm retina. Qhov no yog qhov ib txwm muaj. Tab sis qee zaum, thaum qhov kev sib cais no tshwm sim, retina tuaj yeem raug puas tsuaj me ntsis. Thaum lub cev sim kho qhov kev puas tsuaj no, cov nqaij caws pliav tuaj yeem tsim rau ntawm macula. Qhov no yog qhov ua rau macular pucker.
Sib nrug ntawm qhov no, muaj ntau lwm yam ua rau thiab cov yam txaus ntshai.
- Kev tsim kua muag ntawm lub qhov muag (retinal tear) los yog kev sib cais (detachment) .
- Kev raug mob qhov muag hnyav (Kev raug mob qhov muag).
- Kev phais qhov muag: Tshwj xeeb tshaj yog tom qab tej yam xws li kev phais cataract.
- Kev kis kab mob ntawm qhov muag lossis o, piv txwv li uveitis .
- Cov teeb meem ntawm qhov muag uas tshwm sim los ntawm ntshav qab zib (Diabetes-related retinopathy).
- Tau txais kev kho mob qhov muag laser .
Tus mob no tsis yog kis tau. Qhov ntawd txhais tau tias nws tsis tuaj yeem kis tau ntawm ib tus neeg mus rau lwm tus.
Tus kws kho mob nrhiav tau qhov no li cas?
Tom qab koj qhia peb txog koj cov tsos mob, tus kws kho qhov muag yuav kuaj koj lub qhov muag kom zoo zoo. Yuav ua li no, lawv yuav muab cov tshuaj rau hauv koj lub qhov muag uas yuav ua rau koj cov menyuam qhov muag loj tuaj. Qhov no yuav ua rau tus kws kho mob pom tseeb tias cov retina thiab macula hauv koj lub qhov muag.
Ntxiv rau qhov ntawd, muaj ntau qhov kev kuaj tshwj xeeb siv los xyuas kom meej tias tus kab mob no yog dab tsi.
- Kev kuaj qhov muag Amsler grid: Qhov no suav nrog kev saib ib daim grid ntawm cov plaub fab. Yog tias koj muaj macular pucker, cov plaub fab yuav dhau los ua kab, ntsws, thiab tsis pom ib feem.
- Kev kuaj mob Optical coherence tomography (OCT): Qhov no yog txoj kev zoo tshaj plaws thiab raug tshaj plaws los kuaj mob no. Zoo ib yam li kev kuaj CT, nws thaij ib daim duab siab ntawm lub retina hauv lub qhov muag, uas zoo li ib daim duab hla. Daim duab no tuaj yeem pom tseeb tias puas muaj ib txheej zaj duab xis ntawm lub macula, nws tuab npaum li cas, thiab seb lub macula puas ntsws.
Cov kev kho mob rau qhov no yog dab tsi?
Ua ntej, qhov xov xwm zoo yog tias tsis yog txhua tus neeg uas muaj qhov muag pucker yuav xav tau kev kho mob. Yog tias koj qhov muag tsis pom kev zoo, koj tus kws kho mob yuav hais kom koj tuaj kuaj qhov muag tsis tu ncua. Qhov no txhais tau tias lawv tsuas yog saib xyuas qhov mob xwb.
Txawm li cas los xij, yog tias koj qhov kev pom kev tsis meej cuam tshuam rau koj cov dej num txhua hnub (xws li nyeem ntawv lossis tsav tsheb), koj yuav xav nrhiav kev kho mob.
| Txoj kev kho mob | Kev piav qhia |
|---|---|
| Cov Kev Xaiv Tsis Yog Phais Mob | |
| Cov tsom iav tshiab | Qhov no yuav tsis kho tau qhov muag macular pucker, tab sis nws tuaj yeem pab kho lwm yam teeb meem pom kev thiab ua kom koj pom kev zoo tshaj plaws. |
| Cov khoom siv teeb pom kev zoo thiab lub tshuab ua kom loj dua | Kev nyeem ntawv yuav ua tau yooj yim dua los ntawm kev siv lub teeb pom kev zoo (teeb nyeem ntawv) thiab, yog tias tsim nyog, siv cov khoom siv ua kom loj dua. |
| Kev Xaiv Phais Mob | |
| Vitrectomy nrog Membranectomy | Qhov no yog txoj kev kho mob tseem ceeb thiab zoo tshaj plaws rau tus mob no. Nws suav nrog kev txiav me me hauv lub qhov muag, tshem tawm cov khoom zoo li jelly hauv lub qhov muag (vitreous), thiab ua tib zoo tshem tawm cov daim nyias nyias uas ua rau muaj cov kab nrib pleb. Qhov no feem ntau yog kev kho mob sab nraud. |
Puas muaj kev pheej hmoo rau kev phais?
Ib yam li kev phais mob, muaj qee qhov kev pheej hmoo me me, tab sis cov kws kho mob ua txhua yam los txo cov kev pheej hmoo no.
- Los ntshav
- Kev kis kab mob
- Kev tsim kua muag los yog kev sib cais ntawm cov retina
- Kev muaj mob cataracts ntau ntxiv
- Qhov Macular
- Kev mob qhov muag siab ntxiv (Glaucoma)
Tom qab phais tas, tej zaum yuav pom tsis meej me ntsis rau ob peb hnub. Tej zaum koj kuj yuav mob qhov muag thiab tsis xis nyob. Tej zaum yuav siv sijhawm txog li 3 lub hlis kom kho tau tag nrho thiab pom tau tag nrho cov txiaj ntsig ntawm kev phais.
Tsis txhob xav tias qhov no yog lwm yam kab mob ntawm qhov muag!
Cov tsos mob ntawm macular pucker yuav zoo ib yam li cov ntawm ntau lwm yam mob qhov muag, yog li nws tseem ceeb heev uas yuav tsum paub txog cov kev sib txawv no.
Macular Pucker thiab Macular Degeneration puas yog tib yam?
Yog. Txawm hais tias ob qho tib si cuam tshuam rau macula, lawv yog ob qho mob sib txawv. Kev puas tsuaj ntawm lub qhov muag thaum laus yog ib qho mob uas cov hlwb hauv macula raug rhuav tshem thaum peb laus. Macular pucker yog ib qho mob uas ib txheej ntawm cov nqaij tsim rau ntawm macula. Cov tsos mob yuav zoo sib xws, tab sis cov ua rau thiab kev kho mob sib txawv.
Macular Pucker thiab Macular Hole puas yog tib yam?
Tsis yog. Cov no yog ob yam mob. Qhov pucker yog ib qho kua muag. Qhov macular yog ib qho qhov tiag tiag hauv macula. Qee zaum qhov macular pucker tuaj yeem ua rau daim nyias nyias ncab thiab tsim ib qho qhov hauv macula. Qhov macular feem ntau muaj feem cuam tshuam ntau dua rau kev pom kev dua li qhov pucker.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog koj pom muaj kev hloov pauv hauv koj qhov muag, tsis txhob tsis quav ntsej. Nco ntsoov mus ntsib koj tus kws kho mob.
Tshwj xeeb, yog tias koj pom kev hloov pauv sai sai, muaj cov xim dub tam sim ntawd ua ntej koj ob lub qhov muag, cov dej ntws, lossis mob qhov muag, mus rau chav kho mob ceev (ETU) tam sim ntawd.
Thaum koj thawj zaug hnov txog qhov mob uas ua rau pom kev tsis meej no, tej zaum koj yuav ntshai me ntsis. Tab sis nco ntsoov, feem ntau cov mob macular pucker tsis tas yuav kho. Txawm tias lawv ua li ntawd los xij, muaj cov kev kho mob zoo. Koj tus kws kho mob yuav tham txog cov kev xaiv uas zoo tshaj plaws rau koj thiab pab koj txiav txim siab seb yuav ua li cas tom ntej. Qhov tseem ceeb tshaj plaws yog mus kuaj qhov muag tsis tu ncua .
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Macular pucker yog ib qho mob uas muaj ib txheej nyias nyias ntawm cov nqaij caws pliav tsim rau ntawm macula, qhov ntawm koj lub qhov muag uas yog lub luag haujlwm rau kev pom kev meej, ua rau nws ntsws.
- Cov tsos mob tseem ceeb ntawm qhov no yog qhov tsos ntawm cov kab txaij, wrinkled.
- Tsis yog txhua tus neeg uas muaj tus mob no yuav tsum tau kev kho mob. Yog tias qhov muag tsis pom kev zoo heev, cov kws kho mob tsuas yog saib xyuas nws xwb.
- Yog tias qhov muag tsis meej thiab tsis pom kev zoo cuam tshuam rau kev ua ub ua no txhua hnub, kev phais tuaj yeem tshem tawm daim nyias nyias no thiab rov qab pom kev zoo.
- Yog koj pom muaj kev hloov pauv hauv koj qhov muag, tshwj xeeb yog cov uas tshwm sim sai sai, mus ntsib kws kho mob tam sim ntawd.
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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