Koj puas tau sawv ntawm daim iav thiab ci ib lub teeb me me rau hauv koj lub qhov muag? Thaum koj ua li ntawd, koj yuav pom tias lub voj voog dub me me hauv nruab nrab ntawm koj lub qhov muag, hu ua lub qhov muag me me, nqaim thaum lub teeb ci rau nws. Thaum lub teeb raug tshem tawm, nws nthuav dav. Qhov no yog ib qho txheej txheem ib txwm muaj hauv cov qhov muag noj qab haus huv. Qhov tseem ceeb yog tias thaum lub teeb ci rau ib lub qhov muag, lub qhov muag me me hauv ob lub qhov muag yuav tsum nqaim tib lub sijhawm. Tab sis qee zaum, ib lub qhov muag yuav tsis teb rau lub teeb no zoo. Ntawd yog qhov peb hu ua Marcus Gunn Pupil hauv kev kho mob.
Hais yooj yim xwb, Marcus Gunn Pupil (RAPD) yog dab tsi?
Zoo, cia peb muab qhov no ua ib txoj kev yooj yim dua. Xav txog koj ob lub qhov muag ua ob tug neeg ua haujlwm ua ke. Lub teeb yog lub teeb liab uas los ntawm koj lub taub hau (piv txwv li, koj lub hlwb). Thaum ib lub qhov muag tau txais lub teeb liab no, ob lub qhov muag yuav tsum ua haujlwm ua ke thiab rhuav tshem ob lub pob dub.
Tiamsis thaum lub teeb ci ntsa iab rau ntawm ib tus neeg uas muaj Marcus Gunn Pupil lub qhov muag, lub qhov muag ntawd tsis tau txais cov lus kom raug thiab xa mus rau lub hlwb. Yog li ntawd, cov voj voog dub hauv ob lub qhov muag tsis me me kom raug. Qee zaum, es tsis txhob me me, lawv yuav zoo li loj dua me ntsis.
Qhov tseem ceeb yog tias Marcus Gunn Pupil tsis yog ib yam kab mob hauv nws tus kheej. Nws tsuas yog ib qho cim tseem ceeb heev uas qhia tias muaj teeb meem hauv koj lub qhov muag, tshwj xeeb tshaj yog nyob rau hauv retina lossis optic nerve. Yog li ntawd, yog tias koj pom qhov cim no, nws yog ib qho tseem ceeb kom nrhiav tau qhov ua rau. Cov kws kho mob kuj hu qhov no tias Relative Afferent Pupillary Defect (RAPD).
Vim li cas qhov no thiaj tshwm sim? Dab tsi yog cov laj thawj rau qhov no?
Qhov muag tsis pom kev Marcus Gunn Pupil feem ntau yog los ntawm kev puas tsuaj rau koj lub retina lossis lub paj hlwb optic, uas nqa cov lus los ntawm lub qhov muag mus rau lub hlwb. Cia peb saib cov mob tseem ceeb uas tuaj yeem cuam tshuam rau qhov no.
| Mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Mob hlwb qhov muag | Kev o lossis kev kis kab mob ntawm cov hlab ntsha pom. Qhov no yog ib qho ua rau muaj RAPD ntau heev. |
| Mob pob qhov muag | Kev puas tsuaj rau cov hlab ntsha ntawm lub qhov muag vim muaj kev nce siab hauv lub qhov muag. Txawm hais tias feem ntau nws cuam tshuam rau ob lub qhov muag sib npaug, RAPD tuaj yeem tshwm sim thaum muaj ntau dua ib lub qhov muag raug cuam tshuam. |
| Kev tawg ntawm cov retina | Kev tawg ntawm daim tawv muag yog kev sib cais ntawm daim tawv muag, uas yog ib daim nyias nyias hauv lub qhov muag, ntawm nws cov nqaij uas txhawb nqa. Qhov no yog ib qho mob hnyav heev. |
| Kev txhaws ntawm cov hlab ntsha hauv nruab nrab ntawm lub qhov muag ischemic | Kev thaiv ntawm cov hlab ntsha loj uas xa cov ntshav mus rau lub retina. |
| Kev puas tsuaj ntawm qhov muag | Kev puas tsuaj mus tas li rau cov hlab ntsha optic vim qee qhov laj thawj. |
| Cov qog ntawm qhov muag | Kev nias ntawm cov hlab ntsha optic los ntawm cov qog nqaij hlav cancer lossis tsis yog cancer. |
| Kev raug mob ntawm qhov muag | Kev puas tsuaj rau cov hlab ntsha optic lossis retina vim muaj xwm txheej hnyav, kub hnyiab, lossis kis kab mob. |
Ntxiv rau, qhov Marcus Gunn Pupil feature tsis tshua pom muaj nyob rau hauv cov mob hnyav ntawm amblyopia , lossis "lub qhov muag tub nkeeg," thiab cataracts hnyav.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Qhov no yog ib yam dab tsi uas koj nrhiav tsis tau hauv tsev. Muaj ib qho kev kuaj tshwj xeeb uas tus kws kho mob ua rau qhov no. Nws hu ua "Kev kuaj teeb ci ntsa iab." Nws kuj hu ua Kev kuaj Marcus Gunn.
Qhov no ua tiav li no:
1. Tus kws kho mob yuav coj koj mus rau ib chav tsaus me ntsis.
2. Tom qab ntawd, siv lub teeb me me, ci lub teeb rau hauv txhua lub qhov muag ob peb feeb.
3. Ces maj mam hloov lub teeb mus rau lwm lub qhov muag.
4. Hloov lub teeb rov qab thiab tawm li no ob peb zaug, saib xyuas kom zoo seb koj ob lub noob taum dub puas teb rau lub teeb tib yam, lossis seb ib lub puas coj txawv ntawm lwm lub.
Hauv ib tug neeg noj qab nyob zoo, lub iris ntawm ob lub qhov muag yuav tsum me me ua ke thaum lub teeb ci ntsa iab rau lawv. Txawm li cas los xij, thaum lub teeb qhib rau hauv lub qhov muag uas raug mob ntawm ib tug neeg uas muaj RAPD, lub iris tsis me me zoo, tab sis tseem loj li qub lossis nthuav me ntsis. Qhov no qhia rau tus kws kho mob paub tias muaj teeb meem.
Yuav kho tus mob no li cas?
Qhov no tseem ceeb heev uas yuav tsum nkag siab. Tsis muaj kev kho mob tshwj xeeb rau Marcus Gunn Pupil. Vim tias nws tsis yog ib yam kab mob. Kev kho mob yeej ib txwm daws qhov teeb meem uas ua rau nws.
Piv txwv li:
- Yog tias qhov ua rau yog mob optic neuritis , koj tus kws kho mob yuav sau ntawv kom noj tshuaj xws li IV steroids.
- Yog tias qhov ua rau mob glaucoma , yuav muab cov tshuaj qhov muag los tswj qhov siab hauv lub qhov muag.
- Yog tias qhov ua rau yog retinal detachment , tej zaum yuav xav tau kev kho laser lossis phais kom kho qhov teeb meem.
Yog li ntawd, koj tus kws kho mob yuav ua cov kev kuaj mob tsim nyog ua ntej kom paub meej tias yog vim li cas RAPD thiaj ua rau muaj qhov teeb meem no. Tom qab ntawd, nws yuav qhia koj txog kev kho mob zoo tshaj plaws raws li qhov ua rau muaj qhov teeb meem ntawd.
Thaum twg koj yuav tsum mus ntsib kws kho mob tam sim ntawd?
Kev pom kev yog ib qho ntawm peb cov khoom muaj nqis tshaj plaws. Yog li ntawd, tsis txhob tsis quav ntsej txog kev hloov pauv hauv koj lub qhov muag. Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, nco ntsoov mus ntsib kws kho mob, tshwj xeeb tshaj yog kws kho qhov muag.
- Mob qhov muag los yog tsis xis nyob.
- Pom tsis meej los yog pom tej yam ua ob.
- Pom tsis tau thaum hmo ntuj .
- Pom cov teeb ci ntsa iab (flashes) lossis cov teeb ntab hauv koj lub zeem muag.
- Ib feem ntawm koj qhov kev pom kev yuav tsaus ntuj los yog tsis pom.
Yog koj muaj cov tsos mob no, tsis txhob xav tias tsuas yog ib qho me me xwb. Mus ntsib kws kho mob sai li sai tau. Vim tias nyob rau hauv cov mob no, qhov koj pib kho sai npaum li cas, qhov zoo dua uas koj yuav muaj peev xwm cawm koj lub qhov muag.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Marcus Gunn Pupil (RAPD) tsis yog ib yam kab mob, nws yog ib qho cim qhia txog kev kho mob tseem ceeb uas qhia tias muaj teeb meem nrog cov hlab ntsha optic lossis retina ntawm koj lub qhov muag.
- Txawm hais tias cov tsos mob no ib leeg tsis ua rau muaj kev pheej hmoo rau kev noj qab haus huv, qhov mob tseem ceeb uas ua rau nws tuaj yeem ua rau mob hnyav thiab xav tau kev kho mob.
- Koj tus kws kho mob tuaj yeem kuaj mob no los ntawm kev kuaj yooj yim hu ua "swinging flashlight test."
- Kev kho mob rau Marcus Gunn Pupil tsis yog tsom mus rau tus kab mob nws tus kheej, tab sis yog tsom mus rau qhov ua rau muaj tus kab mob no. Qhov no yuav xav tau tshuaj, siv laser, lossis phais.
- Yog koj pom muaj kev hloov pauv hauv koj qhov muag (mob, tsis meej, dig muag hmo ntuj), nrhiav kev pab kho mob tam sim ntawd yam tsis muaj kev ncua.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus