Koj tus me nyuam puas muaj teeb meem qhov muag zoo li no? Cia peb tham txog 'Morning Glory Syndrome'

Thaum koj saib koj tus menyuam lub qhov muag, koj puas tau pom tias muaj qee yam txawv ntawm ib lub qhov muag? Tej zaum sab hauv lub qhov muag zoo li txawv me ntsis, lossis tus menyuam lub taub hau tig mus rau ib sab, lossis ib lub qhov muag loj. Nws yog ib txwm rau niam txiv yuav ntshai me ntsis thaum lawv pom tej yam zoo li no. Hnub no peb yuav tham txog ib qho mob uas tuaj yeem cuam tshuam rau lub qhov muag, uas yog qhov tsis tshua muaj tab sis tseem ceeb heev uas yuav tsum paub txog. Qhov ntawd yog ib qho mob hu ua 'Morning Glory Syndrome '.

Qhov 'Morning Glory Syndrome' no yog dab tsi?

Hais yooj yim xwb, 'Morning Glory Syndrome' yog ib qho mob uas tshwm sim thaum ib feem ntawm koj lub qhov muag uas nyob hauv koj lub qhov muag, nraub qaum, tsis loj hlob zoo. Xav txog, cov hlab ntsha tseem ceeb uas cuam tshuam nrog kev pom kev yog nyob hauv peb lub qhov muag, qhov chaw uas nws txuas rau lub qhov muag, uas yog, qhov hu ua lub hauv paus paj hlwb optic, uas nyob rau hauv qhov mob no, yog nyob rau hauv cov duab ntawm lub funnel. Nws zoo li muaj ib lub paj hu ua 'Morning Glory', thiab thaum tus kws kho mob saib rau hauv koj lub qhov muag '(Retina)', nws zoo li nws tab tom saib rau hauv lub paj ntawd. Yog vim li ntawd nws thiaj li tau raug hu ua 'Morning Glory Syndrome'.

Qhov no yog tshwm sim los ntawm teeb meem nrog kev loj hlob ntawm lub qhov muag thaum tus menyuam tseem nyob hauv plab . Nws feem ntau raug kuaj pom thaum ntxov heev, qee zaum ua ntej tus menyuam muaj ob xyoos. Qhov 'Morning Glory Syndrome' (MGS) no ua rau muaj kev hloov pauv hauv lub qhov muag uas tuaj yeem cuam tshuam rau koj qhov kev pom. Nws kuj tseem ua rau muaj kev pheej hmoo ntawm kev tsim ntau yam teeb meem ntawm lub qhov muag thoob plaws lub neej. Nws feem ntau cuam tshuam tsuas yog ib lub qhov muag xwb, tab sis tsis tshua muaj nws tuaj yeem cuam tshuam rau ob lub qhov muag.

Ib qho ntxiv yog, qee zaum tsuas muaj qhov txawv ntawm qhov tsos ntawm lub qhov muag no xwb, uas yog, tsis muaj tsos mob dab tsi li. Yog li ntawd, cov kws tshwj xeeb hu ua 'Morning Glory Disk Anomaly'. Txawm li cas los xij, yog tias qhov txawv ntawm qhov tsos no nrog rau cov tsos mob, ces nws hu ua 'Morning Glory Syndrome'.

Qhov teeb meem no feem ntau tshwm sim li cas?

Kab mob Morning Glory Syndrome yog ib yam mob tsis tshua muaj . Thoob ntiaj teb, kwv yees tias muaj ntau tshaj 63,000 tus menyuam yaus hnub nyoog qis dua 20 xyoo raug tus kab mob no. Lwm qhov tseeb nthuav yog tias nws muaj ntau ob npaug rau cov ntxhais dua li cov tub hluas. Kuj tseem hais tias nws tsis tshua muaj rau cov neeg dub.

Cov tsos mob ntawm qhov no yog dab tsi?

Tsis yog txhua tus neeg uas muaj Morning Glory Syndrome (MGS) yuav muaj cov tsos mob zoo ib yam. Txawm li cas los xij, muaj qee cov tsos mob uas pom ntau. Tus mob no muaj feem cuam tshuam rau sab laug lub qhov muag ntau dua li sab xis ob npaug.

Cov tsos mob ntawm qhov muag:

• Qhov DebMyopia : Qhov no txhais tau tias txawm tias cov khoom nyob ze pom tseeb, cov khoom nyob deb zoo li tsis meej.
• Teeb meem pom kev pom tseeb: Tej zaum koj yuav muaj qhov sib txawv lossis qhov tsis pom kev (scotomas) hauv koj qhov muag. Txawm hais tias nws yog ib txwm rau txhua tus neeg kom muaj qhov me me dig muag ntuj hauv txhua lub qhov muag, qhov dig muag no yuav loj dua li qub hauv lub qhov muag uas raug mob ntawm ib tus neeg uas muaj MGS.
• Strabismus: Ib lossis ob lub qhov muag tig mus rau ntau qhov chaw sib txawv. Peb hais tias "qhov muag sib tshuam."
• Dawb, nyiaj, daj, lossis greyish- dawb cornea (Leukocoria): Qhov chaw nruab nrab ntawm lub qhov muag, uas feem ntau zoo li dub, tej zaum yuav zoo li xim txawv. Yog tias koj pom qhov no, koj yuav tsum mus ntsib kws kho mob tam sim ntawd.

Cov tsos mob uas tshwm sim nrog lwm yam mob cuam tshuam:

Ntxiv rau cov tsos mob ntawm qhov muag no, muaj lwm yam mob uas tuaj yeem tshwm sim nrog rau Morning Glory Syndrome (MGS). Cov mob no suav nrog:

• Encephalocele (ib feem ntawm lub hlwb tawm ntawm lub pob txha taub hau)
• Kab mob Moyamoya (ua rau cov hlab ntsha uas muab ntshav mus rau lub hlwb nyias)
• 'PHACE syndrome'
• Kab mob Neurofibromatosis hom 2 (NF2)
• Aicardi Syndrome
• Chiari malformation hom I
• 'Duane syndrome' (qee zaum hu ua 'Okihiro syndrome')

Cov npe no yuav suab me ntsis nyuaj rau koj, tab sis yog tias tus kws kho mob xav tias MGS, lawv kuj yuav nrhiav lwm yam mob zoo li no.

Vim li cas ho ua li no?

Qhov tseeb, cov kws tshaj lij tseem tsis tau muaj lub tswv yim meej txog seb Morning Glory Syndrome (MGS) tshwm sim li cas. Qhov no feem ntau yog vim nws yog ib qho mob tsis tshua muaj thiab tau piav qhia thawj zaug tsis ntev los no xyoo 1969.

Txawm li cas los xij, cov kws tshaj lij paub tias qhov ua rau MGS muaj feem cuam tshuam nrog qee qhov kev cuam tshuam hauv kev loj hlob ntawm lub qhov muag thaum tus menyuam tseem nyob hauv plab . Qhov no xav tias muaj feem cuam tshuam nrog cov hlab ntsha uas muab ntshav rau lub qhov muag tsis loj hlob zoo, lossis kev cuam tshuam hauv kev loj hlob ntawm lub qhov muag thiab cov hlab ntsha optic.

Ib qho ntawm cov pov thawj tseem ceeb uas qhia tias muaj teeb meem ntawm cov hlab ntsha yog tias MGS muaj feem cuam tshuam rau lub qhov muag sab laug ob npaug. Feem ntau, tus menyuam hauv plab uas tseem tab tom loj hlob muaj qhov qhib me me ntawm sab laug thiab sab xis ntawm lub plawv. Cov no feem ntau kaw ua ntej lossis ob peb hnub tom qab yug los.

Txawm li cas los xij, yog tias tus menyuam hauv plab feem ntau yuav muaj cov ntshav me me (microemboli), cov qhov qhib ntawd tuaj yeem ua rau cov ntshav txhaws mus los ntawm sab laug ntawm lub plawv mus rau sab xis. Los ntawm qhov ntawd, nws tuaj yeem mus rau lub hlwb. Yog tias muaj kev cuam tshuam hauv kev loj hlob ntawm cov hlab ntsha, cov ntshav txhaws tuaj yeem daig rau ntawd, thaiv cov ntshav thiab tiv thaiv cov ntaub so ntswg kom tsis txhob loj hlob zoo. Nws yog cov xwm txheej no uas tau qhia tias kev cuam tshuam hauv kev loj hlob ntawm cov hlab ntsha ua rau MGS.

Txawm hais tias MGS tuaj yeem tshwm sim nrog cov kab mob caj ces thiab cov kab mob uas tau los ntawm noob caj ces, kev tshawb fawb tsis tau qhia tias cov kab mob no ua rau MGS ncaj qha. Txawm hais tias muaj cov lus ceeb toom ntawm ntau tus tswv cuab ntawm tib tsev neeg tau mob MGS, nws tsis yog qhov tshwm sim ntau.

Muaj teeb meem dab tsi tshwm sim tau?

Qhov teeb meem feem ntau ntawm Morning Glory Syndrome (MGS) yog retinal detachment . Qhov mob no tuaj yeem tshwm sim rau txog li 40% ntawm cov neeg uas muaj MGS. Qhov no yog xwm txheej ceev hauv kev kho mob .

Lwm yam teeb meem yuav muaj xws li:

• Pom kev tsis zoo: Pom kev tsis zoo heev.
• Qhov muag nkees (Amblyopia): Vim tias qhov pom kev hauv ib lub qhov muag tsis loj hlob zoo, lub hlwb pib tsis quav ntsej cov teeb liab los ntawm lub qhov muag ntawd.
• Neovascularization ntawm lub qhov muag: Qhov no tuaj yeem cuam tshuam rau qhov muag pom kev.
• Kev puas tsuaj ntawm cov ntaub so ntswg (Retinoschisis) .

Koj paub qhov no li cas?

Ib tug kws kho qhov muag, tshwj xeeb tshaj yog ib tug kws kho mob tshwj xeeb hauv retina, tuaj yeem kuaj mob Morning Glory Syndrome (MGS) siv ntau txoj kev sib xyaw ua ke, suav nrog kev nug txog cov tsos mob uas koj lossis koj tus menyuam tab tom ntsib thiab cov teebmeem uas koj tab tom ntsib.

Tus kws kho mob kuj tseem yuav kuaj xyuas koj (lossis koj tus menyuam) qhov muag pom kev, saib ncaj qha rau hauv lub qhov muag uas raug mob, thiab tej zaum yuav thaij duab ntawm lub retina. Qee qhov kev tshuaj ntsuam duab retinal tshwj xeeb kuj tseem yuav pab tau zoo heev.

Cov kev kuaj mob uas tuaj yeem pab kuaj mob yog:

• Kev kuaj qhov muag: Qhov no suav nrog cov yam xws li kev kuaj qhov muag pom kev, kev kuaj qhov muag pom kev, thiab kev kuaj lub teeb slit.
• Optical Coherence Tomography (OCT): Qhov no tuaj yeem thaij duab hla sab hauv ntawm lub qhov muag.
• Fluorescein Angiography: Qhov no tshuaj xyuas qhov xwm txheej ntawm cov hlab ntsha hauv lub qhov muag.
• Kev Siv Duab Sib Nqus (MRI): Qhov no pab pom cov qauv nyob ib puag ncig lub hlwb thiab qhov muag.

Qhov no puas kho tau? Cov kev kho mob yog dab tsi?

Kab Mob Qog Muag Thaum Sawv Ntxov (MGS) yog ib yam mob uas tshwm sim thaum sab hauv ntawm koj lub qhov muag tsis loj hlob zoo. Cov kev hloov pauv ntawm kev loj hlob tsis tuaj yeem kho lossis kho tau, thiab tsis muaj kev kho . Qhov ntawd txhais tau tias tsis muaj kev kho mob ncaj qha rau Kab Mob Qog Muag Thaum Sawv Ntxov.

Tiamsis tsis txhob txhawj. Txawm hais tias tsis muaj kev kho mob ncaj qha rau MGS, cov tsos mob thiab teeb meem uas nws ua tuaj yeem kho tau .

Lub hom phiaj tseem ceeb ntawm kev kho mob yog raws li nram no:

• Kev kho qhov teeb meem: Piv txwv li, yog tias lub retina raug tshem tawm, nws tuaj yeem kho tau los ntawm kev phais.
• Txwv qhov cuam tshuam ntawm qhov teeb meem: Hnav daim ntaub thaiv qhov muag kom tiv thaiv qhov muag tsis txhob mob zuj zus.
• Tiv thaiv kom tsis txhob muaj teeb meem ntxiv: Yog tias muaj qhov muag tsis pom kev, nws yog ib qho tseem ceeb uas yuav tsum kho sai sai kom tiv thaiv kev puas tsuaj mus tas li thiab kev pom kev tsis pom kev.

Cov kev xaiv kho mob nyob ntawm koj qhov teeb meem tshwj xeeb thiab ntau lwm yam. Koj tus kws kho mob yuav qhia tau koj zoo tshaj plaws txog kev kho mob twg yog qhov zoo rau koj qhov teeb meem thiab lawv pom zoo li cas.

Ib tug neeg uas muaj tus mob no yuav cia siab tau yav tom ntej zoo li cas?

Feem ntau cov neeg kuaj pom tus mob Morning Glory Syndrome (MGS) thaum lawv tseem yog menyuam yaus. Nws yog ib qho mob uas yuav kho tau mus tas li, mus ib txhis . Nws tsis tuaj yeem kho tau, rov qab kho dua, lossis kho tau. Nws tsis yog ib qho txaus ntshai rau lub neej, tab sis nws tuaj yeem cuam tshuam loj heev rau qhov muag pom. Ntau tshaj ib feem peb ntawm cov neeg uas muaj MGS muaj kev puas tsuaj ntawm cov retina.

Ib txhia neeg uas muaj MGS yuav pom kev "ib txwm" (20/20) lossis ze li qub (nruab nrab ntawm 20/20 thiab 20/70). Txawm li cas los xij, ntau tus tsis pom . Feem ntau ntawm cov neeg uas muaj MGS poob rau hauv pawg ntawm "pom tsis meej" (20/70 txog 20/200) lossis "dig muag raws li txoj cai" (20/200 nrog kev kho xws li tsom iav).

Nyob rau sab tes tod, cov neeg uas muaj MGS ib sab yuav tsum tau saib xyuas lawv lub qhov muag uas tsis raug mob ze, vim tias lub qhov muag ntawd kuj muaj feem yuav muaj teeb meem ntau dua. Vim tias MGS ua rau pom kev ze (myopia), muaj feem yuav muaj retinal detachment, thiab myopia yog ib qho tseem ceeb uas ua rau retinal detachment, txawm tias MGS muaj los tsis muaj. Lub qhov muag uas tsis raug mob kuj tseem yuav muaj feem yuav muaj cataracts ntau dua.

Vim tias MGS raug kuaj pom thaum tseem hluas, cov niam txiv lossis cov neeg saib xyuas feem ntau yog cov txiav txim siab kho mob. Lawv kuj muaj lub luag haujlwm tseem ceeb hauv kev ceeb toom rau cov cim lossis tus cwj pwm uas qhia tias tus menyuam muaj teeb meem pom kev cuam tshuam nrog MGS.

Qhov no puas tiv thaiv tau?

Kab mob Morning Glory Syndrome (MGS) tsis yog ib yam uas yuav tiv thaiv tau , thiab tsis muaj ib txoj hauv kev los txo qhov kev pheej hmoo ntawm nws tshwm sim.

Kuv yuav saib xyuas kuv tus kheej/kuv tus menyuam li cas?

Yog tias koj lossis koj tus menyuam muaj MGS, qhov zoo tshaj plaws uas koj ua tau yog tswj koj qhov muag kom zoo tshaj plaws . Koj tus kws kho qhov muag yuav qhia koj txog yuav ua li cas. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj cov lus qhia kho mob kom zoo, siv koj cov tsom iav uas tau sau tseg lossis lwm yam kev kho mob raws li pom zoo, thiab mus ntsib koj tus kws kho mob kom kuaj xyuas tsis tu ncua.

Thaum twg koj yuav tsum mus ntsib kws kho mob sai sai?

Yog tias koj muaj MGS, koj muaj feem yuav mob retinal detachment heev . Qhov no yog ib qho xwm txheej ceev kho mob . Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob tam sim ntawd yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no. Kev kho mob sai sai feem ntau tuaj yeem tiv thaiv kev puas tsuaj mus tas li thiab rov qab pom kev hauv lub qhov muag uas raug mob.

Cov tsos mob ntawm retinal detachment yog:

• Lub teeb ci ntsa iab tam sim ntawd (Photopsia): Zoo li xob laim.
• Cov pob dub uas zoo li ntab lossis ntab uas tshwm sim ntau dua ib zaug: (Nws yog ib txwm pom qee yam khoom ntab nyob rau hauv pem hauv ntej ntawm lub qhov muag, tab sis yog tias lawv cia li nce ntxiv, koj yuav tsum tau them sai sai).
• Pom kev tsis meej: Qhov no yuav zoo li nthwv dej dub lossis daim ntaub thaiv tuaj thiab thaiv koj qhov pom kev.
• Pom kev tsis meej pem tam sim ntawd.

Yog koj pom ib qho ntawm cov tsos mob no, mus rau tsev kho mob yam tsis muaj kev ncua sijhawm .

Koj yuav tsum nug tus kws kho mob li cas?

Tej zaum koj yuav xav nug koj tus kws kho qhov muag cov lus nug no:

• Kuv (lossis kuv tus menyuam) tus mob MGS hnyav npaum li cas?
• Nws yuav cuam tshuam li cas rau kuv (lossis kuv tus menyuam) qhov muag pom kev?
• Yog tias kuv xav tias kuv tus menyuam muaj teeb meem pom kev zoo ntsig txog nws qhov MGS, kuv yuav tsum nrhiav dab tsi?
• Puas muaj lwm yam mob uas yuav ua rau kuv (lossis kuv tus menyuam) muaj MGS? Kuv puas xav tau kev xa mus rau lwm tus kws kho mob tshwj xeeb?

Thaum kawg, tej yam uas yuav tsum nco ntsoov

Thaum koj pom tias koj tus menyuam lossis ib tus neeg uas koj saib xyuas muaj Morning Glory Syndrome (MGS), ib qho mob tsis tshua muaj uas lub retina ntawm tom qab lub qhov muag tsis loj hlob zoo, koj yuav tu siab thiab poob siab. Tsis muaj kev kho mob ncaj qha rau qhov mob no.

Txawm li cas los xij, thaum MGS tsis tuaj yeem kho tau, ntau yam teeb meem uas nws ua rau tuaj yeem kho tau . Yog tias koj tus menyuam muaj MGS, nrog lawv tus kws kho qhov muag tham. Muaj tej yam koj tuaj yeem ua tau los txwv cov teebmeem ntawm tus mob no thiab tiv thaiv nws kom tsis txhob hnyav zuj zus. Kev khaws cia koj qhov muag pom kev yog qhov tseem ceeb tshaj plaws . Nrog kev nce qib hauv kev phais qhov muag thiab lwm yam kev kho mob niaj hnub no, nws muaj peev xwm ua tau ntau dua li yav dhau los. Yog li, tsis txhob tso tseg kev cia siab. Nrog cov lus qhia kho mob thiab kev saib xyuas zoo, tus mob no tuaj yeem tswj tau.

`Mob Qog Ntswg Thaum Sawv Ntxov, MGS, Kab Mob Qhov Muag, Retina, Kab Mob Qhov Muag Rau Menyuam Yaus, Kev Pom Kev Tsis Zoo, Retinal Detachment