Koj puas tau xav paub tias peb lub qhov muag txav mus sai thiab meej npaum li cas thaum peb nyeem phau ntawv, saib lub tsheb ntawm txoj kev, lossis tham nrog ib tug neeg? Tag nrho cov no tshwm sim zoo li khawv koob, yam tsis tau peb paub txog. Yog li tus phab ej tseem ceeb tom qab cov txheej txheem zoo kawg no yog lub paj hlwb oculomotor, lossis qhov peb hu ua '(Oculomotor Nerve)'. Qhov no yog qhov thib peb ntawm 12 khub paj hlwb tseem ceeb uas txuas ncaj qha rau peb lub hlwb. Yog vim li ntawd peb thiaj hu nws '(CN III)'.
Yog li ntawd, lub luag haujlwm ntawm cov hlab ntsha oculomotor yog dab tsi?
Hais yooj yim xwb, cov hlab ntsha no tswj txog xya cov leeg nqaij nyob ib puag ncig koj lub qhov muag. Txawm hais tias muaj peb lub hlab ntsha tseem ceeb uas cuam tshuam rau kev txav ntawm lub qhov muag, qhov no ua haujlwm ntau tshaj plaws. Nws zoo li tus thawj coj hauv chaw ua haujlwm.
Xav txog seb, koj ob lub qhov muag yog ob lub koob yees duab hauv koj lub cev. Ob lub koob yees duab no yuav tsum tau tig, zoom, thiab kho raws li lub teeb. Tag nrho cov nyees khawm ntsig txog txoj haujlwm ntawd nyob ze ntawm cov hlab ntsha no.
Cia peb saib lub rooj hauv qab no kom pom tias muaj dab tsi tshwm sim rau cov hlab ntsha no.
| Lub luag haujlwm tseem ceeb | Ib qho lus piav qhia yooj yim |
|---|---|
| Kev tsa qhov muag | Koj qhib koj ob lub qhov muag thaum sawv ntxov thiab cia lawv qhib tas hnub vim yog cov cim los ntawm cov hlab ntsha no. |
| Dov ob lub qhov muag mus rau saum thiab nqis | Qhov no yog qhov pab koj saib lub dav hlau saum ntuj thiab qee yam uas tau poob rau hauv av. |
| Dov lub qhov muag mus rau lub qhov ntswg | Yog tias ib tug yoov tsaws rau ntawm koj lub qhov ntswg, cov hlab ntsha no tig koj ob lub qhov muag mus rau sab hauv. |
| Kev tswj hwm cov tub ntxhais kawm | Nws yog tib lub cilia no uas ntsws thaum raug tshav ntuj ci kom txo qhov kaj uas ncav cuag lub qhov muag, thiab loj dua hauv qhov tsaus ntuj kom nqus tau ntau lub teeb. |
| Kev tsom mus rau qhov muag los ntawm kev tswj lub lens ntawm lub qhov muag | Thaum koj saib ib yam dab tsi nyob deb thiab tom qab ntawd mam li sim nyeem ib phau ntawv uas nyob ze, cov hlab ntsha no hloov cov duab ntawm lub lens ntawm lub qhov muag kom pom tseeb ntawm ob qho tib si. |
Tiam sis nco ntsoov, cov hlab ntsha no tsis yog tib qho uas tswj txhua qhov kev txav ntawm lub qhov muag. Ob lub hlab ntsha ntxiv pab nrog ob txoj haujlwm me me. Lawv yog `(Trochlear nerve / CN IV)`, uas pab lub qhov muag tig mus rau sab hauv thiab saib mus rau hauv qab, thiab `(Abducens nerve / CN VI)`, uas pab lub qhov muag tig mus rau sab nraud (sab hauv) .
Cov peev xwm tshwj xeeb ntxiv rau kev txav ntawm lub qhov muag
Cov hlab ntsha no, nrog rau ntau lwm yam kab ke, pab peb ua ntau yam kom raug.
- Kev Pab: Xav txog ib tug neeg tab tom pov pob rau koj. Vim yog qhov kev ua haujlwm ntawm cov hlab ntsha no koj thiaj li pom tau lub pob kom meej meej, yam tsis ua rau nws tsis meej pem thaum nws los txog.
- Kev txav ntawm lub qhov muag (Saccades): Cov no yog cov kev txav sai uas txav koj lub qhov muag los ntawm ib lo lus mus rau ib lo lus, ib kab mus rau ib kab, thaum koj nyeem ntawv xov xwm lossis ib phau ntawv. Lawv kuj zoo ib yam li thaum koj saib tib neeg hauv ib chav ntawm ib lub sijhawm mus rau ib lub sijhawm.
- Kev caum qab du: Lub peev xwm no pab koj caum qab lub tsheb ntawm txoj kev lossis noog saum ntuj yam tsis tas yuav saib xyuas.
- Vestibulo-ocular reflex: Qhov no pab koj kom koj lub qhov muag ruaj khov txawm tias koj tig koj lub taub hau sai sai mus rau sab laug lossis sab xis. Nws ua haujlwm ua ke nrog lub cev uas tswj koj qhov sib npaug.
- Lub teeb ci ntsa iab ntawm lub qhov muag: Lub paj hlwb no tswj cov txheej txheem uas lub qhov muag ntawm lub qhov muag cog lus thaum lub teeb ci ntsa iab ntaus lub qhov muag, thiab loj dua thaum lub teeb txo qis.
Cov mob dab tsi tuaj yeem cuam tshuam rau cov hlab ntsha no?
Ib yam li lwm cov hlab ntsha hauv peb lub cev, cov hlab ntsha oculomotor tuaj yeem raug puas tsuaj los ntawm ntau yam kab mob thiab kev raug mob. Qhov mob uas cov hlab ntsha no tsis ua haujlwm zoo hu ua "Oculomotor nerve palsy." Nov yog qee qhov ua rau muaj.
| Tej zaum yuav muaj qhov ua rau | Muaj dab tsi tshwm sim? |
|---|---|
| Teeb meem ntawm lub cev ntshav ncig | Tshwj xeeb tshaj yog cov ntshav qab zib thiab ntshav siab uas tsis tau tswj zoo yuav ua rau cov ntshav tsis txaus mus rau cov hlab ntsha. Qhov mob no hu ua "ischemia." Qhov no tuaj yeem ua rau cov hlab ntsha puas tsuaj thiab ua rau cov leeg nqaij uas nws tswj tsis ua haujlwm. |
| Kev raug mob rau lub taub hau thiab lub ntsej muag | Kev raug mob rau lub taub hau lossis thaj tsam ib puag ncig lub qhov muag los ntawm qhov xwm txheej tuaj yeem ua rau cov hlab ntsha no puas tsuaj ncaj qha. |
| Kev kis kab mob | Qee cov kab mob bacterial thiab viral, xws li Lyme kab mob, tuaj yeem cuam tshuam kev ua haujlwm ntawm cov hlab ntsha. |
| Cov kab mob ntawm lub hlwb thiab lub paj hlwb | Cov hlab ntsha no kuj tseem tuaj yeem raug cuam tshuam los ntawm cov kab mob uas cuam tshuam rau kev ua haujlwm ntawm lub hlwb, xws li mob stroke , mob taub hau migraine, thiab qaug dab peg. |
| Kev o | Qee yam mob autoimmune tuaj yeem ua rau cov nqaij ntshiv nyob ib puag ncig cov hlab ntsha o, xws li multiple sclerosis (MS). Qhov o no tuaj yeem ua rau cov hlab ntsha puas tsuaj thiab ua rau lawv tsis ua haujlwm zoo. |
| Cov qog nqaij hlav | Cov hlab ntsha no tuaj yeem raug nias thiab puas tsuaj los ntawm cov qog nqaij hlav lossis cov qog nqaij hlav uas feem ntau pom hauv lub hlwb. |
| Cov mob uas muaj txij thaum yug los | Tsis tshua muaj teeb meem tshwm sim thaum yug los vim yog cov hlab ntsha lossis cov qauv ib puag ncig tsis loj hlob zoo. |
Koj paub li cas yog tias muaj teeb meem nrog cov hlab ntsha no? (Cov tsos mob)
Yog tias muaj qhov tsis muaj zog lossis puas tsuaj rau cov hlab ntsha oculomotor, koj yuav muaj ib lossis ntau yam ntawm cov tsos mob hauv qab no. Cov no yuav pib sai sai.
- Qhov muag poob qis (ptosis): Ib qho mob uas ib lub qhov muag zoo li poob qis, tsis tuaj yeem qhib tau li qub.
- Strabismus: Ib qho mob uas ib lub qhov muag tig mus rau lwm qhov, thiab ob lub qhov muag tsis tuaj yeem taw tes rau tib qho kev taw qhia .
- Pom ob sab (diplopia): Pom ib yam li ob yam.
- Pom tsis meej: Pom tej yam tsis meej, pom tsis meej.
- Mob qhov muag thiab mob taub hau: Mob taub hau tuaj yeem tshwm sim vim muaj kev ntxhov siab ntxiv rau ntawm qhov muag.
- Mydriasis: Lub iris ntawm ib lub qhov muag loj dua lwm qhov thiab tsis teb rau lub teeb lossis teb qeeb heev.
Yog tias koj muaj cov tsos mob zoo li no, tshwj xeeb tshaj yog tias koj mob taub hau hnyav nrog rau kev pom ob sab, qhov muag poob qis, thiab lwm yam, nws yuav yog xwm txheej ceev. Yog li ntawd, koj yuav tsum mus rau ETU (Chav Kho Mob Thaum Muaj Xwm Ceev) sai li sai tau.
Peb ua tau dab tsi los tiv thaiv cov kab mob neurological no?
Ib yam li peb saib xyuas peb lub cev tag nrho, peb kuj yuav tsum xav txog kev noj qab haus huv ntawm cov hlab ntsha no. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov no.
- Mus kuaj mob txhua xyoo thiab kuaj qhov muag. Qhov no tuaj yeem pab nrhiav tau ntau yam teeb meem ua ntej cov tsos mob tshwm sim.
- Tsis txhob haus luam yeeb, zom luam yeeb, thiab lwm yam kiag li. Yog tias koj twb siv lawm, thov koj tus kws kho mob pab kom tsis txhob haus.
- Tsis txhob raug mob taub hau. Hnav lub kaus mom thaum caij tsheb kauj vab thiab maus taus. Hnav txoj siv sia thaum caij tsheb.
- Yog koj muaj cov kab mob ntev xws li ntshav qab zib lossis ntshav siab, tswj lawv kom zoo. Noj cov tshuaj uas koj tus kws kho mob tau sau tseg raws sijhawm. Ua raws li cov lus qhia raws nraim li tau muab.
Thaum kawg, cov hlab ntsha oculomotor no yog ib feem tseem ceeb heev uas pab ntsiag to nrog yuav luag txhua yam peb ua txhua hnub. Yog tias koj pom muaj kev hloov pauv hauv nws txoj haujlwm, qhov zoo tshaj plaws ua yog tsis txhob ntshai lossis ntshai heev, tab sis nrhiav kev kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov hlab ntsha oculomotor yog cov hlab ntsha tseem ceeb uas tswj feem ntau ntawm cov kev txav ntawm lub qhov muag, kev tsa lub qhov muag, thiab qhov loj ntawm lub qhov muag dub.
- Cov mob nkeeg xws li ntshav qab zib uas tswj tsis tau zoo thiab ntshav siab tuaj yeem ua rau cov hlab ntsha no puas tsuaj.
- Yog tias koj muaj cov tsos mob xws li qhov muag poob qis, pom ob sab (pom ob yam), lossis nyuaj rau tig ib lub qhov muag, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob tam sim ntawd.
- Los ntawm kev ua raws li kev noj qab haus huv thiab kev tswj hwm cov kab mob ntev kom zoo, peb tuaj yeem tiv thaiv peb lub paj hlwb tag nrho, suav nrog cov hlab ntsha no.
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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