Koj puas tau pom tias koj tus menyuam lub qhov muag me me tau teeb tsa deb me ntsis dua li qub? Los yog puas tau muaj kws kho mob qhia koj txog qhov no? Hauv kev kho mob, peb hu qhov mob no ua Orbital Hypertelorism . Qee zaum nws kuj hu ua Ocular Hypertelorism. Txawm hais tias cov lus no tuaj yeem ua rau ntshai, qhov no tsis loj npaum li peb xav. Hnub no, peb yuav tham txog qhov no yooj yim heev, hauv txoj kev uas koj tuaj yeem nkag siab.
Orbital Hypertelorism yog dab tsi tiag?
Hais yooj yim xwb, Orbital Hypertelorism tsis yog ib yam kab mob sib cais. Feem ntau nws tshwm sim los ua ib qho tsos mob ntawm lwm yam kev tsis zoo uas yug los lossis kev mob caj ces.
Xav txog qhov no, thaum ib tug me nyuam mos nyob hauv plab, cov pob txha ntawm nws lub ntsej muag maj mam pib zoo li qub. Lub sijhawm no, ob lub qhov muag uas muaj nws lub qhov muag nyob deb me ntsis dua li qub. Yog li ntawd, qhov sib txawv ntawm ob lub qhov muag pom tseeb dua li ntawm ib tug me nyuam ib txwm. Qhov chaw ntxiv no puv nrog cov pob txha ntxiv.
Qhov tseem ceeb yog tias feem ntau cov menyuam yaus uas muaj ob lub qhov muag sib nrug deb li no yuav tsis muaj teeb meem pom kev. Seb qhov muag puas cuam tshuam rau qhov muag nyob ntawm seb ob lub qhov muag sib nrug deb npaum li cas thiab tus menyuam muaj lwm yam tsos mob dab tsi.
Cov kws kho mob kuaj qhov no li cas?
Feem ntau, kws kho mob yuav kuaj pom tus mob no thaum tus menyuam yug los. Qee zaum, nws tuaj yeem pom thaum lub sijhawm ultrasound scan thaum tus menyuam tseem nyob hauv plab.
Tsis muaj qhov deb teem tseg ntawm ob lub qhov muag, tab sis cov kws kho mob siv ob qhov kev ntsuas tseem ceeb los txiav txim qhov no.
| Txoj kev ntsuas | Piav qhia yooj yim xwb |
|---|---|
| Sab Hauv Canthal Deb | Qhov deb ntawm ces kaum ntawm ib lub qhov muag ze tshaj plaws rau lub qhov ntswg mus rau ces kaum ntawm lwm lub qhov muag ze tshaj plaws rau lub qhov ntswg. |
| Qhov Nrug Deb ntawm Cov Qog Muag | Qhov deb ntawm nruab nrab ntawm lub qhov muag ntawm ib lub qhov muag mus rau nruab nrab ntawm lub qhov muag ntawm lwm lub qhov muag. |
Ob qho kev ntsuas no siab dua li qub rau cov menyuam yaus uas muaj orbital hypertelorism.
Vim li cas qhov no thiaj tshwm sim? Cov laj thawj tseem ceeb yog dab tsi?
Cov kws kho mob ntseeg tias lub hauv paus rau qhov mob no yog tsim los ntawm lub lim tiam plaub thiab yim ntawm kev loj hlob ntawm tus menyuam. Xav txog cov pob txha ntawm tus menyuam lub taub hau zoo li cov khoom ua si peb-seem (3D) uas sib sau ua ke. Yog tias muaj kev cuam tshuam lossis kev hloov pauv hauv cov kauj ruam uas koom nrog hauv kev muab cov khoom no ua ke, ob lub qhov muag tuaj yeem tsis sib xws thiab sib nrug deb.
Ob qho laj thawj tseem ceeb rau qhov no yog:
1. Cov teeb meem thaum yug los
2. Cov kab mob caj ces
1. Cov mob uas muaj txij thaum yug los
Qhov teeb meem yug los yog qhov tsis zoo ntawm tus menyuam lub cev thaum yug los. Cov no tuaj yeem tshwm sim los ntawm:
- Cov yam ntxwv ntawm caj ces thiab caj ces.
- Qee cov kab mob uas leej niam tau txais thaum cev xeeb tub.
- Kev raug hluav taws xob.
- Siv tshuaj yeeb los yog cawv thaum cev xeeb tub.
Qee zaum qhov teeb meem yug los tsis muaj laj thawj, txawm tias tsis muaj laj thawj los xij. Craniosynostosis yog ib qho teeb meem yug los zoo li no. Qhov tshwm sim ntawm no yog tias cov xov uas txuas cov pob txha ntawm tus menyuam lub taub hau sib txuas ua ke. Qhov no kuj tseem tuaj yeem ua rau Orbital Hypertelorism.
2. Cov kab mob caj ces
Cov noob caj noob ces yog cov khoom me me ntawm DNA uas muab cov lus qhia rau cov cell hauv peb lub cev. Kev hloov pauv hauv cov noob caj noob ces no tuaj yeem ua rau muaj cov kab mob caj noob ces. Qee cov kab mob caj noob ces uas tuaj yeem ua rau muaj kev hloov pauv ntawm lub cev yog:
- Kab mob Apert
- DiGeorge syndrome
- Edwards syndrome
- Crouzon syndrome
- Noonan syndrome
- Kab mob Neurofibromatosis hom 1
Yog tias koj tus menyuam muaj tus mob no, koj tus kws kho mob yuav xa koj mus rau kev sab laj txog caj ces, uas tuaj yeem pab koj nkag siab ntau ntxiv txog koj tsev neeg qhov kev pheej hmoo ntawm cov kab mob caj ces.
Cov kev kho mob rau qhov no yog dab tsi?
Cov menyuam yaus uas muaj tus mob no tuaj yeem muab lawv ob lub qhov muag rov qab los ua ke los ntawm kev phais. Qhov no hu ua kev phais kho dua tshiab . Kev phais no feem ntau ua thaum tus menyuam muaj hnub nyoog ntawm 5 thiab 7 xyoo. Kev phais no ua rau tus menyuam zoo li qub dua thiab txo qhov deb ntawm ob lub qhov muag.
Koj tus menyuam yuav tsum tau kuaj qhov muag tsis tu ncua ua ntej thiab tom qab phais kom paub txog kev hloov pauv ntawm qhov muag thiab kev pom kev.
Cov kws phais feem ntau siv ob txoj kev phais rau qhov no.
| Hom kev phais mob | Muaj dab tsi tshwm sim? |
|---|---|
| Kev phais pob txha hauv lub thawv | Ntawm no, tus kws phais yuav tshem cov pob txha thiab daim tawv nqaij uas seem saum lub qhov ntswg thiab kho cov qhov muag kom haum rau qhov chaw ntawd. Xav txog kev txiav ib daim duab plaub fab raws cov pob muag thiab saum lub qhov ntswg, thiab coj cov qhov muag mus rau hauv daim duab plaub fab ntawd. |
| Kev faib ob sab ntawm lub ntsej muag | Qhov no yog ib qho kev phais mob uas nyuaj me ntsis. Nws yog ua rau cov menyuam yaus uas muaj teeb meem ntawm lub qhov muag thiab lwm yam teeb meem ntawm pob txha ntsej muag (piv txwv li, pob txha puab tsaig, pob txha puab tsaig). Nws cuam tshuam nrog kev hloov kho lub qhov muag, qhov ntswg, thiab pob txha puab tsaig kom coj ob lub qhov muag los ze zog ua ke, thaum kho cov teeb meem ntawm lub puab tsaig thiab cov hniav. |
Tej yam teeb meem tom qab phais
Ib yam li lwm yam kev phais mob, muaj tej yam kev pheej hmoo me me xwb. Cov no suav nrog:
- Los ntshav
- Kev kis kab mob
- Kev ua kom mob
- Qhov muag poob qis ( Ptosis )
- Diplopia (pom ob sab)
- Kev tsis pom kev lossis dig muag (qhov no tsis tshua muaj)
Koj tus kws phais yuav piav qhia cov kev pheej hmoo no rau koj kom meej.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Yog koj pom muaj kev hloov pauv hauv koj tus menyuam lub qhov muag lossis qhov muag pom kev, mus ntsib koj tus kws kho mob tam sim ntawd.
Thiab, yog tias koj tus menyuam muaj cov tsos mob hauv qab no, mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws tam sim ntawd.
- Pom kev tsis meej lossis tsis meej sai sai.
- Mob hnyav heev rau ntawm lub qhov muag.
- Pom tej yam tshiab ci ntsa iab los yog tej yam ntab dej ua ntej lub qhov muag.
Nco ntsoov, tsuas yog vim tus menyuam yug los muaj Orbital Hypertelorism tsis tau txhais hais tias lawv yuav tsis loj hlob zoo thiab noj qab nyob zoo li lwm tus menyuam. Nyob ntawm seb qhov mob twg ua rau nws tshwm sim, koj tus menyuam yuav xav tau kev kho mob ib ntus. Tham nrog koj tus kws kho mob txog qhov no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Orbital Hypertelorism tsis yog ib yam kab mob sib cais. Nws yog ib qho tsos mob ntawm lwm yam kev puas tsuaj thaum yug los lossis mob caj ces.
- Muaj ntau tus menyuam uas muaj tus mob no tsis muaj teeb meem pom kev.
- Thaum tus me nyuam muaj li ntawm 5-7 xyoos, phais tau kom ob lub qhov muag rov qab mus rau lawv qhov chaw qub.
- Yog tias koj tus menyuam muaj tus mob no, tsis txhob ntshai tham nrog koj tus kws kho mob thiab tau txais cov lus qhia thiab kev kho mob tsim nyog.
- Nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob raws sijhawm thiab kuaj qhov muag.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Orbital Hypertelorism yog hom mob dab tsi?
Qhov no tsis yog ib qho kev hloov pauv ntawm qhov tsos ib txwm muaj! 'Orbital Hypertelorism' yog ib qho kev puas tsuaj ntawm noob caj noob ces/yug los uas tshwm sim thaum tus menyuam lub taub hau thiab cov pob txha nyob ib puag ncig lub qhov muag (orbits) loj hlob hauv plab, ua rau qhov deb ntawm ob lub qhov muag sib nrug deb dhau/tsis zoo. Qhov no tsis yog kab mob ntawm lub qhov muag, tab sis yog teeb meem nrog lub ntsej muag pob txha!
💬 Dab tsi yog cov laj thawj tseem ceeb uas ua rau tus menyuam lub qhov muag nyob deb dhau (Orbital Hypertelorism)?
Qhov no feem ntau tsis yog ib yam kab mob uas tshwm sim ib leeg xwb, tab sis yog ib qho tseem ceeb ntawm ntau yam kab mob 'Genetic Syndrome' uas txaus ntshai heev! Hauv cov kab mob hnyav xws li 'Apert Syndrome', 'Crouzon Syndrome' thiab 'DiGeorge Syndrome', cov pob txha no raug thawb tawm vim muaj teeb meem hauv lub taub hau. Qee zaum, ib qho qog uas tshwm sim ntawm lub ntsej muag thaum nyob hauv plab (encephalocele) kuj tuaj yeem ua rau lub qhov muag raug thawb tawm.
💬 Cov tsos mob txaus ntshai ntxiv uas cov menyuam yaus uas muaj qhov muag pom deb ntsib yog dab tsi thiab yuav ua li cas phais thiaj kho tau qhov no?
Feem ntau, cov menyuam no muaj teeb meem pom kev, kev tsis taus ntawm lub hlwb, lub plawv tsis zoo, thiab cov kab mob tuag taus xws li qhov ncauj tawg. Yuav kho qhov no, thaum tus menyuam muaj li 5-8 xyoos, lawv yuav tsum tau phais mob hnyav thiab nyuaj heev (Craniofacial reconstruction / Facial Bipartition) uas txiav lub taub hau, khaws lub hlwb, txiav lub qhov muag thiab coj los ze dua, thiab rov tsim lub ntsej muag.
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