Koj puas tau muaj ib yam dab tsi zoo li ib tug kab laug sab me me lossis ib daim hmoov av ya rau ntawm koj lub qhov muag thaum koj pw tsaug zog? Koj sim ntes nws, tab sis koj ntes tsis tau, puas yog? Qee zaum koj pom lub teeb ci ntsa iab los ntawm ces kaum ntawm koj lub qhov muag, puas yog? Muaj ntau tus neeg tau muaj qhov kev paub no. Niaj hnub no peb tab tom tham txog qhov kev paub no uas tshwm sim ntau heev, tab sis qee yam txaus ntshai, uas tshwm sim thaum peb laus, uas yog Posterior Vitreous Detachment (PVD).
Muaj dab tsi tshwm sim tiag tiag? (Posterior Vitreous Detachment - PVD)
Hais yooj yim xwb, PVD yog ib qho kev hloov pauv ntuj tsim uas tshwm sim hauv peb lub qhov muag thaum peb laus zuj zus. Xav txog peb lub qhov muag zoo li lub pob me me. Lub pob no puv nrog cov khoom ntshiab, zoo li jelly hu ua vitreous gel . Cov jelly no yog qhov ua rau lub qhov muag nws lub duab kheej kheej.
Sab hauv lub qhov muag, ntawm phab ntsa tom qab, muaj ib daim hlab ntsha uas rhiab heev uas ua haujlwm zoo li daim zaj duab xis hauv lub koob yees duab. Qhov no yog qhov peb hu ua retina . Nws yog retina uas sau cov teeb ci los ntawm cov khoom peb pom, hloov nws mus ua cov teeb liab hluav taws xob, thiab xa mus rau lub hlwb.
Thaum peb tseem hluas, cov kua nplaum (vitreous gel) uas kuv hais txog tau txuas nrog lub retina ruaj khov. Tab sis thaum peb laus zuj zus, ib yam li cov kua nplaum sib cais ntawm dej tom qab ib ntus, cov kua nplaum no kuj pib ua kua maj mam. Tom qab ntawd nws ua rau sab hauv tsis tuab, ntsws me ntsis, thiab maj mam pib sib cais ntawm lub retina ntawm phab ntsa tom qab. Qhov kev sib cais ntawd yog qhov peb hu ua Posterior Vitreous Detachment (PVD) .
Qhov no tsis yog ib yam kab mob, tab sis yog ib qho txheej txheem ntuj uas tshwm sim thaum laus, zoo li cov plaub hau tig dawb.
Cov tsos mob ntawm qhov no yog dab tsi? Kuv yuav paub nws li cas?
Thaum muaj PVD, feem ntau muaj ob yam tsos mob tseem ceeb uas pom. Cov no tuaj yeem pib sai sai.
| Cov tsos mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Cov ntab dej | Cov no yog cov tsos mob feem ntau. Tej zaum koj yuav pom cov pob dub me me, cov kab, cov ntaub kab laug sab, lossis cov kab uas ntab rau ntawm koj lub qhov muag. Thaum koj txav koj lub qhov muag, cov no kuj ntab nrog lawv. Cov no yog cov duab ntxoov ntxoo ntawm cov khoom me me ntawm cov kua nplaum hauv lub qhov muag uas poob rau ntawm retina thiab peb pom lawv. Qee zaum koj tuaj yeem pom ib yam dab tsi zoo li lub voj voog loj. Nws kuj hu ua lub nplhaib Weiss . |
| Cov teeb ci ntsa iab | Tej zaum koj yuav pom lub teeb ci ntsa iab los ntawm sab ntawm koj lub qhov muag, zoo li xob laim, lossis lub teeb ci ntsa iab los ntawm lub koob yees duab, rau ob peb feeb xwb. Qhov no tshwm sim vim tias thaum cov kua nplaum sib cais ntawm retina, nws rub retina me ntsis. Cov hlab ntsha hauv retina ces raug txhawb nqa, thiab lub hlwb txhais nws ua lub teeb. Qhov no feem ntau pom nyob rau hauv qhov chaw tsaus ntuj. |
Yog tias koj muaj cov tsos mob no thawj zaug, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho qhov muag (kws kho qhov muag) tam sim ntawd. Cov tsos mob no kuj tuaj yeem tshwm sim rau lwm yam mob hnyav dua. Yog li ntawd, nws yog ib qho tseem ceeb kom paub meej tias nws yog dab tsi.
Vim li cas PVD thiaj tshwm sim? Leej twg yuav muaj feem ntau dua?
Qhov ua rau muaj mob PVD yog vim laus zuj zus . Qhov tshwm sim ntawm PVD nce ntxiv ntau tom qab muaj hnub nyoog 50 xyoo. Kwv yees li ntawm 66% ntawm cov neeg hnub nyoog ntawm 65 thiab 85 xyoo yuav muaj tus mob no. Qhov ntawd yog li ntawm ob ntawm peb tus neeg. Tsis tas li ntawd, muaj ntau lwm yam uas ua rau muaj kev pheej hmoo:
- Kev Pom Kev Ze / Myopia: Yog tias koj pom kev luv (hnav tsom iav uas muaj tus lej qis), koj lub qhov muag ntev dua li tus neeg ib txwm me ntsis. Yog li ntawd, lub retina raug ncab. Qhov no ua rau muaj kev pheej hmoo ntawm PVD.
- Kab mob ntshav qab zib: Cov neeg uas muaj kab mob ntshav qab zib muaj feem yuav mob PVD ntau dua vim nws tuaj yeem ua rau muaj teeb meem ntawm qhov muag.
- Kev Raug Mob Qhov Muag: Yog tias koj tau raug mob hnyav rau qhov muag lossis tau raug xwm txheej ua ntej.
- Kev phais qhov muag: Yog tias koj tau muaj tej yam xws li kev phais cataract, cov txheej txheem ntawm PVD tuaj yeem ua kom nrawm dua.
Yog koj muaj PVD hauv ib lub qhov muag, muaj feem ntau uas lwm lub qhov muag yuav muaj nws hauv ib xyoos lossis ob xyoos tom ntej.
Qhov no puas txaus ntshai? Kuv puas yuav plam kuv qhov muag?
Nov yog qhov tseem ceeb. PVD nws tus kheej feem ntau tsis yog ib qho mob lossis txaus ntshai uas tuaj yeem ua rau pom kev tsis meej. Nws yog ib qho txheej txheem ntuj.
Txawm li cas los xij, qhov teeb meem yog tias thaum PVD tshwm sim, uas yog, thaum lub jelly ntawd sib cais ntawm retina, muaj cov neeg tsawg heev (tsawg dua 15%)Nws tuaj yeem ua rau muaj teeb meem. Cov teeb meem ntawd txaus ntshai heev thiab tuaj yeem ua rau pom kev tsis meej mus tas li yog tias tsis kho sai.
Txawm hais tias PVD tsis txaus ntshai los xij, cov teeb meem uas nws ua tau yog qhov loj heev. Yog li ntawd, yog tias koj pom cov teeb meem tshiab lossis cov teeb meem flashes, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho qhov muag yam tsis quav ntsej lawv.
Cov teeb meem txaus ntshai uas tuaj yeem tshwm sim vim yog PVD
| Kev nyuaj siab | Lub ntsiab lus |
|---|---|
| Kev tsim kua muag ntawm lub qhov muag | Thaum lub jelly ntawd sib cais ntawm retina, qee zaum retina tuaj yeem rhuav me ntsis ntawm qhov chaw uas nws txuas nruj nreem. |
| Kev tawg ntawm cov retina | Los ntawm qhov kua muag ntawd, cov kua dej tuaj yeem tawm hauv lub qhov muag thiab puv qhov chaw hauv qab lub retina, thiab sib cais tag nrho ntawm phab ntsa ntawm lub qhov muag. Qhov no yog xwm txheej ceev kho mob . Yog tias koj xav tias zoo li daim ntaub dub tab tom poob rau ntawm koj lub qhov muag, qhov no yuav yog ib qho cim ntawm qhov no. |
| Qhov Macular | Lub hauv paus ntawm lub qhov muag (retina), lub macula, uas ua rau peb pom kev meej thiab ntse tshaj plaws, tuaj yeem puas tsuaj tau. |
Yog vim li ntawd peb thiaj hais tias thaum twg koj muaj cov tsos mob ntawm PVD, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj xyuas seb koj puas muaj cov mob txaus ntshai no.
Tus kws kho mob nrhiav tau qhov no li cas?
Thaum koj mus ntsib kws kho qhov muag, nws yuav nug txog koj cov tsos mob thiab kuaj qhov muag. Qhov no hu ua kev kuaj qhov muag dilated .
Qhov tshwm sim hauv qhov no yog tias tus kws kho mob muab qee cov tshuaj qhov muag rau hauv koj lub qhov muag thiab nthuav lub qhov muag. Tom qab ntawd, lub teeb ci rau hauv lub qhov muag thiab cov khoom siv tshwj xeeb siv los pom cov retina thiab vitreous gel nyob tom qab ntawm lub qhov muag kom meej meej. Qhov kev xeem no tuaj yeem txiav txim siab seb koj puas muaj PVD lossis ib qho ntawm cov teeb meem txaus ntshai uas kuv tau hais.
Tsis tshua muaj, yog tias muaj ib yam dab tsi zoo li ntshav hauv lub qhov muag thiab sab nraub qaum tsis pom tseeb, kev kuaj xws li kev siv tshuab ultrasound ntawm lub qhov muag yuav raug ua.
Puas muaj kev kho mob rau PVD?
Tom qab kuaj koj ob lub qhov muag tas, yog tias tus kws kho mob lees paub tias koj tsuas muaj PVD thiab tsis muaj teeb meem, ces tsis tas yuav kho mob tshwj xeeb.
Txawm li cas los xij, tus kws kho mob yuav hais kom koj rov qab los li ntawm 4 lossis 6 lub lis piam rau kev kuaj xyuas tom qab . Qhov ntawd yog ib yam dab tsi uas koj yuav tsum ua. Vim tias qee zaum qee yam zoo li qhov kua muag ntawm lub qhov muag uas tsis pom thaum lub sijhawm kuaj xyuas thawj zaug tuaj yeem tshwm sim tom qab. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas qhov ntawd thiab.
Muaj kev phais rau cov khoom uas ntab dej ntawd, tab sis tsis tshua muaj neeg ua. Vim tias txawm tias cov kev phais ntawd kuj tuaj yeem ua rau muaj teeb meem. Raws li lub sijhawm dhau mus, peb lub hlwb tau siv rau cov khoom uas ntab dej no thiab pib tsis quav ntsej lawv. Tom qab ib pliag, koj pom lawv tsawg zuj zus.
Kuv yuav ua li cas nyob nrog cov 'tej yam ntab' no?
Cov floaters thiab flashes no tuaj yeem ua rau koj ntxhov siab me ntsis rau ib ntus, tab sis muaj ob peb yam koj tuaj yeem ua los pab koj siv rau lawv.
- Maj mam txav koj ob lub qhov muag mus los: Yog tias koj pom ib yam khoom ntab nyob nruab nrab ntawm koj lub zeem muag, maj mam txav koj ob lub qhov muag mus rau saum, hauv qab, sab laug, thiab sab xis. Qhov no yuav pab kom yam khoom ntab ntab mus nrog cov kua dej hauv koj lub qhov muag.
- Txo qhov ci ntsa iab: Txo qhov ci ntsa iab ntawm lub computer, xov tooj, thiab TV.
- Hnav tsom iav dub: Hnav tsom iav dub thaum tawm mus rau sab nraum zoov hauv tshav ntuj ci ntsa iab. Qhov no yuav ua rau pom tsis meej ntawm cov khoom ntab.
- Hnav cov tsom iav kom raug: Yog tias koj tau raug sau tshuaj rau kev pom kev tsis zoo, hnav lawv kom raug.
Qhov tseem ceeb tshaj plaws yog kom nkag siab tias qhov no yog ib txwm muaj thiab tsis txhob txhawj ntau dhau txog nws. Raws li lub sijhawm dhau mus, koj yuav hnov cov kev xav no tsawg zuj zus.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Qhov posterior Vitreous Detachment (PVD) yog ib qho txheej txheem ntuj tsim uas tshwm sim thaum laus, uas cov kua nplaum hauv lub qhov muag sib cais ntawm retina. Nws tsis yog ib yam kab mob.
- Cov tsos mob tseem ceeb yog cov pob dub, cov khoom zoo li kab laug sab (floaters) thiab lub teeb ci ntsa iab.
- PVD nws tus kheej tsis txaus ntshai, tab sis muaj tsawg tus neeg tuaj yeem muaj teeb meem loj xws li retina kua muag lossis detachment.
- Yog tias koj muaj cov tsos mob no thawj zaug , yog tias tus naj npawb ntawm cov khoom ntab tam sim ntawd nce ntxiv, lossis yog tias koj pom ib qho screen dub nyob rau hauv koj lub qhov muag, mus ntsib kws kho qhov muag tam sim ntawd. Qhov no yuav yog qhov xwm txheej ceev.
- Ib tug mob PVD ib txwm tsis tas yuav kho. Raws li lub sijhawm dhau mus, koj cov tsos mob yuav ploj mus. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum mus kuaj mob raws li koj tus kws kho mob pom zoo.
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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