Koj puas tau pom tias koj lub zeem muag hauv ib lub qhov muag tsis meej me ntsis? Los yog koj puas xav tias cov khoom me me dub ntab rau ntawm koj lub qhov muag? Nws yog ib qho ib txwm muaj kev ntshai me ntsis thaum muaj qee yam zoo li no tshwm sim. Feem ntau, qhov no tuaj yeem tshwm sim los ntawm kev txhaws ntawm cov hlab ntsha me me hauv koj lub qhov muag. Hauv cov lus kho mob, peb hu qhov no ua Retinal Vein Occlusion, lossis RVO luv. Cia peb tham txog qhov no hauv cov lus yooj yim hnub no.
Hais yooj yim xwb, retinal vein occlusion (RVO) yog dab tsi?
Xav txog koj lub qhov muag zoo li lub koob yees duab. Lub qhov muag hu ua retina zoo li daim zaj duab xis nyob tom qab lub koob yees duab. Qhov no yog qhov uas lub teeb los ntawm cov khoom peb pom tau hloov mus ua cov duab. Yog li, txhawm rau kom lub retina no ua haujlwm tau zoo, nws xav tau cov ntshav zoo. Qhov ntawd txhais tau tias muaj cov hlab ntsha uas coj cov ntshav thiab cov leeg uas nqa cov ntshav siv rov qab.
Tam sim no xav txog tias vim li cas, ib txoj hlab ntsha uas nqa cov ntshav ntawd rov qab, ib txoj hlab ntsha, raug thaiv me ntsis lossis raug thaiv. Ib yam li thaum cov yeeb nkab dej raug thaiv, cov ntshav tsis tuaj yeem ntws hla nws. Tom qab ntawd, cov ntshav rov qab los, ua rau muaj kev siab ntxiv hauv retina thiab ua rau nws o. Qhov no yog qhov peb hu ua Retinal Vein Occlusion (RVO) . Qhov no yog ib qho mob uas yuav tsum tau kho sai sai, lossis nws tuaj yeem ua rau pom kev tsis meej mus tas li.
Muaj ob hom RVOs tseem ceeb.
Peb faib RVO ua ob hom nyob ntawm seb qhov kev thaiv no tshwm sim qhov twg.
| Hom RVO | Hais yooj yim xwb... |
|---|---|
| Kev Txhaws Cov Ntshav Hauv Nruab Nrab ntawm Lub Qhov Muag (CRVO) | Qhov no yog kev txhaws ntawm cov hlab ntsha tseem ceeb hauv lub retina. Nws zoo li ib lub yeeb nkab dej loj raug txhaws. Qhov no tuaj yeem cuam tshuam rau tag nrho lub retina. |
| Kev Txhaws Cov Hlab Ntsha ntawm Cov Hlab Ntsha (BRVO) | Qhov no yog kev txhaws ntawm ib ceg hlab ntsha me me uas tawm ntawm cov hlab ntsha loj. Qhov no yog hom uas feem ntau tshwm sim. Hauv qhov no, tsuas yog ib feem ntawm lub retina raug cuam tshuam xwb. |
Koj yuav muaj cov tsos mob dab tsi thaum muaj teeb meem RVO?
Cov tsos mob ntawm RVO feem ntau tsuas cuam tshuam rau ib lub qhov muag xwb. Lawv tuaj yeem pib sai sai lossis maj mam tshwm sim hauv ob peb teev lossis ob peb hnub.
- Pom kev tsis meej lossis tsis pom kev: Qhov no yog cov tsos mob tseem ceeb thiab feem ntau tshwm sim.
- Cov Nto: Pom cov pob dub lossis cov kab ntab rau ntawm xub ntiag ntawm lub qhov muag.
- Kev hnov mob lossis muaj kev ntxhov siab hauv lub qhov muag: Qhov no pom tau hauv cov rooj plaub hnyav dua.
Qhov tseem ceeb yog, qee zaum qhov mob no tuaj yeem tshwm sim yam tsis muaj tsos mob. Koj tus kws kho mob yuav pom nws los ntawm qhov xwm txheej thaum koj mus kuaj qhov muag tas li. Yog vim li cas nws thiaj li tseem ceeb kom koj mus kuaj koj ob lub qhov muag tas li.
Vim li cas cov leeg ntshav thiaj li daig hauv lub qhov muag zoo li no?
Nws nyuaj heev rau kev txheeb xyuas ib qho laj thawj rau qhov no, tab sis muaj ntau yam tseem ceeb ua rau muaj qhov teeb meem no.
Hais yooj yim xwb, muaj tej qhov chaw uas cov hlab ntsha thiab cov hlab ntsha hauv lub retina sib tshuam. Thaum peb laus zuj zus, lossis vim tias tej yam xws li cov roj cholesterol sib sau ua ke, cov phab ntsa ntawm cov hlab ntsha yuav tuab thiab tawv dua me ntsis. Peb hu qhov no ua atherosclerosis . Cov hlab ntsha tuab zoo li no pib nias rau ntawm cov hlab ntsha mos mos hauv qab nws. Nws zoo li lub yeeb nkab dej raug tsoo thaum muaj ib yam dab tsi hnyav tso rau saum nws. Qhov kev nyem no tuaj yeem thaiv cov ntshav ntws hauv cov hlab ntsha, thiab cov ntshav txhaws tuaj yeem tsim thiab thaiv cov hlab ntsha tag nrho.
Ntxiv rau, qee yam mob kuj ua rau muaj kev pheej hmoo ntawm kev tsim RVO.
Cov yam uas ua rau muaj kev pheej hmoo ntawm RVO
| Qhov ua rau muaj kev pheej hmoo | Kev piav qhia |
|---|---|
| Hnub nyoog | Cov neeg hnub nyoog tshaj 40 xyoo muaj feem yuav mob hnyav dua. Tshwj xeeb tshaj yog cov neeg hnub nyoog 50-60 xyoo feem ntau mob hnyav dua. |
| Ntshav Siab | Qhov no yog qhov txaus ntshai tshaj plaws rau RVO. |
| Kab mob ntshav qab zib | Kab mob ntshav qab zib tuaj yeem ua rau cov hlab ntsha hauv lub qhov muag puas tsuaj. |
| Mob pob qhov muag | Tus mob no, uas ua rau lub qhov muag siab ntxiv, kuj yog ib qho kev pheej hmoo. |
| Cov roj cholesterol ntau thiab Atherosclerosis | Kev txhaws tuaj yeem tshwm sim vim yog cov hlab ntsha tuab thiab nyias. |
Yog tsis kho ces yuav muaj teeb meem dab tsi tshwm sim?
Yog tias RVO tsis kho sai, nws tuaj yeem ua rau lub qhov muag puas tsuaj loj heev.
- Cystoid Macular Edema: Macula yog qhov tseem ceeb tshaj plaws ntawm lub retina uas ua rau peb pom kev meej thiab ntse. Thaum cov hlab ntsha raug thaiv, nws tuaj yeem puv nrog cov kua dej thiab o. Qhov no tuaj yeem ua rau pom kev tsis meej.
- Neovascularization: Thaum cov ntshav ntws hauv lub qhov muag tsis zoo , lub cev sim ua kom rov qab zoo li qub los ntawm kev tsim cov hlab ntsha tshiab. Txawm li cas los xij, cov hlab ntsha tshiab no tsis muaj zog heev thiab muaj phab ntsa nyias nyias. Cov no tuaj yeem tawg yooj yim thiab ua rau los ntshav hauv lub qhov muag (vitreous hemorrhage).
- Qhov muag siab ntxiv (Neovascular Glaucoma): Cov hlab ntsha tshiab, tsis muaj zog no thaiv cov cheeb tsam uas tswj cov kua dej ntws hauv lub qhov muag. Qhov no tuaj yeem ua rau muaj kev siab siab heev hauv lub qhov muag, ua rau lub paj hlwb optic puas tsuaj thiab ua rau pom tsis meej.
- Kev Poob Pob Ntseg Hauv Qhov Muag: Qhov no yog ib qho xwm txheej ceev. Lub pob ntseg hauv qhov muag tuaj yeem poob tawm ntawm phab ntsa ntawm lub qhov muag vim yog rub cov hlab ntsha tshiab.
Tus kws kho mob kuaj mob thiab kho qhov no li cas?
Yog koj muaj cov tsos mob no, koj yuav tsum mus ntsib kws kho qhov muag sai li sai tau. Nws yuav kuaj koj ob lub qhov muag kom zoo zoo.
Kev kuaj mob
Tus kws kho mob yuav muab cov tshuaj me me rau hauv koj lub qhov muag kom nthuav lub qhov muag thiab siv lub tshuab tsom iav tshwj xeeb los saib sab hauv ntawm koj lub qhov muag. Tsis tas li ntawd xwb, tej zaum yuav muaj cov kev kuaj hauv qab no:
- Optical Coherence Tomography (OCT) scan: Qhov no tuaj yeem ntsuas qhov tuab ntawm retina thiab txiav txim siab seb lub macula puas o.
- Kev Siv Fluorescein Angiography: Yuav muab ib qho xim tshwj xeeb txhaj rau hauv cov hlab ntsha hauv koj txhais caj npab thiab thaij duab thaum nws mus ncig los ntawm cov hlab ntsha hauv koj lub qhov muag. Qhov no tuaj yeem qhia qhov chaw uas cov hlab ntsha raug thaiv thiab muaj kev puas tsuaj ntau npaum li cas.
Cov kev kho mob
Txog niaj hnub no, tseem tsis tau muaj txoj kev nyab xeeb los qhib cov hlab ntsha uas raug thaiv. Txawm li cas los xij, muaj ntau txoj kev kho mob zoo los tswj kev puas tsuaj thiab teeb meem uas tshwm sim los ntawm kev thaiv . Lub hom phiaj tseem ceeb ntawm cov kev kho mob no yog:
- Txhim kho koj qhov kev pom kev lossis tiv thaiv nws kom tsis txhob mob zuj zus.
- Kev kho cov teeb meem uas tau tshwm sim.
- Tswj cov yam uas ua rau muaj kev pheej hmoo (xws li ntshav siab thiab ntshav qab zib) uas ua rau muaj RVO.
Nov yog qee txoj kev kho mob tseem ceeb:
1. Kev Txhaj Tshuaj Tiv Thaiv VEGF: Qhov no yog kev kho mob thawj kab uas siv ntau tshaj plaws. Muaj ib yam tshuaj (VEGF) uas ua rau o thiab tsim cov hlab ntsha tshiab, tsis muaj zog hauv lub qhov muag. Kev txhaj tshuaj no ua haujlwm los ntawm kev thaiv cov tshuaj ntawd. Kev txhaj tshuaj yog muab tom qab lub qhov muag raug loog nrog cov tshuaj qhov muag. Nyob ntawm koj tus mob, koj yuav tsum tau txhaj cov tshuaj no txhua hli lossis txhua lub sijhawm.
2. Kev Txhaj Tshuaj Steroid: Cov tshuaj txhaj no kuj siv los txo qhov o. Txawm li cas los xij, lawv tuaj yeem ua rau lub qhov muag siab dua rau qee tus neeg, yog li lawv tsuas yog muab ua qhov kev xaiv thib ob yog tias kev txhaj tshuaj tiv thaiv VEGF tsis pab.
3. Kev kho mob siv laser (Panretinal Photocoagulation - PRP): Kev kho mob siv laser no yog siv los tiv thaiv kev tsim cov hlab ntsha tsis muaj zog thiab tsis xav tau.
4. Kev Phais Qhov Muag (Vitrectomy): Yog tias muaj ntshav ntau hauv lub qhov muag, kev phais no yog ua los tshem tawm thiab ntxuav qhov chaw uas muaj ntshav ntau zoo li jelly ntawm lub qhov muag.
Qhov tseem ceeb tshaj plaws, koj tus kws kho qhov muag yuav ua haujlwm nrog koj tus kws kho mob tsev neeg (PCP) los sau cov tshuaj los tswj cov mob xws li ntshav siab, ntshav qab zib, thiab roj cholesterol.
Txog yav tom ntej thiab yam peb ua tau
Koj qhov muag yuav zoo li cas tom qab RVO nyob ntawm ntau yam. Ib txhia neeg muaj kev poob qhov muag tas mus li, thaum lwm tus pom lawv qhov muag maj mam zoo dua nrog kev kho mob. Koj tus kws kho qhov muag tuaj yeem piav qhia koj qhov xwm txheej zoo tshaj plaws.
Qhov zoo tshaj plaws uas peb ua tau los tiv thaiv qhov xwm txheej no yog tswj cov yam txaus ntshai.
- Ua raws li kev noj zaub mov uas zoo rau lub plawv thiab cov hlab ntsha.
- Ua si txhua hnub.
- Tswj koj qhov hnyav kom noj qab nyob zoo.
- Tsis txhob haus luam yeeb kiag li.
Yog koj muaj tus mob no, koj yuav nkees thiab ntxhov siab vim koj yuav tsum tau txhaj tshuaj ntau zaus thiab mus rau cov chaw kho mob. Tsis txhob txaj muag txog qhov no. Tham nrog koj tus kws kho mob txog qhov no. Nws yuav muab kev txhawb nqa rau koj uas koj xav tau.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Qhov pom kev hauv ib qho ntawm koj lub qhov muagYog tias koj pom kev tsis meej pem lossis muaj cov xim dub uas zoo li ntab saum ntuj, tsis txhob tsis quav ntsej. Mus ntsib kws kho qhov muag sai li sai tau.
- Kev txhaws ntawm cov hlab ntsha hauv lub qhov muag (RVO) yog kev txhaws ntawm cov hlab ntsha hauv lub qhov muag. Nws muaj feem cuam tshuam nrog lwm yam kab mob xws li ntshav siab, ntshav qab zib, thiab roj cholesterol ntau .
- Txawm hais tias nws tsis yooj yim sua kom rov qhib tau cov hlab ntsha uas raug thaiv, muaj cov kev kho mob zoo heev (kev txhaj tshuaj, lasers) los tswj qhov kev puas tsuaj rau lub qhov muag thiab tswj kom pom kev zoo .
- Kev saib xyuas koj txoj kev noj qab haus huv tag nrho (kev noj zaub mov zoo, kev tawm dag zog, thiab kev zam kev haus luam yeeb) kuj yuav pab tiv thaiv kev noj qab haus huv ntawm koj lub qhov muag.
- Thaum koj mus kuaj qhov muag raws sijhawm , cov mob no yuav paub tau thaum ntxov thiab kev kho mob yuav pib ua ntej muaj kev puas tsuaj loj heev.
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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