Koj puas pom tej yam me me dub xws li cov kab laug sab , ntab rau ntawm koj lub qhov muag? Los yog koj puas pom lub teeb ci ntsa iab? Tej zaum koj xav tias zoo li daim ntaub dub tau poob rau ntawm koj lub qhov muag? Cov no tsis yog cov tsos mob uas koj yuav tsum tsis quav ntsej. Qhov no yuav yog ib qho cim qhia tias qhov muag tsis pom kev zoo. Qhov no yog ib qho mob uas xav tau kev kho mob thaum muaj xwm txheej ceev . Yog tias tsis kho, koj tuaj yeem poob koj qhov muag pom kev tag nrho. Hnub no peb tab tom tham txog ib qho kev kho mob zoo heev hu ua 'Scleral Buckle', uas kho qhov mob txaus ntshai no.
Hais yooj yim xwb, kev phais Scleral Buckle yog dab tsi?
Yuav kom nkag siab qhov no, cia peb xub nkag siab me ntsis txog peb lub qhov muag ua haujlwm li cas. Xav txog tias peb lub qhov muag zoo li lub pob me me. Ntawm phab ntsa sab hauv ntawm lub pob no yog ib daim nyias nyias tseem ceeb heev, uas rhiab heev rau lub teeb hu ua retina . Nws zoo li daim ntawv phab ntsa ntawm phab ntsa. Daim duab ntawm cov khoom uas peb pom tau tsim rau ntawm retina no. Tom qab ntawd, los ntawm kev xa cov ntaub ntawv ntawd mus rau lub hlwb, peb tau txais kev pom kev .
Qhov retina detachment yog thaum lub retina sib cais ntawm cov nqaij hauv lub qhov muag, zoo li daim ntawv phab ntsa uas tev tawm ntawm phab ntsa. Thaum qhov no tshwm sim, qhov ntawd tsis tau txais ntshav txaus, yog li nws poob nws txoj haujlwm.
Tam sim no cia peb saib qhov kev phais. Hauv kev phais scleral buckle, ib txoj hlua silicone me me lossis daim txhuam cev (qhov no hu ua buckle) raug muab tso rau ib ncig ntawm qhov dawb ntawm lub qhov muag, sclera, thiab clamped. Thaum lub qhov muag raug thawb me ntsis mus rau hauv nrog lub buckle no, lub retina uas raug tshem tawm yuav rov qab mus rau hauv lub qhov muag thiab lo rau ntawm phab ntsa hauv lub qhov muag. Nws zoo li lo daim ntawv phab ntsa uas raug tshem tawm rov qab rau ntawm phab ntsa. Ua li no, lub retina pib rov zoo.
Hauv cov xwm txheej twg, qhov kev phais no raug pom zoo?
Koj tus kws phais qhov muag feem ntau yuav pom zoo kom phais qhov no yog tias koj muaj ib hom retinal detachment hu ua rhegmatogenous retinal detachment . Qhov no yog hom retinal detachment uas feem ntau tshwm sim. Nws tshwm sim thaum muaj ib lub qhov me me lossis kua muag tshwm sim hauv retina, ua rau cov kua dej hauv lub qhov muag (vitreous humor) tawm hauv qab retina thiab rub nws tawm.
Muaj ntau yam ua rau muaj kev pheej hmoo uas cuam tshuam rau tus mob no:
- Kev Laus : Thaum peb laus zuj zus, cov khoom zoo li jelly hauv lub qhov muag (vitreous) yuav ntsws thiab hloov mus ua kua, uas tuaj yeem ua rau lub retina tawg.
- Kev raug mob rau lub qhov muag: Xws li raug ntaus hnyav.
- Kev phais qhov muag yav dhau los: Piv txwv li, kev phais cataract.
- Myopia Siab: Vim tias lub qhov muag ntev ntev, lub retina ua nyias thiab yooj yim dua.
Tsis tas li ntawd xwb, yog tias koj tau kho qhov retinal detachment ua ntej thiab qhov mob rov tshwm sim, koj tus kws kho mob yuav pom zoo kom phais scleral buckle.
Vim li cas ho xaiv Scleral Buckle dua li Vitrectomy?
Kev phais mob Vitrectomy yog lwm qhov kev phais loj uas tam sim no ua los tshem tawm cov retina uas tawg lawm. Raws li lub sijhawm dhau los, kev phais mob vitrectomy tau nrov dua li kev phais mob scleral buckle. Qhov no tej zaum yog vim tias lub sijhawm rov zoo tom qab kev phais mob scleral buckle tuaj yeem nyuaj me ntsis.
Txawm li cas los xij, qee zaum, kev kho mob zoo tshaj plaws thiab tsim nyog tshaj plaws rau koj tus mob yuav yog kev phais Scleral Buckle ib leeg xwb. Qee zaum, ob qho kev phais tuaj yeem ua ua ke.
Koj tus kws kho mob yuav xav txog tej yam xws li:
- Qhov mob ntawm cov vitreous hauv koj lub qhov muag.
- Koj puas muaj koj lub lens ntuj, los yog koj puas tau phais mob cataract thiab muab lens cog rau?
- Seb koj puas yuav tuav tau koj lub taub hau rau hauv ib qho chaw twg tom qab phais mob.
Kuv yuav tsum npaj li cas ua ntej phais?
Zoo, tam sim no cia peb hais tias tus kws kho mob tau txiav txim siab tias koj xav ua qhov kev phais no. Tus kws kho mob yuav muab cov lus qhia meej rau koj txog seb koj yuav tsum npaj li cas ua ntej.
- Keeb kwm kev kho mob: Tham nrog koj tus kws kho mob txog koj cov keeb kwm kev kho mob tag nrho thiab cov tsos mob tam sim no.
- Cov Tshuaj: Nco ntsoov qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (xws li cov vitamins, cov tshuaj ntxiv, thiab cov tshuaj tua kab mob). Qee cov tshuaj, tshwj xeeb tshaj yog cov tshuaj ua kom cov ntshav nyias, yuav tsum tsis txhob noj ob peb hnub ua ntej phais.
- Khoom Noj thiab Haus: Koj tus kws kho mob yuav qhia koj txog lub sijhawm uas koj yuav tsum tsis txhob noj thiab haus dej hmo ua ntej phais.
- Tus Tsav Tsheb: Qhov kev phais no feem ntau yog ua raws li kev kho mob sab nraud, yog li koj yuav tsum coj ib tus neeg uas muaj lub luag haujlwm los tsav koj mus tsev tom qab phais.
Muaj dab tsi tshwm sim thaum lub sijhawm phais?
Nws yuav yog ib qho kev pab rau koj kom muaj qee lub tswv yim ntawm yam yuav tshwm sim thaum lub sijhawm phais.
1.Tshuaj loog: Ua ntej, koj yuav tau muab tshuaj me me los ntawm cov leeg kom pab koj so. Tom qab ntawd, koj yuav tau muab ib qho ntawm peb hom tshuaj loog: tshuaj loog hauv zos , tshuaj loog hauv cheeb tsam , lossis tshuaj loog dav dav . Nws yog ib qho tseem ceeb heev uas koj yuav tsum nyob twj ywm thaum lub sijhawm phais.
2. Kev npaj qhov muag: Tus kws kho mob yuav muab tshuaj rau qhov muag uas yuav ua rau lub qhov muag loj dua kom nws pom tau sab hauv koj lub qhov muag zoo dua. Tom qab ntawd, koj lub qhov muag yuav raug qhib nrog lub cuab yeej hu ua speculum .
3. Kev Phais Mob: Tus kws kho mob yuav txiav ib qho me me rau hauv daim tawv muag uas yog daim nyias nyias uas npog lub qhov muag dawb (sclera). Tom qab ntawd, thaum daim tawv muag qhib lawm, yuav muab daim ntaub qhwv uas yog silicone los yog daim txhuam cev qhwv rau ntawm lub qhov muag thiab khi kom ruaj. Qee zaum qhov no yuav yog ib daim txhuam cev qhwv tag nrho, los yog nws yuav yog daim txhuam cev qhwv rau ntawm ob sab ntawm daim tawv muag uas nws tau muab rho tawm lawm.
4. Kev kho mob ntxiv: Yuav kom paub tseeb tias lub retina tseem txuas ruaj khov, koj tus kws kho mob yuav ua laser lossis kho kom khov. Qhov no tsim ib qho caws pliav me me nyob ib puag ncig lub retina, tiv thaiv nws kom tsis txhob tawm dua.
5. Tshem tawm cov kua dej: Qee zaum nws yog qhov tsim nyog los tshem tawm cov kua dej uas tau sib sau ua ke hauv qab lub qhov muag.
Feem ntau, tag nrho kev phais mob no yuav siv sijhawm li ib teev lossis ib teev thiab ib nrab.
Yuav tsum tau tos dab tsi tom qab phais?
Tom qab phais tiav lawm, koj lub sijhawm rov zoo yuav pib.
- Koj yuav tau txais tshuaj tua kab mob kom tiv thaiv kev kis kab mob.
- Yuav muab ib daim ntaub thaiv qhov muag rau koj hnav hnub ntawd thiab tej zaum hnub tom qab.
- Koj yuav nyob hauv chav phais kom txog thaum koj sawv los ntawm kev siv tshuaj loog, thiab tom qab ntawd koj tuaj yeem mus tsev nrog tus neeg uas tuaj coj koj mus tsev.
- Tus kws kho mob hais kom kuv tuaj ntsib kws kho mob hnub tom qab.
- Koj yuav tsum tau txwv koj tej kev ua ub ua no rau ob peb hnub. Tsis txhob tsa khoom hnyav lossis khoov khoom.
- Yog koj mob qhov muag, koj tuaj yeem noj tshuaj tua kab mob uas koj tus kws kho mob pom zoo.
Cov txiaj ntsig thiab feem pua ntawm kev phais mob no yog dab tsi?
Qhov txiaj ntsig loj tshaj plaws thiab tsuas yog qhov zoo ntawm kev phais mob no yog tias nws tshem tawm qhov kev pheej hmoo ntawm kev poob koj lub qhov muag. Retinal detachment yog ib qho mob hnyav uas tuaj yeem ua rau pom kev tsis pom kev mus tas li yog tias tsis kho. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau kho sai li sai tau.
Tus nqi ua tiav ntawm kev phais mob scleral buckle siab heev, kwv yees li 80% - 90%. Qhov no txhais tau tias yog tias muaj kaum tus neeg ua phais, yim lossis cuaj tus neeg yuav rov txuas lawv cov retina tau zoo.
Cov kev pheej hmoo ntawm kev phais yog dab tsi?
Ib yam li lwm yam kev phais mob, muaj tej yam txaus ntshai thiab tej yam teeb meem uas yuav tshwm sim tau. Tej no tsis tshua muaj, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub.
| Tej zaum yuav muaj teeb meem | Piav qhia yooj yim |
|---|---|
| pom ob sab | Vim yog qhov cuam tshuam rau cov leeg ntawm lub qhov muag, ib yam yuav zoo li yog ob yam, ib ntus lossis mus tas li. |
| Los ntshav hauv lub qhov muag | Tej zaum yuav muaj ntshav ntws rau hauv lub qhov muag thaum lub sijhawm phais lossis tom qab phais. |
| Kev kis kab mob | Ib yam li lwm yam kev phais mob, muaj kev pheej hmoo me me ntawm kev kis kab mob ntawm qhov muag. |
| Kev pom kev deb tsis meej zuj zus | Lub buckle yuav hloov me ntsis koj lub qhov muag, ua rau koj qhov muag tsis pom kev ze dua. |
| Kab mob qhov muag | Kev phais yuav ua rau lub lens ntawm lub qhov muag puas sai dua (cataracts). |
| Nce siab ntawm lub qhov muag | Tom qab phais lawm, qhov siab hauv lub qhov muag yuav nce ntxiv. Qhov no tuaj yeem kho tau nrog tshuaj. |
| Kev tawg ntawm cov retina | Muaj tej zaum tsawg tsawg, lub retina tuaj yeem tshem tawm dua txawm tias tom qab phais lawm los xij. |
Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
Tam sim no koj nug tias, "Zoo, kuv mam li pib ua haujlwm li qub thaum twg?" Nws yuav siv sijhawm ob mus rau plaub lub lis piam lossis ntev me ntsis kom rov zoo tag nrho. Nws kuj tseem yuav siv sijhawm ob peb lub hlis kom koj lub zeem muag rov qab zoo li qub.
Nug koj tus kws kho mob kom meej thaum twg koj rov pib ua cov haujlwm hauv qab no:
- Da dej, da dej.
- Pib ua haujlwm lossis kawm ntawv.
- Pib tsav tsheb.
- Ua haujlwm hnyav xws li tsa cov hnyav lossis ua si kis las.
- Mus ua luam dej.
Thaum twg koj mam li xav tau hu rau kws kho mob tam sim ntawd?
Thaum koj mus tsev tom qab phais lawm, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no: Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd lossis mus rau Chav Kho Mob Ceev (ETU) ze tshaj plaws.
- Yog tias qhov mob qhov muag hnyav zuj zus.
- Yog tias qhov muag o nce ntxiv.
- Yog koj qhov muag pom kev tsis zoo zuj zus.
Yog koj muaj cov tsos mob no, tsis txhob ncua sij hawm. Qhov no yuav yog ib qho cim qhia txog kev kis kab mob lossis lwm yam teeb meem loj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev tawg ntawm daim tawv muag yog ib qho xwm txheej ceev uas yuav tsum tau kho tam sim ntawd. Tsis txhob tsis quav ntsej cov tsos mob xws li cov xim dub uas ntab rau ntawm koj lub qhov muag, pom xob laim, lossis xav tias lub vijtsam poob lawm.
- Scleral Buckle yog ib qho kev phais mob zoo heev los txuas cov retina rov qab.
- Hauv kev phais mob no, ib lub pob silicone raug muab tso rau ib ncig ntawm lub qhov muag thiab lub retina uas raug tshem tawm raug rov txuas rau ntawm phab ntsa los ntawm kev thawb lub qhov muag me ntsis mus rau hauv.
- Nws yuav siv sijhawm ob peb lub lis piam kom rov zoo tom qab phais, thiab nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia (xws li kev siv tshuaj thiab kev txwv kev ua ub no) raws nraim.
- Yog koj muaj cov tsos mob xws li mob qhov muag ntxiv, o, lossis pom kev tsis meej ntxiv tom qab phais, qhia rau koj tus kws kho mob tam sim ntawd.
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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