Koj lossis koj tus menyuam lub qhov muag puas tsis sib luag? Cia peb tham txog Strabismus!

Koj puas tau pom tias koj tus menyuam lub qhov muag qee zaum tig mus rau lwm qhov? Los yog thaum ib lub qhov muag ntsia ncaj, lwm lub qhov muag zoo li mus rau lwm qhov? Tej zaum koj twb tau ntsib qhov no koj tus kheej lawm. Qhov no yog qhov peb hu ua strabismus hauv kev kho mob, lossis qhov muag hla. Tsis txhob txhawj, peb yuav tham txog qhov no kom meej hnub no.

Strabismus yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, strabismus yog ib qho mob uas koj ob lub qhov muag tsis taw rau tib qho kev taw qhia. Uas yog, ib lub qhov muag ntsia rau sab nraud ntawm lwm qhov. Xav txog nws zoo li ob tug kwv tij ua haujlwm ua ke. Lawv ob leeg yuav tsum saib tib qho chaw.

Feem ntau, muaj rau lub leeg nqaij nyob ib puag ncig peb lub qhov muag. Cov leeg nqaij no pab txav lub qhov muag los ntawm ib sab mus rau ib sab, nce thiab nqis. Thaum tag nrho cov leeg nqaij no ua haujlwm ua ke thiab sib koom tes zoo, ob lub qhov muag taw tes rau tib qho kev taw qhia. Txawm li cas los xij, rau ib tus neeg uas muaj strabismus, muaj teeb meem nrog kev ua haujlwm ntawm cov leeg nqaij no. Yog li ntawd, qhov chaw ib txwm ntawm lub qhov muag (kev sib phim ntawm lub qhov muag) tsis tuaj yeem tswj tau.

Txawm hais tias qhov mob no feem ntau tshwm sim rau cov menyuam yaus , cov neeg laus kuj tuaj yeem muaj tus mob strabismus. Qhov ua rau qhov no rau cov neeg laus yog mob stroke. Nws kuj tuaj yeem tshwm sim los ntawm kev raug mob ntawm lub cev. Qee zaum, strabismus uas tau muaj thaum yau, tsis tau kho kom zoo, lossis rov tshwm sim tom qab kho, kuj tuaj yeem tshwm sim thaum laus.

Cov hom mob strabismus tseem ceeb yog dab tsi?

Muaj ntau hom mob strabismus sib txawv. Cia peb saib ob peb hom ntawm lawv.

Cov hom uas pom ntau

• Kev kho qhov muag pom kev zoo (accommodative esotropia): Qhov no feem ntau tshwm sim rau cov neeg uas tsis tau kho qhov muag ze thiab cov neeg uas muaj keeb kwm tsev neeg ntawm qhov muag tig mus rau sab hauv. Thaum peb saib ib yam dab tsi, peb lub qhov muag nyob rau hauv qhov kev taw qhia uas peb tsom mus rau. Yog li, thaum peb yuav tsum ua haujlwm hnyav dua kom pom ib yam dab tsi deb, peb lub qhov muag tuaj yeem tig mus rau sab hauv.
• Qhov muag tsis pom kev ib ntus: Hom no, thaum ib lub qhov muag ntsia ntsoov rau ib lub hom phiaj, lwm lub qhov muag tig mus rau sab nraud. Feem ntau, lub qhov muag yuav hloov pauv ntawm kev saib ncaj nraim mus rau pem hauv ntej thiab tig mus rau sab nraud.
• Infantile esotropia: Hauv qhov no, ob lub qhov muag tig mus rau sab hauv ntau heev rau cov menyuam mos, uas yog, ua ntej hnub nyoog 6 lub hlis. Cov menyuam no feem ntau tsis muaj kev pom kev deb, thiab tsom iav tsis kho qhov mob no. Txawm hais tias qhov kev hloov pauv sab hauv tshwm sim qee zaum thaum xub thawj, nws yuav mus tas li tom qab ib pliag. Qhov kev hloov pauv no tshwm sim thaum saib deb thiab ze. Kev kho rau qhov no yog phais rau cov leeg ntawm ib lossis ob lub qhov muag kom kho qhov kev hloov pauv.

Lawv kuj raug cais raws li qhov kev taw qhia uas lub qhov muag tig mus.

Cov kws kho mob faib cov kab mob strabismus raws li qhov muag tig mus rau sab twg, nws tshwm sim ntau npaum li cas, thiab seb nws puas cuam tshuam rau ib lub qhov muag xwb lossis ob lub qhov muag sib hloov.

• Yog koj lub qhov muag tig mus rau sab hauv , nws hu ua esotropia .
• Yog koj lub qhov muag tig mus rau sab nraud , nws hu ua exotropia . (Ob qho tib si esotropia thiab exotropia yog hom kab rov tav strabismus.)
• Yog koj lub qhov muag tig mus rau sab saud , nws hu ua hypertropia .
• Yog koj lub qhov muag tig mus rau hauv qab , nws hu ua hypotropia . (Ob qho tib si hypertropia thiab hypotropia yog hom vertical strabismus.)

Tsis tas li ntawd, qhov xwm txheej no:

• Strabismus tuaj yeem tshwm sim tas li lossis tsis tu ncua. Strabismus uas tshwm sim qee zaum xwb hu ua transient strabismus.
• Nws tuaj yeem yog ib sab xwb .
• Qee zaum nws yuav yog ib lub qhov muag thiab qee zaum lwm qhov (hloov pauv) .

Qee zaum strabismus kuj tseem tuaj yeem cuam tshuam nrog cov hlab ntsha palsies. Piv txwv li, cov mob xws li oculomotor palsy, superior oblique palsy, lossis abducens palsy. (Cov no yog tshwm sim los ntawm teeb meem nrog peb cov hlab ntsha cranial thib peb, thib plaub, thiab thib rau.)

Tus mob no feem ntau tshwm sim li cas?

Raws li kev kwv yees, kwv yees li 4% ntawm cov pej xeem hauv Tebchaws Meskas, lossis kwv yees li 13 lab tus tib neeg, muaj qhov mob qhov muag ntswj no. Qhov mob no kuj tuaj yeem pom hauv Sri Lanka.

Cov tsos mob ntawm strabismus yog dab tsi?

Yog tias koj lossis koj tus menyuam muaj strabismus, koj yuav pom cov tsos mob zoo li no:

• Pom ob zaug .
• Thaum saib ib yam dab tsi nyob ze , ib lub qhov muag raug kaw los yog npog nrog tes .
• Tig los yog tig lub taub hau mus rau ib sab .
• Mob taub hau .
• Nyeem nyuaj heev .
• Qhov muag nkees (Qhov muag nkees) .
• Thaum saib ib yam dab tsi deb, lossis nyob rau hauv lub teeb ci ntsa iab, ib lub qhov muag kaw .

Feem ntau cov tsos mob tshwm sim thaum twg?

Feem ntau pom muaj tus kab mob Strabismus rau cov menyuam mos thiab cov menyuam yaus . Feem ntau nws tshwm sim thaum ib tug menyuam muaj 3 xyoos.

Txawm li cas los xij, nws yog ib qho ib txwm rau koj tus menyuam mos lub qhov muag qee zaum zoo li poob qis thiab txav mus los qee qhov . Qhov no yuav ploj mus tom qab ib pliag. Thaum muaj hnub nyoog li 3-4 lub hlis., Tus menyuam lub qhov muag yuav tsum muaj peev xwm "tsom" rau txawm tias cov khoom me me. Tsis tas li ntawd, lub qhov muag yuav tsum ncaj thiab sib dhos zoo. Tus menyuam mos 6 lub hlis yuav tsum pom tau cov khoom ze thiab cov khoom deb kom meej.

Tseem Ceeb: Yog tias ib tug menyuam loj dua lossis ib tug neeg laus muaj qhov muag ntswj , tshwj xeeb tshaj yog thaum pom ob sab, nws yuav yog ib qho cim qhia txog mob hlwb loj dua . Yog tias qhov no tshwm sim, koj yuav tsum mus ntsib kws kho mob tam sim ntawd .

Puas muaj peev xwm ua tau tiag tiag zoo li lub txaj tsis muaj lub txaj? - Qhov ntawd yog pseudostrabismus

Qee zaum, koj tus menyuam lub qhov muag yuav zoo li lawv hla thaum lawv tsis hla. Qhov no hu ua pseudostrabismus, lossis false strabismus. Qhov no tuaj yeem tshwm sim yog tias koj tus menyuam muaj daim tawv nqaij ntxiv ntawm cov ces kaum sab hauv ntawm lawv lub qhov muag lossis yog tias lub qhov ntswg tiaj tus. Qhov tsos no yuav ploj mus thaum koj tus menyuam lub ntsej muag loj hlob thiab txhim kho.

Dab tsi yog cov ua rau mob strabismus?

Feem ntau, strabismus yog tshwm sim los ntawm teeb meem nrog kev tswj hwm neuromuscular ntawm lub qhov muag txav mus los. Qhov no cuam tshuam nrog lub hlwb. Tsis tshua muaj, nws yog tshwm sim los ntawm teeb meem nrog cov leeg ntawm lub qhov muag nws tus kheej. Lwm qhov ua rau yog keeb kwm tsev neeg . Kwv yees li 30% ntawm cov menyuam yaus uas muaj strabismus muaj ib tug tswv cuab hauv tsev neeg uas muaj tib qho teeb meem.

Tej yam uas ua rau mob strabismus

Muaj ntau yam ua rau mob qhov muag:

• Cov teeb meem refractive uas tsis kho.
• Pom kev tsis zoo hauv ib lub qhov muag.
• Mob hlwb palsy.
• Down syndrome (kwv yees li 20% - 60% ntawm cov neeg uas muaj Down syndrome muaj strabismus).
• Hydrocephalus (ib yam mob uas cov kua dej hauv lub hlwb sib sau ua ke).
• Cov qog nqaij hlav hauv hlwb.
• Mob stroke (qhov ua rau mob strabismus hauv cov neeg laus).
• Kev raug mob taub hau - Cov no tuaj yeem ua rau thaj chaw ntawm lub hlwb uas tswj kev txav ntawm lub qhov muag, cov hlab ntsha uas tswj kev txav ntawm lub qhov muag, thiab cov leeg ntawm lub qhov muag puas tsuaj.
• Teeb meem ntawm lub paj hlwb.
• Kab mob Graves (tshuaj thyroid hormone ntau dhau).

Tej yam teeb meem uas yuav tshwm sim ntawm strabismus yog dab tsi?

Muaj ib txhia neeg xav tias qhov muag ntsia tsis pom kev ntawm cov menyuam yaus yuav zoo dua thaum lawv loj hlob tuaj. Qhov tseeb, yog tias tsis kho, qhov mob yuav hnyav zuj zus tuaj.

Yog tias koj ob lub qhov muag tsis sib dhos zoo, cov teeb meem zoo li no tuaj yeem tshwm sim:

• Qhov muag tsis pom kev / amblyopiaLos yog qhov muag uas raug mob yuav pom tsis meej mus tas li. Thaum ob lub qhov muag saib mus rau ntau qhov sib txawv, lub hlwb yuav tau txais ob daim duab. Txhawm rau kom tsis txhob pom ob sab, lub hlwb yuav tsis quav ntsej daim duab los ntawm lub qhov muag uas raug mob. Qhov no ua rau qhov muag ntawd tsis pom kev zoo.
• Pom kev tsis meej , uas tuaj yeem cuam tshuam rau kev kawm ntawv, kev ua haujlwm, kev nyiam ua si, thiab kev ua si lom zem.
• Qhov muag mob.
• Qaug zog.
• Mob taub hau.
• Pom ob zaug.
• Pom tsis meej peb-seem / 3D . Qhov no txhais tau tias lub peev xwm pom qhov tob raug txo qis.
• Tsis tshua muaj kev ntseeg tus kheej (tej zaum yuav txaj muag txog qhov koj ob lub qhov muag zoo li cas).

Tsis tas li ntawd xwb, yog tias tus kws kho mob tsis paub thiab tsis ua tib zoo saib xyuas qhov teeb meem strabismus, tej zaum yuav tsis pom qhov teeb meem loj xws li qog hauv hlwb .

Yuav kuaj mob strabismus li cas?

Txhua tus menyuam yaus uas muaj hnub nyoog tshaj 4 lub hlis uas zoo li muaj tus kab mob strabismus yuav tsum tau kuaj qhov muag tag nrho los ntawm tus kws kho qhov muag menyuam yaus. Qhov kev kuaj no yuav saib tshwj xeeb seb lub qhov muag tsom mus rau thiab txav mus li cas. Qhov kev kuaj no yuav suav nrog:

• Keeb kwm kev mob ( nrhiav seb muaj cov tsos mob li cas, keeb kwm tsev neeg, teeb meem kev noj qab haus huv dav dav, cov tshuaj siv, thiab lwm yam uas yuav cuam tshuam rau cov tsos mob).
• Kev pom kev tseeb ( nyeem cov ntawv ntawm daim duab qhia qhov muag lossis sim tus cwj pwm pom kev ntawm cov menyuam yaus).
• Kev ntsuam xyuas qhov sib txawv ntawm lub teeb (ntsuas seb lub qhov muag tsom lub teeb zoo npaum li cas los ntawm kev teeb tsa cov tsom iav kom raug). Cov menyuam yaus tsis tas yuav muaj hnub nyoog txaus los tham thaum lawv raug ntsuam xyuas rau cov tsom iav.
• Kev ntsuam xyuas kev sib phim thiab kev tsom mus rau qhov sib txawv .
• Tshuaj xyuas kev noj qab haus huv ntawm cov qauv sab hauv ntawm lub qhov muag los ntawm kev nthuav cov menyuam qhov muag nrog cov tshuaj qhov muag.

Muaj ntau yam uas yuav pab txiav txim seb qhov ua rau thiab kev kho mob strabismus yog dab tsi:

• Qhov teeb meem puas tau tshwm sim sai sai, los yog maj mam tshwm sim?
• Puas yog nws tshwm sim hauv 6 lub hlis thawj zaug ntawm lub neej, lossis nws tshwm sim tom qab?
• Puas yog nws ib txwm raug mob tib lub qhov muag, lossis nws puas hloov lub qhov muag?
• Qhov rub puas me, nruab nrab, lossis loj?
• Puas yog nws yeej ib txwm nyob ntawd, los yog tsuas yog qee zaum xwb?
• Puas muaj leej twg hauv koj tsev neeg muaj mob strabismus?

Cov kev kho mob rau strabismus yog dab tsi?

Muaj ntau txoj kev kho mob rau strabismus. Koj tus kws kho qhov muag yuav nrog koj tham txog cov kev xaiv uas zoo tshaj plaws rau koj tus mob. Cov kev xaiv kho mob suav nrog:

• Cov tsom iav los yog cov iav sib cuag:Yog tias koj muaj qhov teeb meem refractive uas tsis tau kho, kev hnav cov iav kho qhov muag tuaj yeem pab ua kom koj ob lub qhov muag ncaj, vim nws txo qhov kev siv zog uas koj ob lub qhov muag yuav tsum tsom mus rau.
• Cov iav prism: Cov no yog ib hom iav tshwj xeeb uas khoov lub teeb nkag mus rau hauv lub qhov muag, txo qhov pom ob npaug.
• Kev tawm dag zog qhov muag (orthoptics): Cov kev tawm dag zog no tuaj yeem pab tau rau qee hom strabismus, tshwj xeeb tshaj yog convergence insufficiency (ib hom exotropia).
• Cov Tshuaj: Cov tshuaj tee qhov muag, cov tshuaj pleev, lossis cov tshuaj txhaj tshuaj botulinum toxin hom A (piv txwv li, Botox®) tuaj yeem ua rau cov leeg qhov muag ua haujlwm tsis muaj zog. Cov kev kho mob no siv tau ua ke nrog lossis hloov kev phais, nyob ntawm koj tus mob.
• Kev Kho: Yog tias koj muaj mob strabismus thiab amblyopia, txoj kev no yog siv los kho nws. Nws kuj tseem tuaj yeem pab tswj kev mob strabismus los ntawm kev txhim kho kev pom kev.
• Kev phais mob leeg ntawm qhov muag (kev phais mob strabismus): Kev phais mob no hloov qhov ntev lossis qhov chaw ntawm cov leeg ntawm qhov muag kom sib dhos zoo. Qhov no ua tiav hauv qab tshuaj loog dav dav, siv cov xov uas yaj tau. Qee zaum, cov neeg laus muaj kev phais mob hu ua kev phais mob strabismus uas hloov tau. Hauv qhov no, qhov chaw ntawm cov leeg ntawm qhov muag raug hloov kho tom qab phais mob.

Koj yuav tsum tau mus ntsib koj tus kws kho mob dua rau lub sijhawm teem tseg kom paub seb koj teb li cas rau kev kho mob. Tus kws kho mob yuav ua txhua yam kev hloov pauv uas tsim nyog.

Tom qab kho mob tas, qhov teeb meem yuav zoo li cas?

Yog koj tus menyuam muaj mob strabismus, kev kuaj mob thaum ntxov thiab kev kho mob tuaj yeem pab lawv pom kev zoo heev thiab pom qhov tob . Kev kho mob kuj tseem tuaj yeem tiv thaiv kev poob qhov muag.

Txawm li cas los xij, txawm tias koj yog ib tug neeg laus lawm los, mob strabismus tuaj yeem kho tau txhua lub hnub nyoog . Yog li ntawd, tsis txhob tso tseg kev cia siab.

Puas muaj ib txoj kev los tiv thaiv strabismus?

Tsis yog, tsis muaj peev xwm tiv thaiv tau tus kab mob strabismus. Txawm li cas los xij, yog tias koj xav tias koj muaj tus kab mob strabismus, koj tuaj yeem hais kom koj tus menyuam tus kws kho mob kuaj thiab txheeb xyuas tej yam mob ntawm qhov muag thaum ntxov .

Yog tias koj yog ib tug neeg laus thiab pom muaj teeb meem nrog koj qhov muag, tshwj xeeb tshaj yog tias koj tau muaj mob stroke lossis raug mob qhov muag, nco ntsoov mus ntsib kws kho qhov muag.

Rau cov menyuam yaus thiab cov neeg laus ib yam nkaus, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib koj tus kws kho mob raws li lub sijhawm kuaj mob uas koj tus kws kho qhov muag pom zoo.

Kuv puas yuav tsum mus ntsib kws kho mob? Kuv yuav tsum mus thaum twg?

Yog koj xav tias koj lossis koj tus menyuam muaj qhov muag tsis pom kev zoo, nco ntsoov mus ntsib kws kho qhov muag . Muaj cov kev kho mob zoo rau strabismus.

Txawm koj raug mob qhov muag los yog pom tias koj pom kev hloov pauv sai sai, koj yuav tsum mus ntsib kws kho mob tas li .

Yog koj muaj ib tug menyuam mos, tej zaum koj siv sijhawm ntau saib koj tus menyuam. Thaum xub thawj, tej zaum yuav muaj qhov muag tsis pom kev zoo, tab sis qhov no yuav maj mam zoo dua. Yog tias koj muaj kev txhawj xeeb txog qhov muag lossis kev pom kev ntawm koj tus menyuam, nco ntsoov nug koj tus kws kho mob. Koj tus menyuam tsis tas yuav hais lus tau kom kuaj mob strabismus. Txawm tias koj tus menyuam muaj qhov muag ntsia - lossis koj muaj - nco ntsoov tias strabismus yog ib yam mob uas kho tau zoo . Nug koj tus kws kho mob kom paub ntau ntxiv.

Tej yam tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov

Peb tau tham ntau txog strabismus hnub no. Thaum kawg, nco ntsoov cov ntsiab lus no:

• Kev kuaj pom thaum ntxov yog qhov tseem ceeb heev: Ua tib zoo saib xyuas txhua qhov kev hloov pauv ntawm lub qhov muag, tshwj xeeb tshaj yog rau cov menyuam yaus.
• Strabismus yog ib yam mob uas kho tau: tsis txhob txhawj, muaj ntau yam kev kho mob sib txawv.
• Nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab tswv yim los ntawm kws kho mob: Yog tias koj tsis paub meej, lossis yog tias muaj cov tsos mob tshwm sim, nco ntsoov mus ntsib kws kho qhov muag.
• Kuj muaj kev kho mob rau cov neeg laus thiab: Qhov no tuaj yeem kho tau txhua lub hnub nyoog, tsis yog thaum yau xwb.

Koj ob lub qhov muag yog ib qho khoom muaj nqis heev. Thiab nws yog koj lub luag haujlwm los saib xyuas koj cov menyuam ob lub qhov muag thiab. Kuv vam tias cov ntaub ntawv no yuav pab tau koj!

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