Koj qhov muag pom kev tsis meej tam sim ntawd, tab sis tsis mob? Tej zaum yuav yog los ntshav hauv lub qhov muag (vitreous hemorrhage). Cia peb tham txog qhov no!

Koj puas tau muaj ib zaug koj tsis pom kev tam sim ntawd, tab sis tsis mob? Tej zaum koj qhov muag tsis pom kev, tsis pom kev zoo, lossis koj pom cov khoom dub ntab rau ntawm koj lub qhov muag. Nws tuaj yeem yog ib qho txaus ntshai. Ib qho ntawm cov laj thawj tseem ceeb uas qhov no tshwm sim yog los ntshav hauv lub qhov muag. Hauv kev kho mob, peb hu qhov no ua ntshav hauv lub qhov muag . Hais yooj yim, nws yog cov ntshav sib sau ua ke hauv qhov zoo li jelly ntawm lub qhov muag.

Los ntshav hauv lub qhov muag yog dab tsi? (Vitreous Hemorrhage)

Hais yooj yim xwb, qhov ntshav hauv lub qhov muag yog qhov ntshav hauv lub qhov muag , uas yog cov kua dej hauv koj lub qhov muag. Qhov no tuaj yeem ua rau lub qhov muag ntawd tsis pom kev sai sai thiab tsis mob. Xav txog nws, lub qhov muag yog qhov chaw loj tshaj plaws hauv peb lub qhov muag. Nws muaj cov khoom zoo li jelly. Cov jelly no pab lub qhov muag kom nws lub cev zoo li lub voj voog.

Qhov mob no muaj ntau yam ua rau. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav qhov ua rau tseeb ua ntej kho nws. Qee zaum nws tuaj yeem ua rau pom kev tsis meej mus tas li, nyob ntawm qhov ua rau. Qhov mob no feem ntau tshwm sim rau cov neeg uas muaj tus kab mob retinopathy uas cuam tshuam nrog ntshav qab zib.

Cov tsos mob ntawm qhov no yog dab tsi?

Cov tsos mob tseem ceeb yog qhov muag tsis pom kev sai sai lossis dig muag. Xav txog, lub vitreous yuav tsum zoo li iav huv, tsuas yog thaum lub teeb tuaj yeem hla dhau thiab peb pom. Tam sim no ua li cas thaum nws tau ntshav? Nws zoo li me ntsis xim liab tau poob rau ntawm lub iav. Nws raug thaiv los ntawm kev tawm mus, thiab qhov ntawd yog qhov ua rau muaj cov tsos mob.

Thaum muaj kev los ntshav hauv lub qhov muag, tsis muaj kev hloov pauv pom tseeb hauv qhov tsos ntawm lub qhov muag. Qhov no txhais tau tias lub qhov muag tsis zoo li liab los ntawm sab nraud. Qee zaum, yog tias qhov los ntshav me me, lossis yog tias nws nyob rau ib sab ntawm lub qhov muag, nws tuaj yeem nyuaj rau pom, txawm tias rau cov kws kho qhov muag, txawm tias muaj cov khoom siv tshwj xeeb.

Kev hloov pauv ntawm kev pom kev yuav muaj xws li:

• Pom tej yam me me dub uas ntab rau ntawm ob lub qhov muag (Floaters)
• Pom tej yam zoo li cov ntaub kab laug sab
• Pom kev tsis meej lossis pos huab
• Qee zaum, koj yuav poob tag nrho qhov muag pom kev.

Ua cas ho muaj ntshav hauv lub qhov muag zoo li no? Ua cas ho muaj tej yam ua rau?

Muaj ob txoj kev tseem ceeb uas cov ntshav nkag mus rau hauv lub qhov muag. Ib txoj yog vim muaj qee yam kev siv tshuab , thiab lwm txoj yog vim muaj ib yam kab mob hauv qab .

1. Puas yog nws tshwm sim los ntawm qee qhov xwm txheej lossis kev cuam tshuam loj? (Lub zog ua rau muaj)

Yog, ntau yam kev cuam tshuam ntawm lub cev tuaj yeem ua rau los ntshav hauv lub qhov muag. Cov no suav nrog:

• Kev raug mob ncaj qha rau lub qhov muag:Xav txog koj raug lub pob ntaus rau hauv koj lub qhov muag thaum koj ua si cricket, lossis muaj ib yam dab tsi ntse nkag rau hauv koj lub qhov muag. Tom qab ntawd cov hlab ntsha hauv lub qhov muag yuav raug puas tsuaj thiab los ntshav. Qhov no yog qhov ua rau cov neeg hnub nyoog qis dua 40 xyoo mob.
• Kev txav ntse: Piv txwv li, co ib tug menyuam mos me me tam sim ntawd, ib qho mob hu ua Shaken Baby Syndrome , tuaj yeem ua rau cov hlab ntsha hauv lub qhov muag tawg thiab los ntshav.
• Kev sib cais sab hauv: Cov kua nplaum hauv peb lub qhov muag (lub vitreous) qee zaum sib cais ntawm lub retina ntawm tom qab ntawm lub qhov muag. Qhov no hu ua posterior vitreous detachment (PVD) . Thaum nws sib cais, cov hlab ntsha me me ntawm ob qho tuaj yeem ncab thiab tawg, ua rau los ntshav. Qee zaum lub retina tuaj yeem rhuav (retinal tear) lossis sib cais tag nrho (retinal detachment) . Kev los ntshav kuj tuaj yeem tshwm sim.
• Kev nyem dhau: Qee zaum thaum peb tuav peb txoj pa thiab sim tso zis lossis quav (tseem hu ua Valsalva maneuver) , qhov kev nyem hauv lub taub hau thiab qhov muag tuaj yeem nce ntxiv thiab ua rau cov hlab ntsha tawg. Qhov no kuj tuaj yeem tshwm sim thaum peb txham lossis hnoos tsis raug.

2. Qhov mob no puas yog los ntawm lwm yam kab mob? (Cov kab mob ua rau muaj)

Yog, cov ntshav hauv lub qhov muag kuj tuaj yeem tshwm sim los ntawm cov kab mob uas ua rau cov hlab ntsha hauv lub qhov muag qaug zog lossis cuam tshuam rau lawv txoj haujlwm ib txwm. Piv txwv li:

• Kab Mob Ntshav Qab Zib Hom 2 thiab Kab Mob Retinopathy Uas Muaj Feem Xyuam Nrog Kab Mob Ntshav Qab Zib
• Ntshav siab (Tshuaj ntshav siab)
• Kev Txhaws ntawm Cov Ntshav Hauv Qhov Muag
• Kab mob hlwb Sickle
• Mob qog nqaij hlav ntawm qhov muag
• Cov kab mob ntshav, piv txwv li anemia lossis hemophilia
• Cov mob uas ua rau cov hlab ntsha puas tsuaj, piv txwv li , vasculitis
• Kev puas tsuaj ntawm lub qhov muag uas muaj hnub nyoog ntau dhau, uas yog ib hom kev hloov pauv uas tshwm sim hauv lub retina ntawm lub qhov muag thaum peb laus zuj zus.

Muaj teeb meem dab tsi tshwm sim vim los ntshav hauv lub qhov muag?

Kev los ntshav zoo li no qee zaum yuav muaj kev cuam tshuam mus sij hawm ntev rau koj qhov muag . Qee qhov ntawm cov teebmeem no yuav nyob mus ib txhis, thaum lwm tus yuav siv sijhawm los kho. Koj tus kws kho qhov muag tuaj yeem piav qhia txog yam uas yuav tshwm sim hauv koj qhov xwm txheej thiab yam koj tuaj yeem ua tau.

Cov kws kho mob kuaj mob li cas?

Thaum koj mus ntsib kws kho qhov muag, lawv yuav siv ntau txoj kev los kuaj qhov no. Feem ntau, lawv siv tau ib lub cuab yeej me me hu ua ophthalmoscope lossis ib lub tshuab loj hu ua slit lamp exam los saib seb puas muaj ntshav los. Txawm li cas los xij, lawv kuj tseem yuav ua lwm yam kev kuaj kom paub tseeb tias yog dab tsi ua rau qhov no.

Yuav ua li cas thiaj kuaj tau qhov no?

Cov kev kuaj mob zoo li no tuaj yeem pab kuaj mob vitreous hemorrhage lossis cov mob uas ua rau nws:

• Kev kuaj ntshav: Cov no kuaj xyuas koj cov ntshav qab zib, nrog rau lwm yam teeb meem ntshav, xws li ntshav tsis txaus, teeb meem ntshav txhaws, thiab lwm yam teeb meem ntshav.
• Kev ntsuas ultrasound: Qhov no siv cov suab nthwv dej los saib sab hauv lub qhov muag. Qhov no yog ib qho kev kuaj mob tseem ceeb heev yog tias tus kws kho mob tsis pom sab hauv lub qhov muag kom meej.
• Optical Coherence Tomography (OCT): Qhov no siv lub teeb laser uas tsis muaj zog heev los thaij duab sab hauv koj lub qhov muag. Qhov no muaj txiaj ntsig zoo rau kev saib cov hlab ntsha thiab cov txheej ntawm lub retina sab hauv lub qhov muag.
• Kev tshuaj xyuas lub hlwb: Qee zaum kev tshuaj xyuas CT (Computed Tomography - CT) thiab MRI (Magnetic Resonance Imaging - MRI) raug ua los saib seb puas muaj kev ntxhov siab ntau dhau rau cov hlab ntsha hauv lub qhov muag los ntawm sab ntawm koj lub hlwb.

Cov kev kho mob rau qhov no yog dab tsi? (Kev Kho Mob)

Muaj ntau txoj kev kho mob, thiab qee zaum yuav siv ntau dua ib qho ntawm cov kev xaiv no. Lawv yog:

• Kev kho mob kom ruaj khov: Qhov no yuav tsum tos ob peb hnub, tej zaum ob peb lub lis piam, kom pom tias muaj kev hloov pauv dab tsi tshwm sim. Feem ntau, peb lub cev tuaj yeem kho qhov puas tsuaj ntawm lawv tus kheej yog tias peb muab sijhawm rau lawv. Thaum lub sijhawm no, koj yuav raug qhia kom so thiab zam kev ua ub no uas yuav ua rau koj lub qhov muag nkees . Koj kuj tseem yuav raug qhia kom pw nrog koj lub taub hau siab, uas yuav pab cov ntshav ntws mus rau tom qab ntawm koj lub qhov muag.
• Kev kho mob tsom mus rau ib qho chaw: Cov txheej txheem no suav nrog kev kho cov hlab ntsha uas puas lawm hauv lub qhov muag lossis kho lwm yam teeb meem siv lasers, lossis siv cua sov heev (Photocoagulation) lossis txias heev (Cryotherapy).
• Kev Phais Mob: Kev phais mob feem ntau yog kev phais vitrectomy , uas yog kev tshem tawm cov tshuaj jelly uas muaj ntshav nyob hauv lub qhov muag thiab hloov nws nrog lwm yam (tej zaum saline, silicone roj, lossis ib lub npuas roj tshwj xeeb).
• Cov Tshuaj: Qee zaum kev tsim cov hlab ntsha tshiab, tsis xav tau (neovascularization)Cov tshuaj Anti-VEGF (piv txwv li, cov tshuaj anti-VEGF) tuaj yeem txhaj rau hauv lub qhov muag. Vim tias cov hlab ntsha tshiab no tsis muaj zog heev, lawv tuaj yeem tawg thiab los ntshav dua, thiab tuaj yeem ua rau pom kev tsis zoo ntxiv.
• Kev Kho Mob Qhov Ua Rau Los Ntshav: Kev kho mob kom zoo rau qhov mob uas ua rau los ntshav (piv txwv li, ntshav qab zib, ntshav siab) yog qhov tseem ceeb heev uas tsis yog tsuas yog kho qhov mob tam sim no xwb tab sis kuj tiv thaiv kom tsis txhob tshwm sim dua.

Vim muaj ntau txoj kev kho mob, koj tus kws kho qhov muag yog tus neeg zoo tshaj plaws los qhia koj tias cov txheej txheem twg yuav pab tau koj tshaj plaws.

Yog tias kuv ntsib teeb meem zoo li no, kuv yuav tsum xav li cas?

Yog koj muaj ntshav hauv koj lub qhov muag, koj qhov kev pom kev yuav maj mam txo qis lossis hloov pauv. Tab sis koj yuav tsis hnov ​​mob dab tsi . Qhov kev pom kev txo qis yuav tshwm sim tam sim ntawd zoo li cov khoom dub ntab rau ntawm koj lub qhov muag (floaters) , lossis zoo li ib daim ntaub kab laug sab. Lossis koj qhov kev pom kev yuav dhau los ua tsis meej lossis pos huab.

Qhov xwm txheej no yuav kav ntev npaum li cas?

Qhov no yuav kav ntev npaum li cas nyob ntawm ntau yam. Qhov ua rau, qhov mob hnyav npaum li cas, thiab kev kho mob uas koj tau txais. Nws tuaj yeem siv sijhawm ntau hnub, ntau lub lis piam, lossis txawm tias ntau lub hlis rau koj qhov kev pom kev rov qab mus rau qhov qub. Cov ntshav hauv lub qhov muag maj mam ntws mus rau tom qab ntawm lub qhov muag, tab sis nws yuav siv sijhawm. Peb lub cev tuaj yeem tshem tawm cov ntshav no, tab sis nws yog ib qho txheej txheem qeeb heev.

Qhov xwm txheej no yuav zoo li cas? (Outlook)

Cov txiaj ntsig ntawm qhov no nyob ntawm seb ua rau muaj dab tsi thiab koj tau txais kev kho mob sai npaum li cas. Cov neeg uas muaj mob ntev xws li ntshav qab zib lossis macular degeneration yuav muaj cov txiaj ntsig qeeb dua. Qhov ntau ntawm kev los ntshav kuj cuam tshuam rau cov txiaj ntsig. Koj tus kws kho qhov muag tuaj yeem qhia koj tias koj tuaj yeem ua dab tsi kom tau txais cov txiaj ntsig zoo tshaj plaws rau koj tus mob.

Puas tiv thaiv tau qhov teeb meem no? (Kev tiv thaiv)

Feem ntau, qhov no tshwm sim rau hauv txoj kev uas peb tsis tuaj yeem kwv yees lossis tswj tau. Yog li ntawd, nws tsis yooj yim sua kom tiv thaiv nws tag nrho. Txawm li cas los xij, muaj ob peb yam uas peb tuaj yeem ua tau los txo qhov kev pheej hmoo no:

• Hnav cov khoom tiv thaiv qhov muag: Yog tias koj ua haujlwm txaus ntshai lossis ua si kis las (piv txwv li squash, cricket), hnav cov tsom iav kev nyab xeeb tuaj yeem pab tiv thaiv kev puas tsuaj rau qhov muag los ntawm kev sib tsoo.
• Mus kuaj mob tsis tu ncua: Los ntawm kev mus kuaj mob tag nrho los ntawm koj tus kws kho mob hauv tsev neeg tsawg kawg ib xyoos ib zaug, koj tuaj yeem kuaj pom cov kab mob xws li ntshav qab zib thiab ntshav siab ua ntej koj muaj cov tsos mob.
• Tswj cov kab mob uas kav ntev: Yog tias koj muaj cov kab mob xws li ntshav qab zib lossis ntshav siab, kev tswj lawv raws li koj tus kws kho mob pom zoo tuaj yeem txo qhov kev pheej hmoo ntawm kev mob no.
• Mus kuaj koj ob lub qhov muag tsis tu ncua yog tias tsim nyog:Tshwj xeeb yog tias koj muaj mob uas yuav ua rau koj muaj feem yuav mob xws li ntshav qab zib, mus ntsib kws kho qhov muag kom lawv kuaj koj ob lub qhov muag tas li, raws li koj tus kws kho mob tau hais. Ua li no, kev hloov pauv ntawm lub qhov muag thiaj li yuav pom tau thaum ntxov thiab kho tau.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj pom kev tsis meej pem yam tsis mob, tsis meej pem, lossis muaj cov khoom tshiab uas ntab rau hauv, koj yuav tsum mus ntsib kws kho mob, zoo dua yog mus ntsib kws kho qhov muag, sai li sai tau.

Koj tsis tuaj yeem kuaj mob qhov no ntawm koj tus kheej lossis kho nws ntawm koj tus kheej. Koj xav tau ib tus kws kho qhov muag uas tau kawm tiav los kuaj mob kom raug thiab qhia koj txog cov kev xaiv kho mob.

Thaum kawg, nco ntsoov...

Kev pom kev tsis meej lossis pom kev tsis meej tam sim ntawd, tsis mob, yog qhov txhawj xeeb tiag tiag. Yuav tsum tsis txhob xav tias qhov no yooj yim. Kev kuaj mob thaum ntxov thiab kev kho mob tuaj yeem ua qhov sib txawv loj. Muaj ntau txoj kev xaiv kho mob.

Yog tias koj muaj lus nug txog qhov kev los ntshav hauv lub qhov muag no, hu ua vitreous hemorrhage , lossis yog tias koj muaj ib yam mob uas ua rau koj muaj feem yuav mob ntxiv, nrog koj tus kws kho qhov muag tham. Nws tuaj yeem piav qhia rau koj tias yuav tsum xav li cas thiab yuav ua li cas nrog nws. Nco ntsoov, koj ob lub qhov muag muaj nqis heev!

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