Kodi munayamba mwayang'anapo maso anu pagalasi? Mungathe kuona bwalo lakuda pakati pa gawo la diso lokhala ndi mtundu (timalitcha kuti iris). Ndicho chimene timachitcha pupil. Kukula kwake kumasintha nthawi ndi nthawi. Koma nthawi zina, ngati pupil iyi ikhala yaying'ono ngakhale kuwala kusinthe bwanji, ikhoza kukhala chizindikiro cha vuto la thanzi. Ndicho chimene timachitcha azachipatala kuti Miosis .
Mwachidule, kodi Miosis ndi chiyani?
Miosis ndi pamene diso la mwana wa diso limakhala laling'ono kuposa lachibadwa, lofanana ndi kangaude. Kukula kwa diso kumayendetsedwa ndi minofu yomwe ili m'dera la diso lathu, lomwe ndi iris.
Monga momwe mumaonera maso mukalowa mu kuwala kwa dzuwa kowala, maso athu nawonso amachepa mu kuwala kowala. Komanso, m'malo amdima, maso amakula (kukulirakulira) kuti awone bwino. Iyi ndi njira yachibadwa. Komabe , mwa munthu amene ali ndi matenda a miosis, maso amakhala ang'onoang'ono ngakhale kuwala kusinthe bwanji . Anthu ena amawatcha 'pinpoint pupils' chifukwa amawoneka ngati nsonga ya singano.
Vutoli likhoza kuchitika m'diso limodzi lokha (la mbali imodzi) kapena m'maso onse awiri (la mbali ziwiri).
Kusiyana Pakati pa Miosis ndi Mydriasis
Matenda awiriwa ndi osiyana. Miosis ndi pamene iris imachepa ndipo Mydriasis ndi pamene iris imakhala yayikulu kwambiri (yotambasuka).
Kodi zifukwa zazikulu za miosis ndi ziti?
Pakhoza kukhala zifukwa zingapo zomwe chikopecho chingakhale chaching'ono. Ngakhale zina ndizofala, zina zimakhala zoopsa kwambiri.
| Chifukwa | Zotsatira |
|---|---|
| Mankhwala ena (monga ma opioid) | Kawirikawiri zimakhudza maso onse awiri . |
| Matenda a Horner | Mbali imodzi yokha ya nkhope imakhudzidwa. |
| Kupha poizoni | Kawirikawiri zimakhudza maso onse awiri . |
| Kutupa kwa maso (Uveitis/Iritis) | Kawirikawiri zimakhudza diso limodzi , koma nthawi zina zimatha kukhudza diso lonse. |
| Pontine Stroke | Maso onse awiri amakhudzidwa. |
| Mutu wa Mutu wa Cluster | Zimakhudza mbali imodzi yokha. |
1. Mankhwala ena
Mankhwala ena, makamaka opioids, omwe amagwiritsidwa ntchito pochiza ululu waukulu angayambitse kuti diso la m'maso likhale laling'ono m'maso onse awiri. Madontho ena a maso omwe amagwiritsidwa ntchito pochiza glaucoma, monga pilocarpine, angayambitsenso izi.
2. Matenda a Horner
Imeneyi ndi vuto lomwe limayamba chifukwa cha kusokonezeka kwa mitsempha ya sympathetic yomwe imayenda kuchokera muubongo wathu kupita ku maso ndi nkhope. Pa vutoli, zizindikiro monga zikope zopindika ndi zikope zopindika zimatha kuwoneka mbali imodzi yokha ya nkhope.
3. Kupha poizoni
Vutoli lingayambitsidwe ndi kumwa mankhwala ena ophera tizilombo, makamaka organophosphates . Lingayambitsidwenso ndi kumwa mankhwala ena mopitirira muyeso, monga benzodiazepines.
Ngati pali kukayikira pang'ono za chinthu choterocho, wodwalayo ayenera kutengedwera ku chipatala chapafupi cha Emergency Treatment Unit (ETU) nthawi yomweyo. Ndikofunikanso kwambiri kuyimbira National Poisons Information Centre ku Colombo National Hospital kuti mudziwe zambiri.
4. Kutupa kwa Maso
Kutupa mkati mwa diso, komwe kumayambitsa kufiira ndi kupweteka, kungayambitsenso kusagwira bwino ntchito kwa iris. Uveitis ndi iritis ndi matenda awiri otere.
5. Kuvulala kwa Ubongo kapena Maso
Izi zitha kuchitikanso pamene chinachake chagunda diso ndikuyambitsa kuvulala, kapena chifukwa cha sitiroko (Pontine stroke) yomwe imachitika m'mbali zina za ubongo, makamaka ubongo.
6. Zifukwa zina
Kuphatikiza apo, miosis ingathenso kuwoneka m'matenda monga ana a Argyll Robertson, omwe amapezeka m'magawo omaliza a syphilis osachiritsidwa, komanso mutu wa mutu wa cluster.
Tiyeni tiphunzirenso za matenda a Miosis omwe amachitika pa opaleshoni ya cataract.
Pa opaleshoni ya cataract, iris iyenera kukulitsidwa kuti opaleshoniyo ikhale yosavuta. Komabe, nthawi zina iris imatha kufooka mwadzidzidzi panthawi ya opaleshoni. Izi zimatchedwa miosis ya intraoperative. Mankhwala ena, monga alpha-1 antagonists a kuthamanga kwa magazi kapena kukula kwa prostate, ali pachiwopsezo chachikulu. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa musanachite opaleshoni iliyonse.
Kodi mankhwala ochizira izi ndi otani?
Miosis ndi chizindikiro, osati matenda, kotero chithandizo chimayang'ana pa vuto lomwe linayambitsa.
- Ngati ndi chifukwa cha mankhwala: Dokotala wanu adzasankha ngati asiya kapena kusintha mankhwalawo.
- Ngati ndi matenda a maso: mudzapatsidwa mankhwala oletsa kutupa kapena mankhwala oletsa matenda.
- Matenda a Horner: Opaleshoni ingafunike ngati yachitika chifukwa cha chinthu chonga chotupa.
- Ngati munthu wagwidwa ndi sitiroko: Chithandizo chadzidzidzi chiyenera kuperekedwa kuchipatala.
Kodi Miosis ingapewedwe?
Tikhoza kupewa matenda a miosis omwe amayamba chifukwa cha zifukwa zina.
- Kupewa kugwiritsa ntchito mankhwala osokoneza bongo: Kupewa kugwiritsa ntchito mankhwala osokoneza bongo, makamaka ma opioid.
- Kuvala zida zodzitetezera: Ndikofunikira kwambiri kuvala zoteteza maso zoyenera, monga magalasi a maso, mukamasewera masewera kapena mukamagwira ntchito zoopsa.
- Kudziwitsa dokotala wanu molondola: Nthawi zonse dziwitsani dokotala wanu za mankhwala onse omwe mukumwa.
Kumbukirani, kusintha kwa mtundu wa maso anu, makamaka ngati kwachitika mwadzidzidzi kapena kutsagana ndi zizindikiro zina (monga dzanzi mbali imodzi ya nkhope, mutu waukulu, maso ofiira), kungakhale chizindikiro cha matenda aakulu. Choncho musanyalanyaze.
Uthenga Wopita Nawo Kunyumba
- Miosis ndi mwana wamng'ono kwambiri, amene sangayankhe bwino kuwala.
- Ichi si matenda, koma chizindikiro cha vuto lina.
- Zifukwa zake zingakhale kuyambira pa matenda osavuta mpaka aakulu monga mankhwala, poizoni, matenda amitsempha, sitiroko, ndi matenda a maso.
- Ngati muwona kusintha kwamtunduwu mu iris yanu, makamaka ngati kumabwera ndi zizindikiro zina, pitani kwa dokotala mwachangu momwe mungathere.
- Nthawi zonse dziwitsani dokotala wanu za mankhwala onse omwe mukumwa.
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