Dab tsi koj yuav tsum paub txog retinal detachment

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Thaum cov tsos mob tshwm sim, detachment tsis tuaj yeem xav tau. Txwv tsis pub, koj tuaj yeem poob koj qhov muag.

Dab tsi yog Retinal Detachment

Qhov no yog thaum ib feem ntawm cov ntaub so ntswg ntawm lub qhov muag - lub retina - raug tshem tawm los ntawm Retinal detachment / Mayo Clinic los ntawm cov hlab ntsha nyob rau pem hauv ntej ntawm lub sclera. Lub retina muaj cov hlwb uas pom cov xim thiab lub teeb, thiab tom qab ntawd xa cov impulses mus rau lub hlwb. Vim yog detachment, ntshav tsis ntws mus rau lub hlwb, lawv tsis tau txais cov khoom tsim nyog thiab tuag, thiab tus neeg poob nws pom.

Qhov kev pab sai dua yog muab, qhov siab dua qhov yuav zam tsis tau qhov tshwm sim loj. Yog li ntawd, yog tias koj xav tias ib tug detachment, koj yuav tsum tau hu rau lub tsheb thauj neeg mob los yog ceev mus ntsib ib tug kws kho mob ophthalmologist.

Yuav ua li cas kom paub txog lub retinal detachment

Thaum lub retina pib tev tawm, tus neeg tsis hnov mob, txawm li cas los xij, qee cov tsos mob tshwm sim Retinal detachment / Mayo Clinic:

• Ntau qhov chaw ntab tam sim ntawd tshwm rau ntawm lub qhov muag.
• Kev pom kev ua huab.
• Muaj flashes ntawm lub teeb nyob rau hauv ib los yog ob lub qhov muag.
• Sab pom kev maj mam txo qis.
• Ntawm ib qho chaw ntawm lub qhov muag, muaj kev xav tias ib yam dab tsi yog dai thiab tsim duab ntxoov ntxoo.

Yog vim li cas retinal detachment tshwm sim thiab nws tshwm sim li cas

Muaj peb hom Retinal detachment / Mayo Clinic pathology, txhua tus muaj nws cov laj thawj:

• Rhegmatogenous. Qhov no yog qhov kev hloov pauv ntau tshaj plaws uas tshwm sim vim kev laus ntawm lub cev. Qhov tseeb yog tias sab hauv ntawm lub qhov muag yog ntim nrog gel-zoo li vitreous lub cev. Hauv cov neeg laus, nws yuav ua rau nyias nyias los yog qhuav, uas tseem ua rau cov kua dej tso tawm. Yog hais tias, nyob rau tib lub sij hawm, ib tug tawg tshwm nyob rau hauv lub retina, kua yuav nkag mus rau hauv nws thiab pib delaminate cov ntaub so ntswg.
• Exudative. Nyob rau hauv cov ntaub ntawv no, kua kuj accumulates nyob rau hauv lub retina, tab sis tsis muaj kua muag los yog tawg nyob rau hauv cov ntaub so ntswg. Hom kev tshem tawm no tuaj yeem tshwm sim vim muaj hnub nyoog ntsig txog macular degeneration (ib feem tshwj xeeb ntawm retina), raug mob, qog lossis mob ntawm lub qhov muag. Lub permeability ntawm cov hlab ntsha nce, thiab cov plasma los ntawm lawv yog tso rau hauv cov ntaub so ntswg.
• Traction. Hom detachment no tuaj yeem tshwm sim hauv cov neeg mob ntshav qab zib. Vim li no, cov ntaub so ntswg caws pliav nyob rau saum npoo ntawm retina, uas ua rau kom nruj thiab kua muag lub retina deb ntawm sab hauv ntawm lub qhov muag.

Leej twg tuaj yeem muaj retinal detachment

Leej twg tuaj yeem kis tus kab mob no, tab sis qhov kev pheej hmoo siab dua nrog qee yam Retinal Detachment / National Eye Institute yam:

• Keeb kwm.
• Yav dhau los qhov muag raug mob.
• Kev phais qhov muag, xws li tshem tawm cov kab mob cataract.
• Mob ntshav qab zib. Hauv cov kab mob no, cov hlab ntsha ntawm retina puas lawm.
• Mob myopia (ntau tshaj -6 diopters).
• Kev sib cais ntawm retina rau hauv ob txheej (retinoschis).
• Posterior vitreous detachment. Tom qab ntawd cov kua gel zoo li tawm ntawm retina thiab tuaj yeem rub nws mus.
• Thinning ntawm retina (lattice degeneration).

Yuav kho retinal detachment li cas?

Koj yuav tau ua ib qho ntawm peb hom Retinal Detachment: Kev Ntsuas thiab Kev Kho Mob / American Academy of Ophthalmology. Kev xaiv ntawm txoj kev nyob ntawm seb hom pathology, nws lub hnub nyoog thiab qhov chaw ntawm detachment.

Pneumatic retinopexy

Los ntawm cov menyuam kawm ntawv, siv ib rab koob nyias, tus kws kho mob tshem tawm qee cov kua ntawm lub qhov muag thiab txhaj cov pa npuas nyob rau ntawd. Yog tias muaj qhov tawg ntawm retina, ces nws yog cauterized nrog phais rau Retinal Detachment / National Eye Institute nrog lub laser lossis kua nitrogen.

Cov npuas presses cov ntaub so ntswg exfoliated, thiab thaum nws loj hlob ua ke, nws yuav yaj yam tsis muaj kab. Yog li ntawd cov huab cua tsis txav los ntawm qhov chaw, ob peb hnub lub taub hau yuav tsum tau tuav nyob rau hauv ib tug tshwj xeeb txoj hauj lwm, uas tus kws kho mob yuav qhia.

Vitrectomy

Qhov kev ua haujlwm no zoo ib yam li yav dhau los Retinal Detachment: Diagnosis and Treatment / American Academy of Ophthalmology, tab sis tus kws kho mob tshem tawm cov vitreous tag nrho. Hloov chaw, roj lossis silicone roj yog txhaj los nias rau ntawm lub retina.

Maj mam, qhov chaw ntawm detachment yuav loj hlob ua ke, lub qhov muag yuav highlight ib tug tshiab vitreous lub cev. Cov roj yuav dissipate los ntawm nws tus kheej. Tab sis Retinal detachment / Mayo Clinic cov roj yuav tsum tau muab tshem tawm tom qab ob peb lub hlis.

Extrascleral filling

Yog hais tias lub retinal detachment tuaj yeem ncav cuag, ib daim kab xev elastic silicone yog sewn mus rau qhov dawb ntawm lub qhov muag (sclera) nyob rau hauv daim tawv muag saum lub kua muag. Nws txuas nrog lub qhov muag nws tus kheej thiab nruj nws cov ntaub so ntswg kom lawv nyem qhov chaw ntawm detachment.

Yog tias kev sib cais tshwm sim hauv ntau qhov chaw ib zaug, tus kws kho mob tuaj yeem ua kom muaj kev txwv nyob rau hauv daim ntawv ntawm txoj siv sia hla tag nrho lub qhov muag. Cov strips silicone yuav nyob mus ib txhis, tab sis yuav tsis cuam tshuam rau koj lub zeem muag.

Yuav ua li cas tom qab kho

Koj yuav tau hnav ib lub qhov muag rau ob peb hnub. Tom qab pneumatic retinopexy thiab vitrectomy, nws tseem txwv tsis pub ya dav hlau, dhia dej nrog scuba dhia dej, nyob hauv roob thiab nqa qhov hnyav kom txog thaum lub qhov muag kho.

Tau ob peb lub lis piam tom qab kev ua haujlwm, ib tus neeg tuaj yeem cuam tshuam los ntawm cov tsos mob tsis zoo ntawm Retinal Detachment: Kev kuaj mob thiab kev kho mob / American Academy of Ophthalmology, uas suav tias yog ib txwm:

• tsis xis nyob hauv qhov muag;
• mob me me uas tuaj yeem daws tau nrog cov tshuaj kho mob tom khw
• floating chaw los yog cloudiness;
• flashes ntawm lub teeb;
• ib lub vesicle uas tuaj yeem pom nrog lub zeem muag peripheral yog tias pneumatic retinopexy tau ua tiav.

Tom qab ua haujlwm, koj yuav tsum mus ntsib kws kho mob, vim qee zaum muaj teeb meem Retinal Detachment: Kev kuaj mob thiab kev kho mob / American Academy of Ophthalmology. Nws tuaj yeem yog:

• Ntshav.
• Kab mob hauv qhov muag.
• Nce intraocular siab uas ua rau glaucoma.
• Lens clouding, los yog cataract.

Lub zeem muag yuav pib txhim kho 4-6 lub lis piam tom qab kev phais, thiab kev rov zoo zaum kawg yuav siv sij hawm ntau lub hlis lossis ib xyoos. Yog tias thaj tsam loj ntawm retina tau tso tseg lossis ua haujlwm lig, ces qhov pom kev yuav nyob tsis zoo.

Qee tus neeg yuav tsum tau phais dua yog tias lub retina tsis txuas tag nrho lossis raug tshem tawm dua.