Strabismus

Strabismus yog qhov tsis sib haum xeeb uas ob lub qhov muag tsis nce mus tib seem.Yog li ntawd, lawv tsis saib ntawm cov khoom tib lub sijhawm. Feem ntau daim ntawv ntawm strabismus yog lub npe hu ua "hla qhov muag."

Rau lub leeg sib txawv puag ncig ntawm txhua lub qhov muag thiab ua haujlwm "ua pab pawg." Qhov no tso cai rau ob lub qhov muag kom pom tseeb rau tib qho khoom.

Hauv tus neeg muaj tus mob strabismus, cov leeg khov no tsis sib koom ua ke. Raws li qhov tshwm sim, ib lub qhov muag tig mus rau ib qho khoom, thaum lub qhov muag tig mus rau lwm qhov kev coj thiab saib lwm yam khoom.

Thaum qhov no tshwm sim, ob lub duab sib txawv xa mus rau lub hlwb - ib qho los ntawm txhua qhov muag. Qhov no confuses lub hlwb. Hauv cov menyuam yaus, lub hlwb yuav kawm paub qhov tsis thab (tsim txom) cov duab los ntawm lub qhov muag tsis muaj zog.

Yog tias tus mob strabismus tsis kho, lub qhov muag uas lub hlwb tsis quav ntsej yuav tsis pom kev zoo. Qhov ploj ntawm lub zeem muag no yog hu ua amblyopia. Lwm lub npe rau amblyopia yog "tub nkeeg qhov muag." Qee lub sij hawm qhov muag tub nkeeg tam sim no ua ntej, thiab nws ua rau strabismus.

Hauv cov menyuam feem ntau uas muaj tus mob strabismus, vim li cas thiaj tsis paub. Ntau tshaj li ib nrab ntawm cov xwm txheej no, cov teeb meem tshwm sim tam sim lossis tom qab yug menyuam tas. Qhov no yog hu ua kev coj ua mob strabismus.

Feem ntau, qhov teeb meem yuav tsum ua nrog cov leeg tswj, thiab tsis yog nrog lub cev ua kom muaj zog.

Lwm qhov kev cuam tshuam nrog strabismus hauv cov menyuam yaus suav nrog:

• Apert Cov Mob
• Cerebral palsy
• Congenital rubella
• Hemangioma nyob ze lub qhov muag thaum menyuam mos
• Cov mob tsis txaus ntseeg pigmenti syndrome
• Noonan syndrome
• Prader-Willi syndrome
• Retinopathy ntawm lub sijhawm yug menyuam ntxov
• Retinoblastoma
• Mob puas hlwb
• Kev Sib Tw 18

Tus mob Strabismus uas tshwm sim hauv cov neeg laus tuaj yeem tshwm sim los ntawm:

• Botulism
• Ntshav Qab Zib (ua rau muaj mob uas yog hu ua txhawm rau txham txham txhaws ntshav)
• Graves tus kab mob
• Guillain-Barré mob
• Kev raug mob rau lub qhov muag
• Tshuaj lom shellfish
• Mob stroke
• Mob puas hlwb
• Lub zeem muag poob los ntawm ib qho kab mob qhov muag lossis raug mob

Tsev neeg keeb kwm ntawm tus mob strabismus yog qhov yuav muaj kev phom sij. Qhov Farsightedness yuav yog qhov ua rau, feem ntau ntawm cov menyuam yaus. Lwm yam kab mob lwm yam uas ua rau tsis pom kev zoo tuaj yeem ua tus mob strabismus.

Cov tsos mob ntawm tus mob strabismus tuaj yeem tshwm sim txhua lub sijhawm lossis tuaj yeem mus thiab mus. Cov tsos mob tuaj yeem suav nrog:

• Hla ob lub qhov muag
• Ob lub zeem muag
• Ob lub qhov muag tsis pom taw tib qho
• Lub qhov muag tsis pom tseeb (lub qhov muag tsis txav ua ke)
• Tsis pom kev los sis xav tob

Nws yog ib qho tseem ceeb kom nco ntsoov tias menyuam yuav tsis paub txog lub zeem muag ob zaug. Qhov no yog vim hais tias amblyopia tuaj yeem loj hlob sai.

Tus kws kho mob yuav kuaj xyuas lub cev. Qhov kev kuaj xyuas no muaj cov ncauj lus kom ntxaws ntawm lub qhov muag.

Cov kev ntsuam xyuas hauv qab no yuav ua kom pom ntau npaum li cas lub qhov muag tsis tawm ntawm kev ua haujlwm.

• Corneal lub teeb reflex
• Duav / nrhiav tau kuaj
• Kev kuaj mob hlwb
• Tus txheem ophthalmic kuaj
• Kev pom tseeb tseeb

Tseem yuav muaj kev kuaj xyuas lub paj hlwb thiab lub paj hlwb (leeg hlwb).

Thawj kauj ruam ntawm kev kho tus mob strabismus hauv menyuam yaus yog yuav tsum sau daim ntawv tsom iav, yog tias xav tau.

Tom ntej no, amblyopia lossis lub qhov muag tub nkeeg yuav tsum tau kho. Ib qho tso rau ntawm lub qhov muag zoo dua. Qhov no yuam kom lub hlwb siv lub qhov muag tsis muaj zog thiab tau txais kev pom kev zoo.

Koj tus menyuam tsis nyiam hnav lub tsom iav lossis tsom iav. Daim ntaub qhwv kom tus menyuam pom ntawm qhov muag tsis muaj zog thaum xub thawj. Txawm li cas los xij, nws yog ib qho tseem ceeb heev uas yuav tsum siv daim npog lossis cov tsom iav raws li qhia.

Yuav tsum muaj kev phais qhov muag yog tias lub qhov muag tseem tsis txav mus rau qhov tseeb. Cov leeg sib txawv hauv qhov muag yuav ua rau lub cev muaj zog lossis tsis muaj zog.

Kev kho qhov muag pob txha tsis kho qhov muag tsis pom kev ntawm qhov muag tub nkeeg. Kev phais cov leeg yuav ua tsis tiav yog tias tsis tau txais kev kho tus kheej. Ib tug menyuam tseem yuav tsum coj iav coj mus tom qab kev phais. Kev phais mob zoo dua tuaj yeem tshwm sim yog tias thaum tus menyuam tseem yau.

Cov neeg laus nrog cov mob me me uas tuaj thiab mus los tej zaum yuav ua zoo tsom iav. Kev tawm dag cev ntawm lub qhov muag tuaj yeem pab ua kom lub qhov muag ncaj. Cov foos hnyav dua yuav xav tau kev phais kom ncaj qhov muag. Yog tias tus mob strabismus tau tshwm sim vim tsis pom kev, qhov tsis pom kev yuav tsum tau kho kom zoo ua ntej kev phais mob strabismus tuaj yeem ua tiav.

Tom qab phais, qhov muag yuav saib ncaj, tab sis teeb meem tsis pom kev tuaj yeem nyob twj ywm.

Tej zaum tus menyuam tseem yuav muaj teeb meem nyeem ntawv hauv tsev kawm ntawv. Cov muaj hnub nyoog yuav tsum tsav tsheb nyuaj. Lub zeem muag yuav cuam tshuam qhov peev xwm ntawm kev ua kis las.

Feem ntau, qhov teeb meem yuav kho tau yog tias pom thiab kho thaum ntxov. Kev tsis pom kev mus tas li hauv ib lub qhov muag yuav tshwm sim yog tias kho tau qeeb. Yog hais tias amblyopia tsis kho thaum muaj hnub nyoog 11, nws yuav dhau los ua mus tas li, Txawm li cas los xij, kev tshawb fawb tshiab qhia tias ib daim ntawv tshwj xeeb ntawm kev muab tshuaj pleev thiab qee yam tshuaj yuav pab txhim kho amblyopia, txawm tias yog cov neeg laus. Li ib feem peb ntawm cov menyuam yaus uas mob strabismus yuav mob ua kom ntuag.

Coob leej me nyuam yuav tau tus mob strabismus los yog mob ntshav siab dua. Yog li, tus menyuam yuav xav tau saib xyuas kom zoo.

Strabismus yuav tsum tau ntsuas kom sai. Hu rau koj tus kws kho mob lossis kws kho qhov muag yog tias koj tus menyuam:

• Pom tau tias muaj qhov muag hla
• Yws ntawm ob lub zeem muag
• Muaj teeb meem pom

Nco tseg: Tej teeb meem kev kawm thiab tsev kawm ntawv qee zaum yog vim tus menyuam qhov tsis muaj peev xwm pom lub blackboard lossis cov khoom nyeem nyeem.

Hla ob lub qhov muag; Esotropia; Exotropia; Kev Xav Hypotropia; Qeeb hypertropia; Pob tawb; Walleye; Misalignment ntawm lub qhov muag

• Kho qhov muag cov leeg nqaij - tawm

• Hla ob lub qhov muag
• Walleyes

Asmeskas Koom Haum Pediatric Ophthalmology thiab Strabismus lub vev xaib. Strabismus. aapos.org/browse/glossary/entry?GlossaryKey=f95036af-4a14-4397-bf8f-87e3980398b4. Hloov kho thaum Lub Kaum Hlis 7, 2020. Nkag mus Lub Kaum Ob Hlis 16, 2020.

Cheng KP. Ophthalmology. Hauv: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli thiab Davis 'Atlas Kev Kuaj Mob Rau Menyuam yausCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 20.

Lavin PJM. Neuro-ophthalmology: kev txhim kho lub cev muaj zog. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chaaj 44.

Olitsky SE, Marsh JD. Kev tsis sib haum ntawm lub qhov muag txav thiab kho kom haum. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: cha 641.

Salmon JF. Strabismus. Hauv: Salmon JF, ed. Kanski's Soj ntsuam Kev Kho Mob OphthalmologyCov. 9le ed. Philadelphia, PA: Elsevier; 2020: chap 18.

Yen M-Y. Kev kho rau amblyopia: kev pom dua tshiab. Taiwan J OphthalmolCov. 2017; 7 (2): 59-61. PMID: 29018758 pubmed.ncbi.nlm.nih.gov/29018758/.