Tawv muag muag daj

Tawv muag muag yog tshaj sagging ntawm cov tawv muag sab saud. Qhov ntug ntawm daim tawv muag sab hauv yuav qis dua nws yuav tsum yog (ptosis) lossis tej zaum yuav muaj qhov tawv nqaij ntau dua hauv daim tawv muag sab saud (dermatochalasis). Tawv muag drooping yog feem ntau ua ke nrog ob qho xwm txheej.

Qhov teeb meem no tseem hu ua ptosis.

Qhov muag daj tawm yog feem ntau vim yog:

• Tsis muaj zog ntawm cov leeg uas tsa qhov muag sawv
• Kev puas tsuaj rau cov leeg ntshav uas tswj cov leeg ntawd
• Kev xeb ntawm daim tawv nqaij ntawm lub tawv muag sab saud

Drooping tawv muag tuaj yeem yog:

• Ua rau los ntawm cov laus txoj kev laus
• Tam sim no ua ntej yug
• Qhov txiaj ntsig ntawm kev raug mob lossis kab mob

Cov kab mob los yog mob uas yuav ua rau qhov muag daj tuaj yeem muaj:

• Tumour ib ncig lossis tom qab lub qhov muag
• Mob ntshav qab zib
• Mob Horner syndrome
• Myasthenia gravis
• Mob stroke
• O o rau hauv daim tawv muag, xws li nrog stye

Drooping tuaj yeem pom nyob rau hauv ib lossis ob lub qhov muag raws li cov ua. Daim npog tsuas npog sab saud, lossis tag nrho tus menyuam npog nkaus xwb.

Cov teeb meem tsis pom kev zoo yuav tsum muaj:

• Thaum xub thawj, tsuas yog ib qho kev txiav txim siab tias qhov chaw siab tshaj ntawm kev pom kev raug thaiv.
• Thaum cov tawv muag daj uas npog npog ntawm tus menyuam lub qhov muag, lub zeem muag yuav dhau los cuam tshuam.
• Cov menyuam yaus tuaj yeem ntxeev lub taub hau rov qab los pab lawv pom hauv qab daim tawv muag.
• Kev nkees nkees thiab ua tiav qhov muag nyob ib ncig ntawm lub qhov muag kuj tseem tuaj yeem.

Ntau dua lub kua muag dua txawm tias qhov zoo nkaus ntawm qhov muag qhuav yuav pom.

Thaum dauv qis rau ntawm ib sab nkaus xwb, nws yooj yim mus nrhiav tau los ntawm kev piv nrog ob lub qhov muag. Drooping yog qhov nyuaj los txhawm rau pom thaum nws tshwm sim ntawm ob sab, lossis yog tias tsuas muaj qhov teeb meem me ntsis. Muab piv rau kev poob qis tam sim no nrog tus nqi uas pom hauv cov duab qub yuav pab koj txheeb xyuas qhov nce ntawm cov teeb meem.

Kev kuaj mob lub cev yuav ntsuas kom paub qhov teeb meem.

Kev ntsuam xyuas uas yuav ua muaj:

• Soj ntsuam me-teeb lub teeb
• Kaum qhov kev sim rau myasthenia gravis
• Siv qhov muag saib pom tseeb

Yog nrhiav tau tus kabmob yog kho. Feem ntau ntawm cov tawv muag daj yog vim muaj kev laus thiab tsis muaj kab mob cuam tshuam.

Kev tshem tawm cov plaub muag tshem tawm (blepharoplasty) tau ua tiav los kho sagging lossis qau cov tawv muag sab saud.

• Muaj qee cov xwm txheej me me, nws tuaj yeem ua kom txhim kho ntsej muag.
• Qee zaus uas mob hnyav, yuav tau phais kom kho qhov cuam tshuam nrog lub zeem muag.
• Hauv cov menyuam yaus mob ptosis, kev phais mob yuav tsum tau tiv thaiv amblyopia, tseem hu ua "qhov muag tub nkeeg."

Daim tawv muag daj tuaj yeem nyob tsis tu ncua, ua kom tsis zoo rau lub sijhawm (yuav tsis zoo zuj zus mus), lossis tuaj thiab mus (ua kev sib quas ntus).

Qhov kev cia siab tshwm sim yog nyob ntawm qhov ua rau ptosis. Feem ntau, kev phais mob ua tau zoo yog tias rov qab zoo li qub thiab ua haujlwm.

Hauv cov menyuam yaus, ntau dua qhov muag daj loj dua yuav ua rau qhov muag nkees lossis ua kom poob ntsej muag. Qhov no yuav ua rau pom lub sij hawm ntev tsis pom kev.

Hu rau koj tus kws kho mob yog tias:

• Tawv muag muag yog cuam tshuam rau koj qhov pom lossis tsis pom kev.
• Ib qho tawv muag dheev dauv los yog kaw.
• Nws cuam tshuam nrog lwm cov tsos mob, xws li pom ob lub qhov muag lossis mob.

Ntsib kws kho qhov muag (kws kho qhov muag) rau:

• Drooping tawv muag rau hauv cov menyuam yaus
• Daim tawv muag tshiab lossis nrawm hloov rau cov laus

Ptosis, Dermatochalasis; Blepharoptosis; Peb lub paj hlwb vwm - ptosis; Daim tawv muag tawv muag

• Ptosis - tshem tawm ntawm daim tawv muag

Alghoul M. Blepharoplasty: tej qhov ntawm lub cev, npaj tswv yim, hom kev kawm, thiab kev nyab xeeb. Awj Yeem Surg J Cov. 2019; 39 (1): 10-28. PMID: 29474509 pubmed.ncbi.nlm.nih.gov/29474509/.

Cioffi GA, Liebmann JM. Cov kab mob ntawm cov kab mob pom. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 395.

Friedman O, Zaldivar RA, Wang TD. Pob Tsuas Xyooj. Hauv: Flint PW, Francis HW, Haughey BH, li al, eds. Cummings Otolaryngology: Taub Hau Thiab Caj DabCov. 7 tus ed. Philadelphia, PA: Elsevier; 2021: chap 26.

Olitsky SE, Marsh JD. Kev tsis ncaj ncees ntawm lub hau. 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 642.

Vargason CW, Nerad JA. Blepharoptosis. Hauv: Yanoff M, Duker JS, eds. OphthalmologyCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2019: chap 12.4.