Tawm kev tshem tawm

Kev tshem tawm cataract yog kev phais mob kom tshem tawm cov plaub muag ntawm lub qhov muag xau (cataract) los ntawm lub qhov muag. Kev tshem tawm kab ntsig raug tshem tawm kom pab koj pom zoo dua. Cov txheej txheem yuav luag txhua zaus suav nrog tso tsom iav (IOL) hauv qhov muag.

Kev phais kab mob qhov muag yog ib txoj kev kho mob sab nrauv. Qhov no txhais tau tias tej zaum koj tsis tas yuav pw nyob hauv tsev kho mob. Qhov phais yog ua los ntawm tus kws kho keeb. Nov yog tus kws kho mob uas ua tshwj xeeb hauv cov kab mob qhov muag thiab phais qhov muag.

Cov neeg laus feem ntau sawv rau qhov txheej txheem. Cov tshuaj loog (tshuaj loog hauv zos) yog muab nrog siv tshuaj kho qhov muag los yog txhaj tshuaj. Qhov no thaiv kev mob. Koj tseem yuav tau txais cov tshuaj los pab koj so kom txaus. Cov menyuam yaus feem ntau tau txais tshuaj loog. Cov tshuaj no yog cov tshuaj uas muab lawv pw tsaug zog kom lawv tsis tuaj yeem hnov ​​mob.

Tus kws kho mob siv lub tshuab tsom tshwj xeeb los saib lub qhov muag. Kev txiav me me (phais (phais)) tau ua hauv qhov muag.

Lo ntsiab muag tau tshem tawm hauv ib txoj hauv kev hauv qab no, nyob ntawm hom cataract:

• Phacoemulsification: Nrog rau txoj kev ua no, tus kws kho mob siv lub cuab yeej uas ua lub suab tawm los ua kom cov leeg to rau hauv qhov me. Cov ntawv no ces nqus tawm. Cov txheej txheem no siv kev phais me me.
• Kev rho tawm sab nraud ntxiv: Tus kws kho mob siv cov cuab yeej me me los tshem tawm cov cataract feem ntau hauv ib qho. Cov txheej txheem no siv cov txheej txheem loj.
• Kev phais laser: Tus kws kho mob taw qhia lub tshuab uas siv laser lub zog los ua kev txiav txim siab thiab ua kom cov leeg tawv muag. Qhov so ntawm kev phais mob zoo li phacoemulsification. Siv lub laser tsis siv riam (daim tawv taub hau) yuav ua rau kom rov zoo thiab yog qhov tseeb dua.

Tom qab tshem tawm qhov cataract, lub ntsej muag tsom iav, hu ua lub ntsej muag tsom iav (IOL), feem ntau muab tso rau hauv lub qhov muag kom rov ua kom pom lub zog ntawm lub lens qub (cataract). Nws pab txhim kho koj lub zeem muag.

Tus kws kho mob yuav kaw qhov phais nrog cov hlais me me. Feem ntau, kev siv tus kheej-sealing (sutureless) txoj kev siv. Yog tias koj muaj stitches, lawv yuav xav tau tshem tawm tom qab.

Qhov phais yuav siv sijhawm tsawg tshaj li ib nrab ib teev. Feem ntau lub sijhawm, tsuas yog ib lub qhov muag ua tiav. Yog tias koj muaj mob cataracts hauv ob lub qhov muag, koj tus kws kho mob yuav hais qhia kom tos tsawg kawg 1 mus rau 2 lub lim tiam ntawm txhua qhov phais.

Lub lens qub ntawm lub qhov muag pom tseeb (pob tshab). Raws li cataract nthuav dav, lub lo ntsiab muag ua huab. Qhov no thaiv teeb los ntawm kev nkag mus rau koj lub qhov muag. Yog tsis muaj qhov kaj txaus, koj tsis tuaj yeem pom tseeb.

Cataracts tsis mob. Lawv feem ntau pom hauv cov neeg laus. Qee zaum, menyuam yaus tau yug los nrog lawv. Kev phais kab mob qhovmuag feem ntau yuav ua yog koj tuaj yeem pom tsis zoo txaus vim tias cataracts. Cataracts feem ntau tsis ua rau koj lub qhov muag puas tas mus li, yog li koj thiab koj tus kws kho qhov muag tuaj yeem txiav txim siab thaum phais mob zoo rau koj.

Tsawg tsawg zaus, tag nrho lub lens tshem tawm tsis tau. Yog tias qhov no tshwm sim, ib txoj kev ua kom tshem tawm tag nrho cov lens tawg yuav ua rau lub sijhawm tom qab. Tom qab, lub zeem muag tseem tuaj yeem hloov kho.

Cov teeb meem uas tsis tshua muaj tshwm sim tuaj yeem suav nrog kev kis mob thiab los ntshav. Qhov no tuaj yeem ua teeb meem tsis pom kev mus tas li.

Ua ntej kev phais mob, koj yuav tau ua tiav kev soj ntsuam qhov muag thiab kuaj qhov muag los ntawm tus kws kho qhov muag.

Tus kws kho mob yuav siv lub tshuab ntsuas hluav taws xob (ultrasound) lossis cov khoom ntsuas ntshav siv los ntsuas koj lub qhov muag. Cov kev kuaj no pab txiav txim siab txog IOL zoo tshaj plaws rau koj. Feem ntau, tus kws kho mob yuav sim xaiv IOL uas tuaj yeem tso cai rau koj pom yam tsis muaj tsom iav lossis tsom iav tom qab kev phais. Qee qhov IOL muab koj ob qho tib si nyob deb thiab pom ze, tab sis lawv tsis yog rau txhua tus. Nug koj tus kws kho mob seb qhov twg zoo tshaj rau koj. Nco ntsoov koj nkag siab tias koj lub zeem muag yuav zoo li cas tom qab IOL cog tawm. Tsis tas li, nco ntsoov nug cov lus nug kom koj thiaj li paub tias yuav muaj dab tsi tshwm sim ntawm kev phais mob.

Koj tus kws kho mob yuav muab tshuaj pleev qhov muag ua ntej kev phais mob. Ua raws li cov lus qhia ua raws nraim ntawm kev siv cov tee.

Ua ntej koj mus tsev, koj yuav tau txais cov hauv qab no:

• Ib qho hnav kom npog koj lub qhov muag kom txog thaum kuaj kev rov qab
• Cov plaub muag tiv thaiv kom tsis txhob muaj kab mob, kho mob o, thiab pab kho kom zoo

Koj yuav tsum muaj ib tug neeg coj koj rov qab mus tsev tom qab phais mob.

Hnub koj yuav nquag ntsib kev kuaj mob nrog koj tus kws kho mob hnub tom qab. Yog tias koj muaj cov quav neeg, koj yuav tsum teem caij mus txiav lawv.

Cov lus qhia kom rov zoo dua tom qab phais mob cataract:

• Hnav cov tsom iav tsaus sab nraum zoov tom qab koj tshem lub thaj.
• Ntxuav koj txhais tes kom zoo ua ntej thiab tom qab siv tshuaj ntxuav muag thiab kov koj lub qhov muag. Sim tsis txhob xab npum thiab dej hauv koj lub qhov muag thaum koj da dej lossis da dej thawj ob peb hnub.
• Kev ua si rau lub teeb yog qhov zoo tshaj plaws thaum koj rov qab. Nug koj tus kws kho mob ua ntej ua cov kev tawm dag zog, rov hais dua kev sib deev, lossis tsav tsheb.

Rov qab siv sijhawm li 2 lub lim tiam. Yog tias koj xav tau tsom iav tshiab lossis iav lo ntsiab muag, feem ntau koj tuaj yeem tau coj lawv rau lub sijhawm ntawd. Kav tsij rov qab ntsib koj tus kws kho mob.

Cov neeg feem coob ua tau zoo thiab rov zoo sai tom qab phais mob tawm.

Yog tias tus neeg muaj lwm cov teeb meem qhov muag, xws li mob qog nqaij hlav los yog macular degeneration, kev phais yuav nyuaj los yog qhov tshwm sim kuj yuav tsis zoo.

Cataract rho tawm; Kev phais kab mob qhovmuag

• Chav dej nyab xeeb rau cov neeg laus
• Cataracts - dab tsi yuav nug koj tus kws kho mob
• Tiv thaiv kev poob
• Tiv thaiv kom ntog - yuav ua li cas nug koj tus kws kho mob

• Qhov muag
• Saj zuaj-teeb lub teeb
• Cataract - ze-ntawm lub qhov muag
• Cuag suav
• Kev phais kab mob qhov muag - series
• Qhov muag tiv thaiv

American Academy of Ophthalmology lub vev xaib. Cov Txiaj Ntsig nyiam Cov Qauv Cwj Pwm thiab Qhov Tsaj Seem Sab Hauv Vaj Huam Sib Luag, Hoskins Center rau Kev Saib Xyuas Zoo. Kab mob qhov muag nyob rau hauv tus neeg laus qhov muag PPP - 2016. www.aao.org/preferred-practice-pattern/cataract-in-adult-eye-ppp-2016. Hloov kho thaum Lub Kaum Hlis 2016. Nkag mus rau Lub Cuaj Hli 4, 2019.

Lub koom haum qhov muag National website. Cov lus tseeb txog kev mob cataracts. www.nei.nih.gov/health/cataract/cataract_facts. Hloov tshiab Lub Yim Hli 3, 2019. Nkag mus Lub Cuaj Hlis 4, 2019.

Salmon JF. Lens. Hauv: Salmon JF, ed. Kanski's Soj ntsuam Kev Kho Mob OphthalmologyCov. 9le ed. Philadelphia, PA: Elsevier; 2020: chap 10.

Tipperman R. Cataracts. Hauv: Gault JA, Vander JF, eds. Ophthalmology Cov Lus Dag Hauv Cov XimCov. 4 tug ed. Philadelphia, PA: Elsevier; 2016: chap 21.