Lub qhov muag ntshav hloov

Tus pob muag muag yog lub tsom qhov muag sab nraud ntawm sab xub ntiag ntawm lub qhov muag. Txoj kev mob pob qij txha yog kev phais mob los hloov lub pob kws mob nrog cov nqaij los ntawm tus neeg pub. Nws yog ib qho kev hloov siab tshaj plaws.

Koj feem ntau yuav tsaug zog thaum lub caij hloov ntshav. Koj yuav tau txais tshuaj kom koj nyob ntsiag to. Cov tshuaj loog hauv zos (suav tshuaj) yuav txhaj ib ncig koj lub qhov muag txhawm rau txhaws qhov mob thiab tiv thaiv qhov muag thaum lub sijhawm phais.

Cov ntaub so ntswg rau koj txoj kev hloov ntshav yuav yog los ntawm tus neeg (pub dawb) uas nyuam qhuav tuag. Lub pob nyiaj pub dawb no tau ua tiav thiab kuaj los ntawm lub txhab nyiaj hauv qhov muag kom paub tseeb tias nws muaj kev nyab xeeb rau kev siv hauv koj qhov phais.

Xyoo, hom kev hloov kho tshaj plaws ntawm lub ntsej muag hu ua ntxig keratoplasty.

• Nws yog tseem ua haujlwm ntau dhau los.
• Thaum ua txoj kev no, koj tus kws phais yuav tshem ib daim me me ntawm koj lub pob muag.
• Tom qab ntawv muab pob zeb pub dawb yuav muab ntxig mus rau hauv kev qhib ntawm koj lub qhov muag.

Cov txheej txheem tshiab hu ua lamellar keratoplasty.

• Nyob rau hauv txoj kev ua no, tsuas yog txheej sab hauv lossis sab nraud ntawm lub khob ntawm lub ntsej muag tau hloov, ntau dua li tag nrho cov khaubncaws sab nraud povtseg, raws li kev nkag mus rau keratoplasty.
• Muaj ob peb yam sib txawv ntawm lamellar. Lawv txawv feem ntau ntawm cov txheej twg hloov thiab yuav ua li cas pub cov nqaij pub ntshav.
• Txhua cov txheej txheem lamellar ua rau kom rov zoo dua thiab muaj teeb meem tsawg dua.

Kev kho mob rau lub qhov nqaij yog pom zoo rau cov neeg uas muaj:

• Cov teeb meem tsis pom kev tshwm sim los ntawm thinning ntawm lub pob zeb, feem ntau vim muaj keratoconus. (Qhov kev hloov ntshav yuav raug txiav txim siab thaum qhov kev kho tsis zoo tsis yog qhov kev xaiv.)
• Caws pliav ntawm lub pob zeb los ntawm mob hnyav los yog raug mob
• Tsis pom kev tshwm sim los ntawm huab ntawm lub qhov muag, feem ntau vim yog Fuchs dystrophy

Lub cev yuav tawm tsam cov ntaub so ntswg uas hloov pauv. Qhov no tshwm sim hauv kwv yees li ntawm 1 ntawm 3 tus neeg mob hauv thawj 5 xyoos. Kev rov ua qee zaum tuaj yeem tswj nrog cov tshuaj pleev qhov muag.

Lwm yam kev phom sij txog kev hloov ntshav ntawm lub qhov muag yog:

• Ntshav
• Cataracts
• Kev kis mob ntawm lub qhov muag
• Glaucoma (ntshav siab hauv lub qhov muag uas tuaj yeem ua rau tsis pom kev)
• Tsis pom kev
• Scarring ntawm lub qhov muag
• Kev o ntawm pob tsuas

Qhia koj tus kws kho mob txog tej yam mob uas koj yuav muaj, nrog rau kev ua xua. Thiab qhia koj tus kws kho mob tias koj noj tshuaj dab tsi, txawm hais tias siv tshuaj, tshuaj ntxiv, thiab tshuaj ntsuab uas koj yuav yam tsis muaj daim ntawv yuav tshuaj.

Koj yuav tsum tau txwv txoj kev noj tshuaj uas ua rau koj cov ntshav txhaws (ntshav cov ntshav) li 10 hnub ua ntej kev phais mob. Qee qhov ntawm cov no yog cov tshuaj aspirin, ibuprofen (Advil, Motrin), thiab warfarin (Coumadin).

Nug koj tus kws kho mob uas siv koj lwm yam tshuaj txhua hnub, xws li dej tshuaj, tshuaj insulin lossis tshuaj noj ntshav qab zib, koj yuav tsum noj thaum sawv ntxov ntawm koj phais.

Koj yuav tsum nres noj mov thiab haus dej feem ntau tom qab ib tag hmo hmo ua ntej koj txoj kev phais mob. Cov chaw kho mob feem ntau yuav cia koj muaj dej, kua txiv, thiab haus kas fes lossis tshuaj yej dawb (yam tsis muaj qab zib lossis qab zib) txog li 2 teev ua ntej kev phais mob. TSIS TXHOB haus cawv 24 teev ua ntej lossis tom qab phais mob.

Hnub ntawm koj kev phais mob, hnav cov khaub ncaws xoob, xis nyob. Tsis txhob hnav cov hniav nyiaj hniav kub. TSIS TXHOB pleev tshuaj pleev, pleev lossis pleev rau ntawm koj lub ntsej muag lossis ncig koj lub qhov muag.

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

Nco tseg: Nov yog cov lus qhia dav dav. Koj tus kws phais mob yuav qhia lwm yam rau koj.

Koj yuav mus tsev nyob rau tib hnub uas koj phais. Koj tus kws khomob yuav muab ib daim npog qhov muag rau koj hnav ntev li 1 txog 4 hnub.

Koj tus kws kho mob yuav muab tshuaj kho qhov muag kom pab koj qhov muag zoo thiab tiv thaiv kom tsis txhob kis kab mob thiab tsis lees.

Koj tus kws khomob yuav tshem tawm cov stitches thaum lub sijhawm rov qab mus ntsib. Qee lub stitches yuav nyob hauv qhov chaw ntev li ib xyoos, lossis lawv yuav tsis raug tshem tawm txhua.

Tag nrho cov qhov muag rov pom kev tuaj yeem siv sijhawm ntev txog ib xyoos. Vim hais tias nws yuav siv sij hawm kom qhov o tuaj kom poob qis. Feem coob ntawm cov neeg uas muaj kev hloov ntshav khov ua qhov muag yuav pom kev zoo rau ntau xyoo. Yog tias koj muaj lwm cov teeb meem qhov muag, koj tseem tuaj yeem tsis pom kev zoo los ntawm cov mob ntawd.

Koj yuav tsum tau tsom iav lossis iav lo ntsiab muag thiaj li ua tiav lub zeem muag zoo tshaj. Kev kho qhov muag kho lub zeem muag yuav yog qhov kev xaiv yog tias koj muaj qhov pom kev tsis pom kev zoo, ua kom pom kev zoo, lossis astigmatism tom qab hloov ntshav tau kho kom zoo.

Keratoplasty; Nkag mus keratoplasty; Lamellar keratoplasty; Keratoconus - kev sib hloov pob kws; Fuchs 'dystrophy - kev hloov mus rau lwm qhov

• Chav dej nyab xeeb rau cov neeg laus
• Hloov ntshav hauv lub qhov muag - paug
• Tiv thaiv kev poob
• Tiv thaiv kom ntog - yuav ua li cas nug koj tus kws kho mob

• Ua ntej thiab tom qab phais lub pob txha
• Corneal hloov - koob

Gibbons A, Hais-Ahmed IO, Mercado CL, Tseej VS, Karp CL. Mob pob txaws phais. Hauv: Yanoff M, Duker JS, eds. OphthalmologyCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2019: chap 4.27.

Shah KJ, Holland EJ, Mannis MJ. Corneal transplantation nyob rau hauv ocular tus kab mob saum npoo. Hauv: Mannis MJ, Holland EJ, eds. Pob kwsCov. 4 tug ed. Philadelphia, PA: Elsevier; 2017: chap 160.

Yanoff M, Cameron JD. Cov kab mob ntawm cov kab mob pom. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: cha 423.