Qhov muag liab
Qhov muag liab liab yog feem ntau vim yog o o lossis ua kom ntshav txhaws. Qhov no ua rau saum npoo ntawm qhov muag pom liab lossis ntshav ntsej muag.
Muaj ntau ntau yam ua rau ntawm lub qhov muag liab liab lossis qhov muag pom. Qee qhov yog kev khomob kub ntxhov. Lwm qhov yog qhov ua rau muaj kev txhawj xeeb, tab sis tsis yog xwm txheej ceev. Coob leej tsis muaj ib yam yuav txhawj txog.
Qhov muag liab liab feem ntau tsis muaj kev txhawj xeeb dua li qhov mob qhov muag lossis teeb meem tsis pom kev.
Ntshav lub qhov muag pom liab vim tias cov hlab ntsha ntawm thaj chaw dawb ntawm lub qhov muag (sclera) ua o tuaj. Cov hlab ntsha yuav nrawm vim yog:
- Qhov muag dryness
- Ntau dhau hnub ci
- Hmoov av lossis lwm yam hauv qhov muag
- Kev ua xua
- Kab mob
- Raug Mob
Qhov muag mob los yog o tuaj yeem ua pob liab liab uas yog khaus, paug, mob, lossis qhov muag. Cov no tuaj yeem yog vim:
- Blepharitis: o o Rau ntawm daim tawv muag.
- Kab mob sib kis: o o los yog kis mob ntawm cov nqaij ntshiab huv uas ua rau tawv muag thiab npog lub qhov muag (qhov txuas ntawm daim tawv muag). Qhov no feem ntau hu ua "qhov muag daj."
- Mob rau lub qhov txhab: Cov mob rau ntawm lub qhov muag feem ntau tshwm sim los ntawm tus kab mob hnyav los yog kis kab mob.
- Uveitis: Kev mob txhab rau ntawm lub uvea, uas suav nrog iris, ciliary lub cev, thiab choroid. Qhov ua rau feem ntau tsis paub. Nws yuav yog qhov ua rau lub cev lim ntshav, kis mob, lossis kis nrog cov co toxins. Hom mob uveitis uas ua rau lub qhov muag liab liab phem tshaj plaws yog hu ua iritis, uas tsuas yog iris tau mob.
Lwm cov teeb meem ua rau qhov muag liab xam muaj:
- Mob khaub thuas lossis ua xua.
- Mob txha taub hau: Tuaj ntawm lub qhov muag ceev ceev uas hnov mob hnyav thiab ua rau pom teeb meem loj. Nov yog ntawv kho mob ti tes ti taw. Qhov ntau dua ntawm kev ua pa yog ntev (ntev) thiab maj mam.
- Cov tawv nqaij txha caj qaum: Cov raug mob tshwm sim los ntawm cov xuab zeb, hmoov av, lossis siv lub qhov muag looj tsom iav heev.
Qee zaum, qhov ci liab liab, hu ua subconjunctival hemorrhage, yuav tshwm rau ntawm lub qhov muag dawb. Qhov no feem ntau tshwm sim tom qab sib tsoo lossis hnoos, uas ua rau cov hlab ntshav tawg ntawm qhov muag. Feem ntau, tsis muaj mob thiab qhov pom kev zoo. Nws yuav luag tsis muaj teeb meem loj. Nws yuav muaj ntau dua rau cov neeg uas noj cov tshuaj aspirin los yog tshuaj ntshav. Vim tias cov ntshav ntws mus rau hauv lub qhov txhab, uas yog qhov tseeb, koj tsis tuaj yeem so lossis tshem tawm cov ntshav tawm. Zoo li doog ntshav, lub pob liab liab yuav ploj mus li ntawm ib lossis ob lis piam.
Sim so koj ob lub qhov muag yog hais tias liab yog vim qaug zog lossis qhov muag pom. Tsis muaj lwm yam kev kho mob ntxiv lawm.
Yog tias koj muaj mob qhov muag lossis qhov muag tsis pom kev, hu rau koj tus kws kho qhov muag tam sim ntawd.
Mus rau hauv tsev kho mob lossis hu rau koj tus lej kub ceev hauv zos (xws li 911) yog tias:
- Koj lub qhov muag yog xim liab tom qab kev sib tsoo raug mob.
- Koj muaj mob tob hau nrog qhov muag plooj lossis tsis meej pem.
- Koj pom halos ncig teeb.
- Koj muaj xeev siab thiab ntuav.
Hu koj tus kws kho mob yog hais tias:
- Koj ob lub qhov muag liab ntev dua li 1 txog 2 hnub.
- Koj tau hnov mob qhov muag lossis pom kev txawv.
- Koj noj tshuaj ntshav hauv ntshav, xws li warfarin.
- Koj yuav muaj ib yam khoom hauv koj lub qhov muag.
- Koj rhiab heev rau lub teeb.
- Koj muaj xim daj lossis tso tawm ntsuab los ntawm ib lossis ob lub qhov muag.
Koj tus kws khomob yuav kuaj ib ce, suav nrog kev kuaj qhov muag, thiab nug txog koj li keeb kwm kev khomob. Cov lus nug yuav muaj xws li:
- Ob leeg ntawm koj lub qhov muag cuam tshuam lossis tsuas yog ib qho?
- Dab tsi ntawm qhov muag cuam tshuam?
- Koj puas looj cov iav ntsiab muag?
- Puas yog liab puas tau sai?
- Koj puas tau pom qhov muag liab ua ntej?
- Koj puas mob qhov muag? Puas yog nws mob heev dua nrog kev txav ntawm lub qhov muag?
- Puas yog koj lub zeemmuag txo qis?
- Koj puas muaj qhov muag, mob, lossis khaus?
- Koj puas muaj lwm yam tsos mob zoo li xeev ntuav, ntuav, lossis mob taub hau?
Koj tus kws kho mob yuav xav tau ntxuav koj lub qhov muag nrog kua ntsev thiab tshem tawm cov cev txawv teb chaws hauv lub qhov muag. Koj yuav tau txais cov tshuaj rau qhov muag los siv hauv tsev.
Ntshav tsis tau qhov muag; Qhov muag liab liab; Scleral kev txhaj tshuaj; Kev txhaj tshuaj ib leeg txhaj tas
- Ntshav ntshav qhov muag
Dupre AA, Wightman JM. Liab thiab qhov muag mob. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 19.
Gilani CJ, Yang A, Yonkers M, Boysen-Osborn M. Kev sib txawv maj nrawm thiab ua rau muaj mob pob muag liab rau cov kws kho mob kub ceev. West J Emerg MedCov. Xyoo 2017; 18 (3): 509-517. PMID: 28435504 pubmed.ncbi.nlm.nih.gov/28435504/.
Rubenstein JB, Spektor T. Tus mob hlwv: kis thiab tsis kis. Hauv: Yanoff M, Duker JS, eds. OphthalmologyCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2019: chap 4.6.