Ptosis - muaj menyuam mos thiab menyuam yaus

Ptosis (tawv muag qog tawm) hauv cov menyuam mos thiab menyuam yaus yog thaum tawv muag sab saud qis dua nws yuav tsum. Qhov no yuav tshwm sim hauv ib lossis ob lub qhov muag. Tawv qhov muag daj uas tshwm sim thaum yug los yog nyob rau thawj xyoo hu ua paum qog nqaij hlav tawm los.

Ptosis hauv cov menyuam mos thiab menyuam yaus feem ntau yog vim muaj teeb meem nrog cov leeg ua tsa lub ntsiab muag. Ib qho hlab ntsha teeb meem hauv daim tawv muag tseem tuaj yeem ua nws poob.

Ptosis tseem yuav tshwm sim vim yog lwm yam mob. Qee qhov ntawm no suav nrog:

• Kev poob plig thaum yug los (xws li los ntawm kev siv forceps)
• Qhov muag tsis pom kev txawv txav
• Lub hlwb thiab lub paj hlwb cov teeb meem
• Tawv muag qog lossis hlav tuaj

Tawv muag muag uas tshwm sim tom qab menyuam yaus los yog neeg laus tuaj yeem muaj lwm yam laj thawj.

HLOOV

Cov menyuam mob ptosis tuaj yeem taub hau rov qab los saib. Lawv yuav tsa lawv pob muag los sim tshem daim tawv muag. Koj yuav ceeb toom:

• Dhuav ib qho ntawm ob qho lossis ob lub qhov muag
• Muaj kua muag ntau dua
• Pom kev tsis pom kev (los ntawm qhov muag daj loj heev)

PIV TXWV THIAB TESTS

Tus kws kho mob yuav kuaj lub cev los txiav txim qhov ua rau.

Tus kws zov me nyuam tseem yuav ua cov kev ntsuas:

• Soj ntsuam me-teeb lub teeb
• Kev ntsuas lub cev (qhov muag txav) qhov ntsuas
• Siv qhov muag saib pom tseeb

Lwm yam kev ntsuam xyuas tuaj yeem ua tiav los kuaj xyuas cov kab mob lossis kab mob uas tuaj yeem ua rau ptosis.

KHO

Tawv plaub muag nqa phais tuaj yeem kho kho cov tawv muag sab nrauv.

• Yog tias tsis pom kev zoo li cas, kev phais mob tuaj yeem tos kom txog thaum hnub nyoog 3 txog 4 thaum tus menyuam loj dua me ntsis.
• Thaum muaj mob hnyav, yuav tsum tau phais tam sim ntawd txhawm rau txhawm rau tiv thaiv "qhov muag tub nkeeg" (amblyopia).

Tus kws kho mob tseem yuav kho cov teeb meem qhov muag los ntawm ptosis. Koj tus menyuam yuav tsum:

• Looj qhov npog qhov muag kom ntxiv lub zeem muag ntawm lub qhov muag tsis muaj zog.
• Hnav cov tsom iav tshwj xeeb kom kho qhov nkhaus tsis ncaj ntawm lub qhov muag ntawm lub ntsej muag uas ua rau qhov muag plooj (astigmatism).

Cov menyuam yaus uas mob ptosis me me yuav tsum tau kuaj qhov muag tsis tu ncua kom paub meej tias cov tshuaj tiv thaiv tsis muaj mob.

Kev phais ua haujlwm tau zoo txhawm rau txhim kho qhov zoo thiab ua haujlwm ntawm lub qhov muag. Qee tus menyuam yaus yuav tsum muaj ntau lub phais.

Hu rau koj tus kws khomob yog:

• Koj pom tias koj tus menyuam muaj qhov muag daj sib dauv
• Ib qho tawv muag dheev dauv los yog kaw

Blepharoptosis - menyuam yaus; Congenital ptosis; Tawv muag muag daj - me nyuam; Tawv muag drooping - amblyopia; Tawv muag drooping - astigmatism

• Ptosis - tshem tawm ntawm daim tawv muag

Dowling JJ, North KN, Goebel HH, Beggs AH. Congenital thiab lwm yam kev kho myopathies. Hauv: Darras BT, Jones HR, Ryan MM, DeVivo DC, eds. Neuromuscular Muaj Teeb Meem Ntawm Menyuam Mos, Menyuam Mos, thiab Cov HluasCov. 2nd ed. Waltham, MA: Elsevier Txuj Ci Tseem Ceeb; 2015: chap 28.

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.