Nystagmus

Nystagmus yog lo lus los piav qhov nrawm, tswj tsis tau qhov muag ntawm lub qhov muag uas yuav yog:

• Sab rau sab (kab rov tav nystagmus)
• Nce thiab nqis (ntsug nystagmus)
• Qeeb mentshis (teb los yog torsional nystagmus)

Raws li qhov ua rau, cov kev txav mus los no yuav yog hauv ob lub qhov muag lossis hauv ib qhov muag.

Nystagmus tuaj yeem cuam tshuam lub zeem muag, sib npaug, thiab kev sib koom tes.

Qhov tsis txaus siab qhov muag txav ntawm nystagmus yog los ntawm kev ua haujlwm tsis zoo hauv thaj chaw ntawm lub hlwb uas tswj lub qhov muag txav. Qhov ntu ntawm pob ntseg sab hauv uas hnov ​​txog txav thiab txav chaw (lub labyrinth) pab tswj lub qhov muag txav.

Muaj ob hom ntawm nystagmus:

• Cov menyuam mos mos nystagmus mob ntsws (INS) muaj nyob rau thaum yug los (mob plab yug menyuam).
• Txais nystagmus tshwm sim yav tom ntej hauv lub neej vim muaj kab mob lossis raug mob.

NYSTAGMUS UAS TSEEM NYOB RAU YIM YEEJ (me nyuam mos nystagmus syndrome, los sis INS)

INS ib txwm me me. Nws tsis dhau los ua ntau dua, thiab nws tsis muaj feem rau lwm yam kev cuam tshuam.

Cov neeg muaj tus mob no feem ntau tsis paub txog lub qhov muag txav, tab sis lwm tus neeg tuaj yeem pom lawv. Yog tias qhov txav yog loj, qhov pom tseeb ntawm lub zeem muag (pom tseeb tseeb) yuav tsawg dua 20/20. Kev phais mob tuaj yeem txhim kho qhov muag.

Nystagmus tuaj yeem tshwm sim los ntawm cov kab mob ua ntej yug ntawm lub qhov muag. Txawm hais tias qhov no tsis tshua muaj, cov kws kho qhov muag (kws kho qhov muag) yuav tsum ntsuas txhua tus menyuam nrog nystagmus kuaj seb puas muaj kab mob qhov muag.

KWV TIJ NYSTAGMUS

Feem ntau ua rau nystagmus nrhav yog qee yam tshuaj noj lossis tshuaj siv. Phenytoin (Dilantin) - cov tshuaj tiv thaiv antiseizure, haus cawv ntau dhau, lossis ib yam tshuaj loog tuaj yeem cuam tshuam rau lub labyrinth txoj haujlwm.

Lwm cov laj thawj suav nrog:

• Lub taub hau raug mob los ntawm cov tsheb sib tsoo
• Mob hauv pob ntseg sab hauv xws li mob labyrinthitis lossis mob Meniere
• Mob stroke
• Thiamine lossis vitamin B12 tsis txaus

Txhua yam kab mob ntawm lub hlwb, xws li ntau yam sclerosis los yog qog hlwb, tuaj yeem ua rau nystagmus yog tias cov cheeb tsam tswj lub qhov muag puas ntsoog.

Tej zaum koj yuav tau hloov pauv hauv tsev kom pab dias taub hau, teeb meem pom kev, lossis lub cev tsis xis nyob.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm nystagmus lossis xav tias koj yuav muaj tus mob no.

Koj tus neeg muab kev pab yuav ua kom paub keeb kwm zoo thiab tshawb xyuas lub cev kom zoo, tsom ntawm cov leeg hlwb thiab pob ntseg sab hauv. Tus kws kho mob yuav hais kom koj hnav ib co looj tsom iav uas ua rau koj lub qhov muag pom zoo rau ib feem ntawm kev tshuaj xyuas.

Txhawm rau tshuaj xyuas nystagmus, tus kws kho mob yuav siv cov txheej txheem hauv qab no:

• Koj tig ib ncig ntev li 30 feeb, nres, thiab sim ntsia ntawm ib qho khoom.
• Koj ob lub qhov muag yuav xub thawj maj mam mus ib qho, ces yuav mus nrawm nrawm.

Yog tias koj tau mob nystagmus vim muaj mob, cov qhov muag txav no yuav yog nyob ntawm qhov laj thawj.

Koj tuaj yeem ua cov hauv qab no:

• CT scan ntawm lub taub hau
• Electro-oculography: Txoj kev siv hluav taws xob ntawm kev ntsuas qhov muag txav siv qhov ntsuas me me
• MRI ntawm lub taub hau
• Vestibular kuaj los ntawm sau cov taw ntawm lub qhov muag

Tsis muaj tshuaj kho rau feem ntau ntawm nystagmus yug menyuam. Kev kho mob kom tau nystagmus nyob ntawm seb vim li cas. Hauv qee kis, nystagmus tsis tuaj yeem thim rov qab. Nyob rau hauv rooj plaub vim los ntawm cov tshuaj los yog kev kis tus mob, nystagmus feem ntau ploj mus tom qab qhov ua rau tau zoo dua.

Qee qhov kev kho mob tuaj yeem pab txhim kho qhov pom kev ntawm cov neeg muaj kab mob nystagmus mob hauv nruab nrog cev:

• Khoom Tshaj Lij
• Kev phais mob xws li tenotomy
• Qhia tshuaj kho rau mob mosst nystagmus

Tig rov qab thiab tawm qhov muag; Qhov muag tsis pom tseeb; Qhov muag ceev nrawm ntawm ib sab mus rau ib sab; Kev tswj qhov muag tsis pom tseeb; Qhov muag txav - tswj tsis tau

• Sab nraud thiab sab hauv lub qhov muag lub cev

Lavin PJM. Neuro-ophthalmology: kev txhim kho lub cev muaj zog. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chaaj 44.

Proudlock FA, Gottlob I. Nystagmus thaum yau. Hauv: Lambert SR, Lyons CJ, eds. TAYLOR thiab Hoyt Kev Kho Mob Ophthalmology thiab StrabismusCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2017: tshooj 89.

Quiros PA, Chang MY. Nyastagmus, saccadic intrusions, thiab oscillations. Hauv: Yanoff M, Duker JS, eds. OphthalmologyCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2019: chap 9.19.