Kev tsis nco qab

Anisocoria tsis yog cov tub ntxhais kawm sib npaug. Tus tub ntxhais kawm yog xim dub nyob nruab nrab ntawm lub qhov muag. Nws tau txais qhov loj dua hauv lub teeb pom kev me thiab me dua hauv qhov pom kev zoo.

Qhov sib txawv me me ntawm cov tub ntxhais kawm muaj nyob hauv siab txog 1 ntawm 5 tus neeg noj qab haus huv. Feem ntau, txoj kab uas hla qhov sib txawv yog tsawg dua 0.5 hli, tab sis nws tuaj yeem mus txog 1 hli.

Cov menyuam mosliab uas yug los ntawm cov menyuam kawm ntawv sib txawv tej zaum yuav tsis muaj kev ntshaus siab dabtsi. Yog tias lwm tus hauv tsev neeg muaj cov tub ntxhais kawm sib xws, tom qab ntawv me me qhov sib txawv tuaj yeem yog caj ces thiab tsis muaj dab tsi txhawj txog.

Tsis tas li, rau qhov tsis paub hais tias, menyuam kawm ntawv yuav txawv ib ntus. Yog tias tsis muaj lwm qhov tshwm sim thiab yog tias cov tub ntxhais kawm rov qab zoo li qub, ces nws tsis muaj dab tsi txhawj txog.

Cov menyuam tsis muaj menyuam ntau dua li 1 hli uas loj tuaj tom qab lub neej thiab TSIS rov qab los kom loj me me kuj yuav yog qhov cim ntawm lub qhov muag, lub hlwb, hlab ntsha lossis hlab ntsha tawg.

Kev siv qhov muag dauv yog qhov teeb meem ib txwm ua rau tsis muaj kev hloov pauv hauv cov tub ntxhais kawm qhov loj. Lwm yam tshuaj uas tau txais hauv qhov muag, suav nrog cov tshuaj los ntawm hawb pob tshuaj tuaj yeem hloov pauv me me.

Lwm qhov ua rau cov menyuam kawm ntawv tsis sib xws xws li:

• Aneurysm hauv lub hlwb
• Los ntshav sab hauv pob txha taub hau vim raug mob taub hau
• Mob qog lossis cov qog ntshav (xws li, cov pontine txhab)
• Tshaj siab nyob rau hauv ib qhov muag tshwm sim los ntawm kev mob txha caj dab
• Ntxiv kev mob siab rau intracranial, vim yog mob hlwb o, mob ntshav hlab ntshav siab, mob stroke sai, lossis mob qog intracranial.
• Kev kis mob ntawm cov qog ua nyob ib ncig ntawm lub hlwb (mob hlwb lossis txha caj qaum)
• Mob taub hau heev
• Qaug dab peg (qhov me me qhov sib txawv yuav nyob ntev tom qab chua leeg)
• Mob qog nqaij hlav, nqaij hlav, lossis qog ua rau lub hauv siab sab hauv lossis cov qog ua rau lub siab ua rau lub ntsej muag tawm tuaj yeem ua rau tawm hws, tus menyuam me, lossis qog tawm ntawm lub qhov muag tag nrho cov sab cuam tshuam (Horner syndrome)
• Mob ntshav qab zib o lub cev
• Kev phais qhov muag ua ntej rau cataracts
  

Kev kho yog nyob ntawm qhov ua rau muaj qhov tsis sib xws ntawm cov tub ntxhais kawm qhov ntau thiab tsawg. Koj yuav tsum ntsib tus kws kho mob yog tias koj muaj kev pauv sai uas ua rau cov tub ntxhais kawm ntawv tsis sib xws.

Hu rau qhov chaw muab kev pab yog tias koj pheej tsis tu ncua, piav tsis tau, los yog muaj kev pauv hloov ntawm cov tub ntxhais kawm ntawv qhov loj. Yog hais tias muaj kev hloov pauv tsis ntev los no ntawm cov tub ntxhais kawm qhov loj me, nws yuav yog qhov cim ntawm qhov mob hnyav heev.

Yog tias koj muaj me nyuam kawm ntawv qhov sib txawv tom qab qhov muag lossis taub hau raug mob, nrhiav kev pab kho mob tam sim ntawd.

Yuav tsum nrhiav kev kho mob sai sai yog tias cov me nyuam qhov sib txawv tshwm sim nrog rau:

• Qhov muag plooj
• Ob lub zeem muag
• Qhov muag rhiab heev rau lub teeb
• Ua npaws
• Mob taub hau
• Tsis pom kev
• Xeev siab los ntuav
• Qhov muag mob
• Lub caj dab txhav txhav

Koj tus kws khomob yuav kuaj ib ce thiab nug txog koj cov tsos mob thiab keeb kwm kev mob, suav nrog:

• Qhov no puas yog qhov tshiab rau koj lossis koj cov menyuam puas tau ua ntau qhov ntau thiab tsawg ua ntej? Nws pib thaum twg?
• Koj puas muaj lwm yam teeb meem tsis pom kev zoo xws li qhov pom kev plooj, pom ob lub zeem muag, lossis pom lub teeb nrig?
• Koj puas muaj lub siab tsis pom kev?
• Koj puas mob qhov muag?
• Koj puas muaj lwm cov tsos mob xws li mob taub hau, xeev siab, ntuav, ua npaws, lossis caj dab txhav?

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Kev tshawb nrhiav ntshav xws li CBC thiab ntshav ntshav txawv
• Kev tshawb nrhiav kua dej txha caj qaum (mob ntsws ntsws)
• CT scan ntawm lub taub hau
• EEG
• Lub taub hau MRI scan
• Tonometry (yog tias pom tau hais tias mob qog ntsej muag)
• Xoo hluav taws xob ntawm caj dab

Kev kho yog nyob ntawm qhov ua rau muaj teeb meem.

Kev loj hlob ntawm ib tus menyuam; Cov menyuam kawm ntawv qhov sib txawv; Qhov muag / cov tub ntxhais kawm ntawv sib txawv

• Cov menyuam kawm ntawv ib txwm

Baloh RW, Jen JC. Neuro-ophthalmology. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: cha 396.

Cheng KP. Ophthalmology. Hauv: Zitelli, BJ, McIntire SC, Nowalk AJ, eds. Zitelli thiab Davis 'Atlas Kev Kuaj Mob Rau Menyuam yausCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 20.

Thurtell MJ, Rucker JC. Pupillary thiab tawv muag txawv txav. 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: chap 18.