Tsho Tiv Thaiv Kab Mob

Zoo Siab

• Cov cim thiab tsos mob zoo li cas?
• Theem ntawm Coats kab mob
• Theem 1
• Theem 2
• Theem 3
• Theem 4
• Theem 5
• Leej twg thiaj tau tsho tiv no?
• Nws kuaj tau li cas?
• Yuav kho nws li cas?
• Kev phais laser (photocoagulation)
• Cryosurgery
• Intravitreal kev txhaj tshuaj
• Kho plawv
• Scleral buckling
• Outlook thiab muaj teeb meem

Tus mob Coats yog dab tsi?

Cov tsho tiv no tsis tshua muaj qhov muag tsis pom kev cuam tshuam nrog kev txhim kho cov leeg ntshav ntawm cov leeg ntshav. Qhov chaw nyob tom qab ntawm lub qhov muag, tus retina xa cov duab pom lub hlwb rau lub hlwb thiab yog qhov tseem ceeb rau kev pom kev zoo.

Hauv cov neeg muaj tus kab mob Coats, retinal capillaries tawg qhib thiab xau dej rau sab nraum qab ntawm lub qhov muag. Raws li kua tsim tawm, retina pib o. Qhov no tuaj yeem ua rau muaj ib feem lossis ua tiav qhov ua tsis pom ntawm retina, ua rau tsis pom kev lossis tsis pom kev hauv lub qhov muag cuam tshuam.

Feem ntau, tus kab mob cuam tshuam tsuas yog ib lub qhov muag. Nws feem ntau raug kuaj pom thaum menyuam yaus. Tsis paub tseeb tias vim li cas, tab sis kev tiv thaiv thaum ntxov yuav pab txuag koj lub zeem muag.

Cov cim thiab tsos mob zoo li cas?

Cov cim thiab cov tsos mob feem ntau pib ntawm menyuam yaus. Tej zaum lawv yuav mob me me thaum xub thawj, tab sis qee tus neeg muaj cov tsos mob hnyav tam sim ntawd. Cov cim thiab tsos mob muaj xws li:

• lub qhov muag daj (zoo ib yam li lub qhov muag liab) uas tuaj yeem pom hauv flash duab
• strabismus, lossis hla qhov muag
• leukocoria, pawg dawb tom qab lub lens ntawm lub qhov muag
• poob ntawm qhov tob xaav
• kev tsis pom kev ntawm qhov muag

Cov tsos mob tom qab yuav suav nrog:

• liab liab discoloration ntawm lub IRIS
• uveitis, lossis mob qhov muag
• retinal detachment
• mob ntsws
• cataracts
• plooj qhov muag daj

Cov tsos mob feem ntau tshwm sim hauv tsuas yog ib qhov muag, txawm hais tias nws tuaj yeem cuam tshuam rau ob qho tib si.

Theem ntawm Coats kab mob

Kab mob lub tsho tiv no yog mob hnyav uas tau muab faib ua tsib ntu.

Theem 1

Hauv cov kab mob Coats thaum ntxov, tus kws kho mob tuaj yeem pom tias koj muaj cov hlab ntsha ntshav tsis txaus, tab sis lawv tsis tau pib xau tsis tau.

Theem 2

Ntawm cov hlab ntshav tau pib xau dej rau hauv qhov dej retina. Yog tias qhov xau me me, tej zaum koj tseem yuav pom kev zoo li qub. Nrog qhov xau loj dua, koj twb yuav pom muaj qhov tsis pom kev loj. Kev pheej hmoo ntawm retinal detachment loj hlob li kua ntau zuj zus.

Theem 3

Koj tus retina yog qee los sis tag nrho lub kas tsev.

Theem 4

Koj tau tsim muaj kev nce hauv qhov muag, hu ua glaucoma.

Theem 5

Hauv kev muaj tus kab mob Tsho tiv no, koj tau pom kev tsis pom hauv lub qhov muag cuam tshuam. Koj kuj tseem tuaj yeem tsim cataracts (clouding ntawm lub lens) lossis phthisis bulbi (atrophy ntawm lub pob muag).

Leej twg thiaj tau tsho tiv no?

Txhua tus neeg tuaj yeem kis Coats Kab Mob, tab sis nws tsis tshua muaj heev. Tsawg dua 200,000 tus neeg hauv Tebchaws Meskas muaj nws. Nws muaj feem xyuam rau txiv neej ntau dua poj niam los ntawm tus lej ntawm 3-rau-1.

Qhov nruab nrab hnub nyoog ntawm kev kuaj mob yog 8 txog 16 xyoo. Ntawm cov menyuam yaus uas muaj tus mob Coats, li ntawm ob feem peb muaj cov tsos mob thaum muaj hnub nyoog 10 xyoo. Txog li ib feem peb ntawm cov neeg muaj tus mob Coats yog 30 lossis laus dua thaum muaj cov tsos mob pib.

Nws tsis tshwm sim los yuav muaj los yog muaj txuas rau haiv neeg lossis haiv neeg. Qhov ncaj qha ua rau Coats tus kab mob tsis tau txiav txim siab.

Nws kuaj tau li cas?

Yog tias koj (lossis koj tus menyuam) muaj tsos mob ntawm Coats kab mob, mus ntsib koj tus kws kho mob tam sim ntawd. Cov kev cuam tshuam ntxov yuav txuag tau koj lub zeem muag. Tsis tas li, cov tsos mob tuaj yeem qog cov kev mob ntawm lwm yam mob, xws li retinoblastoma, uas tuaj yeem tsim kev puas tsuaj rau txoj sia.

Kev kuaj mob yog tsim tom qab kuaj pom tseeb ophthalmic, ntxiv rau kev tshuaj xyuas cov tsos mob thiab keeb kwm kev noj qab haus huv. Kev kuaj mob tuaj yeem suav nrog kev ntsuas xws li:

• retinal fluorescein cov duab xis
• echography
• Iav scan

Yuav kho nws li cas?

Cov tsho tiv no mob hnyav zuj zus. Nrog kev kho thaum ntxov, nws muaj peev xwm rov qab ua kom pom qee lub zeem muag. Qee txoj kev kho yog:

Kev phais laser (photocoagulation)

Cov txheej txheem no siv cov laser ua kom me me lossis ua kom cov hlab ntshav puas tsuaj. Koj tus kws khomob tuaj yeem ua qhov kev phais mob no tom lub tsev kho mob sab nrauv lossis hauv chaw ua haujlwm.

Cryosurgery

Kev ntsuam xyuas cov duab kos pab qhia ib rab koob zoo li rab koob thov (cryoprobe) uas ua cov mob khaub thuas heev. Nws tau siv los tsim qhov caws pliav ib puag ncig ntawm cov hlab ntshav, uas yuav pab tau kom tsis txhob tuaj ntxiv. Ntawm no yog yuav npaj li cas thiab yuav muaj dab tsi tshwm sim thaum rov zoo los.

Intravitreal kev txhaj tshuaj

Hauv qhov tshuaj loog hauv zos, koj tus kws kho mob tuaj yeem txhaj tshuaj corticosteroids rau hauv koj lub qhov muag kom pab tswj qhov o. Los tiv thaiv vascular endothelial kev loj hlob yam (los tiv thaiv VEGF) tuaj yeem txo txoj kev loj hlob ntawm cov hlab ntshav tshiab thiab yooj yim o. Kev txhaj tshuaj tuaj yeem muab rau hauv koj tus kws kho mob lub chaw haujlwm.

Kho plawv

Qhov no yog kev phais mob kom tshem tawm cov vitreous gel thiab muab kev txhim kho nkag tau mus rau qhov retina. Kawm paub ntau ntxiv txog cov txheej txheem yuav ua licas thaum rov zoo.

Scleral buckling

Cov txheej txheem no rov ua dua li tus retina thiab feem ntau ua rau hauv tsev kho mob chav ua haujlwm.

Txhua yam kev kho mob rau koj, koj yuav tsum tau saib xyuas kom zoo.

Hauv cov theem kawg ntawm Cov Kab Mob Coats, atrophy ntawm lub pob muag yuav ua rau kev tshem tawm ntawm lub qhov muag cuam tshuam. Cov txheej txheem no yog hu ua enucleation.

Outlook thiab muaj teeb meem

Tsis muaj kev kho rau Kab Mob Coats, tab sis kev kho thaum ntxov tuaj yeem txhim kho koj txoj hmoo kom koj qhov muag pom zoo.

Cov neeg feem coob tau teb zoo rau kev kho mob. Tab sis kwv yees li 25 feem pua ​​ntawm tib neeg tau ntsib kev nruam ntej uas ua rau kev tshem tawm ntawm lub qhov muag.

Qhov txiaj ntsig pom txawv rau txhua tus, nyob ntawm theem ntawm kev kuaj mob, tus nqi ntawm kev nce qib, thiab cov lus teb rau kev kho mob.

Koj tus kws kho mob tuaj yeem ntsuas koj tus mob thiab qhia lub tswv yim dab tsi uas koj tuaj yeem cia siab.