Cov Txiv Plig Ob Tug Me Nyuam

Zoo Siab

• Dab tsi yog yam uas tshwm sim ntawm pinpoint cov tub ntxhais kawm?
• Cov tsos mob cuam tshuam nrog cov tub ntxhais kawm pinpoint
• Kev Kho Mob
• Koj yuav tsum nrhiav kev pab thaum twg?
• Dab tsi yuav tshwm sim thaum kuaj mob
• Outlook

Cov menyuam kawm ntawv yog dab tsi?

Cov tub ntxhais kawm uas tsis txaus ntseeg nyob rau hauv cov teeb pom kev zoo li niaj zaus hu ua pinpoint cov menyuam kawm ntawv. Lwm lo lus rau nws yog myosis, lossis miosis.

Tus tub ntxhais kawm yog qhov chaw ntawm koj lub qhov muag uas tswj hwm seb lub teeb nkag mus.

Hauv qhov pom kev kaj, koj cov tub kawm yuav tsawg dua (txwv) txwv tsis pub cov teeb ci nkag mus. Hauv qhov tsaus ntuj, koj cov tub kawm loj dua (nce siab). Qhov ntawd tso cai ntau lub teeb rau hauv, uas txhim kho lub zeem muag hmo ntuj. Yog vim li cas thiaj muaj lub sijhawm hloov kho thaum koj nkag hauv chav tsaus. Nws kuj tseem yog vim li cas koj lub qhov muag yuav nkag siab me ntsis tom qab koj tus kws kho mob qhov muag nchuav lawv tas hnub.

Cov tub ntxhais kawm ntawv txiav cajdab thiab dilation tsis yog qhov xav tsis thoob. Thaum kws kho mob ua lub teeb ci rau hauv koj lub qhov muag tom qab raug mob lossis mob, nws yog qhov pom tias koj cov menyuam yuav nti tawm ua kom zoo li lub teeb.

Lwm yam tshaj li teeb pom kev zoo, cov tub ntxhais kawm tuaj yeem hloov qhov loj me hauv cov tshuaj tiv thaiv mus rau lwm qhov kev txhawb nqa. Piv txwv li, koj cov menyuam yuav loj dua thaum koj tau zoo siab lossis ceev faj. Qee cov tshuaj muaj peev xwm ua rau koj cov menyuam nce siab, thaum lwm cov tshuaj ua rau lawv me.

Hauv cov laus, cov menyuam kawm ntawv ib txwm ntsuas ntawm qhov pom kev. Hauv qhov tsaus ntuj, lawv feem ntau ntsuas ntawm 4 txog 8 millimeters.

Dab tsi yog yam uas tshwm sim ntawm pinpoint cov tub ntxhais kawm?

Ib qho ntawm cov laj thawj feem ntau uas ib tug neeg yuav muaj pinpoint cov tub ntxhais kawm yog kev siv tshuaj yeeb dej tshuaj thiab lwm yam tshuaj nyob hauv tsev neeg opioid, xws li:

• codeine
• fentanyl
• hydroxyone
• cov tsoos tsho
• morphine
• tshuaj txiav yeeb
• tus nees ej

Lwm qhov ua tau ntawm cov menyuam kawm ntawv xws li:

• Los ntshav los ntawm cov hlab ntshav hauv lub hlwb (txoj hlab ntshav hauv hlwb): Kev kuaj ntshav tsis ntshav tswj (ntshav siab) yog qhov laj thawj feem ntau rau qhov no.
• Horner syndrome (Horner-Bernard syndrome lossis oculosympathetic palsy): Qhov no yog pab pawg cov tsos mob tshwm sim los ntawm teeb meem hauv txoj hlab ntshav ntawm lub hlwb thiab ib sab ntawm lub ntsej muag. Mob stroke, nqaij hlav, lossis mob hlwb txha caj qaum tuaj yeem ua rau Horner syndrome. Qee zaum cov laj thawj tsis tuaj yeem txiav txim siab.
• Anterior uveitis, lossis o ua rau txheej nruab nrab ntawm lub qhov muag: Qhov no tuaj yeem vim qhov tshwm sim rau lub qhov muag lossis muaj qee yam txawv teb chaws hauv lub qhov muag. Lwm qhov ua rau muaj mob caj dab, mob qog, thiab rubella. Feem ntau, qhov ua rau tsis tuaj yeem txiav txim siab.
• Raug rau cov tshuaj lom neeg lub cev xws li sarin, soman, tabun, thiab VX: Cov no tsis yog cov khoom tshwm sim los ntawm lub cev. Lawv tau tsim tshuaj lom neeg ua tsov rog. Cov tshuaj tua kab kuj tseem tuaj yeem ua rau pom cov menyuam kawm ntawv.
• Qee yam tshuaj rau lub qhov muag, xws li pilocarpine, carbachol, echothiophate, demecarium, thiab epinephrine, kuj tseem tuaj yeem ua rau cov menyuam kawm ntawv pinpoint.

Tsawg dua cov teeb meem suav nrog:

• qee yam tshuaj noj, xws li clonidine rau ntshav siab, lomotil rau zawv plab, thiab phenothiazines rau qee yam kev mob hlwb zoo li mob schizophrenia
• txhaum cai tshuaj xws li nceb
• neurosyphilis
• pw tsaug zog tob

Cov tsos mob cuam tshuam nrog cov tub ntxhais kawm pinpoint

Cov menyuam kawm Pinpoint yog cov tsos mob, tsis yog kab mob. Cov tsos mob nrog yuav ua rau muaj qhov qhia tias qhov twg yog qhov ua rau muaj teeb meem.

Yog koj noj tshuaj opioids, tej zaum koj yuav pom hais tias:

• kev tsaug zog tsaug zog
• xeev siab thiab ntuav
• tsis meej pem lossis tsis muaj tus faj
• delirium
• ua pa nyuaj

Cov tsos mob yuav nyob ntawm ntau npaum li cas ntawm cov tshuaj koj noj thiab ntau npaum li cas koj noj nws. Hauv lub sijhawm ntev, kev siv opioid tuaj yeem txo cov ntsws kev ua haujlwm. Cov cim uas koj yuav raug yees nrog opioids muaj xws li:

• khaus khaus ntau rau cov tshuaj
• xav tau koob tshuaj loj dua kom ua tiav cov txiaj ntsig yam xav tau
• muaj teeb meem hauv tsev, ntawm haujlwm, lossis teeb meem nyiaj txiag vim yog siv yeeb tshuaj

Kev mob hlwb hauv lub hlwb yuav ua rau mob taub hau heev, xeev siab, thiab ntuav, thiab tej zaum yuav ua rau tsis nco qab.

Yog tias koj qhov pom ntawm cov menyuam kawm vim yog Horner syndrome, koj yuav muaj qhov muag daj thiab poob tawm hws ntawm ib sab ntawm koj lub ntsej muag. Cov menyuam mos liab uas muaj tus mob Horner syndrome yuav muaj ib qho iris uas yog sib dua ua xim dua lwm qhov.

Cov tsos mob ntxiv ntawm aveior uveitis muaj xws li liab, o, pom kev plooj plooj, thiab hnov ​​lub teeb ci.

Cov leeg hauv cov leeg ntshav kuj tseem tuaj yeem ua kom ntuav, ntuav, qaug dab peg, thiab xeev tsis xeev.

Cov tshuaj tua kab ua rau ua kom qaub ncaug, kua muag, tso zis ntau dhau, tso quav, thiab ntuav.

Kev Kho Mob

Nws tsis muaj kev kho mob tshwj xeeb rau pinpoint cov tub ntxhais kawm vim tias nws tsis yog kab mob. Txawm li cas los xij, nws tuaj yeem yog cov tsos mob ntawm ib qho. Kev kuaj mob yuav taw qhia koj cov kev kho mob.

Thaum muaj kev noj tshuaj opioid ntau dhau, cov neeg ua hauj lwm thaum muaj xwm ceev tuaj yeem siv cov tshuaj hu ua naloxone txhawm rau thim cov kev phom sij ntawm cov tshuaj opioids. Yog tias koj tau quav, koj tus kws kho mob tuaj yeem pab koj nres kom nyab xeeb.

Hauv qee kis, mob hlwb los ntshav yuav tsum muaj kev phais mob. Txoj kev kho yuav suav nrog kev ntsuas los tswj koj cov ntshav siab.

Tsis muaj kev kho tus mob Horner syndrome. Nws tuaj yeem zoo dua yog tias qhov ua rau tuaj yeem txiav txim siab thiab kho.

Corticosteroids thiab lwm yam tshuaj pleev yog cov kev kho rau tus mob uveitis. Cov kauj ruam ntxiv tuaj yeem tsim nyog yog tias qhov laj thawj tau txiav txim siab yog qhov pib mob.

Kev raug lom los ntawm kev raug lom tuaj yeem kho nrog ib hom tshuaj hu ua pralidoxime (2-PAM).

Koj yuav tsum nrhiav kev pab thaum twg?

Yog tias koj muaj taw qhia cov tub ntxhais kawm rau qhov tsis paub vim li cas, mus ntsib koj tus kws kho qhov muag lossis tus kws kho mob dav dav. Nws yog tib txoj kev koj yuav tau txais kev kuaj mob kom raug.

Ib qho opioid overdose tuaj yeem ua rau neeg tuag taus. Cov tsos mob no, uas tuaj yeem qhia txog kev noj tshuaj ntau dhau, xav tau kev kho mob ceev ceev:

• lub ntsej muag yog xim daj lossis nplaum
• rau tes rau yog ntshav lossis xiav
• lub cev yog ceg tawv
• ntuav lossis gurgling
• lub plawv dhia qeeb
• ua pa qeeb lossis ua pa nyuaj
• tsis nco qab

Dab tsi yuav tshwm sim thaum kuaj mob

Yuav ua li cas koj tus kws kho mob txuas mus kuaj mob yuav yog, nyob ntawm, ntawm daim duab loj. Nrog cov cim thiab cov tsos mob yuav tsum ua tib zoo coj mus rau hauv thiab yuav coj kev kuaj mob.

Yog tias koj mus ntsib kws kho qhov muag vim tias koj cov menyuam kawm ntawv tsis zoo li qub, koj yuav tau mus kuaj qhov muag tag nrho. Uas yuav suav nrog kev tso pa tawm menyuam kawm ntawv kom cov kws kho mob tuaj yeem pom hauv lub qhov muag.

Yog tias koj mus ntsib koj tus kws kho mob, lwm yam kev kuaj mob tuaj yeem suav nrog:

• sib nqus resonance duab (MRI)
• khoos phis tawj tomography (CT)
• Kev xoo hluav taws xob
• kuaj ntshav
• kuaj zis
• tshuaj lom toxicology

Outlook

Qhov txiaj ntsig yav tom ntej yog nyob ntawm qhov laj thawj thiab kev kho mob.

Txog kev noj tshuaj opioid noj ntau npaum li cas, koj yuav rov zoo li cas thiab yuav siv sijhawm ntev npaum li cas nyob ntawm:

• txawm hais tias koj tsis tsum ua pa thiab ntev npaum li cas koj tsis muaj oxygen
• yog tias opioids tau muab sib xyaw nrog lwm cov tshuaj thiab cov khoom ntawd ua dab tsi
• txawm li cas los yog tsis yog koj tau ua kev raug mob uas ua rau cov leeg puas lossis mob ua pa ntev
• yog tias koj muaj lwm yam mob
• yog tias koj tseem yuav noj cov tshuaj opioids

Yog tias koj tau ntsib teeb meem nrog opioid tsim txom lossis lwm yam kev quav tshuaj, ua rau koj cov kws kho mob paub txog qhov no thaum koj xav tau kev kho mob, tshwj xeeb yog kev mob. Kev quav yog qhov teeb meem loj uas yuav tsum tau saib xyuas kom ntev.

Rov zoo los ntawm kev mob txha caj ntshav txawv ntawm tus neeg mus rau lwm tus. Ntau yam nyob ntawm seb koj tau txais kev kho mob sai npaum li cas thiab koj tuaj yeem tswj hwm koj cov ntshav siab tau li cas.

Yog tias tsis muaj kev kho mob, ua mob rau koj lub qhov nqaij yuav ua rau koj ob lub qhov muag puas tas mus li. Thaum vim muaj lwm tus mob, qhov mob aveior uveitis tej zaum yuav yog ib qho teeb meem rov muaj dua. Cov neeg feem coob tau teb zoo rau kev kho mob.

Kev raug lom los ntawm kev tua cov kab no tuaj yeem ua rau tuag taus yog tias tsis kho kom zoo. Yog tias koj xav tias koj lossis tus neeg koj paub tau raug tshuaj tua kab los ntawm tshuaj tua kab, nws yog qhov tseem ceeb uas yuav tau nrhiav kev kho mob sai sai ntawm chav kho mob ze tshaj plaws.