Dab tsi yog hypertensive retinopathy thiab zoo li cas yog cov tsos mob

Zoo Siab

• Kev faib tawm
• Hom mob hypertensive retinopathy thiab cov tsos mob cuam tshuam
• 1. Mob hypertensive retinopathy
• 2. Malignant kub siab ua haujlwm retinopathy
• Kev kuaj mob yog dab tsi
• Yuav kho tus mob li cas

Hypertensive retinopathy yog qhov txawv txav ntawm cov pab pawg tau hloov pauv ntawm cov pob nyiaj, xws li cov leeg ntshav hlab ntsha, hlab ntsha thiab cov leeg ntshav, uas tshwm sim los ntawm cov hlab ntsha o. Retina yog ib qho qauv uas nyob rau tom qab ntawm lub pob muag thiab muaj kev ua haujlwm ntawm kev hloov lub teeb rau hauv kev xav hauv lub siab, uas tso cai rau lub zeem muag.

Txawm hais tias cov kev hloov no tshwm sim feem ntau nyob rau hauv retina, hloov pauv theem ob rau cov leeg ntshav kuj tseem tuaj yeem pom hauv choroid thiab optic lub paj hlwb.

Kev faib tawm

Hais txog kev kub siab retinopathy, tsuas yog cuam tshuam nrog kub siab, nws yog txwv kom muab faib ua qib:

• Qib 0: tsis muaj qhov hloov ntawm lub cev;
• Qeb 1: cov leeg ntshav liab nqaim muaj tshwm sim;
• Qib 2: cim cov hlab ntsha nqaim nrog lub suab tsis sib xws;
• Qib 3: tib yam li hauv qib 2, tab sis nrog cov leeg ntshav siab thiab / lossis exudates;
• Qib 4: tib yam li hauv qib 3, tab sis nrog o ntawm lub disc.

Hom mob hypertensive retinopathy thiab cov tsos mob cuam tshuam

Hypertensive retinopathy tuaj yeem ua mob ntev, yog hais tias cuam tshuam nrog kev mob ntshav siab, lossis malignant, yog tias cuam tshuam nrog malignant arterial tawg:

1. Mob hypertensive retinopathy

Nws feem ntau yog asymptomatic thiab pom nyob rau hauv cov neeg uas muaj kev mob ntshav siab, hauv ib qho kev sib tw ntawm cov hlab ntsha tau tshwm sim, ib qho kev hloov pauv ntawm txoj hlab ntsha reflex, txoj hlab ntshav hla, uas cov leeg hla anteriorly rau txoj hlab ntshav. Txawm tias tsis tshua muaj, cov cim thiab cov tsos mob xws li retinal hemorrhages, microaneurysms thiab cov tsos mob ntawm vascular occlusion tuaj yeem tshwm sim qee zaum.

2. Malignant kub siab ua haujlwm retinopathy

Malignant hypertensive retinopathy yog txuam nrog kev nce ntshav siab sai sai, nrog systolic ntshav siab ntau dua 200 mmHg thiab diastolic ntshav siab ntau dua 140 mmHg, ua rau muaj teeb meem tsis tsuas ntawm theem ntawm lub qhov muag, tab sis kuj nyob ntawm lub plawv. , raum thiab lub hlwb theem.

Tsis zoo li cov kab mob hypertensive retinopathy, uas feem ntau asymptomatic, malignant hypertensive retinopathy feem ntau cuam tshuam nrog mob taub hau, plooj tsis pom kev, ob lub zeem muag thiab qhov pom ntawm tsaus nti hauv lub qhov muag. Ntxiv rau, cov kev hloov pauv xim hauv lub qhov muag, macular edema thiab neuroepithelial detachment los ntawm thaj chaw macular thiab ischemic papillary edema yuav tshwm sim hauv hom retinopathy no, nrog hemorrhages thiab pob.

Kev kuaj mob yog dab tsi

Kev kuaj mob ntshav siab yog tsim los ntawm Fundcopy, uas yog ib qho kev soj ntsuam uas cov kws kho qhov muag muaj peev xwm soj ntsuam tag nrho pob nyiaj ntawm lub qhov muag thiab cov kev teeb tsa ntawm cov retina, nrog kev pab los ntawm cov cuab yeej hu ua ophthalmoscope, thiab lub hom phiaj los kuaj hauv cheeb tsam no uas tuaj yeem tsim txom lub zeem muag. Saib ntxiv txog kev kuaj xyuas no.

Fluorescein angiography kuj tseem siv tau, uas feem ntau tsuas yog tsim nyog nyob rau hauv kev mob atypical lossis cais tawm kev kuaj mob ntawm lwm yam kab mob.

Yuav kho tus mob li cas

Tus mob retinopathy mob ntev yuav tsum tau kho qhov muag. Qhov xav tau rau kev kho mob ophthalmic tshwm sim thaum muaj teeb meem tshwm sim hauv retina.

Ntawm qhov tsis tooj, malignant hypertensive retinopathy yog mob kub ntxhov. Hauv cov xwm txheej no, tswj ntshav siab yuav tsum tau ua txoj haujlwm zoo thiab tswj tau, txhawm rau tiv thaiv kev raug mob tsis tuaj yeem. Tom qab cov teeb meem kub ntxhov ua kov yeej, lub zeem muag feem ntau zoo, tag nrho lossis ib nrab.