Yog tias pom cov pob dawb ntawm lub qhov muag ntawm tus neeg thaum saib daim duab, qhov no yog vim li cas thiaj li mus ntsib kws kho qhov muag. Poob tus tub kawm ntawv liab reflex yog ib qho cim ntawm tus kab mob.
Nyob rau hauv ib txwm muaj, cov ntshav ncig hauv ib txoj hauv kev hauv retina. Yog vim li ntawd cov tub kawm thiaj li tau txais qhov ntxoov ntxoo uas paub txog peb txhua tus. Txawm li cas los xij, yog tias vim li cas cov ntshav ntws los thaiv, lossis neoplasms tshwm sim hauv txoj kev ntawm lub teeb, lub qhov muag ua xim dawb.
Txoj kab mob thiab toxocariasis
Leukocoria (qhov muag dawb) yog ib qho ntawm cov tsos mob ntawm retinal vascular anomalies. Tus kab mob no hu ua Coates' disease. Nws yog tus yam ntxwv uas nws muaj ntau dua rau cov txiv neej, tab sis feem ntau tshwm sim hauv cov menyuam yaus. Feem ntau ib lub qhov muag raug cuam tshuam, tab sis nws tsis yog qhov tsis tshua muaj tshwm sim rau ob sab lesion.
Tseem ntawm cov kab mob uas ua tau yog toxocariasis, kab mob cab thiab kab mob me me uas tshwm sim los ntawm helminths. Nws feem ntau tshwm sim nrog kev tu cev tsis zoo, tiv tauj nrog cov khoom pov tseg thiab cov plaub hau ntawm cov tsiaj muaj kab mob. Toxocara kuj tuaj yeem nkag mus rau hauv lub cevlos ntawm cov txiv hmab txiv ntoo uas tsis tau ntxuav, av thiab dej qias neeg. Intrauterine kab mob nrog tus kab mob no muaj feem ntau, nrog rau kev pub niam mis. Nov yog ib lo lus teb rau lo lus nug no yog vim li cas tus me nyuam mos yuav muaj ib tug me nyuam kawm ntawv dawb.
Fundus qog thiab tuberous sclerosis
Nrog retinoblastoma, leukocoria kuj tshwm sim nyob rau hauv feem ntau. Nws tuaj yeem kuaj pom thaum lub qog nyob hauv nruab nrab ntawm lub fundus, thaum nws nyob rau feem ntau ntawm qhov chaw. Tus kab mob no tshwm sim hauv cov menyuam yaus hnub nyoog ntawm ob thiab tsib xyoos. Feem ntau tau txais qub txeeg qub teg.
Tuberous sclerosis yog ib yam kab mob uas tsis tshua muaj caj ces tshwm sim los ntawm kev tsim cov qog nqaij hlav hauv ntau lub cev. Tus kab mob no feem ntau cuam tshuam nrog retinal astrocytoma. Nyob rau hauv nws cov ntaub so ntswg, ib tug tsim tshwm sim uas undergoes calcification. Cov menyuam kawm ntawv dawb ntawm lub qhov muag yog qhov pom tseeb ntawm cov kab mob no.
Cloudy lens
Leukocoria tuaj yeem tshwm sim los ntawm cov kab mob cataracts. Qhov no yog kab mob qhov muag nyob rau hauv uas muaj clouding ntawm lub lens. Cov menyuam kawm ntawv dawb hauv tib neeg feem ntau yog tshwm sim los ntawm denaturation ntawm cov protein uas ua rau lub cev vitreous. Qhov tshwm sim ntawm cataracts yog vim muaj ntau yam ua rau, xws li kev raug mob, hnub nyoog laus, teeb meem metabolic, ionizing hluav taws xob, kab mob endocrine, ntshav qab zib mellitus, lwm yam kab mob yav dhau los, thiab txawm tias tus kab mob Down.
Cataract yog congenital thiab kis tau, qhov txawv ntawm qhov twg yog qhov ntawdcov tom kawg tau nce mus ntxiv. Hauv qhov no, tsis tsuas yog cov menyuam kawm ntawv ua dawb xwb, tab sis ua tiav qhov muag tsis pom kev.
Qhov tseem ceeb ntawm kev kuaj mob kom raug
Kev yug ntxov ntxov ntawm tus menyuam yug tshiab tuaj yeem ua rau retinopathy, qhov tshwm sim ntawm qhov uas yog retinal detachment. Lawm, thaum reacting rau lub teeb, cov nyhuv dawb-qhov muag yuav pom heev.
Leukocoria txaus ntshai vim nws yog ib qho cim ntawm ntau yam mob hnyav. Kev kuaj mob tsis raug thiab sau tshuaj kho tsis raug, koj tuaj yeem tuaj rau qhov tseeb tias tus neeg mob yuav plam nws qhov pom. Yog tias cov tsos mob tshwm sim los ntawm cov qog nqaij hlav, muaj kev phom sij ntawm kev tuag. Kev kuaj mob kom raug ntawm cov kab mob nyob rau theem pib tso cai rau koj suav rau qhov kev pom zoo thiab kev kho mob zoo.
Kev xeem thiab tshuaj ntsuam
Yuav ua tau li no, koj yuav tsum paub txog lub hnub nyoog uas kuaj pom tus kab mob, txawm tias muaj tsev neeg muaj kev cuam tshuam los ntawm cov kab mob no, txawm tias muaj kev sib cuag nrog tsiaj.
Tus kws kho mob yuav tsum ntsuas lub cheeb ntawm lub pob kws, ua tiav qhov kev kuaj pom, ntsuas qhov mob ntawm lub retina thiab vitreous lub cev (lens).
Fluorescein angiography rau cov kab mob Coats lossis retinoblastoma, CT thiab MRI ntawm lub hlwb thiab lub qhov muag, kuaj ntshav rau toxocariasis, mus ntsib kws kho mob lossis kws kho mob yuav pab tau.
Nyob ntawm kev kuaj mob, kev kho mob raug sau.
Muaj peev xwm kho kev kho mob
Rau cov kab mob khaub thuas theem 1-2 siv lasercoagulation ntawm retina nrog rau cov mob uas qhov chaw cuam tshuam tsis ntau tshaj 360 degrees. Tsis tas li ntawd, ntxiv rau txoj kev no, cryopexy ntawm lub qhov muag tuaj yeem raug sau tseg, thiab tom qab theem - ntxiv cov khoom ntxiv.
Nyob rau hauv cov ntaub ntawv ntawm retinoblastoma, cov kev kho mob siv nyob ntawm seb qhov hnyav ntawm tus kab mob. Yog tias ob lub qhov muag sab xis thiab sab laug muaj cov menyuam kawm ntawv dawb, tom qab ntawd kev kho mob yog tsim cais rau txhua tus. Feem ntau yog muab tshuaj laser thiab cryotherapy, enucleation thiab txheej txheem phais. Nyob rau hauv cov ntaub ntawv ntawm kev kis tus kab mob metastases thoob plaws hauv lub cev, kev siv tshuaj khomob dav dav siv.
Nyob rau hauv kev kho mob cataracts, kev hloov ntawm tus kab mob uas provoked txoj kev loj hlob ntawm pathology (piv txwv li, ntshav qab zib mellitus) rau hauv kev zam txim yog qhov tseem ceeb. Txawm hais tias conservative txoj kev tsis tau tshem tawm tag nrho cov kab mob insidious, koj tuaj yeem ncua cov txheej txheem. Rau qhov no, qhov muag tee yog siv, xws li Taurine, Vita-Yodurol, Perinoxin, Quinax. Tsis tas li, txoj kev kho mob suav nrog kev kho lub cev (electrophoresis thiab lwm yam). Tsuas yog kev phais mob yuav pab kom tshem tau cov kab mob cataract nkaus xwb, thaum lub sij hawm tshem tawm ntawm qhov seem ntawm lub lens thiab kev teeb tsa ntawm lub prosthesis - lub lens intraocular nyob rau hauv nws qhov chaw.
Toxocariasis yog kho nrog tshuaj anthelmintic. Cov tshuaj steroids tuaj yeem muab tshuaj thiab siv, nyob ntawm qhov mob, ob qho tib si hauv zos thiab hauv lub cev los ntawm kev tswj hwm parabulbar. Yog tias tsis muaj qhov pom kev txhim kho thaum kho, thiab lub zeem muag tseem poob qis, koj yuav tsum xav txog kev tshem tawm lub cev vitreous. Ua tautxo qhov kev pheej hmoo ntawm kev kis tus kab mob Toxocara los ntawm kev ua cov txheej txheem prophylactic antihelminthic rau koj cov tsiaj ib xyoos ib zaug hauv tsev kho tsiaj. Koj yuav tsum nco ntsoov txog koj tus kheej kev nyiam huv thiab tsis txhob hnov qab ntxuav koj txhais tes.
Cov menyuam kawm ntawv dawb yog ib qho tsos mob zoo li tsis muaj teeb meem, uas, txawm li cas los xij, yuav qhia tau tias muaj mob hnyav. Yog tias koj pom nws, koj yuav tsum mus ntsib kws kho mob tam sim.
