Peb txhua tus nco txog ib qho excerpt los ntawm zaj duab xis txog Ivan Vasilyevich, thaum Ulyana Andreevna, pom nws tus txiv, qw: "Koj yuav kho, thiab kuv yuav kho." Nyob rau hauv cov ntaub ntawv ntawm peb heroine, nws hais tias nws twb pom ob. Qhov tseeb, ntawm Balzac lub hnub nyoog, qhov no yog deb ntawm qhov tsis tshua muaj tshwm sim: nrog sclerosis, ntshav qab zib, ntshav siab thiab qog, ib qho kev tshwm sim ntawm cov kab mob yog qhov tseeb ntawm ob npaug ntawm daim duab.
Thiab cov neeg noj qab haus huv ib ntus pib pom ob npaug. Ib qho yooj yim piav qhia yog overwork, cawv ntau dhau, lom. Sawv ntxov sawv ntxov thiab tsis paub tias koj nyob hauv lub ntiaj teb zoo li cas, thiab tom qab ntawd koj tus txij nkawm pom ob npaug ntawm curlers thiab nrog tus pin dov…
Kev lom zem tsuas yog rau cov neeg uas tsis muaj tus kab mob no. Lub xeev no coj lub sij hawm tsis zoo rau ib tug neeg, nws tsis zoo nyob rau hauv qhov chaw, nws pom tsis zoo, thiab nws ob lub qhov muag zoo li raug torn ntawm sab hauv.
Vim li cas ob npaug hauvob lub qhov muag?
Qhov laj thawj tseem ceeb yog qhov curvature ntawm lub qhov muag axis. Feem ntau, cov txheej txheem ua duab yog raws li hauv qab no: ib daim duab ntawm ob lub qhov muag los ntawm retina, qhov pom kev tsom xam superimposes hauv lub hlwb thiab tus neeg pom cov duab meej. Thiab nrog diplopia, daim duab ob npaug, txij li thaum xub thawj daim duab tau npaj los ntawm lub lens ntawm ib lub qhov muag ntawm qhov tsis ncaj ncees lawm, cov ntsiab lus ntawm qhov projection tsis sib xws, yog li ntawd, "dubbing" tshwm sim hauv tus neeg. Ntxiv mus, muaj kev hloov pauv ob qho tib si raws kab kab rov tav thiab raws txoj kab ntsug.
Muaj ntau yam uas ua rau pom ob lub qhov muag. Ua rau hauv cov leeg, lawv qhov tsis muaj zog, vim lawv tsis tuaj yeem khaws lub qhov muag nyob rau hauv txoj hauj lwm symmetrical txheeb ze rau ib leeg. Qhov tshwm sim no feem ntau hu ua strabismus. Ntxiv mus, nws, nyob rau hauv lem, kuj yuav tshwm sim los ntawm ib tug xov tooj ntawm yog vim li cas. Cov kab mob dab tsi ua rau pom kev pom ob feem ntau, tshwj tsis yog strabismus? Qhov tseeb, muaj ntau yam pathologies:
- Pab tuag tes tuag taw tom qab mob stroke, qhov twg lub qhov muag yuav poob peev xwm txav mus los.
- Nyob zoo ib tsoom phooj ywg.
- raug mob taub hau.
- qog thiab hematomas, ob qho tib si intracranial thiab cov ntaub so ntswg nyob ze rau ntawm lub cev ntawm qhov muag.
- Qhov tshwm sim ntawm kev ua haujlwm ntawm lub hlwb lossis qhov muag.
"Bivision" tuaj yeem tshwm sim los ntawm kev cuam tshuam ntawm lub lens lossis cov paj hlwb, lawv cov kev puas tsuaj lossis cov hlab ntsha tsis muaj zog, tshwj xeeb hauv cov ntshav qab zib mellitus, lossis cov kab mob metabolic hauv cov hlwb, feem ntau yog hyperthyroidism, uas cuam tshuam. kev coj ntawm qhov muagWednesday.
Diplopia vim muaj tshuaj lom lossis qaug cawv
Nyob hauv nws daim ntawv purest, ob lub zeem muag yam tsis muaj cov tsos mob ntxiv tsis tshua tshwm sim. Feem ntau, qhov no yog concomitant tsos mob ntawm lwm yam kab mob los yog pathologies: raug mob, hlav ntawm ntau yam xwm, vascular disorders, kis kab mob meningitis, diphtheria los yog botulinum.
Qee zaum diplopia tuaj yeem tshwm sim los ntawm kev lom lossis qaug cawv:
- Tshuaj lossis cawv.
- Vim muaj kab mob hnyav xws li mob meningitis.
- Kev ua txhaum ntawm cov leeg nqaij. Ib qho piv txwv yuav yog luv luv diplopia tom qab txhaj tshuaj Botox yog tias ntau npaum li cas. Hauv qhov no, nws yog qhov zoo dua los mus xyuas lub tsev kho mob uas koj txiav txim siab mus txhaj tshuaj zoo nkauj, vim tias kev zoo nkauj tuaj yeem hloov mus ua dab.
Thawj cim thiab cov tsos mob
Cov cim thawj zaug tuaj yeem tshwm sim los ntawm kiv taub hau, ib tus neeg tsis tuaj yeem txiav txim siab qhov kev ncua deb ntawm qhov khoom, daim duab yog qhov muag plooj, lossis ib qho ntawm lawv ci dua thiab lwm qhov yog paler. Feem ntau nws nyuaj rau tus neeg taug kev hauv qhov chaw, nws tuaj yeem ntog ntawm cov khoom, "demolish" jambs ntawm lub qhov rooj.
Qhov xwm txheej ntawm daim duab sib cais ncaj qha nyob ntawm seb cov leeg twg puas lossis tsis muaj zog. Yog hais tias lub obliques raug cuam tshuam, lub doubling yuav ntsug, uas yog, cov khoom yuav nyob rau hauv ib tug saum toj no lwm yam, yog ncaj, ces parallel. Feem ntau tus mob no tshwm sim los ntawm qhov mob hnyav, qhov muag poob mus.
Yog koj pib pom ob thiabmuaj mob throbbing nyob rau hauv lub tuam tsev, qhov no yog ib tug siab poob. Nrog ntshav siab, diplopia yog nrog los ntawm ripples thiab tam sim ntawd blackouts ntawm lub qhov muag.
Nrog strabismus, diplopia yog tus khub tas li. Nyob rau hauv cov ntaub ntawv no, qhov mob qhov muag yog them nrog tsom iav los yog tshwj xeeb bandages, conservative kev kho mob yog muab: kho prismatic, gymnastics. Qee zaum kev phais yog qhia, tshwj xeeb tshaj yog, resection lossis recession ntawm cov leeg ntawm lub qhov muag.
Type of diplopia
Qhov ntau tshaj plaws binocular diplopia. Qhov no yog ib qho teeb meem uas lub qhov muag tsis sib haum xeeb rau ib leeg. Yog tias qhov muag raug kaw, qhov muag pom ob zaug nres.
hom diplopia feem ntau tshwm sim yog tias tus neeg muaj:
- Keratitis lossis Corneal Infection: Hais txog kev hloov pauv ntawm lub pob txha, tom qab phais lossis vim mob hnyav.
- Cataract lossis clouding ntawm lub lens. Yuav muaj kev tsis xis nyob yog tias ib tug neeg nyeem ib yam dab tsi.
- Astigmatism. Thaum lub lens poob nws lub peev xwm los cuam tshuam lub teeb kom zoo.
- Kev ziab ntawm pob kws. Hauv qhov no, koj tsuas tuaj yeem siv "kua kua muag" tee.
- Kev hloov pauv ntawm lub lens. Kev phais yog tsim nyog, vim hais tias cov pathology yog irreversible nrog conservative kev kho mob.
Tshwj xeeb ntawm kev tshwm sim ntawm tus kab mob
Nrog monocular diplopia, tus neeg pom ob daim duab txawm tias siv ib lub qhov muag. Lub qhov muag ua ib daim duab ob npaug rau nws tus kheej. Bifurcation, yog tias koj kaw lub qhov muag noj qab haus huv, yuav tsis ploj mus. Xws litshwm sim nrog ib tug dislocation ntawm lub lens, iridodialysis, as Well as polycoria.
tshwm sim thaum cov hlab ntsha ntawm lub qhov muag, clamps, thiab ua txhaum cai, tsis yog cov leeg nqaij. Nws tuaj yeem yog qhov yug thiab tau txais.
Cov qauv hauv qab no ntawm monocular diplopia yog qhov txawv:
- Refractive. Kho los ntawm looj tsom iav.
- Retinal. Muaj kev ua txhaum ntawm kev ncaj ncees ntawm retina vim yog cov txheej txheem inflammatory.
- Pupillary. Kev loj hlob yog provoked yog tias muaj qhov ntxiv hauv iris.
- Aberrational. Lub cornea lossis lo ntsiab muag muaj qhov tsis sib xws ntawm qhov chaw, uas tiv thaiv kev xa tawm ntawm daim duab kom raug.
- Neurogenic. Txhim kho nrog meningitis, neuroses, complex endocrine hloov.
Qee lub sij hawm tus neeg noj qab haus huv zoo kawg nkaus tuaj yeem pom ob npaug, yog tias nws ntsia ntawm ib qho khoom nyob deb, qhov ze ze tuaj yeem ua ob npaug. Lub hlwb feem ntau "extinguishes" xws li irregularities nyob rau hauv tsom, thiab tus neeg tsis pom lawv.
Txawm li cas los xij, yog tias qhov tsis pom kev tsis tu ncua, nws yuav tsum raug kuaj xyuas.
Diagnosis
Yog tias qhov txhab mob nyuaj thiab tsis pom kev pom tsis yog qhov tshwm sim tseem ceeb, tab sis tsuas yog lub suab nrov ntawm cov teeb meem loj dua, ces tus kws kho mob yuav xa tus neeg mus rau tus kws kho mob tshwj xeeb (neurologist, endocrinologist, neurosurgeon, rheumatologist lossis oncologist).
Feem ntau, kev ntsuam xyuas ntawm ib tus neeg yws ntawm ob lub qhov muag suav nrog cov kev xeem hauv qab no:
- Kev ntsuas ntsuas. Tso cai rau koj los txiav txim siab cov leeg ua haujlwm tsis raug, txhawm rau tsim qhov xwm txheej ntawm nws cov kab mob.
- Tshawb nrhiav ntsig txog lub ntsiab luskev pom kev pom, kev ua haujlwm ntawm cov leeg.
- Ua lub cev kev tshuaj xyuas ntawm daim tawv muag, uas yuav txiav txim siab lawv qhov sib luag thiab cov leeg leeg.
- kuaj ntshav qab zib.
- Qee zaum MRI ntawm lub hlwb raug txiav txim.
- Test for muscle fatigue.
- Strabometry. Los yog ntsuas lub kaum sab xis ntawm lub qhov muag squinting nyob rau hauv kab lus siv cov cuab yeej.
Kev saib xyuas tshwj xeeb ntawm cov niam txiv yuav tsum muaj strabismus hauv cov menyuam yaus. Txij li thaum lub sijhawm cov leeg nqaij atrophy, thiab tus menyuam tsis muaj kev kho mob yuav tsis tuaj yeem tshem tawm qhov tsis xws luag.
ob lub zeem muag: kho
Txoj kev kho yog nyob ntawm qhov hnyav ntawm tus kab mob thiab nws qhov xwm txheej. Yog hais tias ib tug neeg raug kev txom nyem los ntawm astigmatism thiab outwardly tus kab mob tsis manifest nws tus kheej nyob rau hauv txhua txoj kev, nws yuav txaus tsuas yog muab tshuaj kho tsom iav. Yog cov qog yog qhov ua rau pom ob lub qhov muag, ces tib txoj hauv kev kom tsis txhob muaj cov tsos mob yog tshem tawm cov qog.
Yog xav tias tus kab mob no tau tshwm sim los ntawm kev kis tus kab mob, qhov no, tshuaj tua kab mob lossis tshuaj tua kab mob raug sau. Yog hais tias nws yog neurological nyob rau hauv cov xwm, anti-stroke kev kho mob yog nqa tawm, cov tshuaj txo cov ntshav siab yog muab, thiab nyob rau hauv cov ntaub ntawv ntawm kev ua txhaum ntawm lub thyroid caj pas, ib tug txheej txheem glucocorticosteroid txoj kev kho. Koj tuaj yeem tsis tuaj yeem hais tias, "Tus kws kho mob, kuv pom ob npaug." Kev kho mob thiab ua rau yuav tsum tau nrhiav raws li kev tshuaj ntsuam xyuas ntawm tus neeg. Nws tsis txaus los tshem tawm ib qho los daws qhov teeb meem tag nrho, feem ntau nws yuav siv sij hawm ntev.
Txuagib qho kev ntsuas zoo rau kev kho tus kab mob yog qhov tshwj xeeb gymnastics rau lub qhov muag.
qhov muag tawm dag zog rau ib nrab diplopia
Qhov kev ua haujlwm no yooj yim ua. Tus txiv neej zaum saum lub rooj zaum. Ntawm phab ntsa koj yuav tsum tau kho ib daim ntawv dawb, koj tuaj yeem whatman ntawv. Ntawm nws koj yuav tsum kos ib kab kab ntsug. Lub luag haujlwm tseem ceeb yog tsom rau cov kab kom meej li sai tau.
Nyob rau theem thib ob, yam tsis tau tshem koj ob lub qhov muag, tig koj lub taub hau mus rau ib qho kev taw qhia, ces nyob rau lwm qhov. Tib lub sijhawm, koj tsis tas yuav saib deb ntawm cov ncauj lus.
Kev tawm dag zog yuav tsum tau rov ua ntu zus. Yog hais tias ib tug neeg tsis pom kev txhim kho, ces kev phais feem ntau yuav xav tau.
kev kho neeg zoo
Tinctures thiab cov tshuaj vitamin tuaj yeem yog lwm txoj kev kho mob rau cov mob me me ntawm diplopia. Qhov zoo ntawm kev kho tshuaj ntsuab yog tias lawv ib txwm nyob ntawm tes.
- Tincture ntawm lavender nplooj, valerian thiab cawv. Sib tov lavender nplooj, ntxiv ib tee ntawm valerian thiab ib khob ntawm dawb wine. Cia kom infuse rau peb hnub. Thaum nruab hnub no, do cov kua. Tincture haus ua ntej noj mov ntawm ib diav.
- Ntxhais nyhuv muab paj ntoos (muab tias nws tsis ua xua). Nws raug nquahu kom sau nws thiab muab tso rau hauv ib rab diav rau ib hlis.
- Vitamin sau los ntawm qus sawv thiab viburnum. Los ntawm berries nws yog tsim nyog los boil lub infusion, boil rau 15 feeb. Lim thiab haus chilled ib puas grams thaum sawv ntxov thiab yav tsaus ntuj ua ntej noj mov.
Tseeb tshuaj tsuas yog ib qho kev pab cuam xwb thiab tsis txhais tau tias lub ntsiab kho mobtxhais tau tias.
Tseem ceeb kom paub
Qhov peculiarity ntawm tus kab mob yog tias nws feem ntau tshwm sim dheev. Nws yog ib qho nyuaj heev los tiv thaiv koj tus kheej los ntawm qhov no, tshwj xeeb tshaj yog tias koj muaj kev pheej hmoo. Hauv qhov no, kev tshuaj xyuas qhov muag tsis tu ncua yuav yog tib txoj hauv kev kom tsis txhob muaj cov tsos mob tsis txaus ntseeg.
