qhov muag pom kev zoo yog qhov khoom plig tiag tiag. Tab sis lawv feem ntau pib txaus siab rau nws tom qab muaj teeb meem nrog lub qhov muag tshwm sim. Tsis muaj leej twg xav txog qhov tshwm sim tsis zoo rau lub zeem muag vim raug mob rau lub pob txha. Txawm hais tias qhov kev tiv thaiv qhov muag yuav tsum tau ua thiab yuav tsum tau ua raws li cov cai tswj kev nyab xeeb, cov lus qhia feem ntau raug ua txhaum cai thiab qhov muag puas tshwm sim. Lub cornea ntawm lub qhov muag yog ib qho chaw tsis muaj zog heev. Nws raug mob yog fraught nrog ntau yam teeb meem nrog lub cev ntawm lub zeem muag. Thiab muaj ntau txoj hauv kev los ua rau lub pob txha raug mob - txawm tias cua daj cua dub tuaj yeem coj lub cev txawv teb chaws mus rau hauv lub qhov muag, uas yuav ua rau mob qhov muag, lossis qhov muag tsis pom kev, uas tuaj yeem ua mob rau lub cornea. Hauv tsab xov xwm no, peb yuav saib seb qhov kev puas tsuaj rau lub pob txha yog dab tsi (daim duab ntawm qhov raug mob tau nthuav tawm hauv tsab xov xwm), thiab nws yuav kho tau li cas.
pob txha ntawm qhov muag - functions
Lub pob kws yog qhov anterior ntawm lub qhov muag sclera, uas tau txais txiaj ntsig nrog qhov ntsuas siab siab. Qhov no pob tshab zaj duab xis yog nyob rau hauv uncoveredqhov chaw thiab yog li feem ntau raug rau ntau yam kev puas tsuaj. Txhua qhov kev puas tsuaj rau lub qhov muag pob txha yuav tsum tau teb tam sim ntawd, vim nws nyuaj heev rau kev txiav txim siab qhov mob ntawm qhov raug mob los ntawm cov paib sab nraud thiab ncua kev kho mob tuaj yeem ua rau muaj kev puas tsuaj rau lub qhov muag qhov muag.
Lub pob kws muaj cov collagen fibers thiab pob tshab matrix, uas yog them nrog stratified epithelium. Qhov kev tiv thaiv hemisphere no nrog txoj kab uas hla ntawm 10 mm cais lub qhov muag sab hauv lub qhov muag los ntawm kev cuam tshuam sab nraud. Ib qho nthuav feature: lub pob zeb nyob rau hauv nruab nrab ib feem ntawm lub hemisphere, uas yog feem ntau raug rau sab nraud tawm tsam, yog ob zaug li nyias li ntawm cov npoo. Yog li ntawd, lub qhov muag yuav tsum tau ceev faj heev tiv thaiv lub ingress ntawm txawv teb chaws lub cev uas ua rau puas rau lub cornea nyob rau hauv tej qhov chaw uas tsis muaj zog.
Lub hom phiaj ua haujlwm ntawm lub pob ntseg yog qhov cuam tshuam ntawm lub teeb nrog lub zog ntawm 40 diopters thiab ua kom lub qhov muag zoo. Yog hais tias lub cornea raug mob, nws yuav tsis muaj peev xwm ua nws lub luag haujlwm tag nrho. Thiab qhov no tuaj yeem ua rau muaj kev puas tsuaj loj rau lub qhov muag pom.
Yog vim li cas
Yog vim li cas qhov kev puas tsuaj rau pob txha tuaj yeem tshwm sim muaj ntau yam, muaj ntau yam, tab sis koj yuav tsum paub txog lawv. Cov no suav nrog:
- kev raug mob los ntawm lub cev txawv teb chaws;
- kev ua txhaum ntawm qhov kis kab mob;
- metabolic disorder;
- ziab ntawm pob kws;
- congenital collagen defect;
- muaj zog ultraviolet lossis radioactive kho;
- tshuab clogging: hmoov av, midges, specks, thiab lwm yam;
- ntauschemical thiab thermal agents.
Signs of disease
Cov tsos mob qhia tias lub pob txha puas lawm yog qhia nyob rau hauv profuse lacrimation, reddening ntawm qhov chaw raug mob, photophobia, reflex kaw ntawm daim tawv muag - blepharospasm. Tsis tas li ntawd, tej zaum yuav muaj:
- txheej txheej epithelial defects;
- conjunctival vasodilation;
- xav xuab zeb;
- mob qhov muag thiab mob taub hau;
- liab ntawm daim tawv muag.
Qhov tob thiab qib ntawm kev nkag mus ntawm lub cev txawv teb chaws lossis qhov txhab raug mob yuav txawv. Raws li qhov hnyav ntawm qhov raug mob, erosion thiab corneal ulcer yog txawv. Thaum raug mob, kev ncaj ncees ntawm cov qauv ntawm lub qhov muag thiab nws lub peev xwm ua haujlwm raug ua txhaum cai. Kev raug mob tuaj yeem tshwm sim los ntawm kev sib tsoo nrog lub cev muaj zog lossis plua plav lossis tshuaj lom neeg nkag mus rau hauv cov mucous ntawm lub qhov muag. Nyob rau hauv rooj plaub ntawm kev raug mob, kev kho mob raws sij hawm ntawm pob txha puas yog ib qho tseem ceeb heev.
Yuav txwv tsis pub?
Kev mob ntawm qhov muag tuaj yeem txaus ntshai heev. Lub cev no yog qhov yooj yim heev uas qhov kev raug mob tuaj yeem ua rau tuag taus yog tias koj tsis ua raws sijhawm rau kev kuaj mob thiab kho. Kev kho mob raws sij hawm ntawm pob txha puas tsuaj txo qhov kev pheej hmoo ntawm qhov tshwm sim loj. Nws kuj ua rau kom muaj kev rov zoo tag nrho. Yog tias qhov muag raug mob, ua tej yam hauv qab no:
- rub koj ob lub qhov muag nrog koj txhais tes - qhov kev txiav txim no tuaj yeem tsav lub cev txawv teb chaws txawm tias tob rau hauv lub pob kws lossis ua rau nws puas tsuaj los ntawm kev sib txhuam, thiab tseem muaj kev pheej hmoo kis mob hauv qhov txhab;
- sim tshem tawm txawv teb chawsyam khoom ua ntej mus ntsib kws kho mob - kev puas tsuaj uas twb muaj lawm tuaj yeem ua rau hnyav dua;
- kho nrog kev kho thiab tshuaj tua kab mob ntawm qhov txhab tshwm sim, tshwj tsis yog tshuaj lom neeg, uas thawj kauj ruam yog maj mam yaug qhov muag nrog dej kom ntau;
- tsis txhob kho lub pob kws nrog paj rwb, vim nws cov khoom tuaj yeem nyob ntawm cov mucosa thiab nkag mus rau hauv qhov kev puas tsuaj.
Thaum tuav qhov muag, ntxuav tes kom huv si nrog xab npum thiab dej.
Diagnosis
Ua ntej pib kho kev puas tsuaj rau lub pob txha ntawm lub qhov muag, nws yog ib qho tsim nyog yuav tsum tau kuaj pom qhov raug mob. Qhov no yuav tsum tau ua los ntawm tus kws kho mob uas tsim nyog uas tuaj yeem txiav txim siab qhov xwm txheej ntawm kev puas tsuaj thiab nws qhov hnyav. Txhawm rau ua qhov no, nws yuav tsum qhib thiab nqa nws daim tawv muag txhawm rau txhawm rau tshuaj xyuas tag nrho thaj chaw ntawm lub cornea rau cov av lossis xuab zeb, nrog rau lwm cov qauv txawv teb chaws. Cov tee tshwj xeeb yuav pab ua kom tiav qhov kev tswj xyuas tau yooj yim thiab tsis mob.
Thaum lub pob ntseg puas lawm, ntau tus kws kho mob ophthalmologists siv fluorescein rau lub hom phiaj no, uas yuav pab kom pom cov khoom muaj nyob rau ntawm lub cornea zoo dua. Lawv ua tsuas yog ob peb feeb xwb, lub sijhawm uas tus kws kho mob paub txog tuaj yeem pom cov duab meej ntawm kev raug mob tau txais. Yog hais tias muaj kev puas tsuaj rau lub cornea nyob rau hauv ib tug me nyuam, ces cov tee no yuav tsis tau dispensed nrog. Tshwj xeeb yog tias tus menyuam no koom nrog pawg hnub nyoog yau.
Thaum muaj kev puas tsuaj rau lub pob txha, cov tshuaj tua kab mob tau muab los tiv thaiv kev kis kab mob thiabtshwm sim ntawm cov kab mob kis thib ob. Nyob rau theem ntawm kev kho mob, tshuaj tua kab mob feem ntau yog siv rau hauv daim ntawv tee thiab tshuaj pleev, tab sis tshwj xeeb tshaj yog cov teeb meem nyuaj, thaum muaj kev pheej hmoo ntawm kev kis kab mob, thiab tom qab qhov kawg ntawm cov txheej txheem kho mob, tus kws kho mob tuaj yeem sau cov tshuaj tua kab mob. nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj. Hauv qhov no, nws yog ib qho tseem ceeb uas tus neeg mob paub yuav ua li cas haus cov tshuaj tua kab mob kom raug. Cia peb xav ntxiv seb yam kev puas tsuaj los ntawm kev cuam tshuam sab nraud yog dab tsi thiab tus neeg mob yuav tsum ua li cas hauv qhov no lossis qhov ntawd.
Kev poob qis
Kev yaig yog me ntsis ntawm kev puas tsuaj thaum lawv ntiav thiab ntau dua. Kev kho mob yog ua los ntawm tus neeg mob sab nraud, cov tshuaj loog hauv zos, xws li Lidocaine lossis Dikain, yog instilled rau hauv tus neeg mob lub qhov muag, thiab kho cov tshuaj pleev uas muaj tshuaj tua kab mob, nrog rau cov tee raws li hyaluronic acid thiab cov kua muag ntuj. Cov tshuaj pleev rau kev puas tsuaj rau lub pob kws - qhov muag gel "Actovegin" lossis "Solcoseryl", feem ntau yog cov tshuaj. Corneal yaig yog epithalized sai sai thiab tsis ua rau muaj teeb meem.
Cov kab mob ntawm lub pob kws yog suav tias yog kev raug mob nyuaj, tshwj xeeb tshaj yog nrog qhov nkag mus ntawm qhov txhab, lawv tau kho mob hauv tsev siv cov tswv yim npaj rau siv hauv qhov muag microsurgery. Nyob rau tib lub sijhawm, kev kho tshuaj tua kab mob, kev kho cov kab mob enzyme thiab kho cov tee yog raug sau tseg. Yog tias koj tsis mus ntsib kws kho mob hauv lub sijhawm nrog qhov txhab nkag mus, qhov tshwm sim loj heev ntawm kev puas tsuaj rau lub pob txha tuaj yeem tshwm sim.
Burns
Burns tauyog thermal thiab tshuaj, lawv tau kho los ntawm kev siv microsurgery, uas yog, excision ntawm lub puas cornea txheej. Tsis tas li ntawd, ib chav kawm ntawm kev kho mob nrog tee thiab tshuaj pleev yog nqa tawm, nrog rau cov tshuaj tua kab mob, enzyme thiab tshuaj tiv thaiv kab mob. Yog hais tias qhov hlawv yog tshuaj, ces koj yuav tsum xub tshem tawm cov khoom uas ua rau raug mob rau lub cornea. Txhawm rau ua qhov no, koj yuav tsum tig koj lub taub hau mus rau ib sab thiab tuav nws hauv qab cov kwj deg hauv dej li ib nrab teev. Tab sis yog tias qhov hlawv yog tshwm sim los ntawm txiv qaub, nws yog txwv tsis pub tshem tawm nrog dej, vim hais tias nyob rau hauv lub zog ntawm dej kub yog tso tawm nyob rau hauv nws, uas yuav ua rau aggravate lub degree ntawm kev puas tsuaj rau lub cornea. Txiv qaub yuav tsum tau ua tib zoo muab tshem tawm nrog daim ntaub so ntswg, thiab tom qab ntawd yaug nrog dej yuav tsum pib.
Thaum ib qho ultraviolet kub hnyiab, koj yuav tsum ua kom tsaus hauv chav, vim tias tus neeg mob ua haujlwm zoo rau lub teeb ci, muab cov tshuaj tua kab mob hauv qab daim tawv muag, piv txwv li, "Tetracycline" (1%). Koj yuav tsum tau siv ib yam dab tsi txias rau daim tawv muag thiab muab tus neeg mob nrog ib qho tshuaj loog ("Analgin" lossis "Nurofen")
Lub cev txawv teb chaws. Yuav ua li cas?
Lub cev txawv teb chaws raug tshem tawm ntawm lub pob kws pob kws nrog paj rwb swab. Nyob rau hauv rooj plaub ntawm kev nkag mus tob, nws raug tshem tawm nrog cov cuab yeej tshwj xeeb ophthalmic. Yog tias cov khoom txawv teb chaws no yog ua los ntawm cov yas lossis iav, lawv tsis rub tawm ntawm qhov txhab, lawv lawv tus kheej txav mus rau saum npoo tom qab ib ntus thiab tom qab ntawd lawv tuaj yeem tshem tau yooj yim. Lub cornea yog kho nrog kev pab los ntawm tee: "Emoxipin", "Taurine", hyaluronic acid, "Natural kua muag", thiab tshuaj tua kab mob tshuaj pleev, thiab koj muaj peev xwm kuj tau.txhaj ib ncig ntawm lub qhov muag nrog cov tshuaj no.
Qee zaum, koj tuaj yeem tau txais kev puas tsuaj rau lub pob kws nrog lo ntsiab muag.
Cov lo ntsiab muag tuaj yeem ua rau pob txha raug mob hauv cov xwm txheej hauv qab no:
- thaum lub cev txawv teb chaws nkag rau hauv qab lub lens - mechanical rubbing;
- yog tias koj ua xua rau cov khoom uas ua rau cov khoom siv kho qhov muag;
- yog tias cov kev cai ntawm kev tu lub lens raug ua txhaum, conjunctivitis thiab lwm yam kab mob tshwm sim;
- ua txhaum ntawm cov pa oxygen rau lub pob kws, uas ua rau o thiab lwm yam tshuaj tiv thaiv hypoxic.
Yuav siv tshuaj li cas?
Nyob rau hauv kev kho mob ntawm lub pob txha ntawm lub qhov muag, lub ntsiab lus tseem ceeb yog thawj zaug kom tshem tawm cov khoom los yog qhov tseem ceeb uas ua rau raug mob, thiab rov ua haujlwm qub ntawm lub qhov muag. Tab sis nws kuj ua lub luag haujlwm tseem ceeb hauv kev tiv thaiv kab mob. Thiab thaum kws kho mob sau tshuaj tua kab mob, koj yuav tsum nco ntsoov yuav ua li cas coj lawv kom raug. Ua ntej tshaj plaws, cov neeg mob thiab lawv cov txheeb ze yuav tsum kawm tias tsuas yog ib tus kws kho mob tsim nyog ntawm qhov tsim nyog tuaj yeem cuam tshuam nrog kev xaiv cov tshuaj, ntau npaum li cas, kev tswj hwm thiab lub sijhawm kho.
Tsis muaj qhov xwm txheej twg koj yuav tsum ua txhaum cov koob tshuaj uas tau sau tseg thiab cuam tshuam kev kho mob. Ob qho tib si tsis muaj peev xwm thiab ntau dhau ntawm cov tshuaj tua kab mob muaj zog tuaj yeem ua rau muaj kev sib txawv loj hauv kev ua haujlwm ntawm lub cev thiab tib neeg lub cev. Cov tshuaj tua kab mob tau noj nruj me ntsis raws li lub tswv yim, thiab qhov no yuav tsum tau ua tib lub sijhawm nrogtsis tu ncua ntawm cov koob tshuaj. Lub sijhawm kho yam tsawg kawg nkaus yog 7 hnub, tshwj tsis yog kws kho mob tau sau tseg. Qee lub sij hawm lub sij hawm rov qab mus txog 2-3 lub lis piam.
Thaum noj tshuaj tua kab mob, txwv tsis pub haus cawv thiab haus luam yeeb, noj cov nqaij haus luam yeeb thiab lwm yam khoom noj tsis zoo, tus kws kho mob yuav muab cov lus qhia cais txog kev noj haus. Cov tshuaj tua kab mob yuav tsum tau noj nrog dej huv kom ntau. Koj tsis tuaj yeem mus rau lub puam thiab hauv solarium, zas koj cov plaub hau thiab ua cov tshuaj perms. Nco ntsoov haus cov tshuaj probiotics uas kws kho mob tau sau tseg nrog rau cov tshuaj tua kab mob los kho cov hnyuv microflora.
Kev raug mob yog dab tsi?
Yog tias koj tsis saib xyuas qhov muag raug mob raws sijhawm, tej zaum yuav muaj qhov tshwm sim loj ntawm kev puas tsuaj rau lub qhov muag. Txoj kev pheej hmoo ntawm kev muaj teeb meem ntau heev. Cov no suav nrog:
- prolapse ntawm lub lens;
- kev loj hlob ntawm cov kab mob cataracts los yog glaucoma theem nrab;
- retinal detachment;
- kev kawm walleye;
- tshwm sim ntawm hemophthalmos, endophthalmos, panophthalmos.
Qhov hnyav ntawm qhov tshwm sim ncaj qha nyob ntawm qhov nyuaj ntawm qhov raug mob thiab lub sijhawm ntawm kev kho mob tau muab.
mob hnyav tom qab qhov muag raug mob
Yog tias tsis tsim nyog kho thiab kho tsis zoo ntawm thaj chaw cuam tshuam ntawm lub qhov muag, cov teeb meem hauv qab no tuaj yeem ua tau:
- sepsis - kab mob ntawm cov ntshav nrog cov kab mob sib kis, uas ua rau muaj kev phom sij rau lub cev nrog cov khoom pov tseg tshuaj lom ntawm cov kab mob;
- txo qis hauv qhov pomqhov muag ua haujlwm thiab txawm tias tsis pom kev ua tiav;
- poob qhov muag;
- purulent abscess ntawm lub hlwb vim muaj cov kua paug nyob rau hauv cov kab noj hniav cranial;
- purulent o ntawm cov qauv thiab daim nyias nyias ntawm lub qhov muag - panophthalmitis;
- mob siab rau ntawm lub qhov muag noj qab haus huv, feem ntau fibroplastic iridocyclitis;
- sib sau cov kua paug hauv vitreous nrog o ntawm cov qauv sab hauv - endophthalmitis;
- muaj qhov caws pliav tsis zoo;
- rov qab ntawm daim tawv muag, nrog rau ptosis thiab eversion;
- daim ntaub ntsej muag deformation;
- kev cuam tshuam hauv kev ua haujlwm ntawm cov qog lacrimal.
Thaum tus neeg mob lub cev tsis muaj zog, cov teeb meem no tshwj xeeb tshaj yog mob hnyav, thiab muaj kev ua txhaum loj ntawm cov txheej txheem metabolic. Yog tias lub pob txha muaj cov ntshav ib txwm muaj, tom qab ntawd rov tsim dua tshiab yuav tshwm sim hauv lub sijhawm luv, tab sis yog tias cov kab mob nkag mus rau thaj tsam cuam tshuam, qhov mob pob txha hnyav dua - qhov mob tuaj yeem tsim.
Zaj lus
Tau kawm cov ntaub ntawv uas tau nthuav tawm hauv tsab xov xwm, peb tuaj yeem kos cov lus xaus nkaus xwb: txhua qhov kev raug mob ntawm lub qhov muag tuaj yeem ua rau muaj kev phom sij rau qhov muag. Yog li ntawd, nws yog ib qho tseem ceeb heev los muab cov neeg raug mob nrog kev pab kho mob raws sij hawm. Yog tias kev kho mob tau ua tiav txawm tias qeeb me ntsis, cov teeb meem loj yuav tshwm sim.
