Pterygium yog ib yam kab mob uas cov kab mob loj hlob ntawm lub qhov ntswg mus rau qhov chaw ntawm lub pob kws. Tus kab mob no nce zuj zus mus. Pathology yog ib qho tshwm sim zoo heev, thiab tib neeg yuav tsis pom nws vim nws qhov me me. Lub pterygium txav mus rau ntawm cov menyuam kawm ntawv thiab tom qab ntawd provokes qhov txo qis hauv qhov muag thiab qhov tsis zoo ntawm lub ntsej muag tseem ceeb. Pterygium hauv ICD-10 yog teev nyob rau hauv tus lej H 11.0.
Yog vim li cas
Hmoov tsis zoo, cov kws tshawb fawb tseem tsis tuaj yeem txheeb xyuas qhov ua rau pterygium ntawm lub qhov muag, vim tus kab mob no tshwm sim. Muaj tseeb tiag, cov kws tshawb fawb tau tswj xyuas qee qhov cuam tshuam uas ua rau muaj kev thuam tus kabmob no.
Nyob rau hauv thawj qhov chaw, ntawm chav kawm, yog heredity, nyob rau hauv tas li ntawd, tus kab mob yuav tshwm sim los ntawm tas li o ntawm lub qhov muag, raws li zoo raws li tej tshuaj irritants, muaj zog cua los yog txoj kev plua plav. Lub zog muaj zog ntawm txoj kev loj hlob ntawm xws li pathology tuaj yeem ua haujlwm tas li ntawm lub computer, nrog rau cov hluav taws xob ultraviolet. Pterygium tuaj yeem loj hlob hauv txhua tus, tsis hais lawv poj niam txiv neej.koom nrog lossis hnub nyoog qeb, thiab tus kab mob no yuav nyob twj ywm tsis hloov pauv hauv tus neeg mob lossis, hloov pauv, txhim kho ntau lub sijhawm. Lwm qhov laj thawj uas tuaj yeem ua rau kev loj hlob ntawm pterygium yog txhua yam kab mob ntawm qhov ntswg, xws li sinusitis.
Leej twg mob?
Feem ntau, pterygium, daim duab uas yog hauv qab no, tau pom nyob rau hauv cov neeg nyob rau hauv cov cheeb tsam kub, vim muaj ntau yam, xws li txoj kev plua plav los ntawm cua thiab hluav taws xob ultraviolet, muaj kev cuam tshuam rau lub cev. kev pom kev tib lub sijhawm.
Symptoms
Qhov hnyav ntawm cov tsos mob lawv tus kheej ncaj qha nyob ntawm theem ntawm tus kab mob. Thaum pib ntawm txoj kev loj hlob ntawm pterygium, ib tug neeg tsis muaj kev tsis xis nyob los yog tsis xis nyob, txawm li cas los xij, nws yuav pom qee qhov induration ntawm lub qhov muag. Hauv cov theem tom qab, cov tsos mob yuav suav nrog:
- Muaj kev xav tsis tu ncua ntawm lub qhov muag ntawm lub cev txawv teb chaws. Xws li cov kab mob muaj qhov tshwj xeeb nyem, thiab thaum blinking, sab hauv ntawm daim tawv muag yog kov, qhov no ua rau muaj kev xav zoo sib xws.
- Kev tsim cov kua muag zaj duab xis cuam tshuam thiab, vim li ntawd, kev khaus khaus tshwm sim.
- Kev pom kev pom kev txo qis. Ib qho hnoos qeev loj tuaj ntawm lub qhov muag, yog li qhov pom kev tsis zoo. Nce kua muag, qhov muag ntshav, khaus tas li.
- Cov mucous ntawm lub qhov muag qhuav tas li.
- Ib qho opaque outgrowth tshwm rau ntawm pob kws. Los ntawm lub kaum sab xis ntawm lub qhov muagkis mus ntxiv.
- Hyperemia ntawm qhov muag.
- Thaum kuaj pom, pom qhov pom ntawm qhov muag ntawm sab ntawm lub qhov ntswg yog pom thaum pib ntawm tus kab mob. Ib daim duab peb sab, feem ntau tuaj ntawm lub qhov ntswg ntawm lub qhov muag, qee zaum mus txog ntawm tus menyuam kawm ntawv, muaj xim ciam teb.
Diagnosis
Kev kuaj mob ntawm pterygium yog qhov yooj yim heev, vim tias tus kws kho qhov muag pom tau qhov neoplasm nrog qhov muag liab qab. Tab sis nws yog ib qho tseem ceeb kom raug cais tus kab mob los ntawm lwm yam pathologies nrog cov tsos mob zoo sib xws, yog li ntawd, cov ncauj lus kom ntxaws hom kev tshuaj xyuas thiab tshuaj xyuas feem ntau yog siv rau. Nws tseem tuaj yeem txuas ntxiv mus kuaj nrog kev pab ntawm slit microscopy. Hom kev ntsuam xyuas no ua rau nws muaj peev xwm los tshuaj xyuas cov kab mob ntawm lub qhov muag kom ntxaws, thiab tib lub sijhawm nws tuaj yeem soj ntsuam seb lub cornea ntawm lub qhov muag tau loj hlob ua ke nrog pterygium, thiab txhawm rau txheeb xyuas cov kab mob ntawm lub qhov muag. degree ntawm kev loj hlob.
Kom paub meej txog theem ntawm pterygium, kws kho mob ua ophthalmoscopy, visometry thiab refractometry. Yog xav paub ntxiv, cov txheej txheem ultra-precise rau kev txiav txim siab cov duab ntawm pterygium tuaj yeem siv. Lawv yuav tsum tau ua kom paub meej txog kev kuaj mob ntawm pterygium rau relapses (raws li lacrimal muaj nuj nqi ntawm lub cornea ntawm lub qhov muag). Qhov no feem ntau yog ua tiav tom qab kev ua haujlwm tsis ntev los no. Keratotopography yog siv los txheeb xyuas daim ntawv thiab qhov twg ntawm tus kab mob. Thiab txhawm rau ntsuas thiab txheeb xyuas cov haujlwm ntawm cov hlab ntsha, kev tshuaj xyuas morphological ntawm cov ntaub so ntswg pterygium yog siv.
Tom qab kuaj pom tus kab mob no, kev kho mob yuav tsum tau ua, qhov twg hauv nwsLub hauv paus yog kev tshem tawm ntawm kev tsim. Kev kho mob feem ntau yog pib thaum lub pterygium ncav cuag qhov muag pom thiab cuam tshuam rau qhov pom kev zoo thiab zoo.
Yuav ua li cas tshem tawm qhov muag pterygium?
Kev kho tus kab mob tuaj yeem yog tshuaj kho mob (opthalmic tee) thiab phais (laser lossis riam tshem tawm). Hauv qee qhov chaw, pej xeem txoj kev tuaj hla, tab sis vim lawv tsis muaj pov thawj thiab cov txiaj ntsig thib ob nquag, nyob rau hauv daim ntawv ntawm kev tsis haum rau ntau yam tshuaj ntsuab, zib ntab, thiab lwm yam, cov zaub mov no yuav tsum tsis txhob siv nws tus kheej.
Kev kho mob ntawm qhov muag pterygium suav nrog tshuaj tua kab mob ntxuav thiab da dej; Nyob rau hauv cov ntaub ntawv ntawm o, desensitizing tee yog siv (piv txwv li, Alomid, Lekrolin), glucocorticosteroid tshuaj (raws li dexamethasone los yog hydrocortisone). Txhawm rau tshem tawm kom qhuav, moisturizing "cov kua muag cuav" raug sau tseg. Nws yuav tsum paub tias kev kho tshuaj tsis txo qhov kev txhim kho, tab sis tsuas yog ua kom yooj yim rau tus neeg mob qhov xwm txheej.
kev kho mob phais
Thaum tus me pterygium raug kuaj pom thiab yog tias cov tsos mob tsim nyog tsis txaus, tsis tas yuav kho. Yog hais tias pterygium nce, ces nws yuav tsum tau muab tshem tawm phais. Cov txheej txheem ntawm kev tshem tawm tus kab mob no zoo tib yam, thiab nws yuav siv sij hawm tsis tshaj nees nkaum feeb. Cov txheej txheem no yog nqa tawm ntawm qhov chaw ocular, tsis xav tau kev nkag mus ntxiv. tshem tawm thaum lub sijhawm ua haujlwm.pterygium cov ntaub ntawv, thiab qhov chaw uas nws nyob yog kaw nrog ib feem uas tsis muaj kab mob ntawm lub qhov muag daim nyias nyias, uas yog muab los ntawm lub cheeb tsam nyob rau hauv lub sab sauv daim tawv muag. Qhov no yog ua kom tsis txhob muaj tus kab mob rov qab los rau yav tom ntej, thiab tseem ua rau muaj txiaj ntsig zoo dua qub. Cov khoom yog tsau rau ntawm lub cornea, qhov no yog ua los ntawm kev thov rau 6 sutures los yog siv bio-adhesive. Kev siv cov kua nplaum yuav txo qhov tsis xis nyob thiab lav qhov txiaj ntsig zoo kom zoo nkauj. Tom qab tus kab mob no raug tshem tawm, ib yam khoom tshwj xeeb ("Mitomycin") yog siv, nws tiv thaiv kev rov tshwm sim ntawm tus kab mob. Qhov tshwm sim ntawm kev kis tus kab mob ntxiv, raws li txoj kev muab, tsis pub ntau tshaj tsib feem pua.
Feem ntau, kev ua haujlwm yog ua raws li tus qauv tshuaj loog. Ua ntej nws, koj tsis tuaj yeem noj lossis haus tsawg kawg peb teev dhau los. Tam sim ntawd tom qab ua haujlwm, qhov cuam tshuam yav dhau los ntawm lub qhov muag raug kaw nrog cov ntaub qhwv tshwj xeeb. Qhov chaw yuav tsum tau muab qhwv sab laug, thaum npog cov yas tiv thaiv, kom txog rau thaum lub sijhawm kws kho mob tau sau tseg. Hnub tom qab, tom qab kev ua haujlwm, koj yuav tsum pib poob rau hauv koj ob lub qhov muag nrog txhua qhov muag tee txhua peb teev. Qhov no yuav tsum tau ua tsis pub dhau peb caug hnub txij li hnub ua haujlwm. Koj tuaj yeem siv tsom iav yog tias koj siv lawv ua ntej ua haujlwm. Nws yuav tsis yooj yim rau rub lossis nias ntawm lub qhov muag, uas muab kev tiv thaiv ntxiv. Yog tias mob tshwm sim, koj tuaj yeem pib noj tshuaj loog.
Nyob rau lub sijhawm tomqab phais, koj tsis tas yuav pw saum txaj, koj tuaj yeem txav mus los ntawm chav tsev. Tsis muaj cov tshuaj txhuahais txog kev noj zaub mov thiab dej. Koj tuaj yeem da dej txhua lub sijhawm, qhov tseem ceeb yog tsis txhob ntub koj ob lub qhov muag rau thawj xya hnub tom qab ua haujlwm. Qhov ntev ntawm kev nyob hauv tsev kho mob tom qab ua haujlwm yog ob teev, tom qab ntawd koj tuaj yeem mus tsev yam nyab xeeb yog tias tus kws kho mob tau tso cai rau nws.
Muaj peev xwm pom tom qab phais
Thawj hnub tom qab kev ua haujlwm, qhov pom yuav tsis pom tseeb, tab sis xav tias tom qab ob peb hnub nws yuav rov qab mus rau qhov qub. Kev hloov tsom iav tas mus li feem ntau ua tau plaub lub lis piam tom qab kev phais.
Pab tau tom qab qhov tshwm sim
Kev ua haujlwm ntawm qhov haujlwm no yog qhov siab heev, thiab qhov tshwm sim tsis zoo yog qhov tsawg heev. Tej lub nra muaj xws li:
- tau los ntshav me ntsis;
- qhia txog kev kis tau;
- pom cov caws pliav lossis rov tshwm sim ntawm tus kab mob.
Nyob zoo
Cov neeg mob tom qab cov txheej txheem, txawm hais tias nws yuav siv li cas, tau muab tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob, uas yog tsom rau kev tshem tawm cov teeb meem. Yog tias tsim nyog, sau cov tshuaj moisturizing. Lub cornea twb tom qab tshem tawm ntawm lub pterygium muaj ib tug siab susceptibility. Ib qho mob pob txha raug tsim - nws tsis zoo rau tus neeg mob qhib nws lub qhov muag, muaj kua muag. Tom qab qhov txhab tau zoo lawm, cov cim qhia no ploj ntawm lawv tus kheej. Hauv qhov tshwj xeeb, nws tshwm sim:
- malignant hloov kho;
- ophthalmic kua perforation;
- retina detachment;
- pob txha caws pliav yuav tshwm sim.
Thawj thawj zaug tom qab qhov txheej txheem, qhov muag yuav pom tsis pom. Lub sijhawm kho dua tshiab yog ob peb lub lis piam. Qhov tseeb, ntau heev yog xav tau rau lub zeem muag kom rov qab mus rau nws lub xeev yav dhau los. Tom qab ua haujlwm no, pathologies thiab relapses feem ntau tshwm sim, vim li no nws yog ib qho tseem ceeb kom ua raws li tus kws kho mob cov lus qhia kom tsis txhob rov qab los ntawm tus kab mob.
khoom siv sab nraud
Txhawm rau ntxuav cov kab mob qhov muag, nws raug nquahu kom siv tshuaj yej nplooj ob peb zaug hauv ib hnub, dipping ib daim txhuam cev ntawm paj rwb. Lawv yuav tsum tau nqa tawm maj mam txav mus rau tus choj ntawm lub qhov ntswg, uas yuav ua rau nws muaj peev xwm tshem tau cov plua plav thiab lwm yam kab mob uas tau poob rau hauv qhov muag. Ib qho kev sib npaug zoo yog kev sib xyaw ntawm qhuav chamomile, siv tib txoj kev. Cov txheej txheem zoo li no ua rau nws ua tsis tau tsuas yog ntxuav lub cev ntawm lub zeem muag, tab sis kuj tshem tawm qhov mob. Tsis tas li ntawd, nws muaj peev xwm ua tau ophthalmic tee los ntawm cov khoom xyaw ntuj ntawm koj tus kheej. Koj yuav xav tau ib tug tablespoon ntawm cumin noob, tib tus nqi ntawm qhuav cornflower petals thiab plantain nplooj. Txhua yam yog crushed mus rau lub xeev ntawm hmoov thiab 200 milliliters ntawm boiling dej yog poured. Cov tee dej txias yog lim thiab siv li 5 zaug hauv ib hnub nrog lub pipette. 2-3 tee yuav tsum muab tso rau hauv txhua lub qhov muag.
rau kev siv sab hauv
Nrog saibTxhawm rau tswj qhov pom kev pom thiab kev noj qab haus huv ntawm lub qhov muag, nws raug nquahu kom siv cov tincture sab hauv ntawm ntuj calamus cag. Nws yog crushed nyob rau hauv ib tug npaum li ntawm 30-40 g, ncuav nrog ib khob ntawm vodka thiab insisted rau ib lub lim tiam. Siv cov tshuaj zoo sib xws 20 tee 2 zaug hauv ib hnub ua ntej noj mov. Lwm daim ntawv qhia yog ib qho infusion nrog crushed calendula paj. 20 g ntawm cov nroj tsuag no yog nchuav nrog ib khob ntawm cawv thiab infused rau kwv yees li 7 hnub. Tom qab ntawd, ua tib zoo lim thiab noj 15 tee tsawg kawg 3-4 zaug hauv ib hnub rau li ib hlis tom qab noj mov.
