Ptosis ntawm daim tawv muag sab sauv yog ib qho teeb meem tshwm sim los ntawm cov neeg laus thiab menyuam yaus. Pathology yog nrog los ntawm omission ntawm cov ntaub so ntswg ntawm daim tawv muag sab sauv - nyob rau hauv lub xeem theem, daim tawv muag tag kaw lub qhov muag. Txawm tias muaj tseeb hais tias feem ntau ptosis pom tau tias yog ib qho kev kho kom zoo nkauj, qee zaum cov kab mob ua rau muaj teeb meem.
Yog vim li cas coob leej thiaj nrhiav tau cov ntaub ntawv ntxiv. Vim li cas pathology tsim? Cov tsos mob dab tsi los saib xyuas? Yuav kho ptosis ntawm daim tawv muag sab sauv li cas? Kev ua haujlwm thiab cov yam ntxwv ntawm lub sijhawm tom qab phais, zaws, kev kho kom zoo, cov zaub mov noj tshuaj - cov no yog cov ntaub ntawv tseem ceeb uas yuav tsum tsis txhob ignored.
Kev piav qhia luv luv ntawm pathology
Ptosis yog ib yam mob uas muaj nrog rau ntawm daim tawv muag sab sauv kom nws npog lub iris los ntawm 2 hli los yog ntau tshaj. Tsis tas li ntawd, tus kab mob no tau hais txog yog tias ib daim tawv muag qis dua lwm qhov.
mob tauyuav tau ob leeg congenital thiab tau. Nyob rau hauv txhua rooj plaub, nws yuav tsum to taub hais tias qhov no tsis yog tsuas yog ib tug kho kom zoo nkauj tsis xws luag. Piv txwv li, nyob rau hauv cov neeg laus, qhov no pathology ua rau txoj kev loj hlob ntawm qhuav qhov muag syndrome, provokes kev loj hlob ntawm ntau yam inflammatory kab mob. Yog tias peb tab tom tham txog daim tawv muag poob rau hauv tus menyuam, ces nws yuav tsum nkag siab tias ptosis tuaj yeem cuam tshuam nrog kev loj hlob ntawm qhov pom kev tsom xam.
Ptosis ntawm daim tawv muag sab sauv: ua rau tshwm sim
Cov kab mob zoo li no tuaj yeem tshwm sim ntawm cov hnub nyoog sib txawv. Qhov ua rau ptosis ntawm daim tawv muag sab sauv yog qhov tsim nyog xav txog. Yog tias peb tab tom tham txog cov kab mob hauv lub cev, feem ntau nws tshwm sim ntawm keeb kwm yav dhau:
- ntau yam tsis txaus ntseeg hauv kev loj hlob ntawm cov nqaij ntshiv uas tsa lub qhov muag sab sauv (feem ntau cov kab mob no ua ke nrog amblyopia thiab strabismus);
- puas tsuaj rau cov paj hlwb uas tswj kev ua haujlwm ntawm lub ntsej muag lossis oculomotor qab haus huv.
Cov kab mob kis tau tuaj yeem tiv thaiv keeb kwm yav dhau los ntawm kev cuam tshuam rau qee yam kev pheej hmoo. Nyob ntawm etiology, ptosis tau muab faib ua hom hauv qab no.
- Neurogenic ptosis yog qhov tshwm sim ntawm cov kab mob neurological. Piv txwv li, pathology tuaj yeem tsim tawm tsam keeb kwm yav dhau los ntawm ischemic nres, ntau yam sclerosis. Cov ua rau kuj muaj xws li tsim cov qog nyob rau hauv lub hlwb, nrog rau meningitis, neuritis ntawm lub ntsej muag paj hlwb. Ptosis hauv cov xwm txheej zoo li no tuaj yeem ntxiv los ntawm kev thim qhov muag, tuag tes tuag taw, dilation lossis nqaim ntawm cov menyuam kawm ntawv (feem ntau yog ib sab).
- Aponeurotic ptosis tshwm sim vim tsis muaj zog lossis kev sib twcov leeg uas yog lub luag hauj lwm rau lifting daim tawv muag sab sauv. Feem ntau, xws li pathology yog qhov tshwm sim ntawm kev phais kho kom zoo nkauj tsis raug.
- Mechanical ptosis yog qhov tshwm sim ntawm kev raug mob rau daim tawv muag lossis qhov muag. Omission ntawm daim tawv muag tej zaum yuav tshwm sim los ntawm kev nkag mus rau hauv lub conjunctival kab noj hniav ntawm txawv teb chaws lub cev. Cov pab pawg muaj kev pheej hmoo hauv qhov no suav nrog cov neeg ncaws pob, nrog rau cov neeg sawv cev ntawm qee qhov haujlwm, tshwj xeeb, cov vuam, cov miners, thiab lwm yam.
- Qee tus neeg muaj ptosis cuav. Nyob rau hauv cov ntaub ntawv no, tsis muaj drooping ntawm daim tawv muag - lub tswv yim yog tsim los ntawm cov tsos ntawm daim tawv nqaij folds ntawm daim tawv muag. Raws li txoj cai, cov neeg mob laus ntsib teeb meem zoo sib xws.
Ptosis ntawm daim tawv muag sab sauv: duab thiab cov tsos mob
Daim duab kho mob feem ntau nyob ntawm qhov ua rau ntawm pathology, nrog rau qib ntawm nws txoj kev loj hlob. Ptosis ntawm daim tawv muag sab sauv yog nrog los ntawm kev poob ntawm daim tawv muag, uas ua rau kom tiav lossis ib nrab kaw ntawm lub qhov muag.
Tus kab mob feem ntau maj mam zuj zus. Subconsciously, tus neeg mob tenses cov leeg ntawm lub hauv pliaj thiab tsa lub pob muag, sim rub daim tawv muag. Txij li thaum daim tawv muag qis qis, lub blinking txav yog cuam tshuam - lub qhov muag sai heev. Ib tug neeg yws txog qhov mob tas li thiab kub hnyiab ntawm qhov muag.
Qhov zaus ntawm blinking txo qis, uas maj mam ua rau kev puas tsuaj rau cov kua muag zaj duab xis - qhov no yog qhov mob qhov muag qhuav, uas tsuas ua rau qhov xwm txheej hnyav dua. Cov neeg mob raug kev txom nyem los ntawm qhov tsis xis nyob ntawm qhov muag. Nws kuj ua rau muaj kev pheej hmoo ntawm kev tsim inflammatorythiab kis kab mob qhov muag.
Cov menyuam yaus feem ntau raug kev txom nyem los ntawm ptosis ntawm daim tawv muag sab sauv. Cov kws kho mob cov lus qhia tau hais tias nws yog ib qho nyuaj rau kev txheeb xyuas qhov mob thaum ntxov, txij li thaum tus me nyuam yuav luag tas li nyob hauv txoj hauj lwm kab rov tav - poob ntawm daim tawv muag tsis pom zoo. Cov tsos mob tsuas yog tshwm sim los ntawm kev ntsais sai sai thaum noj mov, txawm li cas los xij, qhov kev ua txhaum cai no tsis pom nyob hauv txhua tus neeg mob me.
Thaum hnub nyoog laus zuj zus, tus menyuam yuav muaj kev tswj tsis tau cov leeg nqaij ntawm qhov cuam tshuam ntawm lub ntsej muag - feem ntau yuam kev rau lub paj hlwb. Qee zaum tus me nyuam yws yws ntawm qhov muag nrawm nrawm. Thaum nyeem ntawv, sau ntawv, lossis lwm yam dej num, tus neeg mob me feem ntau cuam nws lub taub hau rov qab, sim ua kom daim tawv muag rov qab los rau nws txoj hauj lwm ntuj.
Congenital ptosis ntawm daim tawv muag sab sauv feem ntau cuam tshuam nrog lwm yam pathologies. Piv txwv li, qee cov me nyuam yuav pom ib daim tawv nqaij overhanging daim tawv muag sab sauv (epicanthus). Ua tau tuag tes tuag taw ntawm cov leeg oculomotor, strabismus, nrog rau kev puas tsuaj rau lub pob kws, uas yog fraught nrog tsis pom kev.
Kev faib tawm: cov ntaub ntawv thiab hom kab mob
Kev kho ntawm ptosis ntawm daim tawv muag sab saud ncaj qha nyob ntawm hom thiab theem ntawm kev loj hlob ntawm cov kab mob. Saum toj no, kev faib tawm ntawm pathology tau txiav txim siab nyob ntawm qhov ua rau nws tshwm sim.
Tsis tas li ntawd, ptosis ntawm daim tawv muag sab sauv tuaj yeem ua rau los yog kis tau. Pathology feem ntau yog unilateral, txawm hais tias muaj peev xwm ntawm ob sab lesion tsis suav nrog (muaj.omission ntawm ob daim tawv muag ib zaug).
Thaum lub sijhawm kuaj mob, qib ntawm kev tso tseg kuj tseem suav nrog. Nyob ntawm qhov no, peb daim ntawv yog qhov txawv:
- ib nrab ptosis - daim tawv muag sab sauv npog tsis pub ntau tshaj li ib feem peb ntawm cov menyuam kawm ntawv;
- tsis tiav ptosis - tus menyuam kawm ntawv tau kaw ib nrab;
- ua tiav ptosis - muaj tag nrho ntawm daim tawv muag, cov menyuam kawm ntawv kaw tag, vim qhov muag tsis ua haujlwm.
ntsuas ntsuas
Qhov tseeb, kev kuaj mob tsis tshua nyuaj. Twb tau thaum kuaj pom, tus kws kho mob yuav pom tias muaj ptosis ntawm daim tawv muag sab sauv. Nws yog ib qho tseem ceeb heev kom paub qhov degree ntawm daim tawv muag poob. Qhov dav ntawm palpebral fissure kuj ntsuas, qib ntawm kev txav ntawm pob muag thiab pob muag, qhov sib luag ntawm qhov chaw ntawm daim tawv muag, thiab lwm yam.
Yog tias muaj qhov tsis txaus ntseeg ntawm qhov muag tsis pom kev, ces qhov kev kuaj mob ntxiv yog qhov yuav tsum tau ua. Tshwj xeeb, nws yog ib qho tseem ceeb los xyuas qhov pom kev pom, hloov lub kaum sab xis ntawm strabismus (yog tias muaj), thiab txiav txim siab qhov chaw nyob. Kuj tau ua perimetry thiab exophthalmometry, txoj kev kawm ntawm lub zeem muag binocular.
Thaum tus neeg kho tshuab ptosis, tus neeg mob kuj raug xa mus rau x-ray ntawm lub orbit - qhov no yuav pab kom paub meej lossis tsis suav nrog kev puas tsuaj rau cov pob txha. Yog tias muaj qhov tsis txaus ntseeg ntawm cov keeb kwm neurogenic ntawm ptosis, tom qab ntawd tus neeg mob tau pom cov hlau nplaum resonance lossis suav tomography.
kho mob Ptosis conservatively
Daim tawv muag sab sauv ptosis tuaj yeem kho tau qee kisnyob rau hauv ib txoj kev conservative. Nws yuav tsum raug sau tseg tam sim ntawd tias kev kho mob rau tus kab mob no feem ntau yog tsom rau kev ua haujlwm ntawm lub ntsej muag tsom iav thiab tsuas yog tom qab ntawd tshem tawm cov teeb meem tshuaj pleev ib ce.
Txoj kev kho mob suav nrog kev zaws ntawm qhov cuam tshuam ntawm lub ntsej muag, nrog rau kev tawm dag zog tshwj xeeb. Qee lub sij hawm cov neeg mob yog cov tshuaj uas ua rau kom cov ntshav ncig thiab khoom noj khoom haus ntawm cov paj hlwb. Yog tias ptosis tshwm sim los ntawm kev txhaj tshuaj botulinum toxin, cov neeg mob tau muab tshuaj rau qhov muag, uas muaj phenylephrine, alfagan, thiab lopidine. Cov tshuaj no ua rau kom cov leeg nqaij oculomotor nce, ua rau daim tawv muag nce.
Qee lub sijhawm kho lub cev muaj txiaj ntsig, tshwj xeeb, galvanization (kev cuam tshuam rau thaj chaw cuam tshuam nrog cov hluav taws xob tam sim no) thiab kev kho mob siab heev (lub pob txha raug cuam tshuam los ntawm cov hluav taws xob ntau zaus).
massage
Yuav kho ptosis ntawm daim tawv muag li cas? Feem ntau, massage yog suav nrog hauv txoj kev kho mob, uas, los ntawm txoj kev, tuaj yeem ua rau nws tus kheej. Cov txheej txheem hauv qhov no yog qhov yooj yim heev.
- Ua ntej koj yuav tsum npaj. Ob txhais tes raug pom zoo kom ntxuav thiab kho nrog tshuaj tua kab mob. Cov tawv nqaij ib ncig ntawm lub qhov muag kuj yuav tsum tau ntxuav, tshem tawm cov seem ntawm cov tshuaj pleev ib ce.
- Cov tawv nqaij tau kho nrog cov roj zaws, tom qab ntawd maj mam, stroking txav los ntawm lub kaum sab hauv ntawm lub qhov muag mus rau sab nrauv.
- Tom qab cov ntaub so ntswg twb sov lawm, koj tuaj yeem txav mus rau tapping, txav ntawm daim tawv nqaij ncigqhov muag. Tsis txhob kov lub qhov muag.
- Tom ntej no, nws raug nquahu kom npog qhov muag ob peb feeb nrog paj rwb pads dipped hauv chamomile infusion.
Gymnastics rau qhov muag
Kho ptosis ntawm daim tawv muag sab sauv yam tsis muaj kev phais suav nrog kev tawm dag zog lub ntsej muag.
- Zaum rov qab los so, saib tom ntej. Tam sim no ncig koj ob lub qhov muag tsib zaug (clockwise). Kev tawm dag zog yuav tsum tau ua kom maj mam, tsis muaj kev ntxhov siab.
- Ua ntej saib, tom qab ntawd qhib koj lub qhov ncauj thiab pib ntsais muag ntau zaus. Thaum xub thawj, qhov kev tawm dag zog yuav tsum kav 30 vib nas this, tab sis maj mam lub sijhawm no tuaj yeem nce ntxiv.
- Kaw koj ob lub qhov muag, suav rau tsib, ces qhib koj ob lub qhov muag dav thiab saib tom ntej. Qhov kev tawm dag zog yuav tsum rov ua dua rau lub sijhawm.
- Tig koj lub taub hau rov qab, tom qab ntawd kaw koj lub qhov muag thiab nyob twj ywm li ob peb feeb.
Tau kawg, cov txheej txheem zoo sib xws yuav tsum tau ua txhua hnub (zoo dua 2-3 zaug hauv ib hnub). Nws ntseeg tau tias qhov kev kho mob gymnastics pab tsis tsuas yog cuam tshuam nrog cov tawv muag poob - nws kuj muaj txiaj ntsig zoo rau kev pom. Cov dej num no pab txhawb cov leeg nqaij, txhim kho cov ntshav ncig, thiab ua kom tawv nqaij.
kev kho neeg zoo
Ntau tus neeg xav paub seb ptosis puas tuaj yeem kho tau hauv tsev. Tau kawg, qee cov zaub mov txawv tshuaj yuav pab kom nruj thiab ua kom tawv nqaij. Txawm li cas los xij, cov kev kho zoo li no tsuas yog siv tau nrog kev tso cai los ntawm kws kho mob thiab nkaus xwbas pab.
- Ice yog ib qho kev pabcuam zoo hauv kev tawm tsam ntawm daim tawv nqaij sagging. Rau cov txheej txheem, ib tug decoction ntawm yuav luag txhua yam tshuaj ntsuab yog haum, piv txwv li, chamomile paj, raws li zoo raws li sage, parsley, thiab lwm yam. Ncuav lub decoction rau hauv pwm thiab khov. Txhua txhua hnub, kho cov tawv nqaij ntawm daim tawv muag thiab ib ncig ntawm lub qhov muag nrog lub khob dej khov (cov txheej txheem yog qhov zoo tshaj plaws tom qab ntxuav nrog dej sov).
- Decoctions ntawm cov tshuaj ntsuab kuj siv tau rau compresses. Rau lub hom phiaj no, birch nplooj, parsley yog haum. Nyob rau hauv ib tug chilled broth, blot gauze los yog paj rwb ncoo, uas ces siv rau daim tawv muag. Lub compress yuav tsum nyob twj ywm li ntawm 10 feeb.
- Perfectly tones, nourishes thiab tightens daim tawv nqaij daim npog qhov ncauj. Rau nws cov kev npaj, tsuas yog lub yolk yog siv, uas yuav tsum tau tov nrog ib tug me me ntawm cov txiv ntseej los yog noob hnav roj. Yeej cov khoom xyaw kom txog thaum lub homogeneous loj tau txais - qhov sib xyaw ua ke yuav tsum tau kho nrog daim tawv nqaij ntawm daim tawv muag thiab sab laug rau 20 feeb. Cov khoom seem yog ntxuav tawm nrog dej sov.
- Rau lub qhov ncauj qhov ntswg, koj tuaj yeem siv cov roj tseem ceeb ntawm rosemary, lavender thiab thyme (lawv tau tov nrog cov roj zaub). Lawv muaj anti-inflammatory zog thiab soothe ntawm daim tawv nqaij.
Cov txheej txheem zoo li no txhim kho cov tawv nqaij, ua kom nws lub suab, thiab qhov no muaj txiaj ntsig zoo rau ntawm daim tawv muag.
Surgery
Hmoov tsis zoo, ntau tus neeg mob thaum kawg yuav tsum tau phais ptosis sab sauv. Kev tshuaj xyuas ntawm cov kws tshaj lij paub meej tias qhov no yog, kab tias,tib txoj kev kho tau zoo tiag tiag. Txog niaj hnub no, ntau txoj hauv kev tau tsim.
- Qee zaum daim tawv muag tau kho los ntawm kev xaws nws mus rau cov leeg hauv ntej. Cov txheej txheem, raws li txoj cai, yog nqa tawm nrog kev txav tsis txaus ntawm daim tawv muag. Nws yuav tsum tau muab sau tseg hais tias lub cosmetic nyhuv ntawm xws li ib tug txheej txheem tsis yog li ntawd pronounced. Txawm li cas los xij, kev ua haujlwm tsis tshua ua rau muaj teeb meem.
- Yog tus neeg mob muaj daim tawv muag txav mus los, tus kws kho mob tuaj yeem txiav txim siab kho cov leeg ib nrab uas txhawb nqa daim tawv muag. Cov nqaij luv luv yuav tsis cia daim tawv muag poob ntau dhau. Cov txheej txheem yog yooj yim: los ntawm ib tug me me incision nyob rau hauv daim tawv nqaij ntawm lub sab sauv daim tawv muag, tus kws phais neeg tsim kev nkag mus rau cov leeg nqaij, excised ib feem ntawm nws, tom qab uas ib feem me me ntawm daim tawv nqaij quav raug tshem tawm.
- Nrog rau qhov zoo ntawm daim tawv muag sab sauv, tus kws kho mob yuav txiav txim siab siv qhov sib npaug ntawm cov leeg nqaij aponeurosis. U-shaped suture yog muab tso rau ntawm cov leeg uas nqa daim tawv muag. Vim li no, qhov ntev ntawm cov leeg txo qis - daim tawv muag nce thiab siv nws txoj haujlwm ntuj.
Kev kho mob tom qab tus txheej txheem tsuas siv ob peb hnub xwb.
Kev ntsuas rau cov neeg mob
Ptosis ntawm daim tawv muag sab sauv yog ib qho kab mob tsis zoo uas yuav tsum tsis txhob quav ntsej. Nws yuav tsum tau hais tam sim ntawd tias cov txheej txheem kev saib xyuas kev kho mob tsis tshua muaj txiaj ntsig zoo, txawm hais tias kev tawm dag zog tsis tu ncua, zaws tus kheej thiab lwm cov txheej txheem pab txo qis cov txheej txheem ntawm daim tawv muag poob.
Txawm li cas los xij, feem ntau, tsuas yog kev kho mob zoo rau ptosis ntawm daim tawv muag sab sauv yog kev phais. Qhov kev cia siab rau cov neeg mob yog qhov zoo. Tab sis yog tias tsis kho, tus kab mob tuaj yeem ua rau txo qis qhov pom kev. Ntxiv mus, qee zaum cov neeg mob tsim qhov hu ua tub nkeeg qhov muag syndrome. Amblyopia yog ib qho pathology, vim tias ib lub qhov muag tsuas yog tsis ua haujlwm, thiab thaum tsis muaj kev kho mob, cov qauv ntawm qhov pom kev tsom xam maj mam atrophy.
