Diplopia yog kab mob ntawm qhov muag pom, uas yog tus cwj pwm los ntawm kev ua haujlwm tsis zoo ntawm cov leeg oculomotor, ua rau muaj kev cuam tshuam ntawm cov duab pom. Hauv qhov no, cov duab hloov pauv tuaj yeem yog ntsug, kab rov tav thiab kab pheeb ces kaum.
Qee cov ntaub ntawv
Ib tug neeg tsis pom kev pom ib yam khoom pom meej ntawm ob lub qhov muag. Cov txheej txheem no ua haujlwm zoo los ntawm kev tsim cov duab hauv lub hlwb. Thiab diplopia yog qhov tshwm sim uas tus neeg mob pom ob daim duab ntawm ib qho tag nrho. Feem ntau qhov no pathology tsis nyob ntawm nws tus kheej, tab sis nrog rau txhua yam kab mob. Tsis tas li ntawd, cov mob ntawm congenital diplopia paub.
kab mob
Muaj ntau ntau yam ntawm cov kab mob no:
- Binocular diplopia yog tus cwj pwm los ntawm qhov tsis muaj cov duab zoo ntawm lub retina. Qhov no yog vim qhov kev hloov ntawm qhov pom axis ntawm ib lub qhov muag. Qhov no ntau yam yog subdivided rau hauv kev xav, strabogenic, lub cev muaj zog, orbital, sib xyaw kab mob. Nrog rau hom kab mob no, thaum ib lub qhov muag kaw, cov duab nres ob npaug.
- Monocular diplopia, uas yog tus cwj pwm los ntawm cov duab ntawm cov duab pom los ntawm ib lub qhov muag, ib txhij hauv ob qhov chaw ntawm retina. Feem ntau qhov tshwm sim no tshwm sim vim cov txheej txheem inflammatory nyob rau hauv lub iris los yog fogging ntawm lub lens. Yog tias koj kaw lub qhov muag, ob qhov muag pom nrog hom diplopia no yuav tsis ploj mus.
- Paralytic pathology tsim vim tuag tes tuag taw ntawm ib lossis ntau qhov muag nqaij.
- Cross saib, uas daim duab yog projected crosswise. Nyob rau hauv lwm yam lus, daim duab uas belongs rau sab xis lub qhov muag yog pom rau sab laug, thiab vice versa. Xws li cov kab mob ua rau muaj qhov tsis xis nyob hauv tus neeg mob.
Hom kab mob ntau tshaj
Hais txog ntau yam ntawm binocular diplopia:
- strabogenic pathology tsim nyob rau hauv cov neeg mob uas muaj ntau hom strabismus;
- orbital tuaj yeem tshwm sim tom qab kev phais ntawm lub cev pom;
- txwv tsis pub tawm tsam keeb kwm ntawm qhov muag raug mob nrog rau qhov tawv nqaij ntawm lub cev muaj zog lossis kev hloov pauv hauv qhov chaw ib txwm muaj ntawm cov kua.
daim duab kho mob
Ua ntej ntawm tag nrho, diplopia yog qhov tshwm sim ntawm myasthenia gravis. Nws tshwm sim vim muaj ntau yam tsis ua tiav ntawm qhov tseem ceeb ntawm qhov muag pom thiab kev tsis sib haum xeeb ntawm cov leeg nqaij ntawm ntau yam xwm txheej. Cov kab mob pathological no ua rau txo qis ntawm kev txav mus los ntawm lub cev lossis mus rau sab nraud ntawm lub qhov muag. Tsis tas li ntawd, diplopia tuaj yeem tshwm sim los ntawm kev hloov pauv pathological tshwm sim hauv lub voj voog, ua rau muaj qhov xwm txheej neurogenic.
Tus kab mob no tshwm sim nrog myasthenia gravis lossis tuag tes tuag taw ntawm cov leeg ntawm lub qhov muag lub luag haujlwm rau kev txav ntawm lub cev pom. Nyob rau hauv rooj plaub no, qhov sib xws ntawm cov pob qhov muag ploj. Tsis tas li ntawd, qee zaum, diplopia yog ib qho cim ntawm kev raug mob rau cov hlab ntsha uas muaj lub luag haujlwm rau kev ua haujlwm ntawm cov leeg.
Risk pawg
Ntawm lwm yam, muaj ntau ntau yam ua rau diplopia:
- ntau yam hematomas thiab qog uas cuam tshuam nrog qhov muag txav lossis ua rau tuag tes tuag taw;
- pob kws o - kab mob kho tsis tau sijhawm tuaj yeem ua rau muaj teeb meem xws li kev puas tsuaj rau cov leeg thiab cov hlab ntsha;
- mob ntshav qab zib neuropathy yog ib qho teeb meem ntawm ntshav qab zib uas tuaj yeem tshwm sim hauv cov neeg mob uas mob ntev;
- mob ntawm cov thyroid caj pas thiab endocrine system tag nrho;
- kev txav ntawm lub orbit vim muaj kev puas tsuaj sab hauv;
- Kev nce qib ntawm cov tshuaj pleev ib ce Botox tuaj yeem ua rau muaj kev cuam tshuam neuromuscular;
- kev raug mob rau lub voj voog, uas feem ntau tshwm sim tom qab kev puas tsuaj rau sab ciam teb ntawm lub qhov muag lossis cov leeg nqaij;
- dilation ntawm cov hlab ntsha carotid, uas yog vim li cas pinches cov hlab ntsha;
- vegetovascular dystonia tuaj yeem ua rau daim ntawv idiopathic ntawm diplopia, nyob rau hauv rooj plaub no tus kab mob nyob rau hauv cov teeb meem puas siab puas ntsws;
- raug mob rau pob txha taub hau uas rhuav tshem cov hlab ntsha oculomotor.
Kev sib tw
Tsis tas li ntawd, diplopia tuaj yeem yog qhov tshwm sim ntawm lwm cov kab mob loj:
- Neoplasms hauv pob txha taub hau, tuberculous meningitis, mob stroke, ntau yam sclerosis thiab lwm yam kab mob neurological.
- mob hnyav vim kev siv cawv lossis tshuaj.
- Botulism, uas yog tshwm sim los ntawm kev puas tsuaj rau lub paj hlwb ua rau cov tsos mob zoo ib yam li cov leeg ntawm qhov muag tsis muaj zog.
- kab mob Diphtheria, rubella, tetanus, mumps yog pathologies uas ua rau lub hlwb raug mob thiab cuam tshuam rau lub hauv nruab nrab lub paj hlwb.
- Thyrotoxicosis, vim yog cov leeg ntawm lub qhov muag o thiab txav mus los nyuaj.
- Mob ntshav qab zib mellitus, uas tus kab mob yog qhov thib ob thiab daws nws tus kheej nrog kev pheej hmoo rov qab los.
- Kev phais mob hauv lub hlwb, uas tau ua los tshem tawm cov kab mob cataracts, strabismus, retinal detachment.
- Psychic neuroses thiab tantrums.
Qee zaum cov neeg noj qab haus huv zoo kawg nkaus muaj qhov muag pom ob lub ntsej muag thaum saib cov khoom vim tsis tsaug zog, ua haujlwm nyuaj rau lub cev lossis kev txawj ntse, ua rau lub cev qaug zog ib ntus.
Symptoms
Cov tsos mob ntawm tus kab mob tshwm sim nyob ntawm seb qhov twg ua tsis tiav. Piv txwv li, yog tias cov leeg oblique raug mob, ces bifurcation tshwm sim raws li qhov chaw ntawm ib yam khoom rau saum lwm tus.
Thaum muaj kev puas tsuaj rau cov leeg nqaij ntawm lub qhov quav, diplopia yuav ua rau tus cwj pwm sib luag. Feem ntau, qhov no pathology yog tus cwj pwm los ntawm ntau theem ntawm kev sib txawv ntawm qhov muag hauvsab nraud ntawm cov ntaub so ntswg raug mob.
Vim li ntawd, muaj kev txwv tsis pub txav los sis txawm tias nws tsis ua tiav. Feem ntau, cov neeg mob raug yuam kom qaij lossis tig lawv lub taub hau txhawm rau txhawm rau daws qhov tsis xis nyob.
Ntawm cov tsos mob feem ntau ntawm diplopia yog:
- pawg duab;
- nyuaj nrhiav khoom;
- kiv taub hau.
Ntse
Ob daim duab zoo ib yam tuaj yeem sib txawv ntawm qhov sib txawv thiab qhov sib txawv. Ib daim duab tuaj yeem txav vertically lossis horizontally thiab muab tso rau ntawm lub kaum ntse ntse txheeb ze rau qhov thib ob.
Nrog meningitis, pob txha raug mob, kab mob sib kis, qog, pathologies ntawm vascular system, cov tsos mob ntawm diplopia yuav ua ke nrog cov cim qhia ntawm cov kab mob no. Hauv cov kab mob diphtheria, bifurcation tuaj yeem tshwm sim ntawm qhov kawg ntawm tus kab mob. Yog tias peb tham txog botulism, ces diplopia yuav yog ib qho ntawm cov tsos mob thawj zaug.
Diagnosis
Tus neeg mob twg tuaj yeem kuaj pom ob lub qhov muag tsuas yog hauv qhov chaw tshwj xeeb ophthalmological. Kev kuaj mob yog tsim nyog los txiav txim qhov chaw ntawm qhov tsis ua hauj lwm, kuaj xyuas qhov ua rau ntawm cov kab mob pathological thiab cov kev ntsuas ntxiv. Tus kab mob no muaj kev cuam tshuam rau:
- qhov muag nws tus kheej;
- nerve;
- pab qhov muag apparatus;
- hlwb.
Kev kuaj mobKev siv cov classical manipulations nyob rau hauv daim ntawv ntawm visiometry thiab ophthalmoscopy. Tsis tas li ntawd, kev ntsuam xyuas tag nrho ntawm conjunctiva, kev pom kev sib txawv, kev tsom xam ntawm qhov cuam tshuam ntawm lub teeb rays thiab kev pom kev pom tau raug ua. Tom qab tag nrho cov manipulations, tus kws tshwj xeeb mloog cov lus tsis txaus siab ntawm tus neeg mob nws tus kheej.
Kev kuaj xyuas yog ua los ntawm MRI, CT thiab ultrasound. Yog tias tsim nyog, tus kws kho mob tuaj yeem muab tus neeg mob xa mus rau kev sab laj nrog lwm tus kws kho mob tshwj xeeb: tus kws kho mob oncologist, kws kho mob rheumatologist, kws kho mob dermatovenereologist, kws kho mob neuro-ophthalmologist, kws kho hlwb, kws kho mob endocrinologist, kws kho mob hlwb.
Yog tias tus neeg mob muaj strabismus, diplopia ntawm lub qhov muag raug kuaj pom los ntawm kev npau taws thiab kev sib koom ua ke. Cov txheej txheem no suav nrog kev ntsuas qhov pom kev pom thiab qhov pom kev zoo. Tus neeg mob yuav tsum saib lub teeb txav mus rau qee lub sijhawm. Cov duab tshwm sim yog pauv mus rau ib daim ntawv qhia tshwj xeeb ntawm kev tswj hwm. Ua li no, tus kws tshaj lij tau txais lub sijhawm los txiav txim siab qhov mob ntawm cov leeg nqaij.
Yuav ua li cas thiab qhov twg kho diplopia
Tus neeg mob uas tau kuaj pom qhov no yuav tsum nkag siab tias cov tsos mob zoo li no tuaj yeem ua rau muaj mob hnyav thiab muaj teeb meem tam sim ntawd. Thiab txhawm rau kom tsis txhob muaj teeb meem tshwm sim, nws tseem ceeb heev kom nrhiav kev pab los ntawm tus kws tshaj lij.
Kev kho rau tus kab mob no yog txhawm rau tshem tawm qhov ua rau nws tshwm sim. Kev kho mob nws tus kheej yog ua los ntawm tus neeg mob sab nraud, nyob rau hauv kev saib xyuas ntawm tus kws kho mob tsim nyog hauv lub chaw kho mob tshwj xeeb. Muaj ob peb txoj kev kho mob zoo:
- Kev tshem tawm ntawm cov kab mob hauv lub voj voog - piv txwv li, hematoma puncture, nrog rau kev tshem tawm ntawm neoplasms.
- Kev kho mob stroke, nrog rau txhua yam ntawm neuropathic thiab neurological tsis ua haujlwm.
- Kho cov kab mob inflammatory thiab kis kab mob nrog diuretics, tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob.
- Kev kho tus kab mob hauv qab - kho kom rov ua haujlwm tag nrho ntawm cov paj hlwb.
- Yog qhov ua rau tus kab mob nyob hauv kev qaug cawv, thawj kauj ruam yog ntxuav tag nrho lub cev.
- Cov txheej txheem occlusion yog siv thaum ob peb lub paj hlwb raug cuam tshuam ib txhij. Txoj kev no suav nrog kev ua tsis tiav ntawm ib lub qhov muag. Tus kws kho mob tshwj xeeb muab cov tsom iav tshwj xeeb rau tus neeg mob lossis muab daim kab xev tshwj xeeb rau ntawm tsom iav.
- Prismatic txoj kev kho kom txo tau qhov tshwm sim ntawm pathology. Nyob rau hauv rooj plaub no, tus kws kho mob tshwj xeeb tshaj tawm kev siv cov tsom iav tshwj xeeb ua rau kev txiav txim, uas muaj lub lens hloov hauv nruab nrab. Tsis tas li ntawd, 6 prism diopters feem ntau siv rau txhua qhov muag.
- Kev phais. Xws li kev ua haujlwm cuam tshuam nrog kev hloov cov leeg mob me ntsis rov qab, thiab cov leeg hla yog sutured rau sclera. Qee zaum, cov ntaub so ntswg luv me ntsis kom them nyiaj rau kev ua haujlwm ntawm lwm yam kabmob.
kho mob gymnastics
Kev tawm dag zog rau qhov muag nrog diplopia. Qhov no yog ib qho tshwj xeeb gymnasticstsom rau kev nce kev pom thiab nws cov stabilization. Cov kev ua tau zoo tuaj yeem ua tiav tom tsev.
Ua li no, koj yuav tsum kho ib daim ntawv ntawm phab ntsa, tom qab kos ib daim kab xev rau ntawm nws. Tom qab ntawd koj yuav tsum kho koj ob lub qhov muag ntawm kab no, thaum tig koj lub taub hau mus rau qhov sib txawv.
Lub hom phiaj ntawm kev ua si gymnastics yog kom daim duab tsis zoo. Qhov kev tawm dag zog no tsuas yog siv tau nrog kev ua tsis tiav ntawm pathology. Yog tias tus neeg mob tau kuaj pom tias "sensory diplopia", nws yuav tsum tau muab ob lub strips rau hauv ib daim duab.
tshuaj ntsuab
Kev kho mob ntawm diplopia tuaj yeem koom nrog ntau dua li cov txheej txheem ib txwm muaj. Folk zaub mov txawv nyob rau hauv kev sib ntaus tawm tsam manifestations ntawm pathology yog tsis muaj tsawg zoo:
- Tincture raws li cawv dawb, qhuav valerian thiab lavender nplooj. Cov khoom xyaw no yuav tsum tau tov thiab infused rau tsawg kawg peb hnub. Cov tais diav nrog kua yuav tsum tau shaken ib ntus. Tom qab cov khoom tiav lawm, nws tseem tsuas yog strain. Cov tincture yuav tsum tau noj li ib nrab teev ua ntej noj mov, ib diav ib hnub.
- Paj paj ntoos kuj muaj npe nrov rau nws cov khoom kho. Rau ib hlis, koj yuav tsum noj ib teaspoon ntawm cov tshuaj no thaum sawv ntxov thiab yav tsaus ntuj.
- Vitamin nqi. Xws li cov tshuaj yuav tsum tau noj tas li. Piv txwv li, Tincture tuaj yeem ua los ntawm rosehips thiab viburnum. Cov khoom sib npaug ntawm qhov sib npaug yuav tsum tau nchuav nrog dej thiab boil rau 15 feeb dhau qhov cua sov. Tom qab txias, cov kua yuav tsum tau lim. Siv cov khoom yuav tsum yog 100 ml ob zaug ib hnub.
Kev Tiv Thaiv Kev Ua Haujlwm
Tus kab mob no muaj qhov tshwm sim tsis tau tshwm sim, yog li kev tiv thaiv hauv qhov no tsuas yog ua kom muaj zog ntxiv xwb. Koj tuaj yeem txo qhov kev pheej hmoo ntawm diplopia yog:
- tshem tawm txhua yam cwj pwm phem, xws li haus luam yeeb lossis haus cawv;
- coj txoj kev ua neej nquag - taug kev, ua haujlwm, tawm dag zog txhua hnub;
- saib hom kom raug - pw tsaug zog yuav tsum kav tsawg kawg yim teev;
- ua raws txhua qhov kev xeem tsim nyog;
- ntsuas ntshav siab tas li;
Yog tias koj ntsib cov tsos mob me me, koj yuav tsum hu rau tus kws kho mob tam sim.
