Dab tsi yog qhov muag qhov muag liab? Yuav kho tus kab mob no li cas? Koj yuav pom cov lus teb rau cov lus nug no thiab lwm yam hauv kab lus. Qhov muag liab syndrome yog ib tug complex ntawm cov tsos mob uas tshwm sim nrog inflammatory kev puas tsuaj rau daim tawv muag, pob kws los yog conjunctiva, kua muag ducts. Xav txog qhov kev txom nyem hauv qab no.
Short description
Kho mob, qhov muag liab qhov muag tuaj yeem tshwm sim los ntawm edema, hyperemia, mob, nce tearing, pom kev ua haujlwm tsis zoo. Txhawm rau tsim kom muaj qhov tshwm sim, cov kws kho mob ua visometry, biomicroscopy, ultrasound, tonometry, perimetry, gonioscopy, ophthalmoscopy.
Txoj kev kho mob suav nrog kev siv tshuaj tua kab mob, tshuaj tiv thaiv kab mob, NSAIDs, tshuaj tua kab mob, glucocorticosteroids thiab mydriatics.
mob li cas no?
Red eye syndrome yog ib qho kev mob tshwm sim hauv cov tshuaj kho qhov muag. Tsis muaj cov ntaub ntawv txheeb xyuas tseeb ntawm cov kab mob sib kis ntawm tus kab mob, uastshwm sim los ntawm ntau tus kab mob keeb kwm yav dhau los cuam tshuam nws txoj kev loj hlob.
Nws tau tshwm sim tias ntau dua 75% ntawm cov pejxeem muaj cov tsos mob ntawm qhov sib txawv ntawm cov kab mob pathological lossis lub cev lub cev. Qhov ntsuas no nyob rau hauv cov ntaub ntawv ntawm kev puas tsuaj rau thaj tsam sab hauv ntawm lub qhov muag mus txog 95-98%. Tus kab mob tuaj yeem tshwm sim thaum twg los tau. Poj niam thiab txiv neej raug cuam tshuam nrog tib zaus. Lub anomaly yog ubiquitous.
Kev tshwm sim
ophthalmology piav qhia qhov tshwm sim ntawm qhov muag liab li cas? Qhov no pathology yog suav hais tias yog ib tug complex ntawm cov tsos mob uas characterizes lub pathological txheej txheem nyob rau hauv lub cheeb tsam ntawm lub anterior ib feem ntawm lub qhov muag.
Cov yam tseem ceeb rau kev loj hlob ntawm tus kab mob yog cov kab mob metabolic thiab autoimmune disorders, kev siv cov lo ntsiab muag ntev, ua rau muaj kev tsis haum xeeb, mob ntshav siab. Cov hauv paus ntsiab lus ntawm kev nce qib suav nrog:
- Kev cuam tshuam ntawm cov tshuaj lom neeg. Kev txhaj tshuaj ntawm cov hlab ntsha ntawm daim nyias nyias - nquag tshuaj tiv thaiv rau cov tshuaj, cov tshuaj pleev ib ce zoo nkauj, cov ntsiab lus chlorine siab hauv dej, cov khoom kho qhov muag.
- Kab mob ntawm cov pob muag. Cov kab mob uas peb tab tom txiav txim siab yog ib qho tshwm sim ntawm ib qho abscess ntawm daim tawv muag, dacryocystitis, blepharitis, keratitis, conjunctivitis, dacryoadenitis.
- Kev qaug zog. Overstrain ntawm cov leeg ntawm lub qhov muag ua rau muaj kev cuam tshuam ntawm cov ntshav thiab cov tsos mob ntawm hyperemia. Nov yog qhov tshwm sim ntawm lub cev uas ploj mus ntawm nws tus kheej.
- Nkag mus rau hauv kab noj hniavlub cev txawv teb chaws. Pathology tshwm sim thaum lub conjunctiva khaus los ntawm txawv teb chaws lub cev - pa luam yeeb, plua plav lossis tshuaj pleev ib ce.
- Kab mob ntawm qhov muag. Kev txhaj tshuaj ntawm cov hlab ntsha ntawm conjunctiva yog ib qho cim qhia ntawm syphilis, toxoplasmosis, chlamydia.
- Kev tsis haum tshuaj. Txoj kev loj hlob ntawm cov tsos mob provokes ib qho kev tsis haum rau paj paj, paj ntoos, tsiaj plaub hau.
- Dry eye syndrome. Txoj kev loj hlob ntawm tus kab mob yog vim muaj kev tsis sib haum xeeb nyob rau hauv cov txheej txheem ntawm tsim kua muag, uas underlies xerophthalmia.
- mob ntshav. Cov tsos mob hauv tsev kho mob tuaj yeem paub meej tias muaj tus kab mob von Willebrand, hemophilia, idiopathic thrombocytopenia, thrombocytopenic purpura, disseminated intravascular coagulation (DIC) syndrome.
Los ntawm txoj kev, yog tias koj siv sijhawm ntau ntawm lub computer, piv txwv li, ua si qhov kev ua si nto moo GTA San Andreas: Beta, koj kuj tau muab qhov muag liab.
Pathogenesis
Qhov tseem ceeb hauv cov txheej txheem ntawm cov tsos mob ntawm tus mob peb tab tom xav txog yog muab rau kev nce hauv permeability ntawm phab ntsa ntawm cov hlab ntsha. Qhov no ua rau kev tso tawm cov tshuaj vasoactive mus rau hauv cov hlab ntsha: bradykinin, thromboxane A2, histamine, interleukins 1, 2, 6, 8.
Tsawg zaus, hyperemia tshwm sim vim qhov tsis xws luag hauv kev txhim kho cov hlab ntsha, tshwm sim los ntawm thinning ntawm phab ntsa lossis hloov pauv ntawm cov ntshav rheological zoo. Vim li ntawd, lub vascular network tau pom meej meej ntawm qhov muag ntawm lub qhov muag.
Thaum qhov kev ncaj ncees ntawm cov phab ntsa capillary puas lawm, los ntshav tshwm sim nrog kev tsim ntawm cov cheeb tsam loj ntawm hemorrhage.
Symptoms
thawj qhov tshwm sim ntawm tus kab mob yog hyperemia ntawm conjunctival nto, uas tom qab ntawd tau koom nrog los ntawm cov ntu me me ntawm cov hemorrhage nyob rau thaj tsam ntawm lub limbus.
Raws li txoj cai, qhov pib tshwm sim sai heev, qhov tshwm sim prodromal tshwm sim tsuas yog hauv cov kab mob sib kis ntawm tus kab mob. Nrog rau daim ntawv unilateral, cov menyuam kawm ntawv yuav raug kuaj pom ntawm sab ntawm qhov txhab.
Cov neeg mob yws ntawm "ntim opacities" lossis "flies" ua ntej ob lub qhov muag. Muaj qhov kev xav ntawm "xuab zeb nyob rau hauv lub qhov muag", uas tsim los ntawm kev nthuav dav ntawm cov hlab ntsha ntawm conjunctiva.
Yog ib tug neeg muaj qhov muag liab, nws yuav mob dabtsi? Lub saturation ntawm qhov mob syndrome muaj xws li ib qho kev xav ntawm qhov tsis xis nyob mus rau qhov pom tseeb qhov mob, uas yog nrog los ntawm irradiation mus rau lub cev nqaij daim tawv, superciliary arches, thiab tsis muaj peev xwm qhib daim tawv muag.
Cov neeg mob qhia o, khaus, nce lacrimation. Cov tsos mob ntawm tus kab mob yog photophobia. Nrog rau kev mob hnyav, cov xim daj, dawb los yog ntsuab sawv tawm ntawm qhov nruab nrab ntawm lub qhov muag. Kev pom kev tsis pom kev yog qhia nyob rau hauv qhov tsos ntawm "daim ntaub thaiv" los yog "huab" ua ntej ob lub qhov muag, qhov pom kev tsis pom kev.
Ib qho tshuaj pleev ib ce tsis zoo tshwm sim. Cov txheej txheem rov tshwm sim ntawm tus mob hauv cov menyuam yaus ua rau cov txheej txheem hloov pauv hauv zej zog. Nrog kev tsis haum xeeb, cov tsos mob tshwm sim thaum lub sij hawm cuam tshuam ntawm allergens, caij nplooj ntoos hlav-Autumn seasonality yog tsau.
Cov tsos mob thaum lub sijhawm kev loj hlob tawm tsam keeb kwm ntawm kab mob
Thaum tus mob tshwm sim tawm tsam keeb kwm yav dhauconjunctivitis ntawm lub qhov muag, qhov kev hloov ntawm lub cornea tsis pom pom, tab sis nws dhau los ua rhiab heev. Nrog dacryocystitis, nrog rau tag nrho cov cim saum toj no, cov kab mob pathological nrog cov cheese zoo sib xws raug tso tawm los ntawm lub lacrimal punctum qis thaum nias rau ntawm lub hnab lacrimal.
Hauv cov neeg mob, ntxiv rau qhov dav dav pathogenesis tawm tsam keeb kwm ntawm iridocyclitis, xim ntawm iris hloov pauv, cov tub ntxhais kawm raug hloov kho. Hauv qhov projection ntu ntawm lub cev ciliary, qhov mob feem ntau hais tau.
Thaum muaj mob tshwm sim ntawm keeb kwm ntawm blepharitis, cov cim qhia tau tshwm sim los ntawm kev poob ntawm cov plaub muag, liab ntawm daim tawv muag, muaj cov nplais ntawm daim tawv nqaij thiab nruab nrab ntawm cov plaub muag, cov kab mob ulcerative ntawm daim tawv nqaij ntawm daim tawv muag.
Kev nyuaj siab
Nrog rau qhov ua tsis tau zoo ntawm kev ntsuas kev kho mob ntawm ib feem ntawm lub pob txha, cov teeb meem xws li clouding lossis dystrophic-degenerative transformations, kab mob keratitis tuaj yeem tshwm sim. Cov txheej txheem mob hnyav ntawm cov kab mob lacrimal, conjunctiva, cornea lossis daim tawv muag feem ntau yog hloov los ntawm ib tus mob ntev.
Feem ntau dacryocystitis yog qhov nyuaj los ntawm phlegmon ntawm lacrimal sac. Nrog rau lub sijhawm ntev ntawm iridocyclitis, cov menyuam yaus qhib tuaj yeem dhau los, uas yuav ua rau muaj kev cuam tshuam ntawm cov kua dej hauv lub qhov muag thiab kev loj hlob ntawm cov glaucoma thib ob.
Lub zeem muag acuity raug txo vim qhov spasm ntawm kev pab, clouding ntawm optical media. Cov teeb meem tsis tshua muaj tshwm sim ntawm pathology yog tsim ntawm cov ntaub so ntswg moorings, orbital cellulitis. Txoj kev loj hlob ntawm cov txheej txheem nrog lub advent ntawm pan- thiabendophthalmitis.
Diagnosis
Yuav ua li cas thiaj kuaj tau tus mob, tus kws kho mob ua qhov kev kuaj pom, siv cov txheej txheem tshwj xeeb ntawm kev kuaj mob ophthalmological. Hyperemia ntawm lub ntsej muag ntawm lub qhov muag pom nrog qhov muag liab qab. Cov hau kev yooj yim rau kev kuaj mob sib txawv ntawm qhov muag liab muaj xws li:
- Visometry. Txo qhov pom kev acuity yog tsim. Yog tias xav tias muaj qhov spasm ntawm cov cuab yeej siv tau zoo, kev sim ntxiv nrog mydriatics raug pom zoo.
- Biomicroscopy ntawm lub qhov muag. Cov thev naus laus zis muab lub peev xwm los pom cov ntu hemorrhage, nthuav dav ntawm vasculature ntawm conjunctiva, clouding ntawm lub lens.
- Ultrasound ntawm lub qhov muag. Kev kuaj ultrasonic yog siv los pom cov kev hloov pauv ntawm cov organic (lub cev txawv teb chaws) uas yuav ua rau muaj qhov tsis zoo. Cov thev naus laus zis kuj tseem siv los txheeb xyuas cov tsos mob ntawm lub hom phiaj ntawm cov teeb meem (tom qab thiab anterior synechia, lens opacity).
- Perimetry. Kev pabcuam thev naus laus zis txhawm rau txhawm rau txhawm rau txhawm rau nqaim ntawm thaj chaw saib.
- Gonioscopy. Cov kua dej me me hauv lub koob yees duab pem hauv ntej yuav raug kuaj pom.
- Ophthalmoscopy. Kev tshuaj xyuas ntawm lub qhov muag ntawm lub qhov muag yog ua los txhawm rau txhawm rau kawm txog cov xwm txheej ntawm retina thiab lub paj hlwb lub taub hau los ntsuas qhov rov qab ntawm qhov muag tsis pom kev.
- Tomometry. Lub siab nyob rau hauv lub qhov muag nce ntxiv nyob rau hauv cov neeg mob uas muaj keeb kwm ntawm kev puas tsuaj rau lub uveal ib ntsuj av.
Nyob zoo
Yuav kho qhov muag liab li cas? lub luag haujlwm tseem ceeb hauv kev kho mob ntawm qhov nopathology yog nyob los ntawm etiotropic therapy, uas yog ua los tshem tawm cov kev kho mob tshwm sim ntawm tus kab mob hauv qab. Kev cuam tshuam kev phais yog siv tau rau kev puas tsuaj ntawm lub qhov muag thiab dacryocystitis.
Nyob rau thaum yau, cov kws kho mob pom zoo kom soj ntsuam cov kwj dej lacrimal. Conservative therapy yog raws li kev siv:
- tshuaj tua kab mob. Ua ntej noj cov tshuaj tua kab mob, tus kws kho mob yuav tsum kawm txog qhov rhiab heev ntawm cov kab mob rau cov tshuaj siv (antibiogram). Kev siv tshuaj nquag raug pom zoo (tsawg kawg 6-8 zaug hauv ib hnub). Hauv qhov xwm txheej hnyav, kev siv tshuaj tua kab mob yog siv.
- Cov tshuaj tiv thaiv kab mob uas tsis yog tshuaj steroidal (NSAIDs). Siv los txo cov tsos mob ntawm qhov mob, txo qhov mob thiab o.
- YGlucocorticosteroids. Instillations ntawm cov tshuaj hormonal raug sau tseg thaum NSAIDs tsis muaj txiaj ntsig. Nrog rau kev hloov pauv ntawm tus kab mob idiopathic, glucocorticosteroids raug txwv nruj heev.
- YMidriatikov. Nws yog siv nyob rau hauv cov neeg uas muaj iridocyclitis normalizes lub zog nyob rau hauv lub qhov muag thiab dilate cov tub kawm ntawv. Kev tsim nyog ntawm kev siv cov tshuaj no rau kev tiv thaiv cov menyuam yaus fusion tau raug pov thawj.
- Vitamin Therapy. Vitamins P, A thiab C yog siv ntxiv rau kev kho yooj yim.
- Antiseptic daws. Cov tshuaj tua kab mob yog siv los ntxuav cov kab noj hniav kom tshem tawm cov kab mob pathological.
- Antihistamines. Muab tshuaj rau qhov tsis haum ntawm tus kab mob nyob rau hauv daim ntawv ntawm tee. Rau kev ua xua hauv lub cev, kev txhaj tshuaj intramuscular lossis kev tswj hwm qhov ncauj yog qhia.
Koj puas tau nyeem phau ntawv "Red Eye Syndrome"? Maychuk D. Yu. (Tus Kws Kho Mob ntawm Kev Tshawb Fawb Txog Kev Kho Mob) kho qhov haujlwm no muaj txiaj ntsig zoo, uas qhia meej meej txog cov kab mob nto moo tshaj plaws uas txhua tus kws kho mob ntsib hauv nws qhov kev coj ua. Cov kws sau ntawv ntawm phau ntawv qhia no tau qhia meej cov lus pom zoo rau kev kuaj mob thiab kev kho mob ntawm qhov txhab ntawm qhov muag. Nws muaj txiaj ntsig rau txhua tus los kawm lawv.
tshuaj ntsuab
Koj tuaj yeem kho qhov muag liab qhov muag siv cov tshuaj hauv qab no:
- ice cubes;
- txias compresses nrog tshuaj ntsuab infusions ntawm ntoo qhib tawv ntoo los yog chamomile los yog dej ntshiab;
- qos yaj ywm slices;
- tshuaj yej dub.
Nco ntsoov tias cov tshuaj pej xeem siv tau tsuas yog thaum tsis muaj cov tsos mob ntawm tus kab mob ophthalmic txaus ntshai. Nrog lawv cov kev pab, koj tuaj yeem tshem tawm daim tawv muag liab thiab o, txo qhov muag pom tau yooj yim thiab sai, thiab normalize ntshav ncig los ntawm lub qhov muag capillaries.
Koj tuaj yeem ua qhov kev tawm dag zog qhov muag:
- Yog tias koj feem ntau yuav tsum tau saib lub sijhawm ntev, tom qab ntawd txhua txhua teev koj yuav tsum "kho" cov duab ntawm ntau yam khoom tso rau ntawm phab ntsa lossis rooj nrog koj ob lub qhov muag.
- Cov leeg qhov muag xav tau so thaum ua haujlwm hnyav. Txhawm rau ua qhov no, koj yuav tsum mus rau lub qhov rais, saib mus rau qhov deb, thiab dhau musob peb vib nas this los saib ib qho chaw ze. Qhov kev tawm dag zog no txhawb kev tsim cov kua muag kua muag, uas yuav moisturize koj ob lub qhov muag thiab ua kom lawv tsis txhob liab thiab qhuav.
Kev kwv yees rau kev muaj peev xwm ua haujlwm thiab lub neej muaj txiaj ntsig. Kev tiv thaiv tshwj xeeb tsis tau tsim. Kev tiv thaiv tus qauv los ntawm kev soj ntsuam cov canons ntawm qhov muag huv si, tiv thaiv kev sib cuag ntawm cov tshuaj lom thiab plua plav nrog cov conjunctiva.
Mob nrog lub nra hnyav ntawm lub ntsej muag keeb kwm, yuav tsum tau kuaj los ntawm kws kho qhov muag ob peb zaug hauv ib xyoos nrog qhov yuav tsum tau ua qhov muag microbiopsy. Rau cov neeg ua haujlwm hauv kev tsim khoom, cov kws kho mob pom zoo kom siv cov khoom tiv thaiv tus kheej (qhov ncauj qhov ntswg, tsom iav). Rau kev tiv thaiv, instillations ntawm cov tshuaj moisturizing, tshuaj hluavtaws tsim kua muag.
Syndrome hauv dev thiab miv
Puas yog qhov muag liab tshwm sim hauv dev? Yog, qee zaum. Veterinary ophthalmologists feem ntau ntsib qhov tshwm sim no hauv lawv cov kev coj ua. Tsis tas li ntawd, qhov muag liab syndrome tuaj yeem pom hauv miv. Cov kab mob no hauv cov tsiaj no tshwm sim rau ntau yam - vim yog yaig, keratitis, conjunctivitis, anterior uveitis, glaucoma, raug mob ntawm ntau yam keeb kwm, corneal ulcers thiab lwm yam. Lub qhov muag yuav tig liab vim muaj kab mob sib kis thiab kab mob somatic.
Nyob hauv ntau tus mob uas peb tab tom txiav txim siab, tus tsiaj muaj kev phom sij: nws tuaj yeem ua rau qhov muag tsis pom kev, lossis txawm poob.
Nrog lacrimation, nce hauv pob qhov muag,liab ntawm lub qhov muag, daim tawv muag liab, ntau yam tso tawm los ntawm thaj chaw conjunctival, squinting ntawm lub qhov muag, yog tias tus tsiaj khawb lub qhov muag nrog paw los yog rub lawv tawm tsam cov khoom, koj yuav tsum tau hu rau tus kws kho mob kws kho tsiaj sai sai.
Pet First Aid
Yog tias koj mus tsis tau mus rau kws kho tsiaj tam sim ntawd, yaug koj tus tsiaj lub qhov muag nrog qee yam tshuaj kho qhov muag. Nws tuaj yeem yog Vitabact lossis Pob Zeb Diamond Qhov muag lossis Okomistin.
Tsis txhob siv cov tshuaj pleev uas muaj corticosteroids. Qhov no yuav tiv thaiv tus kws kho mob los ntawm kev nthuav tawm daim duab kho mob tiag tiag. Corneal protectors yuav siv tau. Tus tsiaj tuaj yeem kho tau zoo yog tias pib kho sai li sai tau.
