Ib yam kab mob uas tuaj yeem ua mob rau lub qhov muag zoo heev yog qhov muag ntawm daim tawv muag. Qhov no tsis yog tsuas yog tsis zoo nkauj heev, tab sis kuj tuaj yeem ua rau muaj kev phom sij txaus ntshai. Nyob rau hauv tsab xov xwm, peb yuav xav txog dab tsi ib qho eversion ntawm daim tawv muag (ectropion) yog dab tsi thiab nws tshwm sim los ntawm.
Kev nthuav tawm ntawm lub conjunctiva, eversion thiab kev sib cais ntawm ntug ntawm daim tawv muag uas txuas nrog lub pob muag yog ib yam kab mob hu ua ectropion.
Ib theem ntawm tus kab mob hnyav tau kuaj pom nrog ntau tso kua muag, blinking zaus, dhau ntawm cov hlab ntsha ntawm daim tawv nqaij nrog rau kev loj hlob ntawm cov kab mob ophthalmic: o thiab clouding ntawm cornea thiab mucous muaj pes tsawg leeg ntawm lub qhov muag. Tus kab mob no yog tus yam ntxwv sib npaug ntawm cov txiv neej thiab poj niam, tab sis cov neeg laus raug mob rau nws.
Kev tshwm sim
Kev ua txhaum ntawm qhov rhiab heev ntawm daim tawv nqaij thiab txo qis hauv cov khoom ntawm lub qhov muag ncig cov leeg feem ntau ua rau muaj kev loj hlob ntawm daim tawv muag. Ib tug kab mob tshwm sim thaum cov fiber nyob rau hauv daim tawv nqaij atrophies, thiab nyob rau tib lub sij hawm tshwm sim thaum lub sij hawm inflammatory txheej txheem ntawm blepharitis thiabconjunctivitis spasms nyob rau hauv cov leeg nqaij periorbital. Cov kab mob qhov muag yog nrog los ntawm kev txo cov ntshav ncig hauv cerebral cortex, ua rau muaj kev cuam tshuam hauv kev muab cov paj hlwb thiab cov leeg ntawm lub ntsej muag. Vim qhov poob ntawm lub suab nrov, ntug ntawm daim tawv muag sib cais thiab tig mus rau sab nraud.
Muaj cov khoom ua rau etiological, tshwm sim vim kev txiav thiab tuag tes tuag taw ntawm cov hlab ntsha ntawm lub ntsej muag. Congenital anomaly tshwm sim nyob rau hauv embryonic txoj kev loj hlob.
Tseem muaj lwm yam laj thawj rau qhov muag ntawm daim tawv muag:
- blepharoplasty;
- rau genomic pathologies (Down syndrome);
- ntawm blepharophimosis;
- focal dermal hypoplasia;
- nrog kev loj hlob ntawm craniofacial;
- los ntawm kab mob ntawm daim tawv nqaij (lamellar ichthyosis);
- nrog cov kab mob tsis tshua muaj caj ces (Miller's syndrome), nrog rau qhov tsis xws luag thiab pathologies ntawm lub cev qauv ntawm lub cev;
- rau kab mob ntawm daim tawv nqaij ntev (permanent lupus erythematosus);
- rau cov kab mob ntev nrog cov ntaub so ntswg tsis zoo (scleroderma);
- diffuse inflammatory pathologies ntawm cov ntaub so ntswg sib txuas (dermatomyositis);
- tuberculous periostitis ntawm ntug ntawm lub orbit;
- kab mob sib kis (actinomycosis);
- tsim ntawm qog;
- kub hnyiab thiab raug mob ntawm lub ntsej muag;
- tom qab kev phais thiab cog rau ntawm lub ntsej muag.
Cov tsos mob
Cov tsos mob ntawm tus kab mob yog cov yam ntxwv ntawm qhov tshwm sim.
Lawv muab faib raws li hauv qab no:
- mechanical;
- Nyob ib leeg;
- paralytic;
- scar;
- senile.
Rau txhua hom kab mob, suav nrog daim tawv muag sab sauv, cov tsos mob tseem ceeb yog:
- ua kua muag tas li;
- nce blink tus nqi;
- kev sib cais ntawm cov hlwb hauv integument ntawm daim tawv nqaij thiab dhau ntawm cov hlab ntsha nrog cov ntshav.
Tsis tas li, qhov palpebral ntawm lub conjunctiva tau dhau los ntawm cov txheej txheem ntawm keratinization, ua raws li kev hloov pauv thiab deformation ntawm txoj hauv kev rau kev tso kua muag kua muag.
Cov tsos mob tshwm sim muaj xws li kev hnov qab ntawm lub cev txawv teb chaws lossis xuab zeb nrog qhov kub hnyiab ntawm qhov muag. Raws li qhov tshwm sim, blinking ua ntau zaus, thaum lub sijhawm sim ua kom tshem tawm qhov tsis xis nyob hauv lub xeev, tom qab ntawd cov kab mob qhia tau koom nrog.
Nyob rau hauv daim ntawv senile, tus kab mob no mus kho mob, pib nrog ib tug ua tsis tiav ntawm daim tawv muag mus rau lub qhov muag, uas yog kuaj pom tias yog ib nrab eversion, thiab ces mus rau qhov kawg eversion ntawm daim tawv muag. Ua rau tus kab mob hnyav dua kom tshem tawm cov kua muag tawm.
Vim muaj kab mob cicatricial, cuam tshuam tshwm sim thaum daim tawv muag kaw, uas ua rau muaj kev loj hlob ntawm dystrophic thiab erosive lesions ntawm lub cornea.
Ib txheej txheem cais yog kab mob ntawm daim ntawv tuag tes tuag taw, uas tshwm sim los ntawm kev poob ntawm cov plaub muag, kev kho mob ua txhaum ntawm lub puab tsaig thiab daim di ncauj, thiab kev puas tsuaj rau lub ntsej muag cov leeg.
Kab mob sib kis
Kab mob yog tus cwj pwm los ntawm cov teeb meem pathological, uas feem ntauua rau tsis tsuas yog tsis xis nyob ntawm lub ntsej muag, tab sis kuj tig mus rau hauv daim ntawv mob hnyav.
Vim yog qhov lag luam ntawm cov txheej ciliary, ntau cov kua muag tau tsim, uas nkag mus rau hauv qhov ncauj thiab qhov ntswg kab noj hniav, yog li ua rau tsis xis nyob thiab txo qis hauv kev ua haujlwm. Kev sim tshem tawm tsis tu ncua lacrimation qhia cov kab mob uas ua rau cov neeg mob uas twb muaj mob hnyav zuj zus lawm.
Thaum eversion ntawm daim tawv muag qis, liab uas tsis tuaj yeem tshem tawm tshwm. Nrog rau txhua hom kab mob, qhov muag tsis pom kev, qhov cuam tshuam rau cov txheej txheem inflammatory hauv lub pob ntseg nce ntxiv nrog kev tsis pom kev ua tiav, degeneration thiab dystrophy ntawm lub pob ntseg tshwm sim.
Txoj kev siv hauv kev kho mob
Nyob rau hauv lub xyoo pua puv 19, ophthalmologists los ntawm lub teb chaws Yelemees tau qhia txog kev kho mob phais hu ua reconstructive blepharoplasty. Qhov no yog ib qho kev phais uas kho cov kab mob los ntawm kev ntxiv dag zog rau cov leeg nqaij, lossis rov tsim kho lub ntsej muag nrog kev pab ntawm daim tawv nqaij flap.
Thaum tus neeg tuag tes tuag taw ntawm daim tawv muag, kev phais tsuas yog raug kho yog tias muaj kev kho kom tiav rau cov kab mob sib kis.
Kev phais mob hauv daim ntawv ntawm blepharoplasty feem ntau yog txoj hauv kev nyab xeeb ntawm kev kho cov kab mob. Tab sis, hmoov tsis, nws tsis tuaj yeem tshem tawm cov xwm txheej thaum qhov tshwm sim tom qab kev phais muaj teeb meem ntxov thiab lig uas tuaj yeem tshwm sim hauv ob peb hnub lossisntau lub hlis.
Tshuaj kho mob tsuas yog muab rau hauv cov xwm txheej me me ntawm tus kab mob, lossis thaum ua haujlwm yog contraindicated rau tus neeg mob. Los ntawm qhov tshwm sim dryness nyob rau hauv lub connective daim nyias nyias ntawm lub qhov muag, gels thiab tee nrog ib tug moisturizing nyhuv yog sau.
kev nyuaj siab ntxov
Cov teeb meem ntxov ntawm kev kho mob tom qab daim tawv muag eversion blepharoplasty suav nrog:
- Edema uas tsis ploj mus tom qab tus qauv txhua lub lim tiam. Puffiness yog suav tias yog ntuj, uas kav mus txog ib lub lim tiam, tab sis nrog ib tug maj mam txo. Thaum lub sij hawm ntev edema, tus neeg mob muaj mob taub hau, khaus ib ncig ntawm lub qhov muag, qhov muag tsis pom kev, qhov muag tsis pom kev. Daim tawv nqaij overhangs dhau thiab hauv qab ob lub qhov muag kuj tsim nrog kev hloov xim. Txhawm rau tshem tawm edema, decongestants yog siv, thiab nyob rau hauv rooj plaub uas cov kab mob nkag mus rau hauv lub qhov txhab, siv tshuaj tua kab mob.
- Y Kev tsim ntawm subcutaneous hematomas. Qhov no yog qhov txaus ntshai vim tias lawv tuaj yeem tsim cov nodes subcutaneous thiab kaw daim tawv muag. Lawv tshwm sim los ntawm kev puas tsuaj rau cov hlab ntsha, qhov twg cov ntshav accumulates, uas yog tshem tawm los ntawm incisions, los yog thaum ib tug loj hlab ntsha tawg, qhov teeb meem yog kho los ntawm xaws nws.
- tshwm sim ntawm retrobulbar hematoma. Nrog xws li ib tug txaus ntshai teeb meem, ib tug ntawm cov hlab ntsha loj ruptures, uas yog nyob rau hauv qab ntawm lub qhov muag. Vim kev puas tsuaj tom qab lub qhov muag, cov ntshav accumulates, los ntawm cov neeg mob muaj kev xav ntawm fullness thiab mob nyob rau hauv lub taub hau, protrusion ntawm lub qhov muag. Nrog cov tsos mob zoo li no, mob glaucoma thiab retinal thrombosis tuaj yeem txhim kho. Nyob rau hauv tas li ntawd, yuav tsum tau mus kho mob tam sim ntawd.thiab tej zaum yuav xav tau kev phais.
- Kab mob hauv qhov txhab tom qab lossis thaum phais. Tom qab kis kab mob, tus neeg mob lub sutures fester, liab, khaus thiab o tshwm sim. Cov tshuaj tua kab mob tau muab rau kev kho mob.
- Kev phais tshem tawm ntawm daim tawv nqaij ntau dhau los yog hernias uas ua rau muaj kev tsim ntawm Eversion ntawm daim tawv muag qis tom qab blepharoplasty. Nyob rau hauv cov ntaub ntawv no, lub teeb massages thiab gymnastics rau daim tawv muag yog muab los tswj lub suab ntawm periorbital nqaij. Yog tias qhov kev tawm dag zog tsis muab qhov xav tau, ua haujlwm thib ob.
xov xwm lig
Cov teeb meem lig tom qab phais yog raws li hauv qab no:
- Qhov muag qhuav. Cov tsos mob no tshwm sim yog tias lub caj pas lacrimal puas thaum lub sijhawm ua haujlwm lossis tshem tawm cov tawv nqaij ntau dhau. Hauv thawj kis, qhov muag tee nrog cov nyhuv moisturizing yog siv, hauv qhov thib ob, kev ua haujlwm thib ob.
- Nyob zoo lacrimation. Txhawm rau tshem tawm cov tsos mob zoo li no, kev soj ntsuam cov ducts yog siv los nthuav lawv los ntawm kev phais.
- Tsim cov cyst hauv daim tawv muag. Cysts tsim ntawm cov kab suture thiab yuav daws tau lawv tus kheej.
- Postoperative asymmetry ntawm qhov muag incisions vim tsis zoo suturing los yog caws pliav ntawm qhov txhab. Asymmetry tuaj yeem raug kho los ntawm kev ua haujlwm thib ob.
- Cov tsos mob ntawm qhov muag tsis zoo moistened thaum rov blepharoplasty. Nyob rau tib lub sijhawm, thaum daim tawv muag kaw, qhov chaw qhuav thiab qhov kub ntawm qhov muag tau nce ntxiv. Hauv qhov no, kev phais thiab tshuaj tua kab mob yog siv.
- Qhov tshwm sim ntawm cov nti tom qab phais. Lawv tuaj yeem raug tshem tawm tsis yog phais los ntawm cov kua qaub los yog laser resurfacing.
Tsis tas li, qhov xwm txheej yuav tshwm sim thaum cov seams diverge vim kev raug mob raug mob los yog tsis zoo. Nyob rau hauv tas li ntawd, lub qhov txhab raug kho thiab resutured, tab sis caws pliav.
Kev txwv tom qab kev phais
Tom qab kev ua haujlwm, muaj cov kev txwv uas yuav tsum tau soj ntsuam, thiab daim tawv muag qis eversion blepharoplasty tsis muaj qhov zam.
Cov lus qhia rau lub sijhawm ua haujlwm tom qab muaj raws li hauv qab no:
- nco ntsoov ua raws li tag nrho cov lus pom zoo ntawm tus kws phais;
- tsis kam mus ntsib chav da dej, sauna thiab solarium rau ib hlis;
- zam kev tawm dag zog;
- zam kev tshav ntuj ncaj qha los ntawm kev tiv thaiv thaj chaw qhov muag nrog lub kaus mom lossis looj tsom iav;
- tsis kam ib hlis lossis ob los ntawm kev nyeem phau ntawv, zaum ntawm lub computer thiab saib TV;
- tsis suav nrog cov khoom noj khoom haus uas ua rau cov kua dej khaws cia hauv cov ntaub so ntswg;
- tsuas yog pw ntawm koj nraub qaum thiab ntawm lub hauv ncoo tiaj tus.
Kev Tiv Thaiv
Kev cuam tshuam rau lub sijhawm phais kom tshem tawm cov tawv muag tas li yuav txhim kho tus neeg mob lub peev xwm ua haujlwm thiab lub neej, txij li tus kab mob muaj qhov pom zoo rau feem ntau.
Nyob rau hauv ophthalmology, tseem tsis tau muaj kev siv tshuaj tiv thaiv kab mob. Qhov tsuas yog qhov tseem tshuav rau cov neeg mob yog kev tshuaj xyuas txhua xyoo txhawm rau txheeb xyuas qhov kev hem thawj ntxov.daim tawv muag eversion.
Tom qab kev phais, tus neeg mob yuav tsum tau sau npe nrog tus kws kho qhov muag thiab raug kuaj los ntawm nws ob peb zaug hauv lub xyoo.
Kab mob hauv dev
Cov tswv ntawm qee tus dev yug tsiaj yuav tsum paub tias lawv cov tsiaj tuaj yeem tau txais ectropion.
Cov kab hauv qab no feem ntau raug kev txom nyem los ntawm daim tawv muag ectropion hauv dev:
- Suav Shar Pei thiab Chow Chow - vim yog daim tawv nqaij loj ntawm cov muzzle uas dai ntawm ob lub qhov muag. Tsis tas li ntawd, Shar-Pei raug kev txom nyem los ntawm ob tog ectropion.
- Central Asian thiab Caucasian Shepherd Aub - tus kab mob provokes inbreeding ntawm cov tsiaj.
- Cane Corso - nyob rau hauv dev ntawm no yug, eversion tshwm sim nrog rau inversion.
- Pugs thiab Pekingese - yug me nyuam muaj qhov tshwj xeeb hauv daim ntawv ntawm lub qhov muag tawm thiab cov quav loj ntawm daim tawv nqaij hauv qhov ntswg, uas ua rau qhov pib ntawm tus kab mob.
Zoo kawg
Txhua hom ectropion nrog cov teeb meem sib txawv hauv kev kho mob xaus nrog qhov txiaj ntsig zoo tom qab kev phais. Yog tias tus kab mob no tau tso cai kom muaj kev vam meej, nws yuav ua rau lub zeem muag tsis zoo nrog kev lees paub ntawm nws qhov kev poob tiav thiab kev tsis taus. Yog li, yog tias koj xav tias tus kab mob no, koj yuav tsum hu rau tus kws kho mob tam sim ntawd.
