Ptosis - yog dab tsi? Tus kab mob twg muaj lub npe zoo li no? Lub npe ntawm tus kab mob los ntawm Greek: ptosis, uas txhais tau tias "lub caij nplooj zeeg". Lo lus no feem ntau yog siv los ntawm cov kws kho mob ophthalmologists thaum nws los txog rau txo qis ntawm daim tawv muag hauv qab ntawm iris ntau tshaj 2 hli. Ptosis tuaj yeem cuam tshuam rau cov neeg laus thiab menyuam yaus. Ib tug neeg tuaj yeem yug los nrog qhov tsis xws luag lossis tau txais nws lub sijhawm lawv lub neej.
Lub ntiajteb txawj nqus ptosis kuj tau txheeb xyuas, nws npog tag nrho lub ntsej muag thiab qee tus neeg, tshwj xeeb tshaj yog cov poj niam, pom tias nws yog ib qho teeb meem loj.
Kev tshwm sim ntawm ptosis thiab nws cov cim qhia
Cov tsos mob ntawm tus kab mob nyob ntawm nws keeb kwm thiab ua rau, tab sis qhov tshwm sim ntawm cov tsos mob tshwm sim yog qhov qis ntawm daim tawv muag ntawm ib lossis ob lub qhov muag, thiab kuj yog vim qhov tsis muaj peev xwm ntawm daim tawv muag txav, tsis muaj peev xwm. ntawm ib tug neeg kom npog qhov muag tag. Yog li ntawd, lub pob qhov muag tsis moistened, yog li qhov liab thiab mob, zoo li xuab zeb nyob rau hauv ob lub qhov muag. Qee lub sij hawm muaj kev ua txhaum ntawm lub zeem muag, nws txo qis, cov duab pib fork.
Nws tshwm sim hais tias tus kab mob no nrog strabismus, deviation ntawm lub zeem muag mus rau sab, o. Tus neeg mob, sim qhib qhov muag, thim rov qab nws lub taub hau los nqa daim tawv muag lossistsa pob muag siv cov leeg ntawm lub hauv pliaj, ua rau wrinkles tsim rau nws. Nrog Horner's syndrome, nrog rau kev tshem tawm ntawm daim tawv muag, enophthalmos (retraction ntawm lub qhov muag) thiab miosis (cov menyuam kawm ntawv nqaim) raug pom.
Types of ptosis
Ib tug neeg tuaj yeem muaj tus kabmob no - xws li ptosis hu ua congenital. Thiab yog tias nws tshwm sim hauv lub neej, ces qhov no yog kab mob kis tau.
Nws qhov hnyav kuj txawv: yog tias daim tawv muag kaw qhov muag tag, qhov no ua tiav ptosis. Nyob rau hauv cov ntaub ntawv ntawm npog daim tawv muag ntawm ntau tshaj ib nrab - tsis tiav. Thiab ib nrab, thaum daim tawv muag poob, npog lub qhov muag los ntawm ib feem peb.
Qhov kev puas tsuaj ntawm qhov muag kuj txawv: unilateral ptosis, yog tias tsuas yog ib lub qhov muag raug cuam tshuam. Thiab ob sab, thaum ob lub qhov muag raug cuam tshuam.
Congenital ptosis
Tus kab mob tuaj yeem tshwm sim nws tus kheej vim yog cov kab mob caj ces lossis kab mob ntawm txoj kev loj hlob ntawm lub embryo, nyob rau hauv uas dystrophy ntawm cov leeg uas nqa daim tawv muag tshwm sim, los yog aplasia ntawm lub nucleus ntawm lub paj hlwb oculomotor. Qee zaum, kev ua haujlwm ib txwm raug khaws cia tag nrho lossis ib feem. Qhov teeb meem no feem ntau pom nyob rau hauv congenital hloov. Tej zaum lawv yuav cuam tshuam ib lub qhov muag, tsis tshua muaj ob leeg.
Ptosis yog txiav txim siab yuav luag los ntawm kev yug menyuam, tshwj xeeb tshaj yog nrog nws qhov tshwm sim tiag tiag. Yog tias qhov kev hloov pauv me me, ces nws raug kuaj pom hauv ob peb lub hlis.
Acquired ptosis
Cov tsos mob ntawm ptosis hauv ib tus neeg thaum muaj hnub nyoog laus dua yog vim muaj ntau yam thiab nws tau muab faib los ntawm hom kab mob:
- Aponeurotic losvim stretching thiab tsis muaj zog ntawm aponeurosis ntawm cov leeg lub luag hauj lwm rau lifting daim tawv muag. Yog vim li cas tej zaum yuav yog cov txheej txheem kev laus ntawm lub cev, nrog rau kev raug mob, o hnyav, qhov tshwm sim ntawm kev ua haujlwm.
- Neurogenic tuaj yeem tshwm sim vim muaj kev cuam tshuam hauv lub paj hlwb vim nws cov kab mob thiab kev puas tsuaj. Feem ntau, tuag tes tuag taw ntawm cov hlab ntsha oculomotor tshwm sim los ntawm ntshav qab zib mellitus, qog, intracranial aneurysms.
- Mechanical eyelid ptosis yog qhov tshwm sim ntawm daim tawv muag deformation vim yog nti, kua muag, lub cev txawv teb chaws.
- tshwm sim thaum daim tawv nqaij ntau dhau ntawm daim tawv muag.
- Anophthalmic: thaum tsis muaj pob qhov muag, daim tawv muag poob vim tsis pom kev txhawb nqa.
Ptosis kuaj mob
Thaum kuaj mob thiab xaiv kev kho mob, nws yog ib qho tseem ceeb los tsim kom muaj tus kab mob etiology, nws keeb kwm thiab hom. Vim nws yog congenital los yog kis tau, cov kev kho mob kuj nyob ntawm seb. Ua li no, tus neeg mob raug xam phaj thiab nws hloov tawm yog tias nws cov kwv tij tom ntej muaj mob tib yam txhawm rau tshem tawm nws cov keeb kwm caj ces.
Tus kws kho mob ua tib zoo tshuaj xyuas tus neeg mob thiab txiav txim siab lub zog ntawm cov leeg nqaij, kev txav ntawm pob muag thiab daim tawv muag, nws txoj hauj lwm txheeb ze rau cov menyuam kawm ntawv, muaj astigmatism, qhov loj ntawm daim tawv nqaij quav, txiav txim siab qib ntawm tsis pom kev ntawm tus neeg mob, nws lub siab intraocular.
Tshuaj xyuas amblyopia, tshwj xeeb tshaj yog rau cov menyuam yaus. Tom qab kuaj pom ntawm daim tawv muag ptosis, kev kho mob yog muab tam sim ntawdtib yam.
Qhov tshwm sim ntawm ptosis
Ptosis ntawm daim tawv muag yog ib qho teeb meem uas tsis yog tshuaj pleev ib ce. Nws yog qhov txaus ntshai vim tias qhov tshwm sim tuaj yeem tshwm sim los ntawm qhov ua tsis tau ntawm lub hnub nyoog txav mus los ywj pheej. Kev mob ntawm lub qhov muag tsis suav nrog, strabismus tshwm sim, qhov muag tsis pom kev. Cov menyuam yaus feem ntau sim npog lawv ob lub qhov muag ntawm tes, uas ua rau muaj kev pheej hmoo kis mob.
Yog tus kab mob tau tshwm sim nws tus kheej, ces mus ntsib kws kho mob raws sijhawm thiab kev kho mob yuav kho qhov xwm txheej.
Kev kho mob Ptosis
Nws yuav tsum nkag siab: yog tias kuaj pom ptosis, kab mob dab tsi yog qhov kev kho mob tau sau nyob ntawm nws hom thiab keeb kwm. Yog tias nws tshwm sim thaum muaj hnub nyoog laus dua, xav tau kev sib koom ua ke, thiab yog tias tsim nyog, tus kws kho mob neuropathologist koom nrog.
Tus kab mob nws tus kheej tsis tshua kho, yog li nws yog ib qho tseem ceeb uas yuav tau pib tshem tawm sai li sai tau, thiab kev phais feem ntau pom zoo: ptosis raug tshem tawm nrog kev phais kho ntawm daim tawv muag.
Feem ntau nws yog raws li nruj lossis ntxiv dag zog rau daim tawv muag cov leeg uas txhawb nqa nws. Kev ua haujlwm yog ua los ntawm cov kws kho mob ophthalmic, ua ke nrog blepharoplasty. Feem ntau siv tshuaj loog hauv zos yog siv rau cov neeg laus thiab cov tshuaj loog hauv cov menyuam yaus. Lub sijhawm ntawm cov txheej txheem txawv ntawm 30 feeb mus rau ib teev, tab sis qee zaum nws tuaj yeem kav ntev txog 2 teev. Nws nyob ntawm qhov nyuaj ntawm qhov teeb meem, theem ntawm daim tawv muag poob.
Kev ua haujlwm muaj nyob rau txhua lub hnub nyoog, yog li ntawd, nyob rau hauv cov ntaub ntawv ntawm congenital pathology, nws raug nquahu kom cov menyuam yaus ua nws ntxov li sai tau. Tab sis mus txog 3 xyoos, nws yog contraindicated, txij thaum lub sij hawm noqhov incision ntawm lub qhov muag yog tsim, thiab daim tawv muag yog nyob rau hauv lub tsim theem. Txhawm rau tiv thaiv strabismus thiab amblyopia, raws li kev ntsuas ib ntus, nws raug nquahu kom muab cov nplaum nplaum nplaum rau ntawm daim tawv muag thaum nruab hnub kom txog thaum ua haujlwm.
Ptosis ntawm daim tawv muag sab sauv feem ntau tawm tsis pom qhov tshwm sim yog tias txhua yam ua tau zoo thiab tus kws phais tau tsim nyog heev.
Thaum ua kev kho daim tawv muag, koj yuav tsum paub txog qhov tshwm sim thiab cov teeb meem tom qab phais. Tau ob peb hnub tom qab kev ua haujlwm, daim tawv muag yuav mob thiab poob lawv txoj kev txav mus los, mob ntawm lub qhov muag, lawv qhuav thiab tsis muaj peev xwm kaw daim tawv muag. Nws yuav siv li ob peb hnub kom cov tsos mob no ploj mus. Tab sis qee zaum asymmetry ntawm daim tawv muag, lawv qhov mob thiab los ntshav yuav tshwm sim.
Facial ptosis - yog dab tsi?
Nrog rau hnub nyoog, qhov zoo ntawm collagen fibers hloov pauv, lawv cov khoom txo qis, cov leeg uas txhawb nqa lub ntsej muag ntawm lub ntsej muag tsis muaj zog, vim li ntawd, nws cov contours, nyob rau hauv lub zog ntawm lub ntiajteb txawj nqus, tog, zoo li yog ua luam dej. Cov kev hloov no hu ua gravitational ptosis.
Ua ntej, nasolabial folds tob zuj zus, cov ces kaum ntawm lub qhov ncauj thiab pob muag poob. Thaum lub sij hawm, lub qhov ntswg thiab pob ntseg txawm poob, qhov qis ntawm lub ntsej muag yuav hnyav dua thiab sags. Ib lub puab tsaig thib ob tshwm, folds rau ntawm caj dab. Hauv qhov no, kev kuaj mob ntawm lub ntsej muag ptosis yog tsim.
Kev kho mob ntawm gravitational ptosis
Tau kawg, tsis muaj leej twg tseem tau tswj kom tsis txhob muaj hnub nyoog laus, tab sis kom txo qis nws qhov tshwm sim hauv tib neegtub ceev xwm. Txhawm rau zam qhov kev kuaj mob ntawm "ntev ptosis", tus poj niam yuav tsum tau ntsuas kev tiv thaiv kev laus txij li hnub nyoog 35 xyoos, thiab qee zaum txawm tias ntxov dua, tsuas yog thawj cov cim ntawm kev hloov pauv. Nws yog ib qho tsim nyog los tswj txhua qhov kev siv zog kom nce thiab tswj lub suab ntawm cov leeg ntawm lub ntsej muag.
Tshuaj pleev ib ce muaj nyob rau hauv nws cov arsenal ntau yam cuab yeej uas pab ntxiv dag zog rau lub ntsej muag nqaij thiab rejuvenate ntawm daim tawv nqaij. Cov no kuj yog cov txheej txheem physiotherapeutic, uas suav nrog kev zaws thiab fibrovascular, electrotherapy, thiab raug rau ultrasound.
Ib qho cuab yeej ntxiv yog kev siv cov txheej txheem tev tawm.
Nyob rau ntawm lub ntsej muag ptosis, kev ua kom cov txheej txheem sab saud ntawm daim tawv nqaij tsis txaus: nws yog ib qho tsim nyog los ua rau cov txheej txheem sib sib zog nqus ntawm cov leeg nqaij-aponeurotic uas tuav lub ntsej muag ntawm lub ntsej muag. Hauv qhov no, gymnastics ua haujlwm tau zoo, muaj cov kev tawm dag zog uas cuam tshuam rau thaj chaw tshwj xeeb no.
Yog tias txhua yam txhais tau tias tau sim, tab sis qhov kev xav tau tsis tau ua tiav, thiab lub ntsej muag ptosis tsis rov qab, ces koj tuaj yeem sim kho botulinum: nws yog tsom rau kev faib cov leeg mus rau sab sauv ntawm lub ntsej muag..
Thaum cov tawv nqaij ntau dhau, kev txhaj tshuaj ntawm hyaluronic acid, potassium hydroxyapatite kuj tseem siv: txhaj rau ntawm lub ntsej muag, lawv ua rau cov tawv nqaij elasticity thiab turgor.
Contouring, photothermolysis, photorejuvenation yog siv rau hauv kev kho mob ntawm gravitational ptosis. Tab sis cov txheej txheem no tsis yog ib txwm ua tau zoo, yog li kev tiv thaiv yog txoj hauv kev zoo tshaj plaws los tawm tsam qhov tsis txaus no.
Tau paub txog qhov tshwm sim xws li ptosis (nws yog dab tsi thiab nws qhov tshwm sim), koj yuav tsum nco ntsoov txog kev kho mob raws sij hawm thiab tiv thaiv kab mob, ces koj tuaj yeem zam teeb meem yav tom ntej.
