Hemophthalmos yog cov ntshav nkag mus rau hauv lub cev vitreous. Yog vim li cas rau qhov no tej zaum yuav yog ib tug ua txhaum ntawm cov qauv ntawm lub retinal hlab ntsha thaum lub sij hawm nws rupture los yog ua txhaum ntawm kev ncaj ncees ntawm cov phab ntsa ntawm lub retinal hlab ntsha, uas yog heev yooj yim dua lwm tus.
Yog vim li cas
Qhov ua rau qhov muag hemophthalmos tuaj yeem ua raws li hauv qab no:
- Insulin deficiency, vim qhov rov qab ntu ntawm retina tsis tau txais cov ntshav txaus.
- Sudden jumps in ntshav siab.
- Intraocular malignant lossis benign qog.
- Kev cuam tshuam kev phais. Thaum lub sijhawm kho, vim yog qhov ua yuam kev ntawm cov kws kho mob thaum lub sijhawm ua haujlwm, vim kev saib xyuas tsis raug lossis txawm tias lub cev yooj yim, hemophthalmus tuaj yeem txhim kho.
- Cov roj cholesterol siab. Vim li cas cov roj cholesterol ua rau cov kab mob no tsis paub, tab sis lawv txoj kev sib raug zoo tau raug pov thawj.
- Ntau tshaj qhov kev cai ntawm qhov siab ntawm lub cev.
- txhaws cov hlab ntsha thiab tsis muaj ntshav ntws mus rau qhov muag.
- mob hlab ntsha. Piv txwv li, vim muaj kab mob, vasculitis, hypothermia los yog overheating, kev sib cuag nrog tshuaj lom, tshuaj los yog lwm yam khoom txaus ntshai. Qee lub sij hawm cov hlab ntsha tuaj yeem ua rau mob, ua rau muaj kev cuam tshuam li no rau cov tshuaj tiv thaiv.
- Kev poob ntawm retina thaum muaj kab mob lossis nws qhov kev tshem tawm.
- Kev txhim kho vascular tsis zoo lossis lwm yam kab mob hauv lub qhov muag.
- Kev raug mob nyob ntsiag to uas tuaj yeem txhawb nqa thaum ua si, sib ntaus sib tua, hauv tsev, kev sib tsoo lossis ntawm txoj kev.
Symptoms
Kev tsis txaus siab ntawm hemophthalmos qhov muag tuaj yeem ua rau cov tsos mob hauv qab no:
- Zoo nkauj tawm tshiab.
- Ntawm qhov tsis zoo hauv kev pom, txhua yam tshwm sim hauv huab cua. Feem ntau, qhov pom kev rov qab los thaum sawv ntxov, thiab rov qab los rau yav tsaus ntuj. Lub zeem muag tej zaum yuav poob mus rau theem uas tsuas yog lub teeb thiab duab ntxoov ntxoo tuaj yeem sib txawv ntawm qhov muag.
- liab ntawm qhov muag dawb. Cov protein hloov xim liab lossis liab liab hauv ib feem lossis tag nrho.
- Qhov tshwm sim ntawm qhov mob tshwm sim ntawm lub teeb pom kev loj: tshav ntuj sab nraum zoov lossis sab hauv tsev.
- Cov khoom yuav tshwm sim hazy thiab fuzzy.
- yoov, kab txaij, cobwebs, xov, dots lossis me me cuam tshuam rau qhov pom kev pom. Xws li kev cuam tshuam feem ntau yog xim liab lossis xim dub.
- Thaum muaj teeb meem, xob laim, flashes, sparks thiab zoo sib xws tuaj yeem ntxiv rau cuam tshuam.
Cov tsos mob tsawg:
- Kev xavdryness nyob rau hauv lub qhov muag.
- Tshuaj tsis zoo nyob rau thaj tsam ntawm qhov muag raug mob, xws li tingling lossis hnov qhov kev ntxhov siab.
- Hauv qhov xwm txheej tshwj xeeb, lub qhov muag nres tsis pom kev, ua tiav qhov tsis pom kev tshwm sim.
- Cov tsos mob saum toj no tuaj yeem nrog mob taub hau thiab tsis muaj zog hauv lub cev.
Views
Txawm li cas los xij, nyob ntawm seb lub cev vitreous raug cuam tshuam loj npaum li cas, cov kab mob hemophthalmia hauv qab no yog qhov txawv. Txhua tus ntawm lawv muaj nws tus kheej cov tsos mob thiab txawv ntawm txoj kev kho.
Nrog hom kab mob no, lub cev vitreous yog 75 feem pua ntawm cov ntshav. Hom hemophthalmos no feem ntau tshwm sim los ntawm ntau yam kev raug mob ntawm lub qhov muag. Tus kab mob no cuam tshuam nrog kev poob ntawm lub hom phiaj tsis pom kev. Tus neeg mob muaj peev xwm paub qhov txawv tsuas yog lub teeb thiab dub, tab sis nws tsis muaj peev xwm taug kev hauv qhov chaw, kom paub qhov txawv ntawm cov khoom (nrog rau cov khoom uas nyob ze).
subtotal
Hemorrhage nyob tsawg kawg yog 35 feem pua thiab tsis pub ntau tshaj 75% ntawm qhov loj ntawm cov tshuaj zoo li gel. Raws li txoj cai, proliferative ntshav qab zib retinopathy ua raws li qhov yuav tsum tau ua ua ntej rau subtotal hemophthalmia. Nws, nyob rau hauv lem, suav hais tias yog qhov tshwm sim ntawm ntshav qab zib.
Terson's syndrome tuaj yeem ua rau kev loj hlob ntawm hom kab mob no. Nrog rau hom kab mob tag nrho, tus neeg mob pom cov pob dub nyob rau hauv pem hauv ntej ntawm lub qhov muag uas hla tawm ib feem loj ntawm daim teb.pom kev. Ib tug neeg muaj peev xwm paub qhov txawv ntawm thaj tsam ntawm cov khoom, qhov zoo li ntawm lwm tus neeg, tab sis lub hom phiaj kev pom tau txo qis.
Kev xaiv qhov muag hemophthalmos
Tus kab mob no yog tus yam ntxwv los ntawm kev ua kom lub cev ua kua dej los ntawm cov ntshav los ntawm 35 feem pua lossis tsawg dua. Qhov no yog ib qho tshwm sim tsis tu ncua, qhov nyuaj ntawm qhov ua rau uas feem ntau ua ke cov hlab ntshav siab, ntshav qab zib mellitus, detachment, retinal rupture.
Xaiv hemophthalmos yog ntau hom kab mob uas tshwm sim, uas yog tus cwj pwm los ntawm kev mob me me. Qhov kev kuaj mob zoo li no yeej ib txwm ua los ntawm kev pom zoo rau kev kho, kho kom rov qab muaj peev xwm pom.
Thaum xaiv hemophthalmos, muaj cov dots tsaus lossis kab txaij ntawm qhov tsaus ntuj lossis xim liab liab ua ntej ob lub qhov muag. Tus neeg mob qhov muag tsis pom kev tuaj yeem pom qhov muag plooj, qhov pom ntawm qhov muag pom, zoo ib yam li daim ntaub thaiv.
Txhua hom kab mob feem ntau tshwm sim hauv ib qho ntawm ob lub qhov muag xwb. Kev tshwm sim ib txhij ntawm ob lub qhov muag yog qhov tsis tshua muaj. Tsuas muaj ib qho kev zam rau txoj cai no - Terson's syndrome, vim li ntawd, raws li txoj cai, ob tog hemorrhage tshwm.
Type
Thaum cov hlab ntsha ntawm qhov muag tawg, cov ntshav nkag mus rau hauv lub cev. Muaj peb hom hemophthalmos:
- ib nrab - tsawg dua peb lub cev vitreous tau ntim rau hauv cov ntshav;
- subtotal - ntawm peb mus rau plaub;
- tag nrho hemophthalmos ntawm qhov muag.
Kev xeem
Lub xeev ntawm lub retina thiab lub qhov muag yog kuaj los ntawmkev xeem. Txhawm rau ua qhov no, ua tiav cov haujlwm chromatic ntawm retina. Tom qab thawj qhov kev kuaj mob, tus kws kho mob tau sau ntawv kho mob.
Kev kuaj mob hauv cov kab mob ntawm retina
Rau cov kab mob cuam tshuam nrog retina, tus kws tshaj lij xav tau:
- txiav txim qhov pom kev pom;
- ua tshawb fawb txog xim xim;
- txiav txim siab qhov pathology ntawm retina thiab qhov hnyav ntawm cov txheej txheem.
Thiab ntawm qhov kev tshuaj xyuas, thaj tsam ntawm kev pom kev yuav tsum tau txiav txim siab.
Kev kho mob
Tam sim no, kev kho mob ntawm ib feem ntawm hemophthalmos ntawm lub qhov muag, nrog rau kev ua tiav, tuaj yeem ua tiav los ntawm ob peb txoj hauv kev: tshuaj, enzyme kho thiab phais. Kev kho mob yog xaiv los ntawm tus kws kho mob qhov muag nyob ntawm thaj tsam thiab qhov tob ntawm kev puas tsuaj rau lub qhov muag.
kev kho mob
Kev kho tshuaj tsuas yog siv tau yog tias pib hauv thawj 5-7 teev tom qab pib hemorrhage. Kev kho tshuaj rau hemophthalmos ntawm lub qhov muag tau muab faib ua ob theem. Txhua tus ntawm lawv yog qhov tseem ceeb heev thiab yuav tsum tau ua tib zoo ua raws li tag nrho cov lus pom zoo thiab cov cai rau kev siv tshuaj.
Thawj theem yog txhawm rau nres qhov hemorrhage thiab stabilizing lub xeev ntawm lub cev vitreous. Nyob rau theem no, coagulants thiab tshuaj siv los tswj lub elasticity ntawm lub qhov muag phab ntsa. Cov no suav nrog:
- "Doxium" yog ib yam tshuaj uas pab ua kom lub qhov muag phab ntsa elastic thiab permeable. Cov tshuaj nquag yog calcium dobiselate.
- "Parmidine" muaj cov khoom zoo ib yam li cov ntawm"Doxium". Qhov sib txawv ntawm cov tshuaj nquag nquag, hauv lub luag haujlwm ntawm sodium etamisylate ua.
- "Pentynyl" yog ib yam tshuaj uas muaj qhov nthuav dav ntawm cov hlab ntsha ntawm microcirculation ntawm lub qhov muag, uas cuam tshuam rau elasticity ntawm erythrocyte daim nyias nyias thiab cov ntshav.
- "Dikvertin" yog ib yam tshuaj uas ua rau kom nce qib ntawm nitric oxide hauv cov ntshav, uas ua rau muaj kev nce hauv kev ua haujlwm ntawm cov txheej txheem microcirculation.
- "Pertinol" txo qis spasm los ntawm cov hlab ntsha ntawm retina thiab inhibits qhov kev txiav txim ntawm histamine.
- "Chlorista" yog cov coagulant nrog kev ua haujlwm dav dav.
- Heparin yog siv los ua qhov chaw thiab tso tseg los ntshav. Tag nrho cov tshuaj no tuaj yeem raug sau rau hauv daim ntawv tee lossis txhaj tshuaj intramuscular. Nws yog qhov txaus ntshai heev uas siv tshuaj ntawm koj tus kheej thaum muaj qhov muag hemorrhage.
theem thib ob yog kev kho tshuaj uas tsom mus rau resorption ntawm hematoma. Nyob rau theem no, kev npaj muaj cov vitamins C thiab PP, nrog rau:
- "Emoxipin" yog cov tshuaj muaj cov tshuaj antioxidants uas txhim kho cov metabolism. Nws raug sau tseg ua kev txhaj tshuaj intramuscular ib hnub ib zaug rau 14 hnub.
- "Mexidol". Cov tshuaj muaj ib tug pronounced membrane-stabilizing nyhuv. Muab rau 100 ml ib hnub rau 10 hnub.
- "Histochrome". Cov tshuaj yog siv los txo qhov o ntawm lub qhov muag thiab txo hematoma. Kev kho mob yog kho raws li lub cev cov lus teb rau kev siv Histochrome. Mus rau lub ntsiab ntawm kev kho mobCov tshuaj, tus kws kho mob tuaj koom, yog tias tsim nyog, tuaj yeem ntxiv cov tshuaj tua kab mob uas muaj lidase thiab potassium iodine. Tseem ceeb: yog tias koj ncua kev pib kho, kev kho tshuaj yuav tsis ua haujlwm thiab cov ntshav txhaws uas tshwm sim los ntawm hemorrhage yuav tsum tau muab tshem tawm phais.
YEnzyme Therapy
Ib feem tseem ceeb hauv kev kho mob ntawm qhov muag hemophthalmia (txoj cai lossis sab laug) yog kev kho enzyme. Nws yog tsom rau resorption ntawm cov ntshav txhaws. Lub ntsiab ntawm txoj kev kho no yog kev siv cov enzymes uas txhawb nqa:
- ntxuav qhov mob los ntawm cov kab mob phem thiab tsim necrotic;
- txhim kho cov ntshav tawm hauv lub cev;
- txo cov ntshav txhaws;
- nrawm ntawm resorption ntawm cov ntshav coagulated.
Cov tshuaj tseem ceeb siv hauv kev kho enzyme yog:
- "Unitol". Cov tshuaj yog siv raws li kev txhaj tshuaj nyob rau hauv lub conjunctiva los yog intravenously. Nws muaj kev daws teeb meem thiab rov tsim dua tshiab.
- Protelysin yog ib qho enzyme siv hauv kev kho qhov muag kom tawg cov ntaub so ntswg necrotic thiab lyse ntshav txhaws. Tam sim no, kev kho enzyme yog ib txoj hauv kev yooj yim dua rau kev kho mob thiab phais kho qhov muag hemophthalmia.
kev kho mob phais
Thaum qhov kev kho tshuaj thiab kev kho enzyme tsis ua haujlwm lossis tus neeg mob nrhiav kev pab tom qab ntau tshaj 48 teevTom qab qhov pib ntawm hemorrhage, kev phais tshem tawm ntawm hematoma yog sau tseg. Kev ua haujlwm rau hemophthalmia ntawm lub qhov muag (sab laug lossis sab xis) tshwm sim hauv zos lossis kev siv tshuaj loog, nyob ntawm tus yam ntxwv ntawm tus neeg mob tus mob thiab kev sib kis ntawm cov txheej txheem pathological hauv lub qhov muag. Lub ntsiab lus ntawm kev cuam tshuam kev phais yog raws li nram no:
- qhov muag ntsia hauv ib txoj haujlwm;
- ob qhov punctures yog tsim los ntawm ob sab ntawm lub hematoma (nyob ntawm nws txoj hauj lwm);
- ib lub LED nrog lub koob yees duab tau ntxig rau hauv ib qho puncture, ib rab koob aspiration rau hauv qhov thib ob;
- lub cev nqaij daim tawv yog punctured nrog ib rab koob;
- tom qab kev sib tsoo, rab koob raug tshem tawm thiab lub tshuab nqus tsev tau muab tso rau hauv nws qhov chaw, nrog kev pab los ntawm cov hematoma raug tshem tawm hauv qhov chaw, nrog rau cov ntaub so ntswg pathological;
- tshuaj ntsev yog nkag rau hauv qhov chaw tsim.
Cov teeb meem hauv lub sijhawm tom qab kev phais suav nrog qhov muaj peev xwm rov ua ntshav. Qhov teeb meem no tshwm sim tau yog tias tus neeg mob tsis ua raws li cov lus pom zoo kho mob, tsis ua raws li txoj cai tswjfwm, tsis noj tshuaj.
Kev pom qhov pom kev tuaj yeem ua rau tsis pom kev. Ib qho teeb meem tshwm sim thaum lub lens ntawm lub qhov muag puas thaum lub sijhawm ua haujlwm. Txawm tias muaj microdamage, qhov muag pom kev tuaj yeem poob los ntawm 2-3 diopters. Thiab nco ntsoov, mus ntsib kws kho mob raws sij hawm yuav cawm koj ntawm qhov tshwm sim tsis tsim nyog.
