Endocrine ophthalmopathy

Qhov zoo ces, tus neeg mob ntawm tus kab mob yog heev tsawg, tab sis endocrine ophthalmopathy yog hais txog cov kab mob uas muaj siab reflected nyob rau hauv tus neeg mob lub ntsej muag. Yuav ua li cas yog tus kab mob no thiab yuav ua li cas los kho nws? Endocrine ophthalmopathy koom autoimmune kab mob. Nws yog ib tug kab mob ntawm cov ntaub so ntswg ntawm lub orbit thiab lub qhov muag nqaij. Tus kab mob yog tshwm sim los ntawm ib tug teeb meem nyob rau hauv lub cev tsis muaj zog, uas ua rau yus o ntawm cov leeg thiab subcutaneous cov ntaub so ntswg, muaj kev cuam tshuam ntawm cov ntshav khiav tsis zoo hauv cov hlab ntsha thiab lug ntawm cov nqaij fibers, uas ua rau yus mus tsis meej txoj kev loj hlob ntawm connective cov ntaub so ntswg. Endocrine ophthalmopathy feem ntau tshwm sim thiab cov thyroid caj pas vim muaj ib tug kab mob autoimmune. Nyob rau hauv kev kho cov thyroid tshwm sim txoj kev zam txim ntawm lub kab mob.

Cov neeg uas ua mob ophthalmopathy, muaj xws li cov yam ntxwv cov tsos mob:

- ghosting, qhov muag plooj duab, tshwj xeeb tshaj yog thaum saib toj thiab upwards;

- photophobia, tsis xis nyob tau xuab zeb nyob rau hauv koj lub qhov muag;

- kua muag, thiab ib tug kev xav ntawm siab nyob rau hauv lub ob lub qhov muag, tshwj xeeb tshaj yog nyob rau hauv cua hlob;

- unnatural protrusion ntawm lub eyeballs, los yog lwm yam - exophthalmos.

Lub edematous daim ntawv ntawm tus kab mob nyob rau hauv cov neeg mob tau o ntawm lub conjunctiva thiab tawv muag. Heev nyob rau hauv tus kab mob no thiab corneal ulcerations mob. Txawm tias muaj tseeb hais tias endocrine ophthalmopathy xam tau tias yog ib tug heev loj mob, kev kho rau nws tshwm sim.

Thaum tsim kom cov kev mob ntawm lub mus kawm tus kws kho mob prescribes ib tug xov tooj ntawm cov tshuaj. Endocrine ophthalmopathy, uas kho mob muaj xws li tsis tsuas yog tus txais tos antiinflammatory agents (npaum li cas hais), thiab diuretics (los txo edema) yuav tsum tau tau txais neuromuscular stimulators. Nrog rau tshuaj thiab kev noj haus, uas txwv tsis pub tus neeg mob lub npe ntawm ntsev thiab kua.

Kev kho mob endocrine ophthalmopathy comprises tau txais anti-inflammatory siv tshuaj xws li prednisolone (Dekortin, Prednol, metipred), Dexamethasone (Deksazon, Fortekortin, Daxin, Kortideks, Novometazon) Triamtsinola atsitponid (Kenakort, Kenalog, Vetalog).

Endocrine ophthalmopathy yuav tsum tau kev txais tos ntawm ib qho ntawm diuretic tshuaj xws li Acetazolamide (Diakarb, Fonurit) Furosemide (Akvatriks, Uriks, Urid, Difureks, Floriks, Kinex, Furon, Lasix), spironolactone (Spironaksan, Urakton, Veroshpiron, Spiriks, Spiro, aldactone, Furo-Aldopur, Aldopur, Spironobene, Lazilakton, Spironol) Hydrochlorothiazide (Hypothiazid, Dihlotiazid, Dizalunil, APO-Hydro).

Cov feem ntau tus kws kho hom ib tug xws li neuromuscular conduction: Neostigmine (Sintostigmin, Miostin, Vagostigmin, Eustigmin, Metastigmin, Neoezerin, Stigmosan).

Thaum xaiv ib tug kev kho mob ntawm tus kab mob no yuav tsum tau xav hais tias cov tswv yim nyob rau hauv no kab mob hauv lub inflammatory txheej txheem, feem ntau nws txawj zam txim. Tsis tas li ntawd muaj feem xyuam rau cov kev xaiv ntawm kev kho mob thiab cov heev ntawm tus kab mob ua si. Nyob rau hauv cov kev tshwm sim ntawm loj thiab hauj sim endocrine ophthalmopathy yog feem ntau siv txoj kev, uas paub tseeb hais tias nws muaj kev ruaj ntseg thiab ua tau - kho nrog methylprednisolone. Kev kho mob yog nqa tawm rau tsib hnub, ua raws li los ntawm ib tug thib ob cov hoob kawm tau, ob lub lis piam tom qab thawj zaug.

Lwm txoj kev kho mob yog radiotherapy nyob rau hauv lub cheeb tsam ntawm lub orbit, uas yog feem ntau nrog rau glucocorticoid kev kho mob. Tsuas yog nyob rau hauv heev heev mob, tus kab mob yuav siv tau phais pab rau decompress cov orbit. Kwv yees li 2% ntawm cov neeg muaj tus kab mob yog yus muaj los ntawm ib tug heev loj heev, kawg qhia residual teebmeem, uas yog feem ntau pom nyob rau hauv lub tsaug zog theem.