Retinal detachment: cov tsos mob, ua rau, kev kho mob

Detachment ntawm retina yog ib qho mob loj ntawm lub qhov muag. Thaum lub sij hawm kev loj hlob ntawm tus kab mob no, lub vascular membrane cais tawm ntawm lub retina. Tam sim no, lub detachment ntawm lub retina yog qhov loj tshaj plaws nyob rau hauv cov nqe lus ntawm pathological tej yam kev mob thiab kev phais. Tshaj yav dhau los xyoo caum peb tau pom ib tug neeg twg txoj kev loj hlob ntawm no nosology. Txhua xyoo, retinal detachment tshwm sim nyob rau hauv ib ntawm 10,000 tus neeg thiab yog ib qho ntawm qhov ua rau dig muag thiab kev tsis taus. Ntawm cov neeg muaj kev mob ntawm cov kab mob no, li ntawm 70% yog cov neeg ua haujlwm hnub nyoog.

Qhov tseem ceeb ntawm retinal detachment yog lub xub ntiag ntawm lub plhaub mesh ruptured, los ntawm qhov uas cov kua vitreous pib tawm mus rau retina, uas yog tev nws tawm los ntawm vascular membrane. Tsis tas li ntawd, qhov zoo tshaj plaws uas muaj qhov kev tsim kab mob ntawm tus kab mob no yog kev mob plawv, ua rau cov tsos mob ntawm cov txheej txheem dystrophic, thiab thaum ua rau qhov cuam tshuam ntawm kev sib raug ntawm cov vitreous lub cev thiab cov retina.

Ntsiab detachment yog puas, degenerative, thiab idiopathic. Cov tsos mob tseem ceeb yog: lacrimation thiab flickering flashes ntawm lub qhov muag, zoo ib yam li xob laim. Cov tsos ntawm cov kis no yog piav qhia los ntawm "superimposition" ntawm lub cev vitreous ntawm lub qhov muag ntawm lub qhov muag, thaum nws los kua, thiab lub retina pib "ntaus" rau nws. Cov ntawv tsis txaus siab txog "kab hlau rhuav" lossis cov ntaub qhwv ntsej muag ua ntej qhov muag, tiv thaiv tsis pom kev zoo, txhais tau tias pib ntawm txoj haujlwm ntawm cov retina. Yog tias koj muaj cov tsos mob no, koj yuav tsum tau mus cuag kws kho mob ntawm tus kws kho mob kom pom tus kws kho mob kom paub meej, kom txog rau thaum qhov teeb meem tseem ceeb. Tsis tas li koj yuav tsum sim kho koj tus kheej nrog rau tej tee los yog kev hnoos, tsuas yog ib qho uas koj tuaj yeem kho retinal detachment yog lub lag luam uas nws lub hom phiaj tseem ceeb tshaj plaws los mus kuaj xyuas cov retinal rupture uas twb muaj lawm thiab tshem tawm nws.

Tshwm sim retinal detachment yuav ua tau nyob rau txhua lub hnub nyoog, tab sis nyob rau hauv Feem ntau, tus kab mob no tshwm sim nyob rau hauv cov neeg ntawm mature muaj hnub nyoog los ntawm 25 mus 50 xyoo uas muaj nearsightedness (myopia), ib tug high degree, raws li zoo raws li nyob rau hauv cov neeg laus niaj phais rau cataract tshem tawm. Cov kab mob tseem ceeb tshaj plaws rau tus kab mob no yog: luv luv-sightedness, ntau qhov muag raug mob, heredity.

Lub ntsiab txoj kev kho mob yog phais, uas yog ib tug yuavtsum tau kawm uantej ntawm kev vam meej yog nws timeliness raws li ntev-lub sij hawm xub ntiag ntawm retinal detachment ua rau neuronal cell tuag thiab irreversible hloov nyob rau hauv lub retina.

Txoj kev siv ntau tshaj plaws rau kev kho ntawm exfoliated retina muaj xws li:

1. Sclerosing txoj kev - ib daim ntawm cov pos hniav, cov kua txig los yog cov hnab yas ywj siab tso rau txheej txheej sab nraud ntawm qhov muag, uas tiv thaiv kev tsim cov tshiab foci ntawm delamination, txo kev ceev ntawm lub retina, thiab kuj txhawb retinal txheej.
2. Txoj kev pneumatic retinopexy - ib qho pa npuas yog nkag mus rau hauv lub qhov muag, uas mus rau qhov chaw ntawm exfoliation thiab nplov nws, li no tiv thaiv cov kua ntawm pob zeb ntau dua nyob rau hauv retina.

Qee lub sij hawm, yuav kom ua tiav txoj kev haum ntawm retina, nws yog ib qho tsim nyog yuav tsum tau khiav hauj lwm hauv detachment ob peb zaug. Nyob rau hauv lub rooj plaub uas lub detachment tsis tau kov lub macular cheeb tsam, lub forecasts rau rov qab los ntawm heev optimistic, tab sis tsis puas pom kev yuav nyob twj ywm mus ib txhis. Cov teeb meem loj ntawm qhov kev kho no yuav yog nyob ntawm qhov kev khiav ntawm qhov kev pab tsim nyog tau txais.

Kev kho kev kho mob rau cov qhov thiab ruptures ntawm retina tau tseem tsis tau coj mus rau qhov kev tshem tawm ntawm retina: laser coagulation thiab cryotherapy. Thermal raug tshav kub los yog txias, uas pib mob thiab lub plhaw ntawm lub retina mus rau choroid.