Qhov muag dauv rau cov neeg mob ntshav qab zib tau siv vim qhov tseeb tias cov ntshav qab zib ntau ntau cuam tshuam qhov txaus ntshai ntawm cov kab mob qhov muag hauv tus neeg mob.
Ntau zaus nws yog ntshav qab zib mellitus uas yog qhov laj thawj tseem ceeb rau kev txhim kho qhov muag tsis pom ntawm ntau hom neeg hauv cov pej xeem uas muaj hnub nyoog txij li 20 txog 74 xyoo.
Glaucoma kho mob ntshav qab zib
Qhov muag ntshav qab zib hauv ntshav qab zib feem ntau yog kho rau kev kho mob phom sij ntawm lub qhov muag xws li glaucoma thiab cataracts. Tib lub sijhawm, ob leeg ntawm cov kabmob no, thaum lawv tsis kho, tuaj yeem ua rau tus neeg mob tsaus muag lossis tsis pom kev.
Txhawm rau zam qhov no, nws yog qhov tsim nyog los ua qhov xaiv qhov muag kom haum rau cov ntshav qab zib hom 2, pheej ywg dej rau lawv thiab tsis pub tshaj qhov tsuas tshuaj.
Hais lus ncaj qha txog cov mob xws li mob qog ntawm qhov muag, peb tuaj yeem nco ntsoov qhov tseeb tias nws tshwm sim los ntawm kev tso zis tawm cov kua hauv lub qhov muag. Hauv qhov no, ib qho kev ua txhaum ntawm nws txoj kev haus dej ua rau muaj kev nce siab ntawm kev tso dej khov. Raws li qhov tshwm sim, tsis tsuas yog cov leeg hauv sab hauv lub qhov muag, tab sis kuj muaj cov hlab ntsha ntawm cov khoom puas, tom qab ntawd tus neeg mob lub zeem muag poob qis.
Cov txheej txheem tseem ceeb ntawm kev kho yog siv rau cov kev niaj hnub los kho tus mob glaucoma uas tshwm sim hauv cov neeg mob uas muaj ntshav qab zib hom 2:
- noj tshuaj;
- phais mob;
- kho laser;
- siv siv tshwj xeeb qhov muag tee.
Ntxiv mus, txawm li cas los xij, txhawm rau tiv thaiv kev loj hlob ntawm tus kab mob hauv qhov xwm txheej tsis zoo, nws yog qhov tsim nyog rau tus neeg mob siv tshuaj rau qhov muag ntshav qab zib tsuas yog nyob hauv kev saib xyuas ntawm oculist.
Qhov tseeb tsuas yog kev saib xyuas kev kho mob tas li tso cai rau tus neeg mob thiab nws tus kws kho mob koom nrog tsim kho txoj cai kho thiab kho kom raug. Nws tsis pom zoo hloov pauv tus kws tshaj lij thaum lub sijhawm kho tag nrho.
Qhov muag ntshav qab zib rau cov ntshav qab zib tau siv los kho kab mob siab lub ntsws yog muaj npe raws li hauv qab no:
- Hmoob Patanprost.
- Betaxolol.
- Pilocarpine.
- Timolol
Hauv qhov no, nws tsim nyog teev rau qhov tseeb tias tee ntawm Timololol feem ntau siv rau kev kho mob ntawm tus kabmob piav qhia. Lawv yuav muaj 0.5% thiab 0.25% ntawm cov tshuaj nquag. Ib qho ntxiv, hauv cov chaw muag tshuaj koj tuaj yeem yuav lawv cov yeeb yaj kiab: Okumol, Fotil thiab lwm tus.
Cov tshuaj no tuaj yeem pab txo qis siab ntawm lub cev, thaum muaj peev xwm ua kom haum tsis hloov, thiab tus tub ntxhais kawm ntawv qhov loj me li qub. Qhov xwm txheej tom kawg yog qhov tseem ceeb rau cov neeg mob ntshav qab zib.
Cov tee qhov muag no pom tias lawv cov nyhuv kwv yees li 15-20 feeb tom qab lawv tau instilled rau hauv conjunctival hnab. Raws li qhov tshwm sim, tom qab ob peb teev, qhov tseem ceeb txo nyob rau hauv qhov siab ntawm txoj kev ua lag luam yuav kaw.
Cov nyhuv no tseem mob tsawg kawg ib hnub, uas tso cai rau kev kho mob cov chav.
Qhov muag pom tseeb
Dua li ntawm cov kab mob qhov muag no mob ntshav qab zib zoo li lub ntsej muag txhawm chim, muaj lwm yam kab mob cuam tshuam rau tus neeg mob lub qhov muag, xws li cataracts. Ntxiv mus, feem ntau pom muaj nyob rau hauv kev kho mob ntshav qab zib thiab tsis muaj kab mob tsawg dua li nws. Yog li, txhua yam tshuaj rau tus kheej hauv qhov no yog txwv tsis pub siv, vim tsuas yog tus kws kho mob muaj kev paub dhau los - tus kws kho qhov muag tuaj yeem kuaj pom qhov tseeb nyob hauv qhov no.
Txij ntawm qhov pom ntawm cov physiology, cataracts yog ib qho clouding ntawm lub lens ntawm lub qhov muag. Qhov tshwm sim no tshwm sim vim tias thaum cov ntshav qab zib hauv lub cev txo qis qis lossis, ntawm qhov tsis sib thooj, nrog qhov nce siab hauv nws, lub lens ntawm lub qhov muag tuaj yeem ntxhov.
Qhov tseeb yog tias lub qhov muag tuaj yeem txais cov piam thaj ncaj qha los ntawm cov piam thaj, tsis tas siv cov tshuaj insulin. Hauv qhov xwm txheej zoo ib yam, thaum nws qib "qog" tas mus li, qhov kev mob siab tshaj plaws yuav tshwm sim, txog thaum tus neeg mob pib mus rau qhov muag tsis pom.
Thawj lub cim ntawm tus kab mob muag no hauv ntshav qab zib mellitus yog qhov kev txo qis ntawm qhov pom tseeb ntawm lub zeem muag, qhov txo qis hauv nws qhov pom kev, thiab zoo nkaus li hnov dheev pom “daim ntaub” lossis cov duav ua ntej qhov muag. Vim li ntawd, tus neeg mob tsis tuaj yeem nyeem cov ntawv me me uas luam hauv ntawv xov xwm. Cov kev piav qhia hauv kev hnov mob kuj tuaj yeem nrog los ntawm opacification ntawm lub cev vitreous, nrog rau lwm qhov kev ua kom pom tseeb ntawm lub qhov muag pathology.
Qhov muag poob rau cov ntshav qab zib hom 2, thaum tus neeg mob kuaj pom tias muaj tus kab mob cataract, lawv tsuas yog kws kho los ntawm kws kho qhov muag tau pom, nws tuaj yeem coj mus rau hauv tus lej txhua qhov tsis zoo ntawm kev kho ob yam kab mob. Tam sim no, cov hom tshuaj hauv qab no feem ntau siv rau kev kho mob: Cathars, Quinax, thiab Catalin. Lawv siv tib txoj kev: tee yog instilled rau hauv lub qhov muag peb zaug hauv ib hnub, thaum ob tee ntawm cov lus sib xyaw yog dripped rau hauv txhua lub qhov muag rau ib hlis. Tom qab ua tiav chav kawm, koj yuav tsum tiv ntawm peb caug hnub so, tom qab ntawd nws rov ua ib zaug ntxiv.
Nws yog tsim nyog sau cia hais tias mob ntshav qab zib yuav tshwm sim tsis zoo rau ntau xyoo, tab sis kuj rau lub neej. Yog li, kev tiv thaiv ntawm cov teeb meem nrog tus kab mob qhov muag no muaj nyob rau hauv ib txwm coj cov tshuaj uas kws kho tus kws kho mob hais txog.
Hauv qhov no, tus neeg mob tuaj yeem coj lub neej zoo uas tsis pom nws muaj mob.
Cov yam ntxwv ntawm kev siv qhov muag rau ntshav qab zib
Thaum lub sij hawm tag nrho kev kho mob ntawm qhov muag kab mob rau cov neeg mob ntshav qab zib mellitus, nws yog qhov yuav tsum tau soj ntsuas ntu ceev ntawm lub plab, nrog rau kev soj ntsuam ntawm lub ntsej muag nws tus kheej. Qhov no yuav txhim kho thiab tiv thaiv qhov tshwm sim ntawm cov kev mob tshwm sim. Hauv qhov no, qee qhov kev txwv yuav tsum raug pom.
Ib qho ntawm cov kev txwv ntawm tus mob ntshav qab zib yog qhov xav tau kom tshem qee qhov muag sib txuas mus kom pom tseeb cov qhov muag pom tseeb. Tsis tas li ntawd, hauv kev sib txuam nrog cov tshuaj kho qhov muag, nws yuav yog qhov yuav tsum tau noj cov ntsiav tshuaj uas tus kws kho mob tau hais rau tus neeg mob ncaj qha rau kev kho mob ntshav qab zib.
Yog tias tus kws kho pob ntsej muag tau txiav txim siab txog kev phais mob, tus neeg mob yuav tsum tau tso tseg kev siv lub qhov muag ob hnub ua ntej kev ua haujlwm. Tsis tas li ntawd, nws raug nquahu kom tsis txhob sau lub qhov muag ntawm ob lossis ntau qhov tshuaj uas muaj beta-blockers. Qhov tseeb yog tias lawv aggravate cov chav kawm mob ntshav qab zib, yog li pab txhawb rau kev tsis zoo ntawm tus neeg mob tus mob.
Cais, nws tsim nyog hais txog qhov tseeb tias tus neeg mob raug txwv tsis pub siv tshuaj los yog hloov kho siv tshuaj, suav nrog rau lub qhov muag, yam tsis tau sab laj nrog kws kho mob. Qhov tseeb yog tias nyob rau hauv cov ntshav qab zib, xws li hloov pauv tuaj yeem ua rau cov kua dej glycemic Performance index poob qis, thiab yog li ua rau nws txoj kev mob hnyav. Yog tias koj sab laj nrog koj tus kws kho mob raws sijhawm, cov kev tsis zoo no ntawm kev hloov cov tshuaj tuaj yeem zam.
Raws li rau kev tiv thaiv kab mob qhov muag nyob rau hauv cov ntshav qab zib, lawv tau ncaj qha ntsig txog kev tiv thaiv tus kab mob hauv qab. Tsis tas li ntawd, nws yog qhov yuav tsum muaj feem ntau los ua kom lub cev tiv thaiv kab mob hauv lub cev thiaj li tuaj yeem tiv thaiv tus kabmob. Kev tiv thaiv sijhawm yuav tiv thaiv qhov pom kev tsis zoo hauv ntshav qab zib.
Tsis tas li, tsis txhob tso koj lub qhov muag ntau dhau thiab yog tias nws poob, koj yuav tsum siv cov cuab yeej siv kho, xws li tsom iav lossis cov iav ntsiab muag. Qhov no yuav pab kom tus neeg mob zoo li ib tus neeg ua haujlwm puv ntoob rau qee qhov xwm txheej. Daim vis dis aus hauv tsab xov xwm no nthuav txog qhov teeb meem ntshav qab zib thiab lub zeem muag.
