Rov qab rau tej uas ib tug yuav xav, kev laus tsis yog qhov ua rau dig muagqhov tseeb, qhov teeb meem tshwm sim feem ntau yog kev tsim kho tsis zoo ntawm levator tawv muag daj leegCov. Yog tias qhov teeb meem muaj nyob rau thaum yug, zoo dua los cuam tshuam tam sim kom tsis txhob muaj kev ntxhov siab ntxiv.
Qhov muag thiab saib feem ntau, yog cov crux ntawm lub ntsej muag tag nrhoCov. Peb xav tias koj yuav xav paub txog cov vaj tswv tshuaj ntsuab zoo rau qhov muag khaus.
Cov tsos mob ptosis tawv muag
Tawv muag ptosis yog lub npe kev rau tus droopy tawv muag daj muaj teeb meem, tab sis cov tsos mob zoo li cas ua rau koj paub tias muaj qee yam tsis yog? Qhov pom tseeb tshaj plaws yeej yog qhovdrooping ntawm ib lossis ob lub qhov muag.
Lwm cov tsos mob muaj xws li:
- Nyuaj kaw los yog qhib lub qhov muag
- Nruab nrab / tawv nqaij sagging ntawm daim tawv nqaij ntawm thiab ib puag ncig tawv muag
- Nkees thiab mob ib ncig ntawm lub qhov muag, tshwj xeeb tshaj yog nruab hnub
- Hloov pauv qhov tshwj xeeb ntawm lub ntsej muag
Cov tsos ntawm tus drooping tawv muag tuaj yeem nyob ruaj khov thaum sijhawm, nthuav dav zuj zus xyoo lossis yuav sib quas ntus. Ib qho ntxiv, drooping tawv muag tau tsuas yog nyuam qhuav tau hinted ntawm, los yog npog tag nrho cov tub ntxhais kawm thiab iris.
Hauv cov mob hnyav tawv muag ptosis tau tau txais kom tiav thaiv qhov pom tshwj xeeb tshaj yog thaum nws cuam tshuam ob lub qhov muag. Lwm qhov xwm txheej, txawm li cas los xij, nws tuaj yeem nyob ib leeg nyuam qhuav hais xwb thiab yog li ntawd tsis tuaj yeem pom pom tam sim ntawd.
Qhov muag daj tawm ntawm qhov muag kuj tseem yoojyim hloov tib neeg lub ntsej muag tsis muaj kev mob rau lawv txoj kev noj qab haus huv, tab sis qee zaum nws tuaj yeem yog a daim paib qhia txog kev mob hnyav dua, uas yog qhov txaus siab leeg, leeg, cov leeg qhov muag lossis lub hlwb.
La tawv muag ptosis nws tseem tuaj yeem tshwm sim nws tus kheej ib leeg rau ob peb hnub lossis rau ob peb teev thiab nws yog lub cim ntawm cov mob hnyav. Hauv cov rooj plaub no, ceeb toom rau koj tus kws kho mob tam sim ntawd.
Ntxiv rau qhov mob no qee zaum yog txuam nrog strabismus thiab thaum nws cuam tshuam rau cov menyuam yaus, tus cwj pwm nyiam yog qaij koj lub taub hau rov qab thiab tsa koj pob muag sim ua kom pom zoo dua. Tus cwj pwm no, rov ua dua tom qab sijhawm, tuaj yeem ua mus mob taub hau thiab “o caj dab txhav txhav“, Ua rau caj dab muaj teeb meem thiab kev loj hlob qeeb.
Sagging tawv muag: qhov ua rau
Sagging tawv muag feem ntau tshwm sim nrog kev laus, raws li cov leeg ntawm cov tawv muag dhau los ua tsis muaj zog. Hauv cov laus, Feem ntau ua rau ptosis yog mob levator, vim raug mob lossis phiv los ntawm qee qhov muag phais.
Lwm qhov laj thawj uas ua rau hau tawv muag yog:
- kev raug mob
- qhov muag hlav
- cov leeg mob hlwb
- mob ntshav qab zib
- noj tshuaj opioid
- kev siv yeeb tshuaj thiab tsim txom
Nyob ntawm qhov ua rau, peb tuaj yeem paub qhov txawv ntawm daim tawv muag ptosis:
- Myogenic ptosis: nws yog vim lub cev tsis muaj zog ntawm cov leeg nqaij, qhov feem ntau ntawm cov neeg mob twb tau mob los ntawm lwm cov kab mob qhov muag.
- Neurogenic ptosis: thaum cov leeg ntshav uas tswj lub levator palpebrae kuj tseem koom tes nrog.
- Cov mob aponeurotic ptosis: raug xa mus rau kev nce qib hnub nyoog lossis tom qab kev ua haujlwm zoo.
- Neeg kho tshuab ptosis: nws ua los ntawm qhov hnyav ntawm cov tawv muag uas tiv thaiv nws txoj kev txav mus. Neeg kho tshuab ptosis tuaj yeem tshwm sim los ntawm muaj ib qho mob loj heev xws li fibroids thiab angiomas.
- Mob khaub thuas ptosis: tshwm sim tom qab lo ntsiab muag ntawm daim tawv muag nrog kev zam ntawm levator leeg.
- Neurotoxic ptosis: yog cov tsos mob ib txwm muaj ntawm kev lom, uas yuav tsum tau kho tam sim ntawd.
Kev kuaj mob tus kws kho mob
Ib tug nkaus xwb uas tuaj yeem kuaj tau cov tawv muag daj yog tus kws kho mob thiab zoo dua, leej twg yuav ua tib zoo tshuaj xyuas ob lub qhov muag, saib qhov muag tag nrho lub qhov muag.
Ua ntej ua cov txheej txheem teeb meem, cov kev ntsuas hauv qab no tau ua ncaj qha:
- Tawv plaub muag: kev deb deb ntawm lub ntsej muag sab sauv thiab sab hauv qhov muag kom sib luag nrog cov menyuam nruab nrab;
- Marginal nyob deb li cas thaws rov los: qhov kev ncua deb ntawm nruab nrab ntawm tus tub ntxhais kawm lub teeb reflex thiab lub ntsej muag sab thiab qis.
- Levator cov leeg ua haujlwm.
- Kev ncua deb ntawm daim tawv nqaij quav los ntawm qaum npoo npoo.
Lwm cov ntsej muag lawv tuaj yeem pab txhawm rau txiav txim qhov ua rau ntawm daim tawv muag ptosis lawv yog:
- Qhov siab ntawm cov tawv muag;
- Levator leeg muaj zog;
- Qhov muag tsiv
- Kev ua tsis zoo nyob rau hauv kev tsim kua muag
- Incomolete kaw ntawm lub npog plaub muag ntug;
- Lub xub ntiag / tsis tuaj ob lub zeem muag, leeg tsis muaj zog lossis ua haujlwm tsis muaj zognyuaj hais lus lossis nqos mob taub hau, khi.
Kom mus txog qhov tau txais kev kho kom zoo tshaj plaws, qee zaum kev tshawb xyuas ntxiv yog coj los ntawm tus kws kho mob ntsej muag. Piv txwv, yog tias tus neeg mob nthuav qhia cov cim ntawm qhov muaj teeb meem ntawm lub paj hlwb los yog kuaj qhov muag pom tias muaj qhov loj nyob hauv lub qhov muag. Hauv qhov no, kev kuaj mob tshwj xeeb yuav raug kho.
Yuav ua li cas kho tau drooping tawv muag
Hauv qee qhov mob hnyav dua li drooping tawv muag, qee qhov yuav txaus ce tsom kev txhawb nqa lub cev muaj zog haum rau kev nqa daim tawv muag. Muaj tsom iav thiab cov lo ntsiab muag tshwj xeeb yuav kom muaj peev xwm txhawb nqa daim tawv muag thiab zam kev phais mob.
Txhawm rau kho a cov teeb meem loj ntawm daim tawv muag ptosis, tsuas daws teeb meem nkaus xwb kho rau kev phais mob, los ntawm kev cuam tshuam uas hangs e nthuav cov leeg levator, nrog rau cov txiaj ntsig tau zoo heev hauv kev hais lus ntawm loog.
Yog tias thaum lub sijhawm ua haujlwm phais tsev neeg tau ceeb toom tias lub levator leeg ntawm lub npog tawv muag yog qhov tsis muaj zog heev, tuaj yeem txiav txim siab txuas cov tawv muag rau cov plaub muag, zoo li nws yuav yog cov leeg ntawm hauv pliaj uas muaj txoj haujlwm nqa nws.
Tom qab phais nws yog ib qho tsis tau muaj peev xwm kaw koj lub qhov muag kiag li, thiab qhov tseem ceeb tshaj nws yuav tsum paub tias qhov tshwm sim no yuav nyob ntev tsawg kawg 2 lossis 3 lub lis piam.
Hauv qhov tshwj xeeb nws yuav tsim nyog kev cuam tshuam thib ob tshwj xeeb yog ua ob lub muag daj yog qhov zoo ib yam.
Lwm yam teeb meem uas tuaj yeem tshwm sim tom qab blepharoplasty muaj xws li:
- ntev li ntawm los ntshav
- muaj tus kab mob hauv thaj chaw ua haujlwm
- caws pliav thiab kev puas tsuaj rau lub ntsej muag lossis cov leeg
Cov neeg mob uas cuam tshuam los ntawm daim tawv muag ptosis, yuav tsum yog nquag kuaj xyuas los ntawm tus kws kho qhov muag txhawm rau soj ntsuam qhov kev nce qib ntawm qhov teeb meem, txawm hais tias lawv tsis tau phais.
Cov kab mob cuam tshuam nrog drooping tawv muag
Muaj tag nrho cov koob ntawm cov kab mob uas tuaj yeem ua rau muaj kev pheej hmoo ntawm kev tsim tawv muag ptosisCov. Qhov twg yog lawv? Ntawm no yog cov npe.
- mob ntshav qab zib
- Horner tus mob
- Myasthenia gravis
- stroke
- Yug kev raug mob
- Mob hlwb lossis lwm yam kabmob uas tuaj yeem cuam tshuam rau cov hlab ntsha lossis leeg ntshav
- Kev tuag tes tuag taw lossis kev raug mob ntawm qhov thib 3 lub paj hlwb cranial (oculomotor leeg)
- Raug mob rau lub taub hau lossis tawv muag
- Bell's palsy (puas tsuaj rau lub ntsej muag leeg)
- Nqaij ua tej leeg
