txheem
- General piav qhia ntawm tus kab mob
- Hom glaucoma
- Ua rau glaucoma
- Yam tseem ceeb rau kev tsim kho glaucoma
- Glaucoma cov tsos mob
- Cov tsos mob ntawm glaucoma
- Cov teeb meem ntawm glaucoma
- Kev tiv thaiv kab mob glaucoma
- Txoj kev kuaj mob
- Kev kho mob glaucoma hauv cov tshuaj tseem ceeb
- Cov khoom noj muaj txiaj ntsig rau glaucoma
General piav qhia ntawm tus kab mob
Nws yog ib hom kab mob qhov muag uas tuaj yeem tshwm sim rau txhua lub hnub nyoog, tab sis tshwj xeeb tshaj yog cov neeg laus. Congenital glaucoma tshwm sim hauv 1 ntawm 20 txhiab tus menyuam yug tshiab, thaum muaj hnub nyoog 45 xyoos, qhov tshwm sim ntawm glaucoma yog kwv yees li 0,1%, ntawm cov neeg muaj hnub nyoog 50-60 xyoo, daim duab no nce mus txog 1,5%, thiab hauv pawg hnub nyoog. 70+ ntau dua 3%.
Hmoov tsis zoo, glaucoma yog kho tsis tau, nws cov ntaub ntawv hnyav ua rau qhov muag tsis pom kev, uas ua rau tus kab mob ua rau muaj kev sib raug zoo.
Hom glaucoma
Glaucoma yog cais raws hnub nyoog:
- congenital glaucoma cov menyuam yug tshiab raug kev txom nyem. Raws li txoj cai, tus kab mob no raug kuaj pom ntxov, tam sim tom qab yug me nyuam nws raug kuaj pom hauv 60% ntawm cov neeg mob. Congenital glaucoma tuaj yeem tshwm sim nws tus kheej hauv thawj lub hlis ntawm cev xeeb tub, thiab nyob rau hauv tsawg zaus tom qab, tom qab ob peb xyoos;
- menyuam yaus glaucoma kuaj mob hauv cov menyuam yaus uas muaj hnub nyoog 3 xyoos thiab txog 35 xyoos;
- thawj glaucoma nyob rau hauv cov neeg laus feem ntau. Nws muaj feem xyuam nrog kev hloov pauv hnub nyoog hauv lub cev ntawm lub zeem muag. Nws cov ntaub ntawv raug muab faib rau kev kho mob, uas cov kev kho mob nyob ntawm. Thawj glaucoma tuaj yeem tshwm sim nws tus kheej hauv qhov qhib-lub kaum sab xis, kaw-lub kaum ntse ntse, cov ntaub ntawv sib xyaw thiab glaucoma, uas nyob rau hauv lub siab intraocular tseem nyob rau hauv ib txwm txwv;
- Secondary glaucoma nyob rau hauv cov neeg laus txhim kho raws li qhov tshwm sim ntawm kis kab mob ophthalmic.
Ua rau glaucoma
Qhov ua rau mob glaucoma tuaj yeem yog ntau yam, xws li caj ces predisposition, nrog rau embryonic thiab kev raug mob thaum yug. Yog hais tias leej niam tau raug mob xws li mumps, syphilis, rubella, polio thaum cev xeeb tub, qhov no tuaj yeem ua rau mob glaucoma hauv fetus. Kev haus dej cawv ntau dhau, ua xua, tsis muaj vitamin tsis txaus, raug hluav taws xob, thiab mob plab plab tuaj yeem ua rau muaj kev pheej hmoo.
Hauv cov neeg laus, qhov laj thawj tseem ceeb ntawm kev txhim kho ntawm glaucoma yog qhov muag siab, uas ua rau muaj kev ua txhaum ntawm cov ntshav rau lub qhov muag thiab deformation ntawm lub paj hlwb. Tsis tas li ntawd, tus kab mob provokes ntshav siab, ntshav qab zib mellitus, osteochondrosis ntawm lub ncauj tsev menyuam nqaj qaum, kab mob ntawm lub cev tiv thaiv kab mob, myopia loj heev thiab ib tug hereditary yam.[3].
Txoj kev nyiam rau daim ntawv kaw-lub kaum feem ntau tshwm sim hauv kev sib deev ncaj ncees. Nyob rau hauv cov ntaub ntawv no, lub anatomical nta ntawm lub cev ntawm lub zeem muag yog ib qho tseem ceeb tshwj xeeb: qhov me me ntawm lub qhov muag thiab lub lens loj.
Qhov thib ob glaucoma tuaj yeem tshwm sim los ntawm kev siv cov tshuaj hormonal mus ntev, qhia rau bronchial hawb pob thiab kab mob autoimmune.
Yam tseem ceeb rau kev tsim kho glaucoma
Feem ntau, glaucoma raug kuaj pom nyob rau hauv muaj cov nram qab no yam tsis zoo:
- hnub nyoog laus (tom qab 70);
- farsightedness;
- ib ntus nce IOP;
- tsis tshua muaj ntshav siab;
- ntshav qab zib;
- kev ua haujlwm tsis zoo ntawm cov tshuaj hormonal thiab paj hlwb;
- kab mob ntawm cov hlab plawv;
- qhov muag puas;
- phais thiab yav dhau los inflammatory txheej txheem;
- muaj glaucoma nyob rau hauv cov txheeb ze;
- ntev siv tshuaj hormonal.
Raws li WHO, glaucoma yog thawj kab mob ntawm lub qhov muag pom kev, ua rau tsis pom kev ua haujlwm. Ntau tshaj 14% ntawm cov neeg dig muag hauv ntiaj teb tau poob lawv qhov muag vim glaucoma.
Glaucoma cov tsos mob
Feem ntau, cov kab mob no yog asymptomatic thiab tsis ua rau muaj kev tsis xis nyob ntev npaum li qhov pom kev tsis pom kev tsis zoo. Raws li txoj cai, tus neeg mob sab laj tus kws kho mob ophthalmologist nyob rau theem kawg ntawm kev txhim kho tus kab mob. Lub insidiousness ntawm tus kab mob nyob rau hauv lub fact tias nyob rau hauv thaum ntxov ua sawv, qhov mob thiab cov tsos mob yuav luag tag.
Cov neeg laus yuav tsum tsis tu ncua mus ntsib kws kho qhov muag thiab ntsuas qhov siab ntawm lub paj hlwb, uas yog cov tsos mob ntawm glaucoma. Nws yog tsis yooj yim sua kom nrhiav tau nws tus kheej hloov nyob rau hauv intraocular siab, txij li thaum lub nce tshwm sim maj mam thiab lub hlwb adapts rau cov kev hloov. Tsuas yog ib pawg me me ntawm cov neeg muaj xws li kev tshwm sim xws li mob hauv thaj tsam ntawm pob muag thiab hauv pliaj, kev tsis zoo ntawm kev pom kev tsis pom kev, kev tsis txaus siab txog qhov tshwm sim ntawm cov xim ntawm lub voj voog thaum saib lub teeb pom kev zoo.
Lwm cov tsos mob tseem ceeb yog qhov nqaim ntawm thaj chaw tsis pom kev, uas pib los ntawm qhov ntswg qhov ntswg, nrog rau kev ua txhaum ntawm kev hloov pauv sai ntawm lub qhov muag mus rau qhov hloov pauv ntawm lub teeb pom kev zoo. Ib qho kev poob hauv qhov muag pom tau hais tias qhov kev hloov pauv tsis tuaj yeem hloov pauv hauv cov qauv morphological ntawm cov paj hlwb, uas tsis tuaj yeem rov qab los thiab kho.
Daim ntawv kaw lub kaum sab xis yog qhov tsawg heev, tab sis nws yog qhov txawv ntawm cov tsos mob tshwm sim: qhov muag loj thiab mob taub hau, qhov muag liab.
Cov tsos mob ntawm glaucoma
Qhov mob ntawm qhov pom ntawm lub cev tuaj yeem tshwm sim los ntawm ib lossis ntau cov tsos mob. Nws yog ib qho tseem ceeb uas yuav tau hu rau tus kws kho mob ophthalmologist hauv lub sij hawm rau kev kuaj xyuas thiab kev kuaj mob.
Cov cim qhia ntawm glaucoma:
- rov tshwm sim ntawm qhov mob, mob thiab hnyav hauv thaj tsam ntawm qhov muag cuam tshuam;
- txo qis hauv kev pom;
- pos huab ua ntej qhov muag;
- cov xim xim thiab cov voj voog thaum saib ib qhov chaw ntawm lub teeb ci;
- tsis pom kev thaum tsaus ntuj (thaum tsaus ntuj thiab hmo ntuj);
- qhov muag noo noo;
- qee zaus mob mob;
- hyperemia ntawm lub qhov muag.
Cov teeb meem ntawm glaucoma
Kev kho mob tsis tu ncua thiab kev kuaj mob ntawm glaucoma tuaj yeem ua rau mob hnyav ntawm tus kab mob, uas yog fraught nrog kev tsis pom kev loj hlob mus txog qhov muag tsis pom. Cov kev tshawb fawb pom tau hais tias kev kho mob glaucoma tsuas tuaj yeem nres thiab ua rau qhov tsis pom kev poob qis, tab sis tsis tuaj yeem rov qab los.
Kev tiv thaiv kab mob glaucoma
- 1 kev kuaj mob tsis tu ncua nrog tus kws kho mob thiab tus kws kho mob endocrinologist txhawm rau tshawb xyuas lub sijhawm thiab kev tiv thaiv cov kab mob uas tuaj yeem ua rau muaj kev txhim kho ntawm glaucoma (hypertension, hypotension, ntshav qab zib mellitus, ua haujlwm tsis zoo ntawm cov thyroid caj pas);
- 2 systematic mus ntsib tus kws kho qhov muag nrog rau kev ntsuas kev ntsuas ntawm intraocular siab;
- 3 kev kho mob raws sij hawm ntawm cov kab mob ophthalmic los tiv thaiv kev txhim kho ntawm cov kab mob glaucoma;
- 4 Cov niam txiv uas muaj menyuam yuav tsum tau ceev faj tshwj xeeb los tiv thaiv kev pheej hmoo ntawm kev mob glaucoma hauv cov menyuam yug tshiab;
- 5 tsis txhob saib xyuas tus kheej. Kev tswj tus kheej yog nqa tawm yooj yim heev: kaw koj ob lub qhov muag ib los ntawm ib qho thiab sib piv cov ntse thiab zoo ntawm daim duab;
- 6 ua nws txoj cai kom tsis tu ncua thaum sawv ntxov ce nrog yuav tsum tau ua haujlwm rau lub ncauj tsev menyuam nqaj qaum. Kev ua haujlwm nruab nrab ntawm lub cev txhawb nqa cov ntshav mus rau lub cev ntawm lub zeem muag;
- 7 tsis txhob nqa cov khoom hnyav kom tsis txhob ua rau IOP nce ntxiv;
- 8 kev noj zaub mov kom zoo.
Txoj kev kuaj mob
Rau kev tshawb pom ntxov ntawm cov txheej txheem pathological, IOP yog ntsuas, nrog kev pab los ntawm cov cuab yeej tshwj xeeb cov nyiaj thiab lub paj hlwb raug kuaj xyuas, qhov pom kev pom tau raug tshuaj xyuas txhawm rau txheeb xyuas qhov tsis xws luag hauv nruab nrab thiab qhov muag tsis pom kev.
Rau kev kuaj mob glaucoma, kev tshuaj xyuas dav dav tau raug sau tseg, suav nrog refractometry, automated perimetry, tonometry, ultrasound, kev ntsuas qhov tob ntawm lub qhov rooj sab hauv, kev txiav txim siab ntawm lub thickness thiab txoj kab uas hla ntawm lub lens, gonioscopy (kev kawm ntawm lub kaum sab xis ntawm lub cornea. thiab lub iris), kev txiav txim siab ntawm lub thickness ntawm lub cornea.
Kev kho mob glaucoma hauv cov tshuaj tseem ceeb
Hmoov tsis zoo, tseem tsis tau muaj peev xwm ua tiav kev kho mob glaucoma, tab sis nws yuav tsum tau tswj thiab kho. Tom qab txiav txim siab txog hom thiab theem ntawm glaucoma, tus kws kho mob ophthalmologist yuav sau cov txheej txheem kho kom zoo, uas tuaj yeem ua tau zoo, phais lossis laser. Txhua hom kev kho mob no yog tsom rau normalizing cov ntsuas ntawm intraocular siab.
Cov tshuaj tactics ntawm kev kho mob yog siv tshwj xeeb antiglaucoma tee, uas tsis tsuas yog txo cov theem ntawm IOP, tab sis kuj txhim kho cov ntshav muab rau lub puab daim nyias nyias ntawm lub cev ntawm lub zeem muag. Tsuas yog tus kws kho qhov muag tuaj yeem xaiv thiab tshem tawm cov tee, nrog rau kev sau npe rau kev siv tshuaj tua kab mob; Kev noj tshuaj rau tus kheej rau glaucoma tuaj yeem ua rau qhov muag tsis pom kev. Hauv qhov no, tus neeg mob yuav tsum xav txog tias cov tshuaj antiglaucomatous tuaj yeem ua txawv ntawm IOP:
- 1 intraocular siab txo tam sim ntawd tom qab instillation ntawm tee;
- 2 IOP txo qis me ntsis, tab sis nyob rau hauv cov xwm txheej ntawm instillation ntawm cov tshuaj tsis tu ncua, nws cov nyhuv nce ntxiv raws sijhawm;
- 3 tee tuaj yeem ua rau muaj qhov sib txawv thiab nce qib ntawm IOP;
- 4 tus neeg mob qhov kev tiv thaiv rau cov tshuaj tiv thaiv kab mob antiglaucoma tuaj yeem ua tau, qhov no cov tshuaj tsis cuam tshuam rau IOP tsis.
Yog tias kev kho mob tsis tau txais txiaj ntsig, ces tus kws kho mob pom zoo kom phais.
Laser phais rau kev kho mob glaucoma pib xyaum rov qab rau hauv 70s ntawm lub xyoo pua xeem. Nrog kev pab los ntawm laser hluav taws xob, cov blocks intraocular raug tshem tawm, uas cuam tshuam nrog kev tawm ntawm cov kua dej intraocular. Muaj qhov zoo thiab qhov tsis zoo rau kev phais laser.
Qhov zoo ntawm laser phais:
- tus nqi qis ntawm kev ua haujlwm;
- luv luv rehabilitation lub sij hawm;
- tsis tas yuav siv tshuaj loog, tshuaj loog hauv zos txaus;
- phais kev cuam tshuam nrog lub laser tuaj yeem ua rau ntawm tus neeg mob sab nraud;
- tsis muaj teeb meem rau kev phais mob glaucoma.
Disadvantages ntawm laser phais:
- kev pheej hmoo ntawm kev puas tsuaj rau lub lens capsule;
- muaj peev xwm ntawm kev puas tsuaj rau cov hlab ntsha ntawm iris;
- thawj ob peb teev tom qab kev ua haujlwm, kev nce hauv IOP tuaj yeem ua tau.
Glaucoma phais muaj keeb kwm ntau dua 150 xyoo. Txhua xyoo cov uas twb muaj lawm tau raug txhim kho, cov txheej txheem tshiab ntawm kev ua haujlwm antiglaucomatous tau tsim thiab qhia. Tus kws kho mob ophthalmologist lees txais cov lus nug ntawm kev phais kho mob glaucoma (iridectomy), coj mus rau hauv tus account qhov xwm txheej ntawm tus neeg mob, IOP tsis ua haujlwm thiab cov ntaub ntawv kho mob.
Lub luag haujlwm ntawm iridectomy yog kom normalize IOP qib, txhim kho cov khoom noj khoom haus thiab cov nqaij mos metabolism hauv cov paj hlwb. Raws li qhov tshwm sim ntawm kev phais mob, lub siab nyob rau hauv lub qhov muag chambers yog sib npaug los ntawm kev tshem tawm cov tub ntxhais hluas block.
Cov khoom noj muaj txiaj ntsig rau glaucoma
Kev noj zaub mov kom raug yog qhov tseem ceeb hauv kev kho mob glaucoma. Nws yuav tsum muaj cov vitamins thiab minerals uas pab txhim kho cov metabolism hauv lub paj hlwb. Raws li txoj cai, tus kws kho mob ophthalmologist kuj tau sau cov tshuaj vitamin complex, uas suav nrog cov vitamins ntawm pawg B, A, E thiab C, lawv pab kom txo qis kev loj hlob ntawm tus kab mob.
Cov khoom pom zoo:
- nqaij qaib, ntses hiav txwv, nplooj zaub thiab zaub roj yog nplua nuj nyob rau hauv vitamin E;
- Strawberries, citrus txiv hmab txiv ntoo, paprika, spinach, asparagus, thiab beets muaj vitamin C siab.
- apricots, bananas, nyoos carrots yog cov khoom muaj nqis tiag tiag ntawm vitamin A.
Rau cov neeg mob uas mob glaucoma, fermented mis nyuj cov khoom, zoo boiled sausages, cereals, soy khoom, muaj roj tsawg ntau yam ntses thiab nqaij. Nws yog qhov zoo tshaj plaws noj cov zaub mov me me feem ntau kom cov ntshav qab zib nyob ruaj khov txhua hnub. Kev noj blueberries tsis tu ncua txo qis qhov tshwm sim ntawm glaucoma tawm tsam thiab txhim kho qhov pom kev pom.
Tus kws kho mob tuaj koom yuav pab tus neeg mob kom raug tsim cov khoom noj txhua hnub.
Tsoos tshuaj rau glaucoma
Kev siv cov tshuaj ib txwm siv nyob rau hauv thawj theem ntawm tus kab mob muab cov txiaj ntsig zoo.
- lus 1 sl. l. tws duckweed nyob rau hauv 1 khob ntawm vodka rau 4 hnub, ces haus 20-30 tee peb zaug ib hnub twg.[1];
- sib tov tshiab duckweed nrog zib mu nyob rau hauv ib tug 1: 1 piv, siv lub resulting sib tov nyob rau hauv 1 tsp. thaum sawv ntxov thiab yav tsaus ntuj[2];
- rau 20 hnub, ob zaug ib hnub twg, noj ib khob dej nrog 0,2 g ntawm mummy yaj nyob rau hauv nws;
- rau 2 lub lis piam, 5-6 zaug ib hnub twg, yaug qhov muag nrog aloe extract. Txhawm rau npaj nws, koj yuav tsum ncuav ob nplooj loj nrog ib khob dej thiab boil rau 5 feeb;
- zoo txo cov theem ntawm IOP ib decoction ntawm dill noob. 1 tsp noob yog nchuav nrog 250 g ntawm boiling dej thiab insisted rau ib teev. Lub resulting broth yog noj 70 - 100 g 3 zaug ib hnub twg 30 feeb ua ntej noj mov.
- Rau cov neeg mob uas mob glaucoma, compresses los ntawm tincture ntawm nettle nplooj thiab lily ntawm lub hav paj pab zoo. 0,5 tsp. nettle thiab 1 tsp. Lily ntawm lub hav ncuav 250 g ntawm dej txias, muab tso rau hauv ib qhov chaw tsaus rau 10 teev, ces ntxiv 0,5 tsp. dej qab zib. Compresses yuav tsum tau ua 2 zaug ib hnub twg. Lub sijhawm ntawm cov txheej txheem yuav tsum yog 15-20 feeb.
Cov zaub mov txaus ntshai thiab teeb meem rau glaucoma
Cov neeg mob glaucoma raug qhia kom tsis txhob haus ntau tshaj 1,5 litres kua ib hnub. Nws yog ib qho tsim nyog kom txo qis qhov muaj cov khoom noj muaj roj tsawg thiab yooj yim digestible carbohydrates hauv cov zaub mov. Cov zaub mov hauv qab no yuav tsum raug cais tawm ntawm kev noj haus:
- dej cawv;
- khov kas fes thiab tshuaj yej;
- semi-tiav khoom;
- cov khoom noj kaus poom;
- nqaij broths;
- cov khoom haus luam yeeb;
- nplua nuj ncuav qab zib.
- Tshuaj ntsuab: golden recipes rau tshuaj ntsuab / Comp. A. Markov. - M .: Eksmo; Rooj sab laj, 2007 .– 928 p.
- Phau ntawv qhia Popov AP Tshuaj ntsuab. Kev kho mob nrog tshuaj ntsuab tshuaj ntsuab. - LLC “U-Qhov Ntsuas”. Yekaterinburg: 1999.— 560 p., Ill.
- Wikipedia, kab lus "Glaucoma".
Txwv tsis pub siv cov ntaub ntawv yam tsis muaj peb kev sau ntawv tso cai ua ntej yog txwv.
Hauv paug tswj tsis muaj feem xyuam rau kev sim siv cov ntawv qhia, tswv yim lossis zaub mov noj, thiab tseem tsis tau lees tias cov ntaub ntawv sau tseg yuav pab lossis ua phem rau koj tus kheej. Ua tib zoo thiab ib txwm tham nrog kws kho mob tsim nyog!
Mloog!
Tus thawj coj tsis yog lub luag haujlwm rau kev sim los siv cov ntaub ntawv muab, thiab tsis tuaj yeem lav tias nws yuav tsis ua mob rau koj tus kheej. Cov ntaub ntawv tsis tuaj yeem siv rau sau ntawv kho mob thiab ua kev kuaj mob. Nco ntsoov tham nrog koj tus kws kho mob tshwj xeeb!