Tshaj Cov Ntshav Hauv Lub Qhov Muag Hauv Dev

2024 Tus sau: Daisy Haig | [email protected]. Kawg hloov kho: 2023-12-17 03:09

Hypopyon thiab Lipid Flare hauv dev

Kev tso ntshav tawm ntawm cov ntshav-thaiv hniav uas tso cai rau kev nkag ntawm cov ntshav mus rau hauv pem hauv ntej (anterior) chav ntawm lub qhov muag, ntxiv rau kev tso cai ntawm cov qe ntshav dawb hauv chav no, yog tus yam ntxwv ntawm tus mob hu ua hypopyon. Chemoattractants, cov tshuaj lom neeg uas cuam tshuam lub tsiv teb tsaws ntawm cov hlwb, tuaj yeem ua lub koob xa khoom rau kev txav ntawm lub cev no. Cov qog feem ntau txiav txim nyob rau hauv qhov chaw vim lub ntiajteb txawj nqus, ua rau cov kab dej hauv cov kab hauv qab ntawm lub qhov muag.

Lipid flare, ntawm qhov sib txawv, zoo li hypopyon, tab sis qhov pom ntawm lub ntsej muag sab nraud yog ua los ntawm lub siab ntawm lipids (cov roj ntsha hauv cov hlwb) hauv cov aqueous kev lom zem (cov khoom ua muaj tuab ntawm qhov muag lub lens thiab cornea))). Nws yuav tsum muaj kev sib cais ntawm cov ntshav-aqueous barrier thiab txhawb hyperlipidemia (nce qib ntawm lipids hauv cov hlab ntshav) kom tshwm sim. Tsis muaj hnub nyoog, poj niam lossis txiv neej predilection.

Cov tsos mob

Hypopyon

• Dawb rau daj opacity nyob rau hauv chav hauv ntej
• Tej zaum yuav tsub zuj zuj ntawm cov hlwb nyob hauv thaj chaw qis, lossis nws tuaj yeem ua tiav chav ua ntej

• Lub sijhawm sib xyaw ua ke hu ua ophthalmic tuaj yeem suav nrog:

  • Blepharospasm (kev sib tw ntawm lub qhov muag)
  • Epiphora (tsim kua muag ntau dhau)
  • Diffuse ua pob txha o
  • Aqueous flare
  • Miosis (sib tawm tsam ntawm tus menyuam ntawm lub qhov muag)
  • Cov dej hauv lub ntsej muag
  • Pom qhov muag / dig muag

Lipid flare

• Diffuse milky tsos ntawm anterior chamber
• Feem ntau ua rau pom kev pom ntawm cov qauv hauv lub qhov muag

• Cov paib ophthalmic lub sijhawm sibtham xws li:

  • Tsis pom kev
  • Me me blepharospasm (tw)
  • Me me mus rau mob diffuse corneal o

Ua rau

Hypopyon

Ib qhov xwm txheej hauv qab twg uas ua rau uveitis - mob ntawm txheej nruab nrab ntawm lub qhov muag - tuaj yeem ua rau hypopyon. Feem ntau, hypopyon yog cuam tshuam nrog cov mob uveitis ntau, tab sis hypopyon tuaj yeem tshwm sim los ntawm cov qog nqaij hlav hauv cov pob txha uas muaj kev cuam tshuam ua pob txha qog ua ntshav (qhov muag hlav).

Lipid Flare

Lipid flare feem ntau tshwm sim los ntawm qhov mob ntawm hyperlipidemia (nce lossis qib txawv txav ntawm cov lipids - cov roj ntsha ntawm cov hlab ntsha - hauv cov ntshav), thiab tawm ntawm cov ntshav-thaiv vim (vim yog uveitis). Hyperlipidemia tej zaum kuj yuav ua rau cov ntshav-aqueous teeb meem ncaj qha. Cov qib ntawm cov lipids hauv cov ntshav ncig tom qab noj mov (tom qab lub cev muaj ntshav qab zib) tej zaum yuav ua rau muaj qhov muaj ntshav lipid aqueous zoo li yog tias muaj mob uveitis.

Kev kuaj mob

Tus kws kho tsiaj yuav ua ib qho kev soj ntsuam lub cev thiab nqaij tawv rau koj tus dev, suav txog keeb kwm yav dhau los ntawm cov tsos mob thiab qhov xwm txheej uas yuav ua rau tus mob no

Hypopyon tuaj yeem kuaj tau los ntawm qhov pom ntawm fibrin (cov protein kawg cov khoom ntawm coagulated ntshav) nyob rau hauv chav ua ntej - feem ntau ua rau cov ntshav tsis xwm yeem, tsis yog txoj kab ventrally nyob rau kab rov tav.

Lipid flare yuav tsum tau sib txawv ntawm qhov muaj cov aqueous flare loj, uas tsis zoo li milky / dawb li lipid flare. Cov dev uas cuam tshuam nrog aqueous flare hnyav feem ntau ua rau pom mob ntau dua li cov tsiaj nrog lipid flare.

Diffuse corneal edema, qhov mob ua pob txha tsis haum rau lub ntsej muag, tej zaum yuav tsis meej pem nrog cov kabmob ua ntej, tab sis cov tawv nqaij ua rau lub ntsej muag tawv nqaij, cov keratoconus (cov tsis zoo ntawm lub qhov muag tsis pom kev), thiab cov leeg pob txha mos (cov hlwv uas muaj kua) yog ntau dua sau tseg nrog rau daim tawv nqaij txha caj mob muaj ntau dua nrog hypopyon los yog lipid flare.

Kev Kho Mob

Hypopyon yuav tsum muaj kev kho mob hnyav rau cov mob uveitis thiab nws lub hauv paus pib. Kev kho sab nrauv feem ntau yog qhov tsim nyog, tab sis koj yuav tsum paub tias tseem muaj caij nyoog tseem ceeb uas koj tus dev yuav plam nws qhov kev pom. Lipid flare xav tau kev kho mob rau cov uveitis, uas feem ntau mob me, thiab lwm qhov teeb meem hauv lub cev metabolic tsis txaus. Yog tias koj tus dev kuaj ntshav hyperlipidemia, koj yuav tsum hloov tus dev noj zaub mov rau ib qho qis dua ntawm cov rog thiab calories, txhawm rau txo cov rog hauv cov ntshav. Kev kho mob sab nrauv, nrog rau cov tshuaj tiv thaiv kev tiv thaiv tsis tau sau tseg rau kev tswj hwm tsev, feem ntau txaus.

Nyob thiab Tswj

Tus kws kho tsiaj yuav teem ib lub sijhawm mus kuaj mob rau koj tus dev ntawm ob mus rau peb hnub tom qab kev kho mob thawj zaug. Kev tso tshuaj tiv thaiv sab hauv (sab hauv qhov muag) siab yuav tsum tau saib xyuas kom pom cov pa luam yeeb hauv qab. Qhov ntau zaus ntawm kev rov kuaj dua yuav tau sau los ntawm qhov mob hnyav thiab koj tus dev tus neeg teb rau kev kho.

Qhov kev cia siab tias yuav cia nyob ntawm seb qhov mob uas tseem muaj nyob tom qab lub qhov muag puas zoo licas. Piv txwv, nrog hypopyon, qhov mob txhawm rau tsom kwm nyob ntawm tus kab mob tseem ceeb thiab teb rau kev kho. Nrog lipid flare, qhov kev mob tshwm sim feem ntau yog qhov zoo. Nws feem ntau teb sai sai (li ntawm 24-7 teev) mus rau kev kho kom haum. Txawm li cas los xij, nco ntsoov tias kev rov ua dua thiab qhov xav tau kev kho mob ntxiv yog ua tau nrog lipid flare.