Ntawm lub cosmetic imperfections ntawm lub ntsej muag, lub ptosis ntawm lub sab sauv yog feem ntau nyob rau hauv cov poj niam. Qhov no yog ib tug sagging, omission ntawm daim tawv muag, uas feem ntau tshwm maj thiab nws thiaj li ua tiav. Ntau tus neeg tab tom nrhiav kev kom tshem tau txoj kev ntxub ntxaug, thaum nws yog qhov tseem ceeb rau kev txiav txim siab ua ntej.
Ptosis ntawm sab qaum muag - ua rau
Tshem tawm ib qho tsis zoo tshwm sim yuav yooj yim dua yog tias koj pom tias dab tsi yog txuam nrog nws qhov tsos. Ptosis ntawm lub qhov muag daj ntawm qhov ua rau tuaj yeem cuam tshuam nrog lub cev tsis tuaj yeem los yog ua qhov tsis raws cai. Cov pob txha caj dab tuaj ntawm sab qaum hau yog muab faib ua ob hom loj:
- genetically conditioned ptosis nrog underdevelopment ntawm cov leeg txhawb nqa lub qhov muag sab nrauv (shortening, thinning, loosening los yog tsis muaj mob);
- ptosis ntawm ib lub paj hlwb (lub paj hlwb, kev ntseeg nyob hauv lub xyoo pua, nrog lub hauv nruab nrab lub paj hlwb), tsim nyob rau hauv utero vim ntau pathologies ntawm leej niam los yog raws li ib tug ntawm kev raug mob yug.
Qhov ua rau cov kis tau ptosis yuav yog qhov tseem ceeb ua rau lub plab los yog tuag tes tuag taw ntawm cov leeg ua lub luag hauj lwm rau raising lub qhov muag thiab qhib lub qhov muag. Qhov nqaij no hu ua levator, nws nyob hauv qab rog txheej ntawm lub qhov muag sab qaum, txuas rau lub phaj tawb pob tawb thiab cov tawv nqaij ntawm daim tawv nqaij. Tsis tas li ntawd, qhov hnyav tau los ntawm kev tsis muaj zog, ncab lossis travimation ntawm lub levator. Nyob ntawm seb yog vim li cas, lawv txawv qhov zoo li no:
1. Aponeurotic txuam nrog:
- kev laus ntawm lub cev;
- puas tsuaj rau cov nqaij fibers los yog aponeurosis ntawm cov nqaij (tendon phaj) los ntawm trauma los yog ib qho kev tsis zoo, kev phais yas.
2. Neurogenic, los ntawm:
- kev raug mob nrog kev puas tsuaj rau lub cev;
- cov kab mob neurological (mob hlab ntsha tawg, muaj ntau yam sclerosis thiab lwm tus);
- tus kab mob ntawm tus kab mob hlwb;
- swb ntawm lub hlab ntsha ncauj tsev me nyuam, lub luag hauj lwm rau raising cov tawv muag;
- Neuropathy hauv diabetics;
- ib qho aneurysm intracranial.
3. Myasthenic, tshwm sim los ntawm cov noob myasthenia gravis.
4. Mechanical tsom tawm ntawm:
- tsim muaj cov caws pliav ntawm qhov muag tawv nqaij;
- tsim ntawm ib lub voj voog;
- ntaus txawv teb chaws lub cev nyob rau hauv lub qhov muag.
5. Oncogenic, uas ua rau yus txoj kev loj hlob ntawm ib qho kev mob qog nqaij hlav hauv lub orbit.
Congenital ptosis ntawm sab qaum muag
Feem ntau, cov kab mob hauv lub cev, cov kab mob caj ces tsis ua haujlwm ntawm qaum muag, uas kis tau los ntawm ib tus niam txiv, yog ob tog. Qhov kev txhim kho no muaj feem xyuam nrog cov underdevelopment ntawm cov leeg ntawm cov leeg liab tau pom muaj nyob rau hauv thaum yau thiab feem ntau ua nrog strabismus los yog amblyopia. Hauv qee zaum, qhov ua rau cov hlab ntaws yog vim los ntawm palpebromandibular syndrome, uas yog lub qhov muag daj ntawm lub qhov muag sab hauv yog lub luag hauj lwm ntawm lub puab tsaig lub puab tsaig. Tsis tas li ntawd, ptosis tshwm sim tawm tsam ntawm keeb kwm ntawm blepharophimosis, thaum nqaim thiab luv ntawm qhov muag qhov sib txawv yog pom.
Ptosis ntawm lub qhov muag ntxoo tom qab botox
Ib qho kev tshwm sim sab nraud yog qhov omission ntawm lub xyoo pua tom qab Botox. Qhov tshwm sim tsis zoo no tau sau tseg nyob rau hauv 15-20% ntawm cov neeg mob uas tau txhaj cov txheej txheem txhaj tshuaj nrog kev npaj ntawm botulinum toxin hauv cov hauv pliaj. Yog vim li cas rau ptosis nyob rau hauv rooj plaub no yog qhia txog cov tshuaj rau hauv cov leeg uas lifts rau sab sauv, uas ua rau nws ntsws. Qhov no feem ntau tshwm sim thaum rejuvenating botox kho tau ua tiav los ntawm cov sij hawm luv luv dhau, vim tias cov leeg nqaij ntawm lub ntsej muag tsis muaj sij hawm los kho lawv qhov mob.
Qee lub sij hawm qhov muag ntawm cov tawv muag yog vim los ntawm kev tswj hwm ntawm cov tshuaj ntau heev ntawm cov tshuaj los yog ib tus neeg tsis paub meej txog qhov cim ntawm cov ntsiab lus ntawm cov tshuaj, thaum lub anatomical lub ntsej muag ntawm lub ntsej muag tsis quav ntsej (piv txwv li, lub hauv pliaj hau) thiab cov kev txhaj tshuaj yog ua raws li lub tswv yim dav dav. Yog tias cov ntsiab lus no tsis raug xaiv, qhov muag daj yog qhov ua rau lub cev tsis muaj zog ntawm cov leeg, uas tsis npaj los ua rau mob.
Kev ua kom tiav ntawm lub qhov muag daj tom qab cov kab tom tas
Nws tshwm sim hais tias qhov omission ntawm qhov ua rau xyoo pua tau txuam nrog tom tom qhov chaw ntawm qhov txawv kab - yoov tshaj cum, midges, bees thiab li on. Nyob rau hauv cov ntaub ntawv no, nws muaj ib qho kev ua mob rau lub cev, uas ua rau lub qhov muag ntawm lub qhov muag. Hauv qhov no, ntxiv nrog rau cov tsos mob ntawm ptosis, muaj xws li tshwm sim xws li reddening ntawm daim tawv muag, nws puffiness, khaus ntawm daim tawv nqaij thiab kub siab.
Menyuam lub hnub nyoog ntawm lub qhov muag daj
Hauv cov neeg laus, lub qhovntsej thiaj tsis tuaj yeem sab qaum ntawm qhov ua rau tuaj yeem raug qaug zog thiab ncab ntawm cov nqaij fibers thiab ligaments, vim yog cov tawv nqaij ntawm cov tawv nqaij pib. Tsis tas li ntawd, qhov no yog kev tswj los ntawm kev muaj hnub nyoog hauv cov tawv nqaij elasticity vim cov kua qoob loo thiab cov kab mob elastin, cov microcirculation mob hauv cov ntaub so ntswg thiab lwm cov kev ua rau kev laus.
Ptosis ntawm sab qaum muag - cov tsos mob
Thaum lub qhov muag daj ntxub, qhov no yog tshwm sim los ntawm cov nram no:
- qhov muag qis ntawm ib los yog ob qho tib si qhov muag, ua rau ib nrab lossis tag nrho ntawm qhov muag qhov sib txawv (ntawm ntug ntawm lub sab sauv npog lub iris ntau tshaj 1.5 hli);
- lossi tsa cov tsom iab vim kev sim siab los mus ua rau kev puas tsuaj rau ptosis;
- tsaug zog lub ntsej muag;
- tus cwj pwm ntawm ntuav koj lub taub hau rov qab txhim kho kev pom;
- teeb meem hauv kev ntsais muag muag;
- teeb meem los sis tsis muaj peev xwm kaw qhov muag;
- nce qhov muag nkees;
- txo kev pom tseeb tseeb;
- ob lub zeem muag , hnov cov xuab zeb hauv lawv;
- ib txwm mus rau o ntawm ob lub qhov muag.
Nws yuav tsum to taub hais tias qhov ptosis ntawm lub qhov muag sab qaum tsis yog ib qho kev kho me ntsis, tab sis qhov teeb meem loj heev uas ua rau muaj kev puas siab puas ntsiag muag. Pheej tshwj xeeb tshaj yog thaum pathology yog ib tog. Tsis quav ntsej cov tsos mob ntawm ptosis ntawm sab qaum muag, txawm hais tias ib nyuag me ntsis, tsis tuaj yeem, vim qhov txawv txav nws tuaj yeem npaj tau sai.
Ptosis ntawm sab qaum muag - kawm tiav
Nyob ntawm seb lub qhov muag ntawm lub qhov muag daj tau qis dua qhov sib piv rau tus menyuam kawm ntawv ntawm lub qhov muag, tus ptosis ntawm lub sab qaum ntsej muag yog subdivided rau hauv peb qhov siab:
- ptosis ntawm lub 1 degree ntawm cov qaum muag - thaum ib feem peb ntawm cov tub kawm ntawv raug them;
- ptosis ntawm qib 2 - thaum ib nrab ntawm tus tub kawm ntawv raug them lossis 2/3 ntawm nws qhov;
- ptosis 3 degrees - txhais tau tias ua tiav ntawm tus menyuam ntawm lub qhov muag.
Ptosis ntawm sab qaum muag - kuaj mob
Yuav kom tshawb tau qhov ncauj ntsuam xyuas qhov teeb meem, yuav tsum kuaj qhov muag tsis pom zoo, nrog qhov muag tsis pom qhov muag thiab nws cov degree raws li qhov kev ncua deb ntawm qhov chaw ntawm tus tub ntxhais kawm thiab lub qhov muag ntawm sab qaum. Yuav kom nrhiav tau qhov ua rau ntawm qhov sib txawv thiab qhov teeb meem uas tau tshwm sim, tus kws kho mob ntsuas qhov muaj feem ntawm qhov muag daj thiab pob muag, qhov kev sim ntawm lub qhov muag ntawm qhov muag, txiav txim siab qhov loj ntawm lub quav tawv muag. Tsis tas li, qhov sharpness thiab tsis pom ntawm lub qhov muag yog tsim muaj, lub fundus yog kawm, lub siab hauv nruab siab yog ntsuas.
Yog tias muaj teebmeem ntawm qhov teebmeem ntawm cov pob txha, cov teebmeem tawm ntawm lub orbit ua haujlwm kom paub qhov chaw ntawm qhov chaw lesion, thiab yog tias muaj teeb meem ntawm lub paj hlwb, lub computer los yog lub cev nqaj hlau ntawm lub hlwb tau pom zoo. Nws yog feem ntau tsim nyog los sab laj ib tug neurologist, ib tug neurosurgeon.
Ptosis ntawm sab qaum muag - kev kho tsis muaj kev phais
Kev kho tshwj xeeb rau kev txo qis ntawm daim tawv muag tsis tas yuav tsum tau, yog tias qhov no yog ib qho mob nyav ib ntus. Piv txwv li, tus paj ntoos ntawm qaum tawv muag, yog tshwm sim los ntawm kev tua kab, yuav ua rau tus kheej pib tom qab o tuaj. Ua kom leeb no, cov tshuaj antihistamine (Fenistil) thiab kev siv tshuaj ( Loratadine , Suprastin), hauv zos corticosteroids (Advantan, Hydrocortisone). Tib yam no muaj tseeb rau ptosis tom qab txhaj koob tshuaj Botox, uas tshwm sim tom qab ob peb lub lis piam (qee lub sij hawm cov tshuaj yuav raug nquahu kom ceev ceev normalization ntawm cov leeg mob - Neuromidine, apraklonidine).
Muaj hnub nyoog txheeb tus kab mob paug ntawm qhov kev kho qhov muag daj tuaj yeem ua kom pom zoo, txawm tias feem ntau pom zoo kom zawm cov tshuaj ntswj kho mob, cream nrog lifting effect. Yog tias tus paj hlwb ntawm tus kabmob neurogenic tau kuaj pom, yuav ua li cas kom tshem tau nws, tus kws kho mob yuav qhia koj tom qab cov kev tshawb fawb. Feem ntau nyob rau hauv xws li mob, rov qab ua cov nuj nqi ntawm lub paj npe:
- Cov txheej txheem Physiotherapeutic ( UHF , galvanotherapy, myostimulation, paraffin therapy);
- kev npaj rau kev noj zaubmov khoom noj ( B vitamins );
- tshwj xeeb zaws thiab gymnastics rau lub qhov muag.
Zaws nrog ptosis ntawm sab qaum muag
Hauv tsev kho mob thiab cov tshuaj pleev plhu kom zoo los kho qhov teeb meem nyob rau hauv cov theem thaum ntxov tuaj yeem pom zoo siv phau ntawv thiab nqus zaws nrog ptosis ntawm sab qaum muag. Independently nws yog ua tau rau kev zaws thiab tom tsev, ua raws li cov lus pom zoo (ntev ntawm kev sib kho yog 5-10 feeb):
- Tshem cov tshuaj pleev kom zoo, siv cov roj pleev nplaum rau ntawm daim tawv nqaij.
- Cov ntawv ntxig nplaum ua rau ob sab tawv muag nrog cov ntiv tes ntawm sab hauv mus rau sab nraud ntawm lub qhov muag.
- Txuas ntxiv mus zaws, hloov stroking lub teeb nrawm.
- Lub txheej txheem tom ntej yog kev txiav txim siab ntawm kev sib hloov ntawm qhov kev taw qhia (tsis txhob kov qhov muag).
- Tom kawg ntawm qhov kev sib kho, kaw koj ob lub qhov muag nrog paj rwb los soaked nrog sov Txoj kev lis ntshav ntawm chamomile, tuav ob peb feeb.
Gymnastics nrog ptosis ntawm sab qaum
Cov nram qab no siv nrog ptosis ntawm lub sab nraum lub qhov muag yuav muab cov nyhuv zoo (txhua qhov kev ua yog rov qab 10-15 zaug):
- Tau txais txoj haujlwm zoo, saib tom ntej thiab ua qeeb qeeb nrog ob lub qhov muag xuaj moos thiab teem sijhawm.
- Ua kom muaj kev sib hloov nrog rau ob lub qhov muag nce thiab nqis.
- Txhawb nws lub taub hau, me ntsis qhib nws lub qhov ncauj thiab maj nrawm ntsia nws ob lub qhov muag rau 30 feeb; Txhais txhais ib qho kev pom los ntawm qhov chaw nyob ze rau ntawm ib qho ze rau qhov muag thiab ntawm qhov tsis sib xws.
- Kaw nws lub qhov muag thiab tuav nws daim tawv muag nrog nws cov ntiv tes, ua rau nws qhib nws lub qhov muag kom dav li ntau tau; nias nws tus ntiv tes mus rau tus choj ntawm nws lub qhov ntswg, tig saib nws nrog nws sab laug lossis txoj cai qhov muag.
- Ntsais rau ob peb feeb thiab qhib koj ob lub qhov muag nrawm.
Kev ua tiav ntawm qaum muag - kev kho nrog pej xeem tshuaj
Thaum pom tus kab mob qog ntawm tus kabmob sab nraud lawm, kev kho tom tsev tuaj yeem ua nrog cov tshuaj tua pej xeem siv cov khoom ntuj tsim. Yog li, cov txiaj ntsig tau zoo qhia tias siv cov ntsej muag rau qhov muag daj raws li tshiab qos yaj ywm. Cov txheej txheem no pab kom tshem tawm cov neeg txaig, ntxiv dag zog thiab zawm ntawm daim tawv nqaij nyob ib ncig ntawm lub qhov muag , uas yuav pab txo qhov kev pom ntawm ptosis. Koj cia li grate lub qos yaj ywm rau lub grater, txias lub resulting loj nyob rau hauv lub tub yees thiab ua ntawv thov mus rau tawv muag rau 10-15 feeb, ces yaug nrog dej.
Ptosis ntawm sab qaum muag - kev lag luam
Yog tias lo lus nug tshwm sim ua kom kho tus ptosis ntawm cov qaum qhov muag 2 lossis 3 degrees, ces nws yuav tsis tau ua tiav qhov kev kuaj tsis muaj phais kev phais. Lub lag luam yog ua raws li hauv zos lossis tshuaj loog. Nyob rau hauv cov ntaub ntawv ntawm congenital ptosis, cov nqaij uas lifts lub qhov muag tawv me, thiab nrog tus nrhiav pathology, aponeurosis ntawm no cov leeg yog excised. Tsis tas li ntawd, ib qho me me ntawm daim tawv nqaij yog muab tshem tawm thiab ib qho khoom pleev ib ce yog siv. Yuav kom txo tau kev raug mob, txhawm rau txhaws ntawm daim tawv muag, diathermocoagulation yog siv hauv kev khiav hauj lwm.