Pinpoint cov tub ntxhais kawm feem ntau yog cov tsos mob ntawm lwm yam mob. Lub sijhawm kho mob txhawm rau txheeb xyuas cov tub ntxhais kawm yog miosis, thiab txhua yam nws txhais tau tias yog koj cov tub ntxhais kawm raug txwv tsawg dua 2 mm. Feem ntau ua rau miosis yog siv tshuaj, siv tshuaj yeeb tshuaj (yeeb tshuaj thiab yeeb quav tshuaj), thiab qhov muag ua rau raug mob los yog lwm yam mob. Nws tsim nyog tau txais kev kuaj mob kom ntseeg tau tias koj muaj kev noj qab haus huv thiab tias koj cov menyuam kawm ntawv tsis qhia txog qhov teeb meem loj dua.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Zam Kev Siv Tshuaj Uas Ua Rau Cov Menyuam Yaus
Kauj Ruam 1. Nug koj tus kws kho mob txog lwm txoj kev siv tshuaj tiv thaiv kab mob
Yog tias koj noj tshuaj olanzapine (Zyprexa) rau qhov kev xav tsis zoo xws li tus mob schizophrenia lossis kev nyuaj siab, nws tuaj yeem ua rau tus menyuam paub meej. Tham nrog koj tus kws kho mob txog kev hloov mus rau lwm yam tshuaj tiv thaiv kab mob los tswj hwm koj tus mob tshwj xeeb.
- Aripiprazole (Abilify), risperidone (Risperdal), quetiapine (Seroquel), thiab ziprasidone (Geodon) yog txhua txoj hauv kev rau olanzapine.
- Ua raws koj tus kws kho mob cov lus qhia txog kev noj tshuaj kom nyab xeeb hloov pauv ntawm ib yam tshuaj mus rau lwm yam.
Kauj Ruam 2. Tham nrog koj tus kws kho mob txog kev hloov koj cov tshuaj rau glaucoma
Cov tshuaj siv tsis zoo xws li pilocarpine (Isopto Carpine, Pilocar, thiab Pilopine HS ointment) thiab echothiophate (Phospholine Iodide) tau siv los kho tus kab mob glaucoma, tab sis lawv kuj tuaj yeem ua rau koj cov tub ntxhais kawm nruj. Nug koj tus kws kho mob txog kev hloov mus rau beta-blockers lossis alpha-adrenergic agonists hloov chaw.
- Piv txwv ntawm beta-blockers suav nrog Timolol (Timoptic XE Ocumeter thiab Timoptic), levobunolol (Betagan), carteolol (Ocupress), metipranolol (OptiPranolol), thiab betaxolol (Betoptic).
- Koj tus kws kho mob yuav pom zoo kom tau txais kev kho mob laser nyob ntawm koj lub hnub nyoog, hom glaucoma uas koj muaj, thiab lwm yam mob.
Kauj Ruam 3. Tsis txhob noj vasodilators rau ntshav siab
Yog tias koj cov tshuaj rau ntshav siab tau muab cais ua vasodilator, nrog koj tus kws kho mob tham txog kev hloov mus rau ib qho ntawm ntau qhov kev xaiv. Vasodilators zoo li hydralazine hydrochloride (Apresoline) thiab minoxidil (Loniten) tuaj yeem ua rau qhov muag o thiab, vim li ntawd, miosis.
Hloov chaw ntawm vasodilators, koj tus kws kho mob yuav sau tshuaj diuretics, beta-blockers, alpha-blockers, ACE inhibitors, lossis calcium channel blockers los kho koj cov ntshav siab
Txoj Kev 2 ntawm 3: Kho Lwm Yam Ua Rau Miosis
Kauj Ruam 1. Mus ntsib kws kho qhov muag txhawm rau tshuaj xyuas kab mob hauv lub qhov muag
Sab hauv uveitis yog txoj hauv kev zoo los hais tias txheej nruab nrab ntawm koj lub qhov muag-nruab nrab ntawm qhov muag ntawm koj lub qhov muag (sclera) thiab koj lub qhov muag sab hauv txheej-tau o. Qhov o tuaj yeem cuam tshuam rau iris, ua rau lawv nruj dhau. Koj yuav tsum tau mus ntsib koj tus kws kho qhov muag txog kev kho nws nrog daim ntawv muag qhov muag kom txo qhov mob.
- Koj tus kws kho qhov muag yuav muab tshuaj pleev corticosteroids rau koj, ua kom qhov muag qis, lossis txo qis kom txo qis qhov siab hauv koj lub qhov muag. Siv qhov muag qhov muag raws li qhia.
- Nco ntsoov tias kev siv dilation txo qis tuaj yeem ua rau koj lub qhov muag tsis pom kev lossis koj lub qhov muag kom nkag siab ntxiv rau lub teeb mus txog 6 teev. Hnav looj tsom iav dub thiab tsis txhob sim tsav tsheb lossis caij tsheb kauj vab thaum koj lub qhov muag nthuav dav.
Kauj Ruam 2. Mus ntsib kws kho mob yog tias koj muaj (lossis xav tias koj muaj) kab mob autoimmune lossis kab mob sib kis
Cov xwm txheej ntau yam tuaj yeem ua rau ib lossis ob qho ntawm koj cov tub ntxhais kawm nruj. Cov kab mob autoimmune, xws li lupus, mob caj dab rheumatoid, thiab mob plab hnyuv, tuaj yeem ua rau qhov muag o. Cov kab mob sib kis, xws li kab mob lyme, tuberculosis, herpes, thiab syphilis, kuj tseem tuaj yeem ua rau koj lub qhov muag o thiab, yog li ntawd, koj cov tub ntxhais kawm yuav tsum nruj.
Koj tus kws kho mob tuaj yeem sau tshuaj noj rau koj los pab tswj tus kab mob uas ua rau lub qhov muag o thiab mob me ntsis
Kauj Ruam 3. Tau kuaj rau qhov raug mob me me ntawm lub paj hlwb (TBI) yog tias koj tau muaj xwm txheej tsis ntev los no
Kev raug mob lub cev rau lub hlwb tuaj yeem ua rau ib lossis ob leeg ntawm koj cov tub ntxhais kawm nruj me ntsis lossis ua rau pom kev sib txawv. Yog tias koj nyuam qhuav raug xwm txheej tsheb lossis lwm yam xwm txheej uas yuav cuam tshuam rau peb lub taub hau, mus ntsib kws kho mob txog kev kuaj mob hauv lub hlwb.
- Koj yuav zoo li yuav tsum tau kuaj CT lossis MRI txhawm rau kuaj koj lub hlwb rau qhov txawv txav.
- Yog tias koj muaj tus kab mob TBI me me, koj tus kws kho mob yuav sau tshuaj diuretics, tshuaj tiv thaiv qaug dab peg, lossis lwm yam tshuaj los tswj miosis thiab lwm yam tsos mob.
- Kev phais mob xwm txheej ceev yuav xav tau txhawm rau kho TBI hnyav lossis ntshav txhaws hauv lub hlwb uas tuaj yeem ua rau muaj mob sib kis.
Kauj Ruam 4. Nrhiav kev kho mob thaum muaj xwm txheej ceev yog tias koj tau raug cov kab mob paj hlwb
Yog tias koj tau raug tus kab mob zoo li Sarin, tabun, lossis VX, hu rau lub tsheb thauj neeg mob kom sai li sai tau. Thaum koj tab tom tos lub tsheb thauj neeg mob tuaj txog, tshem tag nrho koj cov khaub ncaws, thiab ntxuav koj lub cev nrog xab npum thiab dej ntau.
- Ntxiv rau qhov qhia txog cov tub ntxhais kawm, cov tsos mob tshwm sim suav nrog qhov muag plooj lossis pom kev tsaus ntuj, mob taub hau, tso zis ntau dhau, lub hauv siab nruj (ua pa nyuaj), los ntswg, tawm hws, xeev siab, ntuav, raws plab, nqaij ntshiv, qaug dab peg, thiab tsis nco qab.
- Muab cov khaub ncaws uas muaj kab mob tso rau hauv lub thoob khib nyiab thiab, yog tias ua tau, qhia rau cov neeg teb xwm txheej ceev paub yog li lawv tuaj yeem pov tseg lawv kom raug.
Kauj Ruam 5. Tau kuaj rau Horner's syndrome yog tias koj muaj mob taub hau lossis mob stroke
Thaum Horner's syndrome tsis tshua muaj neeg pom, nws tsim nyog tau tshuaj xyuas nws vim tias nws tuaj yeem yog lub cim ntawm teeb meem loj dua. Horner's syndrome, nws tus kheej, tsis tuag taus, tab sis nws tuaj yeem tshwm sim los ntawm ntau yam xwm txheej zoo li mob qog noj ntshav hauv lub paj hlwb, mob hlab ntsha tawg, txha nraub qaum, mob paj hlwb, raug mob caj dab, phais caj dab, mob pob qij txha, thiab mob qog ntshav ntawm koj lub caj dab. Nws kuj tseem tuaj yeem tau txais qub txeeg qub teg. Qee cov tsos mob ntawm Horner's syndrome muaj xws li:
- Cov tub ntxhais kawm raug txwv
- Ib lub qhov muag sab saud
- Tshem tawm ntawm qhov muag
- Qhuav los yog tsis muaj peev xwm hws nyob ib sab ntawm lub ntsej muag nrog cov menyuam kawm ntawv raug txwv
Txoj Kev 3 ntawm 3: Kev Ua Haujlwm nrog Miosis tshwm sim los ntawm kev siv Opioid
Kauj Ruam 1. Mus ntsib koj tus kws kho mob txog lwm txoj hauv kev rau opioids rau kev tswj qhov mob
Tham nrog koj tus kws kho mob txog kev tshem tawm ntawm cov tshuaj uas yuav ua rau koj cov tub ntxhais kawm nruj. Opiates zoo li morphine, Fentanyl, Percocet, thiab codeine tuaj yeem ua rau cov tub ntxhais kawm paub meej.
- Siv cov tshuaj pleev tsis zoo li ibuprofen (Motrin), acetaminophen (Tylenol), tshuaj aspirin (Bayer) thiab tshuaj steroids los pab tswj koj qhov mob.
- Xav txog kev kho lub cev raws li kev xaiv kho kom pab koj tswj hwm qhov mob uas ua rau koj tig mus rau cov tshuaj kho mob.
- Nug koj tus kws kho mob txog kev phais kho kom tswj tau qhov mob. Piv txwv li, yog tias koj tau muaj lub xub pwg raug mob uas cuam tshuam rau kev tso koj cov ligaments thiab cov hlab ntsha xaus, koj tuaj yeem tau txais tus txheej txheem tsawg kawg nkaus-txhawm rau txhawm rau kho qhov txawv txav.
Kauj Ruam 2. Nrhiav kev kho mob yog tias koj tab tom quav yeeb tshuaj
Yog tias koj noj tshuaj kho mob rau lwm yam uas tsis yog kho qhov mob, koj yuav xav nrhiav kev pab los ntawm kws tshaj lij kev quav tshuaj. Nug koj tus kws kho mob kom nrhiav tus kws kho kev puas siab ntsws lossis txoj haujlwm kho kom rov zoo nyob hauv ib cheeb tsam kom pab koj ncaws tawm qhov kev quav yeeb quav tshuaj.
- Cov tshuaj tua kab mob yog qhov ua rau mob hnyav heev. Yog tias koj qhov kev quav yeeb quav tshuaj lossis kev tsim txom raug cuam tshuam rau koj lub luag haujlwm, kev sib raug zoo, thiab kev noj qab haus huv tag nrho, nrhiav kev pab.
- Cov cim ntawm kev quav yeeb quav tshuaj suav nrog kev ua siab ntev, kev paub txog kev tshem tawm cov tsos mob, kev xav tsis tu ncua kom tsis txhob siv, tsis muaj kev tswj hwm koj li kev siv, kev xav txog kev tau txais lossis siv, thiab txuas ntxiv siv txawm tias muaj teeb meem ntawm tus kheej lossis kev noj qab haus huv.
Kauj Ruam 3. Tau txais kev kho mob morphine lossis heroin
Yog tias koj siv tshuaj yeeb quav tshuaj xws li heroin thiab morphine, nrhiav kev pab rau kev siv yeeb tshuaj tsis zoo. Kev kho yuav suav nrog kev kho tus cwj pwm thiab tshuaj (xws li Methadone lossis Buprenorphine). Nws yog ib qho tseem ceeb kom thim tawm ntawm cov tshuaj raws li kev saib xyuas kev noj qab haus huv, vim tias cov tsos mob tshem tawm zoo li mob, ntuav, raws plab tuaj yeem ua rau hnyav thiab ua rau koj rov zoo li qub.
- Methadone thiab Buprenorphine yog opioid agonists, uas txhais tau tias lawv pab yooj yim tshem tawm cov tsos mob thiab thaiv lub paj hlwb uas ua rau kev ntshaw. Nco ntsoov tias Methadone kuj tseem tuaj yeem muaj yees thiab los nrog nws tus kheej cov txheej txheem tshem tawm.
- Nrhiav lub chaw kho mob tshuaj txiav yeeb ze koj ntawm
Lub tswv yim
- Qee cov tshuaj rau Alzheimer's (zoo li ua tiavpezil) kuj tseem tuaj yeem ua rau mob me me. Yog tias qhov no yog, tham nrog koj tus kws kho mob txog lwm yam tshuaj.
- Yog tias koj tau phais phais lub qhov muag txhawm rau txhawm rau hloov lub lens cataract, nws yuav ua rau qhov muag o uas ua rau miosis.
- Lub hom phiaj kom tau txais 400 txog 800 IU ntawm cov vitamin D (lossis 10 txog 20 micrograms) txhua hnub los kho qhov muag o uas tuaj yeem ua rau mob me me.
- Lwm qhov xwm txheej uas tsis tshua muaj tshwm sim uas tuaj yeem ua rau koj lub qhov muag suav nrog ankylosing spondylitis, psoriatic arthropathy, cov menyuam yaus mob caj dab idiopathic, mob sarcoidosis, Fuch's heterochromic iridocyclitis, thiab Posner-Schlossman syndrome.
Lus ceeb toom
- Ib txwm ntsib koj tus kws kho mob ua ntej tso tseg cov tshuaj lossis hloov koj li tshuaj.
- Tsis txhob sim kho miosis hauv tsev los ntawm kev siv lub qhov muag ntau dhau vim tias ua li ntawd tuaj yeem ua rau qhuav heev thiab ua rau khaus.
