Argyll Robertson cov tub ntxhais kawm

Argyll Robertson Cov Tub Kawm Ntawv: Ua rau, Cov tsos mob, thiab kev kho mob

Introduction:

Cov menyuam kawm ntawv Argyll Robertson yog qhov tsis tshua muaj qhov muag pom los ntawm cov menyuam kawm ntawv uas txwv tsis pub muaj kev teb rau lub teeb tab sis constrict ib txwm nyob rau hauv kev pab (tseem ceeb ntawm cov khoom nyob ze). Cov kab mob no feem ntau cuam tshuam nrog cov teeb meem hauv lub paj hlwb lossis cov teeb meem kev noj qab haus huv, tshwj xeeb yog syphilis. Kab lus no yuav muab kev saib tob tob txog qhov ua rau, cov tsos mob, thiab kev xaiv kho mob rau Argyll Robertson cov tub kawm ntawv, nrog rau kev taw qhia txog thaum twg los nrhiav kev pab kho mob.

Argyll Robertson Pupil yog dab tsi?

Tus menyuam kawm ntawv Argyll Robertson yog ib qho mob uas cov menyuam kawm ntawv ntawm qhov muag tsis hnov ​​​​mob ib txwm rau lub teeb tab sis yuav txwv tsis pub thaum tsom mus rau cov khoom nyob ze (tus txheej txheem hu ua chaw nyob). Qhov kev txawv txav no feem ntau yog ob sab ( cuam tshuam rau ob lub qhov muag) thiab feem ntau yog ib qho kev cuam tshuam ntawm neurological kev koom tes. Nws tau piav qhia thawj zaug los ntawm Scottish neurologist Douglas Argyll hauv xyoo 1869, thiab qee zaum hu ua "prostitute's pupil" vim nws koom nrog syphilis, uas yog keeb kwm hu ua kab mob cuam tshuam rau cov neeg ua haujlwm deev.

Ua rau Argyll Robertson Cov Tub Kawm Ntawv

Txawm hais tias feem ntau ua rau Argyll Robertson cov menyuam kawm ntawv yog syphilis, muaj lwm yam ua rau muaj peev xwm thiab. Cia peb tshawb nrhiav ob qho tib si thiab tsis tshua muaj tshwm sim ntawm tus mob no:

1. Syphilis

Qhov laj thawj zoo tshaj plaws ntawm Argyll Robertson cov menyuam kawm ntawv yog tertiary syphilis, ib theem lig ntawm kev sib deev kis tau los ntawm tus kab mob Treponema pallidum. Nyob rau theem no, tus kab mob tuaj yeem cuam tshuam rau lub paj hlwb, ua rau muaj teeb meem hauv lub paj hlwb xws li Argyll Robertson cov tub ntxhais kawm.

2. Lwm Cov Kab Mob Neurological

Argyll Robertson cov tub ntxhais kawm kuj tuaj yeem tshwm sim hauv lwm yam mob paj hlwb, tshwj xeeb yog cov uas cuam tshuam rau hauv nruab nrab hlwb. Cov no suav nrog:

• Mob ntshav qab zib neuropathy: Mob ntshav qab zib tuaj yeem ua rau cov hlab ntsha puas, uas tuaj yeem cuam tshuam rau cov menyuam yaus lub teeb reflex.
• Ntau yam sclerosis (MS): MS yog ib hom kab mob autoimmune uas cuam tshuam rau lub hauv nruab nrab lub paj hlwb thiab tej zaum yuav ua rau cov qog nqaij hlav txawv txav.
• Lub hlwb lesions: Cov kab mob hauv lub hlwb vim mob stroke, qog, lossis lwm yam mob tuaj yeem cuam tshuam rau cov hlab ntsha tswj cov tub ntxhais kawm cov lus teb.

3. Pharmacological ua rau

Qee cov tshuaj, tshwj xeeb tshaj yog cov uas cuam tshuam rau lub paj hlwb, tuaj yeem ua rau muaj kev loj hlob ntawm cov menyuam kawm ntawv Argyll Robertson. Qee qhov piv txwv suav nrog:

• Kev siv Opioid, uas tuaj yeem cuam tshuam cov hlab ntsha tswj cov tub ntxhais kawm constriction.
• Kev siv lwm yam tshuaj uas cuam tshuam rau lub paj hlwb parasympathetic.

4. Lwm yam ua rau

Tsis tshua muaj tshwm sim ntawm Argyll Robertson cov tub ntxhais kawm yuav suav nrog:

• Kev raug mob los yog raug mob rau lub midbrain lossis optic paj hlwb.
• Cov kab mob sib kis xws li tuberculosis lossis encephalitis.

Cov tsos mob ntawm Argyll Robertson Cov Tub Kawm Ntawv

Cov tsos mob ntawm tus menyuam kawm ntawv Argyll Robertson yog qhov txawv txav ntawm lub teeb thiab kev pab. Txawm li cas los xij, muaj cov tsos mob ntxiv nyob ntawm qhov tshwm sim:

1. Pupillary Abnormalities

Lub cim tseem ceeb ntawm Argyll Robertson cov tub ntxhais kawm yog qhov txawv txav ntawm cov menyuam kawm ntawv. Qhov no suav nrog:

• Cov menyuam kawm ntawv constricting ib txwm thaum tsom rau ib qho khoom nyob ze (chaw pw reflex).
• Cov menyuam kawm ntawv tsis tuaj yeem ua rau cov lus teb rau lub teeb (light reflex), ua rau cov menyuam kawm ntawv me me, tsis xwm yeem.

2. Cov tsos mob ntawm tus mob hauv qab

Raws li Argyll Robertson cov tub ntxhais kawm feem ntau tshwm sim los ntawm cov kab mob neurological, cov tsos mob hauv qab no tuaj yeem tshwm sim nrog kev hloov pauv ntawm cov menyuam yaus:

• Syphilis: Nyob rau hauv cov ntaub ntawv ntawm syphilis, cov tib neeg kuj yuav muaj daim tawv nqaij pob khaus, mob, thiab lwm yam tsos mob ntawm tus kab mob.
• Ntau yam sclerosis: MS tuaj yeem ua rau pom kev hloov pauv, teeb meem sib npaug, thiab tsis muaj zog ntawm cov ceg.
• Mob ntshav qab zib: Mob ntshav qab zib tuaj yeem cuam tshuam nrog cov tsos mob ntxiv, xws li nqhis dej ntau dhau, tso zis ntau zaus, thiab qhov muag tsis pom kev.
• Lub hlwb lesions: Cov tsos mob xws li qaug zog, nyuaj hais lus, los yog poob ntawm kev sib koom tes yuav qhia tau hais tias lub hlwb kev koom tes.

Thaum Yuav Nrhiav Kev Kho Mob

Yog tias koj pom qhov hloov pauv ntawm koj cov menyuam kawm ntawv, tshwj xeeb tshaj yog tias lawv hnov ​​​​mob txawv txav rau lub teeb lossis tsom mus rau cov khoom nyob ze, nws yog ib qho tseem ceeb kom nrhiav kev kho mob. Thaum Argyll Robertson cov tub ntxhais kawm nws tus kheej tsis yog feem ntau yog mob xwm txheej ceev, nws yuav qhia tau tias muaj mob hauv lub paj hlwb uas yuav tsum tau kho. Yuav tsum tau nrhiav kev pab kho mob tam sim yog tias:

• Koj muaj cov tsos mob ntawm tus mob syphilis, nrog rau qhov mob, pob khaus, lossis qhov mob uas piav tsis tau.
• Koj muaj cov tsos mob neurological xws li kev pom kev hloov pauv, teeb meem sib npaug, lossis tsis muaj zog.
• Koj xav tias mob hlwb lossis tsis ntev los no tau ntsib kev raug mob rau lub taub hau.

Kev kuaj mob ntawm Argyll Robertson Cov Tub Kawm Ntawv

Kev kuaj mob Argyll Robertson cov tub ntxhais kawm feem ntau pib nrog kev kuaj qhov muag kom meej. Tus kws kho mob ophthalmologist yuav ntsuas qhov loj, zoo, thiab cov tshuaj tiv thaiv ntawm cov menyuam kawm ntawv rau lub teeb thiab kev nyob. Qhov kev kuaj mob tau lees paub yog tias tus menyuam kawm ntawv tsis teb rau lub teeb tab sis constricts thaum nyob hauv tsev.

Yog tias tus menyuam kawm ntawv Argyll Robertson raug xav tias yuav raug kuaj ntxiv los txiav txim qhov ua rau:

• Kev kuaj ntshav: Txhawm rau kuaj mob syphilis lossis lwm yam kab mob.
• Neurological kuaj: Txhawm rau ntsuas kev ua haujlwm ntawm lub hlwb thiab lub paj hlwb.
• Lub hlwb imaging: CT lossis MRI scans tuaj yeem siv los txheeb xyuas qhov mob lossis cov qog hauv lub hlwb.
• Kev kuaj ntshav qab zib: Kev kuaj ntshav los kuaj ntshav qab zib siab thiab ntsuas ntshav qab zib neuropathy.

Kev Xaiv Kev Kho Mob rau Argyll Robertson Cov Tub Kawm Ntawv

Kev kho tus menyuam kawm ntawv Argyll Robertson suav nrog kev hais txog qhov laj thawj. Pupillary abnormality nws tus kheej tsis xav tau kev kho mob tshwj xeeb. Txawm li cas los xij, kev tswj hwm tus mob cuam tshuam yog qhov tseem ceeb rau kev txhim kho tus neeg mob tag nrho kev noj qab haus huv.

1. Kev kho mob syphilis

Yog tias lub hauv paus ua rau mob syphilis, tshuaj tua kab mob, tshwj xeeb yog penicillin, yog siv los kho tus kab mob thiab tiv thaiv kev puas hlwb ntxiv.

2. Tswj Cov Mob Neurological

Yog hais tias tus mob muaj feem xyuam rau lwm yam neurological teeb meem xws li ntau yam sclerosis los yog mob ntshav qab zib mellitus, kev kho mob yuav tsom rau kev tswj tus kab mob tseem ceeb:

• Ntau yam sclerosis: Kev kho kab mob-hloov kho (DMTs), corticosteroids, thiab kev tswj cov tsos mob yuav raug siv.
• Mob ntshav qab zib: Kev tswj hwm cov ntshav qab zib kom zoo, siv cov tshuaj insulin, thiab cov tshuaj ntshav qab zib yog qhov tseem ceeb rau kev tiv thaiv cov teeb meem.
• Lub hlwb lesions: Nyob ntawm qhov ua rau, kev phais, hluav taws xob, lossis lwm yam kev kho mob yuav tsum tau.

3. Kev hloov kev ua neej

Qee qhov xwm txheej, kev tswj hwm txoj kev ua neej xws li kev noj zaub mov, kev tawm dag zog, thiab zam kev siv yeeb tshuaj tuaj yeem pab txo qis kev pheej hmoo ntawm cov kab mob hauv qab uas ua rau cov tub ntxhais kawm Argyll Robertson.

Myths and Facts About Argyll Robertson Tub Kawm Ntawv

Tswvyim 1: "Argyll Robertson cov menyuam kawm ntawv tsuas yog tshwm sim los ntawm syphilis."

Qhov Tseeb: Txawm hais tias mob syphilis yog ib qho ua rau muaj ntau, tab sis Argyll Robertson pupil kuj tseem tuaj yeem yog los ntawm lwm yam mob ntawm lub paj hlwb, xws li multiple sclerosis lossis brainstem lesions.

Tswvyim 2: "Argyll Robertson cov menyuam kawm ntawv cuam tshuam rau qhov muag."

Qhov Tseeb: Qhov muag plooj tsis cuam tshuam rau qhov muag pom kev. Nws yog ib qho cim qhia tias muaj kab mob hauv lub paj hlwb lossis lub cev.

Cov teeb meem ntawm Argyll Robertson Cov Tub Kawm Ntawv

Txawm hais tias tus mob nws tus kheej tsis ua rau muaj teeb meem ncaj qha, nws yuav yog ib qho teeb meem ntawm cov teeb meem kev noj qab haus huv loj dua, xws li tsis kho tus mob syphilis lossis lub hlwb puas. Tsis kho qhov laj thawj tuaj yeem ua rau:

• Neurological puas thiab ua phem rau cov tsos mob ntawm ntau yam sclerosis lossis mob hlwb.
• Kev tswj tsis tau cov kab mob plawv hauv cov neeg mob syphilis lossis ntshav qab zib.

Cov Lus Nquag Nug (FAQ)

1. Cov tub kawm ntawv Argyll Robertson puas tuaj yeem kho ncaj qha?

Argyll Robertson cov tub ntxhais kawm nws tus kheej tsis tas yuav kho, tab sis hais txog qhov tshwm sim, xws li syphilis lossis ntau yam sclerosis, yog qhov tseem ceeb rau kev noj qab haus huv tag nrho.

2. Puas yog Argyll Robertson cov tub kawm ntawv yog ib qho kev raug mob ntawm lub hlwb?

Qee zaum, Argyll Robertson cov tub ntxhais kawm tuaj yeem qhia txog kev puas tsuaj rau lub hlwb lossis lwm qhov ntawm lub paj hlwb. Kev ntsuam xyuas kom meej yog tsim nyog los txiav txim qhov ua rau.

3. Tus kab mob syphilis ua rau Argyll Robertson cov tub kawm li cas?

Tertiary syphilis tuaj yeem ua rau muaj teeb meem hauv lub paj hlwb, suav nrog Argyll Robertson cov tub ntxhais kawm, los ntawm kev cuam tshuam cov hlab ntsha lub luag haujlwm rau cov lus teb rau cov menyuam kawm ntawv.

xaus

Argyll Robertson cov tub ntxhais kawm yog ib qho tsis tshua muaj tab sis tseem ceeb ntawm cov teeb meem hauv lub paj hlwb lossis cov teeb meem kev noj qab haus huv. Thaum nws feem ntau cuam tshuam nrog syphilis, nws tuaj yeem tshwm sim los ntawm lwm yam mob xws li ntau yam sclerosis lossis mob hlwb. Kev tshawb pom ntxov thiab kev kho mob ntawm cov hauv paus hniav yog qhov tseem ceeb rau kev tiv thaiv cov teeb meem thiab tswj kev noj qab haus huv tag nrho.