Thaum miv muaj qhov muag effusion, peb feem ntau xa mus rau nws muaj ntshav nyob rau hauv lub anterior chamber ntawm lub qhov muag, uas nws lub sij hawm kho mob yog " hyphema". Qhov effusion no tuaj yeem ua tau tag nrho thaum nws cuam tshuam rau tag nrho lub qhov muag sab hauv ntawm lub qhov muag lossis ib nrab thaum nws nyob tsuas yog ib feem ntawm nws thiab tuaj yeem pom cov pob liab liab hauv cov miv lub qhov muag. Nyob rau hauv lem, ocular effusions yuav tshwm sim nyob rau hauv ib lub qhov muag, feem ntau txuam nrog ib tug kab mob txwv rau lub qhov muag, los yog nyob rau hauv ob qho tib si, tshwj xeeb tshaj yog nyob rau hauv cov mob ntawm effusion thib ob rau ib co kab mob, nrog rau kub siab yog lub ntsiab ua rau ocular effusion nyob rau hauv miv.
Ntawv nyeem tsab xov xwm no ntawm peb lub xaib kom paub ntau ntxiv txog cat's eye effusion, nws ua rau, tsos mob, kuaj mob thiab kho.
Dab tsi yog qhov muag spill?
"Kuv cov miv muaj ntshav hauv nws lub qhov muag" yog ib qho ntawm cov lus nug tseem ceeb thiab tuaj yeem ua rau muaj kev txhawj xeeb loj, thiab tsis yog tsawg. Ib qho effusion nyob rau hauv lub qhov muag yog qhov muaj cov ntshav nyob rau hauv lub anterior chamber ntawm lub qhov muag, tag nrho los yog ib nrab zais cov xim ntawm miv lub qhov muag, saib ib los yog ntau qhov chaw. nyob rau hauv ib los ob lub qhov muag.
In short, ocular effusion in cats is a focal or multifocal hemorrhage ua los ntawm ntau yam ocular thiab extraocular pathological ua, nrog rau ua rau tsis cuam tshuam rau cov txheej txheem pathological xws li kev raug mob lossis kev sib ntaus.
Ua rau qhov muag effusion hauv miv
"Vim li cas kuv miv muaj qhov muag effusion" los yog "kuv miv muaj qhov muag liab thiab kaw" yog cov lus nug uas cov neeg zov me nyuam nug lawv tus kheej thaum lawv saib qhov muag effusion ntawm lawv cov me nyuam felines thiab hais tias. tuaj yeem teb tau hauv cov npe hauv qab no:
- Systemic hypertension, qhov twg ntshav siab tuaj yeem ua rau lub qhov muag sim tswj cov ntshav ntws los tswj cov ntshav kom ruaj khov, tab sis qhov no ua rau Kev hloov pauv hauv capillary permeability uas ua rau cov protein thiab cov ntshav xau, nrog rau kev puas tsuaj rau cov hlab ntsha ntawm lub qhov muag, ua rau lub qhov muag detachment.
- Traumatisms, xws li cov uas tshwm sim los ntawm kev khiav dhau, khawb ntawm lub qhov muag ntawm lub qhov muag hauv kev sib ntaus, ntog nrog cov tshuab rau qhov muag, thiab lwm yam.
- Uveitis los yog o ntawm lub qhov muag uvea thiab lwm yam los ntshav los ntawm cov hlab ntsha tawg.
- After eye surgery.
- Melanoma).
- Glaucomavim siab intraocular siab.
- Vasculitis los yog o ntawm cov hlab ntsha ntawm lub qhov muag Primary or immune mediated or secondary to infections.
- Bleeding disorders vim yog kev hloov pauv hauv platelets lossis coagulation yam.
Tem Ntawm Lub Qhov Muag
Cov tsos mob ntawm qhov muag effusion hauv miv
Cov tsos mob nkaus xwb uas tus miv uas muaj qhov muag effusion tuaj yeem muaj yog ocular hemorrhage, unilateral los yog ob sab nrog ntau dua los yog tsawg dua. Txawm li cas los xij, vim muaj ntau yam uas tuaj yeem ua rau lub qhov muag pom hauv miv, cov tsos mob sib xws kuj tuaj yeem muaj ntau haiv neeg. Piv txwv li, tus miv mob ntshav siab nrog lub qhov muag effusion kuj tseem tuaj yeem pom cov cim qhia tau los ntawm lwm yam peb lub hom phiaj hauv nruab nrog cev lossis cov khoom nruab nrog cev uas muaj peev xwm ua rau kub siab, xws li lub paj hlwb (ataxia, qaug dab peg, nocturnal meowing …), lub raum (kev nce qib ntawm lub raum ntev. kab mob, glomerular hypertrophy, lub raum tubular atrophy, txo cov zis ceev) thiab lub plawv (sab laug ventricular hypertrophy nrog yws yws lossis gallop atherosclerosis).
Yog tias koj tau khiav dhau lawm, tej zaum koj yuav muaj pob thiab los ntshav hauv lwm qhov chaw, koj yuav mob thiab txawm tias hernias lossis perforations. Hauv kev kis kab mob, kub taub hau thiab anorexia kuj tshwm sim, thiab hauv cov ntshav los ntshav, hemorrhages lossis ntshav poob hauv lwm qhov chaw hauv lub cev.
Diagnosis of hyphema in miv
Kev kuaj mob ntawm tus miv ocular effusion, lossis hyphema, yuav raug ua los ntawm kev sim ntau yam los xaiv raws li cov kev kuaj mob uas tus feline tuaj rau hauv chaw kho tsiaj rau kev sab laj. Kev kuaj xyuas qhov ua rau hyphema hauv miv feem ntau yuav tsum tau kuaj , ua tiav keeb kwm, thiab kuaj pom qhov muag thiab cov paj hlwb.
Qhov teeb meem nrog kev tshuaj xyuas qhov muag tag nrho yog qhov kev nthuav dav dav, kev soj ntsuam ntawm sab hauv ntawm lub qhov muag tuaj yeem tiv thaiv, txawm tias lwm qhov muag tuaj yeem pom, vim nws tuaj yeem nthuav tawm daim ntawv dhau los ntawm lub qhov muag. kab mob ntawm qee yam kab mob uas ua rau nws.
A blood test, biochemistry thiab urinalysis, as well as measurement of coagulation factors, may also be useful. Ib yam li ntawd, nws tseem ceeb heev rau ntsuas ntshav siab ntawm cov miv, vim qhov kub siab yog qhov ua rau lub qhov muag pom ntawm cov tsiaj no, thiabintraocular siab los txiav tawm glaucoma.
Thov txwv tsis pub kis kab mob, yuav tsum tau sim mus nrhiav cov tshuaj uas tuaj yeem ua rau cov ocular effusion hauv miv:
- Feline immunodeficiency virus antibodies.
- Feline leukemia virus antigen.
- Toxoplasma gondii antibodies (IgG and IgM).
- Diagnostic tests for feline infectious peritonitis.
Thaum kawg, qhov ocular ultrasound yog pab tau los txiav txim seb cov qog nqaij hlav los yog lub retinal detachment.
Yuav ua li cas thiaj kho tau ib qho nchuav hauv miv qhov muag?
Kev kho mob ntawm hyphema yuav muaj xws li kev kho qhov ua rau lossis ua rau ua rau nws. Feem ntau, feline eye effusion therapy yuav suav nrog cov hauv qab no:
- Cat's so, vim nws txo qis qhov tshwm sim los ntshav thiab tso cai rau cov ntshav kom nyob twj ywm kom saib xyuas lub qhov muag zoo dua.
- Topical corticosteroids nyob rau hauv cov neeg mob ntawm uveitis tsis muaj corneal ulcers los tswj o. Cov tshuaj uas tsis yog-steroidal anti-inflammatory yuav tsum tsis txhob siv vim tias lawv tuaj yeem ua rau lub sijhawm ua ntshav khov.
- Topical carbonic anhydrase inhibitors (dorzolamide): qhia yog tias qhov mob hauv lub qhov muag nce ntxiv hauv glaucoma.
- Tropicamide tshuaj pleev ib ce: ua kom cov tub kawm ntawv nthuav dav thiab tiv thaiv synechiae (adhesions) ntawm iris thiab kom deb ntawm lub lens. Nws yog siv peb zaug hauv ib hnub kom txog thaum tswj tau qhov o, feem ntau rau ib lub lim tiam.
- Kho by phais in case of perforations or eye raug mob.
- Enucleation (kev tshem tawm ntawm lub qhov muag) nyob rau hauv cov mob uas muaj mob loj thiab qhov kev kho mob lossis phais kho tsis tuaj yeem kho qhov effusion.
Vim tias yuav tsum paub txog qhov ua rau tus miv qhov muag pom, nws yog ib qho tseem ceeb uas yuav tsum tau mus ntsib kws kho tsiaj yog tias pom cov ntshav los ntshav.
