Ǵ
Ե
ͧ
˹ѡ       Թյ͹Ѻѧʵ

ԸŴǹǷش ԸŴǹ 7 ѹ ԸŴǹẺҵ ԸŴǹ3ѹ ԸŴǹͧ Ѻͺ      ӧѺ    ѾǴ    Ѿ ¡ҵ    Ѿէ     
   Ѿ ¡ҵ    ͹    ¹ѹ͹    Ѿ    ѾǴ     ¹    
32     ҷҹ    ѭ ҷҹ    ..ѭ ҷҹ     ѾѺͺ Ѿ蹧  

 


ҡդӤµ ö蹴 comma (,)
˹ѡ >> آҾ - ᾷ >> çҺ
˹ҹ  |  ͹
˹ѧҡеءԴҡ Ը˹ѧҡеءԴҡ - ҡеءҧ ǹҧ
Ӥ : ˹ѧҡеء , Ը˹ѧҡеء , ҡеءҧ

˹ѧҡеءԴҡ Ը˹ѧҡеءԴҡ - ҡеءҧ ǹҧ

ҡеءԴҡ

: س/ا෾
ԩѹջѭҷ͹ѭҢ¹ سʹѧ

    * ҡеءԴҡ˵
    * ҡõҡеء 繵ͧ
    * 繺 ѹ (ԩѹҵԴ͡ѹѹҡ¤)

úǹµͺ¤

ͺ : .Ѳ Ѳ
ҡ ء (͡ҹФѺ ١ ١ҡеءաͧ˹) շẺ繪Ǥ Ǥѡͧ - ѻ Ẻ繶繻 Ѻ

˵ Դҡ觡ʻҷҡе鹡͡ (ҨС˹Ңҧǡѹ) ҡ鹻ҷͧ ҡһ Һ˵͹ ҧԴѧغѵ˵ط ҧҡԴͧ 觡е鹤 չ (-Ѵ) ʹ͹ ´ 繵

ѡ/Ը˹ѧҡеءԴҡ

- شŴ觡еҹ

- բ Ѻ

·ҡùѡͺʹͧաѺҡԹ բҨԨóҷҧ͡ éմ Botulinum toxin (դմź ФѺ) ҷµеءѺ

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- ҳ 2 - 3 ҷԵҹ Ѻ ͡Һ (͡)  еء ( )  1 ѻ  ǧ繶 ˹ѧҨСеء  ǡ֡µ ͵ ͺ͡Դҡ µҡ ӵҹ § contact len ¤Ѻ ͨ Թ¡ Ѻӵ ѧ֡ ҡ÷Ŵŧ   ªѡѹ繷١ 鹻ҷѹ ͧö֧ѡçҡ س㹷ҡùйӴ

ͺ - ͺ¤Ѻ
դ١ѹء 2-3 ѻ
 
˵Դҡ鹻ҷͧ 7 觤Ǻ÷ӧҹͧ͡ ԧѭҳ軡 ͡ҡ¡еءԡ
 
Ѩ·Դ
- ÷ӧҹ˹ѡ
- ʹ͹
- Фͧ ͹ᷤŹ, ͺص, š
 
ǹ˭ͧѻ 
 
й
- ͹ᷤŹ ҷ
- ʹӵ ѹ 4 駢
- ͹
- ѡ͵ͧµҡѺ˹ѧ 5-10 ҷշء
 
 
 
բ ͹ ͧ˵ ੾㹤٧ ʹ觾ͧ仡鹻ҷ, ͧ͡仡鹻ҷѺ

Դ - ҡ繵ҡеءҹ 仾 ʹ ԹԵԹ բ硹¹ ͺµҹ

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ҡеء ( Benign Essential Blepharospasm )

             ¤ҡõ ҡеءҺҧ Դҡùҡ֡ӤҭСѧŢҨѹ ѧӾٴԹѹ “«´” ҨҴ١ѹҨдըҧáѹ

             ҡеءǡó秵Ǣͧ˹ѧ ( orbicularis oculi ) ( involuntary ) ѰԡҾҳ 5 1 ʹ ¾ҳ 2,000 ء ѡ㹪ǧ 50-60 ˭ԧҡȪ 1.8

             ˵ѧ繷Һ͹ ҡ֡ҤҴҹҨԴҡûҹҹԴ ( miscommunication ) ͧͧ ( ǹ basal ganglion ) ҨջѨ

             ҡҨաáеء秢ͧҡ оԺҶ鹡һ Ҷҡ鹨ա˹ѧ秨ͧоԺç ҧ֧Ѻա˹ҡеء Ҩ繢ҧͧҧ

             ззҡŧ ´ ͹ ʧҧ ǹззҡôբ ù͹Ѻ Ҹͧͧ˹ þٴ ͧŧ 㹺ҧͧ ҧ ҧѧ ҡҡúǹôԹԵШѹСûСͺҪվ

             ԹԨä еͧѺõǨ´ҡѡᾷ͹ ҡԴҡеء繼ŵͧҨҡä äҺҧҧԴҡù ͡ѡʺ ҼԴ õԴͧ͢ Шѡʺ Թ ͡Ш äͻҷ 觶ҵǨѡäҹ зҡõҡеء

             辺ä ʴ繵ҡеءԴҺ˵ ( Benign Essential Blepharospasm ) ѡҡԹ ͡¡ ᾷ͡ ҡԹšоԨóҩմ 㹻Ѩغѹ éմ botulinum toxin dzҡ Ŵ秢ͧ Ŵҡ ҳ 95% ͧ¨ҡôբ ¨ҡôբ 2-3 ͹ еͧմ ҧҨ 6-9 ͹ Ţҧ§ҧ ǤǨͧ ˹ѧҵ һԴʹԷ ˹ѧǹǹ͡͡ ͧҾ͹ 繵

              ҩմŶ֧ԸռҵѴ 繡üҵѴҡ˹ѧ͡ ( myectomy ) 觻ѨغѹҡҡüҵѴ鹻ҷ ( neurectomy ) 辺á͹ҡ

 

  : ͹ءԪҡ ٹǧҡҪҴ

 
  ҷǢͧ :-
 
  ҷسҨѧ :-
    ١ѡ ͧԹ ԧ ʹء켨
١ 2, ١ 3, ʹءѹ
١ 2, ١ 3, ʹءѹ
ҧ٧, ҧ٧2, ʹءѹ
ҧ٧, ҧ٧2, ʹءѹ
x 27, x4, ʹءѹ
x 27, x4, ʹءѹ
»2, » pc, ʹءѹ
»2, » pc, ʹءѹ
˹͹ѹ, ˹͹ԧѹ, ʹءѹ
˹͹ѹ, ˹͹ԧѹ, ʹءѹ
ʧš駷2, ʧš2, ʹءѹ
ʧš駷2, ʧš2, ʹءѹ
˭ԧ2, ˭ԧѺ, ʹءѹ
˭ԧ2, ˭ԧѺ, ʹءѹ
ѡѴ2, ѡѴ4, ʹءѹ
ѡѴ2, ѡѴ4, ʹءѹ
ʧѹ, ʧؤԹ, ʹءѹ
ʧѹ, ʧؤԹ, ʹءѹ
ѡú2, ѡúѹش, ʹءѹ
ѡú2, ѡúѹش, ʹءѹ
ѡúѹ, ѡúҳ, ʹءѹ
ѡúѹ, ѡúҳ, ʹءѹ
ʧؤԹ, ʧؤ3, ʹءѹ
ʧؤԹ, ʧؤ3, ʹءѹ
ʧؤԹ 1, ʧؤԹ1, ʹءѹ
ʧؤԹ 1, ʧؤԹ1, ʹءѹ
ҿ2, ҿ pc, ʹءѹ
ҿ2, ҿ pc, ʹءѹ
ʧͧѾ, ʧ, ʹءѹ
ʧͧѾ, ʧ, ʹءѹ
ҹҹ
1 2
͹Ź
Թ
شѹ ѹ
觺ҹ
١ѡ ͹
ҧͧ
ǡѺ ʹԪ
Ѵ ѺԴҾ
ԡ ͹Ź
ҹҨѧʹ觹
Ѿѧ çҺ Һ ᾷ  ǡѺ ҡ纻 Ǣͧ Ѿѧ çҺ Һ ᾷ ǡѺ ҡ纻 Ǣͧ
͹!!    ҡ ÷ࡴ !! ͹!! ҡ ÷ࡴ !!
õǨ  ԹԨ¹+ҡ õǨ ԹԨ¹+ҡ
ä renal calculi - 䵤 йԴҡ ? ä renal calculi - 䵤 йԴҡ ?
ҹ㹼 | Ըջͧѹҹ㹼  ҹ㹼 | Ըջͧѹҹ㹼
˵ҹ Դ˵ | guru muslimthai ˵ҹ Դ˵ | guru muslimthai
䷿´ ä䷿´ҡСѡ䷿´ ䷿´ ä䷿´ҡСѡ䷿´
䷿´ ҡ 	䷿´ ѡ -  ä ䷿´ ䷿´ ҡ ䷿´ ѡ - ä ䷿´
䷿´ѡҴ¿ҷ-ع תع ䷿´ѡҴ¿ҷ-ع תع
ûҺŤ 	¤ êͤ ûҺŤ ¤ êͤ
ûҺ ûҺż·١١Ѵ ûҺͶ١١Ѵ ûҺ ûҺż·١١Ѵ ûҺͶ١١Ѵ
ҡõ駤 1 ѻ õ駤ѻá ԷԹõ駤 ҡõ駤 1 ѻ õ駤ѻá ԷԹõ駤
õ駤 1 ͹ -	駤 1 ͹ ǡ͹駤 õ駤 1 ͹ - 駤 1 ͹ ǡ͹駤
ҡõ駤͹á 駤 1 ͹ ҡáͧõ駤 ҡõ駤͹á 駤 1 ͹ ҡáͧõ駤
Ըѧࡵõ駤 Ǩ駤 Ǩ駤͹˹ Ǩ駤 ԴҴ Ըѧࡵõ駤 Ǩ駤 Ǩ駤͹˹ Ǩ駤 ԴҴ
ҹѺõ駤 äҹѺõ駤 ҹѺõ駤 äҹѺõ駤
ҡеءҧ ҡеءҧ ҡеءҧҧ ҡеءҧ ҡеءҧ ҡеءҧҧ
Ը˹ѧҡеءԴҡ ( ҡеءش ˹ѧҡеء ) Ը˹ѧҡеءԴҡ ( ҡеءش ˹ѧҡеء )
ǡ͹õ駤 Ըǵ駤 Ѻǵ駤 	ǵ駤ͧ 2 ҵԺӺѴ ǡ͹õ駤 Ըǵ駤 Ѻǵ駤 ǵ駤ͧ 2 ҵԺӺѴ
˹ѧҡеءԴҡ Ը˹ѧҡеءԴҡ - ҡеءҧ ǹҧ ˹ѧҡеءԴҡ Ը˹ѧҡеءԴҡ - ҡеءҧ ǹҧ
ҡеءԴҡ ҡеءԴҡ  ǵҡеءҧ ҡеءԴҡ ҡеءԴҡ ǵҡеءҧ
õ駤֧ʧ õ駤֧ʧ 	šзͧõ駤֧ʧ õ駤֧ʧ õ駤֧ʧ šзͧõ駤֧ʧ
ҡõ駤͹á -ҡáͧõ駤 ҡõ駤͹á -ҡáͧõ駤
 к ˹ҷͧ˭ ˹͡ 5 ѭҳä Թ к ˹ҷͧ˭ ˹͡ 5 ѭҳä Թ
ʹ͡ÿѹԸҧ ʹ͡ÿѹ տѹ calcium Ѻäʹ͡ÿѹ	ʹ͡ÿѹԸҧ ʹ͡ÿѹ տѹ calcium Ѻäʹ͡ÿѹ
äبǧԴ  ͧ è ͹Դѭ äبǧԴ ͧ è ͹Դѭ
5 äç -äç㹻Ѩغѹ- 10 äçش 5 äç -äç㹻Ѩغѹ- 10 äçش
ûͧѹԵҧе駤 - ҷͧ繾äԵҧ  !! ûͧѹԵҧе駤 - ҷͧ繾äԵҧ !!
й ˭ԧ駤Եҧ ˭ԧѧͧԵҧͧҹúا !! й ˭ԧ駤Եҧ ˭ԧѧͧԵҧͧҹúا !!
شʹԸäԵҧԴ sickle cell anemia شʹԸäԵҧԴ sickle cell anemia
ӹѡʵ
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