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˹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

سҨѧ:-
 
 
  ҷǢͧ :-
Ӥ: ˹ѧҡеء, Ը˹ѧҡеء, ҡеءҧ
Թ ˵ä
äʹʹáѺù͹ù
觷äҡشͧӤ
ҹҤǡѺ
 ෤ԤآҾ ҧä
  ѡѺäҸ ADT ѹ
  ¡áԹ١Ը
 Ѿѧ çҺ Һ ᾷ ǡѺ ҡ纻 Ǣͧ
 ͹!! ҡ ÷ࡴ !!
 õǨ ԹԨ¹+ҡ
 
  ҷسҨѧ :-
Ӥ: Ǵ, ,ä,ҡеء
20 ѹѺ͵ش
ٷ   
10 ѹѺشԵҷԵ
ٷ   
ͧش ʵ
Ѫҡᾷ
ä͡äҷȵɷ 15 ֧ 18 ͧǡҳҹԤû
ɳ蹴Թ Ӥ شš
Ңͧѭҵѹ͡ҧ ¤ʧ
Ѩ Թʴ Ѻ ԧ عèҡšҹ سͧ
Թ ? к ? ҧѹҧ դӵͺ
ѵԷҹ Դ Թ -մ Һ
Ǻ٧͹˹ذ
ЪҪҵԢͧѹᵡ͡ 73 Ӿǡ
ẺäԭҺ Ѻҹ觧ҹ
ٷ  
ʵ
Ѩ·ԷԾŵ ûСͺáԨ
ش¢ͧ ԹáԨ
˹ҷФѺԴͺͧ áԨ
ФӤѭͧ áԨ
¢ͧҪվ
ҳԪἹŴͧѡ
شóͧѡáԨ
ҺóͧѡáԨ
ʶҺѹҧáԨ
ͧûСͺ áԨ
ٷ  
آ ʵ
Թ ˵ä
Ը͡ͼѡҧʹ
ҴաҹӨԧ
ԸѡҼ˹Ҩҡʧᴴҧô?
觷äҡشͧӤ
ѡ ѡ ʹ ҵҹ
Ѵͧ ͧ ǧ
Թ Ѵ 觼Ŷ֧ ѹ
õҹ
û˹֧¡
ٷ  
 
 
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