Yemaziso - Chii? Zviratidzo uye nezviratidzo yemaziso. Mabatirwo oparesheni

Yemaziso hazvirevi chinhu yakati chirwere ziso, chinhu izwi kuti nhamba zvirwere zvinogona kukuvadza optic etsinga. Optic tsinga - muitiro kuti anosvitsa kutarisana mashoko kuuropi. Kazhinji (asi kwete nguva dzose) yemaziso mugumisiro zvisinganzwisisiki yakakwirira kumanikidzwa mukati ziso. Kana yemaziso hosha dzakaonekwa munguva, pane mukana wose kudzivirira chiratidzo kurasikirwa. Nokufamba kwenguva, BP zvinogona kukanganisa optic etsinga, iyo inosvitsa zvishomanana kurasikirwa chiratidzo kana kunyange upofu.

Yemaziso. Chii?

Kazhinji, yemaziso chokuita munhu kupfuura dzose kumanikidzwa mukati ziso. Ichi chirwere anonzi ocular neBP. Asi unogona kuitika kunyange kana intraocular nevamwe chakaipa. Pasina aidzora Mabatirwo yemaziso pakutanga anoita kurasikirwa peripheral chiratidzo, uye ipapo kunounza kusingarapiki nemigumisiro.

zvinokonzera

Chirwere anokurudzira kuramba kuwanda segirazi ocular mvura. It anozadza pamberi ziso, uye ipapo runoyerera kuburikidza ndima kusvika cornea uye iris. Kana channel aya makavhara kana zvishoma pavhurike mutsinga dzinofamba nemukaka, yepanyama kumanikidzwa dziwande. Yemaziso kunoitika nokuda yakakwirira intraocular kumanikidzwa. Zvadaro, optic etsinga wakaremara, uye kana hosha anopinda azara, chiratidzo angatanga kudzikira.

Zvii zvinobatsira panowanikwa chirwere?

Chii chaizvo chinotadzisa Urume ndima uye muchiswededza kufurirwa haasi chaizvo kuzivikanwa, asi vanachiremba vanodavira kuti mumwe kana kupfuura zvinhu zvinotevera zvinogona kukonzera:

- Eye Madonhwe kuti riwedzere vadzidzi vane instillation;

- Meso zvechizarira abudise;

- vamwe mishonga Somuenzaniso akadai corticosteroids;

- akaderedza ropa riyerere kune optic etsinga;

- cheBP.

Mhando yemaziso maererano nheyo panowanikwa

Primary yemaziso kunoratidzwa pathogenic pezvakaitwa kuitika CCP, kuti abudise gadziriro ziso kana kuti optic etsinga uye yapfuura panowanikwa chirwere, vasina kuzvisarudzira. Dzinomirira kutanga nzendo pathogenesis pakati yemaziso.

Mugumisiro aizotangira chirwere chingava yemaziso. Zvinorevei? Chokwadi chokuti panowanikwa chirwere zvinogoneka pashure ziso kukuvara, mapundu kana kurapa zvimwe zvinodhaka-refu. mhando iyi zvirwere zvinonzi yemaziso yechipiri.

The Mhando chikuru yemaziso

1. Open- (refu).

Izvi Chirwere asina zviratidzo kana zviratidzo kunze zvishoma nezvishoma chiratidzo kurasikirwa. Uye unogona kuva kunonoka kuti chiratidzo vachatambura irreparable kukuvadza zvimwe zviratidzo pamberi kuva pachena. Ichi chimwe chezvinhu zvakafanana marudzi yemaziso. Kana intraocular kumanikidzwa anoramba kumusoro, pane mugero chiratidzo, umo mumwe anogona kuona chete zvinhu zviri zvakananga kusango pamberi ziso. Kana pasina kurapwa chiono chakanaka inogona kurasika.

2. kuvhara yemaziso.

Kana mwando aibuda akangoerekana makavhara, kukurumidza kuunganidza Urume kungaita chakakomba, inorwadza uye nokukurumidza kuwedzera kumanikidza. Panowanikwa zviratidzo ichi mhando ndiyo pakaita dambudziko; Muchiitiko ichi unofanira pakarepo kubvunza chiremba. Zviratidzo zvinosanganisira: kurwadziwa, kuda kurutsa, madzerere.

Angle-kuvhara yemaziso kunoratidzwa kamwe zviratidzo zvakadai marwadzo ziso, nomusoro, halos kumativi zviedza, dilated vadzidzi, kurasikirwa chiratidzo, akatsvuka meso. Emergency rubatsiro rwekuchipatara kunodikanwa nokuti kurwisa chirwere angaperekedzwa imwe spurts shoma Somuenzaniso, wokutanga hunogara kwemaawa anoverengeka, ipapo kudzokera inotevera "denderedzwa". Unogona kugara ichi-. Kana iwe usaedza kukunda chirwere, kurwiswa nomumwe anogona kukonzera kuwedzera kurasikirwa zvaakaratidzwa.

3. vachiberekwa yemaziso.

Vachiberekwa chirwere dzinoratidzwa akaremara pakona ziso, iyo DZEMUNHU DZINODZORA kana chinomisa chakaipa abudise kuti unyoro. mhando iyi chirwere kakawanda nhaka. Zviratidzo zvinosanganisira: ramakore vadzidzi, kubvambura, aikanganiswa nechiedza.

4. Secondary yemaziso.

Izvi mhando angamuka sezvinoita divi maturo kukuvara kana zvirwere zvakadai cataract, ocular bundu. yemaziso zvishoma yechipiri kunoitika pashure kutora zvinodhaka, corticosteroids uye kushandiswa.

5. Pigmentary yemaziso.

Izvi haiwanzowaniki chaizvo chimiro kuti zvinogona kukonzerwa ne- blockage pamusoro abudise ezvinhu neziso. Ichazivikanwa ruvara leaching kubva Iris wayo redistribution ari Anterior parusvingo ziso.

Diagnosing yemaziso

Ocular chirwere Akatsunga kushandisa zvachose ziso bvunzo zvinosanganisira zvinotevera:

1. Visual acuity bvunzo maonero. The girafu matanho sei zvakanaka unoona panguva dzakasiyana akareba.

2. Kuyerwa peripheral (divi) maonero. Kurasikirwa peripheral chiono richinzi nezvakaitika ophthalmologist sezvo ziso yemaziso, zviratidzo.

3. Dilated nzira. Mumaziso vakaviga madonhwe chaiwo dilation ose vadzidzi. Zvadaro ophthalmologist anoona the retina uye optic tsinga zviratidzo zvakakanganisika uye nezvimwe zvinetso ziso. Pashure muedzo uyu, chiono anogona kuramba Blurred kwemaawa anoverengeka (kana kuedza kufunga nyaya imwe pedyo-up).

4. Kuyerwa intraocular kumanikidzwa kuti vasabatwa pamusoro zvarakasiya. Dzimwe nguva Madonhwe ziso kungashandiswa nzira iyi.

5. Kuyerwa corneal ukobvu. nzira iyi inonzi pachymeter. The ophthalmologist anoshandisa chaiwo Madonhwe kuti bindira ziso, uye ipapo rinoshanda ane ultrasonic wave kuwana inodiwa parameters ari cornea.

yemaziso kurapwa

Zvinosuruvarisa akarasikirwa nokuda chirwere, zvakaratidzwa anogona kudzorerwa 100%. Chikonzero ichi kuti richikosha mangwanani chirwere uye kudzivirira. Nzira kurapwa: a mushonga, Laser trabeculoplasty, kwakajairika kuvhiyiwa kana mubatanidzwa pamusoro nzira. Matanho aya haasi mushonga nokuda zvizere kuzoita maonero, asi vanokwanisa kuchengeta padanho kuti ariko panguva mharuro kurapwa.

kurapwa

Mishonga. Kugadzirira muchimiro ziso Madonhwe kana mahwendefa ndivo rakajairika nzira pakutanga kurapwa nguva. Kunwa mushonga dzose ushandiswe nachiremba, ziso anodonhedza kubva yemaziso, unogona kuderedza intraocular kumanikidzwa. Kuvhiringidzwa kurapwa iri yokuderedza kusunungurwa unyoro uye kubatsira water drainage pamusoro ocular mvura.

Usati watanga kurapwa, unofanira kuudza chiremba wako nezvokuuraya dzimwe mishonga kana zvokuwedzera, kana iwe kuzvigamuchira, nekuti vamwe mubatanidzwa zvinodhaka zvakasiyana havabvumirwi.

Ushandiswe madonhwe kubva yemaziso kana mahwendefa zvinofanira kutorwa nguva, chete muchiitiko ichi zvinobvira kuwana kunobatsirawo, pasinei nokuti pangava rwakashata. Somuenzaniso, Madonhwe zvinogona kukonzera unopfuta uye akatsvuka maziso, kunyange kana izvi asina chakaitika kwauri kare. Zvisinei, panowanikwa rwakashata zviitiko anofanira vakaudza ophthalmologist, sezvo unopinza achichinja kubva mishonga mumwe mushonga dzimwe nguva hazviiti. Kuti tidzivise mamiriro zviratidzo chiremba wako anogona kuchinja dose mhando kurapwa kana.

Sezvataurwa pamusoro apa, kazhinji yemaziso chirwere asymptomatic, uye vamwe vanhu vangaedzwa kurega kutora kana kukanganwa kutora mushonga panguva yakatarwa. Kakawanda iri rinokosha chaizvo, mishonga yaifanira sokuvapo kumanikidzwa muziso hauzodzokeri kufirwa.

Laser trabeculoplasty. nzira iyi yokurapa inoratidzwa kuti kuvandudza abudise ari aqueous zvinosetsa. Chiremba anogona kupa kuita danho iri chero nguva Rakabatanidzwa yaunodya nezvinodhaka.

Laser trabeculoplasty rinoitwa muhofisi yacho ophthalmic kiriniki, kutanga remapazi asati anoshanda Madonhwe kuti bindira ziso. Kushandisa chaiyo izvo chiremba chiedza zvikuru danda inopfuura nomunyika izvo. Panguva apo chiedza danda kunooneka uri the retina muziso, unogona kuona nokupenya manyoro kana tsvuku chiedza. Laser kurapwa ane dzakawanda zvakaenzana munzvimbo dzokuzororera dzaiva kutsva kuti abatsire ubvise Urume.

Kungofanana avhiyiwa, Laser kuvhiya inogona kukonzera marwadzo, akadai kuzvimba, saka chiremba wako zvimwe kukupa ziso anodonhedza kubva yemaziso kuderedza marwadzo kana intraocular kuzvimba. Munyaya inotevera shoma kushanyirwa kuti ophthalmologist achapiwa iongororwe kudzora ziso kufurirwa uye mukuru mamiriro ezvinhu ziso.

mumwe kurapwa ziso rinoitwa vakazotevera muzviitiko apo maziso vose vakapararira yemaziso. Zvarinoreva kuti murwere? Laser Kurapwa neziso rimwe inoitwa mazuva akasiyana, vane mazuva mazhinji kuti mavhiki akawanda, saka kuwedzera kubudirira kurapwa.

Ongororo dzinoratidza kuti Laser kuvhiyiwa - nzira yakanaka kurapwa Zvisinei, kunyange pashure pokuvhiyiwa, vamwe varwere vanogona achiipa chiratidzo. Muchiitiko chino, chiremba wako ichapiwa zvakasiyana.

Surgery. Nzira iyi zvinobatsira kuti mamwe makomba water drainage mvura. Kazhinji kwacho kushandisa pashure kurapika uye utsinye Laser pokuvhiyiwa, kana asina yakapedza yemaziso. Reviews kuti nzira iyi yokurapa vari kusiyane asi nokushanda kunobatsira kuti vabudirire zvinozoita, ruzhinji varwere.

The Kuvhiya chinonzi trabeculectomy uye rinoitwa pamusoro outpatient hwaro. Pashure pakatanga sedatives chiremba anoita diki majekiseni akapoteredza ziso kuti bindira. Zvadaro, rimwe duku chigamba ganda yabviswa uye mugero itsva mvura iyerere kubva Anterior chikamu ziso iri subconjunctival nzvimbo.

Mumavhiki mashomanana pashure pokuvhiyiwa, kushandisa ziso anodonhedza yemaziso kushumira kurwisa utachiona uye kuzvimba.

A rakabudirira Zvaizobuda oparesheni uye kuderera kwemitambo intraocular kumanikidzwa vari kuchengetwa 60-80% wevarwere. Kana maziso kujekesa abudise pamusoro nguva, wechipiri kuvhiyiwa kungadiwa. Kuvhiya kupindira zvinobatsira kana pane chikuru yemaziso uye vasina kuitwa oparesheni pamusoro ziso, akadai cataract.

Dzimwe nguva pashure pokuvhiyiwa, chiono anogona kuderera zvichienzaniswa chii chaiva pamberi kuvhiya. Pakati nemishonga vakacherechedza: panowanikwa tsanga, nezvinetso cornea, kuzvimba, chirwere kana intraocular nevamwe zvakare pasi. ruzivo urwu anofanira vakaudza chiremba wako kuitira kuti iye akava kurapwa urongwa.

Kudzivirira yemaziso

Nzira yakanakisisa yokudzivirira yemaziso - wepagore kuongororwa nemunhu ophthalmologist. Simple miedzo ichiitwa panguva nzira, anokwanisa kuona kutanga ziso zvikanganiso.

Zvinoita yekuzvidzivirira zvirwere? Vaongorori British vakawana kuti zvikuru kurovedza vanopa refu kuderera ocular perfusion nevezera (Opp), ndiro imwe zvinokonzera njodzi, zvapfuura panowanikwa yemaziso. Opp - munhu akarongeka ukoshi kuti rinowanikwa apo kuyera neBP uye intraocular.

Simple nemiedzo kunze panguva muitiro, ziso anokwanisa kuona zvikanganiso zvisati zvaitika yemaziso. Izvi zvinorevei utano? Nzira yakanakisisa yokudzivirira yemaziso - wepagore kuongororwa nemunhu ophthalmologist.

Pane imwe ukama pakati kurovedza muviri uye panowanikwa chirwere?

Zvabuda akaratidza kuti kudzidza vechikamu vakanga vaiita mwero kurovedza muviri kwenguva yakareba, 25% shoma kubatwa yakaderera Opp.

"Zvinoita sokuti Opp dzinongoita dzinoratidzwa mamiriro kumwoyo," - akati kudzidza munyori Paul J. Foster, mushandi of University College London Institute of Ophthalmology .. - "Hatigoni vataure zvikonzero, asi, Chokwadi, pane kubatana pakati ndakagara mararamiro uye zvinhu izvo zvinowedzera mukana yemaziso."

Dr. Foster akagumisa kuti kuramba chinoshingaira mararamiro - zvinobudirira nzira vanhu vanoda yekuzvidzivirira yemaziso kwete chete, asiwo zvakasiyana nezvimwe zvinetso zvoutano. Matanho aya zvinobatsira kunyange kana munhu aine vachiberekwa yemaziso.

Mukuwedzera uchirovedza muviri uye chinoshingaira mararamiro, unogona kuderedza ngozi yokurwara, kana iwe kuomerera nyore kutevedzera: regai kuputa, tiine utano uremu, uye chete kupinza zvokudya zvakasiyana siyana utano.