Ophthalmology: kuparadzwa ziso vitreous

Vitreous chinhu läpinäkyvä gel kuti anozadza mhango yeziso uye riri seri izvo. Kunze zviri takapoteredzwa Kamudzira mukati rakakamurwa migero (nzira). Kana kuri rive dete, kuunyana kana yokuzviparadzanisa kuti gel, ipapo kutaura pamusoro DST maziso.

Chii?

The chidzoke zvakasiyana siyana chimiro, ukuru kana turbidity ari vitreous zvinosetsa zvinoratidza chinopedza kwendangariro. Inonyanyoshandiswa chirwere pathologies apo ehupfumi ari svikiro vanochinjwa.

Kazhinji, zviri pachena, asi rine chaiyo shinda - fibrils. In zera-ukama kuchinja, kana nokuda zvimwe zvirwere, vanova zvishoma kwakavharwa nenyama, uye anogona kutyora, zvoita kuti kudzikira mune zvaakaratidzwa. Panguva iyoyowo hwapedyo floater ziso. Zvinofanira kucherechedzwa kuti kutyorwa kwakadaro zvakaoma kurapa, uye kuchinja vakwegura dzinoparadza iri anenge asina kurapwa (vanogona chete sipidhi kana zvakakodzera kurapa).

etiology

Kazhinji, asi floater ziso chinokonzera chinogona kuva siyana chaizvo, ane migumisiro zvokuimba kuzotadzira ziso, kusvuta, kushandisa zvinodhaka, kana kuparadzana zvinodhaka. Mari tiri Kumwe kuchinja kunotanga chokuita yepanyama kukwegura rikurumidze. Mukuwedzera, kuvapo pfupi-kwehurumende, kana vachibatwa kwenguva refu uye kakawanda kushushikana pamusoro nhengo nechaanoona, tsinga ukapisa murwi Angatanga floater ziso.

Kana iwe kutaridzwa etiological zvinhu, zviri zvakare kukodzera kutaura dystrophy kana kuzvimba iri the retina, wenyama kuneta, retinopathy maronda ari choroid, metabolic kuchinja yeziso.

Zvakakosha kuyeuka kuti unopinza dzinoparadza kuchinja kungava Precursors pamusoro retinal yokuzviparadzanisa, umo kwakakwana uye kusingarapiki kurasikirwa zvaakaratidzwa, saka zano rakakodzera ane ophthalmologist ndiyo fanira.

Zvinoitwa inoparadza kuchinja ari vitreous

Kana kusimukira nemukuparadzwa kwayo, Saka, somunhu mutemo, Kumwe kuchinja kunotanga vakanga vakachengeta nechepakati munzvimbo. Arikunze of vitreous muviri hauna kushanduka. Kazhinji, voids vari aumba ayo akazara nezvinhu zvacho uye fibers zvigadzirwa coagulation. Uyewo, pangava zvisungo kana mafirimu, izvo kuyangarara takasununguka muna liquefied svikiro kana vasiyana pasi ziso, iyo inosvitsa unopinza Kumwe kuchinja kunotanga maonero.

Kuparadzwa ziso vitreous nomuviri wakakura zvikuru kuratidzwa - iri kwayo shrinkage. Zvinonzi pamwe kunetseka vitreoretinal yeimwe kwazvo kunoguma photopsias, retinal misodzi, pakuonekwa hemorrhages ari vitreous muviri.

Zvinofanira kucherechedzwa kuti kuchinja kwakadaro dzinoparadza nyore kuona munhu nemaziso ondomoka. Diagnosing matambudziko vachishandisa zvekuchipatara nzira kuongorora kwakaoma chaizvo uye kunoda kurapwa ruzivo.

zvekuchipatara kuratidzwa

Kana kusimukira floater, zviratidzo kunyongana zvingasanganisira chitarisiko pamberi zvose zvemarudzi zvinoyangarara zvinhu, izvo kuva kuoneka apo kufunga monochrome nzvimbo - masvingo chena, chando uye denga. Varwere vanogona kupemberera Blurred. It unovapo nokuda refraction chiedza kuchinja, achipfuura Manyiminya hurongwa ziso, uye kusonganirana donhwe mumvuri pamusoro the retina, izvo zvinoderedza kunaka, uye angava anoratidza zvatowedzera kukuvara ziso. Pokumbononotswa kuwana chiremba kungaita kuti apedzise kurasikirwa wezvakaonekwa.

Achirohwa fibrils ose vitreous tsanga sokuti murwere, makwapa, shinda kana mafirimu izvo chaizvo kanganisa maonero, uye kufamba neziso kufamba.

Zvinofanira kucherechedzwa kuti chimwe chezvinhu zvakafanana zvikonzero kurapwa kuti ophthalmologist kunyunyuta pamusoro pakuonekwa "kubhururuka enhunzi" pamberi pemaziso, kubva pazviri pasingabviri kuti kubvisa. Mushure akakodzera kuongorora anoratidza nayo floater.

A chiratidzo pakati "yendarama mvura"

Dzimwe nguva varwere kuenda kwachiremba, chiremba ziso, chokunyunyuta pamusoro yendarama Masasaradzi pasi ziso kufamba. Kupi vakabvepi?

Functional zvirwere siyana nadzo (semuenzaniso, itsvo, chitaka uye kwemakemikari anobudiswa mumasero) kutungamirira nokuvhiringidzirwa metabolic pezvakaitwa uye kukonzera kuchinja colloid muviri zvinwiwa uye chicherwa sezvamunoita. Izvi zvinoshandawo kune vitreous muviri, izvo kuva Kumwe kuchinja kunotanga uye dzomunharaunda pezvakaitwa vari kwemvura uye coagulation, uye pane deposition pakati crystals vane encombrements zvidiki - asingasviki 0,05 mm.

deposits izvi zvinonzi synchisis scinlillans. Zvinosanganisira kazhinji kuti remafuta akawandisa kana tyrosine, kuunganidza ari liquefied vitreous muviri vazhinji, uye zvakavamba kuchinja oscillate neziso kufamba dzinotanga kuvaima uye ngachivheneke, izvo zvichaitwa chiratidzo pakati "yendarama mvura", inova isingawanzowanikwi chimiro kuparadzwa, zvichiita murwere kutsvaka kurapwa kubatsira.

Diagnostics

Kuparadzwa vitreous ziso dzakaonekwa ne zvazviri nyore evanhu - ophthalmoscopy. In filamentous dzinoparadza kuchinja aonekwa optically isina mhango, vane chimiro kutwasuka slits kana maumbirwo siyana. The pamberi bwendefa Muganhu vitreous muviri pasina dzakananga kuchinja, asi chete mushure unogona kuona fibers ndachena chena. Vangava zvakasiyana ukobvu uye sag muchimiro une hungiso.

Kana pathological muitiro mberi, ari kutaurwa voids batanidza kuumba chete mhango. Izvi pamwe kuparadzwa vitreous mamiriro. Kana ophthalmoscopy anogona kuonekwa zvimedu fibrils shinda. Kana turbidity riri pedyo the retina, zviri zvakaoma kuona (kunyange guru hukuru).

Ndinofanira kutaura kuti kuchinja izvi kunowanzoitwa rinowanikwa vakwegura, uye vari varwere vari panoonekwa panguva imwechete mukuru myopia kana chinopedza maronda yomunyika ziso membranes.

pharmacological kurapa

Pasinei nokuti mushonga (ophthalmology, kusanganisira) pa yakakwirira yakati sandara, hapana nzira inobudirira zvevakomana kuti zvingadai anyevera kuparadzwa vitreous fibrils kana zvakabetsera kunyangarika kare kuparadzwa. Vazhinji zvinodhaka kuti ushandiswe kuparadzwa chete kutadzisa kufambira mberi Kumwe kuchinja kunotanga. Saka tinofanira kuva vasingafariri zvinodhaka, vane vagadziri vanoti zvigadzirwa zvavo vanogona kurapa DST.

Kazhinji, topically vakashandisa instillation 2% potassium iodide kana 3% mumiririri "Emoksipin" kuti jekiseni parabulbarly. For zvokuudzwa Kutarisirwa vanotumirwa kugadzirira absorbable Somuenzaniso, "Vobenzim" kana "Traumel C". Mukuwedzera, varwere vari zano narwo nzira vhitamini mishonga. Nokudaro, DST maziso kugamuchira kurapwa kunofanira kusanganisira ascorbic asidhi uye mavhitaminzi kuti boka B.

Kana zvakakodzera, unogona kupiwa physiotherapy - electrophoresis Lydasum uye Ultrasound mishonga.

Laser kurapwa

To musi, yava kuwedzera kukurumbira Laser kumonyanisa panguva DST ndiyo inonyatsobudirira rokuputsa floaters. kurapwa kwakadaro zvishoma invasive, asi kunoda unyanzvi marefu uye professionalism yacho chiremba. It anopa pokuparadzwa Laser opaque zvimedu munzvimbo vitreous muviri, izvo nokuputsa kupinda nezvimedu zvidiki kuti murege kukanganisa chiratidzo.

Laser kupindira vitreous inonzi vitreolysis. Zvinogona kusanganisira chekawo vitreorogovichnyh adhesions. Kana uri kuva omunzvimbo heniya pamusoro vitreous muviri, izvo anokonzera deformation ari mudzidzi uye placement emunhu ari intraocular izvo chinoitwa excision kuMudzidzisi chikamu PT. Muchiitiko chino, shandisa YAG Laser. kupomba simba akanhonga nomumwe (kubvira 1.5 kusvika 8.0 MJ). Kubudirira kuvhiyiwa kuti kunobva viscosity uye pachena pamusoro vitreous zvinosetsa, uye maumi kuti hukuru.

kushanda kurapa

ziso vitreous kuparadzwa kurapa imwe kuvhiya nzira inonzi vitrectomy. mushonga uyu kunosanganisira kukwana kana kwakakwana nokubviswa CT, iyo inoitwa Via imwe vitrectomy gadziriro zvinosanganisira vitreotoma (vachigera chishandiso) uye endo-zvivheneko.

Mune zvimwe zviitiko, vitrectomy rinoshandiswa? Kazhinji, voitakura ndokuguma vitreous nechinhu akazaruka kukuvara, kana turbidity, uyewo ropa uye retinopathy.

Ya kushanda kubva 30 kusvika 90 maminitsi. Calibration zvinoitwa pasi yomunharaunda kana talk yokutindivadza, ave mumwe kana kupfuura matanho, zvichienderana pachikuva uye mhando zvokurwara.

kushandisa chakagadzirwa Polymers, uye mwero munyu mhinduro kutsiva vitreous. Kazhinji, achitora mura perfluoroorganic zvinhu, magasi, kana mafuta silicone. Chero Kutsiviwa of vitreous kunge segirazi sezvinobvira, pamwe zvakakodzera viscosity uye refractive simba. Zvinoitawo hazvirevi kuti asaita kuti resorption kana kukonzera chepfu, anogumbura kana sema kuita.

Pashure pokuvhiyiwa, varwere vari akanyeverwa pakuongorora nemunhu ophthalmologist, pokugumira mumuviri uye ziso mitoro, kuchinja kungoerekana kupisa. Zvikasadaro mikana yakawanda anogumbura zviome kudzokororwa haemorrhages, tsanga, yakakwirira intraocular kumanikidzwa kana retinal vascular occlusions.