Mukati
Chii chinonzi retinal detachment
- Retinal detachment chirwere chinokonzera kuderera kwekuona uye kunyange kurasikirwa kwekuona. Inogona kuitika kana nekuda kwekutsemuka kwe retina, pasi peiyo intraocular fluid inotanga kuyerera, kana semhedzisiro ye traction syndrome, kana paine kukura pakati pemuviri wevitreous uye retina, uye vitreous muviri unotanga kudhonza. , zvichiita kuti pave nekubatana kwakadaro. Zvakare, retinal detachment inogona kuitika kana paine hemorrhage pasi payo, bundu ratove rechipiri detachment, anodaro. Mumiriri weScience Medical, ophthalmologist wepamusoro chikamu Natalya Voroshilova.
Sezvakatsanangurwa nachiremba, dhipatimendi inogona kuva yekutanga uye yechipiri. Primary pathology inonzi, umo detachment inotungamirirwa nekuputika, inoteverwa nekuputika kwemvura pasi pe retina uye kuvharwa kweiyi inonyanya kukosha membrane yeziso. Sekondari dhipatimendi inokura seyakaomeswa chero ipi zvayo nzira yekurwara - semuenzaniso, nekuda kwekuonekwa kweiyo neoplasm pakati pe retina uye vascular membranes yeziso.
Kune akati wandei marudzi efiber detachment:
- rhematogenous (kureva kuputika) - inoitika nekuda kwekuputika kwe retina;
- kudhonza - kunoitika nekuda kwekukakavadzana kwetishu retinal kubva parutivi rwemuviri we vitreous;
- exudative - inoitika apo serous fluid inopinda munzvimbo iri pasi pe retina, uye vascular permeability inowedzera;
- yakavhenganiswa - semuenzaniso, traction-rhegmatogenous type, iyo gap inoumbwa inopesana nemashure ekudhonza kwemuviri we vitreous.
Zvinokonzera retinal boka
Chikonzero chikuru chechirwere ndechekuputika kwe retina. Kuburikidza nemukaha wakagadzirwa, mvura inobva mumuviri we vitreous inopinda pasi pe retina uye inoibvisa kubva muchoroid. Ndiko kuti, pane kudhonza kwemuviri we vitreous kana mamiriro ayo emazuva ese achinja.
Retinal breaks inogonawo kuitika kana yakatetepa. Misodzi mikuru inowanzoitika nekukuvara kwemaziso. Ophthalmologists vanocherechedzawo kuti fiber detachment inogona kuitika kunyange muvanhu vane maonero akanaka uye kune avo vasina kumbove nematambudziko emaziso. Zvikonzero zvinogona kunge zviri kunyanyisa kurovedza muviri uye kuzununguka kwakasimba kwemuviri panguva yekusvetuka nekudonha. Zvinokurudzirwa kune vanhu vane ruzivo rwakanyanya rwemuviri uye chiono kuti vasapotsa kugadzwa kwekudzivirira neophthalmologist uye kutarisisa hutano hwemeso avo.
Zviratidzo zve retinal detachment
Pakutanga, chirwere mumunhu hachina zviratidzo, mune ramangwana, retinal detachment yeziso inogona kuratidzwa ne:
- kuonekwa kwe "chifukidziro" pamberi peziso;
- kupenya muchimiro chepfarivari nemheni;
- kukanganisa kwemavara akatariswa, zvinhu, zvichidonha kubva mumunda wekuona kwezvikamu zvavo zvega.
Vamwe varwere vanocherechedzawo kuti kuona kwakaderera mushure mekurara. Icho chokwadi ndechekuti nechinzvimbo chemuviri chakatwasuka, retina inodzokera kunzvimbo yayo, uye kana munhu asimuka, ndiko kuti, anotora nzvimbo yakatwasuka, inosimuka zvakare kubva kune choroid uye kukanganiswa kwekuona kunotangazve.
Kurapa kwe retinal detachment
Zvinosuruvarisa, hapana mapiritsi emashiripiti uye madonhwe anogona kurapa retinal detachment. Chisarudzo chasara kuvhiyiwa. Maererano navanachiremba, nokukurumidza kuvhiyiwa kunoitwa, kunowedzera mukana wekudzorera maonero uye kuchengetedza ziso.
Panguva yekuvhiya, chiremba anovhiya achafanira kuona kuputika kweretinal, kuivhara uye kugadzira kunamatira kwakasimba pakati pevascular uye retinal membranes.
Diagnostics
Kuti uongorore retinal detachment, iwe unofanirwa kubvunza ophthalmologist. Chiremba achatarisa kuona kwekuona, kuongorora ndima yekuona, kuitisa chidzidzo chakakosha che electrophysiological kuti aone kushanda kwemasero etsinga e retina uye optic nerve. Kana zvichidikanwa, iwe unogona zvakare kuitisa chidzidzo uchishandisa ultrasound kuona ukuru hweiyo yakavharwa retina uye mamiriro emuviri we vitreous uye kuongorora fundus (ophthalmoscopy) kunyatsoona nzvimbo yekuputsika kweretinal uye nhamba yavo.
Chete mushure mokunge migumisiro yaitwa, chiremba achakwanisa kutaura kuti kupindira kupi kwekuvhiya kwakakodzera murwere.
Mishonga yemazuva ano
Kune marudzi akawanda ekuvhiyiwa, chiremba achasarudza imwe yadzo zvichienderana nemhando chaiyo yekudzivirira.
- Kuzadza munharaunda. Iyo inoitwa munharaunda yekuparara kweretinal mune izvo zviitiko kana yakadzikira zvishoma;
- Kuzadzwa kwedenderedzwa. Inoshandiswa mumatambudziko akaoma zvikuru apo retina yakavharwa zvachose uye kune kuputika kwakawanda;
- Vitrectomy. Iyi inzira iyo iyo yakashandurwa vitreous body inobviswa muziso uye imwe yemishonga inodiwa inobaiwa panzvimbo iyi: saline, liquid silicone, perfluorocarbon compound iri muchimiro chemvura, kana gasi rakakosha rinodzvanya retina kurwisa choroid kubva mukati;
- Laser coagulation kana cryopexy kudzikamisa nzvimbo yekutsemuka uye yakatetepa nzvimbo dze retina;
- Retinopexy. Iyo inoitwa uchishandisa yakakosha sapphire micronails kugadzirisa iyo yakabvaruka mupendero we retina kana hofori yayo ikatsemuka.
Kudzivirira retinal detachment kumba
Retinal detachment injodzi ine njodzi yemyopia, pamwe nezera-ane zera kana nhaka yeropa rekutenderera kweziso. Nzira chete yekudzivirira chirwere ndeyekuonana nachiremba munguva yekunyunyuta uye kusapotsa kuongororwa kwekudzivirira.
Izvo zvakakoshawo kuziva kuti kunyangwe mushure mekuvhiya kurapwa kweretinal detachment, kudzokazve kunogona kuitika. Kana iwe watosangana nedambudziko rakadaro uye usingade kusangana zvakare, saka iwe unofanirwa kunyatso ongorora retina kuburikidza nemudzidzi wakakura nenyanzvi uchishandisa yakakosha michina uye, kana zvichidikanwa, yekudzivirira laser coagulation ye retina.
Ophthalmologists vanorayirawo vakadzi vane pamuviri kuti vaonekwe navanachiremba - nokuda kwepamuviri rose kanenge kaviri, pakutanga uye pakuguma kwepamuviri. Mushure mokuberekwa kwemwana, amai vanofanira kuongororwa neophthalmologist mushure memwedzi 1-3 mushure mavo.
Mibvunzo nemhinduro dzakakurumbira
Comments Natalia Voroshilova, PhD, ophthalmologist yemhando yepamusoro: