Ophthalmology: halakar da ido vitreous

Vitreous ne m gel cewa cika da rami na eyeball da aka located bayan da ruwan tabarau. Waje da shi da aka kewaye da wani membrane ciki ne zuwa kashi tashoshi (hanyoyi). Idan akwai aka thinning, wrinkling ko detachment na gel, sa'an nan magana game da DST idanu.

Mene ne wannan?

Ana zargin daban-daban siffar, size ko turbidity a vitreous mutumci da shawara degenerative tafiyar matakai. A mafi akai-akai kamu pathologies a cikin abin da kaddarorin da matsakaici aka canza.

Yadda aka saba, shi ne m, amma ya ƙunshi musamman thread - fibrils. A shekaru da alaka da canje-canje, ko saboda wasu cututtuka, da suka zama kasa na roba, da kuma na iya karya, abu zuwa tabarbarewar a wahayi. A lokaci guda tasowa floater ido. Ya kamata a lura da cewa irin wannan take hakki ne da wuya a far, da kuma hallakaswa canje-canje a cikin tsofaffi ne kusan ba a bi (ba za su iya kawai rage gudu idan dace far).

etiology

Yawanci, da floater ido haddasawa wanda zai iya zama sosai bambancin, shi ne wani sakamako na inji lalacewar da ido, shan taba, amfani da miyagun ƙwayoyi, ko raba kwayoyi. Kudi ne ma pathological canje-canje hade da na halitta tsufa tsari. Bugu da kari, gaban short-sightedness, lokacin da fallasa su shafe tsawon kuma m danniya a kan gabobin da hangen nesa, jijiya tunkaro iya ci gaba floater ido.

Idan ka saka da etiological dalilai, shi ne kuma daraja ambata dystrophy ko kumburi a akan tantanin ido, ta jiki ci, retinopathy raunuka na choroid, rayuwa canje-canje a cikin eyeball.

Yana da muhimmanci a tuna cewa kaifi hallakaswa canje-canje iya zama precursors na retinal detachment, a cikin abin da akwai cikakken da babu ja asarar hangen nesa, don haka dace shawarar wani ophthalmologist ne m.

Halaye na hallakaswa canje-canje na vitreous

Lokacin tasowa ta faru, to, kamar mai mulkin, pathological canje-canje da aka lura a cikin tsakiyar yankunan. Periphery na vitreous jiki ba ya canja. A mafi yawan lokuta, voids suna kafa wanda suna cike da barbashi da kuma zaruruwa kayayyakin coagulation. Har ila yau, akwai iya zama makada ko fina-finai, wanda taso kan ruwa da yardar kaina a cikin liquefied matsakaici ko a haɗe zuwa kasa na ido, wadda take kaiwa zuwa wani kaifi pathological canje-canje na view.

Halakar da ido vitreous jiki a cikin mafi tsananin bayyanuwar - ne ta shrinkage. Yana yana tare da tashin hankali vitreoretinal mahadi da cewa a cikin tsanani jagorancin to photopsias, retinal hawaye, bayyanar hemorrhages a vitreous jiki.

Ya kamata a lura da cewa irin wannan hallakaswa canje-canje sauki don gane a kan wani microscopic zamewar. Diagnosing matsalolin ta amfani da na asibiti da hanyoyin gudanar da bincike da matukar wuya, kuma bukatar mai yawa likita kwarewa.

asibiti manifestations

Lokacin tasowa floater, da bayyanar cututtuka da cuta iya hada bayyanar gaban dukan iyo abubuwa, wanda ya zama mafi m idan akai la'akari da monochrome sarari - fari ganuwar, snow da kuma sararin sama. Marasa lafiya kuma iya yi tasbĩhi Heart. Yana taso saboda da refraction haske canje-canje, wucewa ta cikin Tantancewar tsarin da ido, da kuma ake dangantawa da digo inuwa a kan ido duka, wanda rage ingancin, da kuma iya zama nuni da mafi tsanani ido lalacewa. Jinkiri a samun likita zai iya kai ga kammala asarar hangen nesa.

Addabi fibrils na vitreous kernels ze haƙuri, spots, zaren, ko fina-finai wanda muhimmanci rage Ganuwar, da kuma matsawa da ido ƙungiyoyi.

Ya kamata a lura da cewa daya daga cikin na kowa dalilai domin magani ga wani ophthalmologist ne kuka game da bayyanar "tashi kwari" a gaban idon, daga abin da ba shi yiwuwa a rabu da. Bayan da dacewa safiyo nuna shi floater.

A alama na "zinariya ruwan sama"

Wani lokaci marasa lafiya da suke je likita, ido likita, koka zinariya tartsatsi karkashin ido ƙungiyoyi. Daga ina suka fito?

Aikin cututtuka na daban-daban gabobin (msl, koda, hanta da endocrine gland) kai ga rushewa daga tafiyar matakai na rayuwa da kuma haifar da canje-canje colloid jiki ruwaye da kuma ma'adinai abun da ke ciki. Wannan kuma ya shafi vitreous jiki, wanda ci gaba pathological canje-canje da kuma gida matakai ne hazo da kuma coagulation, da kuma ma akwai shaida na lu'ulu'u ne wanda girma ne kananan - kasa da 0.05 mm.

Wadannan kudaden da ake kira synchisis scinlillans. Sun kunshi yafi na cholesterol ko tyrosine, tara a cikin liquefied vitreous jiki a cikin manyan lambobi, da kuma Pendulum oscillate da ido ƙungiyoyi fara sparkle da haske, wanda predetermines wani alama na "zinariya ruwan sama", wanda yake shi ne m nau'i na halaka, haifar da haƙuri da neman magani taimaka.

bincikowa da

Rushewar da za ta vitreous ido gano ta a zahiri sauki magudi - ophthalmoscopy. A filamentous hallakaswa canje-canje suna gano optically komai rami, wanda suna da wani nau'i na tsaye slits ko daban-daban siffofi. A gaban farantin da iyaka da vitreous jiki ba tare da takamaiman canje-canje, amma kawai a baya shi ba za ka iya ganin launin toka-fari zaruruwa. Sun iya daban-daban kauri da kuma sag a cikin nau'i na kirtani.

Idan pathological aiwatar progresses, da aka ambata a voids ci ta samar da wata guda kogo. Wannan yana tare da lalata vitreous tsarin. Lokacin da ophthalmoscopy za a iya gani da wani ɓaɓɓake daga fibrils zaren. Idan turbidity ne dake kusa da ido duka, shi ne quite wuya ga (ko da a cikin manyan masu girma dabam).

Dole ne in ce cewa wadannan canje-canje ne mafi sau da yawa samu a cikin tsofaffi, da kuma a cikin marasa lafiya da suke jinya a lokaci guda high myopia ko degenerative raunuka na ciki ido membranes.

pharmacological far

Duk da cewa da magani (ophthalmology, ciki har da) a wani matakin high, akwai wani tasiri wajen kwanan cewa zai sun yi gargadin halakar da vitreous fibrils ko da gudummawar da bacewar riga hallaka. Mafi yawa daga cikin kwayoyi da aka wajabta shi a kan halakar kawai hana ci gaban pathological canje-canje. Ya kamata saboda haka ya zama wary da kwayoyi, wanda masana'antun da'awar cewa su kayayyakin iya warkar da DST.

Yawanci, topically amfani instillation na 2% potassium iodide ko 3% wakili "Emoksipin" da aka allura parabulbarly. Domin baka gwamnati an sanya absorbable shirye-shirye, misali, "Vobenzim" ko "Traumel C". Bugu da kari, marasa lafiya rika sha a hanya na bitamin far. Saboda haka, DST idanu karbar magani ya kamata sun hada ascorbic acid da kuma bitamin na kungiyar B.

Idan ya cancanta, za a iya gudanar da physiotherapy - electrophoresis Lydasum da kuma duban dan tayi far.

Laser jiyya

Don kwanan wata, ya zama ƙara rare Laser magudi, wanda a DST ne mafi inganci domin lalata floaters. Irin wannan jiyya ne minimally cin zali, amma na bukatar high basira da kwarewa na likita. Yana bayar da domin lalata da Laser opaque, niƙaƙƙun gaɓãɓuwa cikin vitreous jiki, wanda karya saukar a cikin karami barbashi cewa ba zai shafi hangen nesa.

Laser baki vitreous kira vitreolysis. Yana iya hada wani da yanke vitreorogovichnyh adhesions. Idan kana tasowa gida hernia na vitreous jiki, wanda sa nakasawa da almajiri da m jeri na intraocular ruwan tabarau an yi excision na dacewa da wani ɓangare na PT. A wannan yanayin, yi amfani da wani Yag Laser. bugun jini makamashi tsince akayi daban-daban (daga 1.5 zuwa 8.0 mj). The aiki ta samu nasara ya dogara da danko da kuma nuna gaskiya da vitreous dara, da kuma hazo na masu girma dabam.

gudanar far

ido vitreous halaka lura da wani m Hanyar kira vitrectomy. Wannan far unshi da m ko cikakken kau da CT, wanda aka gudanar via wani vitrectomy tsarin kunshi vitreotoma (yankan kayan aiki) da kuma endo-illuminator.

A wasu lokuta, vitrectomy da ake amfani? Kamar yadda mai mulkin, shi ne da za'ayi a cikin vitreous lalacewa daga bude raunuka, a lokacin da turbidity, kazalika da hemorrhage da retinopathy.

A tsawon lokaci da aiki ne daga 30 zuwa 90 da minti. K aka yi a karkashin gida ko janar maganin sa barci, na iya samun daya ko fiye, saukarwa, dangane da mataki da kuma irin Pathology.

tambaya wucin gadi polymers, da kuma daidaita gishiri mafita don maye gurbin vitreous. A mafi yawan lokuta, shan ruwa perfluoroorganic abubuwa, gas, ko silicone man fetur. Duk wani maye da vitreous dole ne a matsayin m kamar yadda zai yiwu, tare da dace danko da kuma Refractive iko. Yana kuma ba dole ba ne rakumi da resorption ko sa mai guba, kumburi ko rashin lafiyan dauki.

Bayan da aiki, marasa lafiya rika kallo da wani ophthalmologist, iyakance jiki da kuma na gani lodi, kwatsam canje-canje a cikin zazzabi. In ba haka ba wani ƙãra hadarin kumburi rikitarwa maimaita haemorrhages, cataracts, high intraocular matsa lamba ko retinal jijiyoyin bugun gini occlusions.