Parabulbarnom - ndiko kuti nzira?

Parabulbarnom - akafanana? A mhinduro nzwisisika kuti mubvunzo uyu zvichakurukurwa munyaya zvinhu ino. Uyezve, isu vachakuudza chii kudaro jekiseni rinoshandiswa sei rinoitwa uye chii zvinodhaka zvinoshandiswa kuti chinangwa ichi.

Vhuṱanzi

Parabulbarnom - sumo rufimbi kana mumwe mushonga kuburikidza ganda munzvimbo rezasi fungiro. Izvi jekiseni nzira kakawanda anoitwa mune ophthalmic tsika.

Development of nzira

Parabulbarnom - zviri akanaka kurwadza yokuisa nayo tsono akaiswa kuti kudzika anenge 1 sendimita kurutivi neequator ziso, kureva faibha, riri pasi pose. Nzira iyi zvinodhaka Urongwa huri chete kutevedzerwa zvakakodzera chaizvo. Zvinofanira kucherechedzwa kuti yakadaro muitiro yaifanira chete nevanhu ruzivo ophthalmologist.

Mune zvimwe zviitiko, anoshandiswa?

Parabulbarnom - nzira vachiita mushonga kuti anowanzodanwa kushandiswa pakuvhiya nokuda yokutindivadza ziso. The nzira yacho mugove kushanda kuti analgesia pave Akaroromesawo aikanganiswa tsinga receptors. Kazhinji, muna Muzviitiko zvakadaro, anesthesiologist anoshandisa kuti jekiseni 0.5% lidocaine pamwe hyaluronidase.

Features Matanho

Zvinofanira kucherechedzwa kuti parabulbarnom munhu - muitiro rinoshandiswa nokuda kwezvinhu zviri zvinodhaka zviri rezasi fungiro nzvimbo, kwete chete nokuti marwadzo chaizvoizvo asiwo kuchirapa zvinangwa. Munguva vakadaro jekiseni kurapa yaishandiswa muzana kuzvimba Anterior uye posterior zvikamu ziso, uyewo keratitis, neyroretinitah, uye iridotsiklitah sclerites.

The akauya Nzira hwokuti mumwe mushonga ine maitiro ayo, anoti:

• marwadzo munguva nzira;
• rakatenderedzwa chipimo chemushonga kurapwa;
• toxicity;
• pangava kukura necrosis;
• scarring jekiseni wongoramba.

Hatigoni kuteerera chokwadi kuti haana kudaro kare, zvidzidzo autoradiographic dzakaratidza kuti, zvichienzaniswa subcutaneous, intramuscular uye intravenous migwagwa chourongwa zvinodhaka asingaurayiwi uye steroids, parabulbarno inoenda chepamusorosoro wevasungwa zvinodhaka ari vitreous.

zvinogoneka yematambudziko

Matambudziko kuti zvakanaka nokuitika nzira iyi kutarisira zvinosanganisira zvinotevera pathological inoti:

• kurasikirwa of vitreous ;
• posterior Kamudzira atsamwira;
• chemosis of conjunctiva;
• kuparadzana Zinn nemarunda;
• retrobulbar kana subconjunctival ropa;
• prolapse of Iris.

Sezvaunogona kuona, parabulbarnom mishonga - ichi hachisi ngozi. Nezvenyaya iyi, vanachiremba kushandisa nayo chete muzviitiko.

Mishonga zvakagadzirirwa parabulbarnom

Pane wandei zvinodhaka vashoma varongerwa chete kwakadaro chinorwadza jekiseni. Asi kupfuura zvose munharaunda repasi fungiro unobereka jekiseni rine mushonga "Mildronat". Iri chakaita zvokugadzirwa chinodhaka, izvo yekudyidzana kunonatsiridza zvinyama muviri uye inopa navo simba.

Somugumisiro, kushandiswa kwezvinodhaka pavarwere kunowedzera anokwanisa kukurira mitoro inorema uye achapora nokukurumidza pashure pavo. Nemhaka ehupfumi izvi, rinoshandiswa akapa medicament:

• chaiko mupfungwa;
• neb kushanda chinzvimbo;
• nechepakati retinal tsinga thrombosis, uyewo awo;
• retinopathies zvakasiyana siyana Genesisi, kusanganisira zvinokosha neBP uye shuga;
• hemophthalmus;
• retinal hemorrhages dzakasiyana mavambo;
• ari kunzwisisa kurapa echirwere udhakwa (kurega chirwere).

Parabulbarnom "Mildronate" - akafanana? Nokuti gadziriro nzira dzakadaro dzinoshandiswa muchimiro yakajeka Hauoneki mhinduro. 1 ml svikiro iri raiva anenge 100 MG ose vanoshingaira chirungiso - meldonium. Zvinofanira kucherechedzwa kuti zvinodhaka "Mildronate" kutengeswa muna ampoules 5 Rine mamiririta.

Sei asina kupinda zvinodhaka intramuscularly?

In chii fomu kushandisa kwakadaro mushonga chinofanira akasarudza bedzi chiremba ane ruzivo. Zvisinei, ichi kurapwa murayiridzo anonyatsoratidza kuti intramuscular kwokubatsira mushonga "Mildronate" haagoni chete vanoshandisa kunovhiringidza nomugumisiro, asi kutungamirira kukudziri- vomunharaunda marwadzo uye neutachiona.

Dzimwe nzira chourongwa mu ophthalmology

Zvino unoziva pane mishonga parabulbarnom. Zvisinei, zvinofanira kucherechedzwa kuti mune zvimwe zvirwere maonero pane zvaikosha baya jekiseni mushonga zvakananga pasi yeziso. Kuti aite nzira iyi, rinoshandiswa kwete chete parabulbarno jekiseni. Nokuti Kutarisirwa kwakadaro uye subconjunctival kazhinji basa nzira. Pakusarudza nzira kunobva kuna kupinda chiremba. Kunyange subconjunctival kwokubatsira zvinodhaka, ichienzaniswa parabulbarno zviri kutorwadza zvikuru.

Zvinozivikanwa kuti jekiseni kwakadaro unoitwa chete pasi conjunctiva. Nokuda marwadzo, voitakura kunze chete pashure risati omunharaunda dzokutindivadza (lidocaine kana tetracaine instillation mhinduro).