Retinal misodzi meso, zvinokonzera, kurapwa, migumisiro

Vanhu vazhinji mazuva ano haagoni kufungidzira upenyu hwavo pasina anooneka maonero evamwe. Izvi zvinogoneka anoonga kushanda zvomukati - maziso. Boka zvirwere ziso riri siyana chaizvo. Vanokurukura somugumisiro zvisingadzivisiki kukwegura yacho muviri, uyewo pasi pokudzora endogenous uye exogenous zvinhu. Pakati pathologies izvi kukanganisa unhu nechaanoona, ziso rinoreva retinal misodzi. Chakakomba ichi?

Ngatimbotaura pamusoro anatomi

The retina - ndiyo yakanakisisa inonyatsoziva zvinyama kuti anoita chiedza vachifunga chaitika. Inoitwa tsvimbo uye pasikweya. chikuru basa ravo ndiro rinoramba Kushandurwa simba vechiedza pulses, uye avo kushanduka vakapinda uropi, kukonzera munhu anoona midziyo chokwadi.

The nzvimbo nechemberi the retina inoguma dentate mutsetse. Iyewo, inoomerera ciliary muviri. Kune rimwe divi the retina neVadzidzi vitreous muviri. Cherechedza kuti padzimba kureba kwayo iri zvakasiyana-siyana zvakabatana nyama zhinji. Zvisinei, panaakabatanidzwa pamwechete rakasimba ndee mune macular nzvimbo, kugadzira mapango okuvaka ari dentate mutsetse uye kumativi optic etsinga.

retinal ukobvu neimwe nharaunda dzakasiyana-siyana. Somuenzaniso, muna dentate mutsetse mapazi zviri inenge 0,14 neMM, pedyo luteum mbeu - 0,07 mm. Tichifunga zviri pamusoro apa anatomical zviri inference kunoratidza kuti retinal hwatsvuka zvingaitika kwese.

kupatsanura

The kupatsanura chirwere ichi chokuita zvinokonzera kwayakatangira. In mushonga ano, Akasarudza govera nezvemarudzi mana retinal misodzi.

1. Perforated. Akaumba munzvimbo mukuru rive dete yacho zvinyama munzvimbo inonzi peripheral chiratidzo. Kushaya nenguva kunokwanisa kukonzera yokuzviparadzanisa.
2. Valve. The kukonzera chirwere - the Fusion of the retina zvakananga vitreous. The mashandiro Izvi zvinoitawo sezvinotevera. Liquid oozes kunze vitreous muviri uye chikawira pasi the retina. It unomanikidza pamusoro Kamudzira, mauri yokupedzisira iri vakanyarara kubva the retina. In aimbova musono pane zvakawanda maburi.
3. Yokuzviparadzanisa of the retina yacho dentate mutsetse. Zvokurwara kukura somugumisiro kutyorwa zvizere Kutsigira the retina kubva ciliary muviri.
4. Macular. The zvokurwara iri yemanyorero kuumbwa mune mapazi nechepakati chiratidzo. Kana nguva asingadi kubatsira murwere, izvozvo kunowedzera mukana kwokurasikirwa.

Macular retinal kubvambura maziso

kuchinja Age-chokuita akaona vitreous zvinosetsa, ayo zvishoma nezvishoma kuparadzana kubva the retina - ndicho chikonzero chikuru macular maburi. Zvikasadaro, pamusoro pakakoromoka mhando iyi anonzi idiopathic kana kwatangwa.

Muna 10% nyaya zvokurwara ichi chakaumbwa nokuda kare Kutamiswa ocular kukuvara. Rinooneka somugumisiro ndisingafungiri chinozunguzirwa zvakananga kupaza yeziso, izvo vanotozvikuvadza kunotungamirira kuti yokuzviparadzanisa ari nechepakati nharaunda.

Uyezve, kazhinji kukura zvokurwara uyu anokonzerwa kuvhiya marapirwo rhegmatogenous retinal yokuzviparadzanisa. kuomesa ichi rinowanikwa mune rimwe muzana varwere. Nyanzvi dzinotsanangura kuonekwa kutyorwa hydraulic dzvinyiriro ake, pave epiretinal fibrosis.

Macular pakakoromoka kunokwanisa kuonekwa zvikurukuru vakadzi pakati pemakore 55 kusvika makore anenge 65. Muna 12% nyaya zvokurwara ndiyo bilateral.

Sei retinal kubvambura meso zvingaitika?

The zvinokonzera chirwere ichi vari nechimwe zvinoita kuti tive zvinonakisa kunotoda mufananidzo uye zvichiita kuti pave retinal yokuzviparadzanisa. Idzi dzinosanganisira:

• kunyanya muviri;
• kukuvara zvokuimba kuvadza ziso;
• refu kugara mupfungwa;
• cheBP;
• kukwegura;
• unopinza dzakatenuka nekuchirika;
• rinorema waigona.

retinal atsamwira rinowanzoberekera somugumisiro kutyorwa zvizere kuparadzirwa uye anotevedzana kukwegura yeziso. Avo pangozi zvinosanganisira vakadzi nepamuviri, vanhu vane nhaka kubatwa kuti dystrophic kuchinja nhengo wokuratidzwa, uyewo kutambura kubva mwero / zvikuru myopia.

Ndezvipi zviratidzo vanofanira kuona?

The duku retinal misodzi kwenguva refu haagoni kuratidza raidudzwa zvinhu. Havasi maitiro akasiyana zviratidzo, saka varwere kashoma kuuya kugadzwa pamwe ophthalmologist. Unofanira kuteerera zvinotevera zviratidzo.

• Chimiro hadzitani, Masasaradzi pamberi. Izvi zvinonyanya kuoneka muimba rima.
• "Nhunzi" pamberi pake. Yakadaro chiratidzo inoratidza kutanga yokuzviparadzanisa kana ari pathological kwacho kwaibatanidza zviduku ropa midziyo.
• Madzerere kana kukanganisa zvinhu zvinoonekwa kunoitika apo pakakoromoka kunosvika kuti nechepakati nzvimbo ziso.
• Chitarisiko turbid mamirire chifukidziro mumwe mucheto. chiratidzo ichi inoratidza kutanga pathological kwacho uye kunoda rubatsiro pakarepo kubva ophthalmologist.

Vamwe varwere vanoti mushure zororo imwe nguva, zvose zviratidzo zvachose. Vanachiremba vanoti ichi kuti chokwadi kuti refu kugara munhu, chinjikira nzvimbo yacho "kuswatura" yacho the retina. Izvi ezvinhu mune okurapa anonzi yokufungidzira hwakanaka. Papera kanguva, zvose zviratidzo kudzoka zvakare.

chirwere matanho

Vataurwa pamusoro zviratidzo zvokurwara anozviratidza zvakajeka dererei. Ziva Makwanza the retina yokugadziridza nzvimbo dzavo, kuziva nhamba uye kukura chete ophthalmologist. For vakabudirira chirwere kunoda unyanzvi evanhu mufambiro zvinotevera:

• Kuongorora kubudikidza mutswe rambi;
• kudzidza hwakadzama pamusoro nemamiriro fundus;
• US maziso.

Maererano migumisiro zvizere ongororo murwere chiremba anogona kusimbisa chirwere uye anokwanisa kurapwa.

kurapa misimboti

In pathologies zvakadaro, pakakoromoka the retina, kurapwa angabvuma chete surgically. Kamwe chiremba wako dzakatsigira nechirwere, mushonga anofanira chokugutsikana pakarepo. Kunonosa of kushanya kwachiremba kana kuedza kuzvidzora kurapwa kunogona zvachose upofu.

Pari, nyanzvi kupa nzira dzinoverengeka oparesheni.

1. Laser coagulation. By nzira iyi Kuvhiya chikauya kazhinji, nokuti kunoita kuti kubvisa zvachose retinal kubvarura meso ake. The Kuvhiya rinoitwa kushandisa yomunzvimbo yokutindivadza uye rinokosha Laser-coagulants. Ivo zvazvinoita dzimwe nzvimbo, iyo rinobatanidza kuwedzera dzematunhu tembiricha. Somugumisiro, vakawanda mikroozhogi kuumbwa, saka kuwana coalescence of the retina zvakananga kubva choroid. The yose oparesheni anotora maminitsi asingasviki 30 uye haatarisiri munhu kupora nguva muchipatara ezvinhu.
2. Pneumatic retinopexy. Musimboti nzira iri sezvinotevera: pakarepo mushure yokutindivadza chiremba ari vitreous mhango inosuma diki gasi sefuro. chikuru basa racho kuchengetedza the retina iri vasingasiyani kubva choroid. Inenge 14 mamazuva iye pakupedzisira richengetwe nokuda cryopexy kana Laser coagulation.
3. Vitrectomy - iri chaizvo kunzwisisa mashandiro. Kuzoribatsira kazhinji kuita kana paine macular retinal kubvarura meso ake. Treatment muchiitiko ichi kunosanganisira yaitsiva vitreous wokutanga mafuta chaiyo silicone, uye ipapo - mu sesaline.

Dzimwe nguva kuti vawane mudanga kunobatsirawo kunoda kutevedzana remapazi anoverengeka. Vanaamai vakadaro kazhinji kuva kakawanda vakokwa muhofisi imwe ophthalmologist wacho, nokuti vane dzakakwirira ndingangokuvara panowanikwa inodzokororwa ruptures.

Recovery pashure pokuvhiyiwa

Pashure pokuvhiyiwa, chiremba unoisa chaiyo bhandeji pamusoro ziso, izvo zvinogona kubviswa raitevera zuva. Kana panguva anobata murwere anonzwa kuti mhepo tamponade yakarohwa muziso, regai kutya yakapinza kuderera. Nechezasi kushanda zvichanzi zvishoma nezvishoma kubviswa pedyo yakarongerwa vashambemo mura maziso. Kazhinji chiremba anoudza pamusoro ose matambudziko.

Zvichienderana vanoswedera inoshandiswa nyanzvi yokubvisa retinal misodzi, postoperative kugara muchipatara hazvirevi kupfuudza mazuva matatu. Chiremba anofanira hazvo kuudza izvo zvinoshanda chizoro kune njodzi nzvimbo sezvo ndinovachengeta zvakanaka. At panowanikwa yematambudziko pashure pakuyerera (kuda kurutsa, kurwadziwa muziso, madzerere) anofanira pasina kunonoka kutsvaka rubatsiro kubva ophthalmologist.

pathological nemigumisiro

retinal misodzi meso kungaita kuti nhamba yematambudziko zvakakomba, vakawanda uko anonzi yokuzviparadzanisa kwayo. Muchiitiko chino, Laser photocoagulation ndiyo isashande. Vanachiremba vane mukana wokuzvidzivirira kuti kuvhiyiwa kana vitrectomy pamwe mutobvu chisimbiso sclera nokuda silicone chipanji.

Pashure pokuvhiyiwa, saka varwere vari zano kuva pasi kuramba pokudzora ane ophthalmologist, kurerutsa mukana dzokororo. Zvinokurudzirwa kudzivisa zvikuru muviri uye kuzvidya mwoyo.

matanho

Kudzivisa retinal misodzi, nemigumisiro muchimiro chacho yokuzviparadzanisa, zvakakosha kucherechedza zvinhu matanho. Pakutanga Zvinokurudzirwa kuongorora utano uye kugara kushanyira imwe ophthalmologist. Unofanira kuomerera zvakarurama kwadzinoita basa uye zororo, regai kupedza ake akasununguka nguva ari pakombiyuta Monitor.

Vanhu vanotambura cheBP kana chirwere cheshuga, vanofanira kuongorora kumanikidzwa uye indices kuti shuga iri muropa. Kana uine chinhu zviratidzo anoratidza zvokurwara ichi, zvakakosha pasina kunonoka kuti kurapwa, nokuti mari anogona chaizvo kuenda pamusoro wachi.

mhedziso

Munyaya ino, takataura pamusoro chii chinonzi retinal kubvarura meso ake. Chakakomba ichi? Rakanga mubvunzo kwakadaro akarerwa varwere, iyo chiremba ane zvakafanana kuongorora chirwere. Chokwadi, dambudziko chero utano pasina ruzivo kurapwa vari ngozi. Hakuna kusara uye retinal kubvarura meso ake. Ndokusaka zviri kuchikosha pamwe pakuonekwa chikuru zviratidzo zvokurwara kutsvaka rubatsiro anonyatsokwanisa, regai bvisai kushanyira nyanzvi.

Tinovimba kuti akapa mashoko ari munyaya ino ichava zvechokwadi kubatsira iwe. Stay utano!