Yokuenzanisira Schirmer: zvairatidza, unyanzvi maitiro, zvabuda

Test nzira, iyo ichakurukurwa, inonzi vachikudza chinhu ophthalmologist, rakagadzirirwa - Otto Schirmer. munhu akaidza iyi anosarudza pachiyero secreted misodzi fluid ukuru mwando munyu wenyika corneal pamusoro.

Zvairatidza uye contraindications

Schirmer kuti bvunzo rinoshandisirwa iri vaifungidzirwa kuva:

• Corneal kuzvimba conjunctiva;
• urwere kuti "ziso rakaoma";
• Sjögren kwakaita syndrome (chirwere, mberi kurasikirwa connective zvinyama inokanganisa omumuviri kuti pave zvimwewo secretions - mate uye kukuvara);
• Zvirwere yakafanira slezoobrazovaniya kugamuchira gadziriro dzokurapa.

Iva munhu chirwere kuti "ziso rakaoma" angava kwezvikonzero:

1. Kupera mvura mumuviri.
2. murwere Elderly.
3. Conjunctivitis kana zvimwe zvirwere ziso.
4. Vhitamini A kushaikwa (kushaya vhitamini A).
5. Munzwa ziso.
6. Postoperative kana zvachose kuomesa pashure Laser chiratidzo kururamiswa.
7. Saka anonzi chirwere yechipiri, iyo kunooneka pacharo mune dzinonzi rheumatoid arthritis, neleukemia, rwekenza yelymphoma.

Schirmer kuti bvunzo iri contraindicated mu:

• perforations (reshaping) yeziso;
• fistula;
• corneal urikanwi dzichiri rukoko;
• pamwero Kuparara ari stratum corneum.

Nzira yokuedzwa

Test micheka kuti mharidzo Schirmer - chaiwo yakasvinwa mwero bepa size: 5 mm pahupamhi uye 35 mm pakureba. Achipindira 5 mm kubva kumucheto ubvise yakaratidza, ophthalmologist anoshandura ayo angled rworwendo 45, uye lowers kuti yakaderera fungiro murwere, kufunga mugove pakati wokunze uye yepakati chikamu. Zvakakosha panguva hakurapi Usakuvadza cornea.

Maererano nedzimwe nzira murwere panguva nzira kuvhara maziso, pane dzimwe - kutarira mberi uye kumusoro zvishoma. Kubatidza mumba zvinofanira kuva rokunyaradza - kwete mikukutu uye kwete yakajeka chaizvo.

Schirmer bvunzo zvinotora maminitsi anenge mashanu. Panguva ino, pepa rinoparadza Sechipanji misodzi firimu prekornealnuyu uye mwando kubva lacrimal mudhamu.

Types yomuedzo unyanzvi

Yokuenzanisira Schirmer vakaperekedza nenzira mbiri:

1. Nokushandiswa vomunharaunda yokutindivadza. Rufimbi runosanganisirawo kusashandisa kuwedzera basal kusunungurwa dzepanguva kubvarura Urume kuti dzishande mapepa. Pashure instillation vomunharaunda rufimbi ezasi fornix pamusoro conjunctiva rwakapwa kusiyira zvakawandisa mushonga hauna hwakakanyiwa lacrimal fluid nokudaro vachiwedzera vhoriyamu yacho.
2. Pasina kushandisa rufimbi nevamiririri. kuongororwa akadaro anotevera ophthalmologists vaiona neyakarurama nokuti anobvisa vaiitawo misodzi uye mushonga wakawanda, chinoratidza chete "zvakachena" mugumisiro. Izvi rworudzi mharidzo inozivikanwa mu diagnosing ari chiratidzo "ziso rakaoma".

Uyewo Schirmer kuti bvunzo iri rwakakamukana I uye II. Chokutanga rinoitwa kushandisa bvunzo micheka kuonana kubva ati nzira. Chechipiri mhando kunobatsira kuongorora ndiyo uwandu dzepanguva (paakasangana mikana yakawanda yokukurudzira) lacrimal secretions. Iye vakaperekedza zvakafanana, asi kunomutsa kusunungurwa ophthalmologist lacrimal secretion nokuita kuti masero nasal ndima yacho ine donje swab.

Muenzaniso Schirmer: wokuyera uye kutsauka

In chakakomba zviitiko, urwere kuti "akaoma ziso" kuita pamusoro bvunzo ubvise chingava ari pamwero razero. The ndeyokuva Muduku murwere vokuparidzira Nhamba dziri kupfuura 15 mm. Kana rate vari kudzika - zvino examinee anotambura mufananidzo "akaoma ziso" urwere:

• 14-9 mm - zvishomanana kushanduka kudzvinyirira yavaive lachrymal secretion;
• 8-4 mm - avhareji nenhanho Kugadzirwa urwere;
• asingasviki 4 mm - kwazvo marudzi ose chirwere corneal kuoma.

Zvakanyanya Kunaka Panguva Yepamuviri waivako: 10-30 mm. Kana murwere ava nemakore anopfuura 60, mwero bvunzo ubvise asingasviki 10 mm ichakurukurwa ndozvakajairwa kwaari, zvisinei, vanowanzoona Zero haana kuita.

Norm nokuti mharidzo II, anosarudza kuti yavaive mari dzepanguva misodzi, kwete asingasviki 15 mm. Zvainoreva vose mhando ivhu vanoonekwa kuti kusiyana pakuongororwa kuti vawane maziso neinopfuura 27%.

Tevera chirwere pashure miedzo Schirmer:

• ongororo mutswe rambi;
• akamuka bengal aizonyatsovachenesa kana flyuores-imbwa;
• Research awana nguva penguva misodzi firimu atsamwira.

Yokuenzanisira Schirmer - nyore uye nokutsanya, nzira inobudirira kwokutanga chirwere pamusoro urwere pakati "ziso yakaoma" uye mashoko akafanana naye, zvirwere kukanganisa yavaive yacho lachrymal secretion. The bvunzo zvinobatsira ophthalmologist Kurumidza kuona pachiyero secreted misodzi mvura (basal, dzepanguva) uye dzavo kwadzo murwere pasi kuongorora.