Retinal misozi m'maso, zimayambitsa, chithandizo, zotsatira

Anthu ambiri m'dzikoli masiku simungathe kulingalira moyo wawo popanda kuzindikira owoneka a ena. Izi ndi zotheka chifukwa cha ntchito kwa ziwalo - maso. Gulu la matenda diso ndi yosiyanasiyana. Kukhala chifukwa cha kukalamba mosalephera wa chamoyo, komanso mchikakamizo cha zinthu amkati ndi exogenous. Pakati pathologies izi zokhudza khalidwe la masomphenya, diso amatanthauza retinal misozi. Ndi lofunika kwambiri?

Tiyeni tikambirane za thunthu la

Diso - ndi abwino tcheru minofu kuti amachita kuwala cholinga ntchito. Amakhala ndi ndodo ndi cones. ntchito yawo yaikulu ndi kusintha mosalekeza za mphamvu ya nyemba kuwala, ndipo kusinthika awo mu ubongo, kuchititsa munthu amaona zinthu zenizeni.

Malo kutsogolo kwa diso umatha mzere dentate. Havayo, chimatsatira ciliary thupi. Kumbali ina kwa diso pokhudzana ndi thupi vitreous. Onani kuti mu m'litali ndi mwachisawawa olumikizidwa kwa zimakhala zambiri. Komabe, lumikiza wamphamvu chili m'dera macular, nkhanza mzere dentate ndi kuzungulira mitsempha chamawonedwe.

retinal makulidwe mu dera lililonse zimasiyanasiyana. Mwachitsanzo, mu zoni dentate mzere ndi pafupifupi 0,14 mm, pafupi luteum - 0,07 mm. Poganizira mbali anatomical kumasulira zikusonyeza kuti yopuma retinal kumachitika kulikonse.

Gawo

Gulu la matenda ndi umafananirako kuti zimayambitsa chiyambi chake. Mu mankhwala amakono, izo anaganiza kuonetsetsa amitundu inayi retinal misozi.

1. Perforated. Aumbike mwa malo kupatulira wamkulu wa minofu m'dera la otchedwa masomphenya zotumphukira. Kupanda chithandizo yake kungachititse kuti detachment.
2. Valavu. Chifukwa chachikulu cha matenda - ndi maphatikizidwe kwa diso mwachindunji vitreous lapansi. Limagwirira a ndondomeko izi motere. Phula Chimachokera kunja kwa thupi vitreous ndi kugwa pansi diso. Iwo umalimbikitsa Kakhungu, imene idzachotse iwowa ndi wocheza ndi diso. Mu msoko kale pali mipata ambiri.
3. Detachment wa diso la mzere dentate. Kudwala akufotokozera chifukwa cha kuyan'anila za mgwirizano wathunthu kwa diso kuchokera ciliary thupi.
4. Macular. kudwala ndi amangoona kupangidwa mu zone ya masomphenya chapakati. Ngati nthawi si kuthandiza wodwala, izo kumawonjezera Mwina wa imfa.

Macular retinal maso womwetula

Age zokhudzana kusintha anamuona pa nthabwala vitreous, kupatukana ake pang'onopang'ono kwa diso - ndi chifukwa chachikulu mabowo macular. Apo ayi, mtundu uwu kusiyana amatchedwa kuti idiopathic kapena lachibadwa.

10% milandu kudwala izi aumbike chifukwa poyamba anasamutsa choipa ocular. Zikuoneka chifukwa cha funde mantha mwachindunji kubooleza mwana wa diso, amene zivute zitani kumabweretsa detachment wa chigawo cha pakati.

Komanso, nthawi zambiri chitukuko cha kudwala izi amayamba ndi chithandizo chosiyanasiyana opaleshoni rhegmatogenous retinal detachment. Vuto kumachitika peresenti wodwala. Akatswiri kufotokoza maonekedwe a kuphwanya kuthamanga wake hayidiroliki, chitukuko cha fibrosis epiretinal.

Macular kusiyana ndi matenda makamaka akazi a zaka zapakati pa 55 mpaka pafupifupi 65. 12% milandu kudwala ndi amgwirizano.

Chifukwa retinal womwetula maso kumachitika?

Zimayambitsa matenda ndi lowonjezera ndi zinthu zimene zimalimbikitsa wonse chithunzi matenda ndi wopita ku chitukuko cha retinal detachment. Njirazi ndi monga:

• masewera olimbitsa thupi mopitirira muyeso;
• choipa ndi kuwononga makina kwa diso;
• kukhudzana yaitali nkhawa;
• kuthamanga magazi;
• ukalamba;
• otsetsereka lakuthwa ndi kulumpha;
• lolemera zochotsa.

retinal chotupa zambiri kumachitika chifukwa cha kuyan'anila za kufalitsa zonse ndi kuchuluka kukalamba mwana wa m'diso la. Anthu ali pangozi amayi apakati, anthu ndi kutengera za kumtundu kuti dystrophic kusintha ziwalo masomphenya, komanso kuvutika kwa zolimbitsa / myopia kwambiri.

Kodi zizindikiro ayenera kuchenjeza?

Laling'ono retinal misozi kwa nthawi yaitali sikangakhoze kukwaniritsa mbali kutchulidwa. Iwo sali zizindikiro zosiyana khalidwe, kotero odwala kawirikawiri kubwera kwa yokumana ndi maso a. Inu ayenera kulabadira zizindikiro zotsatirazi.

• Maonekedwe a ndimakwiya, nsakali pamaso pa. Izi makamaka noticeable mu chipinda mdima.
• "Ntchentche" akuona. Chotero chidzindikiro limasonyeza chiyambi cha detachment kapena mu ndondomeko pathological yokhudza ziwiya zing'onozing'ono magazi.
• Amaona masomphenya kapena kupotoza zinthu zooneka kumachitika pamene kusiyana imafika ku dera lapakati diso.
• Maonekedwe turbid khalidwe chophimba m'mphepete wina. Chizindikiro chimenechi chikusonyeza chiyambi cha ndondomeko pathological ndipo amafuna thandizo atangochimwa maso a.

Odwala ena amati patapita mpumulo nthawi inayake, zizindikiro zonse kutha. Akatswiri amanena izi chakuti ndi kukhala yaitali mu umunthu, malo yopingasa limathandiza kuti "kuwongola" kwa diso. chikhalidwe ichi mu zochiritsira zimakambidwa ngati chinthu kungoganiza. Patapita kanthawi, zizindikiro zonse ndibwererenso.

miyeso matenda

Zizindikiro tatchulawa wa kudwala bwino zimapezeka n'chosoŵa. Kupeza mipata diso kukonza malo, kudziwa chiwerengero ndi kukula kokha ndi maso. Pakuti matenda bwino pamafunika luso mpheto khalidwe zotsatirazi:

• Kupenda ndi nyale kudula;
• phunziro mwatsatanetsatane dongosolo la fundus ya;
• US maso.

Malinga ndi zotsatira za kafukufuku wodzala ndi mtima dokotala otsimikiza matenda ndi mankhwala woyenera.

mfundo mankhwala

Mu pathologies amenewa, kusiyana diso, mankhwala akhoza opaleshoni. Kamodzi dokotala wanu watsimikizira matenda, mankhwala ayenera kuyamba pomwepo. Amodzi cha kudzacheza kwa dokotala kapena pofuna kudzilungamitsa chithandizo kungachititse khungu.

Panopa, akatswiri zopereka njira zingapo ntchito.

1. Laser coagulation. Mwa njira imeneyi opaleshoni anadza zambiri, chifukwa limakupatsani kwathunthu kuthetsa retinal kugwetsera maso ake. opaleshoni The imagwiridwa ntchito mankhwala oletsa ululu pamalopo ndi wapadera laser-coagulants. Zikukhudzira malo, amene kumatanthauza kuwonjezeka m'deralo kutentha. Chifukwa, mikroozhogi angapo kupangidwa, motero kukwaniritsa coalescence kwa diso mwachindunji ku choroid lapansi. Ntchito lonse amatenga Pasanathe mphindi 30 ndi sikutanthauza nthawi kuchira mu chilengedwe kuchipatala.
2. Pneumatic retinopexy. Akamanena za njirayi ili: yomweyo pambuyo mankhwala ochititsa dzanzi dokotala M'mimbamo vitreous anayambitsanso yaing'ono mpweya kuwira. Ntchito yake yaikulu ndi kusunga diso ndi limodzi kuchokera choroid lapansi. Pafupifupi 14 Patapita masiku kenako wotetezedwa mwa cryopexy kapena laser coagulation.
3. Vitrectomy - ichi ndi ntchito zovuta kwambiri. Anamuthandiza nthawi agwiritsa ntchito pamene pali retinal macular kugwetsera maso ake. Chithandizo mu nkhani iyi ikukhudza m'malo a vitreous loyamba mafuta wapadera silikoni, ndiyeno - mu saline.

Nthawizina Pofuna kukwaniritsa khola ubwino amafuna bwinobwino ntchito zingapo. odwala amenewa amachititsa kukhala pafupipafupi alendo mu ofesi maso, chifukwa iwo ali ndi Mwina mkulu wa zosayembekezereka ya utaphulika mobwerezabwereza.

Kuchira pambuyo opaleshoni

Pambuyo pa opaleshoni, dokotala amaika bandeji wapadera pa diso, amene akhoza kuchotsedwa tsiku lotsatira. Ngati pa wolunjika wodwala akumva kuti mpweya tamponade anagunda mu diso, usaope cha kuchepa lakuthwa. Pambuyo pake ntchito adzakhululukidwa pang'onopang'ono kuchotsedwa ndi mwapadera wochapira maso madzi. Kawirikawiri dokotala imatiuza za onse mavuto.

Malinga amene njira ntchito katswiri kuthetsa retinal misozi, postoperative anakhala ku chipatala alibe upambana masiku atatu. dokotala ayenera kudziwa yemwe ntchito mafuta pa zinkakhala m'dera monga kusamalira bwino. Pa zosayembekezereka ya mavuto pambuyo kumaliseche (nseru, kupweteka kwambiri diso, amaona masomphenya) ayenera mwamsanga pofuna thandizo kwa maso ndi.

zotsatira pathological

retinal misozi m'maso zingachititse kuti chiwerengero cha mavuto aakulu, ambiri amene amaona detachment ake. Pankhaniyi, laser photocoagulation ndi operewera. Akatswiri ndi mungachitepo opaleshoni kapena vitrectomy ndi kutsogolera chisindikizo sclera ndi silikoni chinkhupule.

Pambuyo pa opaleshoni, kotero odwala akulangizidwa kuti kuyang'aniridwa zonse maso ndi, kuchepetsa mpata zisadzachitikenso. Iwo m'pofunika kupewa kuchita masewera olimbitsa thupi kwambiri ndi nkhawa kwambiri.

zodzitetezera

Pofuna kupewa retinal misozi, zotsatira mu mawonekedwe a detachment ake, ndikofunika kusunga miyeso zofunika njira. Mu malo oyamba Ndi bwino kuwayang'anira thanzi ndipo ankakonda kukacheza ndi maso. Muyenera kutsatira mode olondola a ntchito ndi ena, musawononge nthawi yake yopuma pa polojekiti kompyuta.

Anthu akudwala BP kapena shuga, ayenera kuwunika kuthamanga ndi akalozera wa shuga m'magazi. Ngati muli zizindikiro zilizonse likunena za kudwala ichi, n'kofunika mwamsanga kupita kuchipatala, chifukwa ndalama kwenikweni kupita pa koloko.

Pomaliza

M'nkhaniyi, tinakambirana za kodi retinal kugwetsera maso ake. Ndi lofunika kwambiri? Iwo anali funso amenewa liukitsidwa ndi odwala, zomwe dotolo ali ndi matenda ofanana. Kumene, vuto umoyo, pakalibe mankhwala woyenera ali oopsa. Yotero ndi retinal kugwetsera maso ake. Ndicho chifukwa chake ndi chofunika ndi maonekedwe a zizindikiro yaikulu ya kudwala kupempha thandizo oyenerera, musati kuvula kudzacheza kwa katswiri.

Tikukhulupirira kuti mudziwe m'nkhani ino chidzakhala zofunika kwa inu. Khalani wathanzi!