Zitsanzo Schirmer: zizindikiro, njira ya ntchito, zotsatira

Mayeso njira, tikambirana, dzina lake polemekeza maso ndi Chinapangidwa - Otto Schirmer. zofufuza Kudziwa mlingo wa tochoka madzimadzi kuichotsa, mlingo wa chinyezi yokonza pamwamba corneal.

Zizindikiro ndi contraindications

mayeso Schirmer a umagwiritsidwa ndi amaganiziridwa ndi:

• Corneal kutupa conjunctiva ya;
• syndrome "diso youma";
• syndrome Sjögren (a aakulu, mwapang'onopang'ono imfa ya minofu connective zokhudza zopangitsa yotulutsa secretions kunja - malovu ndi kuichotsa);
• matenda chifukwa slezoobrazovaniya kulandira kukonzekera mankhwala.

Khalani syndrome "diso youma" kungakhale zifukwa zingapo:

1. Madzi m'thupi.
2. Okalamba mtima.
3. Conjunctivitis kapena matenda ena diso.
4. Vitamini A akusowa (losowa vitamini A).
5. Munga diso.
6. Postoperative kapena okhazikika Vuto pambuyo kudzudzulidwa laser masomphenya.
7. Otchedwa syndrome sekondale, amene kumaonekera nyamakazi rheumatoid, khansa, lymphoma.

mayeso Schirmer ali contraindicated mu:

• perforations (reshaping) wa mwana wa m'diso la;
• fistula;
• corneal chilonda osauka wosanjikiza;
• kukokoloka lonse la stratum corneum.

Njira ya mayeso

n'kupanga mayeso chitsanzo Schirmer - wapadera osasankhidwa muyezo pepala kukula: 5 mm m'lifupi ndi mamilimita 35 m'litali. Pakupita 5 mm m'mphepete Mzere anasonyeza, maso akutembenukira ngodya zake madigiri 45, ndipo Sachita kwa chikope m'munsi mwa mtima poganizira gawo pakati pa akunja ndi mbali pakati. Nkofunika pa ndondomeko sakuwupweteka cha diso.

Malinga ndi ena njira mtima pa ndondomeko kutseka maso, pa zina - kuyang'ana patsogolo ndipo m'mwamba pang'ono. Younikira mu chipinda ayenera kukhala omasuka - osati kuzimiririka ndipo osati yowala kwambiri.

Schirmer mayeso amatenga pafupi maminiti asanu. Panthawi imeneyi, pepala n'kupanga kuwaphunzira kuichotsa filimu prekornealnuyu ndi chinyezi kuchokera ku nyanja lacrimal.

Mitundu njira mayeso

Zitsanzo Schirmer amachitika m'njira ziwiri:

1. Ntchito mankhwala oletsa ululu pamalopo. Mankhwala ochititsa sangathe kuwonjezera woyambira kumasulidwa reflex kugwetsera madzimadzi kuti pepala kukondoweza. Pambuyo instillation wa mankhwala ochititsa m'dera m'munsi fornix wa conjunctiva zouma kusiya mankhwala owonjezera kusakanizidwa ndi madzimadzi lacrimal, potero kuwonjezera mphamvu zake.
2. Popanda wothandizila mankhwala ochititsa. Chotero mayeso ndi ophthalmologists yotsatira tikambirana zolondola kwambiri chifukwa kumatha kusanganikirana misozi ndi mankhwala kutumikiridwa, amaonetsera "woyera" chifukwa. mtundu wa nyemba amakhala mu Kupeza Vuto chizindikiro "youma diso".

Komanso mayeso Schirmer ali unagawika Ine ndi II. Woyamba ikuchitika ntchito n'kupanga mayeso ndi kukhudzana njira ananena. Mtundu wachiwiri amathandiza kufufuza ndi kuchuluka kwa reflex (anachita zikuchitika) lacrimal secretions. Ankachititsa chimodzimodzi, koma kumapangitsa amasulidwe maso lacrimal katulutsidwe ndi zolimbikitsa ndime m'mphuno ya nkhaniyi ndi swab thonje.

Kuyesa Schirmer: wakudziko ndi kupatuka

Zikavuta, vuto la "youma diso" ntchito pa mayeso Mzere akhale pa mlingo wa ziro. The m'chigulugulu ndi wamng'onoyo kanjedza mtima anthu oposa 15 mm. Ngati mitengo asapatsiridwe - ndiye examinee akudwala mtundu wa "youma diso" syndrome:

• 14-9 mm - pang'ono kusintha yimitsira Kugawilidwa kwanthaka lachrymal katulutsidwe;
• 8-4 mm - mlingo pafupifupi chitukuko cha matendawa;
• zosakwana 4 mm - mitundu choopsa cha vuto corneal dryness.

Mulingo woyenera ntchito: 10-30 mm. Ngati m'badwo wodwala kwa zaka zoposa 60, mlingo wa Mzere mayeso zosakwana 10 mm tidzakambirana ponseponse kwa iye Komabe, amakonda ziro iye analibe.

Wakudziko chitsanzo II, ndiyo Kugawilidwa kwanthaka ndalama reflex misozi, osachepera 15 mm. Choperekera mitundu onse zitsanzo amaonedwa kukhala kusiyana zotsatira kwa peyala ya maso ndi oposa 27%.

Anasintha matenda pambuyo mayesero Schirmer:

• Kupenda kudula nyale;
• ananyamuka Bengal banga kapena flyuores-galu;
• Research pa kupeza nthawi imeneyi misozi filimu anawononga.

Zitsanzo Schirmer - mosavuta ndi kudya, ogwira njira kwa matenda yoyamba ya syndrome "diso youma" ndi mawu ofanana ndi Iye, matenda okhudza Kugawilidwa kwanthaka wa katulutsidwe lachrymal. Mayeso kumathandiza maso msanga kudziwa mlingo wa tochoka kuichotsa madzimadzi (woyambira, reflex) ndi kukufikira awo mu mtima pansi zoona.