Methodology oftalmotonometrii zolemera. Tonometer Maklakova: chipangizo ntchito ndi

Kuthamanga mkati makamera diso anatsimikiza mtima kusiyana mathamangidwe wa inflow ndi outflow wa therethrough madzi. Ntchito mchitidwe njira matenda a tonometry (kuthamanga) ali mozungulira ndi kupereka tonographic kuthamanga chizindikiro.

Muyeso wa kuthamanga intraocular nkofunika kwambiri kwa matenda a khungu ndi chisamaliro yake diso odwala.

Tonometer Maklakova mu oftalmotonometrii

Mu pochiza matenda a maso zoweta zambiri ntchito njira tonometer sanali kukhudzana ndi intraocular kuthamanga muyeso mwa Maklakov. The yachiwiriyi akufuna mu 1884, ndipo mu mchitidwe waukulu anapita patsogolo pang'ono.

Tonometry pa Maklakov ndi lalifupi unsembe sinker (tonometer) pa diso ndi kupeza zala kukhudzana pamwamba. Mu lalikulu ake Amakhazikitsa kuthamanga intraocular.

Kuwonjezera pa CIS, njira chimagwiritsidwa ntchito China.

Ocular tonometer Maklakova - wathunthu ndi chipangizo chida

Tonometer zida zikuphatikizapo:

• awiri cylindrical sinker kulemera 10 ga, anawonjezera malekezero ndi nkhope lathyathyathya mapeto;
• Chofukizira kwa miyezo, imene ndi imodzi kukonza awiri sinker;
• 3 Kuyeza wolamulira amati m'mimba mwake wa mzere kusindikiza kapena Professor B. Polyak;
• choncho.

Akatundu dzenje mkati, muli weighting patsogolo. mapeto pamalo awo la galasi frosted, amene amalola uniformly akugwira kudetsa njira.

chofukizira zimenezo, kotero kuti pa muyeso wa zala sapeka kuthamanga kwambiri pa tonometer wa Maklakov.

Kodi ntchito ndi tonometer

Musanayambe, muyenera fufuzani udindo wa tonometer lapansi. nsanja Violation mapeto akhoza kuwononga umphumphu wa diso wodwalayo. Komanso, yamphamvu ayenera kukhala zovuta kuyenda mu chofukizira kusiyana.

Processing tonometers Maklakova pamaso ntchito tichipeza mu akusisita mowa ziyangoyango, kenako chida cha nafota masekondi 15-30.

Yolera yotseketsa ndi otentha mu 2% soda kwa mphindi 30 yankho ikuchitika okha milandu zilili pamoyo:

• pamene ayesedwa odwala ndi zizindikiro za kutupa conjunctiva ya;
• zinachitikira kuopseza kulekana kwa keratoconjunctivitis tizilombo.

Popeza tonometer Maklakova ikudontha, ndi otentha mu madzi asalowe. Kuti oftalmotonometrii zotsatira sizinachitike molakwika chifukwa cha kusintha wagawo misa mkati maola kapena zambiri zouma pa wosabala gauze.

Utoto ntchito kumtunda Maklakova tonometer, ndi akuchita izi mu chisakanizo cha glycerol ndi madzi colloid siliva (siliva colloidal albumin). Zotheka kugwiritsa ntchito colorants Bismarck-Brown kapena methylene buluu. Kwa mbale ❖ kuyanika utoto ntchito inki PAD kapena kunditumiza ku dontho la utoto okonzeka ndi ndodo galasi kenako triturated ndi swab thonje. The njira yamasika otetezeka mu mawu a mliri wa.

Njira kuphunzira intraocular kuthamanga tonometer Maklakova

Pamaso tonometry diso zamizidwa ndi kusakhala mtima. Chifukwa chaichi, mu sac conjunctival kawiri ndi imeneyi ya mphindi 2 anaika dikaina njira. Kudwala pakati instillation chimakwirira nthawi.

Kenako, dokotala kapena namwino adzatenga zochita motere:

1. Mankhwala tonometer Maklakova mowa, iwo zouma.
2. Pa malo tonometer umagwiritsidwa wosanjikiza woonda utoto.
3. Wodwala akagona pa kama popanda pilo, pang'ono anakweza chibwano, maso kukonza pa index chala ya manja ake wotambasula mmwamba. Chigawo chapakati cha diso ayenera kukhala pa malo omwewo yopingasa.
4. Zala za dzanja limodzi ndi kafukufuku kuwonjezera diso kudula kuti zikope alibe amaumiriza mwana wa m'diso la.
5. Ndi dzanja linalo mwa chofukizira kuchokera pamwamba pansi tonometer Maklakova akuda m'dera pa malo a diso la. Sinker akhale kwathunthu pansi ndi nkhope ndi thupi lake lonse.
6. Ndiye katundu mwamsanga kukatenga ndi kupanga chilemba pa pepala, wothira mowa.
7. phunziro linabwerezedwa kwa diso chachiwiri.
8. Maso a mtima osambitsidwa ku utoto saline ndi anaika Albucidum.

Pa kutsitsa wa tonometer pa diso la utoto m'dera kukhudzana ndi yagwa ndi misozi. Kuganiza chifukwa ndi mphete.

Kutanthauzira kwa zotsatira za oftalmotonometrii Maklakov

The m'mimba mwake mwa bwalo la kuwala pa pepala ndi njila kwa mlingo wa flattening wa diso pa phunzirolo. Choncho apamwamba a kuthamanga, chindichepere inki adzachotsedwa ndi moyenera, kupatula kuwala dera zala lapansi.

Transparent wolamulira anayeza awiri kuwala dera. kafukufuku The muliike mamba pansi kupewa kupotozedwa. Zotsatira ayesedwa binocular magnifier. Ntchito kwa mzere lonse amalola kusintha zotsatira pomwepo millimeters mankhwala enaake oopsa.

Pamene kuyeza mzere yachibadwa (0.1 mm), chiŵerengero kuthamanga kuchita masamu kuti chiŵerengero cha kulemera kwa tonometer: zala utali wozungulira lofanana mbali mwa chiwerengero cha "ku Pihahiroti" ndi kulemera yeniyeni ya mankhwala enaake (13.6).

Normal intraocular kuthamanga ndi Maklakov ndi 18-26 mamilimita Hg osiyanasiyana. Art.

Zofooka ndi mbali ya njira

Osavomerezeka ntchito tonometry pa Maklakov milandu zotsatirazi:

• pambuyo likufa opaleshoni mwana wa m'diso la;
• ndi matupi awo sagwirizana anachita popha ululu ndi;
• mu kutupa cha maso ndi zikopa.

Maklakova Tonometer pa mwana wa diso ali ndi kuthamanga kuposa njira zina, motero, chifukwa cha mlingo ukusunthira mu njira chachikulu. Yerekezerani yachibadwa ocular kuthamanga Goldmann ndi 9-21 mamilimita Hg. Art. Choncho fanizo la zotsatira akamagwira njira yosiyana, si olondola.