Pochiza matenda a maso: kuwonongedwa kwa diso vitreous

Vitreous ndi gel osakaniza mandala mukumveka M'mimbamo wa mwana wa diso ndi ili kumbuyo disolo. Kunja wazunguliridwa ndi Kakhungu mkati lagawidwa njira (njira). Ngati pali kupatulira, makwinya kapena detachment a gel osakaniza, ndiye kulankhula za DST maso.

Ndi chiyani icho?

Zikamera wa mawonekedwe zosiyanasiyana, kukula kapena turbidity mu nthabwala vitreous zikusonyeza njira osachiritsika. The kaŵirikaŵiri matenda pathologies imene katundu a sing'anga yasinthika.

Mwachibadwa, ndi mandala, koma lili wapadera ulusi - fibrils. Mu kusintha obwera ndi ukalamba, kapena chifukwa matenda ena, iwo kukhala zochepa zotanuka, ndipo akhoza kusweka, zikubweretsa ndi kuwonongeka mu masomphenya. Pa nthawi yomweyo akufotokozera floater diso. Tikumbukenso kuti kuyan'anila amenewa ndi ovuta mankhwala ndi kusintha zowononga okalamba pafupifupi osati ankachitira (iwo angakhoze kokha m'mbuyo pamene yoyenera mankhwala).

etiology

Childs, floater diso zimayambitsa zimenezi yosiyanasiyana, ndi chifukwa cha kuwonongeka makina diso, kusuta, ntchito mankhwala kapena mankhwala osiyana. Ndalama komanso ndi kusintha pathological kugwirizana ndi masoka njira ukalamba. Komanso, pamaso pa yochepa sightedness tikamva kuvutika maganizo kwakukulu ndi pafupipafupi pa ziwalo masomphenya, zodabwitsa mitsempha Komanso floater diso.

Ngati musankhe zinthu etiological, izo ndi ofunika ponena dystrophy kapena kutupa mu diso, kutopa thupi, zotupa retinopathy wa choroid ndi kusintha kagayidwe kachakudya m'diso mwake lapansi.

Nkofunika kukumbukira kuti lakuthwa kusintha zowononga kungakhale zofunika retinal detachment, mmene muli chitayiko wathunthu ndi kulisiya la masomphenya, kotero malangizo yake ya maso ndi ndi kuvomerezedwa.

Zochita za kusintha zowononga wa vitreous

Polemba kuvunda wake, ndiye, monga ulamuliro, kusintha pathological anali anamuona pa malo chapakati. Periphery wa thupi vitreous ndi sanasinthe. Nthawi zambiri, voids anapanga amene anadzazidwa ndi particles ndi ulusi mankhwala coagulation. Komanso, pangakhale magulu kapena mafilimu amene tiwolokere momasuka sing'anga liquefied kapena zaikidwa pansi diso, imbaenda kuna lakuthwa kusintha pathological maganizo.

Kuwonongedwa kwa diso vitreous thupi mawonetseredwe aakulu - ndi shrinkage ake. Iwo limodzi ndi mavuto mankhwala vitreoretinal kuti mu kutsogolera kwambiri kwa photopsias, retinal misozi, maonekedwe a kukha magazi mu thupi vitreous.

Tikumbukenso kuti kusintha zowononga mosavuta kudziwa pa filimu tosaoneka. Kupeza Vuto mavuto pogwiritsa ntchito njira yachipatala wa kufufuza zovuta ndipo amafuna zambiri zachipatala.

mawonetseredwe matenda

Polemba floater, zizindikiro za matenda ingakhale monga maonekedwe pamaso pa mitundu yonse ya zinthu yoyandama imene kukhala noticeable tikaonetsetsa monochrome danga - makoma woyera, chisanu ndi kumwamba. Odwala angathe kukondwerera amaona. Vutolo limachitika chifukwa refraction kusintha kuwala, kudutsa dongosolo kuwala kwa diso, ndipo amagwirizana ndi dontho mthunzi pa diso, zimene zimachititsa khalidwe, ndipo mwina zimasonyeza diso ngozi yoopsa kwambiri. Kuchedwa mu kupeza dokotala kungachititse kuti kumaliza imfa ya masomphenya.

Omenyedwa fibrils cha maso vitreous ngati wodwala, mawanga, ulusi kapena mafilimu amene kwambiri kusokoneza aone ndi kuyendayenda ndi kayendedwe ka m'diso.

Tikumbukenso kuti imodzi mwa zifukwa ambiri chithandizo kwa maso ndi dandaulo za maonekedwe a "ntchentche zouluka" maso, amene n'zosatheka kuchotsa. Pambuyo Kafukufuku zogwirizana kusonyeza izo floater.

A chizindikiro cha "golide mvula"

Nthawi zina odwala kupita kwa dokotala, dokotala wamaso, amadandaula nsakali golide pansi kayendedwe diso. Kodi iwo anachokera kuti?

matenda zinchito ziwalo zosiyanasiyana (mwachitsanzo, impso, chiwindi ndi zopangitsa endocrine) kuyambitsa kusokoneza njira kagayidwe kachakudya ndipo zimabweretsa kusintha colloid thupi madzi ndi mchere zikuchokera. Izi imakhudzanso thupi vitreous, yomwe kukhala kusintha pathological ndi njira m'dera ndi mpweya ndi coagulation, ndipo pali mafunsidwe timibulu amene miyeso ang'ono - zosakwana 0,05 mm.

madipoziti zimenezi zimatchedwa synchisis scinlillans. Iwo zigwirizana makamaka a mafuta kapena tyrosine, kudziunjikira mu liquefied vitreous thupi ambiri, ndipo pendulum oscillate ndi kayendedwe diso anayamba kunyezimira ndi kudzawala, amene predetermines chizindikiro cha "golide mvula," chomwe ndi osowa mawonekedwe a chiwonongeko, kuchititsa wodwalayo kuchipatala kuthandiza.

diagnostics

Kuwonongedwa kwa diso vitreous wapezeka ndi mpheto mwaukadaulo yosavuta - ophthalmoscopy. Mu kusintha filamentous yowononga wapezeka M'mimbamo optically kanthu, amene mawonekedwe a slits ofukula kapena akalumikidzidwa osiyana. The mbale kutsogolo kwa malire a thupi vitreous popanda kusintha zenizeni, koma kumbuyo inu mukhoza kuwona ulusi imvi woyera. Iwo akhoza kukhala ndi makulidwe osiyana ndi sag mu mawonekedwe a zingwe.

Ngati ndondomeko pathological m'kati, ndi voids otchulidwa kuphatikiza kupanga M'mimbamo umodzi. Izi limodzi ndi chiwonongeko cha dongosolo vitreous. Pamene ophthalmoscopy Tingaone makombo a fibrils ulusi. Ngati turbidity ili pafupi diso, n'kovuta kwambiri kuona kuti (ngakhale zazikulu chachikulu).

Ine ndiyenera kunena kuti kusintha Kawirikawiri anapeza okalamba ndi odwala amene amapezeka pa nthawi yomweyo mkulu myopia kapena zotupa osachiritsika a zimagwira ntchito zosiyanasiyana mkati diso.

mankhwala pharmacological

Ngakhale kuti mankhwala (pochiza matenda a maso, kuphatikizapo) pa mlingo mkulu, palibe njira tsiku limenelo akanati anachenjeza kuwonongedwa kwa fibrils vitreous kapena kulimbikitsa kutha kwa aononga kale. Ambiri mwa mankhwala amene analamula kuti chiwonongeko chabe kuteteza Kukula kwa kusintha pathological. Iwo tiyenera kukhala osamala za mankhwala, amene opanga amanena kuti mafilimu awo akhoza kuchiza DST.

Childs, timitu ntchito instillation wa 2% iodide potaziyamu kapena 3% wothandizila "Emoksipin" kuti jekeseni parabulbarly. Pakuti makonzedwe m'kamwa amapatsidwa kukonzekera absorbable Mwachitsanzo, "Vobenzim" kapena "Traumel C". Komanso, odwala akulangizidwa kuti alandire moyo vitamini mankhwala. Choncho, DST maso kulandira chithandizo pazikhalanso ascorbic acid ndi mavitamini a gulu B.

Ngati ndi kotheka, angathe kuperekedwa physiotherapy - electrophoresis Lydasum ndi ultrasound mankhwala.

chithandizo laser

Pakali pano, anthu ochuluka otchuka laser mpheto, amene DST ndi yabwino kwambiri kuti thupilo floaters. Zinthu zimenezi ndi asang'ambe, koma pamafunika luso mkulu ndi Luso la dokotala. Imakhala kwa chiwonongeko cha laser opaque zidutswa mu thupi vitreous, amene kuphwanya mu particles ang'onoang'ono kuti sizikukhudzana ndi masomphenya.

Laser alowererepo vitreous otchedwa vitreolysis. Kungaphatikizepo kagawo vitreorogovichnyh adhesions. Ngati muli ndi chophukacho m'dera la thupi vitreous amene amayambitsa mapindikidwe wa mwana ndi mayikidwe zosayenera disolo intraocular wapangidwa excision a mbali zogwirizana wa PT. Pankhaniyi, ntchito YAG laser. Kugunda mphamvu anatola payekha (kuchokera 1.5 kuti 8,0 MJ). bwino ntchito kumadalira pa kukhuthala ndi chilungamo cha nthabwala vitreous, ndi Chifunga zamitundu.

mankhwala ntchito

diso vitreous chiwonongeko chithandizo cha njira opaleshoni otchedwa vitrectomy. mankhwala imeneyi imaphatikizapo tsankho kapena wathunthu kuchotsa CT, imene imachitika kudzera dongosolo vitrectomy ongokhala vitreotoma (kudula chida) ndi endo-chounikira.

Nthawi zina, vitrectomy ntchito? Monga ulamuliro, izo ikuchitika pa kuwonongeka vitreous ku kuvulala lotseguka, pamene turbidity, komanso kukha mwazi ndi retinopathy.

Kutalika kwa ntchito ndi kwa mphindi 30 mpaka 90. Calibration chikuchitika padziko mankhwala oletsa ululu pamalopo kapena onse angakhale ndi magawo chimodzi kapena zingapo, malingana ndi gawo ndi mtundu wa kudwala.

ntchito ma polima yokumba, ndi njira moyenera mchere m'malo vitreous. Nthawi zambiri, kutenga zinthu madzi perfluoroorganic, gasi, kapena mafuta silikoni. m'malo aliyense wa vitreous ayenera kukhala mandala ngati n'kotheka, ndi kukhuthala zoyenera ndi mphamvu refractive. Komanso alibe amayamba resorption kapena chifukwa poizoni, kutupa kapena matupi awo sagwirizana anachita.

Pambuyo opaleshoni, odwala akulangizidwa kuonerera ndi maso ndi, kuchepetsa katundu thupi ndi zizindikiro, kusintha mwadzidzidzi kutentha. Apo ayi pangozi yaikulu ya mavuto yotupa kuchuluka mobwerezabwereza haemorrhages, ng'ala, mkulu intraocular kuthamanga kapena retinal mtima occlusions.