Zamehlo: ukutshatyalaliswa vitreous iliso

Vitreous iyijeli neselubala otsho lweHo- lweliso lakho kwaye esemva lens. Ngaphandle kokuba ejikelezwe yi inwebu ngaphakathi yahlulwe imijelo (iindlela). Ukuba kukho olindelwe, imibimbi okanye kwecala ijeli, uze uthethe amehlo DST.

Yintoni na?

Ukuvela kwimilo eyahlukeneyo, ubukhulu okanye turbidity kwi uburharha vitreous icebisa iinkqubo sisiba mandundu. Le ezimbi kakhulu kwafunyaniswa apho iimpawu eliphakathi zitshintshiwe.

Ngokuqhelekileyo, oko sikhanya, kodwa iqulethe ngomsonto ezikhethekileyo - fibrils. Xa utshintsho ezinxulumene-ubudala, okanye ngenxa kwizifo ezithile, liphelelwa ilastiki, kwaye kuyaphula, ekhokelela ukonakala embonweni. Ngelo xesha iphuhlise iliso floater. Kufuneka kuqatshelwe ukuba komgomo ezinjalo kunzima kuthomalaliso, kunye notshintsho embi abadala phantse singanyangwa (ukuba isantya kuphela xa kufanelekile therapy).

umyalezo weimeyile

Ngokuqhelekileyo, oonobangela floater iliso oluno zahlukahlukene kakhulu, kuba ngenxa umonakalo iso, ukutshaya, ukusetyenziswa kweziyobisi, okanye iziyobisi ezahlukeneyo. Funds kwakhona utshintsho zophendlo lwezifo ezinxulumene wokwaluphala yendalo. Ukongeza, ubukho elifutshane-bisayo, xa sisiva uxinezeleko ixesha elide kwaye rhoqo phezu amalungu yombono, uyothuka-luvo kwakhona ukuphuhlisa floater amehlo.

Ukuba awukhankanyi izinto etiological, Ndifuna muscular ukukhankanya okanye ukudumba kwiretina, ngokomzimba, izilonda retinopathy le choroid, utshintsho yokucolwa kwi lweliso lakho.

Kubalulekile ukukhumbula ukuba utshintsho ezibukhali etshabalalisayo kusenokuba izandulela looding semehlo, apho kukho ilahleko epheleleyo lakho mbono, ngoko ke iingcebiso kwangethuba zamehlo inyanzelekile.

Iimpawu zotshintsho yentshabalalo vitreous

Xa ekuphuhliseni kuphela wayo, ngoko, njengoko umthetho, utshintsho zophendlo lwezifo babonakala kwimimandla engundoqo. Kwaye sikwi umzimba vitreous akawatshintshi. Kwiimeko ezininzi, mgodini kwakheka ezo zizaliswe amasuntswana kunye nemveliso imicu coagulation. Kwakhona, kusenokubakho bands okanye iifilim, leyo bayaphaphazela ngokukhululekileyo eliphakathi lwepetroliyam okanye apha emazantsi iliso, nto leyo ekhokelela ukuba utshintsho elibukhali zophendlo lwezifo umbono.

Ukutshatyalaliswa umzimba vitreous iliso kwi ngokubonakala kakhulu okukhulu - shrinkage wayo. Oko kukhatshwa kwempixano imichiza vitreoretinal ukuba ephambili kakhulu photopsias, iinyembezi semehlo, imbonakalo hemorrhages emzimbeni vitreous.

Kufuneka kuqatshelwe ukuba utshintsho etshabalalisayo ezifana lula ukubona akwisilayidi ngemikroskopu. Uxilongo iingxaki besebenzisa iindlela kwezonyango uphando kunzima kakhulu kwaye ifuna amava abanzi zonyango.

kubonakaliswa clinical

Xa asakhasayo floater, iimpawu zesifo ukuphazamiseka zingaquka imbonakalo phambi kwamehlo zonke iintlobo izinto ezidadayo, leyo zibe buqapheleke xa kuqwalaselwa isithuba ezinombala - iindonga ezimhlophe, ikhephu kunye nesibhakabhaka. Izigulane kwakhona ukubhiyozela imfiliba. Oku kuvela ngenxa refraction lotshintsho ukukhanya, acandacanda inkqubo woqondo iso, kwaye unxulunyaniswa ukuhla isithunzi retina, leyo kunciphisa umgangatho, kwaye kusenokuba kubonisa umonakalo iliso kakhulu. Ukulibaziseka ukufikelela ugqirha kunokubangela ukugqibezela ukulahleka umbono.

fibrils elimele ye kernels vitreous ibonakala nomonde, amabala, imisonto okanye iifilim leyo imoshe ukubonakala kakhulu, ufuduke kunye iintshukumo iliso.

Kufuneka kuqatshelwe ukuba enye kwezi zizathu zixhaphakileyo ukuba unyango zamehlo isikhalazo malunga ukuvela "Iimpukane eziphaphazelayo 'phambi kwamehlo, ukusuka apho akunakwenzeka ukuba balahle. Emva kokuba sehlile efanelekileyo ukubonisa ukuba floater.

A uphawu "imvula yegolide"

Ngamanye amaxesha izigulane ukuya kugqirha, ugqirha wamehlo, ezikhala iintlantsi ngegolide, phantsi iintshukumo iliso. abazange beze bevela phi?

izifo eSebenzayo amalungu ezahlukeneyo (umz, zezintso, isibindi kunye kwamadlala ezidalwe) kungakhokelela ukuphazamiseka iinkqubo pathways kwaye ibangele utshintsho colloid neencindi zomzimba nezimbiwa nokwakheka. Oku kusebenza umzimba vitreous, ephuhlisa utshintsho zophendlo lwezifo kunye neenkqubo bendawo imvula coagulation, kwaye kukho yokulahlwa kwe le ziikristale ogama bungu amancinci - ngaphantsi kwe-0.05 mm.

Ezi iidipozithi zibizwa ngokuba scinlillans synchisis. Ziqulethe ikakhulu cholesterol okanye tyrosine, yande umzimba vitreous engamanzi ngamanani amakhulu, kunye pendulum oscillate kunye iintshukumo iliso ziqala kuqaqambile ukhanye, nto leyo predetermines iliphawu "imvula yegolide", leyo yindlela engaqhelekanga wentshabalalo, ebangela isigulane ukuba bafune unyango ukunceda.

ekuxilongweni

Ukutshatyalaliswa iliso vitreous ukubonwa yi yokuntlokothiswa ngendlela elula - ophthalmoscopy. Neenguqu filamentous etshabalalisayo ziyazibhaqekela kwisisu optically engenanto, banayo uhlobo slits nkqo okanye iimilo ezahlukeneyo. Incence ngaphambili umda umzimba vitreous ngaphandle utshintsho ezithile, kodwa nje emva kokuba uyakwazi ukubona imicu zizimvi emhlophe. Basenokuba ubukhulu ezahlukeneyo kunye SAG yesifundo ngohlobo strings.

Ukuba inkqubo lwezidumbu iqhuba, imigodi zikhankanywe hlangana ukwenza umngxuma omnye. Oku kukhatshwa ekutshatyalalisweni isakhiwo vitreous. Xa ophthalmoscopy ingabonwa iingceba fibrils imisonto. Ukuba turbidity ibekwe kufuphi retina, kunzima kakhulu ukubona (nokuba ubungakanani ezinkulu).

I Kufuneka utshilo okokuba ezi nguqu zifumaneka ngokufuthi abadala, kwaye izigulane abafunyenwe ngexesha elifanayo ukubona aphezulu okanye amanxeba sisiba mandundu of imifinya iliso lwangaphakathi.

therapy kwemithi

Ngaphandle kwento yokuba iyeza (zamehlo, kubandakanywa) kwinqanaba eliphezulu, akukho ndlela esebenzayo kumhla kwakuya walumkisa ukutshatyalaliswa fibrils vitreous okanye negalelo yokuduka sele batshatyalaliswe. Uninzi iziyobisi lalathelwe intshabalalo ukunqanda kuphela progression of utshintsho zophendlo lwezifo. Kufuneka ke ngoko ukuba ziqaphele iziyobisi, ogama abavelisi bathi iimveliso zabo inokunyanga DST.

Ngokuqhelekileyo, ekula isicelo instillation kwe-2% potassium iodide okanye arhente 3% "Emoksipin 'ukuba zifakwa parabulbarly. Kuba ulawulo ngomlomo babelwa amalungiselelo absorbable, umzekelo, "Vobenzim" okanye "Traumel C". Ukongeza, izigulane bacetyiswa ukuba bangenele ikhondo vitamin unyango. Ngenxa yoko, amehlo DST efumana unyango kufuneka zibandakanye ascorbic acid kunye neevithamini kwiqela B.

Ukuba kuyimfuneko, ngaba maliqhutywe physiotherapy - electrophoresis Lydasum kunye nonyango ultrasound.

unyango laser

Ukuza kuthi ga ngoku, ukuba iye kuthandwa laser ukuxhaphaza, ngelo DST zezona ngokukuko kutshatyalaliswe floaters. unyango olunjalo kancinane yeli lizwe, kodwa ke ifuna ubuchule aphezulu kunye nobuchwepheshe kugqirha. Ubonelela kutshatyalaliswe laser ngamaqhekeza ngaphaya emzimbeni vitreous, atsho zibe ngamaqhekeza amancinci ukuba zingakuchaphazeli umbono phantsi.

ungenelelo laser vitreous ngokuba vitreolysis. Kungakufaka i azikhuli esikiweyo vitreorogovichnyh. Ukuba nokuphuhlisa Ithemba yasekuhlaleni umzimba vitreous, obe ubaqhiphukisa deformation lo umfundi kunye nokubekwa ngokungafanelekanga lens intraocular wenziwa Ukusikwa inxalenye efanelekileyo PT. Kulo mzekelo, sebenmzisa i YAG laser. amandla ukubetha wathatha ngamnye (ukusuka kwi 1.5 ukuya kwi 8.0 MJ). impumelelo yokusebenza kuxhomekeke kwi viscosity kunye elubala le uburharha vitreous, kunye inkungu zobungakanani.

therapy operative

eye intshabalalo vitreous unyango lwe indlela ngotyando ebizwa vitrectomy. Le therapy kubandakanya ukususwa buso okanye epheleleyo CT, esiqhutywa ngokusebenzisa inkqubo vitrectomy equlathe vitreotoma (ukunciphisa sixhobo) kunye endo-illuminator.

Kwezinye iimeko, vitrectomy isetyenziswa? Njengomgaqo, kuliwa kwi umonakalo vitreous ukulimala ezivulekileyo, xa turbidity, kwakunye legazi kunye retinopathy.

Ubude tyando ukusuka kwimizuzu engama-30 ukuya kwi-90. YoLungiso-sandi lweSihambisi lwenziwa phantsi zomzimba okanye jikelele, ukuze ibe zigaba omnye okanye ngaphezulu, kuxhomekeke eqongeni kunye nohlobo ngezifo.

isicelo Iipholima yokufakelwa, kunye nezisombululo ityuwa elungeleleneyo indawo vitreous. Kwiimeko ezininzi, uthatha izinto ezingamanzi perfluoroorganic, iigesi, okanye ioli abicah. Nayiphi na indawo ye vitreous kufuneka kube selubala kangangoko kunokwenzeka, kunye viscosity efanelekileyo kunye namandla zokunganyangeki. Kananjalo ayiboneleli ukuba singanikezeli resorption okanye enze indlela ityhefu, ukudumba okanye umzimba.

Emva kotyando, izigulane bacetyiswa ukuba kubuka zamehlo, ukunciphisa imithwalo ngokwasemzimbeni kunye neetekisi ezibonwayo, utshintsho ngesiquphe lobushushu. Kungenjalo kwandisa ubungozi iingxaki ezithintela ukosuleleka ngokuphindaphindiweyo haemorrhages, cataract, uxinzelelo oluphezulu intraocular okanye occlusions semehlo nemithambo.