Kuvhura-angle-glaucoma inorwara hutachiona hwemaziso, pamwe chete nekuwedzera kwema-intraocular pressure uye kukurumidza kuputika kweropa remagetsi, kutyisidzira kupodza kwakakwana. Nzira yekuziva chirwere ichi, chinowedzera kuwanikwa kune vechidiki, uyewo maitiro ekurapa, tichakurukura zvakare.
Yakavharwa-angle uye yakazaruka-angle glaucoma - kusiyana
Mhando mbiri dzehutano dzinozivikanwa: yakazaruka-angle glaucoma uye yakavharwa-angle glaucoma. Muzviitiko zvose izvi, mhedzisiro yehutachiona hwehutachiona mumatumbu eziso ndeye kurasikirwa kweropa re optic, rinotungamirira kupofu. Mune maziso edu, mvura inonaya inoenderera mberi yakaumbwa, iyo inobuda iyo inopinda nepakati iri pakati pe cornea ne iris (iyo yechenesa yekuchenesa).
Pamusana pekuyera kwekuderera nekubuda kwehunyoro mukati meziso, kushevedzera kwakanyanya kunoramba kuripo. Kana nekuda kwezvikonzero zvakasiyana-siyana kubuda kwemukati wehutachiona kunowedzera kuoma, inotanga kuunganidza, izvo zvinoita kuti kuwedzerwa mumanikidziro. Somugumisiro, mutsara we optic nemamwe matukisi ari pedyo anotanga kuva nemutoro unogara uripo, ropa rinodedera, hypoxia inomuka, uye munhu wacho anorasikirwa.
Nenguva yakazaruka-glaucoma, iyo inotengesa inoramba yakazara uye yakazaruka sezvinofanira kuva, uye chipingamupinyi pakusunungurwa kwemhepo inowanikwa munzvimbo dzakadzika dzeziso. Ichi chimiro chechirwere chinokura zvishoma nezvishoma, zvishoma nezvishoma. Nekona-yekuvhara glaucoma, pane kuvhara kwakasimba kwechirwere chekubuda, i.e. kona yekamuri yapamberi inovharwa. Muchiitiko ichi, kupinza kwemajoka kunowedzera nokukurumidza, kurwisana kwakanyanya kunogona kuitika, kuchida rubatsiro rwekurumidza.
Vhura angle glaucoma - zvinokonzera
Zvichienderana nechinangwa chekusimudzira kwehutachiona, chekutanga chenguva yakazaruka glaucoma uye yechipiri hazviwanikwe. Mhando yekutanga inotanga kuzvimiririra uye inobatanidza neine genetic zvinhu. Yakave yakasimbiswa kuti chimiro chekudzidzira hutachiona chinogadzirisa zvinhu zvechimiro chekona yekamuri remukati maziso. Pamwe chete neizvi, kuchinja mumugwagwa wekudonhorera kune zvimwe kuvimba nekuputsika mune endocrine system, hurongwa hwekutya, mumidziyo. Nokudaro, chirwere chinogona kuwirirana nehutano hwakadaro:
- atherosclerosis ;
- hypertensive disease;
- migraine ;
- chirwere cheshuga mellitus;
- myopia yechirango chakanyanya, nezvimwewo.
Sekondari glaucoma inoumbwa kunopesana nemamiriro ezvimwe zvirwere zvinoparadza kana zvirwere zvinokonzera kupisa maziso, zvinokonzerwa nekukuvara, kupisa, maitiro ekutura, inxication. Maererano nekuongorora kwechangobva kuitika, kukurudzirwa kwechirwere kunokonzerwa nezvinhu zvakadai sehupenyu hwokugara, kusava nemaitiro ekuita muviri, tsika dzakaipa, kuwandisa muviri.
Vhura angle glaucoma - dhigirii
Zvichibva pakuchinja kwechirwere chetachiona mune maziso maziso, kazhinji sequentially kukudziridza matanho, yakazaruka-angle glaucoma inogoverwa muzvidimbu zvakasiyana (zvikamu). Panguva imwecheteyo, uwandu hwekuvhara mukati ma-intraocular inogona kuva yakakwana (pasi pemaminiti makumi maviri nemaviri Hg), inonongedza (kubva pa28 kusvika ku 32 mm Hg) kana yakakwirira (inopfuura 33 mm Hg). Isu tinoratidzira matanho ose e-open-angle glaucoma.
Vhura maonero ekutanga giraucoma yerigoma
Panguva ino, iyo ndiyo danho rekutanga, hapana chirevo chinonzi maitiro echirwere chinowanikwa. Ikoko kunogona kuwedzwa mukati mekunyanya kudzvinyirira, kuchinja kusina basa mumunda wekuona. Nekuongororwa kwakaitwa ophthalmological, kuchinja mu fundus kunoratidzwa - kuonekwa kwekuora mwoyo mukati me optic nerve disk (kugadzirwa). Kana pakazaruka-angle glaucoma ichionekwa panguva iyi, kufungidzira kwehutachiona kunobatsira kushanda nesimba uye hupenyu hwevarwere.
Vhura angle glaucoma 2 digrii
Chikamu chechipiri chekurwara chinonzi chichigadzirwa. Varwere vanoonekwa kuti vane glaucoma yakazaruka-angle, zvikwangwani zvakananga, uye zvinosanganiswa nechepakati pebasa rekuona kwemaonero pane zvidarika 10 kubva kumativi emhino. Mukuwedzera, panguva ino, pane zvakanyanya kufanana nemunda wekuona, izvo zvisingakwanisi kusvika 15 degrees, zvingave zvataurwa. Pamusoro pekuongororwa, zvinoratidzirwa kuti kubvongodzwa kwemagetsi eropa kunosvika pamucheto wayo.
Vhura angle angle angle glaucoma 3 degrees
Zviratidzo zvezvematongerwo enyika panguva iyi zvinonzi zvinoenda. Secondary open-angle glaucoma, yakaonekwa panguva ino, inoonekwa seine ngozi. Chiremera chekuona chiri kuwedzera. Iko kunopera kunowedzera mumunda wekuona mune imwe kana zvimwe zvikamu, kupfuura 15 degrees. Kubvongodzwa kwekodhi yemagetsi inowedzera. Kazhinji, kune varwere vane chirwere chechitatu che glaucoma, pane chiono chepombi, umo mavari kutarisa sekuti kunyange nechepurasitiki.
Vhura angle angle angle glaucoma 4 digrii
Anozivikanwa glaucoma 4 degrees - chirwere chetachiona chechirwere. Muzviitiko zvakawanda, munhu anenge atofa zvachose zvachose kuona pane rimwe kana maziso ose. Vamwe varwere vachiri kukwanisa kuona zvisina kunaka nekuda kwe "chiduku" chiduku chemaziso. Mukuwedzera, zvinokwanisika kuchengetedza chiedza chine chiedza, zvisinei, kana kuonekwa kwemazuva emwenje kusati kwasarudzwa. Nekugona kwekuona iyo fundus, atrophy yemagetsi e optic inotangwa.
Vhura angle glaucoma - zviratidzo
Mumatangiro epakutanga, zviratidzo zvinotanga kuzaruka-angle glaucoma hazvisi pachena kuti vashoma vevarwere vanonetseka uye vari kuenda kune ophthalmologist. Zviratidzo zvinotevera zvinowanzoonekwa kana nguva nenguva zvinofanira kungwarira:
- manzwiro okusuruvara mumaziso, kukakavara, kuoma;
- kunetseka kwechidiki munzvimbo yebhururuka;
- kurwadziwa pameso ;
- kuchema ;
- kubwinya kwemaziso;
- kuora kwemaonero mumadekwana nerima;
- chimiro chevhota murusvingo apo pachitarisa chiedza;
- chiratidzo chakajeka, kuonekwa kwe "grid" pamberi peziso.
Vhura angle glaucoma - kuongororwa
Kazhinji, kuongororwa kwe "open-angle glaucoma" inogadziriswa pangozi panguva yekuongororwa kwevashandi, kuongororwa muhofisi ye optics. Dambudziko rekuongororwa kwemaitiro, apo yakazaruka-angle glaucoma inofungidzirwa, inosanganisira zvidzidzo zvakadaro:
- chiyero chekumanikidzwa mukati meziso reziso (kunyanya kudzidzisa zuva nezuva kuongororwa, umo kunokwanisika kuona kuchinja kwakanyanya mumakwikwi);
- hukuru hwe lens yeziso nekamuri yekare;
- kuongororwa kwekugadzirisa kwekambani yekusungirirwa kwechirwere chechirwere nekushandurwa kwezvinyorwa zvebiomicroscopy;
- perimetry - tsanangudzo yekutadzana kweminda yekuonekwa;
- kuongorora kwekudzivisa (kukwanisa kwegadziriro ye optical kugadzirisa miviri yakachena);
- gonioscopy - kutaridzika kwekona yakazaruka yekamuri remukati yeziso, tsanangudzo yekusimudzirwa kwemavara, kuwedzera kwehuwandu uye kuperesiya munharaunda ye cornea scleral trabeculae,
Nzira yekurapa yakazaruka-angle glaucoma?
Sezvo nguva iyo yakazaruka-angle glaucoma ichiwanikwa, kurapwa kunofanira kuitwa nguva dzose. Hazvikwanisi kupedza zvizere nhengo dzemaonero, asi chirwere chinogona kudzorwa, uye kufambira mberi kwayo kunogona kumira. Kurapa kwekuzaruka-angle glaucoma kunobva pamagadzirirwo anochengetedza uye ekushanda, zvichienderana nehutano hwehutachiona. Basa guru rezvechiremba munyaya iyi ndekudzivirira kana kuderedzwa kwekukuvadza kumagetsi e-optic. Izvi zvinoda:
- kuderedza kushanda kwepisocular;
- kuderedza kana kubvisa hypoxia yemaziso maziso (zvikurukuru optic disc);
- dzorerazve metabolism yakavhiringidza muziso reziso;
- ruramisa maitiro ekubatana.
Mumatangiro epakutanga, chirwere chekuchengetedza chinowanzobudirira, chinosanganisira mishonga yakasiyana-siyana ne-open-angle glaucoma, zvose zviri mukati uye zvakasikwa. Mukuwedzera kwavari, physiotherapy maitiro dzimwe nguva anoshandiswa, pakati payo-electrostimulation ye optic disc. Kana chirwere chakadaro chikawana migumisiro yakanaka, ipapo murwere anoenderera mberi naro, nguva nenguva, kanenge kaviri pagore ichiongororwa ne ophthalmologist. Kururamiswa kwemishonga kunogona kudikanwa kana kuora kweziso reziso kuchionekwa.
Kugadzirira kurapwa kwemafunguro akazaruka glaucoma
Sechirwere chekugara, madonhwe eziso anoshandiswa ne-open-angle glaucoma, iyo inofanira kushandiswa nguva dzose, kunyanya munguva. Izvi zvinodhaka zvine chinangwa chakasiyana chekuita. Chimbofunga kuti madonhwe anokwanisa kurongedzerwa nei-open-angle glaucoma (urongwa):
- kuti kuderedze kubudiswa kwemukati muropa :
- Proxodolol;
- Timolola maleate;
- Arutimol;
- Dorzolamide hydrochloride;
- Betaxolol;
- Asopt;
- Trusopt;
- Brinzolamide;
- kunatsiridza kuputika kwemafuro:
- Pilocarpine;
- Xalatan;
- Travatane;
- Armin;
- Tosmilen;
- Phosphacolcol;
- Latanoprost;
- Carbachol;
- madonhwe okubatanidza chiito:
- Kosopt;
- Fotil;
- Proxopheline;
- Azarga;
- Xalacom;
- Fotil forte.
Kana madonhwe eziso asingakwanisi kudzora kukanganiswa mukati memharavha, kuwedzera kuisa mishonga yekugadzirisa:
- Clopheline;
- Anaprilin;
- Proserin;
- Hypothiazide.
Mukuwedzera, kuvandudza ropa kunopinda kumagetsi e-optic uye kuchengetedza masero emironda akanyorwa mishonga yemishonga, antioxidants, mavitamini:
- Cavinton;
- Gliatilin;
- Milgamma.
Kurapa kwekushanda-open-angle glaucoma
Mumatambudziko akaoma, kurapwa kwakachengetedza hakuiti kuti zviitike zvakanaka, uye nzira dzokuvhiya dzinorudzirwa kuti kuderedze kushanda kwepisocular. Muchiitiko ichi, pasinei nemhando yekushanda, zviratidzo hazvigoni kuvandudzwa uye zvakaporesa zvachose. Mumamiriro ezvinhu apo mahara-open glaucoma ye 4th degree anowanikwa, chirwere chacho chingave chisingabatsiri, uye kana zvakasara zvingaratidzwa, zvichitungamirira kukarasikirwa kwayo zvakakwana.
Maitiro akaparadzaniswa kuva marudzi maviri:
- Laser (argon uye selective trabeculoplasty, cycloablation, nezvimwe);
- tsika yekugadzira (trabeculectomy, drainage system implantation, canaloplasty, etc.).