Caafimaadka, Diyaarinta
Indhaha lagu dhibciyo furmaa taasoo ardayga: tilmaamaha loo isticmaalo. Dhibciyo "Tropikamid"
Waayo, ogaanshaha dhibaatooyinka indhaha qaarkood dhakhaatiirta u baahan tahay inay soo aragto fundus, oo waa wax aan macquul aheyn oo aan mydriasis aan dabiici ahayn. Taas waxaa la samayn karaa oo kaliya codsiga daroogada gaar ah. Gaaraan mydriasis badnaan ogolaan dhibcood furmaa taasoo ardayga. Daroogooyinka in this category waxaa loo isticmaalaa in baaritaanka caruurta iyo dadka waaweyn. Ha ka fikiro si aynu waxa ka soobixi waxaa loo isticmaalaa ogaanshaha cudurrada indhaha kala duwan.
Marka baahida loo qabo in lagu dhibciyo for furanto ee ardayda?
size ardayga si joogto ah la beddelo, taas oo ku xidhan iftiiminta. Iyada oo furitaanka yar la qalab gaar ah - ophthalmoscope - indhaha eegi karin isha oo lagu ogaan aan caadi ahayn. Si kastaba ha ahaatee, qaar ka mid ah dhibaatooyinka soo bixi kara inta lagu guda jiro kormeerka. Light, oo shanqarta qalab sababa Guntanka ee ardayga, taas oo si weyn u adkaynaysaa habka of diagnosis. Si looga fogaado dhibaatooyin kale, khubaro isticmaali dhibcood furmaa taasoo ardayga.
Daawooyinka kordhin kartaa dhexroorka of ardayga waxaa loo yaqaan mydriatics. Ujeedada ugu weyn ee lacagta waa in aad isku dejiso qaar ka mid ah murqaha isha. Tilmaamayaasha loogu isticmaalo waa heley sida go'idda, isbedel side. caawin Midriatiki qiimaynta gobolka retina, gashto, dareemaha iftiinka.
Dhibcood u magacaabi karta iyo ujeeddooyin, daawooyinka. Tusaale ahaan, marka dabac ah hoy medicament ka caawisaa si loo baabi'iyo danab muruq xanuun indhaha ah. Codso indhaha lagu dhibciyo furmaa taasoo ardayga in geedi socodka bararka xubnaha, inta lagu guda jiro qalliinka.
Haddii loo baahdo, qeexidda refraction in carruurta yar yar waxaa muhiim ah in la gashto ayaa dhaqaaqaynin. Gaaraan saamayn this sidoo kale midriatiki caawisaa. ma aan samayn karo aan lahayn, kuwaas oo daroogada ee geedi socodka of diagnosis of astigmatism iyo hyperopia.
Dhibic ku ool ah iyo ammaan
Weynaadaa ardaygu diyaar indhaha kala duwan yihiin waxay ku xiran tahay hab ay of talaabo. Qaar ka mid ah dhibcood - midriatiki toos ah - waxay keeni karaan foosha muruqyada mas'uulka ka ah korodhka ardayga. dhibcood Kuwani waa "Irifrin", "Phenylephrine."
kooxda labaad ee daroogada loo yaqaan mydriatics aan toos ahayn. Waxay nasato muruqa ka masuul ah Cidhiidh of dhexroor ardayga. saameyn la mid ah dhibcood, kuwaas oo weli dhaawac kale, taas oo ay habaysaa diiradda. Waxay waxaa loo isticmaali karaa ujeeddooyin, daawooyinka. Ka mid ah gulucdooda daawooyin sida "Tropikamid", "Midrum", "Midriatsil".
Dhibciyo "Atropine"
Ilaa dhawaan, daroogada this ayaa la isticmaalay ku dhaqanka indhaha meel kasta. Si kastaba ha ahaatee, maanta waxaa si tartiib tartiib ah loo qallocan soo baxay saamaynta ku daweynta muddada-dheer, sababo, iyo hannaanka ka mid ah dhacdooyinka sare ee dhibaato. Walaxda firfircoon ee indhaha lagu dhibciyo - sulfate atropine - waa ka soo jeedo cuntada (dhimirka). ardayga Maandooriyaha ballaarinaya iyo kicisaa cadaadiska intraocular. Sababo la curyaannimo this koraya ee hoyga iyo tiro ka mid ah aragtida sii xumaanaya ee masaafo gaaban.
Saamaynta ugu badnaan lagu arkay 30-40 daqiiqo ka dib ku keento ka mid ah dhibcood oo badbaadiyey dhowr maalmood. Haddii saamaynta daroogada joojiyo ma for 7-10 maalmood, waxaa loo gudbinayaa saamaynta sida kooxda. daroogada ayaa sidoo kale laga yaabaa in ay kiciyaan madax wareer, tachycardia, bafinayo da'da maqaarka.
Oo macnaheedu yahay "Tropikamid": tilmaamaha loo isticmaalo
medicament Mydriatic la xidhiidha oo saamayn ku muruqa ciliary isha mas'uul ka ah isbedelka dhexroor ardayga, iyo sidoo kale receptors of endetarms- iris ee jirka optic ah. Sidaas darteed, waxaa jira mydriasis kooban daweynta saamayn, iyo ka gaabiso reebay.
Daawada waxaa laga heli karaa oo kaliya ee foomka of xal u keento in isha. component ee hadda ah aalad waa tropicamide. In 1 ml of dhibcood ku jiri kara 5 ama 10 mg oo ah walaxda firfircoon. Saamaynta daweynta ka dib markii dhibco codsanaya dhacdaa 5-10 daqiiqo gudahood.
Sidee dhibcood furmaa taasoo ardayga, "Tropikamid"? Muddada saamaynta ku daweynta ku xiran tahay midda of qayb firfircoon. In codsiga ah ee saamayn xal 1% sii socoto muddo 60 daqiiqo. fiirsashada Tan waxaa badanaa loo isticmaalaa cudurka of heley indhaha ah ee carruurta. bukaanka Adult maamula dhibco "Tropikamid" in xal 2%. Xaaladdan oo kale, saamaynta diyaarinta socday muddo ugu yaraan 2 saacadood.
xeerarka codsiga
Sida laga soo xigtay kooban, daroogada waxaa loo isticmaali karaa in arrimaha soo socda:
- marka baaritaanka siku;
- daraasadda of fundus ah;
- lagu qiyaaso refraction;
- inta lagu guda jiro qaliin retina, siku;
- in therapy isku dhafan ee daawaynta cudurada of isha;
- Waayo, ka hortagga caabuq post-operative.
fiirsashada Drug la doortay ku xiran tahay saameynta doonayo daweynta iyo xawaare codsiga bartilmaameedka. Diyaarinta "Tropikamid" diiwaanka lagu talinayaa in uu Ruhbaaniyad la walax ah, taas oo waxaa la siiyaa dhalada ama isticmaal mikaraskoob ah. daroogada waxay leedahay si aad u hesho bac conjunctive qaybta hoose.
mydriasis Maximal waxaa lagu gaari karaa by keento xal 1% 1 dhibic ah ee il kasta. Haddii diyaarinta waxaa loo isticmaalaa ka awood yar oo ah walaxda firfircoon, waxaa lagama maarmaan ah marka hore in ay u dareerin hal dhibic oo ku celiyaan keying in 5 daqiiqo.
"Tropikamid" ee carruurta
Dhibciyo ardayga waa uu furmaa taasoo, waxaa loo isticmaali karaa cudurka of xitaa ilmaha dhashay. Solution loo ogol yahay in ay isticmaalaan oo kaliya 0.5%. Si looga hortago dhacdo ee waxyeellooyin, khubaro ku talinaynaa in dhirta lagu dhibciyo la saline in saamiga 1: 1 isla markiiba ka hor codsiga laftiisa.
Marar dhif ah, daroogada waxay keeni kartaa saamaynta degaanka dhinaca: photophobia, gubashadeeda, aragga indhaha oo isku darsamay, kororka transient in cadaadis intraocular.
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